SSM HEALTH CARE ST LOUIS: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: SSM HEALTH CARE ST LOUIS (EIN 43-1343281)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-08
IRS object ID: 201813129349303086
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-08T17:00:48-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	431343281	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	June L Pickett	PersonNm
Person Title	Secretary	PersonTitleTxt
Signature	2018-11-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,516,023,711	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.ssmhealth.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2000	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	OPERATES SEVEN HOSPITALS AND HEALTH CARE CENTERS UNDER SIX SEPARATE HOSPITAL LICENSES IN THE GREATER ST. LOUIS METROPOLITAN AREA.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	11960	TotalEmployeeCnt
Total Volunteers	1307	TotalVolunteersCnt
Total Gross UBI	$10,432,267	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,530,402	PYContributionsGrantsAmt
CY Contributions Grants	$1,800,157	CYContributionsGrantsAmt
PY Program Service Revenue	$1,429,223,399	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,501,069,993	CYProgramServiceRevenueAmt
PY Investment Income	$2,402,581	PYInvestmentIncomeAmt
CY Investment Income	$562,474	CYInvestmentIncomeAmt
PY Other Revenue	$10,275,894	PYOtherRevenueAmt
CY Other Revenue	$11,268,227	CYOtherRevenueAmt
PY Total Revenue	$1,443,432,276	PYTotalRevenueAmt
CY Total Revenue	$1,514,700,851	CYTotalRevenueAmt
PY Grants And Similar Paid	$284,768	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$348,466	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$584,051,790	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$616,588,539	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$768,188,600	PYOtherExpensesAmt
CY Other Expenses	$814,725,092	CYOtherExpensesAmt
PY Total Expenses	$1,352,525,158	PYTotalExpensesAmt
CY Total Expenses	$1,431,662,097	CYTotalExpensesAmt
PY Revenues Less Expenses	$90,907,118	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$83,038,754	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,069,673,958	TotalAssetsBOYAmt
Total Assets EOY	$1,089,475,557	TotalAssetsEOYAmt
Total Liabilities BOY	$601,662,301	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$689,036,192	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$468,011,657	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$400,439,365	NetAssetsOrFundBalancesEOYAmt
Mission	THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,245,414,259	ExpenseAmt
Grant	$348,466	GrantAmt
Revenue	$1,500,347,892	RevenueAmt
Desc	PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.	Desc
Total Program Service Expenses	$1,245,414,259	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	11960	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3149893640	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Christopher Howard
Chair, Chief Operations Officer at SSM Health	1.0	55.0	Yes (X)	Yes (X)	$0	$985,838	$1,036,792
Candace Jennings
President, Regional Pres-Hospital Operations-St Louis	30.0	12.0	Yes (X)	Yes (X)	$626,818	$106,292	$123,879
William Thompson
Pt Yr Vice Chair, Pt Yr President/CEO of SSM Health	1.0	56.0	Yes (X)	Yes (X)	$0	$1,280,477	$547,089
Laura S Kaiser
Vice Chair, President/CEO of SSM Health	1.0	55.0	Yes (X)	Yes (X)	$0	$1,325,216	$268,145
Jan Cerny
Director	1.0	2.0	Yes (X)		$0	$0	$0
Dee Joyner
Director	1.0	2.0	Yes (X)		$0	$0	$0
Shane Peng MD
Pt Yr Director, Pt Yr President-Physician and Ambulatory at SSM Health	1.0	47.0	Yes (X)		$0	$1,218,862	$203,481
James Bleicher MD
Pt Yr Director, Pt Yr President, St. Louis Physician Organizations	1.0	42.0	Yes (X)		$491,537	$44,524	$82,087
Snehal Gandhi MD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Robert Heaney MD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Kevin Behrns MD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Paula Friedman
Vice President, Chief Strategy Officer at SSM Health	1.0	54.0		Yes (X)	$0	$856,416	$891,366
June Pickett
Secretary, Asst VP Governance & Archives, SSM Health	1.0	65.1		Yes (X)	$0	$262,856	$51,074
Karen Rewerts
System VP Finance	25.0	15.0		Yes (X)	$0	$565,960	$293,356
Kris Zimmer
Treasurer, Chief Financial Officer at SSM Health	1.0	57.0		Yes (X)	$0	$973,103	$961,176
Bryan Rever
Assistant Secretary	30.0	10.0		Yes (X)	$69,959	$0	$6,837
Lee Bernstein
Regional Exec VP/COO	40.0	0.0			$504,575	$66,215	$171,997	Yes (X)
Mike Bowers
Hospital President, SSM Health St Joseph Hospital - St Charles	40.0	1.0			$413,179	$44,839	$66,625	Yes (X)
Ellis Hawkins
Hospital President at SSM Health St Clare Hospital - Fenton	40.0	1.0			$336,620	$29,677	$144,598	Yes (X)
Sean Hogan
Hospital President, SSM Health DePaul Hospital - St. Louis	40.0	1.0			$433,896	$48,959	$193,618	Yes (X)
Lisle Wescott
Hospital President, SSM Health St Joseph Hospital - Lake St Louis	40.0	1.0			$324,364	$22,682	$111,848	Yes (X)
Kathleen Bonser
Reg VP - Nursing/CNO St Louis	40.0	0			$297,352	$0	$273,522	Yes (X)
Travis Capers
President at SSM Health St. Mary's Hospital - St. Louis	40.0	1.0			$429,086	$40,771	$53,178	Yes (X)
Alexander Garza
Regional VP - Medical Affairs	40.0	0			$513,978	$0	$75,471	Yes (X)
Rachel Donlan
Interim System VP - Strategic Development	40.0	0			$0	$149,254	$19,581	Yes (X)
William Holcomb
Physician	40.0	0			$493,433	$0	$104,387		Yes (X)
Mario Morales
Physician	40.0	0			$1,370,039	$0	$112,984		Yes (X)
Andrew Wheeler
Physician	40.0	0			$854,524	$0	$31,524		Yes (X)
Andrew Karanas
Physician	40.0	0			$510,867	$0	$106,089		Yes (X)
Joseph Attewell
Physician	40.0	0			$600,077	$0	$31,211		Yes (X)
Kathleen Becker
Former Key Employee	0.0	40.0			$0	$547,061	$89,136			Yes (X)
Margaret Fowler
Former Key Employee		40.0			$0	$459,127	$296,897			Yes (X)
Kevin Todd Johnson
Former Key Employee	0.0	41.0			$120,956	$0	$958,034			Yes (X)
Lynn Lenker
Former Key Employee	0.0	40.0			$0	$356,438	$191,377			Yes (X)
Renee Roach
Former Key Employee	0.0	40.0			$0	$359,752	$52,557			Yes (X)
Daniel Baumann MD
Former Director	0.0	40.0			$0	$215,090	$23,652			Yes (X)
Donald Binz MD
Former Director	0.0	40.0			$0	$556,479	$24,335			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,391,260	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,515,888	TotReportableCompRltdOrgAmt
Total Other Compensation	$7,597,903	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	495	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ST LOUIS UNIVERSITY
1402 S GRAND BLVD	ST LOUIS	MO	63104	MEDICAL SERVICES	$50,845,342
ALBERICI CONSTRUCTORS INC
8800 PAGE AVE	ST LOUIS	MO	63114	CONSTRUCTION SERVICES	$27,084,970
INTERFACE CONSTRUCTION GROUP
8401 WABASH	BERKELEY	MO	63134	CONSTRUCTION SERVICES	$13,514,008
SSM SELECT REHAB OF ST LOUIS LLC
4714 GETTYSBURG ROAD	MECHANICSBURG	PA	17055	MEDICAL SERVICES	$10,929,557
LABORATORY CORPORATION OF AMERICA
PO BOX 12140	BURLINGTON	NC	27216	LABORATORY SERVICES	$6,173,076

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	131	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$1,688,191	RelatedOrganizationsAmt
Government Grants	$12,135	GovernmentGrantsAmt
All Other Contributions	$99,831	AllOtherContributionsAmt
Total Contributions	$1,800,157	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621110	$1,376,252,646	$1,376,252,646
OTHER OPERATING REVENUE	621110	$115,966,969	$113,637,076	$2,329,893
JOINT VENTURE INCOME	900099	$8,850,378	$8,850,378

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,501,069,993	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$537,157	TotalRevenueColumnAmt
Exclusion	$537,157	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,880,921	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,322,860	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,558,061	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,558,061	TotalRevenueColumnAmt
Exclusion	$1,558,061	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$25,317	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$25,317	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,317	TotalRevenueColumnAmt
Exclusion	$25,317	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PHARMACY	446110	$4,971,610	$4,971,610
LABORATORY SERVICES	621500	$3,012,516	$3,012,516
Catering	722320	$50,615	$50,615

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,675,425	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,607,792	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$67,633	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,710,166	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,514,700,851	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,500,347,892	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$10,432,267	UnrelatedBusinessRevenueAmt
Exclusion	$2,120,535	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$285,081	TotalAmt
Program Services	$285,081	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$63,385	TotalAmt
Program Services	$63,385	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,499,758	TotalAmt
Program Services	$939,683	ProgramServicesAmt
Management And General	$3,560,075	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$469,365,589	TotalAmt
Program Services	$425,680,622	ProgramServicesAmt
Management And General	$43,684,967	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$36,802,965	TotalAmt
Program Services	$28,131,369	ProgramServicesAmt
Management And General	$8,671,596	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$67,887,411	TotalAmt
Program Services	$75,446,663	ProgramServicesAmt
Management And General	-$7,559,252	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$38,032,816	TotalAmt
Program Services	$27,999,952	ProgramServicesAmt
Management And General	$10,032,864	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$17,306,728	TotalAmt
Program Services	$15,837,226	ProgramServicesAmt
Management And General	$1,469,502	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,073,693	TotalAmt
Management And General	$1,073,693	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$488,074	TotalAmt
Management And General	$488,074	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$165,542,493	TotalAmt
Program Services	$142,232,331	ProgramServicesAmt
Management And General	$23,310,162	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$94,164	TotalAmt
Management And General	$94,164	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$52,661,734	TotalAmt
Program Services	$48,246,146	ProgramServicesAmt
Management And General	$4,415,588	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$74,716,319	TotalAmt
Program Services	$56,216,271	ProgramServicesAmt
Management And General	$18,500,048	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$33,169,694	TotalAmt
Program Services	$28,070,876	ProgramServicesAmt
Management And General	$5,098,818	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,503,089	TotalAmt
Program Services	$182,055	ProgramServicesAmt
Management And General	$1,321,034	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$336,141	TotalAmt
Program Services	$238,942	ProgramServicesAmt
Management And General	$97,199	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,323,591	TotalAmt
Program Services	$10,323,591	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$53,643,536	TotalAmt
Program Services	$45,886,973	ProgramServicesAmt
Management And General	$7,756,563	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,301,671	TotalAmt
Program Services	$1,276,581	ProgramServicesAmt
Management And General	$9,025,090	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$265,565,600	$265,565,600
MEDICARE PROVIDER TAX	$72,306,311	$72,306,311
LICENSES	$1,032,261	$544,710	$487,551
MANAGEMENT FEES - AFFILIATES	$54,586,162		$54,586,162

