2015-11-16T18:09:17-06:00 2014-12-31 861065772 DELOITTE TAX LLP 1111 BAGBY STREET SUITE 4500 HOUSTON TX 77002 990 2014-01-01 466029223 SSM HEALTH CARE CORPORATION SSMH 3149892818 10101 WOODFIELD LANE ST LOUIS MO 63132 JUNE L PICKETT SECRETARY 3149892818 2015-11-16 1 BROOKE KITCHEN P00849302 7139822000 2014 2016-04-25 22:37:26Z SEE SCHEDULE O WILLIAM THOMPSON 10101 WOODFIELD LANE ST LOUIS MO 63132 503526473 0 0928 X WWW.SSMHEALTH.COM X 1874 MO THE ORGANIZATION IS THE PARENT OF THE SSM HEALTH SYSTEM. THE ORGANIZATION PROVIDES MANAGEMENT AND CENTRALIZED SUPPORT SERVICES TO THE HOSPITALS AND OTHER HEALTH CARE ORGANIZATIONS WITHIN THE SYSTEM. 14 13 2212 13 1754515 1754515 1500 0 302530357 393252652 96147362 107146435 16130682 3127386 414809901 503526473 91575 157489 0 0 86201257 127822116 0 0 0 323827598 321720911 410120430 449700516 4689471 53825957 2342180230 2433978389 2472157898 2840588556 -129977668 -406610167 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 324725199 157489 394625523 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 324725199 1 0 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 2465 0 1 2212 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X DONNA WALLACE 3149892818 10101 WOODFIELD LANE ST LOUIS MO 63132 DAVID G COSBY DIRECTOR 1.00 0.00 X 0 0 0 SR ROSE DOWLING FSM DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER GRANTHAN-STEIN DIRECTOR 1.00 0.00 X 0 0 0 THOMAS GUNN DIRECTOR 1.00 0.00 X 0 0 0 THOMAS HILTON PT YR DIRECTOR 1.00 1.00 X 0 0 0 RON HAMEL DIRECTOR 1.00 0.00 X 0 0 0 JOHN MOTEN DIRECTOR 1.00 0.00 X 0 0 0 DR MARK KAUFMANN MD DIRECTOR 1.00 0.00 X 0 0 0 LAWRENCE LEGRAND DIRECTOR 1.00 0.00 X 0 0 0 SR MARY JEAN RYAN FSM DIRECTOR & CHAIR 1.00 7.00 X X 0 0 0 SR SUSAN SCHOLL FSM DIRECTOR 1.00 0.00 X 0 0 0 SR SANDRA SCHWARTZ FSM DIRECTOR 1.00 0.00 X 0 0 0 STEPHANIE MCCUTCHEON DIRECTOR 1.00 0.00 X 0 0 0 DR KAVITA PATEL MD DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM THOMPSON DIRECTOR & CEO 40.00 16.00 X 3248929 0 2256052 PAULA FRIEDMAN VICE PRESIDENT 40.00 14.00 X 729174 0 396619 KRIS ZIMMER TREASURER/ASST SECRETARY 40.00 17.00 X 956951 0 412836 JUNE PICKETT SECRETARY 40.00 2.80 X 253530 0 146963 LYNN BRUCHOF SENIOR VICE PRESIDENT 40.00 1.00 X 538943 0 196360 GAUROV DAYAL PRES - HEALTH CARE DEL 10.00 34.00 X 945865 0 290662 SHANE PENG PRES - PHYS & AMB CARE 40.00 5.00 X 775782 0 283844 CHRISTOPHER HOWARD PRES - HOSP OPER 40.00 0.00 X 1013182 0 504975 MICHAEL PANICOLA SENIOR VICE PRESIDENT 40.00 1.00 X 559513 0 239172 JAMES WATSON PRESIDENT-DEAN CLINICS 0.00 40.00 X 753263 0 163228 JOE HODGES REGIONAL PRES - HOSPITAL 0.00 44.00 X 713630 0 399333 FRANK BYRNE HOSPITAL PRESIDENT 0.00 40.50 X 621010 0 250147 KAREN REWERTS SYSTEM VP-FINANCE 0.00 40.00 X 584748 0 259916 PHILIP GUSTAFSON REGIONAL PRES - HOSPITAL 0.00 44.00 X 579126 0 136956 WILLIAM SCHOENHARD FORMER OFFICER 0.00 0.00 X 209134 0 1030672 DIXIE PLATT FORMER KEY EMPLOYEE 0.00 0.00 X 446401 0 182507 12929181 0 7150242 184 1 1 0 HURON CONSULTING SERVICES LLC 3005 MOMENTUM PLACE CHICAGO IL 606895330 CONSULTING SERVICES 6981832 MEDICREDIT 3 CITY PLACE DRIVE CREVE COEUR MO 63141 COLLECTIONS AGENCY 4180220 DICOM MARKETING SERVICES INC 1650 DES PERES ROAD SUITE 100 ST LOUIS MO 63131 MARKETING SERVICES 3945551 DELOITTE & TOUCHE LLP 100 S 4TH ST SUITE 300 ST LOUIS MO 63102 ACCOUNTING SERVICES 3110747 CIELO INC 200 S EXECUTIVE DRIVE 400 BROOKFIELD WI 53005 RECRUITING SERVICES 3046605 89 INSURANCE FEES 525100 198274951 198274951 CORPORATE FEES 561000 170843516 170843516 OTHER OPERATING REVENU 519100 21447443 21447443 MANAGEMENT FEES 561000 2686742 2686742 393252652 68319407 68319407 38827028 0 38827028 38827028 38827028 INCOME FROM PARTNERSHI 900099 1754515 1754515 OTHER INCOME 900099 1411724 1411724 JOINT VENTURE INCOME 900099 -38853 -38853 3127386 503526473 394625523 1754515 107146435 157489 157489 11020673 8142443 2878230 98153623 77770576 20383047 9424345 7492566 1931779 2218266 1786160 432106 7005209 5519410 1485799 807215 807215 92182 92182 40963115 10947883 30015232 14505292 14505292 5366983 2711745 2655238 4430159 560202 3869957 3873780 2044751 1829029 2147659 1176769 970890 377655 110546 267109 51281541 51281541 1612121 981108 631013 49661 49661 MEDICAL CLAIMS 189669588 151720796 37948792 0 LOSS ON DEBT EXTINGUISH 2316062 2316062 0 0 LICENSES AND FEES 2255942 5152 2250790 0 BOND RELATED FEES 1670553 0 