SSM CARDINAL GLENNON CHILDRENS HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: SSM CARDINAL GLENNON CHILDRENS HOSPITAL (EIN 43-0738490)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-10
IRS object ID: 201743149349303004
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-10T14:01:40-06:00	ReturnTs
Tax Period End	2016-12-31	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	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	430738490	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	SSMC	BusinessNameControlTxt
Phone	3149893640	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	June L Pickett	PersonNm
Person Title	Secretary	PersonTitleTxt
Signature	2017-11-07	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	2016	TaxYr
Build TS	2018-03-14 21:41:22Z	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	$378,545,369	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.ssmhealth.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1949	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	A not-for-profit 190-bed inpatient & outpatient pediatric medical center in St. Louis, Missouri. We specialize in neonatology, cardiology, pediatric and fetal surgery, and cancer services.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	2264	TotalEmployeeCnt
Total Volunteers	396	TotalVolunteersCnt
Total Gross UBI	$286,589	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$13,216,279	PYContributionsGrantsAmt
CY Contributions Grants	$8,641,725	CYContributionsGrantsAmt
PY Program Service Revenue	$339,014,264	PYProgramServiceRevenueAmt
CY Program Service Revenue	$357,526,458	CYProgramServiceRevenueAmt
PY Investment Income	$2,345,693	PYInvestmentIncomeAmt
CY Investment Income	$4,461,672	CYInvestmentIncomeAmt
PY Other Revenue	$6,042,363	PYOtherRevenueAmt
CY Other Revenue	$7,268,942	CYOtherRevenueAmt
PY Total Revenue	$360,618,599	PYTotalRevenueAmt
CY Total Revenue	$377,898,797	CYTotalRevenueAmt
PY Grants And Similar Paid	$169,884	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$140,608	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$120,240,249	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$130,818,654	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$193,549,495	PYOtherExpensesAmt
CY Other Expenses	$207,047,552	CYOtherExpensesAmt
PY Total Expenses	$313,959,628	PYTotalExpensesAmt
CY Total Expenses	$338,006,814	CYTotalExpensesAmt
PY Revenues Less Expenses	$46,658,971	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$39,891,983	CYRevenuesLessExpensesAmt
Total Assets BOY	$385,541,323	TotalAssetsBOYAmt
Total Assets EOY	$427,750,499	TotalAssetsEOYAmt
Total Liabilities BOY	$78,298,528	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$75,341,550	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$307,242,795	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$352,408,949	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	$308,401,213	ExpenseAmt
Grant	$140,608	GrantAmt
Revenue	$362,323,441	RevenueAmt
Desc	PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.	Desc
Total Program Service Expenses	$308,401,213	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	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2264	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	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	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3149893640	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Paula Friedman
Vice President, Senior VP-Strategic Development SSM Health	1.0	54.0	Yes (X)	Yes (X)	$0	$940,690	$388,689
Christopher Howard
Chair, Pres-Hospital Operations of SSM Health	1.0	55.0	Yes (X)	Yes (X)	$0	$1,129,635	$404,326
Candace Jennings
President, Regional Pres-Hospital Operations-St Louis	10.0	32.0	Yes (X)	Yes (X)	$0	$783,030	$123,883
Sr Mary Jean Ryan FSM
Pt Yr Director & Pt Yr Chairperson	1.0	6.0	Yes (X)	Yes (X)	$0	$0	$0
William Thompson
Vice Chair, President/CEO of SSM Health	1.0	56.0	Yes (X)	Yes (X)	$0	$1,732,435	$242,602
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
Pres-Physician & Ambulatory Services	1.0	47.0	Yes (X)		$0	$918,748	$147,474
James Bleicher MD
Director	1.0	42.0	Yes (X)		$0	$584,456	$107,336
Snehal Gandhi MD
Director	1.0	2.0	Yes (X)		$0	$0	$0
William R Kauffman
Director	1.0	2.0	Yes (X)		$0	$0	$0
Fred P Pestello PhD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Damon Harbison
Pt Yr Interim Hospital President	40.0	1.0		Yes (X)	$229,181	$0	$38,645
Shari Jackson
Pt Yr Asst Secretary	10.0	30.5		Yes (X)	$0	$14,970	$1,162
June Pickett
Secretary	1.0	65.1		Yes (X)	$0	$281,543	$35,564
Karen Rewerts
System VP Finance	10.0	30.0		Yes (X)	$0	$616,613	$277,488
Kris Zimmer
Treasurer, Senior VP-Finance SSM Health	1.0	57.0		Yes (X)	$0	$1,105,377	$344,110
Steven Burghart
Hospital President	40.0	1.0		Yes (X)	$0	$375,440	$59,247
Kathleen Gunter
Pt Yr Asst Secretary	10.0	30.5		Yes (X)	$0	$45,768	$11,403
Bryan Rever
Assistant Secretary	5.0	35.0		Yes (X)	$0	$17,875	$998
Kevin Todd Johnson
Reg VP - Medical Affairs	10.0	31.0			$0	$740,843	$244,276	Yes (X)
Terry Palmisano
VP Nursing - CGCMC	40.0	0			$224,242	$0	$25,420	Yes (X)
Renee Roach
System VP - HR SSMHC Stl	10.0	30.0			$0	$370,447	$53,377	Yes (X)
Susan Staub
Exec. Dir. Maternal & Pediatric Services	40.0	0			$167,839	$0	$144,598	Yes (X)
Pushpa Patel
Physician	40.0	0			$286,782	$0	$167,352		Yes (X)
Pathma Ramesvara
Physician	40.0	0			$284,135	$0	$37,353		Yes (X)
Timothy Reed
Physician	40.0	0			$290,654	$0	$93,432		Yes (X)
Yelena Podorozhansky
Physician	40.0	0			$342,673	$0	$9,835		Yes (X)
Christopher Wangard
Physician, Medical Director	40.0	0			$274,821	$0	$37,646		Yes (X)
Lynn Lenker
Former Key Employee		40.0			$0	$356,415	$190,704			Yes (X)
Kathleen Becker
Former Officer		40.0			$0	$603,035	$84,580			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,100,327	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,617,320	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,271,500	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	133	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	PHYSICIAN SERVICES	$53,107,815
ALBERICI CONSTRUCTORS INC
8800 PAGE AVE	ST LOUIS	MO	63114	CONSTRUCTION SERVICES	$4,594,718
Laboratory Corporation of America
PO Box 12140	Burlington	NC	27216	Laboratory services	$916,721
Mid-America Transplant Services
1110 Highland Plaza Drive East	St Louis	MO	63110	Transplant services	$692,350
Viracor Eurofins
1001 NW Technology Drive	Lees Summit	MO	64086	Laboratory services	$447,459

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	37	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$6,405,385	RelatedOrganizationsAmt
Government Grants	$1,514,943	GovernmentGrantsAmt
All Other Contributions	$721,397	AllOtherContributionsAmt
Noncash Contributions	$179,237	NoncashContributionsAmt
Total Contributions	$8,641,725	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621110	$348,144,654	$348,144,654
OTHER REVENUE	621110	$8,756,264	$8,743,445	$12,819
LABORATORY REVENUE	621500	$625,540	$377,390	$248,150

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	$357,526,458	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,262,851	TotalRevenueColumnAmt
Exclusion	$2,262,851	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$441,205	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$426,610	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$14,595	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,595	TotalRevenueColumnAmt
Exclusion	$14,595	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,418,783	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$219,962	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,418,783	SecuritiesAmt
Other	-$219,962	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,198,821	TotalRevenueColumnAmt
Exclusion	$2,198,821	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PHARMACY REVENUE	446110	$5,057,952	$5,057,952
CAFETERIA	722210	$2,033,041		$25,620	$2,007,421
PARKING FACILITY	900099	$72,098			$72,098

