SSM HEALTH CARE ST LOUIS: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: SSM HEALTH CARE ST LOUIS (EIN 43-1343281)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-05
IRS object ID: 202023109349301132
Schema version: 2019v5.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-05T10:30:54-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	431343281	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Doug Long	PersonNm
Person Title	Secretary	PersonTitleTxt
Signature	2020-11-05	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	See Schedule O	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,636,600,308	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.ssmhealth.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2000	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	OPERATES SEVEN HOSPITALS AND HEALTH CARE CENTERS UNDER SIX SEPARATE HOSPITAL LICENSES IN THE GREATER ST. LOUIS METROPOLITAN AREA.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	11518	TotalEmployeeCnt
Total Volunteers	1341	TotalVolunteersCnt
Total Gross UBI	$6,012,965	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$97,109	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,086,157	PYContributionsGrantsAmt
CY Contributions Grants	$1,829,682	CYContributionsGrantsAmt
PY Program Service Revenue	$1,598,605,230	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,619,640,552	CYProgramServiceRevenueAmt
PY Investment Income	$2,911,591	PYInvestmentIncomeAmt
CY Investment Income	$2,853,625	CYInvestmentIncomeAmt
PY Other Revenue	$12,786,337	PYOtherRevenueAmt
CY Other Revenue	$10,251,992	CYOtherRevenueAmt
PY Total Revenue	$1,615,389,315	PYTotalRevenueAmt
CY Total Revenue	$1,634,575,851	CYTotalRevenueAmt
PY Grants And Similar Paid	$458,989	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$413,759	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$607,365,749	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$612,989,708	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$846,988,201	PYOtherExpensesAmt
CY Other Expenses	$896,736,537	CYOtherExpensesAmt
PY Total Expenses	$1,454,812,939	PYTotalExpensesAmt
CY Total Expenses	$1,510,140,004	CYTotalExpensesAmt
PY Revenues Less Expenses	$160,576,376	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$124,435,847	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,255,842,672	TotalAssetsBOYAmt
Total Assets EOY	$1,651,343,422	TotalAssetsEOYAmt
Total Liabilities BOY	$781,284,676	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,161,540,281	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$474,557,996	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$489,803,141	NetAssetsOrFundBalancesEOYAmt
Mission	THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,346,312,802	ExpenseAmt
Grant	$413,759	GrantAmt
Revenue	$1,619,640,552	RevenueAmt
Desc	PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.	Desc
Total Program Service Expenses	$1,346,312,802	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	11518	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3149893640	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Candace Jennings
Chair, President, Regional President-St Louis	40.0	10.0	Yes (X)	Yes (X)	$1,336,265	$0	$538,244
Laura Kaiser
Vice Chair, President/CEO at SSM Health	1.0	47.0	Yes (X)	Yes (X)	$0	$2,153,858	$2,027,129
Dee Joyner
Director	1.0	2.0	Yes (X)		$0	$0	$0
Jan Cerny
Director	1.0	2.0	Yes (X)		$0	$0	$0
Robert Wilmott
Director	1.0	2.0	Yes (X)		$0	$0	$0
Snehal Gandhi
Director	1.0	2.0	Yes (X)		$0	$0	$0
Steven Smoot
Director, COO of SSM Health	1.0	50.0	Yes (X)		$0	$1,066,618	$686,232
Doug Long
Secretary, General Counsel at SSM Health	1.0	65.2		Yes (X)	$0	$229,550	$471,986
Karen Rewerts
System VP, Finance (MO/ILL)	25.0	21.0		Yes (X)	$0	$714,136	$175,222
Kris Zimmer
Treasurer, Chief Financial Officer at SSM Health	1.0	67.0		Yes (X)	$0	$1,365,634	$813,620
Omolola Vinson
Assistant Secretary	25.0	15.0		Yes (X)	$16,739	$0	$0
Paula Friedman
Pt Yr Vice President, Pt Yr Senior VP-Strategic Development SSM Health	1.0	58.0		Yes (X)	$0	$1,384,920	$282,580
Dang Tran
President, Physicians Org/Ambulatory Services	40.0	0			$524,277	$0	$195,714	Yes (X)
Ellis Hawkins
Hospital President - SSM Health DePaul Hospital	40.0	1.0			$560,251	$0	$166,266	Yes (X)
Hsieng-Teh Su
Regional VP, Medical Affairs	40.0	0			$508,510	$0	$155,675	Yes (X)
Kathleen Bonser
Regional VP, Nursing/CNO	40.0	0			$415,493	$0	$111,062	Yes (X)
Lee Bernstein
Regional VP, Hospital Operations	40.0	0			$0	$590,108	$22,746	Yes (X)
Lisle Wescott
Hospital President - SSM Health St. Joseph - St. Charles, SSM Health St. Joseph - Lake St. Louis	40.0	1.0			$527,295	$0	$162,276	Yes (X)
Michael Bowers
Chief Operating Officer - SSM Health Care St. Louis	40.0	1.0			$656,563	$0	$203,040	Yes (X)
Rachel Donlan
System VP - Strategic Development	40.0	0			$0	$241,148	$91,349	Yes (X)
Renee Roach
System VP, Human Resources - St. Louis	40.0	0			$0	$433,335	$150,646	Yes (X)
Tina Garrison
Hospital President - SSM Health St. Clare Hospital	40.0	1.0			$359,824	$0	$119,692	Yes (X)
Travis Capers
Hospital President - SSM Health St. Mary's Hospital	40.0	1.0			$587,496	$0	$176,316	Yes (X)
Andrew Karanas
Physician	40.0	0			$517,649	$0	$21,809		Yes (X)
David McCollister
Physician	40.0	0			$468,861	$0	$18,916		Yes (X)
Joseph Attewell
Physician	40.0	0			$618,181	$0	$27,209		Yes (X)
Timothy Pratt
VP - Medical Affairs	40.0	0			$526,921	$0	$74,086		Yes (X)
William Holcomb
Physician	40.0	0			$476,248	$0	$36,153		Yes (X)
Alexander Garza
Former Key Employee	0.0	40.0			$0	$616,202	$228,090			Yes (X)
Christopher Howard
Former Director & Officer	0.0	0.0			$0	$566,322	$218,976			Yes (X)
Margaret Fowler
Former Key Employee		40.0			$0	$784,531	$173,221			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,100,573	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,146,363	TotReportableCompRltdOrgAmt
Total Other Compensation	$7,348,255	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	632	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
INTERFACE CONSTRUCTION GROUP
8401 WABASH	BERKELEY	MO	63134	CONSTRUCTION SERVICES	$17,537,628
ST LOUIS UNIVERSITY
1402 S GRAND BLVD	ST LOUIS	MO	63104	MEDICAL SERVICES	$16,884,779
ALBERICI CONSTRUCTORS INC
8800 PAGE AVE	ST LOUIS	MO	63114	CONSTRUCTION SERVICES	$13,191,918
AMN HEALTHCARE INC
12400 HIGH BLUFF DRIVE	SAN DIEGO	CA	92130	STAFFING SERVICES	$11,769,433
SSM SELECT REHAB OF ST LOUIS LLC
4714 GETTYSBURG ROAD	MECHANICSBURG	PA	17055	MEDICAL SERVICES	$10,198,168

