SSM REGIONAL HEALTH SERVICES: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: SSM REGIONAL HEALTH SERVICES (EIN 44-0579850)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-15
IRS object ID: 201643209349303929
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-15T10:03:17-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440579850	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SSM Regional Health Services	BusinessNameLine1Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	June L Pickett	PersonNm
Person Title	Secretary	PersonTitleTxt
Signature	2016-11-15	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	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	William P Thompson	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	$201,633,132	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.ssmhealth.com/system	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1965	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	OPERATES TWO HOSPITALS AND HEALTH CENTERS IN JEFFERSON CITY, MISSOURI AND MARYVILLE, MISSOURI.	ActivityOrMissionDesc
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	518	TotalEmployeeCnt
Total Volunteers	522	TotalVolunteersCnt
Total Gross UBI	$7,912,321	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$334,060	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,479,857	PYContributionsGrantsAmt
CY Contributions Grants	$639,782	CYContributionsGrantsAmt
PY Program Service Revenue	$180,735,087	PYProgramServiceRevenueAmt
CY Program Service Revenue	$189,919,304	CYProgramServiceRevenueAmt
PY Investment Income	$1,047,310	PYInvestmentIncomeAmt
CY Investment Income	$1,139,293	CYInvestmentIncomeAmt
PY Other Revenue	$7,569,465	PYOtherRevenueAmt
CY Other Revenue	$8,326,792	CYOtherRevenueAmt
PY Total Revenue	$194,831,719	PYTotalRevenueAmt
CY Total Revenue	$200,025,171	CYTotalRevenueAmt
PY Grants And Similar Paid	$84,593	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$111,362	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$93,988,485	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$95,359,971	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$244,259	CYTotalFundraisingExpenseAmt
PY Other Expenses	$108,135,592	PYOtherExpensesAmt
CY Other Expenses	$126,514,124	CYOtherExpensesAmt
PY Total Expenses	$202,208,670	PYTotalExpensesAmt
CY Total Expenses	$221,985,457	CYTotalExpensesAmt
PY Revenues Less Expenses	-$7,376,951	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$21,960,286	CYRevenuesLessExpensesAmt
Total Assets BOY	$298,877,084	TotalAssetsBOYAmt
Total Assets EOY	$290,188,959	TotalAssetsEOYAmt
Total Liabilities BOY	$215,406,169	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$229,739,662	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$83,470,915	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$60,449,297	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	$192,668,648	ExpenseAmt
Grant	$111,362	GrantAmt
Revenue	$189,919,304	RevenueAmt
Desc	PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.	Desc
Total Program Service Expenses	$192,668,648	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	Yes (true)	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	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	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	518	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	5	GoverningBodyVotingMembersCnt
Independent Voting Member	0	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	Donna Wallace	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3149892818	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

Form990 Part VII Section A Form990PartVIISectionAGrp (21 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
Paula Friedman
Director & Vice President	1.0	54.0	Yes (X)	Yes (X)	$0	$829,649	$261,763
William Thompson
Director & President	1.0	56.0	Yes (X)	Yes (X)	$0	$2,253,539	$4,386,662
Kris Zimmer
Director/Treasurer/Asst Secretary	1.0	57.0	Yes (X)	Yes (X)	$0	$1,102,244	$366,850
Gaurov Dayal MD
Pt Yr Director	1.0	44.0	Yes (X)		$0	$1,345,348	$18,526
Christopher Howard
Director	1.0	53.0	Yes (X)		$0	$1,145,315	$359,223
Shane Peng MD
Director	1.0	47.0	Yes (X)		$0	$952,393	$287,170
Gray Cox
Pt Yr Hospital President	40.0	0		Yes (X)	$0	$133,619	$8,221
June Pickett
Secretary	1.0	65.1		Yes (X)	$0	$261,177	$47,284
Jocelyn Skidmore
Admin Director-Finance	40.0	0		Yes (X)	$0	$140,062	$54,615
Jim Stratton
Regional CFO	20.0	21.0		Yes (X)	$0	$237,019	$46,515
Brent VanConia
Hospital President	40.0	0.6		Yes (X)	$0	$518,874	$142,280
Michael Baumgartner
Hospital President	40.0	0		Yes (X)	$0	$300,818	$188,124
Scott Holman DO
VP-Medical Affairs	40.0	0			$429,310	$0	$68,282	Yes (X)
Susan Mankoski
VP Human Resources	40.0	0			$0	$206,480	$84,689	Yes (X)
Stephen Stewart
Regional VP-Medical Affairs	40.0	0			$282,205	$0	$44,774	Yes (X)
Kari Wilson
COO/CNO	20.0	20.0			$0	$162,830	$16,312	Yes (X)
John Clemens
Physician	40.0	0			$570,685	$0	$202,930		Yes (X)
Thomas Distefano
Physician	40.0	0			$1,239,168	$0	$62,541		Yes (X)
Courtnye Walker
Physician	40.0	0			$551,863	$0	$46,567		Yes (X)
Stuart Krein
Physician	40.0	0			$581,007	$0	$38,291		Yes (X)
Amrit Singh
Physician	40.0	0			$495,468	$0	$48,291		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,149,706	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,589,367	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,779,910	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	90	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt
ALBERICI CONSTRUCTORS INC
8800 PAGE AVE	ST LOUIS	MO	63114	CONSTRUCTION MANAGEMENT	$11,336,342
SPINE MIDWEST INC
2505 MISSION DRIVE	JEFFERSON CITY	MO	65109	PAIN MANAGEMENT	$3,030,225	SUITE 200
MID-MISSOURI ANESTHESIA
1445 CHRISTY DRIVE	JEFFERSON CITY	MO	65101	MEDICAL PHYSICIAN SERVICES	$1,839,325
MORRISON MANAGEMENT SPECIALIST
5801 PEACHTREE DUNWOODY ROAD	ATLANTA	GA	30342	NUTRITIONAL SERVICES	$1,331,063
JEFFERSON CITY MEDICAL GROUP
1241 W STADIUM	JEFFERSON CITY	MO	65109	MEDICAL GROUP	$870,890

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	47	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Membership Dues	$36,200	MembershipDuesAmt
Related Organizations	$560,458	RelatedOrganizationsAmt
Government Grants	$31,358	GovernmentGrantsAmt
All Other Contributions	$11,766	AllOtherContributionsAmt
Noncash Contributions	$3,440	NoncashContributionsAmt
Total Contributions	$639,782	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621110	$186,760,346	$186,760,346
OTHER OPERATING REVENUE	621110	$3,158,958	$3,158,958

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	$189,919,304	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$365,268	TotalRevenueColumnAmt
Exclusion	$365,268	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$192,006	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$53,244	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$138,762	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$138,762	TotalRevenueColumnAmt
Exclusion	$138,762	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,934,286	SecuritiesAmt
Other	$365,833	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,526,094	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$408,192	SecuritiesAmt
Other	$365,833	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$774,025	TotalRevenueColumnAmt
Exclusion	$774,025	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$24,884	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$12,280	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,604	TotalRevenueColumnAmt
Exclusion	$12,604	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$20,171	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$16,343	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,828	TotalRevenueColumnAmt
Exclusion	$3,828	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PHARMACY REVENUE	446110	$7,250,247	$7,250,247
CHILD CARE CENTER	624410	$416,218	$416,218
LABORATORY REVENUE	621500	$216,688	$216,688

