Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 01-01-2015 , and ending 12-31-2015
BCheck if applicable:
CName of organization
SSM Health Care St Louis
 
 
Doing business as
See Schedule O
 
Number and street (or P.O. box if mail is not delivered to street address)
10101 Woodfield Lane
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
St Louis, MO63132
D Employer identification number

43-1343281
E Telephone number

G Gross receipts $ 1,383,127,149
F Name and address of principal officer:
William Thompson
10101 Woodfield Lane
St Louis,MO63132
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.ssmhealth.com/system
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:  
L Year of formation: 2000
M State of legal domicile: MO
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: OPERATES seven HOSPITALS AND HEALTH CARE CENTERS IN THE GREATER ST. LOUIS METROPOLITAN AREA.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 11
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 6
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 11,274
6 Total number of volunteers (estimate if necessary) ............. 6 1,238
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 8,600,110
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 510,763
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,432,753 1,341,498
9 Program service revenue (Part VIII, line 2g) ......... 1,242,767,301 1,357,856,016
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 945,664 2,839,713
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 14,252,912 19,049,138
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,259,398,630 1,381,086,365
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 720,488 333,499
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 494,352,699 536,291,687
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet7,998    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 670,381,346 732,245,504
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,165,454,533 1,268,870,690
19 Revenue less expenses. Subtract line 18 from line 12....... 93,944,097 112,215,675
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 893,750,359 941,896,771
21 Total liabilities (Part X, line 26)............. 500,425,369 503,958,871
22 Net assets or fund balances. Subtract line 21 from line 20..... 393,324,990 437,937,900
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2015)
Form 990 (2015)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,134,810,909 including grants of $ 333,499 ) (Revenue $ 1,367,488,170 )
PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet1,134,810,909
Form 990 (2015)
Form 990 (2015)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III .............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV ........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
11,274
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2015)
Form 990 (2015)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
11
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
6
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletBonnie Thorn1195 Corporate Lake Drive   St Louis,MO63132 (314) 989-3640
Form 990 (2015)
Form 990 (2015)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Candace Jennings
 
Director & President
 30.0
.................
13.0 		X   X       0 679,759 243,808
(2) Sr Mary Jean Ryan FSM
 
Director & Chairperson
 1.0
.................
6.0 		X   X       0 0 0
(3) William Thompson
 
Director & Vice Chairperson
 1.0
.................
56.0 		X   X       0 2,253,539 4,386,662
(4) Sheila Bader
 
Pt Yr Director
 1.0
.................
1.0 		X           0 0 0
(5) Daniel Baumann MD
 
Pt Yr Director
 1.0
.................
41.0 		X           0 248,717 26,515
(6) Donald Binz MD
 
Pt Yr Director
 1.0
.................
41.0 		X           0 485,471 33,281
(7) Jan Cerny
 
Director
 1.0
.................
2.0 		X           0 0 0
(8) Christopher Howard
 
Director
 1.0
.................
53.0 		X           0 1,145,315 359,223
(9) Dee Joyner
 
Director
 1.0
.................
2.0 		X           0 0 0
(10) Mary McLennan MD
 
Pt Yr Director
 1.0
.................
1.0 		X           0 0 0
(11) John Oldani
 
Pt Yr Director
 1.0
.................
1.0 		X           2,786 0 0
(12) Shane Peng MD
 
Director
 1.0
.................
47.0 		X           0 952,393 287,170
(13) Barbara Turkington
 
Pt Yr Director
 1.0
.................
1.0 		X           0 0 0
(14) Karl Wilson PhD
 
Pt Yr Director
 1.0
.................
1.0 		X           0 0 0
(15) Philip Alderson MD
 
Pt Yr Director
 1.0
.................
2.0 		X           0 0 0
(16) James Bleicher MD
 
Director
 1.0
.................
42.0 		X           0 599,841 130,021
(17) Snehal Gandhi MD
 
Director
 1.0
.................
2.0 		X           0 0 0
Form 990 (2015)
Form 990 (2015)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) William R Kauffman
 
Director
 1.0
.......................2.0 		X           0 0 0
(19) Fred P Pestello PhD
 
Director
 1.0
.......................2.0 		X           0 0 0
(20) Paula Friedman
 
Vice President
 1.0
.......................54.0 		    X       0 829,649 261,763
(21) Shari Jackson
 
Assistant Secretary
 30.0
.......................10.5 		    X       72,414 0 17,358
(22) June Pickett
 
Secretary
 1.0
.......................65.1 		    X       0 261,177 47,284
(23) Karen Rewerts
 
System VP Finance
 25.0
.......................15.0 		    X       0 579,587 158,165
(24) Kris Zimmer
 
Treasurer
 1.0
.......................57.0 		    X       0 1,102,244 366,850
(25) Kathleen Becker
 
President St Mary's
 20.0
.......................23.0 		      X     0 584,913 150,457
(26) Lee Bernstein
 
Regional Exec VP/COO
 40.0
.......................0.0 		      X     0 621,070 157,013
(27) Mike Bowers
 
President St Joseph Hosp
 40.0
.......................1.0 		      X     0 413,117 97,008
(28) Margaret Fowler
 
System VP - Chief Nursing Officer
 40.0
.......................0 		      X     419,887 0 198,571
(29) Ellis Hawkins
 
President St Clare
 40.0
.......................1.0 		      X     0 321,268 114,627
(30) Sean Hogan
 
President DePaul
 40.0
.......................1.0 		      X     0 506,635 135,841
(31) Kevin Todd Johnson
 
Regional VP Medical Affairs
 30.0
.......................11.0 		      X     671,197 0 207,563
(32) Renee Roach
 
System Vice President-HR
 30.0
.......................10.0 		      X     0 324,183 69,602
(33) Lisle Wescott
 
President St Joseph West
 40.0
.......................1.0 		      X     0 389,128 106,208
(34) William Holcomb
 
Physician
 40.0
.......................0 		        X   486,202 0 68,739
(35) Mario Morales
 
Physician
 40.0
.......................0 		        X   1,324,994 0 54,124
(36) Timothy Pratt MD
 
VP - Medical Affairs
 40.0
.......................0.0 		        X   465,524 0 88,718
(37) Andrew Wheeler
 
Physician
 40.0
.......................0 		        X   551,421 0 39,672
(38) Andrew Karanas
 
Physician
 40.0
.......................0 		        X   455,752 0 37,111
(39) Lynn Lenker
 
Former Key Employee
 0.0
.......................40.0 		          X 0 379,824 105,813
(40) Deborah Walkenhorst
 
Former Key Employee
 0.0
.......................0 		          X 0 425,062 17,949
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 4,450,177 13,102,892 7,967,116
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet373
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
ALBERICI CONSTRUCTORS INC

8800 PAGE AVE
ST LOUIS,MO63114 		CONSTRUCTION SERVICES 15,832,488
ST LOUIS UNIVERSITY

1402 S GRAND BLVD
ST LOUIS,MO63104 		MEDICAL SERVICES 13,368,078
INTERFACE CONSTRUCTION GROUP

8401 WABASH
BERKELEY,MO63134 		CONSTRUCTION SERVICES 10,324,153
SSM SELECT REHAB OF ST LOUIS LLC

4714 GETTYSBURG ROAD
MECHANICSBURG,PA17055 		MEDICAL SERVICES 10,007,548
METRO WEST ANESTHESIA

400 S WOODS MILL ROAD
CHESTERFIELD,MO63017 		MEDICAL SERVICES 5,656,546
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet133
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 2,289
d Related organizations1d 1,125,088
e Government grants (contributions)1e 191,652
f All other contributions, gifts, grants, and similar amounts not included above1f 22,469
g Noncash contributions included in lines 1a-1f:$ 30,644
h Total.Add lines 1a-1f.......MediumBullet 1,341,498
Program Service RevenueAmt Business Code
2a NET PATIENT REVENUE 621110 1,305,053,988 1,305,053,988    
b OTHER OPERATING REVENUE 621110 52,802,028 50,758,552 2,043,476  
c
d
e
f All other program service revenue. 0 0 0 0
g Total.Add lines 2a–2f.....MediumBullet 1,357,856,016
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 2,135,398     2,135,398
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   1,852,799
b Less: rental expenses   1,035,925
c Rental income or (loss) 0 816,874
d Net rental income or (loss)......MediumBullet 816,874     816,874
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   1,709,174
b Less: cost or other basis and sales expenses 1,004,859  
c Gain or (loss) -1,004,859 1,709,174
d Net gain or (loss).....MediumBullet 704,315     704,315
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a PHARMACY 446110 5,648,887   5,648,887  
b LABORATORY SERVICES 621500 642,395   642,395  
c Catering 722320 83,572   83,572  
d All other revenue .... 11,857,410 11,675,630 181,780 0
e Total. Add lines 11a–11d ...... MediumBullet 18,232,264
12 Total revenue. See Instructions......MediumBullet 1,381,086,365 1,367,488,170 8,600,110 3,656,587
Form 990 (2015)
Form 990 (2015)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 226,310 226,310
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 107,189 107,189
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 4,946,586 717,970 4,228,616  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 409,716,675 375,922,581 33,794,094  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 24,457,970 22,787,541 1,670,429  
9 Other employee benefits ....... 71,746,271 67,338,252 4,408,019  
10 Payroll taxes ........... 25,424,185 23,806,667 1,617,518  
11 Fees for services (non-employees):        
a Management ...... 62,072,819 15,721,204 46,351,615  
b Legal ......... 1,525,647   1,525,647  
c Accounting ........... 563,674   563,674  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 141,505,134 134,558,603 6,945,060 1,471
12 Advertising and promotion .... 104,242   95,877 8,365
13 Office expenses ....... 47,104,153 43,574,548 3,543,404 -13,799
14 Information technology ...... 70,235,894 62,627,622 7,601,092 7,180
15 Royalties ..        
16 Occupancy ........... 30,533,985 26,049,915 4,484,028 42
17 Travel ............ 1,248,346 292,747 951,579 4,020
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 383,318 265,188 118,124 6
20 Interest ........... 6,914,810 6,914,810    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 45,952,977 40,870,083 5,082,181 713
23 Insurance ... 9,060,413 270,092 8,790,321  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 243,537,487 243,537,487    
b MEDICARE PROVIDER TAX 68,640,578 68,640,578    
c BOND RELATED FEES 1,791,201   1,791,201  
d LICENSES 613,257 182,755 430,502  
e All other expenses 457,569 398,767 58,802 0
25 Total functional expenses. Add lines 1 through 24e 1,268,870,690 1,134,810,909 134,051,783 7,998
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1  
2 Savings and temporary cash investments ......... 57,301,632 2 41,013,381
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 150,725,084 4 152,011,127
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
  5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6 0
7 Notes and loans receivable, net ....   7  
8 Inventories for sale or use ........ 24,605,097 8 26,093,215
9 Prepaid expenses and deferred charges ...... 7,068,961 9 7,719,197
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,170,808,395
b Less: accumulated depreciation 10b 655,773,636 487,726,469 10c 515,034,759
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 101,133,533 12 140,406,040
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ............... 6,365,091 14 6,415,764
15 Other assets. See Part IV, line 11 ........... 58,824,492 15 53,203,288
16 Total assets. Add lines 1 through 15 (must equal line 34)... 893,750,359 16 941,896,771
Liabilities 17 Accounts payable and accrued expenses ..... 104,900,412 17 113,550,180
18 Grants payable ...   18  
19 Deferred revenue ......... 785,742 19 762,742
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D 394,739,215 25 389,645,949
26 Total liabilities. Add lines 17 through 25.. 500,425,369 26 503,958,871
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 382,072,653 27 425,432,814
28 Temporarily restricted net assets ........... 8,730,622 28 9,993,263
29 Permanently restricted net assets 2,521,715 29 2,511,823
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 393,324,990 33 437,937,900
34 Total liabilities and net assets/fund balances ........ 893,750,359 34 941,896,771
Form 990 (2015)
Form 990 (2015)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,381,086,365
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,268,870,690
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
112,215,675
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
393,324,990
5
Net unrealized gains (losses) on investments ...............
5
-5,004,445
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-62,598,320
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
437,937,900
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2015)
Form 990 (2015)
Additional Data


Software ID: 15000238
Software Version: 2015v2.1
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
SSM Health Care St Louis
 
Employer identification number

43-1343281
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
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations ..............  

g
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 (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      

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (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 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            
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)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
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.)..            
11 Total support. Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
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 ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (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.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
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.......  
Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2015


Additional Data


Software ID: 15000238
Software Version: 2015v2.1
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Name of the organization
SSM Health Care St Louis
 
Employer identification number

43-1343281
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
Name of organization
SSM Health Care St Louis
  		Employer identification number
43-1343281
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 

   
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 3
Name of organization
SSM Health Care St Louis
  		Employer identification number

43-1343281
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 4
Name of organization
SSM Health Care St Louis
  		Employer identification number

43-1343281
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data


Software ID: 15000238
Software Version: 2015v2.1
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletInformation about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
SSM Health Care St Louis
 
Employer identification number

43-1343281
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ......................................................................................................................SchCMd Bullet
$  
3
Volunteer hours .............................................................................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2015

Schedule C (Form 990 or 990-EZ) 2015
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................    
c Total lobbying expenditures (add lines 1a and 1b) .......................................................................    
d Other exempt purpose expenditures .........................................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ..............................................................................................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2012 (b) 2013 (c) 2014 (d) 2015 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2015


Schedule C (Form 990 or 990-EZ) 2015
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
Yes
 
