Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CARDINAL GLENNON CHILDREN'S FOUNDATION
Employer identification number
43-1754347
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
9,316,408
9,262,466
9,951,949
9,353,008
10,547,440
48,431,271
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
9,316,408
9,262,466
9,951,949
9,353,008
10,547,440
48,431,271
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
3,288,864
6
Public Support. Subtract line 5 from line 4.
45,142,407
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
9,316,408
9,262,466
9,951,949
9,353,008
10,547,440
48,431,271
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
1,401,439
1,922,826
1,489,854
867,173
1,165,830
6,847,122
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
55,278,393
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
2,682,254
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
81.660 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
85.490 %
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CARDINAL GLENNON CHILDREN'S FOUNDATION
Employer identification number
43-1754347
Identifier
Return Reference
Explanation
DOING BUSINESS AS:
CARDINAL GLENNON CHILDREN'S HOSPITAL FOUNDATION
FORM 990, PART III, LINE 4A:
SINCE IT WAS FOUNDED IN 1872 BY ROMAN 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, MISSOURI, SSMHC OPERATES 16 HOSPITAL LOCATIONS, TWO SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES IN FOUR STATES. SSM CARDINAL GLENNON CHILDREN'S HOSPITAL IN ST. LOUIS IS THE ONLY PEDIATRIC HOSPITAL IN THE SSM SYSTEM. OVERALL, 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 HEALTHCARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. SSM CARDINAL GLENNON CHILDREN'S FOUNDATION (THE FOUNDATION) EXISTS TO SUPPORT THE HEALTHCARE AND COMMUNITY SERVICES OF SSM CARDINAL GLENNON CHILDREN'S HOSPITAL (GLENNON). GLENNON IS A NOT-FOR-PROFIT, 190-BED INPATIENT AND OUTPATIENT PEDIATRIC MEDICAL CENTER IN ST. LOUIS, MISSOURI, SPECIALIZING IN NEONATOLOGY, CARDIOLOGY, PEDIATRIC AND FETAL SURGERY, AND CANCER SERVICES. THE FOUNDATION RAISES FUNDS TO SUPPORT GLENNON'S MEDICAL AND COMMUNITY-BENEFIT SERVICES, AS WELL AS TO ENABLE ALL YOUNGSTERS TO ACCESS THOSE SERVICES THROUGH THE FOUNDATION'S CHILDREN'S FUND FOR FAMILIES WITH LIMITED OR INABILITY TO PAY FOR THEIR CHILDREN'S SERVICES. THE FOUNDATION ALSO RAISES FUNDS FOR GLENNON'S TECHNOLOGICAL ADVANCES. FURTHER, THE FOUNDATION INCREASES AWARENESS OF GLENNON'S SERVICES THROUGH PUBLICITY, HOSTING OF SPECIAL EVENTS AND ONE-ON-ONE INTERACTIONS WITH COMMUNITY STAKEHOLDERS. THEREFORE, THROUGH ITS MULTIPLE ACTIVITIES, THE FOUNDATION IMPACTS THE HEALTH OF CHILDREN WHO RECEIVE GLENNON SERVICES. SOME OF THE PROGRAMS AND ENHANCEMENTS SUPPORTED BY THE FOUNDATION IN 2010 