SSM-SLUH INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: SSM-SLUH INC (EIN 47-4196634)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-03
IRS object ID: 202103079349303070
Schema version: 2020v4.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-03T17:31:22-05:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	474196634	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SSM-SLUH Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SSM-	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	2021-11-03	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Randy	PersonFirstNm
Person Last	Combs	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
Tax	2020	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	SSM Health Saint Louis University Hospital	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Steven Scott	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	$645,808,266	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://www.ssmhealth.com/locations/saint-louis-university-hospital	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2015	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	Operates an academic medical center in St Louis Missouri that serves as the teaching hospital for the St Louis University School of Medicine.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	2679	TotalEmployeeCnt
Total Volunteers	156	TotalVolunteersCnt
Total Gross UBI	$8,909	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$5,636	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$292,636	PYContributionsGrantsAmt
CY Contributions Grants	$13,857,123	CYContributionsGrantsAmt
PY Program Service Revenue	$595,414,500	PYProgramServiceRevenueAmt
CY Program Service Revenue	$625,163,139	CYProgramServiceRevenueAmt
PY Investment Income	$527,323	PYInvestmentIncomeAmt
CY Investment Income	-$1,620,100	CYInvestmentIncomeAmt
PY Other Revenue	$1,950,482	PYOtherRevenueAmt
CY Other Revenue	$2,522,348	CYOtherRevenueAmt
PY Total Revenue	$598,184,941	PYTotalRevenueAmt
CY Total Revenue	$639,922,510	CYTotalRevenueAmt
PY Grants And Similar Paid	$147,115	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$32,200	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$162,986,641	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$178,466,386	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$449,609,257	PYOtherExpensesAmt
CY Other Expenses	$485,543,540	CYOtherExpensesAmt
PY Total Expenses	$612,743,013	PYTotalExpensesAmt
CY Total Expenses	$664,042,126	CYTotalExpensesAmt
PY Revenues Less Expenses	-$14,558,072	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$24,119,616	CYRevenuesLessExpensesAmt
Total Assets BOY	$684,534,266	TotalAssetsBOYAmt
Total Assets EOY	$721,850,169	TotalAssetsEOYAmt
Total Liabilities BOY	$647,006,404	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$701,183,189	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$37,527,862	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$20,666,980	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	$580,864,625	ExpenseAmt
Grant	$32,200	GrantAmt
Revenue	$625,661,254	RevenueAmt
Desc	Please see Schedule O for a complete description of program service accomplishments.	Desc
Total Program Service Expenses	$580,864,625	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	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	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	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	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2679	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3149893650	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1195 Corporate Lake Drive	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63132	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 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
Candace Jennings
Chair, Regional President-St. Louis/Southern Illinois	5.0	42.0	Yes (X)	Yes (X)	$0	$1,170,577	$342,361
Dennis Harms
Director	1.0	2.0	Yes (X)		$0	$0	$0
Douglass Petty
Director	1.0	2.0	Yes (X)		$0	$0	$0
Jan Cerny
Director	1.0	2.0	Yes (X)		$0	$0	$0
Robert Wilmott MD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Snehal Gandhi MD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Steve Smoot
Director, Chief Operations Officer at SSM Health	1.0	52.0	Yes (X)		$0	$1,441,136	$657,492
William Kauffman
Director	1.0	2.0	Yes (X)		$0	$0	$0
Douglas Long
Secretary, General Counsel at SSM Health	1.0	68.2		Yes (X)	$0	$1,201,821	$399,352
Eileen Lamm
System VP, Finance (MO/ILL)	5.0	35.0		Yes (X)	$0	$341,701	$99,838
Karen Rewerts
VP-Financial Operations	1.0	51.0		Yes (X)	$0	$790,849	$178,749
Kris Zimmer
Pt Yr Treasurer, Pt Yr Chief Financial Officer at SSM Health	1.0	67.0		Yes (X)	$0	$1,717,045	$73,075
Omolola Vinson
Pt Yr Assistant Secretary	5.0	35.0		Yes (X)	$0	$95,561	$4,023
Rachel Hall
Assistant Secretary	1.0	43.0		Yes (X)	$0	$93,828	$27,636
Randy Combs
Treasurer, Chief Financial Officer at SSM Health	1.0	64.0		Yes (X)	$0	$403,263	$84,602
Steven Scott
Hospital President	40.0	1.0		Yes (X)	$749,735	$0	$126,506
Bryan Walrath
Vice President - Operations	40.0	0			$257,930	$0	$63,063	Yes (X)
Jennifer Garnica
Administrative Director - Nursing	40.0	0			$182,301	$0	$6,696	Yes (X)
Kelly Baumer
Vice President - Clinical Services	40.0	0			$263,341	$0	$46,648	Yes (X)
Raymond Alvey
CFO	40.0	0			$338,279	$0	$54,846	Yes (X)
Ewell Nichols
CRNA	40.0	0			$239,342	$0	$31,285		Yes (X)
Hosea Ssesanga
RN	40.0	0			$302,003	$0	$27,239		Yes (X)
Landon Ware
Transplant Administrator	40.0	0			$243,315	$0	$39,665		Yes (X)
Lisa Hoyle
RN	40.0	0			$284,238	$0	$25,106		Yes (X)
Mary Ponder
CRNA	40.0	0			$238,290	$0	$21,113		Yes (X)
Christopher Howard
Former Officer	0.0	0.0			$0	$212,519	$0			Yes (X)
Laura Kaiser
Former Officer	0.0	46.0			$0	$3,454,725	$1,724,577			Yes (X)
Patricia Kelley
Former Key Employee	0.0	0.0			$0	$90,080	$12,415			Yes (X)
Paula Friedman
Former Officer	0.0	0.0			$0	$507,002	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,098,774	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$11,520,107	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,046,287	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	261	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
Saint Louis University
1 N Grand Blvd	St Louis	MO	63103	Physician and clinical services	$109,288,762
Alberici Constructors Inc
8800 Page Ave	St Louis	MO	63114	Construction services	$54,530,703
AMN Healthcare Inc
12400 High Bluff Drive	San Diego	CA	92130	STAFFING SERVICES	$13,782,997
Mid-America Transplant Services
