SSM REGIONAL HEALTH SERVICES: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SSM REGIONAL HEALTH SERVICES (EIN 44-0579850)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201433219349308758
- Schema version
- 2013v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T15:03:10-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 BAGBY STREET SUITE 4500 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 440579850 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SSM REGIONAL HEALTH SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SSMR | BusinessNameControlTxt |
| Phone | 3149947800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 WOODFIELD LANE | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63132 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JUNE L PICKETT | PersonNm |
| Person Title | SECRETARY | PersonTitleTxt |
| Phone | 3149947800 | PhoneNum |
| Signature | 2014-11-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BROOKE KITCHEN | PreparerPersonNm |
| PTIN | P00849302 | PTIN |
| Phone | 7139822000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WILLIAM P THOMPSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 WOODFIELD LANE | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63132 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $196,958,662 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SSMHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | OPERATES TWO HOSPITALS AND HEALTH CENTERS IN JEFFERSON CITY, MISSOURI AND MARYVILLE, MISSOURI. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 1722 | TotalEmployeeCnt |
| Total Volunteers | 142 | TotalVolunteersCnt |
| Total Gross UBI | $7,512,213 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $507,652 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,057,960 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $185,435,032 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $186,188,859 | CYProgramServiceRevenueAmt |
| PY Investment Income | $966,180 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,106,844 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,663,843 | PYOtherRevenueAmt |
| CY Other Revenue | $7,514,630 | CYOtherRevenueAmt |
| PY Total Revenue | $194,572,707 | PYTotalRevenueAmt |
| CY Total Revenue | $196,868,293 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $151,335 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $106,562 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $101,682,295 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $98,308,747 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $113,664 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $102,983,667 | PYOtherExpensesAmt |
| CY Other Expenses | $98,897,942 | CYOtherExpensesAmt |
| PY Total Expenses | $204,817,297 | PYTotalExpensesAmt |
| CY Total Expenses | $197,313,251 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$10,244,590 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$444,958 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $153,467,018 | TotalAssetsBOYAmt |
| Total Assets EOY | $208,501,302 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $59,656,856 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $112,925,343 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $93,810,162 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $95,575,959 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $171,379,409 | ExpenseAmt |
| Grant | $106,562 | GrantAmt |
| Revenue | $186,188,859 | RevenueAmt |
| Desc | PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICES ACCOMPLISHMENTS. | Desc |
| Total Program Service Expenses | $171,379,409 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1722 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DONNA WALLACE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3145238793 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 WOODFIELD LANE | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63132 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| STEVEN BARNEY | |||||||||
| PT YR DIR & VICE PRES | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $592,443 | -$223,953 | ||
| LYNN BRUCHHOF | |||||||||
| PT YR DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $469,878 | $77,344 | |||
| GAUROV DAYAL MD | |||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $775,353 | $124,266 | |||
| MARGARET FOWLER | |||||||||
| PT YR DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $374,091 | $87,201 | |||
| PAULA FRIEDMAN | |||||||||
| DIRECTOR & VICE PRES | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $596,799 | $15,489 | ||
| PHILIP GUSTAFSON | |||||||||
| PT YR DIRECTOR | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $640,932 | $134,043 | ||
| THOMAS K LANGSTON | |||||||||
| PT YR DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $664,464 | $147,214 | |||
| JOE M HODGES | |||||||||
| PT YR DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $690,999 | $16,679 | |||
| CHRISTOPHER HOWARD | |||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $893,660 | $29,906 | |||
| MICHAEL R PANICOLA | |||||||||
| PT YR DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $453,857 | $43,280 | |||
| SHANE PENG MD | |||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $674,433 | $62,843 | |||
| DIXIE L PLATT | |||||||||
| PT YR DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $590,484 | $10,096 | |||
| WILLIAM P THOMPSON | |||||||||
| DIRECTOR & PRESIDENT | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $2,421,072 | $841,970 | ||
| KRIS A ZIMMER | |||||||||
| DIRECTOR & TREASURER | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $836,253 | $68,008 | ||
| JUNE L PICKETT | |||||||||
| SECRETARY | 1.00 | 40.00 | Yes (X) | $0 | $256,054 | -$96,872 | |||
| GRAY COX | |||||||||
| HOSPITAL PRESIDENT | 40.00 | 0.00 | Yes (X) | $0 | $359,271 | $289,547 | |||
| R BRENT VANCONIA | |||||||||
| HOSPITAL CEO | 40.00 | 0.00 | Yes (X) | $0 | $488,550 | $62,199 | |||
| JOCELYN SKIDMORE | |||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $134,997 | $0 | $18,246 | |||
| MARVIN KURTZ | |||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $294,085 | $0 | -$46,448 | |||
| SCOTT HOLMAN DO | |||||||||
| VP MEDICAL AFFAIRS | 40.00 | 0.00 | $370,648 | $0 | $17,587 | Yes (X) | |||
| ANTHONY HOUSTON | |||||||||
| HOSPITAL COO | 40.00 | 0.00 | $231,646 | $0 | $37,810 | Yes (X) | |||
| JOHN LUCIO DO | |||||||||
| VP MEDICAL AFFAIRS | 40.00 | 0.00 | $159,390 | $0 | $29,198 | Yes (X) | |||
| SUSAN MANKOSKI | |||||||||
| HOSPITAL VP HR | 40.00 | 0.00 | $190,484 | $0 | $47,799 | Yes (X) | |||
| THOMAS DISTEFANO | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $984,325 | $0 | -$46,279 | Yes (X) | |||
| JOHN CLEMENS | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $550,232 | $0 | $134,684 | Yes (X) | |||
| JANE DAWSON | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $470,188 | $0 | $4,829 | Yes (X) | |||
| COURTNYE WALKER | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $465,914 | $0 | $51,804 | Yes (X) | |||
| SHIRLEY HARRIS | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $457,224 | $0 | $19,293 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,309,133 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $11,778,593 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,957,783 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 95 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALBERICI CONSTRUCTORS INC | |||||
| 8800 PAGE AVE | ST LOUIS | MO | 63114 | CONSTRUCTION MANAGEMENT | $60,102,189 |
| LAWRENCE GROUP INC | |||||
| 319 N 4TH STREET | ST LOUIS | MO | 63102 | CONSTRUCTION MANAGEMENT | $2,252,323 |
| EMERGENCY PRACTICE ASSOCIATES INC | |||||
| 3840 W 9TH ST | WATERLOO | IA | 50702 | MEDICAL PHYSICIAN SERVICES | $1,483,251 |
| MID-MISSOURI ANESTHESIA | |||||
| 1445 CHRISTY DRIVE | JEFFERSON CITY | MO | 65101 | MEDICAL PHYSICIAN SERVICES | $1,201,039 |
| MORRISON MANAGEMENT SPECIALIST | |||||
| 5801 PEACHTREE DUNWOODY ROAD | ATLANTA | GA | 30342 | NUTRITIONAL SERVICES | $1,125,760 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 47 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $40,100 | MembershipDuesAmt |
| Related Organizations | $2,001,753 | RelatedOrganizationsAmt |
| Government Grants | $15,833 | GovernmentGrantsAmt |
| All Other Contributions | $274 | AllOtherContributionsAmt |
| Noncash Contributions | $6,688 | NoncashContributionsAmt |
| Total Contributions | $2,057,960 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REV | 621110 | $183,600,559 | $183,600,559 |
| OTHER OPERATING REVENUE | 621110 | $2,588,300 | $2,588,300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $186,188,859 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $425,874 | TotalRevenueColumnAmt |
| Exclusion | $425,874 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $41,812 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $53,756 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$11,944 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$11,944 | TotalRevenueColumnAmt |
| Exclusion | -$11,944 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $676,104 | SecuritiesAmt |
| Other | $23,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $18,634 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $676,104 | SecuritiesAmt |
| Other | $4,866 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $680,970 | TotalRevenueColumnAmt |
| Exclusion | $680,970 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $14,256 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $8,883 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,373 | TotalRevenueColumnAmt |
| Exclusion | $5,373 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $18,084 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $9,096 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,988 | TotalRevenueColumnAmt |
| Exclusion | $8,988 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|
| PHARMACY REVENUE | 446110 | $7,068,459 | $7,068,459 |
| CHILD CARE CENTER | 624410 | $399,477 | $399,477 |
| LABORATORY REV | 621500 | $22,785 | $22,785 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,492 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $21,492 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,512,213 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $196,868,293 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $186,188,859 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $7,512,213 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,109,261 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,562 | TotalAmt |
| Program Services | $106,562 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,407,819 | TotalAmt |
| Management And General | $2,407,819 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,768,227 | TotalAmt |