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$288,445	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$29,168	UnrelatedBusinessRevenueAmt
Exclusion	$259,277	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,171,598	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$200,025,171	TotalRevenueColumnAmt
Related Or Exempt Func Income	$189,919,304	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$7,912,321	UnrelatedBusinessRevenueAmt
Exclusion	$1,553,764	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	$109,562	TotalAmt
Program Services	$109,562	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,800	TotalAmt
Program Services	$1,800	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,528,004	TotalAmt
Program Services	$766,523	ProgramServicesAmt
Management And General	$1,761,481	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$71,481,061	TotalAmt
Program Services	$62,646,856	ProgramServicesAmt
Management And General	$8,693,504	ManagementAndGeneralAmt
Fundraising	$140,701	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,986,123	TotalAmt
Program Services	$4,404,933	ProgramServicesAmt
Management And General	$571,424	ManagementAndGeneralAmt
Fundraising	$9,766	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,573,263	TotalAmt
Program Services	$9,868,427	ProgramServicesAmt
Management And General	$1,684,826	ManagementAndGeneralAmt
Fundraising	$20,010	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,791,520	TotalAmt
Program Services	$4,122,764	ProgramServicesAmt
Management And General	$658,450	ManagementAndGeneralAmt
Fundraising	$10,306	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$9,265,624	TotalAmt
Program Services	$1,449,603	ProgramServicesAmt
Management And General	$7,816,021	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$182,980	TotalAmt
Management And General	$182,980	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$85,045	TotalAmt
Management And General	$85,045	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,560,340	TotalAmt
Program Services	$17,171,285	ProgramServicesAmt
Management And General	$5,383,738	ManagementAndGeneralAmt
Fundraising	$5,317	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$37,679	TotalAmt
Management And General	$36,711	ManagementAndGeneralAmt
Fundraising	$968	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,330,977	TotalAmt
Program Services	$6,399,108	ProgramServicesAmt
Management And General	$879,313	ManagementAndGeneralAmt
Fundraising	$52,556	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,749,206	TotalAmt
Program Services	$11,699,798	ProgramServicesAmt
Management And General	$46,685	ManagementAndGeneralAmt
Fundraising	$2,723	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,160,449	TotalAmt
Program Services	$5,907,538	ProgramServicesAmt
Management And General	$252,911	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$529,929	TotalAmt
Program Services	$430,555	ProgramServicesAmt
Management And General	$97,462	ManagementAndGeneralAmt
Fundraising	$1,912	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$115,369	TotalAmt
Program Services	$102,064	ProgramServicesAmt
Management And General	$13,305	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,979,348	TotalAmt
Program Services	$8,979,348	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,762,731	TotalAmt
Program Services	$14,727,596	ProgramServicesAmt
Management And General	$35,135	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,394,547	TotalAmt
Program Services	$740,703	ProgramServicesAmt
Management And General	$653,844	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$32,194,950	$32,194,950
MEDICAID PROVIDER TAX	$10,623,695	$10,623,695
LICENSES	$256,820	$241,014	$15,806
BOND RELATED FEES	$203,909		$203,909

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$80,526	TotalAmt
Program Services	$80,526	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$221,985,457	TotalAmt
Program Services	$192,668,648	ProgramServicesAmt
Management And General	$29,072,550	ManagementAndGeneralAmt
Fundraising	$244,259	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,797,016	BOYAmt
EOY	$881,353	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,307,237	BOYAmt
EOY	$1,171,473	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,109,974	BOYAmt
EOY	$24,721,528	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,808,935	BOYAmt
EOY	$5,138,629	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,554,652	BOYAmt
EOY	$1,336,656	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$271,588,546	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$54,059,751	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$218,703,671	BOYAmt
EOY	$217,528,795	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$28,749,020	BOYAmt
EOY	$28,474,168	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	$10,846,579	BOYAmt
EOY	$10,936,357	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$298,877,084	BOYAmt
EOY	$290,188,959	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,619,148	BOYAmt
EOY	$13,587,080	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$195,787,021	BOYAmt
EOY	$216,152,582	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$215,406,169	BOYAmt
EOY	$229,739,662	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$80,089,134	BOYAmt
EOY	$57,902,669	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,270,781	BOYAmt
EOY	$2,435,628	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$111,000	BOYAmt
EOY	$111,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$83,470,915	BOYAmt
EOY	$60,449,297	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$298,877,084	BOYAmt
EOY	$290,188,959	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$21,960,286	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$784,851	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$276,481	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	$56,196	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$56,196	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 HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WAS ALLOCATED TO LOBBYING ACTIVITIES.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	THE ORGANIZATION PAID DUES TO VARIOUS HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WAS ALLOCATED TO LOBBYING ACTIVITIES.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$111,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$748	InvestmentEarningsOrLossesAmt
Other Expenditures	$748	OtherExpendituresAmt
End Year Balance	$111,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$111,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,226	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,226	OtherExpendituresAmt
End Year Balance	$111,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$111,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,109	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,109	OtherExpendituresAmt
End Year Balance	$111,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$111,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,436	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,436	OtherExpendituresAmt
End Year Balance	$111,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,435,864	OtherCostOrOtherBasisAmt
Book Value	$3,435,864	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$212,409,735	OtherCostOrOtherBasisAmt
Depreciation	$29,444,497	DepreciationAmt
Book Value	$182,965,238	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$422,070	OtherCostOrOtherBasisAmt
Depreciation	$207,546	DepreciationAmt
Book Value	$214,524	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,457,647	OtherCostOrOtherBasisAmt
Depreciation	$24,407,708	DepreciationAmt
Book Value	$30,049,939	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$863,230	OtherCostOrOtherBasisAmt
Book Value	$863,230	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$217,528,795	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
BENEFICIAL INTEREST IN FOUNDATIONS	$9,996,262	F
SSM COMPREHENSIVE INVESTMENT PROGRAM	$18,477,906	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$28,474,168	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
PENSION FUNDING LIABILITY	$15,223,134
RABBI TRUST LIABILITY	$1,719,519
THIRD PARTY PAYOR	$1,029,527
ASSET RETIREMENT LIABILITY	$91,181
DEFERRED COMPENSATION LIABILITY	$800,903
DUE TO AFFILIATES	$300,719
ALLOCATED TAX-EXEMPT BOND DEBT (ISSUED BY SSM HEALTH CARE)	$196,987,599

Field	Value	IRS element (for citing)
Total Liability	$216,152,582	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

ENDOWMENT FUNDS ARE USED TO SUPPORT OPERATIONS AND THE MISSION OF ST. MARY'S HEALTH CENTER.

