SSM CARDINAL GLENNON CHILDRENS HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SSM CARDINAL GLENNON CHILDRENS HOSPITAL (EIN 43-0738490)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-07
IRS object ID: 201943119349300649
Schema version: 2018v3.1
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-07T11:02:03-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	430738490	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SSM Cardinal Glennon Children's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SSMC	BusinessNameControlTxt
Phone	3149893640	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	2019-11-07	SignatureDt

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$334,310,054	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	1949	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	A not-for-profit inpatient & outpatient pediatric medical center in St. Louis, Missouri, specializing in neonatology, cardiology, pediatric and fetal surgery, and cancer services.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	2133	TotalEmployeeCnt
Total Volunteers	384	TotalVolunteersCnt
Total Gross UBI	$81,320	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,491,096	PYContributionsGrantsAmt
CY Contributions Grants	$8,299,783	CYContributionsGrantsAmt
PY Program Service Revenue	$335,635,408	PYProgramServiceRevenueAmt
CY Program Service Revenue	$316,284,082	CYProgramServiceRevenueAmt
PY Investment Income	$207,979	PYInvestmentIncomeAmt
CY Investment Income	$1,026,595	CYInvestmentIncomeAmt
PY Other Revenue	$6,131,622	PYOtherRevenueAmt
CY Other Revenue	$7,628,782	CYOtherRevenueAmt
PY Total Revenue	$351,466,105	PYTotalRevenueAmt
CY Total Revenue	$333,239,242	CYTotalRevenueAmt
PY Grants And Similar Paid	$107,066	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$151,955	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$138,619,290	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$136,780,117	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$208,998,172	PYOtherExpensesAmt
CY Other Expenses	$202,889,505	CYOtherExpensesAmt
PY Total Expenses	$347,724,528	PYTotalExpensesAmt
CY Total Expenses	$339,821,577	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,741,577	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$6,582,335	CYRevenuesLessExpensesAmt
Total Assets BOY	$437,603,182	TotalAssetsBOYAmt
Total Assets EOY	$417,887,423	TotalAssetsEOYAmt
Total Liabilities BOY	$52,640,874	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$52,770,786	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$384,962,308	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$365,116,637	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	$305,709,034	ExpenseAmt
Grant	$151,955	GrantAmt
Revenue	$321,629,210	RevenueAmt
Desc	PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.	Desc
Total Program Service Expenses	$305,709,034	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	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	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2133	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	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	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	false	InvestmentInJointVentureInd
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	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63132	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 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	1.0	43.0	Yes (X)	Yes (X)	$0	$753,824	$275,821
Laura Kaiser
Vice Chair, President/CEO of SSM Health	1.0	48.0	Yes (X)	Yes (X)	$0	$1,891,562	$841,443
Christopher Howard
Pt Yr Director and Pt Yr Chair, Pres-Hospital Operations of SSM Health	1.0	48.0	Yes (X)	Yes (X)	$0	$2,492,311	$144,128
Steve Smoot
Director, COO of SSM Health	1.0	48.0	Yes (X)		$0	$420,253	$195,902
Kevin E Behrns MD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Jan Cerny
Director	1.0	2.0	Yes (X)		$0	$0	$0
Snehal Gandhi MD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Robert Wilmott MD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Robert M Heaney MD
Pt Yr Director	1.0	1.0	Yes (X)		$0	$0	$0
Dee A Joyner
Director	1.0	0	Yes (X)		$0	$0	$0
June Pickett
Secretary, Asst VP Governance & Archives, SSM Health	1.0	71.7		Yes (X)	$0	$286,530	$54,057
Steven Burghart
Hospital President	40.0	1.0		Yes (X)	$488,378	$0	$168,866
Paula Friedman
Vice President, Senior VP-Strategic Development SSM Health	1.0	58.0		Yes (X)	$0	$1,545,828	$309,578
Kris Zimmer
Treasurer/Asst Sec, Chief Financial Officer at SSM Health	1.0	66.0		Yes (X)	$0	$1,741,877	$376,259
Karen Rewerts
System VP, Finance (MO/ILL)	10.0	30.0		Yes (X)	$0	$621,313	$130,045
Bryan Rever
Pt Yr Asst Secretary	10.0	30.0		Yes (X)	$0	$70,700	$8,873
Damon Harbison
Pt Yr Chief Operating Officer	20.0	21.0			$30,910	$211,428	$104,821	Yes (X)
Kathy Donovan
VP Nursing - CGCMC	40.0	0			$156,688	$0	$30,398	Yes (X)
Shawn Dryden
VP Pediatric Ambulatory Services	40.0	0			$201,525	$15,042	$66,670	Yes (X)
Yelena Podorozhansky
Physician	40.0	0			$405,470	$0	$33,906		Yes (X)
Timothy Reed
Physician	40.0	0			$312,270	$0	$15,994		Yes (X)
Pathma Ramesvara
Physician	40.0	0			$315,151	$0	$37,827		Yes (X)
Christopher Wangard
Physician, Medical Director	40.0	0			$321,186	$0	$33,622		Yes (X)
John Hammons
Physician	40.0	0			$275,370	$0	$10,806		Yes (X)
Lynn F Lenker
Former Key Employee	0.0	40.0			$0	$395,135	$109,808			Yes (X)
Renee Roach
Former Key Employee	0.0	40.0			$0	$364,435	$119,173			Yes (X)
Kathleen Becker
Former Officer	0.0	41.0			$0	$378,366	$40,804			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,506,948	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$11,188,605	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,108,801	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	150	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
ST LOUIS UNIVERSITY
1402 S GRAND BLVD	ST LOUIS	MO	63104	PHYSICIAN SERVICES	$33,676,524
ALBERICI CONSTRUCTORS INC
8800 PAGE AVE	ST LOUIS	MO	63114	CONSTRUCTION SERVICES	$2,459,806
Laboratory Corporation of America
PO Box 12140	Burlington	NC	27216	Laboratory services	$761,065
AGILITI HEALTH INC
6625 W 78TH STREET	MINNEAPOLIS	MN	55439	MEDICAL EQUIPMENT MANAGEMENT	$479,044	SUITE 300
KIRBERG ROOFING INC
1400 SOUTH THIRD ST	ST LOUIS	MO	63104	ROOFING CONTRACTOR	$407,200

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	29	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$6,222,910	RelatedOrganizationsAmt
Government Grants	$1,671,168	GovernmentGrantsAmt
All Other Contributions	$405,705	AllOtherContributionsAmt
Noncash Contributions	$282,821	NoncashContributionsAmt
Total Contributions	$8,299,783	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$316,284,082	TotalRevenueColumnAmt
Related Or Exempt Func Income	$316,284,082	RelatedOrExemptFuncIncomeAmt

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	$316,284,082	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,590,269	TotalRevenueColumnAmt
Exclusion	$1,590,269	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$444,333	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$308,378	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$135,955	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$135,955	TotalRevenueColumnAmt
Exclusion	$135,955	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$204,118	SecuritiesAmt
Other	$359,556	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$204,118	SecuritiesAmt
Other	-$359,556	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$563,674	TotalRevenueColumnAmt
Exclusion	-$563,674	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$271,166	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$198,760	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72,406	TotalRevenueColumnAmt
Exclusion	$72,406	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PHARMACY	621500	$4,997,614	$4,997,614
CAFETERIA	722210	$1,838,995		$1,838,995
LABORATORY	446110	$428,834	$347,514		$81,320

