2020-10-14T15:30:59-05:00 2019-12-31 990 2019-01-01 431333488 SSM Health Businesses SSMH 3149947800 10101 Woodfield Lane St Louis MO 63132 Doug Long Secretary 2020-10-14 2019 2021-01-29 14:40:06Z See Schedule O Laura Kaiser 10101 Woodfield Lane St Louis MO 63132 256625805 false 0928 X www.ssmhealth.com X 1984 MO To meet the health needs of the community it serves and provide exceptional health care both in the hospital and in the patients' places of residence. 4 0 1446 75 190556 62879 95867 71254 257427787 250491603 3928543 5588417 452341 437066 261904538 256588340 0 0 121316696 132368389 0 127162 133374064 120324607 254690760 252692996 7213778 3895344 248770349 273781586 39499705 49440265 209270644 224341321 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. false false 236702870 0 250710464 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 236702870 true true false false false false false false false true true false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true X 0 0 1446 true true true false false false false false false false false false false false X 4 0 false false false false true true true true false false false false true true true true true false false false X Jackie Tsikalas 3149892799 10101 Woodfield Lane St Louis MO 63132 Doug Long Director, Secretary, General Counsel at SSM Health 1.0 65.2 X X 0 229550 471986 Kris Zimmer Director, Treasurer, Asst Secretary, Chief Financial Officer at SSM Health 1.0 67.0 X X 0 1365634 813620 Laura Kaiser Director, President, CEO at SSM Health 1.0 47.0 X X 0 2153858 2027129 Paula Friedman Pt Yr Director, Pt Yr Vice President, Senior VP-Strategic Development SSM Health 1.0 58.0 X X 0 1384920 282580 Steven Smoot Director, Chief Operations Officer at SSM Health 1.0 50.0 X 0 1066618 686232 Robert Pritts President-SSM Home Care and Post Acute 40.0 5.0 X 375977 0 63102 Jeanne Sands VP-Information Technology, Clinical Applications 40.0 0 X 337433 0 146082 Michael Topolski System CFO - Post Acute Services 40.0 4.0 X 265300 0 66587 Patrick Gilligan Pt Yr VP IT, Corporate Systems & IT Finance 40.0 0 X 358795 0 38339 Sony Jacob Chief Information Officer 40.0 0 X 634055 0 255241 Heidi Horn Pt Yr VP, Healthcare Technology Management 40.0 0 X 316289 0 1442 Jonathan Kimerle VP - IT Strategy and Planning 40.0 0 X 466584 0 20261 Kevin Cross VP - IT Infrastructure 40.0 0 X 459702 0 127671 Michael Paasch Regional VP - IT, St. Louis 40.0 0 X 317502 0 97001 Nancy Birschbach Regional VP - IT, Wisconsin 40.0 0.0 X 356040 0 118475 Alison Ruehl Former officer 0.0 0.0 X 0 109336 15947 Philip Loftus Former Officer 0.0 0 X 0 1018390 217404 3887678 7328307 5449098 263 true true false EPIC 1979 MILKY WAY VERONA WI 53593 IT CONSULTING 13930797 World Wide Technology Inc 60 Weldon Parkway Maryland Heights MO 63043 IT CONSULTING 8307784 SSM SELECT REHAB OF ST LOUIS LLC 4714 GETTYSBURG ROAD MECHANICSBURG PA 17055 MEDICAL THERAPY 6805965 NEW AHEAD INC 401 N MICHIGAN AVE STE 3400 CHICAGO IL 60611 IT CONSULTING 2314316 IMPACT ADVISORS LLC 931 W 75TH STREET SUITE 137-304 NAPERVILLE IL 60540 IT CONSULTING 2310364 51 49754 21500 71254 SYSTEM SUPPORT SERVICES 541990 206310620 206310620 NET PATIENT REVENUE 621610 44180983 44180983 0 0 0 0 250491603 2137443 2137443 65114 37465 27649 0 27649 27649 1549899 1901075 1549899 1901075 3450974 3450974 MANAGEMENT FEES - AFFILIATES 900099 218861 218861 CLINICAL ENGINEERING SERVICES 541990 190556 190556 0 0 0 0 409417 256588340 250710464 190556 5616066 2540911 2355940 182530 2441 98842980 91647495 7100529 94956 23328 21630 1676 22 23073724 21394024 1657534 22166 7887446 7313263 566606 7577 40671 40671 141300 141300 17075895 16855230 220665 0 87 87 56787760 52915131 3872629 2616084 1224531 1391553 2897334 2375422 521912 2341774 2208851 132923 233833 203212 30621 73694 73694 32996877 32996877 128179 128179 Management fees - affiliates 3357945 3357945 Medical supplies 1328854 1328854 Licenses & taxes 304320 302592 1728 0 0 0 0 252692996 236702870 15862964 127162 7264307 14316761 700510 700510 0 13384496 9099706 0 0 0 0 0 0 14640791 14738633 376705617 288739769 90587608 87965848 0 108794364 119663046 570762 339741 128920 108014 12698591 26849327 248770349 273781586 28409983 21615895 0 4450055 3615308 0 0 0 0 0 0 6639667 24209062 39499705 49440265 X 209225113 224313974 45531 27347 209270644 224341321 248770349 273781586 