ST MARYS HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: ST MARYS HOSPITAL (EIN 37-0662580)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-15
IRS object ID: 201133199349304418
Schema version: 2010v3.4
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	2011-11-15T11:18:41-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	370662580	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S HOSPITAL CENTRALIA ILLINOIS	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STMA	NameControl
Phone	6184368000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	477 N LINDBERGH BLVD	AddressLine1
City	ST LOUIS	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	6184368000	Phone
Date Signed	2011-11-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	NANCY Z EVETTS	Name
Phone	7139822000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WILLIAM 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	105888529	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.SSMHC.CO	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1939	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	SEE SCHEDULE O	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	983	TotalNbrEmployees
Total Nbr Volunteers	109	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1277287	ContributionsGrantsPriorYear
Contributions Grants Current Year	1288026	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	98934627	ProgramServiceRevenuePriorYear
Program Service Revenue CY	102425307	ProgramServiceRevenueCY
Investment Income Prior Year	468322	InvestmentIncomePriorYear
Investment Income Current Year	621545	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1434286	OtherRevenuePriorYear
Other Revenue Current Year	1357903	OtherRevenueCurrentYear
Total Revenue Prior Year	102114522	TotalRevenuePriorYear
Total Revenue Current Year	105692781	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	131139	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	46366859	SalariesEtcPriorYear
Salaries Etc Current Year	48853846	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	48897234	OtherExpensePriorYear
Other Expenses Current Year	48671268	OtherExpensesCurrentYear
Total Expenses Prior Year	95264093	TotalExpensesPriorYear
Total Expenses Current Year	97656253	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6850429	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	8036528	RevenuesLessExpensesCY
Total Assets BOY	66661243	TotalAssetsBOY
Total Assets EOY	71161935	TotalAssetsEOY
Total Liabilities BOY	65121741	TotalLiabilitiesBOY
Total Liabilities EOY	65474674	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1539502	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	5687261	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	80867108	Expense
Grants	131139	Grants
Revenue	102425307	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	80867108	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	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	0	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	0	RelatedOrgControlledEntity
Transaction Related Entity	0	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	983	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
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
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	12	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	KAY TINSLEY	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6184366536	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	400 N PLEASANT AVENUE	AddressLine1
City	CENTRALIA	City
State	IL	State
ZIP Code	628013056	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
VERLE BESANT
DIRECTOR	1.00	X	0	0	0
SR M RAMONA DOMBROWSKI CSSF
DIRECTOR	1.00	X	0	0	0
D BRUCE GEARY CPA CMA
DIRECTOR	1.00	X	0	0	0
PHILIP GUSTAFSON
DIRECTOR	1.00	X	0	534331	102866
SAJJAN K NEMANI MD
DIRECTOR	1.00	X	0	0	0
SR MARY JEAN RYAN FSM
DIRECTOR	1.00	X	0	0	0
JAMES SANGER
DIRECTOR	1.00	X	0	914911	40252
WILLIAM P THOMPSON
DIRECTOR & PRESIDENT	1.00	X	0	1188452	605422	X
SR M CLARETTE STRYZEWSKI CSSF
DIRECTOR	1.00	X	0	0	0
JITENDRA K TRIVEDI MD
DIRECTOR	1.00	X	0	313199	144868
BRUCE MERRELL
DIRECTOR	40.00	X	0	359239	132374	X
MIKE WARREN
DIRECTOR	1.00	X	0	363807	238908
BRUCE FLANIGAN
PART YEAR DIRECTOR	1.00	X	0	94602	14216
KRIS A ZIMMER
TREASURER	1.00		0	723982	180212	X
JUNE L PICKETT
SECRETARY	1.00		0	220736	179387	X
CARISSA HIBBERT
ASST SECRETARY	20.00		48257	0	16464	X
KAY TINSLEY
VP FISCAL SERVICES	20.00		191972	0	74072	X
VIRGINIA TELFORD
VP NURSING	40.00		203958	0	13703		X
MARK CLARK
VP OPERATIONS	20.00		170723	0	54312		X
DELAND EVISCHI
VP BUSINESS DEVELOPMENT	20.00		168087	0	50882		X
JULIE LONG
VP PLANNING & MARKETING	20.00		0	157359	36320		X
MICHELLE DARNELL
VP SYSTEMS IMPROVEMENT	20.00		0	160500	60449		X
THOMAS BLYTHE
VP HUMAN RESOURCES	20.00		0	162471	49844		X
GREG SIMS
VP MEDICAL GROUP	5.00		0	176005	53932		X
JAMES RUETER
CRNA	40.00		196297	0	47303			X
JEFFREY RAPP
PHARMACIST	20.00		128259	0	38405			X
PATRICIA NEUDECKER
PT DIRECTOR	40.00		127165	0	31014			X
RAJENDRA SHROFF
PHYSICIAN	40.00		141215	0	26610			X
DENA FISCHER
DIRECTOR MARKETING	40.00		121239	0	26882			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1497172	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	5369594	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2218697	TotalOtherCompensation
Number Individuals GT100 K	18	NumberIndividualsGT100K
Formers Listed	0	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
MIDWEST EMERGENCY DEPT SRVCX
320 EAST HWY 50	OFALLON	IL	622690000	ER PHYSICIANS	2918406
CENTRALIA ANESTHESIOLOGY
4227 LINCOLNSHIRE DRIVE	MT VERNON	IL	628640000	ANETHESIOLOGY SERVICES	1842431
MID AMERICA RADIOLOGY SC
152 LEMAY FERRY ROAD	ST LOUIS	MO	631660000	RADIOLOGY SERVICES	560472
ALLIANCE HEALTHCARE SERVICES
PO BOX 96485	CHICAGO	IL	606936485	PET SCANS	447768
ANSARI RADIATION ONCOLOGY
606 SABLE DRIVE	CENTRALIA	IL	62801	MD READING/INTERPRETATIONS	391111

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	19	NumberOfContractorsGT100K
Related Organizations	56771	RelatedOrganizations
Government Grants	1226635	GovernmentGrants
All Other Contributions	4620	AllOtherContributions
Total Contributions	1288026	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REV	621110	102210287	102210287
ANESTHESIA SERVICES	621110	215020	215020

Field	Value	IRS element (for citing)
Total Program Service Revenue	102425307	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	449785	TotalRevenueColumn
Exclusion	$449,785	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	581492	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	196917	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	384575	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	384575	TotalRevenueColumn
Exclusion	$384,575	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	170591	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	-1169	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	170591	Securities
Other	1169	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	171760	TotalRevenueColumn
Exclusion	$171,760	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA	722210	391751	$391,751
PRINT SERVICES	561000	172643	$172,643
MEDICAL RECORDS	561000	85694	$85,694

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	323240	TotalRevenueColumn
Exclusion	$323,240	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	973328	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	105692781	TotalRevenueColumn
Related Or Exempt Function Income	102425307	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,979,448	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	131139	Total
Program Services	131139	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1640088	Total
Management And General	1640088	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	33830248	Total
Program Services	25965447	ProgramServices
Management And General	7864801	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1843140	Total
Program Services	1413009	ProgramServices
Management And General	430131	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	9070858	Total
Program Services	6757520	ProgramServices
Management And General	2313338	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2469512	Total
Program Services	1817407	ProgramServices
Management And General	652105	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	149941	Total
Management And General	149941	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	57943	Total
Management And General	57943	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	11855676	Total
Program Services	10206307	ProgramServices
Management And General	1649369	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	321463	Total
