GOOD SAMARITAN REGIONAL HEALTH CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: GOOD SAMARITAN REGIONAL HEALTH CENTER (EIN 43-0653587)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-16
IRS object ID: 202323209349300622
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-16T01:15:20+00:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	264532849	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Purk & Associates PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1034 S Brentwood Boulevard Suite 20	AddressLine1Txt
Address Line2	00	AddressLine2Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63117	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	430653587	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Good Samaritan Regional Health Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GOOD	BusinessNameControlTxt
Phone	3149947800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10101 Woodfield Lane	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63132	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Randy Combs	PersonNm
Person Title	Treasurer	PersonTitleTxt
Phone	3149947800	PhoneNum
Signature	2023-11-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Barbara	PersonFirstNm
Person Last	Potts	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Douglas G Pleus	PreparerPersonNm
PTIN	P00013488	PTIN
Phone	3148844022	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jeremy Bradford	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10101 Woodfield Lane	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63132	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$230,838,321	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://www.ssmhealth.com/locations/good-samaritan-hospital-mt-vernon	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1986	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	To continue the healing ministry of Jesus Christ by improving & providing regional, cost effective quality health services for everyone, with a special concern for the poor and vulnerable.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1233	TotalEmployeeCnt
Total Volunteers	76	TotalVolunteersCnt
Total Gross UBI	$5,364,707	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,648,290	PYContributionsGrantsAmt
CY Contributions Grants	$1,559,845	CYContributionsGrantsAmt
PY Program Service Revenue	$217,793,453	PYProgramServiceRevenueAmt
CY Program Service Revenue	$221,267,035	CYProgramServiceRevenueAmt
PY Investment Income	$9,596,779	PYInvestmentIncomeAmt
CY Investment Income	$1,061,623	CYInvestmentIncomeAmt
PY Other Revenue	$5,430,279	PYOtherRevenueAmt
CY Other Revenue	$6,949,818	CYOtherRevenueAmt
PY Total Revenue	$240,468,801	PYTotalRevenueAmt
CY Total Revenue	$230,838,321	CYTotalRevenueAmt
PY Grants And Similar Paid	$37,168	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$59,116	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$83,590,409	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$80,733,544	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$55,767	CYTotalFundraisingExpenseAmt
PY Other Expenses	$122,803,490	PYOtherExpensesAmt
CY Other Expenses	$130,915,721	CYOtherExpensesAmt
PY Total Expenses	$206,431,067	PYTotalExpensesAmt
CY Total Expenses	$211,708,381	CYTotalExpensesAmt
PY Revenues Less Expenses	$34,037,734	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$19,129,940	CYRevenuesLessExpensesAmt
Total Assets BOY	$344,759,015	TotalAssetsBOYAmt
Total Assets EOY	$398,383,512	TotalAssetsEOYAmt
Total Liabilities BOY	$202,082,946	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$248,738,113	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$142,676,069	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$149,645,399	NetAssetsOrFundBalancesEOYAmt
Mission	Through our exceptional health care services, we reveal the healing presence of God.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$191,529,204	ExpenseAmt
Grant	$59,116	GrantAmt
Revenue	$221,790,161	RevenueAmt
Desc	See Schedule O for a complete description of program service accomplishments.	Desc
Total Program Service Expenses	$191,529,204	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1233	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mark Stover	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6184367545	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 North Pleasant Ave	AddressLine1Txt
City	Centralia	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62801	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jeremy Bradford
Director, Hospital President-SSM Health Good Samaritan Hospital	40.0	3.0	Yes (X)	Yes (X)	$457,250	$0	$100,499
Sr M Clarette Stryzewski CSSF
Director, Chairperson	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
Ben Houle MD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Damon Harbison
Director, Hospital President-St. Mary's Centralia	1.0	42.0	Yes (X)		$0	$426,972	$181,557
Erica Ibendahl MD
Director, SSM Health Medical Group Physician	1.0	43.0	Yes (X)		$0	$714,363	$65,440
Herb Williams
Director	1.0	3.0	Yes (X)		$0	$0	$0
Matthew Flanigan
Director	1.0	3.0	Yes (X)		$0	$0	$0
Michael Baumgartner
Director, Regional President-Southern Illinois	1.0	43.0	Yes (X)		$0	$805,707	$355,575
Patty Williams
Director	1.0	4.0	Yes (X)		$0	$0	$0
Sr M Ramona Dombrowski CSSF
Director	1.0	3.0	Yes (X)		$0	$0	$0
Sudeep Nair MD
Director, SSM Health Medical Group Physician	1.0	43.0	Yes (X)		$0	$530,032	$80,992
Suzie Schmidt
Director	1.0	2.0	Yes (X)		$0	$0	$0
Tena Hoyt
Director	1.0	2.0	Yes (X)		$0	$0	$0
Timothy Carmody MD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Douglas Long
Secretary, General Counsel at SSM Health	1.0	72.2		Yes (X)	$0	$1,354,027	$686,727
John Snodsmith
Regional VP, Finance	10.0	34.0		Yes (X)	$0	$296,045	$89,901
Rachel Hall
Assistant Secretary	1.0	39.0		Yes (X)	$0	$90,574	$30,865
Randy Combs
Treasurer, Chief Financial Officer at SSM Health	1.0	69.0		Yes (X)	$0	$1,879,738	$971,053
George Daneker MD
Interim Chief Medical Officer - Southern Illinois	20.0	20.0			$0	$471,789	$101,746	Yes (X)
Hollie Colle
Director - Administrative Services/Operations	20.0	20.0			$0	$155,405	$45,342	Yes (X)
John Kohler Sr
chief medical officer	40.0	20.0			$521,446	$0	$130,219	Yes (X)
Julie Long
VP - Strategic Planning	20.0	20.0			$0	$391,408	$142,518	Yes (X)
Lisa Dimarco
Regional VP, Patient Care Services/CNO	20.0	20.0			$332,389	$0	$43,256	Yes (X)
Faisal Rashid
Physician	40.0	0			$622,138	$0	$72,343		Yes (X)
John Flick
Physician	40.0	0			$415,435	$0	$75,712		Yes (X)
Muhammad Talha Khalid
physician	40.0	0			$397,325	$0	$69,240		Yes (X)
Shamlan Sheikh
Physician	40.0	0			$433,680	$0	$45,370		Yes (X)
Thomas Smith
Physician	40.0	0			$401,954	$0	$66,931		Yes (X)
Karen Rewerts
Former Officer	0.0	43.0			$0	$805,591	$262,108			Yes (X)
Kris Zimmer
Former Officer	0.0	0.0			$0	$135,402	$0			Yes (X)
Laura Kaiser
Former Officer	0.0	44.0			$0	$5,770,684	$2,613,808			Yes (X)
Matt Kinsella
Former Officer	0.0	40.0			$0	$571,367	$199,441			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,581,617	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$14,399,104	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,430,644	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	148	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AMN Healthcare Inc
12400 High Bluff Drive	San Diego	CA	92130	Staffing services	$7,070,614
ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS LLC
2700 TURNBERRY DRIVE	MARION	IL	62959	medical services	$4,857,564
Aya Healthcare Inc
5930 Cornerstone Ct West 300	San Diego	CA	92121	Travel nursing agency	$4,323,196
Sodexo Operations LLC
4880 Paysphere Circle	Chicago	IL	60674	Dietary services	$1,829,542
NATIONAL GOVERNMENT SERVICES INC
401 WEST MICHIGAN STREET	MILWAUKEE	WI	53203	healthcare IT services	$1,330,393

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	56	CntrctRcvdGreaterThan100KCnt
Related Organizations	$115,257	RelatedOrganizationsAmt
Government Grants	$1,444,588	GovernmentGrantsAmt
Total Contributions	$1,559,845	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	622110	$209,391,953	$209,391,953
340B PHARMACY REVENUE	446110	$1,516,608	$1,516,608

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,358,474	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,358,474	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$221,267,035	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$358,450	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$358,450	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$358,450	TotalRevenueColumnAmt
Exclusion	$358,450	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$973,566	SecuritiesAmt
Other	$88,057	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$973,566	SecuritiesAmt
Other	$88,057	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,061,623	TotalRevenueColumnAmt
Exclusion	$1,061,623	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
RETAIL PHARMACY	446110	$5,364,079	$5,364,079
MANAGEMENT FEES	541610	$203,736		$203,736
CAFETERIA	722210	$499,799		$499,799

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$523,754	TotalRevenueColumnAmt
Related Or Exempt Func Income	$523,126	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$628	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,591,368	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$230,838,321	TotalRevenueColumnAmt
Related Or Exempt Func Income	$221,790,161	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,364,707	UnrelatedBusinessRevenueAmt
Exclusion	$2,123,608	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$57,116	TotalAmt
Program Services	$57,116	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$2,000	TotalAmt
Program Services	$2,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,585,060	TotalAmt
Program Services	$1,507,327	ProgramServicesAmt
Management And General	$77,733	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$57,270,678	TotalAmt
