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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
A For the 2020 calendar year, or tax year beginning 01-01-2020 , and ending 12-31-2020
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 $ 1,691,922,014
F Name and address of principal officer:
Jeremy Fotheringham
10101 Woodfield Lane
St Louis,MO63132
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.ssmhealth.com
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 UNDER SIX SEPARATE HOSPITAL LICENSES 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 8
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 2020 (Part V, line 2a) ...... 5 10,947
6 Total number of volunteers (estimate if necessary) ............. 6 852
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 7,327,449
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 180,986
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,829,682 131,036,047
9 Program service revenue (Part VIII, line 2g) ......... 1,619,640,552 1,534,730,684
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,853,625 10,149,744
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 10,251,992 9,397,954
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,634,575,851 1,685,314,429
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 413,759 436,809
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) 612,989,708 636,638,237
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 896,736,537 931,333,623
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,510,140,004 1,568,408,669
19 Revenue less expenses. Subtract line 18 from line 12....... 124,435,847 116,905,760
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,651,343,422 1,991,731,658
21 Total liabilities (Part X, line 26)............. 1,161,540,281 1,464,452,162
22 Net assets or fund balances. Subtract line 21 from line 20..... 489,803,141 527,279,496
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 (2020)
Form 990 (2020)
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 $ 1,386,999,708 including grants of $ 436,809 ) (Revenue $ 1,534,730,684 )
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 expensesMediumBullet1,386,999,708
Form 990 (2020)
Form 990 (2020)
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
 
 
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
 
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
 
Form 990 (2020)
Form 990 (2020)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) 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, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? 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
 
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
 
 
Form 990 (2020)
Form 990 (2020)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
10,947
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
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
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2020)
Form 990 (2020)
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
8
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
 
No
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
 
No
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-A 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:
MediumBulletSusan Taylor1195 Corporate Lake Drive   St Louis,MO63132 (314) 989-3650
Form 990 (2020)
Form 990 (2020)
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.

See instructions for the order in which to list the persons above.
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
 
Chair, President, Regional President-St Louis
 25.0
.................
22.0 		X   X       1,170,577 0 342,361
(2) Dennis Harms
 
Director
 1.0
.................
2.0 		X           0 0 0
(3) Douglass Petty
 
Director
 1.0
.................
2.0 		X           0 0 0
(4) Jan Cerny
 
Director
 1.0
.................
2.0 		X           0 0 0
(5) Robert Wilmott MD
 
Director
 1.0
.................
2.0 		X           0 0 0
(6) Snehal Gandhi MD
 
Director
 1.0
.................
2.0 		X           0 0 0
(7) Steve Smoot
 
Director, COO of SSM Health
 1.0
.................
52.0 		X           0 1,441,136 657,492
(8) William Kauffman
 
Director
 1.0
.................
2.0 		X           0 0 0
(9) Douglas Long
 
Secretary, General Counsel at SSM Health
 1.0
.................
68.2 		    X       0 1,201,821 399,352
(10) Eileen Lamm
 
Regional VP, Finance (MO/ILL)
 25.0
.................
15.0 		    X       0 341,701 99,838
(11) Karen Rewerts
 
VP-Financial Operations
 1.0
.................
51.0 		    X       0 790,849 178,749
(12) Kris Zimmer
 
Pt Yr Treasurer, Pt Yr Chief Financial Officer at SSM Health
 1.0
.................
67.0 		    X       0 1,717,045 73,075
(13) Omolola Vinson
 
Pt Yr Assistant Secretary
 25.0
.................
15.0 		    X       95,561 0 4,023
(14) Rachel Hall
 
Assistant Secretary
 25.0
.................
19.0 		    X       0 93,828 27,636
(15) Randy Combs
 
Treasurer, Chief Financial Officer at SSM Health
 1.0
.................
64.0 		    X       0 403,263 84,602
(16) Don Tran MD
 
President, Physicians Org/Ambulatory Services
 40.0
.................
0 		      X     582,481 0 175,064
(17) Ellis Hawkins
 
Hospital President, SSM Health DePaul Hospital - St. Louis
 40.0
.................
1.0 		      X     598,167 0 148,515
Form 990 (2020)
Form 990 (2020)
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) Hsieng Su MD
 
Regional VP - Medical Affairs/CMO
 40.0
.......................0 		      X     569,711 0 143,125
(19) Julie Wilhite
 
Regional VP - Human Resources
 40.0
.......................0 		      X     0 385,040 79,930
(20) Kathleen Bonser
 
Regional VP - Nursing/CNO St Louis
 40.0
.......................0 		      X     568,590 0 92,430
(21) Lisle Wescott
 
Hospital President, SSM Health St. Joseph Hospitals
 40.0
.......................1.0 		      X     568,734 0 142,360
(22) Michael Bowers
 
COO SSM Health Care St. Louis
 40.0
.......................1.0 		      X     692,266 0 187,161
(23) Rachel Donlan
 
System VP - Strategic Development
 40.0
.......................0 		      X     0 259,999 89,799
(24) Renee Roach
 
Pt Yr System VP - HR St Louis
 40.0
.......................0.0 		      X     0 182,660 10,660
(25) Tina Garrison
 
Hospital President, SSM Health St. Clare Hospital - Fenton
 40.0
.......................1.0 		      X     406,455 0 115,316
(26) Travis Capers
 
Hospital President, SSM Health St. Mary's Hospital - St. Louis
 40.0
.......................1.0 		      X     640,480 0 156,476
(27) Andrew Karanas
 
Physician
 40.0
.......................0 		        X   612,322 0 39,032
(28) David Uhls
 
Physician
 40.0
.......................0 		        X   503,153 0 20,595
(29) Joseph Attewell
 
Physician
 40.0
.......................0 		        X   603,594 0 39,059
(30) Thomas Landon
 
Physician
 40.0
.......................0 		        X   553,807 0 27,952
(31) William Holcomb
 
Physician
 40.0
.......................0 		        X   528,151 0 25,002
(32) Alexander Garza
 
Former Key Employee
 0.0
.......................40.0 		          X 0 769,100 257,300
(33) Christopher Howard
 
Former Officer
 0.0
.......................0.0 		          X 0 212,519 0
(34) Laura Kaiser
 
Former Officer
 0.0
.......................46.0 		          X 0 3,454,725 1,724,577
(35) Margaret Fowler
 
Former Key Employee
 0.0
.......................40.0 		          X 0 713,422 31,939
(36) Paula Friedman
 
Former Officer
 0.0
.......................0.0 		          X 0 507,002 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 8,694,049 12,474,110 5,373,420
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 MediumBullet705
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
ST LOUIS UNIVERSITY

1402 S GRAND BLVD
ST LOUIS,MO63104 		MEDICAL SERVICES 18,737,094
SSM SELECT REHAB OF ST LOUIS LLC

4714 GETTYSBURG ROAD
MECHANICSBURG,PA17055 		MEDICAL SERVICES 11,540,313
INTERFACE CONSTRUCTION GROUP

8401 WABASH
BERKELEY,MO63134 		CONSTRUCTION SERVICES 10,466,660
AMN HEALTHCARE INC

12400 HIGH BLUFF DRIVE
SAN DIEGO,CA92130 		STAFFING SERVICES 10,336,385
METRO WEST ANESTHESIA GROUP INC

400 SOUTH WOODS MILL RD
SUITE 140
CHESTERFIELD,MO63017 		MEDICAL SERVICES 9,352,523
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet93
Form 990 (2020)
Form 990 (2020)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 1,440,238
e Government grants (contributions)1e 129,316,731
f All other contributions, gifts, grants, and similar amounts not included above1f 279,078
g Noncash contributions included in lines 1a - 1f:$ 1g 78,386
h Total. Add lines 1a-1f.......MediumBullet 131,036,047
Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 622110 1,534,730,684 1,534,730,684    
b
c
d
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f .....MediumBullet 1,534,730,684
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 3,489,928     3,489,928
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   3,885,112 6a
b Less: rental expenses   3,002,798 6b
c Rental income or (loss) 0 882,314 6c
d Net rental income or (loss).......MediumBullet 882,314     882,314
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   10,264,603 7a
b Less: cost or other basis and sales expenses 3,604,787   7b
c Gain or (loss) -3,604,787 10,264,603 7c
d Net gain or (loss).........MediumBullet 6,659,816     6,659,816
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a LABORATORY SERVICES 621500 4,505,994   4,505,994  
b LTACH/SELECT REHAB 622310 2,269,803   2,269,803  
c PHARMACY SERVICES 446110 530,458   530,458  
d All other revenue .... 1,209,385 0 21,194 1,188,191
e Total. Add lines 11a–11d ...... MediumBullet 8,515,640
12 Total revenue. See instructions.....MediumBullet 1,685,314,429 1,534,730,684 7,327,449 12,220,249
Form 990 (2020)
Form 990 (2020)
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 .... 373,304 373,304
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 63,505 63,505
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 7,399,853 6,947,570 452,283  
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........ 463,137,063 434,828,094 28,308,969  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 47,349,285 44,455,270 2,894,015  
9 Other employee benefits ....... 83,858,645 78,733,157 5,125,488  
10 Payroll taxes ........... 34,893,391 32,760,687 2,132,704  
11 Fees for services (non-employees):        
a Management ...... 13,176,374 13,169,421 6,953  
b Legal ......... 463,044   463,044  
c Accounting ........... -6,176   -6,176  
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) 206,220,665 149,873,739 56,346,926 0
12 Advertising and promotion .... 98,683   98,683  
13 Office expenses ....... 58,214,978 53,360,177 4,854,801  
14 Information technology ...... 82,924,359 79,633,385 3,290,974  
15 Royalties ..        
16 Occupancy ........... 29,745,525 26,521,436 3,224,089  
17 Travel ............ 1,254,317 927,843 326,474  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 267,619 232,330 35,289  
20 Interest ........... 11,486,899 11,486,899    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 62,881,172 62,881,172    
23 Insurance ... 9,505,037 9,505,037    
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 293,064,616 293,064,616    
b Medicaid Provider Tax 80,854,508 80,854,508    
c Internal management fees 71,195,256   71,195,256  
d Claims pool losses 5,790,969 5,790,969    
e All other expenses 4,195,778 1,536,589 2,659,189 0
25 Total functional expenses. Add lines 1 through 24e 1,568,408,669 1,386,999,708 181,408,961 0
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 (2020)
Form 990 (2020)
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 ........ 960,247 1 1,053,873
2 Savings and temporary cash investments ......... 528,629,225 2 13,219,069
3 Pledges and grants receivable, net ...... 0 3  
4 Accounts receivable, net ............. 224,579,877 4 204,441,221
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 0 7  
8 Inventories for sale or use ............ 33,381,428 8 36,278,697
9 Prepaid expenses and deferred charges ...... 9,077,926 9 12,955,709
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,463,838,141
b Less: accumulated depreciation 10b 833,030,801 652,465,401 10c 630,807,340
11 Investments—publicly traded securities . 0 11  
12 Investments—other securities. See Part IV, line 11 ..... 73,415,877 12 355,083,461
13 Investments—program-related. See Part IV, line 11 .. 20,241,091 13 47,762,197
14 Intangible assets ............... 16,567,748 14 16,567,748
15 Other assets. See Part IV, line 11 ........... 92,024,602 15 673,562,343
16 Total assets. Add lines 1 through 15 (must equal line 33)... 1,651,343,422 16 1,991,731,658
Liabilities 17 Accounts payable and accrued expenses ..... 171,234,233 17 171,276,183
18 Grants payable ... 0 18  
19 Deferred revenue ......... 670,742 19 38,986,578
20 Tax-exempt bond liabilities ......... 0 20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23  
24 Unsecured notes and loans payable to unrelated third parties .. 0 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 989,635,306 25 1,254,189,401
26 Total liabilities. Add lines 17 through 25.. 1,161,540,281 26 1,464,452,162
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 476,472,237 27 512,807,414
28 Net assets with donor restrictions ........... 13,330,904 28 14,472,082
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 489,803,141 32 527,279,496
33 Total liabilities and net assets/fund balances ........ 1,651,343,422 33 1,991,731,658
Form 990 (2020)
Form 990 (2020)
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
1,685,314,429
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,568,408,669
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
116,905,760
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
489,803,141
5
Net unrealized gains (losses) on investments ...............
5
29,493,187
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
-108,922,592
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
527,279,496
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 (2020)
Form 990 (2020)
Additional Data


Software ID: 20011424
Software Version: 2020v4.0
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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
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- 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
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
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 failed 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) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (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 5 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) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (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) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (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) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) 2020

Schedule A (Form 990 or 990-EZ) 2020
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 lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in 11a above?
11b
 
 
c
A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2020

Schedule A (Form 990 or 990-EZ) 2020
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 0.015 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 0.035 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) 2020

Schedule A (Form 990 or 990-EZ) 2020
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2020 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2020 		(iii)
Distributable
Amount for 2020
1 Distributable amount for 2020 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2020:
a From 2015.......  
b From 2016.......  
c From 2017.......  
d From 2018.......  
e From 2019.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2020 distributable amount  
i Carryover from 2015 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2020 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2020 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2020, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2020. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2021. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2016.....  
b Excess from 2017.....  
c Excess from 2018.....  
d Excess from 2019.....  
e Excess from 2020.....  
Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020
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) 2020


Additional Data


Software ID: 20011424
Software Version: 2020v4.0
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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2
Name of organization
SSM Health Care St Louis
  		Employer identification number
43-1343281
Part I
Contributors
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) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
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) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
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) (2020)
Additional Data


Software ID: 20011424
Software Version: 2020v4.0
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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
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 (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

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) 2020

Schedule C (Form 990 or 990-EZ) 2020
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) 2017 (b) 2018 (c) 2019 (d) 2020 (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) 2020


Schedule C (Form 990 or 990-EZ) 2020
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)
Yes|No
(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? ..........................................................
 
