SSM CARDINAL GLENNON CHILDRENS HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SSM CARDINAL GLENNON CHILDRENS HOSPITAL (EIN 43-0738490)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-15
IRS object ID: 201303229349300315
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-15T09:43:36-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	430738490	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SSM CARDINAL GLENNON CHILDREN'S HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SSMC	NameControl
Phone	3149893610	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	477 N LINDBERGH BOULEVARD	AddressLine1
City	STLOUIS	City
State	MO	State
ZIP Code	63141	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JUNE L PICKETT	Name
Title	SECRETARY	Title
Phone	3149893610	Phone
Date Signed	2013-11-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	BROOKE KITCHEN	Name
PTIN	P00849302	PTIN
Phone	7139822000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WILLIAM P THOMPSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	477 N LINDBERGH BLVD	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63141	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	314873316	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.SSMHC.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1984	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	A NOT-FOR-PROFIT 190-BED INPATIENT AND OUPATIENT MEDICAL CENTER IN ST. LOUIS, MISSOURI.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	2116	TotalNbrEmployees
Total Nbr Volunteers	266	TotalNbrVolunteers
Total Gross UBI	628075	TotalGrossUBI
Net Unrelated Business Txbl Income	85916	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	9242948	ContributionsGrantsPriorYear
Contributions Grants Current Year	12173938	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	272174021	ProgramServiceRevenuePriorYear
Program Service Revenue CY	293072050	ProgramServiceRevenueCY
Investment Income Prior Year	1331106	InvestmentIncomePriorYear
Investment Income Current Year	1274866	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6041665	OtherRevenuePriorYear
Other Revenue Current Year	8060827	OtherRevenueCurrentYear
Total Revenue Prior Year	288789740	TotalRevenuePriorYear
Total Revenue Current Year	314581681	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	135642	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	150716	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	125813584	SalariesEtcPriorYear
Salaries Etc Current Year	122296883	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	147972477	OtherExpensePriorYear
Other Expenses Current Year	159723225	OtherExpensesCurrentYear
Total Expenses Prior Year	273921703	TotalExpensesPriorYear
Total Expenses Current Year	282170824	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	14868037	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	32410857	RevenuesLessExpensesCY
Total Assets BOY	273967838	TotalAssetsBOY
Total Assets EOY	306029574	TotalAssetsEOY
Total Liabilities BOY	83445354	TotalLiabilitiesBOY
Total Liabilities EOY	75328505	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	190522484	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	230701069	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	265593476	Expense
Grants	150716	Grants
Revenue	299855689	Revenue
Description	PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.	Description
Total Program Service Expense	265593476	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	2116	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	KELLY THOMPSON	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3149893610	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1195 CORPORATE LAKE	AddressLine1
City	STLOUIS	City
State	MO	State
ZIP Code	63132	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Average Hours Per Week RelatedAverageHoursPerWeekRelated	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
SHEILA BADER
DIRECTOR	1.00	X	0	0	0
DANIEL BAUMANN MD
DIRECTOR	1.00	X	0	234859	24797	40.00
DONALD E BINZ II MD
DIRECTOR	1.00	X	0	412893	33197	40.00
JAN CERNI
DIRECTOR	1.00	X	0	0	0
DAVID G COSBY
PART YEAR DIRECTOR	1.00	X	0	0	0
MARY T MCLENNAN
DIRECTOR	1.00	X	0	0	0
BRENDA D NEWBERRY
PART YEAR DIRECTOR	1.00	X	0	0	0
RUDOLPH W NICKENS JR
PART YEAR DIRECTOR	0.00	X	0	0	0
TIKA NAZARETH DMD
DIRECTOR	0.00	X	0	0	0
JAMES A SANDFORT EDD
PART YEAR DIRECTOR	0.00	X	0	0	0
JOHN OLDANI
PART YEAR DIRECTOR	1.00	X	0	0	0
BARBARA TURKINGTON
PART YEAR DIRECTOR	1.00	X	0	0	0
KARL WILSON PHD
DIRECTOR	1.00	X	0	0	0
SR MARY JEAN RYAN
DIRECTOR & CHAIRPERSON	1.00	X	0	0	0		X
WILLIAM P THOMPSON
DIRECTOR AND VICE PRES	1.00	X	0	2161601	1088396	40.00	X
CHRISTOPHER HOWARD
DIRECTOR AND PRESIDENT	1.00	X	0	873195	368042	40.00	X
STEVEN BARNEY
VICE PRESIDENT	1.00		0	779380	231364	40.00	X
KRIS A ZIMMER
TREASURER	1.00		0	837428	257469	40.00	X
JUNE L PICKETT
SECRETARY	1.00		0	240525	353818	40.00	X
JUDY GARTLAND
ASST SECRETARY	1.00		0	66780	40845	40.00	X
SHERLYN HAILSTONE
HOSPITAL PRESIDENT	0.00		0	640496	181620	40.00	X
KAREN REWARDS
CFO	10.00		0	570276	264694	30.00	X
KEVIN TODD JOHNSON
REG VP MEDICAL AFFAIRS	10.00		0	592236	185907	30.00		X
LEANN ZERKEL
VP PATIENT CARE	40.00		197944	0	24851	0.00		X
DEBORAH G WALKENHORST
REG VP HUMAN RES	10.00		0	379504	123389	30.00		X
DAMON HARBISON
VP OF OPERATIONS	40.00		183337	0	40158	0.00		X
ROBERT PORTER
PRESIDENT, PROGRAM SERVICE	0.00		0	555984	245011	40.00		X
LORRAINE MAE YEHLEN
VP PATIENT CARE	0.00		0	195098	119079	40.00		X
CASIMIR FIRLIT MD
PHYSICIAN	40.00		425921	0	30835	0.00			X
PUSHPA PATEL MD
PHYSICIAN	40.00		341921	0	166616	0.00			X
PATHMA RAMESVARA MD
PHYSICIAN	40.00		326367	0	468003	0.00			X
TIMOTHY REED MD
PHYSICIAN	40.00		284805	0	94463	0.00			X
MAX BURGDORF MD
PHYSICIAN	40.00		264241	0	27380	0.00			X
LYNN LENKER
FORMER KEY EMPLOYEE	0.00		0	384911	179067	40.00				X
WILLIAM SCHOENHARD
FORMER OFFICER	0.00		0	274197	676363	0.00				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2024536	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	9199363	TotalReportableCompFrmRltdOrgs
Total Other Compensation	5225364	TotalOtherCompensation
Number Individuals GT100 K	92	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ST LOUIS UNIVERSITY
1402 S GRAND BLVD	ST LOUIS	MO	63104	PHYSICIAN SERVICES	31872933
ALBERICI CONSTRUCTORS INC
8800 PAGE AVE	ST LOUIS	MO	631146106	CONSTRUCTION SERVICES	4081259
ASSOC REGIONAL & UNIVERSITY PATHOLOGIST
500 CHIPETA WAY	SALT LAKE CITY	UT	84108	LABORATORY SERVICES	858811
CHRISTNER INC
7711 BONHOMME STE 100	ST LOUIS	MO	63105	CONSTRUCTION SERVICES	424518
MID-AMERICA TRANSPLANT SERVICES
1110 HIGHLAND PLAZA DR EAST SUITE 1	ST LOUIS	MO	63110	PHYSICIAN SERVICES	395224

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	38	NumberOfContractorsGT100K
Related Organizations	9610539	RelatedOrganizations
Government Grants	1746385	GovernmentGrants
All Other Contributions	817014	AllOtherContributions
Noncash Contributions	1568	NoncashContributions
Total Contributions	12173938	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REV.	621110	283517798	283517798
OTHER REVENUE	621110	8505648	8505648
LABORATORY REVENUE	621500	1048604	420529	628075

Field	Value	IRS element (for citing)
Total Program Service Revenue	293072050	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	456941	TotalRevenueColumn
Exclusion	$456,941	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	500762	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	500762	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	500762	TotalRevenueColumn
Exclusion	$500,762	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	790251	Securities
Other	27674	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	790251	Securities
Other	27674	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	817925	TotalRevenueColumn
Exclusion	$817,925	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	439986	GrossSalesOfInventory
Cost Of Goods Sold	291635	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	148351	TotalRevenueColumn
Exclusion	$148,351	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACY REVENUE	446110	2808413	2808413
PAYROLL TAX REFUND	541200	2800000	2800000
CAFETERIA	722210	1745360	1745360

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	57941	TotalRevenueColumn
Related Or Exempt Function Income	57941	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	7411714	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	314581681	TotalRevenueColumn
Related Or Exempt Function Income	299855689	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	628075	UnrelatedBusinessRevenue
Exclusion	$1,923,979	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	73530	Total
Program Services	73530	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	77186	Total
Program Services	77186	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1931009	Total
Program Services	620792	ProgramServices
Management And General	1310217	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	92429630	Total
Program Services	83875605	ProgramServices
Management And General	8554025	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8032312	Total
Program Services	7258425	ProgramServices
Management And General	773887	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13456083	Total
Program Services	12060472	ProgramServices
Management And General	1395611	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6447849	Total
Program Services	5778960	ProgramServices
Management And General	668889	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	4105333	Total
Program Services	1630141	ProgramServices
Management And General	2475192	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	654015	Total
Management And General	654015	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	19511	Total
Management And General	19511	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	54149642	Total
Program Services	53455500	ProgramServices
Management And General	694142	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	200905	Total
Program Services	179356	ProgramServices
Management And General	21549	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	9798668	Total
Program Services	9143319	ProgramServices
Management And General	655349	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	12499982	Total
Program Services	12491150	ProgramServices
Management And General	8832	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5944569	Total
Program Services	5458780	ProgramServices
Management And General	485789	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	310503	Total
Program Services	223906	ProgramServices
Management And General	86597	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	117268	Total
Program Services	93546	ProgramServices
Management And General	23722	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1048144	Total
Program Services	1048144	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	10482612	Total
Program Services	10007315	ProgramServices
Management And General	475297	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	-2035665	Total
Management And General	-2035665	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	36399735	36399735	0
MEDICARE PROVIDER TAX	25605306	25605306	0
BOND RELATED FEES	231020	0	231020
LICENSES	185366	107268	78098

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	6311	Total
Program Services	5040	ProgramServices
Management And General	1271	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	282170824	Total
Program Services	265593476	ProgramServices
Management And General	16577348	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1834871	BOY
EOY	13102322	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	49822741	BOY
EOY	69498615	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1265423	BOY
EOY	6335549	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3690054	BOY
EOY	4036518	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1822467	BOY
EOY	1560171	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	293352024	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	157991120	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	133963553	BOY
EOY	135360904	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	6817069	BOY
EOY	7287499	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	69642650	BOY