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$73,831	TotalAmt
Program Services	-$60,109	ProgramServicesAmt
Management And General	$133,940	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,431,662,097	TotalAmt
Program Services	$1,245,414,259	ProgramServicesAmt
Management And General	$186,247,838	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$45,543,202	BOYAmt
EOY	$51,492,626	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$185,594,718	BOYAmt
EOY	$180,903,834	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$26,845,882	BOYAmt
EOY	$30,875,614	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,985,592	BOYAmt
EOY	$10,167,700	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,333,798,794	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$718,585,451	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$609,229,515	BOYAmt
EOY	$615,213,343	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$17,278,045	BOYAmt
EOY	$56,049,760	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$16,940,088	BOYAmt
EOY	$39,960,359	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,986,404	BOYAmt
EOY	$17,070,502	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$142,270,512	BOYAmt
EOY	$87,741,819	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,069,673,958	BOYAmt
EOY	$1,089,475,557	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$136,933,052	BOYAmt
EOY	$170,790,256	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$739,742	BOYAmt
EOY	$716,742	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$463,989,507	BOYAmt
EOY	$517,529,194	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$601,662,301	BOYAmt
EOY	$689,036,192	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$455,115,550	BOYAmt
EOY	$387,821,322	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,384,284	BOYAmt
EOY	$10,103,721	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,511,823	BOYAmt
EOY	$2,514,322	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$468,011,657	BOYAmt
EOY	$400,439,365	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,069,673,958	BOYAmt
EOY	$1,089,475,557	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$83,038,754	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$43,436	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$150,654,482	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$187,000	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$187,000	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	The organization paid dues to various national and local hospital associations and a portion of these dues was allocated to lobbying activities.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	The organization paid dues to various national and local hospital associations and a portion of these dues was allocated to lobbying activities.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,936,398	BeginningYearBalanceAmt
Investment Earnings Or Losses	$341,518	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$45,779	GrantsOrScholarshipsAmt
End Year Balance	$3,232,137	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,786,143	BeginningYearBalanceAmt
Investment Earnings Or Losses	$150,255	InvestmentEarningsOrLossesAmt
End Year Balance	$2,936,398	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.03	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.69	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.28	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$53,724,824	OtherCostOrOtherBasisAmt
Book Value	$53,724,824	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$842,697,918	OtherCostOrOtherBasisAmt
Depreciation	$409,892,544	DepreciationAmt
Book Value	$432,805,374	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,576,052	OtherCostOrOtherBasisAmt
Depreciation	$15,220,251	DepreciationAmt
Book Value	$10,355,801	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$393,596,658	OtherCostOrOtherBasisAmt
Depreciation	$293,472,656	DepreciationAmt
Book Value	$100,124,002	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,203,342	OtherCostOrOtherBasisAmt
Book Value	$18,203,342	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$615,213,343	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
EQUITY IN OTHER ENTITIES
CENTRAL INVESTMENT PROGRAM	$56,049,760	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$56,049,760	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$68,373,511
OTHER NONCURRENT ASSETS	$3,117,994
OTHER RECEIVABLES	$16,250,314

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$87,741,819	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PAYABLE TO THIRD-PARTY PAYORS	$69,469,374
DUE TO AFFILIATES	$60,771,433
OTHER LIABILITIES	$12,571,164
ASSET RETIREMENT LIABILITY	$2,693,654
PENSION FUNDING LIABILITY	-$16,702,405
ALLOCATED TAX-EXEMPT DEBT (ISSUED BY SSM HEALTH CARE)	$379,123,560
DEFINED CONTRIBUTION LIABILITY	$9,167,000
CAPITAL LEASE OBLIGATION	$435,414

Field	Value	IRS element (for citing)
Total Liability	$517,529,194	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

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

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

SSM HEALTH CARE ST LOUIS' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2017 OR 2016.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,942,024	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$49,942,024	NetCommunityBenefitExpnsAmt
Total Expense	0.0349	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$261,279,876	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$232,072,645	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,207,231	NetCommunityBenefitExpnsAmt
Total Expense	0.0204	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,103,815	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,616,051	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,487,764	NetCommunityBenefitExpnsAmt
Total Expense	0.0017	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$325,325,715	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$243,688,696	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$81,637,019	NetCommunityBenefitExpnsAmt
Total Expense	0.0570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$821,545	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,742	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$757,803	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,227,791	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,982,162	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,245,629	NetCommunityBenefitExpnsAmt
Total Expense	0.0169	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$178,591	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$178,591	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$34,227,927	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,045,904	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,182,023	NetCommunityBenefitExpnsAmt
Total Expense	0.0176	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$359,553,642	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$252,734,600	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$106,819,042	NetCommunityBenefitExpnsAmt
Total Expense	0.0746	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,906	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,906	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,672	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,672	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,677	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,677	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,399	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$84,399	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,684	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,684	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$123,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$123,338	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$87,632,716	BadDebtExpenseAmt
Reimbursed By Medicare	$356,590,874	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$370,177,300	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$13,586,426	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

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

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

Hospital Facilities HospitalFacilitiesGrp (6 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Teaching HospitalTeachingHospitalInd
SSM Health DePaul Hospital - St Louis
1	12303 DEPAUL DRIVE	ST LOUIS	MO	63044	https://www.ssmhealth.com/locations/depaul-hospital-st-louis	414-18	Yes (X)	Yes (X)	Yes (X)	A
SSM Health St Mary's Hospital - St Louis
2	6420 CLAYTON ROAD	ST LOUIS	MO	63117	https://www.ssmhealth.com/locations/st-marys-hospital-st-louis	383-21	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)
SSM Health St Joseph Hospital - St Charles
3	300 FIRST CAPITAL DRIVE	ST CHARLES	MO	63301	https://www.ssmhealth.com/locations/st-joseph-hospital-st-charles	494-8	Yes (X)	Yes (X)	Yes (X)	A
SSM Health St Clare Hospital - Fenton
4	1015 BOWLES AVENUE	FENTON	MO	63026	https://www.ssmhealth.com/locations/st-clare-hospital-fenton	456-14	Yes (X)	Yes (X)	Yes (X)	A
SSM Health St Joseph Hospital - Lake Saint Louis
5	100 MEDICAL DRIVE	LAKE ST LOUIS	MO	63367	https://www.ssmhealth.com/locations/st-joseph-hospital-lake-saint-louis	381-21	Yes (X)	Yes (X)	Yes (X)	A
SSM REHABILITATION HOSPITAL
6	12380 DEPAUL DRIVE	BRIDGETON	MO	63044	https://www.ssm-rehab.com/	522-4	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