No
 
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? ...................................................................................................................
Yes
 
258,734
j
Total. Add lines 1c through 1i ....................................................................................................
258,734
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 (Form 990 or 990EZ) 2020


Additional Data


Software ID: 20011424
Software Version: 2020v4.0

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.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2020

Schedule D (Form 990) 2020
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 .... 5,003,511 3,332,047 3,635,052 3,349,246 3,223,619
b Contributions ...   1,502,500   2,500  
c Net investment earnings, gains, and losses 672,804 502,477 -283,932 335,306 156,025
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		1,500,000 333,513 19,073 52,000 30,398
f Administrative expenses ....          
g End of year balance ...... 4,176,315 5,003,511 3,332,047 3,635,052 3,349,246
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet100 %
c
Term endowment SchDMd Bullet0 %
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 .....   58,377,222 58,377,222
b Buildings ....   918,208,816 486,430,686 431,778,130
c Leasehold improvements   35,257,808 24,155,090 11,102,718
d Equipment ....   435,364,434 322,445,025 112,919,409
e Other .....   16,629,861   16,629,861
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 630,807,340
Schedule D (Form 990) 2020

Schedule D (Form 990) 2020
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) CENTRAL INVESTMENT PROGRAM		 355,083,461 F

(B) JOINT VENTURES		    
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 355,083,461
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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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 640,593,584
(2)OTHER ASSETS 7,962,062
(3)OPERATING RIGHT-OF-USE ASSETS 25,006,697
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 673,562,343
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  
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,254,189,401
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) 2020

Schedule D (Form 990) 2020
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 2020 OR 2019.
Schedule D (Form 990) 2020


Additional Data


Software ID: 20011424
Software Version: 2020v4.0




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 Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
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
Yes
 