1110 HIGHLAND PLAZA DR EAST	St Louis	MO	63110	Transplant services	$4,456,035
Healthsource Global Staffing Inc
12400 High Bluff Drive	San Diego	CA	92130	Staffing services	$4,264,758

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	41	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,530,006	RelatedOrganizationsAmt
Government Grants	$9,325,224	GovernmentGrantsAmt
All Other Contributions	$1,893	AllOtherContributionsAmt
Noncash Contributions	$15,513	NoncashContributionsAmt
Total Contributions	$13,857,123	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net patient revenue	622110	$623,752,362	$623,752,362
Urgent Care	621498	$1,410,777	$1,410,777

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	$625,163,139	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$614,016	TotalRevenueColumnAmt
Exclusion	$614,016	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,651,197	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,651,197	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$443	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$2,234,559	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$443	SecuritiesAmt
Other	-$2,234,559	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,234,116	TotalRevenueColumnAmt
Exclusion	-$2,234,116	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA	722210	$1,764,542	$1,764,542
PHARMACY	446110	$498,115		$498,115
PARKING	812930	$250,782	$250,782

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,909	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,909	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,522,348	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$639,922,510	TotalRevenueColumnAmt
Related Or Exempt Func Income	$625,661,254	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,909	UnrelatedBusinessRevenueAmt
Exclusion	$395,224	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$32,200	TotalAmt
Program Services	$32,200	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,089,345	TotalAmt
Program Services	$2,005,911	ProgramServicesAmt
Management And General	$83,434	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$143,412,673	TotalAmt
Program Services	$137,685,791	ProgramServicesAmt
Management And General	$5,726,882	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,642,751	TotalAmt
Program Services	$3,497,285	ProgramServicesAmt
Management And General	$145,466	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,298,690	TotalAmt
Program Services	$18,528,038	ProgramServicesAmt
Management And General	$770,652	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,022,927	TotalAmt
Program Services	$9,622,683	ProgramServicesAmt
Management And General	$400,244	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$373,950	TotalAmt
Program Services	$373,950	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$562,809	TotalAmt
Management And General	$562,809	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$16,841	TotalAmt
Management And General	$16,841	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$210,743,184	TotalAmt
Program Services	$163,254,286	ProgramServicesAmt
Management And General	$47,488,898	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,365,373	TotalAmt
Management And General	$1,365,373	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,500,363	TotalAmt
Program Services	$19,425,895	ProgramServicesAmt
Management And General	$2,074,468	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$22,581,731	TotalAmt
Program Services	$22,570,574	ProgramServicesAmt
Management And General	$11,157	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,848,670	TotalAmt
Program Services	$4,284,296	ProgramServicesAmt
Management And General	$564,374	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$148,636	TotalAmt
Program Services	$107,021	ProgramServicesAmt
Management And General	$41,615	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$29,326	TotalAmt
Program Services	$29,326	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,054,511	TotalAmt
Program Services	$18,054,511	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,782,300	TotalAmt
Program Services	$23,782,300	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,840,777	TotalAmt
Program Services	$1,840,777	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical supplies	$126,754,380	$126,754,380
Medicaid Provider Tax	$28,769,149	$28,769,149
Internal management fees	$23,925,288		$23,925,288
Licenses and taxes	$246,252	$246,252

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$664,042,126	TotalAmt
Program Services	$580,864,625	ProgramServicesAmt
Management And General	$83,177,501	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$153,810	BOYAmt
EOY	$177,933	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$277,463	BOYAmt
EOY	$113,589	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$111,317,924	BOYAmt
EOY	$113,804,981	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	$0	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,355,772	BOYAmt
EOY	$12,549,028	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,386,786	BOYAmt
EOY	$3,750,172	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$656,159,528	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$87,033,979	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$454,258,177	BOYAmt
EOY	$569,125,549	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$10,495,566	BOYAmt
EOY	$10,046,343	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$9,537,705	BOYAmt
EOY	$8,128,842	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$83,751,063	BOYAmt
EOY	$4,153,732	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$684,534,266	BOYAmt
EOY	$721,850,169	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$630,617,999	BOYAmt
EOY	$83,821,801	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$15,043,197	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,388,405	BOYAmt
EOY	$602,318,191	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$647,006,404	BOYAmt
EOY	$701,183,189	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	$31,917,438	BOYAmt
EOY	$17,996,002	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,610,424	BOYAmt
EOY	$2,670,978	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$37,527,862	BOYAmt
EOY	$20,666,980	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$684,534,266	BOYAmt
EOY	$721,850,169	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$24,119,616	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$7,258,734	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$16,841	OtherActivitiesAmt
