2024-11-15T13:57:01-06:00 2023-12-31 990 2023-01-01 474196634 SSM-SLUH INC SSM- 3149947800 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 STEPHANIE KING VP-FINANCE 3149947800 2024-11-15 0 2023 2024-10-15 13:58:12Z X STEVEN SCOTT 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 856268117 0 0928 X WWW.SSMHEALTH.COM/LOCATIONS/ST-LOUIS/SAINT-LOUIS- X 2015 MO OPERATES AN ACADEMIC MEDICAL CENTER IN ST. LOUIS, MISSOURI THAT SERVES AS THE TEACHING HOSPITAL FOR THE ST. LOUIS UNIVERSITY SCHOOL OF MEDICINE. 9 7 2962 164 407087 2211 603071 249343 788446117 846945338 137500 18582 35104730 8680894 824291418 855894157 567628 495437 0 0 177140909 199081292 0 0 0 651027317 688227770 828735854 887804499 -4444436 -31910342 739037071 724347104 712291472 728734916 26745599 -4387812 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 785496139 495437 846542820 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 650 PHYSICIAN OFFICES AND OTHER OUTPATIENT AND VIRTUAL CARE SERVICES, 12 POST-ACUTE FACILITIES, COMPREHENSIVE HOME CARE AND HOSPICE SERVICES, A PHARMACY BENEFIT COMPANY, AND AN ACCOUNTABLE CARE ORGANIZATION. THE HEALTH SYSTEM EMPLOYS NEARLY 40,000 PEOPLE AND IS AFFILIATED WITH 13,900 PHYSICIANS MAKING IT ONE OF THE LARGEST EMPLOYERS IN EVERY COMMUNITY IT SERVES. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMH STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL HEALTH CARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. ABOUT SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL:SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL IS A QUATERNARY AND TERTIARY CARE ACADEMIC MEDICAL CENTER IN ST. LOUIS THAT SERVES AS THE TEACHING HOSPITAL FOR SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE. AS AN ACADEMIC MEDICAL CENTER, WE ARE AT THE FOREFRONT OF GROUND-BREAKING MEDICAL TREATMENTS AND PROCEDURESPROVIDING THEM TO OUR PATIENTS, TEACHING THEM TO OUR STUDENTS AND DEVELOPING THEM THROUGH RESEARCH AND INNOVATION.WHILE WE ALL STRIVE TO PROVIDE THE LATEST IN HIGH-TECHNOLOGY MEDICINE, WE ALSO SHARE A DEEP, CATHOLIC HERITAGE THAT EMPOWERS US TO BE CAREGIVERS AT EVERY LEVEL. WE TREAT THE WHOLE PATIENTBODIES AS WELL AS MINDS AND SPIRITSWITH COMPASSION AND RESPECT.THE HOSPITAL WAS THE FIRST LEVEL 1 TRAUMA CENTER CERTIFIED IN MISSOURI AND ILLINOIS AND IS ALSO THE FOUNDER OF THE MID AMERICA STROKE NETWORK, A REGIONAL PROGRAM THAT PROVIDES STROKE CARE EDUCATION TO PROMOTE QUALITY STROKE CARE THROUGHOUT THE MIDWEST.IN SEPTEMBER 2020, THE HOSPITAL OPENED A NEW $550 MILLION FACILITY FOR HOSPITAL AND OUTPATIENT CARE SERVICES. THE NEW COMPLEX IMPROVES INTEGRATION BETWEEN THE HOSPITAL AND SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE AND SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL. THE NEW HOSPITAL INCLUDES ALL PRIVATE PATIENT ROOMS, LARGER INTENSIVE CARE UNITS, AN EXPANDED EMERGENCY DEPARTMENT, NEW OUTPATIENT CARE CENTER, ADDITIONAL CLINICAL SPACE FOR SLUCARE PHYSICIAN PRACTICES, AND EDUCATIONAL SPACE FOR TRAINING.SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OPERATES IN COLLABORATION WITH SSM HEALTH CARE ST LOUIS, WHICH 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. 