1670553 0 301403 301403 449700516 324725199 124975317 0 21119568 24431435 7949329 9417988 917795656 1186354809 617860 775629 14175889 5061217 9243347 9114672 1364786073 1173764362 15720407 15353776 248588 4947990 14517130 2342180230 2433978389 214896769 152569741 597959 1662423 1200964711 1340897764 400000000 599936611 655698459 745522017 2472157898 2840588556 X -129996835 -406630134 2167 2967 17000 17000 -129977668 -406610167 2342180230 2433978389 X 53825957 -62099987 -268358469 X 0 1 X 1 0 X X 10 SSM HEALTH CARE ST LOUIS 431343281 3 1 0 0 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 430738490 3 1 0 0 SSM HEALTH CARE OF WISCONSIN INC 430688874 3 1 0 0 SSM HEALTH CARE OF OKLAHOMA INC 730657693 3 1 0 0 SSM REGIONAL HEALTH SERVICES 440579850 3 1 0 0 GOOD SAMARITAN REGIONAL HEALTH CENTER 430653587 3 1 0 0 ST MARY'S HOSPITAL 370662580 3 1 0 0 ST ANTHONY SHAWNEE HOSPITAL INC 455055149 3 1 0 0 SSM AUDRAIN HEALTH CARE INC 431550298 3 1 0 0 SSM HEALTH MINISTRIES 431012492 1 1 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART I, LINE 11G, COLUMN V: SSM HEALTH CARE CORPORATION (SSMHC) IS A TYPE I SUPPORTING ORGANIZATION THAT IS OPERATED TO SUPPORT THE OPERATIONS OF ALL ITS RELATED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 11(G). THE AMOUNT OF SUPPORT PROVIDED TO THESE ORGANIZATIONS, REPORTED ON SCHEDULE A, PART I, LINE 11(G)(V), DOES NOT INCLUDE EXPENSES PAID ON BEHALF OF BUT NOT DIRECTLY TO THE ENTITIES SSMHC SUPPORTS. THESE EXPENSES TOTALED $449,700,516. PART IV, SECTION A, LINE 1: SSM HEALTH CARE CORPORATION IS THE PARENT ORGANIZATION OF SSM HEALTH, A HEALTH SYSTEM OF WHICH ALL SUPPORTED ORGANIZATIONS ARE SUBSIDIARIES. SSM HEALTH CARE CORPORATION'S MEMBER, SSM HEALTH MINISTRIES, HAS THE POWER TO APPOINT OR ELECT THE MEMBERS OF SSM HEALTH CARE CORPORATION'S BOARD OF DIRECTORS. THE PURPOSE OF SSM HEALTH CARE CORPORATION IS TO PROVIDE, EITHER DIRECTLY OR IN CONJUNCTION WITH OTHER PERSONS OR ORGANIZATIONS, HEALTH CARE, HEALTH EDUCATION, HOUSING SERVICES, CHILD CARE SERVICES, SERVICES FOR THE ELDERLY AND RELATED SERVICES AND FACILITIES AND/OR OTHER CHARITABLE ACTIVITIES AS MAY BE DETERMINED FROM TIME TO TIME BY MEMBERS OF THE CORPORATION AND THE BOARD OF DIRECTORS IN ACCORDANCE WITH THE BYLAWS OF THE CORPORATION AND WITH THE TEACHINGS AND MISSION OF THE ROMAN CATHOLIC CHURCH. SSM HEALTH CARE CORPORATION, IN CONJUNCTION WITH ITS SPONSOR, SSM HEALTH MINISTRIES, HAS DETERMINED THAT THE SUPPORTED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 11(G) ALLOW THE CORPORATION TO FULFILL ITS MISSION. 0 1 0 0 0 0 1 186261 0 0 186261 0 PART II-B, LINE 1: SSM HEALTH CARE CORPORATION EMPLOYS LOBBYISTS WHOSE ACTIVITIES INCLUDE SERVING AS LIAISONS TO CITY, STATE, AND FEDERAL OFFICIALS. THEY TRACK AND EVALUATE HEALTH CARE AND OTHER LEGISLATION THAT MAY HAVE AN IMPACT ON THE SYSTEM, EXPLORE AND EVALUATE POSSIBLE FUNDING OPPORTUNITIES FOR SSM HEALTH CARE CORPORATION, AND SERVE AS THE SPOKESPERSONS TO LEGISLATIVE COMMITTEES AND STATE AGENCIES FOR THE SYSTEM ON LEGISLATIVE ISSUES. THE LOBBYIST'S ACTIVITIES INCLUDE DIRECT CONTACT WITH LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS. 19166 800 19966 19485 -319 19166 18046 1439 19485 28289 1046 11289 18046 26092 2197 28289 0.85000 0.15000 0 1 1 5311397 2182586 3128811 4524285 2878631 1645654 4340207 4340207 9114672 DEFERRED COMPENSATION 99222124 SWAPS MARK TO MARKET LIABILITY 123999342 RABBI TRUST LIABILITY 40114771 PENSION LIABILITY 459340340 ESTIMATED HEALTH CARE CLAIMS 22819000 EXECUTIVE LIFE INSURANCE 26440 745522017 X PART V, LINE 4: SSMHC'S ENDOWMENT FUNDS ARE TO BE USED TO DEFRAY THE COSTS OF AN ANNUAL EXECUTIVE LEVEL MANAGEMENT MEETING. PART X, LINE 2: SSM HEALTH 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 2014 OR 2013. 