SSM HEALTH CARE CORPORATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: SSM HEALTH CARE CORPORATION (EIN 46-6029223)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-15
IRS object ID: 202213199349313296
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-15T13:07:24-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9600 Brownsboro Road Suite 400	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402411122	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	466029223	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SSM Health Care Corporation	BusinessNameLine1Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Randy Combs	PersonNm
Person Title	Treasurer	PersonTitleTxt
Signature	2022-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

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

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kim Scifres	PreparerPersonNm
PTIN	P01316095	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,122,383,312	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.ssmhealth.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1874	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	THE ORGANIZATION IS THE PARENT OF THE SSM HEALTH SYSTEM. THE ORGANIZATION PROVIDES MANAGEMENT AND CENTRALIZED SUPPORT SERVICES TO THE HOSPITALS AND OTHER HEALTH CARE ORGANIZATIONS WITHIN THE SYSTEM.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	3613	TotalEmployeeCnt
Total Volunteers	15	TotalVolunteersCnt
Total Gross UBI	$6,508,517	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$791,607	NetUnrelatedBusTxblIncmAmt
CY Contributions Grants	$900,000	CYContributionsGrantsAmt
PY Program Service Revenue	$861,890,994	PYProgramServiceRevenueAmt
CY Program Service Revenue	$910,456,935	CYProgramServiceRevenueAmt
PY Investment Income	$154,124,651	PYInvestmentIncomeAmt
CY Investment Income	$206,116,253	CYInvestmentIncomeAmt
PY Other Revenue	$17,519,096	PYOtherRevenueAmt
CY Other Revenue	$4,910,124	CYOtherRevenueAmt
PY Total Revenue	$1,033,534,741	PYTotalRevenueAmt
CY Total Revenue	$1,122,383,312	CYTotalRevenueAmt
PY Grants And Similar Paid	$446,483	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$192,964	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$309,701,610	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$371,403,336	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$639,815,991	PYOtherExpensesAmt
CY Other Expenses	$681,020,309	CYOtherExpensesAmt
PY Total Expenses	$949,964,084	PYTotalExpensesAmt
CY Total Expenses	$1,052,616,609	CYTotalExpensesAmt
PY Revenues Less Expenses	$83,570,657	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$69,766,703	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,485,127,106	TotalAssetsBOYAmt
Total Assets EOY	$4,828,751,845	TotalAssetsEOYAmt
Total Liabilities BOY	$4,481,518,451	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,192,785,096	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,608,655	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$635,966,749	NetAssetsOrFundBalancesEOYAmt
Mission	THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$788,922,230	ExpenseAmt
Grant	$192,964	GrantAmt
Revenue	$915,367,059	RevenueAmt
Desc	PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.	Desc
Total Program Service Expenses	$788,922,230	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	2143	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3613	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	ID	ForeignCountryCd
Foreign Country	EI	ForeignCountryCd
Foreign Country	NZ	ForeignCountryCd
Foreign Country	NO	ForeignCountryCd
Foreign Country	SN	ForeignCountryCd
Foreign Country	SP	ForeignCountryCd
Foreign Country	BR	ForeignCountryCd
Foreign Country	CA	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	DA	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3149892712	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Laura Kaiser
Director, President/CEO of SSM Health	40.0	6.0	Yes (X)	Yes (X)	$3,489,979	$0	$2,214,336
Don Imholz
Director	1.0	0	Yes (X)		$0	$0	$0
Dr Kavita Patel MD
Director	1.0	0	Yes (X)		$0	$0	$0
E Gaye Woods
Director	1.0	0	Yes (X)		$0	$0	$0
Evans Richardson
Director	1.0	0	Yes (X)		$0	$0	$0
James F Whalen
Director	1.0	1.0	Yes (X)		$0	$0	$0
Lawrence LeGrand
Director	1.0	0	Yes (X)		$0	$0	$0
Lisa Latts MD
Pt Yr Director	1.0	0	Yes (X)		$0	$0	$0
Marie Devlin
Director	1.0	0	Yes (X)		$0	$0	$0
Michael Rozier SJ
Director	1.0	0	Yes (X)		$0	$0	$0
Rick Corcoran
Director	1.0	0	Yes (X)		$0	$0	$0
Ron Hamel PhD
Director	1.0	0	Yes (X)		$0	$0	$0
Samuel L Ross MD
Director	1.0	0	Yes (X)		$0	$0	$0
Sr Kathleen Buchheit FSM
Director	1.0	0	Yes (X)		$0	$0	$0
Sr Mary Noel Brown CSA
Director	1.0	1.0	Yes (X)		$0	$0	$0
Sr Susan Scholl FSM
Director	1.0	0	Yes (X)		$0	$0	$0
Tom Merfeld
Director	1.0	0	Yes (X)		$0	$0	$0
Douglas Long
Secretary, General Counsel at SSM Health	40.0	29.2		Yes (X)	$1,201,678	$0	$483,601
Randy Combs
Treasurer, Chief Financial Officer at SSM Health	40.0	27.0		Yes (X)	$1,290,602	$0	$485,851
Steve Smoot
Vice President, COO of SSM Health	40.0	14.0		Yes (X)	$1,532,078	$0	$917,946
Alexander Garza
Chief Community Health Officer	40.0	0.0			$754,156	$0	$488,566	Yes (X)
Carter Dredge
Lead Futurist	40.0	0			$840,724	$0	$233,702	Yes (X)
Erin Jaynes
Chief Nursing Officer	40.0	0			$533,680	$0	$237,743	Yes (X)
Janet Smith-Hill
Chief Human Resources Officer	40.0	0			$538,763	$0	$378,886	Yes (X)
John Nguyen
Chief Strategy Officer	40.0	0			$720,172	$0	$510,402	Yes (X)
Matt Hanley MD
Chief Clinical Officer	40.0	3.0			$1,200,046	$0	$718,286	Yes (X)
Candace Jennings
Pt Yr Regional President-St. Louis/Southern Illinois	0.0	46.0			$768,694	$0	$18,648		Yes (X)
Jeremy Fotheringham
Regional President - St. Louis	0.0	42.0			$758,769	$0	$418,183		Yes (X)
Joe Hodges
Regional President - SSM Health Care of Oklahoma	0.0	42.0			$1,000,720	$0	$535,975		Yes (X)
Les McPhearson
President - Dean Health Plan	0.0	40.0			$793,963	$0	$161,387		Yes (X)
Michael Bowers
Pt Yr Chief Operating Officer - SSM Health Care St. Louis	0.0	41.0			$840,726	$0	$19,093		Yes (X)
Carolyn Koenig
Former Key Employee	0.0	0			$773,304	$0	$0			Yes (X)
Charles Barnett
Former Highest Compensated	0.0	0			$111,639	$0	$0			Yes (X)
JoAnn Webster
Former Highest Compensated	0.0	0			$637,405	$0	$15,827			Yes (X)
Kerry Swanson
Former Highest Compensated	0.0	0.0			$501,061	$0	$28,261			Yes (X)
Kris Zimmer
Former Officer	0.0	0.0			$219,379	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$18,507,538	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$7,866,694	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	443	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
JP Morgan Chase Bank NA
1111 Polaris Parkway	Columbus	OH	43240	Banking/investment services	$44,713,482
Navvis & Company LLC
555 Maryville University Drive	St Louis	MO	63141	Consulting services	$14,184,109	Suite 2
Cardinal Health Aurora
3740 Collections Drive	Chicago	IL	60693	Management services	$10,291,571
Ernst & Young LLP
200 Plaza Drive Suite 2222	Secaucus	NJ	07094	Consulting services	$9,923,853
Infinity Marketing Solutions
874 S Pleasantburg Drive	Greenville	SC	29607	MARKETING SERVICES	$6,550,170

