2012-11-15T17:01:45-06:00 2011-12-31 861065772 DELOITTE TAX LLP 1111 BAGBY STREET SUITE 4500 HOUSTON TX 77002 990 2011-01-01 440579850 SSM REGIONAL HEALTH SERVICES SSMR 3149947800 477 NORTH LINDBERGH BLVD ST LOUIS MO 63141 JUNE L PICKETT 3149947800 2012-11-14 1 SRIRAM SRINIVASAN P00654717 7139822000 2011 2016-02-24 21:20:13Z SEE SCHEDULE O WILLIAM P THOMPSON 477 NORTH LINDBERGH BLVD ST LOUIS MO 63141 216279594 0 0928 X WWW.SSMHC.COM X 2000 MO SEE SCHEDULE O 10 0 1763 432 7705967 -18426 735088 221302 205599260 205595229 1413625 1778178 8281171 8294803 216029144 215889512 313256 166441 0 0 101455776 103722671 0 0 141038 120830982 117947530 222600014 221836642 -6570870 -5947130 137523233 136505568 53525919 57319302 83997314 79186266 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 195935472 166441 206174560 SEE SCHEDULE O 195935472 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 1 1 0 1 255 0 1 1763 1 1 1 0 0 0 0 0 0 0 0 0 0 X 10 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X DONNA WALLACE 3145238793 477 NORTH LINDBERGH BLVD ST LOUIS MO 63141 X SR MARY JEAN RYAN 1.00 X 0 0 0 STEVEN BARNEY 1.00 X X 0 677427 38184 JOAN BEGLINGER 1.00 X 0 232574 129448 PAULA FRIEDMAN 1.00 X 0 540978 207654 CHRISTOPHER HOWARD 1.00 X 0 822289 217130 PHILIP GUSTAFSON 1.00 X 0 593241 116181 DIXIE L PLATT 1.00 X 0 465606 187812 JAMES M SANGER 1.00 X 0 842896 24901 WILLIAM P THOMPSON 1.00 X X 0 1518393 741005 KRIS A ZIMMER 1.00 X X 0 708536 189289 MARY STARMANN HARRISON 1.00 X 0 198348 124522 THOMAS K LANGSTON 1.00 X 0 581866 308345 JUNE L PICKETT 1.00 X 0 224061 185772 GRAY COX 40.00 X 0 331698 224781 R BRENT VANCONIA 40.00 X 0 432681 178839 BRIAN DEAN 40.00 X 117485 0 9455 JOCELYN SKIDMORE 40.00 X 126720 0 75849 MARVIN KURTZ 40.00 X 140348 0 0 CATHY NEW 40.00 X 159267 0 118560 PATRICK HARR MD 40.00 X 310868 0 313481 SCOTT HOLMAN DO 40.00 X 396798 0 94954 CATHERINE ABRAMS 40.00 X 260379 0 89999 JOHN LUCIO DO 40.00 X 224448 0 26530 SUSAN MANKOSKI 40.00 X 163940 0 64657 GARF THOMAS 40.00 X 154148 0 32901 THOMAS DISTEFANO 40.00 X 1022653 0 146231 DAMIAN MIZERA 40.00 X 458899 0 81573 AMRIT SINGH 40.00 X 468375 0 105588 GARRY PEARSON 40.00 X 512634 0 202391 SHAHID WAHEED 40.00 X 468000 0 85760 4984962 8170594 4321792 93 0 1 0 LAWRENCE GROUP 319 N 4TH STREET STE 1000 ST LOUIS MO 63102 CONTRUCTION SERVICES 4431073 CAPITAL EMERGENCY PHYSICIANS 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 MEDICAL PHYSICIAN SERVICES 2502592 MID-MISSOURI ANESTHESIA 1445 CHRISTY DRIVE JEFFERSON CITY MO 65101 MEDICAL PHYSICIAN SERVICES 1425974 EMERGENCY PRACTICE ASSOCIATES INC 3840 W 9TH STREET WATERLOO IA 50702 EMERGENCY ROOM PHYSICIAN SERVICES 1307235 MORRISON MANAGEMENT SPECIALIST 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 MEDICAL MANAGEMENT FEES 1054149 40 26172 172845 22112 173 6687 221302 NET PATIENT REV. 621110 204493235 204493235 OTHER OPERATING REV. 621110 1101994 1101994 205595229 708550 708550 44967 53256 -8289 -8289 -8289 993761 411285 0 335418 993761 75867 1069628 1069628 8054 1408 6646 6646 11148 0 11148 11148 PHARMACY REVENUE 446110 7248251 7248251 CHILD CARE CENTER 624410 388203 388203 LABORATORY REV. 621500 334084 297676 36408 314760 281655 33105 8285298 215889512 206174560 7705967 1787683 166441 166441 3069224 3069224 72125828 62642804 9405199 77825 9721110 8125202 1583901 12007 13809939 11600967 2194191 14781 4996570 4170965 819901 5704 4258444 749567 3508877 302370 302370 45633 45633 14306292 13079878 1226414 894628 341989 552639 7585874 6918666 644067 23141 9961619 9950779 10840 4921941 4694582 227359 498470 298793 197908 1769 194255 170210 24045 740158 740158 9450448 9272382 177074 992 2680246 939977 1740269 MEDICAL SUPPLIES 34651896 34651896 0 0 BAD DEBT 15557509 15557509 0 0 MEDICARE PROVIDER TAX 11310569 11310569 0 0 LICENSES 227039 226340 699 0 360139 325798 29522 4819 221836642 195935472 25760132 141038 937158 1054845 23247494 13689469 25732718 29574252 20000 20000 4402699 4312181 1834444 2010395 146441654 95811366 49908357 50630288 25558196 27050825 5882167 8163313 137523233 136505568 15024134 15604606 38501785 41714696 53525919 57319302 X 82478990 76400877 1407324 2674389 111000 111000 83997314 79186266 137523233 136505568 X -5947130 1136082 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 7519 0 0 0 7519 0 111000 1436 1436 111000 116307 2098 7405 111000 118719 1500 4614 8526 116307 173727 -55008 118719 1.00000 0 0 4715483 4715483 79859563 56435387 23424176 537755 434144 103611 49770654 38206247 11564407 11558199 735588 10822611 50630288 BENEFICIAL INTEREST IN FOUNDATIONS 9331903 F EQUITY IN JOINT VENTURES 524443 F SSM COMPREHENSIVE INVESTMENT PROGRAM 17194479 F 27050825 THIRD PARTY PAYOR 6638876 OTHER RECEIVABLES 228937 LONG TERM NOTES RECEIVABLE 179327 OTHER NON CURRENT ASSETS 1116173 8163313 PENSION FUNDING LIABILITY 11565140 RABBI TRUST LIABILITY 1462322 THIRD PARTY PAYOR 32278 ASSET RETIREMENT LIABILITY 884845 DEFERRED COMPENSATION LIABILITY 992847 DUE TO AFFILIATES 236904 ALLOCATED TAX EXEMPT BOND DEBT (ISSUED BY SSM HEALTH CARE) 26540360 41714696 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ENDOWMENT FUNDS ARE USED TO SUPPORT OPERATIONS AND THE MISSION OF ST. MARY'S HEALTH CENTER. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: SSM REGIONAL HEALTH SERVICES' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH CARE CORPORATION (SSMHC), A RELATED ORGANIZATION. SSMHC EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2011 OR 2010. 1 1 X 1 X 1 X 0.0 1 1 1 0 1 1 3861804 3861804 0.01870 32839111 28708528 4130583 0.02000 36700915 28708528 7992387 0.03870 427501 9925 417576 0.00200 90364 90364 0.00040 303362 12039 291323 0.00140 821227 21964 799263 0.00380 37522142 28730492 8791650 0.04250 6224 6224 0.00000 192898 192898 0.00090 404 404 0.00000 199526 199526 0.00090 6997446 55470165 63237672 -7767507 X 1 0 1 SMHC MUSC COMGMT LLC MANAGEMENT 0.50000 0.00000 0.50000 2 SMHC SGRL COMGMT LLC MANAGEMENT 0.50000 0.00000 0.50000 3 SMHC CARDIO CMGT LLC MANAGEMENT 0.50000 0.00000 0.50000 2 1 ST MARY'S HEALTH CENTER

