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SSM REGIONAL HEALTH SERVICES: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SSM REGIONAL HEALTH SERVICES (EIN 44-0579850)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-07
IRS object ID
201903119349301850
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-07T11:02:33-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN440579850EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SSM Regional Health ServicesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSSMRBusinessNameControlTxt
Phone3149947800PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDoug LongPersonNm
Person TitleSecretaryPersonTitleTxt
Signature2019-11-07SignatureDt
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-01-14 16:20:31ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1See Schedule OBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Laura KaiserBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110101 Woodfield LaneAddressLine1Txt
CitySt LouisCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63132ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$223,267,141GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.ssmhealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1965FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionOPERATES TWO HOSPITALS AND HEALTH CENTERS IN JEFFERSON CITY, MISSOURI AND MARYVILLE, MISSOURI.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee1696TotalEmployeeCnt
Total Volunteers501TotalVolunteersCnt
Total Gross UBI$323,649TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$822,323PYContributionsGrantsAmt
CY Contributions Grants$1,923,070CYContributionsGrantsAmt
PY Program Service Revenue$192,135,431PYProgramServiceRevenueAmt
CY Program Service Revenue$219,268,877CYProgramServiceRevenueAmt
PY Investment Income$407,273PYInvestmentIncomeAmt
CY Investment Income$230,226CYInvestmentIncomeAmt
PY Other Revenue$9,633,366PYOtherRevenueAmt
CY Other Revenue$1,735,387CYOtherRevenueAmt
PY Total Revenue$202,998,393PYTotalRevenueAmt
CY Total Revenue$223,157,560CYTotalRevenueAmt
PY Grants And Similar Paid$152,599PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$266,517CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$101,127,251PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$105,130,911CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$353,708CYTotalFundraisingExpenseAmt
PY Other Expenses$126,290,009PYOtherExpensesAmt
CY Other Expenses$134,203,487CYOtherExpensesAmt
PY Total Expenses$227,569,859PYTotalExpensesAmt
CY Total Expenses$239,600,915CYTotalExpensesAmt
PY Revenues Less Expenses-$24,571,466PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$16,443,355CYRevenuesLessExpensesAmt
Total Assets BOY$302,076,133TotalAssetsBOYAmt
Total Assets EOY$187,989,109TotalAssetsEOYAmt
Total Liabilities BOY$221,121,763TotalLiabilitiesBOYAmt
Total Liabilities EOY$232,327,132TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$80,954,370NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$44,338,023NetAssetsOrFundBalancesEOYAmt
MissionTHROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$210,364,971ExpenseAmt
Grant$266,517GrantAmt
Revenue$219,268,877RevenueAmt
DescPLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.Desc
Total Program Service Expenses$210,364,971TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1696EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jackie TsikalasBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3149892799PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Laura Kaiser
Director, President/CEO of SSM Health1.048.0Yes (X)Yes (X)$0$1,891,562$841,443
Paula Friedman
Director/Vice President, Senior VP-Strategic Development SSM Health1.058.0Yes (X)Yes (X)$0$1,545,828$309,578
Kris Zimmer
Treasurer/Asst Sec, Chief Financial Officer at SSM Health1.066.0Yes (X)Yes (X)$0$1,741,877$376,259
Steve Smoot
Director, COO of SSM Health1.048.0Yes (X)$0$420,253$195,902
Christopher Howard
Pt Yr Director, Pt Yr Pres-Hospital Operations of SSM Health1.048.0Yes (X)$0$2,492,311$144,128
June Pickett
Secretary, Asst VP Governance & Archives, SSM Health1.071.7Yes (X)$0$286,530$54,057
Brent VanConia
Pt Yr Hospital President-SSM Health Mid-Mo40.00.0Yes (X)$767,203$0$24,927
Michael Baumgartner
Hospital President-SSM Health St Francis Hospital - Maryville40.00Yes (X)$355,117$0$88,628
Phil Gustafson
Interim President-SSM Health Mid-Mo40.01.2Yes (X)$0$396,375$0
Jocelyn Skidmore
Administrative Director-Finance40.00Yes (X)$0$150,095$14,886
Jim Stratton
Regional CFO-Mid Missouri20.021.0Yes (X)$0$278,543$87,752
Scott Holman DO
Hospital VP - Medical Affairs - SSM St Francis Hospital - Maryville40.00$351,349$0$62,896Yes (X)
Stephen Stewart
Regional VP, Medical Affairs40.00$318,843$0$74,141Yes (X)
Susan Mankoski
VP Human Resources - Mid Mo40.00$0$254,914$35,291Yes (X)
Kerri Jenkins
VP Nursing-SSM Health St Mary's - Jefferson City40.00$254,547$0$58,510Yes (X)
Amelia Boyd
Pt Yr System VP-Strategy Development40.00$0$185,673$36,342Yes (X)
Becky Miller
Regional VP-Patient Safety and Quality40.00$180,209$0$37,796Yes (X)
John Lucio
Physician40.00$637,543$0$21,855Yes (X)
Darren Wrede
Physician40.00$528,124$0$47,192Yes (X)
Shirley Harris
Physician40.00$595,646$0$22,661Yes (X)
Eric Maass
Physician40.00$534,326$0$32,662Yes (X)
Courtnye Walker
Physician40.00$540,876$0$37,665Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,063,782TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,643,962TotReportableCompRltdOrgAmt
Total Other Compensation$2,604,571TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K127IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
AMN HEALTHCARE INC
12400 HIGH BLUFF DRIVESAN DIEGOCA92130STAFFING SERVICES$2,884,695
HERNER CONSTRUCTION INC
810 NORTH 22ND STREETSAINT JOSEPHMO64506CONSTRUCTION SERVICES$2,039,535
JEFF LEHMEN MD PC
190 E SOUTHBROOK COURTCOLUMBIAMO65203PHYSICIAN SERVICES$1,576,586
MID-MISSOURI ANESTHESIA
1445 CHRISTY DRIVEJEFFERSON CITYMO65101MEDICAL PHYSICIAN SERVICES$1,477,101
COLE PHYSICIAN SERVICES LLC
200 CORPORATE BLVDLAFAYETTELA70508MEDICAL PHYSICIAN SERVICES$1,161,216SUITE 201
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K36CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$787,472RelatedOrganizationsAmt
Government Grants$1,052,693GovernmentGrantsAmt
All Other Contributions$82,905AllOtherContributionsAmt
Noncash Contributions$2,407NoncashContributionsAmt
Total Contributions$1,923,070TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business621110BusinessCd
Total Revenue Column$219,268,877TotalRevenueColumnAmt
Related Or Exempt Func Income$219,268,877RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$219,268,877TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$217,652TotalRevenueColumnAmt
Exclusion$217,652ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$143,461RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$89,203RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$54,258RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,258TotalRevenueColumnAmt
Exclusion$54,258ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$14,461SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,887OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$14,461SecuritiesAmt
Other-$1,887OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,574TotalRevenueColumnAmt
Exclusion$12,574ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$5,959FundraisingGrossIncomeAmt
Fundraising Direct Expenses$666FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,293TotalRevenueColumnAmt
Exclusion$5,293ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$24,500GrossSalesOfInventoryAmt
Cost Of Goods Sold$17,825CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,675TotalRevenueColumnAmt
Exclusion$6,675ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA REVENUE722210$810,634$810,634
CHILD CARE REVENUE624410$493,937$493,937
LABORATORY REVENUE621500$314,280$314,280

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,310TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$9,369UnrelatedBusinessRevenueAmt
Exclusion$40,941ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,669,161OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$223,157,560TotalRevenueColumnAmt
Related Or Exempt Func Income$219,268,877RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$323,649UnrelatedBusinessRevenueAmt
Exclusion$1,641,964ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$260,815TotalAmt
Program Services$260,815ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$5,702TotalAmt
Program Services$5,702ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,574,167TotalAmt
Program Services$2,252,562ProgramServicesAmt
Management And General$314,391ManagementAndGeneralAmt
Fundraising$7,214FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$77,985,276TotalAmt
Program Services$68,242,157ProgramServicesAmt
Management And General$9,524,574ManagementAndGeneralAmt
Fundraising$218,545FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,335,935TotalAmt
Program Services$6,437,218ProgramServicesAmt
Management And General$873,115ManagementAndGeneralAmt
Fundraising$25,602FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,028,422TotalAmt
Program Services$10,499,303ProgramServicesAmt
Management And General$1,499,709ManagementAndGeneralAmt
Fundraising$29,410FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,207,111TotalAmt
Program Services$4,574,802ProgramServicesAmt
Management And General$615,007ManagementAndGeneralAmt
Fundraising$17,302FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,603,292TotalAmt
Program Services$1,546,252ProgramServicesAmt
Management And General$57,040ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$287,517TotalAmt
Management And General$287,517ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$112,400TotalAmt
Management And General$112,400ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,102,665TotalAmt
Program Services$22,029,234ProgramServicesAmt
Management And General$5,061,341ManagementAndGeneralAmt
Fundraising$12,090FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$23,852TotalAmt
Management And General$16,684ManagementAndGeneralAmt
Fundraising$7,168FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,053,645TotalAmt
Program Services$8,439,038ProgramServicesAmt
Management And General$590,048ManagementAndGeneralAmt
Fundraising$24,559FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,548,561TotalAmt
Program Services$10,490,960ProgramServicesAmt
Management And General$55,070ManagementAndGeneralAmt
Fundraising$2,531FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,990,529TotalAmt
Program Services$5,686,522ProgramServicesAmt
Management And General$303,806ManagementAndGeneralAmt
Fundraising$201FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$440,010TotalAmt
Program Services$344,906ProgramServicesAmt
Management And General$86,915ManagementAndGeneralAmt
Fundraising$8,189FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$254,777TotalAmt
Program Services$240,751ProgramServicesAmt
Management And General$13,129ManagementAndGeneralAmt
Fundraising$897FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,958,006TotalAmt
Program Services$7,958,006ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,202,634TotalAmt
