STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SSM HEALTH CARE ST LOUIS: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SSM HEALTH CARE ST LOUIS (EIN 43-1343281)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-05
IRS object ID
202103099349303045
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-05T16:33:42-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Crowe LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19600 Brownsboro Road Suite 400AddressLine1Txt
CityLouisvilleCityNm
State AbbreviationKYStateAbbreviationCd
ZIP402411122ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431343281EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SSM Health Care St LouisBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSSMHBusinessNameControlTxt
Phone3149947800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110101 Woodfield LaneAddressLine1Txt
CitySt LouisCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63132ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRandy CombsPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2021-11-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRandyPersonFirstNm
Person LastCombsPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim ScifresPreparerPersonNm
PTINP01316095PTIN
Phone5023263996PhoneNum
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1See Schedule OBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Jeremy FotheringhamBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110101 Woodfield LaneAddressLine1Txt
CitySt LouisCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63132ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,691,922,014GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.ssmhealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionOPERATES SEVEN HOSPITALS AND HEALTH CARE CENTERS UNDER SIX SEPARATE HOSPITAL LICENSES IN THE GREATER ST. LOUIS METROPOLITAN AREA.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee10947TotalEmployeeCnt
Total Volunteers852TotalVolunteersCnt
Total Gross UBI$7,327,449TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$180,986NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,829,682PYContributionsGrantsAmt
CY Contributions Grants$131,036,047CYContributionsGrantsAmt
PY Program Service Revenue$1,619,640,552PYProgramServiceRevenueAmt
CY Program Service Revenue$1,534,730,684CYProgramServiceRevenueAmt
PY Investment Income$2,853,625PYInvestmentIncomeAmt
CY Investment Income$10,149,744CYInvestmentIncomeAmt
PY Other Revenue$10,251,992PYOtherRevenueAmt
CY Other Revenue$9,397,954CYOtherRevenueAmt
PY Total Revenue$1,634,575,851PYTotalRevenueAmt
CY Total Revenue$1,685,314,429CYTotalRevenueAmt
PY Grants And Similar Paid$413,759PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$436,809CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$612,989,708PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$636,638,237CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$896,736,537PYOtherExpensesAmt
CY Other Expenses$931,333,623CYOtherExpensesAmt
PY Total Expenses$1,510,140,004PYTotalExpensesAmt
CY Total Expenses$1,568,408,669CYTotalExpensesAmt
PY Revenues Less Expenses$124,435,847PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$116,905,760CYRevenuesLessExpensesAmt
Total Assets BOY$1,651,343,422TotalAssetsBOYAmt
Total Assets EOY$1,991,731,658TotalAssetsEOYAmt
Total Liabilities BOY$1,161,540,281TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,464,452,162TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$489,803,141NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$527,279,496NetAssetsOrFundBalancesEOYAmt
MissionTHROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,386,999,708ExpenseAmt
Grant$436,809GrantAmt
Revenue$1,534,730,684RevenueAmt
DescPLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.Desc
Total Program Service Expenses$1,386,999,708TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee10947EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Susan TaylorBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3149893650PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11195 Corporate Lake DriveAddressLine1Txt
CitySt LouisCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63132ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Candace Jennings
Chair, President, Regional President-St Louis25.022.0Yes (X)Yes (X)$1,170,577$0$342,361
Dennis Harms
Director1.02.0Yes (X)$0$0$0
Douglass Petty
Director1.02.0Yes (X)$0$0$0
Jan Cerny
Director1.02.0Yes (X)$0$0$0
Robert Wilmott MD
Director1.02.0Yes (X)$0$0$0
Snehal Gandhi MD
Director1.02.0Yes (X)$0$0$0
Steve Smoot
Director, COO of SSM Health1.052.0Yes (X)$0$1,441,136$657,492
William Kauffman
Director1.02.0Yes (X)$0$0$0
Douglas Long
Secretary, General Counsel at SSM Health1.068.2Yes (X)$0$1,201,821$399,352
Eileen Lamm
Regional VP, Finance (MO/ILL)25.015.0Yes (X)$0$341,701$99,838
Karen Rewerts
VP-Financial Operations1.051.0Yes (X)$0$790,849$178,749
Kris Zimmer
Pt Yr Treasurer, Pt Yr Chief Financial Officer at SSM Health1.067.0Yes (X)$0$1,717,045$73,075
Omolola Vinson
Pt Yr Assistant Secretary25.015.0Yes (X)$95,561$0$4,023
Rachel Hall
Assistant Secretary25.019.0Yes (X)$0$93,828$27,636
Randy Combs
Treasurer, Chief Financial Officer at SSM Health1.064.0Yes (X)$0$403,263$84,602
Don Tran MD
President, Physicians Org/Ambulatory Services40.00$582,481$0$175,064Yes (X)
Ellis Hawkins
Hospital President, SSM Health DePaul Hospital - St. Louis40.01.0$598,167$0$148,515Yes (X)
Hsieng Su MD
Regional VP - Medical Affairs/CMO40.00$569,711$0$143,125Yes (X)
Julie Wilhite
Regional VP - Human Resources40.00$0$385,040$79,930Yes (X)
Kathleen Bonser
Regional VP - Nursing/CNO St Louis40.00$568,590$0$92,430Yes (X)
Lisle Wescott
Hospital President, SSM Health St. Joseph Hospitals40.01.0$568,734$0$142,360Yes (X)
Michael Bowers
COO SSM Health Care St. Louis40.01.0$692,266$0$187,161Yes (X)
Rachel Donlan
System VP - Strategic Development40.00$0$259,999$89,799Yes (X)
Renee Roach
Pt Yr System VP - HR St Louis40.00.0$0$182,660$10,660Yes (X)
Tina Garrison
Hospital President, SSM Health St. Clare Hospital - Fenton40.01.0$406,455$0$115,316Yes (X)
Travis Capers
Hospital President, SSM Health St. Mary's Hospital - St. Louis40.01.0$640,480$0$156,476Yes (X)
Andrew Karanas
Physician40.00$612,322$0$39,032Yes (X)
David Uhls
Physician40.00$503,153$0$20,595Yes (X)
Joseph Attewell
Physician40.00$603,594$0$39,059Yes (X)
Thomas Landon
Physician40.00$553,807$0$27,952Yes (X)
William Holcomb
Physician40.00$528,151$0$25,002Yes (X)
Alexander Garza
Former Key Employee0.040.0$0$769,100$257,300Yes (X)
Christopher Howard
Former Officer0.00.0$0$212,519$0Yes (X)
Laura Kaiser
Former Officer0.046.0$0$3,454,725$1,724,577Yes (X)
Margaret Fowler
Former Key Employee0.040.0$0$713,422$31,939Yes (X)
Paula Friedman
Former Officer0.00.0$0$507,002$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,694,049TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$12,474,110TotReportableCompRltdOrgAmt
Total Other Compensation$5,373,420TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K705IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
ST LOUIS UNIVERSITY
1402 S GRAND BLVDST LOUISMO63104MEDICAL SERVICES$18,737,094
SSM SELECT REHAB OF ST LOUIS LLC
4714 GETTYSBURG ROADMECHANICSBURGPA17055MEDICAL SERVICES$11,540,313
INTERFACE CONSTRUCTION GROUP
8401 WABASHBERKELEYMO63134CONSTRUCTION SERVICES$10,466,660
AMN HEALTHCARE INC
12400 HIGH BLUFF DRIVESAN DIEGOCA92130STAFFING SERVICES$10,336,385
METRO WEST ANESTHESIA GROUP INC
400 SOUTH WOODS MILL RDCHESTERFIELDMO63017MEDICAL SERVICES$9,352,523SUITE 140
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K93CntrctRcvdGreaterThan100KCnt
Related Organizations$1,440,238RelatedOrganizationsAmt
Government Grants$129,316,731GovernmentGrantsAmt
All Other Contributions$279,078AllOtherContributionsAmt
Noncash Contributions$78,386NoncashContributionsAmt
Total Contributions$131,036,047TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business622110BusinessCd
Total Revenue Column$1,534,730,684TotalRevenueColumnAmt
Related Or Exempt Func Income$1,534,730,684RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,534,730,684TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,489,928TotalRevenueColumnAmt
Exclusion$3,489,928ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,885,112RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,002,798RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$882,314RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$882,314TotalRevenueColumnAmt
Exclusion$882,314ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,264,603SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$3,604,787OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,264,603SecuritiesAmt
Other-$3,604,787OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,659,816TotalRevenueColumnAmt
Exclusion$6,659,816ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
LABORATORY SERVICES621500$4,505,994$4,505,994
LTACH/SELECT REHAB622310$2,269,803$2,269,803
PHARMACY SERVICES446110$530,458$530,458

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,209,385TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$21,194UnrelatedBusinessRevenueAmt
Exclusion$1,188,191ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,515,640OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,685,314,429TotalRevenueColumnAmt
Related Or Exempt Func Income$1,534,730,684RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$7,327,449UnrelatedBusinessRevenueAmt
Exclusion$12,220,249ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$373,304TotalAmt
Program Services$373,304ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$63,505TotalAmt
Program Services$63,505ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,399,853TotalAmt
Program Services$6,947,570ProgramServicesAmt
Management And General$452,283ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$463,137,063TotalAmt
Program Services$434,828,094ProgramServicesAmt
Management And General$28,308,969ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$47,349,285TotalAmt
Program Services$44,455,270ProgramServicesAmt
Management And General$2,894,015ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$83,858,645TotalAmt
Program Services$78,733,157ProgramServicesAmt
Management And General$5,125,488ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$34,893,391TotalAmt
Program Services$32,760,687ProgramServicesAmt
Management And General$2,132,704ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$13,176,374TotalAmt
Program Services$13,169,421ProgramServicesAmt
Management And General$6,953ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$463,044TotalAmt
Management And General$463,044ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total-$6,176TotalAmt
Management And General-$6,176ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$206,220,665TotalAmt
Program Services$149,873,739ProgramServicesAmt
Management And General$56,346,926ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$98,683TotalAmt
Management And General$98,683ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$58,214,978TotalAmt
Program Services$53,360,177ProgramServicesAmt
Management And General$4,854,801ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$82,924,359TotalAmt
Program Services$79,633,385ProgramServicesAmt
Management And General$3,290,974ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$29,745,525TotalAmt
Program Services$26,521,436ProgramServicesAmt
Management And General$3,224,089ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,254,317TotalAmt
Program Services$927,843ProgramServicesAmt
Management And General$326,474ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$267,619TotalAmt
Program Services$232,330ProgramServicesAmt
Management And General$35,289ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,486,899TotalAmt
Program Services$11,486,899ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$62,881,172TotalAmt
Program Services$62,881,172ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,505,037TotalAmt
Program Services$9,505,037ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical supplies$293,064,616$293,064,616
Medicaid Provider Tax$80,854,508$80,854,508
Internal management fees$71,195,256$71,195,256
Claims pool losses$5,790,969$5,790,969

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,195,778TotalAmt
Program Services$1,536,589ProgramServicesAmt
Management And General$2,659,189ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,568,408,669TotalAmt
Program Services$1,386,999,708ProgramServicesAmt
Management And General$181,408,961ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$960,247BOYAmt
EOY$1,053,873EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$528,629,225BOYAmt
EOY$13,219,069EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$224,579,877BOYAmt
EOY$204,441,221EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$33,381,428BOYAmt
EOY$36,278,697EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,077,926BOYAmt
EOY$12,955,709EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,463,838,141LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$833,030,801LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$652,465,401BOYAmt
EOY$630,807,340EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$73,415,877BOYAmt
EOY$355,083,461EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$20,241,091BOYAmt
EOY$47,762,197EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$16,567,748BOYAmt
EOY$16,567,748EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$92,024,602BOYAmt
EOY$673,562,343EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,651,343,422BOYAmt
EOY$1,991,731,658EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$171,234,233BOYAmt
EOY$171,276,183EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$670,742BOYAmt
EOY$38,986,578EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$989,635,306BOYAmt
EOY$1,254,189,401EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,161,540,281BOYAmt
EOY$1,464,452,162EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$476,472,237BOYAmt
EOY$512,807,414EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,330,904BOYAmt
EOY$14,472,082EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$489,803,141BOYAmt
EOY$527,279,496EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,651,343,422BOYAmt
EOY$1,991,731,658EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$116,905,760ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$29,493,187NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$108,922,592OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$258,734OtherActivitiesAmt
Total Lobbying Expenditures$258,734TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationThe organization paid dues to various national and local hospital associations and a portion of these dues was allocated to lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,003,511BeginningYearBalanceAmt
Investment Earnings Or Losses$672,804InvestmentEarningsOrLossesAmt
Other Expenditures$1,500,000OtherExpendituresAmt
End Year Balance$4,176,315EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,332,047BeginningYearBalanceAmt
Contributions$1,502,500ContributionsAmt
Investment Earnings Or Losses$502,477InvestmentEarningsOrLossesAmt
Other Expenditures$333,513OtherExpendituresAmt
End Year Balance$5,003,511EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,635,052BeginningYearBalanceAmt
Investment Earnings Or Losses-$283,932InvestmentEarningsOrLossesAmt
Other Expenditures$19,073OtherExpendituresAmt
End Year Balance$3,332,047EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,349,246BeginningYearBalanceAmt
Contributions$2,500ContributionsAmt
Investment Earnings Or Losses$335,306InvestmentEarningsOrLossesAmt
Other Expenditures$52,000OtherExpendituresAmt
End Year Balance$3,635,052EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,223,619BeginningYearBalanceAmt
Investment Earnings Or Losses$156,025InvestmentEarningsOrLossesAmt
Other Expenditures$30,398OtherExpendituresAmt
End Year Balance$3,349,246EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,377,222OtherCostOrOtherBasisAmt
Book Value$58,377,222BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$918,208,816OtherCostOrOtherBasisAmt
Depreciation$486,430,686DepreciationAmt
Book Value$431,778,130BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,257,808OtherCostOrOtherBasisAmt
Depreciation$24,155,090DepreciationAmt
Book Value$11,102,718BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$435,364,434OtherCostOrOtherBasisAmt
Depreciation$322,445,025DepreciationAmt
Book Value$112,919,409BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,629,861OtherCostOrOtherBasisAmt
Book Value$16,629,861BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$630,807,340TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CENTRAL INVESTMENT PROGRAM$355,083,461F
JOINT VENTURES
FieldValueIRS element (for citing)