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$154,978	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$154,978	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,420,421	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$333,239,242	TotalRevenueColumnAmt
Related Or Exempt Func Income	$321,629,210	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$81,320	UnrelatedBusinessRevenueAmt
Exclusion	$3,228,929	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	$79,919	TotalAmt
Program Services	$79,919	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$72,036	TotalAmt
Program Services	$72,036	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,152,547	TotalAmt
Program Services	$1,051,021	ProgramServicesAmt
Management And General	$101,526	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$103,623,587	TotalAmt
Program Services	$94,495,597	ProgramServicesAmt
Management And General	$9,127,990	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,132,942	TotalAmt
Program Services	$8,328,463	ProgramServicesAmt
Management And General	$804,479	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,284,376	TotalAmt
Program Services	$13,922,983	ProgramServicesAmt
Management And General	$1,361,393	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,586,665	TotalAmt
Program Services	$6,918,390	ProgramServicesAmt
Management And General	$668,275	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,542,656	TotalAmt
Program Services	$1,542,656	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$68,360	TotalAmt
Management And General	$68,360	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$116,514	TotalAmt
Management And General	$116,514	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$74,971,390	TotalAmt
Program Services	$64,042,611	ProgramServicesAmt
Management And General	$10,928,779	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$191,871	TotalAmt
Management And General	$191,871	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,169,159	TotalAmt
Program Services	$8,872,850	ProgramServicesAmt
Management And General	$1,296,309	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,062,107	TotalAmt
Program Services	$15,028,944	ProgramServicesAmt
Management And General	$33,163	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,913,278	TotalAmt
Program Services	$6,492,755	ProgramServicesAmt
Management And General	$420,523	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$399,712	TotalAmt
Program Services	$195,645	ProgramServicesAmt
Management And General	$204,067	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$150,969	TotalAmt
Program Services	$140,505	ProgramServicesAmt
Management And General	$10,464	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,666,739	TotalAmt
Program Services	$1,666,739	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,989,530	TotalAmt
Program Services	$12,989,530	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,525,630	TotalAmt
Program Services	$5,525,630	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$43,046,496	$43,046,496
MEDICAID PROVIDER TAX	$20,968,107	$20,968,107
MANAGEMENT FEES - AFFILIATES	$8,778,830		$8,778,830
LICENSES & TAXES	$328,157	$328,157

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$339,821,577	TotalAmt
Program Services	$305,709,034	ProgramServicesAmt
Management And General	$34,112,543	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$110,389	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$98,048,367	BOYAmt
EOY	$81,150,986	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$60,280,692	BOYAmt
EOY	$72,823,313	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)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$5,339,085	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,173,586	BOYAmt
EOY	$4,482,203	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,321,476	BOYAmt
EOY	$3,162,310	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$335,602,430	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$194,064,312	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$144,837,847	BOYAmt
EOY	$141,538,118	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$8,605,665	BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$94,588,922	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$97,221,488	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$88,561	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$17,407,542	BOYAmt
EOY	$17,310,055	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$437,603,182	BOYAmt
EOY	$417,887,423	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$31,169,052	BOYAmt
EOY	$32,147,596	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,471,822	BOYAmt
EOY	$20,623,190	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$52,640,874	BOYAmt
EOY	$52,770,786	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$347,617,187	BOYAmt
EOY	$327,859,233	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,830,902	BOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,514,219	BOYAmt
EOY	$37,257,404	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$384,962,308	BOYAmt
EOY	$365,116,637	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$437,603,182	BOYAmt
EOY	$417,887,423	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$6,582,335	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,100	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$13,270,436	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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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	$32,109	OtherActivitiesAmt
Total Lobbying Expenditures	$32,109	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 state and national hospital associations and portions of these dues were allocated to lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$35,063,094	BeginningYearBalanceAmt
Contributions	$1,517,961	ContributionsAmt
Investment Earnings Or Losses	-$1,185,532	InvestmentEarningsOrLossesAmt
Other Expenditures	$676,397	OtherExpendituresAmt
End Year Balance	$34,719,126	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$32,211,962	BeginningYearBalanceAmt
Contributions	$426,911	ContributionsAmt
Investment Earnings Or Losses	$2,424,221	InvestmentEarningsOrLossesAmt
End Year Balance	$35,063,094	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,480,536	BeginningYearBalanceAmt
Contributions	$1,500,000	ContributionsAmt
Investment Earnings Or Losses	$1,863,788	InvestmentEarningsOrLossesAmt
Other Expenditures	$632,362	OtherExpendituresAmt
End Year Balance	$32,211,962	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$30,555,205	BeginningYearBalanceAmt
Contributions	$5,095	ContributionsAmt
Investment Earnings Or Losses	-$200,555	InvestmentEarningsOrLossesAmt
Other Expenditures	$879,209	OtherExpendituresAmt
End Year Balance	$29,480,536	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,530,190	BeginningYearBalanceAmt
Contributions	$106,411	ContributionsAmt
Investment Earnings Or Losses	$1,563,640	InvestmentEarningsOrLossesAmt
Other Expenditures	$645,036	OtherExpendituresAmt
End Year Balance	$30,555,205	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.24	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.6	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.16	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	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	$9,235,270	OtherCostOrOtherBasisAmt
Book Value	$9,235,270	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$212,653,002	OtherCostOrOtherBasisAmt
Depreciation	$108,909,087	DepreciationAmt
Book Value	$103,743,915	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$810,185	OtherCostOrOtherBasisAmt
Depreciation	$565,626	DepreciationAmt
Book Value	$244,559	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$108,408,395	OtherCostOrOtherBasisAmt
Depreciation	$82,806,361	DepreciationAmt
Book Value	$25,602,034	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,495,578	OtherCostOrOtherBasisAmt
Depreciation	$1,783,238	DepreciationAmt
Book Value	$2,712,340	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$141,538,118	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	BENEFICIAL INTEREST IN FOUNDATION	Desc
Book Value	$97,221,488	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$97,221,488	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
RABBI TRUST LIABILITY	$431,260
RETIREMENT LIABILITIES	$15,370,373
ASSET RETIREMENT OBLIGATION	$2,540,175
DUE TO AFFILIATES	$1,699,183
OTHER LIABILITIES
THIRD PARTY PATIENT LOANS	$582,199

Field	Value	IRS element (for citing)
Total Liability	$20,623,190	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

TO SUPPORT THE PEDIATRIC MEDICAL SERVICES PROVIDED BY SSM CARDINAL GLENNON CHILDREN'S HOSPITAL.

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

SSM CARDINAL GLENNON CHILDREN'S HOSPITAL'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2018 OR 2017.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
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	$2,013,403	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,013,403	NetCommunityBenefitExpnsAmt
Total Expense	0.0059	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$169,702,814	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$155,740,732	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,962,082	NetCommunityBenefitExpnsAmt
Total Expense	0.0411	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,301,786	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,052,290	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$249,496	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	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	$175,018,003	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$158,793,022	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,224,981	NetCommunityBenefitExpnsAmt
Total Expense	0.0477	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,042,068	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,806,843	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$235,225	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,788,083	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,763,255	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,024,828	NetCommunityBenefitExpnsAmt
Total Expense	0.1590	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,454,881	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$174,792	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,280,089	NetCommunityBenefitExpnsAmt
Total Expense	0.0332	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,118	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,118	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$83,345,150	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,744,890	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,600,260	NetCommunityBenefitExpnsAmt
Total Expense	0.1930	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$258,363,153	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$176,537,912	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$81,825,241	NetCommunityBenefitExpnsAmt
Total Expense	0.2408	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	$16,732	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,732	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$16,732	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,732	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,931,000	BadDebtExpenseAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SSM Health Cardinal Glennon Children's Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1465 S GRAND BLVD	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63104	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.ssmhealth.com/locations/cardinal-glennon-childrens-hospital	WebsiteAddressTxt
State License	429-21	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	A	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