Program Services$14,202,634ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,062,496TotalAmt
Program Services$1,062,496ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$34,617,963$34,617,963
MEDICAID PROVIDER TAX$11,186,915$11,186,915
MANAGEMENT FEES - AFFILIATES$9,471,490$9,471,490
LICENSES & TAXES$286,735$286,735

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$239,600,915TotalAmt
Program Services$210,364,971ProgramServicesAmt
Management And General$28,882,236ManagementAndGeneralAmt
Fundraising$353,708FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$648,524BOYAmt
EOY$377,563EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$42,581,786BOYAmt
EOY$35,843,926EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$250,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,680,891BOYAmt
EOY$29,167,198EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,013,736BOYAmt
EOY$4,364,793EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,858,978BOYAmt
EOY$1,103,854EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$145,522,444LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$58,991,286LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$199,802,970BOYAmt
EOY$86,531,158EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,416,735BOYAmt
EOY$3,639,175EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$10,174,615EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,072,513BOYAmt
EOY$16,536,827EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$302,076,133BOYAmt
EOY$187,989,109EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,179,100BOYAmt
EOY$18,092,086EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$203,942,663BOYAmt
EOY$214,235,046EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$221,121,763BOYAmt
EOY$232,327,132EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$78,123,477BOYAmt
EOY-$46,204,859EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,719,893BOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$111,000BOYAmt
EOY$1,866,836EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$80,954,370BOYAmt
EOY-$44,338,023EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$302,076,133BOYAmt
EOY$187,989,109EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$16,443,355ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$279,983NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$108,569,055OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$34,013OtherActivitiesAmt
Total Lobbying Expenditures$34,013TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAID DUES TO VARIOUS HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WAS ALLOCATED TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$111,000BeginningYearBalanceAmt
Investment Earnings Or Losses$501InvestmentEarningsOrLossesAmt
Other Expenditures$501OtherExpendituresAmt
End Year Balance$111,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$111,000BeginningYearBalanceAmt
Investment Earnings Or Losses$627InvestmentEarningsOrLossesAmt
Other Expenditures$627OtherExpendituresAmt
End Year Balance$111,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$111,000BeginningYearBalanceAmt
Investment Earnings Or Losses$558InvestmentEarningsOrLossesAmt
Other Expenditures$558OtherExpendituresAmt
End Year Balance$111,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$111,000BeginningYearBalanceAmt
Investment Earnings Or Losses$9InvestmentEarningsOrLossesAmt
Other Expenditures$9OtherExpendituresAmt
End Year Balance$111,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$111,000BeginningYearBalanceAmt
Investment Earnings Or Losses$748InvestmentEarningsOrLossesAmt
Other Expenditures$748OtherExpendituresAmt
End Year Balance$111,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,171,134OtherCostOrOtherBasisAmt
Book Value$1,171,134BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$88,925,333OtherCostOrOtherBasisAmt
Depreciation$28,806,120DepreciationAmt
Book Value$60,119,213BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$536,437OtherCostOrOtherBasisAmt
Depreciation$304,813DepreciationAmt
Book Value$231,624BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,004,106OtherCostOrOtherBasisAmt
Depreciation$29,880,353DepreciationAmt
Book Value$9,123,753BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,885,434OtherCostOrOtherBasisAmt
Book Value$15,885,434BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$86,531,158TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescBeneficial Interest in FoundationDesc
Book Value$10,174,615BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$10,174,615TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
THIRD PARTY RECEIVABLE$7,885,212
OTHER RECEIVABLES
SOFTWARE
DUE FROM AFFILIATES$7,934,392
BENEFICIAL INTEREST IN FOUNDATIONS
OTHER NONCURRENT ASSETS$717,223
FieldValueIRS element (for citing)
Total Book Value Other Assets$16,536,827TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
DEFINED BENEFIT LIABILITY
RABBI TRUST LIABILITY$2,989,351
THIRD PARTY PAYOR
ASSET RETIREMENT LIABILITY$103,169
DEFERRED COMPENSATION LIABILITY
DUE TO AFFILIATES$11,739,404
ALLOCATED TAX-EXEMPT BOND DEBT (ISSUED BY SSM HEALTH CARE)$196,493,985
RETIREMENT LIABILITIES$1,752,118
THIRD-PARTY PATIENT LOANS$1,157,019
FieldValueIRS element (for citing)
Total Liability$214,235,046TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsENDOWMENT FUNDS ARE USED TO SUPPORT OPERATIONS AND THE MISSION OF SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteSSM REGIONAL HEALTH SERVICES' 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 RESOLUTION 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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,307,898TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,307,898NetCommunityBenefitExpnsAmt
Total Expense0.0347TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,859,667TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$41,303,677DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,082,503TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,599,714DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,482,789NetCommunityBenefitExpnsAmt
Total Expense0.0062TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$50,250,068TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,903,391DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,790,687NetCommunityBenefitExpnsAmt
Total Expense0.0409TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$407,368TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,184DirectOffsettingRevenueAmt
Net Community Benefit Expns$388,184NetCommunityBenefitExpnsAmt
Total Expense0.0016TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,278TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,278NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$120,823TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,179DirectOffsettingRevenueAmt
Net Community Benefit Expns$81,644NetCommunityBenefitExpnsAmt
Total Expense0.0003TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$553,469TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$58,363DirectOffsettingRevenueAmt
Net Community Benefit Expns$495,106NetCommunityBenefitExpnsAmt
Total Expense0.0021TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$50,803,537TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,961,754DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,285,793NetCommunityBenefitExpnsAmt
Total Expense0.0429TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,042TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,042NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,965TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,965NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,782TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$34,782NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$210TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$210NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,865TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$27,865NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$73,864TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$73,864NetCommunityBenefitExpnsAmt
Total Expense0.0003TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$14,974,870BadDebtExpenseAmt
Reimbursed By Medicare$50,440,158ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$64,210,925CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$13,770,767MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
SSM Health St Mary's Hospital - Jefferson City
1100 ST MARYS MEDICAL PLAZAJEFFERSON CITYMO65101https://www.ssmhealth.com/locations/st-marys-hospital-jefferson-city455-18Yes (X)Yes (X)Yes (X)A
SSM Health St Francis Hospital - Maryville
22015 S MAINMARYVILLEMO64468https://www.ssmhealth.com/locations/st-francis-hospital-maryville147-60Yes (X)Yes (X)Yes (X)B

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
A
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)https://www.ssmhealth.com/locations/st-marys-hospital-jefferson-cityYes (X)https://www.ssmhealth.com/about/community-health-needs-assessmentsYes (X)Yes (true)19Yes (true)https://www.ssmhealth.com/about/community-health-needs-assessmentsfalseYes (true)Yes (X)200.0400.0Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.ssmhealth.com/for-patients/financial-assistanceYes (X)https://www.ssmhealth.com/for-patients/financial-assistanceYes (X)https://www.ssmhealth.com/for-patients/financial-assistanceYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
B
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (true)falsefalseYes (true)Yes (X)https://www.ssmhealth.com/locations/st-francis-hospital-maryvilleYes (X)https://www.ssmhealth.com/about/community-health-needs-assessmentsYes (X)Yes (true)18Yes (true)https://www.ssmhealth.com/about/community-health-needs-assessmentsfalseYes (true)Yes (X)200.0400.0Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.ssmhealth.com/for-patients/financial-assistanceYes (X)https://www.ssmhealth.com/for-patients/financial-assistanceYes (X)https://www.ssmhealth.com/for-patients/financial-assistanceYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3EThe hospital facility analyzed several health needs of the community and has prioritized those of most concern. The prioritization of the top significant community health needs is described in the CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 1Facility A, 1 - SSM Health St. Mary's Hospital - Jefferson City. This needs assessment was conducted using three methods: secondary data analysis, discussions with community groups and provider clients and surveys completed by community members, community leaders and local health and human service providers. Community discussion groups, much like town hall meetings, were organized and facilitated by members of the Steering Team. In addition to the review of demographics and secondary data, and the discussion groups with key stakeholders and community representatives, a community perception survey was conducted to assess the perception of health care and health status across the five-county region in the analysis. Additional information on how the hospital took into account input from persons who represent the broad interest of the community can be found on pages 6 and 7 of the CHNA.