INCLUDED: THE FOOTPRINTS PROGRAM. FOOTPRINTS IS A PALLIATIVE-CARE PROGRAM THAT HELPS FAMILIES LIVE WELL ALONG A JOURNEY THAT MAY END AT THE GRAVESIDE OF A BELOVED CHILD. FOOTPRINTS' MULTIDISCIPLINARY TEAM IS COMPRISED OF A DIRECTOR WHO IS AN MD, A CLINICAL CARE COORDINATOR WHO IS BOTH A NURSE AND A CHAPLAIN, AND A SOCIAL WORKER; HOWEVER, THE TEAM REGULARLY CALLS UPON OTHER GLENNON RESOURCES TO ASSIST THESE FAMILIES. PRIMARILY, FOOTPRINTS FOCUSES ON: COMFORT - DEVELOPING FAMILY-DIRECTED, COMPASSIONATE CARE PLANS THAT PROVIDE FOR CHILDREN'S COMFORT WHILE RESPECTING FAMILY VALUES AND BELIEFS; THESE PLANS CAN BE FOLLOWED AT GLENNON OR AT HOME. ADVOCACY - BEING A VOICE FOR CHILDREN AND FAMILIES WHILE THEY ARE AT GLENNON AND IN THE LARGER MEDICAL COMMUNITY. SUPPORT - LISTENING TO FAMILY CONCERNS AND WISHES; FACILITATING COMMUNICATION TO ENSURE FAMILY GOALS, CONCERNS AND WISHES ARE HONORED; ASSISTING FAMILIES WITH THE EXTRAORDINARY COSTS OF CARING FOR CHILDREN'S MEDICAL NEEDS; ASSISTING WITH BURIAL COSTS OF CHILDREN WHO SUCCUMB TO THEIR ILLNESSES. DURING HOSPITALIZATION, THE FOOTPRINTS TEAM MAKES CERTAIN THAT EACH CHILD'S CLINICAL BEDSIDE TEAM IS FULLY AWARE OF THE FAMILY'S WISHES AND THAT THE BEDSIDE TEAM KEEPS EACH FAMILY INFORMED OF THE CHILD'S CONDITION, PROGNOSIS AND CARE OPTIONS. IF A CHILD IS DISCHARGED, THE FOOTPRINTS TEAM WORKS WITH COMMUNITY CARE PROVIDERS TO ENSURE THEY ARE FULLY INFORMED OF THE CHILD'S NEEDS AND WILL RESPECT FAMILY WISHES. SAFE KIDS EDUCATES THE PUBLIC ON PREVENTION OF CHILDHOOD INJURIES IN THE HOME AND ON THE ROAD. THE PROGRAM PRIMARILY FOCUSES ON CAR-SEAT SAFETY, BIKE SAFETY, CRIB SAFETY AND COOKING SAFETY. PROGRAM STAFF MEMBERS COORDINATE TIMES AND PLACES WHERE THEY CHECK FOR PROPER CAR SEAT INSTALLATIONS AND PROVIDE CAR-SEAT ADJUSTMENTS OR INSTALLATIONS. FAMILIES WHO CANNOT AFFORD CAR SEATS CAN RECEIVE ONE, FREE OF CHARGE. THE PROGRAM ALSO PROVIDES BIKE-SAFETY EVENTS AND FREE BIKE HELMETS FOR FAMILIES THAT ARE UNABLE TO PURCHASE THEM, AS WELL AS HOME-SAFETY EVENTS. FURTHER, PROGRAM STAFF MEMBERS TRAIN CAR-SEAT TECHNICIANS. ALMOST THREE IN EVERY 1,000 CHILDREN ARE BORN DEAF EACH YEAR. THESE CHILDREN FACE A LIFETIME OF CHALLENGES, SUCH AS FAILURE TO DEVELOP LANGUAGE SKILLS, REDUCED ACCESS TO MAINSTREAM EDUCATION, AND DIFFICULTY IN FINDING EMPLOYMENT AS ADULTS. WHILE TRADITIONAL HEARING AIDS AMPLIFY SOUND, COCHLEAR IMPLANTS PROVIDE AN ADVANTAGE FOR CHILDREN WITH PROFOUND DEAFNESS BECAUSE THEY ACTUALLY COMPENSATE FOR DAMAGED OR NON-WORKING PARTS OF THE EAR BY FINDING USEFUL SOUNDS AND SENDING THEM TO THE BRAIN. VERY YOUNG CHILDREN ARE IDEAL CANDIDATES FOR THE DEVICE BECAUSE THEIR CENTRAL NERVOUS SYSTEMS ARE EXTREMELY ADAPTIVE, ALLOWING THEIR BRAINS TO MAKE USE OF THE SOUNDS THE IMPLANT