| Program Services | $59,992,676 | ProgramServicesAmt |
| Management And General | $10,705,607 | ManagementAndGeneralAmt |
| Fundraising | $69,944 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,776,130 | TotalAmt |
| Program Services | $6,420,456 | ProgramServicesAmt |
| Management And General | $1,346,991 | ManagementAndGeneralAmt |
| Fundraising | $8,683 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,469,719 | TotalAmt |
| Program Services | $10,280,704 | ProgramServicesAmt |
| Management And General | $2,176,927 | ManagementAndGeneralAmt |
| Fundraising | $12,088 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,886,852 | TotalAmt |
| Program Services | $4,017,406 | ProgramServicesAmt |
| Management And General | $864,310 | ManagementAndGeneralAmt |
| Fundraising | $5,136 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,127,204 | TotalAmt |
| Program Services | $1,157,367 | ProgramServicesAmt |
| Management And General | $1,969,837 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,783 | TotalAmt |
| Management And General | $250,783 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,027 | TotalAmt |
| Management And General | $62,027 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,728,919 | TotalAmt |
| Program Services | $12,293,085 | ProgramServicesAmt |
| Management And General | $4,435,834 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $953,673 | TotalAmt |
| Management And General | $953,673 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,509,205 | TotalAmt |
| Program Services | $6,805,879 | ProgramServicesAmt |
| Management And General | $694,881 | ManagementAndGeneralAmt |
| Fundraising | $8,445 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,838,340 | TotalAmt |
| Program Services | $11,806,440 | ProgramServicesAmt |
| Management And General | $31,900 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,212,607 | TotalAmt |
| Program Services | $4,947,649 | ProgramServicesAmt |
| Management And General | $264,958 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,516 | TotalAmt |
| Program Services | $317,907 | ProgramServicesAmt |
| Management And General | $189,674 | ManagementAndGeneralAmt |
| Fundraising | $1,935 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,385 | TotalAmt |
| Program Services | $124,901 | ProgramServicesAmt |
| Management And General | $21,484 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$866,204 | TotalAmt |
| Program Services | -$866,204 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,166,779 | TotalAmt |
| Program Services | $9,010,908 | ProgramServicesAmt |
| Management And General | $154,879 | ManagementAndGeneralAmt |
| Fundraising | $992 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$912,119 | TotalAmt |
| Management And General | -$912,119 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $33,370,864 | $33,370,864 | |
| MEDICARE PROVIDER TAX | $11,364,283 | $11,364,283 | |
| LICENSES | $235,886 | $228,526 | $7,360 |
| BOND RELATED FEES | $193,353 | $193,353 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,441 | TotalAmt |
| Fundraising | $6,441 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,313,251 | TotalAmt |
| Program Services | $171,379,409 | ProgramServicesAmt |
| Management And General | $25,820,178 | ManagementAndGeneralAmt |
| Fundraising | $113,664 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,467,752 | BOYAmt |
| EOY | $2,751,254 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,424,932 | BOYAmt |
| EOY | $7,758,245 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,006,433 | BOYAmt |
| EOY | $27,135,476 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,324,851 | BOYAmt |
| EOY | $4,223,648 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,202,633 | BOYAmt |
| EOY | $1,301,688 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $235,468,095 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $113,546,581 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,277,275 | BOYAmt |
| EOY | $121,921,514 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,973,869 | BOYAmt |
| EOY | $32,578,670 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,789,273 | BOYAmt |
| EOY | $10,830,807 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,467,018 | BOYAmt |
| EOY | $208,501,302 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,940,078 | BOYAmt |
| EOY | $14,236,339 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,716,778 | BOYAmt |
| EOY | $98,689,004 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,656,856 | BOYAmt |
| EOY | $112,925,343 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,381,941 | BOYAmt |
| EOY | $90,976,171 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,317,221 | BOYAmt |
| EOY | $4,488,788 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,000 | BOYAmt |
| EOY | $111,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,810,162 | BOYAmt |
| EOY | $95,575,959 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,467,018 | BOYAmt |
| EOY | $208,501,302 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$444,958 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $766,581 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,444,174 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $33,016 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $33,016 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAID DUES TO VARIOUS NATIONAL HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WAS ALLOCATED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $111,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,226 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,226 | OtherExpendituresAmt |
| End Year Balance | $111,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $111,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,109 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,109 | OtherExpendituresAmt |
| End Year Balance | $111,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $111,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,436 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,436 | OtherExpendituresAmt |
| End Year Balance | $111,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $116,307 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,098 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,405 | OtherExpendituresAmt |
| End Year Balance | $111,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $118,719 | BeginningYearBalanceAmt |
| Contributions | $1,500 | ContributionsAmt |
| Investment Earnings Or Losses | $4,614 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $8,526 | OtherExpendituresAmt |
| End Year Balance | $116,307 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,715,483 | OtherCostOrOtherBasisAmt |
| Book Value | $4,715,483 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $81,006,502 | OtherCostOrOtherBasisAmt |
| Depreciation | $67,296,597 | DepreciationAmt |
| Book Value | $13,709,905 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $543,967 | OtherCostOrOtherBasisAmt |
| Depreciation | $478,901 | DepreciationAmt |
| Book Value | $65,066 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,026,483 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,985,480 | DepreciationAmt |
| Book Value | $10,041,003 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $94,175,660 | OtherCostOrOtherBasisAmt |
| Depreciation | $785,603 | DepreciationAmt |
| Book Value | $93,390,057 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $121,921,514 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| BENEFICIAL INTEREST IN FOUNDATIONS | $14,252,064 | F |
| EQUITY IN JOINT VENTURES | $332,290 | F |
| SSM COMPREHENSIVE INVESTMENT PROGRAM | $17,994,316 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $32,578,670 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| THIRD PARTY PAYOR | $8,678,826 |
| OTHER RECEIVABLES | $831,168 |
| LONG TERM NOTES RECEIVABLE | $78,907 |
| OTHER NON-CURRENT ASSETS | $1,228,972 |
| SOFTWARE | $12,934 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,830,807 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION FUNDING LIABILITY | $15,093,134 |
| RABBI TRUST LIABILITY | $1,585,313 |
| THIRD PARTY PAYOR | $859,418 |
| ASSET RETIREMENT LIABILITY | $932,353 |
| DEFERRED COMPENSATION LIABILITY | $960,160 |
| DUE TO AFFILIATES | $32,363 |
| ALLOCATED TAX EXEMPT BOND DEBT (ISSUED BY SSM HEALTH CARE) | $79,226,263 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $98,689,004 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENT FUNDS ARE USED TO SUPPORT OPERATIONS AND THE MISSION OF ST. MARY'S HEALTH CENTER. |
| PART X, LINE 2: | SSM REGIONAL HEALTH SERVICES' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH CARE CORPORATION (SSMHC), A RELATED ORGANIZATION. SSMHC EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2013 OR 2012. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | 0 | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,953,249 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,953,249 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02510 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,661,256 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,415,808 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,245,448 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,614,505 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,415,808 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,198,697 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03140 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $300,048 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,900 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $289,148 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $87,255 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $87,255 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $278,668 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,212 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $228,456 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $665,971 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $61,112 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $604,859 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,280,476 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,476,920 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,803,556 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03450 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,573 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,573 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,147 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,147 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $189,392 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $189,392 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $218,112 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $218,112 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,090,602 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $49,677,788 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $65,738,532 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$16,060,744 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 SMHC SURGICAL CO-MANAGEMENT COMPANY LLC | ||