Total Lobbying Expenditures	$16,841	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,930,263	OtherCostOrOtherBasisAmt
Book Value	$15,930,263	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$500,075,684	OtherCostOrOtherBasisAmt
Depreciation	$58,386,528	DepreciationAmt
Book Value	$441,689,156	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,612,445	OtherCostOrOtherBasisAmt
Depreciation	$162,798	DepreciationAmt
Book Value	$1,449,647	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$132,395,388	OtherCostOrOtherBasisAmt
Depreciation	$28,484,653	DepreciationAmt
Book Value	$103,910,735	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,145,748	OtherCostOrOtherBasisAmt
Book Value	$6,145,748	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$569,125,549	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Due to affiliates	$527,293,299
Capital lease obligation
Third party payor	$70,687,682
Third party patient loans	$530,044
Deferred compensation	$2,668,626
Operating lease obligations	$1,138,540

Field	Value	IRS element (for citing)
Total Liability	$602,318,191	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	SSM-SLUH Inc's 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 2020 and 2019.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,414,347	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,414,347	NetCommunityBenefitExpnsAmt
Total Expense	0.0383	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$152,851,321	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$168,874,210	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,058,723	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,713,103	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$194,324,391	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$187,587,313	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,414,347	NetCommunityBenefitExpnsAmt
Total Expense	0.0383	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,443,865	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,443,865	NetCommunityBenefitExpnsAmt
Total Expense	0.0022	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,952,152	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,238,515	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,713,637	NetCommunityBenefitExpnsAmt
Total Expense	0.0508	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,637	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$37,637	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$69,433,654	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,238,515	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,195,139	NetCommunityBenefitExpnsAmt
Total Expense	0.0530	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$263,758,045	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$221,825,828	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,609,486	NetCommunityBenefitExpnsAmt
Total Expense	0.0913	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$380	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$380	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,306	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,306	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$18,686	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,686	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$50,153,499	BadDebtExpenseAmt
Reimbursed By Medicare	$140,629,849	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$125,664,408	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$14,965,441	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SSM Health St Louis University Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3635 Vista Avenue	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63110	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.ssmhealth.com/locations/saint-louis-university-hospital	WebsiteAddressTxt
State License	542-5	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	A	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.ssmhealth.com/resources/about/community-health	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.ssmhealth.com/resources/about/community-health	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAVE PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - SSM Health St Louis University Hospital. THE PRIMARY DATA CONSISTED OF COMMUNITY FOCUS GROUPS THAT INCLUDED KEY STAKEHOLDERS WITHIN THE HOSPITALS' SERVICE AREAS. FOCUS GROUP PARTICIPANTS INCLUDED REPRESENTATION FROM THE ST. LOUIS COUNTY DEPARTMENT OF HEALTH, ST. LOUIS CITY, AND ST. LOUIS COUNTY COMMUNITIES, COLLABORATING HOSPITALS, AND LOCAL PUBLIC SCHOOL DISTRICTS. IN ADDITION TO A REVIEW OF DEMOGRAPHICS, THE HOSPITALS' GATHERED AND REVIEWED DATA FROM BROAD SOURCES. THE SECONDARY DATA WAS DERIVED FROM A VARIETY OF SOURCES INCLUDING THINK HEALTH ST. LOUIS - ST. LOUIS PARTNERSHIP FOR A HEALTH COMMUNITY, WHICH INCLUDES DATA PULLS FROM HEALTH COMMUNITIES INSTITUTE COVERING TOPICS IN AREAS OF HEALTH, DETERMINANTS OF HEALTH AND QUALITY OF LIFE, AS WELL AS COUNTY HEALTH RANKINGS.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - SSM Health St Louis University Hospital. THE HOSPITAL CONDUCTED AND COMPLETED ITS 2018 CHNA JOINTLY WITH SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS. THE HOSPITAL ALSO COLLABORATED WITH MEMBERS OF BJC HEALTHCARE, ST. LOUIS CHILDREN'S HOSPITAL AND BARNES JEWISH HOSPITAL, AND SHRINER'S CHILDREN'S HOSPITAL.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - SSM Health St Louis University 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 efficiency, the hospital will place primary focus on the following key priorities: - Access to care/continuity of care - Substance abuse/mental health - Violence Access to care/continuity of 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 sufficient access to primary care providers typically have members who delay necessary care when sick and conditions can become more severe and complicated. Additional facts and figures on access to care show: - Provider Care Rate-Per 100,000 persons, there are 123 providers in St. Louis County and 85 providers in St. Louis City. Primary care providers include practicing physicians specializing in general practice medicine, family medicine, internal medicine, and pediatrics - 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 City is ranked at 27 (1-2 is healthiest) compared to St. Louis County ranked at 2. 