X 3895344 11320199 -144866 X false true X true false X 158194 149818 178124 95867 71254 653257 215013497 220280345 237151770 257646648 250710464 1180802724 0 0 0 215171691 220430163 237329894 257742515 250781718 1181455981 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1181455981 2209032 1981662 1371948 2769719 2202557 10534918 0 2209032 1981662 1371948 2769719 2202557 10534918 177233 269933 186386 61251 62879 757682 0 0 0 0 0 0 217557956 222681758 238888228 260573485 253047154 1192748581 0.9905 0.9900 0.0088 0.0091 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 5887000 4616280 1270720 355439158 284123489 71315669 15379459 0 15379459 87965848 SSM COMPREHENSIVE INVESTMENT PROGRAM 119663046 F 119663046 DUE FROM AFFILIATES 1183314 Other assets 7645409 Operating right-of-use assets 18020604 26849327 LEASEHOLD LIABILITY RETIREMENT LIABILITIES 941388 DUE TO AFFILIATES 2087776 CAPITAL LEASE LIABILITY 1070332 Operating lease obligations 20109566 24209062 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote SSM HEALTH BUSINESSES' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEALTH (SSMH). SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON FURTHER EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2019 OR 2018. X true true true true false false false false false false false Kris Zimmer Director, Treasurer, Asst Secretary, Chief Financial Officer at SSM Health 0 887868 0 230489 0 247277 0 797538 0 16082 0 2179255 0 340596 Doug Long Director, Secretary, General Counsel at SSM Health 0 149400 0 0 0 80150 0 469438 0 2548 0 701536 0 0 Laura Kaiser Director, President, CEO at SSM Health 0 1591955 0 536550 0 25353 0 2013276 0 13853 0 4180987 0 536550 Paula Friedman Pt Yr Director, Pt Yr Vice President, Senior VP-Strategic Development SSM Health 0 270134 0 189852 0 924934 0 278843 0 3736 0 1667500 0 618871 Steven Smoot Director, Chief Operations Officer at SSM Health 0 882327 0 172763 0 11529 0 667250 0 18983 0 1752851 0 97763 Alison Ruehl Former officer 0 0 0 0 0 109336 0 0 0 15947 0 125282 0 0 Philip Loftus Former Officer 0 30958 0 182490 0 804942 0 210263 0 7141 0 1235794 0 182490 Robert Pritts President-SSM Home Care and Post Acute 326718 0 12986 0 36274 0 49156 0 13946 0 439079 0 12986 0 Michael Topolski System CFO - Post Acute Services 220245 0 27086 0 17968 0 43738 0 22849 0 331887 0 35305 0 Sony Jacob Chief Information Officer 562360 0 65688 0 6008 0 233483 0 21759 0 889297 0 65688 0 Patrick Gilligan Pt Yr VP IT, Corporate Systems & IT Finance 190927 0 37917 0 129951 0 22686 0 15653 0 397134 0 140192 0 Jeanne Sands VP-Information Technology, Clinical Applications 297132 0 19941 0 20360 0 113407 0 32674 0 483515 0 19941 0 Jonathan Kimerle VP - IT Strategy and Planning 47398 0 48913 0 370274 0 736 0 19524 0 486845 0 178102 0 Michael Paasch Regional VP - IT, St. Louis 244174 0 38925 0 34402 0 74160 0 22841 0 414502 0 59704 0 Kevin Cross VP - IT Infrastructure 301673 0 46920 0 111108 0 109094 0 18577 0 587373 0 75331 0 Heidi Horn Pt Yr VP, Healthcare Technology Management 81679 0 31698 0 202912 0 1272 0 170 0 317731 0 108776 0 Nancy Birschbach Regional VP - IT, Wisconsin 282526 0 72043 0 1472 0 93377 0 25098 0 474515 0 22043 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments The following individuals listed on Part VII, Section A, received tax indemnification/gross up payments in 2018, which were included in their taxable compensation: Kevin Cross Michael Paasch Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization's top management official (Chief Innovation Officer) is compensated by a related organization that utilized the following to determine compensation, (1) Independent compensation consultant; (2) compensation survey or study; (3) approval by the SSM Health Care Board of Directors. Schedule J, Part I, Line 4a Severance or change-of-control payment SSM Health has adopted a severance policy to provide a financial transition in the event of involuntary termination without cause for Executive Level Positions. The amount of the compensation is based on the position held and length of service with SSMH. The following individuals listed in Part VII of the Form 990 received payments under the plan in the current year: Paula Friedman $470,555 Jonathan Kimerle $240,573 Heidi Horn $124,722 Philip Loftus $681,154 Alison Ruehl $109,336 