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	105	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$1,363,273	RelatedOrganizationsAmt
Government Grants	$400,444	GovernmentGrantsAmt
All Other Contributions	$65,965	AllOtherContributionsAmt
Noncash Contributions	$31,618	NoncashContributionsAmt
Total Contributions	$1,829,682	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	621110	$1,619,640,552	$1,619,640,552	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,619,640,552	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,524,914	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,524,914	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,530,889	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,844,981	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,685,908	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,685,908	TotalRevenueColumnAmt
Exclusion	$1,685,908	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$508,186	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$179,476	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$508,186	SecuritiesAmt
Other	-$179,476	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$328,711	TotalRevenueColumnAmt
Exclusion	$328,711	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
LABORATORY SERVICES	621500	$2,965,385	$2,965,385	$0
LTACH/SELECT REHAB	622310	$2,416,299	$2,416,299
PHARMACY SERVICES	446110	$581,882	$581,882	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,602,518	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$49,399	UnrelatedBusinessRevenueAmt
Exclusion	$2,553,119	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,566,084	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,634,575,851	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,619,640,552	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,012,965	UnrelatedBusinessRevenueAmt
Exclusion	$7,092,652	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$350,529	TotalAmt
Program Services	$350,529	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$63,230	TotalAmt
Program Services	$63,230	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,320,998	TotalAmt
Program Services	$6,893,522	ProgramServicesAmt
Management And General	$427,476	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$99,753	TotalAmt
Management And General	$99,753	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$458,211,283	TotalAmt
Program Services	$431,577,162	ProgramServicesAmt
Management And General	$26,634,121	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$35,404,370	TotalAmt
Program Services	$33,337,094	ProgramServicesAmt
Management And General	$2,067,276	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$78,346,485	TotalAmt
Program Services	$73,771,802	ProgramServicesAmt
Management And General	$4,574,683	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$33,606,819	TotalAmt
Program Services	$31,644,503	ProgramServicesAmt
Management And General	$1,962,316	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$15,235,535	TotalAmt
Program Services	$15,235,535	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$147,817	TotalAmt
Management And General	$147,817	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$504,685	TotalAmt
Management And General	$504,685	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$206,843	TotalAmt
Management And General	$206,843	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$197,120,740	TotalAmt
Program Services	$142,711,734	ProgramServicesAmt
Management And General	$54,409,006	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$56,517	TotalAmt
Management And General	$56,517	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$55,768,869	TotalAmt
Program Services	$53,122,149	ProgramServicesAmt
Management And General	$2,646,720	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$77,540,601	TotalAmt
Program Services	$75,851,462	ProgramServicesAmt
Management And General	$1,689,139	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$32,453,106	TotalAmt
Program Services	$29,087,685	ProgramServicesAmt
Management And General	$3,365,421	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,029,840	TotalAmt
Program Services	$1,065,276	ProgramServicesAmt
Management And General	$964,564	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$565,515	TotalAmt
Program Services	$483,022	ProgramServicesAmt
Management And General	$82,493	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,052,069	TotalAmt
Program Services	$12,052,069	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$58,453,935	TotalAmt
Program Services	$58,453,935	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,300,886	TotalAmt
Program Services	$10,300,886	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical supplies	$288,416,944	$288,416,944
Medicaid Provider Tax	$79,952,897	$79,952,897
Internal management fees	$61,307,218		$61,307,218
Licenses and taxes	$992,763	$992,763

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,629,757	TotalAmt
Program Services	$948,603	ProgramServicesAmt
Management And General	$2,681,154	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,510,140,004	TotalAmt
Program Services	$1,346,312,802	ProgramServicesAmt
Management And General	$163,827,202	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$837,206	BOYAmt
EOY	$960,247	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$157,213,694	BOYAmt
EOY	$528,629,225	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$212,970,320	BOYAmt
EOY	$224,579,877	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$33,250,903	BOYAmt
EOY	$33,381,428	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,635,664	BOYAmt
EOY	$9,077,926	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,450,216,824	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$797,751,423	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$629,368,214	BOYAmt
EOY	$652,465,401	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$28,321,547	BOYAmt
EOY	$73,415,877	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$18,600,167	BOYAmt
EOY	$20,241,091	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,567,899	BOYAmt
EOY	$16,567,748	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$148,077,058	BOYAmt
EOY	$92,024,602	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,255,842,672	BOYAmt
EOY	$1,651,343,422	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$145,728,852	BOYAmt
EOY	$171,234,233	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$693,742	BOYAmt
EOY	$670,742	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$634,862,082	BOYAmt
EOY	$989,635,306	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$781,284,676	BOYAmt
EOY	$1,161,540,281	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$461,681,134	BOYAmt
EOY	$476,472,237	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,876,862	BOYAmt
EOY	$13,330,904	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$474,557,996	BOYAmt
EOY	$489,803,141	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,255,842,672	BOYAmt
EOY	$1,651,343,422	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$124,435,847	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,074,219	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$110,264,921	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$206,843	OtherActivitiesAmt
Total Lobbying Expenditures	$206,843	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	The organization paid dues to 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,223,619	BeginningYearBalanceAmt
Investment Earnings Or Losses	$156,025	InvestmentEarningsOrLossesAmt
Other Expenditures	$30,398	OtherExpendituresAmt
End Year Balance	$3,349,246	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,232,137	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$8,233	InvestmentEarningsOrLossesAmt
Other Expenditures	$285	OtherExpendituresAmt
End Year Balance	$3,223,619	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,165,541	OtherCostOrOtherBasisAmt
Book Value	$58,165,541	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$895,205,256	OtherCostOrOtherBasisAmt
Depreciation	$465,876,686	DepreciationAmt
Book Value	$429,328,570	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,817,318	OtherCostOrOtherBasisAmt
Depreciation	$21,441,750	DepreciationAmt
Book Value	$12,375,568	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$419,519,367	OtherCostOrOtherBasisAmt
Depreciation	$310,432,987	DepreciationAmt
Book Value	$109,086,380	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,509,342	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$43,509,342	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$652,465,401	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$42,500,885
OTHER ASSETS	$19,311,709
OPERATING RIGHT-OF-USE ASSETS	$30,212,008

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$92,024,602	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
PAYABLE TO THIRD-PARTY PAYORS	$64,208,677
DUE TO AFFILIATES	$171,557,633
OTHER LIABILITIES	$304,477
ASSET RETIREMENT LIABILITY	$2,573,462
ALLOCATED TAX-EXEMPT DEBT (ISSUED BY SSM HEALTH CARE)	$704,123,560
CAPITAL LEASE OBLIGATION	$256,281
Rabbi Trust Liability	$3,790,953
Third-party patient loans	$5,628,761
RETIREMENT OBLIGATIONS	$3,349,352
OPERATING LEASE OBLIGATIONS	$33,842,150

Field	Value	IRS element (for citing)
Total Liability	$989,635,306	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

ALL ENDOWMENT FUNDS WILL BE USED TO SUPPORT HEALTH CARE SERVICES.

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

SSM HEALTH CARE ST LOUIS' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2019 OR 2018.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,313,911	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$48,313,911	NetCommunityBenefitExpnsAmt
Total Expense	0.0320	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$255,570,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$232,471,946	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,098,946	NetCommunityBenefitExpnsAmt
Total Expense	0.0153	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,443,705	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,619,268	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,824,437	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$320,328,508	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$247,091,214	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,237,294	NetCommunityBenefitExpnsAmt
Total Expense	0.0485	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,408,751	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,350	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,398,401	NetCommunityBenefitExpnsAmt
Total Expense	0.0036	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,671,077	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,597,419	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,073,658	NetCommunityBenefitExpnsAmt
Total Expense	0.0106	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,488	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,488	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,867	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,867	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$34,116,183	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,607,769	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,508,414	NetCommunityBenefitExpnsAmt
Total Expense	0.0142	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$354,444,691	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$259,698,983	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$94,745,708	NetCommunityBenefitExpnsAmt
Total Expense	0.0627	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$124,311	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$124,311	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$401,327	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$210,189	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$191,138	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$525,638	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$210,189	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$315,449	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$90,513,721	BadDebtExpenseAmt
Reimbursed By Medicare	$334,391,152	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$346,570,930	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$12,179,778	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
SSM ST JOSEPH ENDOSCOPY CENTER LLC
OPERATE AN ENDOSCOPY CENTER	0.5	0.0	0.5
ST LOUIS CYBERKNIFE LLC
OPERATE A CANCER TREATMENT CENTER	0.44	0.0	0.56