EOY	62292751	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5109010	BOY
EOY	6555245	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	273967838	BOY
EOY	306029574	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	26501072	BOY
EOY	29087151	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	56944282	BOY
EOY	46241354	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	83445354	BOY
EOY	75328505	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	167913674	BOY
EOY	204426882	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9731317	BOY
EOY	12749462	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12877493	BOY
EOY	13524725	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	190522484	BOY
EOY	230701069	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	273967838	BOY
EOY	306029574	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	32410857	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	888460	ReconciliationUnrealizedInvest
Reconcilation Other Changes	6879268	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$24,600	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$8,041	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$24,722	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	57363	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	24155350	BeginningOfYearBalance
Contributions	749317	Contributions
Investment Earnings Or Losses	2464561	InvestmentEarningsOrLosses
Other Expenditures	162236	OtherExpenditures
End Of Year Balance	27206992	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	22120818	BeginningOfYearBalance
Contributions	2090571	Contributions
Investment Earnings Or Losses	367264	InvestmentEarningsOrLosses
Other Expenditures	423303	OtherExpenditures
End Of Year Balance	24155350	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	16356158	BeginningOfYearBalance
Contributions	4405000	Contributions
Investment Earnings Or Losses	1525610	InvestmentEarningsOrLosses
Other Expenditures	165950	OtherExpenditures
End Of Year Balance	22120818	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9170500	BeginningOfYearBalance
Contributions	6152781	Contributions
Investment Earnings Or Losses	1092877	InvestmentEarningsOrLosses
Other Expenditures	60000	OtherExpenditures
End Of Year Balance	16356158	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	8766403	BeginningOfYearBalance
Contributions	2075439	Contributions
Investment Earnings Or Losses	-1590345	InvestmentEarningsOrLosses
Other Expenditures	80997	OtherExpenditures
End Of Year Balance	9170500	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.25000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.50000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.25000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7590658	OtherCostOrOtherBasis
Book Value	7590658	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	212196969	OtherCostOrOtherBasis
Depreciation	104115873	Depreciation
Book Value	108081096	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	68858499	OtherCostOrOtherBasis
Depreciation	53875247	Depreciation
Book Value	14983252	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4705898	OtherCostOrOtherBasis
Book Value	4705898	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	135360904	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
BENEFICIAL INTEREST IN FOUNDATION	59607853	F
SSM COMPREHENSIVE INVESTMENT PROGRAM	2684898	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	62292751	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
RABBI TRUST LIABILITY	$302,990
PENSION FUNDING LIABILITY	$14,210,590
ASSET RETIREMENT OBLIGATION	$2,548,116
ALLOCATED TAX EXEMPT BOND LIAB (ISSUED THROUGH SSM HEALTH CARE)	$27,172,074
DUE TO AFFILIATES	$2,007,584

Field	Value	IRS element (for citing)
Total Of Amounts	46241354	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	TO SUPPORT THE PEDIATRIC MEDICAL SERVICES PROVIDED BY CARDINAL GLENNON CHILDREN'S HOSPITAL.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	SSM CARDINAL GLENNON CHILDREN'S HOSPITAL'S 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 RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2012 OR 2011.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1370223	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1370223	NetCommunityBenefitExpense
Percent Of Total Expense	0.00490	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	152536089	TotalCommunityBenefitExpense
Direct Offsetting Revenue	159362438	DirectOffsettingRevenue
Net Community Benefit Expense	-6826349	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	153906312	TotalCommunityBenefitExpense
Direct Offsetting Revenue	159362438	DirectOffsettingRevenue
Net Community Benefit Expense	-5456126	NetCommunityBenefitExpense
Percent Of Total Expense	0.00490	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1324864	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1324864	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24455791	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10824531	DirectOffsettingRevenue
Net Community Benefit Expense	13631260	NetCommunityBenefitExpense
Percent Of Total Expense	0.04830	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16533585	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	16533585	NetCommunityBenefitExpense
Percent Of Total Expense	0.05860	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	719621	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	719621	NetCommunityBenefitExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	231330	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	231330	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	43265191	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10824531	DirectOffsettingRevenue
Net Community Benefit Expense	32440660	NetCommunityBenefitExpense
Percent Of Total Expense	0.11500	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	197171503	TotalCommunityBenefitExpense
Direct Offsetting Revenue	170186969	DirectOffsettingRevenue
Net Community Benefit Expense	26984534	NetCommunityBenefitExpense
Percent Of Total Expense	0.11990	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	5565	TotalCommunityBuildingExpense
Net Community Building Expense	5565	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	5565	TotalCommunityBuildingExpense
Net Community Building Expense	5565	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,551,357	BadDebtExpenseAmount
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CARDINAL GLENNON CHILDREN'S MEDICAL CTR	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1465 S GRAND BLVD	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63104	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CARDINAL GLENNON CHILDREN'S MEDICAL CTR	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	22	NumberOfOtherFacilities

Other Facilities OtherFacilities (22 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
SSM CARDINAL GLENNON PEDIATRICS - TROY
164 PROFESSIONAL PARKWAY	TROY	MO	63379	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON SPECIALTY SERVICES - SA
12700 SOUTHFORK ROAD SUITE 155	ST LOUIS	MO	63128	OUTPATIENT PEDIATRIC CLINIC
SSM CARDINAL GLENNON ER - DEPAUL HEALTH
12303 DEPAUL DRIVE SUITE 300	BRIDGETON	MO	63044	OUTPATIENT PEDIATRIC CLINIC
SSM CARDINAL GLENNON PEDIATRICS - WARREN
511 ASHLAND SUITE A	WARRENTON	MO	63383	OUTPATIENT PEDIATRIC CLINIC
SSM CARDINAL GLENNON PEDIATRICS - DEPAUL
12255 DEPAUL DRIVE STE 300	BRIDGETON	MO	63044	OUTPATIENT PEDIATRIC CLINIC
SSM CARDINAL GLENNON ER - ST JOSEPH HOSP
100 MEDICAL PLAZA	LAKE ST LOUIS	MO	63367	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON ER - ST ANTHONY'S MEDIC
MEDICAL PLAZA BUILDING 10010	ST LOUIS	MO	63128	OUTPATIENT PEDIATRIC CLINIC	KENNERLY RD
SSM CARDINAL GLENNON ER - ST CLARE HEALT
1015 BOWLES AVENUE	FENTON	MO	63026	OUTPATIENT PEDIATRIC CLINIC
SSM CARDINAL GLENNON ER - ST JOSEPH HEAL
300 FIRST CAPITAL DRIVE	ST CHARLES	MO	63301	OUTPATIENT PEDIATRIC CLINIC
SSM CARDINAL GLENNON PEDIATRICS ST JOSEP
400 MEDICAL PLAZA SUITE 220	LAKE ST LOUIS	MO	63367	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON SPECIALTY SERVICES - AN
2133 VADALABENE DRIVE	MARYVILLE	IL	62062	OUTPATIENT PEDIATRIC CLINIC
SSM CARDINAL GLENNON SPECIALTY SERVICES
224 SOUTH WOODS MILL RD	CHESTERFIELD	MO	63017	OUTPATIENT PEDIATRIC CLINIC
CARDINAL GLENNON ER - ANDERSON HOSPITAL
6800 STATE ROUTE 162	MARYVILLE	IL	62062	OUTPATIENT PEDIATRIC CLINIC
SSM CARDINAL GLENNON SPECIALTY SERVICES
1849 BROADWAY	CAPE GIRARDEAU	MO	63701	OUTPATIENT PEDIATRIC CLINIC
SSM ST MARY'S PEDIATRICS
3348 AMERICAN DRIVE	JEFFERSON CITY	MO	65109	OUTPATIENT PEDIATRIC CLINIC
SSM CARDINAL GLENNON SPECIALTY SERVICES
2900 FRANK SCOTT PARKWAY WEST	BELLEVILLE	IL	62223	OUTPATIENT PEDIATRIC CLINIC
SSM CARDINAL GLENNON SPECIALTY SERVICES
6000 BOND AVENUE	CENTREVILLE	IL	62207	OUTPATIENT PEDIATRIC CLINIC
SSM CARDINAL GENNON SPECIALTY SERVICES -
3 GOOD SAMARITAN WAY	MT VERNON	IL	62864	OUTPATIENT PEDIATRIC CLINIC
SSM CARDINAL GLENNON SPECIALTY SERVICES
1 DOCTORS PARK ROAD SUITE F	MT VERNON	IL	62864	OUTPATIENT CLINIC
SSM CARDINAL GLENNON SPECIALTY SERVICES
415 HEALTH DEPARTMENT ROAD	MURPHYSBORO	IL	62966	OUTPATIENT CLINIC
SSM CARDINAL GLENNON SPECIALTY SERVICES
416 WEST EDWARDS STREET	VANDALIA	IL	62471	OUTPATIENT CLINIC
SSM CARDINAL GLENNON SPECIALTY SERVICES
101 EAST EDWARDSVILLE ROAD	WOOD RIVER	IL	62095	OUTPATIENT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (5 entries)

ExplanationExplanation
PART I, QUESTION 3B:SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 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 TIMES 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%PART I, QUESTION 3C:AN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT'S BALANCE DUE IF THE AMOUNT IS TOO LARGE TO BE REASONABLY PAID THROUGH AN INSTALLMENT PLAN OVER FOUR YEARS GIVEN THE FAMILY INCOME AND EXPENSES. TO FURTHER STREAMLINE AND AUTOMATE THE FINANCIAL ASSISTANCE PROCESS, SSM CARDINAL GLENNON CHILDREN'S HOSPITAL WILL AUTOMATICALLY CONSIDER 100% OF THE PATIENT ACCOUNT AS CHARITY IF THE COMMERCIAL SOFTWARE SYSTEM (SEARCHAMERICA) INDICATES THAT THE PATIENT IS LIVING AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL). THIS PROCESS IS CALLED "PRESUMPTIVE ELIGIBILITY".PART I, QUESTION 6A:SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 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. SSM HEALTH CARE'S 2012 ANNUAL COMMUNITY BENEFIT REPORT FOR THE SYSTEM CAN BE FOUND AT WWW.SSMHC.COM.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 COST 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 COST ARE BASED ON CHARGES AT DATE/TIME OF SERVICE. THE UNREIMBURSED COST OF MEDICAID IS NEGATIVE DUE TO THE FACT THAT FEDERAL REIMBURSEMENT ALLOWANCE (FRA) RECEIPTS ARE INCLUDED IN THE CALCULATION. THROUGH THE FRA PROGRAM, MISSOURI'S MEDICAID PROGRAM USES FUNDS THAT HAVE BEEN ASSESSED FROM HOSPITALS TO EARN MATCHING FEDERAL DOLLARS, ALLOWING MISSOURI'S GENERAL REVENUE FUNDS TO BE USED FOR OTHER STATE PRIORITIES. THESE FUNDS ARE PROVIDED AS REIMBURSEMENT TO HOSPITALS FOR THE COST OF TREATING THE UNINSURED, MEDICAID RECIPIENTS AND PROVIDING GRADUATE MEDICAL EDUCATION. THE PROGRAM ENABLES OUR HOSPITAL TO PROVIDE SAFETY NET SERVICES FOR THE POOR AND UNINSURED OF THE COMMUNITY.