2022-11-15T10:31:39-06:00 2021-12-31 350921680 Crowe LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2021-01-01 431343281 SSM Health Care St Louis SSMH 3149947800 10101 Woodfield Lane St Louis MO 63132 Jeremy Fotheringham President 3149947800 2022-11-15 true Barbara Potts 999009999 Kim Scifres P01316095 5023263996 2021 2022-09-23 18:48:47Z See Schedule O Jeremy Fotheringham 10101 Woodfield Lane St Louis MO 63132 1763816066 false 0928 X www.ssmhealth.com X 2000 MO OPERATES SEVEN HOSPITALS AND HEALTH CARE CENTERS UNDER SIX SEPARATE HOSPITAL LICENSES IN THE GREATER ST. LOUIS METROPOLITAN AREA. 8 6 11062 602 5723768 0 131036047 24323120 1534730684 1684355053 10149744 34319414 9397954 17683528 1685314429 1760681115 436809 520643 0 636638237 669129554 0 0 931333623 968256087 1568408669 1637906284 116905760 122774831 1991731658 1767014142 1464452162 1208402138 527279496 558612004 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. false false 1462133929 520643 1684355053 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 1462133929 true true false true false false false false true true true false true true true false true false false false false false false false false true true true true true false false false false false false false false true false false false true true true true false false true X 0 0 11062 true true true false false false false false false false false false false false X 8 6 false false false false true true true true false false false false true true true true true false false true true X Susan Taylor 3149893650 1195 Corporate Lake Drive St Louis MO 63132 Candace Jennings Pt Yr Director, Pt Yr Chairperson, Pt Yr Regional President-St. Louis/Southern Illinois 25.0 21.0 X X 0 768694 18648 Jan Cerny Director, Vice Chairperson 1.0 3.0 X X 0 0 0 Steve Smoot Director, Vice President, COO of SSM Health 1.0 53.0 X X 0 1532078 917946 Christine Jacobs MD Director, Acting Dean, Interim VP Medical Affairs 1.0 3.0 X 0 0 0 Dennis Harms Director 1.0 3.0 X 0 0 0 Douglass Petty Director 1.0 3.0 X 0 0 0 Robert Wilmott MD Director 1.0 2.0 X 0 0 0 Snehal Gandhi MD Director 1.0 2.0 X 0 0 0 Timothy Johnson MD Director, System VP Medical Group & Pop Health Ops 1.0 43.0 X 0 592955 252063 Douglas Long Secretary, General Counsel at SSM Health 1.0 68.2 X 0 1201678 483601 Eileen Lamm System VP, Finance (MO/ILL) 25.0 15.0 X 0 394319 160816 Jeremy Fotheringham Chairperson, President, Regional President - St. Louis 25.0 17.0 X 0 758769 418183 Melissa Flaherty Assistant Secretary 25.0 16.0 X 90346 0 5624 Rachel Hall Pt Yr Assistant Secretary 25.0 19.0 X 0 84975 27568 Randy Combs Treasurer, Chief Financial Officer at SSM Health 1.0 66.0 X 0 1290602 485851 Don Tran MD Pt Yr President, Physicians Org/Ambulatory Services 40.0 0 X 0 532787 85529 Ellis Hawkins Pt Yr Hospital President - SSM Health DePaul Hospital 40.0 1.0 X 0 680695 17598 Hsieng Su MD Pt Yr Regional VP - Medical Affairs/CMO 40.0 0 X 406347 0 63428 Julie Wilhite Regional VP - Human Resources 40.0 0 X 0 439702 91417 Kathy Bonser Pt Yr Regional VP - Nursing/CNO St Louis 40.0 0 X 377930 0 9902 Lisle Wescott Pt Yr Hospital President - SSM Health St. Joseph - St. Charles and Lake St. Louis 40.0 1.0 X 0 348556 12468 Michael Bowers Pt Yr Chief Operating Officer - SSM Health Care St. Louis 40.0 1.0 X 0 840726 19093 Rachel Donlan System VP - Strategic Development 40.0 0 X 0 327303 139496 Tina Garrison Hospital President - SSM Health DePaul Hospital 40.0 1.0 X 0 490500 200509 Travis Capers Hospital President - SSM Health St. Mary's Hospital 40.0 1.0 X 0 642170 229518 David Uhls Physician 40.0 0 X 505889 0 24340 Joseph Attewell Physician 40.0 0 X 544672 0 41169 Mario Morales Physician 40.0 0 X 1469552 0 38412 Mary Lowdermilk Physician 40.0 0 X 505025 0 26208 Thomas Landon Physician 40.0 0 X 787498 0 44235 Alexander Garza Former Key Employee, Chief Community Health Officer at SSM Health 0.0 40.0 X 0 754156 488566 Karen Rewerts Former Officer, VP-Financial Operations 0.0 43.0 X 0 736547 251796 Kris Zimmer Former Officer 0.0 0.0 X 0 219379 0 Laura Kaiser Former Officer, CEO at SSM Health 0.0 46.0 X 0 3489979 2214336 4687258 16126568 6768321 963 true true false ST LOUIS UNIVERSITY 1402 S GRAND BLVD ST LOUIS MO 63104 MEDICAL SERVICES 17454030 CARE STAT INC 13355 W WASHINGTON BLVD LOS ANGELES CA 90066 MEDICAL SERVICES 14428168 METRO WEST ANESTHESIA GROUP INC 400 SOUTH WOODS MILL RD SUITE 140 CHESTERFIELD MO 63017 MEDICAL SERVICES 11031419 SOUND PHYSICIANS OF ILLINOIS LLC 1498 PACIFIC AVENUE SUITE 400 TACOMA WA 98402 MEDICAL SERVICES 10553214 AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 STAFFING SERVICES 10286173 86 1850336 22240213 232571 55542 24323120 NET PATIENT SERVICE REVENUE 622110 1495072432 1495072432 340B PHARMACY REVENUE 446110 93638462 93638462 JOINT VENTURE INCOME 900099 15030122 15030122 80614037 80614037 0 0 1684355053 5999665 5999665 9059522 3134951 5924571 0 5924571 5924571 28166749 153000 28166749 153000 28319749 28319749 CAFETERIA 722210 4804693 4804693 LABORATORY SERVICES 621500 3247737 3247737 LTACH/SELECT REHAB 622310 2318282 2318282 1388245 0 157749 1230496 11758957 1760681115 1684355053 5723768 46279174 X 494773 494773 25870 25870 953577 881799 71778 507899739 469668943 38230796 43988978 40677803 3311175 79350702 73377751 5972951 36936558 34156239 2780319 11957554 11951317 6237 904437 904437 234564539 186620043 47944496 0 101587 101587 55992537 52061103 3931434 57222680 55564939 1657741 34759584 32895133 1864451 1153041 537062 615979 1499737 506483 993254 10694421 10694421 62423801 62423801 10827959 10827959 Medical supplies 322063371 322063371 Medicaid Provider Tax 82428568 82428568 Internal management fees 65914276 65914276 Claims pool losses 12863770 12863770 2884225 1412781 1471444 0 1637906284 1462133929 175772355 0 1053873 1548282 13219069 15993754 204441221 227605172 0 0 0 0 36278697 37157442 12955709 7968919 1491071508 883317150 630807340 607754358 355083461 396225630 47762197 54822751 16567748 16351854 673562343 401585980 1991731658 1767014142 171276183 234385906 38986578 4822457 0 0 1254189401 969193775 1464452162 1208402138 X 512807414 535512440 14472082 23099564 527279496 558612004 1991731658 1767014142 X 122774831 8015183 -99457506 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 73866 73866 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The organization paid dues to various national and local hospital associations and a portion of these dues was allocated to lobbying activities. 4176315 25000 376337 4577652 5003511 672804 1500000 4176315 3332047 1502500 502477 333513 5003511 3635052 -283932 19073 3332047 3349246 2500 335306 52000 3635052 0.4447 0.5553 0.0 true true true 62789149 62789149 934142275 517810695 416331580 35029332 26748092 8281240 445208336 338758363 106449973 13902416 13902416 607754358 CENTRAL INVESTMENT PROGRAM 372037842 F JOINT VENTURES 24187788 F 396225630 DUE FROM AFFILIATES 378273476 OTHER ASSETS 7553365 OPERATING RIGHT-OF-USE ASSETS 15759139 401585980 PAYABLE TO THIRD-PARTY PAYORS 133446825 DUE TO AFFILIATES OTHER LIABILITIES 125833 ASSET RETIREMENT LIABILITY 2756616 ALLOCATED TAX-EXEMPT DEBT (ISSUED BY SSM HEALTH CARE) 804123560 CAPITAL LEASE OBLIGATION 63273 Rabbi Trust Liability 4457769 Third-party patient loans 1170944 RETIREMENT OBLIGATIONS 4277593 OPERATING LEASE OBLIGATIONS 18771362 969193775 X Schedule D, Part V, Line 4 Intended uses of endowment funds ALL ENDOWMENT FUNDS WILL BE USED TO SUPPORT HEALTH CARE SERVICES. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote SSM HEALTH CARE ST LOUIS' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. 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 2021 OR 2020. true true X true X true X true true false true true 24091936 24091936 0.0147 270581786 273021775 0 0.0 22332719 19486535 2846184 0.0017 0 0 317006441 292508310 26938120 0.0164 4240685 4240685 0.0026 23273025 12628660 10644365 0.0065 0 0.0 0 0.0 27191 27191 0.0000 0 0 27540901 12628660 14912241 0.0091 0 0 344547342 305136970 41850361 0.0256 73500 73500 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 122128 122128 0.0001 356 356 0.0000 0 0.0 0 0 195984 0 195984 0.0001 true 150584773 296764359 331942851 -35178492 X true true SSM ST JOSEPH ENDOSCOPY CENTER LLC OPERATE AN ENDOSCOPY CENTER 0.5 0.0 0.5 ST LOUIS CYBERKNIFE LLC OPERATE A CANCER TREATMENT CENTER 0.44 0.0 0.56 6 2 SSM Health St Mary's Hospital - St Louis 6420 Clayton Road St Louis MO 63117 https://www.ssmhealth.com/locations/st-marys-hospital-st-louis 383-29 X X X X A 3 SSM Health St Joseph Hospital - St Charles 300 First Capitol Drive St Charles MO 63301 https://www.ssmhealth.com/locations/st-joseph-hospital-st-charles 494-16 X X X A 5 SSM Health St Joseph Hospital - Lake Saint Louis 100 Medical Drive Lake St Louis MO 63367 https://www.ssmhealth.com/locations/st-joseph-hospital-lake-saint-louis 381-29 X X X A 1 SSM Health DePaul Hospital - St Louis 12303 DePaul Drive St Louis MO 63044 https://www.ssmhealth.com/locations/depaul-hospital-st-louis 414-27 X X X A 4 SSM Health St Clare Hospital - Fenton 1015 Bowles Avenue Fenton MO 63026 https://www.ssmhealth.com/locations/st-clare-hospital-fenton 456-22 X X X 6 SSM Health Rehabilitation Hospital 12380 DePaul Drive Bridgeton MO 63044 HTTPS://WWW.SSM-REHAB.COM/ 522-4 X A false false true X X X X X X X X X 21 true true false true X https://www.ssmhealth.com/resources/about/community-health X true 22 true https://www.ssmhealth.com/resources/about/community-health false true X 200.0 400.0 X X X X X true true X X X true X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance X X X X X X true X false X X X X true X false false SSM Health St Clare Hospital - Fenton 4 false false true X X X X X X X X X 21 true false false true X https://www.ssmhealth.com/resources/about/community-health X true 22 true https://www.ssmhealth.com/resources/about/community-health false true X 200.0 400.0 X X X X X true true X X X true X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance X X X X X X true X false X X X X true X false false SSM Health Rehabilitation Hospital 6 false false true X X X X X X X X X 21 true true false true X https://www.ssmhealth.com/resources/about/community-health X true 19 true https://www.ssmhealth.com/resources/about/community-health false true X 200.0 400.0 X X X X X true true X X X true X https://www.ssm-rehab.com/patients-and-caregivers/admissions/financial-assistance/ X https://www.ssm-rehab.com/patients-and-caregivers/admissions/financial-assistance/ X https://www.ssm-rehab.com/patients-and-caregivers/admissions/financial-assistance/ X X X X X X true X false X true X false false 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 - Facility Group A. A single online community health needs assessment survey was available for community members across multiple service areas of all collaborating hospital systems, inclusive of Missouri and Illinois. The online community survey was available to complete from April 2021 through July 2021. This survey asked about people's personal health, their thoughts about the community's health, and provided sections for people to provide on ways to improve both individual and community health. The survey took an average of 10 minutes to complete with a total of 2,915 individuals completing the survey. A total of 378 responses were received from St. Louis City zip codes, accounting for 13 percent of survey responses. All respondents were asked to provide their primary zip codes, which were tagged according to the SSM and partner hospital CHNA community geographies. Community members had the option to submit open ended responses, comments and suggestions throughout the survey. Additionally, community conversations were held virtually, engaging individuals from SSM Health service areas where response rates were significantly lower in comparison to other service areas. These conversations helped us learn more about residents' concerns, solicit ideas, learn of their health care experiences and identify opportunities for improvement. These conversations also provided critical insight on community perceptions and generated ideas on how to improve health care access and resources. Community leaders were also engaged to complete the Stakeholder CHNA survey. Stakeholders included a diverse group of community