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. THE ST. LOUIS REGION ALSO INCLUDES SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL, 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 SAINT LOUIS HOSPITAL 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 SSM HEALTH ENTITIES ARE REINVESTED IN IMPROVING OUR PATIENT CARE DELIVERY SYSTEM.QUANTIFIABLE UNCOMPENSATED CARE:THIS SECTION INCLUDES A LIST OF THE TYPES OF PROGRAMS AND SERVICES THAT COULD BE QUANTIFIED AS UNCOMPENSATED CARE:TRADITIONAL CHARITY CARE $ 19,617,469OTHER MEANS-TESTED GOVERNMENT $ 5,554,833TOTAL QUANTIFIABLE UNCOMPENSATED CARE $ 125,172,302 785496139 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 X 0 0 2962 1 1 1 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 1 1 X SUSAN TAYLOR 3149893650 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 JAN CERNY DIRECTOR, VICE CHAIRPERSON 1.00 2.00 X X 0 0 0 JEREMY FOTHERINGHAM CHAIRPERSON, PRESIDENT, REGIONAL PRESIDENT - ST. L 1.00 55.00 X X 0 1125814 687586 SNEHAL GANDHI MD DIRECTOR 1.00 2.00 X 0 0 0 DENNIS HARMS DIRECTOR 1.00 2.00 X 0 0 0 CHRISTINE JACOBS DIRECTOR, ACTING DEAN, INTERIM VP MEDICAL AFFAIRS 1.00 2.00 X 0 0 0 TIM JOHNSON DIRECTOR, SYSTEM VP MEDICAL GROUP & POP HEALTH OPS 1.00 55.00 X 0 749701 300989 DOUGLASS PETTY DIRECTOR 1.00 2.00 X 0 0 0 STEPHEN SMITH DIRECTOR 1.00 2.00 X 0 0 0 JOSEPH YANCEY DIRECTOR 1.00 2.00 X 0 0 0 STEVE SMOOT VICE PRESIDENT, COO OF SSM HEALTH 1.00 55.00 X 0 2054358 1204489 RANDY COMBS TREASURER, CFO AT SSM HEALTH 1.00 55.00 X 0 2182354 1238074 DOUGLAS LONG SECRETARY, GENERAL COUNSEL AT SSM HEALTH 1.00 55.00 X 0 1425239 777013 EILEEN LAMM SYSTEM VP, FINANCE (MO/ILL) 1.00 55.00 X 0 516349 204353 STEVEN SCOTT HOSPITAL PRESIDENT SSM-SLUH 50.00 0.00 X 864967 0 283761 MISTY JONES VICE PRESIDENT - COO 40.00 0.00 X 0 491500 179264 KATE MARTIN VICE PRESIDENT - OPERATIONS 40.00 0.00 X 0 217451 78353 KELLY BAUMER VICE PRESIDENT - CLINICAL SERVICES 40.00 0.00 X 296654 0 75631 RITA FOWLER VP-PATIENT CARE SERVICES, CHIEF NURSING OFFICER 40.00 0.00 X 337925 0 103654 HOSEA SSESANGA RN 40.00 0.00 X 399407 0 31977 JOSEPH KISTER MANAGER - ADVANCED ANESTHESIA PROVIDERS 40.00 0.00 X 304234 0 45670 KAREN GOFTON RN - CHARGE NURSE 40.00 0.00 X 298082 0 35260 ALICIA ALTOMARI RN - ADMINISTRATIVE SUPERVISOR 40.00 0.00 X 295423 0 29891 YINGJIE REN CLINICAL PHARMACIST 40.00 0.00 X 285899 0 34978 LAURA KAISER FORMER OFFICER, PRESIDENT & CO AT SSM HEALTH 0.00 55.00 X 0 4644135 3002313 KAREN REWERTS FORMER OFFICER, SYSTEM VP FINANCE 0.00 55.00 X 0 801331 287514 JENNIFER GARNICA FORMER KEY EMPLOYEE, RN 0.00 40.00 X 0 257136 57375 3082591 14465368 8658145 357 1 1 0 VAYA WORKFORCE SOLUTIONS LLC 5930 CORNERSTONE CT W STE 300 SAN DIEGO CA 92121 STAFFING SERVICES 79436770 ST LOUIS UNIVERSITY 1 N GRAND BLVD ST LOUIS MO 63103 PHYSICIAN AND CLINICAL SERVICES 29888311 TRIMEDX HOLDINGS LLC 5451 LAKEVIEW PARKWAY S DR INDIANAPOLIS IN 46268 CLINICAL ENGINEERING SERVICES 9823133 MANAGEMENT HEALTH SYSTEMS LLC 1580 SAWGRASS CORP PKWY STE 200 SUNRISE FL 33323 TECHNOLOGY SERVICES 5826830 MID-AMERICA TRANSPLANT SERVICES 1110 HIGHLAND PLAZA DR EAST ST LOUIS MO 