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.RESEARCH COSTING METHODOLOGY: RESEARCH EXPENSES WERE TAKEN FROM THE INCOME AND EXPENSE STATEMENT FOR THE RESEARCH DEPARTMENTS, DERIVED FROM THE ACCOUNTING SYSTEM.CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS COSTING METHODOLOGY: CONTRIBUTION EXPENDITURES ARE BASED ON ACTUAL INVOICES THAT WERE CAPTURED AND REPORTED FOR THIS PROGRAM.SSM CARDINAL GLENNON CHILDREN'S HOSPITAL HAD BAD DEBT EXPENSE IN THE AMOUNT OF $2,849,000 REPORTED ON PART IX LINE 24 OF THE FORM 990; HOWEVER IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS PART I, LINE 7, COLUMN F.PART II, COMMUNITY BUILDING ACTIVITIESSSM CARDINAL GLENNON CHILDREN'S HOSPITAL PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING:COMMUNITY BUILDING - COMMUNITY HEALTH IMPROVEMENT ADVOCACY - THE PRESIDENT OF SSM CARDINAL GLENNON CHILDREN'S HOSPITAL ALONG WITH SENIOR STAFF MEMBERS HAVE PROVIDED HOSPITAL TOURS TO VARIOUS MEMBERS OF THE COMMUNITY ALONG WITH MEETING WITH LEGISLATORS TO DISCUSS HEALTH CARE PUBLIC POLICY. THE HOSPITAL HAS ALSO PROVIDED LUNCHEON PRESENTATIONS EDUCATING STAKEHOLDERS ON THE ST LOUIS CORD BLOOD BANK DONATIONS AND TRANSPLANTATION SERVICES.PART III, SECTION A, LINE 4:THE ORGANIZATION IS PART OF THE SSM HEALTH CARE CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE DECEMBER 31, 2012 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. THE 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, 2012 WAS $4,896,961 AT CHARGES AND $1,551,357 AT COST.SSM CARDINAL GLENNON CHILDREN'S HOSPITAL DID NOT MAKE AN ESTIMATE OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART III, SECTION B, LINE 8 - N/APART III, SECTION C, LINE 9B:SSM CARDINAL GLENNON CHILDREN'S HOSPITAL HAS ESTABLISHED WRITTEN CREDIT AND COLLECTION POLICY AND PROCEDURES. THE BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSM CARDINAL GLENNON CHILDREN'S HOSPITAL, 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 FAIR 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 CARDINAL GLENNON CHILDREN'S HOSPITAL'S COLLECTION AND CHARITY POLICIES.PART VI, 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 MEASURABLE "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 WITH THE FINANCIAL LIMITS OF THE SYSTEM.EACH SSM HEALTH CARE HOSPITAL WILL CONDUCT A SEPARATE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ONCE EVERY THREE YEARS. TO SUPPORT THE COMPLETION OF A CHNA IN ACCORDANCE WITH ESTABLISHED GUIDELINES, A SIX-STEP PROCESS WAS DEVELOPED. THE PROCESS DEFINES AN APPROACH THAT CAN BE USED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES SERVED BY SSM HEALTH CARE AND DEVELOP STRATEGIES FOR MEETING THOSE NEEDS. THE PROCESS INCLUDES:- DEVELOP A PLAN TO ADDRESS HEALTH REFORM MANDATES TO INCLUDE DEFINING HOW THE ASSESSMENT AND BY WHOM THE ASSESSMENT WILL BE COMPLETED; IDENTIFYING THE STAKEHOLDERS INVOLVED; AND THE TIME FRAME FOR COMPLETION- PERFORM DATA COLLECTION INCLUDING IDENTIFYING THE GEOGRAPHIC AREA SERVED, ACCESSING SECONDARY DATA SOURCES AND COORDINATING INTERVIEWS, SURVEY AND/OR FOCUS GROUPS FOR PRIMARY DATA COLLECTION- PERFORM DATA ANALYSIS BY EVALUATING QUANTITATIVE AND QUALITATIVE DATE TO IDENTIFY AND PRIORITIZE HEALTH NEEDS AND OPPORTUNITIES- CREATE A PLAN WITH GOALS, STRATEGIES, ACTIONS, DUE DATES, AND RESOURCE REQUIREMENTS WHICH INCLUDES INPUT FROM CONSTITUENTS- OBTAIN APPROVAL FROM SYSTEM MANAGEMENT (ADOPTED IN 2012) AND INCORPORATE THE CHNA INITIATIVES INTO THE STRATEGIC PLAN TO INCLUDE APPOINTING RESPONSIBILITY FOR IMPLEMENTING THE PLAN AND ASSIGNING A STEERING COMMITTEE TO MONITOR PROGRESS AS APPROPRIATE- COORDINATE COMMUNICATION TO THE PUBLIC, BOARDS, STAFF AND OTHER STAKEHOLDERS PROGRESS IN ADDRESSING TOP PRIORITIES IMPACTING COMMUNITY HEALTHUTILIZING THIS PLAN, SSM CARDINAL GLENNON CHILDREN'S HOSPITAL HAS COMPLETED ITS CHNA IN 2012 AND IT WAS ADOPTED AS PART OF OUR STRATEGIC PLAN.SSM CARDINAL GLENNON CHILDREN'S HOSPITAL TAKES AN ACTIVE ROLE IN PARTICIPATING IN COMMUNITY ORGANIZATIONS AND TASK FORCES WHICH ARE FOCUSED ON STRENGTHENING THE COMMUNITY (I.E. SAFE KIDS, MISSOURI POISON CENTER, THE ST LOUIS CORD BLOOD BANK, AND REACH OUT AND READ). WE PARTICIPATE IN HEALTHY COMMUNITY INITIATIVES SPECIFIC TO THE INDIVIDUAL MARKET AREAS THAT WE SERVE.OUR PEDIATRIC SERVICE LINE AND CLINICAL DEPARTMENTS ALSO CONDUCT ASSESSMENTS TO FOCUS ON SPECIFIC COMMUNITY HEALTH NEEDS. EXAMPLES INCLUDE: SCHOOL PARTNERSHIP PROGRAM, PERINATAL OUTREACH SERVICES AND ASTHMA EDUCATION INITIATIVES.SSM CARDINAL GLENNON CHILDREN'S HOSPITAL USES DEMOGRAPHIC, UTILIZATION AND TECHNOLOGY TRENDS GENERATED BY THE HEALTH CARE ADVISORY BOARD AND SG2 TO SIZE THE MARKET FOR BOTH INPATIENT AND OUTPATIENT HEALTH CARE NEEDS FOR THE IMMEDIATE AND LONG-TERM. WE USE THIS INFORMATION TO ADJUST CAPACITY TO MEET FUTURE DEMAND FOR HEALTH CARE SERVICES.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 IS TOO LARGE TO BE REASONABLY PAID THROUGH AN INSTALLMENT PLAN OVER FOUR YEARS GIVEN THE FAMILY INCOME AND EXPENSES.EACH ENTITY PROVIDING MEDICAL SERVICE SHALL PROVIDE INFORMATION TO THE PUBLIC REGARDING ITS CHARITY CARE POLICIES AND THE QUALIFICATION REQUIREMENTS FOR EACH OF ITS FACILITIES. WHEN STANDARD SYSTEM NOTICES AND COMMUNICATION REGARDING CHARITY CARE ARE AVAILABLE, THESE MUST BE USED. MODIFICATIONS TO THE STANDARD MAY BE MADE TO COMPLY WITH STATE AND LOCAL LAWS, AS WELL AS REFLECT CULTURALLY SENSITIVE TERMINOLOGY FOR THE POLICY. ALL NOTICES ARE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY.THEY PROVIDE INFORMATION ABOUT:- THE PATIENT'S RESPONSIBILITY FOR PAYMENT,- THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND ENTITY CHARITY CARE AND PAYMENT ARRANGEMENTS,- THE ENTITY'S CHARITY POLICY AND APPLICATION PROCESS, AND- WHO TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING.THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC ARE PROVIDED:- SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT AND INPATIENT REGISTRATION AND PUBLIC WAITING AREAS.- BROCHURES OR FLYERS PROVIDED AT TIME OF REGISTRATION AND AVAILABLE IN THE FINANCIAL COUNSELING AREAS.- NOTICES SENT WITH OR ON PATIENT BILLS OR COMMUNICATIONS SENT TO PATIENTS AND GUARANTORS RELATED TO MEDICAL SERVICES.- APPLICATIONS PROVIDED TO UNINSURED PATIENTS AT THE TIME OF REGISTRATION.THE APPLICATION FOR CHARITY CARE, TOGETHER WITH ANY INSTRUCTIONS, MUST CLEARLY STATE THE POLICIES REGARDING CHARITY CARE, INCLUDING EXCLUDED SERVICES, ELIGIBILITY CRITERIA AND DOCUMENTATION REQUIREMENTS. INFORMATION ABOUT THE ENTITY'S CHARITY POLICIES IS ALSO PROVIDED TO PUBLIC AGENCIES.
PART VI, LINE 4: COMMUNITY INFORMATIONSSM CARDINAL GLENNON CHILDREN'S HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS THE ST. LOUIS METROPOLITAN STATISTICAL AREA, A 12 COUNTY REGION WITH AN APPROXIMATE POPULATION OF 2.1 MILLION IN 2012. THIS INCLUDES 505,000 CHILDREN (AGES 0 - 17) WHO REPRESENT 24% OF THE REGION'S POPULATION. THE PEDIATRIC POPULATION IS PROJECTED TO GROW IN ST. LOUIS CITY, WITH THE LARGEST GROWTH PROJECTED TO OCCUR IN THE 3-9 AGE GROUP. THE NUMBER OF CHILDREN 0- 2 IS PROJECTED TO REMAIN FLAT. MORE THAN 80% OF THE PEDIATRIC POPULATION IN THE ST. LOUIS METROPOLITAN STATISTICAL AREA (MSA) IS BETWEEN THE AGES OF 3 - 17.THE MEDIAN HOUSEHOLD INCOME IN THE ST. LOUIS MSA IS $69,077 AND APPROXIMATELY 31% OF THE POPULATION HAS A BACHELOR'S DEGREE OR GREATER. DISTRIBUTION OF RACE/ETHNICITY IN OUR COMMUNITY IS WHITE/CAUCASIAN: 74%; BLACK/AFRICAN-AMERICAN: 19%; HISPANIC: 3%; OTHER: 4%.DEMOGRAPHICS VARY CONSIDERABLY ACROSS THE ST. LOUIS METROPOLITAN AREA. BECAUSE WE SUPPORT A WIDE RANGE OF LOCAL MARKETS AND CONSTITUENCIES, DEMOGRAPHICS ARE ALSO EVALUATED FOR OUR INDIVIDUAL SERVICE LINES AND CLINICAL DEPARTMENTS TO ENSURE WE FOCUS ON SPECIFIC COMMUNITY HEALTH NEEDS.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 CARDINAL GLENNON CHILDREN'S HOSPITAL 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:A. PERINATAL OUTREACH SERVICESTHE OUTREACH PROGRAM PROVIDES SERVICES TO PERINATAL CARE PROVIDERS IN MISSOURI AND ILLINOIS. PROGRAMS FOR BOTH PHYSICIANS AND NURSES INCLUDE TOPIC PRESENTATIONS, CASE REVIEWS, FETAL MONITORING CLASSES, NEONATAL RESUSCITATION PROGRAM TRAINING, AND THE STABLE PROGRAM, A COURSE IN THE STABILIZATION OF SICK OR PRETERM NEWBORNS. THE DEPARTMENT ALSO PARTICIPATES IN COMMUNITY ORGANIZATIONS AND BOARDS AS REQUESTED. A PRIMARY GOAL OF THE DEPARTMENT IS TO ASSIST HEALTH CARE PROFESSIONALS IN DEVELOPING AND PROVIDING QUALITY CARE FOR MOTHERS AND BABIES FOR IMPROVED OUTCOMES.B. SAFE KIDSCARDINAL GLENNON IS THE MISSOURI SPONSOR OF SAFE KIDS WORLDWIDE, AN ORGANIZATION DEDICATED TO INJURY PREVENTION FOR CHILDREN FROM BIRTH TO 14 YEARS OF AGE. THE PARENT ORGANIZATION, SAFE KIDS WORLDWIDE, COORDINATES OVER 600 COALITIONS IN THE UNITED STATES AND MANY OTHERS IN VARIOUS COUNTRIES. THE PRIMARY FOCUS OF OUR LOCAL COALITION IS CHILD PASSENGER SAFETY, BECAUSE AUTOMOBILE CRASHES ARE THE NUMBER ONE CAUSE OF CHILD DEATHS IN MISSOURI AND THE UNITED STATES. THE LOCAL PROGRAM COMPRISES 55 AGENCIES IN ST. LOUIS CITY, ST. LOUIS COUNTY, WASHINGTON, JEFFERSON AND FRANKLIN COUNTIES TO PROVIDE CAR SEAT CHECKS TO CAREGIVERS AND ALSO TO PROVIDE LOW-COST CAR SEATS FOR LOW-INCOME FAMILIES. BEYOND CAR SEATS, SAFE KIDS PROVIDES EDUCATIONAL SERVICES AS REQUESTED BY COMMUNITIES FOR HOME SAFETY, POISON PREVENTION, PEDESTRIAN SAFETY, BICYCLE SAFETY, AND SAFE SLEEP. THE PROGRAM CONDUCTS NEEDS ASSESSMENTS TO DETERMINE AREAS FOR THE GREATEST IMPACT FOR SERVICES, AND ALSO WORKS CLOSELY WITH A NUMBER OF PEDIATRIC HOSPITALS, PEDIATRIC HOSPITAL DEPARTMENTS AND MULTIPLE AGENCIES TO PROVIDE GREATER SERVICE TO THOSE IN NEED.C. FOOTPRINTSFOOTPRINTS IS A PROGRAM OF ADVOCACY AND SUPPORT FOR CHILDREN LIVING WITH SERIOUS, COMPLEX ILLNESS. THE MISSION OF THE PROGRAM IS TO HAVE OUR CHILDREN, AND THEIR FAMILIES LIVE WELL ALONG THEIR JOURNEY. WE DEFINE "LIVING WELL" FOR EACH FAMILY BY FACILITATING CARE COORDINATION FOR THE CHILD; BY WORKING WITH THE FAMILY MEMBERS TO DEVELOP A FAMILY CENTERED PLAN OF CARE FOR THE CHILD THAT FOCUSES ON THE COMFORT OF THE CHILD AND RESPECTS THE VALUES AND BELIEFS OF THE FAMILY; AND BY COLLABORATING WITH THE HEALTH CARE TEAM TO ENSURE THE FAMILY'S GOALS ARE HONORED AND SUPPORTED BY ALL THOSE INVOLVED IN CARING FOR THE CHILD. FOOTPRINTS CHILDREN ARE FOLLOWED BY OUR STAFF WHILE IN THE HOSPITAL, DURING OUTPATIENT CLINIC VISITS, AND AT HOME BY MEANS OF NUMEROUS PHONE CALLS AND AT TIMES, HOME VISITS.FOR SOME CHILDREN, "LIVING WELL" MEANS BEING AT HOME WITH FAMILY AND FRIENDS, PETS, ETC., LIVING AS CLOSE TO A "NORMAL" LIFE AS POSSIBLE. FOR OTHERS, IT MEANS HAVING ACCESS TO COSTLY MEDICAL EQUIPMENT OR NURSING SERVICES THAT ARE NOT COVERED BY INSURANCE, BUT ARE NECESSARY TO KEEP THE CHILD AS COMFORTABLE AND "WELL" AS POSSIBLE. AND LASTLY, FOR OTHERS, IT MEANS RELIEF OF SOME OF THE EXTRAORDINARY EXPENSES RELATED TO CARING LONG TERM FOR A CHILD WITH SERIOUS ILLNESS. FUNDS RAISED FOR THE PROGRAM ALLOW US TO ADDRESS SOME OF THESE NEEDS.FOOTPRINTS STAFF PROVIDE EDUCATION TO THE LOCAL, REGIONAL, AND NATIONAL COMMUNITY AROUND BEST PRACTICE PEDIATRIC PALLIATIVE CARE. A THREE YEAR, ON-GOING PARTNERSHIP WITH OTHERS IN CHILDREN'S HOSPITAL PROGRAMS IN THE STATE HAS ALLOWED US THE OPPORTUNITY TO ESTABLISH ACCESS TO PEDIATRIC PALLIATIVE CARE, SIMILAR TO THE FOOTPRINTS MODEL, IN THE MISSOURI CITIES OF SPRINGFIELD, CAPE GIRARDEAU, COLUMBIA AND OTHER SITES IN THE ST. LOUIS AREA.D. MISSOURI POISON CENTERTHE HOSPITAL RESPONDS TO THE NEEDS OF THE LOCAL AREA (INDEED, THE ENTIRE STATE OF MISSOURI) FOR EXPERT EVALUATION AND TREATMENT ADVICE FOR HUMAN EXPOSURES TO TOXIC CHEMICALS AND PRODUCTS, PLANTS, INSECTS, AND MEDICINES.THE POISON CENTER RESPONDS TO MORE THAN 193,000 CALLS FOR ASSISTANCE EACH YEAR, REPRESENTING APPROXIMATELY ONE CALL FOR EVERY 33 MISSOURIANS. SEVENTY-FOUR PERCENT OF CALLS ARE MANAGED OVER THE PHONE BY SPECIALLY TRAINED PHARMACISTS AND NURSES WORKING THE POISON HOTLINE, AVOIDING UNNECESSARY AND COSTLY EMERGENCY DEPARTMENT, LABORATORY AND PHYSICIAN FEES. (FOR EVERY $1 SPENT ON POISON CENTER SERVICES, $12 IN HEALTH CARE COSTS ARE AVOIDED.) THESE FIGURES ALONE ATTEST TO THE NEED FOR THE POISON CENTER AS A PUBLIC GOOD. ALTHOUGH ACCIDENTAL EXPOSURES IN CHILDREN UNDER THE AGE OF 5 ARE MOST FREQUENTLY THE REASON FOR A CALL, OTHER SITUATIONS INCLUDE SUBSTANCE ABUSE AMONG YOUTH AND ADULTS, MEDICATION ERRORS IN OLDER ADULTS, AND EXPOSURES AT THE WORKPLACE. THUS, ALL AGES AND ALL STATES OF LIFE HAVE NEED FOR THE POISON CENTER. NO OTHER AGENCIES OR PROGRAMS EXIST TO FILL THIS NEED IN MISSOURI. TOLL-FREE TELEPHONE AVAILABILITY OF THE POISON CENTER SIGNIFICANTLY IMPROVES ACCESS TO EXPERT ADVICE FOR THE POPULATION IN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS, HEALTH PROFESSIONAL SHORTAGE AREAS AND IMPOVERISHED COUNTIES FOR WHOM ACCESS TO OTHER HEALTH CARE MAY BE LIMITED. LIKEWISE, POISON CENTER TELEPHONE-BASED SERVICE TO THE POPULATION IN THE STATE'S FOUR METROPOLITAN AREAS GIVES MANY MEDICALLY UNDERSERVED PERSONS AND DISADVANTAGED MINORITIES OTHER OPTIONS FOR CARE FOR POISONING EMERGENCIES BESIDES OVERCROWDED CITY HOSPITALS. SUCH UNIVERSAL ACCESS TO A CENTRAL HEALTH RESOURCE ACTS TO REDUCE HEALTH DISPARITIES FOR SOME OF OUR MOST VULNERABLE POPULATIONS.PUBLIC EDUCATION PRESENTATIONS ARE ALSO MADE AVAILABLE THROUGHOUT THE STATE TO TEACH THE BASIC STRATEGIES OF POISON PREVENTION. THIS EMPOWERS AND ENABLES MEMBERS OF THE COMMUNITY TO ACT EFFECTIVELY FOR THEIR OWN SAFETY.
