2025-11-17T17:36:49-06:00 2024-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2024-01-01 431343281 SSM HEALTH CARE ST LOUIS SSMH 3149947800 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 STEPHANIE KING VP FINANCE 3149947800 2025-11-17 1 0 SHAWNA M JANSONS P10222873 3144648600 2024 2025-03-06 01:10:19Z SEE SCHEDULE O JEREMY FOTHERINGHAM 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 2193315150 0 0928 X WW.SSMHEALTH.COM X 2000 MO OPERATES SEVEN HOSPITALS AND HEALTH CARE CENTERS UNDER SIX SEPARATE HOSPITAL LICENSES IN THE GREATER ST. LOUIS METROPOLITAN AREA. 10 6 10220 330 6816056 0 2292524 3692147 2097964741 2141719714 11983487 -281955 42003251 47177366 2154244003 2192307272 3537048 3085930 0 0 864950812 854894531 0 0 368132 1169184097 1224504218 2037671957 2082484679 116572046 109822593 1055613909 1081459845 1130681567 1370743617 -75067658 -289283772 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 1622821740 3085930 2141719714 SSM HEALTH CARE ST. LOUIS PROVIDES HEALTH CARE SERVICES AT SIX WHOLLY-OWNED ACUTE CARE HOSPITALS: SSM HEALTH DEPAUL HOSPITAL-ST. LOUIS, SSM HEALTH ST. MARY'S HOSPITAL-ST. LOUIS, SSM HEALTH ST. JOSEPH-ST. CHARLES, SSM HEALTH ST. CLARE HOSPITAL-FENTON, SSM HEALTH ST. JOSEPH HOSPITAL-LAKE ST. LOUIS, AND SSM HEALTH ST. JOSEPH HOSPITAL-WENTZVILLE. SSM HEALTH CARE ST. LOUIS IS ALSO THE SOLE CORPORATE MEMBER OF SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL. SSM HEALTH CARE ST. LOUIS ALSO IS PARTIAL OWNER OF SSM HEALTH REHABILITATION HOSPITAL, A SPECIALTY REHABILITATION HOSPITAL THAT OFFERS CARE AND ADVANCED TREATMENT FOR INDIVIDUALS WITH STROKE, BRAIN INJURY, SPINAL CORD INJURY, NEUROLOGICAL DISORDERS, AMPUTATION, JOINT REPLACEMENT AND OTHER ORTHOPEDIC TRAUMA, AS WELL AS GENERAL MEDICAL REHABILITATION NEEDS.SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS (DEPAUL HOSPITAL) TREATS PATIENTS FROM ACROSS THE ST. LOUIS METROPOLITAN AREA, INCLUDING THE COMMUNITIES OF BRIDGETON, FLORISSANT, HAZELWOOD, ST. ANN, ST. JOHN, MARYLAND HEIGHTS, OVERLAND AND COMMUNITIES IN ST. CHARLES COUNTY. DEPAUL HOSPITAL OFFERS A WIDE RANGE OF COMPREHENSIVE MEDICAL CARE, A LEVEL I TIME CRITICAL DIAGNOSIS STEMI CENTER AND A JOINT COMMISSION-CERTIFIED COMPREHENSIVE STROKE CENTER. DEPAUL HOSPITAL USES SOME OF THE MOST ADVANCED TECHNOLOGY AND PROCEDURES AVAILABLE IN MINIMALLY INVASIVE HEART, SPINE, KNEE, HIP AND WEIGHT LOSS SURGERY. ALL PATIENT ROOMS ARE PRIVATE, ALLOWING PATIENTS AND FAMILIES TO REST AND HEAL IN A QUIET, SOOTHING ENVIRONMENT. EACH AND EVERY DAY THE COMPASSIONATE EMPLOYEES AND PHYSICIANS AT DEPAUL HOSPITAL BRING HOPE AND HEALING TO ST. LOUIS.SSM HEALTH ST. MARY'S HOSPITAL - ST. LOUIS (ST. MARY'S HOSPITAL) IS A TWO-TIME WINNER OF THE PREMIER AWARD FOR QUALITY AND HAS EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR THE ADVANCED PRIMARY HEART ATTACK CENTER CERTIFICATION. CENTRALLY LOCATED IN METRO ST. LOUIS, IT PROVIDES EXCEPTIONAL CARE TO ALL PATIENTS AND ARE A LEVEL II TIME CRITICAL DIAGNOSIS STEMI CENTER. ST. MARY'S HOSPITAL SPECIALIZES IN HIGH-RISK PREGNANCY CARE. ADDITIONALLY, ST. MARY'S HOSPITAL HAS A CHEST PAIN CENTER, CERTIFIED STROKE CENTER, AND IMAGING AND OUTPATIENT SERVICES ENSURE PATIENTS ARE WELL TAKEN CARE OF IN ANY SITUATION. ST. MARY'S HOSPITAL ALSO OPERATES AS A TEACHING HOSPITAL, OFFERING AN INDEPENDENT, ACCREDITED INTERNAL MEDICINE RESIDENCY PROGRAM AND SERVES AS THE PRIMARY LOCATION FOR ST. LOUIS UNIVERSITY SCHOOL OF MEDICINE'S DEPARTMENT OF OBSTETRICS AND GYNECOLOGY AND ITS FAMILY PRACTICE RESIDENCY PROGRAMS.SSM HEALTH ST. JOSEPH HOSPITAL - ST. CHARLES CONTINUES TO MEET THE EVOLVING HEALTH CARE NEEDS OF OUR PATIENTS AND COMMUNITY. LOCATED CONVENIENTLY IN HISTORIC DOWNTOWN ST. CHARLES, OUR 329-BED ACUTE CARE HOSPITAL IS A JOINT COMMISSION-CERTIFIED PRIMARY STROKE CENTER, A LEVEL II TIME CRITICAL DIAGNOSIS STEMI CENTER, AND A BRONZE STANDARD, LEVEL 3 GERIATRIC EMERGENCY DEPARTMENT. OUR HERITAGE OF HEALING THE ST. CHARLES COMMUNITY CONTINUES TODAY WITH THE EXCEPTIONAL AND COMPASSIONATE CARE YOU'LL RECEIVE WITH SSM HEALTH.SSM HEALTH ST. CLARE HOSPITAL - FENTON, A PRIMARY STROKE CENTER, LEVEL II TIME CRITICAL DIAGNOSIS STEMI CENTER, AND A PRIMARY HEART ATTACK CENTER SERVES THE MEDICAL NEEDS OF THE EXPANDING COMMUNITY IN SOUTHWEST ST. LOUIS COUNTY. SPECIALIZING IN HEART AND VASCULAR, NEUROSCIENCES, CANCER CARE, MATERNITY AND OTHER MEDICAL SERVICES, SSM HEALTH ST. CLARE HOSPITAL - FENTON MAKES YOUR HEALTH AND WELLNESS A PRIMARY FOCUS.SSM HEALTH ST. JOSEPH HOSPITAL - LAKE ST. LOUIS, ESTABLISHED IN 1986, OFFERS RESIDENTS OF WESTERN ST. CHARLES, LINCOLN, AND WARREN COUNTIES EXCEPTIONAL HEALTH CARE CLOSE TO HOME. OUR 216-BED HOSPITAL IS A STATE-DESIGNATED LEVEL III TRAUMA CENTER, A LEVEL II TIME CRITICAL DIAGNOSIS STEMI CENTER AND SPECIALIZES IN OBSTETRIC AND PEDIATRIC CARE, AS WELL AS MANY OTHER SPECIALTIES.SSM HEALTH ST. JOSEPH HOSPITAL - WENTZVILLE IS THE HIGH-QUALITY, HEALTH CARE PROVIDER TO RESIDENTS OF WESTERN ST. CHARLES, WARREN, LINCOLN AND MONTGOMERY COUNTIES. OUR FACILITY OFFERS THE SURROUNDING COMMUNITIES A 24-HOUR EMERGENCY DEPARTMENT AND AMBULATORY SERVICES, WITH CONVENIENT ACCESS TO OUTPATIENT PROGRAMS, INCLUDING DIAGNOSTIC, CARDIOLOGY, PULMONARY AND REHAB SERVICES. BEHAVIORAL HEALTH INPATIENT AND OUTPATIENT CARE IS ALSO AN INTEGRAL PART TO OUR SERVICES. WE PROVIDE CARE FOR SENIORS, ADULTS AND ADOLESCENTS, HELPING THEM FIND AND NAVIGATE THEIR HEALTH-RELATED CHALLENGES. 1622821740 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 X 0 0 10220 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 6 0 0 1 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 1 1 X SUSAN TAYLOR 6183868242 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 JAN CERNY DIRECTOR, VICE CHAIRPERSON 1.00 3.00 X X 0 0 0 SNEHAL GANDHI MD DIRECTOR 1.00 3.00 X 0 0 0 DOUGLASS PETTY DIRECTOR 1.00 3.00 X 0 0 0 DENNIS HARMS DIRECTOR 1.00 3.00 X 0 0 0 JOSEPH YANCEY DIRECTOR 1.00 3.00 X 0 0 0 STEPHEN SMITH DIRECTOR 1.00 3.00 X 0 0 0 STEVEN SMOOT DIR, VP & COO AT SSM HEALTH 1.00 54.00 X X 0 2364935 1119698 CHRISTINE JACOBS MD DIR, ACTING DEAN & VP MEDICAL AFFAIRS 1.00 3.00 X 0 0 0 TIMOTHY JOHNSON MD DIR & SYSTEM VP MED GROUP & POP HEALTH OPS 1.00 40.00 X 0 820503 241430 JEREMY FOTHERINGHAM CHAIR, PRESIDENT & REG PRESIDENT 30.00 20.00 X X 1310180 0 630158 DOUGLAS LONG SECRETARY & CLO AT SSM HEALTH 1.00 54.00 X 0 1587150 700771 EILEEN LAMM REGIONAL VP, FINANCE (MO/ILL) 20.00 20.00 X 0 573274 162420 KEVIN SMITH TREASURER & CFO AT SSM HEALTH 1.00 54.00 X 0 1050477 627081 TINA GARRISON REGIONAL VP CHIEF OPERATING OFFICER 20.00 20.00 X 778681 0 229461 DEBORAH BERINI HOSPITAL PRES - DEPAUL HOSPITAL 40.00 0.00 X 332768 0 107543 JACOB A BROOKS HOSPITAL PRES - ST. JOSEPH-ST. CHARLES 40.00 0.00 X 554163 0 172242 KYLE GRATE HOSPITAL PRES - ST. CLARE HOSPITAL 40.00 0.00 X 510086 0 175931 KEVIN ELLEDGE REGIONAL PRESIDENT - MEDICAL GROUP 20.00 20.00 X 0 869907 222672 JULIE WILHITE REGIONAL VP - HUMAN RESOURCES 20.00 20.00 X 0 483304 129201 ROBERT PENDLETON MD REGIONAL CHIEF CLINICAL OFFICER 20.00 20.00 X 847980 0 237675 RACHEL DONLAN REG VP ACADEMIC & PHYS INTEG 20.00 20.00 X 0 460488 151624 AMIR JAFFER REGIONAL CHIEF MEDICAL OFFICER 20.00 20.00 X 272056 0 73718 MARCIA LYSAGHT REGIONAL VP PATIENT CARE SERVICES/CNO 20.00 20.00 X 411334 0 100938 MIN PAN PHYSICIAN 40.00 0.00 X 887273 0 67455 MARIO MORALES PHYSICIAN 40.00 0.00 X 1760916 0 56645 THOMAS LANDON PHYSICIAN 40.00 0.00 X 1223129 0 52161 CATHERINE APPLETON PHYSICIAN 40.00 0.00 X 702164 0 25592 TIMOTHY PRATT VP - MEDICAL AFFAIRS 1.00 50.00 X 869140 0 96528 LAURA KAISER FMR OFF & PRES/CEO AT SSM HEALTH 1.00 54.00 X 0 5205665 2681148 KAREN REWERTS FMR OFF & VP FIN OPS AT SSM HEALTH 5.00 40.00 X 0 845480 234843 RANDALL COMBS FORMER OFFICER 1.00 50.00 X 0 1454021 29506 MISTY JONES FMR KEY EMP & VP HOSPITAL ADMIN 0.00 50.00 X 545291 0 160804 11005161 15715204 8487245 1320 1 1 0 OMNICELL INC 500 CRANBERRY WOODS DR CRANBERRY TOWNSHIP PA 16066 MEDICAL SERVICES 21554496 METRO WEST ANESTHESIA GROUP INC 400 S WOODS MILL RD STE 140 CHESTERFIELD MO 63017 MEDICAL SERVICES 9651783 SOUND PHYSICIANS OF ILLINOIS LLC 1498 PACIFIC AVENUE STE 400 TACOMA WA 98402 MEDICAL SERVICES 7754285 SSM SELECT REHAB OF ST LOUIS LLC 4714 GETTYSBURG ROAD MECHANICSBURG PA 17055 MEDICAL SERVICES 5241389 MANAGEMENT HEALTH SYSTEMS LLC 1580 SAWGRASS CORP PKWY STE 200 SUNRISE FL 33323 STAFFING SERVICES 3311701 63 2340135 599975 752037 3692147 NET PATIENT SVCS REV 622110 1864098504 1864098504 PHARMACY REVENUE 456110 129489837 127654848 1834989 340B PHARMACY REVENUE 456110 84310026 84310026 VALUE BASED CARE REV 622110 28649847 28649847 MANAGEMENT FEES 561000 24878693 24878693 10292807 10287027 5780 2141719714 -39385 -39385 14931502 0 14931502 14931502 14931502 6594 235976 -6594 -235976 -242570 -242570 1104797 765308 339489 339489 JV & LTACH/REHAB 621110 21720233 2458705 19261528 CAFETERIA 722210 7409563 7409563 LABORATORY 621110 2516582 2516582 259997 259997 31906375 2192307272 2139878945 6816056 41920124 X 3000961 3000961 84969 84969 7070632 4894128 2176504 706094 488742 217352 708222928 490215523 218007405 30269512 20951856 9317656 59854091 41429617 18424474 48771274 33758347 15012927 86226974 85996828 230146 1269874 29553 1240321 228215168 215648231 12566937 181906 181906 17927751 17839005 88746 48616892 48616892 53103319 32821611 20281708 1668945 603294 1065651 1634584 313852 1320732 10635 217 10418 137571044 8015694 129555350 49835573 46814622 3020951 11351763 126679 11225084 MEDICAL SUPPLIES & EQUI 512469142 498881372 13587770 TAXES 69737978 69737978 LICENSES, DUES, SUBSCRI 3839905 2086251 1753654 OTHER INTERCOMPANY EXPE 460144 460144 382621 5374 9115 368132 2082484679 1622821740 459294807 368132 1051045 7464 258680788 267474090 43992850 43823121 7289363 6441883 1616390113 1000917066 602116506 615473047 5340588 0 60504807 53366983 16723992 16751071 59913970 78122186 1055613909 1081459845 172350413 155963902 9203262 11701813 423977 83356 92217 14016 948611698 1202980530 1130681567 1370743617 X -93287673 -289551450 18220015 267678 -75067658 -289283772 1055613909 1081459845 X 109822593 -24067 953 -324015593 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 240409 240409 0 PART II-B, LINE 1, LOBBYING ACTIVITIES THE ORGANIZATION PAID DUES TO VARIOUS NATIONAL AND LOCAL HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WAS ALLOCATED TO LOBBYING ACTIVITIES. 5089343 105832 305115 3195 5497095 5012499 2500 74344 0 0 5089343 4577652 0 434847 0 0 5012499 4176315 25000 376337 0 0 4577652 5003511 0 672804 0 1500000 4176315 0.41030 0.58970 0.00000 1 1 1 65291821 65291821 905588449 519269737 386318712 60544705 43203844 17340861 552746140 437428033 115318107 32218998 1015452 31203546 615473047 INTERCOMPANY RECEIVABLE 195375 DEFERRED COMPENSATION 4508428 OPERATING RIGHT OF USE ASSETS 73363218 SECURITY DEPOSITS 55165 78122186 PAYABLE TO THIRD-PARTY PAYORS 31611538 OPERATING RIGHT-OF-USE LIABILITIES 81366118 INTERCOMPANY PAYABLES 1082006487 DEFERRED COMPENSATION PLAN LIABILITIES 7440644 OTHER LONG-TERM LIABILITIES 555743 1202980530 X PART V, LINE 4: ALL ENDOWMENT FUNDS WILL BE USED TO SUPPORT HEALTH CARE SERVICES. PART X, LINE 2: SSM HEALTH CARE ST LOUIS' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2023 OR 2024. 1 1 X 1 X 1 X 1 1 1 0 1 1 19962663 19962663 0.00960 303762861 351527312 0 0.00000 25625325 28299115 0 0.00000 349350849 379826427 19962663 0.00960 4567522 25000 4542522 0.00220 21111870 10038561 11073309 0.00530 6419537 6419537 0.00310 138665 138665 0.00010 32237594 10063561 22174033 0.01070 381588443 389889988 42136696 0.02030 138309 138309 0.00010 50 50 0.00000 138359 138359 0.00010 1 94809202 0 233747413 338421039 -104673626 X 1 1 1 SSM ST JOSEPH ENDOSCOPY CENTER LLC OPERATE AN ENDOSCOPY CENTER 0.50000 0.00000 0.50000 2 ST LOUIS CYBERKNIFE LLC OPERATE A CANCER TREATMENT CENTER 0.44000 0.00000 0.56000 6 1 SSM HEALTH DEPAUL HOSPITAL - ST LOUIS 12303 DEPAUL DRIVE BRIDGETON MO 63044 HTTPS://WWW.SSMHEALTH.COM/LOCATIONS/ST 414-27 X X X A 2 SSM HEALTH ST MARY'S HOSPITAL-ST LOUIS 6420 CLAYTON ROAD ST LOUIS MO 63117 HTTPS://WWW.SSMHEALTH.COM/LOCATIONS/ST 383-29 X X X X A 3 SSM HEALTH ST JOSEPH HOSPITAL-ST CHARLES 300 FIRST CAPITAL DRIVE ST CHARLES MO 63301 HTTPS://WWW.SSMHEALTH.COM/LOCATIONS/ST 494-16 X X X A 4 SSM HEALTH ST CLARE HOSPITAL - FENTON 1015 BOWLES AVENUE FENTON MO 63026 HTTPS://WWW.SSMHEALTH.COM/LOCATIONS/ST 456-22 X X X A 5 SSM HEALTH ST JOSEPH HOSPITAL-LAKE ST LOUIS 100 MEDICAL DRIVE LAKE ST LOUIS MO 63367 HTTPS://WWW.SSMHEALTH.COM/LOCATIONS/ST 381-29 X X X A 6 SSM HEALTH REHABILITATION HOSPITAL 12380 DEPAUL DRIVE BRIDGETON MO 63044 HTTPS://WWW.SSM-REHAB.COM/ 522-4 X REHAB HOSPITAL FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X X 24 1 1 1 1 X HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH/ X 1 24 1 HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH/ 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X WWW.SSMHEALTH.COM/RESOURCES/PAY-MY-BILL/FINANCIAL-ASSISTANCE X WWW.SSMHEALTH.COM/RESOURCES/PAY-MY-BILL/FINANCIAL-ASSISTANCE X WWW.SSMHEALTH.COM/RESOURCES/PAY-MY-BILL/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 SSM HEALTH REHABILITATION HOSPITAL 6 0 0 1 X X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH/ X 1 22 1 HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH/ 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X WWW.SSM-REHAB.COM/PATIENTS-AND-CAREGIVERS/ADMISSIONS/FINANCIAL-ASSISTANCE X WWW.SSM-REHAB.COM/PATIENTS-AND-CAREGIVERS/ADMISSIONS/FINANCIAL-ASSISTANCE X WWW.SSM-REHAB.COM/PATIENTS-AND-CAREGIVERS/ADMISSIONS/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 SSM HEALTH REHABILITATION HOSPITAL PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAVE PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. SSM HEALTH REHABILITATION HOSPITAL PART V, SECTION B, LINE 5: A SINGLE ONLINE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WAS AVAILABLE FOR COMMUNITY MEMBERS ACROSS MULTIPLE SERVICE AREAS OF ALL COLLABORATING HOSPITAL SYSTEMS, INCLUSIVE OF MISSOURI AND ILLINOIS. THE ONLINE COMMUNITY SURVEY WAS AVAILABLE TO COMPLETE FROM APRIL 2021 THROUGH JULY 2021. THIS SURVEY ASKED ABOUT PEOPLE'S PERSONAL HEALTH, THEIR THOUGHTS ABOUT THE COMMUNITY'S HEALTH, AND PROVIDED SECTIONS FOR PEOPLE TO PROVIDE ON WAYS TO IMPROVE BOTH INDIVIDUAL AND COMMUNITY HEALTH. THE SURVEY TOOK AN AVERAGE OF 10 MINUTES TO COMPLETE WITH A TOTAL OF 2,915 INDIVIDUALS COMPLETING