Management And General	321463	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	16294965	Total
Program Services	15889127	ProgramServices
Management And General	405838	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4440396	Total
Program Services	4440396	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2380489	Total
Program Services	2204653	ProgramServices
Management And General	175836	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	215162	Total
Program Services	134457	ProgramServices
Management And General	80705	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	74922	Total
Program Services	63522	ProgramServices
Management And General	11400	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1113761	Total
Program Services	1113761	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3167188	Total
Program Services	2889031	ProgramServices
Management And General	278157	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	638169	Total
Management And General	638169	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	5115411	5115411	0
MEDICAID PROVIDER TAX	2669260	2669260	0
MISCELLANEOUS EXPENSES	99189	13248	85941
LICENSES AND TAXES	77333	43413	33920

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	97656253	Total
Program Services	80867108	ProgramServices
Management And General	16789145	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	19103748	BOY
EOY	5207274	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	13416900	BOY
EOY	14998910	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1493940	BOY
EOY	1700632	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	215754	BOY
EOY	446909	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	35121433	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	11208397	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	24650728	BOY
EOY	23913036	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	4094302	BOY
EOY	21651750	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	2312490	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3685871	BOY
EOY	930934	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	66661243	BOY
EOY	71161935	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	6021449	BOY
EOY	5569584	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	14410253	BOY
EOY	12305202	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	38404000	BOY
EOY	38980000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	6286039	BOY
EOY	8619888	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	65121741	BOY
EOY	65474674	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1487469	BOY
EOY	5526952	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	52033	BOY
EOY	160309	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1539502	BOY
EOY	5687261	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	66661243	BOY
EOY	71161935	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	8036528	ReconcilationRevenueExpenses
Reconcilation Other Changes	-3888769	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$3,442	GrantsOtherOrganizationsAmount
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	3442	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1259000	OtherCostOrOtherBasis
Book Value	1259000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20961585	OtherCostOrOtherBasis
Depreciation	4454955	Depreciation
Book Value	16506630	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11094259	OtherCostOrOtherBasis
Depreciation	6318756	Depreciation
Book Value	4775503	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1806589	OtherCostOrOtherBasis
Depreciation	434686	Depreciation
Book Value	1371903	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	23913036	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
SSM CENTRAL INVESTMENT POOL	21639125	F
BENEFICIAL INTEREST IN FOUNDATION	12625	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	21651750	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
THIRD PARTY PAYOR	$2,224,957
DUE TO AFFILIATES	$513,490
DEFERRED COMPENSATION	$121,652
ASSET RETIREMENT OBLIGATION	$947,540
PENSION FUNDING LIABILITY	$3,594,328
OTHER LONG TERM LIABILITIES	$847,400
CASH OVERDRAFT	$370,521

Field	Value	IRS element (for citing)
Total Of Amounts	8619888	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
Explanation	ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEALTH CARE (SSMHC). 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 2010 OR 2009.	Explanation

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

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	0.0	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
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	5636158	TotalCommunityBenefitExpense
Direct Offsetting Revenue	936055	DirectOffsettingRevenue
Net Community Benefit Expense	4700103	NetCommunityBenefitExpense
Percent Of Total Expense	0.05080	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20718113	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14340511	DirectOffsettingRevenue
Net Community Benefit Expense	6377602	NetCommunityBenefitExpense
Percent Of Total Expense	0.06890	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	26354271	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15276566	DirectOffsettingRevenue
Net Community Benefit Expense	11077705	NetCommunityBenefitExpense
Percent Of Total Expense	0.11970	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	386889	TotalCommunityBenefitExpense
Direct Offsetting Revenue	461	DirectOffsettingRevenue
Net Community Benefit Expense	386428	NetCommunityBenefitExpense
Percent Of Total Expense	0.00420	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	121367	TotalCommunityBenefitExpense
Net Community Benefit Expense	121367	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6559747	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4121670	DirectOffsettingRevenue
Net Community Benefit Expense	2438077	NetCommunityBenefitExpense
Percent Of Total Expense	0.02630	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	110408	TotalCommunityBenefitExpense
Net Community Benefit Expense	110408	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7178411	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4122131	DirectOffsettingRevenue
Net Community Benefit Expense	3056280	NetCommunityBenefitExpense
Percent Of Total Expense	0.03300	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	33532682	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19398697	DirectOffsettingRevenue
Net Community Benefit Expense	14133985	NetCommunityBenefitExpense
Percent Of Total Expense	0.15270	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	132	TotalCommunityBuildingExpense
Net Community Building Expense	132	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	26259	TotalCommunityBuildingExpense
Net Community Building Expense	26259	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	2193	TotalCommunityBuildingExpense
Direct Offsetting Revenue	46	DirectOffsettingRevenue
Net Community Building Expense	2147	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	28171	TotalCommunityBuildingExpense
Direct Offsetting Revenue	334	DirectOffsettingRevenue
Net Community Building Expense	27837	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	176775	TotalCommunityBuildingExpense
Net Community Building Expense	176775	NetCommunityBuildingExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	233530	TotalCommunityBuildingExpense
Direct Offsetting Revenue	380	DirectOffsettingRevenue
Net Community Building Expense	233150	NetCommunityBuildingExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,556,771	BadDebtExpenseAmount
Amount Reimbursed By Medicare	31799129	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	33475536	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1676407	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	0	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	ST MARY'S HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	400 N PLEASANT AVENUE	AddressLine1
City	CENTRALIA	City
State	IL	State
ZIP Code	62801	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
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	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	3	NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
CENTRALIA FAMILY HEALTH CENTER
1441 W BROADWAY	CENTRALIA	IL	62801	PRIMARY CARE CLINIC
SALEM FAMILY HEALTH CENTER
1250 W WHITTAKER STREET	SALEM	IL	62881	PRIMARY CARE CLINIC
CARLYLE FAMILY HEALTH CENTER
811 FAIRFAX ST	CARLYLE	IL	62231	PRIMARY CARE CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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 $ 5115411.
ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS 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%	ELIGIBILITY GUIDELINES FOR DISCOUNTED CARE	SCHEDULE H, PART I, LINE 3B
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, ST. MARY'S HOSPITAL 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".	OTHER CRITERIA FOR FREE OR DISCOUNTED CARE	SCHEDULE H, PART I, LINE 3C
ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS 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. ST MARY'S HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT IS PROVIDED TO THE COMMUNITY AND CAN BE FOUND AT WWW.SMGSI.COM. SSM HEALTH CARE'S 2010 ANNUAL COMMUNITY BENEFIT REPORT FOR THE SYSTEM CAN BE FOUND AT WWW.SSMHC.COM.	PREPARATION OF COMMUNITY BENEFIT REPORT	SCHEDULE H, PART I, QUESTION 6
CHARITY 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.	DESCRIPTION OF COSTING METHODOLOGY	SCHEDULE H, PART I, LINE 7
ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS 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 SUPPORT: CONDUCTED MENTAL HEALTH SEMINARS FOR POSTAL WORKERS; DONATED COMPUTERS TO THE AFTER SCHOOL PROGRAM AND CONDUCTED EMERGENCY PREPAREDNESS TRAINING FOR THE HOSPITAL AND COMMUNITY BEYOND WHAT IS CONSIDERED NORMAL OPERATING PROCEDURE. SEVERAL HOSPITAL EMPLOYEES SERVE ON LOCAL EMS BOARDS. COMMUNITY BUILDING & WORKFORCE DEVELOPMENT: CONDUCTED RECRUITMENT ACTIVITIES TO DRAW PHYSICIANS TO PROVIDE SERVICES FOR MEDICALLY UNDERSERVED AREA. THE HOSPITAL ALSO PARTNERED WITH LOCAL COLLEGES, UNIVERSITIES AND COMMUNITY WORKFORCE DEVELOPMENT AGENCIES TO RECRUIT EMPLOYEES AND INCREASE HEALTHCARE WORKER TRAININGS TO RELIEVE SHORTAGE AREAS. COMMUNITY BUILDING & COMMUNITY HEALTH IMPROVEMENT ADVOCACY: PARTICIPATE IN NUMEROUS AREA EVENTS TO PROMOTE COMMUNITY HEALTH INCLUDING THE FOLLOWING: WORKING CLOSELY WITH ILLINOIS DEPARTMENT OF PUBLIC HEALTH AT THE LOCAL AND STATE LEVEL TO ADVOCATE FOR WOMEN'S HEALTH, AGING PROGRAMS, IMMUNIZATION PROGRAMS AND OUTREACH TO THE POOR AND VULNERABLE. EMPLOYEES ARE MEMBERS OF REGIONAL AND LOCAL ADVOCACY GROUPS, COMMUNITY AWARENESS GROUPS, AND COALITIONS THAT WORK ON REGIONAL AND LOCAL PUBLIC AND COMMUNITY HEALTH ISSUES. HOSPITAL EMPLOYEES WERE PART OF THE IPLAN (ILLINOIS PUBLIC HEALTH LOCAL ASSESSMENT OF NEEDS) PROCESS WHICH IS COMPLETED EVERY FIVE YEARS. IN ADDITION TO THESE, ST. MARY'S HOSPITAL ALSO SERVES AS THE LEAD AGENCY FOR 21 COUNTIES FOR THE ILLINOIS BREAST & CERVICAL CANCER PROGRAM WHICH IS PART OF THE FEDERAL BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM RUN BY CDC OFFICE OF WOMEN'S HEALTH.	DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES	SCHEDULE H, PART II
ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS IS PART OF THE SSM HEALTH CARE CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE DECEMBER 31, 2010 CONSOLIDATED AUDIT IS AS FOLLOW:"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 2010 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, 2010 WAS $4,401,953 AT CHARGES AND $1,556,771 AT COST.ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS DID NOT MAKE AN ESTIMATE OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.	BAD DEBT EXPENSE & COSTING METHODOLOGY	SCHEDULE H, PART III, SECTION A, LINE 4
THE COST OF PROVIDING CARE TO MEDICARE ELIGIBLE PATIENTS IS GREATER THAN THE REIMBURSEMENT THAT MEDICARE ALLOWS ON THE MEDICARE COST REPORT. ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS 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 2010 MEDICARE COST REPORT.	DESCRIPTION OF MEDICARE COSTS INCLUDED IN COMMUNITY BENEFIT	SCHEDULE H, PART III, SECTION B, LINE 8
ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS 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. ONCE THE PATIENT'S RESPONSIBILITY PORTION IS DETERMINED WE SEND THE PATIENT A MINIMUM OF THREE STATEMENTS AND MAKE AT LEAST 1 PHONE CALL OVER A 90 DAY PERIOD THEN, IF NO PAYMENT IS RECEIVED, THE ACCOUNT IS SENT TO A COLLECTION AGENCY. 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 ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS' COLLECTION AND CHARITY POLICIES.	COLLECTION PRACTICES	SCHEDULE H, PART III, SECTION C, LINE 9B
ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS DEFINES ITS PRIMARY SERVICE AREA AS A NINE COUNTY REGION INCLUDING THE ILLINOIS COUNTIES OF CLAY, CLINTON, FAYETTE, FRANKLIN, HAMILTON, JEFFERSON, MARION, WASHINGTON, AND WAYNE WITH AN APPROXIMATE POPULATION OF 231,475 IN 2010. OF THIS POPULATION 16.1% ARE BELOW THE FEDERAL POVERTY GUIDELINES.ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS DELIVERS HOSPITAL SERVICES IN INPATIENT, AMBULATORY SURGERY, OUTPATIENT, AND EMERGENCY ROOM SETTINGS. KEY SERVICE LINES INCLUDE CARDIOLOGY, ONCOLOGY, BEHAVIORAL HEALTH, PSYCHIATRICS, PHYSICAL THERAPY, OBSTETRICS, HYPERBARIC OXYGEN CHAMBER, WOUND CARE, ORTHOPEDICS, AND GENERAL SURGERY. ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS' SURGERY CENTERS ARE EQUIPPED WITH THE LATEST INNOVATIONS IN TECHNOLOGY ENSURING OUR PATIENTS HAVE ACCESS TO THE MOST ADVANCED TREATMENT WHILE STAYING CLOSE TO HOME. TO PROVIDE COMPLETE NEUROLOGICAL CARE, OUR SPECIALISTS ARE SUPPORTED BY BOARD CERTIFIED NEURORADIOLOGISTS, A FULL SERVICE REHABILITATION UNIT, A HOME HEALTH DEPARTMENT, 24-HOUR MRI SERVICE, NEURODIAGNOSTIC EQUIPMENT, AND CARDIAC CATHETERIZATION LABORATORIES	COMMUNITY INFORMATION	SCHEDULE H, PART VI, LINE 4