100 ST MARYS MEDICAL PLAZA JEFFESON CITY MO 65101

X X X 2 ST FRANCIS HOSPITAL & HEALTH SERVICES

2016 S MAIN MARYVILLE MO 64468

X X X ST MARY'S HEALTH CENTER 1 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X X 1 0 1 X 0 0 ST FRANCIS HOSPITAL & HEALTH SERVICES 2 0 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X X 1 0 1 X 0 0 7 ST FRANCIS FAMILY HEALTH CARE WEST

2016 S MAIN MARYVILLE MO 64468

PRIMARY CARE CLINIC ST FRANCIS FAMILY HEALTH CARE- EAST

114 E SOUTH HILLS DR MARYVILLE MO 64468

PRIMARY CARE CLINIC ST FRANCIS FAMILY LIFE SERVICES

114 EAST SOUTH HILLS DRIVE MARYVILLE MO 64468

MENTAL HEALTH OUTPATIENT ST FRANCIS PRESCHOOL & CHILD CARE CENTER

2112 S MAIN MARYVILLE MO 64468

PRESCHOOL HARDIN MEDICAL CLINIC

408 SOUTH DODGE STREET BEDFORD IA 50833

PRIMARY CARE CLINIC ST FRANCIS GRANT CITY MEDICAL CLINIC

24 WEST 4TH STREET GRANT CITY MO 64456

PRIMARY CARE CLINIC WEST NODAWAY HEALTH CLINIC

221 EAST MAIN STREET BURLINGTON JUNCTION MO 64428

PRIMARY CARE CLINIC PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 15557509. SCHEDULE H, PART I, QUESTION 3BELIGIBILITY FOR DISCOUNTED CARESSM REGIONAL HEALTH SERVICES USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE EIGIBILITY 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%SCHEDULE H, PART I, QUESTION 3COTHER CRITERIA FOR FREE OR DISCOUNTED CAREAN 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 REGIONAL HEALTH SERVICES BUSINESS OFFICE PERSONNEL 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". SCHEDULE H, PART I, QUESTION 6ACOMMUNITY BENEFIT REPORTINGSSM REGIONAL HEALTH SERVICES IS PART OF THE INTEGRATED HEALTH SYSTEM KNOWN AS SSM HEALTH CARE. IN AN EFFORT TO STRENGTHEN ITS COMMUNITY BENEFIT PROGRAM, SSM HEALTH CARE PLANS FOR, MEASURES, AND COMMUNICATES IN AN ANNUAL REPORT CHARITY CARE PROVIDED TO PERSONS WHO ARE LOW INCOME, THE UNPAID COSTS OF PUBLIC PROGRAMS AND OTHER ACTIVITIES THAT RESPOND TO COMMUNITY NEED, IMPROVE COMMUNITY HEALTH, OR REACH OUT TO LOW INCOME AND VULNERABLE PERSONS. SSM HEALTH CARE'S 2011 ANNUAL COMMUNITY BENEFIT REPORT FOR THE SYSTEM CAN BE FOUND AT WWW.SSMHC.COM.SCHEDULE H, PART I, QUESTION 7DESCRIPTION OF COSTING METHODOLOGYCHARITY 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. 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 REGIONAL HEALTH SERVICES HAD BAD DEBT EXPENSE IN THE AMOUNT OF $15,557,509 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. SCHEDULE H, PART IICOMMUNITY BUILDING ACTIVITIESSSM REGIONAL HEALTH SERVICES PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING: COMMUNITY SUPPORT - ECONOMIC DEVELOPMENT: PARTICIPATION IN AN ORGANIZATION PROMOTING SMALL BUSINESS DEVELOPMENT INCLUDING PARTICIPATION IN THE GREATER MARYVILLE CHAMBER OF COMMERCE, WORTH COUNTY PROGRESS ORGANIZATION, GRANT CITY CHAMBER OF COMMERCE, BEDFORD AREA DEVELOPMENT CENTER, AND NODAWAY COUNTY ECONOMIC DEVELOPMENT COUNCIL.COMMUNITY BUILDING - COMMUNITY SUPPORT: PROVIDES DIRECT SUPPORT FOR UNDERFUNDED CHILD CARE CENTER TO COVER SALARY AND BENEFITS FOR CHILDREN AND FAMILY CENTER OF NORTHWEST MISSOURI; PARTICIPATES IN ACTIVITIES TO TAKE AN ACTIVE ROLE IN THE JEFFERSON CITY, MISSOURI COMMUNITY AND THE HEALTH OF ITS CITIZENS.COMMUNITY BUILDING - COALITION BUILDING: EMPLOYEES SERVE ON THE STEERING COMMITTEE FOR WAYS TO ENHANCE CHILDREN'S ACTIVITY AND NUTRITION FOR THE PILOT PROGRAM AT ST GREGORY'S SCHOOL, A PROJECT FOCUSED ON EDUCATING 3RD AND 4TH GRADERS TO LIVE HEALTHIER LIVES AND REDUCE RISKS FOR CHILDHOOD OBESITY. SCHEDULE H, PART III, SECTION A, LINE 4BAD DEBT EXPENSESSM REGIONAL HEALTH SERVICES IS PART OF THE SSM HEALTH CARE CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE DECEMBER 31, 2011 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. BAD DEBTS EXPENSE IS THE ESTIMATED AMOUNT OF PATIENT SERVICE REVENUES THAT SSMHC WILL NOT COLLECT."BAD DEBT COSTING METHODOLOGY: BAD DEBT EXPENSE REPORTED IN THE 2011 ANNUAL LICENSING SURVEY OF MISSOURI HOSPITALS WAS USED, MULTIPLIED BY THE COST TO CHARGE RATIO USING IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES.BAD DEBT EXPENSE REPORTED ON LINE 2 FOR THE YEAR ENDED DECEMBER 31, 2011 WAS $17,577,685 AT CHARGES AND $6,997,446 AT COST.SCHEDULE H, PART III, SECTION B, LINE 8MEDICARE SHORTFALL INCLUDED IN COMMUNITY BENEFITTHE COST OF PROVIDING CARE TO MEDICARE ELIGIBLE PATIENTS IS GREATER THAN THE REIMBURSEMENT THAT MEDICARE ALLOWS ON THE MEDICARE COST REPORT. SSM REGIONAL HEALTH SERVICES CONSIDERS THIS SHORTFALL AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIATED AND SERVICES ARE PROVIDED REGARDLESS OF THE PATIENTS' ABILITY TO PAY. THE MEDICARE COSTS REPORTED ON LINE 6 WERE OBTAINED FROM THE 2011 MEDICARE COST REPORT. SCHEDULE H, PART III, SECTION C, LINE 9BCOLLECTION PRACTICESSSM REGIONAL HEALTH SERVICES HAS ESTABLISHED WRITTEN CREDIT AND COLLECTION POLICY AND PROCEDURES. THE BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSM HEALTH CARE, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. THE HOSPITAL EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH IT PARTICIPATES BY ESTABLISHING SOUND BUSINESS PRACTICES. THE HOSPITAL'S BILLING AND COLLECTION PRACTICES WILL BE 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 HEALTH CARE OF OKLAHOMA'S COLLECTION AND CHARITY POLICIES.SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT PROCESSTHE ANNUAL STRATEGIC, FINANCIAL, AND HUMAN RESOURCES PLANNING PROCESS HAS INCLUDED AN ASSESSMENT OF THE COMMUNITY'S NEEDS TO INCLUDE THE IDENTIFICATION OF SPECIFIC AND MEASUREABLE HEALTHY COMMUNITIES' INITIATIVES. OUR