1 MISSOURI STATE UNIVERSITY FOUNDATION 901 S NATIONAL AVE SPRINGFIELD MO 65897 431234200 501(C)(3) 5000 TO SUPPORT GENERAL OPERATIONS CATHOLIC CHARITIES ARCHDIOCESE OF ST LOUIS 20 ARCHBISHOP MAY DR RM G522 ST LOUIS MO 63119 430653270 501(C)(3) 5000 TO SUPPORT GENERAL OPERATIONS ARCHDIOCESE OF ST LOUIS 20 ARCHBISHOP MAY DR RM G522 ST LOUIS MO 63119 430653244 501(C)(3) 15000 TO SUPPORT EDUCATIONAL OPPORTUNITIES FOR UNDERPRIVILEGED CHILDREN AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 16250 TO SUPPORT GENERAL OPERATIONS AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW ATLANTA GA 30303 131788491 501(C)(3) 12600 TO SUPPORT GENERAL OPERATIONS URBAN LEAGUE OF METROPOLITAN ST LOUIS 3701 GRANDEL SQ ST LOUIS MO 63108 430653605 501(C)(3) 7500 TO BENEFIT THE SAVE OUR SONS WORKPLACE TRAINING HEARTLAND FOUNDATION 5325 FARAON ST ST JOSEPH MO 64506 431262768 501(C)(3) 50000 TO SUPPORT GENERAL OPERATIONS 7 0 PART I, LINE 2: THE ORGANIZATION'S GRANTS WERE MADE TO ORGANIZATIONS TAX EXEMPT UNDER IRC SECTION 501 (C)(3). THESE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. X X 1 1 X X X X 1 1 0 0 0 0 0 0 0 WILLIAM THOMPSON DIRECTOR & CEO 1807983 0 0 0 1440946 0 2228684 0 27368 0 5504981 0 90580 0 PAULA FRIEDMAN VICE PRESIDENT 640296 0 0 0 88878 0 377167 0 19452 0 1125793 0 33950 0 KRIS ZIMMER TREASURER/ASST SECRETARY 853676 0 0 0 103275 0 382451 0 30385 0 1369787 0 50610 0 JUNE PICKETT SECRETARY 230695 0 0 0 22835 0 130612 0 16351 0 400493 0 8960 0 LYNN BRUCHOF SENIOR VICE PRESIDENT 528841 0 0 0 10102 0 162948 0 33412 0 735303 0 0 0 GAUROV DAYAL PRES - HEALTH CARE DEL 876340 0 0 0 69525 0 261335 0 29327 0 1236527 0 45500 0 SHANE PENG PRES - PHYS & AMB CARE 743560 0 0 0 32222 0 244453 0 39391 0 1059626 0 0 0 CHRISTOPHER HOWARD PRES - HOSP OPER 891236 0 0 0 121946 0 474548 0 30427 0 1518157 0 51660 0 MICHAEL PANICOLA SENIOR VICE PRESIDENT 482076 0 0 0 77437 0 213774 0 25398 0 798685 0 0 0 JAMES WATSON PRESIDENT-DEAN CLINICS 544281 0 0 0 208982 0 145438 0 17790 0 916491 0 0 0 JOE HODGES REGIONAL PRES - HOSPITAL 633413 0 0 0 80217 0 364886 0 34447 0 1112963 0 42700 0 FRANK BYRNE HOSPITAL PRESIDENT 522676 0 0 0 98334 0 221848 0 28299 0 871157 0 36260 0 KAREN REWERTS SYSTEM VP-FINANCE 532382 0 0 0 52366 0 233761 0 26155 0 844664 0 19560 0 PHILIP GUSTAFSON REGIONAL PRES - HOSPITAL 539247 0 0 0 39879 0 111734 0 25222 0 716082 0 0 0 WILLIAM SCHOENHARD FORMER OFFICER 0 0 0 0 209134 0 1020632 0 10040 0 1239806 0 0 0 DIXIE PLATT FORMER KEY EMPLOYEE 0 0 0 0 446401 0 168303 0 14204 0 628908 0 100 0 PART I, LINE 1A THE FOLLOWING INDIVIDUALS LISTED ON PART VII, SECTION A RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2014. THESE PAYMENTS WERE INCLUDED IN THEIR TAXABLE COMPENSATION. FRANK BYRNE PAULA FRIEDMAN JOE HODGES CHRISTOPHER HOWARD MICHAEL PANICOLA KAREN REWERTS WILLIAM THOMPSON KRIS ZIMMER PART I, LINE 1A: THE FOLLOWING INDIVIDUALS LISTED ON PART VII, SECTION A RECEIVED A REIMBURSEMENT OF HEALTH OR SOCIAL CLUB DUES IN 2014. THESE PAYMENTS WERE INCLUDED IN THEIR TAXABLE COMPENSATION. FRANK BYRNE JOE HODGES PART I, LINE 4A: SEVERANCE PLAN: SSM HEALTH (SSMH) HAS ADOPTED A SEVERANCE POLICY TO PROVIDE A FINANCIAL TRANSITION IN THE EVENT OF INVOLUNTARY TERMINATION WITHOUT CAUSE FOR EXECUTIVE LEVEL POSITIONS. THE AMOUNT OF THE COMPENSATION IS BASED ON THE POSITION HELD AND LENGTH OF SERVICE WITH SSMH. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS UNDER THE PLAN IN THE CURRENT YEAR. DIXIE PLATT $449,000 WILLIAM SCHOENHARD $218,667 PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS PENSION RESTORATION PLAN: SSM HEALTH (SSMH) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMH QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER SSMH'S QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMH OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMH. NO REPORTABLE INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN DURING 2014. 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 2008 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF TWO 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 2014. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUALS' TAXABLE COMPENSATION. FRANK BYRNE $49,206 GAUROV DAYAL $45,560 PAULA FRIEDMAN $39,621 JOE HODGES $42,757 CHRISTOPHER HOWARD $75,167 MICHAEL PANICOLA $42,935 JUNE PICKETT $11,398 DIXIE PLATT $100 KAREN REWERTS $27,191 WILLIAM THOMPSON $90,701 KRIS ZIMMER $50,811 A HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60635R2Z9 2008-05-15 100851259 TO FINANCE VARIOUS CAPITAL IMPROVEMENTS 0 0 0 B WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97710BUX8 2010-05-13 125000551 TO FINANCE VARIOUS CAPITAL IMPROVEMENTS 0 0 0 C HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60635R7B7 2010-05-13 450254794 (1) FINANCE CAP. IMPROVEMENTS (2) REFUND BONDS ISSUED 5/22/2001 & 7/21/2005 1 0 0 D HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 NONEAVAIL 2012-07-26 183265000 TO REFUND BONDS ISSUED 7/21/2005 AND 5/13/2010 1 0 0 A 100851259 100851259 2009 0 0 1 1 