2019-11-07T11:02:33-06:00 2018-12-31 990 2018-01-01 440579850 SSM Regional Health Services SSMR 3149947800 10101 Woodfield Lane St Louis MO 63132 Doug Long Secretary 2019-11-07 2018 2020-01-14 16:20:31Z See Schedule O Laura Kaiser 10101 Woodfield Lane St Louis MO 63132 223267141 false 0928 X www.ssmhealth.com X 1965 MO OPERATES TWO HOSPITALS AND HEALTH CENTERS IN JEFFERSON CITY, MISSOURI AND MARYVILLE, MISSOURI. 4 0 1696 501 323649 0 822323 1923070 192135431 219268877 407273 230226 9633366 1735387 202998393 223157560 152599 266517 0 101127251 105130911 0 353708 126290009 134203487 227569859 239600915 -24571466 -16443355 302076133 187989109 221121763 232327132 80954370 -44338023 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. false false 210364971 266517 219268877 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 210364971 true true false true false false false false true true false true true true true false true false false false false false false false false true true true true true false false false false false false false false false false false false false true true true false false true X 0 0 1696 true true true false false false false false true false false false false false X 4 0 false false true false true true true true false false false false true true true true true false false false X Jackie Tsikalas 3149892799 10101 Woodfield Lane St Louis MO 63132 Laura Kaiser Director, President/CEO of SSM Health 1.0 48.0 X X 0 1891562 841443 Paula Friedman Director/Vice President, Senior VP-Strategic Development SSM Health 1.0 58.0 X X 0 1545828 309578 Kris Zimmer Treasurer/Asst Sec, Chief Financial Officer at SSM Health 1.0 66.0 X X 0 1741877 376259 Steve Smoot Director, COO of SSM Health 1.0 48.0 X 0 420253 195902 Christopher Howard Pt Yr Director, Pt Yr Pres-Hospital Operations of SSM Health 1.0 48.0 X 0 2492311 144128 June Pickett Secretary, Asst VP Governance & Archives, SSM Health 1.0 71.7 X 0 286530 54057 Brent VanConia Pt Yr Hospital President-SSM Health Mid-Mo 40.0 0.0 X 767203 0 24927 Michael Baumgartner Hospital President-SSM Health St Francis Hospital - Maryville 40.0 0 X 355117 0 88628 Phil Gustafson Interim President-SSM Health Mid-Mo 40.0 1.2 X 0 396375 0 Jocelyn Skidmore Administrative Director-Finance 40.0 0 X 0 150095 14886 Jim Stratton Regional CFO-Mid Missouri 20.0 21.0 X 0 278543 87752 Scott Holman DO Hospital VP - Medical Affairs - SSM St Francis Hospital - Maryville 40.0 0 X 351349 0 62896 Stephen Stewart Regional VP, Medical Affairs 40.0 0 X 318843 0 74141 Susan Mankoski VP Human Resources - Mid Mo 40.0 0 X 0 254914 35291 Kerri Jenkins VP Nursing-SSM Health St Mary's - Jefferson City 40.0 0 X 254547 0 58510 Amelia Boyd Pt Yr System VP-Strategy Development 40.0 0 X 0 185673 36342 Becky Miller Regional VP-Patient Safety and Quality 40.0 0 X 180209 0 37796 John Lucio Physician 40.0 0 X 637543 0 21855 Darren Wrede Physician 40.0 0 X 528124 0 47192 Shirley Harris Physician 40.0 0 X 595646 0 22661 Eric Maass Physician 40.0 0 X 534326 0 32662 Courtnye Walker Physician 40.0 0 X 540876 0 37665 5063782 9643962 2604571 127 false true false AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 STAFFING SERVICES 2884695 HERNER CONSTRUCTION INC 810 NORTH 22ND STREET SAINT JOSEPH MO 64506 CONSTRUCTION SERVICES 2039535 JEFF LEHMEN MD PC 190 E SOUTHBROOK COURT COLUMBIA MO 65203 PHYSICIAN SERVICES 1576586 MID-MISSOURI ANESTHESIA 1445 CHRISTY DRIVE JEFFERSON CITY MO 65101 MEDICAL PHYSICIAN SERVICES 1477101 COLE PHYSICIAN SERVICES LLC 200 CORPORATE BLVD SUITE 201 LAFAYETTE LA 70508 MEDICAL PHYSICIAN SERVICES 1161216 36 X 787472 1052693 82905 2407 1923070 NET PATIENT REVENUE 621110 219268877 219268877 0 0 0 0 219268877 217652 217652 143461 89203 54258 0 54258 54258 14461 1887 14461 -1887 12574 12574 5959 666 5293 5293 24500 17825 6675 6675 CAFETERIA REVENUE 722210 810634 810634 CHILD CARE REVENUE 624410 493937 493937 LABORATORY REVENUE 621500 314280 314280 50310 0 9369 40941 1669161 223157560 219268877 323649 1641964 X 260815 260815 5702 5702 2574167 2252562 314391 7214 77985276 68242157 9524574 218545 7335935 6437218 873115 25602 12028422 10499303 1499709 29410 5207111 4574802 615007 17302 1603292 1546252 57040 287517 287517 112400 112400 27102665 22029234 5061341 12090 23852 16684 7168 9053645 8439038 590048 24559 10548561 10490960 55070 2531 5990529 5686522 303806 201 440010 344906 86915 8189 254777 240751 13129 897 7958006 7958006 14202634 14202634 1062496 1062496 MEDICAL SUPPLIES 34617963 34617963 MEDICAID PROVIDER TAX 11186915 