| MANAGEMENT | 0.50000 | 0.50000 |
| 2 SMHC MUSCULOSKELETAL CO-MANAGEMENT COMPANY LLC | ||
| MANAGEMENT | 0.50000 | 0.50000 |
| 3 SMHC CARDIOVASCULAR CO-MANAGEMENT COMPANY LLC | ||
| MANAGEMENT | 0.50000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|
| ST MARY'S HEALTH CENTER | |||||||||
| 1 | 100 ST MARYS MEDICAL PLAZA | JEFFERSON CITY | MO | 65101 | WWW.LETHEALINGBEGIN.COM | 455-14 | Yes (X) | Yes (X) | Yes (X) |
| ST FRANCIS HOSPITAL & HEALTH SERVICES | |||||||||
| 2 | 2015 S MAIN | MARYVILLE | MO | 64468 | WWW.STFRANCISMARYVILLE.COM | 147-55 | Yes (X) | Yes (X) | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Rpt Available Upon RequestRptAvailableUponRequestInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | Exec Implementation StrategyExecImplementationStrategyInd | Include Operational PlanIncludeOperationalPlanInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | Prioritize ServicesPrioritizeServicesInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Asset LevelAssetLevelInd | Medical IndigencyMedicalIndigencyInd | Insurance StatusInsuranceStatusInd | Uninsured DiscountUninsuredDiscountInd | Medicaid MedicareMedicaidMedicareInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Posted In Emergency RoomPostedInEmergencyRoomInd | Posted In Admission OfficePostedInAdmissionOfficeInd | Available On RequestAvailableOnRequestInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Average Negotiated RatesAverageNegotiatedRatesInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST MARY'S HEALTH CENTER | |||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | SEE PART V, SECTION C FOR FULL URL | Yes (X) | WWW.SSMHEALTH.COM | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 400.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (X) | 0 | 0 |
| ST FRANCIS HOSPITAL & HEALTH SERVICES | |||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | 0 | Yes (1) | Yes (X) | SEE PART V, SECTION C FOR FULL URL | Yes (X) | WWW.SSMHEALTH.COM | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 400.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ST MARY'S HEALTH CENTER | PART V, SECTION B, LINE 3: THE CENTRAL MISSOURI COMMUNITY HEALTH ASSESSMENT PARTNERSHIP (CMCHAP) WORKED COLLABORATIVELY TO COLLECT AND ANALYZE HEALTH DATA AND GATHER INPUT FROM COMMUNITY MEMBERS TO AID IN ASSESSING AND PRIORITIZING NEEDS. COMMUNITY DISCUSSION GROUPS, MUCH LIKE TOWN HALL MEETINGS WERE ORGANIZED BY THE STEERING TEAM AND FACILITATED BY MICHAEL FELIX, A COMMUNITY HEALTH DEVELOPMENT SPECIALIST. THROUGHOUT THIS PROCESS, MORE THAN 150 INDIVIDUALS PARTICIPATED IN 12 DISCUSSION GROUPS AND CONSUMER INTERVIEW SESSIONS. ORGANIZATIONS PARTICIPATING IN THESE DISCUSSIONS CAN BE FOUND ON PAGE 6 OF THE CHNA: HTTP://WWW.LETHEALINGBEGIN.COM/PAGES/2012COMMUNITYBENEFITREPORT.ASPX |
| ST FRANCIS HOSPITAL & HEALTH SERVICES | PART V, SECTION B, LINE 3: ST FRANCIS CREATED AN INTERNAL STEERING TEAM WITH TRAINED STAFF MEMBERS AND STAFF THAT HAD SIGNIFICANT CONTACT WITH THE COMMUNITY THROUGH VARIOUS AVENUES. IN ADDITION, A HEALTH PARTNERS EXTERNAL COUNCIL WAS FORMED WITH MEMBERS FROM ST FRANCIS AND AREA AGENCIES INVOLVED IN THE CARE OF THE COMMUNITY. MEMBERS OF THIS COUNCIL INCLUDED:DELLA RHOADES NODAWAY COUNTY HEALTH CENTERDR JERRY WILMES NORTHWEST MISSOURI STATE UNIVERSITYDAVE WEICHINGER COMMUNITY SERVICETY PARSONS NWMO REGIONAL COUNCIL OF GOVERNMENTSTAMMY OLTMAN ACESLISA MACALI NODAWAY COUNTY ECONOMIC DEVELOPMENTLARRY LINTHICUM MARYVILLE SCHOOL DISTRICTDEAN SCHNEIDER HYVEE PHARMACYAMIE FIRAVICH SENIOR CENTER DIRECTORJONATHAN MITCHELL FIRST PRESBYTERIAN CHURCHIN ADDITION, ST FRANCIS SURVEYED THE COMMUNITY USING FOCUS GROUPS AND A DIRECT MAIL PAPER SURVEY. COMMUNITY GROUPS WERE ASKED THEIR THOUGHTS ON COMMUNITY HEALTH. THE PAPER SURVEY WAS SENT TO 979 RANDOM COMMUNITY MEMBERS. INFORMATION ON THE COMMUNITY SURVEY RESULTS CAN BE FOUND ON PAGES 31 THROUGH 39 OF THE CHNA: HTTP://WWW.STFRANCISMARYVILLE.COM/COMMUNITYWELLNESS/PAGES/CHNA.ASPX |
| ST MARY'S HEALTH CENTER | PART V, SECTION B, LINE 4: THE MEMBERS OF THE CMCHAP CAN BE FOUND ON PAGE 5 OF THE CHNA. |
| ST MARY'S HEALTH CENTER | PART V, SECTION B, LINE 7: THE PROCESS USED TO SCREEN AND PRIORITIZE THE IDENTIFIED COMMUNITY NEEDS CAN BE FOUND ON PAGE 20 OF THE CHNA. IN ADDITION TO IDENTIFYING ISSUES WITH ACCESS TO CARE, THE REPORT IDENTIFIED THE THREE MOST PREVALENT HEALTH PROBLEMS FACING PEOPLE IN THE REGION. ST MARY'S HEALTH CENTER HAS DEVELOPED A PLAN TO ADDRESS THESE PRESSING COMMUNITY HEALTH NEEDS. |
| ST FRANCIS HOSPITAL & HEALTH SERVICES | PART V, SECTION B, LINE 7: THE HEALTHY COMMUNITIES COUNCIL REVIEWED THE CHNA DATA, ENGAGED IN DISCUSSION, AND COMPLETED A MULTI-VOTING EXERCISE BASED ON THE FOLLOWING CRITERIA: SEVERITY, IMPORTANCE TO COMMUNITY, IMPACT, AND EXISTING COMMUNITY RESOURCES. THE RESULTS OF THIS PROCESS CAN BE FOUND ON PAGES 41 AND 42 OF THE CHNA. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 25 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt | Address Line2USAddress/AddressLine2 |
|---|---|---|---|---|---|
| ST FRANCIS FAMILY HEALTH CARE WEST | |||||
| 2016 S MAIN | MARYVILLE | MO | 64468 | PRIMARY CARE CLINIC | |
| ST MARY'S PEDIATRICS | |||||
| 3348 AMERICAN AVENUE | JEFFERSON CITY | MO | 651091079 | PEDIATRIC CLINIC | |
| ST MARY'S SPORTS MEDICINE & REHAB | |||||
| 1225 WEST STADIUM BLVD | JEFFERSON CITY | MO | 65109 | OUTPATIENT CLINIC | |
| ST MARY'S SLEEP DISORDERS CENTER | |||||
| 3348 AMERICAN AVENUE | JEFFERSON CITY | MO | 65109 | SLEEP DISORDERS CENTER | |
| ST MARY'S HOLTS SUMMIT PHARMACY | |||||
| 140 NORTHSTAR DRIVE | HOLTS SUMMIT | MO | 650431123 | RETAIL PHARMACY | |
| ST MARY'S TIPTON PHARMACY | |||||
| 875 STATE RT 5 PO BOX 667 | TIPTON | MO | 650818411 | RETAIL PHARMACY | |
| ST FRANCIS FAMILY HEALTH CARE - EAST | |||||
| 114 E SOUTH HILLS DR | MARYVILLE | MO | 64468 | PRIMARY CARE CLINIC | |
| ST MARY'S PLAZA PHARMACY | |||||
| 200 ST MARYS MEDICAL PLAZA SUITE | JEFFERSON CITY | MO | 65101 | RETAIL PHARMACY | 204 |
| ST MARY'S URGENT CARE - LAKE OZARK | |||||
| 2265 BAGNELL DAM BLVD SUITE 103 | LAKE OZARK | MO | 650498603 | URGENT CARE CLINIC AND RURAL HEALTH CLINIC | |
| ST MARY'S CARDIOVASCULAR SURGERY | |||||
| 200 ST MARYS MEDICAL PLAZA SUITE | JEFFERSON CITY | MO | 651011604 | CARDIOVASCULAR SERVICES | 203 |
| ST MARY'S HEALTH PSYCHOLOGY | |||||
| 3702 W TRUMAN BLVD SUITE 115 | JEFFERSON CITY | MO | 651096152 | O/P PSYCHIATRIC SERVICES | |
| ST MARY'S URGENT CARE - JEFFERSON CITY | |||||
| 2511 W EDGEWOOD SUITE D | JEFFERSON CITY | MO | 651095869 | URGENT CARE CLINIC | |
| ST FRANCIS FAMILY LIFE SERVICES | |||||
| 114 EAST SOUTH HILLS DRIVE | MARYVILLE | MO | 64468 | MENTAL HEALTH OUTPATIENT | |
| ST MARY'S OUTPATIENT REHAB & SPINE CENTE | |||||
| 2511 W EDGEWOOD SUITE G | JEFFERSON CITY | MO | 65109 | OUTPATIENT CLINIC | |
| ST MARY'S MEDICAL CLINIC - BELLE | |||||
| 100 HIGHWAY 28 W | BELLE | MO | 650133405 | FAMILY PRACTICE CLINIC & RURAL HEALTH CLINIC | |
| ST MARY'S MEDICAL CLINIC - JEFFERSON | |||||
| 2511 W EDGEWOOD SUITE F | JEFFERSON CITY | MO | 65109 | FAMILY PRACTICE CLINIC | |
| ST MARY'S MEDICAL CLINIC - HOLTS SUMMIT | |||||
| 140 NORTHSTAR DRIVE | HOLTS SUMMIT | MO | 650431123 | FAMILY PRACTICE CLINIC | |
| ST MARY'S MEDICAL CLINIC - TIPTON | |||||
| 875 STATE RT 5 PO BOX 667 | TIPTON | MO | 650818411 | FAMILY PRACTICE CLINIC | |
| ST MARY'S OCCUPATIONAL MEDICINE | |||||
| 2511 W EDGEWOOD SUITE F | JEFFERSON CITY | MO | 651095869 | OCCUPATIONAL MEDICINE | |
| ST MARY'S MEDICAL CLINIC - VERSAILLES | |||||
| 801 KIDWELL DRIVE | VERSAILLES | MO | 650841787 | FAMILY PRACTICE CLINIC | |
| ST FRANCIS HOSPITAL - SAVANNAH CLINIC | |||||
| 301 E PRICE STREET | SAVANNAH | MO | 64485 | PRIMARY CARE CLINIC | |
| HARDIN MEDICAL CLINIC | |||||
| 408 SOUTH DODGE STREET | BEDFORD | IA | 50833 | PRIMARY CARE CLINIC | |
| ST FRANCIS GRANT CITY MEDICAL CLINIC | |||||
| 24 WEST 4TH STREET | GRANT CITY | MO | 64456 | PRIMARY CARE CLINIC | |
| WEST NODAWAY HEALTH CLINIC | |||||
| 221 EAST MAIN STREET | BURLINGTON JUNCTION | MO | 64428 | PRIMARY CARE CLINIC | |
| ST MARY'S MEDICAL CLINIC - LAKE OZARK | |||||
| 2265 BAGNELL DAM BLVD SUITE 103 | LAKE OZARK | MO | 650498603 | FAMILY PRACTICE CLINIC & RURAL HEALTH CLINIC | |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, QUESTION 3B | SSM REGIONAL HEALTH SERVICES USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.THE APPLICABLE PERCENTAGE VARIES BASED ON HOW MUCH THE APPLICANT'S INCOME EXCEEDS FPG GUIDELINES. THE FOLLOWING SCHEDULE IS USED TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE:APPLICANT'S INCOME IS CHARITY CARE PERCENTAGELESS THAN OR EQUAL TO 2 TIMES FPG 100%MORE THAN 2 TIMES, LESS THAN 2.5 TIME FPG 80%MORE THAN 2.5 TIMES, LESS THAN 3 TIMES FPG 60%MORE THAN 3 TIMES, LESS THAN 3.5 TIMES FPG 40%MORE THAN 3.5 TIMES, LESS THAN 4 TIMES FPG 20%4 OR MORE TIMES FPG 0%SCHEDULE H, PART I, QUESTION 3CAN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT IF THEIR BALANCE DUE EXCEEDS 20% OF THEIR GROSS FAMILY INCOME. IN THIS SITUATION, THE BILL IS DISCOUNTED DOWN TO 20% OF THEIR FAMILY INCOME. TO FURTHER STREAMLINE AND AUTOMATE THE FINANCIAL ASSISTANCE PROCESS, SSM REGIONAL HEALTH SERVICES BUSINESS OFFICE PERSONNEL WILL AUTOMATICALLY CONSIDER 100% OF THE PATIENT ACCOUNT AS CHARITY CARE IF THE COMMERCIAL SOFTWARE SYSTEM (PASSPORT) INDICATES THAT THE PATIENT IS LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL). ADDITIONALLY, PRIOR TO CLASSIFYING THE BALANCE DUE AS A BAD DEBT, THE HOSPITAL REVIEWS ACCOUNTS WITH BALANCES OVER $10,000 AND APPLIES THE SAME ELIGIBILITY CRITERIA MENTIONED ABOVE. THIS PROCESS IS CALLED "PRESUMPTIVE ELIGIBILITY". SCHEDULE H, PART I, QUESTION 6ASSM REGIONAL HEALTH SERVICES IS PART OF THE INTEGRATED HEALTH SYSTEM KNOWN AS SSM HEALTH CARE. IN AN EFFORT TO STRENGTHEN ITS COMMUNITY BENEFIT PROGRAM, SSM HEALTH CARE PLANS FOR, MEASURES, AND COMMUNICATES, IN AN ANNUAL REPORT, CHARITY CARE PROVIDED TO PERSONS WHO ARE LOW INCOME, THE UNPAID COSTS OF PUBLIC PROGRAMS AND OTHER ACTIVITIES THAT RESPOND TO COMMUNITY NEED, IMPROVE COMMUNITY HEALTH, OR REACH OUT TO LOW INCOME AND VULNERABLE PERSONS.SCHEDULE H, PART I, QUESTION 7CHARITY CARE COSTING METHODOLOGY: THE COST OF CHARITY CARE IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES. A COST TO CHARGE RATIO CALCULATED USING THE IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGE, WAS USED TO COMPUTE CHARITY CARE AT COST. THIS IS THE RATIO OF TOTAL ADJUSTED OPERATING EXPENSE TO TOTAL GROSS PATIENT REVENUE. THE GROSS REVENUE AMOUNT IS A GROSS AMOUNT - PRIOR TO CONTRACTUAL ADJUSTMENTS AND BAD DEBTS. BOTH GROSS REVENUE AND COSTS ARE BASED ON CHARGES AT DATE/TIME OF SERVICE.UNREIMBURSED MEDICAID COSTING METHODOLOGY: THE COST OF UNREIMBURSED MEDICAID IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES. A COST TO CHARGE RATIO CALCULATED UTILIZING IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGE, WAS USED TO COMPUTE UNREIMBURSED MEDICAID COSTS. THIS IS THE RATIO OF TOTAL ADJUSTED OPERATING EXPENSE TO TOTAL GROSS PATIENT REVENUE. THE GROSS REVENUE AMOUNT IS A GROSS AMOUNT - PRIOR TO CONTRACTUAL ADJUSTMENTS AND BAD DEBTS. BOTH GROSS REVENUE AND COSTS ARE BASED ON CHARGES AT DATE/TIME OF SERVICE. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS COSTING METHODOLOGY: THE COSTS FOR THESE PROGRAMS WERE DERIVED FROM THE ACTUAL COSTS INCURRED IN THESE AREAS. THE EXPENDITURES ARE DETERMINED BASED ON ACTUAL INVOICES OR DOLLAR AMOUNTS SPENT AND CHARGED TO THESE DEPARTMENTS.HEALTH PROFESSIONAL EDUCATION COSTING METHODOLOGY: THE EXPENSES FOR HEALTH PROFESSION EDUCATION WERE TAKEN FROM THE DEPARTMENT'S INCOME AND EXPENSE STATEMENT, DERIVED FROM THE ACCOUNTING SYSTEM. AMOUNTS PAID FROM RESIDENT DEPARTMENTS WERE ALSO INCLUDED.CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS COSTING METHODOLOGY: CONTRIBUTION EXPENDITURES ARE BASED ON ACTUAL INVOICES THAT WERE CAPTURED AND REPORTED FOR THIS PROGRAM.SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIESSSM REGIONAL HEALTH SERVICES PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING: COMMUNITY SUPPORT - PHYSICAL IMPROVEMENT AND HOUSING: ST FRANCIS HOSPITAL SPONSORED THE MARYVILLE TRAILS EXTENSION PROVIDING THE TRAILS EASEMENT, TEMPORARY CONSTRUCTION AND EASEMENT GRADING.COMMUNITY SUPPORT - ECONOMIC DEVELOPMENT: PARTICIPATION IN AN ORGANIZATION PROMOTING SMALL BUSINESS DEVELOPMENT INCLUDING PARTICIPATION IN THE SAVANNAH CHAMBER OF COMMERCE, GREATER MARYVILLE CHAMBER OF COMMERCE AND NODAWAY COUNTY ECONOMIC DEVELOPMENT COUNCIL.COMMUNITY BUILDING - COMMUNITY SUPPORT: PROVIDES DIRECT SUPPORT FOR UNDERFUNDED CHILD CARE CENTER TO COVER SALARY AND BENEFITS FOR CHILDREN AND FAMILY CENTER OF NORTHWEST MISSOURI; PARTICIPATES IN ACTIVITIES TO TAKE AN ACTIVE ROLE IN THE JEFFERSON CITY, MISSOURI COMMUNITY AND THE HEALTH OF ITS CITIZENS.SCHEDULE H, PART III, SECTION A, LINE 2BAD DEBT COSTING METHODOLOGY: BAD DEBT EXPENSE REPORTED IN THE ACCOUNTING SYSTEM, ADJUSTED FOR BAD DEBT RECOVERIES, WAS USED, MULTIPLIED BY THE COST TO CHARGE RATIO USING IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES.SCHEDULE H, PART III, SECTION A, LINE 3SSM REGIONAL HEALTH SERVICES DID NOT MAKE AN ESTIMATE OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SCHEDULE H, PART III, SECTION A, LINE 4SSM REGIONAL HEALTH SERVICES IS PART OF THE SSM HEALTH CARE CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE DECEMBER 31, 2013 CONSOLIDATED AUDIT IS AS FOLLOWS:"IN LINE WITH ITS MISSION, SSMHC PROVIDES SERVICES TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR THOSE SERVICES. FOR SOME OF ITS PATIENT SERVICES, SSMHC RECEIVES NO PAYMENT OR PAYMENT THAT IS LESS THAN THE FULL COST OF PROVIDING THE SERVICES.SSMHC VOLUNTARILY PROVIDES FREE CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THEIR HEALTH CARE EXPENSES AS DETERMINED BY SSMHC'S CRITERIA FOR FINANCIAL ASSISTANCE. BECAUSE SSMHC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUES.IN SOME CASES, SSMHC DOES NOT RECEIVE THE AMOUNT BILLED FOR PATIENT SERVICES EVEN THOUGH IT DID NOT RECEIVE INFORMATION NECESSARY TO DETERMINE IF THE PATIENTS MET THE CRITERIA FOR FINANCIAL ASSISTANCE. THE ESTIMATED COST OF CHARITY AND THE COST OF DOUBTFUL ACCOUNTS ARE AS FOLLOWS: THE ESTIMATED COSTS ARE CALCULATED USING THE COSTS OF PROVIDING PATIENT CARE DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS RATIO IS THEN MULTIPLIED BY THE GROSS CHARITY AND DOUBTFUL CHARGES TO DETERMINE ESTIMATED COSTS." BAD DEBT EXPENSE REPORTED ON LINE 2 FOR THE YEAR ENDED DECEMBER 31, 2013 WAS $18,110,149 AT CHARGES AND $7,090,602 AT COST. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | THE COST OF PROVIDING CARE TO MEDICARE ELIGIBLE PATIENTS IS GREATER THAN THE REIMBURSEMENT THAT MEDICARE ALLOWS ON THE MEDICARE COST REPORT. SSM REGIONAL HEALTH SERVICES CONSIDERS THIS SHORTFALL AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIATED AND SERVICES ARE PROVIDED REGARDLESS OF THE PATIENTS' ABILITY TO PAY. THE MEDICARE COSTS REPORTED ON LINE 6 WERE OBTAINED FROM THE 2013 MEDICARE COST REPORT.SCHEDULE H, PART III, SECTION C, LINE 9BSSM REGIONAL HEALTH SERVICES HAS ESTABLISHED WRITTEN CREDIT AND COLLECTION POLICY AND PROCEDURES. THE BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSM HEALTH CARE, 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 HOSPITAL'S BILLING AND COLLECTION PRACTICES WILL BE FAIRLY AND CONSISTENTLY APPLIED. ALL STAFF AND VENDORS ARE EXPECTED TO TREAT ALL PATIENTS CONSISTENTLY AND FAIRLY REGARDLESS OF THEIR ABILITY TO PAY. THEY RESPOND TO PATIENTS IN A PROMPT AND COURTEOUS MANNER REGARDING ANY QUESTIONS ABOUT THEIR BILLS AND PROVIDE NOTIFICATION OF THE AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE. ALL OUTSIDE COLLECTION AGENCIES MUST COMPLY WITH STATE AND FEDERAL LAWS, COMPLY WITH THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY AND COMPLY WITH SSM REGIONAL HEALTH SERVICES' COLLECTION AND CHARITY POLICIES.SCHEDULE H, PART IV, LINE 2: NEEDS ASSESSMENT PROCESSTHE ANNUAL STRATEGIC, FINANCIAL, AND HUMAN RESOURCES PLANNING PROCESS HAS INCLUDED AN ASSESSMENT OF THE COMMUNITY'S NEEDS TO INCLUDE THE IDENTIFICATION OF SPECIFIC AND MEASUREABLE HEALTHY COMMUNITIES' INITIATIVES. OUR SYSTEM VISION FOR IMPROVED COMMUNITY HEALTH IS PURSUED IN ALL OF OUR WORK AT SSM HEALTH CARE FROM STRATEGIC PLANNING, FINANCIAL MANAGEMENT, AND DIRECT PATIENT CARE TO ADVOCACY, COMMUNITY PARTNERSHIPS AND HEALTHY COMMUNITIES INITIATIVES. OVERALL EFFORTS IN THIS AREA ARE COORDINATED THROUGH SSM HEALTH CARE'S COMMUNITY BENEFIT PROGRAM, WHICH FOCUSES ON ASSESSING AND IMPLEMENTING STRATEGIES TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS.SSM HEALTH CARE'S COMMITMENT TO COMMUNITY BENEFIT IS DEEPLY EMBEDDED INTO OUR ORGANIZATIONAL CULTURE AS REFLECTED IN OUR SYSTEM VISION STATEMENT WHICH READS: 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 WITHIN THE FINANCIAL LIMITS OF THE SYSTEM.A COMMUNITY BENEFIT ACTIVITY IS IDENTIFIED AS A SERVICE RATHER THAN AS A MARKETING TOOL AND MEETS AT LEAST TWO OF THE FOLLOWING CRITERIA:- IT IS FINANCED BY PHILANTHROPIC CONTRIBUTIONS, VOLUNTEER EFFORTS, OR AN ENDOWMENT.- IT PROVIDES A RESPONSE TO A UNIQUE OR PARTICULAR HEALTH PROBLEM IN THE COMMUNITY.- IT GENERATES A LOW OR NEGATIVE MARGIN ON A FULLY ABSORBED COST BASIS.- IT RESPONDS TO THE NEEDS OF SPECIAL POPULATIONS SUCH AS MINORITIES, WOMEN AND CHILDREN, THE FRAIL ELDERLY, LOW INCOME PERSONS WITH DISABILITIES, THE MENTALLY ILL, OR THOSE LIVING WITH CHRONIC ILLNESS.- THE DECISION TO OFFER THE SERVICE OR PROGRAM IS NOT MADE ON A PURELY FINANCIAL BASIS.- IF NOT PROVIDED BY HEALTH CARE ORGANIZATION, THE SERVICE WOULD NO LONGER BE AVAILABLE IN THE COMMUNITY OR WOULD BE THE RESPONSIBILITY OF GOVERNMENT.THE COMMUNITY BENEFIT PLAN DETAILS THE PLANNING, MEASUREMENT AND COMMUNICATION OF ITS COMMUNITY BENEFITS. THE THREE-MAIN ASPECTS OF COMMUNITY BENEFIT BEING THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH DETERMINES THE COMMUNITY NEEDS TO BE ADDRESSED BY THE HOSPITAL, THE COMMUNITY BENEFIT PLAN WHICH DETAILS STEPS TO BE ACCOMPLISHED TO MEET IDENTIFIED NEEDS, AND THE CBISA DATABASE WHICH DOCUMENTS ALL OF THE COMMUNITY BENEFIT ACTIVITIES FOR EACH YEAR. AT THE END OF EACH YEAR, THE CBISA COMMUNITY BENEFIT REPORT IS GIVEN TO MANAGEMENT, ADMINISTRATION AND THE SSMHC BOARD OF DIRECTORS IN ORDER TO EVALUATE AND IMPROVE THE PROGRAM. ST. FRANCIS HOSPITAL AND HEALTH SERVICES - MARYVILLE, MO:ONE OF THE FIRST STEPS FOR IDENTIFYING THE HIGH-PRIORITY HEALTH NEEDS OF OUR COMMUNITY IS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A SUMMARY OF THE ST FRANCIS HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CAN BE FOUND ON PAGES 4 AND 5 OF ITS CHNA. THE TWO STRATEGIC PRIORITIES OF THE ST FRANCIS HOSPITAL COMMUNITY BENEFIT PLAN ARE: MENTAL HEALTH SERVICES FOR YOUTH AND ADOLESCENTS, AND OBESITY. DURING 2013, GOALS AND OBJECTIVES WERE ESTABLISHED TO CHANGE BEHAVIOR, PROVIDE METRICS TO MEASURE CHANGE, AND TO IMPACT THE OVERALL HEALTH OF THOSE WE SERVE. ALL OF THE COMMUNITY BENEFIT ACTIVITIES ARE DESIGNED TO MEET THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH WAS COMPLETED IN OCTOBER 2012. ST. MARY'S HEALTH CENTER - JEFFERSON CITY, MO:ST. MARY'S HEALTH CENTER CO-SPONSORED A 2012 COMMUNITY HEALTH NEEDS ASSESSMENT FOR A FOUR-COUNTY REGION IN CENTRAL MISSOURI THAT INCLUDES COLE, MILLER, MONITEAU AND OSAGE COUNTIES. THE CENTRAL MISSOURI HEALTH ASSESSMENT PARTNERSHIP FORMULATES INITIATIVES WITH MEMBER ORGANIZATIONS, INCLUDING THE COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI (A FEDERALLY QUALIFIED HEALTH CENTER), COLE COUNTY HEALTH DEPARTMENT, THE UNITED WAY OF CENTER MISSOURI, SAMARITAN CENTER OF JEFFERSON CITY, AS WELL AS CAPITAL REGION MEDICAL CENTER. A SUMMARY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CAN BE FOUND ON PAGE 4 OF THE CHNA.THE THREE STRATEGIC PRIORITIES OF THE ST MARY'S HEALTH CENTER COMMUNITY BENEFIT PLAN ARE: DIABETES, CANCER AND HEART DISEASE. DURING 2013, GOALS AND OBJECTIVES WERE ESTABLISHED TO CHANGE BEHAVIOR, PROVIDE METRICS TO MEASURE CHANGE, AND TO IMPACT THE OVERALL HEALTH OF THOSE WE SERVE. ALL OF THE COMMUNITY BENEFIT ACTIVITIES ARE DESIGNED TO MEET THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH WAS COMPLETED IN AUGUST 2012. SCHEDULE H, PART IV LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEALL SSMHC FACILITIES WILL STRIVE TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY. ALL BILLING AND COLLECTION POLICIES REFLECT THE MISSION AND VALUES OF SSMHC, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. SSMHC 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.SSMHC APPLIES ITS CHARITY CARE POLICIES FAIRLY AND CONSISTENTLY. EACH PERSON IS TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. SSMHC EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH WE PARTICIPATE BY ESTABLISHING SOUND BUSINESS PRACTICES. CHARITY CARE IS PROVIDED TO PATIENTS BASED ON A SLIDING SCALE FOR HOUSEHOLD INCOMES UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. PATIENTS WHOSE HOUSEHOLD INCOME IS NO MORE THAN TWO TIMES THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR FREE HOSPITAL SERVICES. IN ADDITION, AN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT'S BALANCE DUE IF THE AMOUNT EXCEEDS 20% OF THEIR GROSS FAMILY INCOME. IN THIS SITUATION, THE BILL IS DISCOUNTED DOWN TO 20% OF THEIR FAMILY INCOME.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 COMMUNICATION REGARDING CHARITY CARE ARE AVAILABLE, THESE MUST BE USED. MODIFICATIONS TO THE STANDARD MAY BE MADE TO COMPLY WITH STATE AND LOCAL LAWS, AS WELL AS REFLECT CULTURALLY SENSITIVE TERMINOLOGY FOR THE POLICY. ALL NOTICES ARE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY.THEY PROVIDE INFORMATION ABOUT:- THE PATIENT'S RESPONSIBILITY FOR PAYMENT,- THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND ENTITY CHARITY CARE AND PAYMENT ARRANGEMENTS,- THE ENTITY'S CHARITY POLICY AND APPLICATION PROCESS, AND- WHO TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING.THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC ARE PROVIDED:- SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT AND INPATIENT REGISTRATION AND PUBLIC WAITING AREAS.- BROCHURES OR FLIERS PROVIDED AT TIME OF REGISTRATION AND AVAILABLE IN THE FINANCIAL COUNSELING AREAS.- NOTICES SENT WITH OR ON PATIENT BILLS OR COMMUNICATIONS SENT TO PATIENTS AND GUARANTORS RELATED TO MEDICAL SERVICES.- APPLICATIONS PROVIDED TO UNINSURED PATIENTS AT THE TIME OF REGISTRATION. |