Program Services	$56,323,244	ProgramServicesAmt
Management And General	$947,434	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,318,233	TotalAmt
Program Services	$3,155,502	ProgramServicesAmt
Management And General	$162,731	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,268,030	TotalAmt
Program Services	$13,568,307	ProgramServicesAmt
Management And General	$699,723	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,291,543	TotalAmt
Program Services	$4,081,080	ProgramServicesAmt
Management And General	$210,463	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$862,108	TotalAmt
Program Services	$444,569	ProgramServicesAmt
Management And General	$417,539	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$325,097	TotalAmt
Management And General	$325,097	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$6,414	TotalAmt
Management And General	$6,414	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$35,337,037	TotalAmt
Program Services	$29,916,206	ProgramServicesAmt
Management And General	$5,399,419	ManagementAndGeneralAmt
Fundraising	$21,412	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$17,012	TotalAmt
Management And General	$17,012	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,459,404	TotalAmt
Program Services	$6,384,730	ProgramServicesAmt
Management And General	$74,674	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,088,736	TotalAmt
Program Services	$8,056,000	ProgramServicesAmt
Management And General	$2,179	ManagementAndGeneralAmt
Fundraising	$30,557	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,861,429	TotalAmt
Program Services	$4,860,689	ProgramServicesAmt
Management And General	$468	ManagementAndGeneralAmt
Fundraising	$272	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$330,304	TotalAmt
Program Services	$310,727	ProgramServicesAmt
Management And General	$16,051	ManagementAndGeneralAmt
Fundraising	$3,526	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$69,495	TotalAmt
Program Services	$68,662	ProgramServicesAmt
Management And General	$833	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,864,914	TotalAmt
Program Services	$5,864,914	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,838,526	TotalAmt
Program Services	$12,838,526	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,148,290	TotalAmt
Program Services	$3,148,290	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical supplies	$35,009,185	$35,009,185
Medicaid Provider Tax	$5,833,559	$5,833,559
Internal management fees	$11,765,640		$11,765,640
Licenses and taxes	$98,571	$98,571

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$211,708,381	TotalAmt
Program Services	$191,529,204	ProgramServicesAmt
Management And General	$20,123,410	ManagementAndGeneralAmt
Fundraising	$55,767	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$976,564	BOYAmt
EOY	$232,584	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$29,103,387	BOYAmt
EOY	$21,722,343	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,111,398	BOYAmt
EOY	$4,373,617	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,464,436	BOYAmt
EOY	$2,874,179	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$271,095,826	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$75,455,121	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$141,995,213	BOYAmt
EOY	$195,640,705	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$108,544,457	BOYAmt
EOY	$98,060,531	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$5,869,118	BOYAmt
EOY	$4,472,408	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,087,199	BOYAmt
EOY	$3,176,064	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$48,607,243	BOYAmt
EOY	$67,831,081	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$344,759,015	BOYAmt
EOY	$398,383,512	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,702,485	BOYAmt
EOY	$16,283,805	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,768,689	BOYAmt
EOY	$1,604,160	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$182,611,772	BOYAmt
EOY	$230,850,148	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$202,082,946	BOYAmt
EOY	$248,738,113	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$141,252,916	BOYAmt
EOY	$148,222,246	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,423,153	BOYAmt
EOY	$1,423,153	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$142,676,069	BOYAmt
EOY	$149,645,399	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$344,759,015	BOYAmt
EOY	$398,383,512	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$19,129,940	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$11,428,908	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$731,702	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$6,414	OtherActivitiesAmt
Total Lobbying Expenditures	$6,414	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PAID DUES TO VARIOUS STATE AND NATIONAL HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WAS ALLOCATED TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$27,995	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$3,281	InvestmentEarningsOrLossesAmt
End Year Balance	$24,714	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,995	InvestmentEarningsOrLossesAmt
End Year Balance	$27,995	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
Investment Earnings Or Losses	$25,000	InvestmentEarningsOrLossesAmt
End Year Balance	$25,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
End Year Balance	$0	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
End Year Balance	$0	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$590,251	OtherCostOrOtherBasisAmt
Book Value	$590,251	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$189,437,035	OtherCostOrOtherBasisAmt
Depreciation	$17,309,790	DepreciationAmt
Book Value	$172,127,245	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,336,297	OtherCostOrOtherBasisAmt
Depreciation	$9,073,190	DepreciationAmt
Book Value	$10,263,107	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,298,088	OtherCostOrOtherBasisAmt
Depreciation	$43,291,790	DepreciationAmt
Book Value	$11,006,298	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,434,155	OtherCostOrOtherBasisAmt
Depreciation	$5,780,351	DepreciationAmt
Book Value	$1,653,804	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$195,640,705	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	Centralized investment program	Desc
Book Value	$98,060,531	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$98,060,531	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$64,385,844
Other assets	$1,580,586
Operating right-of-use assets	$1,864,651

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$67,831,081	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
THIRD-PARTY PAYORS	$1,980,207
RABBI TRUST LIABILITIES	$359,653
ASSET RETIREMENT OBLIGATIONS	$0
ALLOCATED TAX-EXEMPT DEBT (ISSUED BY SSM HEALTH)	$154,000,000
CAPITAL LEASE OBLIGATION	$10,390,223
financial lease liability	$61,422,424
Third-party patient loans	$821,347
Operating lease obligations	$1,876,294

Field	Value	IRS element (for citing)
Total Liability	$230,850,148	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

THE PURPOSE OF THE ENDOWMENT IS TO PROVIDE SCHOLARSHIPS TO EMPLOYEES AND STUDENTS IN THE HEALTH CARE FIELD.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

GOOD SAMARITAN REGIONAL HEALTH CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEALTH (SSMH). SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2022 OR 2021.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,272,779	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,272,779	NetCommunityBenefitExpnsAmt
Total Expense	0.0060	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,046,056	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,429,663	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,616,393	NetCommunityBenefitExpnsAmt
Total Expense	0.0832	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,514,185	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,414,595	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,099,590	NetCommunityBenefitExpnsAmt
Total Expense	0.0099	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$55,833,020	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,844,258	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,988,762	NetCommunityBenefitExpnsAmt
Total Expense	0.0991	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$143,303	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$143,303	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$463,987	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$463,987	NetCommunityBenefitExpnsAmt
Total Expense	0.0022	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,749	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,749	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$681,039	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$681,039	NetCommunityBenefitExpnsAmt
Total Expense	0.0032	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$56,514,059	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,844,258	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,669,801	NetCommunityBenefitExpnsAmt
Total Expense	0.1024	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,855,545	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$49,460,913	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$64,380,669	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$14,919,756	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
SLEEP & NEUROLOGY CENTER OF S ILLINOIS INC
SLEEP AND NEUROLOGY SERVICES	0.501	0.499
MT VERNON RADIATION THERAPY CENTER LLC
RADIATION THERAPY SERVICES	0.51	0.49

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SSM Health Good Samaritan Hospital - Mt Vernon	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 GOOD SAMARITAN WAY	AddressLine1Txt