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

SSM REGIONAL HEALTH SERVICES' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2015 OR 2014.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	BOOK AND CRAFT SALES	Event1Nm
Gross Receipts Event1	$24,884	GrossReceiptsEvent1Amt
Gross Revenue Event1	$24,884	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$12,280	OtherDirectExpensesEvent1Amt
Gross Revenue Event2	$0	GrossRevenueEvent2Amt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Gross Receipts Total	$24,884	GrossReceiptsTotalAmt
Gross Revenue Total Events	$24,884	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$12,280	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$12,280	DirectExpenseSummaryEventsAmt
Net Income Summary	$12,604	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$7,051,779	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,051,779	NetCommunityBenefitExpnsAmt
Total Expense	0.0318	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,453,381	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,636,481	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,816,900	NetCommunityBenefitExpnsAmt
Total Expense	0.0172	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,970,725	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,682,397	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,288,328	NetCommunityBenefitExpnsAmt
Total Expense	0.0058	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	$41,475,885	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,318,878	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,157,007	NetCommunityBenefitExpnsAmt
Total Expense	0.0548	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$252,872	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$229,672	NetCommunityBenefitExpnsAmt
Total Expense	0.0010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,724	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,724	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$170,279	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,291	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$155,988	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$451,875	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,491	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$414,384	NetCommunityBenefitExpnsAmt
Total Expense	0.0019	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$41,927,760	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,356,369	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,571,391	NetCommunityBenefitExpnsAmt
Total Expense	0.0566	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$123	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$142,353	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$142,353	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,426	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,426	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	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)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$514	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$514	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$159,416	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$159,416	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$4,736,129	BadDebtExpenseAmt
Reimbursed By Medicare	$54,950,675	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$73,690,436	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$18,739,761	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd
SSM Health St Mary's Hospital - Jefferson City
1	100 ST MARYS MEDICAL PLAZA	JEFFERSON CITY	MO	65101	www.ssmhealthmidmo.com/locations/st-marys-jefferson-city	455-14	Yes (X)	Yes (X)	Yes (X)
SSM Health St Francis Hospital - Maryville
2	2015 S MAIN	MARYVILLE	MO	64468	www.ssmhealthstfrancis.com	147-55	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Average Negotiated RatesAverageNegotiatedRatesInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
SSM Health St Mary's Hospital - Jefferson City
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	false	false	Yes (true)	Yes (X)	http://www.ssmhealthmidmo.com/locations/st-marys-jefferson-city	Yes (X)	http://www.ssmhealth.com/system/community-benefit	Yes (X)	Yes (true)	15	Yes (true)	http://www.ssmhealth.com/system/community-benefit	false	false	Yes (true)	Yes (X)	200.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	http://www.ssmhealth.com/system/exceptional-care/financial-assistance	Yes (X)	http://www.ssmhealth.com/system/exceptional-care/financial-assistance	Yes (X)	http://www.ssmhealth.com/system/exceptional-care/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
SSM Health St Francis Hospital - Maryville
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	false	false	Yes (true)	Yes (X)	http://www.ssmhealthstfrancis.com/	Yes (X)	http://www.ssmhealth.com/system/community-benefit	Yes (X)	Yes (true)	15	Yes (true)	http://www.ssmhealth.com/system/community-benefit	false	false	Yes (true)	Yes (X)	200.0	400.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	http://www.ssmhealth.com/system/exceptional-care/financial-assistance	Yes (X)	http://www.ssmhealth.com/system/exceptional-care/financial-assistance	Yes (X)	http://www.ssmhealth.com/system/exceptional-care/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - SSM Health St. Mary's Hospital - Jefferson City. SSM Health St. Mary's Hospital - Jefferson City, in partnership with the Central Community Health Assessment Partnership, conducted a comprehensive community health assessment which measured perceptions, health risks, health factors, health outcomes and characteristics specific to the communities in Cole, Miller, Moniteau and Osage counties. Throughout the assessment process, more than 150 individuals participated in 9 different discussion groups and consumer interview sessions. The surveys were made available to physician offices, online and in community health departments, and results were used to prioritize the health needs of the community. The individuals that participated in primary data collection can be found starting on page 33 of the CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - SSM Health St. Mary's Hospital - Jefferson City. SSM Health Care's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." During 2015, in collaboration with our community partners, SSM Health St. Mary's Hospital - Jefferson City conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: heart disease and cancer. The SSM Health Mid Missouri Regional Board approved this CHNA on November 18, 2015. SSM Health St. Mary's Hospital - Jefferson City last conducted a CHNA in 2012. The strategic priorities of the community benefit plan as identified in the 2013-2015 community health needs assessment (CHNA) are: heart disease, cancer, diabetes. Our needs assessment was completed in August 2012 and adopted as part of our strategic plan. Goals and objectives were established to change behavior, provide metrics to measure change, and to impact the overall health of those we serve. All of the community benefit activities are designed to meet the needs identified in the CHNA. The SSM Health St. Mary's Hospital - Jefferson City 2013 -2015 CHNA identified Heart disease as the leading cause of death in the Central Missouri four-county region of Cole, Miller, Moniteau, and Osage. Rapidly increasing rates of obesity along with heart-disease risk factors such as high blood pressure, diabetes, smoking, inactivity, and poor diet contribute to incidence of heart disease in the service area. SSM Health St. Mary's Hospital - Jefferson City will strive to reduce hospital readmissions by implementing a high-risk screening criteria tool; involving mortality and post-acute committees; provide community heart-risk assessments and screenings; and enhance education and awareness of heart-disease risk factors, signs of early heart attack, and the need for a healthy lifestyle. It is notable that SSM Health St. Mary's Hospital - Jefferson City is the area's only nationally accredited Chest Pain Center, and works closely with American Heart Association and local YMCA to sponsor heart health and wellness programs. The following goals were identified in 2015 to address heart disease: * Goal: Maintain percentage of all-cause/all-location Acute Myocardial Infraction (AMI) 30-day readmissions of 8.57% in 2015, achieved 8.5% readmissions, improved over the 2013 baseline of 9.23% . * Goal: Decrease the percentage of all-cause/all-location readmissions for Chronic Heart Failure 30-day readmissions from 22.61% in 2014 to 13.56% in 2015, achieved 19.8% readmission rate. The SSM Health St. Mary's Hospital - Jefferson City 2013 -2015 CHNA identified Cancer as second only to heart disease as the leading cause of death in the Central Missouri four-county region of Cole, Miller, Moniteau, and Osage Counties, with breast cancer as most common. A healthy lifestyle and early screening are the best methods of cancer prevention. In April 2014 SSM Health St. Mary's Hospital - Jefferson City opened the St. Mary's Cancer Center at JCMG and the Richard Wilson Cancer Resource Center. At the Cancer Center, new technologies were added (i.e., Varian 21IX Linear Accelerator and electronic brachytherapy) while the Resource Center focused on providing information about cancer prevention, diagnosis, treatment, healing, and living well. Additional community outreach efforts include collaboration with health and wellness providers to create awareness and engage at-risk populations through education, teaching self-exams, and cancer screenings. Another important effort is improving access for and engagement of women by offering preventive cancer screenings, particularly mammograms, in partnership with county health departments, community health centers, and the Samaritan Center. Work is also being done to improve care coordination; create cancer protocols; and enhance palliative care and hospital referral services. The following goals were achieved in 2015 to address cancer: * Goal: Increase the number of outpatient cancer procedures from 5,739 in 2014 to 5,853 in 2015, procedures totaled 6,669 in 2015. * Goal: Increase women's imaging mammogram tests from 3,837 in 2014 to 4,070 in 2015, experienced 4,404 women's imaging mammogram tests in 2015. The SSM Health St. Mary's Hospital - Jefferson City 2013 -2015 CHNA identified diabetes as a contributor to both cancer and health disease. A contributor to both cancer and heart disease, diabetes is the third most prevalent disease in three of the four counties in the service area and often goes undetected. If untreated, diabetes can lead to serious health problems, but consistent self-management can keep diabetes in check. St. Mary's Medical Group is establishing a diabetes medical home along with the primary-care clinic network and hiring a care coordinator whose focus will be on chronic condition management. Promoting diabetes prevention along with community education, screenings, and follow-up care, and for current clinic patients, sending reminders for disease-related screenings are a few primary interventions. In addition, systems will be established across the clinic network to ensure all required diabetes care is provided; to encourage proactive risk assessments and use of the diabetes education center; and increase enrollment in support groups. The following goals were achieved in 2015 to address diabetes: * Goal: Increase A1C testing among managed patients in primary care from 81.8% in 2015 to 92.0% in 2015, achieved a 80.7% A1C testing percentage. * Goal: Increase A1C control among managed patients in primary care from 60.7% in 2014 to 69.0% in 2015, achieved 60.7% A1C control percentage.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - SSM Health St. Francis Hospital - Maryville. SSM Health St. Francis Hospital - Maryville took the opportunity to solicit 60 key community stakeholders at an annual meeting of the Maryville Citizens for Community Action. Additionally, St. Francis Hospital benefited from the input of Nodaway County residents through a paper survey. A completed survey was received from nearly every zip code in Nodaway County. The results were collected, analyzed and reviewed by hospital leadership and a coalition of community leaders prior to identifying the top priorities to be addressed.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - SSM Health St. Francis Hospital - Maryville. SSM Health Care's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." During 2015, in collaboration with our community partners, SSM Health St. Francis Hospital - Maryville conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: heart disease and obesity. The SSM Health Maryville Board approved this CHNA on November 19, 2015. SSM Health St. Francis Hospital - Maryville last conducted a CHNA in 2012. The strategic priorities of the community benefit plan as identified in the 2013- 2015 community health needs assessment (CHNA) are: mental health and obesity. Our needs assessment was completed in August 2012 and adopted as part of our strategic plan. Goals and objectives were established to change behavior, provide metrics to measure change, and to impact the overall health of those we serve. All of the community benefit activities are designed to meet the needs identified in the CHNA. The SSM Health St. Francis Hospital - Maryville 2013- 2015 CHNA showed a priority in the service area included providing greater care for and awareness of mental health needs for adolescents under the age of 16. SSM Health St. Francis Hospital - Maryville will strive to increase access to care for adolescents under the age of 16 who are affected by mental health issues and increase community awareness. The following goals were identified in 2015 to address mental health needs for adolescents: * Goal: Increase the number of adolescent mental health-related visits from 450 in 2014 to 510 in 2015, achieved 810 adolescent mental health visits during the year. * Goal: Increase access to adolescent mental health care through the recruitment of mental health clinicians, growing the number of clinicians from 3 in 2014 to 5 in 2015, four providers are currently available for services. The SSM Health St. Francis Hospital - Maryville 2013- 2015 CHNA showed a priority in the service area included lowering obesity rates. SSM Health St. Francis Hospital - Maryville, in conjunction with local partners, will strive to prevent obesity through education and activity promotion, provide primary care and support groups for adolescents living with obesity. The following goals were identified in 2015 to address obesity rates: * Goal: Decrease the percentage of clinic patients who are obese (BMI of at least 30) from 45% in 2014 to 43% in 2015, percentage of patients who were obese in 2015 decreased from 2014 to 44.2%.