professionals from organizations across service areas, providing a vast array of critical services including health access, social needs, education and emergency services. Upon completion, surveys were analyzed through the survey platform in order to identify common themes. Secondary data was collected from multiple sources including The County Health Rankings, ExploreMoHealth, and Think Health St. Louis. Analysis of these data sources revealed not only the most burdensome health issues, but also health disparities and key issues impacting social determinants of health. Data assessed included demographic information, chronic disease and morbidity/mortality information, health status indicators, health behaviors and general environment information. This data is compared to state and national benchmarks. Primary and secondary data were weighted in order to determine highest priority community health needs, based on importance to community members and the hospital's ability to make meaningful impact over the next several years. Organizations included in stakeholder data gathering and discussion include: St. Charles County: Aging Ahead Calvary Church Community Council EDC of St. Charles County Fort Zumwalt School District Lindenwood Athletics Lutheran High School - St. Charles O'Fallon Fire Protection District Prevent + Ed Saint Louis Crisis Nursery St. Charles County Department of Public Health Sts. Joachim and Ann Care Services United Services for Children US House of Representatives Youth in Need North St. Louis County: Aging Ahead Alive and Well Communities Asthma and Allergy Foundation - St. Louis Cornerstone Realty Jewish and Family Services of St. Louis Our Family's Doing Yoga Refuge and Restoration Prevent + Ed St. Louis Area Diaper Bank St. Louis County Department of Health St. Luke's Hospital St. Louis City: Affinia Healthcare Alive and Well Communities Behavioral Health Network BJC Healthcare Casa de Salud City of St. Louis Department of Health Community Health In Partnership Services (CHIPS) Gateway Region YMCA Health Literacy Media IFM Community Medicine Missouri Department of Health and Senior Services Missouri Foundation for Health Operation Food Search Peoples Health Center Places for People Rise Community Development St. Louis Integrated Health Network St. Vincent DePaul State Farm Urban League of Metropolitan Youth In Need Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - SSM Health St. Mary's Hospital - St. Louis. THE HOSPITAL CONDUCTED AND COMPLETED ITS 2021 CHNA JOINTLY WITH SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL. Schedule H, Part V, Section B, Line 6a Facility A, 2 Facility A, 2 - SSM Health St. Joseph Hospital - St. Charles and SSM Health St. Joseph Hospital - Lake Saint Louis. BOTH HOSPITALS CONDUCTED AND COMPLETED A JOINT 2021 CHNA. Schedule H, Part V, Section B, Line 6a Facility A, 3 Facility A, 3 - SSM Health DePaul Hospital - St. Louis. THE HOSPITAL CONDUCTED AND COMPLETED ITS 2021 CHNA JOINTLY WITH SSM HEALTH REHABILITATION HOSPITAL. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - SSM Health DePaul Hospital - St. Louis. 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: - Behavioral health - Heart health/nutrition - Respiratory diseases Behavioral Health Behavioral Health (BH), inclusive of mental health and substance use disorders, was determined to be a priority health need in each hospital ministry community's CHNA process. The burden of mental illness in the United States is among the highest of all diseases, and mental disorders are among the most common causes of disability. Substance abuse disorders have a major impact on individuals, families, and communities. The effects of substance abuse are cumulative, significantly contributing to costly social, physical, mental, and public health problems. In 2019, 18.5% of residents in the Inner North region of St. Louis County reported experiencing 14 or more poor mental health days in the past month compared to the national average of 13.6%. The hospital has implemented the following strategies to improve community behavioral health: - Increase access to existing mental and behavioral health programs and services - Support initiatives that build capacity of local partners addressing access to behavioral health services and care - Support and advocate for policies that improve access and services to behavioral health - Strengthen internal behavioral health services and capacities - Promote safe medication disposal - Fund evidence-based & innovative approaches - Ensure data equity and public health education The short-term and long-term impacts of these activities are as follows: - Consistent and strategic SSM and community partnerships focused on behavioral health - Increased internal and community knowledge and awareness of the importance and impact of behavioral health care - Increased policies supporting equitable behavioral health treatment and care - Healthier communities with improved access to mental health and substance abuse care Heart health/nutrition Controlling risk factors for heart disease and stroke remains a challenge. High blood pressure, cigarette smoking, and high blood cholesterol are still major contributors to the national epidemic of cardiovascular disease. The risk of Americans developing and dying from cardiovascular disease would be substantially reduced if major improvements were made across the U.S. population in diet and physical activity, control of high blood pressure and cholesterol, smoking cessation, and appropriate aspirin use. Black/African American residents in St. Louis County are disproportionately affected by heart disease to a staggering degree, consistently having higher mortality and hospital visit rates compared to other racial/ethnic groups in the county. The hospital has the following action plan in place to improve the heart health for its community: - Support initiatives that build capacity of local partners addressing nutrition and heart disease - Increase access to heart disease management services - Support and advocate for policies that improve access to nutritious foods - Strengthen internal awareness and knowledge of heart disease disparities through education and skills development - Guide direct and collaborative funding - Ensure data equity and public health education The short-term and long-term impacts of these activities are as follows: - Consistent and strategic SSM and community partnerships focused on heart health and nutrition - Increased internal and community knowledge and awareness of the importance of heart health and nutrition - Increased community consumption of nutritious foods - Increased heart healthy activities - Increased advocacy for change - Increased policies supporting healthy living for all Respiratory Diseases Respiratory diseases affect millions of people in the United States. The burden of respiratory diseases affects individuals and their families, schools, workplaces, neighborhoods, cities, and states. Asthma and chronic obstructive pulmonary disease (COPD) are significant public health burdens. There are also several emerging respiratory health issues such as the impact of environmental change and increasing importance of indoor air quality. North St. Louis County has disproportionately higher rates of asthma compared to other areas in St. Louis County. High asthma hotspots are associated with characteristics of environment risk. The hospital has the following action plan in place to improve respiratory disease health and care in the community: - Support initiatives that build capacity of local partners addressing respiratory health - Increase access to respiratory health services and prescriptions - Support and advocate for policies that improve air quality - Strengthen internal respiratory health services, ensuring equity and cultural competency - Guide direct and collaborative funding - Ensure data equity and public health education The short-term and long-term impacts of these activities are as follows: - Consistent and strategic SSM and community partnerships focused on respiratory diseases - Increased staff awareness, knowledge and abilities to carry out culturally competent care - Increased community knowledge of the importance of respiratory disease management - Increased policies that support healthy environments - Increased advocacy for change - Reduced disparities in respiratory diseases The hospital has no plans to discontinue other community benefit efforts to address additional health needs as outlined in its CHNA. Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - SSM Health St. Mary's Hospital - St. Louis. 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: - Behavioral health - Obesity/chronic diseases - High-risk pregnancy/women's health Behavioral Health Behavioral Health (BH), inclusive of mental health and substance use disorders, was determined to be a priority health need in each hospital ministry community's CHNA process. The burden of mental illness in the United States is among the highest of all diseases, and mental disorders are among the most common causes of disability. Substance abuse disorders have a major impact on individuals, families, and communities. The effects of substance abuse are cumulative, significantly contributing to costly social, physical, mental, and public health problems. In St. Louis City, residents experience an average of 5 poor mental health days per month, above the statewide average of 4.5. and sixteen percent of St. Louis City resident experience mental health distress. The hospital has implemented the following strategies to improve community behavioral health: - Increase access to existing behavioral health programs and services - Strengthen internal behavioral health services and capacities - Support initiatives that build capacity of local partners addressing access to behavioral health services and care - Support and advocate for policies that improve access and services to behavioral health - Promote efforts that empower local communities to drive change - Fund evidence-based & innovative approaches - Ensure data equity, public health education, and strategic communication The short-term and long-term impacts of these activities are as follows: - Consistent and strategic SSM and community partnerships focused on behavioral health - Increased internal and community knowledge and awareness of the importance and impact of behavioral health care - Increased policies supporting equitable behavioral health treatment and care - Healthier communities with improved access to mental health and substance abuse care - Increased advocacy for change Obesity/chronic conditions Good nutrition, physical activity, and a healthy body weight are essential parts of a person's overall health and well-being. Most Americans, however, do not eat a healthful diet and are not physically active at levels needed to maintain proper health and weight. In St. Louis City, 35% of Adults are considered obese and about 30% report no leisure time physical activity. Additionally, St. Louis City ranks below the state average when considering factors that contribute to healthy food environments. Chronic diseases, often strongly linked to obesity, are the leading cause of death and disability in the United States, causing 7 out of 10 deaths each year. Examples of chronic diseases include cardiovascular disease, arthritis, diabetes and cancer. Healthy Eating & Active Living (HEAL) is essential to managing obesity and chronic diseases. The hospital has planned the following strategies to reduce obesity and chronic disease: - Support initiatives that build capacity of local partners addressing obesity/chronic disease - Increase access to chronic disease management services - Support and advocate for policies that improve access to healthy eating and active living (HEAL) - Strengthen internal awareness and knowledge of obesity disparities through education and skills development - Guide direct and collaborative funding - Ensure data equity, public health education, and strategic communication The short-term and long-term impacts of these activities are as follows: - Strategic SSM and community partnerships focused on food insecurity and healthy food access, as well as physical activity - Increased internal and community knowledge and awareness of the importance of healthy eating and chronic disease management - Increased community consumption of healthy foods - Increased community physical activity - Increased community environments, schools, and worksites that support HEAL - Increased advocacy for change - Increased policies supporting healthy living for all High-risk pregnancy/women's health Women's health before, during, and after pregnancy can have a major impact on infants' health and wellbeing. Women who get recommended health care services before they get pregnant are more likely to be healthy during pregnancy and to have healthy babies. In St. Louis City, black babies are three times as likely to die before their first birthday as white babies. Strategies to help pregnant women get medical care and avoid risky behaviors like smoking or drinking alcohol can also improve health outcomes for infants. Additionally, providing care that is culturally appropriate, including effective communication, listening, and respect can help to reduces stress in the pregnancy cycle. The hospital has planned the following directives to improve women's health and increase healthy pregnancies: - Increase access to women's health / high-risk pregnancy services - Support initiatives that build capacity of local partners addressing women's health / high-risk pregnancy / infant mortality - Support and advocate for policies that improve access to women's health services - Strengthen internal women's health services, ensuring equity and cultural competency - Guide direct and collaborative funding - Ensure data equity and evaluation focused on measurable impacts - Public health education - Monitoring and evaluating progress The short-term and long-term impacts of these activities are as follows: - Strategic SSM and community partnerships focused on women's health - Increased staff awareness, knowledge and abilities to carry out culturally competent care - Increased community knowledge of importance of self care during pregnancy and access to services - Increased policies that support women's health and prevent high-risk pregnancy - Increased advocacy for change - Reduced disparities in infant and maternal health The hospital has no plans to discontinue other community benefit efforts addressing additional health needs as outlined in its CHNA. Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - SSM Health St. Joseph Hospital - St. Charles and SSM Health St. Joseph Hospital - Lake St. Louis. The hospitals identified various health needs in their jointly-completed 2021 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospitals will place primary focus on the following key priorities: - Overweight/obesity - Behavioral health - Chronic conditions Overweight/Obesity Good nutrition, physical activity, and a healthy body weight are essential parts of a person's overall health and well-being. Most Americans, however, do not eat a healthful diet and are not physically active at levels needed to maintain proper health and weight. 32% percent of the adult population (age 20 and older) in St. Charles County reported a body mass index (BMI) greater than or equal to 30 kg/m2 classifying them as obese. The hospital has planned the following directives to reduce overweight issues and obesity in the community: - Support initiatives that build capacity of local partners addressing obesity - Increase access to weight management services - Support and advocate for policies that improve access to healthy eating and active living (HEAL) - Strengthen internal awareness and knowledge of obesity disparities through education and skills development - Guide direct and collaborative funding - Ensure data equity and public health education The short-term and long-term impacts of these activities are as follows: - Strategic SSM and community partnerships focused on nutrition insecurity and health food access, as well as physical activity - Increased internal and community knowledge and awareness of the importance of healthy eating and physical activity - Increased community consumption of healthy foods - Increased community physical activity - Increased advocacy for change and policies supporting healthy living for all Behavioral Health Behavioral Health (BH), inclusive of mental health and substance use disorders, was determined to be a priority health need in each hospital ministry community's CHNA process. The burden of mental illness in the United States is among the highest of all diseases, and mental disorders are among the most common causes of disability. Substance abuse disorders have a major impact on individuals, families, and communities. The effects of substance abuse are cumulative, significantly contributing to costly social, physical, mental, and public health problems. 32% percent of driving deaths in St. Charles County involve alcohol. 24% of adults in St. Charles County report binge or heavy drinking. The hospital has implemented the following strategies to improve community behavioral health: - Increase access to existing mental and behavioral health programs and services - Support initiatives that build capacity of local partners addressing access to behavioral health services and care - Support and advocate for policies that improve access and services to behavioral health - Strengthen internal behavioral health services and capacities - Promote safe medication disposal - Fund evidence-based & innovative approaches - Ensure data equity and public health education The short-term and long-term impacts of these activities are as follows: - Consistent and strategic SSM and community partnerships focused on behavioral health - Increased internal and community knowledge and awareness of the importance and impact of behavioral health care - Increased policies supporting equitable behavioral health treatment and care - Healthier communities with improved access to mental health and substance abuse care Chronic conditions Chronic diseases are the leading cause of death and disability in the United States, causing 7 out of 10 deaths each year. Examples of chronic diseases include cardiovascular disease, arthritis, diabetes and cancer. Six in ten Americans live with at least one chronic disease. Chronic diseases are the leading causes of death and disability in St. Charles County, and they are also a leading driver of health care costs. The hospitals have the following action plan in place to improve the community chronic disease: - Support initiatives that build capacity of local partners addressing chronic disease - Support and advocate for policies that improve access to chronic disease management - Strengthen internal awareness and knowledge of chronic disease disparities through education and development - Guide direct and collaborative funding - Ensure data equity and public health education The short-term and long-term impacts of these activities are as follows: - Strategic SSM and community partnerships focused on chronic disease management - Increased internal and community knowledge and awareness of the importance of chronic disease management - Increased staff awareness, knowledge, and abilities to carry out culturally-competent care - Increased advocacy for change and policies supporting healthy living for all The hospitals have no plans to discontinue other community benefit efforts addressing additional health needs as outlined in its CHNA. 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 , 1 Facility , 1 - SSM Health St. Clare Hospital - Fenton. A single online community health needs assessment survey was available for community members across multiple service areas of all collaborating hospital systems, inclusive of Missouri and Illinois. The online community survey was available to complete from April 2021 through July 2021. This survey asked about people's personal health, their thoughts about the community's health, and provided sections for people to provide on ways to improve both individual and community health. The survey took an average of 10 minutes to complete with a total of 2,915 individuals completing the survey. A total of 378 responses were received from St. Louis City zip codes, accounting for 13 percent of survey responses. All respondents were asked to provide their primary zip codes, which were tagged according to the SSM and partner hospital CHNA community geographies. Community members had the option to submit open ended responses, comments and suggestions throughout the survey. Additionally, community conversations were held virtually, engaging individuals from SSM Health service areas where response rates were significantly lower in comparison to other service areas. These conversations helped us learn more about residents' concerns, solicit ideas, learn of their health care experiences and identify opportunities for improvement. These conversations also provided critical insight on community perceptions and generated ideas on how to improve health care access and resources. Community leaders were also engaged to complete the Stakeholder CHNA survey. Stakeholders included a diverse group of community professionals from organizations across service areas, providing a vast array of critical services including health access, social needs, education and emergency services. Upon completion, surveys were analyzed through the survey platform in order to identify common themes. Secondary data was collected from multiple sources including The County Health Rankings, ExploreMoHealth, and Think Health St. Louis. Analysis of these data sources revealed not only the most burdensome health issues, but also health disparities and key issues impacting social determinants of health. Data assessed included demographic information, chronic disease and morbidity/mortality information, health status indicators, health behaviors and general environment information. This data is compared to state and national benchmarks. Primary and secondary data were weighted in order to determine highest priority community health needs, based on importance to community members and the hospital's ability to make meaningful impact over the next several years. Organizations included in stakeholder data gathering and discussion include: South St. Louis County: Community Treatment, Inc. (COMTREA) Eureka Fire Protection District Hancock Place School District Lemay Child and Family Center Lindbergh Schools Lindbergh Schools Foundation Prevent + Ed (formerly NCADA) Saint Louis County Department of Health St. Louis Suburban School Nurses Association Jefferson County: Aging Ahead Alzheimer's Association, Greater Missouri Children's Advocacy Center of East Central Missouri COMTREA COMTREA Dental First United Methodist Church of Festus - Crystal City Eureka Fire Protection District Festus R-6 Schools Hillsboro R-III School District Jefferson College Jefferson County Health Department Jefferson County Circuit Court Jefferson County Growth Association Jefferson County Juvenile Office Joachim-Plattin Ambulance District Keaton Center Lane Consolidated Mercy Jefferson Northwest School District Path Group Peace Pantry of Cedar Hill Valle Ambulance District Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SSM Health St. Clare Hospital - Fenton. 