City	MT VERNON	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62864	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.ssmhealth.com/locations/good-samaritan-hospital-mt-vernon	WebsiteAddressTxt
State License	0005850	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	A	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.ssmhealth.com/resources/about/community-health/community-health-needs-assessments	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.ssmhealth.com/resources/about/community-health/community-health-needs-assessments	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAVE PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - SSM Health Good Samaritan Hospital - Mt. Vernon. In conducting this assessment, the SSM Health Community Health team sought input from the community through a community wide health survey, hosted focus groups, and conducted key informant interviews. No groups in the community were excluded from participating in the assessment. Secondary data was collected from various organizations, such as the U.S. Census, Centers for Disease Control and Prevention, County Health Rankings, SparkMap, broadstreet.io, and the Illinois Department of Public Health. Each of these sources of primary data (community input) was analyzed along aside secondary data. No written comments were received on the SSM Health Southern Illinois 2019- 2021 Community Health Needs Assessment. Community Health Survey From March 15, 2021, to May 24, 2021, individuals within the community were invited to complete a thirty nine question community health survey. The online survey was promoted through social media, press releases, county and city chambers of commerce, e mail invitations to SSM Health physicians, staff, and volunteer boards as well as email invitations to public officials, community organizations, and churches. Paper surveys were available at the hospital entrances and local public libraries. 577 residents of the 23 zip codes of the defined communities completed surveys; 3 of the 577 surveys were completed using a paper survey. Focus Groups Focus groups were moderated, conducted, and analyzed by the company, Stefanie Santos McLeese: PR and Brand Strategy. As part of the broader Community Health Needs Assessment (CHNA) data gathering process, three audiences were identified as priorities for further investigation, either due to statistical under representation in the 2021 CHNA survey or general urgency as indicated in survey results. One group was assigned to represent each of these audiences. When possible, CHNA initiatives focus on the collection of health needs from a representative mix of first person perspectives. However, certain groups may be more reluctant or simply less likely to share their direct feedback for a variety of reasons. In cases like these, it can be appropriate to engage individuals with direct contact with these populations to provide the necessary story, point of view, and context, helping to ensure the CHNA incorporates the needs of these groups. The SSM Health community health team conducted a rigorous, best practice network recruit for each of the three groups, beginning with known stakeholders with appropriate context before branching out to recruit stakeholders suggested as ideal for representing the populations in question by those known stakeholders. Group Emphasis and Participant Summary -Individuals experiencing housing instability or homelessness : seven participants representing local community services organizations; two of these participants had personally experienced housing instability -Black community members : three church leaders serving predominantly Black congregations -Individuals experiencing mental health difficulties: nine participants representing local community service organizations which on focus mental health services Key Informant Interviews The Community Health team interviewed 28 key community members health care administrations, social service organization leaders, law enforcement, educational leaders, civic organizational leaders, and key community leaders to gather input on the health needs, strengths, concerns, and areas of improvement needed in our community. Several of the interviews involved more than one person from the organization. Interviews were conducted in person or via virtual video meeting software depending on the individual's preferences. All interviews were recorded and transcribed via auto transcription software.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - SSM Health Good Samaritan Hospital - Mt. Vernon. The CHNA was conducted in partnership with SSM Health St. Mary's Hospital - Centralia.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - SSM Health Good Samaritan Hospital - Mt. Vernon. The hospital identified various health needs in the 2021 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Substance abuse - Mental health - Nutrition, weight, and exercise Substance abuse According to the CDC's National Center for Health Statistics provisional, drug overdose deaths have increased from 78,056 in 2019/2020 to 100,306 in 2020/2021. In Illinois, the overall age adjusted drug overdose mortality rate in 2019 was 21.9 per 100,000 population. Illinois has also been ranked 24 th in the country for overall drug overdose fatality rate. According to the CDC's Center for Vitals statistics, mortality rates due to poisoning were 26 per 100,000 population for Marion County and 22 per 100,000 for Jefferson County. Tobacco use is the leading cause of preventable disease, disability, and death in the United States. Cigarette smoking causes more than 480,000 deaths annually, including 41,000 deaths from secondhand smoke. For every American who dies because of smoking, at least 30 are living with a serious smoking related illness. According to CDC's Behavioral Risk Factor Surveillance Survey, over 15% of residents in Illinois were current smokers in 2019. Additionally, in 2019, 22.7% of Illinois high school youth reported currently using any tobacco product, including e cigarettes. Among Illinois high school youth, 4.7% reported currently smoking cigarettes. The percent of adults who regularly smoke in both Marion and Jefferson County is approximately 20%, higher than the state average. The hospital has the following strategies addressing Substance abuse in its community: - Provide opportunities for proper drug disposal for OTC and controlled substances - install comprehensive medication collection kiosks, pending DEA approval, at each hospital - create and distribute education regarding at home drug disposal best practices - distribute "at-home" disposal kids to high risk populations - Provide education on opioid misuse and provide naloxone to community members - apply for a State of Illinois naloxone standing order for SSM Health pharmacy and ensure listing on state and national websites - Identify eligible organizations willing to participate in the Illinois Drug Overdose Prevention Program (DOPP) - Promote Narcan pick-up availability at specified community-based locations - Provide education opportunities on Narcan administration and disperse Narcan for households to have on-hand in an emergency - Provide prevention and cessation education on tobacco and vaping use - Initiate the implementation of CATCH my Breath program in local schools - Provide resources and educational opportunities for tobacco and vaping cessation in the community - Provide incentive opportunities for local schools to participate in smoking prevention education Goals for the substance abuse health priority are: - decrease incidence of improper drug use - decrease incidence of prescription drug dependence - reduce emergency hospital visits due to drug-related incidents - decrease rate of opioid overdose - reduce prevalence of tobacco related health disparities Mental health Marion and Jefferson Counties are ranked among the lowest quartile of adults reporting poor mental health days, with an average of over 5 poor mental health days per month. According to United Health Foundation's US Health Rankings, over 14% of Illinois residents have been diagnosed with a depressive disorder. The rate of suicide in Illinois is 11.3 per 100,000 population. Additionally, the rate of suicide in Marion county is 26 per 100,000 population, and Jefferson county is 15 per 100,000 population. Both rates of suicide are higher than the average rate of suicide in the state. The hospital's action plan includes the following initiatives to address mental health in the region served: - Provide educational opportunities for community members - Offer Question, Persuade, Refer (QPR) Gatekeeper Training - Implement Adult and Youth Mental Health First Aid trainings - Provide resources to increase knowledge of accessible mental health services - Increase distribution of community Mental Health Resource Guide - Begin distributing the National Suicide Prevention Lifeline to community members and partnering organizations - Enhance collaborative efforts with community partners - Develop relationships with new and existing community partners - Sponsor community events and initiatives hosted by partners - Provide educational opportunities on trauma informed care - Provide CME opportunities to SSM Health and community clinicians on trauma informed care - Provide general education workshops on trauma informed community building and resilience Expected outcomes of these strategies include the following: - reduce number of reported mentally unhealthy days - increase percentage of individuals receiving treatment for chronic mental illness - reduce prevalence of untreated depression/anxiety - decrease suicide rate - decrease emergency department visits for nonfatal intentional injury Nutrition, weight and exercise Obesity is a serious chronic disease that continues to increase in the United States and can lead to other serious illnesses like type