Schedule H, Part V, Section B, Line 6a Facility A, 1Facility A, 1 - SSM Health St. Mary's Hospital - Jefferson City. The 2018 CHNA was conducted in collaboration with Capital Region Medical Center.
Schedule H, Part V, Section B, Line 6b Facility A, 1Facility A, 1 - SSM Health St. Mary's Hospital - Jefferson City. The 2018 CHNA was conducted in collaboration with the following partners: the Community Health Center of Central Missouri; Compass Health Network, Missouri Coalition for Community Behavioral Healthcare, the Public Health Departments of Callaway County, Cole County, Miller County, Moniteau County and Osage County; and United Way of Central Missouri.
Schedule H, Part V, Section B, Line 11 Facility A, 1Facility A, 1 - SSM Health St. Mary's Hospital - Jefferson City. The hospital identified various health needs in the 2018 CHNA. To make a meaningful impact, and use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Access to care - Mental health/substance abuse - Chronic disease & Health Risks Prevention Access to care Access to specialty, primary and preventive health care services through a doctor's office, clinic or other appropriate provider is an important element of a community's health care system and is vital for helping the community's residents to be healthy. The ability to access care is influenced by many factors, including insurance coverage and the ability to afford services, long waits for appointments or treatments, the availability and hours of operation of health care providers, an understanding of where to find services when needed, a lack of providers accepting new Medicaid patients, lac of mental health professionals, and a lack of reliable transportation were frequently mentioned as concerns. Additionally, statistics show: - The percentage of population in the area living in a designated Health Professional Shortage Area (HPSA) is 100%. A geographic area designated as a HPSA, is defined as having a shortage of primary medical care, dental or mental health professionals - Of the respondents to the 2018 community health assessment survey, who reported they did not see a doctor in the past 12 months, 41% said they could not afford it. Survey respondents noted that lack of affordable health insurance, long-wait time for appointments and hours of operations were the top three factors that impact access to health care in our community - Thirty-eight percent of survey respondents indicated that better access to mental health care would most improve the quality of life in their community - Participants in the 2018 CHNA ranked the lack of access to public and or affordable transportation as the top factor impacts access to health care in four of the five counties included in the report area The hospital's action plan includes the following initiatives to improve access to care in the community served: - Work with area health care providers and community partners to evaluate and establish a community-based solution to health-related transportation challenges - Recruit and/or increase capacity of health care professionals to improve access to primary and specialty care providers in identified shortage areas - Evaluate implementation and/or expansion of telehealth/telemedicine offerings - Collaborate with the United Way Unmet Needs Council, Catholic Charities, state agencies and organizations, and other health and human service providers to ensure coordination and connection services and resources Mental health/substance abuse Mental health issues, such as anxiety, depression and risk of suicide, are prevalent concerns. There are limited mental health providers in the area in general but especially noted was the gap in providers for youth and families in distress. Long wait lists for treatment or counseling were often noted. Additionally, mental health is intertwined with other key health issues such as substance abuse, addiction, and overall good physical health. It was noted that individuals may be using drugs/alcohol as a mechanism to cope with mental health issues stemming from toxic stress they have experienced. Social stigmas around mental health also play a role in whether someone chooses to seek care. Additionally, statistics show: - Alcohol and Substance Related Mental Health Disorders is ranked second as the top disease condition utilizing the ER in the report area - Alcohol and Substance Related Mental Health Disorders is ranked fourth among the top five chronic diseases and conditions in all five counties included in the report area and fifth among the top five causes for Inpatient Hospitalizations in the five-county report area, behind Heart Disease, Cancer, Lung Disease and Diabetes - 30% of the CHNA community health needs survey respondents said drug use was the most important issue facing our community - 28% of survey respondents indicated mental health disorders was the most important issue in our community - 39% of survey respondents indicated that better access to mental health care would most improve the quality of life in our community - According to the exploreMOhealth.org county and zip-code level study data, depression is the top health factor in all five counties included in the report area. The hospital's action plan includes the following initiatives to address mental health and substance abuse in the community served: - Provide Crisis Intervention Training (CIT) to EMS, first responders and other front-line crisis personnel - Partner to provide Adult and Youth Mental Health First Aid education and Suicide Prevention and Awareness education - Provide active leadership and commitment to Behavioral Health Resource Partnership collaborative - Support Mental Health Awareness events and community campaign to reduce stigma of mental illness - Participate in ER enhancement project and evaluate implementation of Peer Support for mental health in the ER - Provide leadership support and enroll primary care clinics in Missouri Child Psychiatry Access Project (MO-CPAP), which provides free, same-day expert child psychiatry phone consultation to primary care providers and ER physicians - Enhance partnership with Council for Drug Free Youth to expand school-based education and increase availability of substance use prevention and early identification/intervention initiatives in the region - Participate and support SSM Opioid Stewardship Program and central Missouri Opioid task force initiatives, including expanded Drug Take Back Program - Continue offering SSM Health Outpatient Brief Treatment Program for adults, the Outpatient Transitional Care Program for Adults and Seniors, and Telepsychiatry services Chronic disease & Health Risks Prevention Chronic diseases, specifically Diabetes, Heart/Cardiovascular, Cancer and Lung/COPD are prevalent health issues. Diabetes and heart disease was the most frequently mentioned chronic disease and was often linked with discussion about obesity and overweight. There is wide recognition of the toll chronic illness has on health, its impact on the health care system, and the importance of not only treatment but also behavioral change necessary to address the chronic disease, specifically the patient's desire to change and engage in self-management of their chronic disease. Additionally, statistics show: - The Heart Disease mortality age-adjusted death rate per 100,000 population is 186.8 for the five-county report area, which is more than two times the Missouri rate of 85.63 per 100,000 population. Diabetes is the second highest risk factor for developing Heart Disease. Diabetes is ranked the fourth highest disease and condition in the five-county report area; ranked fourth among the top causes of inpatient hospitalizations; and as second among top five preventable hospitalizations - The Cancer mortality age-adjusted death rate per 100,000 population is 167.7 for the five-county report area, which is significantly higher than the Missouri rate of 87.2 per 100,000 population - The Lung Disease mortality, age-adjusted death rate per 100,000 population for the five-county report area is 54.7 compared to the Missouri rate of 11.5 - Heart Disease is ranked the number one cause of inpatient hospitalizations and number one chronic disease condition in the five-county report area, followed by Cancer second, COPD/Lung Disease third, Diabetes fourth and Alcohol and Substance Related Mental Health Disorders at five. The hospital's action plan includes the following initiatives to improve chronic disease in the community served: - Provide community and workplace health fairs and screenings - Provide annual Successful Aging Forum - Provide community health education. Health literacy, including health risk prevention, chronic disease self-management, preventative care, and life skills education, stress management and coping are needed to improve health and wellness decisions - Evaluate implementation of evidenced-based Diabetes Prevention Program (DPP) in partnership with the YMCA - Collaborate with Catholic Charities to enhance parish health ministry - Continue support and partnership with Jefferson City YMCA Livestrong program - Continue to provide community health education classes and support group programs The hospital has no plans to discontinue other programs 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 (additional descriptions available in the 2018 CHNA): - Health literacy - Addressing the social determinants of health
Schedule H, Part V, Section B, Line 3EThe hospital facility analyzed several health needs of the community and has prioritized those of most concern. The prioritization of the top significant community health needs is described in the CHNA.