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

Supplemental Information SupplementalInformationGrp (4 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 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 A, 1	Facility A, 1 - SSM Health Cardinal Glennon Children's Hospital. SSM Health Cardinal Glennon Children's Hospital collaborated with St. Louis Children's Hospital and Shriners Children's Hospital, all of which are located in the city of St. Louis and serve a pediatric population. The hospitals conducted community focus groups that included key stakeholders within the St. Louis City and St. Louis County communities.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - SSM Health Cardinal Glennon Children's Hospital. The hospital conducted and completed its 2018 CHNA jointly with SSM Health St. Mary's Hospital - St. Louis 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 11 Facility A, 1	Facility A, 1 - SSM Health Cardinal Glennon Children's 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 - Maternal/Infant Health - Asthma Access to care Access to care is a key priority for the hospital. To stay healthy, children require regular checkups, dental and vision care, and medical attention for illness and injury. Children with health insurance are more likely to have better health throughout their childhood and adolescence. They are more likely to receive required immunizations, fall ill less frequently, obtain necessary treatment when they do get sick, and perform better at school. Having health insurance lowers barriers to accessing care, which likely prevents the development of more serious illnesses. Additional facts and figures on access to care show: - Access to primary care providers increases the likelihood that community members will have routine checkups 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. Per 100,000 persons, there are 85 providers in St. Louis County and 123 providers in St. Louis City. Primary care providers include practicing physicians specializing in general practice medicine, family medicine, internal medicine, and pediatrics - Children ages 0-17 with health insurance is at 96.8% in St. Louis County and 96.3% in St. Louis City - Family income has been shown to affect a child's well-being in numerous studies. Compared to their peers, children in poverty are more likely to have physical health problems like low birth weight or lead poisoning and are also more likely to have behavioral and emotional problems. Children in poverty also tend to exhibit cognitive difficulties, as shown in achievement test scores, and are less likely to complete basic education - St. Louis City / St. Louis County is divided into 5 regions, the corresponding children living in poverty is listed next to the region: Inner North 37.7%, Outer North 18.5%, Central 9.4%, South 8.6%, West 4.4% The hospital is involved in the following initiatives to improve access to care in the community served: - In partnership with the Integrated Health Network, improve patient navigation system and continuity of care through the community referral coordinator role - Through the expansion of pediatric specialty services in North St. Louis County, South St. Louis County and Midtown St. Louis City, develop community outreach partnerships to increase utilization of needed services - In partnership with Health Literacy Missouri, identify opportunities for health improvement throughout SSM Health Cardinal Glennon Children's Hospital facilities and develop strategies to address barriers - Continue to implement foster care medical home program for the more than 800 foster children living in St. Louis City and St. Louis County - Develop strategies to partner with area schools in telehealth primary care clinics Maternal/Infant Health Maternal and infant health 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 maternal and infant health show 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 maternal and infant health in the community: - Expand WISH clinic at SSM Health St. Mary's Hospital - St. Louis serving new mothers dealing with substance abuse. In partnership with the United Way 2-1-1 program, develop outreach strategies to community organizations working in the substance abuse space including access to kiosks and telephony for direct access at SSM Health Cardinal Glennon Children's Hospital and SSM Health DePaul Hospital - Develop strategies to align with the St. Louis Partnership for a Healthy Community's initiatives to address safe sleep for babies in St. Louis - 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 - 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 and SSM Health St. Mary's Hospital - St. Louis Asthma Asthma in children is a serious public health problem in the hospital's community and across the United States; it is one of the most common long-term diseases in children. The National Health Interview Survey has found that persons under 18 years have higher rates of asthma than any other age group. Asthma in children results in missed days of school, limitations on daily activities, emergency department visits, and hospitalizations. Moreover, asthma disproportionately affects low-income and minority children. There is no cure for asthma, but for most people, the symptoms can be managed through a combination of long-term medication prevention strategies and short-term quick relievers. Additional data on asthma report that: - Asthma is a condition in which a person's air passages become inflamed, and the narrowing of the respiratory passages makes it difficult to breathe. Symptoms can include tightness in the chest, coughing, and wheezing. These symptoms are often brought on by exposure to inhaled allergens, such as dust, pollen, mold, cigarette smoke, and animal dander, or by exertion and stress. Reducing exposure to poor housing conditions, traffic pollution, secondhand smoke and other factors impacting air quality can help prevent asthma and asthma attacks - Annual age-adjusted emergency visits due to asthma per 10,000 under the age of 18 is 116 for St. Louis County and 320.7 for St. Louis City - Annual age-adjusted hospitalization rate due to asthma per 10,000 under the age of 18 is 19 for St. Louis County and 45.4 for St. Louis City The hospital has the following action plan in place to improve asthma: - Reduce the number of 30-day readmissions at SSM Health Cardinal Glennon Children's Hospital by reducing non-compliance with discharge medication. Initiatives include patient education, community referral coordination as needed to primary care providers, and identifying community partners to disseminate educational materials - Improve pediatrician office utilization of best practice clinical asthma protocol by distributing the protocol to pediatricians - Expand SSM Health Cardinal Glennon Children's Hospital's ability to diagnose and treat children with asthma, as part of the initiative to establish primary care telehealth services in St. Louis schools - Expand pulmonary specialist coverage in North St. Louis County 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: - Social determinants of health - Injury/violence - Mental and behavioral health - Oral health - Appropriate nutrition - Immunizations - Cultural barriers - Lead poisoning