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: - Mental health - Overweight/obesity - Heart health Mental Health The burden of mental illness in the United States is among the highest of all diseases, and mental disorders are among the most common causes of disability. Mental Health diagnosis have been on the increase in St. Louis County every year, since 2018, in almost every category including anxiety and fear disorders, bipolar mood disorders, depressive mood disorders and schizophrenia and psychotic disorders as well as trauma and stress related disorders. Mental Health is more than the absence of mental illness it is essential for overall health and quality of life. The hospital has implemented the following strategies to improve community mental health: - Increase access to existing mental and behavioral health programs and services - Support initiatives that build capacity of local partners addressing access to behavioral health services and care - Support and advocate for policies that improve access and services to mental and behavioral health - Strengthen internal behavioral health services and capacities - Promote safe medication disposal - Fund evidence-based & innovative approaches - Ensure data equity, education, and strategic communication The short-term and long-term impacts of these activities are as follows: - Consistent and strategic SSM and community partnerships focused on behavioral health - Increased internal and community knowledge and awareness of the importance and impact of behavioral health care - Increased policies supporting equitable behavioral health treatment and care - Healthier communities with improved access to mental health and substance abuse care Overweight/Obesity Good nutrition, physical activity, and a healthy body weight are essential parts of a person's overall health and well-being. Most Americans, however, do not eat a healthful diet and are not physically active at levels needed to maintain proper health and weight. In Jefferson County, 32% of Adults are considered obese and 29% in St. Louis County. Chronic diseases, often strongly linked to obesity, are the leading cause of death and disability in the United States, causing 7 out of 10 deaths each year. Examples of chronic diseases include cardiovascular disease, arthritis, diabetes and cancer. Healthy Eating & Active Living (HEAL) is essential to managing obesity and chronic diseases. The hospital has planned the following directives to reduce overweight issues and obesity in the community: - Support initiatives that build capacity of local partners addressing obesity and chronic disease - Increase access to chronic disease management services - Support and advocate for policies that improve access to healthy eating and active living (HEAL) - Strengthen internal awareness and knowledge of obesity disparities through education and skills development - Guide direct and collaborative funding - Ensure data equity, education, and strategic communication The short-term and long-term impacts of these activities are as follows: - Consistent and strategic SSM and community partnerships focused on food insecurity and health food access, as well as physical activity - Increased internal and community knowledge and awareness of the importance of healthy eating and chronic disease management - Increased community consumption of healthy foods - Increased community physical activity - Improved community environments, schools, and worksites that support HEAL - Increased advocacy for change and policies supporting healthy living for all Heart Health Controlling risk factors for heart disease and stroke remains a challenge. High blood pressure, cigarette smoking, and high blood cholesterol are still major contributors to the national epidemic of cardiovascular disease. The risk of Americans developing and dying from cardiovascular disease would be substantially reduced if major improvements were made across the U.S. population in diet and physical activity, control of high blood pressure and cholesterol, smoking cessation, and appropriate aspirin use. African American residents in St. Louis County are disproportionately affected by heart disease to a staggering degree, consistently having higher mortality and hospital visit rates compared to other racial/ethnic groups in the county. The hospital has the following action plan in place to improve the heart health for its community: - Support initiatives that build capacity of local partners addressing nutrition and heart disease - Increase access to heart disease management services - Support and advocate for policies that improve access to nutritious foods - Strengthen internal awareness and knowledge of heart disease disparities through education and skills development - Guide direct and collaborative funding - Ensure data equity, education, and strategic communication The short-term and long-term impacts of these activities are as follows: - Consistent and strategic SSM and community partnerships focused on heart health and nutrition - Increased internal and community knowledge and awareness of the importance of heart health and nutrition - Increased community consumption of nutritious foods - Increased heart healthy activities - Increased policies supporting healthy living for all The hospital has no plans to discontinue other community benefit efforts to address additional health needs as outlined in its CHNA. Schedule H, Part V, Section B, Line 3E THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS 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 , 1 Facility , 1 - SSM Health Rehabilitation Hospital. A single online community health needs assessment survey was available for community members across multiple service areas of all collaborating hospital systems, inclusive of Missouri and Illinois. The online community survey was available to complete from April 2021 through July 2021. This survey asked about people's personal health, their thoughts about the community's health, and provided sections for people to provide on ways to improve both individual and community health. The survey took an average of 10 minutes to complete with a total of 2,915 individuals completing the survey. A total of 378 responses were received from St. Louis City zip codes, accounting for 13 percent of survey responses. All respondents were asked to provide their primary zip codes, which were tagged according to the SSM and partner hospital CHNA community geographies. Community members had the option to submit open ended responses, comments and suggestions throughout the survey. Additionally, community conversations were held virtually, engaging individuals from SSM Health service areas where response rates were significantly lower in comparison to other service areas. These conversations helped us learn more about residents' concerns, solicit ideas, learn of their health care experiences and identify opportunities for improvement. These conversations also provided critical insight on community perceptions and generated ideas on how to improve health care access and resources. Community leaders were also engaged to complete the Stakeholder CHNA survey. Stakeholders included a diverse group of community professionals from organizations across service areas, providing a vast array of critical services including health access, social needs, education and emergency services. Upon completion, surveys were analyzed through the survey platform in order to identify common themes. Secondary data was collected from multiple sources including The County Health Rankings, ExploreMoHealth, and Think Health St. Louis. Analysis of these data sources revealed not only the most burdensome health issues, but also health disparities and key issues impacting social determinants of health. Data assessed included demographic information, chronic disease and morbidity/mortality information, health status indicators, health behaviors and general environment information. This data is compared to state and national benchmarks. Primary and secondary data were weighted in order to determine highest priority community health needs, based on importance to community members and the hospital's ability to make meaningful impact over the next several years. Organizations included in stakeholder data gathering and discussion include: North St. Louis County: Aging Ahead Alive and Well Communities Asthma and Allergy Foundation - St. Louis Cornerstone Realty Jewish and Family Services of St. Louis Our Family's Doing Yoga Refuge and Restoration Prevent + Ed St. Louis Area Diaper Bank St. Louis County Department of Health St. Luke's Hospital Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - SSM Health Rehabilitation Hospital. THE HOSPITAL CONDUCTED AND COMPLETED ITS 2021 CHNA JOINTLY WITH SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SSM Health Rehabilitation Hospital. The hospital identified various health needs in the 2018 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiently, the hospital will place primary focus on the following key priorities: - Access to care - Chronic disease - Heart and Vascular disease - Chronic disease - Cerebrovascular disease Access to care Access to primary care providers is a key priority for the hospital. Improvements will increase the likelihood that community members will have routine check-ups and screenings. Moreover, those with access to primary care are more likely to know where to go for treatment in acute situations. Communities that lack a sufficient number of primary care providers typically have members who delay necessary care when sick and conditions can become more severe and complicated. Additional facts and figures that relate to access to care show: - Per 100,000 persons, there are 123 providers in St. Louis County - Clinical Care Ranking - the quality and accessibility of clinical care heavily impacts the health of a community. Without a sufficient number of providers or adequate insurance coverage, people often do not seek care services and are thus at higher risk of developing preventable illnesses or chronic conditions. People with access to high-quality care are more likely to receive effective treatment for their conditions and enjoy better health. St. Louis County is ranked at 2 (1-2 is healthiest). The ranking is based on a summary composite score calculated from the following measures: uninsured, primary care physicians, mental health providers, dentists, preventable hospital stays, diabetic monitoring, and mammography screening - 43% of St. Louis County residents have a bachelor's degree or greater 21% of St. Louis County residents have a high school graduation degree - Approximately 10% of St. Louis County residents don't have health insurance - 6.7% of St. Louis County families live below the poverty line - 82.5% of St. Louis County expecting mothers receive prenatal care and the infant mortality rate for St. Louis County is 7.7 out of 1,000 live births The hospital is involved in the following initiatives to improve access to care in the community served: - Partner with SSM Health Care St. Louis ministries and community collaborators to address access to care barriers, provide screenings and health education materials - Monitor durability of outcomes post-discharge through IT HealthTrack and create action plans, if appropriate - Utilize Care Partner Program to increase community discharges from 70.6% in 2018 to 73.6% by 2021 - Partner with Emergency rooms at other SSM Health hospitals to prevent unnecessary admissions to acute care from the hospital - Transition to Medical Model at the hospital to enhance medical management coverage and increase in-house physician presence - Develop Meds to Beds Program to increase access to prescribed medications at time of patients' discharge from inpatient rehabilitation stay Chronic disease - Heart and Vascular disease Heart and vascular disease is a key priority for the hospital. Heart disease is a term that encompasses a variety of different diseases affecting the heart and is the leading cause of death in the United States, accounting for 25.4% of total deaths. The most common type in the US is coronary artery disease, which can cause heart attack, angina, heart failure, and arrhythmias. Coronary artery disease occurs when plaque builds up in the arteries that supply blood to the heart and the arteries narrow (atherosclerosis). There are many modifiable risk factors for atherosclerosis, including tobacco smoking, obesity, and a sedentary lifestyle. Heart disease is the number one killer of women in the United States. Statistical data on heart and vascular disease shows the following: - According to the Centers for Disease Control and Prevention, approximately 5.7 million people in the United States have heart failure, and about half of people who develop heart failure will die within five years of diagnosis - Age-adjusted ER rate due to heart failure is 3.5 per 10,000 persons in St. Louis County compared to 5,9 in St. Louis City - The percentage of overweight adults is an indicator of the overall health and lifestyle of a community. Being overweight affects quality of life and puts individuals at risk for developing many diseases, especially heart disease, stroke, diabetes, and cancer. 