2017-11-10T14:01:40-06:00 2016-12-31 350921680 Crowe Horwath LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2016-01-01 430738490 SSM Cardinal Glennon Children's Hospital SSMC 3149893640 10101 Woodfield Lane St Louis MO 63132 June L Pickett Secretary 2017-11-07 true Rachel Spurlock P00520729 5023263996 2016 2018-03-14 21:41:22Z See Schedule O Laura Kaiser 10101 Woodfield Lane St Louis MO 63132 378545369 false 0928 X www.ssmhealth.com X 1949 MO 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. 11 5 2264 396 286589 0 13216279 8641725 339014264 357526458 2345693 4461672 6042363 7268942 360618599 377898797 169884 140608 0 120240249 130818654 0 0 193549495 207047552 313959628 338006814 46658971 39891983 385541323 427750499 78298528 75341550 307242795 352408949 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. false false 308401213 140608 362323441 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 308401213 true true false true false false false false false true true true false false true true false true false false false false false false false false true true true true true false false false false false false false false true false false false false true true true false false true 0 0 2264 true true true false false false false false false false false false X 11 5 false false false false true true true true true false false false true true true true true false false false X Bonnie Thorn 3149893640 1195 Corporate Lake St Louis MO 63132 Paula Friedman Vice President, Senior VP-Strategic Development SSM Health 1.0 54.0 X X 0 940690 388689 Christopher Howard Chair, Pres-Hospital Operations of SSM Health 1.0 55.0 X X 0 1129635 404326 Candace Jennings President, Regional Pres-Hospital Operations-St Louis 10.0 32.0 X X 0 783030 123883 Sr Mary Jean Ryan FSM Pt Yr Director & Pt Yr Chairperson 1.0 6.0 X X 0 0 0 William Thompson Vice Chair, President/CEO of SSM Health 1.0 56.0 X X 0 1732435 242602 Jan Cerny Director 1.0 2.0 X 0 0 0 Dee Joyner Director 1.0 2.0 X 0 0 0 Shane Peng MD Pres-Physician & Ambulatory Services 1.0 47.0 X 0 918748 147474 James Bleicher MD Director 1.0 42.0 X 0 584456 107336 Snehal Gandhi MD Director 1.0 2.0 X 0 0 0 William R Kauffman Director 1.0 2.0 X 0 0 0 Fred P Pestello PhD Director 1.0 2.0 X 0 0 0 Damon Harbison Pt Yr Interim Hospital President 40.0 1.0 X 229181 0 38645 Shari Jackson Pt Yr Asst Secretary 10.0 30.5 X 0 14970 1162 June Pickett Secretary 1.0 65.1 X 0 281543 35564 Karen Rewerts System VP Finance 10.0 30.0 X 0 616613 277488 Kris Zimmer Treasurer, Senior VP-Finance SSM Health 1.0 57.0 X 0 1105377 344110 Steven Burghart Hospital President 40.0 1.0 X 0 375440 59247 Kathleen Gunter Pt Yr Asst Secretary 10.0 30.5 X 0 45768 11403 Bryan Rever Assistant Secretary 5.0 35.0 X 0 17875 998 Kevin Todd Johnson Reg VP - Medical Affairs 10.0 31.0 X 0 740843 244276 Terry Palmisano VP Nursing - CGCMC 40.0 0 X 224242 0 25420 Renee Roach System VP - HR SSMHC Stl 10.0 30.0 X 0 370447 53377 Susan Staub Exec. Dir. Maternal & Pediatric Services 40.0 0 X 167839 0 144598 Pushpa Patel Physician 40.0 0 X 286782 0 167352 Pathma Ramesvara Physician 40.0 0 X 284135 0 37353 Timothy Reed Physician 40.0 0 X 290654 0 93432 Yelena Podorozhansky Physician 40.0 0 X 342673 0 9835 Christopher Wangard Physician, Medical Director 40.0 0 X 274821 0 37646 Lynn Lenker Former Key Employee 40.0 X 0 356415 190704 Kathleen Becker Former Officer 40.0 X 0 603035 84580 2100327 10617320 3271500 133 true true false ST LOUIS UNIVERSITY 1402 S GRAND BLVD ST LOUIS MO 63104 PHYSICIAN SERVICES 53107815 ALBERICI CONSTRUCTORS INC 8800 PAGE AVE ST LOUIS MO 63114 CONSTRUCTION SERVICES 4594718 Laboratory Corporation of America PO Box 12140 Burlington NC 27216 Laboratory services 916721 Mid-America Transplant Services 1110 Highland Plaza Drive East St Louis MO 63110 Transplant services 692350 Viracor Eurofins 1001 NW Technology Drive Lees Summit MO 64086 Laboratory services 447459 37 X 6405385 1514943 721397 179237 8641725 NET PATIENT SERVICE REVENUE 621110 348144654 348144654 OTHER REVENUE 621110 8756264 8743445 12819 LABORATORY REVENUE 621500 625540 377390 248150 0 0 0 0 357526458 2262851 2262851 441205 426610 14595 0 14595 14595 2418783 219962 2418783 -219962 2198821 2198821 PHARMACY REVENUE 446110 5057952 5057952 CAFETERIA 722210 2033041 25620 2007421 PARKING FACILITY 900099 72098 72098 91256 0 0 91256 7254347 377898797 362323441 286589 