Field	Value	IRS element (for citing)
Facility	28	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Business Name Line2BusinessName/BusinessNameLine2Txt	Address Line2USAddress/AddressLine2Txt
CARDINAL GLENNON ER - SSM HEALTH ST JOSEPH HOSPITAL - LAKE SAINT LOUIS
100 MEDICAL PLAZA	LAKE SAINT LOUIS	MO	63367	PEDIATRIC EMERGENCY ROOM
CARDINAL GLENNON SPECIALTY SERVICES - HW KOENIG BUILDING
400 MEDICAL PLAZA SUITE 220	LAKE SAINT LOUIS	MO	63367	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - SSM HEALTH ST JOSEPH HOSPITAL - LAKE SAINT LO
300 MEDICAL PLAZA SUITE 310	LAKE SAINT LOUIS	MO	63367	OUTPATIENT PEDIATRIC CLINIC	UIS
CARDINAL GLENNON ER - SSM HEALTH ST JOSEPH HOSPITAL - ST CHARLES
300 FIRST CAPITOL DRIVE	ST CHARLES	MO	63301	PEDIATRIC EMERGENCY ROOM
CARDINAL GLENNON PEDIATRICS - TROY
132 PROFESSIONAL PARKWAY	TROY	MO	63379	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - WARRENTON
511 ASHLAND SUITE A	WARRENTON	MO	63383	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - SSM HEALTH DEPAUL HOSPITAL - ST LOUIS
3440 DEPAUL DRIVE SUITE 210	BRIDGETON	MO	63044	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON ER - SSM HEALTH DEPAUL HOSPITAL - ST LOUIS
12303 DEPAUL DRIVE	BRIDGETON	MO	63044	PEDIATRIC EMERGENCY ROOM
CARDINAL GLENNON SPECIALTY SERVICES - ST LUKE'S HOSPITAL
224 S WOODS MILL ROAD SOUTH MEDICAL	CHESTERFIELD	MO	63017	OUTPATIENT PEDIATRIC CLINIC		BUILDING SUITE 640
CARDINAL GLENNON NEONATOLOGY SERVICES - SSM HEALTH ST MARY'S HOSPITAL - ST
6420 CLAYTON ROAD	RICHMOND HEIGHTS	MO	63117	NEONATOLOGY SERVICES	LOUIS
CARDINAL GLENNON PEDIATRICS - SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS
1035 BELLEVUE AVENUE SUITE 400	RICHMOND HEIGHTS	MO	63117	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON ER - SSM HEALTH ST CLARE HOSPITAL - FENTON
1015 BOWLES AVENUE	FENTON	MO	63026	PEDIATRIC EMERGENCY ROOM
CARDINAL GLENNON PEDIATRICS - SSM HEALTH ST CLARE HOSPITAL - FENTON
1015 BOWLES AVENUE SUITE 300	FENTON	MO	63026	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - SSM HEALTH ST CLARE HOSPITAL - FENTON
1011 BOWLES AVENUE SUITE 300	FENTON	MO	63026	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - CROSS KEYS
14021 NEW HALLS FERRY RD	FLORISSANT	MO	63033	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - FLORISSANT
4129 N HIGHWAY 67	FLORISSANT	MO	63034	OUTPATIENT PEDIATRIC CLINIC
SSM HEALTH CARDINAL GLENNON PEDIATRICS
9553 LACKLAND ROAD	OVERLAND	MO	63114	OUTPATIENT PEDIATRIC CLINIC
SSM HEALTH CARDINAL GLENNON PEDIATRICS - SPECIALTY SERVICES
10296 BIG BEND ROAD SUITE 110	ST LOUIS	MO	63122	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPIT
1465 S GRAND BLVD	ST LOUIS	MO	63104	OUTPATIENT PEDIATRIC CLINIC	AL DANIS PEDIATRICS
CARDINAL GLENNON PEDIATRICS - SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPIT
4100 FOREST PARK AVE SUITE A	ST LOUIS	MO	63108	OUTPATIENT PEDIATRIC CLINIC	AL DANIS PEDIATRICS MIDTOWN
CARDINAL GLENNON DEVELOPMENT SERVICES - KNIGHTS OF COLUMBUS DEVELOPMENTAL C
3800 PARK AVE	ST LOUIS	MO	63110	DEVELOPMENTAL SERVICES	ENTER PSYCHOLOGY PSYCHIATRY
CARDINAL GLENNON NEONATOLOGY SERVICES - MEMORIAL HOSPITAL
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	NEONATOLOGY SERVICES
CARDINAL GLENNON SPECIALTY SERVICES - BELLEVILLE
2900 FRANK SCOTT PARKWAY WEST COPPE	BELLEVILLE	IL	62223	OUTPATIENT PEDIATRIC CLINIC		R BEND SOUTH SUITE 950
CARDINAL GLENNON ER - ANDERSON HOSPITAL
6800 STATE ROUTE 162	MARYVILLE	IL	62062	PEDIATRIC EMERGENCY ROOM
CARDINAL GLENNON SPECIALTY SERVICES - ANDERSON HOSPITAL
2133 VADALABENE DRIVE	MARYVILLE	IL	62062	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - MARYVILLE
6828 STATE ROUTE 162	MARYVILLE	IL	62062	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON ER - HSHS ST ELIZABETH'S HOSPITAL
ONE ST ELIZABETHS BOULEVARD	OFALLON	IL	62269	PEDIATRIC EMERGENCY ROOM
CARDINAL GLENNON PEDIATRICS - SHILOH
1911 FORTUNE BOULEVARD SUITE 1	SHILOH	IL	62269	OUTPATIENT PEDIATRIC 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 VI, Line 5 Promotion of Community Health (Continued)	E. PACTS for Life/PALS PACTS for Life (Pediatric Advanced Cardiorespiratory and Trauma Support for life) was created by Cardinal Glennon emergency physician Anthony Scalzo, M.D., and provides training for caregivers in emergency life support. PALS (Pediatric Advanced Life Support) is the result of a collaboration between the American Heart Association (AHA) and the American Academy of Pediatrics. The courses are designed to provide caregivers with skills which will enable them to both recognize the potential for respiratory and/or cardiac arrest in infants and children, and intervene in an appropriate manner by providing a systemic approach to these patients. The courses are offered to physicians, nurses, paramedics, respiratory therapists, and other health care providers, and carry continuing education credits. F. School Partnership Program Children who are hospitalized or who live with chronic illness benefit from keeping much of their regular routines from their lives outside the hospital. Attending school, working on school academics and completing schoolwork are a healthy part of a child's life routine. Participating in school activities can give children hope of returning to normal events. To meet this very important need for normalcy and development, Cardinal Glennon has its very own school, the Shining Star School. Shining Star School helps promote general academic development, social and emotional development as well as the overall well-being of individual children and groups in the hospital setting. G. Community Education Cardinal Glennon provides education classes at various events throughout the area including: School Tools for Nurses through the School Nurse Partnership and coordinating activities/presentations to outside special groups regarding child life, including coordinating service project volunteers; Rally Squirrel Safety Treehouse in the Dan Dierdorf Emergency Center which provides tools to educate parents in the areas of environmental safety, home safety, disaster preparedness, and sports safety to decrease the risk of pediatric injury; H. Dorothy and Larry Dallas Heart Center The Dorothy and Larry Dallas Heart Center provides comprehensive heart care for children with heart defects and other problems. Through advanced diagnosed imaging, heart experts can determine if a baby has a heart problem while still in the womb and work with the family to determine the best course of action to treat the issue. The Dallas Heart Center has the most advanced diagnostic equipment to learn more about a child's heart through less invasive procedures. Digital echo technology and a cardiac ultrasound machine with advanced 3D imaging allow doctors to see 3D heart imaging in real time to make the most accurate diagnosis. I. St. Louis Fetal Care Institute The St. Louis Fetal Care Institute serves families across the country by offering the most comprehensive fetal care program in middle America. A multi-disciplinary team of pediatric and high-risk maternity experts are able to treat life-threatening conditions in babies before birth. Although many fetal conditions require only careful monitoring and preparation for the baby's birth, many conditions that threaten a baby's quality of life can be surgically corrected while the baby is still in the womb. In conditions such as Twin-Twin Transfusion Syndrome, congenital diaphragmatic hernia, amniotic band syndrome and large tumors, physicians have been able to provide life-changing intervention to allow a baby to be born healthy. Babies with Myelomeningocele, the most severe form of spina bifida, have been significantly helped through surgical intervention. The internationally known MOMS Trial determined that babies who have their spina bifida addressed through surgery in the womb have better function and do better as they age than babies who did not receive surgical intervention. The St. Louis Fetal Care Institute has become one of the only centers in the country to provide this type of life-changing surgery and has helped a number of children whose live would have otherwise been significantly different. J. Knights of Columbus Developmental Center The Knights of Columbus Developmental Center is an 11,000-square-foot space dedicated to helping children with autism and other neurodevelopmental disorders. The facility enables experts to see children with special needs in a health care setting developed just for them, outside the distractions of the hospital. The Knights of Columbus Developmental Center at SSM Cardinal Glennon helps children with autism and neurodevelopmental disorders to reach their highest potential through comprehensive evaluation, care, family guidance, education and innovative research. Children with autism spectrum disorders receive innovative care to treat their complex diagnoses. The multi-disciplinary provides applied behavioral analysis, speech and language therapy, occupational therapy and physical therapy as needed to children with autism. A PEERS Social Skill program teaches children with autism how to interact with others, which is often challenging for children on the autism spectrum disorder. The Knights of Columbus Developmental Center also has a dog therapy program. Trained therapy dog Higgins, a Goldendoodle, works with children to make them more comfortable with medical treatment and provide distraction during therapy sessions. K. Pediatric Research Institute The Pediatric Research Institute operates to improve and assure the health and safety of children in the greater St Louis area, promoting research that advances the knowledge and management of childhood health and diseases, a number of nationally known physician-scientists conduct research that can be applied to the clinical setting to improve disease prevention and treatment. Ongoing programs include the study of pediatric infections and vaccine development, cardiac transplant rejection, liver disease, metabolic diseases and neonatal lung inflammation. L. Community Outreach Cardinal Glennon supports numerous outreach programs throughout the community including: Holding a free public flu clinic; sponsoring a Milk Depot or "drop Off" for mothers in the community that want to donate breast milk to the Milk Bank; serving as Board members for organizations promoting community health related endeavors; providing funding for medication for children when families are unable to pay; donating medication to mission trips; providing meal tickets and cab fare to family members of patients; providing conference room space to organizations aligned with our mission/values. M. The Dan Dierdorf Emergency and Trauma Center The Dan Dierdorf Emergency and Trauma Center at SSM Health Cardinal Glennon Children's Hospital was the first Level I Pediatric Trauma Center in Missouri. We are designated a Level I Pediatric Trauma Center by both Missouri and Illinois. This means we can handle any type of emergency at any time of day. N. The GlennonKids Safety Program The GlennonKids Safety Program at SSM Cardinal Glennon Children's Medical Center and is dedicated to the prevention of childhood injuries. It also serves as the lead agency for Safe Kids St. Louis, a local chapter of the national Safe Kids program. Since its inception more than 20 years ago, the GlennonKids Safety Program has contributed to a 45 % national reduction in child fatalities resulting from unintentional injuries, saving more than 38,000 lives. We partner with Kohl's 4 Kids and West County EMS and Fire Protection District to provide free car seat inspections/ installations by certified child passenger safety (CPS) technicians and distribution of properly fitted bicycle helmets. Nearly 41,000 children visit our Emergency and Trauma Center each year for all types of injuries and illness, ranging from sprains and asthma attacks to serious trauma injuries that may occur during car accidents. Cardinal Glennon is nationally recognized and has been ranked among the country's top pediatric heart and neonatology programs in U.S. News and World Report's 2016 -17 Best Children's Hospitals rankings. Cardinal Glennon ranked 35th in gastroenterology and gastrointestinal surgery, 34th in cardiology and heart surgery and 49th in pediatric cancer. Cardinal Glennon is expanding the Dana Brown Neonatal Intensive Care Unit from 60 to 65 all-private rooms, Cardinal Glennon has a Level IV NICU, the highest designation available.
Schedule H, Part VI, Line 5 Promotion of Community Health (Continued)	Glennon 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 * Cardinal Glennon is committed to providing a high quality patient care delivery system which includes the reinvestment of surplus funds
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	Hospital staff generated community-wide responses from government and private organizations for advocacy on public policy issues, health care, housing, safety, and education to improve the community. Participation on various committees and boards, such as Generate Health and the Integrated Health Network also allowed hospital staff and leadership to voice concerns and spur change in the St. Louis region.
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 4 Bad debt expense - financial statement footnote	SSM Health Cardinal Glennon Children's Hospital is part of the SSM Health consolidated audit. The footnote that references the treatment of uncollectible accounts and implicit price concessions in the December 31, 2018 consolidated audit is contained on page 23 and 24 of the attached financial statements.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	SSM Health Cardinal Glennon Children's Hospital has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable, The Health Center embraces its responsibility to serve the communities in which it participates by establishing sound business practices. The Health Center's billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after 120 days. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from SSM prior to engaging in ECAs. SSM 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 Cardinal Glennon Children's Hospital's collection and financial assistance policies.
Schedule H, Part V, Section B, Line 16a FAP website	A - SSM Health Cardinal Glennon Children's Hospital: Line 16a URL: https://www.ssmhealth.com/for-patients/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - SSM Health Cardinal Glennon Children's Hospital: Line 16b URL: https://www.ssmhealth.com/for-patients/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - SSM Health Cardinal Glennon Children's Hospital: Line 16c URL: https://www.ssmhealth.com/for-patients/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 SSMH'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, SSMH'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 Cardinal Glennon Children's Hospital defines its primary service area as the St Louis metropolitan statistical area (MSA), which includes the Missouri Counties of St. Louis, St. Charles, Jefferson, Franklin, Lincoln, and Warren and St. Louis City. 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. This includes over 280,000 children (ages 0 - 17), representing about 21% of the region's population. 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. SSM Health Cardinal Glennon Children's Hospital is geographically located in St. Louis City, however, as specialty hospitals, the service area includes the St. Louis metropolitan area as well as Southern Illinois. In St. Louis County, 96.8% of children have health insurance. The child food insecurity rate is 14.8%, with 45% of those likely ineligible for assistance. Preterm births and babies with low birth rate both occur in approximately 1 of every 10 instances. Within St. Louis City limits, 96.3% of children have health insurance. The child food insecurity rate is over 23% with about 40% of those likely ineligible for assistance. Worse than the county, preterm births and babies with low birth rates both occur in about 12% of births. Additional statistical information on the service area for SSM Health Cardinal Glennon Children's Hospital can be found in the 2018 CHNA.
Schedule H, Part VI, Line 5 Promotion of community health	SSM Health Cardinal Glennon Children's Hospital provides many services to promote the health and well-being of the community we serve, upholding our vision that "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." Our primary community outreach initiatives include: A. Special Needs Tracking and Awareness Response System (STARS). Cardinal Glennon created the STARS program to provide focused, individualized training to area hospitals and first responders in more than 30 counties, to help them better care for children living in their districts who have challenging medical needs, such as heart defects, autism, severe neurological disorders and more. The ultimate goal of STARS is to have pertinent, up-to-date information about each STARS child in the hands of first responders before they arrive at the child's home and for community hospitals to be equipped with the knowledge to safely care for these special children. This ultimately helps decrease anxiety (for caregivers as well as the children) and potentially prevents unnecessary hospitalizations, reducing overall health care costs. B. Safety Program and Safe Kids-St. Louis. Through generous funding from Kohl's Department Stores and Safe Kids Worldwide, our program is dedicated to the reduction and prevention of childhood injuries, with a primary focus on child passenger safety and safe sleep. In partnership with more than 50 agencies in St. Louis and surrounding counties, we provide car seat checks and free car seats for families in need. In addition, we provide education on home safety, poison prevention, pedestrian safety, bicycle safety, safe sleep and more, along with resources for at-risk families. C. Perinatal Outreach. This program is designed to improve outcomes for mothers and babies through educational programs and quality improvement initiatives. Programs for both physicians and nurses include topic presentations, case reviews, fetal monitoring classes, neonatal resuscitation training, and training on stabilizing sick or preterm newborns. D. Missouri Poison Center. Since 1986, the Missouri Poison Center has been a trusted resource for families. Each year, more than 100,000 callers are assisted with potential poisonings. In addition, our staff provides education to first responders and health care professionals from across the state on a variety of topics related to poison prevention.
Schedule H, Part VI, Line 6 Affiliated health care system	SSM Cardinal Glennon Hospital is a 501(c)(3) non profit corporation operating a children's hospital which serves a 12-county area surrounding the St Louis metropolitan area. It is the only children's hospital in the integrated health care system known as SSM Health.
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 (4 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
WE Charity
6500 Main Street	Suite 5	Williamsville	NY	14221	161533544	501(c)(3)	$25,000	Support youth programs
World Pediatric Project
7201 Glen Forest Drive	No 304	Richmond	VA	23226	541953305	501(c)(3)	$10,000	Support surgical and diagnostic care programs for children
Anderson Hospital Foundation
6800 State Route 162		Maryville	IL	62062	274548522	501(c)(3)	$5,250	Support medical and care programs
Gene Slays Boys Club of St Louis Inc
2524 South Eleventh Street		St Louis	MO	63104	430653261	501(c)(3)	$7,100	Support child development and education programs