THE SURVEY. A TOTAL OF 378 RESPONSES WERE RECEIVED FROM ST. LOUIS CITY ZIP CODES, ACCOUNTING FOR 13 PERCENT OF SURVEY RESPONSES. ALL RESPONDENTS WERE ASKED TO PROVIDE THEIR PRIMARY ZIP CODES, WHICH WERE TAGGED ACCORDING TO THE SSM AND PARTNER HOSPITAL CHNA COMMUNITY GEOGRAPHIES. COMMUNITY MEMBERS HAD THE OPTION TO SUBMIT OPEN ENDED RESPONSES, COMMENTS AND SUGGESTIONS THROUGHOUT THE SURVEY.ADDITIONALLY, COMMUNITY CONVERSATIONS WERE HELD VIRTUALLY, ENGAGING INDIVIDUALS FROM SSM HEALTH SERVICE AREAS WHERE RESPONSE RATES WERE SIGNIFICANTLY LOWER IN COMPARISON TO OTHER SERVICE AREAS. THESE CONVERSATIONS HELPED US LEARN MORE ABOUT RESIDENTS' CONCERNS, SOLICIT IDEAS, LEARN OF THEIR HEALTH CARE EXPERIENCES AND IDENTIFY OPPORTUNITIES FOR IMPROVEMENT. THESE CONVERSATIONS ALSO PROVIDED CRITICAL INSIGHT ON COMMUNITY PERCEPTIONS AND GENERATED IDEAS ON HOW TO IMPROVE HEALTH CARE ACCESS AND RESOURCES.COMMUNITY LEADERS WERE ALSO ENGAGED TO COMPLETE THE STAKEHOLDER CHNA SURVEY. STAKEHOLDERS INCLUDED A DIVERSE GROUP OF COMMUNITY PROFESSIONALS FROM ORGANIZATIONS ACROSS SERVICE AREAS, PROVIDING A VAST ARRAY OF CRITICAL SERVICES INCLUDING HEALTH ACCESS, SOCIAL NEEDS, EDUCATION ANDEMERGENCY SERVICES. UPON COMPLETION, SURVEYS WERE ANALYZED THROUGH THE SURVEY PLATFORM IN ORDER TO IDENTIFY COMMON THEMES.SECONDARY DATA WAS COLLECTED FROM MULTIPLE SOURCES INCLUDING THE COUNTY HEALTH RANKINGS, EXPLORE MO HEALTH, AND THINK HEALTH ST. LOUIS. ANALYSIS OF THESE DATA SOURCES REVEALED NOT ONLY THE MOST BURDENSOME HEALTH ISSUES, BUT ALSO HEALTH DISPARITIES AND KEY ISSUES IMPACTING SOCIAL DETERMINANTS OF HEALTH. DATA ASSESSED INCLUDED DEMOGRAPHIC INFORMATION, CHRONIC DISEASE AND MORBIDITY/MORTALITY INFORMATION, HEALTH STATUS INDICATORS, HEALTH BEHAVIORS AND GENERAL ENVIRONMENT INFORMATION. THIS DATA IS COMPARED TO STATE AND NATIONAL BENCHMARKS.PRIMARY AND SECONDARY DATA WERE WEIGHTED IN ORDER TO DETERMINE HIGHEST PRIORITY COMMUNITY HEALTH NEEDS, BASED ON IMPORTANCE TO COMMUNITY MEMBERS AND THE HOSPITAL'S ABILITY TO MAKE MEANINGFUL IMPACT OVER THE NEXT SEVERAL YEARS.ORGANIZATIONS INCLUDED IN STAKEHOLDER DATA GATHERING AND DISCUSSION INCLUDE:NORTH ST. LOUIS COUNTY:AGING AHEADALIVE AND WELL COMMUNITIESASTHMA AND ALLERGY FOUNDATION - ST. LOUIS CORNERSTONE REALTYJEWISH AND FAMILY SERVICES OF ST. LOUIS OUR FAMILY'S DOING YOGAREFUGE AND RESTORATION PREVENT+ EDST. LOUIS AREA DIAPER BANKST. LOUIS COUNTY DEPARTMENT OF HEALTH ST. LUKE'S HOSPITAL SSM HEALTH REHABILITATION HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL CONDUCTED AND COMPLETED ITS 2021 CHNA JOINTLY WITH SSM HEALTH DEPAUL HOSPITAL-ST. LOUIS. SSM HEALTH REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2021 CHNA. IN ORDER TO MAKE MEANINGFUL IMPACT, AND TO USE ITS FINANCES MOST EFFECTIVELY AND EFFICIENCY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES: - BEHAVIORAL HEALTH- HEART HEALTH/NUTRITION- RESPIRATORY DISEASESBEHAVIORAL HEALTH BEHAVIORAL HEALTH (BH), INCLUSIVE OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS, WAS DETERMINED TO BE A PRIORITY HEALTH NEED IN EACH HOSPITAL MINISTRY COMMUNITY'S CHNA PROCESS. THE BURDEN OF MENTAL ILLNESS IN THE UNITED STATES IS AMONG THE HIGHEST OF ALL DISEASES, AND MENTAL DISORDERS ARE AMONG THE MOST COMMON CAUSES OF DISABILITY. SUBSTANCE ABUSE DISORDERS HAVE A MAJOR IMPACT ON INDIVIDUALS, FAMILIES, AND COMMUNITIES. THE EFFECTS OF SUBSTANCE ABUSE ARE CUMULATIVE, SIGNIFICANTLY CONTRIBUTING TO COSTLY SOCIAL, PHYSICAL, MENTAL, AND PUBLIC HEALTH PROBLEMS. IN 2019, 18.5% OF RESIDENTS IN THE INNER NORTH REGION OF ST. LOUIS COUNTY REPORTED EXPERIENCING 14 OR MORE POOR MENTAL HEALTH DAYS IN THE PAST MONTH COMPARED TO THE NATIONAL AVERAGE OF 13.6%. THE HOSPITAL HAS IMPLEMENTED THE FOLLOWING STRATEGIES TO IMPROVE COMMUNITY BEHAVIORAL HEALTH: - INCREASE ACCESS TO EXISTING MENTAL AND BEHAVIORAL HEALTH PROGRAMS AND SERVICES - SUPPORT INITIATIVES THAT BUILD CAPACITY OF LOCAL PARTNERS ADDRESSING ACCESS TO BEHAVIORAL HEALTH SERVICES AND CARE- SUPPORT AND ADVOCATE FOR POLICIES THAT IMPROVE ACCESS AND SERVICES TO BEHAVIORAL HEALTH - STRENGTHEN INTERNAL BEHAVIORAL HEAL TH SERVICES AND CAPACITIES - PROMOTE SAFE MEDICATION DISPOSAL - FUND EVIDENCE-BASED & INNOVATIVE APPROACHES- ENSURE DATA EQUITY AND PUBLIC HEALTH EDUCATIONTHE SHORT-TERM AND LONG-TERM IMPACTS OF THESE ACTIVITIES ARE AS FOLLOWS:- CONSISTENT AND STRATEGIC SSM AND COMMUNITY PARTNERSHIPS FOCUSED ON BEHAVIORAL HEALTH- INCREASED INTERNAL AND COMMUNITY KNOWLEDGE AND AWARENESS OF THE IMPORTANCE AND IMPACT OF BEHAVIORAL HEAL TH CARE- INCREASED POLICIES SUPPORTING EQUITABLE BEHAVIORAL HEALTH TREATMENT AND CARE - HEAL THIER COMMUNITIES WITH IMPROVED ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE CARE HEART HEALTH/NUTRITION CONTROLLING RISK FACTORS FOR HEART DISEASE AND STROKE REMAINS A CHALLENGE. HIGH BLOOD PRESSURE, CIGARETTE SMOKING, AND HIGH BLOOD CHOLESTEROL ARE STILL MAJOR CONTRIBUTORS TO THE NATIONAL EPIDEMIC OF CARDIOVASCULAR DISEASE. THE RISK OF AMERICANS DEVELOPING AND DYING FROM CARDIOVASCULAR DISEASE WOULD BE SUBSTANTIALLY REDUCED IF MAJOR IMPROVEMENTS WERE MADE ACROSS THE U.S. POPULATION IN DIET AND PHYSICAL ACTIVITY, CONTROL OF HIGH BLOOD PRESSURE AND CHOLESTEROL, SMOKING CESSATION, AND APPROPRIATE ASPIRIN USE. BLACK/AFRICAN AMERICAN RESIDENTS IN ST. LOUIS COUNTY ARE DISPROPORTIONATELY AFFECTED BY HEART DISEASE TO A STAGGERING DEGREE, CONSISTENTLY HAVING HIGHER MORTALITY AND HOSPITAL VISIT RATES COMPARED TO OTHER RACIAUETHNIC GROUPS IN THE COUNTY. THE HOSPITAL HAS THE FOLLOWING ACTION PLAN IN PLACE TO IMPROVE THE HEART HEALTH FOR ITS COMMUNITY: - SUPPORT INITIATIVES THAT BUILD CAPACITY OF LOCAL PARTNERS ADDRESSING NUTRITION AND HEART DISEASE - INCREASE ACCESS TO HEART DISEASE MANAGEMENT SERVICES - SUPPORT AND ADVOCATE FOR POLICIES THAT IMPROVE ACCESS TO NUTRITIOUS FOODS- STRENGTHEN INTERNAL AWARENESS AND KNOWLEDGE OF HEART DISEASE DISPARITIES THROUGH EDUCATION AND SKILLS DEVELOPMENT - GUIDE DIRECT AND COLLABORATIVE FUNDING - ENSURE DATA EQUITY AND PUBLIC HEALTH EDUCATION THE SHORT-TERM AND LONG-TERM IMPACTS OF THESE ACTIVITIES ARE AS FOLLOWS: - CONSISTENT AND STRATEGIC SSM AND COMMUNITY PARTNERSHIPS FOCUSED ON HEART HEALTH AND NUTRITION - INCREASED INTERNAL AND COMMUNITY KNOWLEDGE AND AWARENESS OF THE IMPORTANCE OF HEART HEALTH AND NUTRITION - INCREASED COMMUNITY CONSUMPTION OF NUTRITIOUS FOODS- INCREASED HEART HEALTHY ACTIVITIES - INCREASED ADVOCACY FOR CHANGE - INCREASED POLICIES SUPPORTING HEALTHY LIVING FOR ALL RESPIRATORY DISEASES RESPIRATORY DISEASES AFFECT MILLIONS OF PEOPLE IN THE UNITED STATES. THE BURDEN OF RESPIRATORY DISEASES AFFECTS INDIVIDUALS AND THEIR FAMILIES, SCHOOLS, WORKPLACES, NEIGHBORHOODS, CITIES, AND STATES. ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) ARE SIGNIFICANT PUBLIC HEALTH BURDENS. THERE ARE ALSO SEVERAL EMERGING RESPLRATORY HEALTH ISSUES SUCH AS THE IMPACT OF ENVIRONMENTAL CHANGE AND INCREASING IMPORTANCE OF INDOOR AIR QUALITY. NORTH ST. LOUIS COUNTY HAS DISPROPORTIONATELY HIGHER RATES OF ASTHMA COMPARED TO OTHER AREAS IN ST. LOUIS COUNTY. HIGH ASTHMA HOTSPOTS ARE ASSOCIATED WITH CHARACTERISTICS OF ENVIRONMENT RISK. THE HOSPITAL HAS THE FOLLOWING ACTION PLAN IN PLACE TO IMPROVE RESPIRATORY DISEASE HEALTH AND CARE IN THE COMMUNITY: - SUPPORT INITIATIVES THAT BUILD CAPACITY OF LOCAL PARTNERS ADDRESSING RESPIRATORY HEALTH - INCREASE ACCESS TO RESPIRATORY HEALTH SERVICES AND PRESCRIPTIONS- SUPPORT AND ADVOCATE FOR POLICIES THAT IMPROVE AIR QUALITY- STRENGTHEN INTERNAL RESPIRATORY HEAL TH SERVICES, ENSURING EQUITY AND CULTURAL COMPETENCY- GUIDE DIRECT AND COLLABORATIVE FUNDING- ENSURE DATA EQUITY AND PUBLIC HEALTH EDUCATIONTHE SHORT-TERM AND LONG-TERM IMPACTS OF THESE ACTIVITIES ARE AS FOLLOWS:- CONSISTENT AND STRATEGIC SSM AND COMMUNITY PARTNERSHIPS FOCUSED ON RESPIRATORY DISEASES- INCREASED STAFF AWARENESS, KNOWLEDGE AND ABILITIES TO CARRY OUT CULTURALLY COMPETENT CARE - INCREASED COMMUNITY KNOWLEDGE OF THE IMPORTANCE OF RESPIRATORY DISEASE MANAGEMENT- INCREASED POLICIES THAT SUPPORT HEAL THY ENVIRONMENTS- INCREASED ADVOCACY FOR CHANGE- REDUCED DISPARITIES IN RESPIRATORY DISEASESTHE HOSPITAL HAS NO PLANS TO DISCONTINUE OTHER COMMUNITY BENEFIT EFFORTS TO ADDRESS ADDITIONAL HEALTH NEEDS AS OUTLINED IN ITS CHNA. SSM HEALTH REHABILITATION HOSPITAL PART V, SECTION B, LINE 13H: SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.ADDITIONALLY, PATIENTS MAY BE ELIGIBLE TO RECEIVE A DISCOUNT ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS, - FACILITY 2: SSM HEALTH ST. MARY'S HOSPITAL-ST. LOUIS, - FACILITY 3: SSM HEALTH ST. JOSEPH HOSPITAL-ST. CHARLES, - FACILITY 4: SSM HEALTH ST. CLARE HOSPITAL - FENTON, - FACILITY 5: SSM HEALTH ST. JOSEPH HOSPITAL-LAKE ST. LOUIS GROUP A-FACILITY 1 -- SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. GROUP A-FACILITY 1 -- SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS PART V, SECTION B, LINE 5: THE ST. LOUIS REGIONAL HOSPITAL COLLABORATIVE, WITH SUPPORT FROM KEY STRATEGIC GROUP, BEGAN WORKING TOGETHER IN LATE 2023 TO PLAN FOR THE 2024 CHNA PROCESS AGREEING TO FOCUS ON A GEOGRAPHICAL REGION THAT INCLUDED THE CITY OF ST. LOUIS, ST. LOUIS COUNTY AND ST. CHARLES COUNTY, WITH ST. LOUIS COUNTY BEING FURTHER BROKEN OUT INTO NORTH, MID/WEST AND SOUTH COUNTY TO ALLOW FOR MORE COMMUNITY FOCUSED ANALYSIS AND REPORTING. IN ADDITION, THE COLLABORATIVE ACKNOWLEDGED THE IMPORTANCE OF A SPECIFIC FOCUS ON THE NEEDS OF CHILDREN AND YOUTH AND ADDED A 6TH PEDIATRIC FOCUSED GROUPING INCLUSIVE OF THE ENTIRE GEOGRAPHIC REGION.WE BEGAN OUR EFFORTS BY WORKING TO COMBINE MULTIPLE EARLIER SURVEYS INTO ONE COMMUNITY SURVEY SHARED ACROSS THE REGION FROM MARCH THROUGH JUNE 2024. THE SURVEY WAS PRIMARILY AVAILABLE ELECTRONICALLY IN BOTH SPANISH AND ENGLISH, HOWEVER PAPER COPIES WERE AVAILABLE IN MULTIPLE SETTINGS. THE SURVEY WAS OPEN TO ANYONE WHO CALLED THE ST. LOUIS REGION HOME AND EFFORTS TO INVITE PARTICIPATION IN THE SURVEY INCLUDED DIRECT OUTREACH TO 3,500+ STAKEHOLDERS AND COMMUNITY ORGANIZATIONS, PRESENCE AT COMMUNITY EVENTS, AND THE USE OF VARIOUS SOCIAL AND NEWS MEDIA OPTIONS. IN TOTAL OVER 6,400 SURVEY RESPONSES WERE COLLECTED FROM ACROSS THE REGION.FOLLOWING THE COMMUNITY SURVEY, DATA WAS DISAGGREGATED BY EACH OF THE FIVE DEFINED REGIONAL MARKETS. THE COLLABORATIVE THEN HOSTED SIX COMMUNITY STAKEHOLDER CONVERSATIONS, ONE IN EACH OF THE DEFINED MARKETS PLUS ONE FOCUSED ON CHILDREN AND YOUTH IN THE REGION, TO REVIEW THE COMMUNITY SURVEY DATA AND HAVE FACILITATED CONVERSATIONS TO ASK FOR THE PROFESSIONAL INSIGHTS OF PARTICIPANTS ON THE TOP IDENTIFIED HEALTH PROBLEMS AND THE SOCIAL AND STRUCTURAL DETERMINANT FACTORS UNDERLYING THOSE PROBLEMS. 0VER 150 PARTICIPANTS ATTENDED THE SIX COMMUNITY STAKEHOLDER CONVERSATIONS AND REPRESENTED PUBLIC HEALTH, EDUCATION, PUBLIC SAFETY, ELECTED OFFICE, HEALTH PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS. EACH COMMUNITY STAKEHOLDER CONVERSATION WAS A 90-MINUTE FACILITATED CONVERSATION THAT ALLOWED PARTICIPANTS TO ENGAGE WITH THE COMMUNITY SURVEY DATA AND EACH OTHER IN SMALL GROUP DISCUSSIONS. ALIGNING WITH THE COLLABORATIVE'S COMMITMENT TO ANCHORING OUR SHARED CHNA EFFORTS IN COMMUNITY VOICE, THE COLLABORATIVE BEGAN A SERIES OF COMMUNITY CONVERSATIONS FOCUSING ON POPULATIONS AND COMMUNITIES NOT INCLUDED IN THE SURVEY RESPONSE POPULATION AND/OR HISTORICALLY MARGINALIZED FROM SURVEYS. EACH CONVERSATION IS CENTERED ON LEARNING FROM THE LIVED EXPERIENCE OF 10-15 PARTICIPANTS IN A 60 OR 90 MINUTE FACILITATED CONVERSATION AND ALL PARTICIPANTS ARE COMPENSATED FOR THEIR TIME AND EXPERTISE. GROUP A-FACILITY 1 -- SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS PART V, SECTION B, LINE 6A: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER HOSPITALS THROUGH ST. LOUIS REGIONAL HOSPITAL COLLABORATIVE:* BJC HEALTHCARE* MERCY* ST. LUKE'S HOSPITAL GROUP A-FACILITY 1 -- SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS PART V, SECTION B, LINE 6B: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER COMMUNITY PARTNERS:* KEY STRATEGIC GROUP WHICH IS COMPRISED OF COMMUNITY-FOCUSED CONSULTANTS FOSTERING ENGAGEMENT AND IMPLEMENTATION OF EFFECTIVE STRATEGIES TO REDUCE DISPARITIES, PROMOTE EQUITY AND DRIVE SYSTEMIC AND POLITICAL TRANSFORMATION* COMMUNITY IMPACT NETWORK * ARCHCITY DEFENDERS * BJC BEHAVIORAL HEALTH * DEACONESS FOUNDATION * BEYOND HOUSING * PREVENTED * ST. LOUIS COUNTY DEPARTMENT OF HEALTH * ST. LOUIS COMMUNITY FOUNDATION * A RED CIRCLE * IFM COMUNITY MEDICINE * FIT AND FOOD CONNECTION * THE SALVATION ARMY * POWER4STL * EPWORTH * ALIVE * OPERATION FOOD SEARCH * CATHOLIC CHARITIES OF ST. LOUIS * GENERATE HEALTH STL * UNITED WAY OF GREATER ST. LOUIS * DA HOOD CONNECT * MISSOURI SHIP GROUP A-FACILITY 1 -- SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS PART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2024 CHNA. IN ORDER TO MAKE MEANINGFUL IMPACT, AND TO USE ITS FINANCES MOST EFFECTIVELY AND EFFICIENCY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES:* BEHAVIORAL HEALTH-MENTAL HEALTH & WELLBEING AND SUBSTANCE ABUSE *FOOD AND NUTRITION SECURITY BEHAVIORAL HEALTH-MENTAL HEALTH & WELLBEING AND SUBSTANCE ABUSE* MENTAL HEALTH WAS DEFINED AS THE TOP HEALTH PROBLEM.* THE TOP THREE IDENTIFIED BEHAVIORAL HEALTH PROBLEMS WERE DEPRESSION, DRUG USE, AND ALCOHOL USE FOR ADULTS.* IN THE SSM HEALTH ST. LOUIS NORTH MARKET SUBSTANCE ABUSE WAS THE EIGHTH RANKED HEALTH PROBLEM FOR ADULTS WITH ALCOHOL USE RANKED THIRD AND DRUG USE FIRST.* IN THE SSM HEALTH ST. LOUIS ACADEMIC MARKET SUBSTANCE ABUSE WAS THE FIFTH RANKED HEALTH PROBLEM FOR CHILDREN AND YOUTHS WITH ALCOHOL USE WAS RANKED THIRD AND DRUG USE FIRST.PROGRESS MADE SINCE 2021* THE BHUC AND LAI CLINIC OPENED INITIALLY IN 2020, HAVE CONTINUED TO DEEPEN RELATIONSHIPS WITH COMMUNITY PARTNERS TO ENSURE CONNECTION TO SERVICES FOR PATIENTS UTILIZING BOTH FACILITIES.GOALS & OBJECTIVES * IMPROVE BEHAVIORAL HEALTH AND WELLNESS THROUGH THE AVAILABILITY, ACCESSIBILITY, AND AFFORDABILITY OF INTEGRATED AND CONSISTENT, COORDINATED, PATENT-CENTERED CARE FOR OUR MOST AFFECTED POPULATIONS IN ST. LOUIS COUNTY AND CITY OF ST. LOUIS THROUGH POLICY CHANGES. * IMPROVE BEHAVIORAL HEALTH AND WELLNESS AMONG AFFECTED POPULATIONS THROUGH EDUCATION AND COMMUNITY NAVIGATION.* INCREASE THE AVAILABILITY AND ACCESSIBILITY OF BEHAVIORAL HEALTH SERVICES BY UTILIZING SYSTEMS-LEVEL NAVIGATION AND INTEGRATED, COORDINATED, PATIENT-CENTERED CARE IN THE ST. LOUIS REGION.