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A
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SSM REHABILITATION HOSPITAL
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Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - Facility Group A. Primary data collection for the CHNA included conducting focus groups that represent the broad interest and diversity of the individual hospital communities. Participants were asked to identify the primary health issues affecting the constituents they represent. After exhausting new individual concerns, the participants discussed 2012 CHNA cycle issues. After all discussion had concluded, a survey, inclusive of all topics discussed, was distributed and participants were asked to score the importance of the health issues and the ability of the hospitals to make a significant impact. Additionally, the hospitals directed special attention to health issues that impact a significant portion of the community and for which disparities exist with minorities or the underserved. The hospitals included voices that represent these groups in their discussions and studies.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - SSM Health DePaul Hospital - St. Louis. Because SSM Health DePaul Hospital - St. Louis and BJC Health System's Christian Hospital both focus on addressing the health needs of residents in North St. Louis County, the two hospitals combined efforts to seek input from community stakeholders.
Schedule H, Part V, Section B, Line 6a Facility A, 2	Facility A, 2 - SSM Health St. Joseph Hospital - St. Charles. SSM Health St. Joseph Hospital - St. Charles conducted portions of its CHNA research and preparation process with SSM Health St. Joseph Hospital - Lake Saint Louis, BJC Healthcare St. Peters Hospital, and BJC Healthcare Progress West Hospital.
Schedule H, Part V, Section B, Line 6a Facility A, 3	Facility A, 3 - SSM Health St. Joseph Hospital - Lake Saint Louis. SSM Health St. Joseph Hospital - Lake Saint Louis conducted portions of its CHNA research and preparation process with SSM Health St. Joseph Hospital - St. Charles, BJC Healthcare St. Peters Hospital, and BJC Healthcare Progress West Hospital.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - SSM Health DePaul Hospital - St. Louis. SSM Health's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." During 2015, in collaboration with our community partners, SSM Health DePaul Hospital - St. Louis conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: diabetes, heart and vascular disease, and access to care. The SSM Health St. Louis Regional Board approved this CHNA on November 23, 2015. SSM Health DePaul Hospital - St. Louis last conducted a CHNA in 2012. The SSM Health DePaul Hospital - St. Louis 2016 - 2018 CHNA revealed that diabetes is a significant issue in North St. Louis County. While the prevalence of diabetes in the area is somewhat close to the state average, the age-adjusted death rate due to diabetes in St. Louis is 32.8 deaths per 100,000 versus the state rate of 20.3 deaths per 100,000. SSM Health DePaul Hospital - St. Louis operates a Comprehensive Diabetes Clinic to provide proper diabetes treatment and education and can help individuals stay healthy. The following goals were also met in 2017 to address diabetes: - Goal: Decrease the age-adjusted death rate due to diabetes in St. Louis County from 16.5 deaths per 100,000 persons reported in 2015 to 15 deaths per 100,000 persons by 2018, death rate fell to 14.5 per 100,000 in 2017. - Goal: Reduce the average hemoglobin A1C level of patients seen in the SSM Health DePaul Hospital - St. Louis Comprehensive Diabetes Clinic from 8.41% in 2015 to 7.5% by 2018, average hemoglobin A1C level of patients was steady from 2016 to 2017 at 8.2%. The SSM Health DePaul Hospital - St. Louis 2016 - 2018 CHNA asserts that heart and vascular disease is a top concern in the service area. Heart disease is affected by numerous lifestyle behaviors including smoking, uncontrolled blood pressure and cholesterol, diabetes, stress and depression, an unhealthy diet and lack of exercise. The following goals were set in 2017 to address heart and vascular disease: - Goal: Decrease the age-adjusted death rate due to coronary heart disease in St. Louis County from 126.5 deaths per 100,00 persons reported in 2015 to 115 deaths per 100,00 persons by 2018, death rate decreased to 114.0 deaths in 100,000 in 2017. - Goal: Decrease STEMI average door-to-balloon time from 61 minutes reported in 2015 to 55 minutes by 2018, the hospital has an action plan in place to meet this goal. - Goal: Reduce the number of STEMI outliers by 10% and achieve zero outliers going forward between 2016 and 2018, outliers decreased 50% from 2016 to 2017. - Goal: Decrease the 30-day congestive heart failure (CHF) readmission rate from 19.87% reported in 2015 to 13.53% by 2018, the hospital is working to reduce the rate below goal. The SSM Health DePaul Hospital - St. Louis 2016 - 2018 CHNA revealed access to care for the uninsured as a concern to community stakeholders and hospital administration. The percent of uninsured adults in St. Louis County is higher than both state and national uninsured averages; and in St. Louis County, the highest proportion of uninsured and Medicaid populations - as well as those who lack access to care - are in North St. Louis County. Having a large population without a regular source of care results in over use on the hospital emergency and inpatient services. The following goals were achieved in 2017 to address access to care: - Goal: Decrease the number of preventable hospital stays in St. Louis County from 52 cases per 1,000 Medicare enrollees, as reported in 2015, to 45 cases per 1,000 Medicare enrollees by 2018, the rate was reduced to 47.7 preventable stays in 1,000 in 2017. - Goal: Improve overall Health Behaviors Ranking of St. Louis County from 7 (2015 rank) to 6 by 2018, Healthy Behaviors Ranking was 2 in 2017. - Goal: Reduce overall readmission rate at SSM Health DePaul Hospital - St. Louis from 11.9% in 2015 to 9% by 2018, overall readmission rate fell to 10.6% in 2017.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - SSM Health St. Mary's Hospital - St. Louis. SSM Health's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." During 2015, in collaboration with our community partners, SSM Health St. Mary's Hospital - St. Louis conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: diabetes, high-risk pregnancy and substance abuse, and access to care. The SSM Health St. Louis Regional Board approved this CHNA on November 23, 2015. SSM Health St. Mary's Hospital - St. Louis last conducted a CHNA in 2012. The SSM Health St. Mary's Hospital - St. Louis 2016 -2018 CHNA showed diabetes as a widespread concern in the community. Diabetes is a leading cause of death in the U.S., but can be treated and managed by healthy eating, regular physical activity and medications to lower blood-glucose levels. SSM Health St. Mary's Hospital - St. Louis Diabetes Education Program is designed to provide education to individuals living with diabetes. Additionally, the following goals were achieved in 2017 to address diabetes: - Goal: Decrease the age-adjusted death rate due to diabetes in St. Louis County from 16.5 deaths per 100,000 persons, as reported in 2015, to 15 deaths per 100,000 persons by 2018, death rate of 14.5 per 100,000 was maintained in 2017. - Goal: Increase the percentage of St. Louis Medicare patients screened for diabetes from 83.3%, as reported in 2015, to the state average of 86.6% by 2018, percentage of St. Louis Medicare patients screened for diabetes was 85.0% in 2017. - Goal: Reduce the average hemoglobin A1C for patients seen in the SSM Health St. Mary's Hospital - St. Louis Internal Medicine Clinic from 10.1% in 2015 to 9.1% by 2018, average hemoglobin A1C for patients seen stayed under goal at 8.04% in 2017. The SSM Health St. Mary's Hospital - St. Louis 2016 -2018 CHNA revealed high-risk pregnancy and substance abuse as a top health priority. Opioid use, such as heroin, during pregnancy is extremely detrimental both to mothers and their infants. Neonatal abstinence syndrome, characterized by central nervous system hyperirritability and automatic nervous system dysfunction, birth defects, premature death, low birthweight, and sudden infant death syndrome are all possible complications. SSM Health St. Mary's Hospital - St. Louis has the only substance abuse treatment program focusing on maternal patients in the St. Louis region. The following goals were achieved in 2016 to address high-risk pregnancy and substance abuse: - Goal: Reduce the percentage of preterm births in St. Louis County from 12.4% reported in 2015 to the Healthy People 2020 goal of 11.4% by 2018, percentage of preterm births stayed below goal at 10.5% in 2017. - Goal: Reduce the length of stay for Women and Infants Substance Help (WISH) program neonates from 14.88 days in 2015 to 13 days by 2018, average length of state for WISH program neonates fell to 7.3 days in 2017. The SSM Health St. Mary's Hospital - St. Louis 2016 -2018 CHNA cites access to care as a chief community health issue in the area. The following goals were met in 2017 to address to care: - Goal: Decrease the number of preventable hospital stays in St. Louis County from 52 cases per 1,000 Medicare enrollees, as reported in 2015, to 45 cases per 1,000 Medicare enrollees by 2018, decreased to 47.7 cases per 1,000 in 2017. - Goal: Reduce overall readmission rate at SSM Health St. Mary's Hospital - St. Louis from 10.2% to 9.1% by 2018, the hospital is working to achieve a rate below goal in 2018. - Goal: Improve overall Health Behaviors Ranking of St. Louis County from 7, as reported in 2015, to 6 by 2018, ranking of 2 maintained in 2017.
Schedule H, Part V, Section B, Line 11 Facility A, 3	Facility A, 3 - SSM Health St. Joseph Hospital - St. Charles. SSM Health's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." During 2015, in collaboration with our community partners, SSM Health St. Joseph Hospital - St. Charles conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: heart disease, substance abuse, and access to care. The SSM Health St. Louis Regional Board approved this CHNA on November 23, 2015. SSM Health St. Joseph Hospital - St. Charles last conducted a CHNA in 2012. The 2015 SSM Health St. Joseph Hospital - St. Charles CHNA revealed heart disease as a top concern for people in Eastern / Central St. Charles County. Fifty-six percent of the Medicare population in St. Charles County have hypertension, and 13.2% of the Medicare population in the County have been diagnosed with heart failure. The following goals were met in 2017 to address heart disease: - Goal: Reduce the age-adjusted death rate due to coronary heart disease in St. Charles County from 96.4 deaths per 100,000 persons in 2015 to 94 deaths per 100,000 persons by 2018, reduction to a 92.2 per 100,000 death rate in 2016 remained constant in 2017. - Goal: Reduce the percentage of St. Charles County residents with hyperlipidemia from 46.4% in 2015 to 45% by 2018, the rate was below the baseline at 46.3% in 2017. - Goal: Reduce the percentage of St. Charles County residents with hypertension from 56% in 2015 to 54% by 2018, rate fell to 55.6% in 2017.. - Goal: Reduce the percentage of heart failure readmissions at SSM Health St. Joseph Hospital - St. Charles from 17.98% to 13.54% by 2018, heart failure readmissions in 2017 were 15.9%. The 2015 SSM Health St. Joseph Hospital - St. Charles CHNA cited substance abuse and a critical health issue in St. Charles County. The Center for Disease Control and Prevention reports the amount of prescription pain medications prescribed and sold in the U.S. has nearly quadrupled since 2000, with 44 people in the U.S. dying each day from prescription pain medication overdose. The following goals were set in 2017 to address substance abuse: - Goal: Reduce the percentage of alcohol-related driving deaths in St. Charles county from 42.9% reported in 2015 to 41.9% by 2018, percentage was 41.6% in 2017. - Goal: Reduce the percentage of adults in St. Charles County who drink excessively from 22.9% reported in 2015 to 21.9% by 2018, the hospital is working to reduce the rate below goal. - Goal: Reduce the death rate due to drug poisoning in St. Charles County from 12 deaths per 100,000 persons reported in 2015 to 11 deaths per 100,000 persons by 2018, drug poisoning continues to be a health issue in the area. - Goal: Through proactive efforts within the community, reduce the annual number of drug over-dose cases seen in the SSM Health St. Joseph Hospital - St. Charles emergency department from 252 cases in 2015 to 177 cases by 2018. The 2015 SSM Health St. Joseph Hospital - St. Charles CHNA lists access to care as an ongoing area concern. The Hospital realizes that there are unique barriers to care in each community, mainly health literacy, inadequate insurance coverage, affordability and location of services, and understanding of the important of regular health assessments and screenings. In addition to significant investment of primary care and specialty providers in the St. Louis region, SSM Health and SSM Health Medical Group are continuously developing initiatives to increase the convenience, access, value, and quality of services available to the community. The following goals were documented in 2017 to address access to care: - Goal: Improve preventable readmissions in St. Charles County from 54 discharges per 100,000 Medicare enrollees reported in 2015 to 52 discharges per 100,000 Medicare enrollees by 2018, readmissions were 52.8 per 100,000 in 2017. - Goal: Reduce SSM Health St. Joseph Hospital - St. Charles readmissions from 12.6% to 11.6% by 2018, readmissions were below goal at 9.9% in 2017. - Goal: Improve access to care in St. Charles County by increasing the percentage of qualifying emergency department discharges referred to the Volunteers in Medicine - St. Charles clinic by 25% between 2015 and 2018, ED discharges referred to Volunteers in Medicine were constant at 5% in 2017.
Schedule H, Part V, Section B, Line 11 Facility A, 4	Facility A, 4 - SSM Health St. Clare Hospital - Fenton. SSM Health's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." During 2015, in collaboration with our community partners, SSM Health St. Clare Hospital - Fenton conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: substance abuse, access to care, and health awareness. The SSM Health St. Louis Regional Board approved this CHNA on November 23, 2015. SSM Health St. Clare Hospital - Fenton last conducted a CHNA in 2012. The SSM Health St. Clare Hospital - Fenton 2016 - 2018 CHNA revealed that substance abuse is a top health concern for the community. During focus group discussions held on the topic, it was clear that there is a significant concern in the rise of illicit drug use, particularly heroin and methamphetamine. Drug poisoning deaths were notably higher in men than women, and also in non-Hispanic African Americans aged 45-64 than other demographics. The following goals were achieved in 2017 to address substance abuse: - Goal: Reduce the death rate due to drug poisoning in St. Louis County from 12.8 deaths per 100,000 in 2015, to 12.6 deaths per 100,000 by 2018. - Goal: Achieve SSM Health St. Clare Hospital - Fenton medical stabilization goal of discharging 80% of patients that complete the program with a plan for behavioral health/substance abuse treatment, medical stabilization rate of 100% was continued through 2017. - Goal: Reduce the percentage of driving deaths in St. Louis County associated with alcohol use from 37.3%, as reported in 2015, to 36.3% by 2018, alcohol-related driving death rate reduced to 31.8% in 2017. - Goal: Reduce the percentage of adults in St. Louis County who drink excessively from 20.1%, as reported in 2015, to 19.1% by 2018, percentage of St. Louis County adults excessively drinking remained under goal at 17.8% in 2017. The SSM Health St. Clare Hospital - Fenton 2016 - 2018 CHNA shows that access to care remains a priority for the hospital's service area. Unique barriers to access in the community include the community's perception of available services, inadequate insurance coverage or affordability of services, and lack of knowledge on the importance of regular health assessments. Geographically, physical access to health care and reliance on public transportation remains a barrier to some. The Hospital's 2016 - 2018 CHNA also prioritized health awareness as a multifaceted topic important to community health. Health awareness illustrates the extent to which an individual is aware of what constitutes a healthy lifestyle, the community resources available to increase their knowledge on healthy lifestyle choices and avoid health-risk behaviors that can lead to chronic disease development and/or premature death. In some cases, minorities and those living under financial distress are often segments of the population who are most affected by factors of low health awareness. Progress was made toward the following goals that address access to care and health awareness in 2017: - Goal: Reduce the age-adjusted death rate due to heart disease in St. Louis County from 126.5 deaths per 100,000 individuals in 2015 to the state average of 123 deaths per 100,000 individuals by 2018, death rate due to heart disease remained steady at 114.0 per 100,000 individuals in 2017. - Goal: Decrease the number of preventable hospital stays in St. Louis County from 52 cases per 1,000 Medicare enrollees, as reported in 2015, to 45 cases per 1,000 Medicare enrollees by 2018, preventable hospital stays in St. Louis County dropped to 47.7 per 1,000 Medicare enrollees during the year. - Goal: Improve overall Health Behaviors Ranking of St. Louis County from 7, as reported in 2015, to 6 by 2018, Health Behaviors Ranking of 2 was maintained in 2017. - Goal: Improve overall readmission rate at SSM Health St. Clare Hospital - Fenton from 9.01% in 2015 to 8% by 2018, overall readmission rate remained below goal at 8.8% in 2017. - Goal: Improve heart failure readmission rate at SSM Health St. Clare Hospital - Fenton from 17.01% in 2015 to 13.52% by 2018, the hospital is working to bring the readmission rate back below goal in 2018.
Schedule H, Part V, Section B, Line 11 Facility A, 5	Facility A, 5 - SSM Health St. Joseph Hospital - Lake Saint Louis. SSM Health's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." During 2015, in collaboration with our community partners, SSM Health St. Joseph Hospital - Lake Saint Louis conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: obesity, substance abuse, and access to care. The SSM Health St. Louis Regional Board approved this CHNA on November 23, 2015. SSM Health St. Joseph Hospital - Lake Saint Louis last conducted a CHNA in 2012. The 2015 SSM Health St. Joseph Hospital - Lake Saint Louis community health needs assessment revealed that obesity in Western St. Charles is a top concern. In St. Charles County, 36.7% of adults are overweight, with 25.2% being obese. Obesity has increased in children substantially, and is more prevalent in middle-age adults. The hospital had the following goals in 2017 to address obesity: - Goal: Reduce the percentage of St. Charles County adults who are overweight from 36.7% reported in 2015 to the state average of 34.3% by 2018, data not yet available as of 2017 reporting. - Goal: Reduce the percentage of adults who are overweight or obese in O'Fallon, Lake St. Louis, St. Peters and Wentzville by increasing the number of patients treated annually at SSM Health Weight Management Services from 342 in 2015 to 360 by 2018, the hospital is working to promote the program within the community. The 2015 SSM Health St. Joseph Hospital - Lake Saint Louis community health needs assessment cited substance abuse as a major concern in the area. The Centers for Disease Control and Prevention ranks drug poisoning (overdose) as the number one cause of injury-related death in the U.S., with over 43,000 deaths occurring in 2013. Opioid and heroin use continues to rise, with the death rate reported by 28 states doubling between 2010 and 2012. The following goals were met in 2017 to address substance abuse: - Goal: Reduce the percentage of driving deaths in St. Charles county from 42.9% reported in 2015 to 41.9% by 2018, driving death rate fell to 41.6% in 2017. - Goal: Reduce the percentage of alcohol-related driving accidents in O'Fallon, Lake St. Louis, St. Peters and Wentzville from 38.4% reported in 2015 to 28% by 2018, 4.5% was reported from January to September 2017. The 2015 SSM Health St. Joseph Hospital - Lake Saint Louis community health needs assessment revealed a lack of access to health care for the Western St. Charles County community. 11.6% of adults in St. Charles County do not have health insurance. SSM Health St. Joseph Hospital - Lake St. Louis partners with the Volunteers in Medicine Clinic to increase access to care to low-income St. Charles adults who do not have health insurance. Furthermore, the following goals were pursued in 2017 to address access to care; however, data on progress metrics is not yet available: - Goal: Improve access to care in St. Charles County by increased annual utilization of Volunteers in Medicine - Lake St. Louis clinic from 979 patients in 2015 to 1050 by 2018. - Goal: Increase access to dental care as measured by increased discharge referrals, associated with patients presenting to SSM Health St. Joseph Hospital - Lake St. Louis, to a specified dentist from 0 in 2015 to 25 by 2018.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - SSM Rehabilitation Hospital. SSM Rehabilitation Hospital conducted a focus group that represented the broad interest and diversity of North St. Louis County and St. Louis City. The group included 10 representatives, including individuals from the St. Louis County and St. Louis City Health Departments. Participants identified primary health issues affecting their communities, revisited items not addressed in the previous CHNA, and evaluated SSM Rehabilitation Hospital's ability to push change and improvement in these areas. The results were collected, analyzed, reviewed, and prioritized by senior hospital leadership. Health indicator data was also derived from a variety of other sources such as the Healthy Communities Institute (HCI). Additionally, the hospitals directed special attention to health issues that impact a significant portion of the community and for which disparities exist with minorities or the underserved. The hospitals included voices that represent these groups in their discussions and studies.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - SSM Rehabilitation Hospital. During 2016, SSM Health Rehabilitation Hospital conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: access to care, heart and vascular disease, and cerebrovascular disease. The SSM Health St. Louis Regional Board approved this CHNA on November 28, 2016. SSM Health Rehabilitation Hospital last conducted a CHNA in 2014. SSM Health Rehabilitation Hospitals 2016-2018 Community Health Needs Assessment indicated access to care as a top concern for the community. While each community has unique barriers to care, SSM Health Rehabilitation Hospitals have made the inpatient admissions process as simple as possible for the patients, their families, and referral sources. The goal is to enable patients to begin their rehabilitation as soon as they are medically stable and able to participate in our highly specialized programs of care. The following goals were pursued in 2017 to address access to care: - Goal: Decrease the number of preventable hospital stays in St. Louis County from 52 cases per 1,000 Medicare enrollees, reported in 2015, to 45 cases per 1,000 Medicare enrollees by 2018, data on preventable hospitals stays was constant at 48 per 1,000 Medicare patients in 2017. - Goal: Reduce overall acute care transfers at SSM Health Rehabilitation Hospital from 15.6% in 2015 to 13% by 2018, rate improved to 14.0% in 2017. - Goal: Increase community discharges at SSM Health Rehabilitation Hospital from 64.85% in 2015 to 68% by 2018, community discharges increased to 68.7% in 2017. SSM Health Rehabilitation Hospitals 2016-2018 Community Health Needs Assessment has cited heart and vascular disease as a primary health issue for its surrounding area. Heart disease is affected by numerous lifestyle behaviors including smoking, uncontrolled blood pressure and cholesterol, diabetes, stress and depression, an unhealthy diet and lack of exercise. SSM Health and SSM Health Rehabilitation Hospital offer a wide scope of programs with the goal of creating healthy lifestyle behaviors and reducing the risk of heart disease in the community. The following goals were sought in 2017 to address heart and vascular disease: - Goal: Decrease the age-adjusted death rate due to coronary heart disease in St. Louis County from 126.5 deaths per 100,000 persons, reported in 2015, to 115 deaths per 100,000 person by 2018, the age-adjusted death rate due to coronary heart disease in St. Louis County stayed at 114 per 100,000 in 2017. - Goal: Reduce Cardiac-related acute care transfers from 12.1% in 2015 to 10.0% in 2018. - Goal: Increase Cardiac FIM (Functional Independence Measure) from 25.1 in 2015 to 27.0 by 2018, the hospital has an action plan in place to meet these last two goals. SSM Health Rehabilitation Hospitals 2016-2018 Community Health Needs Assessment has determined cerebrovascular disease is a priority to improvement community health. Stroke is the fifth leading cause of death in the United States and is a major cause of adult disability, with about 800,000 individuals having a stroke each year. The following goals were in place in 2017 to address cerebrovascular disease: - Goal: Reduce the age-adjusted death rate due to cerebrovascular disease in St. Louis County from 36.5 (2012-2014) per 100,000 persons, as reported in 2015, to 35.6 deaths per 100,000 by 2018. - Goal: Reduce stroke acute care transfers from SSM Health Rehabilitation Hospital from 16.0% in 2015 to 13% by 2018, rate dropped to 14.2% in 2017. - Goal: Increase Stroke community discharges from 62.8% in 2015 to 65% by 2018, 65.1% stroke community discharges was achieved in 2017. - Goal: Increase stroke FIM (Functional Independence Measure) from 24.6 in 2015 to 27.0 by 2018, stroke FIM stayed above baseline at 24.9 in 2017.