Total Book Value Securities$355,083,461TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$640,593,584
OTHER ASSETS$7,962,062
OPERATING RIGHT-OF-USE ASSETS$25,006,697
FieldValueIRS element (for citing)
Total Book Value Other Assets$673,562,343TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
PAYABLE TO THIRD-PARTY PAYORS$203,898,606
DUE TO AFFILIATES$202,893,746
OTHER LIABILITIES$214,954
ASSET RETIREMENT LIABILITY$2,651,144
ALLOCATED TAX-EXEMPT DEBT (ISSUED BY SSM HEALTH CARE)$804,123,560
CAPITAL LEASE OBLIGATION$158,345
Rabbi Trust Liability$3,999,765
Third-party patient loans$4,125,010
RETIREMENT OBLIGATIONS$3,753,060
OPERATING LEASE OBLIGATIONS$28,371,211
FieldValueIRS element (for citing)
Total Liability$1,254,189,401TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsALL ENDOWMENT FUNDS WILL BE USED TO SUPPORT HEALTH CARE SERVICES.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteSSM HEALTH CARE ST LOUIS' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2020 OR 2019.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,651,480TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$35,651,480NetCommunityBenefitExpnsAmt
Total Expense0.0227TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$256,426,027TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$228,872,922DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,553,105NetCommunityBenefitExpnsAmt
Total Expense0.0176TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,056,327TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,899,863DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,156,464NetCommunityBenefitExpnsAmt
Total Expense0.0014TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$310,133,834TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$244,772,785DirectOffsettingRevenueAmt
Net Community Benefit Expns$65,361,049NetCommunityBenefitExpnsAmt
Total Expense0.0417TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,295,226TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,295,226NetCommunityBenefitExpnsAmt
Total Expense0.0040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,001,872TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,067,848DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,934,024NetCommunityBenefitExpnsAmt
Total Expense0.0082TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,315TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,315NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$91,821TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$91,821NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$32,395,234TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,067,848DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,327,386NetCommunityBenefitExpnsAmt
Total Expense0.0123TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$342,529,068TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$257,840,633DirectOffsettingRevenueAmt
Net Community Benefit Expns$84,688,435NetCommunityBenefitExpnsAmt
Total Expense0.0540TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,651TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,651NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$189,443TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$189,443NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,524TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,524DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$236,618TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,524DirectOffsettingRevenueAmt
Net Community Benefit Expns$199,094NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$120,290,422BadDebtExpenseAmt
Reimbursed By Medicare$303,948,196ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$302,012,962CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,935,234MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
SSM ST JOSEPH ENDOSCOPY CENTER LLC
OPERATE AN ENDOSCOPY CENTER0.50.00.5
ST LOUIS CYBERKNIFE LLC
OPERATE A CANCER TREATMENT CENTER0.440.00.56
FieldValueIRS element (for citing)
Hospital Facilities6HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (6 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdTeaching HospitalTeachingHospitalInd
SSM Health DePaul Hospital - St Louis
112303 DePaul DriveSt LouisMO63044https://www.ssmhealth.com/locations/depaul-hospital-st-louis414-25Yes (X)Yes (X)Yes (X)A
SSM Health St Mary's Hospital - St Louis
26420 Clayton RoadSt LouisMO63117https://www.ssmhealth.com/locations/st-marys-hospital-st-louis383-28Yes (X)Yes (X)Yes (X)AYes (X)
SSM Health St Joseph Hospital - St Charles
3300 First Capitol DriveSt CharlesMO63301https://www.ssmhealth.com/locations/st-joseph-hospital-st-charles494-15Yes (X)Yes (X)Yes (X)A
SSM Health St Clare Hospital - Fenton
41015 Bowles AvenueFentonMO63026https://www.ssmhealth.com/locations/st-clare-hospital-fenton456-21Yes (X)Yes (X)Yes (X)A
SSM Health St Joseph Hospital - Lake Saint Louis
5100 Medical DriveLake St LouisMO63367https://www.ssmhealth.com/locations/st-joseph-hospital-lake-saint-louis381-28Yes (X)Yes (X)Yes (X)A
SSM Health Rehabilitation Hospital
612380 DePaul DriveBridgetonMO63044HTTPS://WWW.SSM-REHAB.COM/522-4Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndFacilityFacilityNumOther Actions TakenOtherActionsTakenIndLook Back MedicareLookBackMedicareInd
A
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (true)Yes (true)falseYes (true)Yes (X)https://www.ssmhealth.com/resources/about/community-healthYes (X)Yes (true)19Yes (true)https://www.ssmhealth.com/resources/about/community-healthfalseYes (true)Yes (X)200.0400.0Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistanceYes (X)https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistanceYes (X)https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistanceYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
SSM Health Rehabilitation Hospital
falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (true)Yes (true)falseYes (true)Yes (X)https://www.ssmhealth.com/resources/about/community-healthYes (X)Yes (true)19Yes (true)https://www.ssmhealth.com/resources/about/community-healthfalseYes (true)Yes (X)200.0400.0Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.ssm-rehab.com/patients-and-caregivers/admissions/financial-assistance/Yes (X)https://www.ssm-rehab.com/patients-and-caregivers/admissions/financial-assistance/Yes (X)https://www.ssm-rehab.com/patients-and-caregivers/admissions/financial-assistance/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (true)falsefalse6Yes (X)Yes (X)

Supplemental Information SupplementalInformationGrp (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3ETHE 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, 1Facility A, 1 - Facility Group A. 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 AND ST. CHARLES COUNTY DEPARTMENTS OF HEALTH, ST. LOUIS CITY, ST. LOUIS COUNTY, AND ST. CHARLES 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, 1Facility A, 1 - SSM Health DePaul Hospital - St. Louis. THE HOSPITAL CONDUCTED AND COMPLETED ITS 2018 CHNA JOINTLY WITH SSM HEALTH REHABILITATION NETWORK. THE HOSPITAL ALSO COLLABORATED WITH BJC HEALTHCARE'S CHRISTIAN HOSPITAL.
Schedule H, Part V, Section B, Line 6a Facility A, 2Facility A, 2 - SSM Health St. Mary's Hospital - St. Louis. THE HOSPITAL CONDUCTED AND COMPLETED ITS 2018 CHNA JOINTLY WITH SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL. 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 6a Facility A, 3Facility A, 3 - SSM Health St. Joseph Hospital - St. Charles and SSM Health St. Joseph Hospital - Lake Saint Louis. BOTH HOSPITALS CONDUCTED AND COMPLETED A JOINT 2018 CHNA. THE HOSPITALS ALSO COLLABORATED WITH MEMBER HOSPITALS OF BJC HEALTHCARE.
Schedule H, Part V, Section B, Line 6a Facility A, 4Facility A, 4 - SSM Health St. Clare Hospital - Fenton. SSM HEALTH ST. CLARE HOSPITAL - FENTON DID NOT COLLABORATE WITH OTHER HOSPITAL FACILITIES TO COMPLETE THEIR 2018 CHNA.
Schedule H, Part V, Section B, Line 11 Facility A, 1Facility A, 1 - SSM Health DePaul Hospital - St. Louis. 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: - Substance abuse/mental health - Access to care - Chronic disease-Hepatitis C Substance abuse/mental health Substance abuse is a major public health issue in the community, having 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 liver diseases. 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. Additional facts and figures that relate to substance abuse and mental health show: - ER visits related to substance abuse per 10,000 persons over 18 years is 17.9 in St. Louis County - 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 methadone increased from 0.3 in 1999 to 1.8 in 2006, then declined to 1.0 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 involved in the following initiatives to improve substance abuse and mental health in the community served: - Provide education to physicians for opioid tapering, monitor to ensure a decrease in the opioid/opiate prescribing rates within SSM Health DePaul Hospital - Advocate for a state-wide Prescription Drug Monitoring Program in Missouri - Increase the number of North St. Louis County residents able to access appropriate, quality substance use treatment - 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 - Expand SSM Health DePaul Hospital's LAI (long-acting injection) clinic to treat 300 patients per month with readmissions for these under 10% - Partner with local civic and social organizations to educate the community on LAI options for treatment - In partnership with Behavioral Health Network and other non-profit organizations, address the social determinants of health and develop a behavioral health walk-in clinic Access to Care Access to primary care providers is a key priority for the hospital. Improvements will increase the likelihood that community members will have routine check-ups and screenings. Moreover, those with access to primary care are more likely to know where to go for treatment in acute situations. Communities that lack sufficient access to primary care, regardless of insurance, typically have members who delay necessary care until they are more ill than those that have greater access. Statistical data on access to care shows the following: - Per 100,000 persons, there are 123 providers in St. Louis County - St. Louis County ranks number 11 in the morbidity ranking. This indicator shows the ranking of the county in overall quality of life according to the County Health Rankings. The ranking is based on a summary composite score calculated from the following measures: poor or fair health, poor physical health days, poor mental health days, and low birthweight - 43% of St. Louis County residents have a bachelor's degree or greater 21% of St. Louis County residents have a high school graduation degree - Approximately 10% of St. Louis County residents don't have health insurance - 6.7% of St. Louis County families live below the poverty line - 82.5% of St. Louis County expecting mothers receive prenatal care and the infant mortality rate for St. Louis County is 7.7 out of 1,000 live births The hospital is implementing the following measures to improve access to care: - 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 - Evaluate opportunities to provide mobile health services through partnerships with philanthropic groups, local school districts, local municipalities, and Just Moms STL - Evaluate opportunity to partner with PattonvilleFire Protection District to provide community paramedicine / mobile integrated health program - Increase patients' health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy - Provide health insurance outreach and support to assist individuals whose employers do not offer affordable coverage, who are self-employed, or who are unemployed - Partner with community groups to educate residents regarding the importance of prenatal care and the services available regardless of health insurance at OB Care Center at SSM Health DePaul Hospital - Expand the capacity of the Transitional Care Clinic, with the goal of reducing readmissions of participants by 40% Chronic disease-Hepatitis C Hepatitis C is a major concern in the hospital's service area. Chronic forms can cause lifelong infection, cirrhosis (scarring) of the liver, liver cancer, liver failure, and death. Certain types of hepatitis are extremely contagious; some are spread via blood or sexual contact, while others are spread via fecal-oral contact. Additional data on hepatitis C report that: - Per 10,000 St. Louis adults ages 45-64, 3.6 will be hospitalized for Hepatitis C - St. Louis County and St. Louis City have the highest rates of Hepatitis C in the state - Once diagnosed, highly effective treatment options are now available for Hepatitis C that have fewer side effects than earlier treatments. These new medication options have 95% cure rates and reduce the risk of death from liver cancer and cirrhosis The hospital has the following action plan in place to improve the community measures on Hepatitis C: - Evaluate partnership opportunities within the community to serve as referral and educational resources to residents that could benefit from the SSM Health DePaul Hospital Hepatitis C clinic - Partner with SUD (substance abuse disorder) treatment centers to provide screenings for at-risk patients - Increase clinic capacity by 33% (to 16 patients per month) 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: - Obesity, inactivity and nutrition - Medication management - Economic issues, poverty, unemployment - Violence - Smoking and tobacco use - Cerebrovascular disease
Schedule H, Part V, Section B, Line 11 Facility A, 2Facility A, 2 - SSM Health St. Clare Hospital - Fenton. 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: - Substance abuse - Access to care - Health behavior awareness Substance abuse Substance abuse is a key priority for the hospital. The Centers for Disease Control and Prevention (CDC) ranks drug poisoning as the number one cause of injury-related deaths in the US, with 63,632 deaths in 2016. Rates have more than tripled from 1999-2016 and have increased for all age groups. The rate of drug-poisoning deaths involving synthetic opioids other than methadone, which includes drugs such as fentanyl, fentanyl analogs, and tramadol, doubled from 2015 to 2016. Additional facts and figures on substance abuse show: - Nationally, the rate 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 rate of drug-poisoning deaths involving methadone increased from 0.3 in 1999 to 1.8 in 2006, then declined to 1.0 in 2016 - The rate 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 - The top 3 counties in Missouri for opioid-poisoning deaths are all in the St. Louis metropolitan region (Jefferson, Franklin & St. Louis City) - St. Louis County had 931 opioid deaths from 2013-2017 - In the same time span, St. Louis County had 481 heroin overdoses - In 2017, the peak age group in Missouri for heroin and non-heroin opioid deaths is 25-34 - The average prescription of opioids in St. Louis County was 15.6 days in 2018 The hospital is involved in the following initiatives to improve substance abuse in the community served: - Reduce the number of drug poisonings in St. Louis County through community collaborations - identify and develop partnerships - Achieve medical stabilization goal at hospital by discharging 80% of patients that complete the program with a plan for behavioral health and/or substance abuse treatment - Provide education to physicians for opioid tapering, monitor to ensure a decrease in the opioid/opiate prescribing rates within SSM Health St. Clare hospitals and clinics - Advocate for a state-wide Prescription Drug Monitoring Program in Missouri - Prescription Take Back Day(s) -establish/support programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly - Continue to grow the stabilization services program. This program helps individuals overcome their opiate or alcohol withdrawal symptoms, providing them with the resources to prevent relapse. In addition, the hospital plans to continue partnerships with COMTREA (Community Treatment, Inc.) and our first responders in dealing with substance abuse disorders. Partners in our school are extremely important and we will work alongside school districts as well as other educational entities to educate our youth on emotional well-being, mental illness and substance abuse Access to care Access to care is a top community health need 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. The hospital will continue to invest in primary and specialty healthcare providers in the region. We will also continue working on initiatives and partnerships to help address the convenience, value and quality of care we provide to the communities we serve. Statistical data on access to care shows the following: - Approximately 10% of adults in St. Louis County have no health insurance - There are 123 primary care physicians per 100,000 people in St. Louis County - St. Louis has a 15% food insecurity rate - As of 2017, there were 258 mental health providers per 100,000 people - There are 84 dentists per 100,000 people in St. Louis - Median household incomes are higher in St. Louis County than in Missouri or the United States - 7.4% of households live below the poverty level in St. Louis County - Access to Care exercise opportunities are higher in St. Louis than in Missouri or the United States - Farmers Market density is lower, on average, in St. Louis than in the United States - 6.0% of St. Louis County residents have no car and low access to a grocery store - St. Louis County has a higher rate of single parent households than the US average - 7.2% of St. Louis County households do not have a vehicle The hospital is implementing the following measures to improve access to care for the community: - Improve access to care in St. Louis County by increasing annual utilization of Volunteers in Medicine clinics - Evaluate opportunity to expand/provide mobile health services for patients who live in areas with limited access to care - Establish transportation services for areas with low population densities using publicly funded buses and vans on a set schedule, dial-a-ride transit, volunteer ridesharing, etc. - Increase patients' health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy - Provide health insurance outreach and support to assist individuals whose employers do not offer affordable coverage, who are self-employed, or who are unemployed Health behavior awareness Educating the community on healthy behaviors and lifestyles is a key priority for the hospital. Health awareness is a multi-faceted topic that illustrates the extent to which an individual is aware of what constitutes a healthy lifestyle, community resources available to increase their health knowledge and the avoidance of risky behaviors that can lead to chronic disease development and/or premature death. SSM Health will continue to offer a wide scope of resource to help individuals understand how to maintain a healthy lifestyle, ultimately reducing the risk of chronic disease in our communities. Additional data on health behavior awareness is as follows: - St. Louis County ranks 2ndin Missouri in health behaviors - St. Louis County ranks 112 out of 114 counties in physical environment rankings - 11.7% of adults in St. Louis County have diabetes - 13.3% of adults in St. Louis County regularly consume fruits and vegetables - 28.2% of adults in St. Louis County are obese - In the US, 38% of adults lack sufficient sleep - Deaths due to stroke are higher in St. Louis County than the United States, on average - 8.3% of adults smoked during pregnancy in St. Louis County - Premature deaths are higher than the U.S. average but lower than the Missouri average in the County - As of 2016, 18.4% of adults in St. Louis County smoke - St. Louis County has higher access to recreation and fitness facilities than Missouri or the US, on average The hospital has the following action plan in place to improve the community awareness of healthy behaviors: - Partner with local St. Louis County and Jefferson County schools to increase awareness of healthy lifestyles - Partner with health-related community organizations - Decrease the readmission rate through health education with patients and families 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: - Cancer - Motor vehicle accidents
Schedule H, Part V, Section B, Line 11 Facility A, 3Facility A, 3 - SSM Health St. Mary's Hospital - St. Louis. 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 - High risk pregnancy - Chronic disease-diabetes Access to care Access to primary care providers is a key priority for the hospital. Improvements will increase the likelihood that community members will have routine check-ups and screenings. Moreover, those with access to primary care are more likely to know where to go for treatment in acute situations. Communities that lack sufficient access to primary care, regardless of insurance, typically have members who delay necessary care until they are more ill than those that have greater access. 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 County is ranked at 2, St. Louis City is ranked at 27 (1-2 is healthiest). The ranking is based on a summary composite score calculated from the following measures: uninsured, primary care physicians, mental health providers, dentists, preventable hospital stays, diabetic monitoring, and mammography screening - 43% of St. Louis County residents and 34% of St. Louis City residents have a bachelor's degree or greater. 21% of St. Louis County residents and 23% of St. Louis City residents have a high school graduation degree - Approximately 10% of St. Louis County residents and 15% of St. Louis City resident don't have health insurance - 6.7% of St. Louis County families and 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: - Increase the number of lives cared for in the Internal Medicine Clinic to 1000 by 2021 through partnering with community agencies to promote the services available to the underserved population of the community - 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 - Increase patients' health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy - Provide health insurance outreach and support to assist individuals whose employers do not offer affordable coverage, who are self-employed, or who are unemployed High Risk Pregnancy High risk pregnancy is a key priority for the hospital. Increasing the number of women who receive prenatal care, and who do so early in their pregnancies, can improve birth outcomes and lower health care costs by reducing the likelihood of complications during pregnancy and childbirth. Statistical data on high risk pregnancy shows the following: - 82.5% of St. Louis County mothers received prenatal care compared to 73.2% of St. Louis City mothers. Babies born to mothers who do not receive prenatal care are three times more likely to have a low birth weight and five times more likely to die than those born to mothers who do get care - Infant mortality rate continues to be one of the most widely used indicators of the overall health status of a community. The leading causes of death among infants are birth defects, preterm delivery, low birth weight, Sudden Infant Death Syndrome (SIDS), and maternal complications during pregnancy. St. Louis City has a rate of 11.2 per 1,000 live births compared to St. Louis County at 7.7. The Healthy People 2020 national health target is to reduce the infant mortality rate to 6 deaths per 1,000 live births The hospital is implementing the following measures to improve high risk pregnancy for the community: - Attain a threshold of 50% of patients illicit-drug free, at the time of delivery, for those enrolled in the WISH program. Develop outreach strategies to community organizations working in the substance abuse space for patient referral to WISH services - Continue to actively participate in the Generate Health Build Grant focusing on improving maternal and infant health outcomes by targeting transportation access for pregnant women and new parents in two contiguous zip codes of 63106 and 63107 in the City of St. Louis - Work with FLOURISH St. Louis, a diverse community partnership designed to work in a new way to achieve large-scale, lasting improvements in the health and well-being of St. Louis babies and families - Through Thrive St. Louis, establish seamless referral process for women needing prenatal care Chronic disease-Diabetes Diabetes is the third priority for the hospital and is also a leading cause of death in the United States. This disease can have a harmful effect on most of the organ systems in the human body; it is a frequent cause of end-stage renal disease, non-traumatic lower-extremity amputation, and a leading cause of blindness among working age adults. Persons with diabetes are also at increased risk for ischemic heart disease, neuropathy, and stroke. Additional data on diabetes report that: - 11.6% of adults (20+ years of age) in St. Louis County and 12.6% of adults in St. Louis City have been diagnosed with Diabetes - Diabetes is the leading cause of death in United State disproportionately affecting minority populations and the elderly, and its incidence is likely to increase as minority populations grow and the U.S. population ages - The percentage of obese adults is an indicator of the overall health and lifestyle of a community. 31.1% of St. Louis City residents and 282% of St. Louis County residents are obese based on a BMI greater than or equal to 30 - Age-adjusted death rate due to Diabetes per population of 100,000 persons is 30.3 in St. Louis City and 15.7 in St. Louis County - Annual age-adjusted emergency room visit rate due to diabetes per 10,000 population aged 18 years and older is 35.3 in St. Louis City and 17.9 in St. Louis County. Both Type 1 and Type 2 are included - Grocery store density in is St. Louis County is .34 and .18 in St. Louis City. This indicator shows the number of supermarkets and grocery stores per 1,000 population The hospital has the following action plan in place to improve the community measures on diabetes: - Utilize Diabetic Educators in the most optimal manner while meeting the needs of the inpatient and outpatient services' patients - Determine if there is a way to extend the reach of Diabetic Educators beyond inpatient and outpatient services and into the community, including the Internal Medicine Clinic, Wound Clinic and community events - Increase the number of patients served at the SSM Pharmacy on the hospital's campus by 5% each year moving forward so that patients are receiving the medications they need to effectively manage their diabetes - Engage community agencies and church groups to evaluate partnership opportunities to address diabetes management 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: - Continuity of care - Price/quality transparency - Trauma/stress care - Obesity - Cardiovascular disease - Sexually-transmitted disease - Violence - Pediatric neglect/abuse - Emergency department visits/capacity - Cancer - Dental health
Schedule H, Part V, Section B, Line 11 Facility A, 4Facility A, 4 - SSM Health St. Joseph Hospital - St. Charles and SSM Health St. Joseph Hospital - Lake St. Louis. The hospitals identified various health needs in their jointly-completed 2018 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospitals will place primary focus on the following key priorities: - Substance abuse - Access to care - Chronic disease-obesity Substance abuse 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 liver diseases, as well as 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. Additional facts and figures on substance abuse show: - 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 methadone increased from 0.3 in 1999 to 1.8 in 2006, then declined to 1.0 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 - 2.8% of St. Charles County emergency room visits are related to substance abuse. The hospitals are involved in the following initiatives to improve substance abuse in the community served: - Provide education to physicians for opioid tapering, monitor to ensure a decrease in the opioid/opiate prescribing rates within SSM Health St. Charles hospitals and clinics - Advocate for a state-wide prescription drug monitoring program in Missouri - Increase the number of St. Charles County residents able to access appropriate, quality substance use treatment - Support educational efforts in our community and schools - Prescription Take Back Day(s) - establish/support programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly Access to care Access to primary care providers is a key priority for the hospitals. 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, regardless of insurance, typically have members who delay necessary care until they are more ill than those that have greater access. Statistical data on access to care shows the following: - St. Charles County ranks number 1 in the state in quality of life - St. Charles is the wealthiest county in the state by household income standards - Over 30% of residents have a bachelor's degree or greater - Approximately 7% of St. Charles County residents don't have health insurance - 5.3% of St. Charles residents live below the poverty line - 12% of St. Charles County residents are considered to be in fair or poor health - There are 123 primary care providers per 100,000 residents The hospitals are implementing the following measures to improve access to care in the community: - Improve access to care in St. Charles County by increasing annual utilization of Volunteers in Medicine clinics - Evaluate opportunities to expand/provide mobile health services for patients who live in areas with limited access to care - Establish transportation services for areas with low population densities using publicly funded buses and vans on a set schedule, dial-a-ride transit, volunteer ridesharing, etc. - Increase patients' health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy - Provide health insurance outreach and support to assist individuals whose employers do not offer affordable coverage, who are self-employed, or who are unemployed Chronic disease-Obesity Obesity is the third priority for the hospitals. The percentage of obese adults is an indicator of the overall health and lifestyle of a community. Obesity increases the risk of many diseases and health conditions, including heart disease, type 2 diabetes, cancer, hypertension, stroke, liver and gallbladder disease, respiratory problems, and osteoarthritis. Losing weight and maintaining a healthy weight may help to prevent and control these diseases, as well as reduce economic costs of increased healthcare spending and lost earnings. Additional data on obesity report that: - 26% of adults in St. Charles County are obese - 24% of residents are physically inactive - 12% of residents don't have access to exercise opportunities - In 2017, St. Charles had a diabetes rate of 8.4% The hospitals have the following action plan in place to improve the community measures on obesity: - Use educational, environmental, and behavioral strategies to improve food choices and physical activity opportunities in worksite settings, also called workplace wellness programs - Deliver educational, behavioral, environmental, and other obesity prevention efforts (e.g., education classes, enhanced physical education, healthy food promotion, family outreach, etc.) in schools - Arrange active transportation with a fixed route, designated stops, and pick up times when children can walk to school with adult chaperones - Combine educational, environmental, and behavioral activities that increase physical activity and improve nutrition (e.g., nutrition education, aerobic/strength training, dietary prescriptions, etc.) in various settings - Build, strengthen, and maintain social networks that provide supportive relationships for behavior change through walking groups or other community-based interventions - Establish and support land that is gardened or cultivated by community members via community land trusts, gardening education, zoning regulation changes, or service provision (e.g., water or waste disposal) - Provide prescriptions with healthy eating and exercise plans for patients and families, often accompanied by progress checks at office visits The hospitals have 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 hospitals' limited resources at this time: - Pediatric health - Health literacy - Senior care - Diabetes - Public safety - Cancer - Smoking cessation and respiratory diseases
Schedule H, Part V, Section B, Line 11 Facility A, 5Facility A, 5 - Facility Group A - 2020 Activities. During 2020, the following activities were performed to help address the issues identified in the CHNA: SSM Health DePaul Hospital - St. Louis partnered with iFMCommunity Medicine and Operation Food Search to develop a sustainable referral program for patients and community members who were experiencing food insecurity. SSM Health St. Clare Hospital - Fenton collaborated with COMTREA Comprehensive Health Center to enhance access to care and community resources for primary care and behavioral health patients. SSM Health St. Mary's Hospital - St. Louis partnered with The Salvation Army to ensure patients living in homelessness could receive access to the Pathway of Hope program. This program provides high-quality resource coordination and transition services that meets local standards for homeless service coordination and high-quality health care. SSM Health St. Joseph Hospital - St. Charles and SSM Health St. Joseph Hospital - Lake Saint Louis collaborated with Compass Health to enhance referral processes and coordination of care to ensure high-quality access to health care for vulnerable members of the community who lack insurance coverage.