6647042 X 53864 53864 86744 86744 1112334 433662 678672 101692964 93598743 8094221 7227255 5274792 1952463 13174321 13174321 7611780 6966986 644794 14688879 1828879 12860000 93280 93280 190114 190114 73496907 72616527 880380 0 156103 156103 9518763 8762765 755998 14803626 14797692 5934 6174384 5781947 392437 347191 138417 208774 170240 144518 25722 825595 825595 12750573 12498973 251600 2169742 2169742 MEDICAL SUPPLIES 45060472 45060472 MEDICARE PROVIDER TAX 26274431 26274431 BOND RELATED FEES 222041 222041 LICENSES & TAXES 161414 138088 23326 -56203 -56203 0 0 338006814 308401213 29605601 0 4145072 82299520 56176320 82216525 0 0 0 10663138 8008893 4591766 4902994 1044295 2832596 331706230 185716211 148408461 145990019 8552255 9194101 146343623 80665117 0 5616393 11640734 385541323 427750499 29140707 28523334 1532073 900805 47625748 45917411 78298528 75341550 X 277541775 316806613 12808812 16515315 16892208 19087021 307242795 352408949 385541323 427750499 X 39891983 548062 4726109 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 39161 false false false 39161 false 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. 29480536 1500000 1863788 632362 32211962 30555205 5095 -200555 879209 29480536 29530190 106411 1563640 645036 30555205 27206992 5692 3092788 775282 29530190 24155350 749317 2464561 162236 27206992 0.25 0.59 0.16 false true true 7590658 7590658 237326172 127820999 109505173 675659 110197 565462 82585975 57785015 24800960 3527766 3527766 145990019 BENEFICIAL INTEREST IN FOUNDATION 80665117 F SSM COMPREHENSIVE INVESTMENT PROGRAM 80665117 RABBI TRUST LIABILITY 293343 PENSION FUNDING LIABILITY 15062590 ASSET RETIREMENT OBLIGATION 2395367 ALLOCATED TAX EXEMPT BOND LIAB (ISSUED THROUGH SSM HEALTH CARE) DUE TO AFFILIATES 26017905 OTHER LIABILITIES 1505000 THIRD PARTY PAYOR THIRD PARTY PATIENT LOANS 643206 45917411 X 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. true true true X true X true true false true false 1827322 1827322 0.0054 178910561 203344087 0 0.0 3994876 2959302 1035574 0.0031 0 0 184732759 206303389 2862896 0.0085 3919568 3750417 169151 0.0005 67671866 15021125 52650741 0.1558 11571443 354173 11217270 0.0332 0 0.0 218126 5000 213126 0.0006 0 0 83381003 19130715 64250288 0.1901 0 0 268113762 225434104 67113184 0.1986 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 12707 12707 0.0000 0 0.0 0 0.0 0 0 12707 0 12707 0.0000 false 2504000 X true true 1 1 SSM Health Cardinal Glennon Children's Hospital 1465 S GRAND BLVD ST LOUIS MO 63104 WWW.CARDINALGLENNON.COM 429-17 X X X X X A A 1 false false true X X X X X X X X X 15 true true false true X http://www.cardinalglennon.com/ X https://www.ssmhealth.com/about/community-health-needs-assessments X true 15 true https://www.ssmhealth.com/about/community-health-needs-assessments false true X 200.0 400.0 X X X X X true true X X X true X https://www.ssmhealth.com/for-patients/financial-assistance X https://www.ssmhealth.com/for-patients/financial-assistance X https://www.ssmhealth.com/for-patients/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 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. 24 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 UIS 300 MEDICAL PLAZA SUITE 310 LAKE SAINT LOUIS MO 63367 OUTPATIENT PEDIATRIC CLINIC 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 CHARLES 300 FIRST CAPITOL DRIVE ST CHARLES MO 63301 NEONATOLOGY SERVICES 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 BUILDING SUITE 640 CHESTERFIELD MO 63017 OUTPATIENT PEDIATRIC CLINIC CARDINAL GLENNON NEONATOLOGY SERVICES - SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS 6420 CLAYTON ROAD RICHMOND HEIGHTS MO 63117 NEONATOLOGY SERVICES 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 ON 1015 BOWLES AVENUE FENTON MO 63026 NEONATOLOGY SERVICES 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 LY ROAD ST LOUIS MO 63128 NEONATOLOGY SERVICES 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 AL DANIS PEDIATRICS 1465 S GRAND BLVD ST LOUIS MO 63104 OUTPATIENT PEDIATRIC CLINIC CARDINAL GLENNON PEDIATRICS - SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPIT AL DANIS PEDIATRICS MIDTOWN 4100 FOREST PARK AVE SUITE A ST LOUIS MO 63108 OUTPATIENT PEDIATRIC CLINIC CARDINAL GLENNON DEVELOPMENT SERVICES - KNIGHTS OF COLUMBUS DEVELOPMENTAL C ENTER PSYCHOLOGY PSYCHIATRY 3800 PARK AVE ST LOUIS MO 63110 DEVELOPMENTAL SERVICES 