11186915 MANAGEMENT FEES - AFFILIATES 9471490 9471490 LICENSES & TAXES 286735 286735 0 0 0 0 239600915 210364971 28882236 353708 648524 377563 42581786 35843926 250000 25680891 29167198 0 0 0 5013736 4364793 1858978 1103854 145522444 58991286 199802970 86531158 4416735 3639175 0 10174615 22072513 16536827 302076133 187989109 17179100 18092086 0 203942663 214235046 221121763 232327132 X 78123477 -46204859 2719893 111000 1866836 80954370 -44338023 302076133 187989109 X -16443355 -279983 -108569055 X false true X true true true X false false false false false false false false true 34013 34013 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAID DUES TO VARIOUS HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WAS ALLOCATED TO LOBBYING ACTIVITIES. 111000 501 501 111000 111000 627 627 111000 111000 558 558 111000 111000 9 9 111000 111000 748 748 111000 0.0 1.0 0.0 true false 1171134 1171134 88925333 28806120 60119213 536437 304813 231624 39004106 29880353 9123753 15885434 15885434 86531158 Beneficial Interest in Foundation 10174615 F 10174615 THIRD PARTY RECEIVABLE 7885212 OTHER RECEIVABLES SOFTWARE DUE FROM AFFILIATES 7934392 BENEFICIAL INTEREST IN FOUNDATIONS OTHER NONCURRENT ASSETS 717223 16536827 DEFINED BENEFIT LIABILITY RABBI TRUST LIABILITY 2989351 THIRD PARTY PAYOR ASSET RETIREMENT LIABILITY 103169 DEFERRED COMPENSATION LIABILITY DUE TO AFFILIATES 11739404 ALLOCATED TAX-EXEMPT BOND DEBT (ISSUED BY SSM HEALTH CARE) 196493985 RETIREMENT LIABILITIES 1752118 THIRD-PARTY PATIENT LOANS 1157019 214235046 X Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT 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) footnote SSM 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. true true X true X true X true true false true true 8307898 8307898 0.0347 37859667 41303677 0 0.0 4082503 2599714 1482789 0.0062 0 0 50250068 43903391 9790687 0.0409 407368 19184 388184 0.0016 25278 25278 0.0001 0 0.0 0 0.0 120823 39179 81644 0.0003 0 0 553469 58363 495106 0.0021 0 0 50803537 43961754 10285793 0.0429 5042 5042 0.0000 5965 5965 0.0000 34782 34782 0.0001 210 210 0.0000 0 0.0 27865 27865 0.0001 0 0.0 0 0.0 0 0.0 0 0 73864 0 73864 0.0003 true 14974870 50440158 64210925 -13770767 X true true 2 1 SSM Health St Mary's Hospital - Jefferson City 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 https://www.ssmhealth.com/locations/st-marys-hospital-jefferson-city 455-18 X X X A 2 SSM Health St Francis Hospital - Maryville 2015 S MAIN MARYVILLE MO 64468 https://www.ssmhealth.com/locations/st-francis-hospital-maryville 147-60 X X X B A 1 false false true X X X X X X X X X 18 true true true true X https://www.ssmhealth.com/locations/st-marys-hospital-jefferson-city X https://www.ssmhealth.com/about/community-health-needs-assessments X true 19 true https://www.ssmhealth.com/about/community-health-needs-assessments false true X 200.0 400.0 X X X X X true true X X X true X https://www.ssmhealth.com/for-patients/financial-assistance X https://www.ssmhealth.com/for-patients/financial-assistance X https://www.ssmhealth.com/for-patients/financial-assistance X X X X X X true X false X X X X true X false false B 2 false false true X X X X X X X X X 18 true false false true X https://www.ssmhealth.com/locations/st-francis-hospital-maryville X https://www.ssmhealth.com/about/community-health-needs-assessments X true 18 true https://www.ssmhealth.com/about/community-health-needs-assessments false true X 200.0 400.0 X X X X X true true X X X true X https://www.ssmhealth.com/for-patients/financial-assistance X https://www.ssmhealth.com/for-patients/financial-assistance X https://www.ssmhealth.com/for-patients/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E The hospital facility analyzed several health needs of the community and has prioritized those of most concern. The prioritization of the top significant community health needs is described in the CHNA. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility 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, 1 Facility 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, 1 Facility 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, 1 Facility 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 3E The hospital facility analyzed several health needs of the community and has prioritized those of most concern. The prioritization of the top significant community health needs is described in the CHNA. Schedule H, Part V, Section B, Line 5 Facility B, 1 Facility 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, 1 Facility 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 26 SSM HEALTH MEDICAL GROUP 2016 S MAIN MARYVILLE MO 64468 RURAL HEALTH CLINIC SSM HEALTH MEDICAL GROUP 114 E SOUTH HILLS DR MARYVILLE MO 64468 RURAL HEALTH CLINIC SSM HEALTH MEDICAL GROUP 301 E PRICE STREET SAVANNAH MO 64485 RURAL HEALTH CLINIC SSM HEALTH MEDICAL GROUP 408 SOUTH DODGE STREET BEDFORD IA 50833 RURAL HEALTH CLINIC SSM HEALTH MEDICAL GROUP - ORTHOPEDIC SURGERY 218 S WOODBINE ST JOSEPH MO 64506 ORTHOPEDIC CLINIC SSM Health Preschool & Daycare 409 West South Hills Drive MARYVILLE MO 64468 Preschool/Daycare SSM HEALTH MEDICAL GROUP 100 HWY 28 EAST BELLE MO 65013 RURAL HEALTH CLINIC SSM HEALTH SPORTS MEDICINE & REHABILITATION CENTER 1225 WEST STADIUM BLVD JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM HEALTH CANCER CENTER 1241 WEST STADIUM BLVD JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM HEALTH MEDICAL GROUP 140 NORTHSTAR DRIVE HOLTS SUMMIT MO 65043 FAMILY PRACTICE CLINIC SSM HEALTH MEDICAL GROUP 2265 BAGNELL DAM BLVD SUITE 103 LAKE OZARK MO 65049 RURAL HEALTH CLINIC SSM HEALTH PHARMACY 2505 MISSION DRIVE SUITE 110 JEFFERSON CITY MO 65101 RETAIL PHARMACY SSM HEALTH SPINE & PAIN MANAGEMENT CENTER 2505 MISSION DRIVE SUITE 200 JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM HEALTH WOUND CENTER 2505 MISSION DRIVE SUITE 210 JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM Health Medical Group - Pulmonary Medicine 2505 Mission Drive Suite 300 Jefferson City MO 65109 Outpatient clinic SSM Health Medical Group - Cardiovascular & Thoracic Surgery 2505 MISSION DRIVE SUITE 310 JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM HEALTH MEDICAL GROUP - OCCUPATIONAL MEDICINE 2511 WEST EDGEWOOD DRIVE SUITE F JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM HEALTH MEDICAL GROUP 2511 WEST EDGEWOOD DRIVE SUITE G JEFFERSON CITY MO 65109 FAMILY PRACTICE CLINIC SSM HEALTH URGENT CARE 2511 WEST EDGEWOOD SUITE D JEFFERSON CITY MO 65109 URGENT CARE CLINIC SSM HEALTH MEDICAL GROUP - BEHAVIORAL MEDICINE 2701 WEST EDGEWOOD DRIVE SUITE 101 JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM HEALTH MEDICAL GROUP - PEDIATRICS 3348 AMERICAN AVENUE JEFFERSON CITY MO 65109 PEDIATRIC CLINIC SSM HEALTH SLEEP CENTER 3349 AMERICAN AVENUE SUITE D JEFFERSON CITY MO 65109 OUTPATIENT CLINIC SSM HEALTH MEDICAL GROUP 3527 WEST TRUMAN BLVD SUITE 100 JEFFERSON CITY MO 65109 FAMILY PRACTICE CLINIC SSM HEALTH MEDICAL GROUP 801 KIDWELL DRIVE VERSAILLES MO 65084 RURAL HEALTH CLINIC SSM HEALTH MEDICAL GROUP 875 Highway 5 South TIPTON MO 65081 RURAL HEALTH CLINIC SSM Health Multi-Specialty Clinic - Cardiology 2505 MISSION DRIVE SUITE 130 JEFFERSON CITY MO 65109 OUTPATIENT CLINIC Schedule H, Part I, Line 3c DISCOUNTED CARE EXCEPTIONS Patients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called "presumptive eligibility." Schedule H, Part V, Section B, Line 7 HOSPITAL FACILITY'S WEBSITE https://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 organization SSM Health Care Corporation, 46-6029223 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The amounts reported on Form 990, Schedule H, Part I, Line 7a, 7b, and 7c were determined using the cost to charge ratio derived from worksheet 2 in the schedule h instructions. Form 990, schedule h, part I, Lines 7e, 7f, 7g, 7h, and 7i are reported at cost as reported in the organization's financial statements. The calculation of Schedule H, Part I, Line 7, Column F utilizes 990, Part IX, Line 25, Column A, which does not include Bad Debt Expense. Schedule H, Part II Community Building Activities SSM 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 amount THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote SSM 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 costs THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance SSM 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 website A - 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 website A - 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 website A - 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 assessment SSM Health (SSMH) participates in Community Benefit according to our vision, Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of SSMH's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always our goal. To fulfill this commitment, SSMH's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). The CHNA is an assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conducted every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Collect data and evaluate progress; report to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). System Office staff and leaders oversee and monitor SSMH's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, SSM Health Care Corporation also identifies needs based on assessments and research, and SSMH facilities also involve case managers and care team staff to pinpoint critical health issues in the community. All hospital CHNAs are completed, approved, and integrated into the organization's strategic plan. We continue to monitor and assess the progress of our local efforts in the spirit of caring for others and improving community health. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Each entity providing medical service shall provide information to the public regarding its charity care policies and the qualification requirements for each of its facilities. When standard system notices and communication regarding charity care are available, these must be used. Modifications to the standard may be made to comply with state and local laws, as well as reflect culturally sensitive terminology for the policy. All notices are easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They provide information about: * The patient's responsibility for payment, * The availability of financial assistance from public programs and entity charity care and payment arrangements, * The entity's charity policy and application process, and * Who to contact to get additional information or financial counseling. The following types of notices to the public are provided: * Signs in the emergency department, outpatient and inpatient registration and public waiting areas. * Brochures or fliers provided at time of registration and available in the financial counseling areas. * Notices sent with or on patient bills or communications sent to patients and guarantors related to medical services. * Applications provided to uninsured patients at the time of registration. The application for charity care, together with any instructions, must clearly state the policies regarding charity care, including excluded services, eligibility criteria and documentation requirements. Information about the entity's charity policies is also provided to public agencies. Schedule H, Part VI, Line 4 Community information SSM Health 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 health SSM 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 system SSM 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 report MO true Northwest Foundation Inc 800 University Drive Maryville MO 64468 237165025 501(c)(3) 50000 Support educational programs at Northwestern Missouri State University Project CUREBenevolent Healthcare Foundation 10377 E Geddes Avenue No 200 Centennial CO 80112 841568566 501(c)(3) 9600 Book Medical equipment Support organization in supplying medical equipment to the world's neediest countries Jefferson City Area YMCA 505 Ellis Blvd PO Box 104176 Jefferson City MO 65110 430953286 501(c)(3) 5700 Livestrong cancer program Roman Catholic Diocese of Jefferson City PO Box 104900 Jefferson City MO 65110 440612540 501(c)(3) 16750 Pastoral care services St Mary's Health Center Jefferson City MO Foundation 2505 Mission Drive Jefferson City MO 65109 431575307 501(c)(3) 5600 141379 Book Supplies for Foundation Support of Foundation activities and events 5 0 PATIENT AND EMPLOYEE ASSISTANCE 16 3452 SCHOLARSHIPS 2 2250 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE 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. X true true true true false false false false false false false Laura Kaiser Director, President/CEO of SSM Health 0 1469008 0 400000 0 22554 0 834575 0 6868 0 2733005 0 0 Paula Friedman Director/Vice President, Senior VP-Strategic Development SSM Health 0 724285 0 450000 0 371543 0 299866 0 9712 0 1855406 0 550740 Kris Zimmer Treasurer/Asst Sec, Chief Financial Officer at SSM Health 0 870069 0 600000 0 271808 0 356499 0 19760 0 2118136 0 705454 Steve Smoot Director, COO of SSM Health 0 358627 0 0 0 61626 0 189508 0 6394 0 616154 0 0 Christopher Howard Pt Yr Director, Pt Yr Pres-Hospital Operations of SSM Health 0 556972 0 600000 0 1335339 0 123963 0 20165 0 2636440 0 1285002 June Pickett Secretary, Asst VP Governance & Archives, SSM Health 0 229703 0 0 0 56827 0 39862 0 14195 0 340587 0 23155 Brent VanConia Pt Yr Hospital President-SSM Health Mid-Mo 62660 0 0 0 704544 0 635 0 24293 0 792131 0 254003 0 Michael Baumgartner Hospital President-SSM Health