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	96	CntrctRcvdGreaterThan100KCnt
Government Grants	$900,000	GovernmentGrantsAmt
Total Contributions	$900,000	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Insurance fees	525100	$498,295,683	$498,295,683
Corporate fees	561000	$411,752,262	$411,752,262
Management fees	561000	$408,990	$408,990

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$910,456,935	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$58,370,489	TotalRevenueColumnAmt
Exclusion	$58,370,489	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$141,608,110	SecuritiesAmt
Other	$6,137,654	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$141,608,110	SecuritiesAmt
Other	$6,137,654	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$147,745,764	TotalRevenueColumnAmt
Unrelated Business Revenue	$6,508,517	UnrelatedBusinessRevenueAmt
Exclusion	$141,237,247	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Other income	900099	$5,135,947	$5,135,947
Joint venture income	900099	-$225,823	-$225,823

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$4,910,124	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,122,383,312	TotalRevenueColumnAmt
Related Or Exempt Func Income	$915,367,059	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,508,517	UnrelatedBusinessRevenueAmt
Exclusion	$199,607,736	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$192,964	TotalAmt
Program Services	$192,964	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$18,771,197	TotalAmt
Program Services	$14,422,673	ProgramServicesAmt
Management And General	$4,348,524	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$992,683	TotalAmt
Program Services	$762,719	ProgramServicesAmt
Management And General	$229,964	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$223,910,287	TotalAmt
Program Services	$172,102,670	ProgramServicesAmt
Management And General	$51,807,617	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$47,431,705	TotalAmt
Program Services	$36,443,704	ProgramServicesAmt
Management And General	$10,988,001	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$64,471,984	TotalAmt
Program Services	$49,536,442	ProgramServicesAmt
Management And General	$14,935,542	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,825,480	TotalAmt
Program Services	$12,159,359	ProgramServicesAmt
Management And General	$3,666,121	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,287,382	TotalAmt
Program Services	$1,287,382	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,087,536	TotalAmt
Management And General	$3,087,536	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$5,313,549	TotalAmt
Management And General	$5,313,549	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$559,525	TotalAmt
Management And General	$559,525	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$84,642,562	TotalAmt
Program Services	$49,219,323	ProgramServicesAmt
Management And General	$35,423,239	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$17,519,738	TotalAmt
Management And General	$17,519,738	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,936,117	TotalAmt
Program Services	$11,088,681	ProgramServicesAmt
Management And General	$3,847,436	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$12,935,519	TotalAmt
Program Services	$10,523,328	ProgramServicesAmt
Management And General	$2,412,191	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,749,848	TotalAmt
Program Services	$2,936,194	ProgramServicesAmt
Management And General	$2,813,654	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,129,509	TotalAmt
Program Services	$646,126	ProgramServicesAmt
Management And General	$483,383	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$140,956	TotalAmt
Program Services	$83,029	ProgramServicesAmt
Management And General	$57,927	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$70,639,496	TotalAmt
Program Services	$70,639,496	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,209,864	TotalAmt
Program Services	$2,209,864	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$233,847	TotalAmt
Program Services	$233,847	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL CLAIMS	$455,188,102	$349,739,495	$105,448,607
MEDICAL SUPPLIES	$1,698,882	$1,698,882
LICENSES AND TAXES	$1,544,769	$1,544,769
UNRELATED BUSINESS INCOME TAX	$571,220	$571,220