THE 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. HEALTHY COMMUNITIES' INITIATIVES DEMONSTRATE THE LEADERSHIP ROLE THAT ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS IS TAKING IN IDENTIFYING, COMMUNICATING AND DEVELOPING RESPONSES TO HEALTH RELATED NEEDS IN THE COMMUNITY. AS OF JANUARY 2010, 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. ST MARY'S HOSPITAL HAS TAKEN A COMPREHENSIVE APPROACH BY WORKING ON THE TOP FOUR CHRONIC DISEASES AT THE SAME TIME: HEART FAILURE, COPD, ACUTE MI AND PNEUMONIA. 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, HEALTHY PEOPLE 2020 GOALS). ST. MARY'S HOSPITAL HAS ESTABLISHED SPECIFIC STRATEGIES, INDICATORS ACTION PLANS AND MEASURES OF SUCCESS TO TRACK PROGRESS. THESE ARE ALL REPORTED THROUGH THE ANNUAL STRATEGIC AND OPERATIONAL PLANS AS WELL AS AT THE DEPARTMENTAL LEVEL. IN ADDITION TO THE HEALTHY COMMUNITIES INITIATIVES, 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 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 HEALTHUTILIZING THIS PLAN, ST. MARY'S HOSPITAL HAS BEGUN THE FIRST TWO STEPS AND ANTICIPATES HAVING THE CHNA COMPLETED IN THE SECOND QUARTER OF 2012.	NEEDS ASSESSMENT PROCESS	SCHEDULE H, PART VI, LINE 2
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 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.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.	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	SCHEDULE H, PART VI, LINE 3
SSM HEALTH CARE'S MISSION STATEMENT IS "THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD."ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS PARTICIPATES IN A WIDE ARRAY OF COMMUNITY PROGRAMS THROUGHOUT THE AREA TO FURTHER ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY. THE THREE STRATEGIC PRIORITIES OF THE ST MARY'S HOSPITAL COMMUNITY BENEFITS PLAN ARE: BUILDING LOCAL CAPACITY, IMPROVING HEALTH OUTCOMES, AND REDUCING SOCIAL ISOLATION. GOALS AND OBJECTIVES ARE ESTABLISHED TO CHANGE BEHAVIOR, PROVIDE METRICS TO MEASURE CHANGE, AND TO IMPACT THE OVERALL HEALTH OF THOSE WE SERVE. HEALTHY COMMUNITIES INITIATIVES CREATE OPPORTUNITIES FOR EACH RESIDENT TO MEET HIS/HER POTENTIAL PHYSICALLY, MENTALLY, SOCIALLY, EMOTIONALLY, AND SPIRITUALLY. THE INITIATIVES BUILD ON THE STRENGTHS OF OUR COMMUNITIES AND SYSTEMS TO IMPROVE THE QUALITY OF LIFE AND TO CREATE A SENSE OF HOPE. ST. MARY'S HOSPITAL'S HEALTHY COMMUNITIES INITIATIVES BUILD COMMUNITY CAPACITY AND INDIVIDUAL EMPOWERMENT THROUGH COMMUNITY ORGANIZING, LEADERSHIP DEVELOPMENT, PARTNERSHIPS, AND COALITION BUILDING. ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS' COMMUNITY HEALTH PROGRAMS PROVIDE COMPASSIONATE AND COMPETENT CARE WHILE THEY PROMOTE HEALTH IMPROVEMENT BY REACHING DIRECTLY INTO THE COMMUNITY TO ENSURE THAT LOW-INCOME AND UNDER-SERVED PERSONS CAN ACCESS HEALTH CARE SERVICES. FOCUSING ON A BROAD DEFINITION OF HEALTH, ST MARY'S HOSPITAL CLINICS AND PROGRAMS PROVIDE MEDICAL AND MENTAL HEALTH SERVICES, HEALTH EDUCATION, HEALTH MANAGEMENT, PREVENTION, REFERRALS, INSURANCE ENROLLMENT AND IN-HOME PRIMARY CARE SERVICES AND SUPPORT, WHILE FOSTERING COLLABORATION AND INCORPORATING HEALTHY COMMUNITIES STRATEGIES. ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS PROMOTES GRASSROOTS ADVOCACY AND ENGAGES PERSONS OF INFLUENCE TO AFFECT SOCIAL AND PUBLIC POLICY CHANGE IN ORDER TO PROMOTE BOTH COMMUNITY HEALTH AND HEALTHY COMMUNITIES. ST MARY'S HOSPITAL AND SSM HEALTH CARE ADVOCATE FOR VULNERABLE POPULATIONS BY DEVELOPING RELATIONSHIPS WITH POLICY MAKERS AND THROUGH TARGETED EDUCATION EFFORTS. ALL PROJECTS INCLUDE MEASURABLE OBJECTIVES WITH A SPECIFIC TIME FRAME AND HAVE ACTIVITIES THAT WILL FAVORABLY AFFECT HEALTH STATUS INDICATORS. PROJECTS TO ACCOMPLISH HEALTH STATUS OBJECTIVES MAY INCLUDE: DISEASE PREVENTION PROGRAMS; HEALTH EDUCATION PROGRAMS; HEALTH CARE PROGRAMS FOR INDIVIDUALS WITH SPECIAL HEALTH CONCERNS; AND OTHER PROJECTS THAT IMPROVE COMMUNITY HEALTH STATUS. PROJECTS TO ADDRESS THE HEALTH PROBLEMS OF MINORITIES, THE POOR, AND OTHER MEDICALLY UNDERSERVED POPULATIONS MAY INCLUDE: IMPROVING ACCESSIBILITY AND CONTINUITY OF CARE; WORKING TO REDUCE DISPARITIES IN HEALTH STATUS; AND SPONSORING EFFORTS TO INCREASE THE NUMBER OF MINORITIES, THE POOR, AND UNDERSERVED WHO ENTER HEALTH PROFESSIONS AND WORK IN MEDICALLY UNDERSERVED COMMUNITIES. PROJECTS DESIGNED TO CONTAIN THE GROWTH OF COMMUNITY HEALTH CARE COSTS MAY INCLUDE: IMPROVING EFFICIENCY OF SERVICES; IMPROVING CASE MANAGEMENT AND CONTINUITY OF CARE; SPONSORING HEALTH PROMOTION, DISEASE PREVENTION, AND SELF CARE ACTIVITIES; CONTAINING HEALTH CARE COSTS; AND REDUCING REDUNDANCIES. THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT WE IDENTIFY VARIOUS UNMET COMMUNITY HEALTH NEEDS. OUR PRIMARY RESPONSIBILITY IS TO ADDRESS THOSE THAT WE CAN IMPACT THE MOST, THAT IS, THOSE ALIGNED WITH OUR CORE COMPETENCIES. WE COMMUNICATE THE NEEDS IDENTIFIED IN THE ASSESSMENT TO THE COMMUNITY THROUGH A VARIETY OF MEDIA, DEVELOP A PLAN FOR HOW TO ADDRESS THOSE NEEDS THAT WE CAN IMPACT, AND IMPLEMENT STRATEGIES TO ADDRESS THESE NEEDS. ONE OF THE CLEAREST EXAMPLES OF HOW ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS MEETS COMMUNITY NEED IS THROUGH OUR LITTLE