Field	Value	IRS element (for citing)
Hospital Facilities	6	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (6 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Teaching HospitalTeachingHospitalInd
SSM Health DePaul Hospital - St Louis
1	12303 DePaul Drive	St Louis	MO	63044	https://www.ssmhealth.com/locations/depaul-hospital-st-louis	414-18	Yes (X)	Yes (X)	Yes (X)	A
SSM Health St Mary's Hospital - St Louis
2	6420 Clayton Road	St Louis	MO	63117	https://www.ssmhealth.com/locations/st-marys-hospital-st-louis	383-21	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)
SSM Health St Joseph Hospital - St Charles
3	300 First Capitol Drive	St Charles	MO	63301	https://www.ssmhealth.com/locations/st-joseph-hospital-st-charles	494-8	Yes (X)	Yes (X)	Yes (X)	A
SSM Health St Clare Hospital - Fenton
4	1015 Bowles Avenue	Fenton	MO	63026	https://www.ssmhealth.com/locations/st-clare-hospital-fenton	456-14	Yes (X)	Yes (X)	Yes (X)	A
SSM Health St Joseph Hospital - Lake Saint Louis
5	100 Medical Drive	Lake St Louis	MO	63367	https://www.ssmhealth.com/locations/st-joseph-hospital-lake-saint-louis	381-21	Yes (X)	Yes (X)	Yes (X)	A
SSM Health Rehabilitation Hospital
6	12380 DePaul Drive	Bridgeton	MO	63044	HTTPS://WWW.SSM-REHAB.COM/	522-4	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	FacilityFacilityNum	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Look Back MedicareLookBackMedicareInd
A
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	https://www.ssmhealth.com/about/chna	Yes (X)	Yes (true)	19	Yes (true)	https://www.ssmhealth.com/about/chna	false	Yes (true)	Yes (X)	200.0	400.0	Yes (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/for-patients/financial-assistance	Yes (X)	https://www.ssmhealth.com/resources/for-patients/financial-assistance	Yes (X)	https://www.ssmhealth.com/resources/for-patients/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
SSM Health Rehabilitation Hospital
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	https://www.ssm-rehab.com/about/community-health-needs-assessment/	Yes (X)	Yes (true)	19	Yes (true)	https://www.ssmhealth.com/about/chna	false	Yes (true)	Yes (X)	200.0	400.0	Yes (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/referral-sources/financial-assistance/	Yes (X)	https://www.ssm-rehab.com/referral-sources/financial-assistance/	Yes (X)	https://www.ssm-rehab.com/referral-sources/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)		Yes (X)		Yes (true)		false	false	6	Yes (X)	https://www.ssmhealth.com/about/chna	Yes (X)

Supplemental Information SupplementalInformationGrp (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAVE PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - 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, 1	Facility 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, 2	Facility 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, 3	Facility 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, 4	Facility 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, 1	Facility 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, 2	Facility A, 2 - 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, 3	Facility A, 3 - SSM Health St. Joseph Hospital - St. Charles and SSM Health St. Joseph Hospital - Lake Saint 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, 4	Facility A, 4 - SSM 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, 5	Facility A, 5 - Facility Group A. During 2019, the following activities were performed to help address the issues identified in the CHNA: SSM Health St. Louis offered free flu vaccinations across the St. Louis region ministries in 2019, in an effort to reduce influenza risk for children, adults, and their families. According to the Centers for Disease Control, an annual seasonal flu vaccination is the best way to reduce chances of being diagnosed with influenza or spreading it to others. Flu Clinic were "walk-ins" and community members were provided flu injections as well as a preservative-free option. Community members who were unable to make the walk-in clinic days were provided options to visit SSM providers or other SSM affiliate sites. SSM Health St. Mary's Hospital's participated in two collaborative initiatives to improve women's health across the St. Louis region.SSM Health St. Mary's Hospital Centering Pregnancy program recently participated in a regional initiative, led by the St. Louis Integrated Health Network, that won first place in the Council on Patient Safety in Women's Health Care's 2019 National Improvement Challenge on Reduction of Peripartum Racial and Ethnic Disparities. CenteringPregnancy is a group model of prenatal care that is offered across the country and has been offered at the Maternal and Fetal Care Center at St. Mary's Hospital since 2014. The program provides supportive prenatal care to expecting families at no additional cost with a focus on wellness, personal agency, self-care and community care. Thanks to the efforts of the Enhanced CenteringPregnancy Collaborative, SSM St. Mary's has seen improvements in preterm birth rate, lower rates of perinatal depression and higher birth weights. Gateway to Better Health (GBH) is a temporary health care program for uninsured adults in St. Louis City and County. The organization serves individuals from some of St. Louis City and County's highest need zip codes. Patients served are at or below 100 % of the federal poverty level, seventy percent of clients are African American and 40% have a chronic health conditions. SSM Health collaborates with other area health systems and community health centers to provide comprehensive health services for this underserved population.
Schedule H, Part V, Section B, Line 3E	THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - SSM Health Rehabilitation Hospital. 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 , 1	Facility , 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 , 1	Facility , 1 - SSM Health Rehabilitation Hospital. The hospital identified various health needs in the 2018 CHNA. In order to make meaningful impact, and to use its finances most effectively and 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 in 2019 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 in 2019 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

Field	Value	IRS element (for citing)
Facility	44	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (44 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SSM Health Medical Group
1011 Bowles Avenue	Fenton	MO	63026	Outpatient clinic
SSM Health Medical Group
1035 Bellevue	St Louis	MO	63117	Outpatient clinic
SSM Health Medical Group
12266 DePaul Drive	Bridgeton	MO	63044	Outpatient clinic
SSM Health Medical Group
12277 DePaul Drive	Bridgeton	MO	63044	Outpatient clinic
SSM Health Medical Group
1475 Kisker Road	St Charles	MO	63304	Outpatient clinic
SSM Health Medical Group
400 First Capitol Drive	St Charles	MO	63301	Outpatient clinic
SSM Health Medical Group
6400 Clayton Road	St Louis	MO	63117	Outpatient clinic
SSM Health Express Clinic
2 Cottonwood Rd	Glen Carbon	IL	62034	Express clinic
SSM Health Medical Group
30 Ronnies Plaza	Sappington	MO	63126	Outpatient clinic
SSM Health Medical Group
100 N Kingshighway	St Charles	MO	63301	Outpatient clinic
SSM Health Express Clinic
441 N Kirkwood Rd	Kirkwood	MO	63122	Express clinic
SSM Health Express Clinic
500 Howdershell Rd	St Louis	MO	63031	Express clinic
SSM Health Medical Group
816 S Kirkwood Rd	Kirkwood	MO	63122	Outpatient clinic
SSM Health Medical Group
900 East Walnut	Carbondale	IL	62901	Outpatient clinic
SSM Health Express Clinic
917 Chesterfield Pkwy E	Chesterfield	MO	63017	Express clinic
SSM Health Express Clinic
920 N Main	St Louis	MO	63044	Express clinic
SSM Health Express Clinic
1000 Crossroads Place	High Ridge	MO	63049	Express clinic
SSM Health Express Clinic
1001 Bowles	St Louis	MO	63026	Express clinic
SSM Health Medical Group
1034 South Brentwood	St Louis	MO	63117	Outpatient clinic
SSM Health Medical Group
1185 Fortune Blvd	Shiloh	IL	62269	Outpatient clinic
SSM Health Medical Group
1345 Smizer Mill Road	Fenton	MO	63026	Outpatient clinic
SSM Health Express Clinic
1650 Washington	Alton	IL	62002	Express clinic
SSM Health Express Clinic
1718 Catlin Road	Barnhart	MO	63012	Express clinic
SSM Health Medical Group
1821 Sherman	St Charles	MO	63303	Outpatient clinic
SSM Health Express Clinic
1993 Wentzville Parkway	Wentzville	MO	63385	Express clinic
SSM Health Medical Group
2133 Vadalabene Drive	Maryville	IL	62062	Outpatient clinic
SSM Health Express Clinic
2310 S Old Highway 94	St Charles	MO	63303	Express clinic
SSM Health Express Clinic
2401 S Brentwood Blvd	Brentwood	MO	63144	Express clinic
SSM Health Express Clinic
2920 Highway K	OFallon	MO	63368	Express clinic
SSM Health Medical Group
3555 Sunset Office Drive	Sunset Hills	MO	63127	Outpatient clinic
SSM Health Express Clinic
3732 Nameoki	Granite City	IL	62040	Express clinic
SSM Health Express Clinic
3920 Hampton Ave	St Louis	MO	63109	Express clinic
SSM Health Express Clinic
3937 Vogel Rd	Arnold	MO	63010	Express clinic
SSM Health Express Clinic
6505 N Illinois	Fairview Heights	IL	62208	Express clinic
SSM Health Medical Group
8086 Natural Bridge Road	Bel Nor	MO	63121	Outpatient clinic
SSM Health Express Clinic
8571 Watson Rd	Webster Groves	MO	63119	Express clinic
SSM Health Express Clinic
12098 Lusher Rd	St Louis	MO	63138	Express clinic
SSM Health Express Clinic
12345 St Charles Rock Rd	Bridgeton	MO	63044	Express clinic
SSM Health Express Clinic
12509 Dorsett Rd	Maryland Heights	MO	63043	Express clinic
SSM Health Medical Group
13303 Tesson Ferry Road	St Louis	MO	63128	Outpatient clinic
SSM Health Express Clinic
13992 Manchester Rd	Manchester	MO	63011	Express clinic
SSM Health Medical Group
14309 Manchester Rd	Ballwin	MO	63011	Outpatient clinic
SSM Health Express Clinic
16105 Manchester Rd	St Louis	MO	63011	Express clinic
SSM Health Express Clinic
6071 Telegraph Rd	St Louis	MO	63129	Express Clinic