259,162
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
 
No
 
j
Total. Add lines 1c through 1i ....................................................................................................
259,162
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The organization paid dues to various national and local hospital associations and a portion of these dues was allocated to lobbying activities.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The organization paid dues to various national and local hospital associations and a portion of these dues was allocated to lobbying activities.
Schedule C (Form 990 or 990EZ) 2015


Additional Data


Software ID: 15000238
Software Version: 2015v2.1

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
SSM Health Care St Louis
 
Employer identification number

43-1343281
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ....    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ....    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 3,232,137 2,936,398 2,786,143 2,708,076 2,654,649
b Contributions ...       26,501  
c Net investment earnings, gains, and losses -8,233 341,518 150,255 51,566 53,882
d Grants or scholarships ...   45,779      
e Other expenditures for facilities
and programs ... 		285       455
f Administrative expenses ....          
g End of year balance ...... 3,223,619 3,232,137 2,936,398 2,786,143 2,708,076
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet3.12 %
b
Permanent endowment SchDMd Bullet78.23 %
c
Temporarily restricted endowment SchDMd Bullet18.65 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
Yes
 
(ii) related organizations .................
3a(ii)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ...   49,670,562 49,670,562
b Buildings   698,676,955 366,973,474 331,703,481
c Leasehold improvements   16,218,109 11,935,835 4,282,274
d Equipment ...   364,296,700 276,864,327 87,432,373
e Other ...   41,946,069   41,946,069
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 515,034,759
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c)Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) EQUITY IN OTHER ENTITIES 		31,623,331 F

(B) CENTRAL INVESTMENT PROGRAM 		108,782,709 F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 140,406,040
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM AFFILIATES 50,212,460
(2) OTHER NONCURRENT ASSETS 2,990,828
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 53,203,288
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
PAYABLE TO THIRD-PARTY PAYORS 66,716,255
DUE TO AFFILIATES 20,779,613
OTHER LIABILITIES 17,854,732
ASSET RETIREMENT LIABILITY 3,069,744
PENSION FUNDING LIABILITY 85,132,595
ALLOCATED TAX-EXEMPT DEBT (ISSUED BY SSM HEALTH CARE) 196,093,010
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 389,645,949
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  

Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part V, Line 4 Intended uses of endowment funds ALL ENDOWMENT FUNDS WILL BE USED TO SUPPORT HEALTH CARE SERVICES.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote SSM HEALTH CARE ST LOUIS' FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. SSMH 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 2015 OR 2014.
Schedule D (Form 990) 2015


Additional Data


Software ID: 15000238
Software Version: 2015v2.1




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
SSM Health Care St Louis
 
Employer identification number

43-1343281
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
No
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    35,079,416   35,079,416 2.76 %
b Medicaid (from Worksheet 3, column a) . . . . .     229,640,581 225,145,687 4,494,894 0.35 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     10,598,080 8,046,867 2,551,213 0.20 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 275,318,077 233,192,554 42,125,523 3.32 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     1,679,163 308,203 1,370,960 0.11 %
f Health professions education (from Worksheet 5) . . .     30,160,208 5,993,447 24,166,761 1.90 %
g Subsidized health services (from Worksheet 6) . . . .     122,286 122,286 0 0 %
h Research (from Worksheet 7) .         0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     253,848   253,848 0.02 %
j Total. Other Benefits . . 0 0 32,215,505 6,423,936 25,791,569 2.03 %
k Total. Add lines 7d and 7j . 0 0 307,533,582 239,616,490 67,917,092 5.35 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development     983   983 0 %
3 Community support     6,773   6,773 0 %
4 Environmental improvements     2,000   2,000 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building     136,842   136,842 0.01 %
7 Community health improvement advocacy     6,900   6,900 0 %
8 Workforce development     728,404 70,441 657,963 0.05 %
9 Other         0 0 %
10 Total 0 0 881,902 70,441 811,461 0.06 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
20,386,740
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
376,221,351
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
364,413,645
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
11,807,706
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1SSM ST JOSEPH ENDOSCOPY CENTER LLC
  		OPERATE AN ENDOSCOPY CENTER 50 % 0 % 50 %
2ST LOUIS CYBERKNIFE LLC
  		OPERATE A CANCER TREATMENT CENTER 47 % 0 % 53 %
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?6
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 SSM Health DePaul Hospital - St Louis
12303 DEPAUL DRIVE
ST LOUIS,MO63044
WWW.SSMHEALTH.COM
414-18 		X X         X     A
2 SSM Health St Mary's Hospital - St Louis
6420 CLAYTON ROAD
ST LOUIS,MO63117
WWW.SSMHEALTH.COM
383-21 		X X   X     X     A
3 SSM Health St Joseph Hospital - St Charles
300 FIRST CAPITAL DRIVE
ST CHARLES,MO63301
WWW.SSMHEALTH.COM
494-8 		X X         X     A
4 SSM Health St Clare Hospital - Fenton
1015 BOWLES AVENUE
FENTON,MO63026
WWW.SSMHEALTH.COM
456-14 		X X         X     A
5 SSM Health St Joseph Hospital - Lake Saint Louis
100 MEDICAL DRIVE
LAKE ST LOUIS,MO63367
WWW.SSMHEALTH.COM
381-21 		X X         X     A
6 SSM REHABILITATION HOSPITAL
12380 DEPAUL DRIVE
BRIDGETON,MO63044
www.ssm-rehab.com
522-4 		X                  
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.ssmhealth.com/system/community-benefit
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.ssmhealth.com/system/exceptional-care/financial-assistance
b
http://www.ssmhealth.com/system/exceptional-care/financial-assistance
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

A
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
SSM REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		6
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://www.ssmhealth.com/system/community-benefit/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SSM REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
 