EGYPT BREAST AND CERVICAL CANCER PROGRAM. OUR HOSPITAL HAS BEEN A LEAD AGENCY FOR THIS ILLINOIS PUBLIC HEALTH PROGRAM SINCE 1998 AND SERVES AS PAYER OF LAST RESORT FOR BREAST AND CERVICAL CANCER SCREENINGS FOR WOMEN WHO ARE UNINSURED. PARTNERING WITH SEVERAL SUSAN G. KOMEN RACE FOR THE CURE AFFILIATE AGENCIES ALSO ALLOWS OUR HOSPITAL TO PROVIDE ADDITIONAL EDUCATION AND SCREENINGS TO WOMEN WHO ARE UNDERINSURED OR COULD NOT OTHERWISE AFFORD THESE SCREENINGS. IN ADDITION TO THESE BREAST AND CERVICAL CANCER SCREENINGS, WE ALSO PROVIDES FREE SCREENINGS FOR PROSTATE CANCER, SKIN CANCER AND COLORECTAL CANCER AT VARIOUS LOCATIONS AND TIMES EACH YEAR. AMERICAN CANCER SOCIETY'S LOOK GOOD/FEEL BETTER PROGRAMS ARE OFFERED QUARTERLY AND CANCER SUPPORT GROUPS ARE OFFERED AT SEVERAL LOCATIONS EACH MONTH. THE FELICIAN WELLNESS CENTER (FWC) IS THE OUTCOME OF COLLABORATION BETWEEN THE CENTRALIA RECREATION COMPLEX, ST. MARY'S HOSPITAL AND THE FELICIAN SERVICES, INC. WORKING TOGETHER SINCE SEPTEMBER 2009, THE THREE AGENCIES ACHIEVE THEIR COMMON GOALS THROUGH RESPONSIBLE LEADERSHIP AND A SHARED VISION OF IMPROVING THE MIND, BODY, SPIRIT AND ENVIRONMENT OF THE COMMUNITIES IN THEIR COMBINED SERVICE REGION. THE FELICIAN WELLNESS CENTER DEVELOPS PROGRAMS AND SERVICES THAT CREATE OPPORTUNITIES FOR EACH RESIDENT TO MEET HIS/HER POTENTIAL PHYSICALLY, MENTALLY, SOCIALLY, EMOTIONALLY, AND SPIRITUALLY. THE INITIATIVES BUILD ON THE STRENGTHS OF ITS PEOPLE AND SYSTEMS TO IMPROVE THE QUALITY OF LIFE AND TO CREATE A SENSE OF HOPE. HEALTHY COMMUNITIES INITIATIVES BUILD COMMUNITY CAPACITY AND INDIVIDUAL EMPOWERMENT THROUGH COMMUNITY ORGANIZING, LEADERSHIP DEVELOPMENT, PARTNERSHIPS, AND COALITION BUILDING.THE HEALTHY COMMUNITIES CHRONIC DISEASE INITIATIVE IS ONE COMPONENT THAT FOCUSES ON AN IMPORTANT COMMUNITY HEALTH NEED, CHRONIC DISEASE, AND IS DIRECTED TO IMPROVE INPATIENT CARE, ACCESS TO CARE, AND PREVENTION/SCREENING FOR SELECT CHRONIC DISEASES THAT SIGNIFICANTLY IMPACT OUR COMMUNITIES. IN 2010, SSM REALIGNED THEIR HEALTHY COMMUNITIES INITIATIVES TO BETTER FIT IN WITH THE SSM STRATEGIC, FINANCIAL AND HUMAN RESOURCE PLAN. GUIDANCE WAS GIVEN FOR HEALTHY COMMUNITIES CHAMPIONS TO DEVELOP CHRONIC DISEASE MANAGEMENT PROGRAMS SPECIFIC TO EACH ENTITY'S COMMUNITY NEEDS ASSESSMENT. ST. MARY'S HOSPITAL QUICKLY DISCOVERED THAT CHF WAS OUR MAIN DISEASE THAT CAUSED READMISSIONS. IN ORDER TO REDUCE CHF READMISSIONS AND DELIVER OUTSTANDING PATIENT CARE WE HAVE RN HEALTH COACHES WHO FOLLOW PATIENTS ADMITTED WITH CHF, AMI, COPD AND PNEUMONIA DURING THE ADMISSION, AND FOR THE 30 DAY PERIOD FOLLOWING DISCHARGE. THE RN HEALTH COACHES HAVE EXPERIENCE IN TEACHING AND HANDLING THE MYRIAD ISSUES ASSOCIATED WITH CHRONIC DISEASE PATIENTS. OUR "CONNECTIONS" PROGRAM HAS FREE MONTHLY EDUCATIONAL LUNCHEONS FOCUSING ON TOPICS SUCH AS ARTHRITIS AND EXERCISE, DIABETES, STROKE PREVENTION, AND OTHER WELLNESS PROMOTION TOPICS. WE ALSO HOLD A MONTHLY STRESS MANAGEMENT CLASS WHICH IS FREE TO THE PUBLIC AND SPONSORED AS A RESULT OF COMMUNITY NEEDS. ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS 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	PROMOTION OF COMMUNITY HEALTH/FURTHERANCE OF EXEMPT PURPOSE	SCHEDULE H, PART VI, LINE 5
ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS IS A 501(C)(3) ORGANIZATION AND IS A MEMBER OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH CARE. ALONG WITH GOOD SAMARITAN REGIONAL HEALTH CENTER IN MOUNT VERNON, ILLINOIS, IT IS PART OF A JOINT OPERATING AGREEMENT BETWEEN SSM HEALTH CARE BASED IN ST LOUIS, MISSOURI AS MANAGING PARTNER, AND FELICIAN SISTERS, INC. OF CHICAGO. TOGETHER THE HOSPITALS ARE PURSUING A VISION TO CREATE A COMPREHENSIVE, REGIONAL HEALTH CARE ENTERPRISE COVERING A NINE COUNTY AREA IN SOUTH CENTRAL ILLINOIS.	AFFILIATED HEALTH CARE SYSTEM	SCHEDULE H, PART VI, LINE 6
THE SSM HEALTH CARE ANNUAL CONSOLIDATED COMMUNITY BENEFIT REPORT IS FILED IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN.	STATE FILING OF COMMUNITY BENEFIT REPORT	SCHEDULE H, PART IV, LINE 7

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ILINOIS HOSPITAL RESEARCH AND EDUCATIONAL FOUNDATION
1151 EAST WARRENVILLE RD	NAPERVILLE	IL	60566	237421930	501(C)(3)	80622	TO ASSIST ILLINOIS HOSPITALS IN PROVIDING HEALTH CARE SERVICES
LINCOLN FOUNDATION FOR BUSINESS EXCELLENCE
1415 W DIEHL ROAD	NAPERVILLE	IL	60563	363952696	501(C)(3)	10375	TO SUPPORT CONTINUOUS QUALITY IMPROVEMENT INITIATIVES
AMERICAN HEART ASSOCIATION
2850 DAIRY DRIVE SUITE 300	MADISON	WI	53718	135613797	501(C)(3)	7500	GENERAL PROGRAM SUPPORT
JOHN & ELEANOR MITCHELL FOUNDATION
PO BOX 923	MT VERNON	IL	62864	376053100	501(C)(3)	7562	TO SUPPORT THE OPERATIONS OF THE FOUNDATION

Field	Value	IRS element (for citing)
Total Nbr Of Other Organizations	4	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: COMPLETED GRANT/CONTRIBUTION REQUESTS ARE FORWARDED TO THE MARKETING DEPARTMENT FOR INITIAL APPROVAL. THE MARKETING DEPARTMENT MAINTAINS A LOG OF ALL CONTRIBUTION REQUESTS. THE DEPARTMENT EVALUATES THE REQUEST AND FORWARDS REQUESTS RECOMMENDED FOR APPROVAL TO THE HOSPITAL PRESIDENT AND/OR THE ADMINISTRATIVE COUNCIL FOR FINAL APPROVAL. MOST GRANTS/CONTRIBUTIONS ARE MADE TO 501(C)(3) ORGANIZATIONS OR LOCAL CIVIC AND EDUCATIONAL ORGANIZATIONS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	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 (20 entries)