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. - 34% of St. Louis City residents have a bachelor's degree or greater and 23% of St. Louis City residents have a high school graduation degree - Approximately 15% of St. Louis City resident don't have health insurance - 19.94% of St. Louis City families live below the poverty line The hospital is involved in the following initiatives to improve access to care in the community served: - In partnership with the Integrated Health Network, utilize community referral coordinators to ensure continuity of care for patients and timely access to primary care follow up - In partnership with local area churches as well as other non-profit organizations provide health screenings to the residents in underserved communities (areas close to hospital) to identify early signs of disease and assist with follow-up appointments to begin care process - Identify and educate underserved communities on the importance of screening mammograms and through a grant with Show Me Health Women offer these services to identified individuals - Identify individuals (through community-based screenings and services) that need assistance with obtaining insurance coverage and provide navigation services for governmental payors as well as the Affordable Care Act (ACA) - Increase patients' health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy - Partner with community groups to educate residents on cardiovascular disease, diabetes, and cancer Substance abuse/mental health Substance abuse is a major public health issue that has a strong impact on individuals, families, and communities. The use of illicit drugs, abuse of alcohol, and addiction to pharmaceuticals is linked to serious health conditions such as heart disease, cancer, and leads to lost work productivity, healthcare, and crime. Substance abuse also contributes to a wide range of social, physical, mental, and public health problems. Because of these far-reaching consequences of substance abuse, treatment programs have been developed to counter addiction. Statistical data on substance abuse and mental health shows the following: - ER visits related to substance abuse per 10,000 persons over 18 years is 39.3 in St. Louis City - Age adjusted hospitalization related to substance abuse per 10,000 persons over 18 years of age is 27.8 in St. Louis City - Nationally, the incidence of drug-poisoning deaths involving natural and semisynthetic opioids, which include drugs such as oxycodone and hydrocodone, increased from 1.0 in 1999 to 4.4 in 2016 - The incidence of drug-poisoning deaths involving heroin increased from 0.7 in 1999, to 1.0 in 2010, to 4.9 in 2016 - Missouri is statistically higher than the US average of 19.8 drug-poisoning deaths per 100,000 people (age-adjusted). In 2017, Missouri averaged 23.4 drug-poisoning deaths per 100,000 people - In 2017, the peak age group in Missouri for heroin and non-heroin opioid deaths is 25-34 The hospital is implementing the following measures to improve substance abuse and mental health for the community: - Provide education to physicians for opioid tapering, monitor to ensure a decrease in the opioid/opiate prescribing rates within SSM Health Saint Louis University Hospital - Advocate for a state-wide Prescription Drug Monitoring Program in Missouri - Increase the number of St. Louis City residents able to access appropriate, quality substance use treatment - Support educational efforts in our community and schools - Prescription Take Back Day(s) -in collaboration with local law enforcement, establish/support programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly - In partnership with Behavioral Health Network and other non-profit organizations addressing social determinants of health, identify and/or develop opportunities for outpatient resources for behavioral health patients after discharge from the hospital - In partnership with Behavioral Health Network participate in Project EPICC (Engaging Patients in Care Coordination) for patients that come to the emergency department with substance abuse - In collaboration with St. Louis County law enforcement support the St. Louis Area Crisis Intervention Team and its mission which is to deliver positive law enforcement crisis intervention service to people with mental illness in St. Louis Violence Violence is the third priority for the hospital. A violent crime is a crime in which the offender uses or threatens to use violent force upon the victim. According to the FBI'S Uniform Crime Reporting Program, violent crime includes four offenses: murder and non-negligent manslaughter, rape, robbery, and aggravated assault. Violence negatively impacts communities by reducing productivity, decreasing property values, and disrupting social services. Additional data on violence report that: - The violent Crime Rate per 100,000 persons is 1,702.8 in St. Louis City and 297.7 in St. Louis County - Social and Economic Factors Ranking is 115 in St. Louis City and 17 in St. Louis County according to the County Health Rankings. The ranking is based on a summary composite score calculated from the following measures: high school graduation, some college, unemployment, children in poverty, income inequality, children in single-parent households, social associations, violent crime rate, and injury death rate. Social and economic factors strongly influence the health of the individual and community. Studies repeatedly show a strong correlation between socioeconomic status and health outcomes. The hospital has the following action plan in place to improve the community measures on violence: - As a partner in the Hospital Violence Intervention Program Collaborative, identify victims of violence that come to the hospital and offer these victims access to services to decrease violence re-offense - Participate in community educational programs to educate on gun safety and the use of gun locks - Partner with YWCA to offer SART (Sexual Assault Response Team) to victims of sexual assault in the emergency department which will assist victims in finding safe housing and counseling services - Connect victims of violence with community resources for education and opportunities that promote economic stability - In partnership with area high schools, identify at risk individuals and offer educational opportunities as well as volunteer opportunities about health care careers 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: - Lack of affordable health insurance - Sexually-transmitted infections - Care coordination - Obesity - Minority care - Chronic disease - Dental health