B 4430000 125436509 125436509 2011 0 0 1 1 C 4540000 295650000 450254794 244374 165003260 285007161 2010 1 1 1 1 D 2055000 100000 183265000 183265000 2012 1 0 1 1 A 0 1 1 1 1 1 0.00900 0.00900 0 0 1 B 0 1 1 1 1 1 0.03000 0.03000 0 0 1 C 0 1 1 1 1 1 0.01500 0.01500 0 0 1 D 0 1 1 1 1 1 0.02000 0.02000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, ENTITY 2, PART I, LINE B, COLUMN C CUSIP # THE ISSUE IS COMPRISED OF 10 SEPARATE SERIES OF BONDS, 2014B THROUGH 2014K. THE BONDS OF THE ISSUE WITH THE LATEST MATURITY DATES (THE SERIES 2014J AND SERIES 2014K, EACH MATURING 6/1/2045) DO NOT HAVE A CUSIP NUMBER. THE SERIES 2014B, 2014C, 2014D, 2014E, 2014F AND 2014G BONDS HAVE CUSIP NUMBERS. OF THESE SERIES OF BONDS, THE SERIES 2014D, 2014E, 2014F AND 2014G BONDS EACH MATURE 6/1/2044. THEREFORE, THE BONDS WITH THE LATEST MATURITY WITH CUSIP NUMBERS ARE THE 6/1/2044 MATURITIES OF THE SERIES 2014D, 2014E, 2014F AND 2014G BONDS. THE CUSIP NUMBERS FOR THESE BONDS ARE AS FOLLOWS (BOND SERIES/CUSIP NUMBER): 2014D/60637AFK3; 2014E/60637AFL1; 2014F/60637AFM9; 2014G/60637AFN7. SCHEDULE K, PART II, LINE 4 THE AMOUNTS SHOWN HERE CONSIST SOLELY OF DEBT SERVICE FUND DEPOSITS. SCHEDULE K, PART IV, LINE 2, COLUMNS B AND C THE DATE OF THE RESPECTIVE REBATE COMPUTATIONS IS 06/01/2012. SCHEDULE K, PART VI, LINE 6, COLUMN C THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. SCHEDULE K, PARTS I AND II, LINE 3 DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS. A HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60637AGB2 2014-05-14 257654670 REFUND SERIES 2005CD BONDS AND SERIES 2010D, ISSUED 7/21/2005 AND 5/13/2010 0 0 0 B HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 SEEPARTVI 2014-05-14 632155000 (1) FINANCE CAP. IMPROVEMENTS (2) REFUND BONDS ISSUED 7/21/2005 & 5/13/2010 0 0 0 A 257654670 257654670 2011 1 0 1 1 B 632155000 80062949 552092051 2014 1 0 1 1 A 0 1 1 1 1 1 0.01300 0.01300 0 0 1 B 0 1 1 1 1 1 0.00400 0.00400 0 0 0 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 A 1 B 1 FORM 990, PART I, DOING BUSINESS AS: SSM HEALTH CARE CORPORATION CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING NAMES: SSM HEALTH SSM HEALTH CARE SSM HEALTH CARE CORPORATE ARCHIVES SSM SUPPORT SERVICES FORM 990, SUPPLEMENT TO PART III, LINE 4A BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION: SINCE IT WAS FOUNDED IN 1872 BY CATHOLIC SISTERS, SSM HEALTH (SSM) HAS EXISTED TO MEET THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. SSM IS A CATHOLIC, NOT-FOR-PROFIT HEALTH SYSTEM SERVING THE COMPREHENSIVE HEALTH NEEDS OF COMMUNITIES ACROSS THE MIDWEST THROUGH ONE OF THE LARGEST INTEGRATED DELIVERY SYSTEMS IN THE NATION. WITH CARE DELIVERY SITES IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN, SSM INCLUDES 18 ACUTE CARE HOSPITALS, ONE CHILDREN'S HOSPITAL, MORE THAN 60 OUTPATIENT CARE SITES, A PHARMACY BENEFIT COMPANY, AN INSURANCE COMPANY, TWO LONG-TERM CARE FACILITIES, COMPREHENSIVE HOME CARE AND HOSPICE SERVICES, A TECHNOLOGY COMPANY, AND TWO ACCOUNTABLE CARE ORGANIZATIONS. THE HEALTH SYSTEM EMPLOYS APPROXIMATELY 30,000 PEOPLE AND IS AFFILIATED WITH MORE THAN 8,000 PHYSICIANS MAKING IT ONE OF THE LARGEST EMPLOYERS IN EVERY COMMUNITY IT SERVES. SSM IS SPONSORED BY SSM HEALTH MINISTRIES, AN INDEPENDENT 6-MEMBER BODY COMPRISED OF THREE FRANCISCAN SISTERS OF MARY AND THREE LAY PEOPLE WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSM. IN THE TRADITION OF ITS FOUNDING SISTERS, SSM STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL HEALTH CARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. DESCRIBE THE TAX-EXEMPT PURPOSE ACHIEVEMENTS: SSMH'S CORPORATE OFFICE PROVIDES SERVICES TO ALL SSMH FACILITIES. THESE SERVICES INCLUDE THE FOLLOWING: IMPLEMENTATION AND OPTIMIZATION OF A COMMON PLATFORM OF CARE FOR SSMH FACILITIES; SUPPORT AND IMPLEMENTATION OF THE ELECTRONIC HEALTH RECORD AT SSMH HOSPITALS AND FACILITIES; EVALUATION AND CONSULTATION OF NEW GROWTH STRATEGIES AND OPPORTUNITIES; COMMUNICATIONS COUNSEL, STRATEGY AND PLANNING; OVERSIGHT OF THE MISSION AWARENESS TEAMS AND SPIRITUAL CARE DEPARTMENTS; HIGH-LEVEL CORPORATE RESPONSIBILITY PROCESS OVERSIGHT TO ENSURE ETHICAL AND LEGAL COMPLIANCE; ORGANIZATIONAL AND CLINICAL ETHICS EDUCATION; POLICY WRITING AND REVIEW AND PATIENT BILLING SERVICES. OTHER SERVICES INCLUDE CAPITAL PLANNING AND ALLOCATION; STRATEGIC, FINANCIAL AND HUMAN RESOURCE