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
PHILIP GUSTAFSON
0	505622	0	0	0	28709	0	75722	0	27144	0	637197	0	0
JAMES SANGER
0	681794	0	0	0	233117	0	22569	0	17683	0	955163	0	0
WILLIAM P THOMPSON
0	830800	0	0	0	357652	0	585557	0	19865	0	1793874	0	0
JITENDRA K TRIVEDI MD
0	308803	0	0	0	4396	0	115217	0	29651	0	458067	0	0
BRUCE MERRELL
0	301044	0	0	0	58195	0	107696	0	24678	0	491613	0	0
MIKE WARREN
0	303837	0	0	0	59970	0	211678	0	27230	0	602715	0	0
KRIS A ZIMMER
0	638080	0	0	0	85902	0	154088	0	26124	0	904194	0	0
JUNE L PICKETT
0	207597	0	0	0	13139	0	163178	0	16209	0	400123	0	0
KAY TINSLEY
182000	0	0	0	9972	0	52389	0	21683	0	266044	0	0	0
VIRGINIA TELFORD
150276	0	0	0	53682	0	2528	0	11175	0	217661	0	0	0
MARK CLARK
162372	0	0	0	8351	0	27756	0	26556	0	225035	0	0	0
DELAND EVISCHI
150335	0	0	0	17752	0	24963	0	25919	0	218969	0	0	0
JULIE LONG
0	150122	0	0	0	7237	0	33630	0	2690	0	193679	0	0
MICHELLE DARNELL
0	152285	0	0	0	8215	0	34895	0	25554	0	220949	0	0
THOMAS BLYTHE
0	154799	0	0	0	7672	0	23776	0	26068	0	212315	0	0
GREG SIMS
0	164285	0	0	0	11720	0	33421	0	20511	0	229937	0	0
JAMES RUETER
173622	0	0	0	22675	0	41516	0	5787	0	243600	0	0	0
JEFFREY RAPP
127343	0	0	0	916	0	11840	0	26565	0	166664	0	0	0
PATRICIA NEUDECKER
126117	0	0	0	1048	0	6480	0	24534	0	158179	0	0	0
RAJENDRA SHROFF
140565	0	0	0	650	0	11385	0	15225	0	167825	0	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 3: COMPENSATION TO CEO/EXECUTIVE DIRECTOR THE ORGANIZATION'S CEO IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED 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, 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. 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 2010. 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 2010. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUALS' TAXABLE COMPENSATION. JAMES M SANGER $ 116,523 KRIS A ZIMMER $ 42,738 WILLIAM P THOMPSON $ 37,749 VIRGINIA TELFORD $ 24,638 BRUCE MERRELL $ 21,440 WAYNE GROTE $ 8,978 JUNE PICKETT $ 7,123 MICHAEL WARREN $ 7,357 MICHELLE DARNELL $ 6,522 GREG SIMS $ 6,410 MARK CLARK $ 6,325 THOMAS BLYTHE $ 6,211 KAY TINSLEY $ 6,085 JULIE LONG $ 5,556	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION MISSION STATEMENT	FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:	TO CONTINUE THE HEALING MINISTRY OF JESUS CHRIST BY IMPROVING & PROVIDING REGIONAL, COST EFFECTIVE QUALITY HEALTH SERVICES FOR EVERYONE, WITH A SPECIAL CONCERN FOR THE POOR AND VULNERABLE.
PROGRAM SERVICE STATEMENT	FORM 990, PART III, LINE 4A, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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 16 HOSPITAL LOCATIONS, TWO SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES IN FOUR STATES (WISCONSIN, OKLAHOMA, ILLINOIS AND MISSOURI). THE HEALTH SYSTEM EMPLOYS APPROXIMATELY 22,000 PEOPLE AND IS AFFILIATED WITH MORE THAN 5,000 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 ORGANIZATION'S APPROACH TO PROVIDING COMMUNITY BENEFIT: THE BOARD OF ST. MARY'S HOSPITAL, ADMINISTRATIVE COUNCIL, PHYSICIANS, EMPLOYEES, AND COMMUNITY ARE ALL INVOLVED IN PROVIDING ON-GOING FEEDBACK, MONITORING AND INFORMING THE DIRECTION OF POLICIES AND CONTENT OF COMMUNITY BENEFIT ACTIVITIES. THE THREE STRATEGIC PRIORITIES OF THE ST MARY'S HOSPITAL COMMUNITY BENEFITS PLAN ARE: BUILDING LOCAL CAPACITY, IMPROVING HEALTH OUTCOMES, AND REDUCING SOCIAL ISOLATION. GOALS AND OBJECTIVES ARE ESTABLISHED TO CHANGE BEHAVIOR, PROVIDE METRICS TO MEASURE CHANGE, AND TO IMPACT THE OVERALL HEALTH OF THOSE WE SERVE. IN AN EFFORT TO STRENGTHEN ITS COMMUNITY BENEFIT PROGRAM, ST. MARY'S HOSPITAL HAS A COMMUNITY BENEFIT PLAN WHICH DETAILS THE PLANNING, MEASUREMENT AND COMMUNICATION OF THEIR COMMUNITY BENEFITS. COMMUNITY BENEFIT IS DEFINED AS SEEKING OUT AND SERVING THOSE WHO NEED HELP CONSISTENT WITH THE MISSION OF ST MARY'S HOSPITAL AS WELL AS THE BROADER COMMUNITY TO ENSURE OPTIMAL HEALTH STATUS IN OUR SERVICE REGION. THESE WIDE ARRAYS OF SERVICES INCLUDE, BUT ARE NOT LIMITED TO, LEADERSHIP AND COLLABORATIVE ACTIVITIES IN EDUCATION, ADVOCACY AND HEALTH PROMOTION. 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. ST. MARY'S HOSPITAL STRIVES TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY. ALL BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. WE OFFER DISCOUNTS FOR HOSPITAL SERVICES TO ALL UNINSURED PERSONS. SELF-PAY DISCOUNTS APPLY TO EVERYONE WHO DOES NOT HAVE HEALTH INSURANCE, REGARDLESS OF ABILITY TO PAY. OUR CHARITY CARE POLICIES ARE APPLIED FAIRLY AND CONSISTENTLY. EACH PERSON IS TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. WE EMBRACE OUR RESPONSIBILITY TO SERVE OUR COMMUNITIES BY UTILIZING 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. THESE POLICIES ARE COMMUNICATED BY OUR STAFF PROVIDING 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 ARE ALSO 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. ALL APPLICATIONS 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. ORGANIZATION DESCRIPTION FOR TAX EXEMPTION: ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS IS A MEDICARE-DEPENDENT HOSPITAL: - 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 GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS.
		DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS THE THREE STRATEGIC PRIORITIES OF ST. MARY'S HOSPITAL'S COMMUNITY BENEFITS PLAN ARE: BUILDING LOCAL CAPACITY, IMPROVING HEALTH OUTCOMES, AND REDUCING SOCIAL ISOLATION. GOALS AND OBJECTIVES ARE ESTABLISHED TO CHANGE BEHAVIOR, PROVIDE METRICS TO MEASURE CHANGE, AND TO IMPACT THE OVERALL HEALTH OF THOSE WE SERVE. HEALTHY COMMUNITIES INITIATIVES CREATE OPPORTUNITIES FOR EACH RESIDENT TO MEET HIS/HER POTENTIAL PHYSICALLY, MENTALLY, SOCIALLY, EMOTIONALLY, AND SPIRITUALLY. THE INITIATIVES BUILD ON THE STRENGTHS OF OUR COMMUNITIES AND SYSTEMS TO IMPROVE THE QUALITY OF LIFE AND TO CREATE A SENSE OF HOPE. SMGS HEALTHY COMMUNITIES INITIATIVES BUILD COMMUNITY CAPACITY AND INDIVIDUAL EMPOWERMENT THROUGH COMMUNITY ORGANIZING, LEADERSHIP DEVELOPMENT, PARTNERSHIPS, AND COALITION BUILDING. ST MARY'S HOSPITAL COMMUNITY HEALTH PROGRAMS PROVIDE COMPASSIONATE AND COMPETENT CARE WHILE THEY PROMOTE HEALTH IMPROVEMENT BY REACHING DIRECTLY INTO THE COMMUNITY TO ENSURE THAT LOW-INCOME AND UNDER-SERVED PERSONS CAN ACCESS HEALTH CARE SERVICES. FOCUSING ON A BROAD DEFINITION OF HEALTH, ST MARY'S HOSPITAL CLINICS AND PROGRAMS PROVIDE MEDICAL AND MENTAL HEALTH SERVICES, HEALTH EDUCATION, HEALTH MANAGEMENT, PREVENTION, REFERRALS, INSURANCE ENROLLMENT AND IN-HOME PRIMARY CARE SERVICES AND SUPPORT, WHILE FOSTERING COLLABORATION AND INCORPORATING HEALTHY COMMUNITIES STRATEGIES. ST MARY'S HOSPITAL PROMOTES GRASSROOTS ADVOCACY AND ENGAGES PERSONS OF INFLUENCE TO AFFECT SOCIAL AND PUBLIC POLICY CHANGE IN ORDER TO PROMOTE BOTH COMMUNITY HEALTH AND HEALTHY COMMUNITIES. ST MARY'S HOSPITAL AND SSM HEALTH CARE ADVOCATE FOR VULNERABLE POPULATIONS BY DEVELOPING RELATIONSHIPS WITH POLICY MAKERS AND THROUGH TARGETED EDUCATION EFFORTS. ALL PROJECTS INCLUDE MEASURABLE OBJECTIVES WITH A SPECIFIC TIME FRAME AND HAVE ACTIVITIES THAT WILL FAVORABLY AFFECT HEALTH STATUS INDICATORS. PROJECTS TO ACCOMPLISH HEALTH STATUS OBJECTIVES MAY INCLUDE: DISEASE PREVENTION PROGRAMS; HEALTH EDUCATION PROGRAMS; HEALTH CARE PROGRAMS FOR INDIVIDUALS WITH SPECIAL HEALTH CONCERNS; AND OTHER PROJECTS THAT IMPROVE COMMUNITY HEALTH STATUS. PROJECTS TO ADDRESS THE HEALTH PROBLEMS OF MINORITIES, THE POOR, AND OTHER MEDICALLY UNDERSERVED POPULATIONS MAY INCLUDE: IMPROVING ACCESSIBILITY AND CONTINUITY OF CARE; WORKING TO REDUCE DISPARITIES IN HEALTH STATUS; AND SPONSORING EFFORTS TO INCREASE THE NUMBER OF MINORITIES, THE POOR, AND UNDERSERVED WHO ENTER HEALTH PROFESSIONS AND WORK IN MEDICALLY UNDERSERVED COMMUNITIES. PROJECTS DESIGNED TO CONTAIN THE GROWTH OF COMMUNITY HEALTH CARE COSTS MAY INCLUDE: IMPROVING EFFICIENCY OF SERVICES; IMPROVING CASE MANAGEMENT AND CONTINUITY OF CARE; SPONSORING HEALTH PROMOTION, DISEASE PREVENTION, AND SELF CARE ACTIVITIES; CONTAINING HEALTH CARE COSTS; AND REDUCING REDUNDANCIES. THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT WE IDENTIFY VARIOUS UNMET COMMUNITY HEALTH NEEDS. OUR PRIMARY RESPONSIBILITY IS TO ADDRESS THOSE THAT WE CAN IMPACT THE MOST, THAT IS, THOSE ALIGNED WITH OUR CORE COMPETENCIES. WE COMMUNICATE THE NEEDS IDENTIFIED IN THE ASSESSMENT TO THE COMMUNITY THROUGH A VARIETY OF MEDIA, DEVELOP A PLAN FOR HOW TO ADDRESS THOSE NEEDS THAT WE CAN IMPACT, AND IMPLEMENT STRATEGIES TO ADDRESS THESE NEEDS. THE HEALTHY COMMUNITIES CHRONIC DISEASE INITIATIVE IS ONE COMPONENT THAT FOCUSES ON AN IMPORTANT COMMUNITY HEALTH NEED, CHRONIC DISEASE, AND IS DIRECTED TO IMPROVE INPATIENT CARE, ACCESS TO CARE, AND PREVENTION/SCREENING FOR SELECT CHRONIC DISEASES THAT SIGNIFICANTLY IMPACT OUR COMMUNITIES. ONE OF THE CLEAREST EXAMPLES OF HOW ST. MARY'S HOSPITAL MEETS COMMUNITY NEED IS THROUGH OUR LITTLE EGYPT BREAST AND CERVICAL CANCER PROGRAM. OUR HOSPITAL HAS BEEN A LEAD AGENCY FOR THIS ILLINOIS PUBLIC HEALTH PROGRAM SINCE 1998 AND SERVES AS PAYER OF LAST RESORT FOR BREAST AND CERVICAL CANCER SCREENINGS FOR WOMEN WHO ARE UNINSURED. PARTNERING WITH SEVERAL SUSAN G. KOMEN FOR THE CURE AFFILIATE AGENCIES ALSO ALLOWS OUR HOSPITAL TO PROVIDE ADDITIONAL EDUCATION AND SCREENINGS TO WOMEN WHO ARE UNDERINSURED OR COULD NOT OTHERWISE AFFORD THESE SCREENINGS. IN ADDITION TO THESE BREAST AND CERVICAL CANCER SCREENINGS, SMH ALSO PROVIDES FREE SCREENINGS FOR PROSTATE CANCER, SKIN CANCER AND COLORECTAL CANCER AT VARIOUS LOCATIONS AND TIMES EACH YEAR. AMERICAN CANCER SOCIETY'S LOOK GOOD/FEEL BETTER PROGRAMS ARE OFFERED QUARTERLY AND CANCER SUPPORT GROUPS ARE OFFERED AT SEVERAL LOCATIONS EACH MONTH. OUR "CONNECTIONS" PROGRAM HAS FREE MONTHLY EDUCATIONAL LUNCHEONS FOCUSING ON TOPICS SUCH AS ARTHRITIS AND EXERCISE, DIABETES, STROKE PREVENTION, AND OTHER WELLNESS PROMOTION TOPICS. WE ALSO HOLD A MONTHLY STRESS MANAGEMENT CLASS WHICH IS FREE TO THE PUBLIC AND SPONSORED AS A RESULT OF COMMUNITY NEEDS. 4. SSMHC'S 2010 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 $ 4,700,103 UNPAID COST OF MEDICAID $ 6,377,602 UNPAID COST OF MEDICARE $ 1,676,407 COST OF BAD DEBTS $ 1,556,771 COMMUNITY BENEFIT PROGRAMS $ 3,056,280 TOTAL QUANTIFIABLE COMMUNITY BENEFIT $17,367,163
FORM 990, PART VI, SECTION A, LINE 6		THE SOLE CORPORATE MEMBER OF THE CORPORATION IS SSM REGIONAL HEALTH SERVICES. SSM REGIONAL HEALTH SERVICES IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS AND SSM REGIONAL HEALTH SERVICES 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 ELECT AND REMOVE DIRECTORS EXCEPT 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 CERTIFICATE 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 ILLINOIS 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 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 GAINS ON INVESTMENTS: 97,210. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 12,624. TRANSFERS TO AFFILIATES -3,998,603. TOTAL TO FORM 990, PART XI, LINE 5: -3,888,769.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (37 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