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c Discounted Care Exceptions	Patients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called "presumptive eligibility."
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	SSM Health Care Corporation, 46-6029223
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The amounts reported on Form 990, Schedule H, Part I, Line 7a, 7b, and 7c were determined using the cost to charge ratio derived from worksheet 2 in the schedule h instructions. Form 990, schedule h, part I, Lines 7e, 7f, 7g, 7h, and 7i are reported at cost as reported in the organization's financial statements. The calculation of Schedule H, Part I, Line 7, Column F utilizes 990, Part IX, Line 25, Column A, which does not include Bad Debt Expense.
Schedule H, Part II Community Building Activities	SSM HEALTH 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: COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HOSPITAL EMPLOYEES WORK WITH PRIVATE ORGANIZATIONS AND GOVERNMENT TO ADVOCATE ON PUBLIC POLICY ISSUES INCLUDING HEALTH CARE, HOUSING, SAFETY AND EDUCATION. SPONSORSHIP OF LOCAL BOYS AND GIRLS CLUB, SUPPORT FOR ST. CHARLES COUNTY ECONOMIC DEVELOPMENT CENTER. WORKFORCE DEVELOPMENT: PARTICIPATION IN REGIONAL EMPLOYMENT PROGRAM AND IN-SCHOOL PROGRAMS FOR HEALTH CARE CAREERS AND EDUCATION.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	SSM Health Care St. Louis did not make an estimate of the organization's bad debt attributable to patients eligible under the organization's financial assistance policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	SSM Health Care St. Louis is part of the SSM Health consolidated audit. The footnote that references the treatment of uncollectible accounts and implicit price concessions in the December 31, 2019 consolidated audit is contained on page 11 and 12 of the attached financial statements.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	SSM Health Care St. Louis has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable. SSM Health Care St. Louis embraces its responsibility to serve the communities in which it participates by establishing sound business practices. SSM Health Care St. Louis' billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement. 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after 120 days. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from SSMH prior to engaging in ECAs. SSMH will review the accounts and verify satisfactory completion of reasonable efforts during the notification and application period. A waiver is not considered reasonable efforts. Obtaining a signed waiver that an individual does not wish to apply for FAP assistance or receive FAP application information will not meet the requirement to make "reasonable efforts" to determine whether the individual is FAP-eligible before engaging in ECAs. All outside collection agencies must comply with state and federal laws, comply with the association of credit and collection professional's code of ethics and professional responsibility and comply with SSM Health Care St. Louis' collection and financial assistance policies.
Schedule H, Part V, Section B, Line 16a FAP website	A - SSM Health DePaul Hospital - St. Louis: Line 16a URL: https://www.ssmhealth.com/resources/for-patients/financial-assistance; - SSM Health Rehabilitation Hospital: Line 16a URL: https://www.ssm-rehab.com/referral-sources/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - SSM Health DePaul Hospital - St. Louis: Line 16b URL: https://www.ssmhealth.com/resources/for-patients/financial-assistance; - SSM Health Rehabilitation Hospital: Line 16b URL: https://www.ssm-rehab.com/referral-sources/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - SSM Health DePaul Hospital - St. Louis: Line 16c URL: https://www.ssmhealth.com/resources/for-patients/financial-assistance; - SSM Health Rehabilitation Hospital: Line 16c URL: https://www.ssm-rehab.com/referral-sources/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment	SSM Health (SSMH) participates in Community Benefit according to our vision. Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of SSM's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always our goal. To fulfill this commitment, SSM's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). The CHNA is an assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conducted every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Collect data and evaluate progress; report to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). System Office staff and leaders oversee and monitor SSMH's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, SSM Health Care Corporation also identifies needs based on assessments and research, and SSMH facilities also involve case managers and care team staff to pinpoint critical health issues in the community. All hospital CHNAs are completed, approved, and integrated into the organization's strategic plan. We continue to monitor and assess the progress of our local efforts in the spirit of caring for others and improving community health.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Each entity providing medical service shall provide information to the public regarding its charity care policies and the qualification requirements for each of its facilities. When standard system notices and communication regarding charity care are available, these must be used. Modifications to the standard may be made to comply with state and local laws, as well as reflect culturally sensitive terminology for the policy. All notices are easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They provide information about: * The patient's responsibility for payment, * The availability of financial assistance from public programs and entity charity care and payment arrangements, * The entity's charity policy and application process, and * Who to contact to get additional information or financial counseling. The following types of notices to the public are provided: * Signs in the emergency department, outpatient and inpatient registration and public waiting areas. * Brochures or fliers provided at time of registration and available in the financial counseling areas. * Notices sent with or on patient bills or communications sent to patients and guarantors related to medical services. * Applications provided to uninsured patients at the time of registration. The application for charity care, together with any instructions, must clearly state the policies regarding charity care, including excluded services, eligibility criteria and documentation requirements. Information about the entity's charity policies is also provided to public agencies.
Schedule H, Part VI, Line 4 Community information	SSM Health Care St Louis defines its primary service area as the St Louis metropolitan statistical area (MSA), which includes the Missouri Counties of St. Louis, St. Charles, Jefferson, Franklin, Lincoln, and Warren and St. Louis City. Because we support a wide range of local markets and constituencies, demographics are also evaluated for our individual hospital service areas, service lines and clinical departments to ensure we focus on specific community health needs. The total population for the MSA is estimated at 2.8 million, making the area the 21st largest metropolitan area in the United States, 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 health	SSM Health Care St. Louis participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. Focusing on a broad definition of health, SSM Health Care St. Louis' hospitals, clinics and programs provide medical and mental health services, health education, health management, prevention, referrals, insurance enrollment and in-home primary care services and support, while fostering collaboration and incorporating Community Benefit strategies. 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 system	SSM Health Care St Louis is a 501(c)(3) organization and is a member of the integrated health care system know as SSM Health. SSM Health Care St Louis is one of the largest, full-service health care networks in the St Louis, Missouri area. SSM Health Care St Louis includes the following operating hospitals: SSM Health DePaul Hospital - St. Louis SSM Health St. Joseph Hospital - St. Charles SSM Health St. Joseph Hospital - Wentzville (remote location of St. Joseph Hospital) SSM Health St. Joseph Hospital - Lake Saint Louis SSM Health St. Mary's Hospital - St. Louis SSM Health St. Clare Hospital - Fenton.
Schedule H, Part VI, Line 7 State filing of community benefit report	MO

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
American Cancer Society
250 Williams Street NW	Suite 400	Atlanta	GA	30303	131788491	501(c)(3)	$10,000	Support operations and programs
Archdiocese of St Louis
20 Archbishop May Drive		St Louis	MO	63119	430653244	501(c)(3)	$52,086	Support priest wellness program
Helping Hand Me Downs
PO Box 11385		St Louis	MO	63105	800752179	501(c)(3)	$6,667	Support programs that assist families in need
Karen Weidinger Foundation
2025 Zumbehl Road	Suite 47	St Charles	MO	63303	205501259	501(c)(3)	$7,534	Support operations and programs
Northwest RI School
4290 Gravois Road		House Springs	MO	63051	436000854	Government	$10,000	Support educational programs
Pink Ribbon Girls Inc
15 S Second Street		Tipp City	OH	45371	320020270	501(c)(3)	$25,000	Support for Ignite the Fight event
St Louis Regional Chamber & Growth Association
One Metropolitan Square	Suite 1300	St Louis	MO	63102	430975222	501(c)(6)	$64,470	Support businesses and economic growth in the area
St Charles County Economic Development Council
5988 Mid Rivers Mall Drive		St Peters	MO	63304	431545618	501(c)(4)	$55,000	Support economic growth in the region
STL Youth Jobs
4818 Washington Blvd		St Louis	MO	63108	832759267	501(c)(3)	$30,000	Support for at-risk youth job programs
Tiffany Community Association
3811 Blaine Avenue		St Louis	MO	63110	431209674	501(c)(3)	$6,000	Support neighborhood programs
Youth In Need
1815 Boones Lick Road		St Charles	MO	63301	431033862	501(c)(3)	$7,500	Support youth outreach programs