Schedule H, Part V, Section B, Line 5 Facility B, 1Facility B, 1 - SSM Health St. Francis Hospital - Maryville. The primary data consisted of a community perception survey as well as a focus group including key stakeholders within Nodaway County. The hospital had a total of 67 people participating in these focus groups. An Advisory Council consisted of focus group leaders and sought to leverage existing relationships and provide diverse input for the comprehensive review and analysis of community health needs in Nodaway County. Members invited to participate serve in health and social services organizations that: - Serve low-income populations - Serve at-risk populations - Serve minority members of the community - Represent the general community
Schedule H, Part V, Section B, Line 11 Facility B, 1Facility B, 1 - SSM Health St. Francis Hospital - Maryville. 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: - Mental Health - Obesity Mental Health Mental health is inextricably linked to physical health. Poor mental health can have an impact on behaviors that result in poor physical health. Mental health is a common thread in many chronic health conditions. Depression has been linked to higher rates of cardiovascular disease and diabetes. Additionally, persons with depression tend to engage in more risk behaviors for these diseases-such as smoking, poor diet or lack of exercise-than persons without depression. Additionally, data on mental health shows: - Two out of four community groups indicated that mental health or mental illness is one of the most serious health issues facing this community - Nodaway County's rate for poor mental health days is 4.7 compared to the state rate of 4.4 and top US state performers' rate of 3.1. Atchison and Andrew counties (which border Nodaway on the west and south) have poor mental health rates lower then Nodaway at 4.2. and 4.0 respectively - The percentage of Nodaway County's Medicare population has seen a steady increase, 13.8% in 2010 to 17.4% in 2015 - Mental health issues ranked third behind obesity and high blood pressure when asked to select the diseases, challenges or conditions that you have been diagnosed with by a health care provider in the 2018 CHNA community survey - Mental health issues ranked highest when asked the diseases, challenges or conditions that you think are a concern for our community in the 2018 CHNA community survey - For the question "What resource could be used differently to improve health care?", 16 of 101 responses indicated mental health or psychiatric services or resources. The hospital's action plan includes the following initiatives to improve mental health in the community served: - Continue and expand clinic behavioral health offerings - Continue to provide support to organizations providing mental health programs to the community - Enhance relationship with Northwest Missouri State University's wellness center regarding behavioral/mental health concerns - Work with area schools to raise awareness and provide resources for child and adolescent mental health - Increase community education regarding mental health Obesity Obesity continues to be a growing issue for the physical and economic health of our nation. The CDC reports that obesity rates in America have increased from 35% in 2011-2012 to 39.8% in 2015-2016. Obesity-related conditions include heart disease, stroke, type 2 diabetes and certain types of cancer, which are some of the leading causes of preventable, premature death. Additionally, statistics show: - For Nodaway County, 33% of the population are considered obese, compared to the state rate of 32% and top US performing states at 26% - Physical inactivity is one health factor for obese people. In Nodaway County, 27.6% of the population self-report no leisure time for activity such as running, calisthenics, golf, gardening or walking for exercise. This compares to Missouri at 24.1% and the national rate of 21.8% - Another indicator that may impact healthy eating is the percentage of population with low-food access or living more than mile from the nearest supermarket, supercenter or large grocery story. This indicator is relevant because it highlights populations and geographies facing food insecurity. Nodaway County's percent of population with low-food access is 53.28%, compared to Missouri at 25.57% and the United States as a whole at 22.43% - In Nodaway County, 45.7% of adults aged 18 and older self-report that they have a Body Mass Index between 25.0 and 30.9 (overweight), compared to the state at 35.3% and United States at 35.8%. Excess weight may indicate an unhealthy lifestyle and puts individuals at risk for further health issues - The percentage of obese adults in Nodaway County has seen an increase from 26% in 2004 to 29.9% in 2013. The hospital's action plan includes the following initiatives to improve obesity in the community served: - Continue Healthy Lifestyles and Commit to Be Fit - Continue diabetes education programs and support group - Continue and expand Health 4 Life programs - Continue to expand H4L into surrounding rural schools - Consider surveying immediately after and multi-year post completion - Encourage SSM Health St. Francis caregivers to volunteer to participate - Continue health screenings - Increase community education regarding obesity 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 (additional descriptions available in the 2018 CHNA): - Lack of access to healthy food - Accessibility to health screenings
FieldValueIRS element (for citing)
Facility26FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SSM HEALTH MEDICAL GROUP
2016 S MAINMARYVILLEMO64468RURAL HEALTH CLINIC
SSM HEALTH MEDICAL GROUP
114 E SOUTH HILLS DRMARYVILLEMO64468RURAL HEALTH CLINIC
SSM HEALTH MEDICAL GROUP
301 E PRICE STREETSAVANNAHMO64485RURAL HEALTH CLINIC
SSM HEALTH MEDICAL GROUP
408 SOUTH DODGE STREETBEDFORDIA50833RURAL HEALTH CLINIC
SSM HEALTH MEDICAL GROUP - ORTHOPEDIC SURGERY
218 S WOODBINEST JOSEPHMO64506ORTHOPEDIC CLINIC
SSM Health Preschool & Daycare
409 West South Hills DriveMARYVILLEMO64468Preschool/Daycare
SSM HEALTH MEDICAL GROUP
100 HWY 28 EASTBELLEMO65013RURAL HEALTH CLINIC
SSM HEALTH SPORTS MEDICINE & REHABILITATION CENTER
1225 WEST STADIUM BLVDJEFFERSON CITYMO65109OUTPATIENT CLINIC
SSM HEALTH CANCER CENTER
1241 WEST STADIUM BLVDJEFFERSON CITYMO65109OUTPATIENT CLINIC
SSM HEALTH MEDICAL GROUP
140 NORTHSTAR DRIVEHOLTS SUMMITMO65043FAMILY PRACTICE CLINIC
SSM HEALTH MEDICAL GROUP
2265 BAGNELL DAM BLVD SUITE 103LAKE OZARKMO65049RURAL HEALTH CLINIC
SSM HEALTH PHARMACY
2505 MISSION DRIVE SUITE 110JEFFERSON CITYMO65101RETAIL PHARMACY
SSM HEALTH SPINE & PAIN MANAGEMENT CENTER
2505 MISSION DRIVE SUITE 200JEFFERSON CITYMO65109OUTPATIENT CLINIC
SSM HEALTH WOUND CENTER
2505 MISSION DRIVE SUITE 210JEFFERSON CITYMO65109OUTPATIENT CLINIC
SSM Health Medical Group - Pulmonary Medicine
2505 Mission Drive Suite 300Jefferson CityMO65109Outpatient clinic
SSM Health Medical Group - Cardiovascular & Thoracic Surgery
2505 MISSION DRIVE SUITE 310JEFFERSON CITYMO65109OUTPATIENT CLINIC
SSM HEALTH MEDICAL GROUP - OCCUPATIONAL MEDICINE
2511 WEST EDGEWOOD DRIVE SUITE FJEFFERSON CITYMO65109OUTPATIENT CLINIC
SSM HEALTH MEDICAL GROUP
2511 WEST EDGEWOOD DRIVE SUITE GJEFFERSON CITYMO65109FAMILY PRACTICE CLINIC
SSM HEALTH URGENT CARE
2511 WEST EDGEWOOD SUITE DJEFFERSON CITYMO65109URGENT CARE CLINIC
SSM HEALTH MEDICAL GROUP - BEHAVIORAL MEDICINE
2701 WEST EDGEWOOD DRIVE SUITE 101JEFFERSON CITYMO65109OUTPATIENT CLINIC
SSM HEALTH MEDICAL GROUP - PEDIATRICS
3348 AMERICAN AVENUEJEFFERSON CITYMO65109PEDIATRIC CLINIC
SSM HEALTH SLEEP CENTER
3349 AMERICAN AVENUE SUITE DJEFFERSON CITYMO65109OUTPATIENT CLINIC
SSM HEALTH MEDICAL GROUP
3527 WEST TRUMAN BLVD SUITE 100JEFFERSON CITYMO65109FAMILY PRACTICE CLINIC
SSM HEALTH MEDICAL GROUP
801 KIDWELL DRIVEVERSAILLESMO65084RURAL HEALTH CLINIC
SSM HEALTH MEDICAL GROUP
875 Highway 5 SouthTIPTONMO65081RURAL HEALTH CLINIC
SSM Health Multi-Specialty Clinic - Cardiology
2505 MISSION DRIVE SUITE 130JEFFERSON CITYMO65109OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c DISCOUNTED CARE EXCEPTIONSPatients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called "presumptive eligibility."