II diabetes, heart disease, and cancer. In Jefferson and Marion counties, over 30% of adults living in the community are obese (BMI=30+), which is slightly lower than the state average percentage of adults with obesity, at 32%. Community representatives who participated in the Community Health Needs Assessment have identified obesity as a significant need to be addressed in the area. Access to nutritious food and opportunities for physical activity plays a vital role in reducing the prevalence of obesity and chronic disease. Within the Jefferson and Marion county areas, 14% of the population experience food insecurity, or a lack of resources to feed all members of their household. Additionally, the rate of available fitness and recreation facilities per 100,000 population is approximately 15 in both Jefferson and Marion County. The rate in Illinois for Recreation and Fitness facilities is only 12.5 per 100,000 population. Many times, these facilities have a cost for membership, which can also pose a barrier to many community members. Costs for fitness center memberships typically range from $10 to $100 each month. The hospital has outlined the strategies below to improve community health related to nutrition, weight and exercise: - promote access to nutritious food for those experiencing food insecurity - provide support for mobile markets and to local community food pantries - identify locations for little food pantry box installation - support existing and establish additional community gardens and the training of master gardeners - provide opportunities for education and engagement regarding nutrition, weight and exercise - fund scholarships for identified vulnerable populations to participate in Felician wellness centers' next (nutrition, exercise, and physical activity) program - provide evidence-based chronic disease/diabetes self-management cources - provide support in offering accessible community fitness courses - build partnerships with outside organizations to build community programs - partner with local schools to promote the USDA's team nutrition program - develop relationships with new and existing community partners - sponsor community events and initiatives hosted by partners Long-term, the hospital hopes for these outcomes: - reduce percentage of adults with obesity - reduce percentage of individuals with Type II diabetes - reduce percentage of individuals with chronic disease - decrease population who experience food insecurity - reduce obesity-related disability - improve quality of life The hospital has no plans to discontinue other community benefit efforts to address other needs noted in its 2021 CHNA.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SSM Health Medical Group
4117 Veterans Memorial Drive	Mt Vernon	IL	62864	Outpatient clinic
SSM Health Medical Group
602 S 42nd Street	Mt Vernon	IL	62864	Outpatient clinic
SSM Health Medical Group
2 Good Samaritan Way	Mt Vernon	IL	62864	Outpatient clinic
SSM Health Medical Group
5 Good Samaritan Way	Mt Vernon	IL	62864	Outpatient clinic
SSM Health Medical Group
4106 S Water Tower Pl	Mt Vernon	IL	628646544	Outpatient clinic

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c Discounted Care Exceptions	Patients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called "presumptive eligibility."
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	SSM Health Care Corporation, 46-6029223
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The amounts reported on Form 990, Schedule H, Part I, Line 7a, 7b, and 7c were determined using the cost to charge ratio derived from worksheet 2 in the schedule h instructions. Form 990, schedule h, part I, Lines 7e, 7f, 7g, 7h, and 7i are reported at cost as reported in the organization's financial statements. The calculation of Schedule H, Part I, Line 7, Column F utilizes 990, Part IX, Line 25, Column A, which does not include Bad Debt Expense.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	FOR FINANCIAL STATEMENT PURPOSES, SSM Health HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER NORTON HOSPITAL'S FINANCIAL ASSISTANCE POLICY ON A GROSS BASIS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	SSM Health Good Samaritan Hospital - Mt Vernon is part of the SSM Health consolidated audit. THE FOOTNOTE THAT REFERENCES THE TREATMENT OF UNCOLLECTIBLE ACCOUNTS AND IMPLICIT PRICE CONCESSIONS IN THE DECEMBER 31, 2022 CONSOLIDATED AUDIT IS CONTAINED ON PAGE 13, 14 AND 15 OF THE ATTACHED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	SSM Health Good Samaritan Hospital - Mt Vernon has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable. The Hospital embraces its responsibility to serve the communities in which it participates by establishing sound business practices. The Hospital's billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after 120 days. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from SSM prior to engaging in ECAs. SSM will review the accounts and verify satisfactory completion of reasonable efforts during the notification and application period. A waiver is not considered reasonable efforts. Obtaining a signed waiver that an individual does not wish to apply for FAP assistance or receive FAP application information will not meet the requirement to make "reasonable efforts" to determine whether the individual is FAP-eligible before engaging in ECAs. All outside collection agencies must comply with state and federal laws, comply with the association of credit and collection professional's code of ethics and professional responsibility and comply with SSM Health Good Samaritan Hospital - Mt Vernon's collection and financial assistance policies.
Schedule H, Part V, Section B, Line 16a FAP website	A - SSM Health Good Samaritan Hospital - Mt. Vernon: Line 16a URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - SSM Health Good Samaritan Hospital - Mt. Vernon: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - SSM Health Good Samaritan Hospital - Mt. Vernon: Line 16c URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	SSM Health (SSMH) participates in Community Benefit according to our vision, Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of SSMH's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always our goal. To fulfill this commitment, SSMH's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). The CHNA is an assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conducted every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Collect data and evaluate progress; report to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). System Office staff and leaders oversee and monitor SSMH's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, SSM Health Care Corporation also identifies needs based on assessments and research, and SSMH facilities also involve case managers and care team staff to pinpoint critical health issues in the community. All hospital CHNAs are completed, approved, and integrated into the organization's strategic plan. We continue to monitor and assess the progress of our local efforts in the spirit of caring for others and improving community health.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Each entity providing medical service shall provide information to the public regarding its charity care policies and the qualification requirements for each of its facilities. When standard system notices and communication regarding charity care are available, these must be used. Modifications to the standard may be made to comply with state and local laws, as well as reflect culturally sensitive terminology for the policy. All notices are easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They provide information about: * The patient's responsibility for payment, * The availability of financial assistance from public programs and entity charity care and payment arrangements, * The entity's charity policy and application process, and * Who to contact to get additional information or financial counseling. The following types of notices to the public are provided: * Signs in the emergency department, outpatient and inpatient registration and public waiting areas. * Brochures or fliers provided at time of registration and available in the financial counseling areas. * Notices sent with or on patient bills or communications sent to patients and guarantors related to medical services. * Applications provided to uninsured patients at the time of registration. The application for charity care, together with any instructions, must clearly state the policies regarding charity care, including excluded services, eligibility criteria and documentation requirements. Information about the entity's charity policies is also provided to public agencies.
Schedule H, Part VI, Line 4 Community information	SSM Health Good Samaritan Hospital - Mount Vernon, in partnership with SSM Health St. Mary's Hospital - Centralia, defines its primary service area as Marion and Jefferson Counties in Illinois. There are 23 zip codes that are located within or partially within the community. This area had an estimated population of 81,171 people in 2020 and accounts for 54% of the total patients served by the hospitals. The secondary service area is another 84,000 people and 17% of inpatient-care patients served. The median age in the community is 41.0 years old, which is older than the U.S. median age of 38.1 years. The population has also decreased about 3.7% in the last 10 years. In the area served, the poverty level is 18.0%, significantly more than the 13% rates for both Illinois and the U.S. as a whole. Median family income is $60,361, compared to $83,279 for Illinois and $77,263 for the nation. Life expectancy also falls behind State and U.S. rates for this area. Additional information concerning the service area can be found starting on page 6 of the 2021 CHNA.