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Cash GrantCashGrantAmt
Bus Passes/taxi/parking passes for patients' family members	3586	$8,965	Book	Transportation passes
Provide meals to patients' family members	517	$3,876	Book	Provide meals to patients' family members
Social services and assistance for patients	1158				$59,195

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	GRANTS ARE PROVIDED ONLY TO REGIONAL AND NATIONAL 501(C)(3) ORGANIZATIONS. THESE ORGANIZATIONS ARE EXPECTED TO MAINTAIN ADEQUATE CONTROLS REGARDING THE USE OF GRANT FUNDS FOR THEIR INTENDED PURPOSE.	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 (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Candace Jennings
Chair, President, Regional President-St Louis	$0	$692,132	$0	$0	$0	$61,692	$0	$257,667	$0	$18,154	$0	$1,029,645	$0	$0
Laura Kaiser
Vice Chair, President/CEO of SSM Health	$0	$1,469,008	$0	$400,000	$0	$22,554	$0	$834,575	$0	$6,868	$0	$2,733,005	$0	$0
Christopher Howard
Pt Yr Director and Pt Yr Chair, Pres-Hospital Operations of SSM Health	$0	$556,972	$0	$600,000	$0	$1,335,339	$0	$123,963	$0	$20,165	$0	$2,636,440	$0	$1,285,002
Steve Smoot
Director, COO of SSM Health	$0	$358,627	$0	$0	$0	$61,626	$0	$189,508	$0	$6,394	$0	$616,154	$0	$0
Kathleen Becker
Former Officer	$0	$283,403	$0	$0	$0	$94,963	$0	$28,955	$0	$11,849	$0	$419,170	$0	$36,158
June Pickett
Secretary, Asst VP Governance & Archives, SSM Health	$0	$229,703	$0	$0	$0	$56,827	$0	$39,862	$0	$14,195	$0	$340,587	$0	$23,155
Steven Burghart
Hospital President	$476,230	$0	$0	$0	$12,148	$0	$149,807	$0	$19,059	$0	$657,244	$0	$0	$0
Paula Friedman
Vice President, Senior VP-Strategic Development SSM Health	$0	$724,285	$0	$450,000	$0	$371,543	$0	$299,866	$0	$9,712	$0	$1,855,406	$0	$550,740
Kris Zimmer
Treasurer/Asst Sec, Chief Financial Officer at SSM Health	$0	$870,069	$0	$600,000	$0	$271,808	$0	$356,499	$0	$19,760	$0	$2,118,136	$0	$705,454
Karen Rewerts
System VP, Finance (MO/ILL)	$0	$530,795	$0	$0	$0	$90,518	$0	$112,510	$0	$17,535	$0	$751,357	$0	$54,831
Lynn F Lenker
Former Key Employee	$0	$330,942	$0	$0	$0	$64,193	$0	$88,642	$0	$21,166	$0	$504,943	$0	$48,297
Renee Roach
Former Key Employee	$0	$353,155	$0	$0	$0	$11,280	$0	$104,035	$0	$15,138	$0	$483,608	$0	$0
Damon Harbison
Pt Yr Chief Operating Officer	$30,675	$201,464	$0	$0	$235	$9,964	$9,309	$71,529	$3,059	$20,924	$43,278	$303,881	$1,114	$7,620
Kathy Donovan
VP Nursing - CGCMC	$140,000	$0	$0	$0	$16,688	$0	$30,398	$0	$0	$0	$187,086	$0	$0	$0
Shawn Dryden
VP Pediatric Ambulatory Services	$190,882	$14,819	$0	$0	$10,643	$223	$44,505	$2,740	$17,909	$1,516	$263,939	$19,298	$7,408	$553
Yelena Podorozhansky
Physician	$398,607	$0	$0	$0	$6,863	$0	$33,425	$0	$481	$0	$439,376	$0	$0	$0
Timothy Reed
Physician	$304,096	$0	$0	$0	$8,174	$0	$1,904	$0	$14,090	$0	$328,264	$0	$0	$0
Pathma Ramesvara
Physician	$311,319	$0	$0	$0	$3,832	$0	$22,545	$0	$15,281	$0	$352,977	$0	$0	$0
Christopher Wangard
Physician, Medical Director	$306,535	$0	$9,250	$0	$5,401	$0	$14,766	$0	$18,856	$0	$354,809	$0	$0	$0
John Hammons
Physician	$274,667	$0	$0	$0	$703	$0	$3,908	$0	$6,898	$0	$286,176	$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 individual listed on Schedule J Part II received a tax indemnification/Gross up payment in 2018. The payment was included in their taxable compensation. Timothy Reed
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	The organization's top management official (hospital president) is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.
Schedule J, Part I, Line 4a Severance or change-of-control payment	SSM Health has adopted a severance policy to provide a financial transition in the event of involuntary termination without cause for executive level positions. The amount of the compensation is based on the position held and length of service with SSMH. The following individuals listed in Part VII of the Form 990 received payments under the plan in the current year. Christopher Howard $352,692 Bryan Rever $5,202
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. The following individuals listed on Part VII of Form 990 received distributions from the plan in 2018: Kathleen Becker $82,057 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 2018. THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). Christopher Howard $110,040 Steve Smoot $90,000 Candace Jennings $81,053 Laura Kaiser $264,600 Paula Friedman $87,389 Kris Zimmer $105,240 Karen Rewerts $42,840 Steven Burghart $38,597 Kathy Donovan $11,200 Shawn Dryden $8,344 Damon Harbison $20,000 Lynn F Lenker $13,692 Renee Roach $28,220 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2018. All distributions received from the plan in the current year were included in the individual's taxable compensation. Christopher Howard $685,002 Paula Friedman $100,740 Kris Zimmer $105,454 June Pickett $41,882 Karen Rewerts $54,831 Shawn Dryden $7,961 Damon Harbison $8,734 Kathleen Becker $36,158 Lynn F Lenker $48,297 During 2018, 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. The amounts below are in addition to those reported in Part II, Column C: Christopher Howard $399,961 Candace Jennings $-1,172 Paula Friedman $252,107 Kris Zimmer $137,310 June Pickett $-101,871 Karen Rewerts $-6,266 Damon Harbison $-5,751 Yelena Podorozhansky $-1,964 Timothy Reed $14,540 Pathma Ramesvara $-159,907 Christopher Wangard $-5,090 Lynn F Lenker $33,832 Renee Roach $24