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,631,888	TotalAmt
Program Services	$880,063	ProgramServicesAmt
Management And General	$751,825	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,052,616,609	TotalAmt
Program Services	$788,922,230	ProgramServicesAmt
Management And General	$263,694,379	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$437,300,110	BOYAmt
EOY	$357,511,091	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
EOY	$54,449,321	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,957,196	BOYAmt
EOY	$5,251,492	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,644,571,861	BOYAmt
EOY	$1,641,716,861	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
EOY	$1,608,189	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$14,003,036	BOYAmt
EOY	$20,486,231	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$24,793,735	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$15,056,500	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$10,768,614	BOYAmt
EOY	$9,737,235	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,107,121,376	BOYAmt
EOY	$2,702,073,913	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$120,016	BOYAmt
EOY	$7,259,102	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$259,284,897	BOYAmt
EOY	$28,658,410	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,485,127,106	BOYAmt
EOY	$4,828,751,845	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$215,019,440	BOYAmt
EOY	$369,907,244	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$187,122,172	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,561,002,854	BOYAmt
EOY	$1,800,143,069	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$690,273,603	BOYAmt
EOY	$691,709,428	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,828,100,382	BOYAmt
EOY	$1,331,025,355	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,481,518,451	BOYAmt
EOY	$4,192,785,096	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,583,213	BOYAmt
EOY	$635,941,307	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,442	BOYAmt
EOY	$25,442	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,608,655	BOYAmt
EOY	$635,966,749	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,485,127,106	BOYAmt
EOY	$4,828,751,845	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$69,766,703	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$90,582,206	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$472,009,185	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
Supported Organizations	15	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (15 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
SSM Health Care St Louis
431343281	3	Yes (true)	$0	$0
SSM Cardinal Glennon Children's Hospital
430738490	3	Yes (true)	$0	$0
SSM Health Care of Wisconsin Inc
430688874	3	Yes (true)	$0	$0
SSM Health Care of Oklahoma Inc
730657693	3	Yes (true)	$0	$0
SSM Regional Health Services
440579850	3	Yes (true)	$0	$0
Good Samaritan Regional Health Center
430653587	3	Yes (true)	$0	$0
St Mary's Hospital Centralia Illinois
370662580	3	Yes (true)	$0	$0
St Anthony Shawnee Hospital Inc
455055149	3	Yes (true)	$0	$0
SSM Audrain Health Care Inc
431550298	3	Yes (true)	$0	$0
SSM Health Ministries
431012492	1	Yes (true)	$0	$0
SSM-SLUH Inc
474196634	3	Yes (true)	$0	$0
Agnesian Healthcare Inc
390807236	3	Yes (true)	$0	$0
Ripon Medical Center Inc
391101287	3	Yes (true)	$0	$0
Waupun Memorial Hospital
390806265	3	Yes (true)	$0	$0
The Monroe Clinic Inc
390808509	3	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	15	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	false	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (true)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule A, Part I, Line 12f COLUMN V, AMOUNT OF MONETARY SUPPORT:

SSM HEALTH CARE CORPORATION (SSMHCC) IS A TYPE I SUPPORTING ORGANIZATION THAT IS OPERATED TO SUPPORT THE OPERATIONS OF ALL ITS RELATED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 11(G). THE AMOUNT OF SUPPORT PROVIDED TO THESE ORGANIZATIONS, REPORTED ON SCHEDULE A, PART I, LINE 11(G)(V), DOES NOT INCLUDE EXPENSES PAID ON BEHALF OF BUT NOT DIRECTLY TO THE ENTITIES SSMHCC SUPPORTS. THESE EXPENSES TOTALED $1,052,616,609.

Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name

SSM HEALTH CARE CORPORATION IS THE PARENT ORGANIZATION OF SSM HEALTH, A HEALTH SYSTEM OF WHICH ALL SUPPORTED ORGANIZATIONS ARE SUBSIDIARIES. SSM HEALTH CARE CORPORATION'S MEMBER, SSM HEALTH MINISTRIES, HAS THE POWER TO APPOINT OR ELECT THE MEMBERS OF SSM HEALTH CARE CORPORATION'S BOARD OF DIRECTORS. THE PURPOSE OF SSM HEALTH CARE CORPORATION IS TO PROVIDE, EITHER DIRECTLY OR IN CONJUNCTION WITH OTHER PERSONS OR ORGANIZATIONS, HEALTH CARE, HEALTH EDUCATION, HOUSING SERVICES, CHILD CARE SERVICES, SERVICES FOR THE ELDERLY AND RELATED SERVICES AND FACILITIES AND/OR OTHER CHARITABLE ACTIVITIES AS MAY BE DETERMINED FROM TIME TO TIME BY MEMBERS OF THE CORPORATION AND THE BOARD OF DIRECTORS IN ACCORDANCE WITH THE BYLAWS OF THE CORPORATION AND WITH THE TEACHINGS AND MISSION OF THE ROMAN CATHOLIC CHURCH. SSM HEALTH CARE CORPORATION, IN CONJUNCTION WITH ITS SPONSOR, SSM HEALTH MINISTRIES, HAS DETERMINED THAT THE SUPPORTED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 11(G) ALLOW THE CORPORATION TO FULFILL ITS MISSION.