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$91,256	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$91,256	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,254,347	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$377,898,797	TotalRevenueColumnAmt
Related Or Exempt Func Income	$362,323,441	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$286,589	UnrelatedBusinessRevenueAmt
Exclusion	$6,647,042	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	$53,864	TotalAmt
Program Services	$53,864	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$86,744	TotalAmt
Program Services	$86,744	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,112,334	TotalAmt
Program Services	$433,662	ProgramServicesAmt
Management And General	$678,672	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$101,692,964	TotalAmt
Program Services	$93,598,743	ProgramServicesAmt
Management And General	$8,094,221	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,227,255	TotalAmt
Program Services	$5,274,792	ProgramServicesAmt
Management And General	$1,952,463	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,174,321	TotalAmt
Program Services	$13,174,321	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,611,780	TotalAmt
Program Services	$6,966,986	ProgramServicesAmt
Management And General	$644,794	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$14,688,879	TotalAmt
Program Services	$1,828,879	ProgramServicesAmt
Management And General	$12,860,000	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$93,280	TotalAmt
Management And General	$93,280	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$190,114	TotalAmt
Management And General	$190,114	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$73,496,907	TotalAmt
Program Services	$72,616,527	ProgramServicesAmt
Management And General	$880,380	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$156,103	TotalAmt
Management And General	$156,103	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,518,763	TotalAmt
Program Services	$8,762,765	ProgramServicesAmt
Management And General	$755,998	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$14,803,626	TotalAmt
Program Services	$14,797,692	ProgramServicesAmt
Management And General	$5,934	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,174,384	TotalAmt
Program Services	$5,781,947	ProgramServicesAmt
Management And General	$392,437	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$347,191	TotalAmt
Program Services	$138,417	ProgramServicesAmt
Management And General	$208,774	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$170,240	TotalAmt
Program Services	$144,518	ProgramServicesAmt
Management And General	$25,722	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$825,595	TotalAmt
Program Services	$825,595	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,750,573	TotalAmt
Program Services	$12,498,973	ProgramServicesAmt
Management And General	$251,600	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,169,742	TotalAmt
Management And General	$2,169,742	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$45,060,472	$45,060,472
MEDICARE PROVIDER TAX	$26,274,431	$26,274,431
BOND RELATED FEES	$222,041		$222,041
LICENSES & TAXES	$161,414	$138,088	$23,326

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$56,203	TotalAmt
Program Services	-$56,203	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$338,006,814	TotalAmt
Program Services	$308,401,213	ProgramServicesAmt
Management And General	$29,605,601	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,145,072	BOYAmt
EOY	$82,299,520	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$56,176,320	BOYAmt
EOY	$82,216,525	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$10,663,138	BOYAmt
EOY	$8,008,893	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,591,766	BOYAmt
EOY	$4,902,994	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,044,295	BOYAmt
EOY	$2,832,596	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$331,706,230	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$185,716,211	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$148,408,461	BOYAmt
EOY	$145,990,019	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$8,552,255	BOYAmt
EOY	$9,194,101	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$146,343,623	BOYAmt
EOY	$80,665,117	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,616,393	BOYAmt
EOY	$11,640,734	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$385,541,323	BOYAmt
EOY	$427,750,499	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$29,140,707	BOYAmt
EOY	$28,523,334	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,532,073	BOYAmt
EOY	$900,805	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$47,625,748	BOYAmt
EOY	$45,917,411	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$78,298,528	BOYAmt
EOY	$75,341,550	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$277,541,775	BOYAmt
EOY	$316,806,613	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,808,812	BOYAmt
EOY	$16,515,315	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,892,208	BOYAmt
EOY	$19,087,021	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$307,242,795	BOYAmt
EOY	$352,408,949	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$385,541,323	BOYAmt
EOY	$427,750,499	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$39,891,983	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$548,062	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$4,726,109	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$39,161	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$39,161	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 state and national hospital associations and portions of these dues were allocated to lobbying activities.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	The organization paid dues to various state and national hospital associations and portions of these dues were allocated to lobbying activities.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$27,206,992	BeginningYearBalanceAmt
Contributions	$5,692	ContributionsAmt
Investment Earnings Or Losses	$3,092,788	InvestmentEarningsOrLossesAmt
Other Expenditures	$775,282	OtherExpendituresAmt
End Year Balance	$29,530,190	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,155,350	BeginningYearBalanceAmt
Contributions	$749,317	ContributionsAmt
Investment Earnings Or Losses	$2,464,561	InvestmentEarningsOrLossesAmt
Other Expenditures	$162,236	OtherExpendituresAmt
End Year Balance	$27,206,992	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.25	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.59	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.16	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,590,658	OtherCostOrOtherBasisAmt
Book Value	$7,590,658	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$237,326,172	OtherCostOrOtherBasisAmt
Depreciation	$127,820,999	DepreciationAmt
Book Value	$109,505,173	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$675,659	OtherCostOrOtherBasisAmt
Depreciation	$110,197	DepreciationAmt
Book Value	$565,462	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,585,975	OtherCostOrOtherBasisAmt
Depreciation	$57,785,015	DepreciationAmt
Book Value	$24,800,960	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,527,766	OtherCostOrOtherBasisAmt
Book Value	$3,527,766	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$145,990,019	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
BENEFICIAL INTEREST IN FOUNDATION	$80,665,117	F
SSM COMPREHENSIVE INVESTMENT PROGRAM

Field	Value	IRS element (for citing)
Total Book Value Securities	$80,665,117	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
RABBI TRUST LIABILITY	$293,343
PENSION FUNDING LIABILITY	$15,062,590
ASSET RETIREMENT OBLIGATION	$2,395,367
ALLOCATED TAX EXEMPT BOND LIAB (ISSUED THROUGH SSM HEALTH CARE)
DUE TO AFFILIATES	$26,017,905
OTHER LIABILITIES	$1,505,000
THIRD PARTY PAYOR
THIRD PARTY PATIENT LOANS	$643,206

Field	Value	IRS element (for citing)
Total Liability	$45,917,411	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