Schedule H, Part V, Section B, Line 7 HOSPITAL FACILITY'S WEBSITEhttps://www.ssmhealth.com/locations/st-francis-hospital-maryville. This website was active prior to the sale of SSM Health St. Francis Hospital - Maryville on March 31, 2019.
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationSSM Health Care Corporation, 46-6029223
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe amounts reported on Form 990, Schedule H, Part I, Line 7a, 7b, and 7c were determined using the cost to charge ratio derived from worksheet 2 in the schedule h instructions. Form 990, schedule h, part I, Lines 7e, 7f, 7g, 7h, and 7i are reported at cost as reported in the organization's financial statements. The calculation of Schedule H, Part I, Line 7, Column F utilizes 990, Part IX, Line 25, Column A, which does not include Bad Debt Expense.
Schedule H, Part II Community Building ActivitiesSSM Regional Health Services participates in a wide array of community and civic organizations in the promotion of health care and community building activities. Specific activities reported in Part II of Schedule H include the following: Physical improvements and housing: Nodaway County Habitat for Humanity Economic development: collaboration and involvement with several area Chambers of Commerce and the Nodaway Rural Health Association Community support: community sponsorship and donations Environmental improvements: recycling and waste-reduction efforts for computer equipment Coalition building: service on boards for community health centers; collaboration with the Mental Health Coalition, Alzheimer's support programs, United Way Unmet Needs committee, sexual assault nurse examiner (SANE) program, diabetes prevention and education, participation with the healthy community initiatives of the Heartland Foundation, work with the Medicaid office, county health, the University of Missouri, and Maryville Parks & Recreation to improve child birth outcomes and family health.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountTHE 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 footnoteSSM Regional Health Services 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 8 Community benefit & methodology for determining medicare costsTHE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceSSM Regional Health Services 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 Regional Health Services' collection and financial assistance policies.
Schedule H, Part V, Section B, Line 16a FAP websiteA - SSM Health St. Mary's Hospital - Jefferson City: Line 16a URL: https://www.ssmhealth.com/for-patients/financial-assistance; B - SSM Health St. Francis Hospital - Maryville: Line 16a URL: https://www.ssmhealth.com/for-patients/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application websiteA - SSM Health St. Mary's Hospital - Jefferson City: Line 16b URL: https://www.ssmhealth.com/for-patients/financial-assistance; B - SSM Health St. Francis Hospital - Maryville: Line 16b URL: https://www.ssmhealth.com/for-patients/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary websiteA - SSM Health St. Mary's Hospital - Jefferson City: Line 16c URL: https://www.ssmhealth.com/for-patients/financial-assistance; B - SSM Health St. Francis Hospital - Maryville: Line 16c URL: https://www.ssmhealth.com/for-patients/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessmentSSM Health (SSMH) participates in Community Benefit according to our vision, Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of 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 assistanceEach entity providing medical service shall provide information to the public regarding its charity care policies and the qualification requirements for each of its facilities. When standard system notices and communication regarding charity care are available, these must be used. Modifications to the standard may be made to comply with state and local laws, as well as reflect culturally sensitive terminology for the policy. All notices are easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They provide information about: * The patient's responsibility for payment, * The availability of financial assistance from public programs and entity charity care and payment arrangements, * The entity's charity policy and application process, and * Who to contact to get additional information or financial counseling. The following types of notices to the public are provided: * Signs in the emergency department, 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 informationSSM Health St. Mary's Hospital - Jefferson City: SSM Health St. Mary's Hospital - Jefferson City defines its primary service areas as the five counties of Callaway, Cole, Miller, Moniteau, and Osage in central Missouri. In 2016, this area had a total population of 175,851 persons. The age distribution continues to shift toward a larger population of older adults with approximately 28% of the total population age 55 or older. The race/ethnicity distribution based on the latest data shows a population that is predominately white/Caucasian (89.3%), with 6.4 percent black/African American. Average family income in the five-county service area was most recently reported at $74,561, slightly under the average for Missouri. Approximately 24% of the service area has at least a Bachelor's degree, and the unemployment rate for the total five-county population was 2.9%, lower than the state rate of 3.5%. The poverty rate is also lower than the state rate, at 13.3% versus 15.3%. For adults, uninsured individuals comprise 12.8% of the population, with 6.8% of children uninsured. Additional demographic and community information can be found throughout the 2018 CHNA. SSM Health St. Francis Hospital - Maryville SSM Health St. Francis Hospital - Maryville is located in Maryville, Missouri, in rural northwest Missouri. The service area for St. Francis is primarily Nodaway County, Missouri, a county with an estimated population of 23,370 in 2018. Seven counties border Nodaway, including two counties in Iowa. SSM Health St. Francis Hospital's service area reaches into all these adjacent counties. In Nodaway County, 14.7% of the population is 65 years of age or older. The population of Nodaway County is predominantly White/non-Hispanic (92.6%) as well. In the area, the rate of those under 200% of the Federal poverty level is over 46%, compared to the statewide rate of 34.6%. Additionally, 19.6% of county residents report having experienced limited or uncertain access to healthy food. Additional demographic and community information can be found throughout the 2018 CHNA.
Schedule H, Part VI, Line 5 Promotion of community healthSSM Regional Health Services participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. Focusing on a broad definition of health, SSM Regional Health Services' hospitals, clinics and programs provide medical and mental health services, health education, health management, prevention, referrals, insurance enrollment and in-home primary care services and support, while fostering collaboration and incorporating Community Benefit strategies. SSM Regional Health Services promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote both community health and healthy communities. St. Francis Preschool and Child Care received continued recognition for Missouri Eat Smart Child Care at the advanced level. Eat Smart Child Care is a program from the Missouri Department of Health and Senior Services that aims to help child care providers give Missouri's children a positive nutrition experience. The goals of Eat Smart Child Care are: to help prevent childhood obesity; to show that providers care about the health of children in their care; and to attract parents who care about the food their kids eat while away from home. The Eat Smart guidelines are designed to boost the nutrition of children ages 2 to 12 and help them maintain a healthy weight and include recommendations for breakfast, lunch, dinner and snacks. SSM Regional Health Services also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system.
Schedule H, Part VI, Line 6 Affiliated health care systemSSM REGIONAL HEALTH SERVICES IS A HEALTH CARE NETWORK THAT OPERATES SSM HEALTH ST MARY'S HOSPITAL - JEFFERSON CITY AND SSM HEALTH ST FRANCIS HOSPITAL - MARYVILLE. IT IS PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. SSM HEALTH IS A 501(C)(3) ORGANIZATION HEADQUARTED IN ST LOUIS, MISSOURI.