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$559,525	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$559,525	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	SSM Health Care Corporation employs and contracts with lobbyists whose activities include serving as liaisons to city, state, and federal officials. They track and evaluate health care and other legislation that may have an impact on the system, explore and evaluate possible funding opportunities for SSM Health Care Corporation, and serve as the spokesperson to legislative committees and state agencies for the system on legislative issues. The lobbyist's activities include direct contact with legislators, their staff and other governmental officials.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,648	BeginningYearBalanceAmt
End Year Balance	$21,648	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,648	BeginningYearBalanceAmt
End Year Balance	$21,648	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,648	BeginningYearBalanceAmt
End Year Balance	$21,648	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,648	BeginningYearBalanceAmt
End Year Balance	$21,648	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,507	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,141	InvestmentEarningsOrLossesAmt
End Year Balance	$21,648	EndYearBalanceAmt

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

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,118,947	OtherCostOrOtherBasisAmt
Depreciation	$7,435,940	DepreciationAmt
Book Value	$7,683,007	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,961,561	OtherCostOrOtherBasisAmt
Depreciation	$7,620,560	DepreciationAmt
Book Value	$1,341,001	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$713,227	OtherCostOrOtherBasisAmt
Book Value	$713,227	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$9,737,235	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Swaps Mark to Market Liability	$180,119,622
Rabbi Trust Liability	$51,884,289
Estimated health care claims	$47,190,000
Due to affiliates	$313,549,575
Retirement liabilities	$720,279,413
Operating lease obligations	$18,002,456
Other liabilities

Field	Value	IRS element (for citing)
Total Liability	$1,331,025,355	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

SSM Health Care Corporation's endowment funds are to be used to defray the costs of an annual executive level management meeting.

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

SSM Health Care Corporation 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.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	0	0	Investments	$409,427,683
North America (Canada & Mexico only)	0	0	Investments	$19,893,829
Central America and the Caribbean	1	1	Program Services	$4,436,188	Self Insurance

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	1	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$433,757,700	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$433,757,700	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual, Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Clayton Chamber of Commerce
225 S Meramec Ave	Suite 300	Clayton	MO	63105	430701392	501(c)(6)	$7,500	2021 Corporate Challenge
Greater St Louis Inc
One Metropolitan Square	Suite 1300	St Louis	MO	63102	371982729	501(c)(6)	$145,720	General organization support

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Laura Kaiser
Director, President/CEO of SSM Health	$1,734,729	$0	$1,374,054	$0	$381,195	$0	$2,194,966	$0	$19,371	$0	$5,704,315	$0	$1,747,726	$0
Kris Zimmer
Former Officer	$0	$0	$219,008	$0	$372	$0	$0	$0	$0	$0	$219,379	$0	$372	$0
Steve Smoot
Vice President, COO of SSM Health	$1,014,744	$0	$506,986	$0	$10,347	$0	$877,981	$0	$39,965	$0	$2,450,024	$0	$506,986	$0
Douglas Long
Secretary, General Counsel at SSM Health	$683,805	$0	$374,673	$0	$143,200	$0	$460,492	$0	$23,109	$0	$1,685,279	$0	$374,673	$0
Randy Combs
Treasurer, Chief Financial Officer at SSM Health	$940,014	$0	$182,693	$0	$167,895	$0	$478,907	$0	$6,945	$0	$1,776,454	$0	$82,693	$0
Carolyn Koenig
Former Key Employee	$0	$0	$206,504	$0	$566,800	$0	$0	$0	$0	$0	$773,304	$0	$0	$0
Matt Hanley MD
Chief Clinical Officer	$767,127	$0	$426,143	$0	$6,776	$0	$681,835	$0	$36,451	$0	$1,918,332	$0	$426,143	$0
Alexander Garza
Chief Community Health Officer	$519,193	$0	$168,777	$0	$66,186	$0	$451,243	$0	$37,323	$0	$1,242,722	$0	$232,341	$0
Erin Jaynes
Chief Nursing Officer	$497,897	$0	$28,259	$0	$7,524	$0	$208,724	$0	$29,019	$0	$771,423	$0	$28,259	$0
Janet Smith-Hill
Chief Human Resources Officer	$496,727	$0	$0	$0	$42,036	$0	$354,516	$0	$24,370	$0	$917,649	$0	$0	$0
Carter Dredge
Lead Futurist	$399,962	$0	$257,731	$0	$183,031	$0	$201,467	$0	$32,235	$0	$1,074,426	$0	$257,731	$0
John Nguyen
Chief Strategy Officer	$556,710	$0	$146,335	$0	$17,127	$0	$488,800	$0	$21,602	$0	$1,230,574	$0	$162,371	$0
Kerry Swanson
Former Highest Compensated	$0	$0	$19,047	$0	$482,014	$0	$0	$0	$28,261	$0	$529,322	$0	$0	$0
JoAnn Webster
Former Highest Compensated	$335,494	$0	$164,104	$0	$137,807	$0	$5,269	$0	$10,558	$0	$653,232	$0	$164,104	$0
Charles Barnett
Former Highest Compensated	$0	$0	$111,639	$0	$0	$0	$0	$0	$0	$0	$111,639	$0	$0	$0
Candace Jennings
Pt Yr Regional President-St. Louis/Southern Illinois	$354,946	$0	$408,824	$0	$4,924	$0	$4,685	$0	$13,963	$0	$787,342	$0	$307,508	$0
Michael Bowers
Pt Yr Chief Operating Officer - SSM Health Care St. Louis	$238,770	$0	$104,693	$0	$497,263	$0	$4,015	$0	$15,078	$0	$859,819	$0	$319,238	$0
Jeremy Fotheringham
Regional President - St. Louis	$624,103	$0	$50,000	$0	$84,666	$0	$382,896	$0	$35,287	$0	$1,176,952	$0	$0	$0
Joe Hodges
Regional President - SSM Health Care of Oklahoma	$630,751	$0	$286,715	$0	$83,254	$0	$496,226	$0	$39,749	$0	$1,536,695	$0	$367,347	$0
Les McPhearson
President - Dean Health Plan	$561,978	$0	$227,271	$0	$4,714	$0	$117,496	$0	$43,891	$0	$955,350	$0	$85,185	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a First-class or charter travel	The following individuals listed on Part VII, Section A participated in chartered travel in 2021. This benefit was not included in their taxable compensation. Erin Jaynes John Nguyen Janet Smith-Hill Steve Smoot Laura Kaiser
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. Jeremy Fotheringham
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 Carolyn Koenig $566,800 Kerry Swanson $486,538
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: Laura Kaiser $549,883 Steve Smoot $197,200 Erin Jaynes $42,703 Matt Hanley $150,807 Alexander Garza $108,535 Janet Smith-Hill $99,200 Carter Dredge $82,272 John Nguyen $138,538 Joe Hodges $120,191 Jeremy Fotheringham $110,880 Les McPhearson $109,131 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. Laura Kaiser $373,672 Alexander Garza $63,564 John Nguyen $16,036 Joe Hodges $80,632 Michael Bowers $214,545 Kris Zimmer $372