* INCREASE COMMUNITY AWARENESS AND UTILIZATION OF SSM HEALTH BEHAVIORAL HEALTH URGENT CARE CENTERS LOCATED AT SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL AND SSM HEALTH DEPAUL HOSPITAL* INCREASE COMMUNITY AWARENESS AND UTILIZATION OF SSM HEALTH LONG ACTING INJECTABLE CLINICS LOCATED AT SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL, SSM HEALTH DEPAUL HOSPITAL, AND SSM HEALTH ST. JOSEPH HOSPITAL - WENTZVILLE* ACTIVELY PARTICIPATE IN REGIONAL EFFORTS TO EXPLORE AND ESTABLISH MEDICAL RESPITE PROGRAM(S) AND/OR INCREASED SERVICES FOR THOSE WHO ARE UNHOUSED AND HAVE BEHAVIORAL HEALTH CONCERNS* STRENGTHEN REGIONAL PARTNERSHIP WITH CRISIS INTERVENTION TEAMS WITHIN ST. LOUIS COUNTY AND ST. CHARLES COUNTY POLICE DEPARTMENTS BY PROVIDING BEHAVIORAL HEALTH PROFESSIONALS FOR COLLABORATIVE COMMUNITY ENGAGEMENT TEAMS.* OPTIMIZE PARTICIPATION IN REGIONAL INITIATIVES LED BY THE BEHAVIORAL HEALTH NETWORK FOR PATIENT NAVIGATION SUPPORTS FROM ACUTE TO OUTPATIENT CARE FOR MENTAL HEALTH SERVICES. PROGRAMS CURRENTLY INCLUDE: ADULT AND YOUTH EMERGENCY ROOM ENHANCEMENT PROGRAMS AND HOSPITAL COMMUNITY LINKAGES PROGRAM.* ACTIVELY PARTICIPATE IN REGIONAL EFFORTS TO EXPLORE AND ESTABLISH MANDATORY OUTPATIENT THERAPY (MOT) FOR THOSE WHO HAVE BEHAVIORAL HEALTH CONCERNS, INTERACTIONS WITH LAW ENFORCEMENT AND HAVE HIGH UTILIZATION OF ACUTE CARE SERVICES.* OPTIMIZE PARTICIPATION IN REGIONAL INITIATIVES LED BY THE BEHAVIORAL HEALTH NETWORK FOR PATIENT/COMMUNITY NAVIGATION SUPPORT FOR SUBSTANCE USE SERVICES. PROGRAMS INCLUDE: EPICC, DUNNICA SOBERING SUPPORT CENTER AND YOUTH FAMILY TREATMENT ENHANCEMENT AND EXPANSION.* INCREASE COMMUNITY KNOWLEDGE AND UTILIZATION OF DRUG TAKE BACK BINS LOCATED THROUGHOUT THE COMMUNITY AND AT SSM HEALTH ST. LOUIS HOSPITALS.* INCREASE BEHAVIORAL HEALTH SUPPORTS WITHIN SSM HEALTH PRIMARY CARE SETTINGS THROUGH THE SSM HEALTH VIRTUAL BEHAVIORAL HEALTH INTEGRATION PROGRAM. EXPLORE EXPANSION FROM ADULT PRIMARY SETTINGS TO ADDITIONAL SPECIALTY CARE SETTINGS INCLUDING BUT NOT LIMITED TO: PEDIATRICS, OBSTETRICS & GYNECOLOGY, AND ONCOLOGY.FOOD & NUTRITION SECURITY * 19% OF RESIDENTS IN THE NORTH MARKET HAVE HYPERTENSION/HIGH BLOOD PRESSURE.PROGRESS MADE SINCE 2021* THE EPWORTH YOUTH DROP IN CENTER IS LOCATED IN NORMANDY, MO AND SERVES AT-RISK AND HOMELESS YOUTH AND YOUNG ADULTS. IN PARTNERSHIP TO INCREASE ACCESS TO HEALTHCARE AND INCREASE FOOD SECURITY AND NUTRITION EDUCATION FOR THIS POPULATION, SSM HEALTH, IFM, AND OFS PARTNER TOGETHER TO PROVIDE ONSITE HEALTHCARE SERVICES, FOOD BOXES AND COOKING/NUTRITION CLASSES.* SSM HEALTH DEPAUL HOSPITAL AND IFM COMMUNITY MEDICINE BEGAN PARTNERING IN 2021 TO BRING HEALTH AND WELLNESS SUPPORT TO BRIDGETON RESIDENTS. THIS PARTNERSHIP HAS OPENED A LOW-BARRIER HEALTHCARE CLINIC AND PROVIDED COMMUNITY HEALTH WORKERS TO PROVIDE THOUSANDS OF ENCOUNTERS WITH RESIDENTS TO ASSIST IN CARE NAVIGATION AND REDUCTION IN SOCIAL AND STRUCTURAL DETERMINANT OF HEALTH CHALLENGES.* SSM HEALTH ST. LOUIS LAUNCHED THE BREAD BASKET PROGRAM IN 7 AREA ADULT HOSPITALS IN 2023 AND WAS FULLY OPERATIONAL IN ALL LOCATIONS AT THE START OF 2024. THE BAGS OF FOOD CONTAIN NONPERISHABLE FOOD ITEMS TO COVER ALL MEALS WITH HEALTHY, LOW OR NO SODIUM, HIGH FIBER, WHOLE GRAIN FOOD OPTIONS. * THROUGH OUR PARTNERSHIP WITH THE ST. LOUIS AREA FOODBANK, SSM HEALTH ST. LOUIS HAS HOSTED 18 FOOD DISTRIBUTION EVENTS AT ALL 8 HOSPITALS IN THE ST. LOUIS REGION IN BOTH 2023 AND 2024. FOOD DISTRIBUTION EVENTS ARE DRIVE THRU EVENTS AND OPEN TO ANYONE IN THE COMMUNITY WHO COULD BENEFIT. HOUSEHOLDS ARE PROVIDED WITH A VARIETY OF FRESH FRUITS, VEGETABLES, MEAT, DAIRY AND NONPERISHABLE FOOD ITEMS AND CARS CAN PICK UP FOR MULTIPLE FAMILIES AT A TIME.GOALS & OBJECTIVES * INCREASE HEALTHY FOOD AVAILABILITY, ACCESSIBILITY, AND UTILIZATION AS MEASURED BY: * MORE COORDINATED, UNIFIED, SYSTEMIC NUTRITION SECURITY SOLUTIONS. * INCREASED PARTICIPATION IN FOOD ASSISTANCE PROGRAMS (SNAP, WIC, SCHOOL MEALS, CACFP). * FOOD AND NUTRITION PRIORITIZED IN HEALTH CARE FOR PREVENTION AND MANAGEMENT OF CHRONIC DISEASE (FOOD SECURITY SCREENING AND REFERRAL, HEALTHY FOOD PRESCRIPTION, ETC.). * NUTRITION VALUED AS ESSENTIAL IN HUNGER RELIEF (FOOD PANTRIES, FOOD BANKS) AND FOOD ASSISTANCE PROGRAMS (SNAP, WIC, SCHOOL MEALS, CACFP). * REDUCED FOOD DESERT FOOTPRINT.* OPTIMIZE SSM HEALTH SDOH INPATIENT SCREENING FOR FOOD INSECURITY ENSURING THOSE IDENTIFIED ARE CONNECTED TO COMMUNITY-BASED RESOURCES. CONNECTING A MINIMUM OF 50% OF IDENTIFIED INPATIENTS TO SSM HEALTH'S BREAD BASKET PROGRAM PROVIDING IMMEDIATE FOOD RESOURCES AND/OR DIRECT CONNECTION TO ST. LOUIS AREA FOODBANK FOOD RESOURCE TEAM.* IN PARTNERSHIP WITH THE ST. LOUIS AREA FOODBANK, CONDUCT COMMUNITY FOOD DISTRIBUTION EVENTS AT ALL SSM HEALTH ST. LOUIS HOSPITALS ON A YEARLY BASIS TO SUPPORT REGIONAL EFFORTS TO ADDRESS FOOD INSECURITY IN COMMUNITY.* OPTIMIZE PARTNERSHIPS WITH FOOD AND NUTRITION SUPPORT ORGANIZATIONS TO INCREASE FOOD SECURITY AND NUTRITIONAL EDUCATION FOR SPECIFIC POPULATIONS SUCH AS THOSE WITH CHRONIC DISEASE, CANCER OR DURING PREGNANCY.* EXPLORE OPPORTUNITIES WITH SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EDUCATION (SNAP-ED) PARTNERSHIP THROUGH UNIVERSITY OF MISSOURI EXTENSION TO INCREASE NUTRITION EDUCATION SECURITY WITHIN OUR COMMUNITIES.* EVALUATE AND OPTIMIZE PARTNERSHIP WITH IFM COMMUNITY MEDICINE AND OPERATION FOOD SEARCH TO PROVIDE CLINICAL SERVICES, SNACK KITS, AND NUTRITION EDUCATION AT EPWORTH DROP-IN CENTER FOR YOUTH AGES 11-20. GROUP A-FACILITY 1 -- SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS PART V, SECTION B, LINE 13H: SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.ADDITIONALLY, PATIENTS MAY BE ELIGIBLE TO RECEIVE A DISCOUNT ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS. GROUP A-FACILITY 2 -- SSM HEALTH ST. MARY'S HOSPITAL - ST. LOU PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. GROUP A-FACILITY 2 -- SSM HEALTH ST. MARY'S HOSPITAL - ST. LOU PART V, SECTION B, LINE 5: THE ST. LOUIS REGIONAL HOSPITAL COLLABORATIVE, WITH SUPPORT FROM KEY STRATEGIC GROUP, BEGAN WORKING TOGETHER IN LATE 2023 TO PLAN FOR THE 2024 CHNA PROCESS AGREEING TO FOCUS ON A GEOGRAPHICAL REGION THAT INCLUDED THE CITY OF ST. LOUIS, ST. LOUIS COUNTY AND ST. CHARLES COUNTY, WITH ST. LOUIS COUNTY BEING FURTHER BROKEN OUT INTO NORTH, MID/WEST AND SOUTH COUNTY TO ALLOW FOR MORE COMMUNITY FOCUSED ANALYSIS AND REPORTING. IN ADDITION, THE COLLABORATIVE ACKNOWLEDGED THE IMPORTANCE OF A SPECIFIC FOCUS ON THE NEEDS OF CHILDREN AND YOUTH AND ADDED A 6TH PEDIATRIC FOCUSED GROUPING INCLUSIVE OF THE ENTIRE GEOGRAPHIC REGION.WE BEGAN OUR EFFORTS BY WORKING TO COMBINE MULTIPLE EARLIER SURVEYS INTO ONE COMMUNITY SURVEY SHARED ACROSS THE REGION FROM MARCH THROUGH JUNE 2024. THE SURVEY WAS PRIMARILY AVAILABLE ELECTRONICALLY IN BOTH SPANISH AND ENGLISH, HOWEVER PAPER COPIES WERE AVAILABLE IN MULTIPLE SETTINGS. THE SURVEY WAS OPEN TO ANYONE WHO CALLED THE ST. LOUIS REGION HOME AND EFFORTS TO INVITE PARTICIPATION IN THE SURVEY INCLUDED DIRECT OUTREACH TO 3,500+ STAKEHOLDERS AND COMMUNITY ORGANIZATIONS, PRESENCE AT COMMUNITY EVENTS, AND THE USE OF VARIOUS SOCIAL AND NEWS MEDIA OPTIONS. IN TOTAL OVER 6,400 SURVEY RESPONSES WERE COLLECTED FROM ACROSS THE REGION.FOLLOWING THE COMMUNITY SURVEY, DATA WAS DISAGGREGATED BY EACH OF THE FIVE DEFINED REGIONAL MARKETS. THE COLLABORATIVE THEN HOSTED SIX COMMUNITY STAKEHOLDER CONVERSATIONS, ONE IN EACH OF THE DEFINED MARKETS PLUS ONE FOCUSED ON CHILDREN AND YOUTH IN THE REGION, TO REVIEW THE COMMUNITY SURVEY DATA AND HAVE FACILITATED CONVERSATIONS TO ASK FOR THE PROFESSIONAL INSIGHTS OF PARTICIPANTS ON THE TOP IDENTIFIED HEALTH PROBLEMS AND THE SOCIAL AND STRUCTURAL DETERMINANT FACTORS UNDERLYING THOSE PROBLEMS. 0VER 150 PARTICIPANTS ATTENDED THE SIX COMMUNITY STAKEHOLDER CONVERSATIONS AND REPRESENTED PUBLIC HEALTH, EDUCATION, PUBLIC SAFETY, ELECTED OFFICE, HEALTH PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS. EACH COMMUNITY STAKEHOLDER CONVERSATION WAS A 90-MINUTE FACILITATED CONVERSATION THAT ALLOWED PARTICIPANTS TO ENGAGE WITH THE COMMUNITY SURVEY DATA AND EACH OTHER IN SMALL GROUP DISCUSSIONS. ALIGNING WITH THE COLLABORATIVE'S COMMITMENT TO ANCHORING OUR SHARED CHNA EFFORTS IN COMMUNITY VOICE, THE COLLABORATIVE BEGAN A SERIES OF COMMUNITY CONVERSATIONS FOCUSING ON POPULATIONS AND COMMUNITIES NOT INCLUDED IN THE SURVEY RESPONSE POPULATION AND/OR HISTORICALLY MARGINALIZED FROM SURVEYS. EACH CONVERSATION IS CENTERED ON LEARNING FROM THE LIVED EXPERIENCE OF 10-15 PARTICIPANTS IN A 60 OR 90 MINUTE FACILITATED CONVERSATION AND ALL PARTICIPANTS ARE COMPENSATED FOR THEIR TIME AND EXPERTISE. GROUP A-FACILITY 2 -- SSM HEALTH ST. MARY'S HOSPITAL - ST. LOU PART V, SECTION B, LINE 6A: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER HOSPITALS THROUGH ST. LOUIS REGIONAL HOSPITAL COLLABORATIVE:* BJC HEALTHCARE* MERCY* ST. LUKE'S HOSPITAL GROUP A-FACILITY 2 -- SSM HEALTH ST. MARY'S HOSPITAL - ST. LOU PART V, SECTION B, LINE 6B: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER COMMUNITY PARTNERS:* KEY STRATEGIC GROUP WHICH IS COMPRISED OF COMMUNITY-FOCUSED CONSULTANTS FOSTERING ENGAGEMENT AND IMPLEMENTATION OF EFFECTIVE STRATEGIES TO REDUCE DISPARITIES, PROMOTE EQUITY AND DRIVE SYSTEMIC AND POLITICAL TRANSFORMATION* 4 THE VILLE * DEACONESS FOUNDATION* ST. LOUIS PUBLIC SCHOOLS* INTEGRATED HEALTH NETWORK* FAMILY CARE HEALTH CENTERS* KVC- MISSOURI* CITY OF ST. LOUIS DEPARTMENT OF HEALTH* ISAIAH 58 MINISTRIES* CATHOLIC CHARITIES OF ST. LOUIS* FATHERS & FAMILIES SUPPORT CENTER* FOUNDATION FOR STRENGTHENING FAMILIES* PREVENTED* IFM COMMUNITY MEDICINE* TOWER GROVE DEVELOPMENT CORPORATION* UNITED WAY OF GREAT ST. LOUIS* OPERATION FOOD SEARCH* CITY OF ST. LOUIS MAYOR'S OFFICE* VIRTUOUSLY B'EARTHED DOULA SERVICES* INTERNATIONAL INSTITUTE OF ST. LOUIS* COMMUNITY BUILDERS NETWORK* ST. LOUIS MENTAL HEALTH BOARD* POWER4STL* GREATER HEALTH PHARMACY & WELLNESS* BJC BEHAVIORAL HEALTH* BEHAVIORAL HEALTH NETWORK* CASA DE SALUD* THE SALVATION ARMY* ST. LOUIS COMMUNITY CREDIT UNION* MISSOURI SHIP GROUP A-FACILITY 2 -- SSM HEALTH ST. MARY'S HOSPITAL - ST. LOU PART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2024 CHNA. IN ORDER TO MAKE MEANINGFUL IMPACT, AND TO USE ITS FINANCES MOST EFFECTIVELY AND EFFICIENCY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES:* BEHAVIORAL HEALTH MENTAL HEALTH & WELLBEING AND SUBSTANCE ABUSE * FOOD AND NUTRITION SECURITY * VIOLENCE PREVENTION* MATERNAL AND INFANT HEALTHBEHAVIORAL HEALTH MENTAL HEALTH & WELLBEING AND SUBSTANCE ABUSEPROGRESS MADE SINCE 2021* SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OPENED THE 2ND OF ITS KIND BEHAVIORAL HEALTH URGENT CARE AND LONG-ACTING INJECTABLES CLINIC ON AUGUST 27, 2024.GOALS & OBJECTIVES * IMPROVE BEHAVIORAL HEALTH AND WELLNESS THROUGH THE AVAILABILITY, ACCESSIBILITY, AND AFFORDABILITY OF INTEGRATED AND CONSISTENT, COORDINATED, PATENT-CENTERED CARE FOR OUR MOST AFFECTED POPULATIONS IN ST. LOUIS COUNTY AND CITY OF ST. LOUIS THROUGH POLICY CHANGES. * IMPROVE BEHAVIORAL HEALTH AND WELLNESS AMONG AFFECTED POPULATIONS THROUGH EDUCATION AND COMMUNITY NAVIGATION.* INCREASE THE AVAILABILITY AND ACCESSIBILITY OF BEHAVIORAL HEALTH SERVICES BY UTILIZING SYSTEMS-LEVEL NAVIGATION AND INTEGRATED, COORDINATED, PATIENT-CENTERED CARE IN THE ST. LOUIS REGION.* INCREASE COMMUNITY AWARENESS AND UTILIZATION OF SSM HEALTH BEHAVIORAL HEALTH URGENT CARE CENTERS LOCATED AT SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL AND SSM HEALTH DEPAUL HOSPITAL* INCREASE COMMUNITY AWARENESS AND UTILIZATION OF SSM HEALTH LONG-ACTING INJECTABLE CLINICS LOCATED AT SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL, SSM HEALTH DEPAUL HOSPITAL, AND SSM HEALTH ST. JOSEPH HOSPITAL -WENTZVILLE* ACTIVELY PARTICIPATE IN REGIONAL EFFORTS TO EXPLORE AND ESTABLISH MEDICAL RESPITE PROGRAM(S) AND/OR INCREASED SERVICES FOR THOSE WHO ARE UNHOUSED AND HAVE BEHAVIORAL HEALTH CONCERNS* EVALUATE AND OPTIMIZE HOUSING COORDINATOR PARTNERSHIP WITH ST. PATRICK CENTER AT SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL AND EXPLORE EXPANSION OPPORTUNITIES WITHIN THE REGION.* OPTIMIZE PARTICIPATION IN REGIONAL INITIATIVES LED BY THE BEHAVIORAL HEALTH NETWORK FOR PATIENT NAVIGATION SUPPORTS FROM ACUTE TO OUTPATIENT CARE FOR MENTAL HEALTH SERVICES. PROGRAMS CURRENTLY INCLUDE: ADULT AND YOUTH EMERGENCY ROOM ENHANCEMENT PROGRAMS AND HOSPITAL COMMUNITY LINKAGES PROGRAM.* ACTIVELY PARTICIPATE IN REGIONAL EFFORTS TO EXPLORE AND ESTABLISH MANDATORY OUTPATIENT THERAPY (MOT) FOR THOSE WHO HAVE BEHAVIORAL HEALTH CONCERNS, INTERACTIONS WITH LAW ENFORCEMENT AND HAVE HIGH UTILIZATION OF ACUTE CARE SERVICES.* OPTIMIZE PARTICIPATION IN REGIONAL INITIATIVES LED BY THE BEHAVIORAL HEALTH NETWORK FOR PATIENT/COMMUNITY NAVIGATION SUPPORT FOR SUBSTANCE USE SERVICES. PROGRAMS INCLUDE: EPICC, DUNNICA SOBERING SUPPORT CENTER AND YOUTH FAMILY TREATMENT ENHANCEMENT AND EXPANSION.* INCREASE COMMUNITY KNOWLEDGE AND UTILIZATION OF DRUG TAKE BACK BINS LOCATED THROUGHOUT THE COMMUNITY AND AT SSM HEALTH ST. LOUIS HOSPITALS.* INCREASE BEHAVIORAL HEALTH SUPPORTS WITHIN SSM HEALTH PRIMARY CARE SETTINGS THROUGH THE SSM HEALTH VIRTUAL BEHAVIORAL HEALTH INTEGRATION PROGRAM. EXPLORE EXPANSION FROM ADULT PRIMARY SETTINGS TO ADDITIONAL SPECIALTY CARE SETTINGS INCLUDING BUT NOT LIMITED TO: PEDIATRICS, OBSTETRICS & GYNECOLOGY, AND ONCOLOGY.FOOD & NUTRITION SECURITY PROGRESS MADE SINCE 2021* SSM HEALTH ST. LOUIS LAUNCHED THE BREAD BASKET PROGRAM IN 7 AREA ADULT HOSPITALS IN 2023 AND WAS FULLY OPERATIONAL IN ALL LOCATIONS AT THE START OF 2024. * THROUGH OUR PARTNERSHIP WITH THE ST. LOUIS AREA FOODBANK, SSM HEALTH ST. LOUIS HAS HOSTED 18 FOOD DISTRIBUTION EVENTS AT ALL 8 HOSPITALS IN THE ST. LOUIS REGION IN BOTH 2023 AND 2024. GOALS & OBJECTIVES * INCREASE HEALTHY FOOD AVAILABILITY, ACCESSIBILITY, AND UTILIZATION AS MEASURED BY: * MORE COORDINATED, UNIFIED, SYSTEMIC NUTRITION SECURITY SOLUTIONS. * INCREASED PARTICIPATION IN FOOD ASSISTANCE PROGRAMS (SNAP, WIC, SCHOOL MEALS, CACFP). * FOOD AND NUTRITION PRIORITIZED IN HEALTH CARE FOR PREVENTION AND MANAGEMENT OF CHRONIC DISEASE (FOOD SECURITY SCREENING AND REFERRAL, HEALTHY FOOD PRESCRIPTION, ETC.). * NUTRITION VALUED AS ESSENTIAL IN HUNGER RELIEF (FOOD PANTRIES, FOOD BANKS) AND FOOD ASSISTANCE PROGRAMS (SNAP, WIC, SCHOOL MEALS, CACFP). * REDUCED FOOD DESERT FOOTPRINT.