2024-12-23T16:35:37-06:00 2023-12-31 990 2023-01-01 863519607 SSM HEALTH CARDINAL GLENNON TRANSPORT SSMH 3149947800 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 STEPHANIE KING FINANCE - VICE PRESIDENT 3149947800 2024-12-23 0 2023 2024-10-15 13:58:12Z JEREMY FOTHERINGHAM 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 2181146 0 X WWW.SSMHEALTH.COM X 2021 MO OPERATION OF A NEONATAL AND PEDIATRIC TRANSPORT PROGRAM AND PROVISION OF EMERGENCY AND NON-EMERGENCY TRANSPORTATION OF SICK, DISEASED, INJURED, AND CRIPPLED CHILDREN AND OTHERS IN SUPPORT OF SSM CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH CARE ST. LOUIS. 9 4 0 4 0 0 0 0 2328559 2181146 0 -52829 0 0 2328559 2128317 0 0 0 0 4512361 4336201 0 0 0 0 577929 4512361 4914130 -2183802 -2785813 4542689 6582778 7269866 12095767 -2727177 -5512989 OPERATION OF A NEONATAL AND PEDIATRIC TRANSPORT PROGRAM AND PROVISION OF EMERGENCY AND NON-EMERGENCY TRANSPORTATION OF SICK, DISEASED, INJURED, AND CRIPPLED CHILDREN AND OTHERS IN SUPPORT OF SSM CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH CARE ST. LOUIS. 0 0 4914130 2181146 OPERATION OF A NEONATAL AND PEDIATRIC TRANSPORT PROGRAM AND PROVISION OF EMERGENCY AND NON-EMERGENCY TRANSPORTATION OF SICK, DISEASED, INJURED, AND CRIPPLED CHILDREN AND OTHERS IN SUPPORT OF SSM CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH CARE ST. LOUIS. 4914130 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 9 4 0 0 0 0 1 1 0 1 0 0 0 0 1 1 1 1 1 0 0 0 X SUSAN TAYLOR 3149893650 1195 CORPORATE LAKE ST LOUIS MO 63132 JAN CERNY DIRECTOR, VICE CHAIRPERSON 1.00 3.00 X X 0 0 0 JEREMY FOTHERINGHAM CHAIRPERSON AND PRESIDENT 1.00 42.00 X X 0 1125814 687586 STEVE SMOOT VICE PRESIDENT, COO OF SSM HEALTH 1.00 65.00 X X 0 2054358 1204489 CHRISTINE JACOBS MD DIRECTOR 1.00 3.00 X 0 0 0 DENNIS HARMS DIRECTOR 1.00 3.00 X 0 0 0 DOUGLAS PETTY PHD DIRECTOR 1.00 3.00 X 0 0 0 JOSEPH YANCY DIRECTOR 1.00 3.00 X 0 0 0 STEVEN SMITH DIRECTOR 1.00 3.00 X 0 38560 12714 TIMOTHY JOHNSON MD DIRECTOR 1.00 3.00 X 0 749701 300989 DOUGLAS LONG SECRETARY 1.00 72.20 X 0 1425239 777013 MELISSA FLAHERTY ASSISTANT SECRETARY 1.00 40.00 X 0 0 0 KEVIN SMITH TREASURER - PART YEAR 1.00 69.00 X 0 219586 99334 RANDY COMBS TREASURER - PART YEAR 1.00 69.00 X 0 2182354 1238074 0 7795612 4320199 0 0 1 0 0 TRANSPORTATION SERVICES 485000 2181146 2181146 2181146 52829 -52829 -52829 -52829 2128317 0 0 2128317 4034165 4034165 302036 302036 24121 24121 553808 553808 4914130 4914130 0 0 742963 1521322 1641728 3044515 4031363 2014422 2157998 2016941 0 0 4542689 6582778 45099 10192 7224767 12085575 7269866 12095767 X -2727177 -5512989 -2727177 -5512989 4542689 6582778 -2785813 0 X 0 1 X 1 0 X X 2 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 430738490 3 1 0 0 SSM HEALTH CARE ST LOUIS 431343281 3 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, PART I, LINE 12G(V) SSM CARDINAL GLENNON CHILDREN'S TRANSPORT IS A TYPE I SUPPORTING ORGANIZATION THAT IS OPERA TED EXCLUSIVELY TO SUPPORT THE OPERATIONS OF SSM CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEAL TH CARE ST. LOUIS, RELATED TAX-EXEMPT ORGANIZATIONS. THE AMOUNTS OF SUPPORT PROVIDED TO THESE ORGANIZATIONS ON SCHEDULE A, PART I, LINE 11(H)(V) AND LINE 11(H)(VI) DO NOT INCLUDE EXPENSES PAID ON BEHALF OF BUT NOT DIRECTLY TO THESE ORGANIZATIONS. 4031363 2014422 2016941 2016941 INTERCOMPANY PAYABLE 12085575 12085575 X PART X, LINE 2: SSM HEALTH CARDINAL GLENNON TRANSPORT'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENT OF A RELATED ORGANIZATION, SSM HEALTH (SSMH). 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 2023 OR 2022. 0 1 0 0 0 0 0 0 0 RANDY COMBS TREASURER - PART YEAR 0 1242308 0 669269 0 270777 0 1203989 0 34085 0 3420428 0 669269 STEVE SMOOT VICE PRESIDENT, COO OF SSM HEALTH 0 1173646 0 737192 0 143520 0 1164125 0 40364 0 3258847 0 878090 DOUGLAS LONG SECRETARY 0 759270 0 495539 0 170430 0 753634 0 23379 0 2202252 0 495539 JEREMY FOTHERINGHAM CHAIRPERSON AND PRESIDENT 0 789865 0 334239 0 1710 0 648534 0 39052 0 1813400 0 334239 TIMOTHY JOHNSON MD DIRECTOR 0 546303 0 162711 0 40687 0 266170 0 34819 0 1050690 0 201688 KEVIN SMITH TREASURER - PART YEAR 0 117134 0 102320 0 132 0 96255 0 3079 0 318920 0 0 PART I, LINE 4B SSM HEAL TH (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 2023. 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 2023: DOUGLAS LONG $161,286 JEREMY FOTHERINGHAM $158,615 KEVIN SMITH $95,493 RANDY COMBS $261,633 STEVE SMOOT $249,972 TIM JOHNSON $54,877 THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN IN 2023. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. STEVE SMOOT $140,898 TIM JOHNSON $38,977 FORM 990, PART V, LINE 1A ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEAL TH CARE CORPORATION, EIN 46-6029223. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE THIS ENTITY IS SSM HEAL TH CARE ST LOUIS. SSM HEALTH CARE ST LOUIS IS A NONPROFIT 501(C)(3) ORGANIZATION THAT OPERATES SIX HOSPITALS IN THE GREATER ST. LOUIS AREA. BOTH THIS ENTITY AND SSM HEALTH CARE ST LOUIS ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF TRUSTEES EXCEPT FOR ANY TRUSTEE WHO SERVES EX OFFICIO, AND TO REMOVE APPOINTED TRUSTEES WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEAL TH CARE CORPORATION (SSM). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SSM PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY 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 MUCH 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, SECTION C, LINE 19 HE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, LINE 19-REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. 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