Field	Value	IRS element (for citing)
Facility	19	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
ST FRANCIS FAMILY HEALTH CARE WEST
2016 S MAIN	MARYVILLE	MO	64468	PRIMARY CARE CLINIC
ST MARY'S PEDIATRIC CLINIC
3348 AMERICAN AVENUE	JEFFERSON CITY	MO	65109	PEDIATRIC CLINIC
ST MARY'S SPORTS MEDICINE & REHAB
1225 WEST STADIUM BLVD	JEFFERSON CITY	MO	65109	OUTPATIENT CLINIC
ST FRANCIS FAMILY HEALTH CARE - EAST
114 E SOUTH HILLS DR	MARYVILLE	MO	64468	PRIMARY CARE CLINIC
ST MARY'S LAKE OZARK MEDICAL CLINIC
2265 BAGNELL DAM BLVD	LAKE OZARK	MO	65049	RURAL HEALTH CLINIC	SUITE 103
ST MARY'S MEDICAL CLINIC - BELLE
100 HIGHWAY 28 W	BELLE	MO	65103	FAMILY PRACTICE CLINIC & RURAL HEALTH CLINIC
ST MARY'S MEDICAL CLINIC - JEFFERSON CITY
2511 W EDGEWOOD	JEFFERSON CITY	MO	65109	FAMILY PRACTICE CLINIC	SUITE F
ST MARY'S MEDICAL CLINIC - HOLTS SUMMIT
140 NORTHSTAR DRIVE	HOLTS SUMMIT	MO	65043	FAMILY PRACTICE CLINIC
ST FRANCIS HOSPITAL - SAVANNAH CLINIC
301 E PRICE STREET	SAVANNAH	MO	64485	PRIMARY CARE CLINIC
HARDIN MEDICAL CLINIC
408 SOUTH DODGE STREET	BEDFORD	IA	50833	PRIMARY CARE CLINIC
TIPTON MEDICAL CLINIC
875 HIGHWAY 5 SOUTH	TIPTON	MO	65081	FAMILY PRACTICE CLINIC
VERSAILLES MEDICAL CLINIC
801 KIDWELL DRIVE	VERSAILLES	MO	65084	FAMILY PRACTICE CLINIC
CANCER CENTER
1241 WEST STADIUM BOULEVARD	JEFFERSON CITY	MO	65109	OUTPATIENT CLINIC
SSM HEALTH MEDICAL GROUP - CARDIOVASCULAR & THORACIC SURGERY
2505 MISSION DRIVE	JEFFERSON CITY	MO	65101	OUTPATIENT CLINIC	SUITE 310
SSM HEALTH SPINE & PAIN MANAGEMENT CENTER
2505 MISSION DRIVE	JEFFERSON CITY	MO	65101	OUTPATIENT CLINIC	SUITE 200
SSM HEALTH URGENT CARE
2511 W EDGEWOOD	JEFFERSON CITY	MO	65109	URGENT CARE CLINIC	SUITE D
SSM HEALTH MEDICAL GROUP - BEHAVIORAL MEDICINE
2701 W EDGEWOOD	JEFFERSON CITY	MO	65109	OUTPATIENT CLINIC	SUITE 101
SSM HEALTH PHARMACY
2505 MISSION DRIVE	JEFFERSON CITY	MO	65101	PHARMACY	SUITE 110
SSM HEALTH SLEEP CENTER
3349 AMERICAN AVENUE	JEFFERSON CITY	MO	65109	OUTPATIENT CLINIC	SUITE D