St Francis Hospital - Maryville 334068 0 0 0 21049 0 77655 0 10973 0 443744 0 0 0 Phil Gustafson Interim President-SSM Health Mid-Mo 0 396375 0 0 0 0 0 0 0 0 0 396375 0 0 Jocelyn Skidmore Administrative Director-Finance 0 141931 0 0 0 8165 0 7147 0 7739 0 164981 0 5525 Jim Stratton Regional CFO-Mid Missouri 0 263213 0 0 0 15330 0 69801 0 17951 0 366294 0 12159 Scott Holman DO Hospital VP - Medical Affairs - SSM St Francis Hospital - Maryville 317773 0 10000 0 23576 0 46381 0 16516 0 414245 0 0 0 Stephen Stewart Regional VP, Medical Affairs 283885 0 2189 0 32769 0 54190 0 19951 0 392984 0 24820 0 Susan Mankoski VP Human Resources - Mid Mo 0 201099 0 0 0 53816 0 25703 0 9588 0 290205 0 15604 Kerri Jenkins VP Nursing-SSM Health St Mary's - Jefferson City 248946 0 0 0 5601 0 48063 0 10446 0 313057 0 0 0 Amelia Boyd Pt Yr System VP-Strategy Development 0 180888 0 0 0 4785 0 28556 0 7786 0 222015 0 0 Becky Miller Regional VP-Patient Safety and Quality 177323 0 0 0 2886 0 27189 0 10606 0 218004 0 0 0 John Lucio Physician 479743 0 144994 0 12806 0 3649 0 18206 0 659398 0 0 0 Darren Wrede Physician 390734 0 136609 0 781 0 22466 0 24726 0 575316 0 0 0 Shirley Harris Physician 399964 0 161699 0 33983 0 22625 0 36 0 618307 0 0 0 Eric Maass Physician 375187 0 136863 0 22276 0 12387 0 20276 0 566988 0 0 0 Courtnye Walker Physician 522960 0 0 0 17916 0 14627 0 23038 0 578541 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments The following individuals listed on Part VII, Section A, received tax indemnification/gross up payments in 2018, which were included in their taxable compensation: 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 compensation The 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 payment SSM Health has adopted a severance policy to provide a financial transition in the event of involuntary termination without cause for Executive Level Positions. The amount of the compensation is based on the position held and length of service with SSMH. The following individuals listed in Part VII of the Form 990 received payments under the plan in the current year: Christopher Howard $352,692 Brent Vanconia $388,872 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Pension Restoration Plan: SSM Health (SSMH) provides this supplemental defined benefit nonqualified retirement plan to any employee who is a participant in the SSMH qualified defined benefit plan who earns over the Internal Revenue Service compensation limit. The plan "restores" the benefits to these employees that would have been provided under the SSMH qualified plan if the regulations did not impose compensation limits. An individual can take a distribution from the plan at (1) age 65 or older if the individual is still employed by SSMH or (2) age 55 or older if the individual is no longer employed by SSMH. No individuals listed on Part VII of Form 990 received distributions from the plan in 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 Form 990, Part III, Line 4a Description of Program Service Accomplishments Briefly describe the corporation's mission: Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 23 acute care hospitals, one children's hospital, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company, and an Accountable Care Organization. The health system employs 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 1a ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. Form 990, Part VI, Line 15a Process for determining compensation The Organization's top management official, President, is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee. Form 990, Part VI, Line 15b Process for determining compensation The Organization's top management official, President, is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee. Form 990, Part VI, Line 4 Significant changes to organizational documents The 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 stockholders THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM 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 body THE 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 stockholders THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE DIRECTORS 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 body The organization does not have any committees with authority to act on behalf of the governing body. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is prepared by the Tax Department of the parent organization, SSM Health Care Corporation (SSM). The Form 990 is reviewed by certain members of Senior Management. Any questions are addressed to the Tax Director of SSM prior to filing the Form 990 with the Internal Revenue Service. A copy of the Form 990 is provided to the Board of Directors at the next regularly scheduled board meeting. Form 990, Part VI, Line 12c Conflict of interest policy Board members are required to complete a conflict of interest disclosure statement annually. The President and Secretary 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 public The year-end audited consolidated financial statements and unaudited quarterly consolidated financial statement for the SSM Health System are made available to the public on SSM Health's website. The organization's articles of incorporation are available on the Missouri Secretary of State's website. Copies of the Form 990 and the organization's conflict of interest policy are available upon request. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL 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 Fees Medical 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 958-205 Effective for the 2018 calendar year, the organization has adopted ASC 958-205, which modifies how Not-for-Profit Entities present their net asset balances for Financial Statement reporting. The organization will report ending balances on Part X, Balance Sheet, in accordance with ASC 958-205 and include all amounts previous reported as temporarily restricted net assets and permanently restricted net assets on line 29. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in beneficial interest in foundation - -1257055; LOSS ON IMPAIRED ASSETS - -XXX-XX-XXXX; FORM 990, PART I DOING BUSINESS AS SSM 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 SSM Health Care Corporation 10101 Woodfield Lane St Louis MO 63132 466029223 Health Care MO 501(c)(3) Type I SSM Health Ministries false SSMHC Liability Trust I 10101 Woodfield Lane St Louis MO 63132 436331003 Insurance MO 501(c)(3) Type I SSM Health Care Corporation false SSM Consolidated Health Services 10101 Woodfield Lane St Louis MO 63132 431473657 Health Care MO 501(c)(3) 10 SSM Health Care Corporation false SSM Policy Institute 10101 Woodfield Lane St Louis MO 63132 431788151 Health Care MO 501(c)(4) SSM Health Care Corporation false SSM Health Care Portfolio Management Co 10101 Woodfield Lane St Louis MO 63132 431825256 Management MO 501(c)(3) Type I SSM Health Care Corporation false SSM Cardinal Glennon Children's Hospital 10101 Woodfield Lane St Louis MO 63132 430738490 Health Care MO 501(c)(3) 3 SSM Health Care St Louis false Cardinal Glennon Children's Foundation 10101 Woodfield Lane St Louis MO 63132 431754347 Fundraising MO 501(c)(3) 7 SSM Cardinal Glennon Children's Hospital false SSM Health Foundation - St Louis 10101 Woodfield Lane St Louis MO 63132 431552945 Fundraising MO 501(c)(3) 7 SSM Health Care St Louis false SSM Health Care of Oklahoma Inc 10101 Woodfield Lane St Louis MO 63132 730657693 Health Care OK 501(c)(3) 3 SSM Health Care Corporation false The St Anthony Hospital Foundation Inc 10101 Woodfield Lane St Louis MO 63132 736104300 Fundraising OK 501(c)(3) 7 SSM Health Care of Oklahoma false SSM Health Care of Wisconsin Inc 10101 Woodfield Lane St Louis MO 63132 430688874 Health Care WI 501(c)(3) 3 SSM Health Care Corporation false Dells Medical Building Inc 10101 Woodfield Lane St Louis MO 63132 391613292 MOB WI 501(c)(2) SSM Health Care of Wisconsin false St Mary's Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940686 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false St Clare Health Care Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940683 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false Home Health United Inc 2802 Walton Commons Lane Madison WI 53718 391539827 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false Home Care United Inc 2802 Walton Commons Lane Madison WI 53718 391776340 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false HHU Xtra Care Inc 2802 Walton Commons Lane Madison WI 53718 391705111 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false SSM Health at Home Foundation of Wisconsin Inc 2802 Walton Commons Lane Madison WI 53718 391839309 Fundraising WI 501(c)(3) Type I Home Health United Inc false St Mary's Health Center Jefferson City Missouri Foundation 10101 Woodfield Lane St Louis MO 63132 431575307 Fundraising MO 501(c)(3) Type I SSM Regional Health Services true Good Samaritan Regional Health Center 10101 Woodfield Lane St Louis MO 63132 430653587 