Schedule H, Part VI, Line 7 State filing of community benefit reportMO

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescAddress Line2USAddress/AddressLine2Txt
Northwest Foundation Inc
800 University DriveMaryvilleMO64468237165025501(c)(3)$50,000Support educational programs at Northwestern Missouri State University
Project CUREBenevolent Healthcare Foundation
10377 E Geddes Avenue No 200CentennialCO80112841568566501(c)(3)Support organization in supplying medical equipment to the world's neediest countries$9,600BookMedical equipment
Jefferson City Area YMCA
505 Ellis BlvdJefferson CityMO65110430953286501(c)(3)$5,700Livestrong cancer programPO Box 104176
Roman Catholic Diocese of Jefferson City
PO Box 104900Jefferson CityMO65110440612540501(c)(3)$16,750Pastoral care services
St Mary's Health Center Jefferson City MO Foundation
2505 Mission DriveJefferson CityMO65109431575307501(c)(3)$5,600Support of Foundation activities and events$141,379BookSupplies for Foundation
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
PATIENT AND EMPLOYEE ASSISTANCE16$3,452
SCHOLARSHIPS2$2,250

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION'S GRANTS WERE MADE TO GOVERNMENTAL OR TAX- EXEMPT, UNDER SECTION 501(C)(3), ORGANIZATIONS. THESE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Laura Kaiser
Director, 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
Paula Friedman
Director/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
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
Christopher Howard
Pt Yr Director, Pt Yr 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
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
Brent VanConia
Pt Yr Hospital President-SSM Health Mid-Mo$62,660$0$0$0$704,544$0$635$0$24,293$0$792,131$0$254,003$0
Michael Baumgartner
Hospital President-SSM Health St Francis Hospital - Maryville$334,068$0$0$0$21,049$0$77,655$0$10,973$0$443,744$0$0$0
Phil Gustafson
Interim President-SSM Health Mid-Mo$0$396,375$0$0$0$0$0$0$0$0$0$396,375$0$0
Jocelyn Skidmore
Administrative Director-Finance$0$141,931$0$0$0$8,165$0$7,147$0$7,739$0$164,981$0$5,525
Jim Stratton
Regional CFO-Mid Missouri$0$263,213$0$0$0$15,330$0$69,801$0$17,951$0$366,294$0$12,159
Scott Holman DO
Hospital VP - Medical Affairs - SSM St Francis Hospital - Maryville$317,773$0$10,000$0$23,576$0$46,381$0$16,516$0$414,245$0$0$0
Stephen Stewart
Regional VP, Medical Affairs$283,885$0$2,189$0$32,769$0$54,190$0$19,951$0$392,984$0$24,820$0
Susan Mankoski
VP Human Resources - Mid Mo$0$201,099$0$0$0$53,816$0$25,703$0$9,588$0$290,205$0$15,604
Kerri Jenkins
VP Nursing-SSM Health St Mary's - Jefferson City$248,946$0$0$0$5,601$0$48,063$0$10,446$0$313,057$0$0$0
Amelia Boyd
Pt Yr System VP-Strategy Development$0$180,888$0$0$0$4,785$0$28,556$0$7,786$0$222,015$0$0
Becky Miller
Regional VP-Patient Safety and Quality$177,323$0$0$0$2,886$0$27,189$0$10,606$0$218,004$0$0$0
John Lucio
Physician$479,743$0$144,994$0$12,806$0$3,649$0$18,206$0$659,398$0$0$0
Darren Wrede
Physician$390,734$0$136,609$0$781$0$22,466$0$24,726$0$575,316$0$0$0
Shirley Harris
Physician$399,964$0$161,699$0$33,983$0$22,625$0$36$0$618,307$0$0$0
Eric Maass
Physician$375,187$0$136,863$0$22,276$0$12,387$0$20,276$0$566,988$0$0$0
Courtnye Walker
Physician$522,960$0$0$0$17,916$0$14,627$0$23,038$0$578,541$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up paymentsThe following individuals listed on Part VII, Section A, received tax indemnification/gross up payments in 2018, which were included in their taxable compensation: Scott Holman, DO Stephen Stewart Shirley Harris Eric Maass Michael Baumgartner
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationThe Organization's top management official, 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 paymentSSM Health has adopted a severance policy to provide a financial transition in the event of involuntary termination without cause for Executive Level Positions. The amount of the compensation is based on the position held and length of service with SSMH. The following individuals listed in Part VII of the Form 990 received payments under the plan in the current year: Christopher Howard $352,692 Brent Vanconia $388,872
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planPension Restoration Plan: SSM Health (SSMH) provides this supplemental defined benefit nonqualified retirement plan to any employee who is a participant in the SSMH qualified defined benefit plan who earns over the Internal Revenue Service compensation limit. The plan "restores" the benefits to these employees that would have been provided under the SSMH qualified plan if the regulations did not impose compensation limits. An individual can take a distribution from the plan at (1) age 65 or older if the individual is still employed by SSMH or (2) age 55 or older if the individual is no longer employed by SSMH. No individuals listed on Part VII of Form 990 received distributions from the plan in 2018. 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 Paula Friedman $87,389 Laura Kaiser $264,600 Kris Zimmer $105,240 Michael Baumgartner $24,000 Jocelyn Skidmore $5,753 Jim Stratton $9,588 Scott Holman DO $9,440 Stephen Stewart $20,703 Kerri Jenkins $8,953 Amelia Boyd $14,755 Becky Miller $6,417 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 Brent VanConia $254,003 Jocelyn Skidmore $5,525 Jim Stratton $12,159 Stephen Stewart $24,820 Susan Mankoski $30,847 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 Paula Friedman $252,107 Kris Zimmer $137,310 June Pickett $-101,871 Michael Baumgartner $41,674 Brent VanConia $79,713 Phil Gustafson $-64,922 Jocelyn Skidmore $16,314 Jim Stratton $1,070 Scott Holman DO $36,274 Stephen Stewart $15,640 Susan Mankoski $125,388 John Lucio $-22,182 Shirley Harris $36,421 Eric Maass $475 Courtnye Walker $-8,894

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a Description of Program Service AccomplishmentsBriefly describe the corporation's mission: Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 23 acute care hospitals, one children's hospital, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company, and an Accountable Care Organization. The health system employs 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. About SSM Regional Health Services: SSM Regional Health Services includes SSM Health St. Mary's Hospital - Jefferson City in Jefferson City, Missouri and SSM Health St. Francis Hospital in Maryville, Missouri, as well as a network of primary care medical clinics and specialty offerings that serve Jefferson City and surrounding communities. SSM Health St. Mary's Health Center - Jefferson City has been in service for more 100 years and operates as a full-service community hospital located in Missouri's state capitol. The hospital features a dedicated inpatient pediatric unit, a Wound Center and Outpatient Treatment Center. Additionally, SSM Health St Mary's Hospital - Jefferson City offers a full range of health care services including cardiovascular, emergency, orthopedic, cancer, outpatient surgical, women's health and imaging, pain management, sleep medicine, and occupational and rehabilitation therapy. SSM Health St. Mary's Hospital - Jefferson City is one of only two hospitals in the state and the only one in Jefferson City to receive two patient-focused awards from Healthgrades, a leading online resource for comprehensive information about physicians and hospitals. The hospital earned both the 2016 Patient Safety Excellence Award and the 2016 Healthgrades Outstanding Patient Experience Award. Outstanding Patient Experience Award recipients were identified through an evaluation of 10 patient experience measures, using data collected from a 32-question HCAHPS survey of the hospital's own patients. The survey questions focus on patients' perspectives of their care during their inpatient hospital stay. In November 2014, the hospital moved to a new, state-of-the-art building. Improvements with the new facility include all private patient rooms, increasing patient comfort, healing, and safety; ease of patient and visitor transportation between inpatient and outpatient areas; sound-absorbing flooring, acoustic ceiling tiles, and limited overhead paging that will reduce noise and promote recovery; and outdoor gardens for patients to relax and recuperate. SSM Health St. Francis Hospital - Maryville provices medical care to the residents of northwest Missouri. As a rural hospital, St. Francis provides emergency treatment, acute care for patients with medical and surgical diagnosis, mental health illnesses and obstetrical needs. In 2016, an expanded and renovated emergency department was opened, which includes four exam rooms, two trauma rooms, and a triage room. According to the 2014 Hospital Consumer Assessment of Healthcare Providers and Systems, St. Francis scored above both the national average and average for Missouri hospitals in six out of eleven patient satisfaction categories, demonstrating the hospital's continued commitment to high-quality care. In March 2019, sponsorship of St. Francis Hospital transferred to Mosaic Life Care, where the facility will continue to serve the community as Mosaic Medical Center-Maryville. SSM Regional Health Services also furthers its exempt purpose with the following activities: - Operates an emergency room that is open to all persons regardless of ability to pay - Has an open medical staff with privileges available to all qualified physicians in the area - Has a governing body in which independent persons representative of the community comprise a majority - Engages in the training and education of health care professionals, - Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs - All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system 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 $ 8,307,898 Unpaid Cost of Medicare $ 13,770,767 Unpaid Cost of Other Means-Tested Programs $ 1,482,789 Total Quantifiable Uncompensated Care $ 23,561,454
Form 990, Part V, Line 1aALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223.
Form 990, Part VI, Line 15a Process for determining compensationThe Organization's top management official, 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 compensationThe Organization's top management official, 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 documentsThe organization's bylaws were modified to decreased the minimum number of directors allowed; however, also noting that a specific number of directors be active unless otherwise determined.
Form 990, Part VI, Line 6 Classes of members or stockholdersTHE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM REGIONAL HEALTH SERVICES AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE THE DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE DIRECTORS D. TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTEREST IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER , TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVE OF THE MEMBER AS DETERMINED BY THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing bodyThe organization does not have any committees with authority to act on behalf of the governing body.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe Form 990 is prepared by the Tax Department of the parent organization, SSM Health Care Corporation (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 policyBoard members are required to complete a conflict of interest disclosure statement annually. The President and Secretary to the Board oversee compliance with this requirement. All Board members with an identified conflict of interest abstain from Board discussions and votes when applicable. Employees with purchasing authority and/or ability to influence purchasing decisions are assigned the conflict of interest disclosure course (COI) which must be completed on line. Periodically through the year, the entity's corporate responsibility contact person (with the help of the entity's learning management system coordinator) sends department managers a list of employees who have not yet completed their COI so they can remind the employees and ensure the employees have time in their schedule to complete the required course. Resolution of any conflicts that are disclosed must be documented and kept on file at the entity. Supervisors verify required course completion prior to year end.