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - SSM Health St Louis University Hospital (Continued). During 2020, the following activities were performed to help address the issues identified in the CHNA: Access to Care: - Of the almost 6,000 people experiencing homelessness in Missouri, almost 1,000 are in the St. Louis metropolitan area on any given night. Every day, SSM Health Saint Louis University Hospital sees between five and seven patients who are in housing crisis or experiencing homelessness. Many of these individuals overutilize the emergency department for non-health care needs, resulting in inappropriate admissions or readmission. Challenged with connecting our patients that would otherwise be a "safe discharge" with community housing resources, Hospital to Housing (H2H), a partnership between SSM Health Saint Louis University Hospital and St. Patrick Center, was born. After just a few months into the partnership that began in 2020, the program immediately saw some very promising results, helping our most vulnerable patients. The hospital is the first in the St. Louis area with a Hospital Homeless Service Coordinator working inside hospital walls to find resources for patients experiencing homelessness who frequently utilize the emergency department. Within the first few months of the program: - Over 70 referrals came directly from emergency department social workers - More than 40% of those referred patients obtained some form of housing as a direct result of the H2H program - More than 85% of active and referred clients improved their access to housing and overall stability - Emergency department utilization rates continue to decline as more individuals are connected to the H2H Program - With an initial goal of 22 patients served annually, 20 patients were served in the first five weeks of the program with over 100 interventions.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Outpatient Services at SSM Health Saint Louis University Hospital
1755 SOUTH GRAND	ST LOUIS	MO	63104	MEDICAL OFFICE BUILDING
Outpatient Services at SSM Health Saint Louis University Hospital
3660 VISTA AVE	ST LOUIS	MO	63110	MEDICAL OFFICE BUILDING
Outpatient Services at SSM Health Saint Louis University Hospital
3655 VISTA AVE	ST LOUIS	MO	63110	MEDICAL OFFICE BUILDING

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c Discounted Care Exceptions	Patients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called "presumptive eligibility."
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	SSM Health Care Corporation, 46-6029223
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The amounts reported on Form 990, Schedule H, Part I, Line 7a, 7b, and 7c were determined using the cost to charge ratio derived from worksheet 2 in the schedule h instructions. Form 990, schedule h, part I, Lines 7e, 7f, 7g, 7h, and 7i are reported at cost as reported in the organization's financial statements. The calculation of Schedule H, Part I, Line 7, Column F utilizes 990, Part IX, Line 25, Column A, which does not include Bad Debt Expense.
Schedule H, Part II Community Building Activities	SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL 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: COMMUNITY SUPPORT: Sponsorship for Annual EMS Appreciation event for St. Clair County EMS employees, 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.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	FOR FINANCIAL STATEMENT PURPOSES, SSM Health HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER NORTON HOSPITAL'S FINANCIAL ASSISTANCE POLICY ON A GROSS BASIS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	SSM Health St Louis University Hospital 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, 2020 consolidated audit is contained on page 13 and 14 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 St Louis University Hospital has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable. The Hospital embraces its responsibility to serve the communities in which it participates by establishing sound business practices. The Hospital's billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after 120 days. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from 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-SLUH's collection and financial assistance policies.
Schedule H, Part V, Section B, Line 16a FAP website	A - SSM Health St Louis University Hospital: Line 16a URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - SSM Health St Louis University Hospital: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - SSM Health St Louis University Hospital: Line 16c URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	SSM Health (SSMH) participates in Community Benefit according to our vision. Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of 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 St. Louis University Hospital 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. While the hospital is located in St. Louis City, as a specialty hospital, it serves the broader St. Louis area as well as Southern Illinois. The total population for the St. Louis MSA is estimated at 2.8 million, making the area the 21st largest metropolitan area in the United States, and is enjoying consistent population growth. Of the total, nearly 30% of individuals are 55 years old or over. The city's population is estimated at 308,129. Compared to the St. Louis metro area as a whole, and to St. Louis County, the city has a more diverse population with approximately 47% white and 45% African-American. Additionally, levels of education are generally lower, with 33.8% of city residents obtaining a Bachelor's degree. Violence is a much larger problem within the city limits. The St. Louis City violent crime rate is 1,702.8 per 100,000 people compared to St. Louis County at 297.7 per 100,000. Additional community information and statistics can be found in the 2018 CHNA.
Schedule H, Part VI, Line 5 Promotion of community health	SSM Health St Louis University 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-SLUH INC 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 St Louis University Hospital promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote both community health and healthy communities. SSM Health St Louis University Hospital 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 St Louis University Hospital Inc is a 501(c)(3) organization and is a member of the integrated health care system known as SSM Health. SSM Health St Louis University Hospital is part of one of the largest, full-service health care networks in the St. Louis, Missouri, area. It is the only teaching hospital in the SSM Health integrated health care system.