Health Care IL 501(c)(3) 3 SSM Regional Health Services true St Mary's Hospital Centralia Illinois 10101 Woodfield Lane St Louis MO 63132 370662580 Health Care IL 501(c)(3) 3 SSM Regional Health Services true St Mary's - Good Samaritan Inc 10101 Woodfield Lane St Louis MO 63132 364170833 Health Care IL 501(c)(3) Type I SSM Regional Health Services true Good Samaritan Regional Health Center Foundation 10101 Woodfield Lane St Louis MO 63132 262884795 Fundraising IL 501(c)(3) 7 St Mary's-Good Samaritan Inc false St Mary's Hospital Foundation 10101 Woodfield Lane St Louis MO 63132 364636691 Fundraising IL 501(c)(3) 7 St Mary's-Good Samaritan Inc false St Mary's Hospital Auxiliary 400 N Pleasant Centralia IL 62801 237126345 Fundraising IL 501(c)(3) 10 St Mary's Hospital Foundation false SSM Health Businesses 10101 Woodfield Lane St Louis MO 63132 431333488 Health Care MO 501(c)(3) 10 SSM Health Care Corporation false SSM Health Care St Louis 10101 Woodfield Lane St Louis MO 63132 431343281 Health Care MO 501(c)(3) 3 SSM Health Care Corporation false Centralia Medical Services Bldg Assoc 10101 Woodfield Lane St Louis MO 63132 237408025 MOB IL 501(c)(3) Type I SSM Regional Health Services false St Mary's Janesville Foundation Inc 10101 Woodfield Lane St Louis MO 63132 273439133 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false SSM Health Ministries 3221 McKelvey Road Suite 107 Bridgeton MO 63044 431012492 Religious Organization MO 501(c)(3) 1 NA false Lee Dewey Corporation 10101 Woodfield Lane St Louis MO 63132 731279603 MOB OK 501(c)(3) Type I SSM Health Care of Oklahoma false SSM Hospice & Home Care Foundation 10101 Woodfield Lane St Louis MO 63132 300012246 Fundraising MO 501(c)(3) 7 SSM Health Businesses false St Mary's Hospital Auxiliary 100 St Marys Medical Plaza Jefferson City MO 65101 436049878 Fundraising MO 501(c)(3) Type II NA false Good Samaritan Hospital Auxiliary 1 Good Samaritan Way Mount Vernon IL 62864 237049599 Fundraising IL 501(c)(3) Type III-FI NA false St Anthony Shawnee Hospital Inc 1000 N Lee Ave Oklahoma City OK 73102 455055149 Health Care OK 501(c)(3) 3 SSM Health Care of Oklahoma false SSM Audrain Health Care Inc 10101 Woodfield Lane St Louis MO 63132 431550298 Health Care MO 501(c)(3) 3 SSM Regional Health Services true Audrain Medical Center Foundation Inc 620 E Monroe St Mexico MO 65265 431265060 Fundraising MO 501(c)(3) Type I NA false SSM-SLUH Inc 10101 Woodfield Lane St Louis MO 63132 474196634 Health Care MO 501(c)(3) 3 SSM Health Care St Louis false SSM Health Plan 1277 Deming Way Madison WI 53717 831979548 Insurance MO 501(c)(4) SSM Health Businesses false Agnesian Healthcare Inc 430 E Division St Fond du Lac WI 54935 390807236 Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin false Ripon Medical Center Inc 845 Parkside Street Ripon WI 54971 391101287 Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc false Waupun Memorial Hospital Inc 620 West Brown Street Waupun WI 53963 390806265 Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc false St Francis Home of Fond du Lac Wisconsin Inc 33 Everett Street Fond du Lac WI 54935 391029998 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Sister Servants of Christ the King Villa Loretto N8114 County WW Mount Calvary WI 53057 391022770 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Villa Rosa Inc N8120 County WW Mount Calvary WI 53057 421670962 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false The Christian Home and Rehabilitation Center Incorporated 331 Bly Street Waupun WI 53963 390884514 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false The Monroe Clinic Inc 515 22nd Avenue Monroe WI 53566 390808509 Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin false Monroe Clinic and Hospital Foundation Inc 515 22nd Avenue Monroe WI 53566 205769038 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false Agnesian Healthcare Foundation Inc 430 E Division St Fond du Lac WI 54935 391684956 Fundraising WI 501(c)(3) Type I SSM Health Care of Wisconsin false SSM St Joseph Endoscopy Center LLC 10101 Woodfield Lane St Louis MO 63132 270046559 Surgery Services MO NA N/A 0 0 0 0 St Clare Imaging Services LLC 707 14th Street Suite A Baraboo WI 53913 200122365 Diag. Services WI NA N/A 0 0 0 0 Mt Vernon Radiation Therapy Center LLC 10101 Woodfield Lane St Louis MO 63132 201382620 Radiation Therapy IL NA N/A 0 0 0 0 Sleep & Neurology Center of Southern Illinois LLC 10101 Woodfield Lane St Louis MO 63132 208468195 Diag. Services IL NA N/A 0 0 0 0 