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

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

SSM CARDINAL GLENNON CHILDREN'S HOSPITAL'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2016 OR 2015.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	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	$1,827,322	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,827,322	NetCommunityBenefitExpnsAmt
Total Expense	0.0054	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$178,910,561	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$203,344,087	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,994,876	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,959,302	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,035,574	NetCommunityBenefitExpnsAmt
Total Expense	0.0031	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	$184,732,759	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$206,303,389	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,862,896	NetCommunityBenefitExpnsAmt
Total Expense	0.0085	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,919,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,750,417	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$169,151	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,671,866	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,021,125	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,650,741	NetCommunityBenefitExpnsAmt
Total Expense	0.1558	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,571,443	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$354,173	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,217,270	NetCommunityBenefitExpnsAmt
Total Expense	0.0332	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$218,126	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$213,126	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$83,381,003	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,130,715	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$64,250,288	NetCommunityBenefitExpnsAmt
Total Expense	0.1901	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$268,113,762	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$225,434,104	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,113,184	NetCommunityBenefitExpnsAmt
Total Expense	0.1986	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,707	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,707	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$12,707	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,707	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$2,504,000	BadDebtExpenseAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	WWW.CARDINALGLENNON.COM	WebsiteAddressTxt
State License	429-17	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	A	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://www.cardinalglennon.com/	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	https://www.ssmhealth.com/about/community-health-needs-assessments	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.ssmhealth.com/about/community-health-needs-assessments	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.ssmhealth.com/for-patients/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.ssmhealth.com/for-patients/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.ssmhealth.com/for-patients/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - SSM Health Cardinal Glennon Children's Hospital. SSM Health Cardinal Glennon Children's Hospital sought input from community stakeholders who represent the broad interest and diversity of St. Louis including representatives from both the St. Louis and the Missouri Health Departments. Participants were invited to a collaborative focus group, which was conducted in cooperation with BJC Healthcare St. Louis Children's Hospital. A list of leaders who participated in the focus group are listed on page 21 of the CHNA. Additional data was derived from a variety of sources including the Healthy Communities Institute (HCI).
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - SSM Health Cardinal Glennon Children's Hospital. PRIMARY DATA COLLECTION FOR THE CHNA INCLUDED USE OF COMMUNITY STAKEHOLDER FOCUS GROUP FEEDBACK. BECAUSE CARDINAL GLENNON AND BJC HEALTH SYSTEM'S ST. LOUIS CHILDREN'S HOSPITAL (SLCH) BOTH FOCUS ON ADDRESSING THE HEALTH NEEDS OF PEDIATRIC PATIENTS IN ST. LOUIS CITY, THE TWO HOSPITALS COMBINED EFFORTS TO SEEK INPUT FROM COMMUNITY STAKEHOLDERS. SSM Health Cardinal Glennon Children's Hospital WILL CONTINUE TO PARTNER WITH OTHER SSM HEALTH ST. LOUIS HOSPITALS TO ADDRESS IDENTIFIED NEEDS AS WELL.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - SSM Health Cardinal Glennon Children's Hospital. SSM Health's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." In 2015, in collaboration with our community partners, SSM Health Cardinal Glennon Children's 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, maternal/infant health, and asthma. The SSM Health St. Louis Regional Board approved this CHNA on November 23, 2015. SSM Health Cardinal Glennon Children's Hospital last conducted a CHNA in 2012. The 2015 SSM Health Cardinal Glennon Children's Hospital Community Health Needs Assessment revealed access to care as a concern for the hospital's service area, citing that while provider access is adequate, the public perception indicates otherwise. 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 achieved in 2016 to address access to care: Goal: Improve overall Health Behaviors Ranking of St. Louis County from 7 in 2015 to 6 in 2018, the Hospital was ranked 2 in 2016. Goal: Improve Missouri Kids Count composite county rank in St. Louis from 115 in 2014 to 110 by 2018, rank remained unchanged at 115 in 2016. The 2015 SSM Health Cardinal Glennon Children's Hospital Community Health Needs Assessment indicated maternal and infant health as a top priority for the community. Infant death rates in parts of St. Louis are worse than some third- world countries and are affected by factors such as housing conditions, jobs, access to care, stress, education, and access to healthy foods. In partnership with FLOURISH St. Louis, a community initiative addressing the challenges of infant mortality and birth defects, SSM Health Cardinal Glennon Children's Hospital is working to develop new paths to improve this health concern and better the health of women and babies in the area. The following goals were set in 2016 to address maternal and infant health: Goal: Decrease infant mortality in St. Louis City from 10.9 deaths per 1,000 live births to 10.5 deaths per 1,000 live births by 2018, current measures are 10.9 deaths per 1,000 live births. Goal: Reduce the percentage of preterm births in St. Louis County from 12.4% in 2015 to the Healthy People 2020 goal of 11.4% in 2018, rate was 10.5% in 2016. The 2015 SSM Health Cardinal Glennon Children's Hospital Community Health Needs Assessment revealed that Missouri has a significantly higher rate of children who have pediatric asthma as compared to the United States, 63% of children in Missouri versus 60.3% nationwide. SSM Health Cardinal Glennon Children's Hospital partners with emergency service providers and pediatricians to reduce the number of asthma episodes that require emergency room or inpatient hospitalization intervention. The following goals were achieved in 2016 to address asthma concerns: Goal: Decrease rate of pediatric asthma inpatient hospitalizations in St. Louis from 57.6 hospitalizations per 10,000 population, as reported in 2012, to 54.6 hospitalizations per 10,000 persons by 2018, in 2016 there were 50.5 hospitalizations per 10,000 persons. Goal: Decrease St. Louis rate of pediatric asthma emergency room visits from 336.7 visits per 10,000 persons in 2012 to 330 visits per 10,000 persons by 2018. Goal: Decrease number of asthma related 30-day readmissions at SSM Health Cardinal Glennon Children's Hospital from 3.1% in 2015 to 2.8% by 2018, readmissions rate in 2016 decreased to 2.4%. The Cardinal Glennon Administrative team reviewed the final list of prioritized pediatric health needs for St Louis City, considering magnitude of impact on the community and alignment with the SSM Mission and Strategic Plan. The amount of resources required to address the issue and the hospital's ability to impact each issue were also considered. The Cardinal Glennon team's final prioritization process and needs not addressed by Cardinal Glennon can be found on pages 20 and 22 of the 2015 CHNA.

Field	Value	IRS element (for citing)
Facility	24	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (42 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Business Name Line2BusinessName/BusinessNameLine2Txt	Address Line2USAddress/AddressLine2Txt
CARDINAL GLENNON ER - SSM HEALTH ST JOSEPH HOSPITAL - LAKE SAINT LOUIS
100 MEDICAL PLAZA	LAKE SAINT LOUIS	MO	63367	PEDIATRIC EMERGENCY ROOM
CARDINAL GLENNON SPECIALTY SERVICES - HW KOENIG BUILDING
400 MEDICAL PLAZA SUITE 220	LAKE SAINT LOUIS	MO	63367	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - SSM HEALTH ST JOSEPH HOSPITAL - LAKE SAINT LO
300 MEDICAL PLAZA SUITE 310	LAKE SAINT LOUIS	MO	63367	OUTPATIENT PEDIATRIC CLINIC	UIS
CARDINAL GLENNON ER - SSM HEALTH ST JOSEPH HOSPITAL - ST CHARLES
300 FIRST CAPITOL DRIVE	ST CHARLES	MO	63301	PEDIATRIC EMERGENCY ROOM
CARDINAL GLENNON NEONATOLOGY SERVICES - SSM HEALTH ST JOSEPH HOSPITAL - ST
300 FIRST CAPITOL DRIVE	ST CHARLES	MO	63301	NEONATOLOGY SERVICES	CHARLES
CARDINAL GLENNON PEDIATRICS - WALL STREET
1551 WALL STREET SUITE 400	ST CHARLES	MO	63303	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - TROY
132 PROFESSIONAL PARKWAY	TROY	MO	63379	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - WARRENTON
511 ASHLAND SUITE A	WARRENTON	MO	63383	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - SSM HEALTH DEPAUL HOSPITAL - ST LOUIS
12255 DEPAUL DRIVE SUITE 300	BRIDGETON	MO	63044	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON ER - SSM HEALTH DEPAUL HOSPITAL - ST LOUIS
12303 DEPAUL DRIVE	BRIDGETON	MO	63044	PEDIATRIC EMERGENCY ROOM
CARDINAL GLENNON SPECIALTY SERVICES - ST LUKE'S HOSPITAL
224 S WOODS MILL ROAD SOUTH MEDICAL	CHESTERFIELD	MO	63017	OUTPATIENT PEDIATRIC CLINIC		BUILDING SUITE 640
CARDINAL GLENNON NEONATOLOGY SERVICES - SSM HEALTH ST MARY'S HOSPITAL - ST
6420 CLAYTON ROAD	RICHMOND HEIGHTS	MO	63117	NEONATOLOGY SERVICES	LOUIS
CARDINAL GLENNON PEDIATRICS - SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS
1035 BELLEVUE AVENUE SUITE 400	RICHMOND HEIGHTS	MO	63117	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON ER - SSM HEALTH ST CLARE HOSPITAL - FENTON
1015 BOWLES AVENUE	FENTON	MO	63026	PEDIATRIC EMERGENCY ROOM
CARDINAL GLENNON NEONATOLOGY SERVICES - SSM HEALTH ST CLARE HOSPITAL - FENT
1015 BOWLES AVENUE	FENTON	MO	63026	NEONATOLOGY SERVICES	ON
CARDINAL GLENNON PEDIATRICS - SSM HEALTH ST CLARE HOSPITAL - FENTON
1011 BOWLES AVENUE SUITE 300	FENTON	MO	63026	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - CROSS KEYS
14021 NEW HALLS FERRY RD	FLORISSANT	MO	63033	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - FLORISSANT
4129 N HIGHWAY 67	FLORISSANT	MO	63034	OUTPATIENT PEDIATRIC CLINIC
SSM HEALTH CARDINAL GLENNON PEDIATRICS
9553 LACKLAND ROAD	OVERLAND	MO	63114	OUTPATIENT PEDIATRIC CLINIC
SSM HEALTH CARDINAL GLENNON PEDIATRICS - SPECIALTY SERVICES
10296 BIG BEND ROAD SUITE 110	ST LOUIS	MO	63122	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON NEONATOLOGY SERVICES - ST ANTHONY'S MEDICAL CENTER
MEDICAL PLAZA BUILDING 10010 KENNER	ST LOUIS	MO	63128	NEONATOLOGY SERVICES		LY ROAD
CARDINAL GLENNON PEDIATRICS - RONNIE'S PLAZA
30 RONNIES PLAZA	ST LOUIS	MO	63126	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - SUNSET HILLS
3555 SUNSET OFFICE DRIVE SUITE 101	SUNSET HILLS	MO	63127	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - ARNOLD
1296 JEFFCO BLVD	ARNOLD	MO	63010	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPIT
1465 S GRAND BLVD	ST LOUIS	MO	63104	OUTPATIENT PEDIATRIC CLINIC	AL DANIS PEDIATRICS
CARDINAL GLENNON PEDIATRICS - SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPIT
4100 FOREST PARK AVE SUITE A	ST LOUIS	MO	63108	OUTPATIENT PEDIATRIC CLINIC	AL DANIS PEDIATRICS MIDTOWN
CARDINAL GLENNON DEVELOPMENT SERVICES - KNIGHTS OF COLUMBUS DEVELOPMENTAL C
3800 PARK AVE	ST LOUIS	MO	63110	DEVELOPMENTAL SERVICES	ENTER PSYCHOLOGY PSYCHIATRY
CARDINAL GLENNON SPECIALTY SERVICES - ST MARY'S PEDIATRICS
3348 AMERICAN DRIVE	JEFFERSON CITY	MO	65109	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON SPECIALTY SERVICES - SOUTHEAST MISSOURI HOSPITAL
1723 BROADWAY SUITE 210	CAPE GIRARDEAU	MO	63703	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON ER - HSHS ST ELIZABETH'S HOSPITAL
211 SOUTH THIRD STREET	BELLEVILLE	IL	62220	PEDIATRIC EMERGENCY ROOM
CARDINAL GLENNON NEONATOLOGY SERVICES - MEMORIAL HOSPITAL
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	NEONATOLOGY SERVICES
CARDINAL GLENNON SPECIALTY SERVICES - BELLEVILLE
2900 FRANK SCOTT PARKWAY WEST COPPE	BELLEVILLE	IL	62223	OUTPATIENT PEDIATRIC CLINIC		R BEND SOUTH SUITE 950
CARDINAL GLENNON SPECIALTY SERVICES - SOUTHERN ILLINOIS HEALTHCARE FOUNDATI
6000 BOND AVENUE	CENTREVILLE	IL	62207	OUTPATIENT PEDIATRIC CLINIC	ON
CARDINAL GLENNON ER - ANDERSON HOSPITAL
6800 STATE ROUTE 162	MARYVILLE	IL	62062	PEDIATRIC EMERGENCY ROOM
CARDINAL GLENNON SPECIALTY SERVICES - ANDERSON HOSPITAL
2133 VADALABENE DRIVE	MARYVILLE	IL	62062	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - MARYVILLE
6828 STATE ROUTE 162	MARYVILLE	IL	62062	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON SPECIALTY SERVICES - MOUNT VERNON
1708 JEFFERSON AVENUE SUITE 240	MOUNT VERNON	IL	62864	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON SPECIALTY SERVICES - JEFFERSON COUNTY HEALTH DEPARTMENT
1 DOCTORS PARK ROAD SUITE F	MOUNT VERNON	IL	62864	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON SPECIALTY SERVICES - JACKSON COUNTY HEALTH DEPARTMENT
415 HEALTH DEPARTMENT ROAD	MURPHYSBORO	IL	62966	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON PEDIATRICS - O'FALLON
604 PIERCE BOULEVARD	OFALLON	IL	62269	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON SPECIALTY SERVICES - FAYETTE COUNTY HEALTH DEPARTMENT
416 WEST EDWARDS STREET	VANDALIA	IL	62471	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON SPECIALTY SERVICES - JACKSON COUNTY HEALTH DEPARTMENT
101 EAST EDWARDSVILLE ROAD	WOOD RIVER	IL	62095	OUTPATIENT PEDIATRIC CLINIC