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$7,345	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$225,335	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	16	ContributionCnt
Noncash Contributions Rpt F990	$3,273	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Medical and patient supplies	Desc
Contribution	22	ContributionCnt
Noncash Contributions Rpt F990	$46,868	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	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 (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Description of Program Service	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 more than 40,000 people and is affiliated with more than 9,900 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. SSM Health Cardinal Glennon Children's Hospital is an inpatient and outpatient pediatric medical center that treats children from Missouri, Illinois and around the world. Cardinal Glennon also operates numerous Close to Home locations in the bi-state area bringing the excellence of the medical center's care to your community. The hospital also operates two locations of the Danis Pediatric Center, which provides outpatient pediatric primary care services to newborns through 18 years of age and provide services from well-baby visits to checkups and physicals. The Center also provide diagnostic services and second opinions for complex cases referred by community pediatricians and family practitioners. Our innovative pediatrics practice is designed best care and service available for your child in all aspects of pediatrics (physical mental and emotional health) from infancy through adolescence. Cardinal Glennon specializes in neonatology, cardiology, pediatric and fetal surgery, and cancer services. Cardinal Glennon Children's Hospital is home to the Bob Costas Cancer Center, where world-class expertise allows us to offer the latest in innovative and investigational treatments for children. The day hospital at the Bob Costas Cancer Center provides a comfortable setting for children to receive ongoing treatments, such as chemotherapy, transfusions, or other drug treatment, without being admitted to the hospital. Children can also undergo minor procedures under sedation in the comfort of the day hospital. Comforts such as the day hospital allow children to spend more time at home or school, continuing their daily routine and keeping life as normal as possible. The hospital also operates the Knights of Columbus Developmental Center which provides comprehensive care for children with developmental disorders. A multidisciplinary team provides ongoing support to help children reach their highest potential, including evaluation, treatment and care, family guidance and innovative research. The Center works with a variety of pediatric patients, including those with ADHD, autism spectrum disorders, developmental delays, language and social delay, intellectual disabilities, and genetic syndromes with behavioral or developmental impact. US News and World Report has consistently ranked Cardinal Glennon as a top children's hospital nationally. In 2018, the hospital was ranked in three specialties: pediatric cardiology and heart surgery (#38), pediatric gastroenterology and GI surgery (#35), and neonatology (#47). SSM Cardinal Glennon Children's Hospital also furthers its exempt purpose with the following activities: - Operates an emergency room that is open to all persons regardless of ability to pay - Has an open medical staff with privileges available to all qualified physicians in the area - Engages in the training and education of health care professionals - Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs - All surplus funds generated by 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 $ 2,013,403 Unreimbursed cost of Medicaid $ 13,962,082 Cost of Other Means-Tested Government Programs $ 249,496 Total Quantifiable Uncompensated Care $ 16,224,981
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	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 board or compensation committee.
Form 990, Part VI, Line 15b Process for determining 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 board or compensation committee.
Form 990, Part VI, Line 4 Significant changes to organizational documents	The filing organization's bylaws were changed during the year as follows: (a) Increasing the maximum number of appointed directors and decreasing the number of ex-officio directors. (b) The ex-officio director shall be the Chairperson, with the Chairperson the President of the organization (c) The Vice Chairperson is the Director who is elected by majority vote of the Board and who holds office for a two-year term or until his or her successor is elected. (d) The Vice Chairperson may be elected to successive terms, may be removed at any time by SSMHCC or a majority vote of the Board, and will be automatically removed from office if he or she no longer serves as a Director.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE ST LOUIS. SSM HEALTH CARE ST LOUIS IS A NONPROFIT 501(C)(3) ORGANIZATION THAT OPERATES SIX HOSPITALS. BOTH SSM CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH CARE ST LOUIS ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS provided that the appointment of one or more additional members shall require the written consent of Saint Louis University (SLU) and TO APPOINT AND REMOVE THE individuals serving on the Board, other than the SLU Designated Directors who will be subject to designation for appointment and removal by SLU.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	The member has the following powers: a. to establish and change the mission, philosophy and values of the Corporation, except to the extent limited by Approval of any material agreement between the Corporation and SSM Health Care Corporation (SSMHCC) or any other subsidiary of SSMHCC which is at variance from the agreed standards for intercompany contracting set forth in the Master Agreement; b. to appoint additional, successor or replacement members of the Corporation, provided, that the appointment of one or more additional members of the Corporation shall require the written consent of ST Louis University (SLU); c. to appoint and remove the individuals serving on the Board, other than the SLU Designated Directors who will be subject to designation for appointment and removal by SLU and as to whom SSMSL shall follow and implement the written instructions of SLU regarding the appointment and removal of the SLU Designated Directors; provided, however, that SSMHCC may remove SLU Designated Directors who violate the conflict of interest policy and other Board policies of the Corporation, as the same may be amended from time to time, upon prior written notice to SLU; d. to appoint and remove the President of the Corporation and the chief executive officer of any Health Care Operating Division, provided, that SSMHCC shall consult with SLU in connection with hiring certain senior employees e. to approve amendments to the Articles of Incorporation of the Corporation, but subject to SLU's prior written consent; f. to approve amendments to these Bylaws, but subject to SLU's prior written consent except that SLU's prior written consent is not required for non-material changes required by applicable law, regulation or any applicable accrediting entity g. to approve the dissolution of the Corporation, but subject to SLU's prior written consent; h. to approve the formation of a Controlled Subsidiary or a Remotely Controlled Subsidiary, provided, that any deviation from the requirements set forth elsewhere in the Bylaws shall require the prior written consent of SLU; I. to approve the acquisition or disposition by the Corporation of another legal entity or an interest in another legal entity, provided, that the Corporation shall obtain the written consent of SLU before divesting of, or admitting another Person as a member of, the Corporation or any other Section 3.1 Subsidiary (as defined in the SSMSL Bylaws) whose assets include the assets comprising CGCH; j. to authorize or approve the acquisition or disposition by the Corporation of real property or any interest in real property, provided, that the Corporation shall obtain the written consent of SLU before disposing of any real property or any interest in real property comprising a substantial portion of the operating assets of CGCH, except that the written consent of SLU shall not be required for the granting of utility easements or access easements which do not materially adversely affect the use of such real property; k. to (i) establish centralized employee benefit, insurance, investment, financing, corporate responsibility, performance assessment and improvement and other operational and support programs; (ii) require the participation of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary in such programs; and (iii) authorize the opening and closing of bank accounts and investment accounts in the name of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary in connection with such programs; provided that SSMHCC has determined in its reasonable discretion that such actions are not inconsistent with and do not violate the terms of the Members' Agreement, the Master Agreement, the Academic Affiliation Agreement, the SSMSL Bylaws and these Bylaws; l. to approve the strategic, financial and human resources plan of the Corporation, subject to SLU's rights set forth in the Bylaws; m. to appoint the auditor and corporate counsel for the Corporation; n. subject to SLU's rights in the bylaws, to authorize and approve borrowing money and entering into financial guaranties by the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary, including actions relating to the formation, joining, operation, withdrawal from and termination of a credit group or an obligated group and the granting of security interests in the property of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary; provided, that SSMHCC has determined in its reasonable discretion that such actions are not inconsistent with and do not violate the terms of the Members' Agreement, the Master Agreement, the Academic Affiliation Agreement, the SSMSL Bylaws and these Bylaws; o. to require the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary to transfer assets, including but not limited to cash, to the 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; p. subject to SLU's rights in the bylaws, to approve the transfer of assets by the Corporation to any entity other than SSMHCC (other than transfers made in the ordinary course of operations of the Corporation, which will not require approval by the Member); and q. to determine the extent to which and the manner in which the powers described in this section which are reserved to SSMHCC with respect to the Corporation are to be included in the governing documents of any Controlled Subsidiary, Remotely Controlled Subsidiary or Non-Controlled Subsidiary and exercised with respect to any Controlled Subsidiary, any Remotely Controlled Subsidiary or any Non-Controlled Subsidiary; provided, that SSMHCC has determined in its reasonable discretion that any such determination or action is not inconsistent with and does not violate the terms of the Members' Agreement or the terms of the Master Agreement or the Academic Affiliation Agreement.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	The organization does not have any committees with authority to act on behalf of the governing body.
Form 990, Part VI, Line 11b Review of form 990 by governing body	The Form 990 is prepared by the Tax Department of the parent organization, SSM Health Care Corporation (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 MUCH BE COMPLETED ON LINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END.
Form 990, Part VI, Line 19 Required documents available to the public	THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
Form 990, Part VII, Section A Compensation of Former Officers	Compensation of select former officers reported on Form 990, Schedule A, represents amounts paid from a related organization for continued service to that related organization.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	PARKING AND ALL OTHER - Total Revenue: 154978, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 154978;
Form 990, Part IX, Line 11g Other Fees	Medical and Other Professional Services - Total Expense: 74971390, Program Service Expense: 64042611, Management and General Expenses: 10928779, Fundraising Expenses: ;
Form 990, Part X, Line 29 Adoption of ASC 958-205	EFFECTIVE FOR THE 2018 CALENDAR YEAR, THE ORGANIZATION HAS ADOPTED ASC 958-205, WHICH MODIFIES HOW NOT-FOR-PROFIT ENTITIES PRESENT THEIR NET ASSET BALANCES FOR FINANCIAL STATEMENT REPORTING. THE ORGANIZATION WILL REPORT ENDING BALANCES ON PART X, BALANCE SHEET, IN ACCORDANCE WITH ASC 958-205 AND INCLUDE ALL AMOUNTS PREVIOUS REPORTED AS TEMPORARILY RESTRICTED NET ASSETS AND PERMANENTLY RESTRICTED NET ASSETS ON LINE 29.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Change in Beneficial Interest in Foundation - -5843910; Transfers to Affiliates - -7426526;
FORM 990, PART I, DOING BUSINESS AS:	SSM CARDINAL GLENNON CHILDREN'S HOSPITAL CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: 1. Cardinal Glennon Children's Hospital ACC Pharmacy 2. Cardinal Glennon Children's Hospital Ambulatory Care Center Pharmacy 3. Glennon Care Professional Services 4. SSM Cardinal Glennon Children's Hospital Ambulatory Care Center Pharmacy 5. SSM Cardinal Glennon Children's Medical Center 6. SSM Cardinal Glennon Pediatric Sleep & Research Center 7. SSM Glennon Care for Kids 8. SSM Glennon Care Pediatrics 9. SSM Health Cardinal Glennon Children's Hospital 10. SSM Health Cardinal Glennon Pediatrics 11. St. Louis Cord Bank