| THE APPLICATION FOR CHARITY CARE, TOGETHER WITH ANY INSTRUCTIONS, MUST | CLEARLY STATE THE POLICIES REGARDING CHARITY CARE, INCLUDING EXCLUDED SERVICES, ELIGIBILITY CRITERIA AND DOCUMENTATION REQUIREMENTS. INFORMATION ABOUT THE ENTITY'S CHARITY POLICIES IS ALSO PROVIDED TO PUBLIC AGENCIES.SCHEDULE H, PART VI LINE 4: COMMUNITY INFORMATIONST. FRANCIS HOSPITAL AND HEALTH SERVICES - MARYVILLE, MO: ST FRANCIS HOSPITAL & HEALTH SERVICES IS LOCATED IN MARYVILLE, MISSOURI, IN RURAL NORTHWEST MISSOURI. THE SERVICE AREA FOR ST FRANCIS ENCOMPASSES NODAWAY COUNTY, MISSOURI AND ALL OF THE CONTIGUOUS SURROUNDING COUNTIES IN MISSOURI AND IOWA. THE ESTIMATED 2011 POPULATION OF NODAWAY COUNTY WAS 21,860 WITH A PROJECTED GROWTH RATE OF 0.2% FROM 2011 TO 2016. THE LARGEST AGE GROUP IN NODAWAY COUNTY IS THE 18 - 24 GROUP, WHICH MAKES UP ABOUT 27% OF THE TOTAL POPULATION. THE POPULATION OF NODAWAY COUNTY IS PREDOMINANTLY WHITE/NON-HISPANIC (94%). THE AVERAGE HOUSEHOLD INCOME IN NODAWAY COUNTY IS $46,895. THIS IS CONSIDERABLY LOWER THAN THE MISSOURI AVERAGE OF $58,797. IN 2010, THE POVERTY RATE WAS 17.0%, WHICH WAS HIGHER THAN THE MISSOURI AVERAGE OF 15.3%. THE POVERTY RATE FOR CHILDREN WAS 15.0% IN NODAWAY COUNTY. MOST OF THE ADULT POPULATION (AGE 25 OR OLDER) IN NODAWAY COUNTY HAVE A HIGH SCHOOL DEGREE OR HIGHER. ADDITIONAL DETAILED INFORMATION ON THE ST FRANCIS HOSPITAL AND HEALTH CENTER SERVICE AREA CAN BE FOUND ON PAGES 6 THROUGH 29 OF THE CHNA.AS A RURAL HOSPITAL, ST FRANCIS HOSPITAL & HEALTH SERVICES PROVIDES EMERGENCY TREATMENT, ACUTE CARE FOR PATIENTS WITH MEDICAL AND SURGICAL DIAGNOSIS, MENTAL HEALTH ILLNESSES, AND OBSTETRICAL NEEDS. ST. MARY'S HEALTH CENTER - JEFFERSON CITY, MO:ST MARY'S HEALTH CENTER DEFINES ITS PRIMARY AND SECONDARY SERVICE AREAS AS THE FOUR COUNTIES OF COLE, MILLER, MONITEAU AND OSAGE LOCATED IN CENTRAL MISSOURI. THE TOTAL POPULATION OF THE SERVICE AREA, BASED ON THE 2010 CENSUS, WAS 130,223. THIS REGION IS EXPECTING AN INCREASE OF 1.8% FROM 2010 TO 2015 WITH COLE COUNTY EXPECTING THE PARGETS GROWTH AT 2.2%. THE AGE DISTRIBUTION CONTINUES TO SHIFT TOWARD A LARGER POPULATION OF OLDER ADULTS WITH ESTIMATES SUGGESTING THE 65+ COHORT WILL SEE THE LARGEST GROWTH FROM 2010 TO 2015 WITH A 13.4% INCREASE. THE MEDIAN AGE FOR THE REGION IS 38.4 WHICH IS SLIGHTLY HIGHER THAN THE MISSOURI AVERAGE OF 37.9. THE RACE/ETHNICITY DISTRIBUTION BASED ON THE 2010 CENSUS DATA SHOWS A POPULATION THAT IS PREDOMINATELY WHITE/CAUCASIAN (89.2%), WITH 7.1 PERCENT BLACK/AFRICAN AMERICAN. THE MAJORITY OF THE ADULT POPULATION IN THE REGION HAS AN EDUCATION LEVEL AT OR ABOVE THE HIGH SCHOOL LEVEL (85.4%). LOWER THAN AVERAGE POVERTY RATES PROVIDE EVIDENCE OF A HIGHER LEVEL OF ECONOMIC WELL-BEING IN THREE OF THE FOUR COUNTIES WITH ONLY MILLER COUNTY (16.8%) HAVING A PERCENTAGE HIGHER THAN THE MISSOURI AVERAGE (14%). MILLER COUNTY ALSO REPORTS A HIGHER PERCENTAGE OF CHILDREN IN POVERTY (31%) WHEN COMPARED TO 21 PERCENT IN MISSOURI. PER CAPITA INCOME RANGED FROM A LOW $18,202 IN MILLER COUNTY TO A HIGH OF $25,935 IN CLE COUNTY. THIS REGION CONTAINS 50,499 HOUSEHOLDS WITH AVERAGE HOUSEHOLD INCOMES RANGING FROM $43,839 IN MILLER COUNTY TO $65,254 IN COLE COUNTY. ADDITIONAL DETAILED INFORMATION ON THE ST MARY'S HEALTH CENTER SERVICE AREA CAN BE FOUND ON PAGES 8 THROUGH 17 OF THE CHNA.ST MARY'S HEALTH CENTER OFFERS A FULL RANGE OF HEALTH CARE SERVICES INCLUDING CARDIOVASCULAR, EMERGENCY, ORTHOPEDIC, CANCER, OUTPATIENT SURGICAL, AND WOMEN'S HEALTH SERVICES. IN ADDITION ST MARY'S EXTENDS ITS HEALTH CARE INTO THE REGION WITH THE FOLLOWING SERVICES: WOUND HEALING CENTER, MEDICAL CLINICS, URGENT CARE FACILITIES, RETAIL PHARMACIES, ST MARY'S PEDIATRICS, HEALTH PSYCHOLOGY, PAIN MANAGEMENT, ST MARY'S SLEEP CENTER, WOMEN'S IMAGING CENTER, OCCUPATION MEDICINE, OUTPATIENT PHYSICAL REHABILITATION AND DIABETES MANAGEMENT AND TRAINING.SCHEDULE H, PART VI LINE 5: PROMOTION OF COMMUNITY HEALTHSSM HEALTH CARE'S MISSION STATEMENT IS "THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD". SSM REGIONAL HEALTH SERVICES PARTICIPATES IN A WIDE ARRAY OF COMMUNITY PROGRAMS THROUGHOUT THE AREA TO FURTHER ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY. SOME EXAMPLES INCLUDE THE FOLLOWING:ST. FRANCIS HOSPITAL AND HEALTH SERVICES - MARYVILLE, MOIN NODAWAY COUNTY, THE RATE OF ER VISITS FOR STROKE OR OTHER CEREBROVASCULAR DISEASE SHOWED A SIGNIFICANT INCREASE IN RECENT YEARS BASED ON THE COMMUNITY ASSESSMENT. OF THE DATA STUDIED, 75% OF THE PATIENTS WERE FEMALE. EFFORTS WERE MADE TO IDENTIFY HIGH-RISK PATIENTS THROUGH INCREASED SCREENINGS IN THE AREA WITH SPECIAL EMPHASIS ON WOMEN IN THE AREA. HEALTH SCREENINGS INCLUDE BLOOD PRESSURE, BLOOD DRAWS, AND/OR ONE DENSITY TEST. THE HOSPITAL MAKES PRESENTATIONS ABOUT HEALTH RELATED-RELATED MATTERS SUCH AS DIABETES AND HEART DISEASE AND PARTICIPATES IN HEALTH FAIRS. ADDITIONALLY, THE HOSPITAL PARTICIPATES IN JOB SHADOW OPPORTUNITIES FOR STUDENTS IN ELEMENTARY SCHOOL THROUGH COLLEGE. DURING 2013, THE HOSPITAL HELD 14 HEALTH SCREENING WITH OVER 750 PARTICIPANTS.DIABETES EDUCATION: DEB HULL, DIABETES EDUCATOR, CONTINUED HER EFFORTS TO INFORM AND RAISE AWARENESS ABOUT DIABETES. IN 2013, DEB PRESENTED INFORMATION TO OVER 350 SCHOOL AND COMMUNITY MEMBERS ABOUT THE RISK OF DEVELOPING TYPE 2 DIABETES AND HOW IT CAN BE SIGNIFICANTLY REDUCED THROUGH EXERCISE AND MODEST WEIGHT LOSS. PRESENTATIONS INCLUDED INFORMATION ABOUT THE DISEASE, PREVENTION, TREATMENT, SIGNS AND SYMPTOMS AND TIPS ON HANDLING THE DISEASE. IN ADDITION, THE HOSPITAL HOSTED MONTHLY DIABETES SUPPORT GROUP MEETINGS.HEALTH PROFESSIONALS EDUCATION: IN COLLABORATION WITH MISSOURI AREA HEALTH EDUCATION CENTERS AND THE UNIVERSITY OF MISSOURI SCHOOL OF MEDICINE, ST. FRANCIS ACCOMMODATED MEDICAL STUDENTS IN AN OPPORTUNITY TO HELP THEM EXPLORE FIRST-HAND THE PROSPECTS AWAITING THEM IN A RURAL AND OUTREACH POPULATIONS. THE PROGRAM INCLUDED PHYSICIAN INVOLVEMENT TO OVERSEE THE STUDENT LEARNING AS WELL AS HOUSING WITH MAINTENANCE AND HOUSEKEEPING AND INTERNET-BASED EQUIPMENT AND FACILITIES TO CONDUCT CHATS WITH UNIVERSITY INSTRUCTORS ON A REGULAR BASIS. IN COLLABORATION WITH NORTH CENTRAL MISSOURI COLLEGE AND IOWA WESTERN COMMUNITY COLLEGE, ST FRANCIS HOSTED OVER 120 RN AND LPN STUDENTS DURING 2013. THE STUDENTS WERE PROVIDED MENTORING THROUGH A JOB SHADOW PROGRAM WITH HOSPITAL STAFF. IN ADDITION, THE HOSPITAL PROVIDED PROFESSIONAL EDUCATION TO SPECIALTY STUDENTS IN THE AREAS OF DIETICIANS, EMT, SURGERY TECHNICIANS, PHARMACY, SOCIAL WORK AND PHYSICAL THERAPY. HEALTH EDUCATION: TO PROVIDE BETTER HEALTH EDUCATION TO COMMUNITY MEMBERS, HOSPITAL EMPLOYEES PROVIDE CPR TRAINING AT VARIOUS EVENTS AND PROVIDED HEALTH LIFESTYLES FOLLOW-UP SESSIONS.ST. MARY'S HEALTH CENTER - JEFFERSON CITY, MOST. MARY'S FINANCIAL ASSISTANCE PROGRAM: ST. MARY'S PROVIDED ASSISTANCE TO PATIENTS IN APPLYING FOR MEDICAID AND OTHER SERVICES.SMHC FOUNDATION MEDICATION ASSISTANCE FUND: THIS PROGRAM PROVIDES AID TO THOSE IN NEED BY OFFERING SHORT-TERM MEDICATION ASSISTANCE TO PATIENTS WHO CANNOT AFFORD PRESCRIPTION MEDICINE, AND CANNOT OBTAIN IT IN A TIMELY MANNER FROM ANOTHER AGENCY. THIS PROGRAM SUPPORTS THE POOR, UNINSURED AND IS AVAILABLE TO THE URBAN AND RURAL DEMOGRAPHIC.SPORTS MEDICINE OUTREACH PROGRAM: ST MARY'S HEALTH CENTER PROVIDES ATHLETIC TRAINERS TO SEVERAL AREA HIGH SCHOOL'S SPORTING EVENTS IN CASE OF INJURY.HEALTH PROFESSIONAL EDUCATION: ST MARY'S HEALTH CENTER PROVIDES LOCAL NURSING AND PHARMACY STUDENTS MENTORING OPPORTUNITIES IN VARIOUS CLINICAL DEPARTMENTS OF THE HOSPITAL.EDUCATION: ST MARY'S MISSION EFFECTIVENESS DEPARTMENT PROVIDES MONTHLY EDUCATION SESSIONS TO THE COMMUNITY ON END-OF-LIFE ISSUES. ST MARY'S PROVIDES BASIC LIFE SUPPORT OF ADULT, CHILD AND INFANTS, AND FAMILY AND FRIENDS WHICH IS A COURSE FOR LAYPERSONS TO KNOW WHAT TO DO UNTIL EMERGENCY HELP ARRIVES ON THE SCENE. ST MARY'S WOMEN'S SERVICES DEPARTMENT PROVIDES CHILDBIRTH EDUCATION CLASSES, REFRESHER CLASSES, SUPERSIBLING CLASSES AND BREASTFEEDING EDUCATION CLASSES.TRAINING RESOURCES FOR DISADVANTAGED YOUTH: THIS PROGRAM IS A TRAINING PROGRAM THAT PROVIDES LEARNING CHALLENGED HIGH SCHOOL STUDENTS AN OPPORTUNITY TO BUILD VALUABLE EXPERIENCE AND LIFE SKILLS BY WORKING AT THE HOSPITAL. THE PROGRAM SUPPORTS LEARNING DISADVANTAGED, OFTEN ECONOMICALLY CHALLENGED YOUTH IN OUR COMMUNITY, AS WELL AS SUPPORTS A COMMUNITY PARTNERSHIP WITH THE LOCAL HIGH SCHOOL. LINCOLN UNIVERSITY SCHOOL OF NURSING: ST. MARY'S PARTNERS WITH LINCOLN UNIVERSITY BY DONATING $60,407 TO THE NURSING PROGRAM AS WELL AS PROVIDING A CLINICAL SETTING FOR THE RN STUDENTS TO LEARN. |
| SSM REGIONAL HEALTH SERVICES ALSO FURTHERS ITS EXEMPT | PURPOSE WITH THE FOLLOWING ACTIVITIES:- OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY,- HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA,- HAS A SOLE CORPORATE MEMBER WITH RESERVED POWERS WHICH HAS A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY, - ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS,- PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS,- SSM REGIONAL HEALTH SERVICES IS COMMITTED TO PROVIDING A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM WHICH INCLUDES THE REINVESTMENT OF SURPLUS FUNDS. A ST MARY'S HEALTH CENTER REPLACEMENT HOSPITAL IS UNDER CONSTRUCTION AND SCHEDULED TO OPEN IN 2014. SCHEDULE H, PART VI LINE 6: AFFILIATED HEALTH CARE SYSTEMSSM REGIONAL HEALTH SERVICES IS A HEALTH CARE NETWORK THAT THAT OPERATES ST MARY'S HEALTH CENTER IN JEFFERSON CITY MISSOURI AND ST FRANCIS HOSPITAL & HEALTH SERVICES IN MARYVILLE, MISSOURI. IT IS PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE. SSM HEALTH CARE IS A 501(C)(3) ORGANIZATION HEADQUARTERED IN ST LOUIS, MISSOURI.SCHEDULE H, PART VI LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORTTHE SSM HEALTH CARE'S ANNUAL CONSOLIDATED COMMUNITY BENEFIT REPORT IS FILED IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| LINCOLN UNIVERSITY | |||||||