Field	Value	IRS element (for citing)
Facility	41	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (41 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SSM Health Medical Group
3440 DePaul Lane	Bridgeton	MO	63044	Outpatient clinic
SSM Health Medical Group
1120 Shackelford Road	Florissant	MO	63031	Outpatient clinic
SSM Health Medical Group
12255 DePaul Drive	Bridgeton	MO	63044	Outpatient clinic
SSM Health Medical Group
12266 DePaul Drive	Bridgeton	MO	63044	Outpatient clinic
SSM Health Medical Group
12277 DePaul Drive	Bridgeton	MO	63044	Outpatient clinic
SSM Health Medical Group
12349 DePaul Drive	Bridgeton	MO	63044	Outpatient clinic
SSM Health Medical Group
400 Medical Plaza	Lake St Louis	MO	63367	Outpatient clinic
SSM Health Medical Group
14021 New Halls Ferry	Florissant	MO	63033	Outpatient clinic
SSM Health Urgent Care
2022 Dorsett Village	Maryland Heights	MO	63043	Urgent care
SSM Health Medical Group
2024 Dorsett Village	Maryland Heights	MO	63043	Outpatient clinic
SSM Health Medical Group
1475 Kisker Road	St Charles	MO	63304	Outpatient clinic
SSM Health Medical Group
1011 Bowles Avenue	Fenton	MO	63026	Outpatient clinic
SSM Health Medical Group
1055 Bowles Avenue	Fenton	MO	63026	Outpatient clinic
SSM Health Medical Group
1747 Smizer Station Road	Fenton	MO	63026	Outpatient clinic
SSM Health Medical Group
1296 Jeffco Blvd	Arnold	MO	63010	Outpatient clinic
SSM Health Medical Group
10296 Big Bend Blvd	St Louis	MO	63122	Outpatient clinic
SSM Health Medical Group
330 First Capitol Drive	St Charles	MO	63301	Outpatient clinic
SSM Health Medical Group
400 First Capitol Drive	St Charles	MO	63301	Outpatient clinic
SSM St Joseph Hospital - Wentzville
500 Medical Drive	Wentzville	MO	63385	Outpatient clinic
SSM Health Medical Group
1601 Wentzville Parkway	Wentzville	MO	63385	Outpatient clinic
Harmon Heart and Lung Rehabilitation Center
2 Harbor Bend Court Suite 100	Lake St Louis	MO	63367	Outpatient clinic
SSM Health Medical Group
711 Veterans Memorial Parkway	St Charles	MO	63303	Outpatient clinic
SSM Health Medical Group
5401 Veterans Memorial Parkway	St Peters	MO	63376	Outpatient clinic
SSM Health Medical Group
6994 Mexico Road	St Peters	MO	63376	Outpatient clinic
SSM Health Medical Group
1598 W Meyer Road	Wentzville	MO	63385	Outpatient clinic
SSM Health Medical Group
300 Medical Plaza	Lake St Louis	MO	63367	Outpatient clinic
SSM Health Medical Group
164 Professional Parkway	Troy	MO	63379	Outpatient clinic
SSM Health Medical Group
172 Professional Parkway	Troy	MO	63379	Outpatient clinic
SSM Health Medical Group
1101 Highway K	OFallon	MO	63366	Outpatient clinic
SSM Health Medical Group
722 N Highway 47	Warrenton	MO	63383	Outpatient clinic
SSM Health Medical Group
1603 Wentzville Parkway	Wentzville	MO	63385	Outpatient clinic
SSM Health Medical Group
6400 Clayton Road	St Louis	MO	63117	Outpatient clinic
SSM Health Medical Group
1031 Bellevue	St Louis	MO	63117	Outpatient clinic
SSM Health Medical Group
1027 Bellevue	St Louis	MO	63117	Outpatient clinic
SSM Health Medical Group
1035 Bellevue	St Louis	MO	63117	Outpatient clinic
SSM Health Urgent Care
8820 Manchester Road	Brentwood	MO	63144	Urgent care
SSM Health Medical Group
8670 Big Bend Blvd Suite A	Webster Groves	MO	63119	Outpatient clinic
SSM Health Medical Group
9759 Manchester Road	St Louis	MO	63119	Outpatient clinic
SSM Health Medical Group
3800 Park Avenue	St Louis	MO	63110	Outpatient clinic
SSM Health Medical Group
224 Woods Mill Road	Manchester	MO	63011	Outpatient clinic
SSM Health Medical Group
19 The Boulevard St Louis	Richmond Heights	MO	63117	Outpatient clinic