Form 990, Part VI, Line 19 Required documents available to the publicThe year-end audited consolidated financial statements and unaudited quarterly consolidated financial statement for the SSM Health System are made available to the public on SSM Health's website. The organization's articles of incorporation are available on the Missouri Secretary of State's website. Copies of the Form 990 and the organization's conflict of interest policy are available upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueALL OTHER REVENUE - Total Revenue: 50310, Related or Exempt Function Revenue: , Unrelated Business Revenue: 9369, Revenue Excluded from Tax Under Sections 512, 513, or 514: 40941;
Form 990, Part IX, Line 11g Other FeesMedical and Other Professional Fees - Total Expense: 27102665, Program Service Expense: 22029234, Management and General Expenses: 5061341, Fundraising Expenses: 12090;
Form 990, Part X, Line 29 Adoption of ASC 958-205Effective 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 balancesChange in beneficial interest in foundation - -1257055; LOSS ON IMPAIRED ASSETS - -XXX-XX-XXXX;
FORM 990, PART I DOING BUSINESS ASSSM Regional Health Services currently conducts business under the following names: SSM Health Behavioral Health SSM Health Cancer Center SSM Health Medical Group SSM Health Medical Group - Behavioral Health SSM Health Medical Group - Behavioral Medicine SSM Health Medical Group - Cardiothoracic Surgery SSM Health Medical Group - Cardiovascular & Thoracic Surgery SSM Health Medical Group - Family Medicine SSM Health Medical Group - Occupational Medicine SSM Health Medical Group - Ophthalmology SSM Health Medical Group - Orthopedic Surgery SSM Health Medical Group - Pediatrics SSM Health Pharmacy SSM Health Preschool & Child Care Center SSM Health Sleep Center SSM Health Spine & Pain Management Center SSM Health Spine Surgery & Interventional Pain Center SSM Health Sports Medicine & Rehabilitation Center SSM Health St Francis Hospital - Maryville SSM Health St Francis Hospital Auxiliary SSM Health St Mary's Hospital - Jefferson City SSM Health Urgent Care SSM Health Vascular Center SSM Health Wound Center St Francis Family Eye Clinic St Francis Family Eye Clinic - Albany St Francis Family Health Care - East St Francis Family Health Care - West St Francis Family Life Services St Francis Hardin Medical Clinic St Francis Hospital & Health Services St Francis Orthopedic & Sports Medicine Clinic St Francis Preschool & Child Care St Mary's Cancer Center at JCMG St Mary's Comprehensive Spine & Pain Management Center St Mary's Holts Summit Pharmacy St Mary's Tipton Medical Clinic The Vascular Institute at St Mary's

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (49 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SSM Health Care Corporation
10101 Woodfield LaneSt LouisMO63132466029223Health CareMO501(c)(3)Type ISSM Health Ministriesfalse
SSMHC Liability Trust I
10101 Woodfield LaneSt LouisMO63132436331003InsuranceMO501(c)(3)Type ISSM Health Care Corporationfalse
SSM Consolidated Health Services
10101 Woodfield LaneSt LouisMO63132431473657Health CareMO501(c)(3)10SSM Health Care Corporationfalse
SSM Policy Institute
10101 Woodfield LaneSt LouisMO63132431788151Health CareMO501(c)(4)SSM Health Care Corporationfalse
SSM Health Care Portfolio Management Co
10101 Woodfield LaneSt LouisMO63132431825256ManagementMO501(c)(3)Type ISSM Health Care Corporationfalse
SSM Cardinal Glennon Children's Hospital
10101 Woodfield LaneSt LouisMO63132430738490Health CareMO501(c)(3)3SSM Health Care St Louisfalse
Cardinal Glennon Children's Foundation
10101 Woodfield LaneSt LouisMO63132431754347FundraisingMO501(c)(3)7SSM Cardinal Glennon Children's Hospitalfalse
SSM Health Foundation - St Louis
10101 Woodfield LaneSt LouisMO63132431552945FundraisingMO501(c)(3)7SSM Health Care St Louisfalse
SSM Health Care of Oklahoma Inc
10101 Woodfield LaneSt LouisMO63132730657693Health CareOK501(c)(3)3SSM Health Care Corporationfalse
The St Anthony Hospital Foundation Inc
10101 Woodfield LaneSt LouisMO63132736104300FundraisingOK501(c)(3)7SSM Health Care of Oklahomafalse
SSM Health Care of Wisconsin Inc
10101 Woodfield LaneSt LouisMO63132430688874Health CareWI501(c)(3)3SSM Health Care Corporationfalse
Dells Medical Building Inc
10101 Woodfield LaneSt LouisMO63132391613292MOBWI501(c)(2)SSM Health Care of Wisconsinfalse
St Mary's Foundation Inc
10101 Woodfield LaneSt LouisMO63132431940686FundraisingWI501(c)(3)7SSM Health Care of Wisconsinfalse
St Clare Health Care Foundation Inc
10101 Woodfield LaneSt LouisMO63132431940683FundraisingWI501(c)(3)7SSM Health Care of Wisconsinfalse
Home Health United Inc
2802 Walton Commons LaneMadisonWI53718391539827Health CareWI501(c)(3)10SSM Health Care of Wisconsinfalse
Home Care United Inc
2802 Walton Commons LaneMadisonWI53718391776340Health CareWI501(c)(3)10SSM Health Care of Wisconsinfalse
HHU Xtra Care Inc
2802 Walton Commons LaneMadisonWI53718391705111Health CareWI501(c)(3)10SSM Health Care of Wisconsinfalse
SSM Health at Home Foundation of Wisconsin Inc
2802 Walton Commons LaneMadisonWI53718391839309FundraisingWI501(c)(3)Type IHome Health United Incfalse
St Mary's Health Center Jefferson City Missouri Foundation
10101 Woodfield LaneSt LouisMO63132431575307FundraisingMO501(c)(3)Type ISSM Regional Health ServicesYes (true)
Good Samaritan Regional Health Center
10101 Woodfield LaneSt LouisMO63132430653587Health CareIL501(c)(3)3SSM Regional Health ServicesYes (true)
St Mary's Hospital Centralia Illinois
10101 Woodfield LaneSt LouisMO63132370662580Health CareIL501(c)(3)3SSM Regional Health ServicesYes (true)
St Mary's - Good Samaritan Inc
10101 Woodfield LaneSt LouisMO63132364170833Health CareIL501(c)(3)Type ISSM Regional Health ServicesYes (true)
Good Samaritan Regional Health Center Foundation
10101 Woodfield LaneSt LouisMO63132262884795FundraisingIL501(c)(3)7St Mary's-Good Samaritan Incfalse
St Mary's Hospital Foundation
10101 Woodfield LaneSt LouisMO63132364636691FundraisingIL501(c)(3)7St Mary's-Good Samaritan Incfalse
St Mary's Hospital Auxiliary
400 N PleasantCentraliaIL62801237126345FundraisingIL501(c)(3)10St Mary's Hospital Foundationfalse
SSM Health Businesses
10101 Woodfield LaneSt LouisMO63132431333488Health CareMO501(c)(3)10SSM Health Care Corporationfalse
SSM Health Care St Louis
10101 Woodfield LaneSt LouisMO63132431343281Health CareMO501(c)(3)3SSM Health Care Corporationfalse
Centralia Medical Services Bldg Assoc
10101 Woodfield LaneSt LouisMO63132237408025MOBIL501(c)(3)Type ISSM Regional Health Servicesfalse
St Mary's Janesville Foundation Inc
10101 Woodfield LaneSt LouisMO63132273439133FundraisingWI501(c)(3)7SSM Health Care of Wisconsinfalse
SSM Health Ministries
3221 McKelvey Road Suite 107BridgetonMO63044431012492Religious OrganizationMO501(c)(3)1NAfalse
Lee Dewey Corporation
10101 Woodfield LaneSt LouisMO63132731279603MOBOK501(c)(3)Type ISSM Health Care of Oklahomafalse
SSM Hospice & Home Care Foundation