| 820 CHESTNUT | JEFFERSON CITY | MO | 65101 | 446001089 | 501(C)(3) | $60,407 | SUPPORT RN TRAINING PROGRAM |
| CATHOLIC DIOCESE OF JEFFERSON CITY | |||||||
| 2207 WEST MAIN STREET | JEFFERSON CITY | MO | 65109 | 440612540 | 501(C)(3) | $16,000 | PASTORAL CARE SERVICES GRANT |
| MISSOURI HOSPITAL ASSOCIATION CENTER FOR EDUCATION | |||||||
| 4712 COUNTRY CLUB DRIVE | JEFFERSON CITY | MO | 65109 | 430898947 | 501(C)(3) | $21,655 | SCHOLARSHIP FUNDING |
| AMERICAN HEART ASSOCIATION | |||||||
| PO BOX 4002902 | DES MOINES | IA | 50340 | 135613797 | 501(C)(3) | $8,500 | SUPPORT GENERAL OPERATIONS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION'S GRANTS WERE MADE TO GOVERNMENTAL OR TAX EXEMPT, UNDER SECTION 501(C)(3), ORGANIZATIONS. THESE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN BARNEY | ||||||||||||||
| PT YR DIR & VICE PRES | $0 | $354,279 | $0 | $0 | $0 | $238,164 | $0 | -$236,820 | $0 | $12,867 | $0 | $368,490 | $0 | $0 |
| LYNN BRUCHHOF | ||||||||||||||
| PT YR DIRECTOR | $0 | $426,648 | $0 | $0 | $0 | $43,230 | $0 | $44,161 | $0 | $33,183 | $0 | $547,222 | $0 | $0 |
| GAUROV DAYAL MD | ||||||||||||||
| DIRECTOR | $0 | $749,382 | $0 | $0 | $0 | $25,971 | $0 | $96,224 | $0 | $28,042 | $0 | $899,619 | $0 | $0 |
| MARGARET FOWLER | ||||||||||||||
| PT YR DIRECTOR | $0 | $324,479 | $0 | $0 | $0 | $49,612 | $0 | $58,991 | $0 | $28,210 | $0 | $461,292 | $0 | $10,592 |
| PAULA FRIEDMAN | ||||||||||||||
| DIRECTOR & VICE PRES | $0 | $523,635 | $0 | $0 | $0 | $73,164 | $0 | -$2,191 | $0 | $17,680 | $0 | $612,288 | $0 | $32,970 |
| PHILIP GUSTAFSON | ||||||||||||||
| PT YR DIRECTOR | $0 | $538,937 | $0 | $0 | $0 | $101,995 | $0 | $107,724 | $0 | $26,319 | $0 | $774,975 | $0 | $0 |
| THOMAS K LANGSTON | ||||||||||||||
| PT YR DIRECTOR | $0 | $502,778 | $0 | $0 | $0 | $161,686 | $0 | $112,421 | $0 | $34,793 | $0 | $811,678 | $0 | $33,880 |
| JOE M HODGES | ||||||||||||||
| PT YR DIRECTOR | $0 | $633,887 | $0 | $0 | $0 | $57,112 | $0 | -$16,778 | $0 | $33,457 | $0 | $707,678 | $0 | $31,500 |
| CHRISTOPHER HOWARD | ||||||||||||||
| DIRECTOR | $0 | $806,003 | $0 | $0 | $0 | $87,657 | $0 | -$1,097 | $0 | $31,003 | $0 | $923,566 | $0 | $40,320 |
| MICHAEL R PANICOLA | ||||||||||||||
| PT YR DIRECTOR | $0 | $415,203 | $0 | $0 | $0 | $38,654 | $0 | $17,361 | $0 | $25,919 | $0 | $497,137 | $0 | $9,680 |
| SHANE PENG MD | ||||||||||||||
| DIRECTOR | $0 | $520,569 | $0 | $0 | $0 | $153,864 | $0 | $39,900 | $0 | $22,943 | $0 | $737,276 | $0 | $0 |
| DIXIE L PLATT | ||||||||||||||
| PT YR DIRECTOR | $0 | $345,892 | $0 | $0 | $0 | $244,592 | $0 | -$19,981 | $0 | $30,077 | $0 | $600,580 | $0 | $29,890 |
| WILLIAM P THOMPSON | ||||||||||||||
| DIRECTOR & PRESIDENT | $0 | $1,404,608 | $0 | $0 | $0 | $1,016,464 | $0 | $811,381 | $0 | $30,589 | $0 | $3,263,042 | $0 | $59,150 |
| KRIS A ZIMMER | ||||||||||||||
| DIRECTOR & TREASURER | $0 | $763,126 | $0 | $0 | $0 | $73,127 | $0 | $40,169 | $0 | $27,839 | $0 | $904,261 | $0 | $45,360 |
| JUNE L PICKETT | ||||||||||||||
| SECRETARY | $0 | $226,100 | $0 | $0 | $0 | $29,954 | $0 | -$119,886 | $0 | $23,014 | $0 | $159,182 | $0 | $8,680 |
| GRAY COX | ||||||||||||||
| HOSPITAL PRESIDENT | $0 | $285,222 | $0 | $0 | $0 | $74,049 | $260,507 | $0 | $29,040 | $0 | $289,547 | $359,271 | $19,950 | $0 |
| R BRENT VANCONIA | ||||||||||||||
| HOSPITAL CEO | $0 | $435,074 | $0 | $0 | $0 | $53,476 | $29,877 | $0 | $32,322 | $0 | $62,199 | $488,550 | $26,810 | $0 |
| JOCELYN SKIDMORE | ||||||||||||||
| CFO | $128,338 | $0 | $0 | $0 | $6,659 | $0 | $7,622 | $0 | $10,624 | $0 | $153,243 | $0 | $4,896 | $0 |
| MARVIN KURTZ | ||||||||||||||
| CFO | $260,000 | $0 | $0 | $0 | $34,085 | $0 | -$46,448 | $0 | $0 | $0 | $247,637 | $0 | $0 | $0 |
| SCOTT HOLMAN DO | ||||||||||||||
| VP MEDICAL AFFAIRS | $343,844 | $0 | $0 | $0 | $26,804 | $0 | -$7,624 | $0 | $25,211 | $0 | $388,235 | $0 | $0 | $0 |
| ANTHONY HOUSTON | ||||||||||||||
| HOSPITAL COO | $213,186 | $0 | $0 | $0 | $18,460 | $0 | $16,087 | $0 | $21,723 | $0 | $269,456 | $0 | $0 | $0 |
| JOHN LUCIO DO | ||||||||||||||
| VP MEDICAL AFFAIRS | $141,650 | $0 | $0 | $0 | $17,740 | $0 | $28,100 | $0 | $1,098 | $0 | $188,588 | $0 | $0 | $0 |
| SUSAN MANKOSKI | ||||||||||||||
| HOSPITAL VP HR | $179,440 | $0 | $0 | $0 | $11,044 | $0 | $34,988 | $0 | $12,811 | $0 | $238,283 | $0 | $6,640 | $0 |
| THOMAS DISTEFANO | ||||||||||||||
| PHYSICIAN | $944,117 | $0 | $0 | $0 | $40,208 | $0 | -$63,326 | $0 | $17,047 | $0 | $938,046 | $0 | $0 | $0 |
| JOHN CLEMENS | ||||||||||||||
| PHYSICIAN | $464,903 | $0 | $0 | $0 | $85,329 | $0 | $102,421 | $0 | $32,263 | $0 | $684,916 | $0 | $0 | $0 |
| JANE DAWSON | ||||||||||||||
| PHYSICIAN | $462,407 | $0 | $0 | $0 | $7,781 | $0 | -$8,360 | $0 | $13,189 | $0 | $475,017 | $0 | $0 | $0 |
| COURTNYE WALKER | ||||||||||||||
| PHYSICIAN | $445,033 | $0 | $0 | $0 | $20,881 | $0 | $25,745 | $0 | $26,059 | $0 | $517,718 | $0 | $0 | $0 |
| SHIRLEY HARRIS | ||||||||||||||
| PHYSICIAN | $433,039 | $0 | $0 | $0 | $24,185 | $0 | -$15,360 | $0 | $34,653 | $0 | $476,517 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE FOLLOWING INDIVIDUALS LISTED ON PART VII, SECTION A, RECEIVED TAX INDEMNIFICATION/GROSS UP PAYMENTS IN 2013, WHICH WERE INCLUDED IN THEIR TAXABLE COMPENSATION: SCOTT HOLMAN THOMAS DISTEFANO SHIRLEY HARRIS JOHN CLEMENS JANE DAWSON THE FOLLOWING INDIVIDUAL LISTED IN PART VII, SECTION A, RECEIVED HOUSING ALLOWANCE PAYMENTS IN 2013, WHICH WERE INCLUDED IN HIS TAXABLE COMPENSATION: MARVIN KURTZ THE FOLLOWING INDIVIDUALS LISTED IN PART VII, SECTION A, RECEIVED REIMBURSEMENT OF HEALTH OR SOCIAL CLUB DUES IN 2013, WHICH WERE INCLUDED IN THEIR TAXABLE COMPENSATION: BRENT VANCONIA ANTHONY HOUSTON |
| PART I, LINE 3 | THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, PRESIDENT, IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE SSMHC BOARD OF DIRECTORS. |
| PART I, LINES 4A-B | SEVERANCE PLAN: SSMHC 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 SSMHC. THE FOLLOWING INDIVIDUAL RECEIVED PAYMENTS UNDER THE PLAN IN THE CURRENT YEAR. DIXIE PLATT $103,615 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS: PENSION RESTORATION PLAN: SSM HEALTH CARE (SSMHC) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMHC 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 SSMHC'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 SSMHC OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMHC. NO REPORTABLE INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN DURING 2013. CAPITAL ACCUMULATION PLAN: SSMHC 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 SSMHC 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 2013. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUALS' TAXABLE COMPENSATION. STEVEN BARNEY $148,902 DIXIE PLATT $ 95,540 WILLIAM THOMPSON $ 59,209 CHRISTOPHER HOWARD $ 52,082 KRIS ZIMMER $ 45,405 GRAY COX $ 40,970 PHILIP GUSTAFSON $ 37,870 THOMAS LANGSTON $ 36,217 PAULA FRIEDMAN $ 33,003 JOE HODGES $ 31,531 BRENT VANCONIA $ 26,837 JUNE PICKETT $ 19,086 MICHAEL PANICOLA $ 12,277 SUSAN MANKOSKI $ 6,917 JOCELYN SKIDMORE $ 4,901 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, DOING BUSINESS AS: | SSM REGIONAL HEALTH SERVICES CURRENTLY UTILIZES THE FOLLOWING FICTITIOUS NAMES: 1. ST. FRANCIS HOSPITAL & HEALTH SERVICES (EIN:44-0579850) A. ST. FRANCIS FAMILY HEALTH CARE - EAST B. ST. FRANCIS FAMILY HEALTH CARE - WEST C. ST. FRANCIS FAMILY LIFE SERVICES D. ST. FRANCIS GRANT CITY HEALTH CLINIC E. ST. FRANCIS HARDIN MEDICAL CLINIC F. ST. FRANCIS ORTHOPEDIC & SPORTS MEDICINE CLINIC G. ST. FRANCIS PRESCHOOL & CHILD CARE H. ST. FRANCIS WEST NODAWAY HEALTH CLINIC I. ST. FRANCIS HOSPITAL & HEALTH SERVICES - SAVANNAH CLINIC 2. ST. MARY'S HEALTH CENTER (EIN:44-0546097) A. COMPREHENSIVE WOUND HEALING CENTER AT ST. MARY'S B. ST. MARY'S CANCER SPECIALISTS C. ST. MARY'S HEALTH PSYCHOLOGY D. ST. MARY'S HOLTS SUMMIT PHARMACY E. ST. MARY'S MEDICAL CLINIC - BELLE F. ST. MARY'S MEDICAL CLINIC - HOLTS SUMMIT G. ST. MARY'S MEDICAL CLINIC - LINN H. ST. MARY'S MEDICAL CLINIC - TIPTON I. ST. MARY'S MEDICAL CLINIC - VERSAILLES J. ST. MARY'S MEDICAL PLAZA PHARMACY K. ST. MARY'S OCCUPATIONAL MEDICINE L. ST. MARY'S PEDIATRICS M. ST. MARY'S REHABILITATION N. ST. MARY'S SLEEP CENTER O. ST. MARY'S SPORTS MEDICINE & REHABILITATION CENTER P. ST. MARY'S TIPTON PHARMACY Q. ST. MARY'S URGENT CARE AT THE LAKE R. ST. MARY'S WESTPHALIA PHARMACY S. THE VASCULAR INSTITUTE AT ST. MARY'S T. SSM MID-MISSOURI |
| FORM 990, PART III LINE 4A, DESCRIPTION OF PROGRAM SERVICE: | BRIEFLY DESCRIBE THE CORPORATION'S MISSION: SINCE IT WAS FOUNDED IN 1872 BY CATHOLIC SISTERS, SSM HEALTH CARE (SSMHC) HAS EXISTED TO MEET THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. AS OF NOVEMBER 15, 2013, WITH VATICAN APPROVAL, THE FRANCISCAN SISTERS OF MARY TRANSITIONED SPONSORSHIP OF SSMHC TO SSM HEALTH MINISTRIES. SSM HEALTH MINISTRIES IS AN INDEPENDENT 6-MEMBER BODY COMPRISED OF THREE FRANCISCAN SISTERS OF MARY AND THREE LAY PEOPLE WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMHC. HEADQUARTERED IN ST LOUIS, MISSOURI, SSMHC OWNS AND OPERATES 18 ACUTE CARE HOSPITALS, ONE CHILDREN'S HOSPITAL, TWO LONG-TERM CARE FACILITIES, AN EXTENSIVE NETWORK OF PHYSICIAN PRACTICE OPERATIONS, AND OTHER HEALTH CARE BUSINESSES LOCATED PRIMARILY IN MISSOURI, OKLAHOMA, WISCONSIN, AND ILLINOIS. THE HEALTH SYSTEM EMPLOYS APPROXIMATELY 30,000 PEOPLE AND IS AFFILIATED WITH MORE THAN 8,000 PHYSICIANS. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMHC STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL HEALTH CARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. SSM REGIONAL HEALTH SERVICES INCLUDES ST FRANCIS HOSPITAL AND HEALTH SERVICES IN MARYVILLE, MISSOURI, ST. MARY'S HEALTH CENTER IN JEFFERSON CITY, MISSOURI AND A NETWORK OF PRIMARY CARE MEDICAL CLINICS AND SPECIALTY OFFERINGS SERVING JEFFERSON CITY AND SURROUNDING COMMUNITIES. DESCRIBE THE ORGANIZATION'S APPROACH TO PROVIDING COMMUNITY BENEFIT: A COMMUNITY BENEFIT ACTIVITY IS IDENTIFIED AS A SERVICE RATHER THAN AS A MARKETING TOOL AND MEETS AT LEAST TWO OF THE FOLLOWING CRITERIA: - IT IS FINANCED BY PHILANTHROPIC CONTRIBUTIONS, VOLUNTEER EFFORTS, OR AN ENDOWMENT. - IT PROVIDES A RESPONSE TO A UNIQUE OR PARTICULAR HEALTH PROBLEM IN THE COMMUNITY. - IT GENERATES A LOW OR NEGATIVE MARGIN ON A FULLY ABSORBED COST BASIS. - IT RESPONDS TO THE NEEDS OF SPECIAL POPULATIONS SUCH AS MINORITIES, WOMEN AND CHILDREN, THE FRAIL ELDERLY, LOW INCOME PERSONS WITH DISABILITIES, THE MENTALLY ILL, OR THOSE LIVING WITH CHRONIC ILLNESS. - THE DECISION TO OFFER THE SERVICE OR PROGRAM IS NOT MADE ON A PURELY FINANCIAL BASIS. - IF NOT PROVIDED BY HEALTH CARE ORGANIZATION, THE SERVICE WOULD NO LONGER BE AVAILABLE IN THE COMMUNITY OR WOULD BE THE RESPONSIBILITY OF GOVERNMENT. THE COMMUNITY BENEFIT PLAN DETAILS THE PLANNING, MEASUREMENT AND COMMUNICATION OF ITS COMMUNITY BENEFITS. THE THREE-MAIN ASPECTS OF COMMUNITY BENEFIT BEING THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH DETERMINES THE COMMUNITY NEEDS TO BE ADDRESSED BY THE HOSPITAL, THE COMMUNITY BENEFIT PLAN WHICH DETAILS STEPS TO BE ACCOMPLISHED TO MEET IDENTIFIED NEEDS, AND THE CBISA DATABASE WHICH DOCUMENTS ALL OF THE COMMUNITY BENEFIT ACTIVITIES FOR EACH YEAR. AT THE END OF EACH YEAR, THE CBISA COMMUNITY BENEFIT REPORT IS GIVEN TO MANAGEMENT, ADMINISTRATION AND THE SSMHC BOARD OF DIRECTORS IN ORDER TO EVALUATE AND IMPROVE THE PROGRAM. ST. FRANCIS HOSPITAL AND HEALTH SERVICES - MARYVILLE, MO: ONE OF THE FIRST STEPS FOR IDENTIFYING THE HIGH-PRIORITY HEALTH NEEDS OF OUR COMMUNITY IS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A SUMMARY OF THE ST FRANCIS HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CAN BE FOUND ON PAGES 4 AND 5 OF ITS CHNA. THE TWO STRATEGIC PRIORITIES OF THE ST FRANCIS HOSPITAL COMMUNITY BENEFIT PLAN ARE: MENTAL HEALTH SERVICES FOR YOUTH AND ADOLESCENTS, AND OBESITY. DURING 2013, GOALS AND OBJECTIVES WERE ESTABLISHED TO CHANGE BEHAVIOR, PROVIDE METRICS TO MEASURE CHANGE, AND TO IMPACT THE OVERALL HEALTH OF THOSE WE SERVE. ALL OF THE COMMUNITY BENEFIT ACTIVITIES ARE DESIGNED TO MEET THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH WAS COMPLETED IN OCTOBER 2012. ST. MARY'S HEALTH CENTER - JEFFERSON CITY, MO: ST. MARY'S HEALTH CENTER CO-SPONSORED A 2012 COMMUNITY HEALTH NEEDS ASSESSMENT FOR A FOUR-COUNTY REGION IN CENTRAL MISSOURI THAT INCLUDES COLE, MILLER, MONITEAU AND OSAGE COUNTIES. THE CENTRAL MISSOURI HEALTH ASSESSMENT PARTNERSHIP FORMULATES INITIATIVES WITH MEMBER ORGANIZATIONS, INCLUDING THE COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI (A FEDERALLY QUALIFIED HEALTH CENTER), COLE COUNTY HEALTH DEPARTMENT, THE UNITED WAY OF CENTER MISSOURI, SAMARITAN CENTER OF JEFFERSON CITY, AS WELL AS CAPITAL REGION MEDICAL CENTER. A SUMMARY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CAN BE FOUND ON PAGE 4 OF THE CHNA. THE THREE STRATEGIC PRIORITIES OF THE ST MARY'S HEALTH CENTER COMMUNITY BENEFIT PLAN ARE: DIABETES, CANCER AND HEART DISEASE. DURING 2013, GOALS AND OBJECTIVES WERE ESTABLISHED TO CHANGE BEHAVIOR, PROVIDE METRICS TO MEASURE CHANGE, AND TO IMPACT THE OVERALL HEALTH OF THOSE WE SERVE. ALL OF THE COMMUNITY BENEFIT ACTIVITIES ARE DESIGNED TO MEET THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH WAS COMPLETED IN AUGUST 2012. 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 SSMHC 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 SSMHC, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. SSMHC 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. SSMHC 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. SSMHC EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH WE PARTICIPATE BY ESTABLISHING SOUND BUSINESS PRACTICES. CHARITY CARE IS PROVIDED TO PATIENTS BASED ON A SLIDING SCALE FOR HOUSEHOLD INCOMES UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. PATIENTS WHOSE HOUSEHOLD INCOME IS NO MORE THAN TWO TIMES THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR FREE HOSPITAL SERVICES. IN ADDITION, AN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT IF THEIR BALANCE DUE EXCEEDS 20% OF THEIR GROSS FAMILY INCOME. 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: EACH OF THE HOSPITALS OF SSM REGIONAL HEALTH SERVICES: - OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; - HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA; - HAS A DIVISIONAL BOARD OF DIRECTORS IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY; - ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS; - PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. - SSM REGIONAL HEALTH SERVICES IS COMMITTED TO PROVIDING A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM WHICH INCLUDES THE REINVESTMENT OF SURPLUS FUNDS. A ST. MARY'S HEALTH CENTER REPLACEMENT HOSPITAL IS UNDER CONSTRUCTION AND IS SCHEDULED TO OPEN IN 2014. |
| DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS: | ST. FRANCIS HOSPITAL AND HEALTH SERVICES - MARYVILLE, MO DIABETES EDUCATION: DEB HULL, DIABETES EDUCATOR, CONTINUED HER EFFORTS TO INFORM AND RAISE AWARENESS ABOUT DIABETES. IN 2013, DEB PRESENTED INFORMATION TO OVER 350 SCHOOL AND COMMUNITY MEMBERS ABOUT THE RISK OF DEVELOPING TYPE 2 DIABETES AND HOW IT CAN BE SIGNIFICANTLY REDUCED THROUGH EXERCISE AND MODEST WEIGHT LOSS. PRESENTATIONS INCLUDED INFORMATION ABOUT THE DISEASE, PREVENTION, TREATMENT, SIGNS AND SYMPTOMS AND TIPS ON HANDLING THE DISEASE. IN ADDITION, THE HOSPITAL HOSTED MONTHLY DIABETES SUPPORT GROUP MEETINGS. HEALTH PROFESSIONALS EDUCATION: IN COLLABORATION WITH MISSOURI AREA HEALTH EDUCATION CENTERS AND THE UNIVERSITY OF MISSOURI SCHOOL OF MEDICINE, ST. FRANCIS ACCOMMODATED MEDICAL STUDENTS IN AN OPPORTUNITY TO HELP THEM EXPLORE FIRST-HAND THE PROSPECTS AWAITING THEM IN A RURAL AND OUTREACH POPULATIONS. THE PROGRAM INCLUDED PHYSICIAN INVOLVEMENT TO OVERSEE THE STUDENT LEARNING AS WELL AS HOUSING WITH MAINTENANCE AND HOUSEKEEPING AND INTERNET-BASED EQUIPMENT AND FACILITIES TO CONDUCT CHATS WITH UNIVERSITY INSTRUCTORS ON A REGULAR BASIS. IN COLLABORATION WITH NORTH CENTRAL MISSOURI COLLEGE AND IOWA WESTERN COMMUNITY COLLEGE, ST FRANCIS HOSTED OVER 120 RN AND LPN STUDENTS DURING 2013. THE STUDENTS WERE PROVIDED MENTORING THROUGH A JOB SHADOW PROGRAM WITH HOSPITAL STAFF. IN ADDITION, THE HOSPITAL PROVIDED PROFESSIONAL EDUCATION TO SPECIALTY STUDENTS IN THE AREAS OF DIETICIANS, EMT, SURGERY TECHNICIANS, PHARMACY, SOCIAL WORK AND PHYSICAL THERAPY. COMMUNITY HEALTH SCREENINGS: IN RESPONSE TO THE HIGH DEATH RATE FOR STROKES IN NODAWAY COUNTY (70.7 PER 100,000) COMPARED TO THE STATE AVERAGE (62.6/100,000) PLUS A LOWER THAN AVERAGE HOSPITALIZATION RATE, ST. FRANCIS HOSPITAL AND HEALTH SERVICES DEVELOPED A COMMUNITY HEALTH SCREENINGS INITIATIVE IN COLLABORATION WITH THE NODAWAY COUNTY HEALTH DEPARTMENT, SCHOOLS AND OTHER HEALTH FAIR OR SCREENING PARTNERS. THE INITIATIVE IMPACTS THE HEALTH STATUS OF RESIDENTS AND PATIENTS BY INCREASING THE NUMBER OF COMMUNITY SCREENINGS TO IDENTIFY THE AT-RISK POPULATION FOR STROKE. IN 2013, THE HOSPITAL HELD 14 HEALTH SCREENINGS WITH OVER 725 PARTICIPANTS. HEALTH EDUCATION: TO PROVIDE BETTER HEALTH EDUCATION TO COMMUNITY MEMBERS, HOSPITAL EMPLOYEES PROVIDE CPR TRAINING AT VARIOUS EVENTS AND PROVIDED HEALTH LIFESTYLES FOLLOW-UP SESSIONS. ST. MARY'S HEALTH CENTER - JEFFERSON CITY, MO ST. MARY'S FINANCIAL ASSISTANCE PROGRAM: ST. MARY'S PROVIDED ASSISTANCE TO PATIENTS IN APPLYING FOR MEDICAID AND OTHER SERVICES. SMHC FOUNDATION MEDICATION ASSISTANCE FUND: THIS PROGRAM PROVIDES AID TO THOSE IN NEED BY OFFERING SHORT-TERM MEDICATION ASSISTANCE TO PATIENTS WHO CANNOT AFFORD PRESCRIPTION MEDICINE, AND CANNOT OBTAIN IT IN A TIMELY MANNER FROM ANOTHER AGENCY. THIS PROGRAM SUPPORTS THE POOR, UNINSURED AND IS AVAILABLE TO THE URBAN AND RURAL DEMOGRAPHIC. SPORTS MEDICINE OUTREACH PROGRAM: ST MARY'S HEALTH CENTER PROVIDES ATHLETIC TRAINERS TO SEVERAL AREA HIGH SCHOOL'S SPORTING EVENTS IN CASE OF INJURY. HEALTH PROFESSIONAL EDUCATION: ST MARY'S HEALTH CENTER PROVIDES LOCAL NURSING AND PHARMACY STUDENTS MENTORING OPPORTUNITIES IN VARIOUS CLINICAL DEPARTMENTS OF THE HOSPITAL. EDUCATION: ST MARY'S MISSION EFFECTIVENESS DEPARTMENT PROVIDES MONTHLY EDUCATION SESSIONS TO THE COMMUNITY ON END-OF-LIFE ISSUES. ST MARY'S PROVIDES BASIC LIFE SUPPORT OF ADULT, CHILD AND INFANTS, AND FAMILY AND FRIENDS WHICH IS A COURSE FOR LAYPERSONS TO KNOW WHAT TO DO UNTIL EMERGENCY HELP ARRIVES ON THE SCENE. ST MARY'S WOMEN'S SERVICES DEPARTMENT PROVIDES CHILDBIRTH EDUCATION CLASSES, REFRESHER CLASSES, SUPERSIBLING CLASSES AND BREASTFEEDING EDUCATION CLASSES. TRAINING RESOURCES FOR DISADVANTAGED YOUTH: THIS PROGRAM IS A TRAINING PROGRAM THAT PROVIDES LEARNING CHALLENGED HIGH SCHOOL STUDENTS AN OPPORTUNITY TO BUILD VALUABLE EXPERIENCE AND LIFE SKILLS BY WORKING AT THE HOSPITAL. THE PROGRAM SUPPORTS LEARNING DISADVANTAGED, OFTEN ECONOMICALLY CHALLENGED YOUTH IN OUR COMMUNITY, AS WELL AS SUPPORTS A COMMUNITY PARTNERSHIP WITH THE LOCAL HIGH SCHOOL. LINCOLN UNIVERSITY SCHOOL OF NURSING: ST. MARY'S PARTNERS WITH LINCOLN UNIVERSITY BY DONATING $60,407 TO THE NURSING PROGRAM AS WELL AS PROVIDING A CLINICAL SETTING FOR THE RN STUDENTS TO LEARN. QUANTIFIABLE COMMUNITY BENEFIT THIS SECTION INCLUDES A LIST OF THE TYPES OF PROGRAMS AND SERVICES THAT COULD BE INCLUDED AS COMMUNITY BENEFIT ACTIVITIES. TRADITIONAL CHARITY CARE $ 4,953,249 UNPAID COST OF MEDICARE $16,060,744 UNPAID COST OF MEDICAID $ 1,245,448 COST OF BAD DEBT $ 7,090,602 COMMUNITY BENEFIT PROGRAMS $ 604,859 TOTAL QUANTIFIABLE COMMUNITY BENEFIT $29,954,902 |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE CORPORATE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM REGIONAL HEALTH SERVICES AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE THE DIRECTORS. |
| 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 ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS D. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OF THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER OF THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS AND OBJECTIVES OF THE MEMBER OF THE MEMBER AS DETERMINED BY THE MEMBER OF THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER OF THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. |
| FORM 990, PART VI, SECTION B, LINE 11 | ACCOUNTING/FINANCE PERSONNEL AT EACH SSMHC (SSM HEALTH CARE SYSTEM) ENTITY, IN CONJUNCTION WITH SYSTEM 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 SYSTEM 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 SSMHC INFORMATION. PRIOR TO FINALIZING THE RETURN, A DRAFT IS SENT TO PERSONNEL AT SSMHC FOR REVIEW AND APPROVAL. UPON SSMHC 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 AT THE NEXT REGULARLY SCHEDULED 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 C, LINE 19 | THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENT FOR THE SSM HEALTH CARE SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH CARE'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: | BENEFICIAL INTEREST IN FOUNDATION 1,139,400. TRANSFER TO AFFILIATES 304,774. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (41 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SSM HEALTH CARE CORPORATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 466029223 | HEALTH CARE | MO | 501(C)(3) | LINE 11A, I | FRANCISCAN SISTERS OF MARY | 0 | |