Schedule H, Part V, Section B, Line 3ETHE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - SSM Health Rehabilitation 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, THE NORTH ST. LOUIS COUNTY COMMUNITY, AND COLLABORATING HOSPITALS. 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.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - SSM Health Rehabilitation Hospital. THE HOSPITAL CONDUCTED AND COMPLETED ITS 2018 CHNA JOINTLY WITH SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS. THE HOSPITAL ALSO COLLABORATED WITH BJC HEALTHCARE'S CHRISTIAN HOSPITAL.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - SSM Health Rehabilitation Hospital. The hospital identified various health needs in the 2018 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Access to care - Chronic disease - Heart and Vascular disease - Chronic disease - Cerebrovascular disease Access to care Access to primary care providers is a key priority for the hospital. Improvements will increase the likelihood that community members will have routine check-ups and screenings. Moreover, those with access to primary care are more likely to know where to go for treatment in acute situations. Communities that lack a sufficient number of primary care providers typically have members who delay necessary care when sick and conditions can become more severe and complicated. Additional facts and figures that relate to access to care show: - Per 100,000 persons, there are 123 providers in St. Louis County - Clinical Care Ranking - the quality and accessibility of clinical care heavily impacts the health of a community. Without a sufficient number of providers or adequate insurance coverage, people often do not seek care services and are thus at higher risk of developing preventable illnesses or chronic conditions. People with access to high-quality care are more likely to receive effective treatment for their conditions and enjoy better health. St. Louis County is ranked at 2 (1-2 is healthiest). The ranking is based on a summary composite score calculated from the following measures: uninsured, primary care physicians, mental health providers, dentists, preventable hospital stays, diabetic monitoring, and mammography screening - 43% of St. Louis County residents have a bachelor's degree or greater 21% of St. Louis County residents have a high school graduation degree - Approximately 10% of St. Louis County residents don't have health insurance - 6.7% of St. Louis County families live below the poverty line - 82.5% of St. Louis County expecting mothers receive prenatal care and the infant mortality rate for St. Louis County is 7.7 out of 1,000 live births The hospital is involved in the following initiatives to improve access to care in the community served: - Partner with SSM Health Care St. Louis ministries and community collaborators to address access to care barriers, provide screenings and health education materials - Monitor durability of outcomes post-discharge through IT HealthTrack and create action plans, if appropriate - Utilize Care Partner Program to increase community discharges from 70.6% in 2018 to 73.6% by 2021 - Partner with Emergency rooms at other SSM Health hospitals to prevent unnecessary admissions to acute care from the hospital - Transition to Medical Model at the hospital to enhance medical management coverage and increase in-house physician presence - Develop Meds to Beds Program to increase access to prescribed medications at time of patients' discharge from inpatient rehabilitation stay Chronic disease - Heart and Vascular disease Heart and vascular disease is a key priority for the hospital. Heart disease is a term that encompasses a variety of different diseases affecting the heart and is the leading cause of death in the United States, accounting for 25.4% of total deaths. The most common type in the US is coronary artery disease, which can cause heart attack, angina, heart failure, and arrhythmias. Coronary artery disease occurs when plaque builds up in the arteries that supply blood to the heart and the arteries narrow (atherosclerosis). There are many modifiable risk factors for atherosclerosis, including tobacco smoking, obesity, and a sedentary lifestyle. Heart disease is the number one killer of women in the United States. Statistical data on heart and vascular disease shows the following: - According to the Centers for Disease Control and Prevention, approximately round 5.7 million people in the United States have heart failure, and about half of people who develop heart failure will die within five years of diagnosis - Age-adjusted ER rate due to heart failure is 3.5 per 10,000 persons in St. Louis County compared to 5.9 in St. Louis City - The percentage of overweight adults is an indicator of the overall health and lifestyle of a community. Being overweight affects quality of life and puts individuals at risk for developing many diseases, especially heart disease, stroke, diabetes, and cancer. 32.6% of St. Louis County adults are overweight - High blood pressure is the number one modifiable risk factor for stroke. In addition to stroke, high blood pressure also contributes to heart attacks, heart failure, kidney failure, and atherosclerosis. The higher your blood pressure, the greater your risk of heart attack, heart failure, stroke, and kidney disease. In the United States, one in three adults has high blood pressure, and nearly one-third of these people are not aware that they have it. 31.9% of St. Louis County adults have high blood pressure. The hospital is implementing the following measures to improve Heart and vascular disease: - Partner with SSM Health Care St. Louis ministries and community collaborators to provide screenings and health education materials - Reduce cardiac-related acute care transfers from 12.5% in 2018 to 10% in 2021 - Monitor durability of outcomes post-discharge through IT HealthTrack and create action plans, if appropriate - Utilize Care Partner Program to increase community discharges from 70.6% in 2018 to 73.6% by 2021 - Partner with Emergency rooms at other SSM Health hospitals to prevent unnecessary admissions to acute care from the hospital - Transition to Medical Model at the hospital to enhance medical management coverage and increase in-house physician presence - Develop Meds to Beds Program to increase access to prescribed medications at time of patients' discharge from inpatient rehabilitation stay Chronic disease - Cerebrovascular disease Cerebrovascular disease is a major concern in the hospital's service area. Cerebrovascular disease refers to conditions, including stroke, caused by problems with the blood vessels supplying the brain with blood. A stroke occurs when blood vessels carrying oxygen to the brain burst or become blocked, thereby cutting off the brain's supply of oxygen and other nutrients. Cerebrovascular disease is a leading cause of death in the United States and can also lead to brain damage and disability. The most important modifiable risk factor for cerebrovascular disease and stroke is high blood pressure. Other risk factors include high cholesterol, heart disease, diabetes mellitus, physical inactivity, obesity, excessive alcohol use, and tobacco use. Additional data on cerebrovascular disease report that: - The age-adjusted death rate due to Cerebrovascular Disease is 38 adults out of 100,000 persons in St. Louis County - 32.6% of St. Louis County adults are overweight - In the United States, one in three adults has high blood pressure, and nearly one-third of these people are not aware that they have it. 31.9% of St. Louis County adults have high blood pressure - Nearly three-quarters of all strokes occur in people over the age of 65. The Centers for Disease Control and Prevention (CDC) states that stroke is the fourth leading cause of death in the United States, is a leading cause of long-term disability, and is the cause of almost 133,000 deaths annually. According to the CDC, strokes cost the United States an estimated $38.6 billion each year. 4.4% of the Medicare population in St. Louis County were treated for a stroke The hospital has the following action plan in place to improve the community measures on cerebrovascular disease: - Partner with SSM Health Care St. Louis ministries and community collaborators to provide screenings and health education materials - Increase stroke community discharges from 67% in 2018 to 70% in 2021 - Utilize the Stroke Program Team to monitor durability of outcomes post-discharge through IT HealthTrack and create action plans, if appropriate - Decrease stroke fall rate per 1000 patient days by 10% - Participate in community events - Improve stroke patients' self-care and mobility activities from admission to discharge change to meet national average - Host stroke support group monthly The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs and address additional community needs within its efforts. The following community needs were identified but have not been prioritized due to the hospital's limited resources at this time: - Mental health/geriatric psychology and substance abuse - Smoking and tobacco use - Obesity - Care coordination - Health literacy
Schedule H, Part V, Section B, Line 20 Facility , 1Facility , 1 - SSM Health Rehabilitation Hospital. The facility did not perform any of the actions listed before making reasonable efforts to determine the individual's eligibility under the facility's financial assistance policy.
FieldValueIRS element (for citing)
Facility102FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (102 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SSM HEALTH BEHAVORIAL HEALTH
1027 BELLEVUE AVE STE LL33SAINT LOUISMO631171851Outpatient clinic
SSM HEALTH BREAST CARE
1031 BELLEVUE AVE STE 100SAINT LOUISMO631171855Outpatient clinic
SSM HEALTH CANCER CARE
6400 CLAYTON RD STE 212SAINT LOUISMO631171850Outpatient clinic
SSM HEALTH CANCER CARE
6400 CLAYTON RD STE 302SAINT LOUISMO631171850Outpatient clinic
SSM HEALTH CANCER CARE
1011 BOWLES AVE SUITE G50FENTONMO630260562Outpatient clinic
SSM HEALTH CANCER CARE
1027 BELLEVUE AVE STE 103SAINT LOUISMO631171851Outpatient clinic
SSM HEALTH HEART & VASCULAR CARE
1027 BELLEVUE AVE STE 200SAINT LOUISMO631171851Outpatient clinic
SSM HEALTH HEART & VASCULAR CARE
1035 BELLEVUE AVE STE 500SAINT LOUISMO631171843Outpatient clinic
SSM HEALTH HEART & VASCULAR CARE
1027 BELLEVUE AVE STE 202SAINT LOUISMO631171851Outpatient clinic
SSM HEALTH IMAGING SERVICES
6400 CLAYTON RD STE 104SAINT LOUISMO631171850Outpatient clinic
SSM HEALTH IMAGING SERVICES
1031 BELLEVUE AVE STE 150SAINT LOUISMO631171869Outpatient clinic
SSM HEALTH MEDICAL GROUP
19 THE BOULEVARD SAINT LOUISRICHMOND HEIGHTSMO631171118Outpatient clinic
SSM HEALTH MEDICAL GROUP
1035 BELLEVUE AVE STE 500SAINT LOUISMO631171843Outpatient clinic
SSM HEALTH MEDICAL GROUP
1035 BELLEVUE AVE STE 400SAINT LOUISMO631171844Outpatient clinic