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 R BEND SOUTH SUITE 950 BELLEVILLE IL 62223 OUTPATIENT PEDIATRIC CLINIC CARDINAL GLENNON SPECIALTY SERVICES - SOUTHERN ILLINOIS HEALTHCARE FOUNDATI ON 6000 BOND AVENUE CENTREVILLE IL 62207 OUTPATIENT PEDIATRIC CLINIC 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 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 true World Pediatric Project 7201 Glen Forest Drive Suite 304 Richmond VA 23226 541953305 501(c)(3) 10000 Support operations JDRF International 26 Broadway 15th Floor New York NY 10004 231907729 501(c)(3) 5000 Support operations Crohn's & Colitis Foundation of America Inc 733 Third Avenue New York NY 10017 136193105 501(c)(3) 5000 Support operations The Children's Heart Foundation PO Box 244 Lincolnshire IL 60069 364077528 501(c)(3) 5000 Support operations Ronald McDonald House Charities of Metro St Louis 3450 Park Avenue St Louis MO 63104 431160478 501(c)(3) 5000 Support operations 5 0 Bus Passes/taxi/parking passes for patients' family members 10566 Provide meals to patients' family members 1017 Book Provide meals to patients' family members Car Seats/Booster Seats/Bike Helmets 75161 Book Car Seats/Booster Seats/Bike Helmets 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. X true true false true false false false false false false false Paula Friedman Vice President, Senior VP-Strategic Development SSM Health 0 705000 0 114197 0 121493 0 368230 0 20459 0 1329379 0 114197 Christopher Howard Chair, Pres-Hospital Operations of SSM Health 0 872531 0 157325 0 99779 0 369852 0 34474 0 1533961 0 157325 Candace Jennings President, Regional Pres-Hospital Operations-St Louis 0 647409 0 93067 0 42554 0 89471 0 34412 0 906913 0 93067 William Thompson Vice Chair, President/CEO of SSM Health 0 1010243 0 384123 0 338069 0 221076 0 21526 0 1975037 0 460221 Shane Peng MD Pres-Physician & Ambulatory Services 0 767253 0 117512 0 33983 0 108924 0 38550 0 1066222 0 117512 James Bleicher MD Director 0 518963 0 52250 0 13243 0 77956 0 29380 0 691792 0 52250 Kathleen Becker Former Officer 0 491170 0 54189 0 57676 0 52598 0 31982 0 687615 0 54189 Damon Harbison Pt Yr Interim Hospital President 212613 0 15480 0 1088 0 15069 0 23576 0 267826 0 15480 0 June Pickett Secretary 0 229851 0 19802 0 31890 0 10977 0 24587 0 317107 0 19802 Karen Rewerts System VP Finance 0 528974 0 31548 0 56091 0 243979 0 33509 0 894101 0 31548 Kris Zimmer Treasurer, Senior VP-Finance SSM Health 0 870802 0 148371 0 86204 0 310798 0 33312 0 1449487 0 148371 Steven Burghart Hospital President 0 289122 0 0 0 86318 0 37305 0 21942 0 434687 0 0 Lynn Lenker Former Key Employee 0 313331 0 0 0 43084 0 160547 0 30157 0 547119 0 0 Kevin Todd Johnson Reg VP - Medical Affairs 0 624492 0 42889 0 73462 0 204995 0 39281 0 985119 0 42889 Terry Palmisano VP Nursing - CGCMC 203943 0 14682 0 5617 0 11257 0 14163 0 249662 0 14682 0 Renee Roach System VP - HR SSMHC Stl 0 328435 0 21125 0 20887 0 31643 0 21734 0 423824 0 21125 Susan Staub Exec. Dir. Maternal & Pediatric Services 166752 0 0 0 1087 0 121042 0 23556 0 312437 0 0 0 Pushpa Patel Physician 282694 0 0 0 4088 0 154947 0 12405 0 454134 0 0 0 Pathma Ramesvara Physician 261290 0 0 0 22845 0 10696 0 26657 0 321488 0 0 0 Timothy Reed Physician 286620 0 0 0 4034 0 71977 0 21455 0 384086 0 0 0 Yelena Podorozhansky Physician 324194 0 0 0 18479 0 5620 0 4215 0 352508 0 0 0 Christopher Wangard Physician, Medical Director 272003 0 0 0 2818 0 9975 0 27671 0 312467 0 0 0 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 X 26742 Market value X 26825 Market value X 12 3397 Market value X Toys 152 87597 Market value X Airline passes 1 20000 Market value X Medical equipment 1 1801 Cost X Miscellaneous 25 12875 Market value 0 false true false Schedule M, Part I Explanation of reporting method for number of contributions The amount in column (b) represents the number of contributions for all types of items. 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 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 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 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 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 false true true false false false false false false true true true true true true true true true true Cardinal Glennon Children's Foundation C 6106404 Cost Cardinal Glennon Children's Foundation P 3068720 Cost