Supplemental Information Detail SupplementalInformationDetail (21 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 6a Community Benefit Annual Report	SSM Health Cardinal Glennon Children's Hospital is part of the integrated health system known as SSM Health. In an effort to strengthen its community benefit program, SSM Health plans for, measures, and communicates community benefits provided to persons who are low income, the unpaid costs of public programs and other activities that respond to community need, improve community health, or reach out to low income and vulnerable persons.
Schedule H, Part VI, Line 5 Promotion of Community Health (Continued)	E. PACTS for Life/PALS PACTS for Life (Pediatric Advanced Cardiorespiratory and Trauma Support for life) was created by Cardinal Glennon emergency physician Anthony Scalzo, M.D., and provides training for caregivers in emergency life support. PALS (Pediatric Advanced Life Support) is the result of a collaboration between the American Heart Association (AHA) and the American Academy of Pediatrics. The courses are designed to provide caregivers with skills which will enable them to both recognize the potential for respiratory and/or cardiac arrest in infants and children, and intervene in an appropriate manner by providing a systemic approach to these patients. The courses are offered to physicians, nurses, paramedics, respiratory therapists, and other health care providers, and carry continuing education credits. F. School Partnership Program Children who are hospitalized or who live with chronic illness benefit from keeping much of their regular routines from their lives outside the hospital. Attending school, working on school academics and completing schoolwork are a healthy part of a child's life routine. Participating in school activities can give children hope of returning to normal events. To meet this very important need for normalcy and development, Cardinal Glennon has its very own school, the Shining Star School. Shining Star School helps promote general academic development, social and emotional development as well as the overall well-being of individual children and groups in the hospital setting. G. Community Education Cardinal Glennon provides education classes at various events throughout the area including: School Tools for Nurses through the School Nurse Partnership and coordinating activities/presentations to outside special groups regarding child life, including coordinating service project volunteers; Rally Squirrel Safety Treehouse in the Dan Dierdorf Emergency Center which provides tools to educate parents in the areas of environmental safety, home safety, disaster preparedness, and sports safety to decrease the risk of pediatric injury; H. Dorothy and Larry Dallas Heart Center The Dorothy and Larry Dallas Heart Center provides comprehensive heart care for children with heart defects and other problems. Through advanced diagnosed imaging, heart experts can determine if a baby has a heart problem while still in the womb and work with the family to determine the best course of action to treat the issue. The Dallas Heart Center has the most advanced diagnostic equipment to learn more about a child's heart through less invasive procedures. Digital echo technology and a cardiac ultrasound machine with advanced 3D imaging allow doctors to see 3D heart imaging in real time to make the most accurate diagnosis. I. St. Louis Fetal Care Institute The St. Louis Fetal Care Institute serves families across the country by offering the most comprehensive fetal care program in middle America. A multi-disciplinary team of pediatric and high-risk maternity experts are able to treat life-threatening conditions in babies before birth. Although many fetal conditions require only careful monitoring and preparation for the baby's birth, many conditions that threaten a baby's quality of life can be surgically corrected while the baby is still in the womb. In conditions such as Twin-Twin Transfusion Syndrome, congenital diaphragmatic hernia, amniotic band syndrome and large tumors, physicians have been able to provide life-changing intervention to allow a baby to be born healthy. Babies with Myelomeningocele, the most severe form of spina bifida, have been significantly helped through surgical intervention. The internationally known MOMS Trial determined that babies who have their spina bifida addressed through surgery in the womb have better function and do better as they age than babies who did not receive surgical intervention. The St. Louis Fetal Care Institute has become one of the only centers in the country to provide this type of life-changing surgery and has helped a number of children whose live would have otherwise been significantly different. J. Knights of Columbus Developmental Center The Knights of Columbus Developmental Center is an 11,000-square-foot space dedicated to helping children with autism and other neurodevelopmental disorders. The facility enables experts to see children with special needs in a health care setting developed just for them, outside the distractions of the hospital. The Knights of Columbus Developmental Center at SSM Cardinal Glennon helps children with autism and neurodevelopmental disorders to reach their highest potential through comprehensive evaluation, care, family guidance, education and innovative research. Children with autism spectrum disorders receive innovative care to treat their complex diagnoses. The multi-disciplinary provides applied behavioral analysis, speech and language therapy, occupational therapy and physical therapy as needed to children with autism. A PEERS Social Skill program teaches children with autism how to interact with others, which is often challenging for children on the autism spectrum disorder. The Knights of Columbus Developmental Center also has a dog therapy program. Trained therapy dog Higgins, a Goldendoodle, works with children to make them more comfortable with medical treatment and provide distraction during therapy sessions. K. Pediatric Research Institute The Pediatric Research Institute operates to improve and assure the health and safety of children in the greater St Louis area, promoting research that advances the knowledge and management of childhood health and diseases, a number of nationally known physician-scientists conduct research that can be applied to the clinical setting to improve disease prevention and treatment. Ongoing programs include the study of pediatric infections and vaccine development, cardiac transplant rejection, liver disease, metabolic diseases and neonatal lung inflammation. L. Community Outreach Cardinal Glennon supports numerous outreach programs throughout the community including: Holding a free public flu clinic; sponsoring a Milk Depot or "drop Off" for mothers in the community that want to donate breast milk to the Milk Bank; serving as Board members for organizations promoting community health related endeavors; providing funding for medication for children when families are unable to pay; donating medication to mission trips; providing meal tickets and cab fare to family members of patients; providing conference room space to organizations aligned with our mission/values. M. The Dan Dierdorf Emergency and Trauma Center The Dan Dierdorf Emergency and Trauma Center at SSM Health Cardinal Glennon Children's Hospital was the first Level I Pediatric Trauma Center in Missouri. We are designated a Level I Pediatric Trauma Center by both Missouri and Illinois. This means we can handle any type of emergency at any time of day. N. The GlennonKids Safety Program The GlennonKids Safety Program at SSM Cardinal Glennon Children's Medical Center and is dedicated to the prevention of childhood injuries. It also serves as the lead agency for Safe Kids St. Louis, a local chapter of the national Safe Kids program. Since its inception more than 20 years ago, the GlennonKids Safety Program has contributed to a 45 % national reduction in child fatalities resulting from unintentional injuries, saving more than 38,000 lives. We partner with Kohl's 4 Kids and West County EMS and Fire Protection District to provide free car seat inspections/ installations by certified child passenger safety (CPS) technicians and distribution of properly fitted bicycle helmets. Nearly 41,000 children visit our Emergency and Trauma Center each year for all types of injuries and illness, ranging from sprains and asthma attacks to serious trauma injuries that may occur during car accidents. Cardinal Glennon is nationally recognized and has been ranked among the country's top pediatric heart and neonatology programs in U.S. News and World Report's 2016 -17 Best Children's Hospitals rankings. Cardinal Glennon ranked 35th in gastroenterology and gastrointestinal surgery, 34th in cardiology and heart surgery and 49th in pediatric cancer. Cardinal Glennon is expanding the Dana Brown Neonatal Intensive Care Unit from 60 to 65 all-private rooms, Cardinal Glennon has a Level IV NICU, the highest designation available.
Schedule H, Part VI, Line 5 Promotion of Community Health (Continued)	Glennon also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * 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 * Cardinal Glennon is committed to providing a high quality patient care delivery system which includes the reinvestment of surplus funds
Schedule H, Part I, Line 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 Cardinal Glennon Children's Hospital participates in a wide array of community and civic organizations in the promotion of health care and community building activities. Specific activities reported in Part II of Schedule H include the following: Community Building - community health improvement advocacy: hospital staff met with government and private organizations and advocated public policy issues related to healthcare, housing, safety, and education.