PROVIDES. WHEN IMPLANTED EARLY AND COUPLED WITH POST-IMPLANTATION SPEECH AND LANGUAGE THERAPY, CHILDREN WHO ARE DEAF HAVE THE ABILITY TO DEVELOP AGE-APPROPRIATE SPEECH, LANGUAGE AND SOCIAL SKILLS. ONE OF THE MAIN BARRIERS TO CHILDREN RECEIVING COCHLEAR IMPLANTS IS THE COST. THEREFORE, THE FOUNDATION RAISES FUNDS TO PROVIDE COCHLEAR IMPLANTS, AS WELL AS OTHER TECHNOLOGY, SERVICES AND SURGERIES THAT ENABLE CHILDREN WITH HEARING LOSS TO ENJOY THE SOUNDS AND SUCCESSES OF LIFE. THE KNIGHTS OF COLUMBUS DEVELOPMENTAL CENTER SERVES CHILDREN WITH SUSPECTED AUTISM SPECTRUM DISORDERS AND DEVELOPMENTAL DELAYS. LAST YEAR, 1,899 CHILDREN WERE SERVED. THE CENTER ACCEPTS CHILDREN BASED ON CONCERNS OF PARENTS, PEDIATRICIANS OR OTHER PRIMARY HEALTHCARE PROVIDERS. DEVELOPMENTAL SPECIALISTS THEN CONDUCT THE NECESSARY ASSESSMENTS TO ACCURATELY DIAGNOSE OR TO RULE OUT THOSE CONCERNS. WHEN CHILDREN ARE DETERMINED TO BE AFFECTED, THE CENTER MAKES THE BEST POSSIBLE REFERRALS TO A SELECT GROUP OF SERVICE PROVIDERS. IT CONTINUES TO OVERSEE AND FACILITATE CHILDREN'S PROGRESS THROUGH MEDICATION MANAGEMENT, PERIODIC REASSESSMENTS, AND REEVALUATIONS OF SERVICES NEEDED. THE FOUNDATION RAISED OVER $3.5 MILLION TO BUILD, WITHIN THE WALLS OF GLENNON, A PEDIATRIC HYBRID CATHETERIZATION LAB -- THE FIRST OF ITS KIND IN ST. LOUIS. THE LAB OPENED IN JULY 2011, BRINGING CARDIOTHORACIC SURGERY AND INTERVENTIONAL CARDIOLOGY TOGETHER IN ONE PLACE. THE LAB WILL ENABLE HEART SURGEONS AND CARDIOLOGISTS TO COMBINE THEIR EXPERTISE AND TECHNOLOGY. WITH THE ABILITY TO PERFORM THESE HYBRID PROCEDURES, SURGEONS AND CARDIOLOGISTS COMBINE THE BEST HEART-SURGERY AND INTERVENTIONAL-CARDIOLOGY TECHNIQUES FOR YOUNG PATIENTS. ENSURING FUTURE PROGRESS. LOCATED IN THE MIDDLE OF THE CITY OF ST. LOUIS, GLENNON HAD EXPANDED AS FAR AS EXISTING GLENNON-OWNED LAND SPACE WOULD ALLOW. HOWEVER, OPPORTUNITIES TO IMPACT CHILDREN'S HEALTHCARE DEMAND A LARGER FOOTPRINT. THEREFORE, THE FOUNDATION INVESTED OVER $3 MILLION IN 2010 IN THE PURCHASE OF TWO PIECES OF ADJACENT LAND LOCATED BEHIND GLENNON'S MAIN CAMPUS. ALREADY, INNOVATIVE USES FOR THE LAND THAT HAVE FAR-REACHING IMPLICATIONS FOR CHILDREN'S WELL-BEING ARE UNDER CONSIDERATION FOR 2012 DEVELOPMENT.
FORM 990, PART VI, SECTION A, LINE 6
THE SOLE MEMBER OF THE FOUNDATION IS SSM CARDINAL GLENNON CHILDREN'S HOSPITAL. SSM CARDINAL GLENNON CHILDREN'S HOSPITAL IS A NONPROFIT 501(C)(3) ORGANIZATION THAT OPERATES A 190-BED INPATIENT AND OUTPATIENT MEDICAL CENTER IN ST LOUIS, MISSOURI. BOTH THE FOUNDATION AND SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 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 THE BOARD OF GOVERNORS, EXCEPT FOR THE GOVERNORS WHO SERVE EX OFFICIO, AND TO REMOVE APPOINTED GOVERNORS WITH OR WITHOUT CAUSE.