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) . . . 		    35,651,480   35,651,480 2.27 %
b Medicaid (from Worksheet 3, column a) . . . . .     256,426,027 228,872,922 27,553,105 1.76 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     18,056,327 15,899,863 2,156,464 0.14 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 310,133,834 244,772,785 65,361,049 4.17 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     6,295,226   6,295,226 0.40 %
f Health professions education (from Worksheet 5) . . .     26,001,872 13,067,848 12,934,024 0.82 %
g Subsidized health services (from Worksheet 6) . . . .         0 0 %
h Research (from Worksheet 7) .     6,315   6,315 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     91,821   91,821 0.01 %
j Total. Other Benefits . . 0 0 32,395,234 13,067,848 19,327,386 1.23 %
k Total. Add lines 7d and 7j . 0 0 342,529,068 257,840,633 84,688,435 5.40 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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     9,651   9,651 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy     189,443   189,443 0.01 %
8 Workforce development     37,524 37,524 0 0 %
9 Other         0 0 %
10 Total 0 0 236,618 37,524 199,094 0.01 %
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 Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
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
120,290,422
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
303,948,196
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
302,012,962
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
1,935,234
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 44 % 0 % 56 %
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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?6Name, 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
https://www.ssmhealth.com/locations/depaul-hospital-st-louis
414-25 		X X         X     A
2 SSM Health St Mary's Hospital - St Louis
6420 Clayton Road
St Louis,MO63117
https://www.ssmhealth.com/locations/st-marys-hospital-st-louis
383-28 		X X   X     X     A
3 SSM Health St Joseph Hospital - St Charles
300 First Capitol Drive
St Charles,MO63301
https://www.ssmhealth.com/locations/st-joseph-hospital-st-charles
494-15 		X X         X     A
4 SSM Health St Clare Hospital - Fenton
1015 Bowles Avenue
Fenton,MO63026
https://www.ssmhealth.com/locations/st-clare-hospital-fenton
456-21 		X X         X     A
5 SSM Health St Joseph Hospital - Lake Saint Louis
100 Medical Drive
Lake St Louis,MO63367
https://www.ssmhealth.com/locations/st-joseph-hospital-lake-saint-louis
381-28 		X X         X     A
6 SSM Health Rehabilitation Hospital
12380 DePaul Drive
Bridgeton,MO63044
HTTPS://WWW.SSM-REHAB.COM/
522-4 		X                  
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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 18
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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.ssmhealth.com/resources/about/community-health
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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) 2020
Schedule H (Form 990) 2020
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 Was widely publicized 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
https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance
b
https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2020
Schedule H (Form 990) 2020
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 Health 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 18
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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.ssmhealth.com/resources/about/community-health
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SSM Health 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 Was widely publicized 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
https://www.ssm-rehab.com/patients-and-caregivers/admissions/financial-assistance/
b
https://www.ssm-rehab.com/patients-and-caregivers/admissions/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
SSM Health Rehabilitation Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SSM Health Rehabilitation Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2020
Schedule H (Form 990) 2020
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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 3E THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAVE PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Facility Group A. THE PRIMARY DATA CONSISTED OF COMMUNITY FOCUS GROUPS THAT INCLUDED KEY STAKEHOLDERS WITHIN THE HOSPITALS' SERVICE AREAS. FOCUS GROUP PARTICIPANTS INCLUDED REPRESENTATION FROM THE ST. LOUIS COUNTY AND ST. CHARLES COUNTY DEPARTMENTS OF HEALTH, ST. LOUIS CITY, ST. LOUIS COUNTY, AND ST. CHARLES COUNTY COMMUNITIES, COLLABORATING HOSPITALS, AND LOCAL PUBLIC SCHOOL DISTRICTS. IN ADDITION TO A REVIEW OF DEMOGRAPHICS, THE HOSPITALS' GATHERED AND REVIEWED DATA FROM BROAD SOURCES. THE SECONDARY DATA WAS DERIVED FROM A VARIETY OF SOURCES INCLUDING THINK HEALTH ST. LOUIS - ST. LOUIS PARTNERSHIP FOR A HEALTH COMMUNITY, WHICH INCLUDES DATA PULLS FROM HEALTH COMMUNITIES INSTITUTE COVERING TOPICS IN AREAS OF HEALTH, DETERMINANTS OF HEALTH AND QUALITY OF LIFE, AS WELL AS COUNTY HEALTH RANKINGS.
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - SSM Health DePaul Hospital - St. Louis. THE HOSPITAL CONDUCTED AND COMPLETED ITS 2018 CHNA JOINTLY WITH SSM HEALTH REHABILITATION NETWORK. THE HOSPITAL ALSO COLLABORATED WITH BJC HEALTHCARE'S CHRISTIAN HOSPITAL.
Schedule H, Part V, Section B, Line 6a Facility A, 2 Facility A, 2 - SSM Health St. Mary's Hospital - St. Louis. THE HOSPITAL CONDUCTED AND COMPLETED ITS 2018 CHNA JOINTLY WITH SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL. THE HOSPITAL ALSO COLLABORATED WITH MEMBERS OF BJC HEALTHCARE, ST. LOUIS CHILDREN'S HOSPITAL AND BARNES JEWISH HOSPITAL, AND SHRINER'S CHILDREN'S HOSPITAL.
Schedule H, Part V, Section B, Line 6a Facility A, 3 Facility A, 3 - SSM Health St. Joseph Hospital - St. Charles and SSM Health St. Joseph Hospital - Lake Saint Louis. BOTH HOSPITALS CONDUCTED AND COMPLETED A JOINT 2018 CHNA. THE HOSPITALS ALSO COLLABORATED WITH MEMBER HOSPITALS OF BJC HEALTHCARE.
Schedule H, Part V, Section B, Line 6a Facility A, 4 Facility A, 4 - SSM Health St. Clare Hospital - Fenton. SSM HEALTH ST. CLARE HOSPITAL - FENTON DID NOT COLLABORATE WITH OTHER HOSPITAL FACILITIES TO COMPLETE THEIR 2018 CHNA.
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - SSM Health DePaul Hospital - St. Louis. The hospital identified various health needs in the 2018 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Substance abuse/mental health - Access to care - Chronic disease-Hepatitis C Substance abuse/mental health Substance abuse is a major public health issue in the community, having a strong impact on individuals, families, and communities. The use of illicit drugs, abuse of alcohol, and addiction to pharmaceuticals is linked to serious health conditions such as heart disease, cancer, and liver diseases. Substance abuse also contributes to a wide range of social, physical, mental, and public health problems. Because of these far-reaching consequences of substance abuse, treatment programs have been developed to counter addiction. Additional facts and figures that relate to substance abuse and mental health show: - ER visits related to substance abuse per 10,000 persons over 18 years is 17.9 in St. Louis County - Nationally, the incidence of drug-poisoning deaths involving natural and semisynthetic opioids, which include drugs such as oxycodone and hydrocodone, increased from 1.0 in 1999 to 4.4 in 2016 - The incidence of drug-poisoning deaths involving methadone increased from 0.3 in 1999 to 1.8 in 2006, then declined to 1.0 in 2016 - The incidence of drug-poisoning deaths involving heroin increased from 0.7 in 1999, to 1.0 in 2010, to 4.9 in 2016 - Missouri is statistically higher than the US average of 19.8 drug-poisoning deaths per 100,000 people (age-adjusted). In 2017, Missouri averaged 23.4 drug-poisoning deaths per 100,000 people - In 2017, the peak age group in Missouri for heroin and non-heroin opioid deaths is 25-34 The hospital is involved in the following initiatives to improve substance abuse and mental health in the community served: - Provide education to physicians for opioid tapering, monitor to ensure a decrease in the opioid/opiate prescribing rates within SSM Health DePaul Hospital - Advocate for a state-wide Prescription Drug Monitoring Program in Missouri - Increase the number of North St. Louis County residents able to access appropriate, quality substance use treatment - Prescription Take Back Day(s) -in collaboration with local law enforcement, establish/support programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly - Expand SSM Health DePaul Hospital's LAI (long-acting injection) clinic to treat 300 patients per month with readmissions for these under 10% - Partner with local civic and social organizations to educate the community on LAI options for treatment - In partnership with Behavioral Health Network and other non-profit organizations, address the social determinants of health and develop a behavioral health walk-in clinic Access to Care Access to primary care providers is a key priority for the hospital. Improvements will increase the likelihood that community members will have routine check-ups and screenings. Moreover, those with access to primary care are more likely to know where to go for treatment in acute situations. Communities that lack sufficient access to primary care, regardless of insurance, typically have members who delay necessary care until they are more ill than those that have greater access. Statistical data on access to care shows the following: - Per 100,000 persons, there are 123 providers in St. Louis County - St. Louis County ranks number 11 in the morbidity ranking. This indicator shows the ranking of the county in overall quality of life according to the County Health Rankings. The ranking is based on a summary composite score calculated from the following measures: poor or fair health, poor physical health days, poor mental health days, and low birthweight - 43% of St. Louis County residents have a bachelor's degree or greater 21% of St. Louis County residents have a high school graduation degree - Approximately 10% of St. Louis County residents don't have health insurance - 6.7% of St. Louis County families live below the poverty line - 82.5% of St. Louis County expecting mothers receive prenatal care and the infant mortality rate for St. Louis County is 7.7 out of 1,000 live births The hospital is implementing the following measures to improve access to care: - In partnership with the Integrated Health Network, utilize community referral coordinators to ensure continuity of care for patients and timely access to primary care follow-up - Evaluate opportunities to provide mobile health services through partnerships with philanthropic groups, local school districts, local municipalities, and Just Moms STL - Evaluate opportunity to partner with PattonvilleFire Protection District to provide community paramedicine / mobile integrated health program - Increase patients' health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy - Provide health insurance outreach and support to assist individuals whose employers do not offer affordable coverage, who are self-employed, or who are unemployed - Partner with community groups to educate residents regarding the importance of prenatal care and the services available regardless of health insurance at OB Care Center at SSM Health DePaul Hospital - Expand the capacity of the Transitional Care Clinic, with the goal of reducing readmissions of participants by 40% Chronic disease-Hepatitis C Hepatitis C is a major concern in the hospital's service area. Chronic forms can cause lifelong infection, cirrhosis (scarring) of the liver, liver cancer, liver failure, and death. Certain types of hepatitis are extremely contagious; some are spread via blood or sexual contact, while others are spread via fecal-oral contact. Additional data on hepatitis C report that: - Per 10,000 St. Louis adults ages 45-64, 3.6 will be hospitalized for Hepatitis C - St. Louis County and St. Louis City have the highest rates of Hepatitis C in the state - Once diagnosed, highly effective treatment options are now available for Hepatitis C that have fewer side effects than earlier treatments. These new medication options have 95% cure rates and reduce the risk of death from liver cancer and cirrhosis The hospital has the following action plan in place to improve the community measures on Hepatitis C: - Evaluate partnership opportunities within the community to serve as referral and educational resources to residents that could benefit from the SSM Health DePaul Hospital Hepatitis C clinic - Partner with SUD (substance abuse disorder) treatment centers to provide screenings for at-risk patients - Increase clinic capacity by 33% (to 16 patients per month) The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs and address additional community needs within its efforts. The following community needs were identified but have not been prioritized due to the hospital's limited resources at this time: - Obesity, inactivity and nutrition - Medication management - Economic issues, poverty, unemployment - Violence - Smoking and tobacco use - Cerebrovascular disease
Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - SSM Health St. Clare Hospital - Fenton. The hospital identified various health needs in the 2018 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Substance abuse - Access to care - Health behavior awareness Substance abuse Substance abuse is a key priority for the hospital. The Centers for Disease Control and Prevention (CDC) ranks drug poisoning as the number one cause of injury-related deaths in the US, with 63,632 deaths in 2016. Rates have more than tripled from 1999-2016 and have increased for all age groups. The rate of drug-poisoning deaths involving synthetic opioids other than methadone, which includes drugs such as fentanyl, fentanyl analogs, and tramadol, doubled from 2015 to 2016. Additional facts and figures on substance abuse show: - Nationally, the rate of drug-poisoning deaths involving natural and semisynthetic opioids, which include drugs such as oxycodone and hydrocodone, increased from 1.0 in 1999 to 4.4 in 2016 - The rate of drug-poisoning deaths involving methadone increased from 0.3 in 1999 to 1.8 in 2006, then declined to 1.0 in 2016 - The rate of drug-poisoning deaths involving heroin increased from 0.7 in 1999, to 1.0 in 2010, to 4.9 in 2016 - Missouri is statistically higher than the US average of 19.8 drug-poisoning deaths per 100,000 people (age-adjusted) - In 2017, Missouri averaged 23.4 drug-poisoning deaths per 100,000 people - The top 3 counties in Missouri for opioid-poisoning deaths are all in the St. Louis metropolitan region (Jefferson, Franklin & St. Louis City) - St. Louis County had 931 opioid deaths from 2013-2017 - In the same time span, St. Louis County had 481 heroin overdoses - In 2017, the peak age group in Missouri for heroin and non-heroin opioid deaths is 25-34 - The average prescription of opioids in St. Louis County was 15.6 days in 2018 The hospital is involved in the following initiatives to improve substance abuse in the community served: - Reduce the number of drug poisonings in St. Louis County through community collaborations - identify and develop partnerships - Achieve medical stabilization goal at hospital by discharging 80% of patients that complete the program with a plan for behavioral health and/or substance abuse treatment - Provide education to physicians for opioid tapering, monitor to ensure a decrease in the opioid/opiate prescribing rates within SSM Health St. Clare hospitals and clinics - Advocate for a state-wide Prescription Drug Monitoring Program in Missouri - Prescription Take Back Day(s) -establish/support programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly - Continue to grow the stabilization services program. This program helps individuals overcome their opiate or alcohol withdrawal symptoms, providing them with the resources to prevent relapse. In addition, the hospital plans to continue partnerships with COMTREA (Community Treatment, Inc.) and our first responders in dealing with substance abuse disorders. Partners in our school are extremely important and we will work alongside school districts as well as other educational entities to educate our youth on emotional well-being, mental illness and substance abuse Access to care Access to care is a top community health need for the hospital. Improvements will increase the likelihood that community members will have routine check-ups and screenings. Moreover, those with access to primary care are more likely to know where to go for treatment in acute situations. The hospital will continue to invest in primary and specialty healthcare providers in the region. We will also continue working on initiatives and partnerships to help address the convenience, value and quality of care we provide to the communities we serve. Statistical data on access to care shows the following: - Approximately 10% of adults in St. Louis County have no health insurance - There are 123 primary care physicians per 100,000 people in St. Louis County - St. Louis has a 15% food insecurity rate - As of 2017, there were 258 mental health providers per 100,000 people - There are 84 dentists per 100,000 people in St. Louis - Median household incomes are higher in St. Louis County than in Missouri or the United States - 7.4% of households live below the poverty level in St. Louis County - Access to Care exercise opportunities are higher in St. Louis than in Missouri or the United States - Farmers Market density is lower, on average, in St. Louis than in the United States - 6.0% of St. Louis County residents have no car and low access to a grocery store - St. Louis County has a higher rate of single parent households than the US average - 7.2% of St. Louis County households do not have a vehicle The hospital is implementing the following measures to improve access to care for the community: - Improve access to care in St. Louis County by increasing annual utilization of Volunteers in Medicine clinics - Evaluate opportunity to expand/provide mobile health services for patients who live in areas with limited access to care - Establish transportation services for areas with low population densities using publicly funded buses and vans on a set schedule, dial-a-ride transit, volunteer ridesharing, etc. - Increase patients' health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy - Provide health insurance outreach and support to assist individuals whose employers do not offer affordable coverage, who are self-employed, or who are unemployed Health behavior awareness Educating the community on healthy behaviors and lifestyles is a key priority for the hospital. Health awareness is a multi-faceted topic that illustrates the extent to which an individual is aware of what constitutes a healthy lifestyle, community resources available to increase their health knowledge and the avoidance of risky behaviors that can lead to chronic disease development and/or premature death. SSM Health will continue to offer a wide scope of resource to help individuals understand how to maintain a healthy lifestyle, ultimately reducing the risk of chronic disease in our communities. Additional data on health behavior awareness is as follows: - St. Louis County ranks 2ndin Missouri in health behaviors - St. Louis County ranks 112 out of 114 counties in physical environment rankings - 11.7% of adults in St. Louis County have diabetes - 13.3% of adults in St. Louis County regularly consume fruits and vegetables - 28.2% of adults in St. Louis County are obese - In the US, 38% of adults lack sufficient sleep - Deaths due to stroke are higher in St. Louis County than the United States, on average - 8.3% of adults smoked during pregnancy in St. Louis County - Premature deaths are higher than the U.S. average but lower than the Missouri average in the County - As of 2016, 18.4% of adults in St. Louis County smoke - St. Louis County has higher access to recreation and fitness facilities than Missouri or the US, on average The hospital has the following action plan in place to improve the community awareness of healthy behaviors: - Partner with local St. Louis County and Jefferson County schools to increase awareness of healthy lifestyles - Partner with health-related community organizations - Decrease the readmission rate through health education with patients and families The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs and address additional community needs within its efforts. The following community needs were identified but have not been prioritized due to the hospital's limited resources at this time: - Cancer - Motor vehicle accidents
Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - SSM Health St. Mary's Hospital - St. Louis. The hospital identified various health needs in the 2018 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Access to care - High risk pregnancy - Chronic disease-diabetes Access to care Access to primary care providers is a key priority for the hospital. Improvements will increase the likelihood that community members will have routine check-ups and screenings. Moreover, those with access to primary care are more likely to know where to go for treatment in acute situations. Communities that lack sufficient access to primary care, regardless of insurance, typically have members who delay necessary care until they are more ill than those that have greater access. Additional facts and figures on access to care show: - Provider Care Rate-Per 100,000 persons, there are 123 providers in St. Louis County and 85 providers in St. Louis City. Primary care providers include practicing physicians specializing in general practice medicine, family medicine, internal medicine, and pediatrics - Clinical Care Ranking -The quality and accessibility of clinical care heavily impacts the health of a community. Without a sufficient number of providers or adequate insurance coverage, people often do not seek care services and are thus at higher risk of developing preventable illnesses or chronic conditions. People with access to high-quality care are more likely to receive effective treatment for their conditions and enjoy better health. St. Louis County is ranked at 2, St. Louis City is ranked at 27 (1-2 is healthiest). The ranking is based on a summary composite score calculated from the following measures: uninsured, primary care physicians, mental health providers, dentists, preventable hospital stays, diabetic monitoring, and mammography screening - 43% of St. Louis County residents and 34% of St. Louis City residents have a bachelor's degree or greater. 21% of St. Louis County residents and 23% of St. Louis City residents have a high school graduation degree - Approximately 10% of St. Louis County residents and 15% of St. Louis City resident don't have health insurance - 6.7% of St. Louis County families and 19.94% of St. Louis City families live below the poverty line The hospital is involved in the following initiatives to improve access to care in the community served: - Increase the number of lives cared for in the Internal Medicine Clinic to 1000 by 2021 through partnering with community agencies to promote the services available to the underserved population of the community - In partnership with the Integrated Health Network, utilize community referral coordinators to ensure continuity of care for patients and timely access to primary care follow up - Increase patients' health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy - Provide health insurance outreach and support to assist individuals whose employers do not offer affordable coverage, who are self-employed, or who are unemployed High Risk Pregnancy High risk pregnancy is a key priority for the hospital. Increasing the number of women who receive prenatal care, and who do so early in their pregnancies, can improve birth outcomes and lower health care costs by reducing the likelihood of complications during pregnancy and childbirth. Statistical data on high risk pregnancy shows the following: - 82.5% of St. Louis County mothers received prenatal care compared to 73.2% of St. Louis City mothers. Babies born to mothers who do not receive prenatal care are three times more likely to have a low birth weight and five times more likely to die than those born to mothers who do get care - Infant mortality rate continues to be one of the most widely used indicators of the overall health status of a community. The leading causes of death among infants are birth defects, preterm delivery, low birth weight, Sudden Infant Death Syndrome (SIDS), and maternal complications during pregnancy. St. Louis City has a rate of 11.2 per 1,000 live births compared to St. Louis County at 7.7. The Healthy People 2020 national health target is to reduce the infant mortality rate to 6 deaths per 1,000 live births The hospital is implementing the following measures to improve high risk pregnancy for the community: - Attain a threshold of 50% of patients illicit-drug free, at the time of delivery, for those enrolled in the WISH program. Develop outreach strategies to community organizations working in the substance abuse space for patient referral to WISH services - Continue to actively participate in the Generate Health Build Grant focusing on improving maternal and infant health outcomes by targeting transportation access for pregnant women and new parents in two contiguous zip codes of 63106 and 63107 in the City of St. Louis - Work with FLOURISH St. Louis, a diverse community partnership designed to work in a new way to achieve large-scale, lasting improvements in the health and well-being of St. Louis babies and families - Through Thrive St. Louis, establish seamless referral process for women needing prenatal care Chronic disease-Diabetes Diabetes is the third priority for the hospital and is also a leading cause of death in the United States. This disease can have a harmful effect on most of the organ systems in the human body; it is a frequent cause of end-stage renal disease, non-traumatic lower-extremity amputation, and a leading cause of blindness among working age adults. Persons with diabetes are also at increased risk for ischemic heart disease, neuropathy, and stroke. Additional data on diabetes report that: - 11.6% of adults (20+ years of age) in St. Louis County and 12.6% of adults in St. Louis City have been diagnosed with Diabetes - Diabetes is the leading cause of death in United State disproportionately affecting minority populations and the elderly, and its incidence is likely to increase as minority populations grow and the U.S. population ages - The percentage of obese adults is an indicator of the overall health and lifestyle of a community. 31.1% of St. Louis City residents and 282% of St. Louis County residents are obese based on a BMI greater than or equal to 30 - Age-adjusted death rate due to Diabetes per population of 100,000 persons is 30.3 in St. Louis City and 15.7 in St. Louis County - Annual age-adjusted emergency room visit rate due to diabetes per 10,000 population aged 18 years and older is 35.3 in St. Louis City and 17.9 in St. Louis County. Both Type 1 and Type 2 are included - Grocery store density in is St. Louis County is .34 and .18 in St. Louis City. This indicator shows the number of supermarkets and grocery stores per 1,000 population The hospital has the following action plan in place to improve the community measures on diabetes: - Utilize Diabetic Educators in the most optimal manner while meeting the needs of the inpatient and outpatient services' patients - Determine if there is a way to extend the reach of Diabetic Educators beyond inpatient and outpatient services and into the community, including the Internal Medicine Clinic, Wound Clinic and community events - Increase the number of patients served at the SSM Pharmacy on the hospital's campus by 5% each year moving forward so that patients are receiving the medications they need to effectively manage their diabetes - Engage community agencies and church groups to evaluate partnership opportunities to address diabetes management The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs and address additional community needs within its efforts. The following community needs were identified but have not been prioritized due to the hospital's limited resources at this time: - Continuity of care - Price/quality transparency - Trauma/stress care - Obesity - Cardiovascular disease - Sexually-transmitted disease - Violence - Pediatric neglect/abuse - Emergency department visits/capacity - Cancer - Dental health
Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - SSM Health St. Joseph Hospital - St. Charles and SSM Health St. Joseph Hospital - Lake St. Louis. The hospitals identified various health needs in their jointly-completed 2018 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospitals will place primary focus on the following key priorities: - Substance abuse - Access to care - Chronic disease-obesity Substance abuse Substance abuse is a major public health issue that has a strong impact on individuals, families, and communities. The use of illicit drugs, abuse of alcohol, and addiction to pharmaceuticals is linked to serious health conditions such as heart disease, cancer, and liver diseases, as well as lost work productivity, healthcare, and crime. Substance abuse also contributes to a wide range of social, physical, mental, and public health problems. Because of these far-reaching consequences of substance abuse, treatment programs have been developed to counter addiction. Additional facts and figures on substance abuse show: - Nationally, the incidence of drug-poisoning deaths involving natural and semisynthetic opioids, which include drugs such as oxycodone and hydrocodone, increased from 1.0 in 1999 to 4.4 in 2016 - The incidence of drug-poisoning deaths involving methadone increased from 0.3 in 1999 to 1.8 in 2006, then declined to 1.0 in 2016 - The incidence of drug-poisoning deaths involving heroin increased from 0.7 in 1999, to 1.0 in 2010, to 4.9 in 2016 - Missouri is statistically higher than the US average of 19.8 drug-poisoning deaths per 100,000 people (age-adjusted). In 2017, Missouri averaged 23.4 drug-poisoning deaths per 100,000 people - In 2017, the peak age group in Missouri for heroin and non-heroin opioid deaths is 25-34 - 2.8% of St. Charles County emergency room visits are related to substance abuse. The hospitals are involved in the following initiatives to improve substance abuse in the community served: - Provide education to physicians for opioid tapering, monitor to ensure a decrease in the opioid/opiate prescribing rates within SSM Health St. Charles hospitals and clinics - Advocate for a state-wide prescription drug monitoring program in Missouri - Increase the number of St. Charles County residents able to access appropriate, quality substance use treatment - Support educational efforts in our community and schools - Prescription Take Back Day(s) - establish/support programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly Access to care Access to primary care providers is a key priority for the hospitals. Improvements will increase the likelihood that community members will have routine check-ups and screenings. Moreover, those with access to primary care are more likely to know where to go for treatment in acute situations. Communities that lack sufficient access to primary care, regardless of insurance, typically have members who delay necessary care until they are more ill than those that have greater access. Statistical data on access to care shows the following: - St. Charles County ranks number 1 in the state in quality of life - St. Charles is the wealthiest county in the state by household income standards - Over 30% of residents have a bachelor's degree or greater - Approximately 7% of St. Charles County residents don't have health insurance - 5.3% of St. Charles residents live below the poverty line - 12% of St. Charles County residents are considered to be in fair or poor health - There are 123 primary care providers per 100,000 residents The hospitals are implementing the following measures to improve access to care in the community: - Improve access to care in St. Charles County by increasing annual utilization of Volunteers in Medicine clinics - Evaluate opportunities to expand/provide mobile health services for patients who live in areas with limited access to care - Establish transportation services for areas with low population densities using publicly funded buses and vans on a set schedule, dial-a-ride transit, volunteer ridesharing, etc. - Increase patients' health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy - Provide health insurance outreach and support to assist individuals whose employers do not offer affordable coverage, who are self-employed, or who are unemployed Chronic disease-Obesity Obesity is the third priority for the hospitals. The percentage of obese adults is an indicator of the overall health and lifestyle of a community. Obesity increases the risk of many diseases and health conditions, including heart disease, type 2 diabetes, cancer, hypertension, stroke, liver and gallbladder disease, respiratory problems, and osteoarthritis. Losing weight and maintaining a healthy weight may help to prevent and control these diseases, as well as reduce economic costs of increased healthcare spending and lost earnings. Additional data on obesity report that: - 26% of adults in St. Charles County are obese - 24% of residents are physically inactive - 12% of residents don't have access to exercise opportunities - In 2017, St. Charles had a diabetes rate of 8.4% The hospitals have the following action plan in place to improve the community measures on obesity: - Use educational, environmental, and behavioral strategies to improve food choices and physical activity opportunities in worksite settings, also called workplace wellness programs - Deliver educational, behavioral, environmental, and other obesity prevention efforts (e.g., education classes, enhanced physical education, healthy food promotion, family outreach, etc.) in schools - Arrange active transportation with a fixed route, designated stops, and pick up times when children can walk to school with adult chaperones - Combine educational, environmental, and behavioral activities that increase physical activity and improve nutrition (e.g., nutrition education, aerobic/strength training, dietary prescriptions, etc.) in various settings - Build, strengthen, and maintain social networks that provide supportive relationships for behavior change through walking groups or other community-based interventions - Establish and support land that is gardened or cultivated by community members via community land trusts, gardening education, zoning regulation changes, or service provision (e.g., water or waste disposal) - Provide prescriptions with healthy eating and exercise plans for patients and families, often accompanied by progress checks at office visits The hospitals have no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs and address additional community needs within its efforts. The following community needs were identified but have not been prioritized due to the hospitals' limited resources at this time: - Pediatric health - Health literacy - Senior care - Diabetes - Public safety - Cancer - Smoking cessation and respiratory diseases
Schedule H, Part V, Section B, Line 11 Facility A, 5 Facility A, 5 - Facility Group A - 2020 Activities. During 2020, the following activities were performed to help address the issues identified in the CHNA: SSM Health DePaul Hospital - St. Louis partnered with iFMCommunity Medicine and Operation Food Search to develop a sustainable referral program for patients and community members who were experiencing food insecurity. SSM Health St. Clare Hospital - Fenton collaborated with COMTREA Comprehensive Health Center to enhance access to care and community resources for primary care and behavioral health patients. SSM Health St. Mary's Hospital - St. Louis partnered with The Salvation Army to ensure patients living in homelessness could receive access to the Pathway of Hope program. This program provides high-quality resource coordination and transition services that meets local standards for homeless service coordination and high-quality health care. SSM Health St. Joseph Hospital - St. Charles and SSM Health St. Joseph Hospital - Lake Saint Louis collaborated with Compass Health to enhance referral processes and coordination of care to ensure high-quality access to health care for vulnerable members of the community who lack insurance coverage.
Schedule H, Part V, Section B, Line 3E THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - SSM Health Rehabilitation Hospital. THE PRIMARY DATA CONSISTED OF COMMUNITY FOCUS GROUPS THAT INCLUDED KEY STAKEHOLDERS WITHIN THE HOSPITALS' SERVICE AREAS. FOCUS GROUP PARTICIPANTS INCLUDED REPRESENTATION FROM THE ST. LOUIS COUNTY DEPARTMENT OF HEALTH, THE NORTH ST. LOUIS COUNTY COMMUNITY, AND COLLABORATING HOSPITALS. THE SECONDARY DATA WAS DERIVED FROM A VARIETY OF SOURCES INCLUDING THINK HEALTH ST. LOUIS - ST. LOUIS PARTNERSHIP FOR A HEALTH COMMUNITY, WHICH INCLUDES DATA PULLS FROM HEALTH COMMUNITIES INSTITUTE COVERING TOPICS IN AREAS OF HEALTH, DETERMINANTS OF HEALTH AND QUALITY OF LIFE.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - SSM Health Rehabilitation Hospital. THE HOSPITAL CONDUCTED AND COMPLETED ITS 2018 CHNA JOINTLY WITH SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS. THE HOSPITAL ALSO COLLABORATED WITH BJC HEALTHCARE'S CHRISTIAN HOSPITAL.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SSM Health Rehabilitation Hospital. The hospital identified various health needs in the 2018 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Access to care - Chronic disease - Heart and Vascular disease - Chronic disease - Cerebrovascular disease Access to care Access to primary care providers is a key priority for the hospital. Improvements will increase the likelihood that community members will have routine check-ups and screenings. Moreover, those with access to primary care are more likely to know where to go for treatment in acute situations. Communities that lack a sufficient number of primary care providers typically have members who delay necessary care when sick and conditions can become more severe and complicated. Additional facts and figures that relate to access to care show: - Per 100,000 persons, there are 123 providers in St. Louis County - Clinical Care Ranking - the quality and accessibility of clinical care heavily impacts the health of a community. Without a sufficient number of providers or adequate insurance coverage, people often do not seek care services and are thus at higher risk of developing preventable illnesses or chronic conditions. People with access to high-quality care are more likely to receive effective treatment for their conditions and enjoy better health. St. Louis County is ranked at 2 (1-2 is healthiest). The ranking is based on a summary composite score calculated from the following measures: uninsured, primary care physicians, mental health providers, dentists, preventable hospital stays, diabetic monitoring, and mammography screening - 43% of St. Louis County residents have a bachelor's degree or greater 21% of St. Louis County residents have a high school graduation degree - Approximately 10% of St. Louis County residents don't have health insurance - 6.7% of St. Louis County families live below the poverty line - 82.5% of St. Louis County expecting mothers receive prenatal care and the infant mortality rate for St. Louis County is 7.7 out of 1,000 live births The hospital is involved in the following initiatives to improve access to care in the community served: - Partner with SSM Health Care St. Louis ministries and community collaborators to address access to care barriers, provide screenings and health education materials - Monitor durability of outcomes post-discharge through IT HealthTrack and create action plans, if appropriate - Utilize Care Partner Program to increase community discharges from 70.6% in 2018 to 73.6% by 2021 - Partner with Emergency rooms at other SSM Health hospitals to prevent unnecessary admissions to acute care from the hospital - Transition to Medical Model at the hospital to enhance medical management coverage and increase in-house physician presence - Develop Meds to Beds Program to increase access to prescribed medications at time of patients' discharge from inpatient rehabilitation stay Chronic disease - Heart and Vascular disease Heart and vascular disease is a key priority for the hospital. Heart disease is a term that encompasses a variety of different diseases affecting the heart and is the leading cause of death in the United States, accounting for 25.4% of total deaths. The most common type in the US is coronary artery disease, which can cause heart attack, angina, heart failure, and arrhythmias. Coronary artery disease occurs when plaque builds up in the arteries that supply blood to the heart and the arteries narrow (atherosclerosis). There are many modifiable risk factors for atherosclerosis, including tobacco smoking, obesity, and a sedentary lifestyle. Heart disease is the number one killer of women in the United States. Statistical data on heart and vascular disease shows the following: - According to the Centers for Disease Control and Prevention, approximately round 5.7 million people in the United States have heart failure, and about half of people who develop heart failure will die within five years of diagnosis - Age-adjusted ER rate due to heart failure is 3.5 per 10,000 persons in St. Louis County compared to 5.9 in St. Louis City - The percentage of overweight adults is an indicator of the overall health and lifestyle of a community. Being overweight affects quality of life and puts individuals at risk for developing many diseases, especially heart disease, stroke, diabetes, and cancer. 