SYSTEM VISION FOR IMPROVED COMMUNITY HEALTH IS PURSUED IN ALL OF OUR WORK AT SSM HEALTH CARE FROM STRATEGIC PLANNING, FINANCIAL MANAGEMENT, AND DIRECT PATIENT CARE TO ADVOCACY, COMMUNITY PARTNERSHIPS AND HEALTHY COMMUNITIES INITIATIVES. OVERALL EFFORTS IN THIS AREA ARE COORDINATED THROUGH SSM HEALTH CARE'S COMMUNITY BENEFIT PROGRAM, WHICH FOCUSES ON ASSESSING AND IMPLEMENTING STRATEGIES TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS.SSM HEALTH CARE'S COMMITMENT TO COMMUNITY BENEFIT IS DEEPLY EMBEDDED INTO OUR ORGANIZATIONAL CULTURE AS REFLECTED IN OUR SYSTEM VISION STATEMENT WHICH READS: THROUGH OUR PARTICIPATION IN THE HEALING MINISTRY OF JESUS CHRIST, COMMUNITIES, ESPECIALLY THOSE THAT ARE ECONOMICALLY, PHYSICALLY AND SOCIALLY MARGINALIZED, WILL EXPERIENCE IMPROVED HEALTH IN MIND, BODY, SPIRIT, AND ENVIRONMENT WITH THE FINANCIAL LIMITS OF THE SYSTEM.AS OF JANUARY 2011, THE PRIMARY FOCUS OF SSM HEALTH CARE'S HEALTHY COMMUNITIES (HCIS) HAS BEEN ON ONE OF THE TOP-THREE CHRONIC DISEASES IN EACH ENTITY'S/NETWORK'S RESPECTIVE MARKET (E.G., CHF, DIABETES, ASTHMA) AS IDENTIFIED THROUGH, AMONG OTHER DATA SOURCES, COMMUNITY NEEDS ASSESSMENTS, CONSUMER/PUBLIC HEALTH STUDIES AND STATE/LOCAL HEALTH DEPARTMENT INFORMATION.COMMUNITY HEALTH IMPROVEMENT, WHICH WE PURSUE AS A SYSTEM PRIMARILY THROUGH HCIS UNDERTAKEN AT THE ENTITY LEVEL, IS FUNDAMENTAL TO OUR MISSION, VALUES, AND VISION. OVER THE YEARS MANY PEOPLE HAVE BENEFITED FROM OUR HCIS AND MUCH GOOD HAS COME FROM THEM. IN AN EFFORT TO BEST RESPOND TO COMMUNITY NEEDS, HCIS WILL REFOCUS ITS EFFORTS TOWARD A NEW APPROACH TO COMMUNITY HEALTH, AS OUTLINED HERE.CHRONIC DISEASE IS RAMPANT THROUGHOUT THE U.S WHERE ROUGHLY HALF OF ALL ADULTS AND 10% OF CHILDREN/ADOLESCENTS LIVE WITH AT LEAST ONE CHRONIC DISEASE. OF THESE AN ESTIMATED 13 MILLION LACK HEALTH INSURANCE AND THEREBY HAVE POORER ACCESS TO PREVENTIVE AND PRIMARY CARE SERVICES THAN THEIR INSURED COUNTERPARTS AND EXPERIENCE WORSE HEALTH-RELATED OUTCOMES, INCLUDING PREMATURE DEATH.IN RESPONSE TO THIS GROWING NATIONAL HEALTH CRISIS, SYSTEM MANAGEMENT HAS SET THE EXPECTATION THAT ALL SSM OPERATING ENTITIES, WORKING INDIVIDUALLY OR COLLECTIVELY AS NETWORKS, IN COLLABORATION WITH COMMUNITY PARTNERS, WILL DEVELOP HCIS FOCUSED ON THE CHRONIC DISEASE SELECTED THAT ADDRESSES THREE PILLARS THAT STRETCH ACROSS THE CARE CONTINUUM: - PREVENTION THROUGH COMMUNITY EDUCATION IN PARTNERSHIP WITH COMMUNITY HEALTH ORGANIZATIONS, LOCAL HEALTH AGENCIES, CHURCHES, CIVIC CENTERS, SCHOOLS, INSURANCE COMPANIES AND OTHER COMMUNITY PARTNERS. - ACCESS TO PRIMARY CARE SERVICES AND NECESSARY MEDICATIONS IN CONJUNCTION WITH COMMUNITY HEALTH ORGANIZATIONS, LOCAL HEALTH AGENCIES AND CLINICS, EMPLOYED COMMUNITY PHYSICIANS AND PHARMACEUTICAL COMPANIES. - INPATIENT CARE INCLUDING PATIENT EDUCATION, COMPREHENSIVE DISCHARGE PLANNING, MEDICATION RECONCILIATION, COORDINATION OF CARE ACROSS SETTINGS AND POST-DISCHARGE FOLLOW-UP.INITIALLY, THE STRATEGIC GOAL WILL BE TO REDUCE THE 30-DAY HOSPITAL READMISSION RATE FOR THE CHRONIC DISEASE SELECTED. THIS HAS THE MOST IMMEDIATE IMPACT. AS WE DEVELOP OUR COMMUNITY PARTNERSHIPS AND BEGIN TO IMPACT THE WHOLE CARE CONTINUUM, ADDITIONAL GOALS CAN BE ADDED THAT ADDRESS KEY INDICATORS OF COMMUNITY/POPULATION HEALTH (E.G., PREVALENCE AND INCIDENCE RATES, SCREENING RATES, HOSPITAL ADMISSION RATES, BEHAVIORAL AND LIFESTYLE FACTORS). ENTITIES MUST ESTABLISH SPECIFIC STRATEGIES AND DEVELOP CLEAR INDICATORS OR MEASURES OF SUCCESS TO TRACK PROGRESS. IN ADDITION TO THE HEALTHY COMMUNITIES INITIATIVES, EACH SSM HEALTH CARE HOSPITAL WILL CONDUCT A SEPARATE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). 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 DATA 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 TO BE 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 HEALTH SCHEDULE H, PART VI, LINE 3PATIENT 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.SCHEDULE H, PART VI LINE 4COMMUNITY INFORMATIONST MARY'S HEALTH CENTER DEFINES ITS PRIMARY AND SECONDARY SERVICE AREAS AS THE FOUR COUNTIES OF COLE, MILLER, MONITEAU AND OSAGE LOCATED IN CENTRAL MISSOURI. THE TOTAL POPULATION OF THE SERVICE AREA, BASED ON THE 2010 CENSUS, WAS 130,223. THIS REGION IS EXPECTING AN INCREASE OF 1.8% FROM 2010 TO 2015 WITH COLE COUNTY EXPECTING THE PARGETS GROWTH AT 2.2%. THE AGE DISTRIBUTION CONTINUES TO SHIFT TOWARD A LARGER POPULATION OF OLDER ADULTS WITH ESTIMATES SUGGESTING THE 65+ COHORT WILL SEE THE LARGEST GROWTH FROM 2010 TO 2015 WITH A 13.4% INCREASE. THE MEDIAN AGE FOR THE REGION IS 38.4 WHICH IS SLIGHTLY HIGHER THAN THE MISSOURI AVERAGE OF 37.9. THE RACE/ETHNICITY DISTRIBUTION BASED ON THE 2010 CENSUS DATA SHOWS A POPULATION THAT IS PREDOMINATELY WHITE/CAUCASIAN (89.2%), WITH 7.1 PERCENT BLACK/AFRICAN AMERICAN. THE MAJORITY OF THE ADULT POPULATION IN THE REGION HAS AN EDUCATION LEVEL AT OR ABOVE THE HIGH SCHOOL LEVEL (85.4%). LOWER THAN AVERAGE POVERTY RATES PROVIDE EVIDENCE OF A HIGHER LEVEL OF ECONOMIC WELL-BEING IN THREE OF THE FOUR COUNTIES WITH ONLY MILLER COUNTY (16.8%)HAVING A PERCENTAGE HIGHER THAN THE MISSOURI AVERAGE (14%). MILLER COUNTY ALSO REPORTS A HIGHER PERCENTAGE OF CHILDREN IN POVERTY (31%) WHEN COMPARED TO 21 PERCENT IN MISSOURI. PER CAPITA INCOME RANGED FROM A LOW $18,202 IN MILLER COUNTY TO A HIGH OF $25,935 IN COLE COUNTY. THIS REGION CONTAINS 50,499 HOUSEHOLDS WITH AVERAGE HOUSEHOLD INCOMES RANGING FROM $43,839 IN MILLER COUNTY TO $65,254 IN COLE COUNTY. ST FRANCIS HOSPITAL & HEALTH SERVICES IS LOCATED IN MARYVILLE, MISSOURI, IN