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 Cardinal Glennon Children's Hospital 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 Cardinal Glennon Children's Hospital is part of the SSM Health consolidated audit. The footnote that references bad debt expense in the December 31, 2016 consolidated audit is contained on page 18 and 19 of the attached financial statements.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The cost of providing care to Medicare eligible patients is greater than the reimbursement that Medicare allows on the Medicare cost report. SSM Health Cardinal Glennon Children's Hospital considers this shortfall as a component of community benefit because the reimbursement is not negotiated and services are provided regardless of the patients' ability to pay. The Medicare costs reported on Line 6 were obtained from the 2016 Medicare cost report.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	SSM Health Cardinal Glennon Children's Hospital has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable, The Health Center embraces its responsibility to serve the communities in which it participates by establishing sound business practices. The Health Center's billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after the expiration of the notification period. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from SSM prior to engaging in ECAs. SSM will review the accounts and verify satisfactory completion of reasonable efforts during the notification and application period. A waiver is not considered reasonable efforts. Obtaining a signed waiver that an individual does not wish to apply for FAP assistance or receive FAP application information will not meet the requirement to make "reasonable efforts" to determine whether the individual is FAP-eligible before engaging in ECAs. All outside collection agencies must comply with state and federal laws, comply with the association of credit and collection professional's code of ethics and professional responsibility and comply with SSM Health Cardinal Glennon Children's Hospital's collection and financial assistance policies.
Schedule H, Part V, Section B, Line 16a FAP website	A - SSM Health Cardinal Glennon Children's Hospital: Line 16a URL: https://www.ssmhealth.com/for-patients/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - SSM Health Cardinal Glennon Children's Hospital: Line 16b URL: https://www.ssmhealth.com/for-patients/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - SSM Health Cardinal Glennon Children's Hospital: Line 16c URL: https://www.ssmhealth.com/for-patients/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	SSM Health (SSMH) participates in Community Benefit according to our vision, Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of SSMH's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always our goal. To fulfill this commitment, 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 conduced 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, 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.
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 Cardinal Glennon Children's Hospital defines its primary service area as the St Louis metropolitan statistical area, a 12 county region with an approximate population of 2.1 million in 2011. This includes 505,000 children (ages 0 - 17) who represent 24% of the region's population. The pediatric population is projected to grow in St Louis City, with the biggest growth projected to occur in the 3-9 age group. The number of children 0- 2 is projected to remain flat. More than 80% of the pediatric population in the St Louis Metropolitan Statistical Area (MSA) are between the ages of 3 - 17. The median household income in the St Louis MSA is $69,077 and approximately 31% of the population has a bachelor's degree or greater. Distribution of race/ethnicity in our community is white/Caucasian: 74%; black/African-American: 19%; Hispanic: 3%; other: 4%. Demographics vary considerably across the St Louis Metropolitan area. Because we support a wide range of local markets and constituencies, demographics are also evaluated for our individual service lines and clinical departments to ensure we focus on specific community health needs. Additional information concerning the Cardinal Glennon service area can be found on pages 14 through 18 of the 2015 CHNA.
Schedule H, Part VI, Line 5 Promotion of community health	SSM Health Cardinal Glennon Children's Hospital provides many community building activities to promote the health of the communities we serve in response to community identified needs. Listed are the primary initiatives that we support and their impact: A. Perinatal Outreach Services The outreach program provides services to perinatal care providers in Missouri and Illinois. The Program is designed to improve outcomes for mothers and babies through educational programs and quality improvement activities. Programs for both physicians and nurses include topic presentations, case reviews, fetal monitoring classes, neonatal resuscitation program training, and the stable program, a course in the stabilization of sick or preterm newborns. The department also participates in community organizations and boards as requested. A primary goal of the department is to assist health care professionals in developing quality care for mothers and babies for improved outcomes. B. Safe Kids Cardinal Glennon is the Missouri sponsor of Safe Kids Worldwide, an organization dedicated to injury prevention for children birth to 14 years of age. The parent organization, Safe Kids Worldwide, coordinates over 400 coalitions in the United States and many others in various countries. The primary focus of our local coalition is child passenger safety, because automobile crashes are the number one cause of child deaths in Missouri and the United States. The local program comprises 55 agencies in St Louis City, St Louis County, Washington, Jefferson and Franklin Counties to provide car seat checks to caregivers and also to provide low-cost car seats for low-income families. Beyond car seats, Safe Kids provides educational services as requested by communities for home safety, poison prevention, pedestrian safety, bicycle safety, and safe sleep. The program conducts needs assessments to determine areas for the greatest impact for services, and also works closely with a number of pediatric hospitals, pediatric hospital departments and multiple agencies to provide greater service to those in need. C. Footprints Footprints is a program of advocacy and support for children living with serious, complex illness. The mission of the program is to have our children, and their families live well along their journey. We define "living well" for each family by facilitating care coordination for the child; by working with the family members to develop a family centered plan of care for the child that focuses on the comfort of the child and respects the values and beliefs of the family; and by collaborating with the health care team to ensure the family goals are honored and supported by all those involved in caring for the child. Footprints children are followed by our staff while in the hospital, during outpatient clinic visits, and at home by means of numerous phone calls and at times, home visits. For some children, "living well" means being at home with family and friends, pets, etc., living as close to "normal" a life as possible. For others, it means having access to costly medical equipment or nursing services that are not covered by insurance, but are necessary to keep the child comfortable and "well" as possible. And lastly, for others, it means relief of some of the extraordinary expenses related to caring long term for a child with serious illness. Funds raised for the program allow us to address some of these needs. Footprints staff provide education to the local, regional, and national community around best practice pediatric palliative care. A three year, on going partnership with others in children's hospital programs in the state has allowed us the opportunity to establish access to pediatric palliative care, similar to the footprints model, in the Missouri cities of Springfield, Cape Girardeau, Columbia and other sites in St Louis. D. St. Louis Cord Blood Bank The St. Louis Cord Blood Bank, one of the largest public cord blood banks in the world, received licensure approval from the U.S. Food and Drug Administration to manufacture and distribute cord blood-derived stem cell products in 2013. It was the first bank in the region and the fourth bank in the world to earn this high distinction. The Blood Bank works with more than 450 doctors at 37 hospitals throughout Eastern Missouri, Southern Illinois, and the Kansas City, Missouri region. The St. Louis Cord Blood Bank collects, processes and stores umbilical cord blood, providing a life-saving use for a birth by-product that would otherwise be discarded as medical waste. Cord blood can be used to treat more than 80 diseases, including leukemia and sickle-cell anemia. Since 1995, over 180,000 families have donated their child's cord blood in the hope of saving the life of another unrelated person. The bank has distributed nearly 2,700 of these cord blood units for transplant worldwide saving more than 1,900 lives since it began. More than 31,000 units remain in storage at the St. Louis Cord Blood Bank, available to treat patients with an appropriate match or provide the material to better understand the biology of stem cells and expand applications for more treatments.
Schedule H, Part VI, Line 6 Affiliated health care system	SSM Cardinal Glennon Hospital is a 501(c)(3) non profit corporation operating a children's hospital which serves a 12 county area surrounding the St Louis metropolitan area. It is the only children's hospital in the integrated health care system known as SSM Health.
Schedule H, Part VI, Line 7 State filing of community benefit report	MO