* OPTIMIZE SSM HEALTH SDOH INPATIENT SCREENING FOR FOOD INSECURITY ENSURING THOSE IDENTIFIED ARE CONNECTED TO COMMUNITY-BASED RESOURCES. CONNECTING A MINIMUM OF 50% OF IDENTIFIED INPATIENTS TO SSM HEALTH'S BREAD BASKET PROGRAM PROVIDING IMMEDIATE FOOD RESOURCES AND/OR DIRECT CONNECTION TO ST. LOUIS AREA FOODBANK FOOD RESOURCE TEAM.* IN PARTNERSHIP WITH THE ST. LOUIS AREA FOODBANK, CONDUCT COMMUNITY FOOD DISTRIBUTION EVENTS AT ALL SSM HEALTH ST. LOUIS HOSPITALS ON A YEARLY BASIS TO SUPPORT REGIONAL EFFORTS TO ADDRESS FOOD INSECURITY IN COMMUNITY.* OPTIMIZE PARTNERSHIPS WITH FOOD AND NUTRITION SUPPORT ORGANIZATIONS TO INCREASE FOOD SECURITY AND NUTRITIONAL EDUCATION FOR SPECIFIC POPULATIONS SUCH AS THOSE WITH CHRONIC DISEASE, CANCER OR DURING PREGNANCY.* EXPLORE OPPORTUNITIES WITH SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EDUCATION (SNAP-ED) PARTNERSHIP THROUGH UNIVERSITY OF MISSOURI EXTENSION TO INCREASE NUTRITION EDUCATION SECURITY WITHIN OUR COMMUNITIES.VIOLENCE PREVENTION PROGRESS MADE SINCE 2021* IN 2023, THE "NO QUESTIONS ASKED" GUNLOCKS PROGRAM WAS EXPANDED TO ALL 8 HOSPITALS IN THE REGION WITH MORE THAN 11,400 GUN LOCKS BEING DISTRIBUTED THROUGH THIS INITIATIVE.GOALS AND OBJECTIVES* REDUCE NON-FATAL SHOOTING INCIDENTS BY 25% THROUGH INCREASED COORDINATION OF COMMUNITY-LEVEL RESPONSE, IMPLEMENTATION OF PREVENTION PRACTICES, AND INCREASED COMMUNITY ENGAGEMENT IN A HOLISTIC APPROACH TO PUBLIC SAFETY.* ACTIVELY PARTICIPATE IN REGIONAL LIFE OUTSIDE OF VIOLENCE (LOV) PROGRAM FOCUSED ON SERVING INDIVIDUALS WHO ARE VICTIMS OF VIOLENCE BETWEEN THE AGES OF 8-30. PARTICIPANTS ARE PROVIDED WITH UP TO ONE YEAR OF SERVICES AND SUPPORT AND THE PROGRAM IS AVAILABLE AT SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL.* IMPLEMENT THE SUPPORTING TRANSITION AND RECOVERY IN TRAUMA (START) PROGRAM AT SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL FOR INDIVIDUALS ABOVE THE AGE OF 30 AND VICTIMS OF VIOLENCE. PROGRAM UTILIZES MULTIDISCIPLINARY TEAM TO ADDRESS MEDICAL/RECOVERY NEEDS, SOCIAL DRIVER OF HEALTH NEEDS AND OVERALL SUPPORT FOR SUCCESSFUL TRANSITION BACK TO COMMUNITY.* PROVIDE QUALITY AND ENGAGING COMMUNITY EDUCATION AND TRAININGS RELATED TO VIOLENCE RESPONSE AND REDUCTION. EXPANDING AND ADAPTING TRAININGS FOR SPECIFIC AUDIENCES TO ACCOMMODATE AGE, LANGUAGE AND LOCATION. TRAININGS INCLUDE STOP THE BLEED AND BESMART.* PROVIDE SAFE, NO-COST SUPPORT TO ALL SURVIVORS OF PHYSICAL TRAUMA REGARDLESS OF WHERE THEY RECEIVED CARE THROUGH THE TRAUMA SURVIVOR'S NETWORK.MATERNAL AND INFANT HEALTHPROGRESS MADE SINCE 2021* THE MOMS LINE PROVIDES FREE PEER-LED SUPPORT GROUPS FOR PERINATAL PEOPLE REGARDLESS OF BIRTH PLACE OR PROVIDER.GOALS AND OBJECTIVES*ADDRESS RACIAL DISPARITIES TO REDUCE MORBIDITY AND MORTALITY AND IMPROVE MATERNAL AND INFANT HEALTH. * COMMITS TO PROVIDING NO-COST PROGRAMS AND SUPPORT TO ALL PERINATAL PEOPLE REGARDLESS OF BIRTHING HOSPITAL, OB OR MIDWIFE THROUGH THE MOMS LINE. SERVICES PROVIDED INCLUDE BUT NOT LIMITED TO: MOMS TELEPHONIC SUPPORT LINE,MOMS SUPPORT GROUPS, AND PERINATAL MENTAL HEALTH PEER COACH TRAINING.* SERVE AS THE LEAD ORGANIZATION FOR THE HRSA STATE MATERNAL HEALTH INNOVATION GRANT STRIVING TO REDUCE SEVERE MATERNAL MORTALITY AND MORBIDITY THROUGH: IMPROVING ACCESS TO COMPREHENSIVE, HIGH-QUALITY CARE FROM PRECONCEPTION THROUGH ONE-YEAR POST-PARTUM ENHANCING AND SUPPORT STATE MATERNAL HEALTH SURVEILLANCE AND DATA CAPACITY IDENTIFYING AND IMPLEMENTING INNOVATIVE INTERVENTIONS TO IMPROVE OUTCOMES FOR POPULATIONS DISPROPORTIONATELY IMPACTED BY MATERNAL MORTALITY AND MORBIDITY.* OPEN THE CENTER FOR HEALTHY FAMILIES & COMMUNITIES ON THE CAMPUS OF SSM HEALTH ST. MARY'S HOSPITAL TO SERVE ALL BIRTHING PEOPLE WITH SUPPORTS FOR SOCIAL DRIVERS OF HEALTH NEEDS THROUGH DIRECT SUPPORTS FROM COMMUNITY HEALTH WORKERS, REFERRALS TO COMMUNITY-BASED SERVICE PROVIDERS AND AN ONSITE VOLUNTEER-RUN BOUTIQUE PROVIDING PERSONAL, BABY AND HOME ITEMS.* CONTINUE TO OPTIMIZE CURRENT SERVICES/CLINICS AND EXPLORE ADDITIONAL OPPORTUNITIES DESIGNED TO OUTREACH, EDUCATE AND PROVIDE QUALITY HEALTHCARE TO BIRTHING INDIVIDUALS AT HIGH RISK FOR MATERNAL MORBIDITY AND MORTALITY. CURRENT INITIATIVES INCLUDE: WOMEN'S HEALTH & WELLNESS CENTER, WOMEN & INFANT SUBSTANCE HELP (WISH) CENTER, FOURTH TRIMESTER INTEGRATIVE TRANSITION (FIT CENTER) AND OB CARE CENTER. GROUP A-FACILITY 2 -- SSM HEALTH ST. MARY'S HOSPITAL - ST. LOU PART V, SECTION B, LINE 13H: SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.ADDITIONALLY, PATIENTS MAY BE ELIGIBLE TO RECEIVE A DISCOUNT ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS. GROUP A-FACILITY 3 -- SSM HEALTH ST. JOSEPH HOSPITAL - ST. CHA PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. GROUP A-FACILITY 3 -- SSM HEALTH ST. JOSEPH HOSPITAL - ST. CHA PART V, SECTION B, LINE 5: THE ST. LOUIS REGIONAL HOSPITAL COLLABORATIVE, WITH SUPPORT FROM KEY STRATEGIC GROUP, BEGAN WORKING TOGETHER IN LATE 2023 TO PLAN FOR THE 2024 CHNA PROCESS AGREEING TO FOCUS ON A GEOGRAPHICAL REGION THAT INCLUDED THE CITY OF ST. LOUIS, ST. LOUIS COUNTY AND ST. CHARLES COUNTY, WITH ST. LOUIS COUNTY BEING FURTHER BROKEN OUT INTO NORTH, MID/WEST AND SOUTH COUNTY TO ALLOW FOR MORE COMMUNITY FOCUSED ANALYSIS AND REPORTING. IN ADDITION, THE COLLABORATIVE ACKNOWLEDGED THE IMPORTANCE OF A SPECIFIC FOCUS ON THE NEEDS OF CHILDREN AND YOUTH AND ADDED A 6TH PEDIATRIC FOCUSED GROUPING INCLUSIVE OF THE ENTIRE GEOGRAPHIC REGION.WE BEGAN OUR EFFORTS BY WORKING TO COMBINE MULTIPLE EARLIER SURVEYS INTO ONE COMMUNITY SURVEY SHARED ACROSS THE REGION FROM MARCH THROUGH JUNE 2024. THE SURVEY WAS PRIMARILY AVAILABLE ELECTRONICALLY IN BOTH SPANISH AND ENGLISH, HOWEVER PAPER COPIES WERE AVAILABLE IN MULTIPLE SETTINGS. THE SURVEY WAS OPEN TO ANYONE WHO CALLED THE ST. LOUIS REGION HOME AND EFFORTS TO INVITE PARTICIPATION IN THE SURVEY INCLUDED DIRECT OUTREACH TO 3,500+ STAKEHOLDERS AND COMMUNITY ORGANIZATIONS, PRESENCE AT COMMUNITY EVENTS, AND THE USE OF VARIOUS SOCIAL AND NEWS MEDIA OPTIONS. IN TOTAL OVER 6,400 SURVEY RESPONSES WERE COLLECTED FROM ACROSS THE REGION.FOLLOWING THE COMMUNITY SURVEY, DATA WAS DISAGGREGATED BY EACH OF THE FIVE DEFINED REGIONAL MARKETS. THE COLLABORATIVE THEN HOSTED SIX COMMUNITY STAKEHOLDER CONVERSATIONS, ONE IN EACH OF THE DEFINED MARKETS PLUS ONE FOCUSED ON CHILDREN AND YOUTH IN THE REGION, TO REVIEW THE COMMUNITY SURVEY DATA AND HAVE FACILITATED CONVERSATIONS TO ASK FOR THE PROFESSIONAL INSIGHTS OF PARTICIPANTS ON THE TOP IDENTIFIED HEALTH PROBLEMS AND THE SOCIAL AND STRUCTURAL DETERMINANT FACTORS UNDERLYING THOSE PROBLEMS. 0VER 150 PARTICIPANTS ATTENDED THE SIX COMMUNITY STAKEHOLDER CONVERSATIONS AND REPRESENTED PUBLIC HEALTH, EDUCATION, PUBLIC SAFETY, ELECTED OFFICE, HEALTH PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS. EACH COMMUNITY STAKEHOLDER CONVERSATION WAS A 90-MINUTE FACILITATED CONVERSATION THAT ALLOWED PARTICIPANTS TO ENGAGE WITH THE COMMUNITY SURVEY DATA AND EACH OTHER IN SMALL GROUP DISCUSSIONS. ALIGNING WITH THE COLLABORATIVE'S COMMITMENT TO ANCHORING OUR SHARED CHNA EFFORTS IN COMMUNITY VOICE, THE COLLABORATIVE BEGAN A SERIES OF COMMUNITY CONVERSATIONS FOCUSING ON POPULATIONS AND COMMUNITIES NOT INCLUDED IN THE SURVEY RESPONSE POPULATION AND/OR HISTORICALLY MARGINALIZED FROM SURVEYS. EACH CONVERSATION IS CENTERED ON LEARNING FROM THE LIVED EXPERIENCE OF 10-15 PARTICIPANTS IN A 60 OR 90 MINUTE FACILITATED CONVERSATION AND ALL PARTICIPANTS ARE COMPENSATED FOR THEIR TIME AND EXPERTISE. GROUP A-FACILITY 3 -- SSM HEALTH ST. JOSEPH HOSPITAL - ST. CHA PART V, SECTION B, LINE 6A: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER HOSPITALS THROUGH ST. LOUIS REGIONAL HOSPITAL COLLABORATIVE:* BJC HEALTHCARE* MERCY* ST. LUKE'S HOSPITAL GROUP A-FACILITY 3 -- SSM HEALTH ST. JOSEPH HOSPITAL - ST. CHA PART V, SECTION B, LINE 6B: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER COMMUNITY PARTNERS:* KEY STRATEGIC GROUP WHICH IS COMPRISED OF COMMUNITY-FOCUSED CONSULTANTS FOSTERING ENGAGEMENT AND IMPLEMENTATION OF EFFECTIVE STRATEGIES TO REDUCE DISPARITIES, PROMOTE EQUITY AND DRIVE SYSTEMIC AND POLITICAL TRANSFORMATION* BEHAVIORAL HEALTH NETWORK * BOYS & GIRLS CLUBS OF ST. CHARLES COUNTY * CATHOLIC CHARITIES OF ST. LOUIS * COMMUNITY COUNCIL * CROSSROADS CLINIC * EYE THRIVE * GATEWAY REGION YMCA - ST. CHARLES COUNTY BRANCH AND O'FALLON BRANCH * MISSOURI SHIP - AREA 2 * OPERATION FOOD SEARCH * PREFERRED FAMILY HEALTH CARE * PREVENTED * ST. CHARLES CITY-COUNTY LIBRARY * ST. CHARLES COUNTY AMBULANCE DISTRICT * ST. CHARLES COUNTY DEPARTMENT OF PUBLIC HEALTH * UNITED WAY OF GREATER ST. LOUIS * VITENDO4AFRICA * YOUTH IN NEED GROUP A-FACILITY 3 -- SSM HEALTH ST. JOSEPH HOSPITAL - ST. CHA PART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2024 CHNA. IN ORDER TO MAKE MEANINGFUL IMPACT, AND TO USE ITS FINANCES MOST EFFECTIVELY AND EFFICIENCY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES:* BEHAVIORAL HEALTH-MENTAL HEALTH & WELLBEING AND SUBSTANCE ABUSE *FOOD AND NUTRITION SECURITY BEHAVIORAL HEALTH-MENTAL HEALTH & WELLBEING AND SUBSTANCE ABUSE* IN THE SSM HEALTH ST. LOUIS-ST. CHARLES MARKET SUBSTANCE ABUSE WAS THE SEVENTH RANKED HEALTH PROBLEM FOR ADULTS WITH ALCOHOL USE RANKED THIRD AND DRUG USE FOURTH.PROGRESS MADE SINCE 2021* SSM HEALTH ST. JOSEPH HOSPITALS ARE A PROUD SPONSOR OF THE TEEN DRUG SUMMIT IN ST. CHARLES COUNTY. THE INTENTION OF SUMMIT IS TO DECREASE THE NUMBER OF TEENS WHO EVER ENGAGE IN SUBSTANCE USE AND TO INCREASE THE AGE OF INITIAL USE OF ANY SUBSTANCE. SSM HEALTH OFFERS SCHOOLS PARTICIPATING IN THE SUMMIT A FUNDING OPPORTUNITY CALLED, LEVEL UP LEADERS.* ST. CHARLES COUNTY CRUSH INSPIRES A CULTURE WHERE THE COMMUNITY EMPHASIZES THE IMPORTANCE OF HEALTH AND WELLBEING BY PROVIDING KNOWLEDGE AND EMPOWERMENT TO PREVENT AND REDUCE HARM CAUSED BY SUBSTANCE USE IN THE COMMUNITY.GOALS & OBJECTIVES * IMPROVE MENTAL HEALTH AND WELL-BEING WITHIN ST. CHARLES COUNTY THROUGH INCREASED EDUCATION/COMMUNITY AWARENESS AND ENSURE THE AVAILABILITY, ACCESSIBILITY, AND AFFORDABILITY OF INTEGRATED AND CONSISTENT, COORDINATED, PATENT-CENTERED CARE FOR OUR MOST IMPACTED POPULATIONS.* INCREASE EDUCATION/COMMUNITY AWARENESS OF THE DANGERS OF SUBSTANCE USE WITHIN ST. CHARLES COUNTY AND ENSURE THE AVAILABILITY, ACCESSIBILITY, AND AFFORDABILITY OF INTEGRATED AND CONSISTENT, COORDINATED, PATENT-CENTERED CARE FOR OUR MOST IMPACTED POPULATIONS.* INCREASE COMMUNITY AWARENESS AND UTILIZATION OF SSM HEALTH BEHAVIORAL HEALTH URGENT CARE CENTERS LOCATED AT SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL AND SSM HEALTH DEPAUL HOSPITAL* INCREASE COMMUNITY AWARENESS AND UTILIZATION OF SSM HEALTH LONG ACTING INJECTABLE CLINICS LOCATED AT SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL, SSM HEALTH DEPAUL HOSPITAL, AND SSM HEALTH ST. JOSEPH HOSPITAL - WENTZVILLE* ACTIVELY PARTICIPATE IN REGIONAL EFFORTS TO EXPLORE AND ESTABLISH MEDICAL RESPITE PROGRAM(S) AND/OR INCREASED SERVICES FOR THOSE WHO ARE UNHOUSED AND HAVE BEHAVIORAL HEALTH CONCERNS* STRENGTHEN REGIONAL PARTNERSHIP WITH CRISIS INTERVENTION TEAMS WITHIN ST. LOUIS COUNTY AND ST. CHARLES COUNTY POLICE DEPARTMENTS BY PROVIDING BEHAVIORAL HEALTH PROFESSIONALS FOR COLLABORATIVE COMMUNITY ENGAGEMENT TEAMS.* OPTIMIZE PARTICIPATION IN REGIONAL INITIATIVES LED BY THE BEHAVIORAL HEALTH NETWORK FOR PATIENT NAVIGATION SUPPORTS FROM ACUTE TO OUTPATIENT CARE FOR MENTAL HEALTH SERVICES. PROGRAMS CURRENTLY INCLUDE: ADULT AND YOUTH EMERGENCY ROOM ENHANCEMENT PROGRAMS AND HOSPITAL COMMUNITY LINKAGES PROGRAM.* OPTIMIZE PARTICIPATION IN REGIONAL INITIATIVES LED BY THE BEHAVIORAL HEALTH NETWORK FOR PATIENT/COMMUNITY NAVIGATION SUPPORT FOR SUBSTANCE USE SERVICES. PROGRAMS INCLUDE: EPICC, DUNNICA SOBERING SUPPORT CENTER AND YOUTH FAMILY TREATMENT ENHANCEMENT AND EXPANSION.* INCREASE COMMUNITY KNOWLEDGE AND UTILIZATION OF DRUG TAKE BACK BINS LOCATED THROUGHOUT THE COMMUNITY AND AT SSM HEALTH ST. JOSEPH HOSPITALS.* INCREASE BEHAVIORAL HEALTH SUPPORTS WITHIN SSM HEALTH PRIMARY CARE SETTINGS THROUGH THE SSM HEALTH VIRTUAL BEHAVIORAL HEALTH INTEGRATION PROGRAM. EXPLORE EXPANSION FROM ADULT PRIMARY SETTINGS TO ADDITIONAL SPECIALTY CARE SETTINGS INCLUDING BUT NOT LIMITED TO: PEDIATRICS, OBSTETRICS & GYNECOLOGY, AND ONCOLOGY.* ENHANCE SSM HEALTH LEVEL UP LEADERS PROJECT OFFERED AT THE ANNUAL TEEN DRUG SUMMIT TO EDUCATE AND EMPOWER ST. CHARLES COUNTY STUDENT LEADERS TO RETURN TO THEIR RESPECTIVE SCHOOLS AND SPREAD THE MESSAGE ABOUT SUBSTANCES AND SUBSTANCE USE DISORDER.FOOD & NUTRITION SECURITY * 16.5% OF RESIDENTS IN THE ST. CHARLES MARKET HAVE HYPERTENSION/HIGH BLOOD PRESSURE.PROGRESS MADE SINCE 2021* DIABETES SUPPORT GROUP IS DESIGNED TO PROVIDE EDUCATION AND SUPPORT TO INDIVIDUALS LIVING WITH DIABETES. THIS GROUP IS OPEN TO PUBLIC AT NO COST AND ALLOWS COMMUNITY MEMBERS TO HEAR FROM EXPERTS ON A VARIETY OF TOPICS.* SSM HEALTH ST. LOUIS LAUNCHED THE BREAD BASKET PROGRAM IN 7 AREA ADULT HOSPITALS IN 2023 AND WAS FULLY OPERATIONAL IN ALL LOCATIONS AT THE START OF 2024. THE BAGS OF FOOD CONTAIN NONPERISHABLE FOOD ITEMS TO COVER ALL MEALS WITH HEALTHY, LOW OR NO SODIUM, HIGH FIBER, WHOLE GRAIN FOOD OPTIONS. * THROUGH OUR PARTNERSHIP WITH THE ST. LOUIS AREA FOODBANK, SSM HEALTH ST. LOUIS HAS HOSTED 18 FOOD DISTRIBUTION EVENTS AT ALL 8 HOSPITALS IN THE ST. LOUIS REGION IN BOTH 2023 AND 2024. FOOD DISTRIBUTION EVENTS ARE DRIVE THRU EVENTS AND OPEN TO ANYONE IN THE COMMUNITY WHO COULD BENEFIT. HOUSEHOLDS ARE PROVIDED WITH A VARIETY OF FRESH FRUITS, VEGETABLES, MEAT, DAIRY AND NONPERISHABLE FOOD ITEMS AND CARS CAN PICK UP FOR MULTIPLE FAMILIES AT A TIME.GOALS & OBJECTIVES * INCREASE HEALTHY/NUTRITIOUS FOOD AVAILABILITY, ACCESSIBILITY AND CONSUMPTION IN ST. CHARLES COUNTY THROUGH COMMUNITY NUTRITION EDUCATION AND THE CONTINUED DEVELOPMENT OF PROGRAMS AND PARTNERSHIPS FOCUSED ON PROVIDING OR CONNECTING COMMUNITY MEMBER TO DIRECT FOOD ASSISTANCE AND/OR FOOD ASSISTANCE PROGRAMS.* OPTIMIZE SSM HEALTH SDOH INPATIENT SCREENING FOR FOOD INSECURITY ENSURING THOSE IDENTIFIED ARE CONNECTED TO COMMUNITY-BASED RESOURCES. CONNECTING A MINIMUM OF 50% OF IDENTIFIED INPATIENTS TO SSM HEALTH'S BREAD BASKET PROGRAM PROVIDING IMMEDIATE FOOD RESOURCES AND/OR DIRECT CONNECTION TO ST. LOUIS AREA FOODBANK FOOD RESOURCE TEAM.* IN PARTNERSHIP WITH THE ST. LOUIS AREA FOODBANK, CONDUCT COMMUNITY FOOD DISTRIBUTION EVENTS AT ALL SSM HEALTH ST. LOUIS HOSPITALS ON A YEARLY BASIS TO SUPPORT REGIONAL EFFORTS TO ADDRESS FOOD INSECURITY IN COMMUNITY.