b
 
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

SSM REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 7
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Facility Group A. Primary data collection for the CHNA included conducting focus groups that represent the broad interest and diversity of the individual hospital communities. Participants were asked to identify the primary health issues affecting the constituents they represent. After exhausting new individual concerns, the participants discussed 2012 CHNA cycle issues. After all discussion had concluded, a survey, inclusive of all topics discussed, was distributed and participants were asked to score the importance of the health issues and the ability of the hospital to make a significant impact.
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - SSM Health DePaul Hospital - St. Louis. Because SSM Health DePaul Hospital - St. Louis and BJC Health System's Christian Hospital both focus on addressing the health needs of residents in North St. Louis County, the two hospitals combined efforts to seek input from community stakeholders.
Schedule H, Part V, Section B, Line 6a Facility A, 2 Facility A, 2 - SSM Health St. Joseph Hospital - St. Charles. SSM Health St. Joseph Hospital - St. Charles conducted portions of its CHNA research and preparation process with SSM Health St. Joseph Hospital - Lake Saint Louis, BJC Healthcare St. Peters Hospital, and BJC Healthcare Progress West Hospital.
Schedule H, Part V, Section B, Line 6a Facility A, 3 Facility A, 3 - SSM Health St. Joseph Hospital - Lake Saint Louis. SSM Health St. Joseph Hospital - Lake Saint Louis conducted portions of its CHNA research and preparation process with SSM Health St. Joseph Hospital - St. Charles, BJC Healthcare St. Peters Hospital, and BJC Healthcare Progress West Hospital.
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - SSM Health DePaul Hospital - St. Louis. SSM Health's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." During 2015, in collaboration with our community partners, SSM Health DePaul Hospital - St. Louis conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: diabetes, heart and vascular disease, and access to care. The SSM Health St. Louis Regional Board approved this CHNA on November 23, 2015. SSM Health DePaul Hospital - St. Louis last conducted a CHNA in 2012. The strategic priorities of the community benefit plan as identified in the 2013-2015 community health needs assessment (CHNA) are: obesity, cardiovascular disease/diabetes and access to care. Our needs assessment was completed November 1, 2012 and adopted as part of our strategic plan on December 15, 2012. Goals and objectives were established to change behavior, provide metrics to measure change, and to impact the overall health of those we serve. All of the community benefit activities are designed to meet the needs identified in the CHNA. The SSM Health DePaul Hospital - St. Louis 2012 - 2015 CHNA revealed that North St. Louis County residents self-reported higher rates of obesity (26.1%) and obesity-related factors than other areas in St. Louis County. SSM Health DePaul Hospital - St. Louis will collaborate with community partners and stakeholders to develop community partnerships and clinics that focus on healthy life-style choices and better options for care including: * "Lose To Win": a 12-week collaborative program where support is given to participants in order to encourage weight loss and long-term healthy lifestyle choices. * "CatholicFit": a 12-week faith and fitness program designed for third and sixth grade students in the eight Catholic Schools within North St. Louis County. * Partnership between SSM Weight Loss Clinic and the community. The following goals were achieved in 2015 to address obesity: * Goal: increase percentage of 6th grade students in CatholicFit program who self- report family discussions about fitness from 83% in 2014 to 90% in 2015, achieved 94.4% of program participants reporting family discussions about fitness. * Goal: Decrease percentage of North St Louis County patients with self-reported obesity (BMI of at least 30) to 25.5% in 2015, self-reported obesity percentage was 28% in 2015. * Goal: Increase the number of North St Louis County residents treated by SSM Weight Loss Clinic from 277 in 2014 to 500 in 2015, 882 residents participated in the Weight Loss Clinic. The 2012 SSM Health DePaul Hospital - St. Louis community needs assessment revealed that heart disease is the leading cause of emergency visits/hospitalizations and deaths in North St. Louis County; and is higher than other areas in North St. Louis County. Hypertension is the most prevalent disease in North St. Louis County. Diabetes is among the top reasons for hospitalizations (#5) and death (#4) among African-Americans in North St. Louis County. SSM Health DePaul Hospital - St. Louis will collaborate with community and faith-based organizations to actively participate in initiatives to address long-term healthy life style choices. In addition, DePaul will pilot a Diabetic Screening Clinic to improve access to an endocrinologist - appointments are currently booked 4 months out. The following goals were achieved in 2015 to address cardiovascular disease/diabetes: * Goal: Insure patients with chronic heart failure (CHF) secure an appointment with a primary care physician/FQHC within 5 days of discharge, secured appointments for 67% of eligible patients. * Goal: Increase percentage of North County patients referred to endocrinology within 14 days of discharge to 75% in 2015, achieved referral rate of 21.4%. * Goal: Increase percentage of patients seen by primary care or cardiology within 5 business days after discharge to 100% in 2015, rate of patients seen within 5 days was 68% in 2015. * Goal: Decrease percentage of all-cause/all-location CHF 30-day readmissions to 15.5% or lower in 2015, readmission rate of 19.36% was achieved. The 2012 SSM Health DePaul Hospital - St. Louis community needs assessment revealed access to care for the uninsured as a concern to community stakeholders and hospital administration. The percent of uninsured adults in North St. Louis County is higher than all of St. Louis County (but better than the state as a whole); and in St. Louis County, the highest proportion of uninsured and Medicaid populations - as well as those who lack access to care - are in North St. Louis County. Having a large population without a regular source of care results in over use on the hospital (ED and Inpatient), especially among those ages 44 and younger. SSM Health DePaul Hospital - St. Louis will continue to collaborate with Integrated Health Network (IHN) to develop referral and continuum of care relationships with the area federally-qualified health center, establish an Urgent Care Clinic to allow less acute care outside of the Emergency Room, and continue to recruit physicians, nurse practitioners, and physician assistants to serve the community need. The following goals were achieved in 2015 to address access to care: * Goal: Increase percentage of CRC encounters leading to a scheduled appointment to 50% and a show percentage of 40% in 2015, 34% scheduled an appointment with a show percentage of 31%. * Goal: Refer 100% of patients who visit the Urgent Care without a primary care provider to an appropriate primary care physician, 20% of Urgent care patients were referred to a primary care physician. * Goal: Increase recruitment of primary care providers for North County area by bringing on 3 additional physicians and nurse practitioners, 3 providers were brought on in 2015.
Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - SSM Health St. Mary's Hospital - St. Louis. SSM Health's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." During 2015, in collaboration with our community partners, SSM Health St. Mary's Hospital - St. Louis conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: diabetes, high-risk pregnancy and substance abuse, and access to care. The SSM Health St. Louis Regional Board approved this CHNA on November 23, 2015. SSM Health St. Mary's Hospital - St. Louis last conducted a CHNA in 2012. The strategic priorities of the community benefit plan as identified in the 2013-2015 community health needs assessment (CHNA) are: access to care, sexually transmitted diseases, and diabetes. Our needs assessment was completed November 1, 2012 and adopted as part of our strategic plan on December 15, 2012. Goals and objectives were established to change behavior, provide metrics to measure change, and to impact the overall health of those we serve. All of the community benefit activities are designed to meet the needs identified in the CHNA. A secondary data source for the 2012 SSM Health St. Mary's Hospital - St. Louis community needs assessment was the 2011 St. Louis County Community Health Needs Assessment which identified access to care as a priority health issue for North and Mid St. Louis Counties. The assessment concludes that residents in Mid and North St. Louis Counties have lower access to care compared to the rest of St. Louis County, experience greater barriers associated with cost of care, are more likely to use the emergency department as a source of primary care, and are less likely to get needed prescription drugs because of cost. SSM Health St. Mary's Hospital - St. Louis will continue to collaborate with Integrated Health Network (IHN) to develop referral and continuum of care relationships with area federally qualified health centers, establish an Urgent Care Clinic to allow less acute care outside of the Emergency Room, and continue to recruit physicians, nurse practitioners, and physician assistants to serve the community need. The following goals were achieved in 2015 to address access to care: * Goal: Increase the number of IHN community referral coordinator encounters with emergency department and inpatients needing medical care post hospitalization to primary care providers or clinics (for continuum of care) from an average of 2,644 per quarter in 2014 to an average of 2,700 per quarter in 2015, referrals per quarter were 3,639 in 2015. * Goal: Achieve a 48% show rate for all appointments resulting from a community referral coordinator 2015 from 45% in 2014, achieved a 39% show rate for appointments. * Goal: Recruitment of 6 primary care providers in 2015 to serve the hospital service area, recruited 6 primary care providers to the area. A secondary data source for the 2012 SSM Health St. Mary's Hospital - St. Louis community needs assessment was the 2011 St. Louis County Community Health Needs Assessment which noted sexually transmitted infections as priority health need for North and Mid-St Louis Counties. St. Louis City STI rates are significantly higher than St. Louis County. U.S. Centers for Disease Control and Prevention ranks St. Louis second highest among US cities per capita rates of chlamydia and gonorrhea. SSM Health St. Mary's Hospital - St. Louis will collaborate with local departments of health and state agencies to develop STD screening availability and patient education on STDs within emergency department visits. The following goal was achieved in 2015 to address sexually transmitted diseases: * Goal: Reduce the number of patients with STDs in the zip codes 63143, 63105, and 63117 through screening, treatment and education from 87 in 2014 to 83 in 2015, 84 patients were seen in 2015. The 2012 SSM Health St. Mary's Hospital - St. Louis community needs assessment revealed that diabetes is among the top reasons for chronic disease hospitalizations and chronic disease deaths among the African American populations in North and Mid St. Louis Counties and St. Louis City. Diabetes is among the list of preventable hospitalizations in St. Louis County and St. Louis City that fall worse than the St. Louis Bi-State Region benchmark. SSM Health St. Mary's Hospital - St. Louis has a comprehensive Internal Medicine clinic that provides primary care to residents of St. Louis City and County. The SMHC Diabetes Program collaborates with the interdisciplinary Internal Medicine clinic to provide education and support needed for patient centered education and resources enabling patients to manage their Diabetes, make healthy lifestyle choices, and work with their health care team to overcome barriers. The following goal was achieved in 2015 to address diabetes: * Goal: Decrease Hemoglobin A1C levels among Diabetic patients seen in the hospital Internal Medicine clinic with Diabetes education from 10.1% in 2014 to 9.6% in 2015, achieved a percentage of 9.2%.
Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - SSM Health St. Joseph Hospital - St. Charles. SSM Health's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." During 2015, in collaboration with our community partners, SSM Health St. Joseph Hospital - St. Charles conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: heart disease, substance abuse, and access to care. The SSM Health St. Louis Regional Board approved this CHNA on November 23, 2015. SSM Health St. Joseph Hospital - St. Charles last conducted a CHNA in 2012. The strategic priorities of the community benefit plan as identified in the 2013-2015 community health needs assessment (CHNA) are: access to care, respiratory, Cardiovascular, cancer and cerebrovascular disease and substance abuse. Our needs assessment was completed June 2012 and adopted as part of our strategic plan on December 3, 2012. Goals and objectives were established to change behavior, provide metrics to measure change, and to impact the overall health of those we serve. All of the community benefit activities are designed to meet the needs identified in the CHNA. The 2012 SSM Health St. Joseph Hospital - St. Charles CHNA revealed barriers to accessing health care for people in Eastern / Central St. Charles County. Eastern / Central St. Charles County has higher rates of uninsured adults, adults on Medicaid, uninsured children, children on Medicaid, and Medicare rates when compared to other areas in St. Charles County; however, rates of uninsured are lower than St. Louis and the state of Missouri overall. SSM Health St. Joseph Hospital - St. Charles will collaborate with community partners to increase care for uninsured people in Eastern/Central St. Charles County. Efforts will include recruiting physicians, nurse practitioners, and physician assistants and referrals to VIM (Volunteers In Medicine). The following goals were achieved in 2015 to address access to care: * Goal: Increase the percentage of patients converted from self-pay to Medicaid from 41% in 2014 to 45% in 2015, improved upon prior year and goal with 60.9% converted. * Goal: Increase the percentage of uninsured/self-pay patients referred to the VIM Clinic from 34% in 2014 to 38% in 2015, achieved 42%. The 2012 SSM Health St. Joseph Hospital - St. Charles CHNA barriers to accessing health care related to respiratory, cardiovascular, cerebrovascular diseases and overall health awareness for the Eastern / Central St. Charles County community. Eastern / Central St. Charles County has higher rates of uninsured adults, adults on Medicaid, uninsured children, children on Medicaid, and Medicare rates compared to other areas in St. Charles County, but has a lower rate that the St. Louis MSA, and the state of Missouri. SSM Health St. Joseph Hospital - St. Charles will collaborate with community partners to increase the availability of free community screenings and vaccines, and increase the public's awareness of cardiac health through online assessments. The following goals were achieved in 2015 to address respiratory, cardiovascular, cancer and cerebrovascular disease: * Goal: Complete 50 blood pressure screenings during the 2015 Baue Healthy Living Senior Health Fair, 109 screenings were completed. * Goal: Increase the number of free influenza vaccines provided by the hospital from 640 in 2014 to 700 in 2015, 793 free vaccines were provided in 2015. * Goal: Increase the number of heart online assessments completed by Eastern/Central St. Charles County residents through community outreach events by 10% from 98 in 2014 to 120 in 2015, completed 139 heart online assessments. The 2012 SSM Health St. Joseph Hospital - St. Charles CHNA revealed substance abuse-related disorders are ranked seventh in chronic disease emergency department visits in Eastern / Central St. Charles County. While the ranking is lower when compared to Western St. Charles County, St. Louis. and the state of Missouri, excessive and binge drinking rates in Eastern/Central St. Charles County are higher than state of Missouri benchmarks. SSM Health St. Joseph Hospital - St. Charles will collaborate with community partners to raise awareness about substance abuse and provide education on prevention and treatment. In addition, hospital staff will be trained to recognize substance use, misuse and abuse as well as alcohol and drug withdrawal to make appropriate treatment referrals. The following goals were achieved in 2015 to address substance abuse-related disorders: * Goal: Reduce rates of excessive and binge drinking in Eastern/Central St. Charles County to below state of Missouri benchmark of 6.1%, rate in 2015 was 24.7%. * Goal: Increase staff awareness of prescription drug abuse by providing training for Behavioral Health Services departments, as measured by a score of 90% of higher on the training post-test, average score of 84.6% was achieved.
Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - SSM Health St. Clare Hospital - Fenton. SSM Health's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." During 2015, in collaboration with our community partners, SSM Health St. Clare Hospital - Fenton conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: substance abuse, access to care, and health awareness. The SSM Health St. Louis Regional Board approved this CHNA on November 23, 2015. SSM Health St. Clare Hospital - Fenton last conducted a CHNA in 2012. The strategic priorities of the community benefit plan as identified in the 2013-2015 community health needs assessment (CHNA) are: access to care, Cardiovascular and cerebrovascular disease and substance abuse. Our needs assessment was completed June 2012 and adopted as part of our strategic plan on December 3, 2012. Goals and objectives were established to change behavior, provide metrics to measure change, and to impact the overall health of those we serve. All of the community benefit activities are designed to meet the needs identified in the CHNA. The 2012 SSM Health St. Clare Hospital - Fenton community needs assessment revealed that although access is relatively good in this region (insurance coverage is high and use of the emergency department is low), the community stakeholders identified gaps in access regarding transportation for the elderly and access to primary care and clinics. SSM Health St. Clare Hospital - Fenton will establish collaborative partnerships to address transportation challenges, develop referral and continuum of care relationships with area federally qualified health center and continue to recruit physicians, nurse practitioners, and physician assistants to serve the community need. The following goals were achieved in 2015 to address access to care: * Goal: Increase percentage of encounters with the community referral coordinator leading to appointments from 7.5% in 2014 to 20% in 2015, unfortunately, funding for the community referral coordinator was eliminated in January 2015. * Goal: Increase the incremental number of primary care providers employed and/or aligned by SSM Medical Group in the south market from 3.5 in 2014 to 8 in 2015, achieved increase of 6 in 2015. The 2012 SSM Health St. Clare Hospital - Fenton community needs assessment revealed the leading cause of chronic inpatient hospitalizations and death in South St. Louis County is heart disease, and rates of heart disease-related hospitalizations and deaths in South St. Louis County are higher than all of St. Louis County and the St. Louis MSA benchmarks. Stroke / cerebrovascular disease is among the top five reasons for chronic inpatient hospitalizations and death in South St. Louis County and the rates of stroke / cerebrovascular disease related hospitalizations and deaths in South St. Louis County are higher (worse) than all of St. Louis County and the St. Louis MSA benchmarks. SSM Health St. Clare Hospital - Fenton will raise awareness about obesity as a contributor to cardiovascular and cerebrovascular disease states through communications, collaborate with community partners to improve community based education and screenings and work with physicians to identify opportunities to utilize outpatient diabetic and nutrition consults to manage disease. The following goals were achieved in 2015 to address cardiovascular disease: * Goal: Increase the percentage of chronic heart failure patients who have an appointment secured within seven days of discharge from 50% in 2014 to 90% in 2015, percentage of chronic heart failure patients securing appointments was 77%. * Goal: Decrease the all-cause/all-location CHF readmission rate for SCHC from 17.06% in 2014 to 15.3% or less in 2015, readmission rate was reduced to 16.27%. * Goal: Decrease the disease prevalence of hypertension in the South County area from 24.3% in 2011 to the Missouri average of 22.5% in 2015, data release date not yet set. The 2012 SSM Health St. Clare Hospital - Fenton community needs assessment revealed that the alcohol / substance related disorders are among the top five reasons for emergency visits in South St. Louis County. Although the rates of mental illness/substance abuse related hospitalizations and emergency visits are less than the St. Louis County and St. Louis MSA benchmarks, the rates compared to other health factors placed mental illness and substance abuse as top health issue. Emergency department staff and community stakeholders also voiced concern of the known rapid increase in substance abuse. SSM Health St. Clare Hospital - Fenton will collaborate with community partners to provide substance abuse awareness and education, work with hospital staff to recognize substance abuse withdrawal to make appropriate referral and develop a pilot referral program to treat inpatients for alcohol and substance abuse when admitted to the hospital for other health issues. The following goals were achieved in 2015 to address substance abuse: * Goal: Increase the behavioral health stabilization service adult program patient volume per day from 1.5 in 2014 to 3 in 2015, achieved volume rate at 1.79. * Goal: Decrease St. Louis County drug and alcohol-related hospital episodes from 19,762 in 2012 to 19,082 (3% reduction) in 2015, latest results from 2013 show achievement of 15,623 episodes.