E. ST. LOUIS CORD BLOOD BANKTHE ST. LOUIS CORD BLOOD BANK, ONE OF THE LARGEST PUBLIC CORD BLOOD BANKS IN THE WORLD, RECEIVED LICENSURE APPROVAL FROM THE U.S. FOOD AND DRUG ADMINISTRATION TO MANUFACTURE AND DISTRIBUTE CORD BLOOD-DERIVED STEM CELL PRODUCTS IN 2013. IT WAS THE FIRST BANK IN THE REGION AND THE FOURTH BANK IN THE WORLD TO EARN THIS HIGH DISTINCTION.THE ST. LOUIS CORD BLOOD BANK COLLECTS, PROCESSES AND STORES UMBILICAL CORD BLOOD, PROVIDING A LIFE-SAVING USE FOR A BIRTH BY-PRODUCT THAT WOULD OTHERWISE BE DISCARDED AS MEDICAL WASTE. CORD BLOOD CAN BE USED TO TREAT MORE THAN 70 DISEASES, INCLUDING LEUKEMIA AND SICKLE-CELL ANEMIA. SINCE 1995, OVER 100,000 FAMILIES HAVE DONATED THEIR CHILD'S CORD BLOOD IN THE HOPE OF SAVING THE LIFE OF ANOTHER UNRELATED PERSON. THE BANK HAS DISTRIBUTED NEARLY 2,000 OF THESE CORD BLOOD UNITS FOR TRANSPLANT WORLDWIDE. MORE THAN 23,000 UNITS REMAIN IN STORAGE AT THE ST. LOUIS CORD BLOOD BANK, AVAILABLE TO TREAT PATIENTS WITH AN APPROPRIATE MATCH OR PROVIDE THE MATERIAL TO BETTER UNDERSTAND THE BIOLOGY OF STEM CELLS AND EXPAND APPLICATIONS FOR MORE TREATMENTS.F. PACTS FOR LIFE/PALSPACTS FOR LIFE (PEDIATRIC ADVANCED CARDIORESPIRATORY AND TRAUMA SUPPORT FOR LIFE) WAS CREATED BY CARDINAL GLENNON EMERGENCY PHYSICIAN ANTHONY SCALZO, M.D., AND PROVIDES TRAINING FOR CAREGIVERS IN EMERGENCY LIFE SUPPORT. PALS (PEDIATRIC ADVANCED LIFE SUPPORT) IS THE RESULT OF A COLLABORATION BETWEEN THE AMERICAN HEART ASSOCIATION (AHA) AND THE AMERICAN ACADEMY OF PEDIATRICS. THE COURSES ARE DESIGNED TO PROVIDE CAREGIVERS WITH SKILLS WHICH WILL ENABLE THEM TO BOTH RECOGNIZE THE POTENTIAL FOR RESPIRATORY AND/OR CARDIAC ARREST IN INFANTS AND CHILDREN, AND INTERVENE IN AN APPROPRIATE MANNER BY PROVIDING A SYSTEMIC APPROACH TO THESE PATIENTS. THE COURSES ARE OFFERED TO PHYSICIANS, NURSES, PARAMEDICS, RESPIRATORY THERAPISTS, AND OTHER HEALTH CARE PROVIDERS, AND ARE ELIGIBLE FOR CONTINUING EDUCATION CREDITS.G. SCHOOL PARTNERSHIP PROGRAMSCHOOL PARTNERSHIP PROGRAM IS A COLLABORATIVE PROGRAM OF CARDINAL GLENNON AND THE ST LOUIS ARCHDIOCESE AND PROVIDES VISION, HEARING AND BLOOD PRESSURE SCREENING WITH REFERRAL FOR STUDENTS IN 33 CATHOLIC SCHOOLS. THE PROGRAM ALSO OFFERS A NUMBER OF OTHER SERVICES TO ALL OF THE AREA'S 155 CATHOLIC SCHOOLS, INCLUDING INSTRUCTION ON MEDICATION ADMINISTRATION WITH ANNUAL REVIEW, FIRST AID CLASSES, CPR INSTRUCTION, UNIVERSAL PRECAUTION/INFECTION CONTROL EDUCATION, CLASSES ON ALLERGIES, SEIZURES, DIABETES AND ASTHMA, HEALTH PROMOTIONAL ACTIVITIES SUCH AS HAND-WASHING AND HYGIENE INSTRUCTION, AND EDUCATION SESSIONS FOR THE SCHOOL NURSES.H. CLINICAL DIETARY SERVICESCARDINAL GLENNON CLINICAL DIETITIANS PROVIDE NUTRITIONAL COUNSELING FOR FAMILIES, AS WELL AS DIETARY TRACKING AND ANALYSIS FOR PEDIATRICIANS.I. COMMUNITY EDUCATIONSEVENTEEN TIMES A YEAR, THE HOSPITAL PUBLISHES IN A MAJOR DAILY NEWSPAPER (THE ST LOUIS POST-DISPATCH) A COLUMN BY CHIEF OF PEDIATRICS ROBERT WILMOTT, M.D. THE COLUMN, CALLED "HEALTHY KIDS", PROVIDES PARENTING ADVICE AND CHILD HEALTH INFORMATION. EACH COLUMN INVITES READERS TO SEND DR. WILMOTT QUESTIONS VIA EMAIL, WHICH HE RESPONDS TO PROMPTLY AND PRIVATELY. THE HOSPITAL ALSO OFFERS A VAST LIBRARY OF PEDIATRIC HEALTH AND PARENTING INFORMATION, CALLED "KIDSHEALTH" ON ITS WEB SITE AT WWW.CARDINALGLENNON.COM. IN ADDITION, CARDS PROVIDING PEDIATRIC HEALTH TIPS FOR PARENTS ARE DISTRIBUTED THROUGH "EDUCATION STATIONS" IN THE WAITING ROOMS OF HUNDREDS OF AREA PEDIATRICIANS' OFFICES.J. DOROTHY AND LARRY DALLAS HEART CENTERTHE DOROTHY AND LARRY DALLAS HEART CENTER PROVIDES COMPREHENSIVE HEART CARE FOR CHILDREN WITH HEART DEFECTS AND OTHER PROBLEMS. THROUGH ADVANCED DIAGNOSED IMAGING, HEART EXPERTS CAN DETERMINE IF A BABY HAS A HEART PROBLEM WHILE STILL IN THE WOMB AND WORK WITH THE FAMILY TO DETERMINE THE BEST COURSE OF ACTION TO TREAT THE ISSUE. THE DALLAS HEART CENTER HAS THE MOST ADVANCED DIAGNOSTIC EQUIPMENT TO LEARN MORE ABOUT A CHILD'S HEART THROUGH LESS INVASIVE PROCEDURES. DIGITAL ECHO TECHNOLOGY AND A CARDIAC ULTRASOUND MACHINE WITH ADVANCED 3D IMAGING ALLOW DOCTORS TO SEE 3D HEART IMAGING IN REAL TIME TO MAKE THE MOST ACCURATE DIAGNOSIS.IN 2011, SSM CARDINAL GLENNON DEBUTED A NEW PEDIATRIC HYBRID CARDIAC CATHETERIZATION SUITE. THIS NEW SUITE ALLOWS A CARDIOLOGIST AND CARDIOTHORACIC SURGEON TO FIND AND FIX A CHILD'S HEART PROBLEM IN THE SAME ROOM AND SAME PROCEDURE. THIS PROMOTES FASTER RECOVERY AND SAFER CARE FOR THE YOUNG PATIENTS SERVED BY THE HOSPITAL.K. ST. LOUIS FETAL CARE INSTITUTETHE ST. LOUIS FETAL CARE INSTITUTE SERVES FAMILIES ACROSS THE COUNTRY BY OFFERING THE MOST COMPREHENSIVE FETAL CARE PROGRAM IN MIDDLE AMERICA. A MULTI-DISCIPLINARY TEAM OF PEDIATRIC AND HIGH-RISK MATERNITY EXPERTS ARE ABLE TO TREAT LIFE-THREATENING CONDITIONS IN BABIES BEFORE BIRTH. ALTHOUGH MANY FETAL CONDITIONS REQUIRE ONLY CAREFUL MONITORING AND PREPARATION FOR THE BABY'S BIRTH, MANY CONDITIONS THAT THREATEN A BABY'S QUALITY OF LIFE CAN BE SURGICALLY CORRECTED WHILE THE BABY IS STILL IN THE WOMB. IN CONDITIONS SUCH AS TWIN-TWIN TRANSFUSION SYNDROME, CONGENITAL DIAPHRAGMATIC HERNIA, AMNIOTIC BAND SYNDROME AND LARGE TUMORS, PHYSICIANS HAVE BEEN ABLE TO PROVIDE LIFE-CHANGING INTERVENTION TO ALLOW A BABY TO BE BORN HEALTHY.BABIES WITH MYELOMENINGOCELE, THE MOST SEVERE FORM OF SPINA BIFIDA, HAVE BEEN SIGNIFICANTLY HELPED THROUGH SURGICAL INTERVENTION. THE INTERNATIONALLY KNOWN MOMS TRIAL DETERMINED THAT BABIES WHO HAVE THEIR SPINA BIFIDA ADDRESSED THROUGH SURGERY IN THE WOMB HAVE BETTER FUNCTION AND DO BETTER AS THEY AGE THAN BABIES WHO DID NOT RECEIVE SURGICAL INTERVENTION. THE ST. LOUIS FETAL CARE INSTITUTE HAS BECOME ONE OF THE ONLY CENTERS IN THE COUNTRY TO PROVIDE THIS TYPE OF LIFE-CHANGING SURGERY AND HAS HELPED A NUMBER OF CHILDREN WHOSE LIVES WOULD HAVE OTHERWISE BEEN SIGNIFICANTLY DIFFERENT.L. IMAGING CENTERSSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER OPENED ITS NEW IMAGING CENTER IN NOVEMBER 2012. THE NEW SPACE FEATURES THE LOWEST RADIATION DOSE AVAILABLE FOR PEDIATRIC IMAGING ANYWHERE IN THE COUNTRY, ENSURING THAT PATIENTS WHO NEED A CT SCAN WILL RECEIVE SIGNIFICANTLY DECREASED RADIATION EXPOSURE.THE IMAGING CENTER FEATURES TWO NEW 128-SLICE CT SCANNERS THAT WILL PROVIDE SIGNIFICANTLY ENHANCED DIAGNOSTIC IMAGING CAPABILITIES WHILE PROVIDING THE SAFEST IMAGING THROUGH DOSE REDUCTION SOFTWARE. SSM CARDINAL GLENNON'S 128-SLICE SCANNER, IN ADDITION TO PROVIDING THE LOWEST RADIATION DOSE POSSIBLE, CAN SCAN FASTER, RESULTING IN A DECREASE OF PATIENTS WHO REQUIRE SEDATION.THE IMAGING CENTER ALSO INTRODUCES AN INTERACTIVE MRI SUITE DESIGNED TO PROVIDE COMFORT AND DISTRACTION TECHNIQUES TO CHILDREN. CHILDREN CAN USE AN IPAD TO SELECT COLOR "THEMES" FOR THE MRI SUITE. THEIR SELECTED THEME IS REFLECTED THROUGHOUT THE ROOM WITH LIGHT-UP WALLSM. KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTERTHE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER OPENED ITS NEW FACILITY IN MAY 2013. THIS 11,000-SQUARE-FOOT SPACE IS DEDICATED TO HELPING CHILDREN WITH AUTISM AND OTHER NEURODEVELOPMENTAL DISORDERS. THE NEW FACILITY ENABLES EXPERTS TO SEE CHILDREN WITH SPECIAL NEEDS IN A HEALTH CARE SETTING DEVELOPED JUST FOR THEM, OUTSIDE THE DISTRACTIONS OF THE HOSPITAL.THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER AT SSM CARDINAL GLENNON HELPS CHILDREN WITH AUTISM AND NEURODEVELOPMENTAL DISORDERS TO REACH THEIR HIGHEST POTENTIAL THROUGH COMPREHENSIVE EVALUATION, CARE, FAMILY GUIDANCE, EDUCATION AND INNOVATIVE RESEARCH.CHILDREN WITH AUTISM SPECTRUM DISORDERS RECEIVE INNOVATIVE CARE TO TREAT THEIR COMPLEX DIAGNOSES. THE MULTI-DISCIPLINARY TEAM PROVIDES APPLIED BEHAVIORAL ANALYSIS, SPEECH AND LANGUAGE THERAPY, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY AS NEEDED TO CHILDREN WITH AUTISM. A PEERS SOCIAL SKILL PROGRAM TEACHES CHILDREN WITH AUTISM HOW TO INTERACT WITH OTHERS, WHICH IS OFTEN CHALLENGING FOR CHILDREN ON THE AUTISM SPECTRUM DISORDER.THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER ALSO HAS A DOG THERAPY PROGRAM. TRAINED THERAPY DOG HIGGINS, A GOLDENDOODLE, WORKS WITH CHILDREN TO MAKE THEM MORE COMFORTABLE WITH MEDICAL TREATMENT AND PROVIDES DISTRACTION DURING THERAPY SESSIONS.GLENNON ALSO FURTHERS ITS EXEMPT PURPOSE WITH THE FOLLOWING ACTIVITIES: - OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY,- HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA,- HAS A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY- ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS,- PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS
PART VI LINE 6: AFFILIATED HEALTH CARE SYSTEMSSM CARDINAL GLENNON HOSPITAL IS A 501(C)(3) NON PROFIT CORPORATION OPERATING A CHILDREN'S HOSPITAL WHICH SERVES A 12 COUNTY AREA SURROUNDING THE ST LOUIS METROPOLITAN AREA. IT IS THE ONLY CHILDREN'S HOSPITAL IN THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE.PART VI LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORTTHE SSM HEALTH CARE ANNUAL CONSOLIDATED COMMUNITY BENEFIT REPORT IS FILED IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ILLINOIS HOSPITAL RESEARCH AND EDUCATION FOUNDATION
1151 EAST WARRENVILLE RD	NAPERVILLE	IL	60566	237421930	501(C)(3)	24895	GENERAL PROGRAM SUPPORT
JUVENILE DIABETES RESEARCH FOUNDATION
7818 BIG SKY DR SUITE 118	MADISON	WI	53719	231907729	501(C)(3)	5000	GENERAL PROGRAM SUPPORT
MISSOURI HOSPITAL ASSOCIATION
4712 COUNTRY CLUB DRIVE	JEFFERSON CITY	MO	65102	440610607	501(C)(6)	11967	SUPPORT THE MISSOURI POISON CONTROL CENTER

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Amount Of Cash GrantAmountOfCashGrant	Number Of RecipientsNumberOfRecipients
PROVIDE MEALS TO PATIENTS' FAMILY MEMBERS	38965
CAR SEATS/BOOSTER SEATS/BIKE HELMETS	28478	1074
BUS PASSES/TAXI FOR PATIENTS' FAMILY MEMBERS	9743

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	SCHEDULE I, PART I, LINE 2: GRANTS ARE PROVIDED TO REGIONAL, NATIONAL 501(C)(3) ORGANIZATIONS, OR REGIONAL PROFESSIONAL ASSOCIATIONS WHERE THE HOSPITAL IS A MEMBER. THESE ORGANIZATION ARE EXPECTED TO MAINTAIN ADEQUATE CONTROLS REGARDING THE USE OF GRANT FUNDS FOR THEIR INTENDED PURPOSES.
		MEAL TICKETS AND BUS PASSES/TAXI SERVICES ARE GIVEN TO FAMILY MEMBERS WHILE THEIR LOVED ONES ARE HOSPITALIZED AND DO NOT HAVE THE FUNDS TO MEET THESE NEEDS. THE ORGANIZATION DOES NOT KEEP TRACK OF THE NUMBER OF INDIVIDUALS SERVED UNDER THESE GRANTS.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DANIEL BAUMANN MD
DIRECTOR	0	227698	0	0	0	7161	0	0	0	24797	0	259656	0	0
DONALD E BINZ II MD
DIRECTOR	0	396174	0	0	0	16719	0	0	0	33197	0	446090	0	0
WILLIAM P THOMPSON
DIRECTOR AND VICE PRES	0	1321845	0	0	0	839756	0	1051531	0	36865	0	3249997	0	57960
CHRISTOPHER HOWARD
DIRECTOR AND PRESIDENT	0	735141	0	0	0	138054	0	337445	0	30597	0	1241237	0	37660
STEVEN BARNEY
VICE PRESIDENT	0	623277	0	0	0	156103	0	208024	0	23340	0	1010744	0	0
KRIS A ZIMMER
TREASURER	0	737296	0	0	0	100132	0	227242	0	30227	0	1094897	0	43820
JUNE L PICKETT
SECRETARY	0	220007	0	0	0	20518	0	331433	0	22385	0	594343	0	8280
SHERLYN HAILSTONE
HOSPITAL PRESIDENT	0	518118	0	0	0	122378	0	156452	0	25168	0	822116	0	35840
KAREN REWARDS
CFO	0	488441	0	0	0	81835	0	254400	0	10294	0	834970	0	16600
KEVIN TODD JOHNSON
REG VP MEDICAL AFFAIRS	0	501177	0	0	0	91059	0	153655	0	32252	0	778143	0	18720
LEANN ZERKEL
VP PATIENT CARE	166807	0	0	0	31137	0	8572	0	16279	0	222795	0	0	0
DEBORAH G WALKENHORST
REG VP HUMAN RES	0	343351	0	0	0	36153	0	105915	0	17474	0	502893	0	12360
DAMON HARBISON
VP OF OPERATIONS	175761	0	0	0	7576	0	9998	0	30160	0	223495	0	0	0
ROBERT PORTER
PRESIDENT, PROGRAM SERVICE	0	439830	0	0	0	116154	0	219237	0	25774	0	800995	0	29190
LORRAINE MAE YEHLEN
VP PATIENT CARE	0	173813	0	0	0	21285	0	97432	0	21647	0	314177	0	9668
CASIMIR FIRLIT MD
PHYSICIAN	417108	0	0	0	8813	0	0	0	30835	0	456756	0	0	0
PUSHPA PATEL MD
PHYSICIAN	339643	0	0	0	2278	0	147723	0	18893	0	508537	0	0	0
PATHMA RAMESVARA MD
PHYSICIAN	306793	0	0	0	19574	0	447348	0	20655	0	794370	0	0	0
TIMOTHY REED MD
PHYSICIAN	279442	0	0	0	5363	0	76409	0	18054	0	379268	0	0	0
MAX BURGDORF MD
PHYSICIAN	260054	0	0	0	4187	0	3672	0	23708	0	291621	0	0	0
LYNN LENKER
FORMER KEY EMPLOYEE	0	330229	0	0	0	54682	0	149860	0	29207	0	563978	0	11960
WILLIAM SCHOENHARD
FORMER OFFICER	0	0	0	0	0	274197	0	662169	0	14194	0	950560	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	PART III	ReturnReference
Explanation	PART I, LINE 1A THE FOLLOWING INDIVIDUAL LISTED ON SCHEDULE J PART II RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2012. THE PAYMENT WAS INCLUDED IN THEIR TAXABLE COMPENSATION. TIMOTHY REED PART I, LINE 4A: 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 INDIVIDUALS RECEIVED PAYMENTS UNDER THIS PLAN. WILLIAM SCHOENHARD $277,333 PART I, LINE 4B: 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 2012. 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 2012. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUALS' TAXABLE COMPENSATION. STEVEN BARNEY $74,677 WILLIAM THOMPSON $58,026 CHRISTOPHER HOWARD $48,612 KRIS ZIMMER $43,871 SHERLYN HAILSTONE $37,177 ROBERT PORTER $33,412 KAREN REWERTS $20,947 KEVIN JOHNSON $18,741 DEBORAH WALKENHORST $12,374 LYNN LENKER $11,974 LORRAINE YEHLEN $9,679 JUNE PICKETT $8,289 DAMON HARBISON $6,291	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART I, DOING BUSINESS AS:	SSM CARDINAL GLENNON CHILDREN'S HOSPITAL CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: 1. CARDINAL GLENNON CHILDREN'S HOSPITAL 2. CARDINAL GLENNON CHILDREN'S HOSPITAL AMBULATORY CARE CENTER PHARMACY 3. CARDINAL GLENNON CHILDREN'S MEDICAL CENTER 4. CARDINAL GLENNON PEDIATRIC SURGERY CENTER (FEIN: 43-0738490) 5. GLENNON CARE 6. GLENNON CARE FOR KIDS 7. GLENNON CARE PEDIATRICS 8. GLENNON CARE PEDIATRIC ASSOCIATES 9. GLENNON CARE PROFESSIONAL SERVICES (FEIN: 43-1790606) 10. SAFE KIDS ST. LOUIS 11. ST. LOUIS CORD BLOOD BANK 12. SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER 13. SSM GLENNON CARE FOR KIDS
FORM 990, PART III, LINE 4A	BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION: SINCE IT WAS FOUNDED IN 1872 BY FIVE CATHOLIC SISTERS, SSM HEALTH CARE (SSMHC) HAS EXISTED TO MEET THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. SPONSORED BY THE FRANCISCAN SISTERS OF MARY AND HEADQUARTERED IN ST LOUIS, SSMHC OPERATES 18 HOSPITAL LOCATIONS, TWO SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES IN FOUR STATES (WISCONSIN, OKLAHOMA, ILLINOIS AND MISSOURI). THE HEALTH SYSTEM EMPLOYS APPROXIMATELY 25,600 PEOPLE AND IS AFFILIATED WITH MORE THAN 6,600 PHYSICIANS. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMHC STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL AND COMPASSIONATE HEALTH CARE TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. DESCRIBE THE TAX-EXEMPT PURPOSE ACHIEVEMENTS: SSM CARDINAL GLENNON CHILDREN'S HOSPITAL USES SEVERAL APPROACHES TO UNDERSTAND THE HEALTH CARE NEEDS OF OUR COMMUNITIES. FOR EXAMPLE, OUR LEADERS SERVE ON THE BOARDS OF TWO REGIONAL ORGANIZATIONS THAT OVERSEE THE HEALTHCARE SAFETY NET FOR OUR REGION, THE ST. LOUIS REGIONAL HEALTH COMMISSION (RHC) AND ST. LOUIS CONNECTCARE. THE RHG IS A COLLABORATIVE EFFORT OF ST LOUIS CITY, ST LOUIS COUNTY, THE STATE OF MISSOURI, HEALTH PROVIDERS, AND COMMUNITY MEMBERS TO IMPROVE THE HEALTH OF UNINSURED CITIZENS IN ST LOUIS CITY AND COUNTY. ST LOUIS CONNECTCARE IS THE LARGEST PROVIDER OF SPECIALTY CARE TO THE MEDICALLY UNDERSERVED IN ST LOUIS CITY AND COUNTY. WE PARTICIPATE IN AND UTILIZE THE COMMUNITY HEALTH ASSESSMENT AND RELATED STUDIES COORDINATED BY THE REGIONAL HEALTH COMMISSION. DESCRIBE THE CORPORATION'S APPROACH TO PROVIDING COMMUNITY BENEFIT: SSM CARDINAL GLENNON CHILDREN'S HOSPITAL TAKES AN ACTIVE ROLE IN PARTICIPATING IN COMMUNITY ORGANIZATIONS AND TASK FORCES WHICH ARE FOCUSED ON STRENGTHENING THE COMMUNITY (I.E. SAFE KIDS, MISSOURI POISON CENTER, THE ST LOUIS CORD BLOOD BANK, AND REACH OUT AND READ). WE PARTICIPATE IN HEALTHY COMMUNITY INITIATIVES SPECIFIC TO THE INDIVIDUAL MARKET AREAS THAT WE SERVE. OUR PEDIATRIC SERVICE LINE AND CLINICAL DEPARTMENTS ALSO CONDUCT ASSESSMENTS TO FOCUS ON SPECIFIC COMMUNITY HEALTH NEEDS. EXAMPLES INCLUDE: SCHOOL PARTNERSHIP PROGRAM, PERINATAL OUTREACH SERVICES AND ASTHMA EDUCATION INITIATIVES. SSM CARDINAL GLENNON CHILDREN'S HOSPITAL USES DEMOGRAPHIC, UTILIZATION AND TECHNOLOGY TRENDS GENERATED