10101 Woodfield LaneSt LouisMO63132300012246FundraisingMO501(c)(3)7SSM Health Businessesfalse
St Mary's Hospital Auxiliary
100 St Marys Medical PlazaJefferson CityMO65101436049878FundraisingMO501(c)(3)Type IINAfalse
Good Samaritan Hospital Auxiliary
1 Good Samaritan WayMount VernonIL62864237049599FundraisingIL501(c)(3)Type III-FINAfalse
St Anthony Shawnee Hospital Inc
1000 N Lee AveOklahoma CityOK73102455055149Health CareOK501(c)(3)3SSM Health Care of Oklahomafalse
SSM Audrain Health Care Inc
10101 Woodfield LaneSt LouisMO63132431550298Health CareMO501(c)(3)3SSM Regional Health ServicesYes (true)
Audrain Medical Center Foundation Inc
620 E Monroe StMexicoMO65265431265060FundraisingMO501(c)(3)Type INAfalse
SSM-SLUH Inc
10101 Woodfield LaneSt LouisMO63132474196634Health CareMO501(c)(3)3SSM Health Care St Louisfalse
SSM Health Plan
1277 Deming WayMadisonWI53717831979548InsuranceMO501(c)(4)SSM Health Businessesfalse
Agnesian Healthcare Inc
430 E Division StFond du LacWI54935390807236Health CareWI501(c)(3)3SSM Health Care of Wisconsinfalse
Ripon Medical Center Inc
845 Parkside StreetRiponWI54971391101287Health CareWI501(c)(3)3Agnesian Healthcare Incfalse
Waupun Memorial Hospital Inc
620 West Brown StreetWaupunWI53963390806265Health CareWI501(c)(3)3Agnesian Healthcare Incfalse
St Francis Home of Fond du Lac Wisconsin Inc
33 Everett StreetFond du LacWI54935391029998Health CareWI501(c)(3)10Agnesian Healthcare Incfalse
Sister Servants of Christ the King Villa Loretto
N8114 County WWMount CalvaryWI53057391022770Health CareWI501(c)(3)10Agnesian Healthcare Incfalse
Villa Rosa Inc
N8120 County WWMount CalvaryWI53057421670962Health CareWI501(c)(3)10Agnesian Healthcare Incfalse
The Christian Home and Rehabilitation Center Incorporated
331 Bly StreetWaupunWI53963390884514Health CareWI501(c)(3)10Agnesian Healthcare Incfalse
The Monroe Clinic Inc
515 22nd AvenueMonroeWI53566390808509Health CareWI501(c)(3)3SSM Health Care of Wisconsinfalse
Monroe Clinic and Hospital Foundation Inc
515 22nd AvenueMonroeWI53566205769038FundraisingWI501(c)(3)7SSM Health Care of Wisconsinfalse
Agnesian Healthcare Foundation Inc
430 E Division StFond du LacWI54935391684956FundraisingWI501(c)(3)Type ISSM Health Care of Wisconsinfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtUBI Code VUBICodeVAmtOwnershipOwnershipPct
SSM St Joseph Endoscopy Center LLC
10101 Woodfield LaneSt LouisMO63132270046559Surgery ServicesMONAN/A$0$0$00
St Clare Imaging Services LLC
707 14th Street Suite ABarabooWI53913200122365Diag. ServicesWINAN/A$0$0$00
Mt Vernon Radiation Therapy Center LLC
10101 Woodfield LaneSt LouisMO63132201382620Radiation TherapyILNAN/A$0$0$00
Sleep & Neurology Center of Southern Illinois LLC
10101 Woodfield LaneSt LouisMO63132208468195Diag. ServicesILNAN/A$0$0$00
CHOWSMGSI Office Building LLC
10101 Woodfield LaneSt LouisMO63132371383861MOBILNAN/A$0$0$00
Oza Cancer Center LLC
10101 Woodfield LaneSt LouisMO63132201382727MOBILNAN/A$0$0$00
Shawnee Real Estate Holdings LLC
1000 N Lee AveOklahoma CityOK73102455458304MOBOKNAN/A$0$0$00
Dean Clinic & St Mary's Hospital Accountable Care Organization LLC
1808 West Beltline HighwayMadisonWI53713452995500Accountable Care OrganizationWINAN/A$0$0$00
Wisconsin Integrated Information Technology and Telemedicine Systems LLC
1808 West Beltline HighwayMadisonWI53713392016715Information Technology ServicesWINAN/A$0$0$00
Dean Health Holdings LLC
1277 Deming WayMadisonWI53717261594709Support ServicesWINAN/A$0$0$00
Wingra Building Group
1808 West Beltline HighwayMadisonWI53713390237060MOBWINAN/A$0$0$00
Janesville Riverview Clinic Building Partnership
1808 West Beltline HighwayMadisonWI53713396220698MOBWINAN/A$0$0$00
1110 N Classen Blvd LLC
1110 N Classen BoulevardOklahoma CityOK73106731158158MOBOKNAN/A$0$0$00
SSM St Clare Surgical Center LLC
10101 Woodfield LaneSt LouisMO63132261439695Surgery ServicesMONAN/A$0$0$00
Windmill LLP
50 Village View LaneChesterfieldMO63017431804651InvestmentsMONAN/A$0$0$00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
SSM Managed Care Organization LLC
10101 Woodfield LaneSt LouisMO63132431708511Health PromotionMONAC Corporation$0$00false
FPP INC & Subs
10101 Woodfield LaneSt LouisMO63132431465174Health CareMONAC Corporation$0$00false
Diversified Health Services Corp
10101 Woodfield LaneSt LouisMO63132431369305Medical EquipmentMONAC Corporation$0$00false
SSM Cardiovascular and Thoracic Services Inc
10101 Woodfield LaneSt LouisMO63132260286559Health CareMONAC Corporation$0$00false
SSM Properties Inc
10101 Woodfield LaneSt LouisMO63132431462486Property ServicesMONAC Corporation$0$00false
SSM DePaul Medical Group Inc
10101 Woodfield LaneSt LouisMO63132431715106Health CareMONAC Corporation$0$00false
SSM St Charles Clinic Medical Group Inc
10101 Woodfield LaneSt LouisMO63132430626408Physician OfficesMONAC Corporation$0$00false
HealthFirst Physician Management Services
10101 Woodfield LaneSt LouisMO63132731534336Medical ServicesOKNAC Corporation$0$00false
SSMHC Liability Trust II
10101 Woodfield LaneSt LouisMO63132816128118InsuranceMONAC Corporation$0$00false
SSM Neurosciences Inc
10101 Woodfield LaneSt LouisMO63132263413981Health CareMONAC Corporation$0$00false
SSM Medical Group Inc
10101 Woodfield LaneSt LouisMO63132431664107Physician OfficesMONAC Corporation$0$00false
SSMHC Insurance Company
10101 Woodfield LaneSt LouisMO63132030310431InsuranceNAC Corporation$0$00false
SSM Orthopedic Inc
10101 Woodfield LaneSt LouisMO63132271557033Health CareMONAC Corporation$0$00false
SSM Cancer Care Inc
10101 Woodfield LaneSt LouisMO63132271557324Health CareMONAC Corporation$0$00false
Physicians Services Corp of Southern Illinois Inc
10101 Woodfield LaneSt LouisMO63132364161526Health CareILNAC Corporation$0$00false
Dean Health Systems Inc
1808 West Beltline HighwayMadisonWI53713391128616Physician OfficesWINAC Corporation$0$00false
Dean Health Insurance Inc
PO Box 56099MadisonWI53705391830837InsuranceWINAC Corporation$0$00false
Dean Health Plan Inc
PO Box 56099MadisonWI53705391535024InsuranceWINAC Corporation$0$00false
SMDV Office Building
1808 West Beltline HighwayMadisonWI53713391628491Physician OfficesWINAC Corporation$0$00false
Dean Retail Services Inc
1808 West Beltline HighwayMadisonWI53713391717636Property ServicesWINAC Corporation$0$00false
Navitus Holdings LLC
1808 West Beltline HighwayMadisonWI53713800968174Pharmacy BenefitsWINAC Corporation$0$00false
Oza Oncology Inc
4117 Veterans Memorial DriveMt VernonIL62804371343746Physician OfficesILNAC Corporation$0$00false
SSM Health Janesville Campus Condominium Association Inc
1808 West Beltline HighwayMadisonWI53713832038674Condo associationWINAC Corporation$0$00false
SSM Health Pharmacy LLC
10101 Woodfield LaneSt LouisMO63132264031708PharmacyMONAC Corporation$0$00false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
St Francis Hospital Foundation
C$616,275Cash
St Mary's Health Center Jefferson City MO Foundation
C$69,639Cash
St Mary's Health Center Jefferson City MO Foundation
B$146,979Book