Schedule H, Part V, Section B, Line 11 Facility A, 5 Facility A, 5 - SSM Health St. Joseph Hospital - Lake Saint Louis. SSM Health's mission statement is "Through our exceptional health care services, we reveal the healing presence of God." During 2015, in collaboration with our community partners, SSM Health St. Joseph Hospital - Lake Saint Louis conducted a Community Health Needs Assessment (CHNA) and developed a strategic implementation plan for the 2016-2018 cycle. The strategic priorities we will address over the next three years include: obesity, substance abuse, and access to care. The SSM Health St. Louis Regional Board approved this CHNA on November 23, 2015. SSM Health St. Joseph Hospital - Lake Saint Louis last conducted a CHNA in 2012. The strategic priorities of the community benefit plan as identified in the 2013-2015 community health needs assessment (CHNA) are: diabetes, respiratory disease and access to care. Our needs assessment was completed June 2012 and adopted as part of our strategic plan on December 3, 2012. Goals and objectives were established to change behavior, provide metrics to measure change, and to impact the overall health of those we serve. All of the community benefit activities are designed to meet the needs identified in the CHNA. The 2012 SSM Health St. Joseph Hospital - Lake Saint Louis community needs health assessment revealed that diabetes in Western St. Charles, while rated lower for preventable hospitalizations than the St. Louis Bi-State Region and Missouri, is a preventable and manageable chronic illness and there is a gap to access for diabetes management in Western St. Charles County. SSM Health St. Joseph Hospital - Lake Saint Louis will work with medical staff physicians to identify opportunities to utilize diabetic and nutrition consults to manage the disease, collaborate with community partners to improve community based health education in relation to prevention and management of diabetes, and recruit an endocrinologist to serve Western St. Charles, Lincoln and Warren counties. The following goal was achieved in 2015 to address diabetes: * Goal: Hire one endocrinologist in 2015, the hospital is still recruiting for this position. The 2012 SSM Health St. Joseph Hospital - Lake Saint Louis community needs health assessment revealed that while some rates of respiratory disease related hospitalizations and death are less than the St. Charles County and St. Louis MSA benchmarks, the rates compared to other health factors placed respiratory disease as a top health issue. Respiratory related diseases are among the leading cause of emergency visits, inpatient hospitalizations and deaths in Western St. Charles County. SSM Health St. Joseph Hospital - Lake Saint Louis will host an annual community influenza shot clinic. The hospital will also increase access to respiratory (pulmonary) physicians by recruiting a new physician to the market and offer pulmonary rehab support group to encourage disease management. We will offer smoking cessation classes to the community and collaborate with area schools to prevent teenage smoking. The following goals were achieved in 2015 to address respiratory disease: * Goal: Increase community influenza vaccination clinics from one in 2014 to two in 2015, held two clinics. * Goal: Increase the number of community smoking cessation offerings from zero in 2014 to two in 2015, the hospital is still working on implementing the community smoking cessation offerings. The 2012 SSM Health St. Joseph Hospital - Lake Saint Louis community needs health assessment revealed a lack of access to health care for the western St. Charles County community. Western St. Charles County has lower rates of uninsured adults, adults on Medicaid, uninsured children, children on Medicaid, and Medicare rates compared to other areas in St. Charles County, St. Louis MSA, and the state of Missouri. Notwithstanding, access to health care remains a top priority. SSM Health St. Joseph Hospital - Lake Saint Louis will collaborate with community resources to increase access opportunities for the uninsured population and continue to recruit physicians, nurse practitioners and physician assistants to address the community need. The following goals were achieved in 2015 to address access to care: * Goal: Recruit 2 additional physicians/providers in 2015 over prior year, two additional providers were added in the hospital service area. * Goal: Increase clinician volunteer hours from 36 hours per month in 2014 to 64 hours per month in 2015, average hours per month remained level at 36 hours.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - SSM Rehabilitation Hospital. Primary data collection for the CHNA included use of community stakeholder focus group feedback, an online health needs survey and consumer awareness/preference study results. For a full list of organizations represented by the community stakeholders, reference Appendix A of the hospital CHNA. The individuals in the community stakeholders' group, who represent the broad interest of the community served, provided their feedback through online surveys and a focus group presentation during which they assisted the hospitals in ranking the health needs that were determined to be a priority in the community.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - SSM Rehabilitation Hospital. SSM Rehabilitation Hospital shared the process for obtaining and analyzing data and community input with SSM St. Mary's Hospital, as the two organizations share the same definition of community served.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SSM Rehabilitation Hospital. The strategic priorities of the community benefit plan as identified in the most recent community health needs assessment (CHNA) are: stroke education and prevention, and amputee education. Our needs assessment was completed April 23, 2014 and adopted as part of our strategic plan on May 5, 2014. Goals and objectives were established to change behavior, provide metrics to measure change, and to impact the overall health of those we serve. All of the community benefit activities are designed to meet the needs identified in the CHNA. The 2014 Community Health Needs Assessment for SSM Rehabilitation Network identified the need to enhance stroke awareness, education, and treatment in our community. SSM Rehab will enhance established, collaborative partnerships to address continuum of care for stroke patients, including condition management and education regarding wellness and prevention of recurrent stroke. The following goals were established in 2015 to address stroke education and prevention: * Goal: Reduce the number of stroke-related readmissions to SSM Acute Care Hospitals from 14.2% in 2014 to under 10% in 2015, reached 16.0% readmission rate for stroke patients. * Goal: Reduce the number of stroke-related discharges to skilled nursing facilities from 22% in 2014 to 18% in 2015, realized 20.7% of discharges to skilled nursing facilities. * Goal: Increase the number of patients receiving funded care from 1% in 2014 to 1.5% in 2015, 1% of patients received funded care in 2015. The 2014 Community Health Needs Assessment for SSM Rehabilitation Network identified the need to enhance amputation awareness, education, and treatment in the community. SSM Rehabilitation Network will develop collaborative partnerships to address continuum of care for amputee patients, to include condition management and education. The following goals were established in 2015 to address amputee awareness, education, and treatment: * Goal: Increase access to support services/peer support for amputee patients by increasing from 2 peer visits in 2014 to 10 peer visits in 2015, accomplished 12 peer visits in 2015. * Goal: Increase the number of patients that receive Amputee Education/ Ambassador Visits upon admission to SSM Rehabilitation Hospital from 35 patients in 2014 to 50 patients in 2015, 53 visits were completed. * Goal: Increase the number of patients receiving funded care from 1% in 2014 to 1.25% in 2015, 1% of patients received funded care.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 8
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?39
Name and address Type of Facility (describe)
1 SSM Health Medical Group
1011 Bowles Avenue
Fenton,MO63026 		Outpatient Clinic
2 SSM Health Heart & Vascular Care
1027 Bellevue
St Louis,MO63117 		Outpatient Clinic
3 SSM Health Medical Group
1031 Bellevue
St Louis,MO63109 		Outpatient Clinic
4 SSM Health Neurosciences
1055 Bowles Ave
Fenton,MO63026 		Outpatient Clinic
5 SSM Health Medical Group
1101 Hwy K
OFallon,MO63366 		Outpatient Clinic
6 SSM Health Medical Group
1120 Shackelford Rd
Florissant,MO63031 		Outpatient Clinic
7 SSM Health Medical Group
12255 DePaul Dr
Bridgeton,MO63044 		Outpatient Clinic
8 SSM Health Medical Group
12266 DePaul Drive
Bridgeton,MO63044 		Outpatient Clinic
9 SSM Health Medical Group
12277 DePaul Drive
Bridgeton,MO63304 		Outpatient Clinic
10 SSM Health Medical Group
14021 New Halls Ferry Rd
Florissant,MO63033 		Outpatient Clinic
11 SSM Health Medical Group
1475 Kisker Rd
St Charles,MO63304 		Outpatient Clinic
12 SSM Health Medical Group
1551 Wall Street
St Charles,MO63303 		Outpatient Clinic
13 SSM Health Medical Group
172 Professional Parkway
Troy,MO63379 		Outpatient Clinic
14 SSM Health Medical Group
1821 Sherman Dr
St Charles,MO63303 		Outpatient Clinic
15 SSM Health Medical Group
2024 Dorsett Village Road
Maryland Heights,MO63043 		Outpatient Clinic
16 SSM Health Medical Group
300 Medical Plaza
Lake St Louis,MO63367 		Outpatient Clinic
17 SSM Health Medical Group
330 First Capitol Dr
St Charles,MO63301 		Outpatient Clinic
18 SSM Health Medical Group
400 First Capitol Dr
St Charles,MO63301 		Outpatient Clinic
19 SSM Health Medical Group
400 Medical Plaza
Lake St Louis,MO63367 		Outpatient Clinic
20 SSM Health Heart & Vascular Care
5401 Veterans Memorial Pkwy
St Peters,MO63376 		Outpatient Clinic
21 SSM Health Medical Group
6400 Clayton Rd
Richmond Heights,MO63117 		Outpatient Clinic
22 SSM Health Medical Group
6994 Mexico Rd
St Peters,MO63376 		Outpatient Clinic
23 SSM Health Medical Group
722 N Hwy 47
Warrenton,MO63383 		Outpatient Clinic
24 SSM Health Medical Group
8670 Big Bend Blvd
St Louis,MO63119 		Outpatient Clinic
25 SSM Health Medical Group
1603 Wentzville Pkwy
Wentzville,MO63385 		Outpatient Clinic
26 SSM Health Orthopedics
1601 Wentzville Parkway
Wentzville,MO63385 		Outpatient clinic
27 SSM Health Medical Group
1598 West Meyer Rd
Wentzville,MO63385 		Outpatient clinic
28 SSM Health Medical Group
40 N Florissant Road
Ferguson,MO63135 		Outpatient clinic
29 SSM Health Medical Group
10135 W Florissant Avenue
Dellwood,MO63136 		Outpatient clinic
30 SSM Health Medical Group
916 Olive Street
St Louis,MO63101 		Outpatient clinic
31 SSM Health Medical Group
1035 Bellevue Avenue
Richmond Heights,MO63117 		Outpatient clinic
32 SSM Health Cancer Care
6420 Clayton Road
Richmond Heights,MO63117 		Outpatient clinic
33 SSM Health Medical Group
6744 Clayton Road
Richmond Heights,MO63117 		Outpatient clinic
34 SSM Health Medical Group
3555 Sunset Office Drive
Sunset Hills,MO63127 		Outpatient clinic
35 SSM Health Medical Group
30 Ronnies Plaza
St Louis,MO63126 		Outpatient clinic
36 SSM Health Medical Group
14309 Manchester Road
Manchester,MO63011 		Outpatient clinic
37 SSM Health Medical Group
9759 Manchester Road
Rock Hill,MO63119 		Outpatient clinic
38 SSM Health Medical Group
1296 Jeffco Blvd
Arnold,MO63010 		Outpatient clinic
39 SSM Health Medical Group
6828 State Route 162
Maryville,IL62062 		Outpatient clinic
40 SSM Health Medical Group
604 Pierce Boulevard
OFallon,IL62269 		Outpatient clinic
41 SSM Health Medical Group
1191 Fortune Blvd
Shiloh,IL62269 		Outpatient clinic
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 9
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part I, Line 3b Eligibility for Discounted Care Services eligible under the financial assistance policy will be made available to the patient on a sliding fee scale, in accordance with financial need, as determined in reference to Federal Poverty Levels (FPL) in effect at the time of the determination. The basis for the amounts the hospital will charge patients qualifying for financial assistance is as follows: Patients whose family income is above 200% but not more than 400% of the FPL are eligible to receive discounted services at amounts no greater than the amounts generally billed to the hospital's commercially insured or Medicare patients.
Schedule H, Part I, Line 3c Discounted Care Exceptions Patients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called "presumptive eligibility."
Schedule H, Part I, Line 6a Community Benefit Annual Report SSM Health Care St. Louis is part of the integrated health system known as SSM Health. In an effort to strengthen its community benefit program, SSM Health plans for, measures, and communicates community benefits 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.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Financial Assistance Methodology: The cost of financial assistance 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 charges, was used to compute financial assistance 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 costs 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 charges, was used to compute unreimbursed Medicaid costs. This is the ratio of total adjusted operating expenses to total gross patient revenue. The gross revenue amount is gross amount - prior to contractual adjustments and bad debts. Both gross revenue and costs 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. Subsidized health services costing methodology: The expenditures are determined based on actual invoices or dollar amounts spent and charged to these departments, reduced by any grant revenues restricted for these services, if any. Research costing methodology: Research expenses were taken from the income and expense statements 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, derived from the accounting system.
Schedule H, Part II Community Building Activities SSM Health Care St. Louis 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 - SSMH employees hold Board or committee positions for North County Incorporated, the Clayton Chamber of Commerce, Bridges to Care & Recovery, St. Louis County Children's Service Fund, and Volunteers in Medicine - St. Charles and Lincoln Counties. Hospital employees also participated in numerous regional county and city disaster preparedness trainings and programs. Staff provided First Aid to junior high school football players throughout the fall season and provided clinical oversight for programming which supports drug-free mental health in an area school district. The hospitals of SSM Health Care St. Louis supported several other community events as well, including those for the Fenton Community Charitable Association, Webster Groves/Shrewsbury/Rock Hill Chamber of Commerce, Clayton Chamber of Commerce, Maternal Child & Family Health Coalition, NAACP, and YWCA.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Bad debt expense reported in the accounting system, adjusted for bad debt recoveries, was used, multiplied by the cost to charge ratio using IRS Worksheet 2, Ratio of patient costs to charges.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology SSM Health Care St. Louis did not make an estimate of the organization's bad debt attributable to patients eligible under the organization's financial assistance policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote SSM Health Care St. Louis is part of the SSM Health consolidated audit. The footnote that references bad debt expense in the December 31, 2015 consolidated audit is contained on page 16 and 17 of the attached financial statements.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The Medicare costs reported on Line 6 were obtained from the 2015 Medicare cost report.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance SSM Health Care St. Louis has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable. SSM Health Care St. Louis embraces its responsibility to serve the communities in which it participates by establishing sound business practices. SSM Health Care St. Louis' billing and collection practices will be fairly 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 financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after the expiration of the notification period. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from SSMH prior to engaging in ECAs. SSMH will review the accounts and verify satisfactory completion of reasonable efforts during the notification and application period. A waiver is not considered reasonable efforts. Obtaining a signed waiver that an individual does not wish to apply for FAP assistance or receive FAP application information will not meet the requirement to make "reasonable efforts" to determine whether the individual is FAP-eligible before engaging in ECAs. All outside collection agencies must comply with state and federal laws, comply with the association of credit and collection professional's code of ethics and professional responsibility and comply with SSM Health Care St. Louis' collection and financial assistance policies.
Schedule H, Part V, Section B, Line 16a FAP website A - SSM Health DePaul Hospital - St. Louis: Line 16a URL: http://www.ssmhealth.com/system/exceptional-care/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website A - SSM Health DePaul Hospital - St. Louis: Line 16b URL: http://www.ssmhealth.com/system/exceptional-care/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - SSM Health DePaul Hospital - St. Louis: Line 16c URL: http://www.ssmhealth.com/system/exceptional-care/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment SSM Health (SSMH) participates in Community Benefit according to our vision. Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of SSM's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always our goal. To fulfill this commitment, SSM's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). The CHNA is an assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conducted every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Collect data and evaluate progress; report to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). CBISA is the gathering, collecting, and reporting of all data relating to community benefit activities and programs across the System. A CBISA is conducted every year by each hospital according to the following steps: * Collect and enter data: Send out emails reminding staff to submit activities; enter data into Lyon; and run reports to share with leaders. * Finalize and report on prior year: Enter all prior year data into Lyon by January 31; and communicate final prior year figures to IRS, System Board, and the community. System Office staff and leaders oversee and monitor SSM's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, all hospital CHNAs were completed, approved, and integrated into the organization's strategic plan. We continue to monitor and assess the progress of our local efforts in the spirit of caring for others and improving community health.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance All SSMH 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 SSMH, including our special concern for people who are poor and vulnerable. SSMH 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. SSMH applies its charity care policies fairly and consistently. Each person is treated as an individual with specific needs for assistance without regard to payment. SSMH embraces its responsibility to serve the communities in which we participate by establishing sound business practices. Charity care is provided to patients based on a sliding scale for household incomes up to four times the federal poverty level. Patients whose household income is no more than two times the federal poverty level are eligible for free hospital services. In addition, an exception to the sliding scale is provided for a patient's balance due if the amount is too large to be reasonably paid through an installment plan over four years given the family income and expenses. Each entity providing medical service shall provide information to the public regarding its charity care policies and the qualification requirements for each of its facilities. When standard system notices and communication regarding charity care are available, these must be used. Modifications to the standard may be made to comply with state and local laws, as well as reflect culturally sensitive terminology for the policy. All notices are easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They provide information about: * The patient's responsibility for payment, * The availability of financial assistance from public programs and entity charity care and payment arrangements, * The entity's charity policy and application process, and * Who to contact to get additional information or financial counseling. The following types of notices to the public are provided: * Signs in the emergency department, outpatient and inpatient registration and public waiting areas. * Brochures or fliers provided at time of registration and available in the financial counseling areas. * Notices sent with or on patient bills or communications sent to patients and guarantors related to medical services. * Applications provided to uninsured patients at the time of registration. The application for charity care, together with any instructions, must clearly state the policies regarding charity care, including excluded services, eligibility criteria and documentation requirements. Information about the entity's charity policies is also provided to public agencies.
Schedule H, Part VI, Line 4 Community information SSM Health Care St Louis defines its primary service area as the St Louis metropolitan statistical area (MSA), which includes the Missouri Counties of St. Louis, St. Charles, Jefferson, Franklin, Lincoln, and Warren and St. Louis City. Because we support a wide range of local markets and constituencies, demographics are also evaluated for our individual hospital service areas, service lines and clinical departments to ensure we focus on specific community health needs. The total population for the MSA was 2,113,512 for the St. Louis MSA. The overall population is projected to remain flat and/or decline with projected increases in the over 65 category offset by declines in other cohorts. The MSA has a slightly higher proportion of female population (51.6%) with the number of females of childbearing age expected to decline over the next 5 years. Distribution of race/ethnicity in the MSA is white/Caucasian: 74%; black/African-American: 19%; Hispanic: 3%; other: 4%. The St Louis MSA has a median household income of $69,077 with St. Louis city having the lowest median household income ($44,675). Of the St Louis MSA population, 31.3% have a Bachelor's degree or higher, with the St Louis County area having a higher percentage (38.3%) than St. Louis City (26.1%). The deficit of literacy skills among St. Louis City's population is almost double that of St Louis County or the state (13%). For St. Louis County, the percentage of the population living below the poverty level is 9.0% compared to the St. Louis City rate of 24.0%. SSM Health Care St. Louis provides the following services at its member hospitals: SSM Health St. Mary's Hospital - St. Louis is conveniently located in Richmond Heights, Missouri. SSM Health St. Mary's Hospital - St. Louis is a contemporary, 525-bed hospital with distinct capabilities in high-risk obstetrical services, fetal surgery, state-of-the-art heart surgery, a chest pain center, advanced stroke care and the latest imaging and outpatient services. Also a teaching hospital, SSM Health St Mary's Hospital - St. Louis is home to an accredited internal medicine residency program and to Saint Louis University School of Medicine's Obstetrics/Gynecology and Family Practice residency programs. SSM Health St. Joseph Hospital - Lake Saint Louis, Missouri, was established in 1986 to meet the expanding health care needs of western St. Charles County. The 126-bed acute care hospital maintains a state-designated Level III Trauma Center, a nationally accredited Chest Pain Center and Primary Stroke Center. The facility offers a broad range of services and programs including SSM Cancer care, SSM Neurosciences Institute, SSM Heart Institute and a dedicated pediatric emergency department. SSM Health St. Joseph Hospital - St. Charles was founded in 1885 and is located in historic downtown St. Charles, Missouri. SSM Health St. Joseph Hospital - St. Charles is a 362-bed acute care hospital that maintains a state- designated Level II Trauma Center, a nationally accredited Chest Pain Center and Primary Stroke Center. The facility offers a broad range of services and programs including SSM Cancer Care, the SSM heart Institute, the Vascular Institute and SSM Center for Sleep Disorders. SSM Health St. Clare Hospital - Fenton, which opened March 30, 2001, is the first full-service hospital built in St Louis County in 35 years. The 180-bed facility is located in southwest St. Louis County. The campus offers the most advanced treatments for conditions affecting the brain and spine; a wide array of heart disease treatment options, including minimally invasive procedures, a comprehensive cancer center; emergency care, convenient outpatient imaging, testing and surgical services; general medical and surgical care; and the Family Birthplace and women's services. SSM Health St. Clare Hospital - Fenton has been recognized nationally for its design and advanced safety, comfort and convenience. SSM Health DePaul Hospital - St. Louis is a 476-bed full-service hospital located in North St. Louis County. Founded in 1828, DePaul was the first hospital west of the Mississippi River and remains the oldest continuously existing business in St. Louis. Today SSM Health DePaul Hospital - St. Louis is a Joint commission-certified Primary Stroke Center, operates the only Level II Trauma Center in its service region and offers the most advanced technology and procedures available including minimally invasive heart, spine, knee, hip and weight loss surgery. SSM Health DePaul Hospital - St. Louis also operates the most comprehensive robotic surgical program in the region.
Schedule H, Part VI, Line 5 Promotion of community health SSM Health Care St. Louis participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our 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, SSM Health Care St. Louis' hospitals, 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 Community Benefit strategies. SSM Health Care St. Louis 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. SSM Health Care St. Louis 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 * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system.
Schedule H, Part VI, Line 6 Affiliated health care system SSM Health Care St Louis is a 501(c)(3) organization and is a member of the integrated health care system know as SSM Health. SSM Health Care St Louis is one of the largest, full-service health care networks in the St Louis, Missouri area. SSM Health Care St Louis includes the following operating hospitals: SSM Health DePaul Hospital - St. Louis SSM Health St. Joseph Hospital - St. Charles SSM Health St. Joseph Hospital - Wentzville (remote location of St. Joseph Hospital) SSM Health St. Joseph Hospital - Lake Saint Louis SSM Health St. Mary's Hospital - St. Louis SSM Health St. Clare Hospital - Fenton
Schedule H, Part VI, Line 7 State filing of community benefit report IL, MO, OK, WI
Schedule H (Form 990) 2015
Additional Data