BY THE HEALTH CARE ADVISORY BOARD AND SG2 TO SIZE THE MARKET FOR BOTH INPATIENT AND OUTPATIENT HEALTH CARE NEEDS FOR THE IMMEDIATE AND LONG-TERM. WE USE THIS INFORMATION TO ADJUST CAPACITY TO MEET FUTURE DEMAND FOR HEALTH CARE SERVICES. DESCRIBE THE CORPORATION'S FINANCIAL ASSISTANCE POLICIES OR PROGRAMS (I.E. CHARITY CARE, DISCOUNTING) FOR LOW-INCOME PERSONS AND HOW THEY ARE COMMUNICATED TO THE PUBLIC: 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 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'S BALANCE DUE IF THE AMOUNT IS TOO LARGE TO BE REASONABLY PAID THROUGH AN INSTALLMENT PLAN OVER FOUR YEARS GIVEN THE FAMILY INCOME AND EXPENSES. EACH ENTITY PROVIDING MEDICAL SERVICE SHALL PROVIDE INFORMATION TO THE PUBLIC REGARDING ITS CHARITY CARE POLICIES AND THE QUALIFICATION REQUIREMENTS FOR EACH OF ITS FACILITIES. WHEN STANDARD SYSTEM NOTICES AND COMMUNICATION REGARDING CHARITY CARE ARE AVAILABLE, THESE MUST BE USED. MODIFICATIONS TO THE STANDARD MAY BE MADE TO COMPLY WITH STATE AND LOCAL LAWS, AS WELL AS REFLECT CULTURALLY SENSITIVE TERMINOLOGY FOR THE POLICY. ALL NOTICES 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. ORGANIZATION DESCRIPTION FOR TAX EXEMPTION: SSMHC HOSPITALS OPERATE AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY, HAVE AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, HAVE A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS, PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS DESCRIBE THE COMMUNITY BENEFIT PROGRAMS: SSM CARDINAL GLENNON CHILDREN'S HOSPITAL PROVIDES MANY COMMUNITY BUILDING ACTIVITIES TO PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. LISTED ARE THE PRIMARY INITIATIVES THAT WE SUPPORT AND THEIR IMPACT: A. PERINATAL OUTREACH SERVICES THE OUTREACH PROGRAM PROVIDES SERVICES TO PERINATAL CARE PROVIDERS IN MISSOURI AND ILLINOIS. PROGRAMS FOR BOTH PHYSICIANS AND NURSES INCLUDE TOPIC PRESENTATIONS, CASE REVIEWS, FETAL MONITORING CLASSES, NEONATAL RESUSCITATION PROGRAM TRAINING, AND THE STABLE PROGRAM, A COURSE IN THE STABILIZATION OF SICK OR PRETERM NEWBORNS. THE DEPARTMENT ALSO PARTICIPATES IN COMMUNITY ORGANIZATIONS AND BOARDS AS REQUESTED. A PRIMARY GOAL OF THE DEPARTMENT IS TO ASSIST HEALTH CARE PROFESSIONALS IN DEVELOPING AND PROVIDING QUALITY CARE FOR MOTHERS AND BABIES FOR IMPROVED OUTCOMES. B. SAFE KIDS CARDINAL GLENNON IS THE MISSOURI SPONSOR OF SAFE KIDS WORLDWIDE, AN ORGANIZATION DEDICATED TO INJURY PREVENTION FOR CHILDREN BIRTH TO 14 YEARS OF AGE. THE PARENT ORGANIZATION, SAFE KIDS WORLDWIDE, COORDINATES OVER 600 COALITIONS IN THE UNITED STATES AND MANY OTHERS IN VARIOUS COUNTRIES. THE PRIMARY FOCUS OF OUR LOCAL COALITION IS CHILD PASSENGER SAFETY, BECAUSE AUTOMOBILE CRASHES ARE THE NUMBER ONE CAUSE OF CHILD DEATHS IN MISSOURI AND THE UNITED STATES. THE LOCAL PROGRAM COMPRISES 55 AGENCIES IN ST LOUIS CITY, ST LOUIS COUNTY, WASHINGTON, JEFFERSON AND FRANKLIN COUNTIES TO PROVIDE CAR SEAT CHECKS TO CAREGIVERS AND ALSO TO PROVIDE LOW-COST CAR SEATS FOR LOW-INCOME FAMILIES. BEYOND CAR SEATS, SAFE KIDS PROVIDES EDUCATIONAL SERVICES AS REQUESTED BY COMMUNITIES FOR HOME SAFETY, POISON PREVENTION, PEDESTRIAN SAFETY, BICYCLE SAFETY, AND SAFE SLEEP. THE PROGRAM CONDUCTS NEEDS ASSESSMENTS TO DETERMINE AREAS FOR THE GREATEST IMPACT FOR SERVICES, AND ALSO WORKS CLOSELY WITH A NUMBER OF PEDIATRIC HOSPITALS, PEDIATRIC HOSPITAL DEPARTMENTS AND MULTIPLE AGENCIES TO PROVIDE GREATER SERVICE TO THOSE IN NEED.	PROGRAM SERVICE STATEMENT
	C. FOOTPRINTS FOOTPRINTS IS A PROGRAM OF ADVOCACY AND SUPPORT FOR CHILDREN LIVING WITH SERIOUS, COMPLEX ILLNESS. THE MISSION OF THE PROGRAM IS TO HAVE OUR CHILDREN, AND THEIR FAMILIES LIVE WELL ALONG THEIR JOURNEY. WE DEFINE "LIVING WELL" FOR EACH FAMILY BY FACILITATING CARE COORDINATION FOR THE CHILD; BY WORKING WITH THE FAMILY MEMBERS TO DEVELOP A FAMILY CENTERED PLAN OF CARE FOR THE CHILD THAT FOCUSES ON THE COMFORT OF THE CHILD AND RESPECTS THE VALUES AND BELIEFS OF THE FAMILY; AND BY COLLABORATING WITH THE HEALTH CARE TEAM TO ENSURE THE FAMILY GOALS ARE HONORED AND SUPPORTED BY ALL THOSE INVOLVED IN CARING FOR THE CHILD. FOOTPRINTS CHILDREN ARE FOLLOWED BY OUR STAFF WHILE IN THE HOSPITAL, DURING OUTPATIENT CLINIC VISITS, AND AT HOME BY MEANS OF NUMEROUS PHONE CALLS AND AT TIMES, HOME VISITS. FOR SOME CHILDREN, "LIVING WELL" MEANS BEING AT HOME WITH FAMILY AND FRIENDS, PETS, ETC., LIVING AS CLOSE TO "NORMAL" A LIFE AS POSSIBLE. FOR OTHERS, IT MEANS HAVING ACCESS TO COSTLY MEDICAL EQUIPMENT OR NURSING SERVICES THAT ARE NOT COVERED BY INSURANCE, BUT ARE NECESSARY TO KEEP THE CHILD COMFORTABLE AND AS "WELL" AS POSSIBLE. AND LASTLY, FOR OTHERS, IT MEANS RELIEF OF SOME OF THE EXTRAORDINARY EXPENSES RELATED TO CARING LONG TERM FOR A CHILD WITH SERIOUS ILLNESS. FUNDS RAISED FOR THE PROGRAM ALLOW US TO ADDRESS SOME OF THESE NEEDS. FOOTPRINTS STAFF PROVIDE EDUCATION TO THE LOCAL, REGIONAL, AND NATIONAL COMMUNITY AROUND BEST PRACTICE PEDIATRIC PALLIATIVE CARE. A THREE YEAR, ON GOING PARTNERSHIP WITH OTHERS IN CHILDREN'S HOSPITAL PROGRAMS IN THE STATE HAS ALLOWED US THE OPPORTUNITY TO ESTABLISH ACCESS TO PEDIATRIC PALLIATIVE CARE, SIMILAR TO THE FOOTPRINTS MODEL, IN THE MISSOURI CITIES OF SPRINGFIELD, CAPE GIRARDEAU, COLUMBIA AND OTHER SITES IN ST LOUIS. D. MISSOURI POISON CENTER THE HOSPITAL RESPONDS TO THE NEEDS OF THE LOCAL AREA (INDEED, THE ENTIRE STATE OF MISSOURI) FOR EXPERT EVALUATION AND TREATMENT ADVICE FOR HUMAN EXPOSURES TO TOXIC CHEMICALS AND PRODUCTS, PLANTS, INSECTS, AND MEDICINES. THE POISON CENTER RESPONDS TO MORE THAN 193,000 CALLS FOR ASSISTANCE EACH YEAR, REPRESENTING APPROXIMATELY ONE CALL FOR EVERY 33 MISSOURIANS. SEVENTY-FOUR PERCENT OF CALLS ARE MANAGED OVER THE PHONE BY SPECIALLY TRAINED PHARMACISTS AND NURSES WORKING THE POISON HOTLINE, AVOIDING UNNECESSARY AND COSTLY EMERGENCY DEPARTMENT, LABORATORY AND PHYSICIAN FEES. (FOR EVERY $1 SPENT ON POISON CENTER SERVICES, $12 IN HEALTH CARE COSTS ARE AVOIDED.) THESE FIGURES ALONE ATTEST TO THE NEED FOR THE POISON CENTER AS A PUBLIC GOOD. ALTHOUGH ACCIDENTAL EXPOSURES IN CHILDREN UNDER THE AGE OF 5 ARE MOST FREQUENTLY THE REASON FOR A CALL, OTHER SITUATIONS INCLUDE SUBSTANCE ABUSE AMONG YOUTH AND ADULTS, MEDICATION ERRORS IN OLDER ADULTS, AND EXPOSURES AT THE WORKPLACE. THUS, ALL AGES AND ALL STATES OF LIFE HAVE NEED FOR THE POISON CENTER. NO OTHER AGENCIES OR PROGRAMS EXIST TO FILL THIS NEED IN MISSOURI. TOLL-FREE TELEPHONE AVAILABILITY OF THE POISON CENTER SIGNIFICANTLY IMPROVES ACCESS TO EXPERT ADVICE FOR THE POPULATION IN FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS, HEALTH PROFESSIONAL SHORTAGE AREAS AND IMPOVERISHED COUNTIES FOR WHOM ACCESS TO OTHER HEALTH CARE MAY BE LIMITED. LIKEWISE, POISON CENTER TELEPHONE-BASED SERVICE TO THE POPULATION IN THE STATE'S FOUR METROPOLITAN AREAS GIVES MANY MEDICALLY UNDERSERVED PERSONS AND DISADVANTAGED MINORITIES OTHER OPTIONS FOR CARE FOR POISONING EMERGENCIES BESIDES OVERCROWDED CITY HOSPITALS. SUCH UNIVERSAL ACCESS TO A CENTRAL HEALTH RESOURCE ACTS TO REDUCE HEALTH DISPARITIES FOR SOME OF OUR MOST VULNERABLE POPULATIONS. PUBLIC EDUCATION PRESENTATIONS ARE ALSO MADE AVAILABLE THROUGHOUT THE STATE TO TEACH THE BASIC STRATEGIES OF POISON PREVENTION. THIS EMPOWERS AND ENABLES MEMBERS OF THE COMMUNITY TO ACT EFFECTIVELY FOR THEIR OWN SAFETY. E. ST. LOUIS CORD BLOOD BANK THE ST. LOUIS CORD BLOOD BANK, ONE OF THE LARGEST PUBLIC CORD BLOOD BANKS IN THE WORLD, RECEIVED LICENSURE APPROVAL FROM THE U.S. FOOD AND DRUG ADMINISTRATION TO MANUFACTURE AND DISTRIBUTE CORD BLOOD-DERIVED STEM CELL PRODUCTS IN 2013. IT WAS THE FIRST BANK IN THE REGION AND THE FOURTH BANK IN THE WORLD TO EARN THIS HIGH DISTINCTION. THE ST. LOUIS CORD BLOOD BANK COLLECTS, PROCESSES AND STORES UMBILICAL CORD BLOOD, PROVIDING A LIFE-SAVING USE FOR A BIRTH BY-PRODUCT THAT WOULD OTHERWISE BE DISCARDED AS MEDICAL WASTE. CORD BLOOD CAN BE USED TO TREAT MORE THAN 70 DISEASES, INCLUDING LEUKEMIA AND SICKLE-CELL ANEMIA. SINCE 1995, OVER 100,000 FAMILIES HAVE DONATED THEIR CHILD'S CORD BLOOD IN THE HOPE OF SAVING THE LIFE OF ANOTHER UNRELATED PERSON. THE BANK HAS DISTRIBUTED NEARLY 2,000 OF THESE CORD BLOOD UNITS FOR