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3b Eligibility for Discounted Care	Services eligible under the financial assistance policy will be made available to the patient on a sliding fee scale, in accordance with financial need, as determined in reference to Federal Poverty Levels (FPL) in effect at the time of the determination. The basis for the amounts the hospital will charge patients qualifying for financial assistance is as follows: Patients whose family income is above 200% but not more than 400% of the FPL are eligible to receive discounted services at amounts no greater than the amounts generally billed to the hospital's commercially insured or Medicare patients.
Schedule H, Part I, Line 3c Discounted Care Exceptions	Patients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called "presumptive eligibility."
Schedule H, Part I, Line 6b Community Benefit Annual Report	SSM Health Care St. Louis is part of the integrated health system known as SSM Health. In an effort to maximize its community impact, the organization prepares a community benefit report that highlights the concerns of the community, how to address them, and the progress made. This report, however, is kept internally and is used by the organization to deliver the best care to the community.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Financial Assistance Methodology: The cost of financial assistance is calculated in compliance with catholic health association (CHA) guidelines. A cost to charge ratio calculated using the IRS worksheet 2, ratio of patient care cost to charges, was used to compute financial assistance at cost. This is the ratio of total adjusted operating expense to total gross patient revenue. The gross revenue amount is a gross amount - prior to contractual adjustments and bad debts. Both gross revenue and costs are based on charges at date/time of service. Unreimbursed Medicaid Costing Methodology: The cost of unreimbursed Medicaid is calculated in compliance with Catholic Health Association (CHA) guidelines. A cost to charge ratio calculated utilizing IRS Worksheet 2, Ratio of patient care cost to charges, was used to compute unreimbursed Medicaid costs. This is the ratio of total adjusted operating expenses to total gross patient revenue. The gross revenue amount is gross amount - prior to contractual adjustments and bad debts. Both gross revenue and costs are based on charges at date/time of service. Community health improvement services and community benefit operations costing methodology: The costs for these programs were derived from the actual costs incurred in these areas. Subsidized health services costing methodology: The expenditures are determined based on actual invoices or dollar amounts spent and charged to these departments, reduced by any grant revenues restricted for these services, if any. Research costing methodology: Research expenses were taken from the income and expense statements for the research departments, derived from the accounting system. Cash and In-Kind contributions to community groups costing methodology: Contribution expenditures are based on actual invoices that were captured and reported for this program, derived from the accounting system.
Schedule H, Part II Community Building Activities	SSM Health Care St. Louis participates in a wide array of community and civic organizations in the promotion of health care and community building activities. Specific activities reported in Part II of Schedule H include the following: Economic development: Hospital president participates on the North County Incorporated board and executive board; personnel involved in Economic Development Corporation and Partners for Progress Health Committee. Community support: provided first aid services to local Junior high school football players; led bereavement support group; provided bike helmets for over 500 children at annual community festival, and partnered with local school district to host health fairs and provide basic preventative health services. Hospitals also hosted community education and advisory board meetings on various health issues and service lines. The region also collaborated with the St.'s Joachim & Ann Care Services Partnership, which included dietary consultations and a community garden at the food pantry. Coalition building: Hospital staff spearheaded AHA Heart Walk Campaign for SSM Health Care St. Louis, including fundraising and collecting of donations; Parish Nurse program support which includes education, support, and health services; actively partnered with a local Drug-free coalition to curb the use of tobacco, alcohol, and illicit drug use in schools. Community health improvement advocacy: Hospital staff generated community-wide responses from government and private organizations for advocacy on public policy issues, health care, housing, safety, and education to improve the community. Participation on various committees and boards also allowed hospital staff and leadership to voice concerns and spur change in the St. Louis region. Workforce development: Hospital ran a Medical Explorer's Group for the Boy Scouts of America.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Bad debt expense is reported based on the organization's financial statement reporting.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	SSM Health Care St. Louis did not make an estimate of the organization's bad debt attributable to patients eligible under the organization's financial assistance policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	SSM Health Care St. Louis is part of the SSM Health consolidated audit. The footnote that references bad debt expense in the December 31, 2017 consolidated audit is contained on page 17 and 18 of the attached financial statements.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	SSM Health Care St. Louis has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable. SSM Health Care St. Louis embraces its responsibility to serve the communities in which it participates by establishing sound business practices. SSM Health Care St. Louis' billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement. 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after 120 days. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from SSMH prior to engaging in ECAs. SSMH will review the accounts and verify satisfactory completion of reasonable efforts during the notification and application period. A waiver is not considered reasonable efforts. Obtaining a signed waiver that an individual does not wish to apply for FAP assistance or receive FAP application information will not meet the requirement to make "reasonable efforts" to determine whether the individual is FAP-eligible before engaging in ECAs. All outside collection agencies must comply with state and federal laws, comply with the association of credit and collection professional's code of ethics and professional responsibility and comply with SSM Health Care St. Louis' collection and financial assistance policies.
Schedule H, Part V, Section B, Line 16a FAP website	A - SSM Health DePaul Hospital - St. Louis: Line 16a URL: https://www.ssmhealth.com/for-patients/financial-assistance; - SSM REHABILITATION HOSPITAL: Line 16a URL: https://www.ssm-rehab.com/uploadedFiles/ssm/Content/Shared/Referral_Sources/SSM%20FAP%20Policy.pdf;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - SSM Health DePaul Hospital - St. Louis: Line 16b URL: https://www.ssmhealth.com/for-patients/financial-assistance; - SSM REHABILITATION HOSPITAL: Line 16b URL: https://www.ssm-rehab.com/uploadedFiles/ssm/Content/Shared/Referral_Sources/SSM%20FAP%20Policy.pdf;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - SSM Health DePaul Hospital - St. Louis: Line 16c URL: https://www.ssmhealth.com/for-patients/financial-assistance; - SSM REHABILITATION HOSPITAL: Line 16c URL: https://www.ssm-rehab.com/uploadedFiles/ssm/Content/Shared/Referral_Sources/SSM%20FAP%20Policy.pdf;
Schedule H, Part VI, Line 2 Needs assessment	SSM Health (SSMH) participates in Community Benefit according to our vision. Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of SSM's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always our goal. To fulfill this commitment, SSM's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). The CHNA is an assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conducted every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Collect data and evaluate progress; report to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). CBISA is the gathering, collecting, and reporting of all data relating to community benefit activities and programs across the System. A CBISA is conducted every year by each hospital according to the following steps: * Collect and enter data: Send out emails reminding staff to submit activities; enter data into Lyon; and run reports to share with leaders. * Finalize and report on prior year: Enter all prior year data into Lyon by January 31; and communicate final prior year figures to IRS, System Board, and the community. 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	All SSMH facilities will strive to provide exceptional health care services to all persons in need regardless of their ability to pay. All billing and collection policies reflect the mission and values of SSMH, including our special concern for people who are poor and vulnerable. SSMH facilities offer discounts for hospital services to all uninsured persons. Self-pay discounts apply to everyone who does not have health insurance, no matter their ability to pay. SSMH applies its charity care policies fairly and consistently. Each person is treated as an individual with specific needs for assistance without regard to payment. SSMH embraces its responsibility to serve the communities in which we participate by establishing sound business practices. Charity care is provided to patients based on a sliding scale for household incomes up to four times the federal poverty level. Patients whose household income is no more than two times the federal poverty level are eligible for free hospital services. In addition, an exception to the sliding scale is provided for a patient's balance due if the amount is too large to be reasonably paid through an installment plan over four years given the family income and expenses. Each entity providing medical service shall provide information to the public regarding its charity care policies and the qualification requirements for each of its facilities. When standard system notices and communication regarding charity care are available, these must be used. Modifications to the standard may be made to comply with state and local laws, as well as reflect culturally sensitive terminology for the policy. All notices are easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They provide information about: * The patient's responsibility for payment, * The availability of financial assistance from public programs and entity charity care and payment arrangements, * The entity's charity policy and application process, and * Who to contact to get additional information or financial counseling. The following types of notices to the public are provided: * Signs in the emergency department, outpatient and inpatient registration and public waiting areas. * Brochures or fliers provided at time of registration and available in the financial counseling areas. * Notices sent with or on patient bills or communications sent to patients and guarantors related to medical services. * Applications provided to uninsured patients at the time of registration. The application for charity care, together with any instructions, must clearly state the policies regarding charity care, including excluded services, eligibility criteria and documentation requirements. Information about the entity's charity policies is also provided to public agencies.
Schedule H, Part VI, Line 4 Community information	SSM Health Care St Louis defines its primary service area as the St Louis metropolitan statistical area (MSA), which includes the Missouri Counties of St. Louis, St. Charles, Jefferson, Franklin, Lincoln, and Warren and St. Louis City. Because we support a wide range of local markets and constituencies, demographics are also evaluated for our individual hospital service areas, service lines and clinical departments to ensure we focus on specific community health needs. The total population for the MSA was 2,113,512 for the St. Louis MSA. The overall population is projected to remain flat and/or decline with projected increases in the over 65 category offset by declines in other cohorts. The MSA has a slightly higher proportion of female population (51.6%) with the number of females of childbearing age expected to decline over the next 5 years. Distribution of race/ethnicity in the MSA is white/Caucasian: 74%; black/African-American: 19%; Hispanic: 3%; other: 4%. The St Louis MSA has a median household income of $69,077 with St. Louis city having the lowest median household income ($44,675). Of the St Louis MSA population, 31.3% have a Bachelor's degree or higher, with the St Louis County area having a higher percentage (38.3%) than St. Louis City (26.1%). The deficit of literacy skills among St. Louis City's population is almost double that of St Louis County or the state (13%). For St. Louis County, the percentage of the population living below the poverty level is 9.0% compared to the St. Louis City rate of 24.0%. SSM Health Care St. Louis provides the following services at its member hospitals: SSM Health St. Mary's Hospital - St. Louis is conveniently located in Richmond Heights, Missouri. SSM Health St. Mary's Hospital - St. Louis is a contemporary, 525-bed hospital with distinct capabilities in high-risk obstetrical services, fetal surgery, state-of-the-art heart surgery, a chest pain center, advanced stroke care and the latest imaging and outpatient services. Also a teaching hospital, SSM Health St Mary's Hospital - St. Louis is home to an accredited internal medicine residency program and to Saint Louis University School of Medicine's Obstetrics/Gynecology and Family Practice residency programs. SSM Health St. Joseph Hospital - Lake Saint Louis, Missouri, was established in 1986 to meet the expanding health care needs of western St. Charles County. The 126-bed acute care hospital maintains a state-designated Level III Trauma Center, a nationally accredited Chest Pain Center and Primary Stroke Center. The facility offers a broad range of services and programs including SSM Cancer care, SSM Neurosciences Institute, SSM Heart Institute and a dedicated pediatric emergency department. SSM Health St. Joseph Hospital - St. Charles was founded in 1885 and is located in historic downtown St. Charles, Missouri. SSM Health St. Joseph Hospital - St. Charles is a 362-bed acute care hospital that maintains a state- designated Level II Trauma Center, a nationally accredited Chest Pain Center and Primary Stroke Center. The facility offers a broad range of services and programs including SSM Cancer Care, the SSM heart Institute, the Vascular Institute and SSM Center for Sleep Disorders. SSM Health St. Clare Hospital - Fenton, which opened March 30, 2009, is the first full-service hospital built in St Louis County in 35 years. The 180-bed facility is located in southwest St. Louis County. The campus offers the most advanced treatments for conditions affecting the brain and spine; a wide array of heart disease treatment options, including minimally invasive procedures, a comprehensive cancer center; emergency care, convenient outpatient imaging, testing and surgical services; general medical and surgical care; and the Family Birthplace and women's services. SSM Health St. Clare Hospital - Fenton has been recognized nationally for its design and advanced safety, comfort and convenience. SSM Health DePaul Hospital - St. Louis is a 476-bed full-service hospital located in North St. Louis County. Founded in 1828, DePaul was the first hospital west of the Mississippi River and remains the oldest continuously existing business in St. Louis. Today SSM Health DePaul Hospital - St. Louis is a Joint commission-certified Primary Stroke Center, operates the only Level II Trauma Center in its service region and offers the most advanced technology and procedures available including minimally invasive heart, spine, knee, hip and weight loss surgery. SSM Health DePaul Hospital - St. Louis also operates the most comprehensive robotic surgical program in the region.
Schedule H, Part VI, Line 5 Promotion of community health	SSM Health Care St. Louis participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. Focusing on a broad definition of health, SSM Health Care St. Louis' hospitals, clinics and programs provide medical and mental health services, health education, health management, prevention, referrals, insurance enrollment and in-home primary care services and support, while fostering collaboration and incorporating Community Benefit strategies. SSM Health Care St. Louis promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote both community health and healthy communities. SSM Health Care St. Louis also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * 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.
Schedule H, Part VI, Line 6 Affiliated health care system	SSM Health Care St Louis is a 501(c)(3) organization and is a member of the integrated health care system know as SSM Health. SSM Health Care St Louis is one of the largest, full-service health care networks in the St Louis, Missouri area. SSM Health Care St Louis includes the following operating hospitals: SSM Health DePaul Hospital - St. Louis SSM Health St. Joseph Hospital - St. Charles SSM Health St. Joseph Hospital - Wentzville (remote location of St. Joseph Hospital) SSM Health St. Joseph Hospital - Lake Saint Louis SSM Health St. Mary's Hospital - St. Louis SSM Health St. Clare Hospital - Fenton
Schedule H, Part VI, Line 7 State filing of community benefit report	MO

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Archdiocese of St Louis
20 Archbishop May Drive	St Louis	MO	63119	430653244	501(c)(3)	$34,169	Support priest wellness
American Heart Association
7272 Greenville Avenue	Dallas	TX	75231	135613797	501(c)(3)	$75,251	Support operations
Clayton Chamber of Commerce
225 South Meramec Avenue	Clayton	MO	63105	430701392	501(c)(6)	$7,500	Support community involvement	Suite 300
Child Center - Marygrove
2705 Mullanphy Lane	Florissant	MO	63031	431024440	501(c)(3)	$5,000	Support operations
St Charles Community College
4601 Mid Rivers Mall Drive	St Peters	MO	63376	431591959	501(c)(3)	$6,000	Support educational programs
St Charles County Economic Development Council
5988 Mid Rivers Mall Drive	St Peters	MO	63304	431545618	501(c)(3)	$15,000	Support economic development in the community
St Louis Community Foundation
319 North Fourth Street	St Louis	MO	63102	436023126	501(c)(3)	$25,000	Support community involvement	Suite 300
St Louis Regional Chamber & Growth Association
One Metropolitan Square	St Louis	MO	63102	430975222	501(c)(6)	$59,725	Support regional development	Suite 1300
Youth In Need
1815 Boones Lick Road	St Charles	MO	63301	431033862	501(c)(3)	$5,800	Support operations

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
COOLERS/GEL PACKS/SLEEP SACKS FOR OB PATIENTS	3300	$34,857	BOOK	COOLERS/GEL PACKS/SLEEP SACKS FOR OB PATIENTS
PRESCRIPTION ASSISTANCE	731	$26,254	BOOK	PRESCRIPTION ASSISTANCE

