Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 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 |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 13,484,548 | 13,566,830 | 16,947,447 | 14,151,192 | 11,547,290 | 69,697,307 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 13,484,548 | 13,566,830 | 16,947,447 | 14,151,192 | 11,547,290 | 69,697,307 |
| 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).. | 4,249,847 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 65,447,460 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 13,484,548 | 13,566,830 | 16,947,447 | 14,151,192 | 11,547,290 | 69,697,307 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 1,815,419 | 1,876,913 | 1,892,882 | 2,035,854 | 2,532,066 | 10,153,134 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 0 | 0 | 0 | 0 | 0 | 0 |
| 11 | Total support. Add lines 7 through 10 | 79,850,441 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 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-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 18007697 |
| Software Version: | 2018v3.1 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4a Program Service Accomplishments | 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 23 acute care hospitals, one children's hospital, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company, and an Accountable Care Organization. The health system employs more than 40,000 people and is affiliated with more than 9,900 physicians making it one of the largest employers in every community it serves. 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. SSM Health Cardinal Glennon Children's Foundation (the Foundation) is an independent, charitable organization fostering philanthropic support for SSM Health Cardinal Glennon Children's Hospital (Cardinal Glennon) in St. Louis, Missouri. Cardinal Glennon is a pediatric hospital offering comprehensive medical services, including inpatient and outpatient surgeries using state-of-the-art technology and facilities. With more than 60 medical specialty areas, Cardinal Glennon offers a distributed network of pediatric programs throughout Missouri and Illinois. Since 2013, U.S. News & World Report has recognized Cardinal Glennon as a Best Children's Hospital in multiple specialties. A teaching hospital, Cardinal Glennon is home to the Saint Louis University pediatric residency program and is staffed by SLUCare physicians. The Foundation is entrusted with the task of finding and strengthening relationships with friends and organizations in our surrounding communities and garnering the resources that will sustain our patient services, capital needs and community programs. In keeping with the core values of SSM Health, we are good stewards of our resources, managing all contributions for the maximum benefit of the hospital and the patients and communities we serve. In 2018, the Foundation provided philanthropic support for numerous programs and enhancements at SSM Health Cardinal Glennon Children's Hospital including, but not limited to: Footprints. Footprints is a palliative care program that is committed to improving the quality of life for children living with complex medical illnesses. The care coordination offered by Footprints addresses not only the physical needs of a child but the emotional, spiritual and psychosocial needs of the entire family. The team evaluates the family's needs to identify difficult issues which may arise while caring for their children. The program focuses on comfort, advocacy and support to help families and children live well along their journey. Cardinal Glennon Safety Program. Despite improvements in prenatal care and advances in medical technology, infant mortality remains a significant public health concern in the St. Louis area. Cardinal Glennon is committed to improving the health and wellbeing of children and their families. To this end, the Cardinal Glennon Safety Program, partially funded by generous community support, provides education and resources to families in need, including safe sleep education, vehicle passenger safety, home safety, and much more. The Safety Program team collaborates with local agencies on both sides of the Mississippi River to provide these services to families who experience a multitude of barriers, including language and lack of transportation. Baby Steps Program. Now in its sixth year, Baby Steps is a comprehensive, early intervention program for parents of children with special health care needs who are staying in the Neonatal Intensive Care Unit, providing them with education, counseling and emotional support in order to help reduce the risk of child abuse and neglect. This program is completely funded through donations to the Foundation and provides a vital service to the parents of some of our tiniest and sickest patients. Knights of Columbus Developmental Center. The Knights of Columbus Developmental Center serves children with suspected autism spectrum disorders and other developmental disabilities. The Center has a team of experts in developmental pediatrics, neurology, psychiatry, psychology, nursing, speech-language pathology, occupational therapy, a family resource specialist and education coordinator, a research team and support staff to help children reach their highest potential through comprehensive evaluation, care, family