RURAL NORTHWEST MISSOURI. THE SERVICE AREA FOR ST FRANCIS ENCOMPASSES NODAWAY COUNTY, MISSOURI AND ALL OF THE CONTIGUOUS SURROUNDING COUNTIES IN MISSOURI AND IOWA. THE ESTIMATED 2011 POPULATION OF NODAWAY COUNTY WAS 21,860 WITH A PROJECTED GROWTH RATE OF 0.2% FROM 2011 TO 2016. THE LARGEST AGE GROUP IN NODAWAY COUNTY IS THE 18 - 24 GROUP, WHICH MAKES UP ABOUT 27% OF THE TOTAL POPULATION. THE POPULATION OF NODAWAY COUNTY IS PREDOMINANTLY WHITE/NON-HISPANIC (94%). THE AVERAGE HOUSEHOLD INCOME IN NODAWAY COUNTY IS $46,895. THIS IS CONSIDERABLY LOWER THAN THE MISSOURI AVERAGE OF $58,797. IN 2010, THE POVERTY RATE WAS 17.0%, WHICH WAS HIGHER THAN THE MISSOURI AVERAGE OF 15.3%. THE POVERTY RATE FOR CHILDREN WAS 15.0% IN NODAWAY COUNTY. MOST OF THE ADULT POPULATION (AGE 25 OR OLDER) IN NODAWAY COUNTY HAVE A HIGH SCHOOL DEGREE OR HIGHERST MARY'S HEALTH CENTER OFFERS A FULL RANGE OF HEALTH CARE SERVICES INCLUDING CARDIOVASCULAR, EMERGENCY, ORTHOPEDIC, CANCER, OUTPATIENT SURGICAL, AND WOMEN'S HEALTH SERVICES. IN ADDITION, ST MARY'S EXTENDS ITS HEALTH CARE INTO THE REGION WITH THE FOLLOWING SERVICES: WOUND HEALING CENTER, MEDICAL CLINICS, URGENT CARE FACILITIES, RETAIL PHARMACIES, ST MARY'S PEDIATRICS, HEALTH PSYCHOLOGY, PAIN MANAGEMENT, ST MARY'S SLEEP CENTER,, WOMEN'S IMAGING CENTER, OCCUPATION MEDICINE, OUTPATIENT PHYSICAL REHABILITATION AND DIABETES MANAGEMENT AND TRAINING.AS A RURAL HOSPITAL, ST FRANCIS HOSPITAL & HEALTH SERVICES PROVIDES EMERGENCY TREATMENT, ACUTE CARE FOR PATIENTS WITH MEDICAL AND SURGICAL DIAGNOSIS, MENTAL HEALTH ILLNESSES, AND OBSTETRICAL NEEDS. SCHEDULE H, PART VI LINE 5PROMOTION OF COMMUNITY HEALTHSSM HEALTH CARE'S MISSION STATEMENT IS "THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD." SSM REGIONAL HEALTH SERVICES PARTICIPATES IN A WIDE ARRAY OF COMMUNITY PROGRAMS THROUGHOUT THE AREA TO FURTHER ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY. SOME EXAMPLES INCLUDE THE FOLLOWING:ST. FRANCIS HOSPITAL AND HEALTH SERVICES - MARYVILLE, MOIN KEEPING WITH AREA SCHOOL DISTRICT WELLNESS PROGRAMS, THE HOSPITAL'S COMMUNITY EDUCATION SPECIALIST AND ONE OF THE LAB PERSONNEL PROVIDED LAB AND BONE DENSITY SCREENINGS FOR TEN AREA SCHOOLS. THESE WERE PROVIDED ON SITE TO REDUCE THE COSTS OF DISTRICT EMPLOYEES TRAVELING TO A MEDICAL FACILITY FOR THE TESTING. IN ADDITION, LAB CHARGES WERE DISCOUNTED.IN NODAWAY COUNTY, THE RATE OF ER VISITS FOR STROKE OR OTHER CEREBROVASCULAR DISEASE SHOWED A SIGNIFICANT INCREASE IN RECENT YEARS BASED ON THE COMMUNITY ASSESSMENT. OF THE DATA STUDIED, 75% OF THE PATIENTS WERE FEMALE. EFFORTS WERE MADE TO IDENTIFY HIGH-RISK PATIENTS THROUGH INCREASED SCREENINGS IN THE AREA WITH SPECIAL EMPHASIS ON WOMEN IN THE AREA. HEALTH SCREENINGS INCLUDE BLOOD PRESSURE, BLOOD DRAWS, AND/OR ONE DENSITY TEST. THE HOSPITAL MAKES PRESENTATIONS ABOUT HEALTH RELATED-RELATED MATTERS SUCH AS DIABETES AND HEART DISEASE AND PARTICIPATES IN HEALTH FAIRS. ADDITIONALLY, THE HOSPITAL PARTICIPATES IN JOB SHADOW OPPORTUNITIES FOR STUDENTS IN ELEMENTARY SCHOOL THROUGH COLLEGE. ST. MARY' S HEALTH CENTER - JEFFERSON CITY, MOST. MARY'S FINANCIAL ASSISTANCE PROGRAM: ST. MARY'S PROVIDED IN-HOUSE AND NOW CONTRACTS WITH A COMPANY THAT SCREENS AND ASSISTS ALL PATIENTS WHO HAVE NO INSURANCE TO HELP THEM APPLY FOR MEDICARE, MEDICAID, OR OTHER FORMS OF ASSISTANCE.SMHC FOUNDATION MEDICATION ASSISTANCE FUND: THIS PROGRAM PROVIDES AID TO THOSE IN NEED BY OFFERING SHORT-TERM ASSISTANCE TO PATIENTS WHO CANNOT AFFORD PRESCRIPTION MEDICINE, AND CANNOT OBTAIN IT IN A TIMELY MANNER FROM ANOTHER AGENCY. THIS PROGRAM SUPPORTS THE POOR, UNINSURED, AND IS AVAILABLE TO BOTH THE URBAN AND RURAL DEMOGRAPHIC.TRAINING RESOURCES FOR DISADVANTAGED YOUTH: THIS PROGRAM IS A TRAINING PROGRAM THAT PROVIDES LEARNING CHALLENGED HIGH SCHOOL STUDENTS AN OPPORTUNITY TO BUILD VALUABLE EXPERIENCE AND LIFE SKILLS BY WORKING AT THE HOSPITAL. THE PROGRAM SUPPORTS LEARNING DISADVANTAGED, OFTEN ECONOMICALLY CHALLENGED YOUTH IN OUR COMMUNITY, AS WELL AS SUPPORTS A COMMUNITY PARTNERSHIP WITH THE LOCAL HIGH SCHOOL.LINCOLN UNIVERSITY SCHOOL OF NURSING: ST. MARY'S PARTNERS WITH LINCOLN UNIVERSITY BY DONATING $62,166 TO THE NURSING PROGRAM AS WELL AS PROVIDING A CLINICAL SETTING FOR THE RN STUDENTS TO LEARN.SSM REGIONAL HEALTH SERVICES ALSO FURTHERS ITS EXEMPT PURPOSE WITH THE FOLLOWING ACTIVITIES: - OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY, - HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, - HAS A 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 REGIONAL HEALTH SERVICES IS A HEALTH CARE NETWORK THAT OPERATES ST MARY'S HEALTH CENTER IN JEFFERSON CITY MISSOURI AND ST FRANCIS HOSPITAL & HEALTH SERVICES IN MARYVILLE, MISSOURI. IT IS PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE. SSM HEALTH CARE IS A 501(C)(3) ORGANIZATION HEADQUARTERED IN ST LOUIS, MISSOURI.PART VI LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORTTHE SSM HEALTH CARE'S ANNUAL CONSOLIDATED COMMUNITY BENEFIT REPORT IS FILED IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN. ST. FRANCIS HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 18C: FAP-ELIGIBLE INDIVIDUALS CHARGES ARE DETERMINED USING THE AVERAGE COMMERCIAL RATE OF MANAGED CARE CONTRACTS. ST. MARY'S HEALTH CENTER PART V, SECTION B, LINE 19D: FAP-ELIGIBLE INDIVIDUAL'S CHARGES ARE DETERMINED USING THE AVERAGE COMMERCIAL RATE OF MANAGED CARE CONTRACTS. ST. FRANCIS HOSPITAL & HEALTH SERVICES PART V, SECTION B, LINE 19D: FAP-ELIGIBLE INDIVIDUALS RECEIVE A 20% UNINSURED DISCOUNT WHICH IS BASED ON THE AVERAGE OF ALL OF THE MANAGED CARE CONTRACTS. 