Schedule H, Part VI, Line 7 State filing of community benefit report	MO

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
American Cancer Society
250 Williams Street NW	No 400	Atlanta	GA	30303	131788491	501(c)(3)	$10,000	Support organization's programs
Forest Releaf of Missouri
4168 Juniata Street		St Louis	MO	63116	431615929	501(c)(3)	$15,000	Support organization's programs

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDS 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (21 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
Candace Jennings
Chair, Regional President-St. Louis/Southern Illinois	$0	$668,869	$0	$398,415	$0	$103,293	$0	$315,729	$0	$26,632	$0	$1,512,938	$0	$479,468
Steve Smoot
Director, Chief Operations Officer at SSM Health	$0	$910,565	$0	$527,949	$0	$2,622	$0	$620,704	$0	$36,788	$0	$2,098,628	$0	$527,936
Laura Kaiser
Former Officer	$0	$1,605,981	$0	$1,659,602	$0	$189,142	$0	$1,696,604	$0	$27,973	$0	$5,179,302	$0	$1,659,576
Paula Friedman
Former Officer	$0	$0	$0	$249,317	$0	$257,685	$0	$0	$0	$0	$0	$507,002	$0	$258,551
Christopher Howard
Former Officer	$0	$0	$0	$212,519	$0	$0	$0	$0	$0	$0	$0	$212,519	$0	$212,519
Kris Zimmer
Pt Yr Treasurer, Pt Yr Chief Financial Officer at SSM Health	$0	$370,664	$0	$803,048	$0	$543,333	$0	$56,137	$0	$16,938	$0	$1,790,120	$0	$1,162,526
Douglas Long
Secretary, General Counsel at SSM Health	$0	$645,435	$0	$469,242	$0	$87,144	$0	$374,673	$0	$24,679	$0	$1,601,173	$0	$547,438
Karen Rewerts
VP-Financial Operations	$0	$555,842	$0	$109,440	$0	$125,567	$0	$146,048	$0	$32,701	$0	$969,598	$0	$168,566
Steven Scott
Hospital President	$527,321	$0	$102,001	$0	$120,413	$0	$111,322	$0	$15,184	$0	$876,241	$0	$188,232	$0
Randy Combs
Treasurer, Chief Financial Officer at SSM Health	$0	$216,927	$0	$100,000	$0	$86,336	$0	$82,693	$0	$1,909	$0	$487,865	$0	$84,600
Eileen Lamm
System VP, Finance (MO/ILL)	$0	$314,938	$0	$21,262	$0	$5,501	$0	$75,921	$0	$23,917	$0	$441,539	$0	$0
Patricia Kelley
Former Key Employee	$0	$89,942	$0	$0	$0	$138	$0	$1,385	$0	$11,030	$0	$102,495	$0	$0
Jennifer Garnica
Administrative Director - Nursing	$162,006	$0	$20,000	$0	$295	$0	$4,105	$0	$2,591	$0	$188,997	$0	$0	$0
Bryan Walrath
Vice President - Operations	$227,593	$0	$29,585	$0	$752	$0	$33,943	$0	$29,120	$0	$320,993	$0	$29,585	$0
Kelly Baumer
Vice President - Clinical Services	$222,788	$0	$28,407	$0	$12,146	$0	$35,885	$0	$10,763	$0	$309,989	$0	$39,435	$0
Raymond Alvey
CFO	$285,397	$0	$37,112	$0	$15,770	$0	$29,365	$0	$25,481	$0	$393,125	$0	$48,684	$0
Hosea Ssesanga
RN	$301,691	$0	$312	$0	$0	$0	$0	$0	$27,239	$0	$329,242	$0	$0	$0
Lisa Hoyle
RN	$131,496	$0	$10,000	$0	$142,742	$0	$14,150	$0	$10,956	$0	$309,344	$0	$11,525	$0
Landon Ware
Transplant Administrator	$242,502	$0	$0	$0	$813	$0	$6,568	$0	$33,097	$0	$282,980	$0	$0	$0
Mary Ponder
CRNA	$224,786	$0	$10,250	$0	$3,254	$0	$5,838	$0	$15,275	$0	$259,403	$0	$0	$0
Ewell Nichols
CRNA	$218,929	$0	$11,000	$0	$9,413	$0	$6,857	$0	$24,428	$0	$270,627	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	The organization's top management official, Hospital President, is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.