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	MEDICAL SUPPLIES ASSISTANCE	GrantTypeTxt
Recipient	6916	RecipientCnt
Non Cash Assistance	$63,230	NonCashAssistanceAmt
Valuation Method Used	Book	ValuationMethodUsedDesc
Non Cash Assistance	Medical Supplies Assistance	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Christopher Howard
Former Director & Officer	$0	$0	$0	$0	$0	$566,322	$0	$214,327	$0	$4,649	$0	$785,299	$0	$0
Candace Jennings
Chair, President, Regional President-St Louis	$679,152	$0	$137,790	$0	$519,324	$0	$518,845	$0	$19,400	$0	$1,874,510	$0	$515,924	$0
Laura Kaiser
Vice Chair, President/CEO at SSM Health	$0	$1,591,955	$0	$536,550	$0	$25,353	$0	$2,013,276	$0	$13,853	$0	$4,180,987	$0	$536,550
Steven Smoot
Director, COO of SSM Health	$0	$882,327	$0	$172,763	$0	$11,529	$0	$667,250	$0	$18,983	$0	$1,752,851	$0	$97,763
Kris Zimmer
Treasurer, Chief Financial Officer at SSM Health	$0	$887,868	$0	$230,489	$0	$247,277	$0	$797,538	$0	$16,082	$0	$2,179,255	$0	$340,596
Doug Long
Secretary, General Counsel at SSM Health	$0	$149,400	$0	$0	$0	$80,150	$0	$469,438	$0	$2,548	$0	$701,536	$0	$0
Karen Rewerts
System VP, Finance (MO/ILL)	$0	$540,461	$0	$65,545	$0	$108,129	$0	$156,482	$0	$18,740	$0	$889,358	$0	$122,739
Paula Friedman
Pt Yr Vice President, Pt Yr Senior VP-Strategic Development SSM Health	$0	$270,134	$0	$189,852	$0	$924,934	$0	$278,843	$0	$3,736	$0	$1,667,500	$0	$618,871
Margaret Fowler
Former Key Employee	$0	$421,037	$0	$64,906	$0	$298,587	$0	$155,111	$0	$18,109	$0	$957,751	$0	$190,888
Alexander Garza
Former Key Employee	$0	$530,533	$0	$82,777	$0	$2,893	$0	$205,081	$0	$23,009	$0	$844,292	$0	$82,777
Michael Bowers
Chief Operating Officer - SSM Health Care St. Louis	$514,488	$0	$77,638	$0	$64,437	$0	$182,856	$0	$20,185	$0	$859,603	$0	$120,607	$0
Travis Capers
Hospital President - SSM Health St. Mary's Hospital	$477,576	$0	$76,704	$0	$33,216	$0	$168,953	$0	$7,363	$0	$763,812	$0	$76,704	$0
Tina Garrison
Hospital President - SSM Health St. Clare Hospital	$310,239	$0	$32,232	$0	$17,353	$0	$105,284	$0	$14,407	$0	$479,516	$0	$39,849	$0
Ellis Hawkins
Hospital President - SSM Health DePaul Hospital	$430,449	$0	$63,104	$0	$66,698	$0	$145,031	$0	$21,235	$0	$726,516	$0	$97,258	$0
Lisle Wescott
Hospital President - SSM Health St. Joseph - St. Charles, SSM Health St. Joseph - Lake St. Louis	$419,071	$0	$62,767	$0	$45,457	$0	$140,767	$0	$21,509	$0	$689,571	$0	$89,948	$0
Lee Bernstein
Regional VP, Hospital Operations	$0	$88,767	$0	$71,400	$0	$429,942	$0	$7,032	$0	$15,715	$0	$612,854	$0	$273,791
Renee Roach
System VP, Human Resources - St. Louis	$0	$355,081	$0	$42,964	$0	$35,290	$0	$134,512	$0	$16,135	$0	$583,981	$0	$71,315
Hsieng-Teh Su
Regional VP, Medical Affairs	$477,576	$0	$28,764	$0	$2,170	$0	$148,312	$0	$7,363	$0	$664,185	$0	$28,764	$0
Kathleen Bonser
Regional VP, Nursing/CNO	$307,558	$0	$36,893	$0	$71,042	$0	$92,487	$0	$18,575	$0	$526,555	$0	$45,917	$0
Rachel Donlan
System VP - Strategic Development	$0	$209,169	$0	$25,225	$0	$6,754	$0	$71,346	$0	$20,003	$0	$332,498	$0	$38,051
Dang Tran
President, Physicians Org/Ambulatory Services	$474,099	$0	$37,536	$0	$12,641	$0	$174,136	$0	$21,578	$0	$719,991	$0	$37,536	$0
David McCollister
Physician	$415,423	$0	$50,000	$0	$3,438	$0	$3,391	$0	$15,524	$0	$487,776	$0	$0	$0
Timothy Pratt
VP - Medical Affairs	$374,598	$0	$41,250	$0	$111,073	$0	$58,004	$0	$16,082	$0	$601,007	$0	$111,913	$0
Joseph Attewell
Physician	$476,091	$0	$16,667	$0	$125,424	$0	$4,200	$0	$23,009	$0	$645,390	$0	$0	$0
William Holcomb
Physician	$467,841	$0	$0	$0	$8,408	$0	$23,200	$0	$12,953	$0	$512,402	$0	$0	$0
Andrew Karanas
Physician	$477,991	$0	$18,008	$0	$21,651	$0	$3,250	$0	$18,559	$0	$539,458	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	The following individuals listed on Part VII, Section A received a tax indemnification/gross up payment in 2019. These payments were included in their taxable compensation. Lisle Wescott Ellis Hawkins Tina Garrison Kathy Bonser Timothy Pratt Joseph Attewell Andrew Karanas
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	The organization's top management official, Regional President, is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the SSM Health President.
Schedule J, Part I, Line 4a Severance or change-of-control payment	SSM Health has adopted a severance policy to provide a financial transition in the event of involuntary termination without cause for executive level positions. The amount of the compensation is based on the position held and length of service with SSMH. The following individuals listed in Part VII of the Form 990 received payments under the plan in the current year: Paula Friedman $470,555 Lee Bernstein $224,131 Christopher Howard $564,308
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 Candace Jennings $81,053 Kris Zimmer $105,240 Karen Rewerts $42,840 Michael Bowers $41,000 Lisle Wescott $33,600 Travis Capers $37,600 Ellis Hawkins $34,440 Renee Roach $28,220 Tina Garrison $24,720 Hsieng-Teh Su $37,600 Kathleen Bonser $24,837 Rachel Donlan $16,983 Dang Tran, MD $37,904 Timothy Pratt $13,480 Alexander Garza, MD $42,400 Margaret Fowler $33,698 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. Candace Jennings $378,134 Paula Friedman $429,019 Kris Zimmer $111,962 Karen Rewerts $57,194 Michael Bowers $42,969 Lisle Wescott $27,181 Ellis Hawkins $34,154 Lee Bernstein $202,391 Renee Roach $28,350 Tina Garrison $7,617 Kathleen Bonser $9,023 Rachel Donlan $5,819 Timothy Pratt $70,663 Margaret Fowler $125,982 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 Karen Rewerts $24,629 Lisle Wescott $5,751 Ellis Hawkins $13,936 Tina Garrison $1,552 Kathleen Bonser $29,471 Timothy Pratt $12,531 Joseph Attewell $66,240 Andrew Karanas $10,739 Margaret Fowler $67,380