32.6% of St. Louis County adults are overweight - High blood pressure is the number one modifiable risk factor for stroke. In addition to stroke, high blood pressure also contributes to heart attacks, heart failure, kidney failure, and atherosclerosis. The higher your blood pressure, the greater your risk of heart attack, heart failure, stroke, and kidney disease. In the United States, one in three adults has high blood pressure, and nearly one-third of these people are not aware that they have it. 31.9% of St. Louis County adults have high blood pressure. The hospital is implementing the following measures to improve Heart and vascular disease: - Partner with SSM Health Care St. Louis ministries and community collaborators to provide screenings and health education materials - Reduce cardiac-related acute care transfers from 12.5% in 2018 to 10% in 2021 - Monitor durability of outcomes post-discharge through IT HealthTrack and create action plans, if appropriate - Utilize Care Partner Program to increase community discharges from 70.6% in 2018 to 73.6% by 2021 - Partner with Emergency rooms at other SSM Health hospitals to prevent unnecessary admissions to acute care from the hospital - Transition to Medical Model at the hospital to enhance medical management coverage and increase in-house physician presence - Develop Meds to Beds Program to increase access to prescribed medications at time of patients' discharge from inpatient rehabilitation stay Chronic disease - Cerebrovascular disease Cerebrovascular disease is a major concern in the hospital's service area. Cerebrovascular disease refers to conditions, including stroke, caused by problems with the blood vessels supplying the brain with blood. A stroke occurs when blood vessels carrying oxygen to the brain burst or become blocked, thereby cutting off the brain's supply of oxygen and other nutrients. Cerebrovascular disease is a leading cause of death in the United States and can also lead to brain damage and disability. The most important modifiable risk factor for cerebrovascular disease and stroke is high blood pressure. Other risk factors include high cholesterol, heart disease, diabetes mellitus, physical inactivity, obesity, excessive alcohol use, and tobacco use. Additional data on cerebrovascular disease report that: - The age-adjusted death rate due to Cerebrovascular Disease is 38 adults out of 100,000 persons in St. Louis County - 32.6% of St. Louis County adults are overweight - In the United States, one in three adults has high blood pressure, and nearly one-third of these people are not aware that they have it. 31.9% of St. Louis County adults have high blood pressure - Nearly three-quarters of all strokes occur in people over the age of 65. The Centers for Disease Control and Prevention (CDC) states that stroke is the fourth leading cause of death in the United States, is a leading cause of long-term disability, and is the cause of almost 133,000 deaths annually. According to the CDC, strokes cost the United States an estimated $38.6 billion each year. 4.4% of the Medicare population in St. Louis County were treated for a stroke The hospital has the following action plan in place to improve the community measures on cerebrovascular disease: - Partner with SSM Health Care St. Louis ministries and community collaborators to provide screenings and health education materials - Increase stroke community discharges from 67% in 2018 to 70% in 2021 - Utilize the Stroke Program Team to monitor durability of outcomes post-discharge through IT HealthTrack and create action plans, if appropriate - Decrease stroke fall rate per 1000 patient days by 10% - Participate in community events - Improve stroke patients' self-care and mobility activities from admission to discharge change to meet national average - Host stroke support group monthly The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs and address additional community needs within its efforts. The following community needs were identified but have not been prioritized due to the hospital's limited resources at this time: - Mental health/geriatric psychology and substance abuse - Smoking and tobacco use - Obesity - Care coordination - Health literacy
Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - SSM Health Rehabilitation Hospital. The facility did not perform any of the actions listed before making reasonable efforts to determine the individual's eligibility under the facility's financial assistance policy.
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 9
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?102
Name and address Type of Facility (describe)
1 SSM HEALTH BEHAVORIAL HEALTH
1027 BELLEVUE AVE STE LL33
SAINT LOUIS,MO631171851 		Outpatient clinic
2 SSM HEALTH BREAST CARE
1031 BELLEVUE AVE STE 100
SAINT LOUIS,MO631171855 		Outpatient clinic
3 SSM HEALTH CANCER CARE
6400 CLAYTON RD STE 212
SAINT LOUIS,MO631171850 		Outpatient clinic
4 SSM HEALTH CANCER CARE
6400 CLAYTON RD STE 302
SAINT LOUIS,MO631171850 		Outpatient clinic
5 SSM HEALTH CANCER CARE
1011 BOWLES AVE SUITE G50
FENTON,MO630260562 		Outpatient clinic
6 SSM HEALTH CANCER CARE
1027 BELLEVUE AVE STE 103
SAINT LOUIS,MO631171851 		Outpatient clinic
7 SSM HEALTH HEART & VASCULAR CARE
1027 BELLEVUE AVE STE 200
SAINT LOUIS,MO631171851 		Outpatient clinic
8 SSM HEALTH HEART & VASCULAR CARE
1035 BELLEVUE AVE STE 500
SAINT LOUIS,MO631171843 		Outpatient clinic
9 SSM HEALTH HEART & VASCULAR CARE
1027 BELLEVUE AVE STE 202
SAINT LOUIS,MO631171851 		Outpatient clinic
10 SSM HEALTH IMAGING SERVICES
6400 CLAYTON RD STE 104
SAINT LOUIS,MO631171850 		Outpatient clinic
11 SSM HEALTH IMAGING SERVICES
1031 BELLEVUE AVE STE 150
SAINT LOUIS,MO631171869 		Outpatient clinic
12 SSM HEALTH MEDICAL GROUP
19 THE BOULEVARD SAINT LOUIS
RICHMOND HEIGHTS,MO631171118 		Outpatient clinic
13 SSM HEALTH MEDICAL GROUP
1035 BELLEVUE AVE STE 500
SAINT LOUIS,MO631171843 		Outpatient clinic
14 SSM HEALTH MEDICAL GROUP
1035 BELLEVUE AVE STE 400
SAINT LOUIS,MO631171844 		Outpatient clinic
15 SSM HEALTH MEDICAL GROUP
1035 BELLEVUE AVE STE 320
SAINT LOUIS,MO631171845 		Outpatient clinic
16 SSM HEALTH MEDICAL GROUP
1035 BELLEVUE AVE STE 305
SAINT LOUIS,MO631171845 		Outpatient clinic
17 SSM HEALTH MEDICAL GROUP
1031 BELLEVUE AVE STE 100
SAINT LOUIS,MO631171855 		Outpatient clinic
18 SSM HEALTH MEDICAL GROUP
8670 BIG BEND BLVD STE A
SAINT LOUIS,MO631193839 		Outpatient clinic
19 SSM HEALTH MEDICAL GROUP
9759 MANCHESTER RD
SAINT LOUIS,MO631191346 		Outpatient clinic
20 SSM HEALTH MEDICAL GROUP
3878 PERSHALL RD
SAINT LOUIS,MO631351246 		Outpatient clinic
21 SSM HEALTH NEUROSCIENCES
1035 BELLEVUE AVE STE 500
SAINT LOUIS,MO631171843 		Outpatient clinic
22 SSM HEALTH PAIN CARE
1031 BELLEVUE AVE STE 310
SAINT LOUIS,MO631171857 		Outpatient clinic
23 SSM HEALTH SLEEP SERVICES
1027 BELLEVUE AVE STE 101
SAINT LOUIS,MO631171851 		Outpatient clinic
24 SSM HEALTH ST MARY'S RADIOLOGY
1031 BELLEVUE AVE STE 280
SAINT LOUIS,MO631171856 		Outpatient clinic
25 SSM HEALTH URGENT CARE
8820 MANCHESTER RD
BRIDGETON,MO631442602 		Outpatient clinic
26 SSM HEALTH VASCULAR SERVICES
1027 BELLEVUE AVE STE G14
SAINT LOUIS,MO631171851 		Outpatient clinic
27 SSM HEALTH WOMEN'S HEALTH
1027 BELLEVUE AVE STE 205
SAINT LOUIS,MO631171851 		Outpatient clinic
28 ST LOUIS CYBERKNIFE
1011 BOWLES AVE STE G50
FENTON,MO630260562 		Outpatient clinic
29 SSM HEALTH IMAGING SERVICES
711 VETERANS MEMORIAL PKWY STE 101
SAINT CHARLES,MO633032106 		Outpatient clinic
30 SSM HEALTH MEDICAL GROUP
711 VETERANS MEMORIAL PKWY STE 300
SAINT CHARLES,MO633032106 		Outpatient clinic
31 SSM HEALTH MEDICAL GROUP
711 VETERANS MEMORIAL PKWY STE 200
SAINT CHARLES,MO633032106 		Outpatient clinic
32 SSM HEALTH SPECIALTY CARE SERVICES
711 VETERANS MEMORIAL PKWY STE 201
SAINT CHARLES,MO633032106 		Outpatient clinic
33 SSM HEALTH MEDICAL GROUP
330 1ST CAPITOL DR
SAINT CHARLES,MO633012835 		Outpatient clinic
34 SSM HEALTH MEDICAL GROUP
400 1ST CAPITOL DR
SAINT CHARLES,MO633012880 		Outpatient clinic
35 SSM HEALTH MEDICAL GROUP
5401 VETERANS MEMORIAL PKWY STE 101
SAINT PETERS,MO633761681 		Outpatient clinic
36 SSM HEALTH MEDICAL GROUP
5401 VETERANS MEMORIAL PKWY
SAINT PETERS,MO633761680 		Outpatient clinic
37 SSM HEALTH MEDICAL GROUP
6994 MEXICO RD
SAINT PETERS,MO633761512 		Outpatient clinic
38 SSM HEALTH MEDICAL GROUP
1601 WENTZVILLE PKWY
WENTZVILLE,MO633853814 		Outpatient clinic
39 SSM HEALTH MEDICAL GROUP
1601 WENTZVILLE PKWY STE 117
WENTZVILLE,MO633853814 		Outpatient clinic
40 SSM HEALTH MEDICAL GROUP
1551 WALL ST STE 330
SAINT CHARLES,MO633033544 		Outpatient clinic
41 SSM HEALTH MEDICAL GROUP
1475 KISKER RD STE 100
SAINT CHARLES,MO633048787 		Outpatient clinic
42 SSM HEALTH MEDICAL GROUP
101 2ND ST
SAINT CHARLES,MO633012807 		Outpatient clinic
43 SSM HEALTH MEDICAL GROUP
1475 KISKER ROAD
SAINT CHARLES,MO633048781 		Outpatient clinic
44 SSM HEALTH MEDICAL GROUP
500 MEDICAL DR
WENTZVILLE,MO633853421 		Outpatient clinic
45 SSM HEALTH MEDICAL GROUP
1551 WALL ST
SAINT CHARLES,MO633033539 		Outpatient clinic
46 SSM HEALTH URGENT CARE
711 VETERANS MEMORIAL PKWY STE 100
SAINT CHARLES,MO633032106 		Outpatient clinic
47 SSM HEALTH HEART & VASCULAR CARE
2 HARBOR BEND CT STE 100
LAKE SAINT LOUIS,MO633671478 		Outpatient clinic
48 SSM HEALTH HEART & VASCULAR CARE
300 MEDICAL PLZ STE 160
LAKE SAINT LOUIS,MO633671481 		Outpatient clinic
49 SSM HEALTH HEART & VASCULAR CARE
172 A PROFESSIONAL PKWY
TROY,MO633792823 		Outpatient clinic
50 SSM HEALTH IMAGING SERVICES
400 MEDICAL PLZ STE 50
LAKE SAINT LOUIS,MO633671491 		Outpatient clinic
51 SSM HEALTH IMAGING SERVICES
164 PROFESSIONAL PKWY
TROY,MO633792823 		Outpatient clinic
52 SSM HEALTH MEDICAL GROUP
300 MEDICAL PLZ STE 150
LAKE SAINT LOUIS,MO633671483 		Outpatient clinic
53 SSM HEALTH MEDICAL GROUP
1603 WENTZVILLE PKWY
WENTZVILLE,MO633853826 		Outpatient clinic
54 SSM HEALTH MEDICAL GROUP
722 N STATE HIGHWAY 47 STE B
WARRENTON,MO633831108 		Outpatient clinic
55 SSM HEALTH MEDICAL GROUP
1101 HIGHWAY K
O FALLON,MO633668431 		Outpatient clinic
56 SSM HEALTH MEDICAL GROUP
400 MEDICAL PLZ STE 200
LAKE SAINT LOUIS,MO633671417 		Outpatient clinic
57 SSM HEALTH MEDICAL GROUP
300 MEDICAL PLZ STE 310
LAKE SAINT LOUIS,MO633671484 		Outpatient clinic
58 SSM HEALTH MEDICAL GROUP
172 PROFESSIONAL PKWY
TROY,MO633792823 		Outpatient clinic
59 SSM HEALTH SLEEP SERVICES
400 MEDICAL PLZ STE 215
LAKE SAINT LOUIS,MO633671493 		Outpatient clinic
60 SSM HEALTH ST JOSEPH HOSPITAL-LAKE
100 MEDICAL PLZ
LAKE SAINT LOUIS,MO633671366 		Outpatient clinic
61 SSM HEALTH WOMEN'S HEALTH
300 MEDICAL PLZ STE 221
LAKE SAINT LOUIS,MO633671483 		Outpatient clinic
62 SSM HEALTH BEHAVIORAL HEALTH
1747 SMIZER STATION RD SUITE 2
FENTON,MO630262784 		Outpatient clinic
63 SSM HEALTH BREAST CARE
1011 BOWLES AVE GROUND LEVEL
FENTON,MO630262395 		Outpatient clinic
64 SSM HEALTH HEART & VASCULAR CARE
1011 BOWLES AVE STE 300
FENTON,MO630262387 		Outpatient clinic
65 SSM HEALTH HEART & VASCULAR CARE
1011 BOWLES AVE SUITE 205
FENTON,MO630262387 		Outpatient clinic
66 SSM HEALTH MEDICAL GROUP
10296 BIG BEND RD STE 111
SAINT LOUIS,MO631226498 		Outpatient clinic
67 SSM HEALTH MEDICAL GROUP
1296 JEFFCO BLVD
ARNOLD,MO630102138 		Outpatient clinic
68 SSM HEALTH MEDICAL GROUP
1011 BOWLES AVENUE SUITE 300
FENTON,MO630262387 		Outpatient clinic
69 SSM HEALTH NEUROSCIENCES
1055 BOWLES AVE STE 200
FENTON,MO630262308 		Outpatient clinic
70 SSM HEALTH PAIN CARE
1055 BOWLES AVE SUITE 200
FENTON,MO630262308 		Outpatient clinic
71 SSM HEALTH SLEEP SERVICES
1015 BOWLES AVE STE 300
FENTON,MO630262394 		Outpatient clinic
72 SSM HEALTH URGENT CARE
1296 JEFFCO BLVD
ARNOLD,MO630102138 		Outpatient clinic
73 SSM HEALTH VASCULAR SERVICES
1011 BOWLES AVE STE G20
FENTON,MO630262395 		Outpatient clinic
74 SSM HEALTH WOMEN'S HEALTH
1011 BOWLES AVENUE SUITE 300
FENTON,MO630262387 		Outpatient clinic
75 SSM BEHAVIORAL HEALTH URGENT CARE
12349 DE PAUL DR STE 110
BRIDGETON,MO630442512 		Urgent Care
76 SSM HEALTH BREAST CARE
3440 DE PAUL LN STE 100
BRIDGETON,MO630443546 		Outpatient clinic
77 SSM HEALTH CANCER CARE
12277 DE PAUL DR STE 310
BRIDGETON,MO630442529 		Outpatient clinic
78 SSM HEALTH CANCER CARE
1475 KISKER RD STE 180
SAINT CHARLES,MO633048786 		Outpatient clinic
79 SSM HEALTH CANCER CARE
400 MEDICAL PLZ STE 100
LAKE SAINT LOUIS,MO633671493 		Outpatient clinic
80 SSM HEALTH CANCER CENTER
12303 DE PAUL DR STE 101
BRIDGETON,MO630442512 		Outpatient clinic
81 SSM HEALTH DEPAUL HOSPITAL SURGERY
12266 DE PAUL DRIVE SUITE 10
BRIDGETON,MO630442514 		Outpatient clinic
82 SSM HEALTH DPH RHEUM INFUSION SYS
1120 SHACKELFORD RD STE B
FLORISSANT,MO630314369 		Outpatient clinic
83 SSM HEALTH HEART & VASCULAR CARE
12255 DE PAUL DR STE 400
BRIDGETON,MO630442510 		Outpatient clinic
84 SSM HEALTH HEART & VASCULAR CARE
12266 DE PAUL DR STE 205
BRIDGETON,MO630442514 		Outpatient clinic
85 SSM HEALTH HEART & VASCULAR CARE
12266 DE PAUL DR STE 206
BRIDGETON,MO630442514 		Outpatient clinic
86 SSM HEALTH IMAGING SERVICES
3440 DE PAUL LN STE 100
BRIDGETON,MO630443546 		Outpatient clinic
87 SSM HEALTH MEDICAL GROUP
1120 SHACKELFORD RD
FLORISSANT,MO630314369 		Outpatient clinic
88 SSM HEALTH MEDICAL GROUP
12277 DE PAUL DR STE 403
BRIDGETON,MO630442536 		Outpatient clinic
89 SSM HEALTH MEDICAL GROUP
2024 DORSETT VLG
MARYLAND HEIGHTS,MO63043 		Outpatient clinic
90 SSM HEALTH MEDICAL GROUP
14021 NEW HALLS FERRY RD
FLORISSANT,MO630332708 		Outpatient clinic
91 SSM HEALTH MEDICAL GROUP
12255 DE PAUL DR STE 500
BRIDGETON,MO630442515 		Outpatient clinic
92 SSM HEALTH MEDICAL GROUP
12255 DE PAUL DR STE 600
BRIDGETON,MO630442515 		Outpatient clinic
93 SSM HEALTH NEUROSCIENCES
12255 DE PAUL DR STE 200
BRIDGETON,MO630442510 		Outpatient clinic
94 SSM HEALTH NEUROSCIENCES
12255 DE PAUL DR STE 830
BRIDGETON,MO630442510 		Outpatient clinic
95 SSM HEALTH ORTHOPEDICS
12266 DE PAUL DR STE 110
BRIDGETON,MO630442514 		Outpatient clinic
96 SSM HEALTH ORTHOPEDICS
1120 SHACKELFORD RD
FLORISSANT,MO630314369 		Outpatient clinic
97 SSM HEALTH ORTHOPEDICS
12266 DE PAUL DR STE 220
BRIDGETON,MO630442514 		Outpatient clinic
98 SSM HEALTH PAIN CARE
12255 DE PAUL DR STE 120
BRIDGETON,MO630442513 		Outpatient clinic
99 SSM HEALTH SLEEP SERVICES
3440 DE PAUL LN STE 207
BRIDGETON,MO630443546 		Outpatient clinic
100 SSM HEALTH URGENT CARE
1120 SHACKELFORD RD
FLORISSANT,MO630314369 		Urgent Care
101 SSM HEALTH URGENT CARE
2022 DORSETT VLG
MARYLAND HEIGHTS,MO63043 		Outpatient clinic
102 SSM HEALTH VASCULAR SERVICES
12266 DE PAUL DR STE 315
BRIDGETON,MO630442514 		Outpatient clinic
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 10
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 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 report prepared by related organization SSM Health Care Corporation, 46-6029223
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The amounts reported on Form 990, Schedule H, Part I, Line 7a, 7b, and 7c were determined using the cost to charge ratio derived from worksheet 2 in the schedule h instructions. Form 990, schedule h, part I, Lines 7e, 7f, 7g, 7h, and 7i are reported at cost as reported in the organization's financial statements. The calculation of Schedule H, Part I, Line 7, Column F utilizes 990, Part IX, Line 25, Column A, which does not include Bad Debt Expense.
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: PHYSICAL IMPROVEMENTS AND HOUSING: DONATION MADE TO REBUILDING TOGETHER NEIGHBORHOOD BUILDING CAMPAIGN. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: EFFORTS TO GENERATE COMMUNITY-WIDE IMPROVEMENT AND RESPONSE FROM GOVERNMENT AND PRIVATE ORGANIZATIONS, INCLUDING ADVOCACY ON PUBLIC POLICY ISSUES THAT GO BEYOND HEALTH CARE, SUCH AS HOUSING, SAFETY, AND EDUCATION. PARTNERSHIP WITH ST. CHARLES COUNTY ECONOMIC DEVELOPMENT CENTER PARTNERS FOR PROGRESS AND THE COMMUNITY STRONG INITIATIVE. COMMUNITY STRONG IS A HEALTH INITIATIVE TO IMPROVE THE HEALTH AND WELLBEING OF ST. CHARLES COUNTY, MISSOURI. VOLUNTEERS IN MEDICINE INVOLVEMENT WITH THE CROSSROADS CLINIC, WHICH SERVES THE MEDICAL NEEDS OF WESTERN ST. CHARLES COUNTY, WARREN COUNTY, LINCOLN COUNTY, AND MONTGOMERY COUNTY RESIDENTS NOT COVERED BY MEDICARE, MEDICAID, OR PRIVATE INSURANCE AND LIVING BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. WORKFORCE DEVELOPMENT: EXPOSURE OF HIGH SCHOOL STUDENTS, COLLEGE STUDENTS, AND EDUCATORS TO HEALTH CARE CAREERS AND HEALTH CARE EDUCATION AND PROGRAMMING.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology FOR FINANCIAL STATEMENT PURPOSES, SSM Health Care St. Louis HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. 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 the treatment of uncollectible accounts and implicit price concessions in the December 31, 2020 consolidated audit is contained on page 13 and 14 of the attached financial statements.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST.
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 120 days. 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: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; - SSM Health Rehabilitation Hospital: Line 16a URL: https://www.ssm-rehab.com/patients-and-caregivers/admissions/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website A - SSM Health DePaul Hospital - St. Louis: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; - SSM Health Rehabilitation Hospital: Line 16b URL: https://www.ssm-rehab.com/patients-and-caregivers/admissions/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: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; - SSM Health Rehabilitation Hospital: Line 16c URL: https://www.ssm-rehab.com/patients-and-caregivers/admissions/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). System Office staff and leaders oversee and monitor SSMH's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, SSM Health Care Corporation also identifies needs based on assessments and research, and SSMH facilities also involve case managers and care team staff to pinpoint critical health issues in the community. All hospital CHNAs are 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 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, website resources, 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 is estimated at 2.8 million, making the area the 21st largest metropolitan area in the United States, and is enjoying consistent population growth. Of the total, nearly 30% of individuals are 55 years old or over. The poverty rate for the MSA was reported at 11.6% in 2017, while the national rate for the same year was 12.3 percent. The median household income continues to steadily rise, too, to $61,751, while income per capita is $33,987. More detailed statistics for each hospital's community is as follows: SSM Health St. Mary's Hospital is geographically located in mid -St. Louis County, however the primary service area and the secondary service area include zip codes in both St. Louis County and St. Louis City. There are 28 zip codes that are contained within or overlap the service area. In 2018, the population for St. Louis County is estimated at 997,087 persons. In St. Louis County, the average household income is $42,035, while in St. Louis City, the average is $67,173. In the County, over 42% of individuals have at least a Bachelor's degree, compared to 33.8% in the City. SSM Health St. Joseph - St. Charles and SSM Health St. Joseph Hospital - Lake Saint Louis hospitals are located in St. Charles County, Missouri, and serve that region as well as parts of Lincoln and Warren Counties. This tri-county area makes up 80% of the hospitals' patients served. In addition to the locations in historic downtown St. Charles and Lake Saint Louis, the hospital has a location in Wentzville that provides emergency, outpatient, and behavioral medicine services. The service area had an estimated population of 487,000 persons in 2017. The community is largely white, accounting for nearly 88% of the population. Nearly 13% of households earned less than $25,000 in 2018. SSM Health St. Clare Hospital - Fenton serves Southwest St. Louis and Jefferson Counties, which accounts for 85% of their total patients. There are 18 zip codes contained within or overlapping the service area. In 2017, the primary service area had an estimated population of 483,610 persons. Approximately 13.6% of the community population had a household income of less than $25,000 in 2017, and over 31% of the population is over the age of 55. SSM Health DePaul Hospital - St. Louis defines its service area as North St. Louis County, which accounts for 80% of the total patients served by the hospital. There are 20 zip codes within or that overlap the service area. In 2017, North St. Louis County had an estimated population of 350,000 persons. The community served is also very diverse, with over 52% of the population as black/non-Hispanic, and another nearly 9% comprised of other minorities. Approximately 22% of the population has at least a Bachelor's Degree.
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. In response to the global coronavirus pandemic, SSM Health Care St. Louis worked relentlessly to respond to community needs by developing and implementing strategies to address social needs of those served, providing screening & testing services, personal protective equipment and education throughout the community, as well as treatment for those who presented with COVID-19. SSM Health Care St. Louis promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote community health. 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, * 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 MO
Schedule H (Form 990) 2020
Additional Data