Software ID: 15000238
Software Version: 2015v2.1
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
SSM Health Care St Louis
 
Employer identification number
43-1343281
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) ARCHDIOCESE OF ST LOUIS
20 ARCHBISHOP MAY DR
ST LOUIS,MO63119 		43-0653244 501(C)(3) 38,920       SUPPORT PRIEST WELLNESS
(2) ST LOUIS REGIONAL CHAMBER & GROWTH ASSOCIATION
ONE METROPOLITAN SQUARE
SUITE 1300
ST LOUIS,MO63102 		43-0975222 501(C)(6) 27,500       SUPPORT ECONOMIC DEVELOPMENT IN THE ST LOUIS AREA
(3) ARTHRITIS FOUNDATION INC
9433 OLIVE STREET
SUITE 100
ST LOUIS,MO63132 		58-1341679 501(C)(3) 5,000       SUPPORT GENERAL OPERATIONS
(4) ST CHARLES CHAMBER OF COMMERCE
2201 FIRST CAPITOL DRIVE
ST CHARLES,MO63301 		43-0620157 501(C)(6) 6,040       SUPPORT ECONOMIC DEVELOPMENT IN THE AREA
(5) YOUTH IN NEED
1815 BOONES LICK ROAD
ST CHARLES,MO63301 		43-1033862 501(C)(3) 5,000       SUPPORT GENERAL OPERATIONS
(6) MATERNAL CHILD AND FAMILY HEALTH COALITION OF METROPOLITAN ST LOUIS
539 N GRAND
SUITE 403
ST LOUIS,MO63103 		41-2139772 501(C)(3) 5,000       SUPPORT GENERAL OPERATIONS
(7) ST LOUIS CRISIS NURSERY
11710 ADMINISTRATION DRIVE NO 18
ST LOUIS,MO63146 		43-1410297 501(C)(3) 2,500 14,506 BOOK DONATED MEALS SUPPORT GENERAL OPERATIONS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
5
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2015

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
non-cash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of non-cash assistance
(1) SCHOLARSHIPS 3 7,100      
(2) COOLERS/GEL PACKS FOR OB PATIENTS 1825   12,337 BOOK COOLERS/GEL PACKS FOR OB PATIENTS
(3) PRESCRIPTION ASSISTANCE 1158   87,752 BOOK PRESCRIPTION ASSISTANCE
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDING VARIES BASED ON THE GRANT RECIPIENT. GRANTS TO RELATED ENTITIES ARE MONITORED DIRECTLY BY THE ORGANIZATION WHEREBY THE RECIPIENT REPORTS ON THE SPECIFIC USE OF THE FUNDING. FOR GRANTS TO UNRELATED ENTITIES, THE ORGANIZATION UTILIZES THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) TO TRACK, STORE AND REPORT A WIDE RANGE OF INFORMATION RELATED TO GRANTS AND OVERALL COMMUNITY IMPACT. IN CERTAIN CIRCUMSTANCES, QUALIFYING EXPENSES MAY BE PAID ON BEHALF OF SYSTEM EMPLOYEES BASED UPON DEMONSTRATED FINANCIAL HARDSHIP CAUSED BY NATURAL DISASTERS, ILLNESS, OR OTHER UNFORESEEN TRAGEDY.
Schedule I (Form 990) 2015



Additional Data


Software ID: 15000238
Software Version: 2015v2.1


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
SSM Health Care St Louis
 
Employer identification number

43-1343281
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization?
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column(B) reported as deferred on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Candace Jennings
  Director & President 		(i)

(ii)		 0
-------------
617,954 		0
-------------
21,750 		0
-------------
40,055 		0
-------------
209,779 		0
-------------
34,029 		0
-------------
923,567 		0
-------------
21,750
2William Thompson
  Director & Vice Chairperson 		(i)

(ii)		 0
-------------
1,811,138 		0
-------------
308,788 		0
-------------
133,613 		0
-------------
4,365,995 		0
-------------
20,667 		0
-------------
6,640,201 		0
-------------
406,158
3Daniel Baumann MD
  Pt Yr Director 		(i)

(ii)		 0
-------------
240,717 		0
-------------
0 		0
-------------
8,000 		0
-------------
0 		0
-------------
26,515 		0
-------------
275,232 		0
-------------
0
4Donald Binz MD
  Pt Yr Director 		(i)

(ii)		 0
-------------
480,017 		0
-------------
0 		0
-------------
5,454 		0
-------------
0 		0
-------------
33,281 		0
-------------
518,752 		0
-------------
0
5Christopher Howard
  Director 		(i)

(ii)		 0
-------------
880,239 		0
-------------
114,623 		0
-------------
150,453 		0
-------------
325,161 		0
-------------
34,062 		0
-------------
1,504,538 		0
-------------
172,583
6Shane Peng MD
  Director 		(i)

(ii)		 0
-------------
769,472 		0
-------------
97,882 		0
-------------
85,039 		0
-------------
251,042 		0
-------------
36,128 		0
-------------
1,239,563 		0
-------------
137,782
7James Bleicher MD
  Director 		(i)

(ii)		 0
-------------
426,354 		0
-------------
0 		0
-------------
173,487 		0
-------------
109,250 		0
-------------
20,771 		0
-------------
729,862 		0
-------------
0
8Paula Friedman
  Vice President 		(i)

(ii)		 0
-------------
652,002 		0
-------------
78,209 		0
-------------
99,438 		0
-------------
241,557 		0
-------------
20,206 		0
-------------
1,091,412 		0
-------------
115,239
9June Pickett
  Secretary 		(i)

(ii)		 0
-------------
230,234 		0
-------------
0 		0
-------------
30,943 		0
-------------
23,052 		0
-------------
24,232 		0
-------------
308,461 		0
-------------
0
10Karen Rewerts
  System VP Finance 		(i)

(ii)		 0
-------------
529,282 		0
-------------
0 		0
-------------
50,305 		0
-------------
124,667 		0
-------------
33,498 		0
-------------
737,752 		0
-------------
19,960
11Kris Zimmer
  Treasurer 		(i)

(ii)		 0
-------------
869,852 		0
-------------
109,688 		0
-------------
122,704 		0
-------------
332,810 		0
-------------
34,040 		0
-------------
1,469,094 		0
-------------
161,838
12Lynn Lenker
  Former Key Employee 		(i)

(ii)		 0
-------------
312,790 		0
-------------
0 		0
-------------
67,034 		0
-------------
79,194 		0
-------------
26,619 		0
-------------
485,637 		0
-------------
13,120
13Deborah Walkenhorst
  Former Key Employee 		(i)

(ii)		 0
-------------
87,524 		0
-------------
0 		0
-------------
337,538 		0
-------------
1,021 		0
-------------
16,928 		0
-------------
443,011 		0
-------------
14,080
14Kathleen Becker
  President St Mary's 		(i)

(ii)		 0
-------------
496,605 		0
-------------
25,899 		0
-------------
62,409 		0
-------------
117,997 		0
-------------
32,460 		0
-------------
735,370 		0
-------------
55,859
15Lee Bernstein
  Regional Exec VP/COO 		(i)