* OPTIMIZE PARTNERSHIPS WITH FOOD AND NUTRITION SUPPORT ORGANIZATIONS TO INCREASE FOOD SECURITY AND NUTRITIONAL EDUCATION FOR SPECIFIC POPULATIONS SUCH AS THOSE WITH CHRONIC DISEASE, CANCER OR DURING PREGNANCY.* EXPLORE OPPORTUNITIES WITH SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EDUCATION (SNAP-ED) PARTNERSHIP THROUGH UNIVERSITY OF MISSOURI EXTENSION TO INCREASE NUTRITION EDUCATION SECURITY WITHIN OUR COMMUNITIES. GROUP A-FACILITY 3 -- SSM HEALTH ST. JOSEPH HOSPITAL - ST. CHA PART V, SECTION B, LINE 13H: SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.ADDITIONALLY, PATIENTS MAY BE ELIGIBLE TO RECEIVE A DISCOUNT ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS. GROUP A-FACILITY 4 -- SSM HEALTH ST. CLARE HOSPITAL - FENTON PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. GROUP A-FACILITY 4 -- SSM HEALTH ST. CLARE HOSPITAL - FENTON PART V, SECTION B, LINE 5: THE ST. LOUIS REGIONAL HOSPITAL COLLABORATIVE, WITH SUPPORT FROM KEY STRATEGIC GROUP, BEGAN WORKING TOGETHER IN LATE 2023 TO PLAN FOR THE 2024 CHNA PROCESS AGREEING TO FOCUS ON A GEOGRAPHICAL REGION THAT INCLUDED THE CITY OF ST. LOUIS, ST. LOUIS COUNTY AND ST. CHARLES COUNTY, WITH ST. LOUIS COUNTY BEING FURTHER BROKEN OUT INTO NORTH, MID/WEST AND SOUTH COUNTY TO ALLOW FOR MORE COMMUNITY FOCUSED ANALYSIS AND REPORTING. IN ADDITION, THE COLLABORATIVE ACKNOWLEDGED THE IMPORTANCE OF A SPECIFIC FOCUS ON THE NEEDS OF CHILDREN AND YOUTH AND ADDED A 6TH PEDIATRIC FOCUSED GROUPING INCLUSIVE OF THE ENTIRE GEOGRAPHIC REGION.WE BEGAN OUR EFFORTS BY WORKING TO COMBINE MULTIPLE EARLIER SURVEYS INTO ONE COMMUNITY SURVEY SHARED ACROSS THE REGION FROM MARCH THROUGH JUNE 2024. THE SURVEY WAS PRIMARILY AVAILABLE ELECTRONICALLY IN BOTH SPANISH AND ENGLISH, HOWEVER PAPER COPIES WERE AVAILABLE IN MULTIPLE SETTINGS. THE SURVEY WAS OPEN TO ANYONE WHO CALLED THE ST. LOUIS REGION HOME AND EFFORTS TO INVITE PARTICIPATION IN THE SURVEY INCLUDED DIRECT OUTREACH TO 3,500+ STAKEHOLDERS AND COMMUNITY ORGANIZATIONS, PRESENCE AT COMMUNITY EVENTS, AND THE USE OF VARIOUS SOCIAL AND NEWS MEDIA OPTIONS. IN TOTAL OVER 6,400 SURVEY RESPONSES WERE COLLECTED FROM ACROSS THE REGION.FOLLOWING THE COMMUNITY SURVEY, DATA WAS DISAGGREGATED BY EACH OF THE FIVE DEFINED REGIONAL MARKETS. THE COLLABORATIVE THEN HOSTED SIX COMMUNITY STAKEHOLDER CONVERSATIONS, ONE IN EACH OF THE DEFINED MARKETS PLUS ONE FOCUSED ON CHILDREN AND YOUTH IN THE REGION, TO REVIEW THE COMMUNITY SURVEY DATA AND HAVE FACILITATED CONVERSATIONS TO ASK FOR THE PROFESSIONAL INSIGHTS OF PARTICIPANTS ON THE TOP IDENTIFIED HEALTH PROBLEMS AND THE SOCIAL AND STRUCTURAL DETERMINANT FACTORS UNDERLYING THOSE PROBLEMS. 0VER 150 PARTICIPANTS ATTENDED THE SIX COMMUNITY STAKEHOLDER CONVERSATIONS AND REPRESENTED PUBLIC HEALTH, EDUCATION, PUBLIC SAFETY, ELECTED OFFICE, HEALTH PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS. EACH COMMUNITY STAKEHOLDER CONVERSATION WAS A 90-MINUTE FACILITATED CONVERSATION THAT ALLOWED PARTICIPANTS TO ENGAGE WITH THE COMMUNITY SURVEY DATA AND EACH OTHER IN SMALL GROUP DISCUSSIONS. ALIGNING WITH THE COLLABORATIVE'S COMMITMENT TO ANCHORING OUR SHARED CHNA EFFORTS IN COMMUNITY VOICE, THE COLLABORATIVE BEGAN A SERIES OF COMMUNITY CONVERSATIONS FOCUSING ON POPULATIONS AND COMMUNITIES NOT INCLUDED IN THE SURVEY RESPONSE POPULATION AND/OR HISTORICALLY MARGINALIZED FROM SURVEYS. EACH CONVERSATION IS CENTERED ON LEARNING FROM THE LIVED EXPERIENCE OF 10-15 PARTICIPANTS IN A 60 OR 90 MINUTE FACILITATED CONVERSATION AND ALL PARTICIPANTS ARE COMPENSATED FOR THEIR TIME AND EXPERTISE. GROUP A-FACILITY 4 -- SSM HEALTH ST. CLARE HOSPITAL - FENTON PART V, SECTION B, LINE 6A: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER HOSPITALS THROUGH ST. LOUIS REGIONAL HOSPITAL COLLABORATIVE:* BJC HEALTHCARE* MERCY* ST. LUKE'S HOSPITAL GROUP A-FACILITY 4 -- SSM HEALTH ST. CLARE HOSPITAL - FENTON PART V, SECTION B, LINE 6B: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER COMMUNITY PARTNERS:* KEY STRATEGIC GROUP WHICH IS COMPRISED OF COMMUNITY-FOCUSED CONSULTANTS FOSTERING ENGAGEMENT AND IMPLEMENTATION OF EFFECTIVE STRATEGIES TO REDUCE DISPARITIES, PROMOTE EQUITY AND DRIVE SYSTEMIC AND POLITICAL TRANSFORMATION* MEHLVILLE FIRE PROTECTION DISTRICT * SAINT LOUIS COUNTY POLICE DEPARTMENT * FEED MY PEOPLE * UNITED WAY OF GREATER SAINT LOUIS * LUTHERAN SENIOR SERVICES* IFM COMMUNITY MEDICINE* OPERATION FOOD SEARCH * COMPASS HEALTH NETWORK* CATHOLIC CHARITIES* PREVENTED * SAINT LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH * JEFFERSON COUNTY HEALTH DEPARTMENT GROUP A-FACILITY 4 -- SSM HEALTH ST. CLARE HOSPITAL - FENTON PART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2024 CHNA. IN ORDER TO MAKE MEANINGFUL IMPACT, AND TO USE ITS FINANCES MOST EFFECTIVELY AND EFFICIENCY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES:* BEHAVIORAL HEALTH-MENTAL HEALTH & WELLBEING AND SUBSTANCE ABUSE* FOOD & NUTRITION SECURITY BEHAVIORAL HEALTH-MENTAL HEALTH & WELLBEING AND SUBSTANCE ABUSE* RESPONDENTS IN THE SSM HEALTH ST. LOUIS - SOUTH MARKET IDENTIFIED DEPRESSION, ANXIETY AND DRUG USE FOR ADULTS AND BULLYING, ANXIETY AND DEPRESSION FOR CHILDREN AND YOUTH.PROGRESS MADE SINCE 2021* SSM HEALTH ST. CLARE PARTNERS WITH COMPASS HEALTH TO PROVIDE AN ONSITE LIAISON TO WORK DIRECTLY WITH AT-RISK PATIENTS NEEDING SUPPORT CONNECTING WITH OUTPATIENT PHYSICAL, DENTAL, AND MENTAL HEALTH CARE POST DISCHARGE. * THE HOSPITAL ALSO ACTIVELY ENGAGES STAFF, PATIENTS AND COMMUNITY TO UTILIZE MEDICATION TAKE-BACK BINS COLLECTING MORE THAN 9,000 POUNDS OF MEDICATION SINCE 2021.GOALS & OBJECTIVES * IMPROVE BEHAVIORAL HEALTH AND WELLNESS THROUGH THE AVAILABILITY, ACCESSIBILITY, AND AFFORDABILITY OF INTEGRATED AND CONSISTENT, COORDINATED, PATENT-CENTERED CARE FOR OUR MOST AFFECTED POPULATIONS IN ST. LOUIS COUNTY AND CITY OF ST. LOUIS THROUGH POLICY CHANGES. * IMPROVE BEHAVIORAL HEALTH AND WELLNESS AMONG AFFECTED POPULATIONS THROUGH EDUCATION AND COMMUNITY NAVIGATION.* INCREASE THE AVAILABILITY AND ACCESSIBILITY OF BEHAVIORAL HEALTH SERVICES BY UTILIZING SYSTEMS-LEVEL NAVIGATION AND INTEGRATED, COORDINATED, PATIENT-CENTERED CARE IN THE ST. LOUIS REGION.* INCREASE COMMUNITY AWARENESS AND UTILIZATION OF SSM HEALTH BEHAVIORAL HEALTH URGENT CARE CENTERS LOCATED AT SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL AND SSM HEALTH DEPAUL HOSPITAL* INCREASE COMMUNITY AWARENESS AND UTILIZATION OF SSM HEALTH LONG ACTING INJECTABLE CLINICS LOCATED AT SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL, SSM HEALTH DEPAUL HOSPITAL, AND SSM HEALTH ST. JOSEPH HOSPITAL -WENTZVILLE* ACTIVELY PARTICIPATE IN REGIONAL EFFORTS TO EXPLORE AND ESTABLISH MEDICAL RESPITE PROGRAM(S) AND/OR INCREASED SERVICES FOR THOSE WHO ARE UNHOUSED AND HAVE BEHAVIORAL HEALTH CONCERNS* EVALUATE AND OPTIMIZE HOSPITAL NAVIGATOR PARTNERSHIP WITH COMPASS HEALTH AND SSM HEALTH ST. CLARE - FENTON. THIS PARTNERSHIP FOCUSES ON PATIENT NAVIGATION FOR MEDICAL, BEHAVIORAL HEALTH AND DENTAL SERVICES FOR PATIENTS WITH BARRIERS TO ACCESSING OUTPATIENT CARE.* OPTIMIZE PARTICIPATION IN REGIONAL INITIATIVES LED BY THE BEHAVIORAL HEALTH NETWORK FOR PATIENT NAVIGATION SUPPORTS FROM ACUTE TO OUTPATIENT CARE FOR MENTAL HEALTH SERVICES. PROGRAMS CURRENTLY INCLUDE: ADULT AND YOUTH EMERGENCY ROOM ENHANCEMENT PROGRAMS AND HOSPITAL COMMUNITY LINKAGES PROGRAM.* ACTIVELY PARTICIPATE IN REGIONAL EFFORTS TO EXPLORE AND ESTABLISH MANDATORY OUTPATIENT THERAPY (MOT) FOR THOSE WHO HAVE BEHAVIORAL HEALTH CONCERNS, INTERACTIONS WITH LAW ENFORCEMENT AND HAVE HIGH UTILIZATION OF ACUTE CARE SERVICES.* OPTIMIZE PARTICIPATION IN REGIONAL INITIATIVES LED BY THE BEHAVIORAL HEALTH NETWORK FOR PATIENT/COMMUNITY NAVIGATION SUPPORT FOR SUBSTANCE USE SERVICES. PROGRAMS INCLUDE: EPICC, DUNNICA SOBERING SUPPORT CENTER AND YOUTH FAMILY TREATMENT ENHANCEMENT AND EXPANSION.* INCREASE COMMUNITY KNOWLEDGE AND UTILIZATION OF DRUG TAKE BACK BINS LOCATED THROUGHOUT THE COMMUNITY AND AT SSM HEALTH ST. LOUIS HOSPITALS.* INCREASE BEHAVIORAL HEALTH SUPPORTS WITHIN SSM HEALTH PRIMARY CARE SETTINGS THROUGH THE SSM HEALTH VIRTUAL BEHAVIORAL HEALTH INTEGRATION PROGRAM. EXPLORE EXPANSION FROM ADULT PRIMARY SETTINGS TO ADDITIONAL SPECIALTY CARE SETTINGS INCLUDING BUT NOT LIMITED TO: PEDIATRICS, OBSTETRICS & GYNECOLOGY, AND ONCOLOGY.* STRENGTHEN REGIONAL PARTNERSHIP WITH CRISIS INTERVENTION TEAMS WITHIN ST. LOUIS COUNTY AND ST. CHARLES COUNTY POLICE DEPARTMENTS BY PROVIDING BEHAVIORAL HEALTH PROFESSIONALS FOR COLLABORATIVE COMMUNITY ENGAGEMENT TEAMS.FOOD & NUTRITION SECURITY * PARTICIPANTS THROUGHOUT THE 2024 CHNA PROCESS IDENTIFIED FOOD AND NUTRITION INSECURITY AS FUNDAMENTAL FACTORS IMPACTING EVERY HEALTH PROBLEM NAMED AND DISCUSSED AND STRONGLY BELIEVE THAT FOCUSING ON INCREASING THE FOOD AND NUTRITION SECURITY OF OUR COMMUNITY WAS PARAMOUNT FOR EVENTUALLY IMPACTING THE DIRECT HEALTH OUTCOMES OF INDIVIDUAL COMMUNITY MEMBERS. * INCREASING THE COMMUNITY'S KNOWLEDGE OF NUTRITION IN CULTURALLY COMPETENT, AGE APPROPRIATE AND AGE SPECIFIC WAYS WAS ALSO A THEME IN BOTH STAKEHOLDER AND COMMUNITY CONVERSATIONS.PROGRESS MADE SINCE 2021* SSM HEALTH ST. LOUIS LAUNCHED THE BREAD BASKET PROGRAM IN 7 AREA ADULT HOSPITALS IN 2023 AND WAS FULLY OPERATIONAL IN ALL LOCATIONS AT THE START OF 2024. THE BAGS OF FOOD CONTAIN NONPERISHABLE FOOD ITEMS TO COVER ALL MEALS WITH HEALTHY, LOW OR NO SODIUM, HIGH FIBER, WHOLE GRAIN FOOD OPTIONS. * THROUGH OUR PARTNERSHIP WITH THE ST. LOUIS AREA FOODBANK, SSM HEALTH ST. LOUIS HAS HOSTED 18 FOOD DISTRIBUTION EVENTS AT ALL 8 HOSPITALS IN THE ST. LOUIS REGION IN BOTH 2023 AND 2024. FOOD DISTRIBUTION EVENTS ARE DRIVE THRU EVENTS AND OPEN TO ANYONE IN THE COMMUNITY WHO COULD BENEFIT. HOUSEHOLDS ARE PROVIDED WITH A VARIETY OF FRESH FRUITS, VEGETABLES, MEAT, DAIRY AND NONPERISHABLE FOOD ITEMS AND CARS CAN PICK UP FOR MULTIPLE FAMILIES AT A TIME.GOALS & OBJECTIVES * INCREASE HEALTHY FOOD AVAILABILITY, ACCESSIBILITY, AND UTILIZATION AS MEASURED BY: * MORE COORDINATED, UNIFIED, SYSTEMIC NUTRITION SECURITY SOLUTIONS. * INCREASED PARTICIPATION IN FOOD ASSISTANCE PROGRAMS (SNAP, WIC, SCHOOL MEALS, CACFP). * FOOD AND NUTRITION PRIORITIZED IN HEALTH CARE FOR PREVENTION AND MANAGEMENT OF CHRONIC DISEASE (FOOD SECURITY SCREENING AND REFERRAL, HEALTHY FOOD PRESCRIPTION, ETC.). * NUTRITION VALUED AS ESSENTIAL IN HUNGER RELIEF (FOOD PANTRIES, FOOD BANKS) AND FOOD ASSISTANCE PROGRAMS (SNAP, WIC, SCHOOL MEALS, CACFP). * REDUCED FOOD DESERT FOOTPRINT.* OPTIMIZE SSM HEALTH SDOH INPATIENT SCREENING FOR FOOD INSECURITY ENSURING THOSE IDENTIFIED ARE CONNECTED TO COMMUNITY-BASED RESOURCES. CONNECTING A MINIMUM OF 50% OF IDENTIFIED INPATIENTS TO SSM HEALTH'S BREAD BASKET PROGRAM PROVIDING IMMEDIATE FOOD RESOURCES AND/OR DIRECT CONNECTION TO ST. LOUIS AREA FOODBANK FOOD RESOURCE TEAM.* IN PARTNERSHIP WITH THE ST. LOUIS AREA FOODBANK, CONDUCT COMMUNITY FOOD DISTRIBUTION EVENTS AT ALL SSM HEALTH ST. LOUIS HOSPITALS ON A YEARLY BASIS TO SUPPORT REGIONAL EFFORTS TO ADDRESS FOOD INSECURITY IN COMMUNITY.* OPTIMIZE PARTNERSHIPS WITH FOOD AND NUTRITION SUPPORT ORGANIZATIONS TO INCREASE FOOD SECURITY AND NUTRITIONAL EDUCATION FOR SPECIFIC POPULATIONS SUCH AS THOSE WITH CHRONIC DISEASE, CANCER OR DURING PREGNANCY.* EXPLORE OPPORTUNITIES WITH SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EDUCATION (SNAP-ED) PARTNERSHIP THROUGH UNIVERSITY OF MISSOURI EXTENSION TO INCREASE NUTRITION EDUCATION SECURITY WITHIN OUR COMMUNITIES. GROUP A-FACILITY 4 -- SSM HEALTH ST. CLARE HOSPITAL - FENTON PART V, SECTION B, LINE 13H: SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.ADDITIONALLY, PATIENTS MAY BE ELIGIBLE TO RECEIVE A DISCOUNT ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS. GROUP A-FACILITY 5 -- SSM HEALTH ST. JOSEPH HOSPITAL - LAKE ST PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. GROUP A-FACILITY 5 -- SSM HEALTH ST. JOSEPH HOSPITAL - LAKE ST PART V, SECTION B, LINE 5: THE ST. LOUIS REGIONAL HOSPITAL COLLABORATIVE, WITH SUPPORT FROM KEY STRATEGIC GROUP, BEGAN WORKING TOGETHER IN LATE 2023 TO PLAN FOR THE 2024 CHNA PROCESS AGREEING TO FOCUS ON A GEOGRAPHICAL REGION THAT INCLUDED THE CITY OF ST. LOUIS, ST. LOUIS COUNTY AND ST. CHARLES COUNTY, WITH ST. LOUIS COUNTY BEING FURTHER BROKEN OUT INTO NORTH, MID/WEST AND SOUTH COUNTY TO ALLOW FOR MORE COMMUNITY FOCUSED ANALYSIS AND REPORTING. IN ADDITION, THE COLLABORATIVE ACKNOWLEDGED THE IMPORTANCE OF A SPECIFIC FOCUS ON THE NEEDS OF CHILDREN AND YOUTH AND ADDED A 6TH PEDIATRIC FOCUSED GROUPING INCLUSIVE OF THE ENTIRE GEOGRAPHIC REGION.WE BEGAN OUR EFFORTS BY WORKING TO COMBINE MULTIPLE EARLIER SURVEYS INTO ONE COMMUNITY SURVEY SHARED ACROSS THE REGION FROM MARCH THROUGH JUNE 2024. THE SURVEY WAS PRIMARILY AVAILABLE ELECTRONICALLY IN BOTH SPANISH AND ENGLISH, HOWEVER PAPER COPIES WERE AVAILABLE IN MULTIPLE SETTINGS. THE SURVEY WAS OPEN TO ANYONE WHO CALLED THE ST. LOUIS REGION HOME AND EFFORTS TO INVITE PARTICIPATION IN THE SURVEY INCLUDED DIRECT OUTREACH TO 3,500+ STAKEHOLDERS AND COMMUNITY ORGANIZATIONS, PRESENCE AT COMMUNITY EVENTS, AND THE USE OF VARIOUS SOCIAL AND NEWS MEDIA OPTIONS. IN TOTAL OVER 6,400 SURVEY RESPONSES WERE COLLECTED FROM ACROSS THE REGION.FOLLOWING THE COMMUNITY SURVEY, DATA WAS DISAGGREGATED BY EACH OF THE FIVE DEFINED REGIONAL MARKETS. THE COLLABORATIVE THEN HOSTED SIX COMMUNITY STAKEHOLDER CONVERSATIONS, ONE IN EACH OF THE DEFINED MARKETS PLUS ONE FOCUSED ON CHILDREN AND YOUTH IN THE REGION, TO REVIEW THE COMMUNITY SURVEY DATA AND HAVE FACILITATED CONVERSATIONS TO ASK FOR THE PROFESSIONAL INSIGHTS OF PARTICIPANTS ON THE TOP IDENTIFIED HEALTH PROBLEMS AND THE SOCIAL AND STRUCTURAL DETERMINANT FACTORS UNDERLYING THOSE PROBLEMS. 