CHOWSMGSI Office Building LLC 10101 Woodfield Lane St Louis MO 63132 371383861 MOB IL NA N/A 0 0 0 0 Oza Cancer Center LLC 10101 Woodfield Lane St Louis MO 63132 201382727 MOB IL NA N/A 0 0 0 0 Shawnee Real Estate Holdings LLC 1000 N Lee Ave Oklahoma City OK 73102 455458304 MOB OK NA N/A 0 0 0 0 Dean Clinic & St Mary's Hospital Accountable Care Organization LLC 1808 West Beltline Highway Madison WI 53713 452995500 Accountable Care Organization WI NA N/A 0 0 0 0 Wisconsin Integrated Information Technology and Telemedicine Systems LLC 1808 West Beltline Highway Madison WI 53713 392016715 Information Technology Services WI NA N/A 0 0 0 0 Dean Health Holdings LLC 1277 Deming Way Madison WI 53717 261594709 Support Services WI NA N/A 0 0 0 0 Wingra Building Group 1808 West Beltline Highway Madison WI 53713 390237060 MOB WI NA N/A 0 0 0 0 Janesville Riverview Clinic Building Partnership 1808 West Beltline Highway Madison WI 53713 396220698 MOB WI NA N/A 0 0 0 0 1110 N Classen Blvd LLC 1110 N Classen Boulevard Oklahoma City OK 73106 731158158 MOB OK NA N/A 0 0 0 0 SSM St Clare Surgical Center LLC 10101 Woodfield Lane St Louis MO 63132 261439695 Surgery Services MO NA N/A 0 0 0 0 Windmill LLP 50 Village View Lane Chesterfield MO 63017 431804651 Investments MO NA N/A 0 0 0 0 SSM Managed Care Organization LLC 10101 Woodfield Lane St Louis MO 63132 431708511 Health Promotion MO NA C Corporation 0 0 0 false FPP INC & Subs 10101 Woodfield Lane St Louis MO 63132 431465174 Health Care MO NA C Corporation 0 0 0 false Diversified Health Services Corp 10101 Woodfield Lane St Louis MO 63132 431369305 Medical Equipment MO NA C Corporation 0 0 0 false SSM Cardiovascular and Thoracic Services Inc 10101 Woodfield Lane St Louis MO 63132 260286559 Health Care MO NA C Corporation 0 0 0 false SSM Properties Inc 10101 Woodfield Lane St Louis MO 63132 431462486 Property Services MO NA C Corporation 0 0 0 false SSM DePaul Medical Group Inc 10101 Woodfield Lane St Louis MO 63132 431715106 Health Care MO NA C Corporation 0 0 0 false SSM St Charles Clinic Medical Group Inc 10101 Woodfield Lane St Louis MO 63132 430626408 Physician Offices MO NA C Corporation 0 0 0 false HealthFirst Physician Management Services 10101 Woodfield Lane St Louis MO 63132 731534336 Medical Services OK NA C Corporation 0 0 0 false SSMHC Liability Trust II 10101 Woodfield Lane St Louis MO 63132 816128118 Insurance MO NA C Corporation 0 0 0 false SSM Neurosciences Inc 10101 Woodfield Lane St Louis MO 63132 263413981 Health Care MO NA C Corporation 0 0 0 false SSM Medical Group Inc 10101 Woodfield Lane St Louis MO 63132 431664107 Physician Offices MO NA C Corporation 0 0 0 false SSMHC Insurance Company 10101 Woodfield Lane St Louis MO 63132 030310431 Insurance NA C Corporation 0 0 0 false SSM Orthopedic Inc 10101 Woodfield Lane St Louis MO 63132 271557033 Health Care MO NA C Corporation 0 0 0 false SSM Cancer Care Inc 10101 Woodfield Lane St Louis MO 63132 271557324 Health Care MO NA C Corporation 0 0 0 false Physicians Services Corp of Southern Illinois Inc 10101 Woodfield Lane St Louis MO 63132 364161526 Health Care IL NA C Corporation 0 0 0 false Dean Health Systems Inc 1808 West Beltline Highway Madison WI 53713 391128616 Physician Offices WI NA C Corporation 0 0 0 false Dean Health Insurance Inc PO Box 56099 Madison WI 53705 391830837 Insurance WI NA C Corporation 0 0 0 false Dean Health Plan Inc PO Box 56099 Madison WI 53705 391535024 Insurance WI NA C Corporation 0 0 0 false SMDV Office Building 1808 West Beltline Highway Madison WI 53713 391628491 Physician Offices WI NA C Corporation 0 0 0 false Dean Retail Services Inc 1808 West Beltline Highway Madison WI 53713 391717636 Property Services WI NA C Corporation 0 0 0 false Navitus Holdings LLC 1808 West Beltline Highway Madison WI 53713 800968174 Pharmacy Benefits WI NA C Corporation 0 0 0 false Oza Oncology Inc 4117 Veterans Memorial Drive Mt Vernon IL 62804 371343746 Physician Offices IL NA C Corporation 0 0 0 false SSM Health Janesville Campus Condominium Association Inc 1808 West Beltline Highway Madison WI 53713 832038674 Condo association WI NA C Corporation 0 0 0 false SSM Health Pharmacy LLC 10101 Woodfield Lane St Louis MO 63132 264031708 Pharmacy MO NA C Corporation 0 0 0 false false true true false false false false false false false true true true true false false false St Francis Hospital Foundation C 616275 Cash St Mary's Health Center Jefferson City MO Foundation C 69639 Cash St Mary's Health Center Jefferson City MO Foundation B 146979 Book