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: Lisa Hoyle $32,000 Paula Friedman $257,685
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 2020. 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 2020: Steve Smoot $105,168 Kris Zimmer $54,000 Eileen Lamm $28,000 Karen Rewerts $45,600 Bryan Walrath $9,225 Kelly Baumer $8,858 Lisa Hoyle $10,400 Laura Kaiser $314,000 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2020. All distributions received from the plan in the current year were included in the individual's taxable compensation. Candace Jennings $81,053 Kris Zimmer $493,428 Randy Combs $84,600 Steven Scott $86,602 Douglas Long $78,000 Karen Rewerts $59,124 Kelly Baumer $11,027 Raymond Alvey $11,572 Lisa Hoyle $11,525 During 2020, the following individuals participated in a nonqualified retirement plan from the organization or a related organization. The amounts reported below represent the change in accrued benefit for each individual and also include amounts accrued under the pension restoration plan: Candace Jennings $9,258 Kris Zimmer $26,226 Eileen Lamm $2,583 Karen Rewerts $43,291

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Description of Program Services	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 Saint Louis University Hospital: SSM Health Saint Louis University Hospital is a quaternary and tertiary care academic medical center in St. Louis that serves as the teaching hospital for Saint Louis University School of Medicine. As an academic medical center, we are at the forefront of ground-breaking medical treatments and procedures-providing them to our patients, teaching them to our students and developing them through research and innovation. While we all strive to provide the latest in high-technology medicine, we also share a deep, Catholic heritage that empowers us to be caregivers at every level. We treat the whole patient-bodies as well as minds and spirits-with compassion and respect. The hospital was the first Level 1 Trauma Center certified in Missouri and Illinois and is also the founder of the Mid America Stroke Network, a regional program that provides stroke care education to promote quality stroke care throughout the Midwest. In September 2020, the hospital opened a new $550 million facility for hospital and outpatient care services. The new complex improves integration between the hospital and Saint Louis University School of Medicine and SSM Health Cardinal Glennon Children's Hospital. The new hospital includes all private patient rooms, larger intensive care units, an expanded emergency department, new outpatient care center, additional clinical space for SLUCare physician practices, and educational space for training. SSM Health Saint Louis University Hospital operates in collaboration with SSM Health Care St Louis, which 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. 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. The St. Louis region also includes SSM Health Cardinal Glennon Children's Hospital, 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 Saint Louis Hospital 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, - 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 SSM Health entities are reinvested in improving our patient care delivery system. Quantifiable Uncompensated Care: This section includes a list of the types of programs and services that could be quantified as uncompensated care: Traditional Charity Care $ 25,414,347 Total Quantifiable Uncompensated Care $ 25,414,347
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 Processing of 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 Processing of 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 sole member of the corporation is SSM Health Care St Louis. SSM Health Care St Louis is a nonprofit 501(c)(3) organization that operates seven hospitals. Both SSM-SLUH, Inc. and SSM Health Care St Louis are part of the integrated health care system known as SSM Health.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	The member has the power to appoint additional, successor or replacement members subject to the written consent of Saint Louis University (SLU) and to appoint and remove the appointed directors , other than the SLU designated directors.
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, except to the extent limited elsewhere in the bylaws; (b) to appoint additional, successor or replacement members of the Corporation, provided, that any member requiring 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 Designated Directors who will be subject to designation for appointment and removal by SLU and as to whom SSMSL shall follow and implement the written instructions of SLU regarding the appointment and removal of the SLU Designated Directors; provided, however, that SSMHCC may remove SLU Designated Directors who violate 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; (d) to appoint and remove the President of the Corporation and the chief executive officer of 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, but subject to SLU's prior written consent; (f) to approve amendments to these Bylaws, but subject to SLU's prior written consent except that SLU's prior written consent is not required for 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 (pursuant to the Members' Agreement) not less than thirty (30) 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 (pursuant to the Members' Agreement) 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 any deviation from the requirements set forth in the SSMSL Bylaws shall require the prior written consent 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 as a member of, the Corporation or any other defined Subsidiary (as defined in the SSMSL Bylaws) whose assets include the assets comprising SLUH; (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 of SLUH, except that the written consent of SLU shall not be required for the granting of utility easements or access easements which do not materially adversely affect the use of such real property; (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, the SSMSL Bylaws and these Bylaws; (m) to approve the strategic, financial and human resources plan of the Corporation, subject to SLU's rights set forth in the Bylaws; (n) to appoint the auditor and corporate counsel for the Corporation; (o) subject to SLU's rights in the bylaws, 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, the SSMSL Bylaws and these 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 in the bylaws, 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 Member); 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.