PLAN PREPARATION; INVESTMENT MANAGEMENT AND DEBT FINANCING; SYSTEM-LEVEL INTERNAL AND EXTERNAL FINANCIAL REPORTING; TAX COMPLIANCE PROCESS MANAGEMENT; EMPLOYEE BENEFITS ADMINISTRATION; EDUCATIONAL PROGRAM OFFERINGS FOR LEADERSHIP DEVELOPMENT; AND RISK MANAGEMENT STRATEGIES. DESCRIBE THE ORGANIZATION'S APPROACH TO PROVIDING COMMUNITY BENEFIT: SSM HEALTH (SSM) PARTICIPATES IN COMMUNITY BENEFIT ACCORDING TO OUR VISION, THROUGH OUR PARTICIPATION IN THE HEALING MINISTRY OF JESUS CHRIST, COMMUNITIES, ESPECIALLY THOSE THAT ARE ECONOMICALLY, PHYSICALLY, AND SOCIALLY MARGINALIZED, WILL EXPERIENCE IMPROVED HEALTH IN MIND, BODY, SPIRIT AND ENVIRONMENT. IN THE TRADITION OF OUR FOUNDERS, THE FRANCISCAN SISTERS OF MARY, CARING FOR THOSE IN GREATEST NEED REMAINS OUR ORGANIZATIONAL PRIORITY. TODAY OUR SYSTEM BOARD MONITORS COMMUNITY BENEFIT EFFORTS, AND VIEWS ACHIEVEMENT OF OUR VISION AS A PRIMARY RESPONSIBILITY. THE PURPOSE OF SSM'S COMMUNITY BENEFIT PROGRAM IS TO ASSESS AND ADDRESS COMMUNITY HEALTH NEEDS. MAKING OUR COMMUNITIES HEALTHIER IN MEASURABLE WAYS IS ALWAYS OUR GOAL. TO FULFILL THIS COMMITMENT, SSM'S COMMUNITY BENEFIT IS DIVIDED INTO TWO PARTS: 1) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AND 2) COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA). THE CHNA IS AN ASSESSMENT AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS AND THE ADOPTION AND IMPLEMENTATION OF STRATEGIES TO ADDRESS THOSE NEEDS. A CHNA IS CONDUCTED EVERY THREE YEARS BY EACH HOSPITAL ACCORDING TO THE FOLLOWING STEPS: - ASSESS AND PRIORITIZE COMMUNITY HEALTH NEEDS: GATHER CHNA DATA FROM SECONDARY SOURCES; OBTAIN INPUT FROM STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH INTERVIEWS AND FOCUS GROUPS; USE DATA TO SELECT TOP HEALTH PRIORITIES; AND COMPLETE WRITTEN CHNA. - DEVELOP, ADOPT, AND IMPLEMENT STRATEGIES TO ADDRESS TOP-HEALTH PRIORITIES: ESTABLISH STRATEGIES TO ADDRESS PRIORITIES; COMPLETE STRATEGIC IMPLEMENTATION PLAN; OBTAIN REGIONAL/DIVISIONAL BOARD APPROVAL; AND INTEGRATE STRATEGIES INTO OPERATIONAL PLAN. - MAKE CHNA WIDELY AVAILABLE TO THE PUBLIC: PUBLISH CHNA AND SUMMARY DOCUMENT ON HOSPITAL'S WEBSITE. - MONITOR, TRACK, AND REPORT PROGRESS ON TOP HEALTH PRIORITIES: COLLECT DATA AND EVALUATE PROGRESS; REPORT TO REGIONAL/DIVISIONAL BOARD EVERY SIX MONTHS AND SYSTEM BOARD EVERY YEAR; SHARE FINDINGS WITH COMMUNITY STAKEHOLDERS; AND SEND RESULTS TO FINANCE FOR SUBMISSION TO THE INTERNAL REVENUE SERVICE (IRS). CBISA IS THE GATHERING, COLLECTING, AND REPORTING OF ALL DATA RELATING TO COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS ACROSS THE SYSTEM. A CBISA IS CONDUCTED EVERY YEAR BY EACH HOSPITAL ACCORDING TO THE FOLLOWING STEPS: - COLLECT AND ENTER DATA: SEND OUT EMAILS REMINDING STAFF TO SUBMIT ACTIVITIES; ENTER DATA INTO LYON; AND RUN REPORTS TO SHARE WITH LEADERS. - FINALIZE AND REPORT ON PRIOR YEAR: ENTER ALL PRIOR YEAR DATA INTO LYON BY JANUARY 31; AND COMMUNICATE FINAL PRIOR YEAR FIGURES TO IRS, SYSTEM BOARD, AND THE COMMUNITY. SYSTEM OFFICE STAFF AND LEADERS OVERSEE AND MONITOR SSM'S COMMUNITY BENEFIT PROGRAM, AND ENSURE REPORTING IS IN COMPLIANCE WITH IRS REGULATIONS. IN COLLABORATION WITH COMMUNITY STAKEHOLDERS AND PARTNER ORGANIZATIONS, ALL HOSPITAL CHNAS WERE COMPLETED, APPROVED, AND INTEGRATED INTO THE ORGANIZATION'S STRATEGIC PLAN. WE CONTINUE TO MONITOR AND ASSESS THE PROGRESS OF OUR LOCAL EFFORTS IN THE SPIRIT OF CARING FOR OTHERS AND IMPROVING COMMUNITY HEALTH. IN COLLABORATION WITH OUR COMMUNITY PARTNERS, ALL SSM HEALTH CARE HOSPITAL FACILITIES COMPLETED THEIR CHNA IN 2012. THE ASSESSMENTS HAVE BEEN APPROVED BY SSMH MANAGEMENT AND INCLUDED AS PART OF OUR 2013 STRATEGIC PLAN. DURING 2013 EACH SSMH HOSPITAL UTILIZED THEIR CHNA TO IDENTIFY VARIOUS UNMET COMMUNITY HEALTH NEEDS. OUR PRIMARY RESPONSIBILITY IS TO ADDRESS THOSE THAT WE CAN IMPACT THE MOST, THAT IS, THOSE ALIGNED WITH OUR CORE COMPETENCIES. WE COMMUNICATE THE NEEDS IDENTIFIED IN THE ASSESSMENT TO THE COMMUNITY THROUGH A VARIETY OF MEDIA, DEVELOP A PLAN FOR HOW TO ADDRESS THOSE NEEDS THAT WE CAN IMPACT, AND IMPLEMENT STRATEGIES TO ADDRESS THESE NEEDS. EACH PRIORITY AREA WAS ASSIGNED A CHAMPION AND PROGRAMS AND SERVICES WERE DESIGNED TO ADDRESS THE IDENTIFIED NEED. ADDITIONAL INFORMATION REGARDING IDENTIFIED NEEDS AND ACTIONABLE GOALS CAN BE FOUND AT WWW.SSMHEALTH.COM. FORM 990, FORM 990, SUPPLEMENT TO PART III, LINE 4A: CONTINUED