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Health and Educational Facilities Authority of the State of Missouri
A	431178966	60637AGB2	2014-05-14	$257,654,670	Refund Series 2005CD bonds issued 07/21/2005 and Series 2010D bonds issued on 05/13/2010	false	false	false
Health and Educational Facilities Authority of the State of Missouri
B	431178966	000000000	2014-05-14	$632,155,000	(1) Finance various capital improvements and (2) refund previous bond issues		false	false
Health and Educational Facilities Authority of the State of Missouri
C	431178966	60637ALZ3	2017-04-28	$104,690,000	Reissuance Series 2012A Bonds issued on 7/26/2012	false	false	false
Health and Educational Facilities Authority of the State of Missouri
D	431178966	60637AMQ2	2018-05-08	$282,751,276	Capital improvements and refunding revolving loan and bonds; also includes CUSIP 60637AMP4	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$15,495,000	$535,000	$257,654,670	$257,654,670	2011	Yes (true)	false	Yes (true)	Yes (true)
B		$332,155,000	$632,176,484	$552,092,051	2016	Yes (true)	false	Yes (true)	Yes (true)	$80,084,433
C	$13,910,000		$104,690,000	$104,690,000	2012	Yes (true)	false	Yes (true)	Yes (true)
D	$7,505,000		$282,751,276	$132,307,434	2020	false	Yes (true)	Yes (true)	Yes (true)	$150,443,842