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Pension Restoration Plan: SSM Health (SSMH) provides this supplemental defined benefit nonqualified retirement plan to any employee who is a participant in the SSMH qualified defined benefit plan who earns over the Internal Revenue Service compensation limit. The plan "restores" the benefits to these employees that would have been provided under the SSMH qualified plan if the regulations did not impose compensation limits. An individual can take a distribution from the plan at (1) age 65 or older if the individual is still employed by SSMH or (2) age 55 or older if the individual is no longer employed by SSMH. No individuals listed on Part VII of Form 990 received distributions from the plan in 2019. 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 2019: Steven Smoot $105,168 Laura Kaiser $314,000 Kris Zimmer $105,240 Sony Jacob $44,800 Robert Pritts $25,956 Patrick Gilligan $19,686 Michael Topolski $9,200 Jeanne Sands $25,200 Michael Paasch $19,910 Kevin Cross $24,360 Nancy Birschbach $22,550 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2019. All distributions received from the plan in the current year were included in the individual's taxable compensation. Paula Friedman $429,019 Kris Zimmer $111,962 Patrick Gilligan $102,275 Michael Topolski $8,218 Jonathan Kimerle $129,188 Michael Paasch $20,779 Kevin Cross $28,411 Heidi Horn $77,078 During 2019, 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: Paula Friedman $9,691 Kris Zimmer $66,609 Michael Paasch $3,822 Kevin Cross $41,200 Form 990, Part III, Line 4a Description of Program Service Briefly describe the organization's mission: Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 23 acute care hospitals, one children's hospital, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company, and an Accountable Care Organization. The health system employs nearly 40,000 people and is affiliated with 11,000 physicians making it one of the largest employers in every community it serves. In the tradition of its founding sisters, SSMH strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. Describe the tax-exempt purpose achievements: SSM Integrated Health Technologies Division (SSMIHT) works closely with SSM Hospitals to provide assistance in their health care ministry, including providing technology assistance to their health community activities as appropriate. SSMIHT has two primary, closely related service segments, Clinical Engineering Services (CES) and Information Technology (IHT), which provide the highest standard of maintenance, equipment management, and technology assessment. This service enables SSM caregivers to provide safe and reliable service to our patients. These services aid in reducing cost of the healthcare services of SSM ministries. IHT supports all the information systems, telecommunication and network infrastructure for all of SSM. This includes support of a wide range of applications. Clinical applications provide the information systems used by the acute care facilities to serve SSM's patients and include a fully integrated Electronic Health Record, Patient Registration, Patient Accounting, Physician Connectivity, and multiple other applications. Also included in the clinical systems group are applications utilized by our non-acute care users and include a Home Health and a Physician Practice Management system. The administrative applications provide the business information systems required by SSM to effectively manage operations. Included in this group of products is an Enterprise Resource Planning (ERP) System, which includes financial, materials management and HR/payroll components. Some applications, such as decision support models and benchmarking software, are utilized by both the clinical and the administrative applications. SSMIHT provides the application technology and hardware infrastructure required to support these applications. In addition to maintaining and monitoring computer operations, this group is responsible for Network Management and consultation, and assuring the security and integrity of the information systems. These services provide the IT infrastructure and operations that allow the information applications to process and function optimally. Technology consulting is also a function provided by the Information