1 LINCOLN UNIVERSITY FOUNDATION INC 820 CHESTNUT STREET JEFFERSON CITY MO 65101 237325582 501(C)(3) 67331 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135616797 501(C)(3) 9000 HEARTWALK SPONSORSHIP ROMAN CATHOLIC DIOCESE OF JEFFERSON CITY PO BOX 104900 JEFFERSON CITY MO 65110 440612540 501(C)(3) 21050 GENERAL SUPORT HEARTLAND FOUNDATION 518 SOUTH 6TH STREET ST JOSEPH MO 64501 431262768 501(C)(3) 18750 GENERAL SUPPORT PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION'S GRANTS WERE MADE TO GOVERNMENTAL OR TAX EXEMPT, UNDER SECTION 501(C(3), ORGANIZATIONS. THESE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. X 1 1 1 1 0 0 0 0 0 0 0 STEVEN BARNEY 0 539974 0 0 0 137453 0 16752 0 21432 0 715611 0 0 JOAN BEGLINGER 0 229181 0 0 0 3393 0 113598 0 15850 0 362022 0 0 PAULA FRIEDMAN 0 466031 0 0 0 74947 0 191795 0 15859 0 748632 0 0 CHRISTOPHER HOWARD 0 768126 0 0 0 54163 0 190088 0 27042 0 1039419 0 0 PHILIP GUSTAFSON 0 520187 0 0 0 73054 0 86661 0 29520 0 709422 0 0 DIXIE L PLATT 0 433470 0 0 0 32136 0 161029 0 26783 0 653418 0 0 JAMES M SANGER 0 702345 0 0 0 140551 0 6130 0 18771 0 867797 0 0 WILLIAM P THOMPSON 0 1013217 0 0 0 505176 0 725268 0 15737 0 2259398 0 0 KRIS A ZIMMER 0 661311 0 0 0 47225 0 162685 0 26604 0 897825 0 0 MARY STARMANN HARRISON 0 152328 0 0 0 46020 0 119274 0 5248 0 322870 0 0 THOMAS K LANGSTON 0 474427 0 0 0 107439 0 277310 0 31035 0 890211 0 0 JUNE L PICKETT 0 217587 0 0 0 6474 0 169142 0 16630 0 409833 0 0 GRAY COX 0 268725 0 0 0 62973 0 191956 0 32825 0 556479 0 0 R BRENT VANCONIA 0 387400 0 0 0 45281 0 149798 0 29041 0 611520 0 0 JOCELYN SKIDMORE 122589 0 0 0 4131 0 65062 0 10787 0 202569 0 0 0 CATHY NEW 148501 0 0 0 10766 0 107829 0 10731 0 277827 0 0 0 PATRICK HARR MD 292984 0 0 0 17884 0 288125 0 25356 0 624349 0 0 0 SCOTT HOLMAN DO 382130 0 0 0 14668 0 69636 0 25318 0 491752 0 0 0 CATHERINE ABRAMS 189687 0 0 0 70692 0 75592 0 14407 0 350378 0 0 0 JOHN LUCIO DO 222277 0 0 0 2171 0 15115 0 11415 0 250978 0 0 0 SUSAN MANKOSKI 161299 0 0 0 2641 0 52974 0 11683 0 228597 0 0 0 GARF THOMAS 153498 0 0 0 650 0 23711 0 9190 0 187049 0 0 0 THOMAS DISTEFANO 980803 0 0 0 41850 0 128657 0 17574 0 1168884 0 0 0 DAMIAN MIZERA 457390 0 0 0 1509 0 52131 0 29442 0 540472 0 0 0 AMRIT SINGH 422459 0 0 0 45916 0 80306 0 25282 0 573963 0 0 0 GARRY PEARSON 438691 0 0 0 73943 0 173081 0 29310 0 715025 0 0 0 SHAHID WAHEED 468000 0 0 0 0 0 85760 0 0 0 553760 0 0 0 PART I, LINE 1A THE FOLLOWING INDIVIDUALS LISTED ON PART VII, SECTION A, RECEIVED TAX INDEMNIFICATION/GROSS UP PAYMENTS IN 2011, WHICH WERE INCLUDED IN THEIR TAXABLE COMPENSATION: PATRICK HARR SCOTT HOLMAN THOMAS DISTEFANO AMRIT SINGH GARRY PEARSON PART I, LINE 3 THE ORGANIZATION'S CEO IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZIED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) WRITTEN EMPLOYMENT CONTRACT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINES 4A-B SUPPLEMENTAL INFORMATION PART III 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 INDIVIDUAL RECEIVED PAYMENTS UNDER THE PLAN IN THE CURRENT YEAR. CATHERINE ABRAMS $29,201 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 2011. 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 2011. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUALS' TAXABLE COMPENSATION. JAMES M SANGER $ 71,999 PHILIP GUSTAFSON $ 36,750 STEVEN BARNEY $ 66,707 CATHERINE ABRAMS $ 17,696 JOCELYN SKIDMORE $ 3,039 CATHY NEW $ 9,145 DAMIEN MIZERA MD X 20000 20000 0 0 1 20000 TERI HARR FAMILY MEMBER OF KEY EMPLOYEE 67247 EMPLOYMENT 0 NICOLE MAUGHAN FAMILY MEMBER OF KEY EMPLOYEE 12086 EMPLOYMENT 0 PURPOSE OF LOAN TO DAMIEN MIZERA - STUDENT LOAN ORGANIZATION MISSION STATEMENT FORM 990, PART I, ORGANIZATION MISSION : SSM REGIONAL HEALTH SERVICES OPERATES TWO HOSPITALS AND HEALTH CENTERS IN JEFFERSON CITY, MISSOURI AND MARYVILLE, MISSOURI. FORM 990, PART I, DOING BUSINESS AS: SSM REGIONAL HEALTH SERVICES CURRENTLY UTILIZES THE FOLLOWING FICTITIOUS NAMES: 1. ST. FRANCIS HOSPITAL & HEALTH SERVICES (EIN:44-0579850) A. ST. FRANCIS FAMILY HEALTH CARE - EAST B. ST. FRANCIS FAMILY HEALTH CARE - WEST C. ST. FRANCIS FAMILY LIFE SERVICES D. ST. FRANCIS GRANT CITY HEALTH CLINIC E. ST. FRANCIS HARDIN MEDICAL CLINIC F. ST. FRANCIS ORTHOPEDIC & SPORTS MEDICINE CLINIC G. ST. FRANCIS PRESCHOOL & CHILDCARE H. ST. FRANCIS WEST NODAWAY HEALTH CLINIC 2. ST. MARY'S HEALTH CENTER (EIN:44-0546097) A. COMPREHENSIVE WOUND HEALTH CENTER AT ST. MARY'S B. ST. MARY'S CANCER SPECIALISTS C. ST. MARY'S HEALTH PSYCHOLOGY D. ST. MARY'S HOLTS SUMMIT PHARMACY E. ST. MARY'S MEDICAL CLINIC - BELLE F. ST. MARY'S MEDICAL CLINIC - HOLTS SUMMIT G. ST. MARY'S MEDICAL CLINIC - LINN H. ST. MARY'S MEDICAL CLINIC - TIPTON I. ST. MARY'S MEDICAL CLINIC - VERSAILLES J. ST. MARY'S MEDICAL PLAZA PHARMACY K. ST. MARY'S OCCUPATIONAL MEDICINE L. ST. MARY'S PEDIATRICS M. ST. MARY'S REHABILITATION N. ST. MARY'S SLEEP CENTER O. ST. MARY'S SPORTS MEDICINE & REHABILITATION CENTER P. ST. MARY'S TIPTON PHARMACY Q. ST. MARY'S URGENT CARE AT THE LAKE R. ST. MARY'S WESTPHALIA PHARMACY S. THE VASCULAR INSTITUTE AT ST. MARY'S PROGRAM SERVICE STATEMENT FORM 990, PART III LINE 4A, DESCRIPTION OF PROGRAM SERVICE: BRIEFLY DESCRIBE THE CORPORATION'S MISSION: SINCE IT WAS FOUNDED IN 1872 BY CATHOLIC SISTERS, SSM HEALTH CARE (SSMHC) HAS EXISTED TO MEET THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. SPONSORED BY THE FRANCISCAN SISTERS OF MARY AND HEADQUARTERED IN ST. LOUIS, MO, SSMHC OPERATES 17 HOSPITALS, TWO SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES IN FOUR STATES: WISCONSIN, ILLINOIS, MISSOURI AND OKLAHOMA. THE HEALTH SYSTEM EMPLOYS APPROXIMATELY 24,000 EMPLOYEES AND IS AFFILIATED WITH MORE THAN 6,500 PHYSICIANS. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMHC STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL HEALTH CARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. SSM REGIONAL HEALTH SERVICES INCLUDES ST FRANCIS HOSPITAL AND HEALTH SERVICES IN MARYVILLE, MISSOURI, ST. MARY'S HEALTH CENTER IN JEFFERSON CITY, MISSOURI AND A NETWORK OF PRIMARY CARE MEDICAL CLINICS AND SPECIALTY OFFERINGS SERVING JEFFERSON CITY AND SURROUNDING COMMUNITIES DESCRIBE THE ORGANIZATION'S APPROACH TO PROVIDING COMMUNITY BENEFIT: ST. FRANCIS HOSPITAL AND HEALTH SERVICES - MARYVILLE, MO: A COMMUNITY BENEFIT ACTIVITY IS IDENTIFIED AS A SERVICE RATHER THAN AS A MARKETING TOOL AND MEETS AT LEAST TWO OF THE FOLLOWING CRITERIA: - IT IS FINANCED BY PHILANTHROPIC CONTRIBUTIONS, VOLUNTEER EFFORTS, OR AN ENDOWMENT. - IT PROVIDES A RESPONSE TO A UNIQUE OR PARTICULAR HEALTH PROBLEM IN THE COMMUNITY. - IT GENERATES A LOW OR NEGATIVE MARGIN ON A FULLY ABSORBED COST BASIS. - IT RESPONDS TO THE NEEDS OF SPECIAL POPULATIONS SUCH AS MINORITIES, WOMEN AND CHILDREN, THE FRAIL ELDERLY, LOW INCOME PERSONS WITH DISABILITIES, THE MENTALLY ILL, OR THOSE LIVING WITH CHRONIC ILLNESS. - THE DECISION TO OFFER THE SERVICE OR PROGRAM IS NOT MADE ON A PURELY FINANCIAL BASIS. - IF NOT PROVIDED BY HEALTH CARE ORGANIZATION, THE SERVICE WOULD NO LONGER BE AVAILABLE IN THE COMMUNITY OR WOULD BE THE RESPONSIBILITY OF GOVERNMENT. HEALTHY COMMUNITIES' INITIATIVES ARE A COMPONENT OF THE OVERALL COMMUNITY BENEFIT PROGRAM. HEALTHY COMMUNITIES' INITIATIVES DEMONSTRATE THE LEADERSHIP ROLE THAT ST. FRANCIS IS TAKING IN IDENTIFYING, COMMUNICATING AND DEVELOPING RESPONSES TO HEALTH-RELATED NEEDS IN THE COMMUNITY. THESE INITIATIVES ARE UNDERTAKEN IN COLLABORATION WITH OTHER COMMUNITY PARTNERS. HEALTHY COMMUNITIES' INITIATIVES ARE SPECIFICALLY IDENTIFIED IN THE STRATEGIC AND FINANCIAL PLAN. SPECIFIC AND MEASURABLE GOALS AND OBJECTIVES ARE ESTABLISHED FOR EACH INITIATIVE IN ORDER TO DETERMINE ITS EFFECTIVENESS IN RESPONDING TO THE IDENTIFIED COMMUNITY NEED. ONE OF THE FIRST STEPS FOR IDENTIFYING A HEALTHY COMMUNITIES' PROJECT IS TO CONDUCT A COMMUNITY NEEDS ASSESSMENT TO DETERMINE TOP CHRONIC DISEASES IN AREA. COMMUNITY PARTNERS ARE IDENTIFIED IN ORDER TO ADDRESS KEY INDICATORS OF COMMUNITY/POPULATION HEALTH (E.G., PREVALENCE AND INCIDENCE RATES, SCREENING RATES, HOSPITAL ADMISSION RATES, BEHAVIORAL AND LIFESTYLE FACTORS). STRATEGIES ARE FOCUSED AROUND PREVENTION, ACCESS, AND INPATIENT CARE TO REDUCE READMISSIONS AND DEVELOP CLEAR INDICATORS OR MEASURES OF SUCCESS TO TRACK PROGRESS. ST. MARY'S HEALTH CENTER - JEFFERSON CITY, MO: ST. MARY'S USES PRIMARY AND SECONDARY DATA, AS WELL AS VITAL MARKET STUDIES, TO ASSESS MARKET UTILIZATION, VOLUME TRENDS AND SERVICE NEEDS ON AN ANNUAL BASIS. FOR INSTANCE, ST. MARY'S UTILIZES THE MISSOURI HOSPITAL ASSOCIATION'S HIDI MARKET DATA TO ASSESS PREVALENT DISEASE CATEGORIES BY AGE AND GENDER AND GEOGRAPHIC ORIGINATION WITHIN OUR NINE COUNTY SERVICE AREA TO DETERMINE THE NEEDS AND MOST EFFECTIVE OUTREACH FOR THE UNDERSERVED. FOCUS GROUPS ARE ALSO USED FOR BETTER UNDERSTANDING DISPARITIES AND ACCESS TO HEALTH CARE SERVICES. IN ADDITION, ST. MARY'S COMPLETES A COMPREHENSIVE COMMUNITY NEEDS EVERY THREE YEARS. ST. MARY'S PARTICIPATES AS A MEMBER OF THE CENTRAL MISSOURI HEALTH ASSESSMENT PARTNERSHIP AND FORMULATES INITIATIVES WITH MEMBER ORGANIZATIONS, INCLUDING THE COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI (A FEDERALLY QUALIFIED HEALTH CENTER), COLE COUNTY DEPARTMENT OF HEALTH, THE UNITED WAY OF CENTER MISSOURI, THE SAMARITAN CENTER OF JEFFERSON CITY, AS WELL AS CAPITAL REGION MEDICAL CENTER. DESCRIBE THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICIES OR PROGRAMS (E.G., CHARITY CARE, DISCOUNTING) FOR LOW-INCOME PERSONS AND HOW THEY ARE COMMUNICATED TO THE PUBLIC. ALL SSMHC FACILITIES WILL STRIVE TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY. ALL BILLING AND COLLECTION POLICIES AND PRACTICES WILL REFLECT THE MISSION AND VALUES OF SSMHC, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. SSMHC FACILITIES OFFER DISCOUNTS FOR HOSPITAL SERVICES TO ALL UNINSURED PERSONS. SELF-PAY DISCOUNTS APPLY TO EVERYONE WHO DOES NOT HAVE HEALTH INSURANCE, NO MATTER THEIR ABILITY TO PAY. SSMHC WILL APPLY ITS CHARITY CARE POLICIES FAIRLY AND CONSISTENTLY. EACH PERSON WILL BE TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. SSMHC EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH WE PARTICIPATE BY ESTABLISHING SOUND BUSINESS PRACTICES. CHARITY CARE IS PROVIDED TO PATIENTS BASED ON A SLIDING SCALE FOR HOUSEHOLD INCOMES UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. PATIENTS WHOSE HOUSEHOLD INCOME IS NO MORE THAN TWO TIMES THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR FREE HOSPITAL SERVICES. IN ADDITION, AN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT'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 SERVICES SHALL PROVIDE INFORMATION TO THE PUBLIC REGARDING ITS CHARITY CARE POLICIES AND THE QUALIFICATION REQUIREMENTS FOR EACH OF ITS FACILITIES. WHEN STANDARD SYSTEM NOTICES AND COMMUNICATIONS REGARDING CHARITY CARE ARE AVAILABLE, THESE MUST BE USED. MODIFICATIONS TO THE STANDARD MAY BE MADE TO COMPLY WITH STATE AND LOCAL LAWS, AS WELL AS REFLECT CULTURALLY SENSITIVE TERMINOLOGY FOR THE POLICY. ALL NOTICES WILL BE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY. THEY