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF KRIS ZIMMER, OFFICER OF ORGANIZATION	RelationshipDescriptionTxt
Transaction	$87,935	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	VARIOUS MEDICAL ITEMS	Desc
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$31,618	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Doing Business As	SSM Health Care St. Louis currently conducts business under the following registered names. Clayton Health Services Pharmacy West East Central Missouri Area Health Education Center Maryville Pediatrics SSM Breast Care SSM Breast Care - DePaul Health Center SSM Breast Care - St. Clare Health Center SSM Breast Care - St. Joseph Health Center SSM Breast Care - St. Joseph Hospital West SSM Breast Care - St. Joseph Medical Park SSM Breast Care - St. Mary's Health Center SSM Cancer Care SSM Cancer Care - DePaul Health Center SSM Cancer Care - St. Clare Health Center SSM Cancer Care - St. Joseph Health Center SSM Cancer Care - St. Joseph Hospital West SSM Cancer Care - St. Joseph Medical Park SSM Cancer Care - St. Mary's Health Center SSM Care Management Company SSM Center for Sleep Disorders SSM Health Behavioral Health SSM Health DePaul Hospital - Anna House SSM Health DePaul Hospital - St. Louis SSM Health DePaul Hospital Surgery Center SSM Health Foundations St. Louis SSM Health Imaging Services SSM Health Outpatient Center SSM Health Pain Care SSM Health Sleep Services SSM Health St. Clare Hospital - Fenton SSM Health St. Joseph Hospital - Lake Saint Louis SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing SSM Health St. Joseph Hospital - St. Charles SSM Health St. Joseph Hospital - St. Charles Physician Billing SSM Health St. Joseph Hospital - Wentzville SSM Health St. Joseph Hospital - Wentzville Physician Billing SSM Health St. Joseph Hospital Wentzville Outpatient Pharmacy SSM Health St. Mary's Hospital - St. Louis SSM Health Treatment & Recovery SSM Health Urgent Care SSM Health Vascular Services SSM Health Weight Management Services SSM Health Women's Health SSM Heart Institute SSM Integrated Distribution & Services Center SSM St. Joseph Health Center SSM St. Joseph Health Center - Wentzville Outpatient Pharmacy SSM St. Joseph Hospital West SSM St. Joseph Medical Park
Form 990, Part III, Line 4a Program Service Accomplishments	Briefly describe the corporation's mission: Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 23 acute care hospitals, one children's hospital, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company, and an Accountable Care Organization. The health system employs nearly 40,000 people and is affiliated with 11,000 physicians making it one of the largest employers in every community it serves. In the tradition of its founding sisters, SSMH strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. About SSM Health Care St Louis: SSM Health Care St Louis provides health care services at six wholly-owned acute care hospitals: SSM Health DePaul Hospital-St Louis, SSM Health St Mary's Hospital-St Louis, SSM Health St Joseph Hospital - St Charles, SSM Health St Clare Hospital-Fenton, SSM Health St Joseph Hospital-Lake St Louis, and SSM Health St Joseph Hospital - Wentzville. SSM Health Care St Louis is also the sole corporate member of SSM Health Cardinal Glennon Children's Hospital and SSM Health Saint Louis University Hospital. Since SSM Health's founding sisters began their ministry in St. Louis with just $5 among them more than 145 years ago, it has grown into one of the largest integrated delivery systems in the nation. In the St. Louis region, SSM Health operates eight hospitals, as well as numerous urgent care locations, SSM Health Express Clinics at Walgreens, SSM Health Medical Group offices, pediatric-specific locations, outpatient rehab centers, occupational health locations and hospice and home health services. SSM Health Care St. Louis also is partial owner of SSM Health Rehabilitation Hospital, a specialty rehabilitation hospital that offers care and advanced treatment for individuals with stroke, brain injury, spinal cord injury, neurological disorders, amputation, joint replacement and other orthopedic trauma, as well as general medical rehabilitation needs. SSM Health DePaul Hospital-St Louis opened in 1828, was the first hospital west of the Mississippi River and remains the oldest continuously existing business in St Louis. Today SSM Health DePaul Hospital-St Louis offers the only Level II Trauma Center in North St. Louis County and serves patients from across the St. Louis metropolitan area, with concentration in the surrounding communities of Bridgeton, Florissant, Hazelwood, St Ann, St John, Maryland Heights and Overland in Missouri. SSM Health DePaul Hospital-St Louis offers a wide range of comprehensive medical care including inpatient and outpatient surgeries using state-of-the-art technology and facilities. We offer the most advanced technology and procedures available including minimally invasive heart, spine, knee, hip and weight loss surgery. The Joint Commission has also designated the hospital as a Joint Commission Certified Primary Stroke Center, distinguishing it from other stroke centers, for meeting the highest standards of care established by the Joint Commission to receive and treat the most complex stroke cases, as a Certified Hip Replacement Center, a Certified Knee Replacement Center, and is designated as a Level I Time Critical Diagnosis STEMI Center. It is also a Bariatric Surgery Center of Excellence as endorsed by the American Society for Metabolic and Bariatric Surgery. SSM Health St. Mary's Hospital is a two-time winner of the Premier Award for Quality and a Level II Time Critical Diagnosis STEMI Center. The Hospital has distinctive capabilities in heart attack care, high-risk pregnancies, and fetal surgery. Additionally, the hospital has a chest pain center, advanced stroke care clinic and the latest imaging and outpatient services. A teaching hospital, SSM Health St. Mary's offers an independent, accredited internal medicine residency program and is the primary location for St. Louis University School of Medicine's Department of Obstetrics and Gynecology and its Family Practice residency programs. SSM Health St. Joseph Hospital-St Charles is located in a historic downtown district and has been serving the needs of the community since 1885. SSM St. Joseph Hospital-St Charles has grown structurally and technologically throughout the past 125 years to meet the needs of an ever-growing and changing population. Today, the acute care hospital offers highly-specialized care for critically ill patients. The hospital excels in many areas, including open-heart surgery, cardiac catheterizations, trauma and emergency services, sleep medicine, obstetrics, surgical services, oncology, vascular surgery, orthopedics and gastroenterology. The facility is designated as a Level II Trauma Center, A Joint Commission-certified Primary Stroke Center and the only Level I Time Critical Diagnosis STEMI Center in St. Charles County. SSM Health St. Joseph Hospital - Lake Saint Louis is the leading provider of health care services for western St. Charles, Warren and Lincoln Counties. The hospital is a state-designated Level III trauma center, a Level II Time Critical Diagnosis STEMI Center and specializes in obstetric and pediatric care. It also offers inpatient and outpatient health care services. In 2014 it was named one of the nation's Top 100 Hospitals by Truven Health Analytics and made Becker's Hospital Review's list of 100 Great Community Hospitals. SSM Health St. Joseph Hospital - Wentzville has been providing high quality health care to residents in western St. Charles, Warren, Lincoln, and Montgomery counties since 1987. Operating under the SSM Health St. Joseph Hospital - St. Charles hospital license, the facility currently offers patients in Wentzville and surrounding communities a 24-hour emergency department and ambulatory services, as well as convenient access to outpatient programs, including diagnostic, cardiology, pulmonary and rehab services. Behavioral health inpatient and outpatient care also is an integral part of the services offered at the hospital. The hospital offers inpatient psychiatric care on campus with close supervision, with the goal of stabilizing patients and helping them understand their condition and develop coping strategies to manage their emotions and behaviors. SSM Health St. Clare Hospital-Fenton is a Level I Time Critical Diagnosis STEMI Center and a Level I Stroke Center, serves the medical needs of the expanding community in southwest St. Louis County. Specializing in heart and vascular, neurosciences, cancer care, maternity and other medical services. The hospital also received the Healthgrades Outstanding Patient Experience Award in 2019. SSM Health Care St Louis furthers its exempt purpose with the following activities: - Operates an emergency room that is open to all persons regardless of ability to pay, - Has an open medical staff with privileges available to all qualified physicians in the area, - Has a governing body in which independent persons representative of the community comprise a majority - Engages in the training and education of health care professionals, - Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs - All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. Quantifiable Uncompensated Care: The following is a list of the types of programs and services that could be included as uncompensated care: Traditional Charity Care $ 48,313,911 Unpaid Cost of Medicaid $ 23,098,946 Unpaid Cost of Medicare $ 12,179,778 Unpaid Cost of Other Means-Tested Programs $ 1,824,437 Total Quantifiable Uncompensated Care $85,417,072