Schedule H, Part VI, Line 5 Promotion of community health	SSM Health Good Samaritan Hospital - Mt. Vernon participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. In response to the global coronavirus pandemic, Good Samaritan Regional Health Center worked relentlessly to respond to community needs by developing and implementing strategies to address social needs of those served, providing screening & testing services, personal protective equipment and education throughout the community, as well as treatment for those who presented with COVID-19. SSM Health Good Samaritan Hospital promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote both population health and healthy communities. Our "Connections" program has free monthly educational luncheons focusing on topics such as arthritis and exercise, diabetes, stroke prevention, and other wellness promotion topics. We also hold a monthly Stress Management class which is free to the public and sponsored as a result of community needs. SSM Health Good Samaritan Hospital - Mt. Vernon also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * Has a governing body in which independent persons representative of the community comprise a majority * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system.
Schedule H, Part VI, Line 6 Affiliated health care system	Good Samaritan Regional Health Center is a 501(c)(3) organization and is a member of the integrated health care system known as SSM Health. Along with St Mary's Hospital, Centralia, Illinois, it is part of a joint operating agreement between SSM Health based in St Louis, Missouri as managing partner, and Felician Sisters, Inc. of Chicago. Together the hospitals are pursuing a vision to create a comprehensive, regional health care enterprise covering a nine county area in South Central Illinois. SSM Health (SSMH) is a centrally managed, fully integrated health care delivery system with its headquarters based in St. Louis, Missouri. SSM Health Care Corporation (SSMHCC) (doing business as SSMH) is the principal not-for-profit corporation and has been established as the parent corporation. SSMH owns and operates 22 adult hospitals, one pediatric hospital, thirteen post-acute care facilities, a national pharmacy benefit management company (PBM), an extensive network of physician practice operations, and other health care businesses. SSMH's hospital operations are located primarily in Missouri, Wisconsin, Oklahoma and Illinois, and its related businesses provide health related services in 50 states. SSMH's mission statement is as follows: Through our exceptional health care services, we reveal the healing presence of God. SSMHCC and most of its affiliated subsidiary corporations have been granted exemption from federal income tax as charitable organizations under Section 501(c)(3) of the Internal Revenue Code (IRC). Certain subsidiaries of SSMH are for-profit entities that are taxable under the IRC. SSMH is sponsored by SSM Health Ministries, an independent nine-member body composed of two Franciscan Sisters of Mary, one Sister of St. Agnes, one Jesuit priest, and five lay persons who collectively hold certain reserved powers over SSMH.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
JOHN R AND ELEANOR R MITCHELL FOUNDATION
2600 E RICHVIEW RD PO BOX 923	MT VERNON	IL	62864	376053100	501(C )(3)	$15,000	SUPPORT FOR THE CEDARHURST CENTER FOR THE ARTS
MT VERNON HIGH SCHOOL DISTRICT 201 FOUNDATION
11101 N WELLS BYPASS PO BOX 672	MT VERNON	IL	62864	352179332	501(C )(3)	$10,000	FURTHER EDUCATIONAL PROGRAMS OF HIGH SCHOOL STUDENTS

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION'S GRANTS WERE MADE TO ORGANIZATIONS TAX EXEMPT UNDER IRC SECTION 501(c)(3). THESE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jeremy Bradford
Director, Hospital President-SSM Health Good Samaritan Hospital	$348,491	$0	$96,657	$0	$12,101	$0	$53,463	$0	$47,037	$0	$557,749	$0	$96,657	$0
Damon Harbison
Director, Hospital President-St. Mary's Centralia	$0	$288,253	$0	$114,517	$0	$24,202	$0	$132,756	$0	$48,801	$0	$608,529	$0	$97,511
Michael Baumgartner
Director, Regional President-Southern Illinois	$0	$429,527	$0	$281,574	$0	$94,606	$0	$337,942	$0	$17,633	$0	$1,161,282	$0	$198,574
Erica Ibendahl MD
Director, SSM Health Medical Group Physician	$0	$675,815	$0	$37,487	$0	$1,061	$0	$11,867	$0	$53,573	$0	$779,803	$0	$0
Sudeep Nair MD
Director, SSM Health Medical Group Physician	$0	$518,132	$0	$8,863	$0	$3,036	$0	$29,166	$0	$51,826	$0	$611,024	$0	$0
Matt Kinsella
Former Officer	$0	$395,809	$0	$165,836	$0	$9,722	$0	$163,175	$0	$36,266	$0	$770,809	$0	$110,231
Karen Rewerts
Former Officer	$0	$589,253	$0	$159,192	$0	$57,145	$0	$231,797	$0	$30,312	$0	$1,067,699	$0	$222,096
Laura Kaiser
Former Officer	$0	$1,929,589	$0	$1,636,383	$0	$2,204,713	$0	$2,594,363	$0	$19,444	$0	$8,384,492	$0	$2,010,054
Kris Zimmer
Former Officer	$0	$0	$0	$0	$0	$135,402	$0	$0	$0	$0	$0	$135,402	$0	$372
Douglas Long
Secretary, General Counsel at SSM Health	$0	$724,576	$0	$460,492	$0	$168,959	$0	$664,054	$0	$22,673	$0	$2,040,753	$0	$460,492
John Snodsmith
Regional VP, Finance	$0	$256,300	$0	$38,894	$0	$852	$0	$61,875	$0	$28,026	$0	$385,946	$0	$38,894
Randy Combs
Treasurer, Chief Financial Officer at SSM Health	$0	$1,144,254	$0	$475,226	$0	$260,259	$0	$938,234	$0	$32,819	$0	$2,850,792	$0	$475,226
Lisa Dimarco
Regional VP, Patient Care Services/CNO	$146,975	$0	$41,357	$0	$144,057	$0	$26,040	$0	$17,216	$0	$375,645	$0	$93,488	$0
Julie Long
VP - Strategic Planning	$0	$297,159	$0	$77,364	$0	$16,884	$0	$125,957	$0	$16,561	$0	$533,926	$0	$92,612
George Daneker MD
Interim Chief Medical Officer - Southern Illinois	$0	$388,005	$0	$59,354	$0	$24,430	$0	$80,896	$0	$20,850	$0	$573,535	$0	$59,354
Hollie Colle
Director - Administrative Services/Operations	$0	$155,087	$0	$0	$0	$318	$0	$19,912	$0	$25,430	$0	$200,747	$0	$0
John Kohler Sr
chief medical officer	$440,383	$0	$0	$0	$81,063	$0	$87,947	$0	$42,272	$0	$651,665	$0	$0	$0
John Flick
Physician	$414,265	$0	$0	$0	$1,170	$0	$17,850	$0	$57,862	$0	$491,147	$0	$0	$0
Faisal Rashid
Physician	$577,200	$0	$40,000	$0	$4,938	$0	$17,850	$0	$54,493	$0	$694,481	$0	$0	$0
Shamlan Sheikh
Physician	$433,294	$0	$0	$0	$386	$0	$14,055	$0	$31,315	$0	$479,050	$0	$0	$0
Thomas Smith
Physician	$400,911	$0	$0	$0	$1,043	$0	$15,002	$0	$51,929	$0	$468,885	$0	$0	$0
Muhammad Talha Khalid
physician	$396,781	$0	$0	$0	$544	$0	$17,322	$0	$51,918	$0	$466,565	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	Several individuals listed on Part VII, Section A received a tax indemnification/gross up payment in 2022. These payments were included in their taxable compensation.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	The organization's top management official (Hospital President) has compensation that is determined by a related organization. The related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the SSM Health President.