32.6% of St. Louis County adults are overweight - High blood pressure is the number one modifiable risk factor for stroke. In addition to stroke, high blood pressure also contributes to heart attacks, heart failure, kidney failure, and atherosclerosis. The higher your blood pressure, the greater your risk of heart attack, heart failure, stroke, and kidney disease. In the United States, one in three adults has high blood pressure, and nearly one-third of these people are not aware that they have it. 31.9% of St. Louis County adults have high blood pressure. The hospital is implementing the following measures to improve Heart and vascular disease: - Partner with SSM Health Care St. Louis ministries and community collaborators to provide screenings and health education materials - Reduce cardiac-related acute care transfers from 12.5% in 2018 to 10% in 2021 - Monitor durability of outcomes post-discharge through IT HealthTrack and create action plans, if appropriate - Utilize Care Partner Program to increase community discharges from 70.6% in 2018 to 73.6% by 2021 - Partner with Emergency rooms at other SSM Health hospitals to prevent unnecessary admissions to acute care from the hospital - Transition to Medical Model at the hospital to enhance medical management coverage and increase in-house physician presence - Develop Meds to Beds Program to increase access to prescribed medications at time of patients' discharge from inpatient rehabilitation stay Chronic disease - Cerebrovascular disease Cerebrovascular disease is a major concern in the hospital's service area. Cerebrovascular disease refers to conditions, including stroke, caused by problems with the blood vessels supplying the brain with blood. A stroke occurs when blood vessels carrying oxygen to the brain burst or become blocked, thereby cutting off the brain's supply of oxygen and other nutrients. Cerebrovascular disease is a leading cause of death in the United States and can also lead to brain damage and disability. The most important modifiable risk factor for cerebrovascular disease and stroke is high blood pressure. Other risk factors include high cholesterol, heart disease, diabetes mellitus, physical inactivity, obesity, excessive alcohol use, and tobacco use. Additional data on cerebrovascular disease report that: - The age-adjusted death rate due to Cerebrovascular Disease is 38 adults out of 100,000 persons in St. Louis County - 32.6% of St. Louis County adults are overweight - In the United States, one in three adults has high blood pressure, and nearly one-third of these people are not aware that they have it. 31.9% of St. Louis County adults have high blood pressure - Nearly three-quarters of all strokes occur in people over the age of 65. The Centers for Disease Control and Prevention (CDC) states that stroke is the fourth leading cause of death in the United States, is a leading cause of long-term disability, and is the cause of almost 133,000 deaths annually. According to the CDC, strokes cost the United States an estimated $38.6 billion each year. 4.4% of the Medicare population in St. Louis County were treated for a stroke The hospital has the following action plan in place to improve the community measures on cerebrovascular disease: - Partner with SSM Health Care St. Louis ministries and community collaborators to provide screenings and health education materials - Increase stroke community discharges from 67% in 2018 to 70% in 2021 - Utilize the Stroke Program Team to monitor durability of outcomes post-discharge through IT HealthTrack and create action plans, if appropriate - Decrease stroke fall rate per 1000 patient days by 10% - Participate in community events - Improve stroke patients' self-care and mobility activities from admission to discharge change to meet national average - Host stroke support group monthly The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs and address additional community needs within its efforts. The following community needs were identified but have not been prioritized due to the hospital's limited resources at this time: - Mental health/geriatric psychology and substance abuse - Smoking and tobacco use - Obesity - Care coordination - Health literacy 110 CARDINAL GLENNON DELMAR THERAPY 5647 DELMAR BLVD FL 3 SAINT LOUIS MO 63112 Other health care facility: Hospital Outpatient CARDINAL GLENNON PEDIATRIC SPECIALTIES 3878 PERSHALL RD SAINT LOUIS MO 63135 Other health care facility: Outpatient Facility KNIGHTS OF COLUMBUS DEVELOPMENT CTR 3800 PARK AVE SAINT LOUIS MO 63110 Other health care facility: SSM CG PEDS INTEGRATIVE MEDICINE 12255 DE PAUL DR STE 370 BRIDGETON MO 63044 Other health care facility: OUTPATIENT PEDIATRIC CLINIC SSM HEALTH BEHAVORIAL HEALTH 1027 BELLEVUE AVE STE LL33 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH BREAST CARE 1031 BELLEVUE AVE STE 100 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH CANCER CARE 6400 CLAYTON RD STE 212 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH CANCER CARE 6400 CLAYTON RD STE 302 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH CANCER CARE 1011 BOWLES AVE SUITE G50 FENTON MO 63026 Other health care facility: SSM HEALTH CANCER CARE 1027 BELLEVUE AVE STE 103 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH CARDINAL GLENNON PEDIATRICS 400 MEDICAL PLZ STE 220 LAKE SAINT LOUIS MO 63367 Other health care facility: SSM HEALTH CARDINAL GLENNON PEDIATRICS 12255 DE PAUL DR STE 300 BRIDGETON MO 63044 Other health care facility: SSM HEALTH CARDINAL GLENNON PEDIATRICS 13000 BUTLER CREST DR SAINT LOUIS MO 63128 Other health care facility: SSM HEALTH CARDINAL GLENNON PEDIATRICS 224 S WOODS MILL RD STE 640 CHESTERFIELD MO 63017 Other health care facility: SSM HEALTH HEART & VASCULAR CARE 1027 BELLEVUE AVE STE 200 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH HEART & VASCULAR CARE 1035 BELLEVUE AVE STE 500 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH HEART & VASCULAR CARE 1027 BELLEVUE AVE STE 202 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH IMAGING SERVICES 6400 CLAYTON RD STE 104 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH IMAGING SERVICES 1031 BELLEVUE AVE STE 150 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH MEDICAL GROUP 19 THE BOULEVARD SAINT LOUIS RICHMOND HEIGHTS MO 63117 Other health care facility: Outpatient Facility SSM HEALTH MEDICAL GROUP 1035 BELLEVUE AVE STE 500 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH MEDICAL GROUP 1035 BELLEVUE AVE STE 400 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH MEDICAL GROUP 1035 BELLEVUE AVE STE 320 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH MEDICAL GROUP 1035 BELLEVUE AVE STE 305 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH MEDICAL GROUP 1031 BELLEVUE AVE STE 100 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH MEDICAL GROUP 8670 BIG BEND BLVD STE A SAINT LOUIS MO 63119 Other health care facility: SSM HEALTH MEDICAL GROUP 9759 MANCHESTER RD SAINT LOUIS MO 63119 Other health care facility: SSM HEALTH MEDICAL GROUP 3878 PERSHALL RD SAINT LOUIS MO 63135 Other health care facility: Outpatient Facility SSM HEALTH NEUROSCIENCES 1035 BELLEVUE AVE STE 500 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH PAIN CARE 1031 BELLEVUE AVE STE 310 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH SLEEP SERVICES 1027 BELLEVUE AVE STE 101 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH ST MARY'S RADIOLOGY 1031 BELLEVUE AVE STE 280 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH URGENT CARE 8820 MANCHESTER RD BRENTWOOD MO 63144 Other health care facility: SSM HEALTH VASCULAR SERVICES 1027 BELLEVUE AVE STE G14 SAINT LOUIS MO 63117 Other health care facility: SSM HEALTH WOMEN'S HEALTH 1027 BELLEVUE AVE STE 205 SAINT LOUIS MO 63117 Other health care facility: ST LOUIS CYBERKNIFE 1011 BOWLES AVE STE G50 FENTON MO 63026 Other health care facility: SSM HEALTH IMAGING SERVICES 711 VETERANS MEMORIAL PKWY STE 101 SAINT CHARLES MO 63303 Other health care facility: Hospital Outpatient SSM HEALTH MEDICAL GROUP 711 VETERANS MEMORIAL PKWY STE 300 SAINT CHARLES MO 63303 Other health care facility: Hospital Outpatient SSM HEALTH MEDICAL GROUP 711 VETERANS MEMORIAL PKWY STE 200 SAINT CHARLES MO 63303 Other health care facility: Hospital Outpatient SSM HEALTH SPECIALTY CARE SERVICES 711 VETERANS MEMORIAL PKWY STE 201 SAINT CHARLES MO 63303 Other health care facility: Hospital Outpatient SSM HEALTH MEDICAL GROUP 400 1ST CAPITOL DR SAINT CHARLES MO 63301 Other health care facility: Hospital Outpatient SSM HEALTH MEDICAL GROUP 5401 VETERANS MEMORIAL PKWY STE 101 SAINT PETERS MO 63376 Other health care facility: Hospital Outpatient SSM HEALTH MEDICAL GROUP 5401 VETERANS MEMORIAL PKWY SAINT PETERS MO 63376 Other health care facility: Hospital Outpatient SSM HEALTH MEDICAL GROUP 6994 MEXICO RD SAINT PETERS MO 63376 Other health care facility: Hospital Outpatient SSM HEALTH MEDICAL GROUP 1601 WENTZVILLE PKWY WENTZVILLE MO 63385 Other health care facility: Hospital Outpatient SSM HEALTH MEDICAL GROUP 1601 WENTZVILLE PKWY STE 117 WENTZVILLE MO 63385 Other health care facility: Hospital Outpatient SSM HEALTH MEDICAL GROUP 1551 WALL ST STE 330 SAINT CHARLES MO 63303 Other health care facility: Hospital Outpatient SSM HEALTH MEDICAL GROUP 1475 KISKER RD STE 100 SAINT CHARLES MO 63304 OPT Extension Site SSM HEALTH MEDICAL GROUP 101 2ND ST SAINT CHARLES MO 63301 Other health care facility: Hospital Outpatient SSM HEALTH MEDICAL GROUP 1475 KISKER ROAD SAINT CHARLES MO 63304 Other health care facility: Hospital Outpatient SSM HEALTH MEDICAL GROUP 500 MEDICAL DR WENTZVILLE MO 63385 Other health care facility: Hospital Outpatient SSM HEALTH MEDICAL GROUP 1551 WALL ST SAINT CHARLES MO 63303 Other health care facility: Hospital Outpatient SSM HEALTH URGENT CARE 711 VETERANS MEMORIAL PKWY STE 100 SAINT CHARLES MO 63303 Other health care facility: Hospital Outpatient SSM HEALTH HEART & VASCULAR CARE 2 HARBOR BEND CT STE 100 LAKE SAINT LOUIS MO 63367 Other health care facility: SSM HEALTH HEART & VASCULAR CARE 300 MEDICAL PLZ STE 160 LAKE SAINT LOUIS MO 63367 Other health care facility: SSM HEALTH HEART & VASCULAR CARE 172 A PROFESSIONAL PKWY TROY MO 63379 Other health care facility: SSM HEALTH IMAGING SERVICES 400 MEDICAL PLZ STE 50 LAKE SAINT LOUIS MO 63367 Other health care facility: SSM HEALTH IMAGING SERVICES 164 PROFESSIONAL PKWY TROY MO 63379 Other health care facility: SSM HEALTH MEDICAL GROUP 300 MEDICAL PLZ STE 150 LAKE SAINT LOUIS MO 63367 Other health care facility: SSM HEALTH MEDICAL GROUP 722 N STATE HIGHWAY 47 STE B WARRENTON MO 63383 Other health care facility: SSM HEALTH MEDICAL GROUP 1101 HIGHWAY K O FALLON MO 63366 Other health care facility: SSM HEALTH MEDICAL GROUP 400 MEDICAL PLZ STE 200 LAKE SAINT LOUIS MO 63367 Other health care facility: SSM HEALTH MEDICAL GROUP 300 MEDICAL PLZ STE 310 LAKE SAINT LOUIS MO 63367 Other health care facility: SSM HEALTH MEDICAL GROUP 172 PROFESSIONAL PKWY TROY MO 63379 Other health care facility: SSM HEALTH SLEEP SERVICES 400 MEDICAL PLZ STE 215 LAKE SAINT LOUIS MO 63367 Other health care facility: SSM HEALTH MEDICAL GROUP 100 MEDICAL PLZ LAKE SAINT LOUIS MO 63367 Other health care facility: SSM HEALTH WOMEN'S HEALTH 300 MEDICAL PLZ STE 221 LAKE SAINT LOUIS MO 63367 Other health care facility: SSM HEALTH BEHAVIORAL HEALTH 1747 SMIZER STATION RD SUITE 2 FENTON MO 63026 Other health care facility: OUTPATIENT FACILITY SSM HEALTH BREAST CARE 1011 BOWLES AVE GROUND LEVEL FENTON MO 63026 Other health care facility: Outpatient Facility SSM HEALTH HEART & VASCULAR CARE 1011 BOWLES AVE STE 300 FENTON MO 63026 Other health care facility: Outpatient Facility SSM HEALTH HEART & VASCULAR CARE 1011 BOWLES AVE SUITE 205 FENTON MO 63026 Other health care facility: OUTPATIENT FACILITY SSM HEALTH MEDICAL GROUP 10296 BIG BEND RD STE 111 SAINT LOUIS MO 63122 Other health care facility: Outpatient Facility SSM HEALTH MEDICAL GROUP 1296 JEFFCO BLVD ARNOLD MO 63010 Other health care facility: Outpatient Facility SSM HEALTH MEDICAL GROUP 1011 BOWLES AVENUE SUITE 300 FENTON MO 63026 Other health care facility: OUTPATIENT FACILITY SSM HEALTH NEUROSCIENCES 1055 BOWLES AVE STE 200 FENTON MO 63026 Other health care facility: OUTPATIENT FACILTY SSM HEALTH PAIN