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (49 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
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	Yes (true)
SSM Health Foundation - St Louis
10101 Woodfield Lane	St Louis	MO	63132	431552945	Fundraising	MO	501(c)(3)	7	SSM Health Care St Louis	false
SSM Health Care of Oklahoma Inc
10101 Woodfield Lane	St Louis	MO	63132	730657693	Health Care	OK	501(c)(3)	3	SSM Health Care Corporation	false
The St Anthony Hospital Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	736104300	Fundraising	OK	501(c)(3)	7	SSM Health Care of Oklahoma	false
SSM Health Care of Wisconsin Inc
10101 Woodfield Lane	St Louis	MO	63132	430688874	Health Care	WI	501(c)(3)	3	SSM Health Care Corporation	false
Dells Medical Building Inc
10101 Woodfield Lane	St Louis	MO	63132	391613292	MOB	WI	501(c)(2)		SSM Health Care of Wisconsin	false
St Mary's Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	431940686	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
St Clare Health Care Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	431940683	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
Home Health United Inc
2802 Walton Commons Lane	Madison	WI	53718	391539827	Health Care	WI	501(c)(3)	10	SSM Health Care of Wisconsin	false
Home Care United Inc
2802 Walton Commons Lane	Madison	WI	53718	391776340	Health Care	WI	501(c)(3)	10	SSM Health Care of Wisconsin	false
HHU Xtra Care Inc
2802 Walton Commons Lane	Madison	WI	53718	391705111	Health Care	WI	501(c)(3)	10	SSM Health Care of Wisconsin	false
SSM Health at Home Foundation of Wisconsin Inc
2802 Walton Commons Lane	Madison	WI	53718	391839309	Fundraising	WI	501(c)(3)	Type I	Home Health United Inc	false
SSM Regional Health Services
10101 Woodfield Lane	St Louis	MO	63132	440579850	Health Care	MO	501(c)(3)	3	SSM Health Care Corporation	false
St Mary's Health Center Jefferson City Missouri Foundation
10101 Woodfield Lane	St Louis	MO	63132	431575307	Fundraising	MO	501(c)(3)	Type I	SSM Regional Health Services	false
Good Samaritan Regional Health Center
10101 Woodfield Lane	St Louis	MO	63132	430653587	Health Care	IL	501(c)(3)	3	SSM Regional Health Services	false
St Mary's Hospital Centralia Illinois
10101 Woodfield Lane	St Louis	MO	63132	370662580	Health Care	IL	501(c)(3)	3	SSM Regional Health Services	false
St Mary's - Good Samaritan Inc
10101 Woodfield Lane	St Louis	MO	63132	364170833	Health Care	IL	501(c)(3)	Type I	SSM Regional Health Services	false
Good Samaritan Regional Health Center Foundation
10101 Woodfield Lane	St Louis	MO	63132	262884795	Fundraising	IL	501(c)(3)	7	St Mary's-Good Samaritan Inc	false
St Mary's Hospital Foundation
10101 Woodfield Lane	St Louis	MO	63132	364636691	Fundraising	IL	501(c)(3)	7	St Mary's-Good Samaritan Inc	false
St Mary's Hospital Auxiliary
400 N Pleasant	Centralia	IL	62801	237126345	Fundraising	IL	501(c)(3)	10	St Mary's Hospital Foundation	false
SSM Health Businesses
10101 Woodfield Lane	St Louis	MO	63132	431333488	Health Care	MO	501(c)(3)	10	SSM Health Care Corporation	false
SSM Health Care St Louis
10101 Woodfield Lane	St Louis	MO	63132	431343281	Health Care	MO	501(c)(3)	3	SSM Health Care Corporation	false
Centralia Medical Services Bldg Assoc
10101 Woodfield Lane	St Louis	MO	63132	237408025	MOB	IL	501(c)(3)	Type I	SSM Regional Health Services	false
St Mary's Janesville Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	273439133	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
SSM Health Ministries
3221 McKelvey Road Suite 107	Bridgeton	MO	63044	431012492	Religious Organization	MO	501(c)(3)	1	NA	false
Lee Dewey Corporation
10101 Woodfield Lane	St Louis	MO	63132	731279603	MOB	OK	501(c)(3)	Type I	SSM Health Care of Oklahoma	false
SSM Hospice & Home Care Foundation
10101 Woodfield Lane	St Louis	MO	63132	300012246	Fundraising	MO	501(c)(3)	7	SSM Health Businesses	false
St Mary's Hospital Auxiliary
100 St Marys Medical Plaza	Jefferson City	MO	65101	436049878	Fundraising	MO	501(c)(3)	Type II	NA	false
Good Samaritan Hospital Auxiliary
1 Good Samaritan Way	Mount Vernon	IL	62864	237049599	Fundraising	IL	501(c)(3)	Type III-FI	NA	false
St Anthony Shawnee Hospital Inc
1000 N Lee Ave	Oklahoma City	OK	73102	455055149	Health Care	OK	501(c)(3)	3	SSM Health Care of Oklahoma	false
SSM Audrain Health Care Inc
10101 Woodfield Lane	St Louis	MO	63132	431550298	Health Care	MO	501(c)(3)	3	SSM Regional Health Services	false
Audrain Medical Center Foundation Inc
620 E Monroe St	Mexico	MO	65265	431265060	Fundraising	MO	501(c)(3)	Type I	NA	false
SSM-SLUH Inc
10101 Woodfield Lane	St Louis	MO	63132	474196634	Health Care	MO	501(c)(3)	3	SSM Health Care St Louis	false
SSM Health Plan
1277 Deming Way	Madison	WI	53717	831979548	Insurance	MO	501(c)(4)		SSM Health Businesses	false
Agnesian Healthcare Inc
430 E Division St	Fond du Lac	WI	54935	390807236	Health Care	WI	501(c)(3)	3	SSM Health Care of Wisconsin	false
Ripon Medical Center Inc
845 Parkside Street	Ripon	WI	54971	391101287	Health Care	WI	501(c)(3)	3	Agnesian Healthcare Inc	false
Waupun Memorial Hospital Inc
620 West Brown Street	Waupun	WI	53963	390806265	Health Care	WI	501(c)(3)	3	Agnesian Healthcare Inc	false
St Francis Home of Fond du Lac Wisconsin Inc
33 Everett Street	Fond du Lac	WI	54935	391029998	Health Care	WI	501(c)(3)	10	Agnesian Healthcare Inc	false
Sister Servants of Christ the King Villa Loretto
N8114 County WW	Mount Calvary	WI	53057	391022770	Health Care	WI	501(c)(3)	10	Agnesian Healthcare Inc	false
Villa Rosa Inc
N8120 County WW	Mount Calvary	WI	53057	421670962	Health Care	WI	501(c)(3)	10	Agnesian Healthcare Inc	false
The Christian Home and Rehabilitation Center Incorporated
331 Bly Street	Waupun	WI	53963	390884514	Health Care	WI	501(c)(3)	10	Agnesian Healthcare Inc	false
The Monroe Clinic Inc
515 22nd Avenue	Monroe	WI	53566	390808509	Health Care	WI	501(c)(3)	3	SSM Health Care of Wisconsin	false
Monroe Clinic and Hospital Foundation Inc
515 22nd Avenue	Monroe	WI	53566	205769038	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
Agnesian Healthcare Foundation Inc
430 E Division St	Fond du Lac	WI	54935	391684956	Fundraising	WI	501(c)(3)	Type I	SSM Health Care of Wisconsin	false