(ii)		 0
-------------
501,390 		0
-------------
36,467 		0
-------------
83,213 		0
-------------
127,174 		0
-------------
29,839 		0
-------------
778,083 		0
-------------
66,427
16Mike Bowers
  President St Joseph Hosp 		(i)

(ii)		 0
-------------
384,859 		0
-------------
16,575 		0
-------------
11,683 		0
-------------
70,276 		0
-------------
26,732 		0
-------------
510,125 		0
-------------
16,575
17Margaret Fowler
  System VP - Chief Nursing Officer 		(i)

(ii)		 341,078
-------------
0 		0
-------------
0 		78,809
-------------
0 		170,204
-------------
0 		28,367
-------------
0 		618,458
-------------
0 		12,720
-------------
0
18Ellis Hawkins
  President St Clare 		(i)

(ii)		 0
-------------
292,602 		0
-------------
15,675 		0
-------------
12,991 		0
-------------
87,401 		0
-------------
27,226 		0
-------------
435,895 		0
-------------
15,675
19Sean Hogan
  President DePaul 		(i)

(ii)		 0
-------------
410,018 		0
-------------
35,720 		0
-------------
60,897 		0
-------------
100,684 		0
-------------
35,157 		0
-------------
642,476 		0
-------------
64,280
20Kevin Todd Johnson
  Regional VP Medical Affairs 		(i)

(ii)		 585,807
-------------
0 		0
-------------
0 		85,390
-------------
0 		173,667
-------------
0 		33,896
-------------
0 		878,760
-------------
0 		23,320
-------------
0
21Renee Roach
  System Vice President-HR 		(i)

(ii)		 0
-------------
304,162 		0
-------------
0 		0
-------------
20,021 		0
-------------
55,555 		0
-------------
14,047 		0
-------------
393,785 		0
-------------
0
22Lisle Wescott
  President St Joseph West 		(i)

(ii)		 0
-------------
318,764 		0
-------------
34,175 		0
-------------
36,189 		0
-------------
76,029 		0
-------------
30,179 		0
-------------
495,336 		0
-------------
56,295
23William Holcomb
  Physician 		(i)

(ii)		 442,361
-------------
0 		0
-------------
0 		43,841
-------------
0 		44,817
-------------
0 		23,922
-------------
0 		554,941
-------------
0 		0
-------------
0
24Mario Morales
  Physician 		(i)

(ii)		 1,308,977
-------------
0 		0
-------------
0 		16,017
-------------
0 		23,130
-------------
0 		30,994
-------------
0 		1,379,118
-------------
0 		0
-------------
0
25Timothy Pratt MD
  VP - Medical Affairs 		(i)

(ii)		 438,361
-------------
0 		0
-------------
0 		27,163
-------------
0 		64,145
-------------
0 		24,573
-------------
0 		554,242
-------------
0 		13,176
-------------
0
26Andrew Wheeler
  Physician 		(i)

(ii)		 542,558
-------------
0 		0
-------------
0 		8,863
-------------
0 		12,931
-------------
0 		26,741
-------------
0 		591,093
-------------
0 		0
-------------
0
27Andrew Karanas
  Physician 		(i)

(ii)		 450,670
-------------
0 		0
-------------
0 		5,082
-------------
0 		5,582
-------------
0 		31,529
-------------
0 		492,863
-------------
0 		0
-------------
0
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments The following individuals listed on Part VII, Section A received a tax indemnification/gross up payment in 2015. These payments were included in their taxable compensation. Margaret Fowler Kevin Todd Johnson William Holcomb Mario Morales Timothy Pratt, MD Andrew Karanas
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization's top management official, President, is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the SSM Health President.
Schedule J, Part I, Line 4a Severance or change-of-control payment SSMH 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 SSMH. The following individuals listed on Part VII of Form 990 received severance payments during the year ended December 31, 2015: Deborah Walkenhorst $256,705
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Pension Restoration Plan: SSM Health (SSMH) provides this supplemental defined benefit nonqualified retirement plan to any employee who is a participant in the SSMH 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 SSMH'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 SSMH or (2) age 55 or older if the individual is no longer employed by SSMH. No reportable individuals listed on Part VII of Form 990 received distributions from this plan during 2015. Capital Accumulation Plan: SSMH 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 SSMH 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 2014 or after, the distribution will occur after the completion of four 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 2015. All distributions received from the plan in the current year were included in the individuals' taxable compensation. William Thompson $97,489 Christopher Howard $74,102 Shane Peng, MD $51,761 James Bleicher, MD $7,921 Paula Friedman $38,208 June Pickett $18,727 Karen Rewerts $24,028 Kris Zimmer $53,267 Kathleen Becker $29,996 Lee Bernstein $37,810 Margaret Fowler $12,735 Sean Hogan $36,162 Kevin Todd Johnson $27,745 Lisle Wescott $22,147 Timothy Pratt, MD $17,170 Lynn Lenker $26,543 Deborah Walkenhorst $42,349
Schedule J (Form 990) 2015
Additional Data


Software ID: 15000238
Software Version: 2015v2.1
SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
SSM Health Care St Louis
 
Employer identification number

43-1343281
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Emergency medical equipment ) X 2 30,644 Cost
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2015)
Schedule M (Form 990) (2015)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M, Part I Explanations of reporting method for number of contributions Other: The amount in column B represents the number of contributors.
Schedule M (Form 990) (2015)

Additional Data


Software ID: 15000238
Software Version: 2015v2.1
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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
SSM Health Care St Louis
 