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	Yes (true)	0.0256	0.0	0.0256	false	Yes (true)	0.0541	Yes (true)	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	Yes (true)	0.0	0.0	0.0	false	Yes (true)	0.0085	Yes (true)	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	Yes (true)	0.0124	0.0	0.0124	false	false			Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false		0.0084		0.0084	false	false			Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	false	Yes (true)
B	false	false	Yes (true)	false	Yes (true)	false	false	false	Yes (true)
C	false	false	Yes (true)	false	false	false	false	false	Yes (true)
D	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (c) Line B(1)	The issue was originally comprised of 10 separate series of bonds. The bonds of the issue with the latest maturity dates (the Series 2014J and Series 2014K Bonds each maturing 06/01/2045) were not assigned a CUSIP number. The Series 2014B, 2014C, 2014D, 2014E, 2014F and 2014G Bonds were assigned CUSIP numbers. Of these series of bonds, the Series 2014D, 2014E, 2014F and 2014G Bonds each mature 06/01/2044. Therefore, the bonds with the latest maturity with CUSIP numbers are the 06/01/2044 maturities of the Series 2014D, 2014E, 2014F and 2014G Bonds. The CUSIP numbers for these bonds are as follows: 2014D - 60637A FK3; 2014E - 60637A FL1; 2014F - 60637A FM9; 2014G - 60637A FN7.
Schedule K, Part I, Column (c) Line D	60637 AMQ2 and 60637 AMP4
Schedule K, Part I, Column (f) Line B(1)	Finance various capital equipment and improvements and (2) refund Series 2005CD Bonds issued on 7/21/2005, Series 2010D Bonds issued on 5/13/2010 and Bridge Loans dated 8/29/2013 and 11/15/2013.
Schedule K, Part I, Column (f) Line C	Reissuance of Series 2012A Bonds issued on 7/26/2012.
Schedule K, Part I, Column (f) Line D	(1) Capital improvements, (2) refund a revolving loan allocable to Series 2008A Bonds drawn on 2/23/2017 and refund revolving loans allocable to Series 2010AB Bonds drawn on 8/18/2015 and (3) acquire the Agnesian assets financed or refinanced with proceeds of the Agnesian Series 2010 Bonds and Agnesian Series 2013B Bonds.
Schedule K, Part I, Column (g) Line B(1)	On 12/11/2018, SSM issued taxable Series 2018 Bonds to refund and redeem all of the outstanding Series 2014I and Series 2014J Bonds. $100,000,000 of Series 2014H Bonds and $76,855,000 of Series 2014K Bonds were current refunded by the Series 2019ABC Bonds issued on 7/17/2019.
Schedule K, Part II, Line 3 Column B(1)	Amount is not equal to the issue price due to investment earnings earned during the project period.
Schedule K, Part III, Line 8c Column A(1)	Remedial action was taken on 1/4/2016 to redeem $535,000 of 2014A Bonds related to the sale of St. Mary's Hospital in Jefferson City, Missouri. A notice was sent to the IRS.
Schedule K, Part III, Line 8c Column B(1)	A remedial action was taken on 1/4/2016 to redeem $250,000 of Series 2014K Bonds related to the sale of St. Mary's Health Center in Jefferson City, Missouri. In addition, a remedial action was taken on 12/11/2018 to redeem $85,000,000 of Series 2014J Bonds related to the sale of the new St. Mary's Hospital in Jefferson City, Missouri and St. Francis Hospital in Maryville, Missouri. A notice was sent to the IRS.
Schedule K, Part I, Column (f) Line B(2)	(1) Current refund $62,485,000 principal amount of the Series 2012B Bonds, and (2) current refund $176,855,000 principal amount of the Series 2014B-K Bonds.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Wisconsin Health and Educational Facilities Authority
A	391337855	97670DBF7	2018-05-08	$44,411,908	Acquire Monroe Clinic assets financed or refinanced with proceeds of the Monroe Series 2016 Bonds	false	false	false
Health and Educational Facilities Authority of the State of Missouri
B	431178966	000000000	2019-07-17	$239,340,000	The Bonds were issued to (1) currently refund $62,485,000 principal amount of the Series 2012B Bonds	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt
A	$44,411,908	$44,408,742	$3,166	2012	false	false	Yes (true)	Yes (true)
B	$239,340,000		$239,340,000	2016	Yes (true)	false	Yes (true)	Yes (true)	$9,590,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd
A	false	false	false	false	0.0	0.0	0.0	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	false	0.0106	0.0	0.0106	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)
B	false	false	Yes (true)	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LAUREN ZIMMER
DAUGHTER-IN-LAW OF FORMER OFFICER OF ORGANIZATION	$181,536	EMPLOYMENT	false
DAVID LONG
SON OF OFFICER OF ORGANIZATION	$147,872	EMPLOYMENT	false
JOE NGUYEN
BROTHER OF KEY EMPLOYEE OF ORGANIZATION	$159,471	EMPLOYMENT	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service Accomplishments	Briefly describe the organization'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. Describe the tax-exempt purpose achievements: SSM Health Care Corporation is the parent of a large healthcare system spread across four states - Illinois, Missouri, Oklahoma and Wisconsin. As the parent of SSM Health (SSMH), the corporate office provides services to all SSMH facilities. These services include the following: Implementation and optimization of a common platform of care for SSMH facilities; support and implementation of the electronic health record at SSMH hospitals and facilities; evaluation and consultation of new growth strategies and opportunities; communications counsel, strategy and planning; oversight of the mission awareness teams and spiritual care departments; high-level Corporate Responsibility Process oversight to ensure ethical and legal compliance; organizational and clinical ethics education; policy writing and review and patient billing services. Other services include capital planning and allocation; strategic, financial and human resource plan preparation; investment management and debt financing; system-level internal and external financial reporting; tax compliance process management; employee benefits administration; educational program offerings for leadership development; and risk management strategies. The efforts of SSM Health Care Corporation provide for high quality, cost effective, and compassionate health care services for the communities we serve. Description of community benefit programs: 1. Uncompensated care - SSM Health provided $255,700,000 in free or discounted health care services to persons who could not afford to pay or who met organizational eligibility criteria. 2. Health Professions Education - SSM Health invested $113,763,000 in educational programs, through its many teaching hospitals, academic medical centers, residency programs and environments for learning. This investment provided Nursing Students, Graduate and Undergraduate Medical Students, and Allied Health Professionals the education necessary to obtain / retain state license or health professions certification with their professional board. 3. Subsidized Health Services -SSM Health continued to offer clinical services that addressed identified need in communities served by the organization at a net loss of $10,499,000, ensuring continued access to needed services in maternal, infant and pediatric care. 4. Research - SSM invested $46,000 in clinical, community health, and care delivery research. 5. Community Health Improvement Services and Community Building - SSM Health, in response to the most prevalent identified needs and access to care in communities served, provided $12,816,000 in additional community health improvement services, including: a. Assisting uninsured patients with enrollment in Medicaid or other relevant coverage services at a cost of $4,839,566. b. Funding $2,198,618 in expenses related to the operation of the Missouri Poison Control Center and $495,809 in expenses related to the operation of the Danis Pediatric Center. c. Providing pharmacy concierge and prescription assistance costing $665,462. d. Provided $584,688 of support to a program provided by the Supply Chain Management team aiding patients (uninsured or underinsured) with registration and enrollment in programs providing free or low-cost medicine and devices. e. Providing $226,813 of transportation expense to patients to ensure they had access to behavioral health, primary care, specialty care, follow-up appointments and safe transport between health care facilities. 6. Hospital leaders and ministry teams throughout the organization, supported improved community health through board service, community health improvement activities and volunteerism contributing to community members and organizations: a. Cash & In-kind Contributions of $2,022,000; b. Community-based Clinical Services and Community Health Education valued at $1,695,136. 7. Community Service - SSM Health's Executive leadership and their teams were involved with several organizations, including the Healthcare Financial Management Association, Urban League of St. Louis, St. Louis Crisis Nursery, United Way, Dane County Health Council, Downtown Oklahoma City, and the Southern Illinois Workforce Development Board. 8. SSM public policy leaders participate in various discussions with legislators on numerous issues impacting the community's health and safety including Medicaid expansion and transformation, COVID-19 response, telehealth and telemedicine, behavioral health, the 340B Drug Pricing Program and other pharmacy benefit reform, and social determinants of health. In summary, SSM Health contributed $394,846,000 in community benefit, including charity care, health screenings, educational programs, community donations, and a wide variety of other services to the communities we serve during 2021.
Form 990, Part VI, Line 4 Significant changes to organizational documents	The organization made the following significant changes to its bylaws during the year: a) changes to re-election from annual to when there is a vacancy for VP, Treasurer, Assistant Treasurer, Secretary and Assistant Secretary, b) officer terms changed to three year appointments, and c) indemnification ensured of non-board member committee members.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE ORGANIZATION HAS ONE CLASS OF MEMBERS. THESE MEMBERS CONSIST OF THE INDIVIDUALS WHO ARE THE THEN-SERVING MEMBERS OF SSM HEALTH MINISTRIES, A PUBLIC JURIDIC PERSON AND CANONICAL SUCCESSOR TO THE RELIGIOUS INSTITUTE, THE FRANCISCAN SISTERS OF MARY (EIGHT INDIVIDUALS). THE VOTING RIGHTS, INTERESTS AND PRIVILEGES OF EACH MEMBER ARE EQUAL.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE MEMBERS HAVE THE POWER TO APPOINT AND REMOVE BOARD MEMBERS, WITH OR WITHOUT CAUSE, EXCEPT FOR THOSE WHO SERVE EX-OFFICIO.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE MEMBER HAS THE FOLLOWING POWERS: A) TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B) TO APPOINT THE BOARD OF DIRECTORS, EXCEPT FOR THOSE DIRECTORS WHO SERVE EX OFFICIO, AND TO REMOVE THE APPOINTED DIRECTORS WITH OR WITHOUT CAUSE C) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN D) TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION E) TO APPROVE THE MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION F) TO APPROVE THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, ENCUMBRANCE, MORTGAGE OR LEASE OF REAL PROPERTY OR ANY INTEREST THEREIN OF THE CORPORATION IN ACCORDANCE WITH THE POLICIES APPROVED BY THE MEMBERS FROM TIME TO TIME G) TO APPROVE ANY BORROWING OR GUARANTEES OF THE CORPORATION IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBERS FROM TIME TO TIME; AND H) TO APPROVE ANY ACTIONS OF THE CORPORATION FOR ITSELF OR ITS CONTROLLED SUBSIDIARIES, REMOTELY CONTROLLED SUBSIDIARIES AND NON- CONTROLLED SUBSIDIARIES WHICH UNDER THE CODE OF CANON LAW WOULD REQUIRE THE CONSENT OR APPROVAL OF THE MEMBERS IN THEIR CAPACITY AS THE MEMBERS OF SSM HEALTH MINISTRIES.
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 member 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 prior to filing.
Form 990, Part VI, Line 12c Conflict of interest policy	BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY OF THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUCH 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 15a Process to establish compensation of top management official	ALL SSMH EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH SIMILAR POSITIONS IN THE MARKET. THE COMPENSATION REVIEW PROCESS IS PERFORMED annually BY EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS, FOR THE PRESIDENT/CEO OF THE SYSTEM, THE SENIOR VICE PRESIDENTS AND THE REGIONAL PRESIDENTS ARE PRESENTED TO THE SSMH BOARD OF DIRECTORS BY THE SAME INDEPENDENT COMPENSATION CONSULTANTS TO APPROVE, DISAPPROVE, OR MODIFY. THE SAME COMPARATIVE COMPENSATION PROCESS USED FOR EXECUTIVE SALARY/COMPENSATION IS PERFORMED INTERNALLY FOR ALL EMPLOYEES. THE SSMH BOARD OF DIRECTORS HAS DELEGATED SALARY APPROVAL FOR ALL OTHER POSITIONS TO THE SSM Health President/CEO.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	ALL SSMH EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH SIMILAR POSITIONS IN THE MARKET. THE COMPENSATION REVIEW PROCESS IS PERFORMED annually BY EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS, FOR THE PRESIDENT/CEO OF THE SYSTEM, THE SENIOR VICE PRESIDENTS AND THE REGIONAL PRESIDENTS ARE PRESENTED TO THE SSMH BOARD OF DIRECTORS BY THE SAME INDEPENDENT COMPENSATION CONSULTANTS TO APPROVE, DISAPPROVE, OR MODIFY. THE SAME COMPARATIVE COMPENSATION PROCESS USED FOR EXECUTIVE SALARY/COMPENSATION IS PERFORMED INTERNALLY FOR ALL EMPLOYEES. THE SSMH BOARD OF DIRECTORS HAS DELEGATED SALARY APPROVAL FOR ALL OTHER POSITIONS TO THE SSM Health President/CEO.
Form 990, Part VI, Line 19 Required documents available to the public	THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Actuarial change in defined benefit liability - XXX-XX-XXXX; Transfers with affiliates - -XXX-XX-XXXX;
FORM 990, PART I Doing Business As	SSM Health Care Corporation currently conducts business under the following names: SSM Health SSM Health at Work SSM Health Archives