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	UBI Code VUBICodeVAmt	OwnershipOwnershipPct
SSM St Joseph Endoscopy Center LLC
10101 Woodfield Lane	St Louis	MO	63132	270046559	Surgery Services	MO	NA	N/A	$0	$0	$0	0
St Clare Imaging Services LLC
707 14th Street Suite A	Baraboo	WI	53913	200122365	Diag. Services	WI	NA	N/A	$0	$0	$0	0
Mt Vernon Radiation Therapy Center LLC
10101 Woodfield Lane	St Louis	MO	63132	201382620	Radiation Therapy	IL	NA	N/A	$0	$0	$0	0
Sleep & Neurology Center of Southern Illinois LLC
10101 Woodfield Lane	St Louis	MO	63132	208468195	Diag. Services	IL	NA	N/A	$0	$0	$0	0
CHOWSMGSI Office Building LLC
10101 Woodfield Lane	St Louis	MO	63132	371383861	MOB	IL	NA	N/A	$0	$0	$0	0
Oza Cancer Center LLC
10101 Woodfield Lane	St Louis	MO	63132	201382727	MOB	IL	NA	N/A	$0	$0	$0	0
Shawnee Real Estate Holdings LLC
1000 N Lee Ave	Oklahoma City	OK	73102	455458304	MOB	OK	NA	N/A	$0	$0	$0	0
Dean Clinic & St Mary's Hospital Accountable Care Organization LLC
1808 West Beltline Highway	Madison	WI	53713	452995500	Accountable Care Organization	WI	NA	N/A	$0	$0	$0	0
Wisconsin Integrated Information Technology and Telemedicine Systems LLC
1808 West Beltline Highway	Madison	WI	53713	392016715	Information Technology Services	WI	NA	N/A	$0	$0	$0	0
Dean Health Holdings LLC
1277 Deming Way	Madison	WI	53717	261594709	Support Services	WI	NA	N/A	$0	$0	$0	0
Wingra Building Group
1808 West Beltline Highway	Madison	WI	53713	390237060	MOB	WI	NA	N/A	$0	$0	$0	0
Janesville Riverview Clinic Building Partnership
1808 West Beltline Highway	Madison	WI	53713	396220698	MOB	WI	NA	N/A	$0	$0	$0	0
1110 N Classen Blvd LLC
1110 N Classen Boulevard	Oklahoma City	OK	73106	731158158	MOB	OK	NA	N/A	$0	$0	$0	0
SSM St Clare Surgical Center LLC
10101 Woodfield Lane	St Louis	MO	63132	261439695	Surgery Services	MO	NA	N/A	$0	$0	$0	0
Windmill LLP
50 Village View Lane	Chesterfield	MO	63017	431804651	Investments	MO	NA	N/A	$0	$0	$0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (24 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	$0	0	false
FPP INC & Subs
10101 Woodfield Lane	St Louis	MO	63132	431465174	Health Care	MO	NA	C Corporation	$0	$0	0	false
Diversified Health Services Corp
10101 Woodfield Lane	St Louis	MO	63132	431369305	Medical Equipment	MO	NA	C Corporation	$0	$0	0	false
SSM Cardiovascular and Thoracic Services Inc
10101 Woodfield Lane	St Louis	MO	63132	260286559	Health Care	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
SSM DePaul Medical Group Inc
10101 Woodfield Lane	St Louis	MO	63132	431715106	Health Care	MO	NA	C Corporation	$0	$0	0	false
SSM St Charles Clinic Medical Group Inc
10101 Woodfield Lane	St Louis	MO	63132	430626408	Physician Offices	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 Neurosciences Inc
10101 Woodfield Lane	St Louis	MO	63132	263413981	Health Care	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
SSM Orthopedic Inc
10101 Woodfield Lane	St Louis	MO	63132	271557033	Health Care	MO	NA	C Corporation	$0	$0	0	false
SSM Cancer Care Inc
10101 Woodfield Lane	St Louis	MO	63132	271557324	Health Care	MO	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	C 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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	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
Cardinal Glennon Children's Foundation
C	$6,222,910	Cash
Cardinal Glennon Children's Foundation
P	$3,848,020	Cash