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Pension Restoration Plan: SSM Health (SSMH) provides this supplemental defined benefit nonqualified retirement plan to any employee who is a participant in the SSMH qualified defined benefit plan who earns over the Internal Revenue Service compensation limit. The plan "restores" the benefits to these employees that would have been provided under the SSMH qualified plan if the regulations did not impose compensation limits. An individual can take a distribution from the plan at (1) age 65 or older if the individual is still employed by SSMH or (2) age 55 or older if the individual is no longer employed by SSMH. No individuals listed on Part VII of Form 990 received distributions from the plan in 2022. Capital Accumulation Plan: SSMH provides this supplemental nonqualified retirement plan to executive level employees. The organization contributed a percentage of the employee's base salary into their choice of a select list of investments. The deposits and earnings of the plan are owned by SSMH and are tax-deferred until a distribution is made to the employee. In addition, the plan has special safeguards in place to protect the funds from contingencies, other than insolvency. For contributions made to the plan in 2014 or after, the distribution will occur after the completion of four plan years for all executives that are still actively employed on the distribution date. Any active participant 65 years or older will receive the contribution in the current year. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DEFERRALS FROM THIS PLAN IN 2022: Michael Baumgartner $86,821 Damon Harbison $29,687 Sudeep Nair $8,433 Randall Combs $251,115 Douglas Long $159,815 John Snodsmith $12,062 Julie Long $29,180 George Daneker $17,559 Laura Kaiser $708,350 Matt Kinsella $39,627 Karen Rewerts $57,962 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2022. All distributions received from the plan in the current year were included in the individual's taxable compensation. Damon Harbison $23,551 Julie Long $15,364 Laura Kaiser $1,488,789 Matt Kinsella $8,819 Karen Rewerts $51,943

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	ENTITY MORE THAN 35% OWNED BY SAJJAN K NEMANI, MD, DIRECTOR	RelationshipDescriptionTxt
Transaction	$12,133	TransactionAmt
Transaction	FEES FOR MEDICAL SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Description of Program Service	Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 23 acute care hospitals, one children's hospital, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company, and an Accountable Care Organization. The health system employs nearly 40,000 people and is affiliated with 11,000 physicians making it one of the largest employers in every community it serves. In the tradition of its founding sisters, SSMH strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. About Good Samaritan Regional Health Center: SSM Health Good Samaritan Hospital - Mt. Vernon, operating in partnership with the Felician Sisters, is a 134-bed tertiary care hospital. Good Samaritan delivers hospital services in inpatient, ambulatory surgery, outpatient, and emergency room settings. Our services include the heart center, cancer care, orthopedic medicine, surgery, obstetrics, neurology, physical rehabilitation, sleep medicine, emergency care, women's health, and behavioral health. Good Samaritan Hospital is one of the few hospitals in the region to offer a full-service cardiology program, including interventional cardiology and open heart surgery. It has one of the largest heart programs in Southern Illinois and is the regional heart center for emergency departments in the area. The Breast Imaging Center at Good Samaritan Regional Health Center is accredited by the American College of Radiology as a Breast Imaging Center of Excellence, indicating top-tier safety, quality and efficiencies are provided at our Women's Imaging Center. In 2015, the hospital launched a new pediatric emergency and NICU telemedicine program in conjunction with the physicians at SSM Health Cardinal Glennon Children's Hospital. Good Samaritan Regional Health Center also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay * Has an open medical staff with privileges available to all qualified physicians in the area * Has a governing body in which independent persons representative of the community comprise a majority * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government- sponsored health care programs * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system Quantifiable Uncompensated Care: The following are the types of programs and services that could be quantified as uncompensated care: Traditional Charity Care $ 1,272,779 Unpaid Cost of Medicaid Services $ 17,616,393 Unpaid Cost of Medicare Services $ 14,919,759 Unpaid Cost of Other Government Programs $ 2,099,590 Total Quantifiable Uncompensated Care $ 35,908,518 Schedule H, Part VI, Question 4: Community information:Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
Form 990, Part V, Line 1a	ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223.
Form 990, Part VI, Line 15a Process for determining compensation	The organization's top management official, regional president, is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.
Form 990, Part VI, Line 15b Process for determining compensation	The organization's top management official, regional president, is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE CORPORATION SHALL HAVE TWO (2) MEMBERS: THE CORPORATE MEMBER, WHICH SHALL BE SSM REGIONAL HEALTH SERVICES, A MISSOURI NONPROFIT CORPORATION, AND THE MANAGING MEMBER, WHICH SHALL BE ST. MARY'S - GOOD SAMARITAN, INC., AN ILLINOIS NOT-FOR-PROFIT CORPORATION. GOOD SAMARITAN REGIONAL HEALTH CENTER, SSM REGIONAL HEALTH SERVICES, AND ST. MARY'S - GOOD SAMARITAN, INC., ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE CORPORATE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND ELECT AND REMOVE DIRECTORS EXCEPT EX OFFICIO DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE CORPORATE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL SUCCESSOR OR REPLACEMENT MEMBERS C. TO ELECT AND REMOVE THE DIRECTORS D. TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTEREST IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OF THE CORPORATE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER OF THE CORPORATE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVE OF THE MEMBER OF THE CORPORATE MEMBER AS DETERMINED BY THE MEMBER OF THE CORPORATE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER OF THE CORPORATE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE CORPORATE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE CORPORATE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. THE MANAGING MEMBER HAS THE FOLLOWING POWERS: CERTAIN POWERS ARE RESERVED TO THE MANAGING MEMBER, INCLUDING THE AUTHORITY TO TAKE SUCH ACTIONS ON BEHALF OF THE CORPORATION AS ARE VESTED IN THE MANAGING MEMBER UNDER THE JOINT OPERATING AGREEMENT (JOA), SUBJECT TO THE LIMITATIONS OF APPLICABLE LAW. THE MANNER TO WHICH THE MANAGING MEMBER EXERCISES SUCH RESERVED POWERS SHALL BE DETERMINED PURSUANT TO THE PROVISIONS OF THE JOA AND THE BYLAWS OF THE MANAGING MEMBERS. IN ADDITION, THE MANAGING MEMBER SHALL PARTICIPATE IN THE ELECTION OF THE DIRECTORS TO THE EXTENT OUTLINED IN THE ORGANIZATION'S BYLAWS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	The Form 990 is prepared by the Tax Department of the parent organization, SSM Health Care Corporation (SSM). The Form 990 is reviewed by certain members of Senior Management. Any questions are addressed to the Tax Director of SSM prior to filing the Form 990 with the Internal Revenue Service. A copy of the Form 990 is provided to the Board of Directors prior to filing.
Form 990, Part VI, Line 12c Conflict of interest policy	BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY OF THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ONLINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR-END.