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
World Pediatric Project
7201 Glen Forest Drive	Suite 304	Richmond	VA	23226	541953305	501(c)(3)	$10,000	Support operations
JDRF International
26 Broadway	15th Floor	New York	NY	10004	231907729	501(c)(3)	$5,000	Support operations
Crohn's & Colitis Foundation of America Inc
733 Third Avenue		New York	NY	10017	136193105	501(c)(3)	$5,000	Support operations
The Children's Heart Foundation
PO Box 244		Lincolnshire	IL	60069	364077528	501(c)(3)	$5,000	Support operations
Ronald McDonald House Charities of Metro St Louis
3450 Park Avenue		St Louis	MO	63104	431160478	501(c)(3)	$5,000	Support operations

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Bus Passes/taxi/parking passes for patients' family members	$10,566
Provide meals to patients' family members		$1,017	Book	Provide meals to patients' family members
Car Seats/Booster Seats/Bike Helmets		$75,161	Book	Car Seats/Booster Seats/Bike Helmets

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule I, Part III, Column (b)	MEAL TICKETS AND BUS PASSES/TAXI SERVICES/PARKING PASSES ARE GIVEN TO FAMILY MEMBERS WHOSE LOVED ONES ARE HOSPITALIZED AND WHO DO NOT HAVE THE FUNDS TO MEET THESE NEEDS. THE ORGANIZATION DOES NOT KEEP TRACK OF THE NUMBER OF INDIVIDUALS SERVED UNDER THESE GRANTS.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	GRANTS ARE PROVIDED ONLY TO REGIONAL AND NATIONAL 501(C)(3) ORGANIZATIONS. THESE ORGANIZATIONS ARE EXPECTED TO MAINTAIN ADEQUATE CONTROLS REGARDING THE USE OF GRANT FUNDS FOR THEIR INTENDED PURPOSE.

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	false	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 (22 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
Paula Friedman
Vice President, Senior VP-Strategic Development SSM Health	$0	$705,000	$0	$114,197	$0	$121,493	$0	$368,230	$0	$20,459	$0	$1,329,379	$0	$114,197
Christopher Howard
Chair, Pres-Hospital Operations of SSM Health	$0	$872,531	$0	$157,325	$0	$99,779	$0	$369,852	$0	$34,474	$0	$1,533,961	$0	$157,325
Candace Jennings
President, Regional Pres-Hospital Operations-St Louis	$0	$647,409	$0	$93,067	$0	$42,554	$0	$89,471	$0	$34,412	$0	$906,913	$0	$93,067
William Thompson
Vice Chair, President/CEO of SSM Health	$0	$1,010,243	$0	$384,123	$0	$338,069	$0	$221,076	$0	$21,526	$0	$1,975,037	$0	$460,221
Shane Peng MD
Pres-Physician & Ambulatory Services	$0	$767,253	$0	$117,512	$0	$33,983	$0	$108,924	$0	$38,550	$0	$1,066,222	$0	$117,512
James Bleicher MD
Director	$0	$518,963	$0	$52,250	$0	$13,243	$0	$77,956	$0	$29,380	$0	$691,792	$0	$52,250
Kathleen Becker
Former Officer	$0	$491,170	$0	$54,189	$0	$57,676	$0	$52,598	$0	$31,982	$0	$687,615	$0	$54,189
Damon Harbison
Pt Yr Interim Hospital President	$212,613	$0	$15,480	$0	$1,088	$0	$15,069	$0	$23,576	$0	$267,826	$0	$15,480	$0
June Pickett
Secretary	$0	$229,851	$0	$19,802	$0	$31,890	$0	$10,977	$0	$24,587	$0	$317,107	$0	$19,802
Karen Rewerts
System VP Finance	$0	$528,974	$0	$31,548	$0	$56,091	$0	$243,979	$0	$33,509	$0	$894,101	$0	$31,548
Kris Zimmer
Treasurer, Senior VP-Finance SSM Health	$0	$870,802	$0	$148,371	$0	$86,204	$0	$310,798	$0	$33,312	$0	$1,449,487	$0	$148,371
Steven Burghart
Hospital President	$0	$289,122	$0	$0	$0	$86,318	$0	$37,305	$0	$21,942	$0	$434,687	$0	$0
Lynn Lenker
Former Key Employee	$0	$313,331	$0	$0	$0	$43,084	$0	$160,547	$0	$30,157	$0	$547,119	$0	$0
Kevin Todd Johnson
Reg VP - Medical Affairs	$0	$624,492	$0	$42,889	$0	$73,462	$0	$204,995	$0	$39,281	$0	$985,119	$0	$42,889
Terry Palmisano
VP Nursing - CGCMC	$203,943	$0	$14,682	$0	$5,617	$0	$11,257	$0	$14,163	$0	$249,662	$0	$14,682	$0
Renee Roach
System VP - HR SSMHC Stl	$0	$328,435	$0	$21,125	$0	$20,887	$0	$31,643	$0	$21,734	$0	$423,824	$0	$21,125
Susan Staub
Exec. Dir. Maternal & Pediatric Services	$166,752	$0	$0	$0	$1,087	$0	$121,042	$0	$23,556	$0	$312,437	$0	$0	$0
Pushpa Patel
Physician	$282,694	$0	$0	$0	$4,088	$0	$154,947	$0	$12,405	$0	$454,134	$0	$0	$0
Pathma Ramesvara
Physician	$261,290	$0	$0	$0	$22,845	$0	$10,696	$0	$26,657	$0	$321,488	$0	$0	$0
Timothy Reed
Physician	$286,620	$0	$0	$0	$4,034	$0	$71,977	$0	$21,455	$0	$384,086	$0	$0	$0
Yelena Podorozhansky
Physician	$324,194	$0	$0	$0	$18,479	$0	$5,620	$0	$4,215	$0	$352,508	$0	$0	$0
Christopher Wangard
Physician, Medical Director	$272,003	$0	$0	$0	$2,818	$0	$9,975	$0	$27,671	$0	$312,467	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	The following individual listed on Schedule J Part II received a tax indemnification/Gross up payment in 2016. The payment was included in their taxable compensation. Timothy Reed
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	The organization's top management official (hospital president) is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.
Schedule J, Part I, Line 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 SSMH's 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 this plan during 2016. 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 2016. All distributions received from the plan in the current year were included in the individuals' taxable compensation. William Thompson $294,066 June Pickett $18,727 Lynn Lenker $7,037 During 2016, 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: Paula Friedman $276,866 Christopher Howard $257,997 Candace Jennings $4,443 William Thompson $3,108 Shane Peng, MD $9,669 James Bleicher $10,996 Damon Harbison $4,762 Shari Jackson ($1,884) June Pickett ($11,000) Karen Rewerts $197,164 Kris Zimmer $201,583 Kathleen Becker $7,322 Lynn Lenker $142,880 Kevin Todd Johnson $149,971 Terry Palmisano $2,916 Renee Roach $1,970 Susan Staub $111,416 Pushpa Patel $150,972 Pathma Ramesvara ($14,671) Timothy Reed $71,977 Yelena Podorozhansky $1,645 Christopher Wangard $6,113