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (52 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SSMHC Liability Trust I
10101 Woodfield Lane	St Louis	MO	63132	436331003	Insurance	MO	501(c)(3)	Type I	SSM Health Care Corporation	Yes (true)
SSM Consolidated Health Services
10101 Woodfield Lane	St Louis	MO	63132	431473657	Health Care	MO	501(c)(3)	10	SSM Health Care Corporation	Yes (true)
SSM Policy Institute
10101 Woodfield Lane	St Louis	MO	63132	431788151	Health Care	MO	501(c)(4)		SSM Health Care Corporation	Yes (true)
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	Yes (true)
SSM Cardinal Glennon Children's Hospital
10101 Woodfield Lane	St Louis	MO	63132	430738490	Health Care	MO	501(c)(3)	3	SSM Health Care St Louis	false
Cardinal Glennon Children's Foundation
10101 Woodfield Lane	St Louis	MO	63132	431754347	Fundraising	MO	501(c)(3)	7	SSM Cardinal Glennon Children's Hospital	false
SSM Health Foundation - St Louis
10101 Woodfield Lane	St Louis	MO	63132	431552945	Fundraising	MO	501(c)(3)	7	SSM Health Care St Louis	false
SSM Health Care of Oklahoma Inc
10101 Woodfield Lane	St Louis	MO	63132	730657693	Health Care	OK	501(c)(3)	3	SSM Health Care Corporation	Yes (true)
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	Yes (true)
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	Yes (true)
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	Yes (true)
SSM Health Care St Louis
10101 Woodfield Lane	St Louis	MO	63132	431343281	Health Care	MO	501(c)(3)	3	SSM Health Care Corporation	Yes (true)
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	false
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	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
SSM St Joseph Endoscopy Center LLC
10101 Woodfield Lane	St Louis	MO	63132	270046559	Surgery Services	MO	NA	N/A
St Clare Imaging Services LLC
707 14th Street Suite A	Baraboo	WI	53913	200122365	Diag. Services	WI	NA	N/A
Mt Vernon Radiation Therapy Center LLC
10101 Woodfield Lane	St Louis	MO	63132	201382620	Radiation Therapy	IL	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 Select Rehab St Louis LLC
4714 Gettysburg Road	Mechanicsburg	PA	17055	263694972	Health Care	DE	NA	N/A
Epiphany Rx LLC
361 Integrity Drive	Madison	WI	53717	364855405	Pharmacy Benefits	DE	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
SSM Managed Care Organization LLC
10101 Woodfield Lane	St Louis	MO	63132	431708511	Health Promotion	MO	NA	C Corporation	false
FPP INC & Subs
10101 Woodfield Lane	St Louis	MO	63132	431465174	Health Care	MO	SSM Health Care Corporation	C Corporation	Yes (true)	$0	$1,116,677,343	1.00
Diversified Health Services Corp
10101 Woodfield Lane	St Louis	MO	63132	431369305	Medical Equipment	MO	NA	C Corporation	false
SSM Properties Inc
10101 Woodfield Lane	St Louis	MO	63132	431462486	Property Services	MO	NA	C Corporation	false
HealthFirst Physician Management Services
10101 Woodfield Lane	St Louis	MO	63132	731534336	Medical Services	OK	NA	C Corporation	false
SSMHC Liability Trust II
10101 Woodfield Lane	St Louis	MO	63132	816128118	Insurance	MO	NA	C Corporation	false
SSM Medical Group Inc
10101 Woodfield Lane	St Louis	MO	63132	431664107	Physician Offices	MO	NA	C Corporation	false
SSMHC Insurance Company
				030310431	Insurance		SSM Health Care Corporation	C Corporation	Yes (true)	$25,418	$14,264,924	1.00	PO Box 1051 GT	Grand Cayman	CJ	KY11102	CJ
Physicians Services Corp of Southern Illinois Inc
10101 Woodfield Lane	St Louis	MO	63132	364161526	Health Care	IL	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
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
MS Community JV LLC
401 Carlson Parkway CP330	Minnetonka	MN	55305	873240022	Insurance	DE	NA	C Corporation	false
Quality Drug Corporation
239 Broadway	Laguna Beach	CA	92651	330644268	Pharmacy benefits	CA	NA	C Corporation	false
St Mary's Hospital Campus Condominium Owners Association Inc
707 South Mills Street	Madison	WI	53715	000000000	Condo association	WI	NA	C Corporation	false