Form 990, Part VI, Line 19 Required documents available to the public	THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
Form 990, Part VIII, Line 2f Other Program Service Revenue	All other program service revenue - Total Revenue: 10358474, Related or Exempt Function Revenue: 10358474, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Joint Venture Income - Total Revenue: 523754, Related or Exempt Function Revenue: 523126, Unrelated Business Revenue: 628, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Medical and other professional fees - Total Expense: 35337037, Program Service Expense: 29916206, Management and General Expenses: 5399419, Fundraising Expenses: 21412;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Change in beneficial interest in foundation - -637552; Fund transfers - -94150;
Form 990, Part I Doing Business As	Good Samaritan Regional Health Center currently conducts business under the following registered names: 1) SSM Health Good Samaritan Hospital - Mt Vernon 2) SSM Health Breast Care 3) SSM Health Child Care Center 4) SSM Health Cancer Care 5) SSM Health Pharmacy 6) SSM Health School of Medical Laboratory

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (52 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SSM Health Care Corporation
10101 Woodfield Lane	St Louis	MO	63132	466029223	Health Care	MO	501(c)(3)	Type I	SSM Health Ministries	false
SSMHC Liability Trust I
10101 Woodfield Lane	St Louis	MO	63132	436331003	Insurance	MO	501(c)(3)	Type I	SSM Health Care Corporation	false
SSM Consolidated Health Services
10101 Woodfield Lane	St Louis	MO	63132	431473657	Health Care	MO	501(c)(3)	10	SSM Health Care Corporation	false
SSM Policy Institute
10101 Woodfield Lane	St Louis	MO	63132	431788151	Health Care	MO	501(c)(4)		SSM Health Care Corporation	false
SSM Health Care Portfolio Management Co
10101 Woodfield Lane	St Louis	MO	63132	431825256	Management	MO	501(c)(3)	Type I	SSM Health Care Corporation	false
SSM Cardinal Glennon Children's Hospital
10101 Woodfield Lane	St Louis	MO	63132	430738490	Health Care	MO	501(c)(3)	3	SSM Health Care St Louis	false
Cardinal Glennon Children's Foundation
10101 Woodfield Lane	St Louis	MO	63132	431754347	Fundraising	MO	501(c)(3)	7	SSM Cardinal Glennon Children's Hospital	false
SSM Health Foundation - St Louis
10101 Woodfield Lane	St Louis	MO	63132	431552945	Fundraising	MO	501(c)(3)	7	SSM Health Care St Louis	false
SSM Health Care of Oklahoma Inc
10101 Woodfield Lane	St Louis	MO	63132	730657693	Health Care	OK	501(c)(3)	3	SSM Health Care Corporation	false
The St Anthony Hospital Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	736104300	Fundraising	OK	501(c)(3)	7	SSM Health Care of Oklahoma	false
SSM Health Care of Wisconsin Inc
10101 Woodfield Lane	St Louis	MO	63132	430688874	Health Care	WI	501(c)(3)	3	SSM Health Care Corporation	false
Dells Medical Building Inc
10101 Woodfield Lane	St Louis	MO	63132	391613292	MOB	WI	501(c)(2)		SSM Health Care of Wisconsin	false
St Mary's Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	431940686	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
St Clare Health Care Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	431940683	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
Home Health United Inc
2802 Walton Commons Lane	Madison	WI	53718	391539827	Health Care	WI	501(c)(3)	10	SSM Health Care of Wisconsin	false
Home Care United Inc
2802 Walton Commons Lane	Madison	WI	53718	391776340	Health Care	WI	501(c)(3)	10	SSM Health Care of Wisconsin	false
HHU Xtra Care Inc
2802 Walton Commons Lane	Madison	WI	53718	391705111	Health Care	WI	501(c)(3)	10	SSM Health Care of Wisconsin	false
SSM Health at Home Foundation of Wisconsin Inc
2802 Walton Commons Lane	Madison	WI	53718	391839309	Fundraising	WI	501(c)(3)	Type I	Home Health United Inc	false
SSM Regional Health Services
10101 Woodfield Lane	St Louis	MO	63132	440579850	Health Care	MO	501(c)(3)	3	SSM Health Care Corporation	false
St Mary's Health Center Jefferson City Missouri Foundation
10101 Woodfield Lane	St Louis	MO	63132	431575307	Fundraising	MO	501(c)(3)	Type I	SSM Regional Health Services	false
Good Samaritan Regional Health Center
10101 Woodfield Lane	St Louis	MO	63132	430653587	Health Care	IL	501(c)(3)	3	SSM Regional Health Services	false
St Mary's Hospital Centralia Illinois
10101 Woodfield Lane	St Louis	MO	63132	370662580	Health Care	IL	501(c)(3)	3	SSM Regional Health Services	false
St Mary's - Good Samaritan Inc
10101 Woodfield Lane	St Louis	MO	63132	364170833	Health Care	IL	501(c)(3)	Type I	SSM Regional Health Services	false
Good Samaritan Regional Health Center Foundation
10101 Woodfield Lane	St Louis	MO	63132	262884795	Fundraising	IL	501(c)(3)	7	St Mary's-Good Samaritan Inc	false
St Mary's Hospital Foundation
10101 Woodfield Lane	St Louis	MO	63132	364636691	Fundraising	IL	501(c)(3)	7	St Mary's-Good Samaritan Inc	false
St Mary's Hospital Auxiliary
400 N Pleasant	Centralia	IL	62801	237126345	Fundraising	IL	501(c)(3)	10	St Mary's Hospital Foundation	false
SSM Health Businesses
10101 Woodfield Lane	St Louis	MO	63132	431333488	Health Care	MO	501(c)(3)	10	SSM Health Care Corporation	false
SSM Health Care St Louis
10101 Woodfield Lane	St Louis	MO	63132	431343281	Health Care	MO	501(c)(3)	3	SSM Health Care Corporation	false
Centralia Medical Services Bldg Assoc
10101 Woodfield Lane	St Louis	MO	63132	237408025	MOB	IL	501(c)(3)	Type I	SSM Regional Health Services	false
St Mary's Janesville Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	273439133	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
SSM Health Ministries
3221 McKelvey Road Suite 107	Bridgeton	MO	63044	431012492	Religious Organization	MO	501(c)(3)	1	NA	false
Lee Dewey Corporation
10101 Woodfield Lane	St Louis	MO	63132	731279603	MOB	OK	501(c)(3)	Type I	SSM Health Care of Oklahoma	false
St Mary's Hospital Auxiliary
100 St Marys Medical Plaza	Jefferson City	MO	65101	436049878	Fundraising	MO	501(c)(3)	Type II	NA	false
Good Samaritan Hospital Auxiliary
1 Good Samaritan Way	Mount Vernon	IL	62864	237049599	Fundraising	IL	501(c)(3)	Type III-FI	NA	false
St Anthony Shawnee Hospital Inc
1000 N Lee Ave	Oklahoma City	OK	73102	455055149	Health Care	OK	501(c)(3)	3	SSM Health Care of Oklahoma	false
SSM Audrain Health Care Inc
10101 Woodfield Lane	St Louis	MO	63132	431550298	Health Care	MO	501(c)(3)	3	SSM Regional Health Services	false
SSM-SLUH Inc
10101 Woodfield Lane	St Louis	MO	63132	474196634	Health Care	MO	501(c)(3)	3	SSM Health Care St Louis	false
Agnesian Healthcare Inc
430 E Division St	Fond du Lac	WI	54935	390807236	Health Care	WI	501(c)(3)	3	SSM Health Care of Wisconsin	false
Ripon Medical Center Inc
845 Parkside Street	Ripon	WI	54971	391101287	Health Care	WI	501(c)(3)	3	Agnesian Healthcare Inc	false
Waupun Memorial Hospital Inc
620 West Brown Street	Waupun	WI	53963	390806265	Health Care	WI	501(c)(3)	3	Agnesian Healthcare Inc	false
St Francis Home of Fond du Lac Wisconsin Inc
33 Everett Street	Fond du Lac	WI	54935	391029998	Health Care	WI	501(c)(3)	10	Agnesian Healthcare Inc	false