TRANSPLANT WORLDWIDE. MORE THAN 23,000 UNITS REMAIN IN STORAGE AT THE ST. LOUIS CORD BLOOD BANK, AVAILABLE TO TREAT PATIENTS WITH AN APPROPRIATE MATCH OR PROVIDE THE MATERIAL TO BETTER UNDERSTAND THE BIOLOGY OF STEM CELLS AND EXPAND APPLICATIONS FOR MORE TREATMENTS. F. PACTS FOR LIFE/PALS PACTS FOR LIFE (PEDIATRIC ADVANCED CARDIORESPIRATORY AND TRAUMA SUPPORT FOR LIFE) WAS CREATED BY CARDINAL GLENNON EMERGENCY PHYSICIAN ANTHONY SCALZO, M.D., AND PROVIDES TRAINING FOR CAREGIVERS IN EMERGENCY LIFE SUPPORT. PALS (PEDIATRIC ADVANCED LIFE SUPPORT) IS THE RESULT OF A COLLABORATION BETWEEN THE AMERICAN HEART ASSOCIATION (AHA) AND THE AMERICAN ACADEMY OF PEDIATRICS. THE COURSES ARE DESIGNED TO PROVIDE CAREGIVERS WITH SKILLS WHICH WILL ENABLE THEM TO BOTH RECOGNIZE THE POTENTIAL FOR RESPIRATORY AND/OR CARDIAC ARREST IN INFANTS AND CHILDREN, AND INTERVENE IN AN APPROPRIATE MANNER BY PROVIDING A SYSTEMIC APPROACH TO THESE PATIENTS. THE COURSES ARE OFFERED TO PHYSICIANS, NURSES, PARAMEDICS, RESPIRATORY THERAPISTS, AND OTHER HEALTH CARE PROVIDERS, AND CARRY CONTINUING EDUCATION CREDITS. G. SCHOOL PARTNERSHIP PROGRAM SCHOOL PARTNERSHIP PROGRAM IS A COLLABORATIVE PROGRAM OF CARDINAL GLENNON AND THE ST LOUIS ARCHDIOCESE AND PROVIDES VISION, HEARING AND BLOOD PRESSURE SCREENING WITH REFERRAL FOR STUDENTS IN 33 CATHOLIC SCHOOLS. THE PROGRAM ALSO OFFERS A NUMBER OF OTHER SERVICES TO ALL OF THE AREA'S 155 CATHOLIC SCHOOLS, INCLUDING INSTRUCTION ON MEDICATION ADMINISTRATION WITH ANNUAL REVIEW, FIRST AID CLASSES, CPR INSTRUCTION, UNIVERSAL PRECAUTION/INFECTION CONTROL EDUCATION, CLASSES ON ALLERGIES, SEIZURES, DIABETES AND ASTHMA, HEALTH PROMOTIONAL ACTIVITIES SUCH AS HAND-WASHING AND HYGIENE INSTRUCTION, AND EDUCATION SESSIONS FOR THE SCHOOL NURSES. H. CLINICAL DIETARY SERVICES CARDINAL GLENNON CLINICAL DIETITIANS PROVIDE NUTRITIONAL COUNSELING FOR FAMILIES, AS WELL AS DIETARY TRACKING AND ANALYSIS FOR PEDIATRICIANS. I. COMMUNITY EDUCATION SEVENTEEN TIMES A YEAR, THE HOSPITAL PUBLISHES IN A MAJOR DAILY NEWSPAPER (THE ST LOUIS POST-DISPATCH) A COLUMN BY CHIEF OF PEDIATRICS ROBERT WILMOTT, M.D. THE COLUMN, CALLED "HEALTHY KIDS", PROVIDES PARENTING ADVICE AND CHILD HEALTH INFORMATION. EACH COLUMN INVITES READERS TO SEND DR. WILMOTT QUESTIONS VIA EMAIL, WHICH HE RESPONDS TO PROMPTLY AND PRIVATELY. THE HOSPITAL ALSO OFFERS A VAST LIBRARY OF PEDIATRIC HEALTH AND PARENTING INFORMATION, CALLED "KIDSHEALTH" ON ITS WEB SITE AT WWW.CARDINALGLENNON.COM. IN ADDITION, CARDS PROVIDING PEDIATRIC HEALTH TIPS FOR PARENTS ARE DISTRIBUTED THROUGH "EDUCATION STATIONS" IN THE WAITING ROOMS OF HUNDREDS OF AREA PEDIATRICIANS' OFFICES. J. DOROTHY AND LARRY DALLAS HEART CENTER THE DOROTHY AND LARRY DALLAS HEART CENTER PROVIDES COMPREHENSIVE HEART CARE FOR CHILDREN WITH HEART DEFECTS AND OTHER PROBLEMS. THROUGH ADVANCED DIAGNOSED IMAGING, HEART EXPERTS CAN DETERMINE IF A BABY HAS A HEART PROBLEM WHILE STILL IN THE WOMB AND WORK WITH THE FAMILY TO DETERMINE THE BEST COURSE OF ACTION TO TREAT THE ISSUE. THE DALLAS HEART CENTER HAS THE MOST ADVANCED DIAGNOSTIC EQUIPMENT TO LEARN MORE ABOUT A CHILD'S HEART THROUGH LESS INVASIVE PROCEDURES. DIGITAL ECHO TECHNOLOGY AND A CARDIAC ULTRASOUND MACHINE WITH ADVANCED 3D IMAGING ALLOW DOCTORS TO SEE 3D HEART IMAGING IN REAL TIME TO MAKE THE MOST ACCURATE DIAGNOSIS. IN 2011, SSM CARDINAL GLENNON DEBUTED A NEW PEDIATRIC HYBRID CARDIAC CATHETERIZATION SUITE. THIS NEW SUITE ALLOWS A CARDIOLOGIST AND CARDIOTHORACIC SURGEON TO FIND AND FIX A CHILD'S HEART PROBLEM IN THE SAME ROOM AND SAME PROCEDURE. THIS PROMOTES FASTER RECOVERY AND SAFER CARE FOR THE YOUNG PATIENTS SERVED BY THE HOSPITAL.
	K. ST. LOUIS FETAL CARE INSTITUTE THE ST. LOUIS FETAL CARE INSTITUTE SERVES FAMILIES ACROSS THE COUNTRY BY OFFERING THE MOST COMPREHENSIVE FETAL CARE PROGRAM IN MIDDLE AMERICA. A MULTI-DISCIPLINARY TEAM OF PEDIATRIC AND HIGH-RISK MATERNITY EXPERTS ARE ABLE TO TREAT LIFE-THREATENING CONDITIONS IN BABIES BEFORE BIRTH. ALTHOUGH MANY FETAL CONDITIONS REQUIRE ONLY CAREFUL MONITORING AND PREPARATION FOR THE BABY'S BIRTH, MANY CONDITIONS THAT THREATEN A BABY'S QUALITY OF LIFE CAN BE SURGICALLY CORRECTED WHILE THE BABY IS STILL IN THE WOMB. IN CONDITIONS SUCH AS TWIN-TWIN TRANSFUSION SYNDROME, CONGENITAL DIAPHRAGMATIC HERNIA, AMNIOTIC BAND SYNDROME AND LARGE TUMORS, PHYSICIANS HAVE BEEN ABLE TO PROVIDE LIFE-CHANGING INTERVENTION TO ALLOW A BABY TO BE BORN HEALTHY. BABIES WITH MYELOMENINGOCELE, THE MOST SEVERE FORM OF SPINA BIFIDA, HAVE BEEN SIGNIFICANTLY HELPED THROUGH SURGICAL INTERVENTION. THE INTERNATIONALLY KNOWN MOMS TRIAL DETERMINED THAT BABIES WHO HAVE THEIR SPINA BIFIDA ADDRESSED THROUGH SURGERY IN THE WOMB HAVE BETTER FUNCTION AND DO BETTER AS THEY AGE THAN BABIES WHO DID NOT RECEIVE SURGICAL INTERVENTION. THE ST. LOUIS FETAL CARE INSTITUTE HAS BECOME ONE OF THE ONLY CENTERS IN THE COUNTRY TO PROVIDE THIS TYPE OF LIFE-CHANGING SURGERY AND HAS HELPED A NUMBER OF CHILDREN WHOSE LIVE WOULD HAVE OTHERWISE BEEN SIGNIFICANTLY DIFFERENT. L. IMAGING CENTER SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER OPENED ITS NEW IMAGING CENTER IN NOVEMBER 2012. THE NEW SPACE FEATURES THE LOWEST RADIATION DOSE AVAILABLE FOR PEDIATRIC IMAGING ANYWHERE IN THE COUNTRY, ENSURING THAT PATIENTS WHO NEED A CT SCAN WILL RECEIVE SIGNIFICANTLY DECREASED RADIATION EXPOSURE. THE IMAGING CENTER FEATURES TWO NEW 128-SLICE CT SCANNERS THAT WILL PROVIDE SIGNIFICANTLY ENHANCED DIAGNOSTIC IMAGING CAPABILITIES WHILE PROVIDING THE SAFEST IMAGING THROUGH DOSE REDUCTION SOFTWARE. SSM CARDINAL GLENNON'S 128-SLICE SCANNER, IN ADDITION TO PROVIDING THE LOWEST RADIATION DOSE POSSIBLE, CAN SCAN FASTER, RESULTING IN A DECREASE OF PATIENTS WHO REQUIRE SEDATION. THE IMAGING CENTER ALSO INTRODUCES AN INTERACTIVE MRI SUITE DESIGNED TO PROVIDE COMFORT AND DISTRACTION TECHNIQUES TO CHILDREN. CHILDREN CAN USE AN IPAD TO SELECT COLOR "THEMES" FOR THE MRI SUITE. THEIR SELECTED THEME IS REFLECTED THROUGHOUT THE ROOM WITH LIGHT-UP WALLS AND LIGHTS. CHILDREN CAN ALSO SELECT A FAVORITE VIDEO TO WATCH ON A FLAT-PANEL TV MOUNTED ABOVE THE MRI. M. KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER OPENED ITS NEW FACILITY IN MAY 2013. THIS 11,000-SQUARE-FOOT SPACE IS DEDICATED TO HELPING CHILDREN WITH AUTISM AND OTHER NEURODEVELOPMENTAL DISORDERS. THE NEW FACILITY ENABLES EXPERTS TO SEE CHILDREN WITH SPECIAL NEEDS IN A HEALTH CARE SETTING DEVELOPED JUST FOR THEM, OUTSIDE THE DISTRACTIONS OF THE HOSPITAL. THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER AT SSM CARDINAL GLENNON HELPS CHILDREN WITH AUTISM AND NEURODEVELOPMENTAL DISORDERS TO REACH THEIR HIGHEST POTENTIAL THROUGH COMPREHENSIVE EVALUATION, CARE, FAMILY GUIDANCE, EDUCATION AND INNOVATIVE RESEARCH. CHILDREN WITH AUTISM SPECTRUM DISORDERS RECEIVE INNOVATIVE CARE TO TREAT THEIR COMPLEX DIAGNOSES. THE MULTI-DISCIPLINARY TEAM PROVIDES APPLIED BEHAVIORAL ANALYSIS, SPEECH AND LANGUAGE THERAPY, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY AS NEEDED TO CHILDREN WITH AUTISM. A PEERS SOCIAL SKILL PROGRAM TEACHES CHILDREN WITH AUTISM HOW TO INTERACT WITH OTHERS, WHICH IS OFTEN CHALLENGING FOR CHILDREN ON THE AUTISM SPECTRUM DISORDER. THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER ALSO HAS A DOG THERAPY PROGRAM. TRAINED THERAPY DOG HIGGINS, A GOLDENDOODLE, WORKS WITH CHILDREN TO MAKE THEM MORE COMFORTABLE WITH MEDICAL TREATMENT AND PROVIDES DISTRACTION DURING THERAPY SESSIONS. ADDITIONAL INFORMATION REGARDING SSMHC'S 2012 COMMUNITY BENEFIT REPORT CAN BE FOUND AT WWW.SSMHC.COM. QUANTIFIABLE COMMUNITY BENEFIT THE FOLLOWING IS A LIST OF THE TYPES OF PROGRAMS AND SERVICES THAT COULD BE INCLUDED AS COMMUNITY BENEFIT ACTIVITIES. TRADITIONAL CHARITY CARE $1,370,223 UNPAID COST OF MEDICAID $(6,826,349) COST OF BAD DEBTS $1,551,357 COMMUNITY BENEFIT PROGRAMS $32,440,660 TOTAL QUANTIFIABLE COMMUNITY BENEFIT $28,535,891
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE ST LOUIS. SSM HEALTH CARE ST LOUIS IS A NONPROFIT 501(C)(3) ORGANIZATION THAT OPERATES SIX HOSPITALS. BOTH SSM CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH CARE ST LOUIS ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE.