CARE 1055 BOWLES AVE SUITE 200 FENTON MO 63026 Other health care facility: Outpatient Facility SSM HEALTH SLEEP SERVICES 1015 BOWLES AVE STE 300 FENTON MO 63026 Other health care facility: Outpatient Facility SSM HEALTH URGENT CARE 1296 JEFFCO BLVD ARNOLD MO 63010 Other health care facility: Outpatient Facility SSM HEALTH VASCULAR SERVICES 1011 BOWLES AVE STE G20 FENTON MO 63026 Other health care facility: OUTPATIENT FACILITY SSM HEALTH WOMEN'S HEALTH 1011 BOWLES AVENUE SUITE 300 FENTON MO 63026 Other health care facility: Outpatient Facility SSM BEHAVIORAL HEALTH URGENT CARE 12349 DE PAUL DR STE 110 BRIDGETON MO 63044 Other health care facility: URGENT CARE SSM HEALTH BREAST CARE 3440 DE PAUL LN STE 100 BRIDGETON MO 63044 Other health care facility: SSM HEALTH CANCER CARE 12277 DE PAUL DR STE 310 BRIDGETON MO 63044 Other health care facility: SSM HEALTH CANCER CARE 1475 KISKER RD STE 180 SAINT CHARLES MO 63304 Other health care facility: SSM HEALTH CANCER CARE 400 MEDICAL PLZ STE 100 LAKE SAINT LOUIS MO 63367 Other health care facility: SSM HEALTH CANCER CENTER 12303 DE PAUL DR STE 101 BRIDGETON MO 63044 Other health care facility: SSM HEALTH DEPAUL HOSPITAL SURGERY 12266 DE PAUL DRIVE SUITE 10 BRIDGETON MO 63044 Other health care facility: SSM HEALTH DPH RHEUM INFUSION SYS 1120 SHACKELFORD RD STE B FLORISSANT MO 63031 Other health care facility: SSM HEALTH DPH RHEUM INFUSION SYS 12255 DE PAUL DR STE 501 BRIDGETON MO 63044 Other health care facility: SSM HEALTH HEART & VASCULAR CARE 12255 DE PAUL DR STE 400 BRIDGETON MO 63044 Other health care facility: SSM HEALTH HEART & VASCULAR CARE 12266 DE PAUL DR STE 205 BRIDGETON MO 63044 Other health care facility: SSM HEALTH HEART & VASCULAR CARE 12266 DE PAUL DR STE 206 BRIDGETON MO 63044 Other health care facility: SSM HEALTH IMAGING SERVICES 3440 DE PAUL LN STE 100 BRIDGETON MO 63044 Other health care facility: SSM HEALTH MEDICAL GROUP 1120 SHACKELFORD RD FLORISSANT MO 63031 Other health care facility: SSM HEALTH MEDICAL GROUP 12277 DE PAUL DR STE 403 BRIDGETON MO 63044 Other health care facility: SSM HEALTH MEDICAL GROUP 2024 DORSETT VLG MARYLAND HEIGHTS MO 63043 Other health care facility: SSM HEALTH MEDICAL GROUP 14021 NEW HALLS FERRY RD FLORISSANT MO 63033 Other health care facility: SSM HEALTH MEDICAL GROUP 12255 DE PAUL DR STE 500 BRIDGETON MO 63044 Other health care facility: SSM HEALTH MEDICAL GROUP 12255 DE PAUL DR STE 600 BRIDGETON MO 63044 Other health care facility: SSM HEALTH NEUROSCIENCES 12255 DE PAUL DR STE 200 BRIDGETON MO 63044 Other health care facility: SSM HEALTH NEUROSCIENCES 12255 DE PAUL DR STE 830 BRIDGETON MO 63044 Other health care facility: SSM HEALTH ORTHOPEDICS 12266 DE PAUL DR STE 110 BRIDGETON MO 63044 Other health care facility: SSM HEALTH ORTHOPEDICS 1120 SHACKELFORD RD FLORISSANT MO 63031 Other health care facility: SSM HEALTH ORTHOPEDICS 12266 DE PAUL DR STE 220 BRIDGETON MO 63044 Other health care facility: SSM HEALTH PAIN CARE 12255 DE PAUL DR STE 120 BRIDGETON MO 63044 Other health care facility: SSM HEALTH SLEEP SERVICES 3440 DE PAUL LN STE 207 BRIDGETON MO 63044 Other health care facility: SSM HEALTH URGENT CARE 1120 SHACKELFORD RD FLORISSANT MO 63031 Other health care facility: DEDICATED EMERGENCY DEPARTMENT SSM HEALTH URGENT CARE 2022 DORSETT VLG MARYLAND HEIGHTS MO 63043 Other health care facility: SSM HEALTH VASCULAR SERVICES 12266 DE PAUL DR STE 315 BRIDGETON MO 63044 Other health care facility: SSM HEALTH WOMEN'S HEALTH 12277 DE PAUL DR STE 301 BRIDGETON MO 63044 Other health care facility: 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, 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 II Community Building Activities SSM HEALTH CARE ST. LOUIS PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING: PHYSICAL IMPROVEMENTS AND HOUSING: HOSPITALS PARTICIPATED IN THE SAFETY FUND TO PROVIDE BASIC REPAIRS TO HOMES AND AUTOS THAT HAVE BEEN DAMAGED BY INCIDENCES OF INTERPERSONAL, DOMESTIC, OR COMMUNITY VIOLENCE, PARTNERSHIP WITH Pathway to Hope, WHICH provides individualized services to families with children who desire to take action to break the cycle of crisis and vulnerability that repeats generation after generation; COMMUNITY HEALTH IMPROVEMENT ADVOCACY: EFFORTS TO GENERATE COMMUNITY-WIDE IMPROVEMENT AND RESPONSE FROM GOVERNMENT AND PRIVATE ORGANIZATIONS, INCLUDING ADVOCACY ON PUBLIC POLICY ISSUES THAT GO BEYOND HEALTH CARE, SUCH AS HOUSING, SAFETY, AND EDUCATION; WORKFORCE DEVELOPMENT: STUDENT OBSERVATION OF HEALTH CARE AND DIETARY PROFESSIONALS. 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 Care St. Louis 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. SSM HEALTH CARE ST. LOUIS DID NOT MAKE AN ESTIMATE OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote SSM Health Care St. Louis 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, 2021 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 Care St. Louis 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. SSM Health Care St. Louis embraces its responsibility to serve the communities in which it participates by establishing sound business practices. SSM Health Care St. Louis' 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 SSMH prior to engaging in ECAs. SSMH 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 Care St. Louis' collection and financial assistance policies. Schedule H, Part V, Section B, Line 16a FAP website A - SSM Health DePaul Hospital - St. Louis: Line 16a URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; - SSM Health St. Clare Hospital - Fenton: Line 16a URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; - SSM Health Rehabilitation Hospital: Line 16a URL: https://www.ssm-rehab.com/patients-and-caregivers/admissions/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website A - SSM Health DePaul Hospital - St. Louis: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; - SSM Health St. Clare Hospital - Fenton: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; - SSM Health Rehabilitation Hospital: Line 16b URL: https://www.ssm-rehab.com/patients-and-caregivers/admissions/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - SSM Health DePaul Hospital - St. Louis: Line 16c URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; - SSM Health St. Clare Hospital - Fenton: Line 16c URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; - SSM Health Rehabilitation Hospital: Line 16c URL: https://www.ssm-rehab.com/patients-and-caregivers/admissions/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 SSM'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, SSM'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, website resources, 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 Care St Louis defines its primary service area as the St Louis metropolitan statistical area (MSA), which includes the Missouri Counties of St. Louis, St. Charles, Jefferson, Franklin, Lincoln, and Warren and St. Louis City. Because we support a wide range of local markets and constituencies, demographics are also evaluated for our individual hospital service areas, service lines and clinical departments to ensure we focus on specific community health needs. The total population for the MSA is estimated at 2.8 million, making the area the 21st largest metropolitan area in the United States; however, it saw a decline from 2020 to 2021. About 41/3% of the population has a post-secondary degree. The poverty rate for the MSA was reported at 10.4% in 2020. More detailed statistics for each hospital's community is as follows: SSM Health St. Mary's Hospital is geographically located in Mid-St. Louis County, however, the primary and secondary service areas include zip codes in both St. Louis County and St. Louis City. There are 28 zip codes that are included within or overlap the service area. In 2020, the population of St. Louis county was approximately 980,000. SSM Health St. Joseph - St. Charles and SSM Health St. Joseph Hospital - Lake Saint Louis hospitals are located in St. Charles County, Missouri, and serve that region as well as parts of Lincoln and Warren Counties. This tri-county area makes up 80% of the hospitals' patients served and includes 19 zip codes. In addition to the locations in historic downtown St. Charles and Lake Saint Louis, the hospital has a location in Wentzville that provides emergency, outpatient, and behavioral medicine services. The service area had an estimated population of 500,000 persons in 2020 and is growing rapidly. Over 1/3 of households have children 18 or under. Median family income is just over $100,000, well above the State and National average. SSM Health St. Clare Hospital - Fenton serves Southwest St. Louis and Jefferson Counties. There are 10 zip codes contained within or overlapping the service area. As of 2020 data, the primary service area had an estimated population of 335,000 persons. Approximately 5.6% of the community population over 25 did not have a high school diploma, and over 23% of students in the area are eligible for free or reduced-price school lunches. Over 18.5% of the population is over the age of 64. SSM Health DePaul Hospital - St. Louis defines its service area as North St. Louis County, which includes 18 zip codes within or that overlap the service area. As of 2020 data, North St. Louis County had an estimated population of 405,000 persons. Approximately 26.6% of the population has at least a Bachelor's Degree, and there is a 73.9% high school graduation rate. Schedule H, Part VI, Line 5 Promotion of community health SSM Health Care St. Louis 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, SSM Health Care St. Louis 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 Care St. Louis promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote community health. SSM Health Care St. Louis 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 SSM Health Care St Louis is a 501(c)(3) organization and is a member of the integrated health care system know as SSM Health. SSM Health Care St Louis is one of the largest, full-service health care networks in the St Louis, Missouri area. SSM Health Care St Louis includes the following operating hospitals: SSM Health DePaul Hospital - St. Louis SSM Health St. Joseph Hospital - St. Charles SSM Health St. Joseph Hospital - Wentzville (remote location of St. Joseph Hospital) SSM Health St. Joseph Hospital - Lake Saint Louis SSM Health St. Mary's Hospital - St. Louis SSM Health St. Clare Hospital - Fenton. Schedule H, Part VI, Line 7 State filing of community benefit report MO true Archdiocese of St Louis 20 Archbishop Way Drive St Louis MO 63119 430653244 501(c)(3) 26349 Support priest wellness program American Cancer Society 250 Williams Street NW Suite 400 Atlanta GA 30303 131788491 501(c)(3) 20000 Support operations and programs Habitat for Humanity 322 W Lamar Street Americus GA 31709 911914868 501(c)(3) 40000 Support operations and programs Helping Hand Me Downs PO Box 11385 St Louis MO 63105 800752179 501(c)(3) 10000 Support programs that assist families in need Northwest R-1 Schools 4290 Gravois Road House Springs MO 63051 436000854 Government 10000 Support educational programs St Louis Area Diaper Bank 6141 Etzel Avenue St Louis MO 63133 371787940 501(c)(3) 5610 Support operations and programs United Services for Children 4140 Old Mill Parkway St Peters MO 63376 431136074 501(c)(3) 8030 Support operations and programs Hospital Sisters Mission Outreach 4930 LaVerna Road Springfield IL 62707 352271729 501(c)(3) 359027 Book Supplies and equipment Support for health care services 8 0 Patient medical supplies assistance 2887 25870 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDING VARIES BASED ON THE GRANT RECIPIENT. GRANTS TO RELATED ENTITIES ARE MONITORED DIRECTLY BY THE ORGANIZATION WHEREBY THE RECIPIENT REPORTS ON THE SPECIFIC USE OF THE FUNDING. FOR GRANTS TO UNRELATED ENTITIES, THE ORGANIZATION UTILIZES THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) TO TRACK, STORE AND REPORT A WIDE RANGE OF INFORMATION RELATED TO GRANTS AND OVERALL COMMUNITY IMPACT. IN CERTAIN CIRCUMSTANCES, QUALIFYING EXPENSES MAY BE PAID ON BEHALF OF SYSTEM EMPLOYEES BASED UPON DEMONSTRATED FINANCIAL HARDSHIP CAUSED BY NATURAL DISASTERS, ILLNESS, OR OTHER UNFORESEEN TRAGEDY. X true true true