SSM HEALTH MEDICAL GROUP
1035 BELLEVUE AVE STE 320SAINT LOUISMO631171845Outpatient clinic
SSM HEALTH MEDICAL GROUP
1035 BELLEVUE AVE STE 305SAINT LOUISMO631171845Outpatient clinic
SSM HEALTH MEDICAL GROUP
1031 BELLEVUE AVE STE 100SAINT LOUISMO631171855Outpatient clinic
SSM HEALTH MEDICAL GROUP
8670 BIG BEND BLVD STE ASAINT LOUISMO631193839Outpatient clinic
SSM HEALTH MEDICAL GROUP
9759 MANCHESTER RDSAINT LOUISMO631191346Outpatient clinic
SSM HEALTH MEDICAL GROUP
3878 PERSHALL RDSAINT LOUISMO631351246Outpatient clinic
SSM HEALTH NEUROSCIENCES
1035 BELLEVUE AVE STE 500SAINT LOUISMO631171843Outpatient clinic
SSM HEALTH PAIN CARE
1031 BELLEVUE AVE STE 310SAINT LOUISMO631171857Outpatient clinic
SSM HEALTH SLEEP SERVICES
1027 BELLEVUE AVE STE 101SAINT LOUISMO631171851Outpatient clinic
SSM HEALTH ST MARY'S RADIOLOGY
1031 BELLEVUE AVE STE 280SAINT LOUISMO631171856Outpatient clinic
SSM HEALTH URGENT CARE
8820 MANCHESTER RDBRIDGETONMO631442602Outpatient clinic
SSM HEALTH VASCULAR SERVICES
1027 BELLEVUE AVE STE G14SAINT LOUISMO631171851Outpatient clinic
SSM HEALTH WOMEN'S HEALTH
1027 BELLEVUE AVE STE 205SAINT LOUISMO631171851Outpatient clinic
ST LOUIS CYBERKNIFE
1011 BOWLES AVE STE G50FENTONMO630260562Outpatient clinic
SSM HEALTH IMAGING SERVICES
711 VETERANS MEMORIAL PKWY STE 101SAINT CHARLESMO633032106Outpatient clinic
SSM HEALTH MEDICAL GROUP
711 VETERANS MEMORIAL PKWY STE 300SAINT CHARLESMO633032106Outpatient clinic
SSM HEALTH MEDICAL GROUP
711 VETERANS MEMORIAL PKWY STE 200SAINT CHARLESMO633032106Outpatient clinic
SSM HEALTH SPECIALTY CARE SERVICES
711 VETERANS MEMORIAL PKWY STE 201SAINT CHARLESMO633032106Outpatient clinic
SSM HEALTH MEDICAL GROUP
330 1ST CAPITOL DRSAINT CHARLESMO633012835Outpatient clinic
SSM HEALTH MEDICAL GROUP
400 1ST CAPITOL DRSAINT CHARLESMO633012880Outpatient clinic
SSM HEALTH MEDICAL GROUP
5401 VETERANS MEMORIAL PKWY STE 101SAINT PETERSMO633761681Outpatient clinic
SSM HEALTH MEDICAL GROUP
5401 VETERANS MEMORIAL PKWYSAINT PETERSMO633761680Outpatient clinic
SSM HEALTH MEDICAL GROUP
6994 MEXICO RDSAINT PETERSMO633761512Outpatient clinic
SSM HEALTH MEDICAL GROUP
1601 WENTZVILLE PKWYWENTZVILLEMO633853814Outpatient clinic
SSM HEALTH MEDICAL GROUP
1601 WENTZVILLE PKWY STE 117WENTZVILLEMO633853814Outpatient clinic
SSM HEALTH MEDICAL GROUP
1551 WALL ST STE 330SAINT CHARLESMO633033544Outpatient clinic
SSM HEALTH MEDICAL GROUP
1475 KISKER RD STE 100SAINT CHARLESMO633048787Outpatient clinic
SSM HEALTH MEDICAL GROUP
101 2ND STSAINT CHARLESMO633012807Outpatient clinic
SSM HEALTH MEDICAL GROUP
1475 KISKER ROADSAINT CHARLESMO633048781Outpatient clinic
SSM HEALTH MEDICAL GROUP
500 MEDICAL DRWENTZVILLEMO633853421Outpatient clinic
SSM HEALTH MEDICAL GROUP
1551 WALL STSAINT CHARLESMO633033539Outpatient clinic
SSM HEALTH URGENT CARE
711 VETERANS MEMORIAL PKWY STE 100SAINT CHARLESMO633032106Outpatient clinic
SSM HEALTH HEART & VASCULAR CARE
2 HARBOR BEND CT STE 100LAKE SAINT LOUISMO633671478Outpatient clinic
SSM HEALTH HEART & VASCULAR CARE
300 MEDICAL PLZ STE 160LAKE SAINT LOUISMO633671481Outpatient clinic
SSM HEALTH HEART & VASCULAR CARE
172 A PROFESSIONAL PKWYTROYMO633792823Outpatient clinic
SSM HEALTH IMAGING SERVICES
400 MEDICAL PLZ STE 50LAKE SAINT LOUISMO633671491Outpatient clinic
SSM HEALTH IMAGING SERVICES
164 PROFESSIONAL PKWYTROYMO633792823Outpatient clinic
SSM HEALTH MEDICAL GROUP
300 MEDICAL PLZ STE 150LAKE SAINT LOUISMO633671483Outpatient clinic
SSM HEALTH MEDICAL GROUP
1603 WENTZVILLE PKWYWENTZVILLEMO633853826Outpatient clinic
SSM HEALTH MEDICAL GROUP
722 N STATE HIGHWAY 47 STE BWARRENTONMO633831108Outpatient clinic
SSM HEALTH MEDICAL GROUP
1101 HIGHWAY KO FALLONMO633668431Outpatient clinic
SSM HEALTH MEDICAL GROUP
400 MEDICAL PLZ STE 200LAKE SAINT LOUISMO633671417Outpatient clinic
SSM HEALTH MEDICAL GROUP
300 MEDICAL PLZ STE 310LAKE SAINT LOUISMO633671484Outpatient clinic
SSM HEALTH MEDICAL GROUP
172 PROFESSIONAL PKWYTROYMO633792823Outpatient clinic
SSM HEALTH SLEEP SERVICES
400 MEDICAL PLZ STE 215LAKE SAINT LOUISMO633671493Outpatient clinic
SSM HEALTH ST JOSEPH HOSPITAL-LAKE
100 MEDICAL PLZLAKE SAINT LOUISMO633671366Outpatient clinic
SSM HEALTH WOMEN'S HEALTH
300 MEDICAL PLZ STE 221LAKE SAINT LOUISMO633671483Outpatient clinic
SSM HEALTH BEHAVIORAL HEALTH
1747 SMIZER STATION RD SUITE 2FENTONMO630262784Outpatient clinic
SSM HEALTH BREAST CARE
1011 BOWLES AVE GROUND LEVELFENTONMO630262395Outpatient clinic
SSM HEALTH HEART & VASCULAR CARE
1011 BOWLES AVE STE 300FENTONMO630262387Outpatient clinic
SSM HEALTH HEART & VASCULAR CARE
1011 BOWLES AVE SUITE 205FENTONMO630262387Outpatient clinic
SSM HEALTH MEDICAL GROUP
10296 BIG BEND RD STE 111SAINT LOUISMO631226498Outpatient clinic
SSM HEALTH MEDICAL GROUP
1296 JEFFCO BLVDARNOLDMO630102138Outpatient clinic
SSM HEALTH MEDICAL GROUP
1011 BOWLES AVENUE SUITE 300FENTONMO630262387Outpatient clinic
SSM HEALTH NEUROSCIENCES
1055 BOWLES AVE STE 200FENTONMO630262308Outpatient clinic
SSM HEALTH PAIN CARE
1055 BOWLES AVE SUITE 200FENTONMO630262308Outpatient clinic
SSM HEALTH SLEEP SERVICES
1015 BOWLES AVE STE 300FENTONMO630262394Outpatient clinic
SSM HEALTH URGENT CARE
1296 JEFFCO BLVDARNOLDMO630102138Outpatient clinic
SSM HEALTH VASCULAR SERVICES
1011 BOWLES AVE STE G20FENTONMO630262395Outpatient clinic
SSM HEALTH WOMEN'S HEALTH
1011 BOWLES AVENUE SUITE 300FENTONMO630262387Outpatient clinic
SSM BEHAVIORAL HEALTH URGENT CARE
12349 DE PAUL DR STE 110BRIDGETONMO630442512Urgent Care
SSM HEALTH BREAST CARE
3440 DE PAUL LN STE 100BRIDGETONMO630443546Outpatient clinic
SSM HEALTH CANCER CARE
12277 DE PAUL DR STE 310BRIDGETONMO630442529Outpatient clinic
SSM HEALTH CANCER CARE
1475 KISKER RD STE 180SAINT CHARLESMO633048786Outpatient clinic
SSM HEALTH CANCER CARE
400 MEDICAL PLZ STE 100LAKE SAINT LOUISMO633671493Outpatient clinic
SSM HEALTH CANCER CENTER
12303 DE PAUL DR STE 101BRIDGETONMO630442512Outpatient clinic
SSM HEALTH DEPAUL HOSPITAL SURGERY
12266 DE PAUL DRIVE SUITE 10BRIDGETONMO630442514Outpatient clinic
SSM HEALTH DPH RHEUM INFUSION SYS
1120 SHACKELFORD RD STE BFLORISSANTMO630314369Outpatient clinic
SSM HEALTH HEART & VASCULAR CARE
12255 DE PAUL DR STE 400BRIDGETONMO630442510Outpatient clinic
SSM HEALTH HEART & VASCULAR CARE
12266 DE PAUL DR STE 205BRIDGETONMO630442514Outpatient clinic
SSM HEALTH HEART & VASCULAR CARE
12266 DE PAUL DR STE 206BRIDGETONMO630442514Outpatient clinic
SSM HEALTH IMAGING SERVICES
3440 DE PAUL LN STE 100BRIDGETONMO630443546Outpatient clinic
SSM HEALTH MEDICAL GROUP
1120 SHACKELFORD RDFLORISSANTMO630314369Outpatient clinic
SSM HEALTH MEDICAL GROUP
12277 DE PAUL DR STE 403BRIDGETONMO630442536Outpatient clinic
SSM HEALTH MEDICAL GROUP
2024 DORSETT VLGMARYLAND HEIGHTSMO63043Outpatient clinic
SSM HEALTH MEDICAL GROUP
14021 NEW HALLS FERRY RDFLORISSANTMO630332708Outpatient clinic
SSM HEALTH MEDICAL GROUP
12255 DE PAUL DR STE 500BRIDGETONMO630442515Outpatient clinic
SSM HEALTH MEDICAL GROUP
12255 DE PAUL DR STE 600BRIDGETONMO630442515Outpatient clinic
SSM HEALTH NEUROSCIENCES
12255 DE PAUL DR STE 200BRIDGETONMO630442510Outpatient clinic
SSM HEALTH NEUROSCIENCES
12255 DE PAUL DR STE 830BRIDGETONMO630442510Outpatient clinic
SSM HEALTH ORTHOPEDICS
12266 DE PAUL DR STE 110BRIDGETONMO630442514Outpatient clinic
SSM HEALTH ORTHOPEDICS
1120 SHACKELFORD RDFLORISSANTMO630314369Outpatient clinic
SSM HEALTH ORTHOPEDICS
12266 DE PAUL DR STE 220BRIDGETONMO630442514Outpatient clinic
SSM HEALTH PAIN CARE
12255 DE PAUL DR STE 120BRIDGETONMO630442513Outpatient clinic
SSM HEALTH SLEEP SERVICES
3440 DE PAUL LN STE 207BRIDGETONMO630443546Outpatient clinic
SSM HEALTH URGENT CARE
1120 SHACKELFORD RDFLORISSANTMO630314369Urgent Care
SSM HEALTH URGENT CARE
2022 DORSETT VLGMARYLAND HEIGHTSMO63043Outpatient clinic
SSM HEALTH VASCULAR SERVICES
12266 DE PAUL DR STE 315BRIDGETONMO630442514Outpatient clinic

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c Discounted Care ExceptionsPatients 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 organizationSSM Health Care Corporation, 46-6029223
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe 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 ActivitiesSSM HEALTH CARE ST. LOUIS PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING: PHYSICAL IMPROVEMENTS AND HOUSING: DONATION MADE TO REBUILDING TOGETHER NEIGHBORHOOD BUILDING CAMPAIGN. 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. PARTNERSHIP WITH ST. CHARLES COUNTY ECONOMIC DEVELOPMENT CENTER PARTNERS FOR PROGRESS AND THE COMMUNITY STRONG INITIATIVE. COMMUNITY STRONG IS A HEALTH INITIATIVE TO IMPROVE THE HEALTH AND WELLBEING OF ST. CHARLES COUNTY, MISSOURI. VOLUNTEERS IN MEDICINE INVOLVEMENT WITH THE CROSSROADS CLINIC, WHICH SERVES THE MEDICAL NEEDS OF WESTERN ST. CHARLES COUNTY, WARREN COUNTY, LINCOLN COUNTY, AND MONTGOMERY COUNTY RESIDENTS NOT COVERED BY MEDICARE, MEDICAID, OR PRIVATE INSURANCE AND LIVING BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. WORKFORCE DEVELOPMENT: EXPOSURE OF HIGH SCHOOL STUDENTS, COLLEGE STUDENTS, AND EDUCATORS TO HEALTH CARE CAREERS AND HEALTH CARE EDUCATION AND PROGRAMMING.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountAS 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 MethodologyFOR FINANCIAL STATEMENT PURPOSES, SSM Health Care St. Louis HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. SSM HEALTH CARE ST. LOUIS DID NOT MAKE AN ESTIMATE OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteSSM Health Care St. Louis is part of the SSM Health consolidated audit. The footnote that references the treatment of uncollectible accounts and implicit price concessions in the December 31, 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 costsTHE 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 assistanceSSM Health Care St. Louis has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable. SSM Health Care St. Louis embraces its responsibility to serve the communities in which it participates by establishing sound business practices. SSM Health Care St. Louis' billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement. 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after 120 days. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from SSMH prior to engaging in ECAs. SSMH will review the accounts and verify satisfactory completion of reasonable efforts during the notification and application period. A waiver is not considered reasonable efforts. Obtaining a signed waiver that an individual does not wish to apply for FAP assistance or receive FAP application information will not meet the requirement to make "reasonable efforts" to determine whether the individual is FAP-eligible before engaging in ECAs. All outside collection agencies must comply with state and federal laws, comply with the association of credit and collection professional's code of ethics and professional responsibility and comply with SSM Health Care St. Louis' collection and financial assistance policies.