systems staff. SSMIHT's sole purpose is providing service to SSM facilities to carry out the Mission of SSM. By linking patient diagnostic and monitoring systems with electronic health records, SSMIHT works to improve patient safety by bringing critical information directly to the bedside. SSMIHT services also help to increase physician and nurse productivity by reducing paperwork and streamlining workflows. SSM Home Care strives to provide holistic and family-centered care. SSM Home Care brings healing health care services into the homes of our patients, where family support and familiar surroundings can truly enhance recovery and healing. SSM Home Care provides a variety of home care services to meet a variety of needs - when extended care is required after a hospital stay, as an alternative to a hospital admission, or instead of a nursing home or alternative care setting. Our services can be arranged quickly and efficiently by a single phone call and referrals can be made by physicians, case managers, social workers, family and friends, or by request from the patient. The healing services we offer at SSM Home Care include skilled nursing care, palliative care, home health aides/nurse assistants, occupational therapy, physical therapy, speech-language therapy, nutritional counseling, chronic disease and symptom management, and medical social work. SSM Hospice provides hospice care at a time when caring, comfort, assistance and special kind of healing are needed. It is a very special way of caring for people with a limited life expectancy. Hospice also provides comfort and guidance to care givers, families and friends of the patient. Hospice care gives individuals and their care givers a comforting alternative to the traditional hospital setting, making it possible for the terminally ill person to remain at home or in other familiar surroundings. The emphasis of SSM Hospice is on preserving the dignity and improving the quality of life through symptom management which includes relief from emotional, spiritual, as well as physical pain. The SSM Hospice Team is recognized for our compassionate approach and quality nursing care. The team consists of registered nurses, counselors, pastors, social workers, home health aides, and volunteers to provide exceptional care. SSM Home Care will strive to provide exceptional health care services to all persons in need regardless of their ability to pay. All billing and collection policies and practices will reflect the mission and values of SSMH, including our special concern for people who are poor and vulnerable. Charity care is provided to patients based on a sliding scale for household incomes up to four times the federal poverty level. Patients whose household income is not more than two times the federal poverty level are eligible for free hospital services. In addition, an exception to the sliding scale is provided for a patient's balance due if the amount is too large to be reasonable paid through an installment plan over four years given the family income and expenses. Description of community benefit programs: SSM Hospice Bereavement Program - Bereavement counselors continue to provide supportive services to survivors for thirteen months after the patient has died. Bereavement services include telephone calls, visits, letters, support group meetings and individual and group counseling. By respecting individual differences and cultural influences that surround grieving, our team promotes a positive, healing expression of grief consistent with social and religious expectations. Reducing Hospital Readmissions Initiative - The initiative includes the development of specific programs and strategies to reduce hospital readmissions within 30 days of discharge. Home Health Disease Management and Home Connection Programs have been developed for patients with specific diagnoses within SSM hospitals whose post-hospital care is provided by SSM Home Care. Both programs support the transition of care from hospital to home. SSM Home Care and Home Connection Programs teach patients how to take care of themselves. The programs use the techniques of the evidence-based Chronic Care Model, which has the potential to improve patient care and control costs. SSM Home Care staff clarify hospital discharge medications in the home, make sure patients