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Christopher Howard
Chair, Chief Operations Officer at SSM Health	$0	$873,028	$0	$0	$0	$112,810	$0	$1,006,272	$0	$30,520	$0	$2,022,630	$0	$0
Candace Jennings
President, Regional Pres-Hospital Operations-St Louis	$615,748	$73,634	$0	$0	$11,070	$32,658	$0	$91,141	$0	$32,738	$626,818	$230,171	$0	$0
William Thompson
Pt Yr Vice Chair, Pt Yr President/CEO of SSM Health	$0	$661,230	$0	$0	$0	$619,247	$0	$542,525	$0	$4,564	$0	$1,827,566	$0	$562,455
Laura S Kaiser
Vice Chair, President/CEO of SSM Health	$0	$1,076,161	$0	$200,000	$0	$49,055	$0	$252,000	$0	$16,145	$0	$1,593,361	$0	$0
Daniel Baumann MD
Former Director	$0	$206,738	$0	$0	$0	$8,352	$0	$0	$0	$23,652	$0	$238,742	$0	$0
Donald Binz MD
Former Director	$0	$549,801	$0	$0	$0	$6,678	$0	$0	$0	$24,335	$0	$580,814	$0	$0
Shane Peng MD
Pt Yr Director, Pt Yr President-Physician and Ambulatory at SSM Health	$0	$955,899	$0	$0	$0	$262,963	$0	$170,055	$0	$33,426	$0	$1,422,343	$0	$0
James Bleicher MD
Pt Yr Director, Pt Yr President, St. Louis Physician Organizations	$480,467	$40,092	$0	$0	$11,070	$4,432	$0	$56,040	$0	$26,047	$491,537	$126,611	$0	$0
Paula Friedman
Vice President, Chief Strategy Officer at SSM Health	$0	$706,550	$0	$0	$0	$149,866	$0	$871,392	$0	$19,974	$0	$1,747,782	$0	$0
June Pickett
Secretary, Asst VP Governance & Archives, SSM Health	$0	$229,924	$0	$0	$0	$32,932	$0	$34,295	$0	$16,779	$0	$313,930	$0	$0
Karen Rewerts
System VP Finance	$0	$528,575	$0	$0	$0	$37,385	$0	$262,906	$0	$30,450	$0	$859,316	$0	$0
Kris Zimmer
Treasurer, Chief Financial Officer at SSM Health	$0	$870,069	$0	$0	$0	$103,034	$0	$930,581	$0	$30,595	$0	$1,934,279	$0	$0
Kathleen Becker
Former Key Employee	$0	$510,122	$0	$0	$0	$36,939	$0	$60,219	$0	$28,917	$0	$636,197	$0	$0
Margaret Fowler
Former Key Employee	$0	$386,712	$0	$0	$0	$72,415	$0	$271,916	$0	$24,981	$0	$756,024	$0	$0
Kevin Todd Johnson
Former Key Employee	$116,673	$0	$0	$0	$4,283	$0	$952,128	$0	$5,906	$0	$1,078,990	$0	$0	$0
Lynn Lenker
Former Key Employee	$0	$314,265	$0	$0	$0	$42,173	$0	$165,890	$0	$25,487	$0	$547,815	$0	$3,600
Renee Roach
Former Key Employee	$0	$357,364	$0	$0	$0	$2,388	$0	$33,388	$0	$19,169	$0	$412,309	$0	$0
Lee Bernstein
Regional Exec VP/COO	$478,558	$23,679	$0	$0	$26,017	$42,536	$0	$147,048	$0	$24,949	$504,575	$238,212	$0	$0
Mike Bowers
Hospital President, SSM Health St Joseph Hospital - St Charles	$403,159	$42,225	$0	$0	$10,020	$2,614	$0	$42,083	$0	$24,542	$413,179	$111,464	$0	$0
Ellis Hawkins
Hospital President at SSM Health St Clare Hospital - Fenton	$323,505	$25,822	$0	$0	$13,115	$3,855	$0	$121,994	$0	$22,604	$336,620	$174,275	$0	$0
Sean Hogan
Hospital President, SSM Health DePaul Hospital - St. Louis	$417,825	$37,264	$0	$0	$16,071	$11,695	$0	$165,021	$0	$28,597	$433,896	$242,577	$0	$0
Lisle Wescott
Hospital President, SSM Health St Joseph Hospital - Lake St Louis	$312,385	$18,851	$0	$0	$11,979	$3,831	$0	$86,656	$0	$25,192	$324,364	$134,530	$0	$0
Kathleen Bonser
Reg VP - Nursing/CNO St Louis	$280,248	$0	$0	$0	$17,104	$0	$247,848	$0	$25,674	$0	$570,874	$0	$0	$0
Travis Capers
President at SSM Health St. Mary's Hospital - St. Louis	$418,016	$39,424	$0	$0	$11,070	$1,347	$0	$39,491	$0	$13,687	$429,086	$93,949	$0	$0
Alexander Garza
Regional VP - Medical Affairs	$511,926	$0	$0	$0	$2,052	$0	$45,741	$0	$29,730	$0	$589,449	$0	$0	$0
Rachel Donlan
Interim System VP - Strategic Development	$0	$148,430	$0	$0	$0	$824	$0	$13,514	$0	$6,067	$0	$168,835	$0	$0
William Holcomb
Physician	$443,526	$0	$0	$0	$49,907	$0	$81,539	$0	$22,848	$0	$597,820	$0	$0	$0
Mario Morales
Physician	$1,349,909	$0	$0	$0	$20,130	$0	$88,385	$0	$24,599	$0	$1,483,023	$0	$0	$0
Andrew Wheeler
Physician	$835,461	$0	$0	$0	$19,063	$0	$7,871	$0	$23,653	$0	$886,048	$0	$0	$0
Andrew Karanas
Physician	$498,286	$0	$0	$0	$12,581	$0	$79,260	$0	$26,829	$0	$616,956	$0	$0	$0
Joseph Attewell
Physician	$495,823	$0	$0	$0	$104,254	$0	$4,050	$0	$27,161	$0	$631,288	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	The following individuals listed on Part VII, Section A received a tax indemnification/gross up payment in 2017. These payments were included in their taxable compensation. Joseph Attewell Kathy Bonser Sean Hogan William Holcomb Andrew Karanas Mario Morales Lisle Wescott
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	The organization's top management official, Regional President, is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the SSM Health President.
Schedule J, Part I, Line 4a Severance or change-of-control payment	SSM Health has adopted a severance policy to provide a financial transition in the event of involuntary termination without cause for executive level positions. The amount of the compensation is based on the position held and length of service with SSMH. The following individuals listed in Part VII of the Form 990 received payments under the plan in the current year: Shane Peng, MD $137,423
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 reportable individuals listed on Part VII of Form 990 received distributions from the plan in 2017. 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 distributions from this plan in 2017. All distributions received from the plan in the current year were included in the individual's taxable compensation. June Pickett $18,727 William Thompson $516,375 Lynn Lenker $6,868 During 2017, 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: Christopher Howard $294,342 Candace Jennings $6,038 William Thompson $542,525 Shane Peng, MD $71,504 James Bleicher, MD ($10,996) Paula Friedman $329,953 June Pickett $12,318 Karen Rewerts $216,016 Kris Zimmer $221,291 Lee Bernstein $101,070 Mike Bowers $3,258 Ellis Hawkins $89,552 Sean Hogan $123,831 Lisle Wescott $56,333 Kathleen Bonser $220,640 Rachel Donlan $5,404 William Holcomb $77,489 Mario Morales $87,606 Andrew Wheeler $4,132 Andrew Karanas $76,010 Kathleen Becker $14,868 Margaret Fowler $236,230 Kevin Todd Johnson $951,349 Lynn Lenker $148,148 Renee Roach $2,573