Schedule H, Part V, Section B, Line 16a FAP websiteA - SSM Health DePaul Hospital - St. Louis: Line 16a URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; - SSM Health Rehabilitation Hospital: Line 16a URL: https://www.ssm-rehab.com/patients-and-caregivers/admissions/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application websiteA - SSM Health DePaul Hospital - St. Louis: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; - SSM Health Rehabilitation Hospital: Line 16b URL: https://www.ssm-rehab.com/patients-and-caregivers/admissions/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary websiteA - SSM Health DePaul Hospital - St. Louis: Line 16c URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; - SSM Health Rehabilitation Hospital: Line 16c URL: https://www.ssm-rehab.com/patients-and-caregivers/admissions/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessmentSSM 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 assistanceEach 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 informationSSM Health Care St Louis defines its primary service area as the St Louis metropolitan statistical area (MSA), which includes the Missouri Counties of St. Louis, St. Charles, Jefferson, Franklin, Lincoln, and Warren and St. Louis City. Because we support a wide range of local markets and constituencies, demographics are also evaluated for our individual hospital service areas, service lines and clinical departments to ensure we focus on specific community health needs. The total population for the MSA is estimated at 2.8 million, making the area the 21st largest metropolitan area in the United States, and is enjoying consistent population growth. Of the total, nearly 30% of individuals are 55 years old or over. The poverty rate for the MSA was reported at 11.6% in 2017, while the national rate for the same year was 12.3 percent. The median household income continues to steadily rise, too, to $61,751, while income per capita is $33,987. More detailed statistics for each hospital's community is as follows: SSM Health St. Mary's Hospital is geographically located in mid -St. Louis County, however the primary service area and the secondary service area include zip codes in both St. Louis County and St. Louis City. There are 28 zip codes that are contained within or overlap the service area. In 2018, the population for St. Louis County is estimated at 997,087 persons. In St. Louis County, the average household income is $42,035, while in St. Louis City, the average is $67,173. In the County, over 42% of individuals have at least a Bachelor's degree, compared to 33.8% in the City. SSM Health St. Joseph - St. Charles and SSM Health St. Joseph Hospital - Lake Saint Louis hospitals are located in St. Charles County, Missouri, and serve that region as well as parts of Lincoln and Warren Counties. This tri-county area makes up 80% of the hospitals' patients served. In addition to the locations in historic downtown St. Charles and Lake Saint Louis, the hospital has a location in Wentzville that provides emergency, outpatient, and behavioral medicine services. The service area had an estimated population of 487,000 persons in 2017. The community is largely white, accounting for nearly 88% of the population. Nearly 13% of households earned less than $25,000 in 2018. SSM Health St. Clare Hospital - Fenton serves Southwest St. Louis and Jefferson Counties, which accounts for 85% of their total patients. There are 18 zip codes contained within or overlapping the service area. In 2017, the primary service area had an estimated population of 483,610 persons. Approximately 13.6% of the community population had a household income of less than $25,000 in 2017, and over 31% of the population is over the age of 55. SSM Health DePaul Hospital - St. Louis defines its service area as North St. Louis County, which accounts for 80% of the total patients served by the hospital. There are 20 zip codes within or that overlap the service area. In 2017, North St. Louis County had an estimated population of 350,000 persons. The community served is also very diverse, with over 52% of the population as black/non-Hispanic, and another nearly 9% comprised of other minorities. Approximately 22% of the population has at least a Bachelor's Degree.
Schedule H, Part VI, Line 5 Promotion of community healthSSM Health Care St. Louis participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. In response to the global coronavirus pandemic, SSM Health Care St. Louis worked relentlessly to respond to community needs by developing and implementing strategies to address social needs of those served, providing screening & testing services, personal protective equipment and education throughout the community, as well as treatment for those who presented with COVID-19. SSM Health Care St. Louis promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote community health. SSM Health Care St. Louis also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * 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 systemSSM Health Care St Louis is a 501(c)(3) organization and is a member of the integrated health care system know as SSM Health. SSM Health Care St Louis is one of the largest, full-service health care networks in the St Louis, Missouri area. SSM Health Care St Louis includes the following operating hospitals: SSM Health DePaul Hospital - St. Louis SSM Health St. Joseph Hospital - St. Charles SSM Health St. Joseph Hospital - Wentzville (remote location of St. Joseph Hospital) SSM Health St. Joseph Hospital - Lake Saint Louis SSM Health St. Mary's Hospital - St. Louis SSM Health St. Clare Hospital - Fenton.
Schedule H, Part VI, Line 7 State filing of community benefit reportMO

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
Archdiocese of St Louis
20 Archbishop May DriveSt LouisMO63119430653244501(c)(3)$52,807Support priest wellness program
Fenton Area Chamber of Commerce
1400 South Highway DriveFentonMO63099431172458501(c)(6)$8,000Support economic growth in the region
Missouri Hospital Association
PO Box 60Jefferson CityMO65102440610607501(c)(6)$101,833Support for health care issues committee
Helping Hand Me Downs
PO Box 11385St LouisMO63105800752179501(c)(3)$10,000Support programs that assist families in need
Kirkwood-Des Peres Area Chamber of Commerce
366 S Kirkwood RoadKirkwoodMO63122430657123501(c)(6)$10,000Support economic growth in the regionLower Level
Missouri Extension Education Foundation Of Saint Charles County
260 Brown RoadSt PetersMO63376510661108501(c)(3)$10,000Support for Save the Gardens
Pink Ribbon Girls Inc
15 S Second StreetTipp CityOH45371320020270501(c)(3)$25,000Support for patient care and research programs
St Charles Community College Foundation
4601 Mid Rivers Mall DriveCottlevilleMO63376431591959501(c)(3)$6,000Support educational assistance programs
St Louis Regional Health Commission
1113 Mississippi AvenueSt LouisMO63104431883638501(c)(3)$25,000Support health initiatives and advancementNo 113
St Louis Regional Chamber & Growth Association
One Metropolitan SquareSt LouisMO63102430975222501(c)(6)$10,745Support businesses and economic growth in the metro areaSuite 1300
St Charles County Economic Development Council
5988 Mid Rivers Mall DriveSt PetersMO63304431545618501(c)(4)$55,000Support economic growth in the region
Youth in Need
1815 Boones Lick RoadSt CharlesMO63301431033862501(c)(3)$5,700Support youth outreach programs
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Total Other Org5TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypePatient medical supplies assistanceGrantTypeTxt
Recipient7664RecipientCnt
Non Cash Assistance$63,505NonCashAssistanceAmt
Valuation Method UsedBookValuationMethodUsedDesc
Non Cash AssistancePatient medical supplies assistanceNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationTHE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDING VARIES BASED ON THE GRANT RECIPIENT. GRANTS TO RELATED ENTITIES ARE MONITORED DIRECTLY BY THE ORGANIZATION WHEREBY THE RECIPIENT REPORTS ON THE SPECIFIC USE OF THE FUNDING. FOR GRANTS TO UNRELATED ENTITIES, THE ORGANIZATION UTILIZES THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) TO TRACK, STORE AND REPORT A WIDE RANGE OF INFORMATION RELATED TO GRANTS AND OVERALL COMMUNITY IMPACT. IN CERTAIN CIRCUMSTANCES, QUALIFYING EXPENSES MAY BE PAID ON BEHALF OF SYSTEM EMPLOYEES BASED UPON DEMONSTRATED FINANCIAL HARDSHIP CAUSED BY NATURAL DISASTERS, ILLNESS, OR OTHER UNFORESEEN TRAGEDY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Candace Jennings
Chair, President, Regional President-St Louis$668,869$0$398,415$0$103,293$0$315,729$0$26,632$0$1,512,938$0$479,468$0
Steve Smoot
Director, COO of 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
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
Regional VP, Finance (MO/ILL)$0$314,938$0$21,262$0$5,501$0$75,921$0$23,917$0$441,539$0$0
Margaret Fowler
Former Key Employee$0$421,790$0$117,210$0$174,422$0$4,275$0$27,664$0$745,361$0$151,020
Alexander Garza
Former Key Employee$0$535,628$0$197,478$0$35,994$0$219,727$0$37,573$0$1,026,400$0$147,481
Michael Bowers
COO SSM Health Care St. Louis$511,001$0$126,654$0$54,611$0$154,243$0$32,918$0$879,427$0$179,556$0
Travis Capers
Hospital President, SSM Health St. Mary's Hospital - St. Louis$472,512$0$116,151$0$51,817$0$141,111$0$15,365$0$796,956$0$165,447$0
Tina Garrison
Hospital President, SSM Health St. Clare Hospital - Fenton$311,732$0$76,363$0$18,360$0$92,097$0$23,219$0$521,771$0$84,052$0
Ellis Hawkins
Hospital President, SSM Health DePaul Hospital - St. Louis$431,551$0$106,389$0$60,227$0$126,006$0$22,509$0$746,682$0$138,276$0
Lisle Wescott
Hospital President, SSM Health St. Joseph Hospitals$422,223$0$103,795$0$42,716$0$122,010$0$20,350$0$711,094$0$131,255$0
Renee Roach
Pt Yr System VP - HR St Louis$0$110,206$0$72,091$0$363$0$2,631$0$8,029$0$193,320$0$72,092
Julie Wilhite
Regional VP - Human Resources$0$296,771$0$85,578$0$2,691$0$68,851$0$11,079$0$464,970$0$20,224
Hsieng Su MD
Regional VP - Medical Affairs/CMO$471,179$0$96,054$0$2,478$0$126,699$0$16,426$0$712,836$0$96,056$0
Kathleen Bonser
Regional VP - Nursing/CNO St Louis$310,424$0$63,449$0$194,717$0$57,905$0$34,525$0$661,020$0$186,126$0
Rachel Donlan
System VP - Strategic Development$0$210,507$0$43,011$0$6,481$0$60,400$0$29,399$0$349,798$0$49,031
Don Tran MD
President, Physicians Org/Ambulatory Services$463,775$0$117,090$0$1,616$0$142,008$0$33,056$0$757,545$0$117,090$0
Joseph Attewell
Physician$472,392$0$16,667$0$114,535$0$4,275$0$34,784$0$642,653$0$0$0
William Holcomb
Physician$488,560$0$0$0$39,591$0$2,137$0$22,865$0$553,153$0$0$0
Andrew Karanas
Physician$511,948$0$0$0$100,374$0$3,250$0$35,782$0$651,354$0$0$0
Thomas Landon
Physician$549,848$0$0$0$3,959$0$0$0$27,952$0$581,759$0$0$0
David Uhls
Physician$502,540$0$0$0$613$0$3,986$0$16,609$0$523,748$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up paymentsThe following individuals listed on Part VII, Section A received a tax indemnification/gross up payment in 2020. These payments were included in their taxable compensation. Candace Jennings Lisle Jennison Wescott Ellis Hawkins Tina Garrison Kathleen Bonser Joseph Attewell Andrew Karanas
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationThe organization's top management official (Regional President) has compensation that is determined by a related organization. The related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the SSM Health President.