63110 MEDICAL SERVICES 4120978 219 236994 9198 3151 249343 NET PATIENT SERVICE RE 621990 804275162 804275162 340B PHARMACY 456110 12234365 12234365 CORPORATE FEES 900099 1956726 1956726 28479085 28076567 402518 846945338 2933555 0 2933555 2933555 2933555 18582 0 18582 18582 18582 537834 373960 163874 163874 CAFETERIA REVENUE 722514 3094691 3094691 JOINT VENTURE REVENUE 621990 1621456 1621456 LABORATORY 621500 4569 4569 862749 862749 5583465 855894157 846542820 407087 8694907 483967 483967 11470 11470 1962590 1935461 27129 163361127 161102949 2258178 4510752 4448399 62353 17710106 17465295 244811 11536717 11377242 159475 18717768 18641410 76358 1354669 256 1354413 290567688 272126236 18441452 48197 21197 27000 12732436 10890439 1841997 24412217 24412217 9256031 9022052 233979 355552 244723 110829 59013 56927 2086 838 838 68679064 8035396 60643668 30896893 18072791 12824102 3043684 86558 2957126 MEDICAL SUPPLIES & EQUI 193019027 192900927 118100 MEDICAL PROVIDER TAX & 33538903 33501918 36985 LICENSES, DUES & SUBSCR 1120752 656671 464081 BANK FEES 421098 421098 3940 800 3140 887804499 785496139 102308360 0 250264 269475 166541198 159925882 16705723 17241521 4332178 6130074 698903191 180841603 536700872 518061588 13983434 14387044 276545 107784 246857 8223736 739037071 724347104 90137474 57863266 416000 416000 19809 621737998 670435841 712291472 728734916 X 24594190 -6747092 2151409 2359280 26745599 -4387812 739037071 724347104 X -31910342 7852 769079 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 116503 116503 0 PART II-B, LINE 1: THE ORGANIZATION PAID DUES TO VARIOUS NATIONAL HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WAS ALLOCATED TO LOBBYING ACTIVITIES. 15930263 15930263 524589010 97647597 426941413 1635454 625145 1010309 148974248 81998064 66976184 7774216 570797 7203419 518061588 THIRD PARTY PAYABLES 14543513 INTERCOMPANY PAYABLE 655777696 OPERATING RIGHT-OF-USE LIABILITIES 114632 670435841 X PART X, LINE 2: SSM-SLUH, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 19617469 0 19617469 0.02210 218573749 250234480 0 0.00000 19135849 13581015 5554834 0.00630 257327067 263815495 25172303 0.02840 3282574 0 3282574 0.00370 73173213 42044098 31129115 0.03510 0 0 0 0 0 0 76455787 42044098 34411689 0.03880 333782854 305859593 59583992 0.06720 1 10686499 0 268381439 340794728 -72413289 X 1 1 1 1 SSM HEALTH ST LOUIS UNIVERSITY HOSPITAL 1202 S GRAND BLVD ST LOUIS MO 63104 WWW.SSMHEALTH.COM/LOCATIONS/ST-LOUIS/S 542-6 X X X X X SSM HEALTH ST LOUIS UNIVERSITY HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH X 1 22 1 HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X X X X X X 1 X 0 X X X X 1 X 0 0 SSM HEALTH ST. LOUIS UNIVERSITY HOSPITAL PART V, SECTION B, LINE 3J: 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. SSM HEALTH ST. LOUIS UNIVERSITY HOSPITAL PART V, SECTION B, LINE 5: A SINGLE ONLINE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WAS AVAILABLE FOR COMMUNITY MEMBERS ACROSS MULTIPLE SERVICE AREAS OF ALL COLLABORATING HOSPITAL SYSTEMS, INCLUSIVE OF MISSOURI AND ILLINOIS. THE ONLINE COMMUNITY SURVEY WAS AVAILABLE TO COMPLETE FROM APRIL 2021 THROUGH JULY 2021. THIS