true false false false false false false false Steve Smoot Director, Vice President, COO of SSM Health 0 1014744 0 506986 0 10347 0 877981 0 39965 0 2450024 0 506986 Candace Jennings Pt Yr Director, Pt Yr Chairperson, Pt Yr Regional President-St. Louis/Southern Illinois 0 354946 0 408824 0 4924 0 4685 0 13963 0 787342 0 307508 Timothy Johnson MD Director, System VP Medical Group & Pop Health Ops 0 499194 0 92051 0 1710 0 216780 0 35282 0 845018 0 92051 Karen Rewerts Former Officer, VP-Financial Operations 0 572568 0 96173 0 67806 0 219658 0 32138 0 988343 0 159077 Laura Kaiser Former Officer, CEO at SSM Health 0 1734729 0 1374054 0 381195 0 2194966 0 19371 0 5704315 0 1747726 Kris Zimmer Former Officer 0 0 0 219008 0 372 0 0 0 0 0 219379 0 372 Douglas Long Secretary, General Counsel at SSM Health 0 683805 0 374673 0 143200 0 460492 0 23109 0 1685279 0 374673 Jeremy Fotheringham Chairperson, President, Regional President - St. Louis 0 624103 0 50000 0 84666 0 382896 0 35287 0 1176952 0 0 Randy Combs Treasurer, Chief Financial Officer at SSM Health 0 940014 0 182693 0 167895 0 478907 0 6945 0 1776454 0 82693 Eileen Lamm System VP, Finance (MO/ILL) 0 348623 0 43871 0 1825 0 129664 0 31152 0 555135 0 43871 Alexander Garza Former Key Employee, Chief Community Health Officer at SSM Health 0 519193 0 168777 0 66186 0 451243 0 37323 0 1242722 0 232341 Michael Bowers Pt Yr Chief Operating Officer - SSM Health Care St. Louis 0 238770 0 104693 0 497263 0 4015 0 15078 0 859819 0 319238 Travis Capers Hospital President - SSM Health St. Mary's Hospital 0 487181 0 94961 0 60027 0 214671 0 14847 0 871687 0 152375 Tina Garrison Hospital President - SSM Health DePaul Hospital 0 418140 0 63102 0 9258 0 176735 0 23775 0 691009 0 70823 Ellis Hawkins Pt Yr Hospital President - SSM Health DePaul Hospital 0 180911 0 87291 0 412492 0 3681 0 13918 0 698294 0 221663 Lisle Wescott Pt Yr Hospital President - SSM Health St. Joseph - St. Charles and Lake St. Louis 0 234230 0 85160 0 29165 0 1753 0 10715 0 361024 0 237055 Julie Wilhite Regional VP - Human Resources 0 314531 0 122172 0 2998 0 80459 0 10959 0 531119 0 44051 Hsieng Su MD Pt Yr Regional VP - Medical Affairs/CMO 324038 0 80549 0 1759 0 49839 0 13589 0 469775 0 80549 0 Kathy Bonser Pt Yr Regional VP - Nursing/CNO St Louis 79858 0 53675 0 244397 0 2008 0 7894 0 387831 0 53675 0 Rachel Donlan System VP - Strategic Development 0 283719 0 36830 0 6754 0 112245 0 27252 0 466799 0 42954 Don Tran MD Pt Yr President, Physicians Org/Ambulatory Services 0 434376 0 96087 0 2323 0 52674 0 32855 0 618315 0 96087 Joseph Attewell Physician 521634 0 16667 0 6372 0 8409 0 32760 0 585841 0 0 0 Mario Morales Physician 1428578 0 38750 0 2225 0 2342 0 36070 0 1507964 0 0 0 Thomas Landon Physician 773561 0 9000 0 4937 0 8366 0 35869 0 831732 0 0 0 David Uhls Physician 505218 0 0 0 671 0 8700 0 15640 0 530229 0 0 0 Mary Lowdermilk Physician 385068 0 117992 0 1965 0 8031 0 18177 0 531232 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments The following individuals listed on Part VII, Section A received a tax indemnification/gross up payment in 2021. These payments were included in their taxable compensation. Joseph Attewell Mario Morales Thomas Landon David Uhls Cathy Lowdermilk Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization's top management official (Regional 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 4a Severance or change-of-control payment SSM Health has adopted a severance policy to provide a financial transition in the event of involuntary termination without cause for executive level positions. The amount of the compensation is based on the position held and length of service with SSMH. The following individuals listed in Part VII of the Form 990 received payments under the plan in the current year: Michael Bowers $281,508 Ellis Hawkins $269,757 Kathy Bonser $243,300 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 2021. 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 2021: Steve Smoot $197,200 Tim Johnson $47,262 Eileen Lamm $31,667 Jeremy Fotheringham $110,880 Travis Capers $45,215 Julie Wilhite $28,205 Tina Garrison $39,558 Hsieng Su $43,867 Rachel Donlan $27,768 Don Tran $44,643 Alexander Garza $108,535 Karen Rewerts $52,238 Laura Kaiser $549,883 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2021. All distributions received from the plan in the current year were included in the individual's taxable compensation. Michael Bowers $214,545 Lisle Wescott $151,895 Travis Capers $57,414 Ellis Hawkins $134,371 Tina Garrison $7,722 Hsieng Su $181,411 Rachel Donlan $6,124 Don Tran $206,039 X VARIOUS MEDICAL ITEMS 2 55542 Cost 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Other - VARIOUS MEDICAL ITEMS Number of contributors Doing Business As SSM Health Care St. Louis currently conducts business under the following registered names. Clayton Health Services Pharmacy West East Central Missouri Area Health Education Center Knights of Columbus Pediatric Development Center SSM Care Management Company SSM Health at Work SSM Health Behavioral Health SSM Health Breast Care SSM Health Cancer Care SSM Health Cardinal Glennon Pediatrics SSM Health DePaul Hospital - Anna House SSM Health DePaul Hospital - St. Louis SSM Health DePaul Hospital Physician Billing SSM Health DePaul Hospital Rheumatology Infusion Services SSM Health DePaul Hospital Surgery Center SSM Health Heart & Vascular Care SSM Health Imaging Services SSM Health Medical Group SSM Health Neurosciences SSM Health Orthopedics SSM Health Outpatient Center SSM Health Pain Care SSM Health Pharmacy SSM Health Sleep Services SSM Health Specialty Pharmacy SSM Health St. Clare Hospital - Fenton SSM Health St. Clare Hospital Physician Billing SSM Health St. Joseph Hospital - Lake Saint Louis SSM Health St. Joseph Hospital - St. Charles SSM Health St. Joseph Hospital - Wentzville SSM Health St. Joseph Hospital Wentzville Outpatient Pharmacy SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing SSM Health St. Joseph Hospital - St. Charles Physician Billing SSM Health St. Joseph Hospital - Wentzville Physician Billing SSM Health St. Louis SSM Health St. Mary's Hospital - St. Louis SSM Health St. Mary's Hospital Physician Billing SSM Health St. Mary's Radiology SSM Health Treatment & Recovery SSM Health Urgent Care SSM Health Vascular Services SSM Health Weight Management Services SSM Health Women's Health SSM Integrated Distribution & Services Center Form 990, Part III, Line 4a Program Service Accomplishments Briefly describe the corporation's mission: 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 SSM Health Care St Louis: SSM Health Care St Louis provides health care services at six wholly-owned acute care hospitals: SSM Health DePaul Hospital-St Louis, SSM Health St Mary's Hospital-St Louis, SSM Health St Joseph Hospital - St Charles, SSM Health St Clare Hospital-Fenton, SSM Health St Joseph Hospital-Lake St Louis, and SSM Health St Joseph Hospital - Wentzville. SSM Health Care St Louis is also the sole corporate member of SSM Health Cardinal Glennon Children's Hospital and SSM Health Saint Louis University Hospital. Since SSM Health's founding sisters began their ministry in St. Louis with just $5 among them more than 145 years ago, it has grown into one of the largest integrated delivery systems in the nation. In the St. Louis region, SSM Health operates eight hospitals, as well as numerous urgent care locations, SSM Health Express Clinics at Walgreens, SSM Health Medical Group offices, pediatric-specific locations, outpatient rehab centers, occupational health locations and hospice and home health services. SSM Health Care St. Louis also is partial owner of SSM Health Rehabilitation Hospital, a specialty rehabilitation hospital that offers care and advanced treatment for individuals with stroke, brain injury, spinal cord injury, neurological disorders, amputation, joint replacement and other orthopedic trauma, as well as general medical rehabilitation needs. SSM Health DePaul Hospital-St Louis opened in 1828, was the first hospital west of the Mississippi River and remains the oldest continuously existing business in St Louis. Today SSM Health DePaul Hospital-St Louis offers the only Level II Trauma Center in North St. Louis County and serves patients from across the St. Louis metropolitan area, with concentration in the surrounding communities of Bridgeton, Florissant, Hazelwood, St Ann, St John, Maryland Heights and Overland in Missouri. SSM Health DePaul Hospital-St Louis offers a wide range of comprehensive medical care including inpatient and outpatient surgeries using state-of-the-art technology and facilities. We offer the most advanced technology and procedures available including minimally invasive heart, spine, knee, hip and weight loss surgery. The Joint Commission has also designated the hospital as a Joint Commission Certified Primary Stroke Center, distinguishing it from other stroke centers, for meeting the highest standards of care established by the Joint Commission to receive and treat the most complex stroke cases, as a Certified Hip Replacement Center, a Certified Knee Replacement Center, and is designated as a Level I Time Critical Diagnosis STEMI Center. It is also a Bariatric Surgery Center of Excellence as endorsed by the American Society for Metabolic and Bariatric Surgery. SSM Health St. Mary's Hospital is a two-time winner of the Premier Award for Quality and a Level II Time Critical Diagnosis STEMI Center. The Hospital has distinctive capabilities in heart attack care, high-risk pregnancies, and fetal surgery. Additionally, the hospital has a chest pain center, advanced stroke care clinic and the latest imaging and outpatient services. A teaching hospital, SSM Health St. Mary's offers an independent, accredited internal medicine residency program and is the primary location for St. Louis University School of Medicine's Department of Obstetrics and Gynecology and its Family Practice residency programs. SSM Health St. Joseph Hospital-St Charles is located in a historic downtown district and has been serving the needs of the community since 1885. SSM St. Joseph Hospital-St Charles has grown structurally and technologically throughout the past 125 years to meet the needs of an ever-growing and changing population. Today, the acute care hospital offers highly-specialized care for critically ill patients. The hospital excels in many areas, including open-heart surgery, cardiac catheterizations, trauma and emergency services, sleep medicine, obstetrics, surgical services, oncology, vascular surgery, orthopedics and gastroenterology. The facility is designated as a Level II Trauma Center, A Joint Commission-certified Primary Stroke Center and the only Level I Time Critical Diagnosis STEMI Center in St. Charles County. SSM Health St. Joseph Hospital - Lake Saint Louis is the leading provider of health care services for western St. Charles, Warren and Lincoln Counties. The hospital is a state-designated Level III trauma center, a Level II Time Critical Diagnosis STEMI Center and specializes in obstetric and pediatric care. It also offers inpatient and outpatient health care services. In 2014 it was named one of the nation's Top 100 Hospitals by Truven Health Analytics and made Becker's Hospital Review's list of 100 Great Community Hospitals. SSM Health St. Joseph Hospital - Wentzville has been providing high quality health care to residents in western St. Charles, Warren, Lincoln, and Montgomery counties since 1987. Operating under the SSM Health St. Joseph Hospital - St. Charles hospital license, the facility currently offers patients in Wentzville and surrounding communities a 24-hour emergency department and ambulatory services, as well as convenient access to outpatient programs, including diagnostic, cardiology, pulmonary and rehab services. Behavioral health inpatient and outpatient care also is an integral part of the services offered at the hospital. The hospital offers inpatient psychiatric care on campus with close supervision, with the goal of stabilizing patients and helping them understand their condition and develop coping strategies to manage their emotions and behaviors. SSM Health St. Clare Hospital-Fenton is a Level I Time Critical Diagnosis STEMI Center and a Level I Stroke Center, serves the medical needs of the expanding community in southwest St. Louis County. Specializing in heart and vascular, neurosciences, cancer care, maternity and other medical services. The hospital also received the Healthgrades Outstanding Patient Experience Award in 2019. SSM Health Care St Louis 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 is a list of the types of programs and services that could be included as uncompensated care: Traditional Charity Care $ 24,091,936 Unpaid Cost of Other Means-Tested Programs $ 2,846,184 Unpaid Cost of Medicare $ 35,178,492 Total Quantifiable Uncompensated Care $ 62,116,612 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 A related organization 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 A related organization 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 members of the corporation are SSM Health Care Corporation and Saint Louis University. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body SSM Health Care Corporation (SSMHCC), as one of the members, has the power to appoint additional, successor or replacement members of the Corporation, provided that any appointment or removal requiring the written consent of SLU has received that approval. SSMHCC has the power to appoint and remove the individuals serving on the Board, other than the SLU appointed directors. SLU retains power to appoint and remove individuals serving on the Board who have been appointed by SLU. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders SSM Health Care Corporation 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 of the Corporation, provided, that any member requiring the approval of SLU receives that approval according to the Bylaws, (c) to appoint and remove the individuals serving on the Board, other than the SLU Appointed Directors who will be subject to appointment and removal by SLU; provided, however, that SSMHCC may remove SLU Appointed Directors who violate conflict of interest policy and other policies of the Corporation, as the same may be amended from time to time, upon prior written notice to SLU pursuant to the Members' Agreement, (d) to appoint and remove the President of the Corporation and the chief executive officer of any Company Subsidiary and any Health Care Operating Division, provided, that SSMHCC shall (i) obtain the written consent of SLU before appointing any chief executive officer of SLUH, (ii) consult with the Board and SLU before exercising its reserved power to remove the chief executive officer of SLUH and (iii) consult with SLU in connection with hiring certain senior employees, (e) to approve amendments to the Articles of Incorporation of the Corporation, as provided therein, but subject to SLU's prior written consent, (f) to approve amendments to these Bylaws, but subject to SLU's prior written consent is not required for (i) non-material changes required by applicable law, regulation or any applicable accrediting entity, (g) to approve the merger or consolidation of the Corporation; provided, that (i) SLU's prior written consent shall be required in the event such transaction constitutes a Prohibited Change of Control, and (ii) with respect to a Permitted Change of Control that is a Permitted Affiliate Change of Control, SSMHCC shall provide SLU with written notice not less than thirty days prior to the effective date of such change of control, and with respect to any other Permitted Change of Control, SSMHCC shall provide SLU with written notice within thirty (30) days after the signing of a letter of intent, in both cases, with no separate SLU approval right, (h) to approve the dissolution of the Corporation, but subject to SLU's prior written consent, (i) to approve the formation of a Controlled Subsidiary or a Remotely Controlled Subsidiary, provided that certain deviations from protocol require the approval of SLU, (j) to approve the acquisition or disposition by the Corporation of another legal entity or an interest in another legal entity, provided, that the Corporation shall obtain the written consent of SLU before divesting of, or admitting another Person, (k) to authorize or approve the acquisition or disposition by the Corporation of real property or any interest in real property, provided, that the Corporation shall obtain the written consent of SLU before disposing of any real property or any interest in real property comprising a substantial portion of the operating assets, (l) to (i) establish centralized employee benefit, insurance, investment, financing, corporate responsibility, performance assessment and improvement and other operational and support programs; (ii) require the participation of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary in such programs; and (iii) authorize the opening and closing of bank accounts and investment accounts in the name of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary in connection with such programs; provided that SSMHCC has determined in its reasonable discretion that such actions are not inconsistent with and do not violate the terms of the Members' Agreement, the Master Agreement, the Academic Affiliation Agreement and the Bylaws, (m) to approve the strategic, financial and human resources plan of the Corporation, subject to SLU's rights set forth in the bylaws and approval of the Academic Program Strategic Plan, (n) to appoint the auditor and corporate counsel for the Corporation, (o) subject to SLU's rights, to authorize and approve borrowing money and entering into financial guaranties by the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary, 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 interests in the property of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary; provided, that SSMHCC has determined in its reasonable discretion that such actions are not inconsistent with and do not violate the terms of the Members' Agreement, the Master Agreement, the Academic Affiliation Agreement and the Bylaws, (p) to require the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary to transfer assets, including but not limited to cash, to SSMHCC or to any entity exempt from federal income tax as an organization described in Section 501(c)(3) of the Internal Revenue Code, or the corresponding provision of any future United States Internal Revenue Law, which is controlled by SSMHCC, to the extent necessary to accomplish the mission, goals and objectives of SSMHCC as determined by SSMHCC; provided, that SSMHCC has determined in its reasonable discretion that any such transfer would not reasonably be likely to result in a failure of the Corporation or such subsidiary to fulfill its commitments under the Members' Agreement, the Master Agreement or the Academic Affiliation Agreement, (q) subject to SLU's rights, to approve the transfer of assets by the Corporation to any entity other than SSMHCC (other than transfers made in the ordinary course of operations of the Corporation, which will not require approval by the Members, and (r) to determine the extent to which and the manner in which the powers described in this section which are reserved to SSMHCC 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; provided, that SSMHCC has determined in its reasonable discretion that any such determination or action is not inconsistent with and does not violate the terms of the Members' Agreement or the terms of the Master Agreement or the Academic Affiliation Agreement. Saint Louis University (SLU) has the following powers: (a) The appointment and removal of the SLU Appointed Directors to the Board consistent with such standards for Board service as appear in the Bylaws, the conflict of interest policy and other Board policies of the Corporation, as the same may be amended from time to time, upon prior written notice to SLU pursuant to the Members' Agreement, (b) The right to make recommendations and provide meaningful input regarding the strategic, financial and human resources plans for the Corporation, (c) Approval of any guaranty by SLU of Corporation debt, and (d) In accordance with the Master Agreement, establishing payor contracting parameters for SLUCare. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body The organization does not have any committees with authority to act on behalf of the governing body. 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 (SSMH). The return is then reviewed by an independent accounting firm who signs as paid preparer. The return is then provided to members of senior management. Any questions are addressed by the tax department of SSMH prior to filing the Form 990 with the Internal Revenue Service. A copy of the Form 990 is provided to the board of directors at the next regularly scheduled board meeting. 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 on line. 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 statement for the SSM Health 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: 80614037, Related or Exempt Function Revenue: 80614037, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revenue - Total Revenue: 1388245, Related or Exempt Function Revenue: , Unrelated Business Revenue: 157749, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1230496; Form 990, Part IX, Line 11g Other Fees Medical and related fees - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Other fees for services - Total Expense: 78156656, Program Service Expense: 30212160, Management and General Expenses: 47944496, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS TO AFFILIATES - -XXX-XX-XXXX; CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - 7043843; SSM ACO LLC 10101 Woodfield Lane St Louis MO 63132 900986282 HEALTH PROMOTION MO 4291002 19357008 SSM Health Care St Louis 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 true 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 true 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 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 SSM Hospice & Home Care Foundation 10101 Woodfield Lane St Louis MO 63132 300012246 Fundraising MO 501(c)(3) 7 SSM Health Businesses 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 Audrain Medical Center Foundation Inc 620 E Monroe St Mexico MO 65265 431265060 Fundraising MO 501(c)(3) Type I NA false SSM-SLUH Inc 10101 Woodfield Lane St Louis MO 63132 474196634 Health Care MO 501(c)(3) 3 SSM Health Care St Louis true SSM Health Plan 1277 Deming Way Madison WI 53717 831979548 Insurance MO 501(c)(4) SSM Health Businesses 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 St Joseph Endoscopy Center LLC 10101 Woodfield Lane St Louis MO 63132 270046559 Surgery Services MO SSM Health Care St Louis Related 3675869 5001213 false 0 false 0.50 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 NA N/A Sleep & Neurology Center of Southern Illinois LLC 10101 Woodfield Lane St Louis MO 63132 208468195 Diag. Services IL NA N/A 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 Dean Health Holdings LLC 1277 Deming Way Madison WI 53717 261594709 Support 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 Managed Care Organization LLC 10101 Woodfield Lane St Louis MO 63132 431708511 Health Promotion MO SSM Health Care St Louis C Corporation 1605800 231116 1.00 true 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 10101 Woodfield Lane St Louis MO 63132 030310431 Insurance CJ NA C Corporation false Physicians Services Corp of Southern Illinois Inc 10101 Woodfield Lane St Louis MO 63132 364161526 Health Care IL NA C Corporation false 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 Health Plan Inc PO Box 56099 Madison WI 53705 391535024 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 Dane County Cytology Center Inc 2000 Engel Street Suite 201 Madison WI 53713 391414219 Medical Services WI NA C Corporation false SSM Health Insurance Company 1277 Deming Way Madison WI 53717 834718249 Insurance MO NA C Corporation false Navitus Holdings LLC 1808 West Beltline Highway Madison WI 53713 800968174 Pharmacy WI NA C Corporation false false false true false false false false false false true true false true false true true false false false SSM Health Foundation - St Louis C 1850336 Cash SSM Health Foundation - St Louis P 2779265 Cash