are taking medications as prescribed and are responding to medications correctly; assess home safety; look for obstacles that might interfere with healing and teach signs and symptoms of exacerbations to prevent hospital readmission. Other Community Benefit Activities - Home Care - Grief support services across the communities served and education on End of Life care and social services. Other Community Benefit Activities - IHT -Staff time was dedicated to meetings, training new team members, running reports, developing online courses, developing presentation material, and facilitating breakout training sessions on community benefit reporting. Staff members participated in various community events including Habitat for Humanity, volunteering with the River Food Pantry, Support Dogs, the United Way, and Blood drives. 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 $ 142,120 Unpaid Cost of Medicaid $ 1,093,264 Total Quantifiable Uncompensated Care $ 1,235,384 Form 990, Part V, Line 1a ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. Form 990, Part VI, Line 15a Process of determining compensation A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee. Form 990, Part VI, Line 15b Process of determining compensation A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM HEALTH BUSINESSES AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE DIRECTORS OF THE CORPORATION. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION. B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS. C. TO APPOINT AND REMOVE THE DIRECTORS OF THE CORPORATION. D. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN. E. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION. F. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION. G. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY. H. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. I. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY. J. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY. K. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS. L. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION. M. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION. N. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTEREST IN THE PROPERTY OF THE CORPORATION. O. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OF THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVE OF THE MEMBER OF THE MEMBER AS DETERMINED BY THE MEMBER. P. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OR THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND Q. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body The organization does not have any committees with authority to act on behalf of the governing body. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is prepared by the Tax Department of the parent organization, SSM Health Care Corporation (SSM). The Form 990 is reviewed by certain members of Senior Management. Any questions are addressed to the Tax Director of SSM prior to filing the Form 990 with the Internal Revenue Service. A copy of the Form 990 is provided to the Board of Directors at the next regularly scheduled board meeting. Form 990, Part VI, Line 12c Conflict of interest policy Board members are required to complete a conflict of interest disclosure statement annually. The President and Secretary of the Board oversee compliance with this requirement. All Board members with an identified conflict of interest abstain from Board discussions and votes when applicable. Employees with purchasing authority and/or ability to influence purchasing decisions are assigned the conflict of interest disclosure course (COI) which must be completed on line. Periodically through the year, the entity's corporate responsibility contact person (with the help of the entity's learning management system coordinator) sends department managers a list of employees who have not yet completed their COI so they can remind the employees and ensure the employees have time in their schedule to complete the required course. Resolution of any conflicts that are disclosed must be documented and kept on file at the entity. Supervisors verify required course completion prior to year end. Form 990, Part VI, Line 19 Required documents available to the public The year-end audited consolidated financial statements and unaudited quarterly