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Software Version: 2020v4.0

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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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
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
noncash assistance		 (h) Purpose of grant
or assistance
(1) Archdiocese of St Louis
20 Archbishop May Drive
St Louis,MO63119 		43-0653244 501(c)(3) 52,807       Support priest wellness program
(2) Fenton Area Chamber of Commerce
1400 South Highway Drive
Fenton,MO63099 		43-1172458 501(c)(6) 8,000       Support economic growth in the region
(3) Missouri Hospital Association
PO Box 60
Jefferson City,MO65102 		44-0610607 501(c)(6) 101,833       Support for health care issues committee
(4) Helping Hand Me Downs
PO Box 11385
St Louis,MO63105 		80-0752179 501(c)(3) 10,000       Support programs that assist families in need
(5) Kirkwood-Des Peres Area Chamber of Commerce
366 S Kirkwood Road
Lower Level
Kirkwood,MO63122 		43-0657123 501(c)(6) 10,000       Support economic growth in the region
(6) Missouri Extension Education Foundation Of Saint Charles County
260 Brown Road
St Peters,MO63376 		51-0661108 501(c)(3) 10,000       Support for Save the Gardens
(7) Pink Ribbon Girls Inc
15 S Second Street
Tipp City,OH45371 		32-0020270 501(c)(3) 25,000       Support for patient care and research programs
(8) St Charles Community College Foundation
4601 Mid Rivers Mall Drive
Cottleville,MO63376 		43-1591959 501(c)(3) 6,000       Support educational assistance programs
(9) St Louis Regional Health Commission
1113 Mississippi Avenue
No 113
St Louis,MO63104 		43-1883638 501(c)(3) 25,000       Support health initiatives and advancement
(10) St Louis Regional Chamber & Growth Association
One Metropolitan Square
Suite 1300
St Louis,MO63102 		43-0975222 501(c)(6) 10,745       Support businesses and economic growth in the metro area
(11) St Charles County Economic Development Council
5988 Mid Rivers Mall Drive
St Peters,MO63304 		43-1545618 501(c)(4) 55,000       Support economic growth in the region
(12) Youth in Need
1815 Boones Lick Road
St Charles,MO63301 		43-1033862 501(c)(3) 5,700       Support youth outreach programs
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
7
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
5
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020