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$26,742	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$26,825	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	12	ContributionCnt
Noncash Contributions Rpt F990	$3,397	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Toys	152	$87,597	Market value
Yes (X)	Airline passes	1	$20,000	Market value
Yes (X)	Medical equipment	1	$1,801	Cost
Yes (X)	Miscellaneous	25	$12,875	Market value

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanation of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	The amount in column (b) represents the number of contributions for all types of items.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Description of Program Service	Briefly describe the organization'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 Cardinal Glennon Children's Hospital: SSM Health Cardinal Glennon Children's Hospital is a 190-bed inpatient and outpatient pediatric medical center that treats children from Missouri, Illinois and around the world. Cardinal Glennon also operates 43 Close to Home locations in the bi-state area bringing the excellence of the medical center's care to your community. Cardinal Glennon specializes in neonatology, cardiology, pediatric and fetal surgery, and cancer services. Cardinal Glennon Children's Hospital is home to the Bob Costas Cancer Center, where world-class expertise allows us to offer the latest in innovative and investigational treatments for children. The day hospital at the Bob Costas Cancer Center provides a comfortable setting for children to receive ongoing treatments, such as chemotherapy, transfusions, or other drug treatment, without being admitted to the hospital. Children can also undergo minor procedures under sedation in the comfort of the day hospital. Comforts such as the day hospital allow children to spend more time at home or school, continuing their daily routine and keeping life as normal as possible. US News and World Report has consistently ranked Cardinal Glennon as a top children's hospital nationally. In 2017, the hospital was ranked in three specialties: cardiology and heart surgery (#45), gastroenterology and GI surgery (#44), and nephrology (#48). Describe the organization's approach to providing community benefit: SSM Health (SSM) 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 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 SSM'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. Describe the CHNA community benefit programs: For more information on CHNA community benefit programs provided by Cardinal Glennon Children's Hospital, please see Schedule H, Part V. Organization description for tax exemption: In addition to its CHNA community benefit activities, SSM Cardinal Glennon Children's Hospital provides many community building activities to promote the health of the communities we serve in response to community identified needs. Listed are the primary initiatives that we support and their impact: A. Perinatal Outreach Services B. Safe Kids C. Footprints D. St. Louis Cord Blood Bank E. PACTS for Life/PALS F. School Partnership Program G. Community Education H. Dorothy and Larry Dallas Heart Center I. St. Louis Fetal Care Institute J. Knights of Columbus Developmental Center K. Pediatric Research Institute L. Community Outreach M. Nationally Recognized N. Dan Dierdoff Emergency and Trauma Center O. GlennonKids Safety Program Additional information on these programs can be found on Schedule H, Part VI. Glennon also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * 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 * Cardinal Glennon is committed to providing a high quality patient care delivery system which includes the reinvestment of surplus funds. Describe the corporation's financial assistance policies or programs (i.e. Charity Care, discounting) for low-income persons and how they are communicated to the public: For information on the financial assistance polices provided by Cardinal Glennon Children's Hospital, 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 $ 1,827,322 Cost of Other Means-Tested Government Programs $ 1,035,574 Cost of Bad Debts $ 1,082,608 Total Quantifiable Uncompensated Care $ 3,945,504
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 Cardinal Glennon Children's Hospital, EIN 43-0738490. 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 SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE ST LOUIS. SSM HEALTH CARE ST LOUIS IS A NONPROFIT 501(C)(3) ORGANIZATION THAT OPERATES SIX HOSPITALS. BOTH SSM CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH CARE ST LOUIS ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS provided that the appointment of one or more additional members shall required the written consent of Saint Louis University (SLU) and TO APPOINT AND REMOVE THE individuals serving on the Board, other than the SLU Designated Directors who will be subject to designation for appointment and removal by SLU.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	The member has the following powers: a. to establish and change the mission, philosophy and values of the Corporation, except to the extent limited by Approval of any material agreement between the Corporation and SSM Health Care Corporation (SSMHCC) or any other subsidiary of SSMHCC which is at variance from the agreed standards for intercompany contracting set forth in the Master Agreement; b. to appoint additional, successor or replacement members of the Corporation, provided, that the appointment of one or more additional members of the Corporation shall require the written consent of ST Louis University (SLU); c. to appoint and remove the individuals serving on the Board, other than the SLU Designated Directors who will be subject to designation for appointment and removal by SLU and as to whom SSMSL shall follow and implement the written instructions of SLU regarding the appointment and removal of the SLU Designated Directors; provided, however, that SSMHCC may remove SLU Designated Directors who violate the conflict of interest policy and other Board policies of the Corporation, as the same may be amended from time to time, upon prior written notice to SLU; d. to appoint and remove the President of the Corporation and the chief executive officer of any Health Care Operating Division, provided, that SSMHCC shall consult with SLU in connection with hiring certain senior employees e. to approve amendments to the Articles of Incorporation of the Corporation, but subject to SLU's prior written consent; f. to approve amendments to these Bylaws, but subject to SLU's prior written consent except that SLU's prior written consent is not required for non-material changes required by applicable law, regulation or any applicable accrediting entity g. to approve the dissolution of the Corporation, but subject to SLU's prior written consent; h. to approve the formation of a Controlled Subsidiary or a Remotely Controlled Subsidiary, provided, that any deviation from the requirements set forth elsewhere in the Bylaws shall require the prior written consent of SLU; I. to approve the acquisition or disposition by the Corporation of another legal entity or an interest in another legal entity, provided, that the Corporation shall obtain the written consent of SLU before divesting of, or admitting another Person as a member of, the Corporation or any other Section 3.1 Subsidiary (as defined in the SSMSL Bylaws) whose assets include the assets comprising CGCH; j. to authorize or approve the acquisition or disposition by the Corporation of real property or any interest in real property, provided, that the Corporation shall obtain the written consent of SLU before disposing of any real property or any interest in real property comprising a substantial portion of the operating assets of CGCH, except that the written consent of SLU shall not be required for the granting of utility easements or access easements which do not materially adversely affect the use of such real property; k. to (i) establish centralized employee benefit, insurance, investment, financing, corporate responsibility, performance assessment and improvement and other operational and support programs; (ii) require the participation of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary in such programs; and (iii) authorize the opening and closing of bank accounts and investment accounts in the name of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary in connection with such programs; provided that SSMHCC has determined in its reasonable discretion that such actions are not inconsistent with and do not violate the terms of the Members' Agreement, the Master Agreement, the Academic Affiliation Agreement, the SSMSL Bylaws and these Bylaws; l. to approve the strategic, financial and human resources plan of the Corporation, subject to SLU's rights set forth in the Bylaws; m. to appoint the auditor and corporate counsel for the Corporation; n. subject to SLU's rights in the bylaws, to authorize and approve borrowing money and entering into financial guaranties by the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary, including actions relating to the formation, joining, operation, withdrawal from and termination of a credit group or an obligated group and the granting of security interests in the property of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary; provided, that SSMHCC has determined in its reasonable discretion that such actions are not inconsistent with and do not violate the terms of the Members' Agreement, the Master Agreement, the Academic Affiliation Agreement, the SSMSL Bylaws and these Bylaws; o. to require the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary to transfer assets, including but not limited to cash, to the SSMHCC or to any entity exempt from federal income tax as an organization described in Section 501(c)(3) of the Internal Revenue Code, or the corresponding provision of any future United States Internal Revenue Law, which is controlled by SSMHCC, to the extent necessary to accomplish the mission, goals and objectives of SSMHCC as determined by SSMHCC; provided, that SSMHCC has determined in its reasonable discretion that any such transfer would not reasonably be likely to result in a failure of the Corporation or such subsidiary to fulfill its commitments under the Members' Agreement, the Master Agreement or the Academic Affiliation Agreement; p. subject to SLU's rights in the bylaws, to approve the transfer of assets by the Corporation to any entity other than SSMHCC (other than transfers made in the ordinary course of operations of the Corporation, which will not require approval by the Member); and q. to determine the extent to which and the manner in which the powers described in this section which are reserved to SSMHCC with respect to the Corporation are to be included in the governing documents of any Controlled Subsidiary, Remotely Controlled Subsidiary or Non-Controlled Subsidiary and exercised with respect to any Controlled Subsidiary, any Remotely Controlled Subsidiary or any Non-Controlled Subsidiary; provided, that SSMHCC has determined in its reasonable discretion that any such determination or action is not inconsistent with and does not violate the terms of the Members' Agreement or the terms of the Master Agreement or the Academic Affiliation Agreement.
Form 990, Part VI, Line 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 MUCH BE COMPLETED ON LINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END.
Form 990, Part VI, Line 19 Required documents available to the public	THE YEAR-END AUDITED CONSOLIDATED FINANCE STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Net sales of inventory - Total Revenue: 91256, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 91256;
Form 990, Part IX, Line 5 Compensation of current officers, directors, trustees, and key employees	THE AMOUNTS REPORTED ON FORM 990, PART IX, LINE 5, COLUMNS (B) AND (C), INCLUDE COMPENSATION FOR INDIVIDUALS THAT ARE PAID BY A RELATED ORGANIZATION BUT WHOSE COMPENSATION AMOUNTS ARE ALLOCATED TO THE FILING ORGANIZATION. FOR THIS REASON, THE AMOUNTS ON PART IX, LINE 5, WILL NOT TIE BACK TO FORM 990, PART VII, SECTION A, COLUMN (D).
Form 990, Part IX, Line 11g Other Fees	Medical Physician, Practitioner, Psychiatrist, Resident, and Therapist - Total Expense: 48319530, Program Service Expense: 48306642, Management and General Expenses: 12888, Fundraising Expenses: ; Recruitment, Consulting, Administrative, and PBS Fees - Total Expense: 18236180, Program Service Expense: 17368688, Management and General Expenses: 867492, Fundraising Expenses: ; Medical Lab, Radiology, Transportation - Total Expense: 6941197, Program Service Expense: 6941197, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Change in Beneficial Interest in Foundation - 10966868; Transfers to Affiliates - -6240759;
FORM 990, PART I, DOING BUSINESS AS:	SSM CARDINAL GLENNON CHILDREN'S HOSPITAL CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: 1. SSM Cardinal Glennon Pediatric Sleep & Research Center 2. SSM Health Cardinal Glennon Children's Hospital 3. Glennon Care Professional Services 4. Missouri Poison Center 5. SSM Glennon Care for Kids 6. SSM Glennon Care Pediatrics 7. St. Louis Cord Bank 8. SSM Health Cardinal Glennon Pediatrics 9. SSM Cardinal Glennon Children's Medical Center 10. Cardinal Glennon Children's Hospital ACC Pharmacy 11. Cardinal Glennon Children's Hospital Ambulatory Care Center Pharmacy 12. SSM Cardinal Glennon Children's Hospital Ambulatory Care Center Pharmacy