consolidated financial statement for the SSM Health System are made available to the public on SSM Health's website. The organization's articles of incorporation are available on the Missouri Secretary of State's website. Copies of the Form 990 and the organization's conflict of interest policy are available upon request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in beneficial interest in foundation - -229821; Fund balance transfers - 84955; DOING BUSINESS AS SSM HEALTH BUSINESSES CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: SSM Health at Home SSM Health at Home - Audrain SSM Health at Home - Extended Care SSM Health at Home Home Health - Audrain SSM Health at Home Home Health - Illinois SSM Health at Home Home Health - Jefferson City SSM Health at Home Home Health - Maryville SSM Health at Home Home Health - Oklahoma SSM Health at Home Home Health - St Louis SSM Health at Home Home Health SSM Health at Home Hospice - Audrain SSM Health at Home Hospice - Illinois SSM Health at Home Hospice - Maryville SSM Health at Home Private Duty SSM Health Clinical Engineering Services SSM Health Health Care Technology Management SSM Health Integrated Health Technologies SSM Home Care SSM Home Care - Private Duty SSM Home Care at Audrain SSM Home Care at St Anthony Hospital SSM Home Care at St Mary's Health Center SSM Home Care of Illinois SSM Home Care of St Louis SSM Hospice SSM Hospice at Audrain SSM Hospice of Illinois SSM Infusion Services LLC 10101 Woodfield Lane St Louis MO 63132 431872025 Infusion therapy services MO 0 0 SSM Health Businesses SSM Health Care Corporation 10101 Woodfield Lane St Louis MO 63132 466029223 Health Care MO 501(c)(3) Type I SSM Health Ministries false SSMHC Liability Trust I 10101 Woodfield Lane St Louis MO 63132 436331003 Insurance MO 501(c)(3) Type I SSM Health Care Corporation false SSM Consolidated Health Services 10101 Woodfield Lane St Louis MO 63132 431473657 Health Care MO 501(c)(3) 10 SSM Health Care Corporation false SSM Policy Institute 10101 Woodfield Lane St Louis MO 63132 431788151 Health Care MO 501(c)(4) SSM Health Care Corporation false SSM Health Care Portfolio Management Co 10101 Woodfield Lane St Louis MO 63132 431825256 Management MO 501(c)(3) Type I SSM Health Care Corporation false SSM Cardinal Glennon Children's Hospital 10101 Woodfield Lane St Louis MO 63132 430738490 Health Care MO 501(c)(3) 3 SSM Health Care St Louis false Cardinal Glennon Children's Foundation 10101 Woodfield Lane St Louis MO 63132 431754347 Fundraising MO 501(c)(3) 7 SSM Cardinal Glennon Children's Hospital false SSM Health Foundation - St Louis 10101 Woodfield Lane St Louis MO 63132 431552945 Fundraising MO 501(c)(3) 7 SSM Health Care St Louis false SSM Health Care of Oklahoma Inc 10101 Woodfield Lane St Louis MO 63132 730657693 Health Care OK 501(c)(3) 3 SSM Health Care Corporation false The St Anthony Hospital Foundation Inc 10101 Woodfield Lane St Louis MO 63132 736104300 Fundraising OK 501(c)(3) 7 SSM Health Care of Oklahoma false SSM Health Care of Wisconsin Inc 10101 Woodfield Lane St Louis MO 63132 430688874 Health Care WI 501(c)(3) 3 SSM Health Care Corporation false Dells Medical Building Inc 10101 Woodfield Lane St Louis MO 63132 391613292 MOB WI 501(c)(2) SSM Health Care of Wisconsin false St Mary's Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940686 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false St Clare Health Care Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940683 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false Home Health United Inc 2802 Walton Commons Lane Madison WI 53718 391539827 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false Home Care United Inc 2802 Walton Commons Lane Madison WI 53718 391776340 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false HHU Xtra Care Inc 2802 Walton Commons Lane Madison WI 53718 391705111 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false SSM Health at Home Foundation of Wisconsin Inc 2802 Walton Commons Lane Madison WI 53718 391839309 Fundraising WI 501(c)(3) Type I Home Health United Inc false SSM Regional Health Services 10101 Woodfield Lane St Louis MO 63132 440579850 Health Care MO 501(c)(3) 3 SSM Health Care Corporation false St Mary's Health Center Jefferson City Missouri Foundation 10101 Woodfield Lane St Louis MO 63132 