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

Transactions Related Org TransactionsRelatedOrgGrp (46 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SSM Health Care of Oklahoma
A	$6,843,750	Book
SSM Regional Health Services
A	$5,976,692	Book
Good Samaritan Regional Health Center
A	$4,684,167	Book
SSM Health Care St Louis
A	$24,458,758	Book
SSM Health Care of Wisconsin
A	$7,972,188	Book
SSM Health Care of Wisconsin
L	$9,740,122	Book
SSM Health Care of Oklahoma
L	$9,856,783	Book
SSM Regional Health Services
L	$2,573,496	Book
SSM Cardinal Glennon Children's Hospital
L	$7,282,656	Book
St Anthony Shawnee Hospital
L	$1,891,135	Book
SSM Cardinal Glennon Children's Hospital
L	$1,000,134	Book
Good Samaritan Regional Health Center
L	$3,517,739	Book
SSM Health Businesses
L	$458,744	Book
SSM Health Care St Louis
L	$27,957,891	Book
St Mary's Hospital Centralia Illinois
L	$1,819,928	Book
SSM-SLUH Inc
L	$9,155,511	Book
Agnesian Healthcare Inc
L	$4,751,867	Book
Ripon Medical Center
L	$516,671	Book
Waupun Memorial Hospital
L	$710,049	Book
SSM Health Care St Louis
L	$5,992,263	Book
SSM Health Care of Oklahoma
L	$2,649,039	Book
SSM Health Care of Wisconsin
L	$2,071,341	Book
SSM Regional Health Services
L	$1,419,575	Book
Good Samaritan Regional Health Center
L	$811,630	Book
St Mary's Hospital Centralia Illinois
L	$761,347	Book
SSM Audrain Health Care Inc
L	$114,355	Book
Agnesian Healthcare Inc
L	$66,272	Book
FPP Inc
L	$1,389,092	Book
The Monroe Clinic Inc
L	$118,390	Book
SSM-SLUH Inc
L	$1,267,826	Book
St Anthony Shawnee Hospital
L	$297,677	Book
SSMHC Liability Trust I
O	$1,775,351	Book
SSMHC Liability Trust II
O	$94,968	Book
SSM Health Care of Oklahoma
Q	$29,062,927	Book
SSM Regional Health Services
Q	$9,576,208	Book
SSM Health Businesses
Q	$1,913,006	Book
FPP Inc
Q	$33,293,175	Book
SSM Health Care of Wisconsin
Q	$38,895,582	Book
SSM Health Care St Louis
Q	$80,375,700	Book
SSMHC Liability Trust I
Q	$1,775,351	Book
SSM Health Care St Louis
S	$113,044,425	Book
FPP Inc
S	$11,067,682	Book
SSM Health Businesses
R	$7,500,000	Book
SSM Regional Health Services
S	$8,000,000	Book
Good Samaritan Regional Health Center
R	$319,007	Book
SSM Cardinal Glennon Children's Hospital
S	$6,454,140	Book