DESCRIBE THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICIES OR PROGRAMS (E.G., CHARITY CARE, DISCOUNTING) FOR LOW-INCOME PERSONS AND HOW THEY ARE COMMUNICATED TO THE PUBLIC. ALL SSMH FACILITIES WILL STRIVE TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY. ALL BILLING AND COLLECTION POLICIES AND PRACTICES WILL REFLECT THE MISSION AND VALUES OF SSMH, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. SSMH FACILITIES OFFER DISCOUNTS FOR HOSPITAL SERVICES TO ALL UNINSURED PERSONS. SELF-PAY DISCOUNTS APPLY TO EVERYONE WHO DOES NOT HAVE HEALTH INSURANCE, NO MATTER THEIR ABILITY TO PAY. SSMH WILL APPLY ITS CHARITY CARE POLICIES FAIRLY AND CONSISTENTLY. EACH PERSON WILL BE TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. SSMH EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH IT PARTICIPATES BY ESTABLISHING SOUND BUSINESS PRACTICES. FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS BASED ON A SLIDING SCALE FOR HOUSEHOLD INCOMES UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. PATIENTS WHOSE HOUSEHOLD INCOME IS NO MORE THAN TWO TIMES THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR FREE HOSPITAL SERVICES. PATIENTS WHOSE FAMILY INCOME EXCEEDS 400% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF THE HOSPITAL; HOWEVER THE DISCOUNTED RATES SHALL NOT BE GREATER THAN THE AMOUNTS GENERALLY BILLED TO COMMERCIALLY INSURED [OR MEDICARE] PATIENTS. IN SUCH CASES, OTHER FACTORS MAY BE CONSIDERED IN DETERMINING THEIR ELIGIBILITY FOR DISCOUNTED OR FREE SERVICES. EACH ENTITY PROVIDING MEDICAL SERVICES 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 COMMUNICATIONS 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 WILL BE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY. THEY WILL 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 - WHOM TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING. THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC SHALL BE 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 WILL ALSO BE PROVIDED TO PUBLIC AGENCIES. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTION: SSMH FURTHERS ITS EXEMPT PURPOSE THROUGH 18 HOSPITALS WHICH: - OPERATE AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; - HAVE AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA; - HAVE A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY; - ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS; - PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. - ALL SURPLUS FUNDS GENERATED BY SSMH ENTITIES ARE REINVESTED IN IMPROVING OUR PATIENT CARE DELIVERY SYSTEM. OVER THE LAST SEVERAL YEARS, SSMH HAS OPENED ONE NEW HOSPITAL AND CONSTRUCTED TWO NEW REPLACEMENT HOSPITALS. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS: 1. STAFF MEMBERS CONTRIBUTED THEIR TIME TO THE ST. LOUIS REGIONAL COMMERCE AND GROWTH ASSOCIATION, INCLUDING THEIR PUBLIC POLICY COMMITTEE. THE ORGANIZATION UNITES THE ST. LOUIS REGION'S BUSINESS COMMUNITY TO DEVELOP AND SUSTAIN A WORLD-CLASS ECONOMY AND COMMUNITY. 2. STAFF MEMBERS CONTRIBUTED THEIR TIME TO ASSOCIATED INDUSTRIES OF MISSOURI, A GROUP THAT BELIEVES THAT THE TRANSPORTATION SYSTEM IN MISSOURI DEMANDS CONTINUING CARE AND ATTENTION BECAUSE IT IS VITAL TO THE STATE'S ECONOMIC WELFARE AND QUALITY OF LIFE. 3. STAFF MEMBERS CONTRIBUTE THEIR TIME TO THE LEADERSHIP COUNCIL SOUTHWESTERN ILLINOIS. THIS ORGANIZATION HAS BEEN THE PREMIER ECONOMIC DEVELOPMENT ORGANIZATION FOR MADISON AND ST CLAIR COUNTIES SINCE 1983. THEIR MISSION IS TO ATTRACT AND RETAIN JOBS, STIMULATE CAPITAL INVESTMENT, AND PROMOTE THE ECONOMIC DEVELOPMENT OF SOUTHWESTERN ILLINOIS BY BUILDING EFFECTIVE PARTNERSHIPS WITH LEADERS IN BUSINESS, INDUSTRY, GOVERNMENT, EDUCATION AND LABOR. 4. SSM SENIOR LEADERS PARTICIPATE IN VARIOUS ECONOMIC DEVELOPMENT COUNCILS OR CHAMBERS OF COMMERCE ON ISSUES IMPACTING THE COMMUNITY'S HEALTH AND SAFETY. SPECIFIC ORGANIZATIONS INCLUDE THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES, U.S. CHAMBER OF COMMERCE, ST LOUIS REGIONAL BUSINESS COUNCIL, MISSOURI STATE UNIVERSITY BOARD OF GOVERNORS, UNIVERSITY OF ILLINOIS COLLEGE OF NURSING, MISSOURI HOSPITAL ASSOCIATION, OKLAHOMA HOSPITAL ASSOCIATION, AND THE AMERICAN HOSPITAL ASSOCIATION. 5. SSM'S CORPORATE OFFICE EMPLOYEES PROVIDED SUPPORT FOR COMMUNITY BENEFIT REPORTING THROUGHOUT THE SYSTEM EMBRACING COMMUNITY BENEFIT REPORTING TO MAKE A REAL AND LASTING CHANGE. IN ADDITION, THE SSM CORPORATE OFFICE MAINTAINED A COMMUNITY BENEFIT TOOK KIT AND A SHARE POINT SITE FOR THE DISSEMINATION OF COMMUNITY BENEFIT INFORMATION. 