431575307 Fundraising MO 501(c)(3) Type I SSM Regional Health Services false Good Samaritan Regional Health Center 10101 Woodfield Lane St Louis MO 63132 430653587 Health Care IL 501(c)(3) 3 SSM Regional Health Services false St Mary's Hospital Centralia Illinois 10101 Woodfield Lane St Louis MO 63132 370662580 Health Care IL 501(c)(3) 3 SSM Regional Health Services false St Mary's - Good Samaritan Inc 10101 Woodfield Lane St Louis MO 63132 364170833 Health Care IL 501(c)(3) Type I SSM Regional Health Services false Good Samaritan Regional Health Center Foundation 10101 Woodfield Lane St Louis MO 63132 262884795 Fundraising IL 501(c)(3) 7 St Mary's-Good Samaritan Inc false St Mary's Hospital Foundation 10101 Woodfield Lane St Louis MO 63132 364636691 Fundraising IL 501(c)(3) 7 St Mary's-Good Samaritan Inc false St Mary's Hospital Auxiliary 400 N Pleasant Centralia IL 62801 237126345 Fundraising IL 501(c)(3) 10 St Mary's Hospital Foundation false SSM Health Care St Louis 10101 Woodfield Lane St Louis MO 63132 431343281 Health Care MO 501(c)(3) 3 SSM Health Care Corporation false Centralia Medical Services Bldg Assoc 10101 Woodfield Lane St Louis MO 63132 237408025 MOB IL 501(c)(3) Type I SSM Regional Health Services false St Mary's Janesville Foundation Inc 10101 Woodfield Lane St Louis MO 63132 273439133 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false SSM Health Ministries 3221 McKelvey Road Suite 107 Bridgeton MO 63044 431012492 Religious Organization MO 501(c)(3) 1 NA false Lee Dewey Corporation 10101 Woodfield Lane St Louis MO 63132 731279603 MOB OK 501(c)(3) Type I SSM Health Care of Oklahoma false SSM Hospice & Home Care Foundation 10101 Woodfield Lane St Louis MO 63132 300012246 Fundraising MO 501(c)(3) 7 SSM Health Businesses true St Mary's Hospital Auxiliary 100 St Marys Medical Plaza Jefferson City MO 65101 436049878 Fundraising MO 501(c)(3) Type II NA false Good Samaritan Hospital Auxiliary 1 Good Samaritan Way Mount Vernon IL 62864 237049599 Fundraising IL 501(c)(3) Type III-FI NA false St Anthony Shawnee Hospital Inc 1000 N Lee Ave Oklahoma City OK 73102 455055149 Health Care OK 501(c)(3) 3 SSM Health Care of Oklahoma false SSM Audrain Health Care Inc 10101 Woodfield Lane St Louis MO 63132 431550298 Health Care MO 501(c)(3) 3 SSM Regional Health Services false Audrain Medical Center Foundation Inc 620 E Monroe St Mexico MO 65265 431265060 Fundraising MO 501(c)(3) Type I NA false SSM-SLUH Inc 10101 Woodfield Lane St Louis MO 63132 474196634 Health Care MO 501(c)(3) 3 SSM Health Care St Louis false SSM Health Plan 1277 Deming Way Madison WI 53717 831979548 Insurance MO 501(c)(4) SSM Health Businesses true Agnesian Healthcare Inc 430 E Division St Fond du Lac WI 54935 390807236 Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin false Ripon Medical Center Inc 845 Parkside Street Ripon WI 54971 391101287 Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc false Waupun Memorial Hospital Inc 620 West Brown Street Waupun WI 53963 390806265 Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc false St Francis Home of Fond du Lac Wisconsin Inc 33 Everett Street Fond du Lac WI 54935 391029998 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Sister Servants of Christ the King Villa Loretto N8114 County WW Mount Calvary WI 53057 391022770 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Villa Rosa Inc N8120 County WW Mount Calvary WI 53057 421670962 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false The Christian Home and Rehabilitation Center Incorporated 331 Bly Street Waupun WI 53963 390884514 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false The Monroe Clinic Inc 515 22nd Avenue Monroe WI 53566 390808509 Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin false Monroe Clinic and Hospital Foundation Inc 515 22nd Avenue Monroe WI 53566 205769038 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false Agnesian Healthcare Foundation Inc 430 E Division St Fond du Lac WI 54935 391684956 Fundraising WI 501(c)(3) Type I SSM Health Care of Wisconsin false Shared Magnetic Resonance Imaging Facility Inc 1104 John Nolen Drive Madison WI 53713 391534744 Health Care WI 501(c)(3) Type I SSM Health Care of Wisconsin false SSM St Joseph Endoscopy Center LLC 10101 Woodfield Lane St Louis MO 63132 270046559 Surgery Services MO NA N/A 0 0 0 