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3b ELIGIBILITY FOR DISCOUNTED CARE	Services eligible under the financial assistance policy will be made available to the patient on a sliding fee scale, in accordance with financial need, as determined in reference to Federal Poverty Levels (FPL) in effect at the time of the determination. The basis for the amounts the hospital will charge patients qualifying for financial assistance is as follows: Patients whose family income is above 200% but not more than 400% of the FPL are eligible to receive discounted services at amounts no greater than the amounts generally billed to the hospital's commercially insured or Medicare patients.
Schedule H, Part I, Line 3c DISCOUNTED CARE EXCEPTIONS	Patients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called "presumptive eligibility."
Schedule H, Part I, Line 6a COMMUNITY BENEFIT ANNUAL REPORT	SSM Regional Health Services 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 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 Regional Health Services participates in a wide array of community and civic organizations in the promotion of health care and community building activities. Specific activities reported in Part II of Schedule H include the following: Community Building: Community support - participation in the "I will listen" mental health awareness campaign, supplied nurses and athletic trainers for the Bike Across Missouri ride Community building: environment improvements - hospital staff collect and break down materials for delivery to university research project for energy conservation helping to limit environs that are negative to the community.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Bad debt expense reported in the accounting system, adjusted for bad debt recoveries, was used, multiplied by the cost to charge ratio using IRS Worksheet 2, Ratio of patient costs to charges.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	SSM Regional Health Services 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 Regional Health Services is part of the SSM Health consolidated audit. The footnote that references bad debt expense in the December 31, 2015 consolidated audit is contained on page 17 and 18 of the attached financial statements.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The cost of providing care to Medicare eligible patients is greater than the reimbursement that Medicare allows on the Medicare cost report. SSM Regional Health Services 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 2015 Medicare cost report.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	SSM Regional Health Services has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable, The Health Center embraces its responsibility to serve the communities in which it participates by establishing sound business practices. The Health Center's billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after 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 Regional Health Services' collection and financial assistance policies.
Schedule H, Part V, Section B, Line 16a FAP website	- SSM Health St. Mary's Hospital - Jefferson City: Line 16a URL: http://www.ssmhealth.com/system/exceptional-care/financial-assistance; - SSM Health St. Francis Hospital - Maryville: Line 16a URL: http://www.ssmhealth.com/system/exceptional-care/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- SSM Health St. Mary's Hospital - Jefferson City: Line 16b URL: http://www.ssmhealth.com/system/exceptional-care/financial-assistance; - SSM Health St. Francis Hospital - Maryville: Line 16b URL: http://www.ssmhealth.com/system/exceptional-care/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- SSM Health St. Mary's Hospital - Jefferson City: Line 16c URL: http://www.ssmhealth.com/system/exceptional-care/financial-assistance; - SSM Health St. Francis Hospital - Maryville: Line 16c URL: http://www.ssmhealth.com/system/exceptional-care/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	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 our goal. To fulfill this commitment, SSM's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). The CHNA is an assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conducted every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Collect data and evaluate progress; report to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). CBISA is the gathering, collecting, and reporting of all data relating to community benefit activities and programs across the System. A CBISA is conducted every year by each hospital according to the following steps: * Collect and enter data: Send out emails reminding staff to submit activities; enter data into Lyon; and run reports to share with leaders. * Finalize and report on prior year: Enter all prior year data into Lyon by January 31; and communicate final prior year figures to IRS, System Board, and the community. System Office staff and leaders oversee and monitor 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.
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 St. Mary's Hospital - Jefferson City: SSM Health St. Mary's Hospital - Jefferson City defines its primary and secondary service areas as the four counties of Cole, Miller, Moniteau and Osage located in central Missouri. The total population of the service area, based on the 2010 census, was 130,223. This region is expecting an increase of 1.8% from 2010 to 2015 with Cole County expecting the largest growth at 2.2%. The age distribution continues to shift toward a larger population of older adults with estimates suggesting the 65+ cohort will see the largest growth from 2010 to 2015 with a 13.4% increase. The median age for the region is 38.4 which is slightly higher than the Missouri average of 37.9. The race/ethnicity distribution based on the 2010 census data shows a population that is predominately white/Caucasian (89.2%), with 7.1 percent black/African American. The majority of the adult population in the region has an education level at or above the high school level (85.4%). Lower than average poverty rates provide evidence of a higher level of economic well-being in three of the four counties with only Miller County (16.8%) having a percentage higher than the Missouri average (14%). Miller County also reports a higher percentage of children in poverty (31%) when compared to 21 percent in Missouri. Per capita income ranged from a low $18,202 in Miller County to a high of $25,935 in Cle County. This region contains 50,499 households with average household incomes ranging from $43,839 in Miller County to $65,254 in Cole County. Additional detailed information on the St Mary's Health Center service area can be found on pages 8 through 17 of the 2012 CHNA. SSM Health St. Mary's Hospital - Jefferson City offers a full range of health care services including Cardiovascular, emergency, orthopedic, cancer, outpatient surgical, and women's health services. In addition St Mary's extends its health care into the region with the following services: Wound Healing Center, Medical clinics, urgent care facilities, retail pharmacies, St Mary's Pediatrics, Health Psychology, Pain management, St Mary's Sleep Center, Women's Imaging Center, Occupation Medicine, outpatient physical rehabilitation and diabetes management and training. SSM Health St. Francis Hospital - Maryville: SSM Health St. Francis Hospital - Maryville is located in Maryville, Missouri, in rural northwest Missouri. The service area for St Francis encompasses Nodaway County, Missouri and all of the contiguous surrounding counties in Missouri and Iowa. The estimated 2011 population of Nodaway County was 21,860 with a projected growth rate of 0.2% from 2011 to 2016. The largest age group in Nodaway County is the 18 - 24 group, which makes up about 27% of the total population. The population of Nodaway County is predominantly White/non-Hispanic (94%). The average household income in Nodaway County is $46,895. This is considerably lower than the Missouri average of $58,797. In 2010, the poverty rate was 17.0%, which was higher than the Missouri average of 15.3%. The poverty rate for children was 15.0% in Nodaway County. Most of the adult population (age 25 or older) in Nodaway County have a high school degree or higher. Additional detailed information on the SSM Health St Francis Hospital - Maryville service area can be found on pages 6 through 29 of the 2012 CHNA. As a rural hospital, St Francis Hospital & Health Services provides emergency treatment, acute care for patients with medical and surgical diagnosis, mental health illnesses, and obstetrical needs.
Schedule H, Part VI, Line 5 Promotion of community health	SSM Regional Health Services participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. Focusing on a broad definition of health, SSM Regional Health Services' hospitals, clinics and programs provide medical and mental health services, health education, health management, prevention, referrals, insurance enrollment and in-home primary care services and support, while fostering collaboration and incorporating Community Benefit strategies. SSM Regional Health Services promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote both community health and healthy communities. St. Francis Preschool and Child Care received continued recognition for Missouri Eat Smart Child Care at the advanced level. Eat Smart Child Care is a program from the Missouri Department of Health and Senior Services that aims to help child care providers give Missouri's children a positive nutrition experience. The goals of Eat Smart Child Care are: to help prevent childhood obesity; to show that providers care about the health of children in their care; and to attract parents who care about the food their kids eat while away from home. The Eat Smart guidelines are designed to boost the nutrition of children ages 2 to 12 and help them maintain a healthy weight and include recommendations for breakfast, lunch, dinner and snacks. SSM Regional Health Services also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system.
Schedule H, Part VI, Line 6 Affiliated health care system	SSM REGIONAL HEALTH SERVICES IS A HEALTH CARE NETWORK THAT OPERATES ST MARY'S HEALTH CENTER IN JEFFERSON CITY, MISSOURI, AND ST FRANCIS HOSPITAL & HEALTH CENTER IN MARYVILLE, MISSOURI. IT IS PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. SSM HEALTH IS A 501(C)(3) ORGANIZATION HEADQUARTED IN ST LOUIS, MISSOURI.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL, MO, OK, WI