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Doing Business As	SSM Health Care St. Louis currently conducts business under the following registered names. Clayton Health Services Pharmacy West East Central Missouri Area Health Education Center Maryville Pediatrics SSM Breast Care SSM Breast Care - DePaul Health Center SSM Breast Care - St. Clare Health Center SSM Breast Care - St. Joseph Health Center SSM Breast Care - St. Joseph Hospital West SSM Breast Care - St. Joseph Medical Park SSM Breast Care - St. Mary's Health Center SSM Cancer Care SSM Cancer Care - DePaul Health Center SSM Cancer Care - St. Clare Health Center SSM Cancer Care - St. Joseph Health Center SSM Cancer Care - St. Joseph Hospital West SSM Cancer Care - St. Joseph Medical Park SSM Cancer Care - St. Mary's Health Center SSM Care Management Company SSM Center for Sleep Disorders SSM Health Behavioral Health SSM Health DePaul Hospital - Anna House SSM Health DePaul Hospital - St. Louis SSM Health DePaul Hospital Surgery Center SSM Health Foundations St. Louis SSM Health Imaging Services SSM Health Outpatient Center SSM Health Pain Care SSM Health Sleep Services SSM Health St. Clare Hospital - Fenton SSM Health St. Joseph Hospital - Lake Saint Louis SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing SSM Health St. Joseph Hospital - St. Charles SSM Health St. Joseph Hospital - St. Charles Physician Billing SSM Health St. Joseph Hospital - Wentzville SSM Health St. Joseph Hospital - Wentzville Physician Billing SSM Health St. Mary's Hospital - St. Louis SSM Health Treatment & Recovery SSM Health Urgent Care SSM Health Vascular Services SSM Health Weight Management Services SSM Health Women's Health SSM Heart Institute SSM Integrated Distribution & Services Center SSM St. Joseph Health Center SSM St. Joseph Health Center - Wentzville Outpatient Pharmacy SSM St. Joseph Hospital West SSM St. Joseph Medical Park
Form 990, Part III, Line 4a Program Service Accomplishments	Briefly describe the corporation's mission: Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for- profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 19 acute care hospitals, one children's hospital, more than 60 outpatient care sites, a pharmacy benefit company, an insurance company, two long-term care facilities, comprehensive home care and hospice services, a technology company, and two Accountable Care Organizations. The health system employs more than 31,000 people and is affiliated with more than 8,500 physicians making it one of the largest employers in every community it serves. SSMH is sponsored by SSM Health Ministries, an independent 8-member body comprised of three Franciscan Sisters of Mary and five lay people who collectively hold certain reserved powers over SSMH. In the tradition of its founding sisters, SSMH strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. About SSM Health Care St Louis: SSM Health Care St Louis provides health care services at six wholly-owned acute care hospitals: SSM Health DePaul Hospital-St Louis, SSM Health St Mary's Hospital-St Louis, SSM Health St Joseph Hospital - St Charles, SSM Health St Clare Hospital-Fenton, SSM Health St Joseph Hospital-Lake St Louis, and SSM Health St Joseph Hospital - Wentzville. SSM Health Care St Louis is also the sole corporate member of SSM Health Cardinal Glennon Children's Hospital and SSM Health Saint Louis University Hospital. With nearly 12,000 employees in the St Louis region, SSM Health Care St Louis works with 2,600 affiliated medical providers providing care to over 1 million patients via hospital admissions, surgeries, outpatient and emergency visits. The Joint Commission, the leading accreditor of health care organizations in the United States, has named SSM Health Care St. Louis hospitals as being among the nation's top performers in clinical quality measures. The SSM hospitals were recognized for using evidence-based clinical care processes that are closely linked to positive patient outcomes. SSM Health DePaul Hospital-St Louis is a 529-bed, full-service Catholic hospital. Opened in 1828, SSM Health DePaul Hospital-St Louis was the first hospital west of the Mississippi River and remains the oldest continuously existing business in St Louis. Today SSM Health DePaul Hospital-St Louis offers the only Level II Trauma Center in North St. Louis County and serves patients from across the St. Louis metropolitan area, with concentration in the surrounding communities of Bridgeton, Florissant, Hazelwood, St Ann, Olivette, St John, Maryland Heights and Overland in Missouri. SSM Health DePaul Hospital-St Louis offers a wide range of comprehensive medical care including inpatient and outpatient surgeries using state-of-the-art technology and facilities. We offer the most advanced technology and procedures available including minimally invasive heart, spine, knee, hip and weight loss surgery. The Joint Commission has also designated the hospital as a Joint Commission Certified Primary Stroke Center, distinguishing it from other stroke centers, for meeting the highest standards of care established by the Joint Commission to receive and treat the most complex stroke cases, as a Certified Hip Replacement Center, a Certified Knee Replacement Center, and is designated as a Level I Time Critical Diagnosis STEMI Center. It is also a Bariatric Surgery Center of Excellence as endorsed by the American Society for Metabolic and Bariatric Surgery. SSM Health St Mary's Hospital-St Louis is a 492-bed hospital. SSM Health St. Mary's Hospital is a two-time winner of the Premier Award for Quality and a Level I Time Critical Diagnosis STEMI Center. The Hospital has distinctive capabilities in heart attack care, high-risk pregnancies, fetal surgery, a chest pain center, advanced stroke care and the latest imaging and outpatient services. Also a teaching hospital, SSM Health St. Mary's offers an independent, accredited internal medicine residency program and is the primary location for St. Louis University School of Medicine's Department of Obstetrics and Gynecology and its Family Practice residency programs. SSM Health St. Joseph Hospital-St Charles is located in a historic downtown district and has been serving the needs of the community since 1885. SSM St. Joseph Hospital-St Charles has grown structurally and technologically throughout the past 125 years to meet the needs of an ever-growing and changing population. Today, the 333-bed acute care hospital offers highly-specialized care for critically ill patients. The hospital excels in many areas, including open-heart surgery, cardiac catheterizations, trauma and emergency services, sleep medicine, obstetrics, surgical services, oncology, vascular surgery, orthopedics and gastroenterology. The facility is designated as a Level II Trauma Center, A Joint Commission-certified Primary Stroke Center and the only Level I Time Critical Diagnosis STEMI Center in St. Charles County. SSM Health St. Clare Hospital-Fenton, which opened March 30, 2009, as a replacement hospital for SSM Health St. Joseph Hospital of Kirkwood, is the first full-service hospital built in St. Louis County in 35 years. The 180-bed hospital is equipped with the latest in clinical technology and information systems. SSM Health St. Clare Hospital is a Level I Time Critical Diagnosis STEMI Center and serves the area in heart and vascular care, neurosciences, cancer care, maternity and other medical services. SSM Health St. Joseph Hospital - Lake Saint Louis is the leading provider of health care services for western St. Charles, Warren and Lincoln Counties. The 215-bed community hospital is a state-designated Level III trauma center, a Level II Time Critical Diagnosis STEMI Center and specializes in obstetric and pediatric care. It also offers inpatient and outpatient health care services. In 2014 it was named one of the nation's Top 100 Hospitals by Truven Health Analytics and made Becker's Hospital Review's list of 100 Great Community Hospitals. SSM Health St. Joseph Hospital - Wentzville has been providing high quality health care to residents in western St. Charles, Warren, Lincoln, and Montgomery counties since 1987. Operating under the SSM Health St. Joseph Hospital - St. Charles hospital license, the facility currently offers patients in Wentzville and surrounding communities a 24-hour emergency department and ambulatory services, as well as convenient access to outpatient programs, including diagnostic, cardiology, pulmonary and rehab services. Behavioral health inpatient and outpatient care also is an integral part of the services offered at St. Joseph Hospital - Wentzville. The hospital offers inpatient care for youth and adults on the campus who are experiencing acute psychiatric problems. During treatment, each patient is closely monitored under a psychiatrist's care. Their goal is to stabilize young patients, help them understand their problems and develop coping strategies to manage their emotions and behaviors. The facility is licensed for 77 inpatient behavioral health beds.
Form 990, Part III, Line 4b Program Service Accomplishments (Continued)	Describe the organization's approach to providing community benefit: 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 the goal. To fulfill this commitment, SSM's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). First, CHNA is the 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: Kick-off meeting conducted and updated toolkit distributed; and periodic meetings scheduled to evaluate and monitor progress. Data collected and report made 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). Next, CBISA is the gathering, collecting, and reporting of all data relating to community benefit activities and programs across the System. A CBISA is conducted every year by each hospital according to the following steps: - Collect and enter data: Kick-off meeting conducted and updated toolkit distributed; new staff complete Lyon web-based course; and periodic meetings scheduled to evaluate and monitor progress. Emails sent reminding staff to submit activities; occurrences entered into Lyon; and reports are produced and shared with leaders. - Finalize and report on prior year: All prior year data entered into Lyon by January 31; and communicate final prior year figures to IRS, System Board, and the community. 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, all hospital CHNAs were 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. Description of CHNA community benefit programs: For more information on the CHNA community benefit programs provided by SSM Health Care St Louis, please see Schedule H, Part V. Organizational description for tax exemption: SSM Health Care St Louis participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. Focusing on a broad definition of health, SSM Health Care St Louis' hospitals, clinics and programs provide medical and mental health services, health education, health management, prevention, referrals, insurance enrollment and in-home primary care services and support, while fostering collaboration and incorporating Community Benefit strategies. SSM Health Care St Louis promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote both community health and healthy communities. SSM Health Care St Louis also furthers its exempt purpose with the following activities: - Operates an emergency room that is open to all persons regardless of ability to pay, - Has an open medical staff with privileges available to all qualified physicians in the area, - 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. Describe the corporation's financial assistance policies or programs (e.g. charity case, discounting) for low-income persons and how they are communicated to the public: For information on the financial assistance policies provided by SSM Health Care St Louis, please see Schedule H. 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 $ 49,942,024 Unpaid Cost of Medicaid $ 29,207,231 Unpaid Cost of Medicare $ 13,586,426 Unpaid Cost of Other Means-Tested Programs $ 2,487,764 Cost of Bad Debts $ 36,465,698 Total Quantifiable Uncompensated Care $121,689,143
Form 990, Part V, Line 1a Common Paymaster	SSM HEALTH CARE CORPORATION, EIN 46-6029223, SERVES AS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, SSM Health Care St. Louis, EIN 43-1343281. THEREFORE, ALL APPLICABLE 1099 AND 1096 IRS TAX FILINGS ARE REPORTED BY SSM HEALTH CARE CORPORATION.
Form 990, Part VI, Line 6 Classes of members or stockholders	The members of the corporation are SSM Health Care Corporation and Saint Louis University.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	SSM Health Care Corporation (SSMHCC), as one of the members, has the power to appoint additional, successor or replacement members of the Corporation, provided that any appointment or removal requiring the written consent of SLU has received that approval. SSMHCC has the power to appoint and remove the individuals serving on the Board, other than the SLU appointed directors. SLU retains power to appoint and remove individuals serving on the Board who have been appointed by SLU.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	SSM Health Care Corporation has the following powers: (a) to establish and change the mission, philosophy and values of the Corporation, (b) to appoint additional, successor or replacement members of the Corporation, provided, that any member requiring the approval of SLU receives that approval according to the Bylaws, (c) to appoint and remove the individuals serving on the Board, other than the SLU Appointed Directors who will be subject to appointment and removal by SLU; provided, however, that SSMHCC may remove SLU Appointed Directors who violate conflict of interest policy and other policies of the Corporation, as the same may be amended from time to time, upon prior written notice to SLU pursuant to the Members' Agreement, (d) to appoint and remove the President of the Corporation and the chief executive officer of any Company Subsidiary and any Health Care Operating Division, provided, that SSMHCC shall (i) obtain the written consent of SLU before appointing any chief executive officer of SLUH, (ii) consult with the Board and SLU before exercising its reserved power to remove the chief executive officer of SLUH and (iii) consult with SLU in connection with hiring certain senior employees, (e) to approve amendments to the Articles of Incorporation of the Corporation, as provided therein, but subject to SLU's prior written consent, (f) to approve amendments to these Bylaws, but subject to SLU's prior written consent is not required for (i) non-material changes required by applicable law, regulation or any applicable accrediting entity, (g) to approve the merger or consolidation of the Corporation; provided, that (i) SLU's prior written consent shall be required in the event such transaction constitutes a Prohibited Change of Control, and (ii) with respect to a Permitted Change of Control that is a Permitted Affiliate Change of Control, SSMHCC shall provide SLU with written notice not less than thirty days prior to the effective date of such change of control, and with respect to any other Permitted Change of Control, SSMHCC shall provide SLU with written notice within thirty (30) days after the signing of a letter of intent, in both cases, with no separate SLU approval right, (h) to approve the dissolution of the Corporation, but subject to SLU's prior written consent, (i) to approve the formation of a Controlled Subsidiary or a Remotely Controlled Subsidiary, provided that certain deviations from protocol require the approval of SLU, (j) to approve the acquisition or disposition by the Corporation of another legal entity or an interest in another legal entity, provided, that the Corporation shall obtain the written consent of SLU before divesting of, or admitting another Person, (k) to authorize or approve the acquisition or disposition by the Corporation of real property or any interest in real property, provided, that the Corporation shall obtain the written consent of SLU before disposing of any real property or any interest in real property comprising a substantial portion of the operating assets, (l) to (i) establish centralized employee benefit, insurance, investment, financing, corporate responsibility, performance assessment and improvement and other operational and support programs; (ii) require the participation of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary in such programs; and (iii) authorize the opening and closing of bank accounts and investment accounts in the name of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary in connection with such programs; provided that SSMHCC has determined in its reasonable discretion that such actions are not inconsistent with and do not violate the terms of the Members' Agreement, the Master Agreement, the Academic Affiliation Agreement and the Bylaws, (m) to approve the strategic, financial and human resources plan of the Corporation, subject to SLU's rights set forth in the bylaws and approval of the Academic Program Strategic Plan, (n) to appoint the auditor and corporate counsel for the Corporation, (o) subject to SLU's rights, to authorize and approve borrowing money and entering into financial guaranties by the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary, including actions relating to the formation, joining, operation, withdrawal from and termination of a credit group or an obligated group and the granting of security interests in the property of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary; provided, that SSMHCC has determined in its reasonable discretion that such actions are not inconsistent with and do not violate the terms of the Members' Agreement, the Master Agreement, the Academic Affiliation Agreement and the Bylaws, (p) to require the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary to transfer assets, including but not limited to cash, to SSMHCC or to any entity exempt from federal income tax as an organization described in Section 501(c)(3) of the Internal Revenue Code, or the corresponding provision of any future United States Internal Revenue Law, which is controlled by SSMHCC, to the extent necessary to accomplish the mission, goals and objectives of SSMHCC as determined by SSMHCC; provided, that SSMHCC has determined in its reasonable discretion that any such transfer would not reasonably be likely to result in a failure of the Corporation or such subsidiary to fulfill its commitments under the Members' Agreement, the Master Agreement or the Academic Affiliation Agreement, (q) subject to SLU's rights, to approve the transfer of assets by the Corporation to any entity other than SSMHCC (other than transfers made in the ordinary course of operations of the Corporation, which will not require approval by the Members, and (r) to determine the extent to which and the manner in which the powers described in this section which are reserved to SSMHCC with respect to the Corporation are to be included in the governing documents of any Controlled Subsidiary, Remotely Controlled Subsidiary or Non-Controlled Subsidiary and exercised with respect to any Controlled Subsidiary, any Remotely Controlled Subsidiary or any Non- Controlled Subsidiary; provided, that SSMHCC has determined in its reasonable discretion that any such determination or action is not inconsistent with and does not violate the terms of the Members' Agreement or the terms of the Master Agreement or the Academic Affiliation Agreement. Saint Louis University (SLU) has the following powers: (a) The appointment and removal of the SLU Appointed Directors to the Board consistent with such standards for Board service as appear in the Bylaws, the conflict of interest policy and other Board policies of the Corporation, as the same may be amended from time to time, upon prior written notice to SLU pursuant to the Members' Agreement, (b) The right to make recommendations and provide meaningful input regarding the strategic, financial and human resources plans for the Corporation, (c) Approval of any guaranty by SLU of Corporation debt, and (d) In accordance with the Master Agreement, establishing payor contracting parameters for SLUCare.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	The organization does not have any committees with authority to act on behalf of the governing body.
Form 990, Part VI, Line 11b Review of form 990 by governing body	ACCOUNTING/FINANCE PERSONNEL AT EACH SSMH (SSM HEALTH SYSTEM) ENTITY, IN CONJUNCTION WITH SYSTEM FINANCE PERSONNEL, PREPARE INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS INFORMATION IS THEN REVIEWED BY A SUPERVISOR/MANAGER AND SENT TO THE SYSTEM OFFICE, WHERE SSMH PERSONNEL PREPARE THE FORM 990. THE RETURN IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM WHO SIGNS AS PAID PREPARER. THE RETURN IS PROVIDED TO ENTITY MANAGEMENT PERSONNEL FOR FINAL REVIEW PRIOR TO FILING. THE COMPLETE FORM 990 IS PROVIDED ELECTRONICALLY TO ALL BOARD MEMBERS AT THE NEXT REGULARLY SCHEDULED BOARD MEETING.
Form 990, Part VI, Line 12c Conflict of interest policy	Board members are required to complete a conflict of interest disclosure statement annually. The President and Secretary of the Board oversee compliance with this requirement. All Board members with an identified conflict of interest abstain from Board discussions and votes when applicable. Employees with purchasing authority and/or ability to influence purchasing decisions are assigned the conflict of interest disclosure course (COI) which must be completed on line. Periodically through the year, the entity's corporate responsibility contact person (with the help of the entity's learning management system coordinator) sends department managers a list of employees who have not yet completed their COI so they can remind the employees and ensure the employees have time in their schedule to complete the required course. Resolution of any conflicts that are disclosed must be documented and kept on file at the entity. Supervisors verify required course completion prior to year end.
Form 990, Part VI, Line 19 Required documents available to the public	The year-end audited consolidated financial statements and unaudited quarterly consolidated financial statement for the SSM Health are made available to the public on SSM Health's website. The organization's articles of incorporation are available on the Missouri Secretary of State's website. Copies of the Form 990 and the organization's conflict of interest policy are available upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All other revenue - Total Revenue: 1675425, Related or Exempt Function Revenue: 1607792, Unrelated Business Revenue: 67633, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Medical Physician, Practitioner, Psychiatrist, Resident, and Therapist - Total Expense: 68920486, Program Service Expense: 51951315, Management and General Expenses: 16969171, Fundraising Expenses: ; Recruitment, Consulting, Administrative, and PBS Fees - Total Expense: 70487318, Program Service Expense: 64171535, Management and General Expenses: 6315783, Fundraising Expenses: ; Medical Lab, Radiology, Transportation - Total Expense: 26134689, Program Service Expense: 26109481, Management and General Expenses: 25208, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFERS TO AFFILIATES - -XXX-XX-XXXX; BENEFICIAL INTEREST IN FOUNDATION - 50712;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SSM ST JOSEPH SURGERY CENTER
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431822767	HEALTH CARE	MO	$0	$0	SSM HEALTH CARE ST LOUIS
SSM ACO LLC
10101 Woodfield Lane	St Louis	MO	63132	900986282	HEALTH PROMOTION	MO	$5,561	$2,743,131	SSM Health Care St Louis