Employer identification number

43-1343281
Return Reference Explanation
Doing Business As SSM Health Care St. Louis currently conducts business under the following registered names. 1. Maryville Pediatrics 2. SSM Care Management Company 3. SSM Integrated Distribution & Services Center 4. SSM Breast Care 5. SSM Cancer Care 6. SSM Heart Institute 7. Clayton Health Services Pharmacy West 8. SSM Health Foundations St. Louis 9. SSM Health Outpatient Center 10. SSM DePaul Health Center a. DePaul Health Center b. SSM Health DePaul Hospital - St. Louis c. SSM Breast Care - DePaul Health Center d. SSM Cancer Care - DePaul Health Center e. SSM DePaul Health Center - Anna House f. SSM Heart Institute g. SSM Center for Sleep Disorders/Bridgeton h. SSM Urgent Care/Maryland Heights i. SSM Health Behavioral Health - DePaul Health Center j. SSM Health Pain Care - DePaul Health Center k. SSM Health Sleep Services - DePaul Health Center l. SSM Health Vascular Services - DePaul Health Center m. SSM Health Weight Management Services n. SSM Health Women's Health - DePaul Health Center 11. SSM St. Clare Health Center a. St. Clare Health Center b. SSM Health St. Clare Hospital - Fenton c. SSM Breast Care - St. Clare Health Center d. SSM Cancer Care - St. Clare Health Center e. SSM Heart Institute/Fenton f. SSM Center for Sleep Disorders/Fenton g. SSM Health Behavioral Health - St. Clare Health Center h. SSM Health Pain Care - St. Clare Health Center i. SSM Health Sleep Services - St. Clare Health Center j. SSM Health Women's Health - St. Clare Health Center 12. SSM St. Joseph Health Center a. St. Joseph Health Center b. SSM Health St. Joseph Hospital - St. Charles c. SSM Health St. Joseph Hospital - St. Charles Physician Billing d. SSM Health St. Joseph Hospital - Wentzville e. SSM Health St. Joseph Hospital - Wentzville Physician Billing f. SSM Health Behavioral Health - St. Joseph Health Center g. SSM Health Behavioral Health - Wentzville h. SSM Health Sleep Services - St. Joseph Health Center i. SSM Health Urgent Care - St. Joseph Health Center j. SSM Health Vascular Services - St. Joseph Health Center k. SSM Health Women's Health - St. Joseph Health Center l. SSM Heart Institute/St. Peters m. St. Joseph Health Center - Wentzville n. SSM St. Joseph Health Center o. SSM St. Joseph Health Center - Wentzville p. SSM Breast Care - St. Joseph Health Center q. SSM Cancer Care - St. Joseph Health Center r. SSM Heart Institute s. SSM St. Joseph Health Center - Wentzville t. SSM Center for Sleep Disorders/St. Charles u. SSM St. Joseph Health Center - Wentzville Outpatient Pharmacy 13. SSM St. Joseph Hospital West a. SSM St. Joseph Hospital West b. SSM Health St. Joseph Hospital - Lake Saint Louis c. SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing d. SSM Health Pain Care - St. Joseph Hospital West e. SSM Health Sleep Services - St. Joseph Hospital West f. SSM Health Women's Health - St. Joseph Hospital West g. SSM Breast Care - St. Joseph Hospital West h. SSM Cancer Care - St. Joseph Hospital West i. SSM Heart Institute j. SSM Center for Sleep Disorders/Lake St. Louis 14. SSM St. Joseph Medical Park a. SSM St. Joseph Medical Park b. SSM Breast Care - St. Joseph Medical Park c. SSM Cancer Care - St. Joseph Medical Park d. SSM Health Pain Care - St. Joseph Medical Park e. SSM Health Urgent Care - St. Joseph Medical Park 15. SSM St. Mary's Health Center a. St. Mary's Health Center b. SSM Health St. Mary's Hospital - St. Louis c. SSM Breast Care - St. Mary's Health Center d. SSM Cancer Care - St. Mary's Health Center e. SSM Heart Institute f. SSM Center for Sleep Disorders/Richmond Heights g. SSM Health Behavioral Health - St. Mary's Health Center h. SSM Health Pain Care - St. Mary's Health Center i. SSM Health Sleep Services - St. Mary's Health Center j. SSM Health Vascular Services - St. Mary's Health Center k. SSM Health Women's Health - St. Mary's Health Center
Form 990, Part III, Line 4a Program Service Accomplishments Briefly describe the corporation's mission: 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. About SSM Health Care St Louis: SSM Health Care St Louis provides health care services at five wholly-owned acute care hospitals: SSM Health DePaul Hospital - St Louis, SSM Health St Mary's Hospital - St Louis, SSM Health St Joseph Hospital - St Charles, SSM Health St Clare Hospital - Fenton, SSM Health St Joseph Hospital - Lake St Louis, and SSM Health St Joseph Hospital - Wentzville. SSM Health Care St Louis is also the sole corporate member of SSM Health Cardinal Glennon Children's Hospital and SSM Health Saint Louis University Hospital. With over 11,200 employees in the St Louis region, SSM Health Care St Louis works with 2,500 affiliated medical providers providing care to over 1 million patients via hospital admissions, surgeries, outpatient and emergency visits. The Joint Commission, the leading accreditor of health care organizations in the United States, has named SSM Health Care St. Louis hospitals as being among the nation's top performers in clinical quality measures. The SSM hospitals were recognized for using evidence-based clinical care processes that are closely linked to positive patient outcomes. SSM Health DePaul Hospital - St Louis is a 476-bed, full-service Catholic hospital. Opened in 1828, SSM Health DePaul Hospital - St Louis was the first hospital west of the Mississippi River and remains the oldest continuously existing business in St Louis. Today SSM Health DePaul Hospital - St Louis offers the only Level II Trauma Center in North St. Louis County and serves patients from across the St. Louis metropolitan area, with concentration in the surrounding communities of Bridgeton, Florissant, Hazelwood, St Ann, Olivette, St John, Maryland Heights and Overland in Missouri. SSM Health DePaul Hospital - St Louis offers a wide range of comprehensive medical care including inpatient and outpatient surgeries using state-of-the-art technology and facilities.. We offer the most advanced technology and procedures available including minimally invasive heart, spine, knee, hip and weight loss surgery. The Joint Commission has also designated the hospital as a Joint Commission Comprehensive Stroke Center, distinguishing it from other stroke centers, for meeting the highest standards of care established by the Joint Commission to receive and treat the most complex stroke cases. SSM Health St Mary's Hospital - St Louis is a 525-bed hospital. The Hospital has distinctive capabilities in heart attack care, high-risk pregnancies, fetal surgery, a chest pain center, advanced stroke care and the latest imaging and outpatient services. Also a teaching hospital, SSM Health St. Mary's offers an independent, accredited internal medicine residency program and is the headquarters for St. Louis University School of Medicine's Department of Obstetrics and Gynecology and its Family Practice residency programs. SSM Health St. Mary's Hospital is a two-time winner of the prestigious Premier Award for Quality. SSM Health St. Joseph Hospital - St Charles is located in a historic downtown district and has been serving the needs of the community since 1885. SSM St. Joseph Hospital - St Charles has grown structurally and technologically throughout the past 125 years to meet the needs of an ever-growing and changing population. Today, the 333-bed acute care hospital offers highly-specialized care for critically ill patients. The hospital excels in many areas, including open-heart surgery, cardiac catheterizations, trauma and emergency services, sleep medicine, obstetrics, surgical services, oncology, vascular surgery, orthopedics and gastroenterology. In 2013 the hospital was recognized as a Top Performer on Key Quality Measures by The Joint Commission and received the Guardian of Excellence Award by Press Ganey. SSM Health St Joseph Hospital - St Charles is also a state- designated Level II Trauma Center, an accredited chest pain center with PCI, and a Joint Commission-certified Primary Stroke Center. SSM Health St. Clare Hospital - Fenton, which opened March 30, 2009, as a replacement hospital for SSM Health St. Joseph Hospital of Kirkwood, is the first full-service hospital built in St. Louis County in 35 years. The 180-bed hospital is equipped with the latest in clinical technology and information systems. More than 900 area doctors are on the SSM Health St. Clare medical staff and a variety of practices are located in the on-campus St. Francis Medical Office Building. SSM Health St. Joseph Hospital - Lake Saint Louis is the leading provider of health- care services for western St. Charles, Warren and Lincoln Counties. The 122-bed community hospital is a state-designated Level III trauma center, and specializes in emergency and obstetric services. It also offers inpatient and outpatient health care services. In 2014 it was named one of the nation's Top 100 Hospitals by Truven Health Analytics and made Becker's Hospital Review's list of 100 Great Community Hospitals. SSM Health St. Joseph Hospital - Wentzville has been providing high quality health care to residents in western St. Charles, Warren, Lincoln, and Montgomery counties since 1987. The facility currently offers patients in Wentzville and surrounding communities a 24-hour emergency department and ambulatory services, as well as convenient access to outpatient programs, including diagnostic services such as radiology (MRI & CT), cardiology, pulmonary and rehab services. Behavioral health inpatient and outpatient care also is an integral part of the services offered at St. Joseph Hospital - Wentzville. The hospital offers inpatient care for youth and adults on the campus who are experiencing acute psychiatric problems. During treatment, each patient is closely monitored under a psychiatrist's care. Their goal is to stabilize young patients, help them understand their problems and develop coping strategies to manage their emotions and behaviors. The facility is licensed for 77 inpatient behavioral health beds.
Form 990, Part III, Line 4b Description of Program Service (Continued) Describe the organization's approach to providing community benefit: SSM Health (SSM) participates in Community Benefit according to our vision, Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community efforts, and views achievement of our vision as a primary responsibility. The purpose of SSM's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always the goal. To fulfill this commitment, SSM's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). First, CHNA is the assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conducted every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Kick-off meeting conducted and updated toolkit distributed; and periodic meetings scheduled to evaluate and monitor progress. Data collected and report made to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). Next, CBISA is the gathering, collecting, and reporting of all data relating to community benefit activities and programs across the System. A CBISA is conducted every year by each hospital according to the following steps: * Collect and enter data: Kick-off meeting conducted and updated toolkit distributed; new staff complete Lyon web-based course; and periodic meetings scheduled to evaluate and monitor progress. Emails sent reminding staff to submit activities; occurrences entered into Lyon; and reports are produced and shared with leaders. * Finalize and report on prior year: All prior year data entered into Lyon by January 31; and communicate final prior year figures to IRS, System Board, and the community. System Office staff and leaders oversee and monitor SSM's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, all hospital CHNAs were completed, approved, and integrated into the organization's strategic plan. We continue to monitor and assess the progress of our local efforts in the spirit of caring for others and improving community health. Description of CHNA community benefit programs: For more information on the CHNA community benefit programs provided by SSM Health Care St Louis, please see Schedule H, Part V. Organizational description for tax exemption: SSM Health Care St Louis participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our 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, SSM Health Care St Louis' hospitals, 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 Community Benefit strategies. SSM Health Care St Louis 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. SSM Health Care St Louis 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 * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. Describe the corporation's financial assistance policies or programs (e.g. charity care, discounting) for low-income persons and how they are communicated to the public: For information on the financial assistance policies provided by SSM Health Care St Louis, please see Schedule H. 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 $ 35,079,416 Unpaid Cost of Medicaid $ 4,494,894 Cost of Bad Debts $ 20,386,740 Other Community Benefits $25,791,569 Community Building Programs $ 811,461 Total Quantifiable Community Benefit $ 86,564,180
Form 990, Part VI, Line 4 Significant changes to organizational documents As a result of the 2015 acquisition of SSM-SLUH Inc, the bylaws of SSM Health Care St. Louis underwent several changes during the year. These changes include: (a) The minimum number of board members has increased from five to seven, (b) the Reserved powers of each of the members, SSM Health Care Corporation and Saint Louis University, (c) Certain decisions of the Corporation will now require a supermajority board vote (as described in the bylaws).
Form 990, Part VI, Line 6 Classes of members or stockholders The members of the corporation are SSM Health Care Corporation and Saint Louis University. SSM Health Care Corporation is a nonprofit 501(c)(3) organization. Both SSM Health Care St Louis and SSM Health Care Corporation are part of the integrated health care system known as SSM Health. Saint Louis University (SLU) is a Missouri Benevolent corporation.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body SSM Health Care Corporation (SSMHCC), as one of the members, has the power to appoint additional, successor or replacement members of the Corporation, provided that any appointment or removal requiring the written consent of SLU has received that approval. SSMHCC has the power to appoint and remove the individuals serving on the Board, other than the SLU appointed directors. SLU retains power to appoint and remove individuals serving on the Board who have been appointed by SLU.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders SSM Health Care Corporation 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 of the Corporation, provided, that any member requiring the approval of SLU receives that approval according to the Bylaws, (c) to appoint and remove the individuals serving on the Board, other than the SLU Appointed Directors who will be subject to appointment and removal by SLU; provided, however, that SSMHCC may remove SLU Appointed Directors who violate conflict of interest policy and other policies of the Corporation, as the same may be amended from time to time, upon prior written notice to SLU pursuant to the Members' Agreement, (d) to appoint and remove the President of the Corporation and the chief executive officer of any Company Subsidiary and any Health Care Operating Division, provided, that SSMHCC shall (i) obtain the written consent of SLU before appointing any chief executive officer of SLUH, (ii) consult with the Board and SLU before exercising its reserved power to remove the chief executive officer of SLUH and (iii) consult with SLU in connection with hiring certain senior employees, (e) to approve amendments to the Articles of Incorporation of the Corporation, as provided therein, but subject to SLU's prior written consent, (f) to approve amendments to these Bylaws, but subject to SLU's prior written consent is not required for (i) non-material changes required by applicable law, regulation or any applicable accrediting entity, (g) to approve the merger or consolidation of the Corporation; provided, that (i) SLU's prior written consent shall be required in the event such transaction constitutes a Prohibited Change of Control, and (ii) with respect to a Permitted Change of Control that is a Permitted Affiliate Change of Control, SSMHCC shall provide SLU with written notice not less than thirty days prior to the effective date of such change of control, and with respect to any other Permitted Change of Control, SSMHCC shall provide SLU with written notice within thirty (30) days after the signing of a letter of intent, in both cases, with no separate SLU approval right, (h) to approve the dissolution of the Corporation, but subject to SLU's prior written consent, (i) to approve the formation of a Controlled Subsidiary or a Remotely Controlled Subsidiary, provided that certain deviations from protocol require the approval of SLU, (j) to approve the acquisition or disposition by the Corporation of another legal entity or an interest in another legal entity, provided, that the Corporation shall obtain the written consent of SLU before divesting of, or admitting another Person, (k) to authorize or approve the acquisition or disposition by the Corporation of real property or any interest in real property, provided, that the Corporation shall obtain the written consent of SLU before disposing of any real property or any interest in real property comprising a substantial portion of the operating assets, (l) to (i) establish centralized employee benefit, insurance, investment, financing, corporate responsibility, performance assessment and improvement and other operational and support programs; (ii) require the participation of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary in such programs; and (iii) authorize the opening and closing of bank accounts and investment accounts in the name of the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary in connection with such programs; provided that SSMHCC has determined in its reasonable discretion that such actions are not inconsistent with and do not violate the terms of the Members' Agreement, the Master Agreement, the Academic Affiliation Agreement and the Bylaws, (m) to approve the strategic, financial and human resources plan of the Corporation, subject to SLU's rights set forth in the bylaws and approval of the Academic Program Strategic Plan, (n) to appoint the auditor and corporate counsel for the Corporation, (o) subject to SLU's rights, to authorize and approve borrowing money and entering into financial guaranties by the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary, 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 and any Controlled Subsidiary or Remotely Controlled Subsidiary; provided, that SSMHCC has determined in its reasonable discretion that such actions are not inconsistent with and do not violate the terms of the Members' Agreement, the Master Agreement, the Academic Affiliation Agreement and the Bylaws, (p) to require the Corporation and any Controlled Subsidiary or Remotely Controlled Subsidiary to transfer assets, including but not limited to cash, to SSMHCC or to any entity exempt from federal income tax as an organization described in Section 501(c)(3) of the Internal Revenue Code, or the corresponding provision of any future United States Internal Revenue Law, which is controlled by SSMHCC, to the extent necessary to accomplish the mission, goals and objectives of SSMHCC as determined by SSMHCC; provided, that SSMHCC has determined in its reasonable discretion that any such transfer would not reasonably be likely to result in a failure of the Corporation or such subsidiary to fulfill its commitments under the Members' Agreement, the Master Agreement or the Academic Affiliation Agreement, (q) subject to SLU's rights, to approve the transfer of assets by the Corporation to any entity other than SSMHCC (other than transfers made in the ordinary course of operations of the Corporation, which will not require approval by the Members, and (r) to determine the extent to which and the manner in which the powers described in this section which are reserved to SSMHCC 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; provided, that SSMHCC has determined in its reasonable discretion that any such determination or action is not inconsistent with and does not violate the terms of the Members' Agreement or the terms of the Master Agreement or the Academic Affiliation Agreement. Saint Louis University (SLU) has the following powers: (a) The appointment and removal of the SLU Appointed Directors to the Board consistent with such standards for Board service as appear in the Bylaws, the conflict of interest policy and other Board policies of the Corporation, as the same may be amended from time to time, upon prior written notice to SLU pursuant to the Members' Agreement, (b) The right to make recommendations and provide meaningful input regarding the strategic, financial and human resources plans for the Corporation, (c) Approval of any guaranty by SLU of Corporation debt, and (d) In accordance with the Master Agreement, establishing payor contracting parameters for SLUCare.
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 TO PREPARE THE FORM 990. SYSTEM FINANCE SUBMITS THE FORM 990 TO AN OUTSIDE TAX CONSULTING FIRM WHO REVIEWS THE FORM 990 AND SIGNS AS PAID PREPARER. THE SYSTEM DIRECTOR - TAX AND COMPLIANCE REVIEWS THE COMPLETED FORM 990 PRIOR TO FILING THE RETURN. 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 statement for the SSM Health 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 organization's conflict of interest policy are available upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revenue - Total Revenue: 11857410, Related or Exempt Function Revenue: 11675630, Unrelated Business Revenue: 181780, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees Medical Physician, Practitioner, Psychiatrist, Resident, and Therapist - Total Expense: 43873359, Program Service Expense: 43231958, Management and General Expenses: 641401, Fundraising Expenses: ; Recruitment, Consulting, Administrative, and PBS Fees - Total Expense: 72536053, Program Service Expense: 66232115, Management and General Expenses: 6302467, Fundraising Expenses: 1471; Medical Lab, Radiology, Transportation - Total Expense: 25095722, Program Service Expense: 25094530, Management and General Expenses: 1192, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS TO AFFILIATES - -62353976; BENEFICIAL INTEREST IN FOUNDATION - -244344;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


Additional Data


Software ID: 15000238
Software Version: 2015v2.1
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
SSM Health Care St Louis
 
Employer identification number

43-1343281
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) SSM ST JOSEPH SURGERY CENTER
477 N LINDBERGH BLVD
ST LOUIS,MO63141
43-1822767 		HEALTH CARE MO 0 0 SSM HEALTH CARE ST LOUIS
 
(2) SSM ACO LLC
10101 Woodfield Lane
St Louis,MO63132
90-0986282 		Health promotion MO 0 0 SSM Health Care St Louis
 








Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)SSM Health Care Corporation
10101 Woodfield Lane

St Louis,MO63132
46-6029223 		Health Care MO 501(c)(3   SSM Health Ministries
 
 
No
(2)SSMHC Liability Trust I
10101 Woodfield Lane

St Louis,MO63132
43-6331003 		Insurance MO 501(c)(3   SSM Health Care Corporation
 
 
No
(3)SSM Consolidated Health Services
10101 Woodfield Lane

St Louis,MO63132
43-1473657 		Health Care MO 501(c)(3   SSM Health Care Corporation
 
 
No
(4)SSM Policy Institute
10101 Woodfield Lane

St Louis,MO63132
43-1788151 		Health Care MO 501(c)(4   SSM Health Care Corporation
 
 
No
(5)SSM Health Care Portfolio Management Co
10101 Woodfield Lane

St Louis,MO63132
43-1825256 		Management MO 501(c)(3   SSM Health Care Corporation
 
 
No
(6)SSM Cardinal Glennon Children's Hospital
10101 Woodfield Lane

St Louis,MO63132
43-0738490 		Health Care MO 501(c)(3 3 SSM Health Care St Louis
 
Yes
 
(7)Cardinal Glennon Children's Foundation
10101 Woodfield Lane

St Louis,MO63132
43-1754347 		Fundraising MO 501(c)(3 7 SSM Cardinal Glennon Hospital
 
 
No
(8)SSM DePaul Health Center Foundation
10101 Woodfield Lane

St Louis,MO63132
43-1776109 		Fundraising MO 501(c)(3 7 SSM Health Care St Louis
 
Yes
 
(9)SSM St Joseph Foundation
10101 Woodfield Lane

St Louis,MO63132
43-1591556 		Fundraising MO 501(c)(3 7 SSM Health Care St Louis
 
Yes
 
(10)SSM St Clare Health Center Foundation
10101 Woodfield Lane

St Louis,MO63132
43-1273310 		Fundraising MO 501(c)(3 7 SSM Health Care St Louis
 
Yes
 
(11)SSM St Mary's Health Center Foundation
10101 Woodfield Lane

St Louis,MO63132
43-1552945 		Fundraising MO 501(c)(3 7 SSM Health Care St Louis
 
Yes
 
(12)SSM Health Care of Oklahoma Inc
10101 Woodfield Lane

St Louis,MO63132
73-0657693 		Health Care OK 501(c)(3 3 SSM Health Care Corporation
 