Schedule R IRS990ScheduleR

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
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
Cardinal Glennon Children's Foundation
10101 Woodfield Lane	St Louis	MO	63132	431754347	Fundraising	MO	501(c)(3)	7	SSM Cardinal Glennon Children's Hospital	Yes (true)
SSM DePaul Health Center Foundation
10101 Woodfield Lane	St Louis	MO	63132	431776109	Fundraising	MO	501(c)(3)	7	SSM Health Care St Louis	false
SSM St Joseph Foundation
10101 Woodfield Lane	St Louis	MO	63132	431591556	Fundraising	MO	501(c)(3)	7	SSM Health Care St Louis	false
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	false
SSM St Mary's Health Center Foundation
10101 Woodfield Lane	St Louis	MO	63132	431552945	Fundraising	MO	501(c)(3)	7	SSM Health Care St Louis	false
SSM Health Care of Oklahoma Inc
10101 Woodfield Lane	St Louis	MO	63132	730657693	Health Care	OK	501(c)(3)	3	SSM Health Care Corporation	false
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 Marys Health Center Jefferson City Missouri Foundation
10101 Woodfield Lane	St Louis	MO	63132	431575307	Fundraising	MO	501(c)(3)	Type II	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 Marys - Good Samaritan Inc
10101 Woodfield Lane	St Louis	MO	63132	364170833	Health Care	IL	501(c)(3)	Type I	SSM Regional Health Services	false
Good Samaritan Regional Health Center Foundation
10101 Woodfield Lane	St Louis	MO	63132	262884795	Fundraising	IL	501(c)(3)	7	St Mary's - Good Samaritan Inc	false
St Marys Hospital Foundation
10101 Woodfield Lane	St Louis	MO	63132	364636691	Fundraising	IL	501(c)(3)	7	St Mary's - Good Samaritan Inc	false
St Mary's Hosptial Auxiliary
400 N Pleasant	Centralia	IL	62801	237126345	Fundraising	IL	501(c)(3)	10	St Mary's Hospital Foundation	false
SSM Health Businesses
10101 Woodfield Lane	St Louis	MO	63132	431333488	Health Care	MO	501(c)(3)	10	SSM Health Care Corporation	false
SSM Health Care St Louis
10101 Woodfield Lane	St Louis	MO	63132	431343281	Health Care	MO	501(c)(3)	3	SSM Health Care Corporation	false
Centralia Medical Services Bldg Assoc
10101 Woodfield Lane	St Louis	MO	63132	237408025	MOB	IL	501(c)(3)	Type 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 Suite 107	St Louis	MO	63044	431012492	Religious Organization	MO	501(c)(3)	1	NA	false
Lee Dewey Corporation
10101 Woodfield Lane	St Louis	MO	63132	731279603	MOB	OK	501(c)(3)	Type I	SSM Health Care of Oklahoma	false
SSM Hospice 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
1 Good Samaritan Way	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
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
SSM-SLUH Inc
10101 Woodfield Lane	St Louis	MO	63132	474196634	Health Care	MO	501(c)(3)	3	SSM Health Care St Louis	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	UBI Code VUBICodeVAmt	OwnershipOwnershipPct
SSM St Joseph Endoscopy Center LLC
10101 Woodfield Lane	St Louis	MO	63132	270046559	Surgery Services	MO	NA	N/A	$0	$0	$0	0
St Clare Imaging Services
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
SSM Managed Care Organization LLC
10101 Woodfield Lane	St Louis	MO	63132	431708511	Health Promotion	MO	NA	C Corporation	false
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	371343746	Physician Offices	IL	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 (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Cardinal Glennon Children's Foundation
C	$6,106,404	Cost
Cardinal Glennon Children's Foundation
P	$3,068,720	Cost