Schedule J, Part I, Line 4a Severance or change-of-control paymentSSM 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: Paula Friedman $257,685
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planPension 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 Karen Rewerts $45,600 Eileen Lamm $28,000 Michael Bowers $41,000 Lisle Jennison Wescott $33,600 Travis Capers $37,600 Ellis Hawkins $34,440 Julie Wilhite $24,800 Tina Garrison $24,720 Hsieng Su, MD $37,600 Rachel Donlan $16,983 Don Tran, MD $37,904 Alexander Garza $42,400 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 Douglas Long $78,000 Karen Rewerts $59,124 Michael Bowers $52,900 Lisle Jennison Wescott $27,459 Travis Capers $49,294 Ellis Hawkins $31,885 Tina Garrison $7,688 Kathleen Bonser $122,676 Rachel Donlan $6,020 Margaret Fowler $33,807 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 Karen Rewerts $43,291 Eileen Lamm $2,583 Lisle Jennison Wescott $9,764 Ellis Hawkins $18,372 Tina Garrison $6,821 Kathleen Bonser $47,399 Joseph Attewell $76,773 Andrew Karanas $12,102 Margaret Fowler $92,894

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KRISTOPHER ZIMMERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF KRIS ZIMMER, OFFICER OF ORGANIZATIONRelationshipDescriptionTxt
Transaction$83,787TransactionAmt
TransactionEMPLOYMENTTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescVARIOUS MEDICAL ITEMSDesc
Contribution2ContributionCnt
Noncash Contributions Rpt F990$78,386NoncashContributionsRptF990Amt
Method Of Determining RevenuesCostMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Doing Business AsSSM Health Care St. Louis currently conducts business under the following registered names. Clayton Health Services Pharmacy West East Central Missouri Area Health Education Center Knights of Columbus Pediatric Development Center Maryville Pediatrics SSM Care Management Company SSM Health at Work SSM Health Behavioral Health SSM Health Breast Care SSM Health Cancer Care SSM Health Cardinal Glennon Pediatrics SSM Health DePaul Hospital - Anna House SSM Health DePaul Hospital - St. Louis SSM Health DePaul Hospital Physician Billing SSM Health DePaul Hospital Rheumatology Infusion Services SSM Health DePaul Hospital Surgery Center SSM Health Foundations St. Louis SSM Health Heart & Vascular Care SSM Health Imaging Services SSM Health Medical Group SSM Health Neurosciences SSM Health Orthopedics SSM Health Outpatient Center SSM Health Pain Care SSM Health Pharmacy SSM Health Sleep Services SSM Health St. Clare Hospital - Fenton SSM Health St. Clare Hospital Physician Billing SSM Health St. Joseph Hospital - Lake Saint Louis SSM Health St. Joseph Hospital - St. Charles SSM Health St. Joseph Hospital - Wentzville SSM Health St. Joseph Hospital Wentzville Outpatient Pharmacy SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing SSM Health St. Joseph Hospital - St. Charles Physician Billing SSM Health St. Joseph Hospital - Wentzville Physician Billing SSM Health St. Louis SSM Health St. Mary's Hospital - St. Louis SSM Health St. Mary's Hospital Physician Billing SSM Health St. Mary's Radiology SSM Health Treatment & Recovery SSM Health Urgent Care SSM Health Vascular Services SSM Health Weight Management Services SSM Health Women's Health SSM Integrated Distribution & Services Center
Form 990, Part III, Line 4a Program Service AccomplishmentsBriefly describe the corporation's mission: Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 23 acute care hospitals, one children's hospital, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company, and an Accountable Care Organization. The health system employs nearly 40,000 people and is affiliated with 11,000 physicians making it one of the largest employers in every community it serves. In the tradition of its founding sisters, SSMH strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. About SSM Health Care St Louis: SSM Health Care St Louis provides health care services at six wholly-owned acute care hospitals: SSM Health DePaul Hospital-St Louis, SSM Health St Mary's Hospital-St Louis, SSM Health St Joseph Hospital - St Charles, SSM Health St Clare Hospital-Fenton, SSM Health St Joseph Hospital-Lake St Louis, and SSM Health St Joseph Hospital - Wentzville. SSM Health Care St Louis is also the sole corporate member of SSM Health Cardinal Glennon Children's Hospital and SSM Health Saint Louis University Hospital. Since SSM Health's founding sisters began their ministry in St. Louis with just $5 among them more than 145 years ago, it has grown into one of the largest integrated delivery systems in the nation. In the St. Louis region, SSM Health operates eight hospitals, as well as numerous urgent care locations, SSM Health Express Clinics at Walgreens, SSM Health Medical Group offices, pediatric-specific locations, outpatient rehab centers, occupational health locations and hospice and home health services. SSM Health Care St. Louis also is partial owner of SSM Health Rehabilitation Hospital, a specialty rehabilitation hospital that offers care and advanced treatment for individuals with stroke, brain injury, spinal cord injury, neurological disorders, amputation, joint replacement and other orthopedic trauma, as well as general medical rehabilitation needs. SSM Health DePaul Hospital-St Louis opened in 1828, was the first hospital west of the Mississippi River and remains the oldest continuously existing business in St Louis. Today SSM Health DePaul Hospital-St Louis offers the only Level II Trauma Center in North St. Louis County and serves patients from across the St. Louis metropolitan area, with concentration in the surrounding communities of Bridgeton, Florissant, Hazelwood, St Ann, St John, Maryland Heights and Overland in Missouri. SSM Health DePaul Hospital-St Louis offers a wide range of comprehensive medical care including inpatient and outpatient surgeries using state-of-the-art technology and facilities. We offer the most advanced technology and procedures available including minimally invasive heart, spine, knee, hip and weight loss surgery. The Joint Commission has also designated the hospital as a Joint Commission Certified Primary Stroke Center, distinguishing it from other stroke centers, for meeting the highest standards of care established by the Joint Commission to receive and treat the most complex stroke cases, as a Certified Hip Replacement Center, a Certified Knee Replacement Center, and is designated as a Level I Time Critical Diagnosis STEMI Center. It is also a Bariatric Surgery Center of Excellence as endorsed by the American Society for Metabolic and Bariatric Surgery. SSM Health St. Mary's Hospital is a two-time winner of the Premier Award for Quality and a Level II Time Critical Diagnosis STEMI Center. The Hospital has distinctive capabilities in heart attack care, high-risk pregnancies, and fetal surgery. Additionally, the hospital has a chest pain center, advanced stroke care clinic and the latest imaging and outpatient services. A teaching hospital, SSM Health St. Mary's offers an independent, accredited internal medicine residency program and is the primary location for St. Louis University School of Medicine's Department of Obstetrics and Gynecology and its Family Practice residency programs. SSM Health St. Joseph Hospital-St Charles is located in a historic downtown district and has been serving the needs of the community since 1885. SSM St. Joseph Hospital-St Charles has grown structurally and technologically throughout the past 125 years to meet the needs of an ever-growing and changing population. Today, the acute care hospital offers highly-specialized care for critically ill patients. The hospital excels in many areas, including open-heart surgery, cardiac catheterizations, trauma and emergency services, sleep medicine, obstetrics, surgical services, oncology, vascular surgery, orthopedics and gastroenterology. The facility is designated as a Level II Trauma Center, A Joint Commission-certified Primary Stroke Center and the only Level I Time Critical Diagnosis STEMI Center in St. Charles County. SSM Health St. Joseph Hospital - Lake Saint Louis is the leading provider of health care services for western St. Charles, Warren and Lincoln Counties. The hospital is a state-designated Level III trauma center, a Level II Time Critical Diagnosis STEMI Center and specializes in obstetric and pediatric care. It also offers inpatient and outpatient health care services. In 2014 it was named one of the nation's Top 100 Hospitals by Truven Health Analytics and made Becker's Hospital Review's list of 100 Great Community Hospitals. SSM Health St. Joseph Hospital - Wentzville has been providing high quality health care to residents in western St. Charles, Warren, Lincoln, and Montgomery counties since 1987. Operating under the SSM Health St. Joseph Hospital - St. Charles hospital license, the facility currently offers patients in Wentzville and surrounding communities a 24-hour emergency department and ambulatory services, as well as convenient access to outpatient programs, including diagnostic, cardiology, pulmonary and rehab services. Behavioral health inpatient and outpatient care also is an integral part of the services offered at the hospital. The hospital offers inpatient psychiatric care on campus with close supervision, with the goal of stabilizing patients and helping them understand their condition and develop coping strategies to manage their emotions and behaviors. SSM Health St. Clare Hospital-Fenton is a Level I Time Critical Diagnosis STEMI Center and a Level I Stroke Center, serves the medical needs of the expanding community in southwest St. Louis County. Specializing in heart and vascular, neurosciences, cancer care, maternity and other medical services. The hospital also received the Healthgrades Outstanding Patient Experience Award in 2019. SSM Health Care St Louis furthers its exempt purpose with the following activities: - Operates an emergency room that is open to all persons regardless of ability to pay, - Has an open medical staff with privileges available to all qualified physicians in the area, - Has a governing body in which independent persons representative of the community comprise a majority - Engages in the training and education of health care professionals, - Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs - All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. Quantifiable Uncompensated Care: The following is a list of the types of programs and services that could be included as uncompensated care: Traditional Charity Care $ 35,651,480 Unpaid Cost of Medicaid $ 27,553,105 Unpaid Cost of Other Means-Tested Programs $ 2,156,464 Total Quantifiable Uncompensated Care $ 65,361,049
Form 990, Part V, Line 1aALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223.
Form 990, Part VI, Line 15a Process for determining compensationA related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.
Form 990, Part VI, Line 15b Process for determining compensationA 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 stockholdersThe members of the corporation are SSM Health Care Corporation and Saint Louis University.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodySSM Health Care Corporation (SSMHCC), as one of the members, has the power to appoint additional, successor or replacement members of the Corporation, provided that any appointment or removal requiring the written consent of SLU has received that approval. SSMHCC has the power to appoint and remove the individuals serving on the Board, other than the SLU appointed directors. SLU retains power to appoint and remove individuals serving on the Board who have been appointed by SLU.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersSSM Health Care Corporation has the following powers: (a) to establish and change the mission, philosophy and values of the Corporation, (b) to appoint additional, successor or replacement members of the Corporation, provided, that any member requiring the approval of SLU receives that approval according to the Bylaws, (c) to appoint and remove the individuals serving on the Board, other than the SLU Appointed Directors who will be subject to appointment and removal by SLU; provided, however, that SSMHCC may remove SLU Appointed Directors who violate conflict of interest policy and other policies of the Corporation, as the same may be amended from time to time, upon prior written notice to SLU pursuant to the Members' Agreement, (d) to appoint and remove the President of the Corporation and the chief executive officer of any Company Subsidiary and any Health Care Operating Division, provided, that SSMHCC shall (i) obtain the written consent of SLU before appointing any chief executive officer of SLUH, (ii) consult with the Board and SLU before exercising its reserved power to remove the chief executive officer of SLUH and (iii) consult with SLU in connection with hiring certain senior employees, (e) to approve amendments to the Articles of Incorporation of the Corporation, as provided therein, but subject to SLU's prior written consent, (f) to approve amendments to these Bylaws, but subject to SLU's prior written consent is not required for (i) non-material changes required by applicable law, regulation or any applicable accrediting entity, (g) to approve the merger or consolidation of the Corporation; provided, that (i) SLU's prior written consent shall be required in the event such transaction constitutes a Prohibited Change of Control, and (ii) with respect to a Permitted Change of Control that is a Permitted Affiliate Change of Control, SSMHCC shall provide SLU with written notice not less than thirty days prior to the effective date of such change of control, and with respect to any other Permitted Change of Control, SSMHCC shall provide SLU with written notice within thirty (30) days after the signing of a letter of intent, in both cases, with no separate SLU approval right, (h) to approve the dissolution of the Corporation, but subject to SLU's prior written consent, (i) to approve the formation of a Controlled Subsidiary or a Remotely Controlled Subsidiary, provided that certain deviations from protocol require the approval of SLU, (j) to approve the acquisition or disposition by the Corporation of another legal entity or an interest in another legal entity, provided, that the Corporation shall obtain the written consent of SLU before divesting of, or admitting another Person, (k) to authorize or approve the acquisition or disposition by the Corporation of real property or any interest in real property, provided, that the Corporation shall obtain the written consent of SLU before disposing of any real property or any interest in real property comprising a substantial portion of the operating assets, (l) to (i) establish centralized employee benefit, insurance, investment, financing, corporate responsibility, performance assessment and improvement and other operational and support programs; (ii) require the participation of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary in such programs; and (iii) authorize the opening and closing of bank accounts and investment accounts in the name of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary in connection with such programs; provided that SSMHCC has determined in its reasonable discretion that such actions are not inconsistent with and do not violate the terms of the Members' Agreement, the Master Agreement, the Academic Affiliation Agreement and the Bylaws, (m) to approve the strategic, financial and human resources plan of the Corporation, subject to SLU's rights set forth in the bylaws and approval of the Academic Program Strategic Plan, (n) to appoint the auditor and corporate counsel for the Corporation, (o) subject to SLU's rights, to authorize and approve borrowing money and entering into financial guaranties by the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary, including actions relating to the formation, joining, operation, withdrawal from and termination of a credit group or an obligated group and the granting of security interests in the property of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary; provided, that SSMHCC has determined in its reasonable discretion that such actions are not inconsistent with and do not violate the terms of the Members' Agreement, the Master Agreement, the Academic Affiliation Agreement and the Bylaws, (p) to require the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary to transfer assets, including but not limited to cash, to SSMHCC or to any entity exempt from federal income tax as an organization described in Section 501(c)(3) of the Internal Revenue Code, or the corresponding provision of any future United States Internal Revenue Law, which is controlled by SSMHCC, to the extent necessary to accomplish the mission, goals and objectives of SSMHCC as determined by SSMHCC; provided, that SSMHCC has determined in its reasonable discretion that any such transfer would not reasonably be likely to result in a failure of the Corporation or such subsidiary to fulfill its commitments under the Members' Agreement, the Master Agreement or the Academic Affiliation Agreement, (q) subject to SLU's rights, to approve the transfer of assets by the Corporation to any entity other than SSMHCC (other than transfers made in the ordinary course of operations of the Corporation, which will not require approval by the Members, and (r) to determine the extent to which and the manner in which the powers described in this section which are reserved to SSMHCC with respect to the Corporation are to be included in the governing documents of any Controlled Subsidiary, Remotely Controlled Subsidiary or Non-Controlled Subsidiary and exercised with respect to any Controlled Subsidiary, any Remotely Controlled Subsidiary or any Non- Controlled Subsidiary; provided, that SSMHCC has determined in its reasonable discretion that any such determination or action is not inconsistent with and does not violate the terms of the Members' Agreement or the terms of the Master Agreement or the Academic Affiliation Agreement. Saint Louis University (SLU) has the following powers: (a) The appointment and removal of the SLU Appointed Directors to the Board consistent with such standards for Board service as appear in the Bylaws, the conflict of interest policy and other Board policies of the Corporation, as the same may be amended from time to time, upon prior written notice to SLU pursuant to the Members' Agreement, (b) The right to make recommendations and provide meaningful input regarding the strategic, financial and human resources plans for the Corporation, (c) Approval of any guaranty by SLU of Corporation debt, and (d) In accordance with the Master Agreement, establishing payor contracting parameters for SLUCare.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing bodyThe 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 bodyThe 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 policyBoard members are required to complete a conflict of interest disclosure statement annually. The President and Secretary of the Board oversee compliance with this requirement. All Board members with an identified conflict of interest abstain from Board discussions and votes when applicable. Employees with purchasing authority and/or ability to influence purchasing decisions are assigned the conflict of interest disclosure course (COI) which must be completed on line. Periodically through the year, the entity's corporate responsibility contact person (with the help of the entity's learning management system coordinator) sends department managers a list of employees who have not yet completed their COI so they can remind the employees and ensure the employees have time in their schedule to complete the required course. Resolution of any conflicts that are disclosed must be documented and kept on file at the entity. Supervisors verify required course completion prior to year end.