Form 990, Part V, Line 1a	ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223.
Form 990, Part VI, Line 15a Process for determining compensation	A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.
Form 990, Part VI, Line 15b Process for determining compensation	A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.
Form 990, Part VI, Line 6 Classes of members or stockholders	The members of the corporation are SSM Health Care Corporation and Saint Louis University.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	SSM Health Care Corporation (SSMHCC), as one of the members, has the power to appoint additional, successor or replacement members of the Corporation, provided that any appointment or removal requiring the written consent of SLU has received that approval. SSMHCC has the power to appoint and remove the individuals serving on the Board, other than the SLU appointed directors. SLU retains power to appoint and remove individuals serving on the Board who have been appointed by SLU.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	SSM Health Care Corporation has the following powers: (a) to establish and change the mission, philosophy and values of the Corporation, (b) to appoint additional, successor or replacement members of the Corporation, provided, that any member requiring the approval of SLU receives that approval according to the Bylaws, (c) to appoint and remove the individuals serving on the Board, other than the SLU Appointed Directors who will be subject to appointment and removal by SLU; provided, however, that SSMHCC may remove SLU Appointed Directors who violate conflict of interest policy and other policies of the Corporation, as the same may be amended from time to time, upon prior written notice to SLU pursuant to the Members' Agreement, (d) to appoint and remove the President of the Corporation and the chief executive officer of any Company Subsidiary and any Health Care Operating Division, provided, that SSMHCC shall (i) obtain the written consent of SLU before appointing any chief executive officer of SLUH, (ii) consult with the Board and SLU before exercising its reserved power to remove the chief executive officer of SLUH and (iii) consult with SLU in connection with hiring certain senior employees, (e) to approve amendments to the Articles of Incorporation of the Corporation, as provided therein, but subject to SLU's prior written consent, (f) to approve amendments to these Bylaws, but subject to SLU's prior written consent is not required for (i) non-material changes required by applicable law, regulation or any applicable accrediting entity, (g) to approve the merger or consolidation of the Corporation; provided, that (i) SLU's prior written consent shall be required in the event such transaction constitutes a Prohibited Change of Control, and (ii) with respect to a Permitted Change of Control that is a Permitted Affiliate Change of Control, SSMHCC shall provide SLU with written notice not less than thirty days prior to the effective date of such change of control, and with respect to any other Permitted Change of Control, SSMHCC shall provide SLU with written notice within thirty (30) days after the signing of a letter of intent, in both cases, with no separate SLU approval right, (h) to approve the dissolution of the Corporation, but subject to SLU's prior written consent, (i) to approve the formation of a Controlled Subsidiary or a Remotely Controlled Subsidiary, provided that certain deviations from protocol require the approval of SLU, (j) to approve the acquisition or disposition by the Corporation of another legal entity or an interest in another legal entity, provided, that the Corporation shall obtain the written consent of SLU before divesting of, or admitting another Person, (k) to authorize or approve the acquisition or disposition by the Corporation of real property or any interest in real property, provided, that the Corporation shall obtain the written consent of SLU before disposing of any real property or any interest in real property comprising a substantial portion of the operating assets, (l) to (i) establish centralized employee benefit, insurance, investment, financing, corporate responsibility, performance assessment and improvement and other operational and support programs; (ii) require the participation of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary in such programs; and (iii) authorize the opening and closing of bank accounts and investment accounts in the name of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary in connection with such programs; provided that SSMHCC has determined in its reasonable discretion that such actions are not inconsistent with and do not violate the terms of the Members' Agreement, the Master Agreement, the Academic Affiliation Agreement and the Bylaws, (m) to approve the strategic, financial and human resources plan of the Corporation, subject to SLU's rights set forth in the bylaws and approval of the Academic Program Strategic Plan, (n) to appoint the auditor and corporate counsel for the Corporation, (o) subject to SLU's rights, to authorize and approve borrowing money and entering into financial guaranties by the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary, including actions relating to the formation, joining, operation, withdrawal from and termination of a credit group or an obligated group and the granting of security interests in the property of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary; provided, that SSMHCC has determined in its reasonable discretion that such actions are not inconsistent with and do not violate the terms of the Members' Agreement, the Master Agreement, the Academic Affiliation Agreement and the Bylaws, (p) to require the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary to transfer assets, including but not limited to cash, to SSMHCC or to any entity exempt from federal income tax as an organization described in Section 501(c)(3) of the Internal Revenue Code, or the corresponding provision of any future United States Internal Revenue Law, which is controlled by SSMHCC, to the extent necessary to accomplish the mission, goals and objectives of SSMHCC as determined by SSMHCC; provided, that SSMHCC has determined in its reasonable discretion that any such transfer would not reasonably be likely to result in a failure of the Corporation or such subsidiary to fulfill its commitments under the Members' Agreement, the Master Agreement or the Academic Affiliation Agreement, (q) subject to SLU's rights, to approve the transfer of assets by the Corporation to any entity other than SSMHCC (other than transfers made in the ordinary course of operations of the Corporation, which will not require approval by the Members, and (r) to determine the extent to which and the manner in which the powers described in this section which are reserved to SSMHCC with respect to the Corporation are to be included in the governing documents of any Controlled Subsidiary, Remotely Controlled Subsidiary or Non-Controlled Subsidiary and exercised with respect to any Controlled Subsidiary, any Remotely Controlled Subsidiary or any Non- Controlled Subsidiary; provided, that SSMHCC has determined in its reasonable discretion that any such determination or action is not inconsistent with and does not violate the terms of the Members' Agreement or the terms of the Master Agreement or the Academic Affiliation Agreement. Saint Louis University (SLU) has the following powers: (a) The appointment and removal of the SLU Appointed Directors to the Board consistent with such standards for Board service as appear in the Bylaws, the conflict of interest policy and other Board policies of the Corporation, as the same may be amended from time to time, upon prior written notice to SLU pursuant to the Members' Agreement, (b) The right to make recommendations and provide meaningful input regarding the strategic, financial and human resources plans for the Corporation, (c) Approval of any guaranty by SLU of Corporation debt, and (d) In accordance with the Master Agreement, establishing payor contracting parameters for SLUCare.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	The organization does not have any committees with authority to act on behalf of the governing body.