| SSMHC LIABILITY TRUST I | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 436331003 | INSURANCE | MO | 501(C)(3) | LINE 11A, I | SSM HEALTH CARE CORPORATION | 0 | |
| 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 | 0 | |
| SSM POLICY INSTITUTE | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431788151 | HEALTH CARE | MO | 501(C)(4) | SSM HEALTH CARE CORPORATION | 0 | ||
| 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 | 0 | |
| 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 | 0 | |
| 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 | 0 | |
| 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 - VNS FOUNDATION INC | |||||||||||
| 2802 WALTON COMMONS LANE | MADISON | WI | 53718 | 391839309 | FUNDRAISING | WI | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| ST FRANCIS HOSPITAL FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431099253 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM REGIONAL HEALTH SERVICES | Yes (1) | |
| ST MARY'S HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431575307 | FUNDRAISING | MO | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| GOOD SAMARITAN REGIONAL HEALTH CENTER | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 430653587 | HEALTH CARE | IL | 501(C)(3) | LINE 3 | SSM REGIONAL HEALTH SERVICES | Yes (1) | |
| ST MARY'S HOSPITAL CENTRALIA ILLINOIS | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 370662580 | HEALTH CARE | IL | 501(C)(3) | LINE 3 | SSM REGIONAL HEALTH SERVICES | Yes (1) | |
| ST MARY'S - GOOD SAMARITAN INC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 364170833 | HEALTH CARE | IL | 501(C)(3) | LINE 11A, I | SSM REGIONAL HEALTH SERVICES | Yes (1) | |
| GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 262884795 | FUNDRAISING | IL | 501(C)(3) | LINE 7 | ST MARY'S-GOOD SAMARITAN INC | 0 | |
| ST MARY'S HOSPITAL FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 364636691 | FUNDRAISING | IL | 501(C)(3) | LINE 7 | ST MARY'S-GOOD SAMARITAN INC | 0 | |
| ST MARY'S HOSPITAL AUXILIARY | |||||||||||
| 400 N PLEASANT | CENTRALIA | IL | 62801 | 237126345 | FUNDRAISING | IL | 501(C)(3) | LINE 9 | ST MARY'S HOSPITAL FOUNDATION | 0 | |
| SSM HEALTH BUSINESSES | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431333488 | HEALTH CARE | MO | 501(C)(3) | LINE 9 | SSM HEALTH CARE CORPORATION | 0 | |
| SSM HEALTH CARE ST LOUIS | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431343281 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM HEALTH CARE CORPORATION | 0 | |
| CENTRALIA MEDICAL SERVICES BLDG ASSOC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 237408025 | MOB | IL | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| ST MARY'S JANESVILLE FOUNDATION INC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 273439133 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| FRANCISCAN SISTERS OF MARY | |||||||||||
| 3221 MCKELVEY ROAD SUITE 107 | BRIDGETON | MO | 63044 | 431012492 | RELIGIOUS ORGANIZATION | MO | 501(C)(3) | LINE 1 | 0 | N/A | |
| LEE DEWEY CORPORATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 731279603 | MOB | OK | 501(C)(3) | LINE 11A, I | SSM HEALTH CARE OF OKLAHOMA | 0 | |
| SSM HOSPICE & HOME CARE FOUNDATION | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 300012246 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM HEALTH BUSINESSES | 0 | |
| ST MARY'S HOSPITAL AUXILIARY | |||||||||||
| 100 ST MARYS MEDICAL PLAZA | JEFFERSON CITY | MO | 65101 | 436049878 | FUNDRAISING | MO | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| GOOD SAMARITAN HOSPITAL AUXILIARY | |||||||||||
| 1 GOOD SAMARITAN WAY | MOUNT VERNON | IL | 62864 | 237049599 | FUNDRAISING | IL | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| ST ANTHONY SHAWNEE HOSPITAL INC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 455055149 | HEALTH CARE | OK | 501(C)(3) | LINE 3 | SSM HEALTH CARE OF OKLAHOMA | 0 | |
| SSM AUDRAIN HEALTH CARE INC | |||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431550298 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM REGIONAL HEALTH SERVICES | Yes (1) | |
| AUDRAIN MEDICAL CENTER FOUNDATION INC | |||||||||||
| 620 E MONROE ST | MEXICO | MO | 65265 | 431265060 | FUNDRAISING | MO | 501(C)(3) | LINE 11A, I | SSM AUDRAIN HEALTH CARE INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SSM ST JOSEPH ENDOSCOPY CENTER LLC | ||||||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 270046559 | SURGERY SERVICES | MO | N/A | |||||||
| ST CLARE IMAGING SERVICES | ||||||||||||||
| 707 14TH STREET SUITE A | BARABOO | WI | 53913 | 200122365 | DIAG. SERVICES | WI | N/A | |||||||
| MT VERNON RADIATION THERAPY CENTER LLC | ||||||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 201382620 | RADIATION THERAPY | IL | N/A | |||||||
| SLEEP & NEUROLOGY CENTER CENTER OF S ILLINOIS LLC | ||||||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 208468195 | DIAG. SERVICES | IL | N/A | |||||||
| SMHC SURGICAL CO-MGMT COMPANY LLC | ||||||||||||||
| 100 ST MARYS MEDICAL PLAZA | JEFFERSON CITY | MO | 65101 | 208929305 | MANAGEMENT | MO | SSM REGIONAL HEALTH SERVICES | RELATED | $58,926 | $145,881 | 0 | 0 | 0.50000 | |
| SMHC CARDIOVASCULAR CO-MGMT COMPANY LLC | ||||||||||||||
| 100 ST MARYS MEDICAL PLAZA | JEFFERSON CITY | MO | 65101 | 208929381 | MANAGEMENT | MO | SSM REGIONAL HEALTH SERVICES | RELATED | $71,557 | $97,799 | 0 | 0 | 0.50000 | |
| SMHC MUSCULOSKELETAL CO-MGMT COMPANY LLC | ||||||||||||||
| 100 ST MARYS MEDICAL PLAZA | JEFFERSON CITY | MO | 65101 | 208929237 | MANAGEMENT | MO | SSM REGIONAL HEALTH SERVICES | RELATED | $188,756 | $88,618 | 0 | 0 | 0.50000 | |
| CHOWSMGSI OFFICE BUILDING LLC | ||||||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 371383861 | MOB | IL | N/A | |||||||
| CENTER FOR COMPREHENSIVE CANCER CARE LLC | ||||||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 201382727 | MOB | IL | N/A | |||||||
| SHAWNEE REAL ESTATE HOLDINGS LLC | ||||||||||||||
| 1000 N LEE AVE | OKLAHOMA CITY | OK | 73102 | 455458304 | MOB | OK | N/A | |||||||
| SSM RX EXPRESS LLC | ||||||||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 264031708 | PHARMACY | MO | N/A | |||||||
| DEAN CLINIC & ST MARY'S HOSPITAL ACCOUNTABLE CARE ORGANIZATION LLC | ||||||||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 452995500 | ACCOUNTABLE CARE ORGANIZATION | WI | N/A | |||||||
| WISCONSIN INTEGRATED INFORMATION TECHNOLOGY AND TELEMEDICINE SYSTEMS LLC | ||||||||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 392016715 | INFORMATION TECHNOLOGY SERVICES | WI | N/A | |||||||
| DEAN HEALTH HOLDINGS LLC | ||||||||||||||
| 1277 DEMING WAY | MADISON | WI | 53717 | 261594709 | SUPPORT SERVICES | WI | N/A | |||||||
| WINGRA BUILDING GROUP | ||||||||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 390237060 | MOB | WI | N/A | |||||||
| JANESVILLE RIVERVIEW CLINIC BUILDING PARTNERSHIP | ||||||||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 396220698 | MOB | WI | N/A | |||||||
| NAVITUS HEALTH SOLUTIONS LLC | ||||||||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 043608530 | PHARMACY BENEFITS | WI | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (24 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| SSM MANAGED CARE ORGANIZATION LLC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431708511 | HEALTH PROMOTION | MO | N/A | C | 0 |
| FPP INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431465174 | HEALTH CARE | MO | N/A | C | 0 |
| DIVERSIFIED HEALTH SERVICES CORP | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431369305 | MEDICAL EQUIPMENT | MO | N/A | C | 0 |
| SSM CARDIO AND THORACIC SERVICES INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 260286559 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| SSM PROPERTIES INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431462486 | PROPERTY SERVICES | MO | N/A | C | 0 |
| SSM DEPAUL MEDICAL GROUP INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431715106 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| SSM ST CHARLES CLINIC MED GROUP INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 430626408 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| HEALTH FIRST PHYS MANAGEMENT SERVICES INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 731534336 | MEDICAL SERVICES | OK | N/A | C | 0 |
| SSMHCS LIABILITY TRUST II | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 816128118 | INSURANCE | MO | N/A | C | 0 |
| SSM NEUROSCIENCES INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 263413981 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| SSM MEDICAL GROUP INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 431664107 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| SSMHC INSURANCE COMPANY | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 030310431 | INSURANCE | CA | N/A | C | 0 |
| SSM ORTHOPEDIC INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 271557033 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| SSM CANCER CARE INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 271557324 | PHYSICIAN OFFICES | MO | N/A | C | 0 |
| PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS INC | |||||||||
| 10101 WOODFIELD LANE | ST LOUIS | MO | 63132 | 364161526 | PHYSICIAN OFFICES | IL | N/A | C | 0 |
| DEAN HEALTH SYSTEMS INC | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 391128616 | PHYSICIAN OFFICES | WI | N/A | C | 0 |
| DEAN HEALTH INSURANCE INC | |||||||||
| PO BOX 56099 | MADISON | WI | 53705 | 391830837 | INSURANCE | WI | N/A | C | 0 |
| DEAN HEALTH PLAN INC | |||||||||
| PO BOX 56099 | MADISON | WI | 53705 | 391535024 | INSURANCE | WI | N/A | C | 0 |
| ST MARY'S DEAN VENTURES INC | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 391628491 | PHYSICIAN OFFICES | WI | N/A | C | 0 |
| DEAN RETAIL SERVICES INC | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 391717636 | PROPERTY MANAGEMENT | WI | N/A | C | 0 |
| TEN TWENTY FIVE REGENT STREET | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 391089309 | MOB | WI | N/A | C | 0 |
| DEAN SOLUTIONS INC | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 391876092 | MANAGEMENT | WI | N/A | C | 0 |
| DEANCARE INSURANCE AGENCY INC | |||||||||
| PO BOX 56099 | MADISON | WI | 53705 | 391637828 | INSURANCE | WI | N/A | C | 0 |
| NAVITUS HOLDINGS LLC | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 800968174 | PHARMACY BENEFITS | WI | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST FRANCIS HOSPITAL FOUNDATION | ||
| C | $109,043 | CASH TRANSFER |
| ST MARY'S HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION | ||
| C | $1,872,710 | CASH TRANSFER |