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 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 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 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 19 Required documents available to the public	THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	ALL OTHER REVENUE - Total Revenue: 8909, Related or Exempt Function Revenue: , Unrelated Business Revenue: 8909, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Medical and other professional fees - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 47488898, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Change in beneficial interest in foundation - -2170273; Fund balance transfers - 9429007;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SSM Health SLU Hospital Anesthesia Physician Billing LLC
10101 Woodfield Lane	St Louis	MO	63132	364814355	Physician Billing	MO	$40,283,968	$0	SSM-SLUH Inc
SLUH Anesthesia Physicians LLC
10101 Woodfield Lane	St Louis	MO	63132	452653015	Physician Services	MO	$0	$0	SSM-SLUH Inc
SLH Physicians LLC
10101 Woodfield Lane	St Louis	MO	63132	201957741	Physician Services	MO	$44,866,210	$0	SSM-SLUH Inc

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (50 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SSM Health Care Corporation
10101 Woodfield Lane	St Louis	MO	63132	466029223	Health Care	MO	501(c)(3)	Type I	SSM Health Ministries	false
SSMHC Liability Trust I
10101 Woodfield Lane	St Louis	MO	63132	436331003	Insurance	MO	501(c)(3)	Type I	SSM Health Care Corporation	false
SSM Consolidated Health Services
10101 Woodfield Lane	St Louis	MO	63132	431473657	Health Care	MO	501(c)(3)	10	SSM Health Care Corporation	false
SSM Policy Institute
10101 Woodfield Lane	St Louis	MO	63132	431788151	Health Care	MO	501(c)(4)		SSM Health Care Corporation	false
SSM Health Care Portfolio Management Co
10101 Woodfield Lane	St Louis	MO	63132	431825256	Management	MO	501(c)(3)	Type I	SSM Health Care Corporation	false
SSM Cardinal Glennon Children's Hospital
10101 Woodfield Lane	St Louis	MO	63132	430738490	Health Care	MO	501(c)(3)	3	SSM Health Care St Louis	false
Cardinal Glennon Children's Foundation
10101 Woodfield Lane	St Louis	MO	63132	431754347	Fundraising	MO	501(c)(3)	7	SSM Cardinal Glennon Children's Hospital	false
SSM Health Foundation - St Louis
10101 Woodfield Lane	St Louis	MO	63132	431552945	Fundraising	MO	501(c)(3)	7	SSM Health Care St Louis	false
SSM Health Care of Oklahoma Inc
10101 Woodfield Lane	St Louis	MO	63132	730657693	Health Care	OK	501(c)(3)	3	SSM Health Care Corporation	false
The St Anthony Hospital Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	736104300	Fundraising	OK	501(c)(3)	7	SSM Health Care of Oklahoma	false
SSM Health Care of Wisconsin Inc
10101 Woodfield Lane	St Louis	MO	63132	430688874	Health Care	WI	501(c)(3)	3	SSM Health Care Corporation	false
Dells Medical Building Inc
10101 Woodfield Lane	St Louis	MO	63132	391613292	MOB	WI	501(c)(2)		SSM Health Care of Wisconsin	false
St Mary's Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	431940686	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
St Clare Health Care Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	431940683	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
Home Health United Inc
2802 Walton Commons Lane	Madison	WI	53718	391539827	Health Care	WI	501(c)(3)	10	SSM Health Care of Wisconsin	false
Home Care United Inc
2802 Walton Commons Lane	Madison	WI	53718	391776340	Health Care	WI	501(c)(3)	10	SSM Health Care of Wisconsin	false
HHU Xtra Care Inc
2802 Walton Commons Lane	Madison	WI	53718	391705111	Health Care	WI	501(c)(3)	10	SSM Health Care of Wisconsin	false
SSM Health at Home Foundation of Wisconsin Inc
2802 Walton Commons Lane	Madison	WI	53718	391839309	Fundraising	WI	501(c)(3)	Type I	Home Health United Inc	false
SSM Regional Health Services
10101 Woodfield Lane	St Louis	MO	63132	440579850	Health Care	MO	501(c)(3)	3	SSM Health Care Corporation	false
St Mary's Health Center Jefferson City Missouri Foundation
10101 Woodfield Lane	St Louis	MO	63132	431575307	Fundraising	MO	501(c)(3)	Type I	SSM Regional Health Services	false
Good Samaritan Regional Health Center
10101 Woodfield Lane	St Louis	MO	63132	430653587	Health Care	IL	501(c)(3)	3	SSM Regional Health Services	false
St Mary's Hospital Centralia Illinois
10101 Woodfield Lane	St Louis	MO	63132	370662580	Health Care	IL	501(c)(3)	3	SSM Regional Health Services	false
St Mary's - Good Samaritan Inc
10101 Woodfield Lane	St Louis	MO	63132	364170833	Health Care	IL	501(c)(3)	Type I	SSM Regional Health Services	false
Good Samaritan Regional Health Center Foundation
10101 Woodfield Lane	St Louis	MO	63132	262884795	Fundraising	IL	501(c)(3)	7	St Mary's-Good Samaritan Inc	false
St Mary's Hospital Foundation
10101 Woodfield Lane	St Louis	MO	63132	364636691	Fundraising	IL	501(c)(3)	7	St Mary's-Good Samaritan Inc	false
St Mary's Hospital Auxiliary
400 N Pleasant	Centralia	IL	62801	237126345	Fundraising	IL	501(c)(3)	10	St Mary's Hospital Foundation	false
SSM Health Businesses
10101 Woodfield Lane	St Louis	MO	63132	431333488	Health Care	MO	501(c)(3)	10	SSM Health Care Corporation	false
SSM Health Care St Louis
10101 Woodfield Lane	St Louis	MO	63132	431343281	Health Care	MO	501(c)(3)	3	SSM Health Care Corporation	false
Centralia Medical Services Bldg Assoc
10101 Woodfield Lane	St Louis	MO	63132	237408025	MOB	IL	501(c)(3)	Type I	SSM Regional Health Services	false
St Mary's Janesville Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	273439133	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
SSM Health Ministries
3221 McKelvey Road Suite 107	Bridgeton	MO	63044	431012492	Religious Organization	MO	501(c)(3)	1	NA	false
Lee Dewey Corporation
10101 Woodfield Lane	St Louis	MO	63132	731279603	MOB	OK	501(c)(3)	Type I	SSM Health Care of Oklahoma	false
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 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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 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 Holdings LLC
1808 West Beltline Highway	Madison	WI	53713	800968174	Pharmacy benefits	WI	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 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	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	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		NA	C Corporation	false	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
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
St Mary's Hospital Campus Condominium Owners Association Inc
707 South Mills Street	Madison	WI	53715		Condo association	WI	NA	C Corporation	false

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