Schedule I (Form 990) 2020
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
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) Patient medical supplies assistance 7664   63,505 Book Patient medical supplies assistance
(1)
(2)
(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) 2020



Additional Data


Software ID: 20011424
Software Version: 2020v4.0


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
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 on 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 on 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 nonfixed
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) 2020

Schedule J (Form 990) 2020
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
 
Chair, President, Regional President-St Louis 		(i)

(ii)		 668,869
-------------
0 		398,415
-------------
0 		103,293
-------------
0 		315,729
-------------
0 		26,632
-------------
0 		1,512,938
-------------
0 		479,468
-------------
0
2Steve Smoot
 
Director, COO of SSM Health 		(i)

(ii)		 0
-------------
910,565 		0
-------------
527,949 		0
-------------
2,622 		0
-------------
620,704 		0
-------------
36,788 		0
-------------
2,098,628 		0
-------------
527,936
3Laura Kaiser
 
Former Officer 		(i)

(ii)		 0
-------------
1,605,981 		0
-------------
1,659,602 		0
-------------
189,142 		0
-------------
1,696,604 		0
-------------
27,973 		0
-------------
5,179,302 		0
-------------
1,659,576
4Paula Friedman
 
Former Officer 		(i)

(ii)		 0
-------------
0 		0
-------------
249,317 		0
-------------
257,685 		0
-------------
0 		0
-------------
0 		0
-------------
507,002 		0
-------------
258,551
5Christopher Howard
 
Former Officer 		(i)

(ii)		 0
-------------
0 		0
-------------
212,519 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
212,519 		0
-------------
212,519
6Kris Zimmer
 
Pt Yr Treasurer, Pt Yr Chief Financial Officer at SSM Health 		(i)

(ii)		 0
-------------
370,664 		0
-------------
803,048 		0
-------------
543,333 		0
-------------
56,137 		0
-------------
16,938 		0
-------------
1,790,120 		0
-------------
1,162,526
7Douglas Long
 
Secretary, General Counsel at SSM Health 		(i)

(ii)		 0
-------------
645,435 		0
-------------
469,242 		0
-------------
87,144 		0
-------------
374,673 		0
-------------
24,679 		0
-------------
1,601,173 		0
-------------
547,438
8Karen Rewerts
 
VP-Financial Operations 		(i)

(ii)		 0
-------------
555,842 		0
-------------
109,440 		0
-------------
125,567 		0
-------------
146,048 		0
-------------
32,701 		0
-------------
969,598 		0
-------------
168,566
9Randy Combs
 
Treasurer, Chief Financial Officer at SSM Health 		(i)

(ii)		 0
-------------
216,927 		0
-------------
100,000 		0
-------------
86,336 		0
-------------
82,693 		0
-------------
1,909 		0
-------------
487,865 		0
-------------
84,600
10Eileen Lamm
 
Regional VP, Finance (MO/ILL) 		(i)

(ii)		 0
-------------
314,938 		0
-------------
21,262 		0
-------------
5,501 		0
-------------
75,921 		0
-------------
23,917 		0
-------------
441,539 		0
-------------
0
11Margaret Fowler
 
Former Key Employee 		(i)

(ii)		 0
-------------
421,790 		0
-------------
117,210 		0
-------------
174,422 		0
-------------
4,275 		0
-------------
27,664 		0
-------------
745,361 		0
-------------
151,020
12Alexander Garza
 
Former Key Employee 		(i)

(ii)		 0
-------------
535,628 		0
-------------
197,478 		0
-------------
35,994 		0
-------------
219,727 		0
-------------
37,573 		0
-------------
1,026,400 		0
-------------
147,481
13Michael Bowers
 
COO SSM Health Care St. Louis 		(i)

(ii)		 511,001
-------------
0 		126,654
-------------
0 		54,611
-------------
0 		154,243
-------------
0 		32,918
-------------
0 		879,427
-------------
0 		179,556
-------------
0
14Travis Capers
 
Hospital President, SSM Health St. Mary's Hospital - St. Louis 		(i)

(ii)		 472,512
-------------
0 		116,151
-------------
0 		51,817
-------------
0 		141,111
-------------
0 		15,365
-------------
0 		796,956
-------------
0 		165,447
-------------
0
15Tina Garrison
 
Hospital President, SSM Health St. Clare Hospital - Fenton 		(i)

(ii)		 311,732
-------------
0 		76,363
-------------
0 		18,360
-------------
0 		92,097
-------------
0 		23,219
-------------
0 		521,771
-------------
0 		84,052
-------------
0
16Ellis Hawkins
 
Hospital President, SSM Health DePaul Hospital - St. Louis 		(i)

(ii)		 431,551
-------------
0 		106,389
-------------
0 		60,227
-------------
0 		126,006
-------------
0 		22,509
-------------
0 		746,682
-------------
0 		138,276
-------------
0
17Lisle Wescott
 
Hospital President, SSM Health St. Joseph Hospitals 		(i)

(ii)		 422,223
-------------
0 		103,795
-------------
0 		42,716
-------------
0 		122,010
-------------
0 		20,350
-------------
0 		711,094
-------------
0 		131,255
-------------
0
18Renee Roach
 
Pt Yr System VP - HR St Louis 		(i)

(ii)		 0
-------------
110,206 		0
-------------
72,091 		0
-------------
363 		0
-------------
2,631 		0
-------------
8,029 		0
-------------
193,320 		0
-------------
72,092
19Julie Wilhite
 
Regional VP - Human Resources 		(i)

(ii)		 0
-------------
296,771 		0
-------------
85,578 		0
-------------
2,691 		0
-------------
68,851 		0
-------------
11,079 		0
-------------
464,970 		0
-------------
20,224
20Hsieng Su MD
 
Regional VP - Medical Affairs/CMO 		(i)

(ii)		 471,179
-------------
0 		96,054
-------------
0 		2,478
-------------
0 		126,699
-------------
0 		16,426
-------------
0 		712,836
-------------
0 		96,056
-------------
0
21Kathleen Bonser
 
Regional VP - Nursing/CNO St Louis 		(i)

(ii)		 310,424
-------------
0 		63,449
-------------
0 		194,717
-------------
0 		57,905
-------------
0 		34,525
-------------
0 		661,020
-------------
0 		186,126
-------------
0
22Rachel Donlan
 
System VP - Strategic Development 		(i)

(ii)		 0
-------------
210,507 		0
-------------
43,011 		0
-------------
6,481 		0
-------------
60,400 		0
-------------
29,399 		0
-------------
349,798 		0
-------------
49,031
23Don Tran MD
 
President, Physicians Org/Ambulatory Services 		(i)

(ii)		 463,775
-------------
0 		117,090
-------------
0 		1,616
-------------
0 		142,008
-------------
0 		33,056
-------------
0 		757,545
-------------
0 		117,090
-------------
0
24Joseph Attewell
 
Physician 		(i)

(ii)		 472,392
-------------
0 		16,667
-------------
0 		114,535
-------------
0 		4,275
-------------
0 		34,784
-------------
0 		642,653
-------------
0 		0
-------------
0
25William Holcomb
 
Physician 		(i)

(ii)		 488,560
-------------
0 		0
-------------
0 		39,591
-------------
0 		2,137
-------------
0 		22,865
-------------
0 		553,153
-------------
0 		0
-------------
0
26Andrew Karanas
 
Physician 		(i)

(ii)		 511,948
-------------
0 		0
-------------
0 		100,374
-------------
0 		3,250
-------------
0 		35,782
-------------
0 		651,354
-------------
0 		0
-------------
0
27Thomas Landon
 
Physician 		(i)

(ii)		 549,848
-------------
0 		0
-------------
0 		3,959
-------------
0 		0
-------------
0 		27,952
-------------
0 		581,759
-------------
0 		0
-------------
0
28David Uhls
 
Physician 		(i)

(ii)		 502,540
-------------
0 		0
-------------
0 		613
-------------
0 		3,986
-------------
0 		16,609
-------------
0 		523,748
-------------
0 		0
-------------
0
Schedule J (Form 990) 2020

Schedule J (Form 990) 2020
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 2020. These payments were included in their taxable compensation. Candace Jennings Lisle Jennison Wescott Ellis Hawkins Tina Garrison Kathleen Bonser Joseph Attewell Andrew Karanas
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization's top management official (Regional President) has compensation that is determined by a related organization. The related organization 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 SSM Health 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 in Part VII of the Form 990 received payments under the plan in the current year: Paula Friedman $257,685
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 the SSMH 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 individuals listed on Part VII of Form 990 received distributions from the plan in 2020. 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 DEFERRALS FROM THIS PLAN IN 2020: Steve Smoot $105,168 Kris Zimmer $54,000 Karen Rewerts $45,600 Eileen Lamm $28,000 Michael Bowers $41,000 Lisle Jennison Wescott $33,600 Travis Capers $37,600 Ellis Hawkins $34,440 Julie Wilhite $24,800 Tina Garrison $24,720 Hsieng Su, MD $37,600 Rachel Donlan $16,983 Don Tran, MD $37,904 Alexander Garza $42,400 Laura Kaiser $314,000 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2020. All distributions received from the plan in the current year were included in the individual's taxable compensation. Candace Jennings $81,053 Kris Zimmer $493,428 Randy Combs $84,600 Douglas Long $78,000 Karen Rewerts $59,124 Michael Bowers $52,900 Lisle Jennison Wescott $27,459 Travis Capers $49,294 Ellis Hawkins $31,885 Tina Garrison $7,688 Kathleen Bonser $122,676 Rachel Donlan $6,020 Margaret Fowler $33,807 During 2020, the following individuals participated in a nonqualified retirement plan from the organization or a related organization. The amounts reported below represent the change in accrued benefit for each individual and also include amounts accrued under the pension restoration plan: Candace Jennings $9,258 Kris Zimmer $26,226 Karen Rewerts $43,291 Eileen Lamm $2,583 Lisle Jennison Wescott $9,764 Ellis Hawkins $18,372 Tina Garrison $6,821 Kathleen Bonser $47,399 Joseph Attewell $76,773 Andrew Karanas $12,102 Margaret Fowler $92,894
Schedule J (Form 990) 2020

Additional Data


Software ID: 20011424
Software Version: 2020v4.0
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
SSM Health Care St Louis
 
Employer identification number

43-1343281
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2020
Schedule L (Form 990 or 990-EZ) 2020
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) KRISTOPHER ZIMMER
  		FAMILY MEMBER OF KRIS ZIMMER, OFFICER OF ORGANIZATION 83,787 EMPLOYMENT   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2020


Additional Data


Software ID: 20011424
Software Version: 2020v4.0




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 imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
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 ( VARIOUS MEDICAL ITEMS ) X 2 78,386 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 isn't 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 nonstandard 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 didn't 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) (2020)
Schedule M (Form 990) (2020)
Page 2
Part IISupplemental 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 (Form 990) (2020)