0VER 150 PARTICIPANTS ATTENDED THE SIX COMMUNITY STAKEHOLDER CONVERSATIONS AND REPRESENTED PUBLIC HEALTH, EDUCATION, PUBLIC SAFETY, ELECTED OFFICE, HEALTH PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS. EACH COMMUNITY STAKEHOLDER CONVERSATION WAS A 90-MINUTE FACILITATED CONVERSATION THAT ALLOWED PARTICIPANTS TO ENGAGE WITH THE COMMUNITY SURVEY DATA AND EACH OTHER IN SMALL GROUP DISCUSSIONS. ALIGNING WITH THE COLLABORATIVE'S COMMITMENT TO ANCHORING OUR SHARED CHNA EFFORTS IN COMMUNITY VOICE, THE COLLABORATIVE BEGAN A SERIES OF COMMUNITY CONVERSATIONS FOCUSING ON POPULATIONS AND COMMUNITIES NOT INCLUDED IN THE SURVEY RESPONSE POPULATION AND/OR HISTORICALLY MARGINALIZED FROM SURVEYS. EACH CONVERSATION IS CENTERED ON LEARNING FROM THE LIVED EXPERIENCE OF 10-15 PARTICIPANTS IN A 60 OR 90 MINUTE FACILITATED CONVERSATION AND ALL PARTICIPANTS ARE COMPENSATED FOR THEIR TIME AND EXPERTISE. GROUP A-FACILITY 5 -- SSM HEALTH ST. JOSEPH HOSPITAL - LAKE ST PART V, SECTION B, LINE 6A: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER HOSPITALS THROUGH ST. LOUIS REGIONAL HOSPITAL COLLABORATIVE:* BJC HEALTHCARE* MERCY* ST. LUKE'S HOSPITAL GROUP A-FACILITY 5 -- SSM HEALTH ST. JOSEPH HOSPITAL - LAKE ST PART V, SECTION B, LINE 6B: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER COMMUNITY PARTNERS:* KEY STRATEGIC GROUP WHICH IS COMPRISED OF COMMUNITY-FOCUSED CONSULTANTS FOSTERING ENGAGEMENT AND IMPLEMENTATION OF EFFECTIVE STRATEGIES TO REDUCE DISPARITIES, PROMOTE EQUITY AND DRIVE SYSTEMIC AND POLITICAL TRANSFORMATION* BEHAVIORAL HEALTH NETWORK * BOYS & GIRLS CLUBS OF ST. CHARLES COUNTY * CATHOLIC CHARITIES OF ST. LOUIS * COMMUNITY COUNCIL * CROSSROADS CLINIC * EYE THRIVE * GATEWAY REGION YMCA - ST. CHARLES COUNTY BRANCH AND O'FALLON BRANCH * MISSOURI SHIP - AREA 2 * OPERATION FOOD SEARCH * PREFERRED FAMILY HEALTH CARE * PREVENTED * ST. CHARLES CITY-COUNTY LIBRARY * ST. CHARLES COUNTY AMBULANCE DISTRICT * ST. CHARLES COUNTY DEPARTMENT OF PUBLIC HEALTH * UNITED WAY OF GREATER ST. LOUIS * VITENDO4AFRICA * YOUTH IN NEED GROUP A-FACILITY 5 -- SSM HEALTH ST. JOSEPH HOSPITAL - LAKE ST PART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2024 CHNA. IN ORDER TO MAKE MEANINGFUL IMPACT, AND TO USE ITS FINANCES MOST EFFECTIVELY AND EFFICIENCY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES:* BEHAVIORAL HEALTH-MENTAL HEALTH & WELLBEING AND SUBSTANCE ABUSE *FOOD AND NUTRITION SECURITY BEHAVIORAL HEALTH-MENTAL HEALTH & WELLBEING AND SUBSTANCE ABUSE* IN THE SSM HEALTH ST. LOUIS ST. CHARLES MARKET SUBSTANCE ABUSE WAS THE SEVENTH RANKED HEALTH PROBLEM FOR ADULTS WITH ALCOHOL USE RANKED THIRD AND DRUG USE FOURTH.PROGRESS MADE SINCE 2021* SSM HEALTH ST. JOSEPH HOSPITALS ARE A PROUD SPONSOR OF THE TEEN DRUG SUMMIT IN ST. CHARLES COUNTY. THE INTENTION OF SUMMIT IS TO DECREASE THE NUMBER OF TEENS WHO EVER ENGAGE IN SUBSTANCE USE AND TO INCREASE THE AGE OF INITIAL USE OF ANY SUBSTANCE. SSM HEALTH OFFERS SCHOOLS PARTICIPATING IN THE SUMMIT A FUNDING OPPORTUNITY CALLED, LEVEL UP LEADERS.* ST. CHARLES COUNTY CRUSH INSPIRES A CULTURE WHERE THE COMMUNITY EMPHASIZES THE IMPORTANCE OF HEALTH AND WELLBEING BY PROVIDING KNOWLEDGE AND EMPOWERMENT TO PREVENT AND REDUCE HARM CAUSED BY SUBSTANCE USE IN THE COMMUNITY.GOALS & OBJECTIVES * IMPROVE MENTAL HEALTH AND WELL-BEING WITHIN ST. CHARLES COUNTY THROUGH INCREASED EDUCATION/COMMUNITY AWARENESS AND ENSURE THE AVAILABILITY, ACCESSIBILITY, AND AFFORDABILITY OF INTEGRATED AND CONSISTENT, COORDINATED, PATENT-CENTERED CARE FOR OUR MOST IMPACTED POPULATIONS.* INCREASE EDUCATION/COMMUNITY AWARENESS OF THE DANGERS OF SUBSTANCE USE WITHIN ST. CHARLES COUNTY AND ENSURE THE AVAILABILITY, ACCESSIBILITY, AND AFFORDABILITY OF INTEGRATED AND CONSISTENT, COORDINATED, PATENT-CENTERED CARE FOR OUR MOST IMPACTED POPULATIONS.* INCREASE COMMUNITY AWARENESS AND UTILIZATION OF SSM HEALTH BEHAVIORAL HEALTH URGENT CARE CENTERS LOCATED AT SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL AND SSM HEALTH DEPAUL HOSPITAL* INCREASE COMMUNITY AWARENESS AND UTILIZATION OF SSM HEALTH LONG ACTING INJECTABLE CLINICS LOCATED AT SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL, SSM HEALTH DEPAUL HOSPITAL, AND SSM HEALTH ST. JOSEPH HOSPITAL - WENTZVILLE* ACTIVELY PARTICIPATE IN REGIONAL EFFORTS TO EXPLORE AND ESTABLISH MEDICAL RESPITE PROGRAM(S) AND/OR INCREASED SERVICES FOR THOSE WHO ARE UNHOUSED AND HAVE BEHAVIORAL HEALTH CONCERNS* STRENGTHEN REGIONAL PARTNERSHIP WITH CRISIS INTERVENTION TEAMS WITHIN ST. LOUIS COUNTY AND ST. CHARLES COUNTY POLICE DEPARTMENTS BY PROVIDING BEHAVIORAL HEALTH PROFESSIONALS FOR COLLABORATIVE COMMUNITY ENGAGEMENT TEAMS.* OPTIMIZE PARTICIPATION IN REGIONAL INITIATIVES LED BY THE BEHAVIORAL HEALTH NETWORK FOR PATIENT NAVIGATION SUPPORTS FROM ACUTE TO OUTPATIENT CARE FOR MENTAL HEALTH SERVICES. PROGRAMS CURRENTLY INCLUDE: ADULT AND YOUTH EMERGENCY ROOM ENHANCEMENT PROGRAMS AND HOSPITAL COMMUNITY LINKAGES PROGRAM.* OPTIMIZE PARTICIPATION IN REGIONAL INITIATIVES LED BY THE BEHAVIORAL HEALTH NETWORK FOR PATIENT/COMMUNITY NAVIGATION SUPPORT FOR SUBSTANCE USE SERVICES. PROGRAMS INCLUDE: EPICC, DUNNICA SOBERING SUPPORT CENTER AND YOUTH FAMILY TREATMENT ENHANCEMENT AND EXPANSION.* INCREASE COMMUNITY KNOWLEDGE AND UTILIZATION OF DRUG TAKE BACK BINS LOCATED THROUGHOUT THE COMMUNITY AND AT SSM HEALTH ST. JOSEPH HOSPITALS.* INCREASE BEHAVIORAL HEALTH SUPPORTS WITHIN SSM HEALTH PRIMARY CARE SETTINGS THROUGH THE SSM HEALTH VIRTUAL BEHAVIORAL HEALTH INTEGRATION PROGRAM. EXPLORE EXPANSION FROM ADULT PRIMARY SETTINGS TO ADDITIONAL SPECIALTY CARE SETTINGS INCLUDING BUT NOT LIMITED TO: PEDIATRICS, OBSTETRICS & GYNECOLOGY, AND ONCOLOGY.* ENHANCE SSM HEALTH LEVEL UP LEADERS PROJECT OFFERED AT THE ANNUAL TEEN DRUG SUMMIT TO EDUCATE AND EMPOWER ST. CHARLES COUNTY STUDENT LEADERS TO RETURN TO THEIR RESPECTIVE SCHOOLS AND SPREAD THE MESSAGE ABOUT SUBSTANCES AND SUBSTANCE USE DISORDER.FOOD & NUTRITION SECURITY * 16.5% OF RESIDENTS IN THE ST. CHARLES MARKET HAVE HYPERTENSION/HIGH BLOOD PRESSURE.PROGRESS MADE SINCE 2021* DIABETES SUPPORT GROUP IS DESIGNED TO PROVIDE EDUCATION AND SUPPORT TO INDIVIDUALS LIVING WITH DIABETES. THIS GROUP IS OPEN TO PUBLIC AT NO COST AND ALLOWS COMMUNITY MEMBERS TO HEAR FROM EXPERTS ON A VARIETY OF TOPICS.* SSM HEALTH ST. LOUIS LAUNCHED THE BREAD BASKET PROGRAM IN 7 AREA ADULT HOSPITALS IN 2023 AND WAS FULLY OPERATIONAL IN ALL LOCATIONS AT THE START OF 2024. THE BAGS OF FOOD CONTAIN NONPERISHABLE FOOD ITEMS TO COVER ALL MEALS WITH HEALTHY, LOW OR NO SODIUM, HIGH FIBER, WHOLE GRAIN FOOD OPTIONS. * THROUGH OUR PARTNERSHIP WITH THE ST. LOUIS AREA FOODBANK, SSM HEALTH ST. LOUIS HAS HOSTED 18 FOOD DISTRIBUTION EVENTS AT ALL 8 HOSPITALS IN THE ST. LOUIS REGION IN BOTH 2023 AND 2024. FOOD DISTRIBUTION EVENTS ARE DRIVE THRU EVENTS AND OPEN TO ANYONE IN THE COMMUNITY WHO COULD BENEFIT. HOUSEHOLDS ARE PROVIDED WITH A VARIETY OF FRESH FRUITS, VEGETABLES, MEAT, DAIRY AND NONPERISHABLE FOOD ITEMS AND CARS CAN PICK UP FOR MULTIPLE FAMILIES AT A TIME.GOALS & OBJECTIVES * INCREASE HEALTHY/NUTRITIOUS FOOD AVAILABILITY, ACCESSIBILITY AND CONSUMPTION IN ST. CHARLES COUNTY THROUGH COMMUNITY NUTRITION EDUCATION AND THE CONTINUED DEVELOPMENT OF PROGRAMS AND PARTNERSHIPS FOCUSED ON PROVIDING OR CONNECTING COMMUNITY MEMBER TO DIRECT FOOD ASSISTANCE AND/OR FOOD ASSISTANCE PROGRAMS.* OPTIMIZE SSM HEALTH SDOH INPATIENT SCREENING FOR FOOD INSECURITY ENSURING THOSE IDENTIFIED ARE CONNECTED TO COMMUNITY-BASED RESOURCES. CONNECTING A MINIMUM OF 50% OF IDENTIFIED INPATIENTS TO SSM HEALTH'S BREAD BASKET PROGRAM PROVIDING IMMEDIATE FOOD RESOURCES AND/OR DIRECT CONNECTION TO ST. LOUIS AREA FOODBANK FOOD RESOURCE TEAM.* IN PARTNERSHIP WITH THE ST. LOUIS AREA FOODBANK, CONDUCT COMMUNITY FOOD DISTRIBUTION EVENTS AT ALL SSM HEALTH ST. LOUIS HOSPITALS ON A YEARLY BASIS TO SUPPORT REGIONAL EFFORTS TO ADDRESS FOOD INSECURITY IN COMMUNITY.* OPTIMIZE PARTNERSHIPS WITH FOOD AND NUTRITION SUPPORT ORGANIZATIONS TO INCREASE FOOD SECURITY AND NUTRITIONAL EDUCATION FOR SPECIFIC POPULATIONS SUCH AS THOSE WITH CHRONIC DISEASE, CANCER OR DURING PREGNANCY.* EXPLORE OPPORTUNITIES WITH SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EDUCATION (SNAP-ED) PARTNERSHIP THROUGH UNIVERSITY OF MISSOURI EXTENSION TO INCREASE NUTRITION EDUCATION SECURITY WITHIN OUR COMMUNITIES. GROUP A-FACILITY 5 -- SSM HEALTH ST. JOSEPH HOSPITAL - LAKE ST PART V, SECTION B, LINE 13H: SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.ADDITIONALLY, PATIENTS MAY BE ELIGIBLE TO RECEIVE A DISCOUNT ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS. 118 1 - CARDINAL GLENNON DELMAR THERAPY 5647 DELMAR BLVD FL 3 SAINT LOUIS MO 631122615 HOSPITAL OUTPATIENT 2 - CARDINAL GLENNON PEDIATRIC SPECIALTIES 3878 PERSHALL RD SAINT LOUIS MO 631351246 OUTPATIENT FACILITY 3 - KNIGHTS OF COLUMBUS DEVELOPMENT CTR 3800 PARK AVE SAINT LOUIS MO 631102514 OTHER HEALTH CARE FACILITY 4 - SSM CG PEDS INTEGRATIVE MEDICINE 12255 DE PAUL DR STE 370 BRIDGETON MO 63044 OUTPATIENT PEDIATRIC CLINIC 5 - SSM HEALTH BEHAVORIAL HEALTH 1027 BELLEVUE AVE STE LL33 SAINT LOUIS MO 631171851 BEHAVIORAL HEALTH 6 - SSM HEALTH BREAST CARE 1031 BELLEVUE AVE STE 100 SAINT LOUIS MO 631171855 OTHER HEALTH CARE FACILITY 7 - SSM HEALTH CANCER CARE 6400 CLAYTON RD STE 212 SAINT LOUIS MO 631171850 OTHER HEALTH CARE FACILITY 8 - SSM HEALTH CANCER CARE 6400 CLAYTON RD STE 302 SAINT LOUIS MO 631171850 OTHER HEALTH CARE FACILITY 9 - SSM HEALTH CANCER CARE 1011 BOWLES AVE SUITE G50 FENTON MO 630260562 OTHER HEALTH CARE FACILITY 10 - SSM SLUCARE COLORECTAL SURGERY 1011 BOWLES AVE SUITE 225 FENTON MO 630260562 OTHER HEALTH CARE FACILITY 11 - SSM HEALTH CANCER CARE 2325 DOUGHERTY FERRY ROAD STE 102 103 SAINT LOUIS MO 631223374 OTHER HEALTH CARE FACILITY 12 - SSM HEALTH CANCER CARE 1027 BELLEVUE AVE STE 103 SAINT LOUIS MO 631171851 OTHER HEALTH CARE FACILITY 13 - SSM HEALTH CARDINAL GLENNON PEDIATRICS 400 MEDICAL PLZ STE 220 LAKE SAINT LOUIS MO 633671417 OTHER HEALTH CARE FACILITY 14 - SSM HEALTH CARDINAL GLENNON PEDIATRICS 12255 DE PAUL DR STE 300 BRIDGETON MO 630442510 OTHER HEALTH CARE FACILITY 15 - SSM HEALTH CARDINAL GLENNON PEDIATRICS 13000 BUTLER CREST DR SAINT LOUIS MO 631284276 OTHER HEALTH CARE FACILITY 16 - SSM HEALTH CARDINAL GLENNON PEDIATRICS 224 S WOODS MILL RD STE 640 CHESTERFIELD MO 630173513 OTHER HEALTH CARE FACILITY 17 - SSM HEALTH HEART & VASCULAR CARE 1027 BELLEVUE AVE STE 200 SAINT LOUIS MO 631171851 OTHER HEALTH CARE FACILITY 18 - SSM HEALTH HEART & VASCULAR CARE 1035 BELLEVUE AVE STE 500 SAINT LOUIS MO 631171843 OTHER HEALTH CARE FACILITY 19 - SSM HEALTH HEART & VASCULAR CARE 1027 BELLEVUE AVE STE 202 SAINT LOUIS MO 631171851 OTHER HEALTH CARE FACILITY 20 - SSM HEALTH IMAGING SERVICES 6400 CLAYTON RD STE 104 SAINT LOUIS MO 631171850 OTHER HEALTH CARE FACILITY 21 - SSM HEALTH IMAGING SERVICES 1031 BELLEVUE AVE STE 150 SAINT LOUIS MO 631171869 OTHER HEALTH CARE FACILITY 22 - SSM HEALTH MEDICAL GROUP 19 THE BOULEVARD SAINT LOUIS RICHMOND HEIGHTS MO 631171118 OUTPATIENT FACILITY 23 - SSM HEALTH MEDICAL GROUP 1035 BELLEVUE AVE STE 500 SAINT LOUIS MO 631171843 OTHER HEALTH CARE FACILITY 24 - SSM HEALTH MEDICAL GROUP 1035 BELLEVUE AVE STE 400 SAINT LOUIS MO 631171844 OTHER HEALTH CARE FACILITY 25 - SSM HEALTH MEDICAL GROUP 1035 BELLEVUE AVE STE 320 SAINT LOUIS MO 631171845 OTHER HEALTH CARE FACILITY 26 - SSM HEALTH MEDICAL GROUP 1035 BELLEVUE AVE STE 305 SAINT LOUIS MO 631171845 OTHER HEALTH CARE FACILITY 27 - SSM HEALTH MEDICAL GROUP 1031 BELLEVUE AVE STE 100 SAINT LOUIS MO 631171855 OTHER HEALTH CARE FACILITY 28 - SSM HEALTH MEDICAL GROUP 8670 BIG BEND BLVD STE A SAINT LOUIS MO 631193839 OTHER HEALTH CARE FACILITY 29 - SSM HEALTH MEDICAL GROUP 9759 MANCHESTER RD SAINT LOUIS MO 631191346 OTHER HEALTH CARE FACILITY 30 - SSM HEALTH MEDICAL GROUP 3878 PERSHALL RD SAINT LOUIS MO 631351246 OUTPATIENT FACILITY 31 - SSM HEALTH NEUROSCIENCES 1035 BELLEVUE AVE STE 500 SAINT LOUIS MO 631171843 OTHER HEALTH CARE FACILITY 32 - SSM HEALTH PAIN CARE 1031 BELLEVUE AVE STE 310 SAINT LOUIS MO 631171857 OTHER HEALTH CARE FACILITY 33 - SSM HEALTH SLEEP SERVICES 1027 BELLEVUE AVE STE 101 SAINT LOUIS MO 631171851 OTHER HEALTH CARE FACILITY 34 - SSM HEALTH ST MARY'S RADIOLOGY 1031 BELLEVUE AVE STE 280 SAINT LOUIS MO 631171856 OTHER HEALTH CARE FACILITY 35 - SSM HEALTH URGENT CARE 2341 S BRENTWOOD BLVD SAINT LOUIS MO 631442033 OTHER HEALTH CARE FACILITY 36 - SSM HEALTH VASCULAR SERVICES 1027 BELLEVUE AVE STE G14 SAINT LOUIS MO 631171851 OTHER HEALTH CARE FACILITY 37 - SSM HEALTH WOMEN'S HEALTH 1027 BELLEVUE AVE STE 205 SAINT LOUIS MO 631171851 OTHER HEALTH CARE FACILITY 38 - ST LOUIS CYBERKNIFE 1011 BOWLES AVE STE G50 FENTON MO 630260562 OTHER HEALTH CARE FACILITY 39 - SSM HEALTH IMAGING SERVICES 711 VETERANS MEMORIAL PKWY STE 101 SAINT CHARLES MO 633032106 HOSPITAL OUTPATIENT 40 - SSM HEALTH MEDICAL GROUP 711 VETERANS MEMORIAL PKWY STE 300 SAINT CHARLES MO 633032106 HOSPITAL OUTPATIENT 41 - SSM HEALTH MEDICAL GROUP 711 VETERANS MEMORIAL PKWY STE 200 SAINT CHARLES MO 633032106 HOSPITAL OUTPATIENT 42 - SSM HEALTH SPECIALTY CARE SERVICES 711 VETERANS MEMORIAL PKWY STE 201 SAINT CHARLES MO 633032106 HOSPITAL OUTPATIENT 43 - SSM HEALTH MEDICAL GROUP 400 1ST CAPITOL DR SAINT CHARLES MO 633012880 HOSPITAL OUTPATIENT 44 - SSM HEALTH MEDICAL GROUP 5401 VETERANS MEMORIAL PKWY STE 101 SAINT PETERS MO 633761681 HOSPITAL OUTPATIENT 45 - SSM HEALTH MEDICAL GROUP 5401 VETERANS MEMORIAL PKWY SAINT PETERS MO 633761680 HOSPITAL OUTPATIENT 46 - SSM HEALTH MEDICAL GROUP 6994 MEXICO RD SAINT PETERS MO 633761512 HOSPITAL OUTPATIENT 47 - SSM HEALTH MEDICAL GROUP 1601 WENTZVILLE PKWY WENTZVILLE MO 633853814 HOSPITAL OUTPATIENT 48 - SSM HEALTH MEDICAL GROUP 1601 WENTZVILLE PKWY STE 117 WENTZVILLE MO 633853814 HOSPITAL OUTPATIENT 49 - SSM HEALTH MEDICAL GROUP 1551 WALL ST STE 330 SAINT CHARLES MO 633033544 HOSPITAL OUTPATIENT 50 - SSM HEALTH MEDICAL GROUP 1475 KISKER RD STE 100 SAINT CHARLES MO 633048787 OPT EXTENSION SITE 51 - SSM HEALTH MEDICAL GROUP 101 2ND ST SAINT CHARLES MO 633012807 HOSPITAL OUTPATIENT 52 - SSM HEALTH MEDICAL GROUP 1475 KISKER ROAD STE 125 SAINT CHARLES MO 633048781 HOSPITAL OUTPATIENT 53 - SSM HEALTH MEDICAL GROUP 500 MEDICAL DR WENTZVILLE MO 633853421 HOSPITAL OUTPATIENT 54 - SSM HEALTH MEDICAL GROUP 600 MEDICAL DR WENTZVILLE MO 633853421 HOSPITAL OUTPATIENT 55 - SSM HEALTH MEDICAL GROUP 801 MEDICAL DR STE 400 WENTZVILLE MO 633853824 HOSPITAL OUTPATIENT 56 - SSM HEALTH MEDICAL GROUP 1551 WALL ST SAINT CHARLES MO 633033539 HOSPITAL OUTPATIENT 57 - SSM HEALTH URGENT CARE 711 VETERANS MEMORIAL PKWY STE 100 SAINT CHARLES MO 633032106 HOSPITAL OUTPATIENT 58 - SSM HEALTH MEDICAL GROUP 1603 WENTZVILLE PARKWAY WENTZVILLE MO 633853826 HOSPITAL OUTPATIENT 59 - SSM HEALTH HEART & VASCULAR CARE 2 HARBOR BEND CT STE 100 LAKE SAINT LOUIS MO 633671478 OTHER HEALTH CARE FACILITY 60 - SSM HEALTH HEART & VASCULAR CARE 300 MEDICAL PLZ STE 160 LAKE SAINT LOUIS MO 633671481 OTHER HEALTH CARE FACILITY 61 - SSM HEALTH HEART & VASCULAR CARE 172 A PROFESSIONAL PKWY TROY MO 633792823 OTHER HEALTH CARE FACILITY 62 - SSM HEALTH IMAGING SERVICES 400 MEDICAL PLZ STE 50 LAKE SAINT LOUIS MO 633671491 OTHER HEALTH CARE FACILITY 63 - SSM HEALTH IMAGING SERVICES 164 PROFESSIONAL PKWY TROY MO 633792823 OTHER