guidance, education and innovative research. Child Life Services and Music Therapy. Child Life Specialists provide a variety of services for children in the hospital, including collaboration with the entire medical team to advocate for the child's needs, procedure preparation (including the use of medical play) and support during those procedures, structured play opportunities and more. In addition, Cardinal Glennon offers music therapy to our patients to further alleviate stress and anxiety, promote relaxation and increase self-esteem. Music therapy provides an additional layer of support with the Child Life team to help patients cope with their illness in a healthy and constructive way, and even help parents engage with their children in the healing process. Shining Star School. Children who are hospitalized or who live with chronic illness benefit from keeping much of their regular routines as possible. Attending school, working on school academics and completing schoolwork are a healthy part of a child's routine. Participating in school activities can give children hope of returning to normal events. To meet this very important need for normalcy and development, the Foundation helps sponsor the Shining Star School. Staffed by two full-time teachers and multiple volunteers, the Shining Star School helps promote general academic development, social and emotional development as well as the overall well-being of individual children and groups in the hospital setting. 3D Center of Excellence. Multiple generous donations to the Foundation enabled Cardinal Glennon to open a new center that combines high-resolution diagnostic imaging with the latest in 3-D printing technology to create precise, customized models of hearts, skulls and much more. These models are used not only to educate parents about their child's medical condition, but also for our physicians to plan surgeries, and even create custom tools or solutions when necessary. The use of 3-D models in surgery planning helps to reduce the overall time of the procedures, thereby reducing the child's exposure to anesthesia, leading to faster recovery and healing. |
| Form 990, Part III, Line 4b Program Service Accomplishments (Continued) | Inpatient Cancer Center. The Foundation has raised funds to support the construction and renovation of the Inpatient Cancer Center at SSM Cardinal Glennon Children's Hospital. The improvements included 18 state-of-the-art patient rooms, individual bathroom and shower facilities, comfortable sleeper sofas for parents staying overnight, an updated and enlarged playroom specifically for pediatric cancer patients, along with new nursing stations that allow for closer proximity to patients and better care. These renovations will increase patient comfort, safety and satisfaction and provide a family-centered and healing environment for patients and their families. Reach Out and Read. More than one-third of children enter kindergarten lacking the basic language skills needed to learn to read. Cardinal Glennon serves as the St. Louis area coalition leader for the national Reach Out and Read campaign. Through the Reach Out and Read model, pediatricians in low-income neighborhoods provide education and encouragement to parents on the importance of reading to their children, starting in infancy. At each well-child visit from six months to five years, children are given a new, developmentally-appropriate book to take home. In 2018, Cardinal Glennon's Reach Out and Read program provided more than 50,000 books to pediatrician offices in both Missouri and Illinois. Danis Pediatric Center. Many socioeconomic factors have increased demand for safety-net primary care services. To meet this increased demand, Danis Pediatrics has added programs and services, increased their staffing of doctors and nurses, and opened a second location to continue providing high- quality, comprehensive care for all children in need. Even with these enhancements, both locations are filled to capacity and many of the children served by Danis Pediatrics have complex health care needs. Because of this, much of the foundation's Fundraising efforts for Danis Pediatrics are focused on improving access and convenience for our patients and their families. |
| Form 990, Part V, Line 1a | ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. |
| Form 990, Part VI, Line 4 Significant changes to organizational documents | Bylaws were revised as follows: Article V, Section 2: the upper limit on the Board of Governors was increased from 60 to 75; President of SSM Health Care Corporation as a board member was replaced with Chief Operating Officer of SSM Health Care Corporation; Article VI, Section 1: President of SSM Health Care Corporation as a member of the Executive Committee was replaced with Chief Operating Officer of SSM Health Care Corporation; |
