Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | 12,860,994 | 11,473,475 | 17,142,074 | 13,484,548 | 13,606,830 | 68,567,921 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 12,860,994 | 11,473,475 | 17,142,074 | 13,484,548 | 13,606,830 | 68,567,921 |
| 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).. | 8,081,742 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 60,486,179 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 12,860,994 | 11,473,475 | 17,142,074 | 13,484,548 | 13,606,830 | 68,567,921 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 1,388,153 | 1,650,405 | 1,493,610 | 1,815,419 | 1,876,913 | 8,224,500 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 0 | 0 | 0 | 0 | 0 | 0 |
| 11 | Total support. Add lines 7 through 10. | 76,792,421 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 15000238 |
| Software Version: | 2015v2.1 |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4a Description of Program Service | Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 19 acute care hospitals, one children's hospital, more than 60 outpatient care sites, a pharmacy benefit company, an insurance company, two long-term care facilities, comprehensive home care and hospice services, a technology company, and two Accountable Care Organizations. The health system employs more than 31,000 people and is affiliated with more than 8,500 physicians making it one of the largest employers in every community it serves. SSMH is sponsored by SSM Health Ministries, an independent 6- member body comprised of three Franciscan Sisters of Mary and three lay people who collectively hold certain reserved powers over SSMH. In the tradition of its founding sisters, SSMH strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. Cardinal Glennon Children's Foundation (the Foundation) exists to support the healthcare and community services of Cardinal Glennon Children's Medical Center (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 2015 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. The Audiology Department. 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 Safe Kids Program. 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. The Knights of Columbus Developmental Center. The Knights of Columbus Developmental Center serves children with suspected autism spectrum disorders and developmental delays. Last year, 1,937 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 center underwent a major expansion in 2013, as more than $1.4 million of donations from various community groups and philanthropist helped create a new 11,000 square foot treatment facility on the medical campus. Contributors included the Knights of Columbus, Children's Miracle Network, Guth Foundation and the Glennon Guild. Child Life Services. Thanks to the generosity of donors, we are able to provide fun and engaging Child Life Services. The mission of the Child Life Department at SSM Cardinal Glennon is to advocate for the psychosocial, developmental, emotional and educational needs of all our patients and families. We strive to create a supportive environment, while helping empower patients and their families to make decisions affecting their care. |
| Form 990, Part III, Line 4b Description of Program Service (Continued) | The Cardinal Glennon Sports Care Team. Sports Care is a dedicated team of athletic trainers and health care prevention specialist who work directly with area sports clubs, teams, tournaments and schools to guide them on preventative programs, stretching exercises, education, and early intervention of sports and recreational related injuries. This new imitative is aimed at educating parents, coaches and young athletes on how to avoid preventable injuries and how to access proper care when needed. Shining Star School. Children who are hospitalized or who live with chronic illness benefit from keeping much of their regular routines from their lives outside the hospital. Attending school, working on school academics and completing schoolwork are a healthy part of a child's life routine. Participating in school activities can give children hope of returning to normal events. To meet this very important need for normalcy and development, the Foundation helps sponsor the Shining Star School. Shining Star School helps promote general academic development, social and emotional development as well as the overall well-being of individual children and groups in the hospital setting. Signature Programs. The Foundation has committed significant support to help Glennon and Saint Louis University School of Medicine build up our signature programs and enhance our top performing service lines, which allows us to continue to lead and innovate, keeping us at the edge of pediatric medicine. These funds supported clinical research coordinators, post-doctoral support for grant applications, meritorious grants, establish the Pain Management Program, subspecialty fellowships and continuing professional education. This support helped Glennon have three service lines included in the U.S. News and World Report 2015-16 Best Children's Hospitals rankings. Inpatient Cancer Center. In 2015, Foundation pledged $3.5 million toward significant renovations to the Inpatient Cancer Center at SSM Cardinal Glennon. The pledge will support improvements and expansion, including 19 state-of-the-art patient rooms, individual bathroom and shower facilities, comfortable sleeper sofas for parents staying overnight, updated and enlarged playroom for pediatric cancer patients, and new nursing stations that allow for closer proximity to cancer patients and better care. Patient Initiatives. In 2015, the Foundation supported several capital needs of the hospital that will insure patients continue to receive state of the art care close to home. The Foundation initiative included: - Pledged $1M for the acquisition of additional space to allow for hospital expansion. - Funded digital imaging equipment upgrade for the Dallas Heart Center renovations. - Funded the acquisition of transport isolettes, self-contained incubator units that provide a controlled heat, humidity, and oxygen microenvironment for the isolation and care of premature and low-birth weight neonates during transport to the hospital of our most vulnerable patients. - Funded ultrasound machines in the cardiology department and emergency room. - Funded renovations to the Ambulatory Care Center allowing for greater patient access and an improved patient experience. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | 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 pediatric medical center in St Louis, Missouri. Both the Foundation and SSM Cardinal Glennon Children's Hospital are part of the integrated health system known as SSM Health. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | 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, Line 7b Decisions requiring approval by members or stockholders | 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 the Appointed Governors with or without cause c. Subject to the limitations contained in the Articles of Incorporation, to take action with respect to amendments to the Articles of Incorporation of the Foundation d. To take action with respect to amendment to 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 take any and all action on behalf of the Foundation with respect to any borrowings or guarantees of the Foundation, except as the same may be delegated, 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 otherwise, except as otherwise determined by the Member pursuant to policies adopted by the Member 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, Line 11b Review of form 990 by governing body | ACCOUNTING/FINANCE PERSONNEL AT EACH SSMH (SSM HEALTH SYSTEM) ENTITY, IN CONJUNCTION WITH SYSTEM FINANCE PERSONNEL, PREPARE INFORMATION AND SUPPORTING SCHEDULES THAT ARE USED TO PREPARE THE FORM 990. THIS INFORMATION IS THEN REVIEWED BY A SUPERVISOR/MANAGER AND SENT TO THE SYSTEM OFFICE, WHERE SSMH PERSONNEL PREPARE THE FORM 990. THE SYSTEM DIRECTOR - TAX AND COMPLIANCE REVIEWS THE COMPLETED RETURN AND PROVIDES THE RETURN TO ENTITY MANAGEMENT PERSONNEL FOR FINAL REVIEW PRIOR TO FILING. THE COMPLETE FORM 990 IS PROVIDED ELECTRONICALLY TO ALL BOARD MEMBERS AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. |
| Form 990, Part VI, Line 12c Conflict of interest policy | Board members are required to complete a conflict of interest disclosure statement annually. The President and Secretary of 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, Line 19 Required documents available to the public | The year-end audited consolidated financial statements and unaudited quarterly consolidated financial statements for the SSM Health System are made available to the public on SSM Health'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 conflict of interest policy are available to the public upon request. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | ACTUARIAL CHANGE IN GIFT ANNUITY LIABILITY - -568103; UNCOLLECTIBLE PLEDGES - -100000; |
| Software ID: | 15000238 |
| Software Version: | 2015v2.1 |