FORM 990, PART VI, SECTION A, LINE 7B
THE MEMBER HAS THE FOLLOWING POWERS: A.TO ESTABLISH AND CHANGE THE PHILOSOPHY OF THE FOUNDATION B.TO APPOINT THE BOARD OF GOVERNORS, EXCEPT FOR THE GOVERNORS WHO SERVE EX-OFFICIO, AND TO REMOVE APPOINTED GOVERNORS WITH OR WITHOUT CAUSE C.TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE FOUNDATION AS PROVIDED IN THE BYLAWS D.TO APPROVE THE BYLAWS OF THE FOUNDATION AND ANY AMENDMENTS THERETO E.TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE FOUNDATION F.TO APPROVE THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, ENCUMBRANCE, MORTGAGE OR LEASE OF REAL PROPERTY OR ANY INTEREST THEREIN OF THE FOUNDATION IN ACCORDANCE WITH THE POLICIES APPROVED BY THE MEMBER G.TO APPROVE I) THE ACQUISITION OF REAL PROPERTY OR ANY INTEREST THEREIN OR II) THE ACQUISITION OF STOCK OF A CORPORATION IF, AFTER THE ACQUISITION, THE FOUNDATION WILL OWN A MAJORITY OF THE VOTING STOCK OF SUCH CORPORATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER H.TO APPROVE THE SALE, TRANSFER OR OTHER DISPOSITION OF THE VOTING STOCK OF A CORPORATION IF BEFORE THE DISPOSITION THE FOUNDATION OWNED A MAJORITY OF THE VOTING STOCK OF THE CORPORATION AND AFTER SUCH DISPOSITION THE FOUNDATION WOULD NOT OWN A MAJORITY OF THE VOTING STOCK OF THE CORPORATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER I.TO APPROVE ANY BORROWINGS OR GUARANTEES OF THE FOUNDATION IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER J.TO APPROVE THE ACCEPTANCE OF ANY GIFT OR CONTRIBUTION WHICH, IN CONNECTION THEREWITH, WOULD IMPOSE A CONTINUING OBLIGATION UPON THE FOUNDATION, INCLUDING, WITHOUT LIMITATION, THE OBLIGATION TO PROVIDE HEALTH CARE SERVICES, PAY AN ANNUITY OR UNDERTAKE ANY OTHER OBLIGATIONS, EXCEPT AS OTHERWISE DETERMINED BY THE MEMBER PURSUANT TO POLICIES ADOPTED BY THE MEMBER AND K.TO APPROVE OR REJECT PROPOSALS FOR EXPENDITURES OR CONTRIBUTIONS IN ACCORDANCE WITH ARTICLE IX OF THE BYLAWS IN THE EVENT THE PRESIDENT OF THE HOSPITAL AND THE BOARD OF GOVERNORS DO NOT AGREE WITH RESPECT TO THE APPROVAL OF SUCH PROPOSAL.
FORM 990, PART VI, SECTION B, LINE 11
ACCOUNTING/FINANCE PERSONNEL AT EACH SSMHC (SSM HEALTH CARE SYSTEM) ENTITY, IN CONJUNCTION WITH CORPORATE FINANCE PERSONNEL, PREPARE A CHECKLIST CONTAINING INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS CHECKLIST IS THEN REVIEWED BY A SUPERVISOR/MANAGER AND SENT TO THE CORPORATE OFFICE FOR FINAL REVIEW AND COORDINATION OF THE SYSTEM LEVEL FORM 990 INFORMATION. THE INFORMATION IS SUBMITTED TO AN OUTSIDE TAX CONSULTING FIRM WHO PREPARES THE FORM 990 FROM THE SSMHC INFORMATION AND SIGNS THE RETURN AS PREPARER. 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. THE FOUNDATION EXECUTIVE DIRECTOR PRESENTS THE FORM 990 TO THE BOARD OF GOVERNORS AT THE NEXT REGULARLY SCHEDULED BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12C
BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY TO THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ONLINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END.
FORM 990, PART VI, SECTION B, LINE 15
ALL SSMHC EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH LIKE POSITIONS IN THE MARKET. THE COMPENSATION REVIEW PROCESS IS 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 SYTEM, 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 STATEMENTS FOR THE SSM HEALTH CARE SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH CARE'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZAION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC 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:
UNREALIZED GAINS 4,459,761. FUND BALANCE TRANSFER 1,765,733. ACTURIAL LOSS ON GIFT ANNUITIES -709,962. TOTAL TO FORM 990, PART XI, LINE 5: 5,515,532.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.