| Form 990, Part VI, Line 6 Classes of members or stockholders | The sole member of the Foundation is SSM Cardinal Glennon Children's Hospital. SSM Cardinal Glennon Children's Hospital is a nonprofit 501(c)(3) organization that operates an inpatient and outpatient pediatric medical center in St Louis, Missouri. Both the Foundation and SSM Cardinal Glennon Children's Hospital are part of the integrated health system known as SSM Health. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The member has the power to appoint the Board of Governors, except for the governors who serve ex-officio, and to remove appointed governors with or without cause. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | The member has the following powers: a. To establish and change the philosophy of the Foundation b. To appoint the Board of Governors, except for the Governors who serve ex officio, and to remove the Appointed Governors with or without cause c. Subject to the limitations contained in the Articles of Incorporation, to take action with respect to amendments to the Articles of Incorporation of the Foundation d. To take action with respect to amendment to the Bylaws of the Foundation and any amendments thereto. e. To approve the merger, consolidation or dissolution of the Foundation f. To approve the sale, conveyance, assignment, transfer, alienation, pledge, encumbrance, mortgage or lease of real property or any interest therein of the Foundation in accordance with the policies approved by the Member g. To approve i) the acquisition of real property or any interest therein or ii) the acquisition of stock of a corporation if, after the acquisition, the Foundation will own a majority of the voting stock of such corporation, in accordance with policies approved by the Member h. To approve the sale, transfer or other disposition of the voting stock of a corporation if before the disposition the Foundation owned a majority of the voting stock of the corporation and after such disposition the Foundation would not own a majority of the voting stock of the corporation, in accordance with policies approved by the Member i. To take any and all action on behalf of the Foundation with respect to any borrowings or guarantees of the Foundation, except as the same may be delegated, in accordance with policies approved by the Member j. To approve the acceptance of any gift or contribution which, in connection therewith, would impose a continuing obligation upon the Foundation, including, without limitation, the obligation to provide health care services, pay an annuity or otherwise, except as otherwise determined by the Member pursuant to policies adopted by the Member k. To approve or reject proposals for expenditures or contributions in accordance with article IX of the Bylaws in the event the President of the Hospital and the Board of Governors do not agree with respect to the approval of such proposal. |
| Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body | The organization does not have any committees with the authority to act on the behalf of the governing body. The organization uses advisory boards for finance and investment purposes where documentation is properly maintained. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The Form 990 is prepared by the Tax Department of the parent organization, SSM Health Care Corporation (SSM). The Form 990 is reviewed by certain members of Senior Management. Any questions are addressed to the Tax Director of SSM prior to filing the Form 990 with the Internal Revenue Service. A copy of the Form 990 is provided to the Board of Directors at the next regularly scheduled board meeting. |
| Form 990, Part VI, Line 12c Conflict of interest policy | Board members are required to complete a conflict of interest disclosure statement annually. The President and Secretary of the Board oversee compliance with this requirement. All Board members with an identified conflict of interest abstain from Board discussions and votes when applicable. Employees with purchasing authority and/or ability to influence purchasing decisions are assigned the conflict of interest disclosure course (COI) which must be completed on line. Periodically through the year, the entity's corporate responsibility contact person (with the help of the entity's learning management system coordinator) sends department managers a list of employees who have not yet completed their COI so they can remind the employees and ensure the employees have time in their schedule to complete the required course. Resolution of any conflicts that are disclosed must be documented and kept on file at the entity. Supervisors verify required course completion prior to year end. |
| Form 990, Part VI, Line 19 Required documents available to the public | The year-end audited consolidated financial statements and unaudited quarterly consolidated financial statements for the SSM Health System are made available to the public on SSM Health's website. The organization's Articles of Incorporation are available on the Missouri Secretary of State's website. Copies of the Form 990 and the conflict of interest policy are available to the public upon request. |
| Form 990, Part X, Line 29 Adoption of ASC 958-205 | Effective for the 2018 calendar year, the organization has adopted ASC 958-205, which modifies how Not-for-Profit Entities present their net asset balances for Financial Statement reporting. The organization will report ending balances on Part X, Balance Sheet, in accordance with ASC 958-205 and include all amounts previous reported as temporarily restricted net assets and permanently restricted net assets on line 29. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | ACTUARIAL CHANGE IN GIFT ANNUITY LIABILITY - -359539; |
| Software ID: | 18007697 |
| Software Version: | 2018v3.1 |