FORM 990, PART VI, SECTION A, LINE 7A	THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO 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 CORPORATE FINANCE PERSONNEL, PREPARE A CHECKLIST CONTAINING INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS CHECKLIST IS THEN REVIEWED BY A SUPERVISOR/MANAGER AND SENT TO THE CORPORATE OFFICE FOR FINAL REVIEW AND COORDINATION OF THE SYSTEM LEVEL FORM 990 INFORMATION. THE INFORMATION IS SUBMITTED TO AN OUTSIDE TAX CONSULTING FIRM WHO PREPARES THE FORM 990 FROM THE SSMHC INFORMATION AND SIGNS AS PAID PREPARER. PRIOR TO FINALIZING THE RETURN, A DRAFT IS SENT TO PERSONNEL AT SSMHC FOR REVIEW AND APPROVAL. THE COMPLETED FORM 990 IS PROVIDED ELECTRONICALLY TO ALL BOARD MEMBERS AT THE NEXT SCHEDULED BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY TO THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ON LINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END.
FORM 990, PART VI, SECTION B, LINE 15	ALL SSMHC EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE COMPENSATION REVIEW PROCESS IS DONE BY EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS, FOR THE PRESIDENT/CEO OF THE SYSTEM, THE SENIOR VICE PRESIDENTS AND THE REGIONAL PRESIDENTS ARE PRESENTED TO THE SSMHC BOARD OF DIRECTORS BY THE SAME INDEPENDENT COMPENSATION CONSULTANTS TO APPROVE, DISAPPROVE, MODIFY. THE SAME COMPARATIVE COMPENSATION PROCESS USED FOR EXECUTIVE SALARY/COMPENSATION IS PERFORMED INTERNALLY FOR OTHER EMPLOYEES. THE SSMHC BOARD OF DIRECTORS HAS DELEGATED SALARY APPROVAL FOR ALL OTHER POSITIONS TO THE COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH 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 TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	MEDICAL PHYSICIAN, PRACTITIONER, AND RESIDENT FEES: PROGRAM SERVICE EXPENSES 32,227,588. MANAGEMENT AND GENERAL EXPENSES 77,754. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,305,342. MEDICAL LAB, RADIOLOGY, AND VARIOUS SERVICES: PROGRAM SERVICE EXPENSES 16,906,331. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,906,331. TEACHING, CONSULTING, AND OTHER MISC SERVICES: PROGRAM SERVICE EXPENSES 4,321,581. MANAGEMENT AND GENERAL EXPENSES 616,388. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,937,969.	OTHER FEES
FORM 990, PART XI, LINE 9:	BENEFICIAL INTEREST IN FOUNDATION 5,310,168. NET FUND BALANCE TRANSFERS FROM AFFILIATES 1,569,100.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (38 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
SSM HEALTH CARE CORPORATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	466029223	HEALTH CARE	MO	501(C)(3)	LINE 11A, I	FRANCISCAN SISTERS OF MARY	0
SSM EMPLOYEE HEALTH CARE FUND
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431328934	BENEFIT PLANS	MO	501(C)(9)		SSM HEALTH CARE CORPORATION	0
SSMHC LIABILITY TRUST I
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	436331003	INSURANCE	MO	501(C)(3)	LINE 11A, I	SSM HEALTH CARE CORPORATION	0
SSM CONSOLIDATED HEALTH SERVICES
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431473657	HEALTH CARE	MO	501(C)(3)	LINE 11A, I	SSM HEALTH CARE CORPORATION	0
SSM POLICY INSTITUTE
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431788151	HEALTH CARE	MO	501(C)(4)		SSM HEALTH CARE CORPORATION	0
SSM PORTFOLIO MANAGEMENT CO
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431825256	MANAGEMENT	MO	501(C)(3)	LINE 11A, I	SSM HEALTH CARE CORPORATION	0
CARDINAL GLENNON CHILDREN'S FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431754347	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM CARDINAL GLENNONCHILDREN'S HOSPITAL	1
SSM DEPAUL HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431776109	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM HEALTH CARE ST LOUIS	0
SSM ST JOSEPH FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431591556	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM HEALTH CARE ST LOUIS	0
SSM ST CLARE HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431273310	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM HEALTH CARE ST LOUIS	0
SSM ST MARY'S HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431552945	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM HEALTH CARE ST LOUIS	0
SSM HEALTH CARE OF OKLAHOMA INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	730657693	HEALTH CARE	OK	501(C)(3)	LINE 3	SSM HEALTH CARE CORPORATION	0
ST ANTHONY HOSPITAL FOUNDATION INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	736104300	FUNDRAISING	OK	501(C)(3)	LINE 7	SSM HEALTH CARE OF OKLAHOMA	0
SSM HEALTH CARE OF WISCONSIN INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	430688874	HEALTH CARE	WI	501(C)(3)	LINE 3	SSM HEALTH CARE CORPORATION	0
DELLS MEDICAL BUILDING INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	391613292	MOB	WI	501(C)(2)		SSM HEALTH CARE OF WISCONSIN	0
ST MARY'S FOUNDATION INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431940686	FUNDRAISING	WI	501(C)(3)	LINE 7	SSM HEALTH CARE OF WISCONSIN	0
ST CLARE HEALTH CARE FOUNDATION INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431940683	FUNDRAISING	WI	501(C)(3)	LINE 7	SSM HEALTH CARE OF WISCONSIN	0
HOME HEALTH UNITED INC
4639 HAMMERSLEY ROAD	MADISON	WI	53713	391539827	HEALTH CARE	WI	501(C)(3)	LINE 9	SSM HEALTH CARE OF WISCONSIN	0
HOME CARE UNITED INC
4639 HAMMERSLEY ROAD	MADISON	WI	53713	391776340	HEALTH CARE	WI	501(C)(3)	LINE 9	SSM HEALTH CARE OF WISCONSIN	0
HHU XTRA CARE INC
4639 HAMMERSLEY ROAD	MADISON	WI	53713	391705111	HEALTH CARE	WI	501(C)(3)	LINE 9	SSM HEALTH CARE OF WISCONSIN	0
SSM REGIONAL HEALTH SERVICES
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	440579850	HEALTH CARE	MO	501(C)(3)	LINE 3	SSM HEALTH CARE CORPORATION	0
ST FRANCIS HOSPITAL FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431099253	FUNDRAISING	MO	501(C)(3)	LINE 7	SSM REGIONAL HEALTH SERVICES	0
ST MARY'S HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431575307	FUNDRAISING	MO	501(C)(3)	LINE 11B, II	SSM REGIONAL HEALTH SERVICES	0
GOOD SAMARITAN REGIONAL HEALTH CENTER
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	430653587	HEALTH CARE	IL	501(C)(3)	LINE 3	SSM REGIONAL HEALTH SERVICES	0
ST MARY'S HOSPITAL CENTRALIA ILLINOIS
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	370662580	HEALTH CARE	IL	501(C)(3)	LINE 3	SSM REGIONAL HEALTH SERVICES	0
ST MARY'S - GOOD SAMARITAN INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	364170833	HEALTH CARE	IL	501(C)(3)	LINE 11A, I	SSM REGIONAL HEALTH SERVICES	0
GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	262884795	FUNDRAISING	IL	501(C)(3)	LINE 7	ST MARY'S-GOOD SAMARITAN INC	0
ST MARY'S HOSPITAL FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	364636691	FUNDRAISING	IL	501(C)(3)	LINE 7	ST MARY'S-GOOD SAMARITAN INC	0
SSM HEALTH BUSINESSES
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431333488	HEALTH CARE	MO	501(C)(3)	LINE 9	SSM HEALTH CARE CORPORATION	0
SSM HEALTH CARE ST LOUIS
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431343281	HEALTH CARE	MO	501(C)(3)	LINE 3	SSM HEALTH CARE CORPORATION	0
CENTRALIA MEDICAL SERVICES BLDG ASSOC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	237408025	MOB	IL	501(C)(3)	LINE 11A, I	SSM REGIONAL HEALTH SERVICES	0
ST MARY'S JANESVILLE FOUNDATION INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	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
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	731279603	MOB	OK	501(C)(3)	LINE 11A, I	SSM HEALTH CARE OF OKLAHOMA	0
SSM HOSPICE & HOME CARE FOUNDATION
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	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
605 NORTH 12TH STREET	MT VERNON	IL	62864	237049599	FUNDRAISING	IL	501(C)(3)	LINE 11C, III-FI		0	N/A
ST ANTHONY SHAWNEE HOSPITAL INC
1000 N LEE AVE	OKLAHOMA CITY	OK	73102	455055149	HEALTH CARE	OK	501(C)(3)	LINE 3	SSM HEALTH CARE OF OKLAHOMA	0

Form990 Schedule R Part III Form990ScheduleRPartIII (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
SSM SJ ENDOSCOPY
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	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
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	201382620	RADIATION THERAPY	IL	N/A
SLEEPNEURO SO IL
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	208468195	DIAG. SERVICES	IL	N/A
SMHC SURG CO-MGMT
100 ST MARYS MEDICAL PLAZA	JEFFERSON CITY	MO	65101	208929305	MANAGEMENT	MO	N/A
SMHC CARD CO-MGMT
100 ST MARYS MEDICAL PLAZA	JEFFERSON CITY	MO	65101	208929381	MANAGEMENT	MO	N/A
SMHC MUSC CO-MGMT
100 ST MARYS MEDICAL PLAZA	JEFFERSON CITY	MO	65101	208929237	MANAGEMENT	MO	N/A
CHOWSMGSI
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	371383861	MOB	IL	N/A
COMP CANCER CARE
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	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
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	264031708	PHARMACY	MO	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (15 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
SSM MANAGED CARE ORGANIZATION LLC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	431708511	HEALTH PROMOTION	MO	N/A	C	0
FPP INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	431465174	HEALTH CARE	MO	N/A	C	0
DIVERSIFIED HEALTH SERVICES CORP
477 N LINBERGH BLVD	ST LOUIS	MO	63141	431369305	MEDICAL EQUIPMENT	MO	N/A	C	0
SSM CARDIO AND THORACIC SERVICES INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	260286559	HEALTH CARE	MO	N/A	C	0
SSM PROPERTIES INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	431462486	PROPERTY SERVICES	MO	N/A	C	0
SSM DEPAUL MEDICAL GROUP INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	431715106	HEALTH CARE	MO	N/A	C	0
SSM ST CHARLES CLINIC MED GROUP INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	430626408	PHYSICIAN OFFICES	MO	N/A	C	0
HEALTH FIRST PHYS MANAGEMENT
477 N LINBERGH BLVD	ST LOUIS	MO	63141	731534336	MEDICAL SERVICES	OK	N/A	C	0
SSMHCS LIABILITY TRUST II
477 N LINBERGH BLVD	ST LOUIS	MO	63141	816128118	INSURANCE	MO	N/A	C	0
SSM NEUROSCIENCES INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	263413981	HEALTH CARE	MO	N/A	C	0
SSM MEDICAL GROUP INC
477 N LINBERGH BLVD	ST LOUIS	MO	63141	431664107	PHYSICIAN OFFICES	MO	N/A	C	0
SSMHC INSURANCE COMPANY
477 N LINBERGH BLVD	ST LOUIS	MO	63141	030310431	INSURANCE	CA	N/A	C	0
SSM ORTHOPEDIC INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	271557033	HEALTH CARE	MO	N/A	C	0
SSM CANCER CARE
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	271557324	HEATH CARE	MO	N/A	C	0
PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	364161526	HEATH CARE	IL	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CARDINAL GLENNON CHILDREN'S FOUNDATION
C	9534728	COST
SSM EMPLOYEE HEALTH CARE FUND
Q	13573814	COST
CARDINAL GLENNON CHILDREN'S FOUNDATION
P	1702580	COST