Additional Data


Software ID: 20011424
Software Version: 2020v4.0
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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
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. Clayton Health Services Pharmacy West East Central Missouri Area Health Education Center Knights of Columbus Pediatric Development Center Maryville Pediatrics SSM Care Management Company SSM Health at Work SSM Health Behavioral Health SSM Health Breast Care SSM Health Cancer Care SSM Health Cardinal Glennon Pediatrics SSM Health DePaul Hospital - Anna House SSM Health DePaul Hospital - St. Louis SSM Health DePaul Hospital Physician Billing SSM Health DePaul Hospital Rheumatology Infusion Services SSM Health DePaul Hospital Surgery Center SSM Health Foundations St. Louis SSM Health Heart & Vascular Care SSM Health Imaging Services SSM Health Medical Group SSM Health Neurosciences SSM Health Orthopedics SSM Health Outpatient Center SSM Health Pain Care SSM Health Pharmacy SSM Health Sleep Services SSM Health St. Clare Hospital - Fenton SSM Health St. Clare Hospital Physician Billing SSM Health St. Joseph Hospital - Lake Saint Louis SSM Health St. Joseph Hospital - St. Charles SSM Health St. Joseph Hospital - Wentzville SSM Health St. Joseph Hospital Wentzville Outpatient Pharmacy SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing SSM Health St. Joseph Hospital - St. Charles Physician Billing SSM Health St. Joseph Hospital - Wentzville Physician Billing SSM Health St. Louis SSM Health St. Mary's Hospital - St. Louis SSM Health St. Mary's Hospital Physician Billing SSM Health St. Mary's Radiology SSM Health Treatment & Recovery SSM Health Urgent Care SSM Health Vascular Services SSM Health Weight Management Services SSM Health Women's Health SSM Integrated Distribution & Services 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 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 nearly 40,000 people and is affiliated with 11,000 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. About SSM Health Care St Louis: SSM Health Care St Louis provides health care services at six 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. Since SSM Health's founding sisters began their ministry in St. Louis with just $5 among them more than 145 years ago, it has grown into one of the largest integrated delivery systems in the nation. In the St. Louis region, SSM Health operates eight hospitals, as well as numerous urgent care locations, SSM Health Express Clinics at Walgreens, SSM Health Medical Group offices, pediatric-specific locations, outpatient rehab centers, occupational health locations and hospice and home health services. SSM Health Care St. Louis also is partial owner of SSM Health Rehabilitation Hospital, a specialty rehabilitation hospital that offers care and advanced treatment for individuals with stroke, brain injury, spinal cord injury, neurological disorders, amputation, joint replacement and other orthopedic trauma, as well as general medical rehabilitation needs. SSM Health DePaul Hospital-St Louis opened in 1828, 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, 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 Certified Primary 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, as a Certified Hip Replacement Center, a Certified Knee Replacement Center, and is designated as a Level I Time Critical Diagnosis STEMI Center. It is also a Bariatric Surgery Center of Excellence as endorsed by the American Society for Metabolic and Bariatric Surgery. SSM Health St. Mary's Hospital is a two-time winner of the Premier Award for Quality and a Level II Time Critical Diagnosis STEMI Center. The Hospital has distinctive capabilities in heart attack care, high-risk pregnancies, and fetal surgery. Additionally, the hospital has a chest pain center, advanced stroke care clinic and the latest imaging and outpatient services. A teaching hospital, SSM Health St. Mary's offers an independent, accredited internal medicine residency program and is the primary location for St. Louis University School of Medicine's Department of Obstetrics and Gynecology and its Family Practice residency programs. 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 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. The facility is designated as a Level II Trauma Center, A Joint Commission-certified Primary Stroke Center and the only Level I Time Critical Diagnosis STEMI Center in St. Charles County. 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 hospital is a state-designated Level III trauma center, a Level II Time Critical Diagnosis STEMI Center and specializes in obstetric and pediatric care. 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. Operating under the SSM Health St. Joseph Hospital - St. Charles hospital license, 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, cardiology, pulmonary and rehab services. Behavioral health inpatient and outpatient care also is an integral part of the services offered at the hospital. The hospital offers inpatient psychiatric care on campus with close supervision, with the goal of stabilizing patients and helping them understand their condition and develop coping strategies to manage their emotions and behaviors. SSM Health St. Clare Hospital-Fenton is a Level I Time Critical Diagnosis STEMI Center and a Level I Stroke Center, serves the medical needs of the expanding community in southwest St. Louis County. Specializing in heart and vascular, neurosciences, cancer care, maternity and other medical services. The hospital also received the Healthgrades Outstanding Patient Experience Award in 2019. SSM Health Care St Louis 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. Quantifiable Uncompensated Care: The following is a list of the types of programs and services that could be included as uncompensated care: Traditional Charity Care $ 35,651,480 Unpaid Cost of Medicaid $ 27,553,105 Unpaid Cost of Other Means-Tested Programs $ 2,156,464 Total Quantifiable Uncompensated Care $ 65,361,049
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 15a Process for determining compensation A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.
Form 990, Part VI, Line 15b Process for determining compensation A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.
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.
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 8b Documentation of meetings held by committees of governing body The organization does not have any committees with authority to act on behalf of the governing body.
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 (SSMH). The return is then reviewed by an independent accounting firm who signs as paid preparer. The return is then provided to member of senior management. Any questions are addressed by the tax department of SSMH 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 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: 1209385, Related or Exempt Function Revenue: , Unrelated Business Revenue: 21194, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1188191;
Form 990, Part IX, Line 11g Other Fees Other medical and professional fees - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 56346926, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS TO AFFILIATES - -XXX-XX-XXXX; CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - 2939697;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


Additional Data


Software ID: 20011424
Software Version: 2020v4.0
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 Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2020
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 ACO LLC
10101 Woodfield Lane
St Louis,MO63132
90-0986282 		HEALTH PROMOTION MO 4,488,149 15,067,633 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) Type I SSM Health Ministries
 
 
No
(2)SSMHC Liability Trust I
10101 Woodfield Lane

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

St Louis,MO63132
43-1473657 		Health Care MO 501(c)(3) 10 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) Type I 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 Children's Hospital
 
 
No
(8)SSM Health Foundation - St Louis
10101 Woodfield Lane

St Louis,MO63132
43-1552945 		Fundraising MO 501(c)(3) 7 SSM Health Care St Louis
 
Yes
 
(9)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
(10)The 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
(11)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
(12)Dells Medical Building Inc
10101 Woodfield Lane

St Louis,MO63132
39-1613292 		MOB WI 501(c)(2)   SSM Health Care of Wisconsin
 
 
No
(13)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
(14)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
(15)Home Health United Inc
2802 Walton Commons Lane

Madison,WI53718
39-1539827 		Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin
 
 
No
(16)Home Care United Inc
2802 Walton Commons Lane

Madison,WI53718
39-1776340 		Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin
 
 
No
(17)HHU Xtra Care Inc
2802 Walton Commons Lane

Madison,WI53718
39-1705111 		Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin
 
 
No
(18)SSM Health at Home Foundation of Wisconsin Inc
2802 Walton Commons Lane

Madison,WI53718
39-1839309 		Fundraising WI 501(c)(3) Type I Home Health United Inc
 
 
No
(19)SSM Regional Health Services
10101 Woodfield Lane

St Louis,MO63132
44-0579850 		Health Care MO 501(c)(3) 3 SSM Health Care Corporation
 
 
No
(20)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
(21)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
(22)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
(23)St Mary's - Good Samaritan Inc
10101 Woodfield Lane

St Louis,MO63132
36-4170833 		Health Care IL 501(c)(3) Type I SSM Regional Health Services
 
 
No
(24)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 Inc
 
 
No
(25)St Mary's Hospital Foundation
10101 Woodfield Lane

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

Centralia,IL62801
23-7126345 		Fundraising IL 501(c)(3) 10 St Mary's Hospital Foundation
 
 
No
(27)SSM Health Businesses
10101 Woodfield Lane

St Louis,MO63132
43-1333488 		Health Care MO 501(c)(3) 10 SSM Health Care Corporation
 
 
No
(28)Centralia Medical Services Bldg Assoc
10101 Woodfield Lane

St Louis,MO63132
23-7408025 		MOB IL 501(c)(3) Type I SSM Regional Health Services
 
 
No
(29)St Mary's Janesville Foundation Inc
10101 Woodfield Lane

St Louis,MO63132
27-3439133 		Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin
 
 
No
(30)SSM Health Ministries
3221 McKelvey Road Suite 107

Bridgeton,MO63044
43-1012492 		Religious Organization MO 501(c)(3) 1 NA
 
 
No
(31)Lee Dewey Corporation
10101 Woodfield Lane

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

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

Jefferson City,MO65101
43-6049878 		Fundraising MO 501(c)(3) Type II NA
 
 
No
(34)Good Samaritan Hospital Auxiliary
1 Good Samaritan Way

Mount Vernon,IL62864
23-7049599 		Fundraising IL 501(c)(3) Type III-FI NA
 
 
No
(35)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
(36)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
(37)Audrain Medical Center Foundation Inc
620 E Monroe St

Mexico,MO65265
43-1265060 		Fundraising MO 501(c)(3) Type I NA
 
 
No
(38)SSM-SLUH Inc
10101 Woodfield Lane

St Louis,MO63132
47-4196634 		Health Care MO 501(c)(3) 3 SSM Health Care St Louis
 
Yes
 
(39)SSM Health Plan
1277 Deming Way

Madison,WI53717
83-1979548 		Insurance MO 501(c)(4)   SSM Health Businesses
 
 
No
(40)Agnesian Healthcare Inc
430 E Division St

Fond du Lac,WI54935
39-0807236 		Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin
 
 
No
(41)Ripon Medical Center Inc
845 Parkside Street

Ripon,WI54971
39-1101287 		Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc
 
 
No
(42)Waupun Memorial Hospital Inc
620 West Brown Street

Waupun,WI53963
39-0806265 		Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc
 
 
No
(43)St Francis Home of Fond du Lac Wisconsin Inc
33 Everett Street

Fond du Lac,WI54935
39-1029998 		Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc
 
 
No
(44)Sister Servants of Christ the King Villa Loretto
N8114 County WW

Mount Calvary,WI53057
39-1022770 		Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc
 
 
No
(45)Villa Rosa Inc
N8120 County WW

Mount Calvary,WI53057
42-1670962 		Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc
 
 
No
(46)The Christian Home and Rehabilitation Center Incorporated
331 Bly Street

Waupun,WI53963
39-0884514 		Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc
 
 
No
(47)The Monroe Clinic Inc
515 22nd Avenue

Monroe,WI53566
39-0808509 		Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin
 
 
No
(48)Monroe Clinic and Hospital Foundation Inc
515 22nd Avenue

Monroe,WI53566
20-5769038 		Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin
 
 
No
(49)Agnesian Healthcare Foundation Inc
430 E Division St

Fond du Lac,WI54935
39-1684956 		Fundraising WI 501(c)(3) Type I SSM Health Care of Wisconsin
 
 
No
(50)Shared Magnetic Resonance Imaging Facility Inc
1104 John Nolen Drive

Madison,WI53713
39-1534744 		Health Care WI 501(c)(3) Type I SSM Health Care of Wisconsin
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
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 2,318,361 4,155,566   No 0   No 50 %
(2) St Clare Imaging Services LLC

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

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

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

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

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

1000 N Lee Ave
Oklahoma City,OK73102
45-5458304 		MOB OK NA
  		N/A                
(8) Dean Clinic & St Mary's Hospital Accountable Care Organization LLC

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

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

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

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

1808 West Beltline Highway
Madison,WI53713
39-6220698 		MOB WI NA
  		N/A                
(13) 1110 N Classen Blvd LLC

1110 N Classen Boulevard
Oklahoma City,OK73106
73-1158158 		MOB OK NA
  		N/A                
(14) SSM St Clare Surgical Center LLC

10101 Woodfield Lane
St Louis,MO63132
26-1439695 		Surgery Services MO NA
  		N/A                
(15) Windmill LLP

50 Village View Lane
Chesterfield,MO63017
43-1804651 		Investments MO NA
  		N/A                
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 0 231,116 100 % Yes  
(2) FPP INC & Subs

10101 Woodfield Lane
St Louis,MO63132
43-1465174 		Health Care MO NA
  		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 Properties Inc

10101 Woodfield Lane
St Louis,MO63132
43-1462486 		Property Services MO NA
  		C Corporation         No
(5) HealthFirst Physician Management Services

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

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

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

10101 Woodfield Lane
St Louis,MO63132
03-0310431 		Insurance CJ NA
  		C Corporation         No
(9) Physicians Services Corp of Southern Illinois Inc

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

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

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

PO Box 56099
Madison,WI53705
39-1535024 		Insurance WI NA
  		C Corporation         No
(13) SMDV Office Building

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

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

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

4117 Veterans Memorial Drive
Mt Vernon,IL62804
37-1343746 		Physician Offices IL NA
  		S Corporation         No
(17) SSM Health Janesville Campus Condominium Association Inc

1808 West Beltline Highway
Madison,WI53713
83-2038674 		Condo association WI NA
  		C Corporation         No
(18) SSM Health Pharmacy LLC

10101 Woodfield Lane
St Louis,MO63132
26-4031708 		Pharmacy MO NA
  		C Corporation         No
(19) Dane County Cytology Center Inc

2000 Engel Street Suite 201
Madison,WI53713
39-1414219 		Medical Services WI NA
  		C Corporation         No
(20) SSM Health Insurance Company

1277 Deming Way
Madison,WI53717
83-4718249 		Insurance MO NA
  		C Corporation         No
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
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
 
No
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
 
No
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
 
No
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
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
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 Health Foundation - St Louis

 C 1,166,784 Cash
(2) SSM Health Foundation - St Louis

 P 2,792,441 Cash




Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
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) 2020
Schedule R (Form 990) 2020
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) 2020

Additional Data


Software ID: 20011424
Software Version: 2020v4.0