HEALTH CARE FACILITY 64 - SSM HEALTH MEDICAL GROUP 300 MEDICAL PLZ STE 150 LAKE SAINT LOUIS MO 633671483 OTHER HEALTH CARE FACILITY 65 - SSM HEALTH MEDICAL GROUP 722 N STATE HIGHWAY 47 STE B WARRENTON MO 633831108 OTHER HEALTH CARE FACILITY 66 - SSM HEALTH MEDICAL GROUP 1101 HIGHWAY K O FALLON MO 633668431 OTHER HEALTH CARE FACILITY 67 - SSM HEALTH MEDICAL GROUP 400 MEDICAL PLZ STE 200 LAKE SAINT LOUIS MO 633671417 OTHER HEALTH CARE FACILITY 68 - SSM HEALTH MEDICAL GROUP 300 MEDICAL PLZ STE 310 LAKE SAINT LOUIS MO 633671484 OTHER HEALTH CARE FACILITY 69 - SSM HEALTH MEDICAL GROUP 172 PROFESSIONAL PKWY LAKE SAINT LOUIS MO 633792823 OTHER HEALTH CARE FACILITY 70 - SSM HEALTH SLEEP SERVICES 400 MEDICAL PLZ STE 215 LAKE SAINT LOUIS MO 633671493 OTHER HEALTH CARE FACILITY 71 - SSM HEALTH MEDICAL GROUP 100 MEDICAL PLZ LAKE SAINT LOUIS MO 633671366 OTHER HEALTH CARE FACILITY 72 - SSM HEALTH WOMEN'S HEALTH 300 MEDICAL PLZ STE 221 LAKE SAINT LOUIS MO 633671483 OTHER HEALTH CARE FACILITY 73 - SSM HEALTH BEHAVIORAL HEALTH 1747 SMIZER STATION RD SUITE 2 FENTON MO 630262784 OUTPATIENT FACILITY 74 - SSM HEALTH BREAST CARE 1011 BOWLES AVE GROUND LEVEL FENTON MO 630262395 OUTPATIENT FACILITY 75 - SSM HEALTH HEART & VASCULAR CARE 1011 BOWLES AVE STE 300 FENTON MO 630262387 OUTPATIENT FACILITY 76 - SSM HEALTH HEART & VASCULAR CARE 1011 BOWLES AVE SUITE 205 FENTON MO 630262387 OUTPATIENT FACILITY 77 - SSM HEALTH MEDICAL GROUP 10296 BIG BEND RD STE 111 SAINT LOUIS MO 631226498 OUTPATIENT FACILITY 78 - SSM HEALTH MEDICAL GROUP 1296 JEFFCO BLVD ARNOLD MO 630102138 OUTPATIENT FACILITY 79 - SSM HEALTH MEDICAL GROUP 1011 BOWLES AVENUE SUITE 300 FENTON MO 630262387 OUTPATIENT FACILITY 80 - SSM HEALTH NEUROSCIENCES 1055 BOWLES AVE STE 200 FENTON MO 630262308 OUTPATIENT FACILITY 81 - SSM HEALTH PAIN CARE 1055 BOWLES AVE SUITE 200 FENTON MO 630262308 OUTPATIENT FACILITY 82 - SSM HEALTH SLEEP SERVICES 1015 BOWLES AVE STE 300 FENTON MO 630262394 OUTPATIENT FACILITY 83 - SSM HEALTH URGENT CARE 1296 JEFFCO BLVD ARNOLD MO 630102138 OUTPATIENT FACILITY 84 - SSM HEALTH VASCULAR SERVICES 1011 BOWLES AVE STE G20 FENTON MO 630262395 OUTPATIENT FACILITY 85 - SSM HEALTH WOMEN'S HEALTH 1011 BOWLES AVENUE SUITE 300 FENTON MO 630262387 OUTPATIENT FACILITY 86 - SSM BEHAVIORAL HEALTH URGENT CARE 12349 DE PAUL DR STE 110 BRIDGETON MO 630442512 URGENT CARE 87 - SSM HEALTH BREAST CARE 3440 DE PAUL LN STE 100 BRIDGETON MO 630443546 OTHER HEALTH CARE FACILITY 88 - SSM HEALTH CANCER CARE 12277 DE PAUL DR STE 310 BRIDGETON MO 630442529 OTHER HEALTH CARE FACILITY 89 - SSM HEALTH CANCER CARE 1475 KISKER RD STE 180 SAINT CHARLES MO 633048786 OTHER HEALTH CARE FACILITY 90 - SSM HEALTH CANCER CARE 400 MEDICAL PLZ STE 100 LAKE SAINT LOUIS MO 633671493 OTHER HEALTH CARE FACILITY 91 - SSM HEALTH CANCER CENTER 12303 DE PAUL DR STE 101 BRIDGETON MO 630442512 OTHER HEALTH CARE FACILITY 92 - SSM HEALTH DEPAUL HOSPITAL SURGERY 12266 DE PAUL DRIVE SUITE 10 BRIDGETON MO 630442514 OTHER HEALTH CARE FACILITY 93 - SSM HEALTH DPH RHEUM INFUSION SYS 1120 SHACKELFORD RD STE B FLORISSANT MO 630314369 OTHER HEALTH CARE FACILITY 94 - SSM HEALTH DPH RHEUM INFUSION SYS 12255 DE PAUL DR STE 501 BRIDGETON MO 630442510 OTHER HEALTH CARE FACILITY 95 - SSM HEALTH HEART & VASCULAR CARE 12255 DE PAUL DR STE 400 BRIDGETON MO 630442510 OTHER HEALTH CARE FACILITY 96 - SSM HEALTH HEART & VASCULAR CARE 12266 DE PAUL DR STE 205 BRIDGETON MO 630442514 OTHER HEALTH CARE FACILITY 97 - SSM HEALTH HEART & VASCULAR CARE 12266 DE PAUL DR STE 206 BRIDGETON MO 630442514 OTHER HEALTH CARE FACILITY 98 - SSM HEALTH IMAGING SERVICES 3440 DE PAUL LN STE 100 BRIDGETON MO 630443546 OTHER HEALTH CARE FACILITY 99 - SSM HEALTH MEDICAL GROUP 1120 SHACKELFORD RD FLORISSANT MO 630314369 OTHER HEALTH CARE FACILITY 100 - SSM HEALTH MEDICAL GROUP 12277 DE PAUL DR STE 403 BRIDGETON MO 630442536 OTHER HEALTH CARE FACILITY 101 - SSM HEALTH MEDICAL GROUP 2024 DORSETT VLG MARYLAND HEIGHTS MO 63043 OTHER HEALTH CARE FACILITY 102 - SSM HEALTH MEDICAL GROUP 14021 NEW HALLS FERRY RD FLORISSANT MO 630332708 OTHER HEALTH CARE FACILITY 103 - SSM HEALTH MEDICAL GROUP 12255 DE PAUL DR STE 500 BRIDGETON MO 630442515 OTHER HEALTH CARE FACILITY 104 - SSM HEALTH MEDICAL GROUP 12255 DE PAUL DR STE 600 BRIDGETON MO 630442515 OTHER HEALTH CARE FACILITY 105 - SSM HEALTH NEUROSCIENCES 12255 DE PAUL DR STE 200 BRIDGETON MO 630442510 OTHER HEALTH CARE FACILITY 106 - SSM HEALTH NEUROSCIENCES 12255 DE PAUL DR STE 830 BRIDGETON MO 630442510 OTHER HEALTH CARE FACILITY 107 - SSM HEALTH ORTHOPEDICS 12266 DE PAUL DR STE 110 BRIDGETON MO 630442514 OTHER HEALTH CARE FACILITY 108 - SSM HEALTH ORTHOPEDICS 1120 SHACKELFORD RD FLORISSANT MO 630314369 OTHER HEALTH CARE FACILITY 109 - SSM HEALTH ORTHOPEDICS 12266 DE PAUL DR STE 220 BRIDGETON MO 630442514 OTHER HEALTH CARE FACILITY 110 - SSM HEALTH PAIN CARE 12255 DE PAUL DR STE 120 BRIDGETON MO 630442513 OTHER HEALTH CARE FACILITY 111 - SSM HEALTH SLEEP SERVICES 3440 DE PAUL LN STE 207 BRIDGETON MO 630443546 OTHER HEALTH CARE FACILITY 112 - SSM HEALTH URGENT CARE 1120 SHACKELFORD RD FLORISSANT MO 630314369 DEDICATED EMERGENCY DEPARTMENT 113 - SSM HEALTH URGENT CARE 2022 DORSETT VLG MARYLAND HEIGHTS MO 63403 DEDICATED EMERGENCY DEPARTMENT 114 - SSM HEALTH VASCULAR SERVICES 12266 DE PAUL DR STE 315 BRIDGETON MO 630442514 OTHER HEALTH CARE FACILITY 115 - SSM HEALTH WOMEN'S HEALTH 12277 DE PAUL DR STE 301 BRIDGETON MO 630442529 OTHER HEALTH CARE FACILITY 116 - SSM SLUCARE PHYSICIANS GROUP 2315 DOUGHERTY FERRY ROAD STE 211 SAINT LOUIS MO 631223383 PHYSICIAN GROUP - INTERNAL MEDICINE 117 - SSM SLUCARE ORTHOPAEDIC SURGERY 1011 BOWLES AVENUE SUITE 400 405 FENTON MO 630262395 PHYSICIAN GROUP - ORTHOPAEDIC SURGERY 118 - SSM SLUCARE UROLOGY 6400 CLAYTON RD STE 201 SAINT LOUIS MO 631171850 PHYSICIAN GROUP - UROLOGY PART I, LINE 3C: ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR THOSE INDIVIDUALS WHO:* HAVE LIMITED OR NO HEALTH INSURANCE;* COOPERATE WITH SSM HEALTH'S POLICIES AND PROCEDURES;* DEMONSTRATE FINANCIAL NEED;* SUPPLY ALL REQUIRED INFORMATION TO PROCESS THE APPLICATION; AND * REIMBURSES THE HOSPITAL FOR ANY MONIES PAID DIRECTLY TO PATIENT BY INSURANCE. PATIENTS WHOSE FAMILY INCOME EXCEEDS 400% OF THE FEDERAL POVERTY GUIDELINES (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. 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.SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION. PART I, LINE 6A: SSM HEALTH CARE CORPORATION FILES A COMBINED COMMUNITY BENEFIT REPORT FOR ALL ITS AFFILIATES. THE COMMUNITY BENEFIT REPORT CAN BE FOUND ON SSM'S WEBSITE AT: HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH. PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B, AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H, AND 7I ARE REPORTED AT COST AS REPORTED. THE CALCULATION OF FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F UTILIZES FORM 990, PART IX, LINE 25, COLUMN A, WHICH DOES NOT INCLUDE BAD DEBT EXPENSE. PART II, COMMUNITY BUILDING ACTIVITIES: SSM HEALTH CARE ST. LOUIS PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING:* COMMUNITY HEALTH IMPROVEMENT ADVOCACY - ADVOCACY EFFORTS* WORKFORCE DEVELOPMENT - JOB SHADOWS PART III, LINE 2: AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. PART III, LINE 3: FOR FINANCIAL STATEMENT PURPOSES, SSM HEALTH HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDE BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THEREFORE, THERE IS NO AMOUNT REPORTED ON PART III, LINE 3 FOR THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER SSM HEALTH'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: SSM HEALTH CARE ST. LOUIS IS PART OF THE SSM HEALTH CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES THE TREATMENT OF UNCOLLECTIBLE ACCOUNTS AND IMPLICIT PRICE CONCESSIONS IN THE DECEMBER 31, 2024 CONSOLIDATED AUDIT IS CONTAINED ON PAGE 13 AND 14 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST. PART III, LINE 9B: THE HOSPITALS HAVE 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 HOSPITAL EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH IT PARTICIPATES BY ESTABLISHING SOUND BUSINESS PRACTICES. THE HOSPITALS' 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 STATEMENT2. EXTRAORDINARY COLLECTION ACTIVITY (ECAS) MAY NOT OCCUR UNTIL BAD DEBT PLACEMENT AND ONLY AFTER 120 DAYS.3. ECAS MUST BE SUSPENDED IF A GUARANTOR SUBMITS A FAP APPLICATION DURING THE APPLICATION PERIOD.4. REASONABLE MEASURES MUST BE TAKEN TO REVERSE ECAS IF THE APPLICATION IS APPROVED WHICH MAY INCLUDE REFUNDING ANY PAYMENTS MADE IN EXCESS OF AMOUNTS OWED AS AN FAP-ELIGIBLE INDIVIDUAL.5. BAD DEBT VENDORS WILL GAIN WRITTEN APPROVAL FROM SSM PRIOR TO ENGAGING IN ECAS. SSM WILL REVIEW THE ACCOUNTS AND VERIFY SATISFACTORY COMPLETION OF REASONABLE EFFORTS DURING THE NOTIFICATION AND APPLICATION PERIOD.A WAIVER IS NOT CONSIDERED REASONABLE EFFORTS. OBTAINING A SIGNED WAIVER THAT AN INDIVIDUAL DOES NOT WISH TO APPLY FOR FAP ASSISTANCE OR RECEIVE FAP APPLICATION INFORMATION WILL NOT MEET THE REQUIREMENT TO MAKE "REASONABLE EFFORTS" TO DETERMINE WHETHER THE INDIVIDUAL IS FAP-ELIGIBLE BEFORE ENGAGING IN ECAS.ALL OUTSIDE COLLECTION AGENCIES MUST COMPLY WITH STATE AND FEDERAL LAWS, COMPLY WITH THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY AND COMPLY WITH THE HOSPITAL'S COLLECTION AND FINANCIAL ASSISTANCE POLICIES. PART VI, LINE 2: SSM HEALTH (SSMH) PARTICIPATES IN COMMUNITY BENEFIT ACCORDING TO OUR VISION, THROUGH OUR PARTICIPATION IN THE HEALING MINISTRY OF JESUS CHRIST, COMMUNITIES, ESPECIALLY THOSE THAT ARE ECONOMICALLY, PHYSICALLY, AND SOCIALLY MARGINALIZED, WILL EXPERIENCE IMPROVED HEALTH IN MIND, BODY, SPIRIT AND ENVIRONMENT. IN THE TRADITION OF OUR FOUNDERS, THE FRANCISCAN SISTERS OF MARY, CARING FOR THOSE IN GREATEST NEED REMAINS OUR ORGANIZATIONAL PRIORITY. TODAY OUR SYSTEM BOARD MONITORS COMMUNITY BENEFIT EFFORTS, AND VIEWS ACHIEVEMENT OF OUR VISION AS A PRIMARY RESPONSIBILITY.THE PURPOSE OF SSMH'S COMMUNITY BENEFIT PROGRAM IS TO ASSESS AND ADDRESS COMMUNITY HEALTH NEEDS. MAKING OUR COMMUNITIES HEALTHIER IN MEASURABLE WAYS IS ALWAYS OUR GOAL. TO FULFILL THIS COMMITMENT, SSMH'S COMMUNITY BENEFIT IS DIVIDED INTO TWO PARTS: 1) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AND 2) COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA).THE CHNA IS AN ASSESSMENT AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS AND THE ADOPTION AND IMPLEMENTATION OF STRATEGIES TO ADDRESS THOSE NEEDS. A CHNA IS CONDUCTED EVERY THREE YEARS BY EACH HOSPITAL ACCORDING TO THEFOLLOWING 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 DATATO 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 COMMUNITYSTAKEHOLDERS; AND SEND RESULTS TO FINANCE FOR SUBMISSION TO THE INTERNAL REVENUE SERVICE (IRS).SYSTEM OFFICE STAFF AND LEADERS OVERSEE AND MONITOR SSMH'S COMMUNITY BENEFIT PROGRAM, AND ENSURE REPORTING IS IN COMPLIANCE WITH IRS REGULATIONS. IN COLLABORATION WITH COMMUNITY STAKEHOLDERS AND PARTNER ORGANIZATIONS, SSM HEALTH CARE CORPORATION ALSO IDENTIFIES NEEDS BASED ON ASSESSMENTS AND RESEARCH, AND SSMH FACILITIES ALSO INVOLVE CASE MANAGERS AND CARE TEAM STAFF TO PINPOINT CRITICAL HEALTH ISSUES IN THE COMMUNITY. ALL HOSPITAL CHNAS ARE COMPLETED, APPROVED, AND INTEGRATED INTO THE ORGANIZATION'S STRATEGIC PLAN. WE CONTINUE TO MONITOR AND ASSESS THE PROGRESS OF OUR LOCAL EFFORTS IN THE SPIRIT OF CARING FOR OTHERS AND IMPROVING COMMUNITY HEALTH. PART VI, LINE 3: 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. PART VI, LINE 4: SSM HEALTH CARE ST. LOUIS DEFINES ITS PRIMARY SERVICE AREA AS THE ST. LOUIS METROPOLITAN STATISTICAL AREA (MSA), WHICH INCLUDES THE MISSOURI COUNTIES OF ST. LOUIS, ST. CHARLES, JEFFERSON, FRANKLIN, LINCOLN, AND WARREN AND ST. LOUIS CITY. BECAUSE WE SUPPORT A WIDE RANGE OF LOCAL MARKETS AND CONSTITUENCIES, DEMOGRAPHICS ARE ALSO EVALUATED FOR OUR INDIVIDUAL HOSPITAL SERVICE AREAS, SERVICE LINES AND CLINICAL DEPARTMENTS TO ENSURE WE FOCUS ON SPECIFIC COMMUNITY HEALTH NEEDS. THE TOTAL POPULATION FOR THE MSA IS ESTIMATED OVER 2.8 MILLION, MAKING THE AREA THE 23RD LARGEST METROPOLITAN AREA IN THE UNITED STATES; HOWEVER, IT SAW A DECLINE FROM 2021 TO 2024. THE POVERTY RATE FOR THE MSA WAS REPORTED AT APPROXIMATELY 11% IN 2022.SSM HEALTH-ST. MARY'S HOSPITAL ST. LOUIS IS LOCATED IN RICHMOND HEIGHTS, MISSOURI JUST OVER THE BORDER OF THE CITY IN ST. LOUIS COUNTY. THIS AREA IS PART OF THE SSM HEALTH ST. LOUIS-ACADEMIC MARKET AND INCLUDES THE CITY OF ST. LOUIS. THE ACADEMIC MARKET INCLUDES: * 281,093 RESIDENTS* AGE - 67% 18-64, 14.5% 65 AND OVER, 12.6% 5-17, AND 5.9% 0-4* RACE/ETHNICITY - 46.3% WHITE, 43.9% BLACK/AFRICAN AMERICAN, AND 4.3% HISPANIC/LATINO* SEX - 51% MALE AND 49% FEMALE * MEDIAN HOUSEHOLD INCOME - UNDER $8,000 COMPARED TO OVER $80,000 FOR BOTH MISSOURI AND THE U.S. AS A WHOLE* UNEMPLOYMENT RATE - UNDER 3% COMPARED TO 3.3% FOR MISSOURI AS A WHOLE AND 3.8% FOR THE U.S. AS A WHOLE SSM HEALTH DEPAUL HOSPITAL-ST. LOUIS IS LOCATED IN BRIDGETON, MISSOURI. THIS IS PART OF THE SSM HEALTH ST. LOUIS-NORTH MARKET AND INCLUDES NORTH ST. LOUIS COUNTY. THE NORTH MARKET INCLUDES:* 399,211 RESIDENTS AND 21 ZIP CODES* AGE - 57.9 20-64, 18.6% 5-19, 17.4% 65 AND OVER, AND 6.1% 0-4* RACE/ETHNICITY - 49.4% BLACK/AFRICAN AMERICAN, 40% WHITE, AND 3.6% HISPANIC/LATINO* SEX - 54% FEMALE AND 46% MALE* MEDIAN HOUSEHOLD INCOME - A LITTLE OVER $60,000 BUT LOWER THAN BOTH MISSOURI AND THE U.S. AS A WHOLE* UNEMPLOYMENT RATE - ALMOST 5% WHICH IS HIGHER THAN BOTH MISSOURI AND THE U.S. AS A WHOLESSM HEALTH ST. JOSEPH HOSPITAL-LAKE ST. LOUIS, SSM HEALTH ST. JOSEPH HOSPITAL-ST. CHARLES AND SSM HEALTH ST. JOSEPH HOSPITAL-WENTZVILLE ARE LOCATED IN ST. CHARLES COUNTY, MISSOURI. ST. CHARLES COUNTY INCLUDES: * 423,613 RESIDENTS AND 14 ZIP CODES* AGE - 60.3% 18-64, 17.1% 65 AND OVER, 17% 5-17, AND 5.5% 0-4* RACE/ETHNICITY - 85.2% WHITE AND 5.7% BLACK/AFRICAN AMERICAN* SEX - 50% MALE AND 50% FEMALE * MEDIAN HOUSEHOLD INCOME - OVER $100,000 WHICH IS HIGHER THAN BOTH MISSOURI AND THE U.S. AS A WHOLE* UNEMPLOYMENT RATE - UNDER 3% WHICH IS LOWER THAN BOTH MISSOURI AND THE U.S. AS A WHOLESSM HEALTH ST. CLARE HOSPITAL IS LOCATED IN FENTON, MISSOURI. THIS AREA IS DEFINED AS THE SOUTH MARKET BY SSM HEALTH AND INCLUDES BOTH SOUTH ST. LOUIS COUNTY AND NORTHERN JEFFERSON COUNTY. THE SOUTH MARKET INCLUDES:* ESTIMATED 569,600 RESIDENTS AND 38 RESIDENTIAL ZIP CODES* AGE - 48.9% 25-64, 18.2% 65-84, 21% UNDER 18, 9.3% 