WILL PROVIDE INFORMATION ABOUT: - THE PATIENT'S RESPONSIBILITY FOR PAYMENT; - THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND ENTITY CHARITY CARE AND PAYMENT ARRANGEMENTS; - THE ENTITY'S CHARITY POLICY AND APPLICATION PROCESS: AND - WHOM TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING. THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC SHALL BE PROVIDED: - SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT AND INPATIENT REGISTRATION AND PUBLIC WAITING AREAS. - BROCHURES OR FLIERS PROVIDED AT TIME OF REGISTRATION AND AVAILABLE IN THE FINANCIAL COUNSELING AREAS. - NOTICES SENT WITH OR ON PATIENT BILLS OR COMMUNICATIONS SENT TO PATIENTS AND GUARANTORS RELATED TO MEDICAL SERVICES. - APPLICATIONS PROVIDED TO UNINSURED PATIENTS AT THE TIME OF REGISTRATION. THE APPLICATION FOR CHARITY CARE, TOGETHER WITH ANY INSTRUCTIONS, MUST CLEARLY STATE THE POLICIES REGARDING CHARITY CARE, INCLUDING EXCLUDED SERVICES, ELIGIBILITY CRITERIA AND DOCUMENTATION REQUIREMENTS. INFORMATION ABOUT THE ENTITY'S CHARITY POLICIES WILL ALSO BE PROVIDED TO PUBLIC AGENCIES. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTION: EACH OF THE HOSPITALS OF SSM REGIONAL HEALTH SERVICES: - 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 DIVISIONAL BOARD OF DIRECTORS IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY; - ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS; - PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS: ST. FRANCIS HOSPITAL AND HEALTH SERVICES - MARYVILLE, MO DIABETES EDUCATION: DEB HULL, DIABETES EDUCATOR, CONTINUED HER EFFORTS TO INFORM AND RAISE AWARENESS ABOUT DIABETES. IN 2011, DEB PRESENTED INFORMATION TO OVER 200 SCHOOL AND COMMUNITY MEMBERS ABOUT THE RISK OF DEVELOPING TYPE 2 DIABETES AND HOW IT CAN BE SIGNIFICANTLY REDUCED THROUGH EXERCISE AND MODEST WEIGHT LOSS. IN CONJUNCTION WITH THE ST. FRANCIS HOSPITAL FOUNDATION, A DVD HAS BEEN PRODUCED AND DISTRIBUTED TO FIFTH AND SIXTH GRADERS THROUGHOUT THE AREA TEACHING CHILDREN ABOUT DIABETES AND HOW IT CAN BE PREVENTED. HEALTH PROFESSIONALS EDUCATION: IN COLLABORATION WITH MISSOURI AREA HEALTH EDUCATION CENTERS AND THE UNIVERSITY OF MISSOURI SCHOOL OF MEDICINE, ST. FRANCIS ACCOMMODATED MEDICAL STUDENTS IN AN OPPORTUNITY TO HELP THEM EXPLORE FIRST-HAND THE PROSPECTS AWAITING THEM IN A RURAL AND OUTREACH POPULATIONS. THE PROGRAM INCLUDED PHYSICIAN INVOLVEMENT TO OVERSEE THE STUDENT LEARNING AS WELL AS HOUSING WITH MAINTENANCE AND HOUSEKEEPING AND INTERNET-BASED EQUIPMENT AND FACILITIES TO CONDUCT CHATS WITH UNIVERSITY INSTRUCTORS ON A REGULAR BASIS. COMMUNITY HEALTH SCREENINGS: IN RESPONSE TO THE HIGH DEATH RATE FOR STROKES IN NODAWAY COUNTY (70.7 PER 100,000) COMPARED TO THE STATE AVERAGE (62.6/100,000) PLUS A LOWER THAN AVERAGE HOSPITALIZATION RATE, ST. FRANCIS HOSPITAL AND HEALTH SERVICES DEVELOPED A COMMUNITY HEALTH SCREENINGS INITIATIVE IN COLLABORATION WITH THE NODAWAY COUNTY HEALTH DEPARTMENT, SCHOOLS AND OTHER HEALTH FAIR OR SCREENING PARTNERS. THE INITIATIVE IMPACTS THE HEALTH STATUS OF RESIDENTS AND PATIENTS BY INCREASING THE NUMBER OF COMMUNITY SCREENINGS TO IDENTIFY THE AT-RISK POPULATION FOR STROKE. IN 2011, THE HOSPITAL HELD 20 HEALTH SCREENINGS WITH 817 PARTICIPANTS. ST. MARY'S HEALTH CENTER - JEFFERSON CITY, MO ST. MARY'S FINANCIAL ASSISTANCE PROGRAM: ST. MARY'S PROVIDED IN-HOUSE AND NOW CONTRACTS WITH A COMPANY THAT SCREENS AND ASSISTS ALL PATIENTS WHO HAVE NO INSURANCE TO HELP THEM APPLY FOR MEDICARE, MEDICAID, OR OTHER FORMS OF ASSISTANCE. SMHC FOUNDATION MEDICATION ASSISTANCE FUND: THIS PROGRAM PROVIDES AID TO THOSE IN NEED BY OFFERING SHORT-TERM MEDICATION ASSISTANCE TO PATIENTS WHO CANNOT AFFORD PRESCRIPTION MEDICINE, AND CANNOT OBTAIN IT IN A TIMELY MANNER FROM ANOTHER AGENCY. THIS PROGRAM SUPPORTS THE POOR, UNINSURED AND IS AVAILABLE TO THE URBAN AND RURAL DEMOGRAPHIC. TRAINING RESOURCES FOR DISADVANTAGED YOUTH: THIS PROGRAM IS A TRAINING PROGRAM THAT PROVIDES LEARNING CHALLENGED HIGH SCHOOL STUDENTS AN OPPORTUNITY TO BUILD VALUABLE EXPERIENCE AND LIFE SKILLS BY WORKING AT THE HOSPITAL. THE PROGRAM SUPPORTS LEARNING DISADVANTAGED, OFTEN ECONOMICALLY CHALLENGED YOUTH IN OUR COMMUNITY, AS WELL AS SUPPORTS A COMMUNITY PARTNERSHIP WITH THE LOCAL HIGH SCHOOL. LINCOLN UNIVERSITY SCHOOL OF NURSING: ST. MARY'S PARTNERS WITH LINCOLN UNIVERSITY BY DONATING $64,031 TO THE NURSING PROGRAM AS WELL AS PROVIDING A CLINICAL SETTING FOR THE RN STUDENTS TO LEARN. ADDITIONAL INFORMATION REGARDING SSMHC'S 2011 COMMUNITY BENEFIT REPORT CAN BE FOUND AT WWW.SSMHC.COM. QUANTIFIABLE COMMUNITY BENEFIT THIS SECTION INCLUDES A LIST OF THE TYPES OF PROGRAMS AND SERVICES THAT COULD BE INCLUDED AS COMMUNITY BENEFIT ACTIVITIES. TRADITIONAL CHARITY CARE $ 3,861,804 UNPAID COST OF MEDICARE $ 7,767,507 UNPAID COST OF MEDICAID $ 4,130,583 COST OF BAD DEBT $ 6,997,446 COMMUNITY BENEFIT PROGRAMS $ 799,263 TOTAL QUANTIFIABLE COMMUNITY BENEFIT $ 23,556,603 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM REGIONAL HEALTH SERVICES AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE THE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS D. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OF THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER OF THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS AND OBJECTIVES OF THE MEMBER OF THE MEMBER AS DETERMINED BY THE MEMBER OF THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER OF THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. FORM 990, PART VI, SECTION B, LINE 11 ACCOUNTING/FINANCE PERSONNEL AT EACH SSMHC (SSM HEALTH CARE SYSTEM) ENTITY, IN CONJUNCTION WITH CORPORATE FINANCE PERSONNEL, PREPARE A CHECKLIST CONTAINING INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS CHECKLIST IS THEN REVIEWED BY A SUPERVISOR/MANAGER AND SENT TO THE CORPORATE OFFICE FOR FINAL REVIEW AND COORDINATION OF THE SYSTEM LEVEL FORM 990 INFORMATION. THE INFORMATION IS SUBMITTED TO AN OUTSIDE TAX CONSULTING FIRM WHO PREPARES AND SIGNS THE FORM 990 FROM THE SSMHC INFORMATION. PRIOR TO FINALIZING THE RETURN, A DRAFT IS SENT TO PERSONNEL AT SSMHC FOR REVIEW AND APPROVAL. UPON SSMHC APPROVAL, THE OUTSIDE PREPARER FORWARDS THE COMPLETED FORM 990 FOR THE APPROPRIATE SIGNATURES AND FILING ACTION. A COMPLETE COPY OF THE RETURN IS PROVIDED TO THE BOARD AT THE NEXT 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 SIMILAR POSITIONS IN THE MARKET. THE COMPENSATION REVIEW PROCESS IS PERFORMED BY EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS. THE SAME COMPARATIVE PROCESS IS PERFORMED INTERNALLY FOR EMPLOYEES. THE SALARY DATA AND POTENTIAL ADJUSTMENTS, FOR THE CEO OF THE SYSTEM, THE PRESIDENT/COO AND THE SENIOR VICE PRESIDENTS ARE PRESENTED TO THE SSMHC BOARD OF DIRECTORS BY THE SAME INDEPENDENT COMPENSATION CONSULTANTS TO APPROVE, DISAPPROVE, MODIFY. FORM 990, PART VI, SECTION C, LINE 19 THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENT FOR THE SSM HEALTH CARE SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH CARE'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. AVG HOURS DEVOTED TO RELATED ORG(S) WHEN RELATED COMP IS REPORTED: FORM 990, PART VII: ALL INDIVIDUALS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED TO THE FILING ORGANIZATION ARE EMPLOYED AND COMPENSATED BY THE ORGANIZATION OR BY A RELATED ORGANIZATION. IN ADDITION, ALL COMPENSATED REPORTABLE INDIVIDUALS LISTED ON FORM 990, PART VII WORK A MINIMUM OF 40 HOURS PER WEEK FOR SSMHC RELATED ORGANIZATIONS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,250,187. BENEFICIAL INTEREST IN FOUNDATION 1,505,190. TRANSFERS FROM AFFILIATES 881,079. TOTAL TO FORM 990, PART XI, LINE 5: 1,136,082. 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 SSMHCS 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 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 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 477 N LINDBERGH BLVD ST LOUIS MO 63141 430738490 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE ST LOUIS 0 GLENNON HOSPITAL GUILD 477 N LINDBERGH BLVD ST LOUIS MO 63141 431030299 FUNDRAISING MO 501(C)(3) LINE 9 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 0 CARDINAL GLENNON CHILDREN'S FOUNDATION 477 N LINDBERGH BLVD ST LOUIS MO 63141 431754347 FUNDRAISING MO 501(C)(3) LINE 7 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 0 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 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 OK 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 WI 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 ST FRANCIS HOSPITAL FOUNDATION 477 N LINDBERGH BLVD ST LOUIS MO 63141 431099253 FUNDRAISING MO 501(C)(3) LINE 7 SSM REGIONAL HEALTH SERVICES 1 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 1 ST MARY'S HOSPITAL 477 N LINDBERGH BLVD ST LOUIS MO 63141 370662580 HEALTH CARE IL 501(C)(3) LINE 3 SSM REGIONAL HEALTH SERVICES 1 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 1 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 1 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 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 0 SSM HEALTH BUSINESSES 477 N LINDBERGH BLVD ST LOUIS MO 63141 431333488 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 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 CENTRALIA MEDICAL SERVICES BLDG ASSOC 477 N LINDBERGH ST LOUIS MO 63141 237408025 HEALTH CARE IL 501(C)(3) LINE 11B, II SSM REGIONAL HEALTH SERVICES 1 ST MARY'S JANESVILLE FOUNDATION INC 2901 LANDMARK PL STE 300 MADISON WI 53713 273439133 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 FRANCISCAN SISTERS OF MARY 1100 BELLEVUE AVE ST LOUIS MO 63117 431012492 RELIGIOUS ORGANIZATION MO 501(C)(3) LINE 1 N/A 0 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 HEALTH CARE FOR KIDS 4055 LINDELL BLVD ST LOUIS MO 63108 431620093 HEALTH CARE MO 501(C)(3) LINE 3 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 0 HHU-VNS FOUNDATION 4639 HAMMERSLEY ROAD MADISON WI 53713 391839309 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 ST MARY'S HOSPITAL AUXILIARY 400 N PLEASANT CENTRALIA IL 62801 237126345 FUNDRAISING IL 501(C)(3) LINE 9 N/A 0 SMHC SURG CO-MGMT 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 208929305 MANAGEMENT MO SSM REGIONAL HEALTH SERVICES RELATED 242540 199101 0 1 0.50000 SMHC CARD CO-MGMT 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 208929381 MANAGEMENT MO SSM REGIONAL HEALTH SERVICES RELATED 381430 176772 0 1 0.50000 SMHC MUSC CO-MGMT 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 208929237 MANAGEMENT MO SSM REGIONAL HEALTH SERVICES RELATED 197932 148570 0 1 0.50000 ST CLARE IMAGING SERVICES 707 14TH STREET SUITE A BARABOO WI 53913 200122365 DIAG. SERVICES WI N/A MOUNT VERNON RADIATION THERAPY 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 CHOWSMGSI 605 N 12TH STREET MOUNT VERNON IL 62864 371383861 MOB MO N/A COMP CANCER CARE 477 N LINDBERGH BLVD ST LOUIS MO 63141 201382727 MOB IL N/A MIA OF ST CHARLES 132 NORTH KANSAS ST ROOM 212 EDWARDSVILLE IL 62025 422125740 DIAG. 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