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 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 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
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 - 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	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	0
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		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
HEALTH CARE FOR KIDS
4055 LINDELL BLVD	ST LOUIS	MO	63108	431620093	HEALTH CARE	OK	501(C)(3)	LINE 3	SSM CARDINAL GLENNON CHILDREN'S HOSPITAL	0

Form990 Schedule R Part III Form990ScheduleRPartIII (31 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
SSMCDI IMAGING
5775 WAYZATA BOULEVARD SUITE 400	ST LOUIS PARK	MN	55416	263791858	IMAGING SERVICES	MO	N/A
SSM SELECT REHAB
4716 OLD GETTYSBURG ROAD	MECHANICSBURG	PA	17055	263694972	HEALTH CARE	MO	N/A
SA MT AMB SRUG
110 N LEE	OKLAHOMA CITY	OK	73103	731528341	SURGERY SERVICES	OK	N/A
ST ANTHONY HOSPITAL CARDIOVASCULAR SERVICES
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	760828314	HEALTH CARE	OK	N/A
B&J MB OFF BUILD
1000 N LEE	OKLAHOMA CITY	OK	73103	731533449	MOB	OK	N/A
B&J MANAGEMENT
1000 N LEE STREET	OKLAHOMA CITY	OK	73102	364645813	MANAGEMENT	OK	N/A
WIITTS LLC
2901 LANDMARK PLACE SUITE 300	MADISON	WI	53713	392016715	MED. INF. SYSTEMS	WI	N/A
SHARED IMAGING SERVICES
915 17TH STREET	PRAIRIE DU SAC	WI	53578	391971378	DIAG. SERVICES	WI	N/A
ST CLARE IMAGING SERVICES
707 14TH STREET SUITE A	BARABOO	WI	53913	200122365	DIAG. SERVICES	WI	N/A
MEADOW RIDGE
1402 PANKRATZ STREET SUITE 110	MADISON	WI	53704	391991403	ASST. LIVING	WI	N/A
DEAN HEALTH HOLD
1277 DEMING WAY	MADISON	WI	53717	261594709	IT SERVICES	WI	N/A
MV RAD 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
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
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
1110 N CLASSEN BLVD LLC
110 N CLASSEN	OKLAHOMA CITY	OK	73106	731158158	MOB	OK	N/A
M&C REALTY
1603 WENTZVILLE PARKWAY STE 121	WENTZVILLE	MO	63385	621851447	MOB	MO	N/A
SURG CNTR MW CITY
8121 NATIONAL AVE SUITE 108	MIDWEST CITY	OK	73110	232697171	SURGERY SERVICES	OK	N/A
SSM WELLBRIDGE
6140 GREENWOOD PLAZA BLVD	GREENWOOD VILLAGE	CO	80111	431794814	FITNESS CENTER	MO	N/A
MIA OF ST CHARLES
132 NORTH KANSAS ST ROOM 212	EDWARDSVILLE	IL	62025	422125740	DIAG. SERVICES	MO	N/A
MEADOW RIDGE MEMORY
1402 PANKRATZ ST SUITE 110	MADISON	WI	53704	203163929	HEALTH CARE	WI	N/A
SSM BER-EK IMAGING
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	205039552	IMAGING SERVICES	MO	N/A
HPI-OKC LLC
14024 QUAIL POINTE DRIVE	OKLAHOMA CITY	OK	73134	205144487	HEALTH CARE	OK	N/A
VASCULAR INSTITUTE DP
12266 DEPAUL DR SUITE 315	BRIDGETON	MO	63044	205511708	VASCULAR CLINIC	MO	N/A
SSM SC SURG CNTR
15305 DALLAS PKWY STE 1600	ADDISON	TX	75001	261439695	SURGERY SERVICES	MO	N/A
ST ANTHONY CARDIO SERVICES INSTITUTE
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	260646402	MANAGEMENT	OK	N/A
SSM RX EXPRESS LLC
727 N BALLAS RD	ST LOUIS	MO	63141	431465174	PHARMACY	MO	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (17 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity
SSM MANAGED CARE ORGANIZATION LLC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431708511	HEALTH PROMOTION	MO	N/A	C
FPP INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431465174	HEALTH CARE	MO	N/A	C
DIVERSIFIED HEALTH SERVICES CORP
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431369305	MEDICAL EQUIPMENT	MO	N/A	C
SSM CARDIO AND THORACIC SERVICES INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	260286559	HEALTH CARE	MO	N/A	C
SSM PROPERTIES INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431462486	PROPERTY SERVICES	MO	N/A	C
SSM DEPAUL MEDICAL GROUP INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431715106	HEALTH CARE	MO	N/A	C
SSM ST CHARLES CLINIC MED GROUP INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	430626408	PHYSICIAN OFFICES	MO	N/A	C
HEALTH FIRST PHYS MANAGEMENT
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	731534336	MEDICAL SERVICES	MO	N/A	C
SSMHCS LIABILITY TRUST II
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	816128118	INSURANCE	MO	N/A	C
SSM NEUROSCIENCES INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	263413981	HEALTH CARE	MO	N/A	C
SSM MEDICAL GROUP INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431664107	PHYSICIAN OFFICES	MO	N/A	C
SSMHC INSURANCE COMPANY
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	030310431	INSURANCE	CA	N/A	C
SSM ORTHOPEDIC INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	271557033	HEALTH CARE	MO	N/A	C
SSM CANCER CARE INC
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	271557324	HEALTH CARE	MO	N/A	C
SSM ST JOSEPH SURGERY CENTER
477 N LINDBERGH BLVD	ST LOUIS	MO	63141	431822767	HEALTH CARE	MO	N/A	C
ST MARY'S DEAN VENTURES INC
1808 WEST BELTLINE HIGHWAY	MADISON	WI	53713	391628491	HEALTH CARE	WI	N/A	C
SHARED MRI FACILITY INC
1104 JOHN NOLEN DRIVE	MADISON	WI	53713	391534744	HEALTH CARE	WI	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
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	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	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

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	SSM EMPLOYEE HEALTH CARE FUND	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	O	TransactionType
Amount Involved	10248162	AmountInvolved
Method Of Amt Determination	COST OF SERVICES	MethodOfAmtDetermination