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
LINCOLN UNIVERSITY
820 CHESTNUT	JEFFERSON CITY	MO	65101	446001089	501(C)(3)	$60,407	Support RN Training program
Heartland Foundation
5325 Faraon	St Joseph	MO	64506	431262768	501(c)(3)	$12,700	General support
ROMAN CATHOLIC DIOCESE OF JEFFERSON CITY
PO BOX 104900	JEFFERSON CITY	MO	65110	440612540	501(C)(3)	$16,000	GENERAL SUPPORT
Jefferson City Area YMCA
505 Ellis Blvd	Jefferson City	MO	65110	430953286	501(c)(3)	$5,000	General support	PO Box 104176

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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 (20 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
Director & Vice President	$0	$652,002	$0	$78,209	$0	$99,438	$0	$241,557	$0	$20,206	$0	$1,091,412	$0	$115,239
William Thompson
Director & President	$0	$1,811,138	$0	$308,788	$0	$133,613	$0	$4,365,995	$0	$20,667	$0	$6,640,201	$0	$406,158
Kris Zimmer
Director/Treasurer/Asst Secretary	$0	$869,852	$0	$109,688	$0	$122,704	$0	$332,810	$0	$34,040	$0	$1,469,094	$0	$161,838
Gaurov Dayal MD
Pt Yr Director	$0	$465,117	$0	$114,624	$0	$765,607	$0	$2,140	$0	$16,386	$0	$1,363,874	$0	$172,584
Christopher Howard
Director	$0	$880,239	$0	$114,623	$0	$150,453	$0	$325,161	$0	$34,062	$0	$1,504,538	$0	$172,583
Shane Peng MD
Director	$0	$769,472	$0	$97,882	$0	$85,039	$0	$251,042	$0	$36,128	$0	$1,239,563	$0	$137,782
June Pickett
Secretary	$0	$230,234	$0	$0	$0	$30,943	$0	$23,052	$0	$24,232	$0	$308,461	$0	$0
Jocelyn Skidmore
Admin Director-Finance	$0	$132,674	$0	$0	$0	$7,388	$0	$44,582	$0	$10,033	$0	$194,677	$0	$5,116
Jim Stratton
Regional CFO	$0	$216,088	$0	$0	$0	$20,931	$0	$20,139	$0	$26,376	$0	$283,534	$0	$0
Brent VanConia
Hospital President	$0	$453,466	$0	$0	$0	$65,408	$0	$108,838	$0	$33,442	$0	$661,154	$0	$27,580
Michael Baumgartner
Hospital President	$0	$228,448	$0	$0	$0	$72,370	$0	$173,135	$0	$14,989	$0	$488,942	$0	$0
Scott Holman DO
VP-Medical Affairs	$391,593	$0	$0	$0	$37,717	$0	$44,368	$0	$23,914	$0	$497,592	$0	$0	$0
Susan Mankoski
VP Human Resources	$0	$195,072	$0	$0	$0	$11,408	$0	$70,735	$0	$13,954	$0	$291,169	$0	$6,772
Stephen Stewart
Regional VP-Medical Affairs	$277,475	$0	$0	$0	$4,730	$0	$24,975	$0	$19,799	$0	$326,979	$0	$0	$0
Kari Wilson
COO/CNO	$0	$160,935	$0	$0	$0	$1,895	$0	$13,552	$0	$2,760	$0	$179,142	$0	$0
John Clemens
Physician	$437,072	$0	$0	$0	$133,613	$0	$159,008	$0	$43,922	$0	$773,615	$0	$0	$0
Thomas Distefano
Physician	$1,185,566	$0	$0	$0	$53,602	$0	$46,937	$0	$15,604	$0	$1,301,709	$0	$0	$0
Courtnye Walker
Physician	$530,009	$0	$0	$0	$21,854	$0	$14,313	$0	$32,254	$0	$598,430	$0	$0	$0
Stuart Krein
Physician	$552,110	$0	$0	$0	$28,897	$0	$12,913	$0	$25,378	$0	$619,298	$0	$0	$0
Amrit Singh
Physician	$467,692	$0	$0	$0	$27,776	$0	$23,846	$0	$24,445	$0	$543,759	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance Plan	SSMH has adopted a severance policy to provide a financial transition in the event of involuntary termination without cause for executive level positions. The amount of the compensation is based on the position held and length of service with SSMH. There were no individuals that received payments under the plan in the current year.
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	The following individuals listed on Part VII, Section A, received tax indemnification/gross up payments in 2015, which were included in their taxable compensation: Scott Holman John Clemens Thomas Distefano Armit Singh
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	The Organization's top management official, President, is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the SSMH President.
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 2015. 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 2015. All distributions received from the plan in the current year were included in the individuals' taxable compensation. Paula Friedman $38,208 William Thompson $97,489 Kris Zimmer $53,267 Gaurov Dayal, MD $165,975 Christopher Howard $74,102 Shane Peng, MD $51,761 Gray Cox $24,729 June Pickett $18,727 Jocelyn Skidmore $5,283 Brent Vanconia $31,902 Susan Mankoski $6,988