18-24 AND 2.7% 85 AND OVER* RACE/ETHNICITY - 89.4% WHITE AND 4.2% BLACK/AFRICAN AMERICAN* SEX - 51% MALE AND 49% FEMALE * HOUSEHOLD INCOME - $91,865 COMPARED TO $69,379 FOR MISSOURI AS A WHOLE AND $80,504 FOR THE U.S. AS A WHOLE* UNEMPLOYMENT RATE - 2.8% COMPARED TO 3.3% FOR MISSOURI AS A WHOLE AND 3.8% FOR THE U.S. AS A WHOLE PART VI, LINE 5: SSM HEALTH AND ITS AFFILIATES 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.SSM HEALTH AND ITS AFFILIATES PROMOTE GRASSROOTS ADVOCACY AND ENGAGES PERSONS OF INFLUENCE TO AFFECT SOCIAL AND PUBLIC POLICY CHANGE IN ORDER TO PROMOTE COMMUNITY HEALTH.THE HOSPITALS ALSO FURTHER THEIR 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. PART VI, LINE 6: SSM HEALTH CARE ST. LOUIS IS A 501(C)(3) ORGANIZATION AND IS A MEMBER OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. SSM HEALTH CARE ST. LOUIS IS ONE OF THE LARGEST, FULL-SERVICE HEALTH CARE NETWORKS IN THE ST. LOUIS, MISSOURI AREA. SSM HEALTH CARE ST. LOUIS INCLUDES THE FOLLOWING OPERATING HOSPITALS: SSM HEALTH DEPAUL HOSPITAL ST. LOUIS, SSM HEALTH ST. JOSEPH HOSPITAL ST. CHARLES, SSM HEALTH ST. JOSEPH HOSPITAL WENTZVILLE (REMOTE LOCATION OF ST. JOSEPH HOSPITAL) SSM HEALTH ST. JOSEPH HOSPITAL LAKE ST. LOUIS, SSM HEALTH ST. MARY'S HOSPITAL ST. LOUIS, AND SSM HEALTH ST. CLARE HOSPITAL FENTON.SSM HEALTH CARE CORPORATION (SSMHCC), A MISSOURI NONPROFIT CORPORATION, IS THE ULTIMATE PARENT ENTITY OF A FULLY INTEGRATED HEALTH SYSTEM WITH ITS HEADQUARTERS BASED IN ST. LOUIS, MISSOURI. SSMHCC AND ITS CONSOLIDATED SUBSIDIARIES (DOING BUSINESS AS SSM HEALTH (SSMH) OWNS AND OPERATES 23 ACUTE CARE HOSPITALS, ONE OF WHICH SPECIALIZES IN PEDIATRICS, TWELVE POST-ACUTE CARE FACILITIES, A NATIONAL PHARMACY BENEFIT MANAGEMENT COMPANY (PBM), AN EXTENSIVE NETWORK OF PHYSICIAN PRACTICE OPERATIONS, OTHER HEALTH CARE BUSINESSES AND SEVERAL FOUNDATIONS. SSMH'S HOSPITAL OPERATIONS ARE LOCATED PRIMARILY IN MISSOURI, WISCONSIN, OKLAHOMA AND ILLINOIS, AND ITS RELATED BUSINESSES PROVIDE HEALTH RELATED SERVICES IN 50 STATES. SSMH'S MISSION STATEMENT IS AS FOLLOWS:THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.SSMHCC AND MOST OF ITS AFFILIATED SUBSIDIARY CORPORATIONS HAVE BEEN GRANTED EXEMPTION FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). CERTAIN SUBSIDIARIES OF SSMH ARE FOR-PROFIT ENTITIES THAT ARE TAXABLE UNDER THE IRC.SSMH IS SPONSORED BY SSM HEALTH MINISTRIES, A MINISTERIAL JURIDIC PERSON, WHICH IS CURRENTLY COMPOSED OF ONE FRANCISCAN SISTER OF MARY (FSM), ONE SISTER OF ST. AGNES, ONE JESUIT PRIEST, ONE FRANCISCAN PRIEST, AND FOUR LAY PERSONS WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMH. 1 SSM HEALTH FOUNDATION - ST LOUIS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 874109859 501(C)(3) 1984653 0 BOOK GENERAL SUPPORT SAINT LOUIS UNIVERSITY ONE NORTH GRAND BLVD DUBOURG HALL ROOM 319 ST LOUIS MO 63103 430654872 501(C)(3) 209806 0 BOOK RESEARCH SUPPORT ST LOUIS AREA FOOD BANK 70 CORPORATE WOODS DR BRIDGETON MO 63044 431253102 501(C)(3) 145000 0 BOOK GENERAL SUPPORT ARCHDIOCESE OF ST LOUIS 20 ARCHBISHOP WAY DRIVE ST LOUIS MO 63119 430653244 501(C)(3) 77558 0 BOOK GENERAL SUPPORT THE SALVATION ARMY 3637 BROADWAY KANSAS CITY MO 64111 440545998 501(C)(3) 30000 0 BOOK GENERAL SUPPORT BETTY JEAN KERR'S PEOPLE HEALTH SERVICES 5701 DELMAR BLVD ST LOUIS MO 63112 431036785 501(C)(3) 0 28058 BOOK PULSE OX DONATION PULSE OX DONATION POWER4STL 5501 DELMAR BLVD ST LOUIS MO 63112 832705388 501(C)(3) 25000 0 BOOK GENERAL SUPPORT FENTON AREA CHAMBER OF COMMERCE 1315 N HWY DR FENTON MO 63026 381980383 501(C)(6) 8500 0 BOOK GENERAL SUPPORT COMPASS HEALTH INC 1800 COMMUNITY DRIVE CLINTON MO 64735 431032835 501(C)(3) 49408 0 BOOK MENTAL HEALTH BOARD COMMUNITY BENEFIT SUPPORT ST CHARLES CHAMBER OF COMMERCE 5988 MID RIVERS MALL DRIVE ST CHARLES MO 63304 361721435 501(C)(6) 7880 0 BOOK GENERAL SUPPORT TEAM ACTIVITIES FOR SPECIAL KIDS INC 980 HORAN DRIVE FENTON MO 63026 431825054 501(C)(3) 7500 0 BOOK SUMMER CAMP OPERATION FOOD SEARCH 1644 LOTSIE BLVD ST LOUIS MO 63131 431241854 501(C)(3) 6480 0 BOOK GENERAL SUPPORT ST LOUIS COUNTY 6121 N HANLEY RD BERKELEY MO 63134 431758789 GOVERNMENT 377105 0 BOOK CORE GRANT 11 2 PATIENT MEDICAL SUPPLIES ASSISTANCE 22902 84969 PART I, LINE 2: THE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDING VARIES BASED ON THE GRANT RECIPIENT. GRANTS TO RELATED ENTITIES ARE MONITORED DIRECTLY BY THE ORGANIZATION WHEREBY THE RECIPIENT REPORTS ON THE SPECIFIC USE OF THE FUNDING. FOR GRANTS TO UNRELATED ENTITIES, THE ORGANIZATION UTILIZES THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) TO TRACK, STORE AND REPORT A WIDE RANGE OF INFORMATION RELATED TO GRANTS AND OVERALL COMMUNITY IMPACT. IN CERTAIN CIRCUMSTANCES, QUALIFYING EXPENSES MAY BE PAID ON BEHALF OF SYSTEM EMPLOYEES BASED UPON DEMONSTRATED FINANCIAL HARDSHIP CAUSED BY NATURAL DISASTERS, ILLNESS, OR OTHER UNFORESEEN TRAGEDY. X 1 1 0 1 0 0 0 0 0 0 0 LAURA KAISER FMR OFF & PRES/CEO AT SSM HEALTH 0 2163350 0 2238900 0 803415 0 2656557 0 24591 0 7886813 0 2238900 STEVEN SMOOT DIR, VP & COO AT SSM HEALTH 0 1305272 0 895103 0 164560 0 1075677 0 44021 0 3484633 0 1036001 DOUGLAS LONG SECRETARY & CLO AT SSM HEALTH 0 813979 0 583198 0 189973 0 676547 0 24224 0 2287921 0 583198 JEREMY FOTHERINGHAM CHAIR, PRESIDENT & REG PRESIDENT 837601 0 470869 0 1710 0 589116 0 41042 0 1940338 0 470869 0 MARIO MORALES PHYSICIAN 1718477 0 37500 0 4939 0 18744 0 37901 0 1817561 0 0 0 KEVIN SMITH TREASURER & CFO AT SSM HEALTH 0 1034519 0 0 0 15958 0 586407 0 40674 0 1677558 0 0 RANDALL COMBS FORMER OFFICER 0 323766 0 923306 0 206949 0 13881 0 15625 0 1483527 0 923306 THOMAS LANDON PHYSICIAN 1210566 0 5000 0 7563 0 13483 0 38678 0 1275290 0 0 0 KEVIN ELLEDGE REGIONAL PRESIDENT - MEDICAL GROUP 0 545574 0 262423 0 61910 0 192202 0 30470 0 1092579 0 199785 ROBERT PENDLETON MD REGIONAL CHIEF CLINICAL OFFICER 663161 0 182197 0 2622 0 223346 0 14329 0 1085655 0 182197 0 KAREN REWERTS FMR OFF & VP FIN OPS AT SSM HEALTH 0 601026 0 176014 0 68440 0 198391 0 36452 0 1080323 0 229400 TIMOTHY JOHNSON MD DIR & SYSTEM VP MED GROUP & POP HEAL 0 567495 0 192243 0 60765 0 204984 0 36446 0 1061933 0 231220 TINA GARRISON REGIONAL VP CHIEF OPERATING OFFICER 579376 0 166018 0 33287 0 202827 0 26634 0 1008142 0 198483 0 TIMOTHY PRATT VP - MEDICAL AFFAIRS 375940 0 52301 0 440899 0 71284 0 25244 0 965668 0 52301 0 MIN PAN PHYSICIAN 882132 0 0 0 5141 0 29609 0 37846 0 954728 0 0 0 EILEEN LAMM REGIONAL VP, FINANCE (MO/ILL) 0 420337 0 111819 0 41118 0 140488 0 21932 0 735694 0 123769 CATHERINE APPLETON PHYSICIAN 700417 0 0 0 1747 0 17045 0 8547 0 727756 0 0 0 JACOB A BROOKS HOSPITAL PRES - ST. JOSEPH-ST. CHARL 423601 0 118261 0 12301 0 150855 0 21387 0 726405 0 118261 0 MISTY JONES FMR KEY EMP & VP HOSPITAL ADMIN 440091 0 103688 0 1512 0 140667 0 20137 0 706095 0 103688 0 KYLE GRATE HOSPITAL PRES - ST. CLARE HOSPITAL 389750 0 107276 0 13060 0 141406 0 34525 0 686017 0 117966 0 JULIE WILHITE REGIONAL VP - HUMAN RESOURCES 0 352522 0 92565 0 38217 0 116921 0 12280 0 612505 0 110356 RACHEL DONLAN REG VP ACADEMIC & PHYS INTEG 0 342421 0 90321 0 27746 0 118077 0 33547 0 612112 0 113448 MARCIA LYSAGHT REGIONAL VP PATIENT CARE SERVICES/CN 343591 0 45000 0 22743 0 94442 0 6496 0 512272 0 0 0 DEBORAH BERINI HOSPITAL PRES - DEPAUL HOSPITAL 297030 0 0 0 35738 0 99704 0 7839 0 440311 0 0 0 AMIR JAFFER REGIONAL CHIEF MEDICAL OFFICER 184567 0 50000 0 37489 0 68493 0 5225 0 345774 0 0 0 PART I, LINE 1A SEVERAL INDIVIDUALS LISTED ON PART VII, SECTION A RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2024. THESE PAYMENTS WERE INCLUDED IN THEIR TAXABLE COMPENSATION. PART I, LINE 3 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (REGIONAL PRESIDENT) HAS COMPENSATION THAT IS DETERMINED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE SSM HEALTH PRESIDENT. PART I, LINE 4B PENSION RESTORATION PLAN: SSM HEALTH (SSMH) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMH QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER THE SSMH QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS LONGER EMPLOYED BY SSMH. NO INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 2024. 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 2024. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. STEVE SMOOT - 159,608 TIM JOHNSON, MD - 58,143 EILEEN LAMM - 38,866 TINA GARRISON - 31,577 JACOB BROOKS - 11,430 KYLE GRATE - 12,163 JULIE WILHITE - 32,995 RACHEL DONLAN - 26,957 KAREN REWERTS - 60,917 LAWRENCE GROUP STEPHEN SMITH - OFFICER & MORE THAN 35% OWNER 133707 ARCHITECTURAL SERVICES 0 FORM 990, ITEM C, DOING BUSINESS AS: CLAYTON HEALTH SERVICES PHARMACY WEST EAST CENTRAL MISSOURI AREA HEALTH EDUCATION CENTER KNIGHTS OF COLUMBUS PEDIATRIC DEVELOPMENT CENTER SSM CARE MANAGEMENT COMPANY SSM HEALTH/SAINT LOUIS UNIVERITY SCHOOL OF MEDICINE SSM HEALTH AT WORK SSM HEALTH BEHAVIORAL HEALTH SSM HEALTH BEHAVIORAL HEALTH AT ST. VINCENT'S SSM HEALTH BREAST CARE SSM HEALTH CANCER CARE SSM HEALTH CARDINAL GLENNON PEDIATRICS SSM HEALTH DEPAUL HOSPITAL - ANNA HOUSE SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS SSM HEALTH DEPAUL HOSPITAL PHYSICIAN BILLING SSM HEALTH DEPAUL HOSPITAL RHEUMATOLOGY INFUSION SERVICES SSM HEALTH DEPAUL HOSPITAL SURGERY CENTER SSM HEALTH HEART & VASCULAR CARE SSM HEALTH IMAGING SERVICES SSM HEALTH MEDICAL GROUP SSM HEALTH NEUROSCIENCES SSM HEALTH ORTHOPEDICS SSM HEALTH OUTPATIENT CENTER SSM HEALTH PAIN CARE SSM HEALTH PHARMACY SSM HEALTH PRESCRIPTION CENTER SSM HEALTH SLEEP SERVICES SSM HEALTH SPECIALTY PHARMACY SSM HEALTH ST. CLARE HOSPITAL - FENTON SSM HEALTH ST. CLARE HOSPITAL PHYSICIAN BILLING SSM HEALTH ST. JOSEPH HOSPITAL - LAKE SAINT LOUIS SSM HEALTH ST. JOSEPH HOSPITAL - LAKE SAINT LOUIS PHYSICIAN BILLING SSM HEALTH ST. JOSEPH HOSPITAL - ST. CHARLES SSM HEALTH ST. JOSEPH HOSPITAL - ST. CHARLES PHYSICIAN BILLING SSM HEALTH ST. JOSEPH HOSPITAL - WENTZVILLE SSM HEALTH ST. JOSEPH HOSPITAL - WENTZVILLE PHYSICIAN BILLING SSM HEALTH ST. JOSEPH HOSPITAL WENTZVILLE OUTPATIENT PHARMACY SSM HEALTH ST. LOUIS SSM HEALTH ST. MARY'S HOSPITAL - ST. LOUIS SSM HEALTH ST. MARY'S HOSPITAL PHYSICIAN BILLING SSM HEALTH ST. MARY'S RADIOLOGY SSM HEALTH TREATMENT & RECOVERY SSM HEALTH URGENT CARE SSM HEALTH VASCULAR SERVICES SSM HEALTH WEIGHT MANAGEMENT SERVICES SSM HEALTH WOMEN'S HEALTH SSM INTEGRATED DISTRIBUTION & SERVICES CENTER FORM 990, PART V, LINE 1A: ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. FORM 990, PART VI, SECTION A, LINE 4 IN 2024, SSM HEALTH CARE ST. LOUIS UPDATED ITS BYLAWS FOR THE FOLLOWING CHANGES: - CHANGE TO THE SIZE OF THE BOARD OF DIRECTORS AND NUMBER OF EX OFFICIO DIRECTORS - CHANGE TO TERMS AND TERM LIMITS FOR BOARD OF DIRECTORS MEMBERS - CHANGE TO OFFICER POSITIONS AND METHOD FOR APPOINTMENT - CHANGE TO THE COMMITTEES FOR THE HOSPITAL OPERATING ENTITY. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM HEALTH CARE ST. LOUIS AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH SYSTEM KNOWN AS SSM HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE POWER TO APPOINT AND REMOVE THE APPOINTED DIRECTORS. HOWEVER THE MEMBER MAY ONLY REMOVE THE APPOINTED DIRECTOR WHO IS THE ST. LOUIS UNIVERSITY SCHOOL OF MEDICINE (SLUSOM) DEAN OR THE SLUSOM DEAN'S DESIGNEE IF THE SLUSOM DEAN OR DESIGNEE VIOLATES THE CONFLICT OF INTEREST POLICY OR OTHER BOARD POLICIES OF THE CORPORATION UPON WRITTEN NOTICE TO ST. LOUIS UNIVERSITY. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER, SSM HEALTH CARE CORPORATION, HAS THE FOLLOWING POWERS: (A) TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION; (B) TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS OF THE CORPORATION; (C) TO APPOINT AND REMOVE THE DIRECTORS; PROVIDED, HOWEVER, THAT THE MEMBER MAY ONLY REMOVE THE APPOINTED DIRECTOR WHO IS THE SLUSOM DEAN OR THE SLUSOM DEAN'S DESIGNEE IN ACCORDANCE WITH ARTICLE V, SECTION 3; (D) TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION, THE CHAIRPERSON, THE VICE CHAIRPERSON, AND/OR THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION; (E) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN; (F) TO APPROVE AMENDMENTS TO THESE BYLAWS; (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, CLOSING, ADMINISTRATION, AND MANAGEMENT OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS; (M) TO APPROVE THE OPERATING AND CAPITAL BUDGETS 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 INTERESTS 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 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 OBJECTIVES 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 APPROVAL BY THE MEMBER; 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, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION (SSMH). THE RETURN IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM WHO SIGNS AS PAID PREPARER. THE RETURN IS THEN PROVIDED TO MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED BY THE TAX DEPARTMENT OF SSMH PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY OF THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ONLINE. 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, SECTION B, LINE 15 THE ORGANIZATION'S COMPENSATION PLAN IS REVIEWED AND APPROVED AT FORMAL MEETINGS OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT NON-EMPLOYEE MEMBERS WHO HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENT TO BE REVIEWED AND RECOMMENDED BY THE COMPENSATION COMMITTEE. THE COMMITTEE REVIEWS COMPARABLE WISCONSIN AND NATIONAL COMPENSATION DATA AND ESTABLISHES BASE COMPENSATION AT THE COMPARABLE MARKET MEDIAN BY THE POSITION AS OUTLINED IN THE COMPENSATION COMMITTEE CHARTER. ADDITIONALLY, THE COMMITTEE HAS AUTHORITY TO RETAIN A COMPENSATION CONSULTANT TO ASSIST THE COMMITTEE IN EVALUATING SENIOR MANAGEMENT COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENT FOR THE SSM HEALTH ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL AND RELATED: PROGRAM SERVICE EXPENSES 180,473,110. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 180,473,110. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 35,175,121. MANAGEMENT AND GENERAL EXPENSES 12,566,937. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,742,058. FORM 990, PART XI, LINE 9: CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -15,366,640. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION -390,380. TRANSFER TO/FROM CONSOLIDATED ENTITIES -308,258,576. ROUNDING 3. 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