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (42 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Address Line2USAddress/AddressLine2Txt
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)	Type I	SSM Health Care Corporation	false
SSM Policy Institute
10101 Woodfield Lane	St Louis	MO	63132	431788151	Health Care	MO	501(c)(4)		SSM Health Care Corporation	false
SSM Health Care Portfolio Management Co
10101 Woodfield Lane	St Louis	MO	63132	431825256	Management	MO	501(c)(3)	Type I	SSM Health Care Corporation	false
SSM Cardinal Glennon Children's Hospital
10101 Woodfield Lane	St Louis	MO	63132	430738490	Health Care	MO	501(c)(3)	3	SSM Health Care St Louis	Yes (true)
Cardinal Glennon Children's Foundation
10101 Woodfield Lane	St Louis	MO	63132	431754347	Fundraising	MO	501(c)(3)	7	SSM Cardinal Glennon Hospital	false
SSM DePaul Health Center Foundation
10101 Woodfield Lane	St Louis	MO	63132	431776109	Fundraising	MO	501(c)(3)	7	SSM Health Care St Louis	Yes (true)
SSM St Joseph Foundation
10101 Woodfield Lane	St Louis	MO	63132	431591556	Fundraising	MO	501(c)(3)	7	SSM Health Care St Louis	Yes (true)
SSM St Clare Health Center Foundation
10101 Woodfield Lane	St Louis	MO	63132	431273310	Fundraising	MO	501(c)(3)	7	SSM Health Care St Louis	Yes (true)
SSM Health Foundation - St Louis
10101 Woodfield Lane	St Louis	MO	63132	431552945	Fundraising	MO	501(c)(3)	7	SSM Health Care St Louis	Yes (true)
SSM Health Care of Oklahoma Inc
10101 Woodfield Lane	St Louis	MO	63132	730657693	Health Care	OK	501(c)(3)	3	SSM Health Care Corporation	false
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
Home Health United - VNS Foundation Inc
2802 Walton Commons Lane	Madison	WI	53718	391839309	Fundraising	WI	501(c)(3)	Type I	NA	false
SSM Regional Health Services
10101 Woodfield Lane	St Louis	MO	63132	440579850	Health Care	MO	501(c)(3)	3	SSM Health Care Corporation	false
St Francis Hospital Foundation
10101 Woodfield Lane	St Louis	MO	63132	431099253	Fundraising	MO	501(c)(3)	7	SSM Regional Health Services	false
St Mary's Health Center Jefferson City Missouri Foundation
10101 Woodfield Lane	St Louis	MO	63132	431575307	Fundraising	MO	501(c)(3)	Type I	SSM Regional Health Services	false
Good Samaritan Regional Health Center
10101 Woodfield Lane	St Louis	MO	63132	430653587	Health Care	IL	501(c)(3)	3	SSM Regional Health Services	false
St Mary's Hospital Centralia Illinois
10101 Woodfield Lane	St Louis	MO	63132	370662580	Health Care	IL	501(c)(3)	3	SSM Regional Health Services	false
St Mary's - Good Samaritan Inc
10101 Woodfield Lane	St Louis	MO	63132	364170833	Health Care	IL	501(c)(3)	Type I	SSM Regional Health Services	false
Good Samaritan Regional Health Center Foundation
10101 Woodfield Lane	St Louis	MO	63132	262884795	Fundraising	IL	501(c)(3)	7	St Mary's - Good Samaritan	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	false
St Mary's Hospital Auxiliary
400 N Pleasant	Centralia	IL	62801	237126345	Fundraising	IL	501(c)(3)	10	St Mary's Hospital Foundation	false
SSM Health Businesses
10101 Woodfield Lane	St Louis	MO	63132	431333488	Health Care	MO	501(c)(3)	10	SSM Health Care Corporation	false
Centralia Medical Services Bldg Assoc
10101 Woodfield Lane	St Louis	MO	63132	237408025	MOB	IL	501(c)(3)	Type II	SSM Regional Health Services	false
St Mary's Janesville Foundation Inc
2901 Landmark PL Ste 300	Madison	WI	53713	273439133	Fundraising	WI	501(c)(3)	7	SSM Health Care of Wisconsin	false
Franciscan Sisters of Mary
3221 McKelvey Road	Bridgeton	MO	63044	431012492	Religious Organization	MO	501(c)(3)	1	NA	false	Suite 107
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 and 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
605 North 12th Street	Mt Vernon	IL	62864	237049599	Fundraising	IL	501(c)(3)	Type III-FI	NA	false
St Anthony Shawnee Hospital Inc
1000 N Lee Ave	Oklahoma City	OK	73102	455055149	Health Care	OK	501(c)(3)	3	SSM Health Care of Oklahoma	false
SSM Audrain Health Care Inc
10101 Woodfield Lane	St Louis	MO	63132	431550298	Health Care	MO	501(c)(3)	3	SSM Regional Health Services	false
Audrain Medical Center Foundation Inc
620 E Monroe Street	Mexico	MO	65265	431265060	Fundraising	MO	501(c)(3)	Type I	SSM Audrain Health Care Inc	false
SSM-SLUH Inc
10101 Woodfield Lane	St Louis	MO	63132	474196634	Health Care	MO	501(c)(3)	3	SSM Health Care St Louis	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
SSM ST JOSEPH ENDOSCOPY CENTER LLC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	270046559	SURGERY SERVICES	MO	NA	N/A	$2,153,630	$1,034,634	false	$0	false	0.50
ST CLARE IMAGING SERVICES
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 S 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
SSM HEALTH PHARMACY LLC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	264031708	PHARMACY	MO	NA	N/A	$0	$0		$0		0
DEAN CLINIC & ST MARYS 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
WINDMILL LLP
50 VILLAGE VIEW LANE	CHESTERFIELD	MO	63017	431804651	INVESTMENTS	MO	CARDINAL GLENNON CHILDREN'S FOUNDATION	N/A	$0	$0		$0		0
B&J McBride Office Building LLC
1000 N Lee Ave	Oklahoma City	OK	73102	731533449	MOB	OK	NA	N/A	$0	$0		$0		0
1110 N Classen Boulevard LLC
1110 N Classen Boulevard	Oklahoma City	OK	73106	731158158	MOB	OK	SSM Health Care of Oklahoma	N/A	$0	$0		$0		0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
SSM MANAGED CARE ORGANIZATION LLC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431708511	HEALTH PROMOTION	MO	NA	C Corporation	-$106,864	$73,788	1.00	Yes (true)
FPP INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431465174	HEALTH CARE	MO	NA	C Corporation				false
DIVERSIFIED HEALTH SERVICES CORP
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431369305	MEDICAL EQUIPMENT	MO	NA	C Corporation				false
SSM CARDIO AND THORACIC SERVICES INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	260286559	HEALTH CARE	MO	NA	C Corporation				false
SSM PROPERTIES INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431462486	PROPERTY SERVICES	MO	NA	C Corporation				false
SSM DEPAUL MEDICAL GROUP INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431715106	HEALTH CARE	MO	NA	C Corporation				false
SSM ST CHARLES CLINIC MED GROUP INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	430626408	PHYSICIAN OFFICES	MO	NA	C Corporation				false
HEALTH FIRST PHYS MANAGEMENT
10101 WOODFIELD LANE	ST LOUIS	MO	63132	731534336	MEDICAL SERVICES	OK	NA	C Corporation				false
SSMHCS LIABILITY TRUST II
10101 WOODFIELD LANE	ST LOUIS	MO	63132	816128118	INSURANCE	MO	NA	C Corporation				false
SSM NEUROSCIENCES INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	263413981	HEALTH CARE	MO	NA	C Corporation				false
SSM MEDICAL GROUP INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	431664107	PHYSICIAN OFFICES	MO	NA	C Corporation				false
SSMHC INSURANCE COMPANY
10101 WOODFIELD LANE	ST LOUIS	MO	63132	030310431	INSURANCE	CA	NA	C Corporation				false
SSM ORTHOPEDIC INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	271557033	HEALTH CARE	MO	NA	C Corporation				false
SSM CANCER CARE INC
10101 WOODFIELD LANE	ST LOUIS	MO	63132	271557324	HEALTH CARE	MO	NA	C Corporation				false
PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS
10101 WOODFIELD LANE	ST LOUIS	MO	63132	364161526	HEALTH CARE	IL	NA	C Corporation				false
DEAN HEALTH SYSTEMS INC
1808 WEST BELTLINE HIGHWAY	MADISON	WI	53713	391128616	PHYSICIAN OFFICES	WI	NA	C Corporation				false
DEAN HEALTH INSURANCE INC
PO BOX 56099	MADISON	WI	53705	391830837	INSURANCE	WI	NA	C Corporation				false
DEAN HEALTH PLAN INC
PO BOX 56099	MADISON	WI	53705	391535024	INSURANCE	WI	NA	C Corporation				false
ST MARYS DEAN VENTURES INC
1808 WEST BELTLINE HIGHWAY	MADISON	WI	53713	391628491	PHYSICIAN OFFICES	WI	NA	C Corporation				false
DEAN RETAIL SERVICES INC
1808 WEST BELTLINE HIGHWAY	MADISON	WI	53713	391717636	PROPERTY SERVICES	WI	NA	C Corporation				false
NAVITUS HOLDINGS LLC
1808 WEST BELTLINE HIGHWAY	MADISON	WI	53713	800968174	PHARMACY BENEFITS	WI	NA	C Corporation				false
OZA ONCOLOGY INC
4117 VETERANS MEMORIAL DRIVE	MT VERNON	IL	62804		PHYSICIAN OFFICE	IL	NA	C Corporation				false
SSM HEALTH JANESVILLE CAMPUS CONDOMINIUM ASSOCIATION INC
1808 West Beltline Highway	Madison	WI	53713	832038674	Condo association	WI	NA	C Corporation				false

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

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SSM DePaul Health Center Foundation
C	$156,601	Cash
SSM St Joseph Foundation
C	$346,536	Cash
SSM St Clare Health Center Foundation
C	$134,626	Cash
SSM Health Foundation - St Louis
C	$1,050,428	Cash
SSM DePaul Health Center Foundation
Q	$409,790	Cash
SSM St Joseph Foundation
Q	$412,039	Cash
SSM St Clare Health Center Foundation
Q	$368,005	Cash
SSM Health Foundation - St Louis
Q	$3,672,581	Cash
SSM DePaul Health Center Foundation
S	$566,391	Cash
SSM St Joseph Foundation
S	$758,575	Cash
SSM St Clare Health Center Foundation
S	$502,631	Cash
SSM Health Foundation - St Louis
S	$4,723,009	Cash