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Description of Program Service	Briefly describe the corporation's mission: Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for- profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 19 acute care hospitals, one children's hospital, more than 60 outpatient care sites, a pharmacy benefit company, an insurance company, two long-term care facilities, comprehensive home care and hospice services, a technology company, and two Accountable Care Organizations. The health system employs more than 31,000 people and is affiliated with more than 8,500 physicians making it one of the largest employers in every community it serves. SSMH is sponsored by SSM Health Ministries, an independent 6- member body comprised of three Franciscan Sisters of Mary and three 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 Regional Health Services: SSM Regional Health Services includes SSM Health St. Francis Hospital in Maryville, Missouri, SSM Health St. Mary's Hospital - Jefferson City in Jefferson City, Missouri and a network of primary care medical clinics and specialty offerings serving Jefferson City and surrounding communities. SSM Health St. Francis Hospital is an 81-bed full-service, fully-accredited health-care organization providing medical care to the residents of northwest Missouri. As a rural hospital, St. Francis provides emergency treatment, acute care for patients with medical and surgical diagnosis, mental health illnesses and obstetrical needs. According to the 2014 Hospital Consumer Assessment of Healthcare Providers and Systems, St. Francis scored above both the national average and average for Missouri hospitals in six out of eleven patient satisfaction categories, demonstrating the hospital's continued commitment to high-quality care. SSM Health St. Mary's Health Center - Jefferson City, is a 167-bed, full-service community hospital located in Missouri's state capitol. The hospital features a dedicated inpatient pediatric unit, a Wound Center and Outpatient Treatment Center. SSM Health St. Mary's Hospital - Jefferson City, has been named a recipient of the Missouri Quality Award presented by the Excellence in Missouri Foundation for the second time. The program, modeled after the prestigious Malcolm Baldrige National Quality Award, offers a thorough and objective educational process through which an organization can learn and apply quality implementation techniques and assessment methods. - See more at: http://www.ssmhealth midmo.com/news/ssm-health-st-mary%E2%80%99s-hospital-jefferson-city- receives-missouri-quality-award. In November 2014, the hospital moved to a new, state-of-the-art building. Improvements with the new facility include all private patient rooms, increasing patient comfort, healing, and safety; ease of patient and visitor transportation between inpatient and outpatient areas; sound-absorbing flooring, acoustic ceiling tiles, and limited overhead paging that will reduce noise and promote recovery; and outdoor gardens for patients to relax and recuperate. SSM Health St Mary's Hospital - Jefferson City offers a full range of health care services including Cardiovascular, emergency, orthopedic, cancer, outpatient surgical, and women's health services. In addition St Mary's extends its health care into the region with the following services: Wound Healing Center, Medical clinics, urgent care facilities, retail pharmacies, St Mary's Pediatrics, Health Psychology, Pain management, St Mary's Sleep Center, Women's Imaging Center, Occupation Medicine, outpatient physical rehabilitation and diabetes management and training. 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 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 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: 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; occurences 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.
Form 990, Part III, Line 4b Description of Program Service (Continued)	Description of CHNA community benefit programs: For information on CHNA Community Benefit Programs provided by SSM Health St. Mary's Hospital - Jefferson City, Missouri, and SSM Health St. Francis Hospital - Maryville, Missouri, please see Schedule H, Part V for each facility. Organizational description for tax exemption: In addition to its CHNA community benefit activities, SSM Regional Health Services participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. Focusing on a broad definition of health, SSM Regional Health Services' hospitals, clinics and programs provide medical and mental health services, health education, health management, prevention, referrals, insurance enrollment and in-home primary care services and support, while fostering collaboration and incorporating Community Benefit strategies. SSM Regional Health Services promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote both community health and healthy communities. SSM Regional Health Services also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * Has a governing body in which independent persons representative of the community comprise a majority * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. Describe the organization's financial assistance policies or programs (e.g., charity care, discounting) for low-income persons and how they are communicated to the public: For information on the financial assistance policies provided by SSM Health St. Mary's Hospital - Jefferson City, Missouri, and SSM Health St. Francis Hospital - Maryville, Missouri, please see Schedule H. Quantifiable Community Benefit This section includes a list of the types of programs and services that could be included as community benefit activities. Traditional Charity Care $ 7,051,779 Unpaid Cost of Medicare $ 18,739,761 Unpaid Cost of Medicaid $ 3,816,900 Cost of Means-tested Programs $1,288,328 Cost of Bad Debt $ 4,736,129 Community Benefit Programs $ 414,384 Community Building Activities $159,416 Total Quantifiable Community Benefit $ 36,206,698
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM REGIONAL HEALTH SERVICES AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE THE DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE DIRECTORS D. TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTEREST IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER , TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVE OF THE MEMBER AS DETERMINED BY THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY.
Form 990, Part VI, Line 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 SYSTEM DIRECTOR - TAX AND COMPLIANCE REVIEWS THE COMPLETED RETURN AND PROVIDES THE RETURN 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 to the Board oversee compliance with this requirement. All Board members with an identified conflict of interest abstain from Board discussions and votes when applicable. Employees with purchasing authority and/or ability to influence purchasing decisions are assigned the conflict of interest disclosure course (COI) which must be completed on line. Periodically through the year, the entity's corporate responsibility contact person (with the help of the entity's learning management system coordinator) sends department managers a list of employees who have not yet completed their COI so they can remind the employees and ensure the employees have time in their schedule to complete the required course. Resolution of any conflicts that are disclosed must be documented and kept on file at the entity. Supervisors verify required course completion prior to year end.
Form 990, Part VI, Line 19 Required documents available to the public	The year-end audited consolidated financial statements and unaudited quarterly consolidated financial statement for the SSM Health System are made available to the public on SSM Health's website. The organization's articles of incorporation are available on the Missouri Secretary of State's website. Copies of the Form 990 and the organization's conflict of interest policy are available upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	CAFETERIA - Total Revenue: 264920, Related or Exempt Function Revenue: , Unrelated Business Revenue: 5643, Revenue Excluded from Tax Under Sections 512, 513, or 514: 259277; Other - Total Revenue: 23525, Related or Exempt Function Revenue: , Unrelated Business Revenue: 23525, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Medical Physician, Practitioner, Psychiatrist, Resident, and Therapist - Total Expense: 7829863, Program Service Expense: 7808270, Management and General Expenses: 21593, Fundraising Expenses: ; Recruitment, Consulting, Administrative, and PBS Fees - Total Expense: 10689719, Program Service Expense: 5322257, Management and General Expenses: 5362145, Fundraising Expenses: 5317; Medical Lab, Radiology, Transportation - Total Expense: 4040758, Program Service Expense: 4040758, 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 - -28401; Transfers from affiliates - -248080;
FORM 990, PART I DOING BUSINESS AS	Comprehensive Wound Healing Center at St Mary's SSM Health Behavioral Health SSM Health Cancer Center SSM Health Medical Group SSM Health Medical Group - Behavioral Health SSM Health Medical Group - Behavioral Medicine SSM Health Medical Group - Cardiothoracic Surgery SSM Health Medical Group - Cardiovascular & Thoracic Surgery SSM Health Medical Group - Family Medicine SSM Health Medical Group - Occupational Medicine SSM Health Medical Group - Ophthalmology SSM Health Medical Group - Orthopedic Surgery SSM Health Medical Group - Pediatrics SSM Health Pharmacy SSM Health Preschool & Child Care Center SSM Health Sleep Center SSM Health Spine & Pain Management Center SSM Health Sports Medicine & Rehabilitation Center SSM Health St Francis Hospital Auxiliary SSM Health St Francis Hospital - Maryville SSM Health St Mary's Hospital - Jefferson City SSM Health Urgent Care SSM Health Vascular Center SSM Health Wound Center St Francis Family Eye Clinic St Francis Family Eye Clinic - Albany St Francis Family Health Care - East St Francis Family Health Care - West St Francis Family Life Services St Francis Grant City Health Clinic St Francis Hardin Medical Clinic St Francis Hospital & Health Services St Francis Orthopedic & Sports Medicine St Francis Preschool & Child Care St Francis West Nodaway Health Clinic St Mary's Cancer Center at JCMG St Mary's Cancer Specialist St Mary's Comprehensive Spine & Pain Management Center St Mary's Health Center St Mary's Health Psychology St Mary's Holts Summit Pharmacy St Mary's Medical Clinic - Belle St Mary's Medical Clinic - Holts Summit St Mary's Medical Clinic - Linn St Mary's Medical Clinic - Versailles St Mary's Medical Plaza Pharmacy St Mary's Medical Clinic - Tipton St Mary's Occupational Medicine St Mary's Pediatrics St Mary's Rehabilitation St Mary's Sleep Center St Mary's Sports Medicine & Rehabilitation Center St Mary's Tipton Medical Clinic St Mary's Tipton Pharmacy St Mary's Urgent Care at the Lake St Mary's Westphalia Pharmacy The Vascular Institute at St Mary's