 
No
(13)St Anthony Hospital Foundation Inc
10101 Woodfield Lane

St Louis,MO63132
73-6104300 		Fundraising OK 501(c)(3 7 SSM Health Care of Oklahoma
 
 
No
(14)SSM Health Care of Wisconsin Inc
10101 Woodfield Lane

St Louis,MO63132
43-0688874 		Health Care WI 501(c)(3 3 SSM Health Care Corporation
 
 
No
(15)Dells Medical Building Inc
10101 Woodfield Lane

St Louis,MO63132
39-1613292 		MOB WI 501(c)(2   SSM Health Care of Wisconsin
 
 
No
(16)St Mary's Foundation Inc
10101 Woodfield Lane

St Louis,MO63132
43-1940686 		Fundraising WI 501(c)(3 7 SSM Health Care of Wisconsin
 
 
No
(17)St Clare Health Care Foundation Inc
10101 Woodfield Lane

St Louis,MO63132
43-1940683 		Fundraising WI 501(c)(3 7 SSM Health Care of Wisconsin
 
 
No
(18)Home Health United Inc
2802 Walton Commons Lane

Madison,WI53718
39-1539827 		Health Care WI 501(c)(3 9 SSM Health Care of Wisconsin
 
 
No
(19)Home Care United Inc
2802 Walton Commons Lane

Madison,WI53718
39-1776340 		Health Care WI 501(c)(3 9 SSM Health Care of Wisconsin
 
 
No
(20)HHU Xtra Care Inc
2802 Walton Commons Lane

Madison,WI53718
39-1705111 		Health Care WI 501(c)(3 9 SSM Health Care of Wisconsin
 
 
No
(21)Home Health United - VNS Foundation Inc
2802 Walton Commons Lane

Madison,WI53718
39-1839309 		Fundraising WI 501(c)(3 Type I NA
 
 
No
(22)SSM Regional Health Services
10101 Woodfield Lane

St Louis,MO63132
44-0579850 		Health Care MO 501(c)(3 3 SSM Health Care Corporation
 
 
No
(23)St Francis Hospital Foundation
10101 Woodfield Lane

St Louis,MO63132
43-1099253 		Fundraising MO 501(c)(3 7 SSM Regional Health Services
 
 
No
(24)St Mary's Health Center Jefferson City Missouri Foundation
10101 Woodfield Lane

St Louis,MO63132
43-1575307 		Fundraising MO 501(c)(3 Type I SSM Regional Health Services
 
 
No
(25)Good Samaritan Regional Health Center
10101 Woodfield Lane

St Louis,MO63132
43-0653587 		Health Care IL 501(c)(3 3 SSM Regional Health Services
 
 
No
(26)St Mary's Hospital Centralia Illinois
10101 Woodfield Lane

St Louis,MO63132
37-0662580 		Health Care IL 501(c)(3 3 SSM Regional Health Services
 
 
No
(27)St Mary's - Good Samaritan Inc
10101 Woodfield Lane

St Louis,MO63132
36-4170833 		Health Care IL 501(c)(3   SSM Regional Health Services
 
 
No
(28)Good Samaritan Regional Health Center Foundation
10101 Woodfield Lane

St Louis,MO63132
26-2884795 		Fundraising IL 501(c)(3 7 St Mary's - Good Samaritan
 
 
No
(29)St Mary's Hospital Foundation
10101 Woodfield Lane

St Louis,MO63132
36-4636691 		Fundraising IL 501(c)(3 7 St Mary's - Good Samaritan
 
 
No
(30)St Mary's Hospital Auxiliary
400 N Pleasant

Centralia,IL62801
23-7126345 		Fundraising IL 501(c)(3 9 St Mary's Hospital Foundation
 
 
No
(31)SSM Health Businesses
10101 Woodfield Lane

St Louis,MO63132
43-1333488 		Health Care MO 501(c)(3 9 SSM Health Care Corporation
 
 
No
(32)Centralia Medical Services Bldg Assoc
10101 Woodfield Lane

St Louis,MO63132
23-7408025 		MOB IL 501(c)(3   SSM Regional Health Services
 
 
No
(33)St Mary's Janesville Foundation Inc
2901 Landmark PL Ste 300

Madison,WI53713
27-3439133 		Fundraising WI 501(c)(3 7 SSM Health Care of Wisconsin
 
 
No
(34)Franciscan Sisters of Mary
3221 McKelvey Road
Suite 107
Bridgeton,MO63044
43-1012492 		Religious Organization MO 501(c)(1   NA
 
 
No
(35)Lee Dewey Corporation
10101 Woodfield Lane

St Louis,MO63132
73-1279603 		MOB OK 501(c)(3   SSM Health Care of Oklahoma
 
 
No
(36)SSM Hospice and Home Care Foundation
10101 Woodfield Lane

St Louis,MO63132
30-0012246 		Fundraising MO 501(c)(3 7 SSM Health Businesses
 
 
No
(37)St Mary's Hospital Auxiliary
100 St Marys Medical Plaza

Jefferson City,MO65101
43-6049878 		Fundraising MO 501(c)(3 Type I NA
 
 
No
(38)Good Samaritan Hospital Auxiliary
605 North 12th Street

Mt Vernon,IL62864
23-7049599 		Fundraising IL 501(c)(3 Type II NA
 
 
No
(39)St Anthony Shawnee Hospital Inc
1000 N Lee Ave

Oklahoma City,OK73102
45-5055149 		Health Care OK 501(c)(3 3 SSM Health Care of Oklahoma
 
 
No
(40)SSM Audrain Health Care Inc
10101 Woodfield Lane

St Louis,MO63132
43-1550298 		Health Care MO 501(c)(3 3 SSM Regional Health Services
 
 
No
(41)Audrain Medical Center Foundation Inc
620 E Monroe Street

Mexico,MO65265
43-1265060 		Fundraising MO 501(c)(3   SSM Audrain Health Care Inc
 
 
No
(42)SSM-SLUH Inc
10101 Woodfield Lane

St Louis,MO63132
47-4196634 		Health Care MO 501(c)(3 3 SSM Health Care St Louis
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) SSM St Joseph Endoscopy Center LLC

10101 Woodfield Lane
St Louis,MO63132
27-0046559 		Surgery Services MO SSM HEALTH CARE ST LOUIS
  		Related 2,243,121 1,008,898   No     No 50 %
(2) St Clare Imaging Services

707 14th Street Suite A
Baraboo,WI53913
20-0122365 		Diag Services WI NA
  		N/A 0 0     0     0 %
(3) Mt Vernon Radiation Therapy Center LLC

10101 Woodfield Lane
St Louis,MO63132
20-1382620 		Radiation Therapy IL NA
  		N/A 0 0     0     0 %
(4) Sleep & Neurology Center of S Illinois LLC

10101 Woodfield Lane
St Louis,MO63132
20-8468195 		Diag Services IL NA
  		N/A 0 0     0     0 %
(5) ChowSMGSI Office Building LLC

10101 Woodfield Lane
St Louis,MO63132
37-1383861 		MOB IL NA
  		N/A 0 0     0     0 %
(6) Oza Cancer Center LLC

10101 Woodfield Lane
St Louis,MO63132
20-1382727 		MOB IL NA
  		N/A 0 0     0     0 %
(7) Shawnee Real Estate Holdings LLC

1000 N Lee Ave
Oklahoma City,OK73102
45-5458304 		MOB OK NA
  		N/A 0 0     0     0 %
(8) SSM RX Express LLC

10101 Woodfield Lane
St Louis,MO63132
26-4031708 		Pharmacy MO NA
  		N/A 0 0     0     0 %
(9) Dean Clinic & St Marys Hospital Accountable Care Organization LLC

1808 West Beltline Highway
Madison,WI53713
45-2995500 		Accountable Care Organization WI NA
  		N/A 0 0     0     0 %
(10) Wisconsin Integrated Information Technology and Telemedicine Systems LLC

1808 West Beltline Highway
Madison,WI53713
39-2016715 		Information Technology Services WI NA
  		N/A 0 0     0     0 %
(11) Dean Health Holdings LLC

1277 Deming Way
Madison,WI53717
26-1594709 		Support Services WI NA
  		N/A 0 0     0     0 %
(12) Wingra Building Group

1808 West Beltline Highway
Madison,WI53713
39-0237060 		MOB WI NA
  		N/A 0 0     0     0 %
(13) Janesville Riverview Clinic Building Partnership

1808 West Beltline Highway
Madison,WI53713
39-6220698 		MOB WI NA
  		N/A 0 0     0     0 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) SSM Managed Care Organization LLC

10101 Woodfield Lane
St Louis,MO63132
43-1708511 		Health Promotion MO SSM Health Care St Louis
  		C Corporation 1,051,603 -3,568,923 100 % Yes  
(2) FPP Inc

10101 Woodfield Lane
St Louis,MO63132
43-1465174 		Health Care MO SSM Health Care Corporation
  		C Corporation         No
(3) Diversified Health Services Corp

10101 Woodfield Lane
St Louis,MO63132
43-1369305 		Medical Equipment MO NA
  		C Corporation         No
(4) SSM Cardio and Thoracic Services Inc

10101 Woodfield Lane
St Louis,MO63132
26-0286559 		Health Care MO NA
  		C Corporation         No
(5) SSM Properties Inc

10101 Woodfield Lane
St Louis,MO63132
43-1462486 		Property Services MO NA
  		C Corporation         No
(6) SSM DePaul Medical Group Inc

10101 Woodfield Lane
St Louis,MO63132
43-1715106 		Health Care MO NA
  		C Corporation         No
(7) SSM St Charles Clinic Med Group Inc

10101 Woodfield Lane
St Louis,MO63132
43-0626408 		Physician Offices MO NA
  		C Corporation         No
(8) Health First Phys Management Services Inc

10101 Woodfield Lane
St Louis,MO63132
73-1534336 		Medical Services OK NA
  		C Corporation         No
(9) SSMHCS Liability Trust II

10101 Woodfield Lane
St Louis,MO63132
81-6128118 		Insurance MO NA
  		C Corporation         No
(10) SSM Neurosciences Inc

10101 Woodfield Lane
St Louis,MO63132
26-3413981 		Health Care MO NA
  		C Corporation         No
(11) SSM Medical Group Inc

10101 Woodfield Lane
St Louis,MO63132
43-1664107 		Physician Offices MO NA
  		C Corporation         No
(12) SSMHC Insurance Company

10101 Woodfield Lane
St Louis,MO63132
03-0310431 		Insurance CA NA
  		C Corporation         No
(13) SSM Orthopedic Inc

10101 Woodfield Lane
St Louis,MO63132
27-1557033 		Health Care MO NA
  		C Corporation         No
(14) SSM Cancer Care Inc

10101 Woodfield Lane
St Louis,MO63132
27-1557324 		Health Care MO NA
  		C Corporation         No
(15) Physicians Services Corp of Southern Illinois

10101 Woodfield Lane
St Louis,MO63132
36-4161526 		Health Care IL NA
  		C Corporation         No
(16) Dean Health Systems Inc

1808 West Beltline Highway
Madison,WI53713
39-1128616 		Physician Offices WI NA
  		C Corporation         No
(17) Dean Health Insurance Inc

PO Box 56099
Madison,WI53705
39-1830837 		Insurance WI NA
  		C Corporation         No
(18) Dean Health Plan Inc

PO Box 56099
Madison,WI53705
39-1535024 		Insurance WI NA
  		C Corporation         No
(19) St Mary's Dean Ventures Inc

1808 West Beltline Highway
Madison,WI53713
39-1628491 		Physician Offices WI NA
  		C Corporation         No
(20) Dean Retail Services Inc

1808 West Beltline Highway
Madison,WI53713
39-1717636 		Property Services WI NA
  		C Corporation         No
(21) Navitus Holdings LLC

1808 West Beltline Highway
Madison,WI53713
80-0968174 		Pharmacy Benefits WI NA
  		C Corporation         No
(22) Oza Oncology Inc

4117 Veterans Memorial Drive
Mt Vernon,IL62804
37-1343746 		Physician Offices IL NA
  		C Corporation         No
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) SSM DePaul Health Center Foundation

 C 55,116 Cash
(2) SSM St Joseph Foundation

 C 496,955 Cash
(3) SSM St Clare Health Center Foundation

 C 100,627 Cash
(4) SSM St Mary's Health Center Foundation

 C 472,390 Cash
(5) SSM DePaul Health Center Foundation

 Q 750,240 Cash
(6) SSM St Joseph Foundation

 Q 1,189,786 Cash
(7) SSM St Clare Health Center Foundation

 Q 602,735 Cash
(8) SSM St Mary's Health Center Foundation

 Q 1,332,406 Cash
(9) SSM DePaul Health Center Foundation

 S 805,356 Cash
(10) SSM St Joseph Foundation

 S 1,686,741 Cash
(11) SSM St Clare Health Center Foundation

 S 703,362 Cash
(12) SSM St Mary's Health Center Foundation

 S 1,804,796 Cash
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2015

Additional Data


Software ID: 15000238
Software Version: 2015v2.1