0 St Clare Imaging Services LLC 707 14th Street Suite A Baraboo WI 53913 200122365 Diag. Services WI NA N/A 0 0 0 0 Mt Vernon Radiation Therapy Center LLC 10101 Woodfield Lane St Louis MO 63132 201382620 Radiation Therapy IL NA N/A 0 0 0 0 Sleep & Neurology Center of Southern Illinois LLC 10101 Woodfield Lane St Louis MO 63132 208468195 Diag. Services IL NA N/A 0 0 0 0 CHOWSMGSI Office Building LLC 10101 Woodfield Lane St Louis MO 63132 371383861 MOB IL NA N/A 0 0 0 0 Oza Cancer Center LLC 10101 Woodfield Lane St Louis MO 63132 201382727 MOB IL NA N/A 0 0 0 0 Shawnee Real Estate Holdings LLC 1000 N Lee Ave Oklahoma City OK 73102 455458304 MOB OK NA N/A 0 0 0 0 Dean Clinic & St Mary's Hospital Accountable Care Organization LLC 1808 West Beltline Highway Madison WI 53713 452995500 Accountable Care Organization WI NA N/A 0 0 0 0 Wisconsin Integrated Information Technology and Telemedicine Systems LLC 1808 West Beltline Highway Madison WI 53713 392016715 Information Technology Services WI NA N/A 0 0 0 0 Dean Health Holdings LLC 1277 Deming Way Madison WI 53717 261594709 Support Services WI NA N/A 0 0 0 0 Wingra Building Group 1808 West Beltline Highway Madison WI 53713 390237060 MOB WI NA N/A 0 0 0 0 Janesville Riverview Clinic Building Partnership 1808 West Beltline Highway Madison WI 53713 396220698 MOB WI NA N/A 0 0 0 0 1110 N Classen Blvd LLC 1110 N Classen Boulevard Oklahoma City OK 73106 731158158 MOB OK NA N/A 0 0 0 0 SSM St Clare Surgical Center LLC 10101 Woodfield Lane St Louis MO 63132 261439695 Surgery Services MO NA N/A 0 0 0 0 Windmill LLP 50 Village View Lane Chesterfield MO 63017 431804651 Investments MO NA N/A 0 0 0 0 SSM Managed Care Organization LLC 10101 Woodfield Lane St Louis MO 63132 431708511 Health Promotion MO NA C Corporation 0 0 0 false FPP INC & Subs 10101 Woodfield Lane St Louis MO 63132 431465174 Health Care MO NA C Corporation 0 0 0 false Diversified Health Services Corp 10101 Woodfield Lane St Louis MO 63132 431369305 Medical Equipment MO NA C Corporation 0 0 0 false SSM Properties Inc 10101 Woodfield Lane St Louis MO 63132 431462486 Property Services MO NA C Corporation 0 0 0 false HealthFirst Physician Management Services 10101 Woodfield Lane St Louis MO 63132 731534336 Medical Services OK NA C Corporation 0 0 0 false SSMHC Liability Trust II 10101 Woodfield Lane St Louis MO 63132 816128118 Insurance MO NA C Corporation 0 0 0 false SSM Medical Group Inc 10101 Woodfield Lane St Louis MO 63132 431664107 Physician Offices MO NA C Corporation 0 0 0 false SSMHC Insurance Company 10101 Woodfield Lane St Louis MO 63132 030310431 Insurance NA C Corporation 0 0 0 false Physicians Services Corp of Southern Illinois Inc 10101 Woodfield Lane St Louis MO 63132 364161526 Health Care IL NA C Corporation 0 0 0 false Dean Health Systems Inc 1808 West Beltline Highway Madison WI 53713 391128616 Physician Offices WI NA C Corporation 0 0 0 false Dean Health Insurance Inc PO Box 56099 Madison WI 53705 391830837 Insurance WI NA C Corporation 0 0 0 false Dean Health Plan Inc PO Box 56099 Madison WI 53705 391535024 Insurance WI NA C Corporation 0 0 0 false SMDV Office Building 1808 West Beltline Highway Madison WI 53713 391628491 Physician Offices WI NA C Corporation 0 0 0 false Dean Retail Services Inc 1808 West Beltline Highway Madison WI 53713 391717636 Property Services WI NA C Corporation 0 0 0 false Navitus Holdings LLC 1808 West Beltline Highway Madison WI 53713 800968174 Pharmacy Benefits WI NA C Corporation 0 0 0 false Oza Oncology Inc 4117 Veterans Memorial Drive Mt Vernon IL 62804 371343746 Physician Offices IL NA S Corporation 0 0 0 false SSM Health Janesville Campus Condominium Association Inc 1808 West Beltline Highway Madison WI 53713 832038674 Condo association WI NA C Corporation 0 0 0 false SSM Health Pharmacy LLC 10101 Woodfield Lane St Louis MO 63132 264031708 Pharmacy MO NA C Corporation 0 0 0 false Dane County Cytology Center Inc 2000 Engel Street Suite 201 Madison WI 53713 391414219 Medical Services WI NA C Corporation 0 0 0 false SSM Health Insurance Company 1277 Deming Way Madison WI 53717 834718249 Insurance MO NA C Corporation 0 0 0 false false false true false false false false false false false true true true true true false true false false SSM Hospice and Home Care Foundation C 49754 Book SSM Hospice and Home Care Foundation Q 84955 Book