Form 990, Part VI, Line 19 Required documents available to the publicThe year-end audited consolidated financial statements and unaudited quarterly consolidated financial statement for the SSM Health are made available to the public on SSM Health's website. The organization's articles of incorporation are available on the Missouri Secretary of State's website. Copies of the Form 990 and the organization's conflict of interest policy are available upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueAll other revenue - Total Revenue: 1209385, Related or Exempt Function Revenue: , Unrelated Business Revenue: 21194, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1188191;
Form 990, Part IX, Line 11g Other FeesOther medical and professional fees - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 56346926, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTRANSFERS TO AFFILIATES - -XXX-XX-XXXX; CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - 2939697;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SSM ACO LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110101 Woodfield LaneAddressLine1Txt
CitySt LouisCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63132ZIPCd
FieldValueIRS element (for citing)
EIN900986282EIN
Primary ActivitiesHEALTH PROMOTIONPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd
Total Income$4,488,149TotalIncomeAmt
End Of Year Assets$15,067,633EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SSM Health Care St LouisBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (50 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SSM Health Care Corporation
10101 Woodfield LaneSt LouisMO63132466029223Health CareMO501(c)(3)Type ISSM Health Ministriesfalse
SSMHC Liability Trust I
10101 Woodfield LaneSt LouisMO63132436331003InsuranceMO501(c)(3)Type ISSM Health Care Corporationfalse
SSM Consolidated Health Services
10101 Woodfield LaneSt LouisMO63132431473657Health CareMO501(c)(3)10SSM Health Care Corporationfalse
SSM Policy Institute
10101 Woodfield LaneSt LouisMO63132431788151Health CareMO501(c)(4)SSM Health Care Corporationfalse
SSM Health Care Portfolio Management Co
10101 Woodfield LaneSt LouisMO63132431825256ManagementMO501(c)(3)Type ISSM Health Care Corporationfalse
SSM Cardinal Glennon Children's Hospital
10101 Woodfield LaneSt LouisMO63132430738490Health CareMO501(c)(3)3SSM Health Care St LouisYes (true)
Cardinal Glennon Children's Foundation
10101 Woodfield LaneSt LouisMO63132431754347FundraisingMO501(c)(3)7SSM Cardinal Glennon Children's Hospitalfalse
SSM Health Foundation - St Louis
10101 Woodfield LaneSt LouisMO63132431552945FundraisingMO501(c)(3)7SSM Health Care St LouisYes (true)
SSM Health Care of Oklahoma Inc
10101 Woodfield LaneSt LouisMO63132730657693Health CareOK501(c)(3)3SSM Health Care Corporationfalse
The St Anthony Hospital Foundation Inc
10101 Woodfield LaneSt LouisMO63132736104300FundraisingOK501(c)(3)7SSM Health Care of Oklahomafalse
SSM Health Care of Wisconsin Inc
10101 Woodfield LaneSt LouisMO63132430688874Health CareWI501(c)(3)3SSM Health Care Corporationfalse
Dells Medical Building Inc
10101 Woodfield LaneSt LouisMO63132391613292MOBWI501(c)(2)SSM Health Care of Wisconsinfalse
St Mary's Foundation Inc
10101 Woodfield LaneSt LouisMO63132431940686FundraisingWI501(c)(3)7SSM Health Care of Wisconsinfalse
St Clare Health Care Foundation Inc
10101 Woodfield LaneSt LouisMO63132431940683FundraisingWI501(c)(3)7SSM Health Care of Wisconsinfalse
Home Health United Inc
2802 Walton Commons LaneMadisonWI53718391539827Health CareWI501(c)(3)10SSM Health Care of Wisconsinfalse
Home Care United Inc
2802 Walton Commons LaneMadisonWI53718391776340Health CareWI501(c)(3)10SSM Health Care of Wisconsinfalse
HHU Xtra Care Inc
2802 Walton Commons LaneMadisonWI53718391705111Health CareWI501(c)(3)10SSM Health Care of Wisconsinfalse
SSM Health at Home Foundation of Wisconsin Inc
2802 Walton Commons LaneMadisonWI53718391839309FundraisingWI501(c)(3)Type IHome Health United Incfalse
SSM Regional Health Services
10101 Woodfield LaneSt LouisMO63132440579850Health CareMO501(c)(3)3SSM Health Care Corporationfalse
St Mary's Health Center Jefferson City Missouri Foundation
10101 Woodfield LaneSt LouisMO63132431575307FundraisingMO501(c)(3)Type ISSM Regional Health Servicesfalse
Good Samaritan Regional Health Center
10101 Woodfield LaneSt LouisMO63132430653587Health CareIL501(c)(3)3SSM Regional Health Servicesfalse
St Mary's Hospital Centralia Illinois
10101 Woodfield LaneSt LouisMO63132370662580Health CareIL501(c)(3)3SSM Regional Health Servicesfalse
St Mary's - Good Samaritan Inc
10101 Woodfield LaneSt LouisMO63132364170833Health CareIL501(c)(3)Type ISSM Regional Health Servicesfalse
Good Samaritan Regional Health Center Foundation
10101 Woodfield LaneSt LouisMO63132262884795FundraisingIL501(c)(3)7St Mary's-Good Samaritan Incfalse
St Mary's Hospital Foundation
10101 Woodfield LaneSt LouisMO63132364636691FundraisingIL501(c)(3)7St Mary's-Good Samaritan Incfalse
St Mary's Hospital Auxiliary
400 N PleasantCentraliaIL62801237126345FundraisingIL501(c)(3)10St Mary's Hospital Foundationfalse
SSM Health Businesses
10101 Woodfield LaneSt LouisMO63132431333488Health CareMO501(c)(3)10SSM Health Care Corporationfalse
Centralia Medical Services Bldg Assoc
10101 Woodfield LaneSt LouisMO63132237408025MOBIL501(c)(3)Type ISSM Regional Health Servicesfalse
St Mary's Janesville Foundation Inc
10101 Woodfield LaneSt LouisMO63132273439133FundraisingWI501(c)(3)7SSM Health Care of Wisconsinfalse
SSM Health Ministries
3221 McKelvey Road Suite 107BridgetonMO63044431012492Religious OrganizationMO501(c)(3)1NAfalse
Lee Dewey Corporation
10101 Woodfield LaneSt LouisMO63132731279603MOBOK501(c)(3)Type ISSM Health Care of Oklahomafalse
SSM Hospice & Home Care Foundation
10101 Woodfield LaneSt LouisMO63132300012246FundraisingMO501(c)(3)7SSM Health Businessesfalse
St Mary's Hospital Auxiliary
100 St Marys Medical PlazaJefferson CityMO65101436049878FundraisingMO501(c)(3)Type IINAfalse
Good Samaritan Hospital Auxiliary
1 Good Samaritan WayMount VernonIL62864237049599FundraisingIL501(c)(3)Type III-FINAfalse
St Anthony Shawnee Hospital Inc
1000 N Lee AveOklahoma CityOK73102455055149Health CareOK501(c)(3)3SSM Health Care of Oklahomafalse
SSM Audrain Health Care Inc
10101 Woodfield LaneSt LouisMO63132431550298Health CareMO501(c)(3)3SSM Regional Health Servicesfalse
Audrain Medical Center Foundation Inc
620 E Monroe StMexicoMO65265431265060FundraisingMO501(c)(3)Type INAfalse
SSM-SLUH Inc
10101 Woodfield LaneSt LouisMO63132474196634Health CareMO501(c)(3)3SSM Health Care St LouisYes (true)
SSM Health Plan
1277 Deming WayMadisonWI53717831979548InsuranceMO501(c)(4)SSM Health Businessesfalse
Agnesian Healthcare Inc
430 E Division StFond du LacWI54935390807236Health CareWI501(c)(3)3SSM Health Care of Wisconsinfalse
Ripon Medical Center Inc
845 Parkside StreetRiponWI54971391101287Health CareWI501(c)(3)3Agnesian Healthcare Incfalse
Waupun Memorial Hospital Inc
620 West Brown StreetWaupunWI53963390806265Health CareWI501(c)(3)3Agnesian Healthcare Incfalse
St Francis Home of Fond du Lac Wisconsin Inc
33 Everett StreetFond du LacWI54935391029998Health CareWI501(c)(3)10Agnesian Healthcare Incfalse
Sister Servants of Christ the King Villa Loretto
N8114 County WWMount CalvaryWI53057391022770Health CareWI501(c)(3)10Agnesian Healthcare Incfalse
Villa Rosa Inc
N8120 County WWMount CalvaryWI53057421670962Health CareWI501(c)(3)10Agnesian Healthcare Incfalse
The Christian Home and Rehabilitation Center Incorporated
331 Bly StreetWaupunWI53963390884514Health CareWI501(c)(3)10Agnesian Healthcare Incfalse
The Monroe Clinic Inc
515 22nd AvenueMonroeWI53566390808509Health CareWI501(c)(3)3SSM Health Care of Wisconsinfalse
Monroe Clinic and Hospital Foundation Inc
515 22nd AvenueMonroeWI53566205769038FundraisingWI501(c)(3)7SSM Health Care of Wisconsinfalse
Agnesian Healthcare Foundation Inc
430 E Division StFond du LacWI54935391684956FundraisingWI501(c)(3)Type ISSM Health Care of Wisconsinfalse
Shared Magnetic Resonance Imaging Facility Inc
1104 John Nolen DriveMadisonWI53713391534744Health CareWI501(c)(3)Type ISSM Health Care of Wisconsinfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
SSM St Joseph Endoscopy Center LLC
10101 Woodfield LaneSt LouisMO63132270046559Surgery ServicesMOSSM Health Care St LouisRelated$2,318,361$4,155,566false$0false0.50
St Clare Imaging Services LLC
707 14th Street Suite ABarabooWI53913200122365Diag. ServicesWINAN/A
Mt Vernon Radiation Therapy Center LLC
10101 Woodfield LaneSt LouisMO63132201382620Radiation TherapyILNAN/A
Sleep & Neurology Center of Southern Illinois LLC
10101 Woodfield LaneSt LouisMO63132208468195Diag. ServicesILNAN/A
CHOWSMGSI Office Building LLC
10101 Woodfield LaneSt LouisMO63132371383861MOBILNAN/A
Oza Cancer Center LLC
10101 Woodfield LaneSt LouisMO63132201382727MOBILNAN/A
Shawnee Real Estate Holdings LLC
1000 N Lee AveOklahoma CityOK73102455458304MOBOKNAN/A
Dean Clinic & St Mary's Hospital Accountable Care Organization LLC
1808 West Beltline HighwayMadisonWI53713452995500Accountable Care OrganizationWINAN/A
Wisconsin Integrated Information Technology and Telemedicine Systems LLC
1808 West Beltline HighwayMadisonWI53713392016715Information Technology ServicesWINAN/A
Dean Health Holdings LLC
1277 Deming WayMadisonWI53717261594709Support ServicesWINAN/A
Wingra Building Group
1808 West Beltline HighwayMadisonWI53713390237060MOBWINAN/A
Janesville Riverview Clinic Building Partnership
1808 West Beltline HighwayMadisonWI53713396220698MOBWINAN/A
1110 N Classen Blvd LLC
1110 N Classen BoulevardOklahoma CityOK73106731158158MOBOKNAN/A
SSM St Clare Surgical Center LLC
10101 Woodfield LaneSt LouisMO63132261439695Surgery ServicesMONAN/A
Windmill LLP
50 Village View LaneChesterfieldMO63017431804651InvestmentsMONAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
SSM Managed Care Organization LLC
10101 Woodfield LaneSt LouisMO63132431708511Health PromotionMOSSM Health Care St LouisC Corporation$0$231,1161.00Yes (true)
FPP INC & Subs
10101 Woodfield LaneSt LouisMO63132431465174Health CareMONAC Corporationfalse
Diversified Health Services Corp
10101 Woodfield LaneSt LouisMO63132431369305Medical EquipmentMONAC Corporationfalse
SSM Properties Inc
10101 Woodfield LaneSt LouisMO63132431462486Property ServicesMONAC Corporationfalse
HealthFirst Physician Management Services
10101 Woodfield LaneSt LouisMO63132731534336Medical ServicesOKNAC Corporationfalse
SSMHC Liability Trust II
10101 Woodfield LaneSt LouisMO63132816128118InsuranceMONAC Corporationfalse
SSM Medical Group Inc
10101 Woodfield LaneSt LouisMO63132431664107Physician OfficesMONAC Corporationfalse
SSMHC Insurance Company
10101 Woodfield LaneSt LouisMO63132030310431InsuranceNAC CorporationfalseCJ
Physicians Services Corp of Southern Illinois Inc
10101 Woodfield LaneSt LouisMO63132364161526Health CareILNAC Corporationfalse
Dean Health Systems Inc
1808 West Beltline HighwayMadisonWI53713391128616Physician OfficesWINAC Corporationfalse
Dean Health Insurance Inc
PO Box 56099MadisonWI53705391830837InsuranceWINAC Corporationfalse
Dean Health Plan Inc
PO Box 56099MadisonWI53705391535024InsuranceWINAC Corporationfalse
SMDV Office Building
1808 West Beltline HighwayMadisonWI53713391628491Physician OfficesWINAC Corporationfalse
Dean Retail Services Inc
1808 West Beltline HighwayMadisonWI53713391717636Property ServicesWINAC Corporationfalse
Navitus Holdings LLC
1808 West Beltline HighwayMadisonWI53713800968174Pharmacy BenefitsWINAC Corporationfalse
Oza Oncology Inc
4117 Veterans Memorial DriveMt VernonIL62804371343746Physician OfficesILNAS Corporationfalse
SSM Health Janesville Campus Condominium Association Inc
1808 West Beltline HighwayMadisonWI53713832038674Condo associationWINAC Corporationfalse
SSM Health Pharmacy LLC
10101 Woodfield LaneSt LouisMO63132264031708PharmacyMONAC Corporationfalse
Dane County Cytology Center Inc
2000 Engel Street Suite 201MadisonWI53713391414219Medical ServicesWINAC Corporationfalse
SSM Health Insurance Company
1277 Deming WayMadisonWI53717834718249InsuranceMONAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SSM Health Foundation - St Louis
C$1,166,784Cash
SSM Health Foundation - St Louis
P$2,792,441Cash