Sister Servants of Christ the King Villa Loretto
N8114 County WW	Mount Calvary	WI	53057	391022770	Health Care	WI	501(c)(3)	10	Agnesian Healthcare Inc	false
Villa Rosa Inc
N8120 County WW	Mount Calvary	WI	53057	421670962	Health Care	WI	501(c)(3)	10	Agnesian Healthcare Inc	false
The Christian Home and Rehabilitation Center Incorporated
331 Bly Street	Waupun	WI	53963	390884514	Health Care	WI	501(c)(3)	10	Agnesian Healthcare Inc	false
The Monroe Clinic Inc
515 22nd Avenue	Monroe	WI	53566	390808509	Health Care	WI	501(c)(3)	3	SSM Health Care of Wisconsin	false
Monroe Clinic and Hospital Foundation Inc
515 22nd Avenue	Monroe	WI	53566	205769038	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
Agnesian Healthcare Foundation Inc
430 E Division St	Fond du Lac	WI	54935	391684956	Fundraising	WI	501(c)(3)	Type I	SSM Health Care of Wisconsin	false
Shared Magnetic Resonance Imaging Facility Inc
1104 John Nolen Drive	Madison	WI	53713	391534744	Health Care	WI	501(c)(3)	Type I	SSM Health Care of Wisconsin	false
SSM Health Cardinal Glennon Transport
10101 Woodfield Lane	St Louis	MO	63132	863519607	Health Care	MO	501(c)(3)	Type I	SSM Cardinal Glennon Children's Hospital	false
SSM Health Foundation
10101 Woodfield Lane	St Louis	MO	63132	874109859	Fundraising	MO	501(c)(3)	Type I	SSM Health Care Corporation	false
SSM Health Care Group
10101 Woodfield Lane	St Louis	MO	63132	880988603	Health Care	MO	501(c)(3)	10	SSM Health Care St Louis	false
The Sarah Community
10101 Woodfield Lane	St Louis	MO	63132	431784657	Health Care	MO	501(c)(3)	10	SSM Health Businesses	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
SSM St Joseph Endoscopy Center LLC
10101 Woodfield Lane	St Louis	MO	63132	270046559	Surgery Services	MO	NA	N/A
St Clare Imaging Services LLC
707 14th Street Suite A	Baraboo	WI	53913	200122365	Diag. Services	WI	NA	N/A
Mt Vernon Radiation Therapy Center LLC
10101 Woodfield Lane	St Louis	MO	63132	201382620	Radiation Therapy	IL	GOOD SAMARITAN REGIONAL HEALTH CENTER	Related	-$282,554	$4,862,128	false	Yes (true)	0.51
Sleep & Neurology Center of Southern Illinois LLC
10101 Woodfield Lane	St Louis	MO	63132	208468195	Diag. Services	IL	GOOD SAMARITAN REGIONAL HEALTH CENTER	Related	$80,508	$1,092,857	false	false	0.501
CHOWSMGSI Office Building LLC
10101 Woodfield Lane	St Louis	MO	63132	371383861	MOB	IL	NA	N/A
Oza Cancer Center LLC
10101 Woodfield Lane	St Louis	MO	63132	201382727	MOB	IL	NA	N/A
Shawnee Real Estate Holdings LLC
1000 N Lee Ave	Oklahoma City	OK	73102	455458304	MOB	OK	NA	N/A
Dean Clinic & St Mary's Hospital Accountable Care Organization LLC
1808 West Beltline Highway	Madison	WI	53713	452995500	Accountable Care Organization	WI	NA	N/A
Wisconsin Integrated Information Technology and Telemedicine Systems LLC
1808 West Beltline Highway	Madison	WI	53713	392016715	Information Technology Services	WI	NA	N/A
Wingra Building Group
1808 West Beltline Highway	Madison	WI	53713	390237060	MOB	WI	NA	N/A
Janesville Riverview Clinic Building Partnership
1808 West Beltline Highway	Madison	WI	53713	396220698	MOB	WI	NA	N/A
1110 N Classen Blvd LLC
1110 N Classen Boulevard	Oklahoma City	OK	73106	731158158	MOB	OK	NA	N/A
SSM St Clare Surgical Center LLC
10101 Woodfield Lane	St Louis	MO	63132	261439695	Surgery Services	MO	NA	N/A
Windmill LLP
50 Village View Lane	Chesterfield	MO	63017	431804651	Investments	MO	NA	N/A
Navitus Health Solutions LLC
361 Integrity Drive	Madison	WI	53717	043608530	Pharmacy Benefits	WI	NA	N/A
SSM Select Rehab St Louis LLC
4714 Gettysburg Road	Mechanicsburg	PA	17055	263694972	Health Care	DE	NA	N/A
Epiphany Rx LLC
361 Integrity Drive	Madison	WI	53717	364855405	Pharmacy Benefits	DE	NA	N/A
Bain Capital Global Direct Lending 2021 (L Offshore) LP
200 Clarendon Street FL 41	Boston	MA	021165016	981506451	Investments	DE	NA	N/A
Bloom Tree Long-Only Fund QP LP fka Bloom Tree Ponderosa Funds QP LP
101 Park Avenue 33rd FL	New York	NY	10178	823704522	Investments	DE	NA	N/A
Carlyle Property Investors LP
1001 Pennsylvania Ave NW STE 220	Washington	DC	20004	371789359	Investments	DE	NA	N/A
NECICF II AIV2-B LP
300 Delaware Ave STE 210	Wilmington	DE	19801	845058167	Investments	DE	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
SSM Managed Care Organization LLC
10101 Woodfield Lane	St Louis	MO	63132	431708511	Health Promotion	MO	NA	C Corporation	false
FPP INC & Subs
10101 Woodfield Lane	St Louis	MO	63132	431465174	Health Care	MO	NA	C Corporation	false
Diversified Health Services Corp
10101 Woodfield Lane	St Louis	MO	63132	431369305	Medical Equipment	MO	NA	C Corporation	false
SSM Properties Inc
10101 Woodfield Lane	St Louis	MO	63132	431462486	Property Services	MO	NA	C Corporation	false
HealthFirst Physician Management Services
10101 Woodfield Lane	St Louis	MO	63132	731534336	Medical Services	OK	NA	C Corporation	false
SSMHC Liability Trust II
10101 Woodfield Lane	St Louis	MO	63132	816128118	Insurance	MO	NA	C Corporation	false
SSM Medical Group Inc
10101 Woodfield Lane	St Louis	MO	63132	431664107	Physician Offices	MO	NA	C Corporation	false
SSMHC Insurance Company
				030310431	Insurance		NA	C Corporation	false	PO Box 1051 GT	Grand Cayman	CJ	KY11102	CJ
Physicians Services Corp of Southern Illinois Inc
10101 Woodfield Lane	St Louis	MO	63132	364161526	Health Care	IL	GOOD SAMARITAN REGIONAL HEALTH CENTER	C Corporation	Yes (true)						$29,302,336	$6,986,793	1.00
Dean Health Systems Inc
1808 West Beltline Highway	Madison	WI	53713	391128616	Physician Offices	WI	NA	C Corporation	false
Dean Health Insurance Inc
PO Box 56099	Madison	WI	53705	391830837	Insurance	WI	NA	C Corporation	false
Dean Retail Services Inc
1808 West Beltline Highway	Madison	WI	53713	391717636	Property Services	WI	NA	C Corporation	false
Oza Oncology Inc
4117 Veterans Memorial Drive	Mt Vernon	IL	62804	371343746	Physician Offices	IL	NA	S Corporation	false
SSM Health Janesville Campus Condominium Association Inc
1808 West Beltline Highway	Madison	WI	53713	832038674	Condo association	WI	NA	C Corporation	false
SSM Health Pharmacy LLC
10101 Woodfield Lane	St Louis	MO	63132	264031708	Pharmacy	MO	NA	C Corporation	false
Navitus Holdings LLC
1808 West Beltline Highway	Madison	WI	53713	800968174	Pharmacy	WI	NA	C Corporation	false
MS Community JV LLC
401 Carlson Parkway CP330	Minnetonka	MN	55305	873240022	Insurance	DE	NA	C Corporation	false
Quality Drug Corporation
239 Broadway	Laguna Beach	CA	92651	330644268	Pharmacy benefits	CA	NA	C Corporation	false
St Mary's Hospital Campus Condominium Owners Association Inc
707 South Mills Street	Madison	WI	53715	000000000	Condo association	WI	NA	C Corporation	false
Partners Group PMC Private Credit LP
				981439264	Investment		NA	C Corporation	false	c/o Maples Corporate Services LTD	George Town	CJ	KY11104	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mt Vernon Radiology Therapy Center LLC
S	$1,062,478	CASH
Sleep & Neurology Center of Southern Illinois LLC
S	$56,878	CASH
Physicians Services Corp of Southern Illinois Inc
A	$244,653	CASH
Physicians Services Corp of Southern Illinois Inc
P	$44,134,430	CASH