6. SSM'S CORPORATE OFFICE EMPLOYEES PROVIDED PREPARATION WORK AND MEETING SUPPORT FOR THE UPCOMING COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT ALLOWS SSM TO PRIORITIZE THE LARGEST COMMUNITY HEALTH NEEDS AND EFFECTIVELY MANAGE PROGRAMS TO IMPROVE THE HEALTH OF ITS PRIMARY SERVICE AREA. 7. SSM PUBLIC POLICY LEADERS PARTICIPATE IN VARIOUS DISCUSSIONS WITH LEGISLATORS ON NUMEROUS ISSUES IMPACTING THE COMMUNITY'S HEALTH AND SAFETY INCLUDING MEDICAID EXPANSION, THE MISSOURI POISON CONTROL CENTER, MEDICAL HOMES FOR FOSTER CHILDREN, CHIP AND OTHER KEY HEALTH ISSUES AFFECTING CHILDREN AND ADULTS. 8. STAFF MEMBERS CONTRIBUTED THEIR TIME TO SUPPORTING VARIOUS LEADERSHIP DEVELOPMENT PROGRAMS INCLUDING TEACHING COURSES ON INTERVIEWING SKILLS FOR MEMBERS OF A CHURCH IN FERGUSON, MISSOURI, AND PROVIDING INFORMATION ON JOB SEEKING SKILLS TO INDIVIDUALS AT THE URBAN LEAGUE OF ST. LOUIS ST LOUIS UNIVERSITY MHA STUDENTS. TIME WAS ALSO DONATED TO ST. VINCENT DEPAUL TRANSITION HOME FOR MEN AND ST. PATRICK CENTER, COOKING MEALS AND COLLECTING FOOD. 9. IN SUPPORT OF SSM DIVERSITY STRATEGIC GOAL, STAFF COLLABORATED WITH AN OUTSIDE PARTNERSHIP TO IMPROVE AND SUPPORT ALLIANCES WITH ORGANIZATIONS WHOSE MISSION CALL FOR RIGOROUS PURSUIT OF FAIRNESS AND EQUALITY FOR ALL PEOPLE, SSMH PROVIDED SUPPORT TO NUMEROUS COMMUNITY ACTIVITIES. 10. SSMH PROVIDED SUPPORT TO VARIOUS COMMUNITY ORGANIZATIONS BY UTILIZATION OF THE EDUCATION SERVICE CENTER FOR COMMUNITY GROUPS, SUPPORT OF CHAD'S COALITION FOR MENTAL HEALTH, HUMAN RESOURCE SUPPORT FOR THE ST LOUIS REGIONAL CHAMBER AND GROWTH ASSOCIATION, FURNITURE DONATIONS TO NEW HORIZONS, AND PRODUCTION OF A PROMOTIONAL VIDEO FOR WOMAN'S PLACE. 11. DURING 2014, THE SSM PATIENT BUSINESS SERVICES DEPARTMENT PROVIDED SERVICES TO INCREASE ACCESS AND QUALITY OF CARE IN HEALTH SERVICES TO INDIVIDUALS, ESPECIALLY PERSONS LIVING IN POVERTY AND THOSE IN OTHER VULNERABLE POPULATIONS. SERVICES INCLUDED FINANCIAL COUNSELING, MEDICAID ELIGIBILITY TEAMS, PROCESSING FINANCIAL APPLICATIONS FOR SELF- PAY PATIENTS AND CONTRACTING WITH VENDORS TO SUPPORT THE DEPARTMENT'S EFFORTS. QUANTIFIABLE COMMUNITY BENEFIT THIS SECTION INCLUDES A LIST OF THE TYPES OF PROGRAMS AND SERVICES THAT COULD BE INCLUDED AS COMMUNITY BENEFIT ACTIVITIES. COMMUNITY BENEFIT PROGRAMS $11,284,592 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CLASS OF MEMBERS. THESE MEMBERS CONSIST OF THE INDIVIDUALS WHO ARE THE THEN-SERVING MEMBERS OF SSM HEALTH MINISTRIES, A PUBLIC JURIDIC PERSON AND CANONICAL SUCCESSOR TO THE RELIGIOUS INSTITUTE, THE FRANCISCAN SISTERS OF MARY (SIX INDIVIDUALS). THE VOTING RIGHTS, INTERESTS AND PRIVILEGES OF EACH MEMBER ARE EQUAL. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS HAVE THE POWER TO APPOINT AND REMOVE BOARD OF DIRECTOR MEMBERS, WITH OR WITHOUT CAUSE, EXCEPT FOR THOSE WHO SERVE EX-OFFICIO. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE FOLLOWING POWERS: (A) TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION (B) TO APPOINT THE BOARD OF DIRECTORS, EXCEPT FOR THOSE DIRECTORS WHO SERVE EX OFFICIO, AND TO REMOVE THE APPOINTED DIRECTORS WITH OR WITHOUT CAUSE (C) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN (D) TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION (E) TO APPROVE THE MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION (F) TO APPROVE THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, ENCUMBRANCE, MORTGAGE OR LEASE OF REAL PROPERTY OR ANY INTEREST THEREIN OF THE CORPORATION IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBERS FROM TIME TO TIME (G) TO APPROVE ANY BORROWING OR GUARANTEES OF THE CORPORATION IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBERS FROM TIME TO TIME; AND (H) TO APPROVE ANY ACTIONS OF THE CORPORATION FOR ITSELF OR ITS CONTROLLED SUBSIDIARIES, REMOTELY CONTROLLED SUBSIDIARIES AND NON-CONTROLLED SUBSIDIARIES WHICH UNDER THE CODE OF CANON LAW WOULD REQUIRE THE CONSENT OR APPROVAL OF THE MEMBERS IN THEIR CAPACITY AS THE MEMBERS OF SSM HEALTH MINISTRIES. FORM 990, PART VI, SECTION B, LINE 11 ACCOUNTING/FINANCE PERSONNEL AT EACH SSMH (SSM HEALTH SYSTEM) ENTITY, IN CONJUNCTION WITH CORPORATE FINANCE PERSONNEL, PREPARE A CHECKLIST CONTAINING INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS CHECKLIST IS THEN REVIEWED BY A SUPERVISOR/MANAGER AND SENT TO THE CORPORATE OFFICE FOR FINAL REVIEW AND COORDINATION OF THE SYSTEM LEVEL FORM 990 INFORMATION. THE INFORMATION IS SUBMITTED TO AN OUTSIDE TAX CONSULTING FIRM WHO PREPARES AND SIGNS THE FORM 990 FROM THE SSMH INFORMATION. PRIOR TO FINALIZING THE RETURN, A DRAFT IS SENT TO PERSONNEL AT SSMH FOR REVIEW AND APPROVAL. UPON SSMH APPROVAL, THE OUTSIDE PREPARER FORWARDS THE COMPLETED FORM 990 FOR THE APPROPRIATE SIGNATURES AND FILING ACTION. A COMPLETE COPY OF THE RETURN IS PROVIDED TO THE BOARD ATTHE 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 TO THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ON LINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END. FORM 990, PART VI, SECTION B, LINE 15 ALL SSMH EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH SIMILAR POSITIONS IN THE MARKET. THE COMPENSATION REVIEW PROCESS IS PERFORMED BY EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS, FOR THE PRESIDENT/CEO OF THE SYSTEM, THE SENIOR VICE PRESIDENTS AND THE REGIONAL PRESIDENTS ARE PRESENTED TO THE SSMH BOARD OF DIRECTORS BY THE SAME INDEPENDENT COMPENSATION CONSULTANTS TO APPROVE, DISAPPROVE, MODIFY. THE SAME COMPARATIVE COMPENSATION PROCESS USED FOR EXECUTIVE SALARY/COMPENSATION IS PERFORMED INTERNALLY FOR ALL EMPLOYEES. THE SSMH BOARD OF DIRECTORS HAS DELEGATED SALARY APPROVAL FOR ALL OTHER POSITIONS TO THE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: FUND BALANCE TRANSFERS -20,858,129. ACTUARIAL CHANGE IN DEFINED BENEFIT LIABILITY -247,500,340. SSMHC LIABILITY TRUST I 10101 WOODFIELD LANE ST LOUIS MO 63132 436331003 INSURANCE MO 501(C)(3) LINE 11A, I SSM HEALTH CARE CORPORATION 1 SSM CONSOLIDATED HEALTH SERVICES 10101 WOODFIELD LANE ST LOUIS MO 63132 431473657 HEALTH CARE MO 501(C)(3) LINE 11A, I SSM HEALTH CARE CORPORATION 1 SSM POLICY INSTITUTE 10101 WOODFIELD LANE ST LOUIS MO 63132 431788151 HEALTH CARE MO 501(C)(4) SSM HEALTH CARE CORPORATION 1 SSM HEALTH CARE PORTFOLIO MANAGEMENT CO 10101 WOODFIELD LANE ST LOUIS MO 63132 431825256 MANAGEMENT MO 501(C)(3) LINE 11A, I SSM HEALTH CARE CORPORATION 1 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 10101 WOODFIELD LANE ST LOUIS MO 63132 430738490 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE ST LOUIS 0 CARDINAL GLENNON CHILDREN'S FOUNDATION 10101 WOODFIELD LANE ST LOUIS MO 63132 431754347 FUNDRAISING MO 501(C)(3) LINE 7 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 0 SSM DEPAUL HEALTH CENTER FOUNDATION 10101 WOODFIELD LANE ST LOUIS MO 63132 431776109 FUNDRAISING MO 501(C)(3) LINE 7 SSM HEALTH CARE ST LOUIS 0 SSM ST JOSEPH FOUNDATION 10101 WOODFIELD LANE ST LOUIS MO 63132 431591556 FUNDRAISING MO 501(C)(3) LINE 7 SSM HEALTH CARE ST LOUIS 0 SSM ST CLARE HEALTH CENTER FOUNDATION 10101 WOODFIELD LANE ST LOUIS MO 63132 431273310 FUNDRAISING MO 501(C)(3) LINE 7 SSM HEALTH CARE ST LOUIS 0 SSM ST MARY'S HEALTH CENTER FOUNDATION 10101 WOODFIELD LANE ST LOUIS MO 63132 431552945 FUNDRAISING MO 501(C)(3) LINE 7 SSM HEALTH CARE ST LOUIS 0 SSM HEALTH CARE OF OKLAHOMA INC 10101 WOODFIELD LANE ST LOUIS MO 63132 730657693 HEALTH CARE OK 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 1 ST ANTHONY HOSPITAL FOUNDATION INC 10101 WOODFIELD LANE ST LOUIS MO 63132 736104300 FUNDRAISING OK 501(C)(3) LINE 7 SSM HEALTH CARE OF OKLAHOMA 0 SSM HEALTH CARE OF WISCONSIN INC 10101 WOODFIELD LANE ST LOUIS MO 63132 430688874 HEALTH CARE WI 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 1 DELLS MEDICAL BUILDING INC 10101 WOODFIELD LANE ST LOUIS MO 63132 391613292 MOB WI 501(C)(2) SSM HEALTH CARE OF WISCONSIN 0 ST MARY'S FOUNDATION INC 10101 WOODFIELD LANE ST LOUIS MO 63132 431940686 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 ST CLARE HEALTH CARE FOUNDATION INC 10101 WOODFIELD LANE ST LOUIS MO 63132 431940683 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 HOME HEALTH UNITED INC 2802 WALTON COMMONS LANE MADISON WI 53718 391539827 HEALTH CARE WI 501(C)(3) LINE 9 SSM HEALTH CARE OF WISCONSIN 0 HOME CARE UNITED INC 2802 WALTON COMMONS LANE MADISON WI 53718 391776340 HEALTH CARE WI 501(C)(3) LINE 9 SSM HEALTH CARE OF WISCONSIN 0 HHU XTRA CARE INC 2802 WALTON COMMONS LANE MADISON WI 53718 391705111 HEALTH CARE WI 501(C)(3) LINE 9 SSM HEALTH CARE OF WISCONSIN 0 HOME HEALTH UNITED - 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