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Public Charity StatusPublicCharityStatusTxt
SSM Health Care Corporation
10101 Woodfield Lane	St Louis	MO	63132	466029223	Health Care	MO	501(c)(3	SSM Health Ministries	false
SSMHC Liability Trust I
10101 Woodfield Lane	St Louis	MO	63132	436331003	Insurance	MO	501(c)(3	SSM Health Care Corporation	false
SSM Consolidated Health Services
10101 Woodfield Lane	St Louis	MO	63132	431473657	Health Care	MO	501(c)(3	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	SSM Health Care Corporation	false
SSM Cardinal Glennon Children's Hospital
10101 Woodfield Lane	St Louis	MO	63132	430738490	Health Care	MO	501(c)(3	SSM Health Care St Louis	false	3
Cardinal Glennon Children's Foundation
10101 Woodfield Lane	St Louis	MO	63132	431754347	Fundraising	MO	501(c)(3	SSM Cardinal Glennon Children's Hospital	false	7
SSM DePaul Health Center Foundation
10101 Woodfield Lane	St Louis	MO	63132	431776109	Fundraising	MO	501(c)(3	SSM Health Care St Louis	false	7
SSM St Joseph Foundation
10101 Woodfield Lane	St Louis	MO	63132	431591556	Fundraising	MO	501(c)(3	SSM Health Care St Louis	false	7
SSM St Clare Health Center Foundation
10101 Woodfield Lane	St Louis	MO	63132	431273310	Fundraising	MO	501(c)(3	SSM Health Care St Louis	false	7
SSM St Mary's Health Center Foundation
10101 Woodfield Lane	St Louis	MO	63132	431552945	Fundraising	MO	501(c)(3	SSM Health Care St Louis	false	7
SSM Health Care of Oklahoma Inc
10101 Woodfield Lane	St Louis	MO	63132	730657693	Health Care	OK	501(c)(3	SSM Health Care Corporation	false	3
St Anthony Hospital Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	736104300	Fundraising	OK	501(c)(3	SSM Health Care of Oklahoma	false	7
SSM Health Care of Wisconsin Inc
10101 Woodfield Lane	St Louis	MO	63132	430688874	Health Care	WI	501(c)(3	SSM Health Care Corporation	false	3
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	SSM Health Care of Wisconsin	false	7
St Clare Health Care Foundation Inc
10101 Woodfield Lane	St Louis	MO	63132	431940683	Fundraising	WI	501(c)(3	SSM Health Care of Wisconsin	false	7
Home Health United Inc
2802 Walton Commons Lane	Madison	WI	53718	391539827	Health Care	WI	501(c)(3	SSM Health Care of Wisconsin	false	9
Home Care United Inc
2802 Walton Commons Lane	Madison	WI	53718	391776340	Health Care	WI	501(c)(3	SSM Health Care of Wisconsin	false	9
HHU Xtra Care Inc
2802 Walton Commons Lane	Madison	WI	53718	391705111	Health Care	WI	501(c)(3	SSM Health Care of Wisconsin	false	9
Home Health United - VNS Foundation Inc
2802 Walton Commons Lane	Madison	WI	53718	391839309	Fundraising	WI	501(c)(3	NA	false
St Francis Hospital Foundation
10101 Woodfield Lane	St Louis	MO	63132	431099253	Fundraising	MO	501(c)(3	SSM Regional Health Services	Yes (true)	7
St Mary's Health Center Jefferson City Missouri Foundation
10101 Woodfield Lane	St Louis	MO	63132	431575307	Fundraising	MO	501(c)(3	NA	false	Type I
Good Samaritan Regional Health Center
10101 Woodfield Lane	St Louis	MO	63132	430653587	Health Care	IN	501(c)(3	SSM Regional Health Services	Yes (true)	3
St Mary's Hospital Centralia Illinois
10101 Woodfield Lane	St Louis	MO	63132	370662580	Health Care	IL	501(c)(3	SSM Regional Health Services	Yes (true)	3
St Mary's - Good Samaritan Inc
10101 Woodfield Lane	St Louis	MO	63132	364170833	Health Care	IL	501(c)(3	SSM Regional Health Services	Yes (true)
Good Samaritan Regional Health Center Foundation
10101 Woodfield Lane	St Louis	MO	63132	262884795	Fundraising	IL	501(c)(3	St Mary's - Good Samaritan	false	7
St Mary's Hospital Foundation
10101 Woodfield Lane	St Louis	MO	63132	364636691	Fundraising	IL	501(c)(3	St Mary's - Good Samaritan	false	7
St Mary's Hospital Auxiliary
400 N Pleasant	Centralia	IL	62801	237126345	Fundraising	IL	501(c)(3	St Mary's Hospital Foundation	false	9
SSM Health Businesses
10101 Woodfield Lane	St Louis	MO	63132	431333488	Health Care	MO	501(c)(3	SSM Health Care Corporation	false	9
SSM Health Care St Louis
10101 Woodfield Lane	St Louis	MO	63132	431343281	Health Care	MO	501(c)(3	SSM Health Care Corporation	false	3
Centralia Medical Services Bldg Assoc
10101 Woodfield Lane	St Louis	MO	63132	237408025	MOB	IL	501(c)(3	NA	false	Type I
St Mary's Janesville Foundation Inc
2901 Landmark PL Ste 300	Madison	WI	53713	273439133	Fundraising	WI	501(c)(3	SSM Health Care of Wisconsin	false	7
Franciscan Sisters of Mary
3221 McKelvey Road Suite 107	Bridgeton	MO	63044	431012492	Religious Organization	MO	501(c)(1	NA	false
Lee Dewey Corporation
10101 Woodfield Lane	St Louis	MO	63132	731279603	MOB	OK	501(c)(3	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	SSM Health Businesses	false	7
St Mary's Hospital Auxiliary
100 St Marys Medical Plaza	Jefferson City	MO	65101	436049878	Fundraising	MO	501(c)(3	NA	false	Type I
Good Samaritan Hospital Auxiliary
605 North 12th Street	Mt Vernon	IL	62864	237049599	Fundraising	IL	501(c)(3	NA	false	Type II
St Anthony Shawnee Hospital Inc
1000 N Lee Ave	Oklahoma City	OK	73102	455055149	Health Care	OK	501(c)(3	SSM Health Care of Oklahoma	false	3
SSM Audrain Health Care Inc
10101 Woodfield Lane	St Louis	MO	63132	431550298	Health Care	MO	501(c)(3	SSM Regional Health Services	Yes (true)	3
Audrain Medical Center Foundation Inc
620 E Monroe Street	Mexico	MO	65265	431265060	Fundraising	MO	501(c)(3	SSM Audrain Health Care Inc	false
SSM-SLUH Inc
10101 Woodfield Lane	St Louis	MO	63132	474196634	Health Care	MO	501(c)(3	SSM Health Care St Louis	false	3

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	0.0
St Clare Imaging Services
707 14th Street Suite A	Baraboo	WI	53913	200122365	Diag Services	WI	NA	N/A	$0	$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	0.0
Sleep & Neurology Center of S Illinois LLC
10101 Woodfield Lane	St Louis	MO	63132	208468195	Diag Services	IL	NA	N/A	$0	$0	$0	0.0
ChowSMGSI Office Building LLC
10101 Woodfield Lane	St Louis	MO	63132	371383861	MOB	IL	NA	N/A	$0	$0	$0	0.0
Oza Cancer Center LLC
10101 Woodfield Lane	St Louis	MO	63132	201382727	MOB	IL	NA	N/A	$0	$0	$0	0.0
Shawnee Real Estate Holdings LLC
1000 N Lee Ave	Oklahoma City	OK	73102	455458304	MOB	OK	NA	N/A	$0	$0	$0	0.0
SSM RX Express LLC
10101 Woodfield Lane	St Louis	MO	63132	264031708	Pharmacy	MO	NA	N/A	$0	$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	0.0
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	0.0
Dean Health Holdings LLC
1277 Deming Way	Madison	WI	53717	261594709	Support Services	WI	NA	N/A	$0	$0	$0	0.0
Wingra Building Group
1808 West Beltline Highway	Madison	WI	53713	390237060	MOB	WI	NA	N/A	$0	$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	0.0

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	MO	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 Mary's 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	Yes (true)	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 (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
St Francis Hospital Foundation
C	$402,385	Cash transfer
St Mary's Health Center Jefferson City MO Foundation
C	$119,573	Cash Transfer
St Mary's Health Center Jefferson City MO Foundation
R	$243,690	Cash