Form 990, Part VI, Line 11b Review of form 990 by governing body	The Form 990 is prepared by the Tax Department of the parent organization, SSM Health Care Corporation (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 are made available to the public on SSM Health's website. The organization's articles of incorporation are available on the Missouri Secretary of State's website. Copies of the Form 990 and the organization's conflict of interest policy are available upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All other revenue - Total Revenue: 2602518, Related or Exempt Function Revenue: , Unrelated Business Revenue: 49399, Revenue Excluded from Tax Under Sections 512, 513, or 514: 2553119;
Form 990, Part IX, Line 11g Other Fees	MEDICAL AND OTHER PROFESSIONAL FEES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 54409006, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFERS TO AFFILIATES - -XXX-XX-XXXX; BENEFICIAL INTEREST IN FOUNDATION - 1897172;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SSM ACO LLC	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	900986282	EIN
Primary Activities	HEALTH PROMOTION	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd
Total Income	$1,631,502	TotalIncomeAmt
End Of Year Assets	$6,397,693	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (50 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SSM Health Care Corporation
10101 Woodfield Lane	St Louis	MO	63132	466029223	Health Care	MO	501(c)(3)	Type I	SSM Health Ministries	false
SSMHC Liability Trust I
10101 Woodfield Lane	St Louis	MO	63132	436331003	Insurance	MO	501(c)(3)	Type I	SSM Health Care Corporation	false
SSM Consolidated Health Services
10101 Woodfield Lane	St Louis	MO	63132	431473657	Health Care	MO	501(c)(3)	10	SSM Health Care Corporation	false
SSM Policy Institute
10101 Woodfield Lane	St Louis	MO	63132	431788151	Health Care	MO	501(c)(4)		SSM Health Care Corporation	false
SSM Health Care Portfolio Management Co
10101 Woodfield Lane	St Louis	MO	63132	431825256	Management	MO	501(c)(3)	Type I	SSM Health Care Corporation	false
SSM Cardinal Glennon Children's Hospital
10101 Woodfield Lane	St Louis	MO	63132	430738490	Health Care	MO	501(c)(3)	3	SSM Health Care St Louis	Yes (true)
Cardinal Glennon Children's Foundation
10101 Woodfield Lane	St Louis	MO	63132	431754347	Fundraising	MO	501(c)(3)	7	SSM Cardinal Glennon Children's Hospital	false
SSM Health Foundation - St Louis
10101 Woodfield Lane	St Louis	MO	63132	431552945	Fundraising	MO	501(c)(3)	7	SSM Health Care St Louis	Yes (true)
SSM Health Care of Oklahoma Inc
10101 Woodfield Lane	St Louis	MO	63132	730657693	Health Care	OK	501(c)(3)	3	SSM Health Care Corporation	false
The St Anthony Hospital Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	736104300	Fundraising	OK	501(c)(3)	7	SSM Health Care of Oklahoma	false
SSM Health Care of Wisconsin Inc
10101 Woodfield Lane	St Louis	MO	63132	430688874	Health Care	WI	501(c)(3)	3	SSM Health Care Corporation	false
Dells Medical Building Inc
10101 Woodfield Lane	St Louis	MO	63132	391613292	MOB	WI	501(c)(2)		SSM Health Care of Wisconsin	false
St Mary's Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	431940686	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
St Clare Health Care Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	431940683	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
Home Health United Inc
2802 Walton Commons Lane	Madison	WI	53718	391539827	Health Care	WI	501(c)(3)	10	SSM Health Care of Wisconsin	false
Home Care United Inc
2802 Walton Commons Lane	Madison	WI	53718	391776340	Health Care	WI	501(c)(3)	10	SSM Health Care of Wisconsin	false
HHU Xtra Care Inc
2802 Walton Commons Lane	Madison	WI	53718	391705111	Health Care	WI	501(c)(3)	10	SSM Health Care of Wisconsin	false
SSM Health at Home Foundation of Wisconsin Inc
2802 Walton Commons Lane	Madison	WI	53718	391839309	Fundraising	WI	501(c)(3)	Type I	Home Health United Inc	false
SSM Regional Health Services
10101 Woodfield Lane	St Louis	MO	63132	440579850	Health Care	MO	501(c)(3)	3	SSM Health Care Corporation	false
St Mary's Health Center Jefferson City Missouri Foundation
10101 Woodfield Lane	St Louis	MO	63132	431575307	Fundraising	MO	501(c)(3)	Type I	SSM Regional Health Services	false
Good Samaritan Regional Health Center
10101 Woodfield Lane	St Louis	MO	63132	430653587	Health Care	IL	501(c)(3)	3	SSM Regional Health Services	false
St Mary's Hospital Centralia Illinois
10101 Woodfield Lane	St Louis	MO	63132	370662580	Health Care	IL	501(c)(3)	3	SSM Regional Health Services	false
St Mary's - Good Samaritan Inc
10101 Woodfield Lane	St Louis	MO	63132	364170833	Health Care	IL	501(c)(3)	Type I	SSM Regional Health Services	false
Good Samaritan Regional Health Center Foundation
10101 Woodfield Lane	St Louis	MO	63132	262884795	Fundraising	IL	501(c)(3)	7	St Mary's-Good Samaritan Inc	false
St Mary's Hospital Foundation
10101 Woodfield Lane	St Louis	MO	63132	364636691	Fundraising	IL	501(c)(3)	7	St Mary's-Good Samaritan Inc	false
St Mary's Hospital Auxiliary
400 N Pleasant	Centralia	IL	62801	237126345	Fundraising	IL	501(c)(3)	10	St Mary's Hospital Foundation	false
SSM Health Businesses
10101 Woodfield Lane	St Louis	MO	63132	431333488	Health Care	MO	501(c)(3)	10	SSM Health Care Corporation	false
Centralia Medical Services Bldg Assoc
10101 Woodfield Lane	St Louis	MO	63132	237408025	MOB	IL	501(c)(3)	Type I	SSM Regional Health Services	false
St Mary's Janesville Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	273439133	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
SSM Health Ministries
3221 McKelvey Road Suite 107	Bridgeton	MO	63044	431012492	Religious Organization	MO	501(c)(3)	1	NA	false
Lee Dewey Corporation
10101 Woodfield Lane	St Louis	MO	63132	731279603	MOB	OK	501(c)(3)	Type I	SSM Health Care of Oklahoma	false
SSM Hospice & Home Care Foundation
10101 Woodfield Lane	St Louis	MO	63132	300012246	Fundraising	MO	501(c)(3)	7	SSM Health Businesses	false
St Mary's Hospital Auxiliary
100 St Marys Medical Plaza	Jefferson City	MO	65101	436049878	Fundraising	MO	501(c)(3)	Type II	NA	false
Good Samaritan Hospital Auxiliary
1 Good Samaritan Way	Mount Vernon	IL	62864	237049599	Fundraising	IL	501(c)(3)	Type III-FI	NA	false
St Anthony Shawnee Hospital Inc
1000 N Lee Ave	Oklahoma City	OK	73102	455055149	Health Care	OK	501(c)(3)	3	SSM Health Care of Oklahoma	false
SSM Audrain Health Care Inc
10101 Woodfield Lane	St Louis	MO	63132	431550298	Health Care	MO	501(c)(3)	3	SSM Regional Health Services	false
Audrain Medical Center Foundation Inc
620 E Monroe St	Mexico	MO	65265	431265060	Fundraising	MO	501(c)(3)	Type I	NA	false
SSM-SLUH Inc
10101 Woodfield Lane	St Louis	MO	63132	474196634	Health Care	MO	501(c)(3)	3	SSM Health Care St Louis	Yes (true)
SSM Health Plan
1277 Deming Way	Madison	WI	53717	831979548	Insurance	MO	501(c)(4)		SSM Health Businesses	false
Agnesian Healthcare Inc
430 E Division St	Fond du Lac	WI	54935	390807236	Health Care	WI	501(c)(3)	3	SSM Health Care of Wisconsin	false
Ripon Medical Center Inc
845 Parkside Street	Ripon	WI	54971	391101287	Health Care	WI	501(c)(3)	3	Agnesian Healthcare Inc	false
Waupun Memorial Hospital Inc
620 West Brown Street	Waupun	WI	53963	390806265	Health Care	WI	501(c)(3)	3	Agnesian Healthcare Inc	false
St Francis Home of Fond du Lac Wisconsin Inc
33 Everett Street	Fond du Lac	WI	54935	391029998	Health Care	WI	501(c)(3)	10	Agnesian Healthcare Inc	false
Sister Servants of Christ the King Villa Loretto
N8114 County WW	Mount Calvary	WI	53057	391022770	Health Care	WI	501(c)(3)	10	Agnesian Healthcare Inc	false
Villa Rosa Inc
N8120 County WW	Mount Calvary	WI	53057	421670962	Health Care	WI	501(c)(3)	10	Agnesian Healthcare Inc	false
The Christian Home and Rehabilitation Center Incorporated
331 Bly Street	Waupun	WI	53963	390884514	Health Care	WI	501(c)(3)	10	Agnesian Healthcare Inc	false
The Monroe Clinic Inc
515 22nd Avenue	Monroe	WI	53566	390808509	Health Care	WI	501(c)(3)	3	SSM Health Care of Wisconsin	false
Monroe Clinic and Hospital Foundation Inc
515 22nd Avenue	Monroe	WI	53566	205769038	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
Agnesian Healthcare Foundation Inc
430 E Division St	Fond du Lac	WI	54935	391684956	Fundraising	WI	501(c)(3)	Type I	SSM Health Care of Wisconsin	false
Shared Magnetic Resonance Imaging Facility Inc
1104 John Nolen Drive	Madison	WI	53713	391534744	Health Care	WI	501(c)(3)	Type I	SSM Health Care of Wisconsin	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
SSM St Joseph Endoscopy Center LLC
10101 Woodfield Lane	St Louis	MO	63132	270046559	Surgery Services	MO	NA	N/A	$3,123,818	$1,795,886	false	$0	false	0.50
St Clare Imaging Services LLC
707 14th Street Suite A	Baraboo	WI	53913	200122365	Diag. Services	WI	NA	N/A	$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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
SSM Managed Care Organization LLC
10101 Woodfield Lane	St Louis	MO	63132	431708511	Health Promotion	MO	NA	C Corporation	$0	$81,731	1.00	Yes (true)
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

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SSM Health Foundation - St Louis
C	$1,326,944	Cash
SSM Health Foundation - St Louis
P	$2,597,257	Cash