SURVEY ASKED ABOUT PEOPLE'S PERSONAL HEAL TH, THEIR THOUGHTS ABOUT THE COMMUNITY'S HEAL TH, AND PROVIDED SECTIONS FOR PEOPLE TO PROVIDE ON WAYS TO IMPROVE BOTH INDIVIDUAL AND COMMUNITY HEAL TH. THE SURVEY TOOK AN AVERAGE OF 10 MINUTES TO COMPLETE WITH A TOTAL OF 2,915 INDIVIDUALS COMPLETING THE SURVEY. A TOTAL OF 378 RESPONSES WERE RECEIVED FROM ST. LOUIS CITY ZIP CODES, ACCOUNTING FOR 13 PERCENT OF SURVEY RESPONSES. ALL RESPONDENTS WERE ASKED TO PROVIDE THEIR PRIMARY ZIP CODES, WHICH WERE TAGGED ACCORDING TO THE SSM AND PARTNER HOSPITAL CHNA COMMUNITY GEOGRAPHIES. COMMUNITY MEMBERS HAD THE OPTION TO SUBMIT OPEN ENDED RESPONSES, COMMENTS AND SUGGESTIONS THROUGHOUT THE SURVEY. ADDITIONALLY, COMMUNITY CONVERSATIONS WERE HELD VIRTUALLY, ENGAGING INDIVIDUALS FROM SSM HEAL TH SERVICE AREAS WHERE RESPONSE RATES WERE SIGNIFICANTLY LOWER IN COMPARISON TO OTHER SERVICE AREAS. THESE CONVERSATIONS HELPED US LEARN MORE ABOUT RESIDENTS' CONCERNS, SOLICIT IDEAS, LEARN OF THEIR HEAL TH CARE EXPERIENCES AND IDENTIFY OPPORTUNITIES FOR IMPROVEMENT. THESE CONVERSATIONS ALSO PROVIDED CRITICAL INSIGHT ON COMMUNITY PERCEPTIONS AND GENERA TED IDEAS ON HOW TO IMPROVE HEAL TH CARE ACCESS AND RESOURCES. COMMUNITY LEADERS WERE ALSO ENGAGED TO COMPLETE THE STAKEHOLDER CHNA SURVEY. STAKEHOLDERS INCLUDED A DIVERSE GROUP OF COMMUNITY PROFESSIONALS FROM ORGANIZATIONS ACROSS SERVICE AREAS, PROVIDING A VAST ARRAY OF CRITICAL SERVICES INCLUDING HEALTH ACCESS, SOCIAL NEEDS, EDUCATION AND EMERGENCY SERVICES. UPON COMPLETION, SURVEYS WERE ANALYZED THROUGH THE SURVEY PLATFORM IN ORDER TO IDENTIFY COMMON THEMES. SECONDARY DATA WAS COLLECTED FROM MULTIPLE SOURCES INCLUDING THE COUNTY HEAL TH RANKINGS, EXPLOREMOHEAL TH, AND THINK HEAL TH ST. LOUIS. ANALYSIS OF THESE DATA SOURCES REVEALED NOT ONLY THE MOST BURDENSOME HEAL TH ISSUES, BUT ALSO HEAL TH DISPARITIES AND KEY ISSUES IMPACTING SOCIAL DETERMINANTS OF HEALTH. DATA ASSESSED INCLUDED DEMOGRAPHIC INFORMATION, CHRONIC DISEASE AND MORBIDITY/MORTALITY INFORMATION, HEALTH STATUS INDICATORS, HEALTH BEHAVIORS AND GENERAL ENVIRONMENT INFORMATION. THIS DATA IS COMPARED TO STATE AND NATIONAL BENCHMARKS. PRIMARY AND SECONDARY DATA WERE WEIGHTED IN ORDER TO DETERMINE HIGHEST PRIORITY COMMUNITY HEALTH NEEDS, BASED ON IMPORTANCE TO COMMUNITY MEMBERS AND THE HOSPITAL'S ABILITY TO MAKE MEANINGFUL IMPACT OVER THE NEXT SEVERAL YEARS. SSM HEALTH ST. LOUIS UNIVERSITY HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL CONDUCTED AND COMPLETED ITS 2021 CHNA JOINTLY WITH SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL AND SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS. SSM HEALTH ST. LOUIS UNIVERSITY HOSPITAL PART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2021 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:- BEHAVIORAL HEALTH - OBESITY/CHRONIC CONDITIONS - VIOLENCE/INJURY PREVENTIONBEHAVIORAL HEALTH BEHAVIORAL HEALTH (BH), INCLUSIVE OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS, WAS DETERMINED TO BE A PRIORITY HEALTH NEED IN EACH HOSPITAL MINISTRY COMMUNITY'S CHNA PROCESS. THE BURDEN OF MENTAL ILLNESS IN THE UNITED STATES IS AMONG THE HIGHEST OF ALL DISEASES, AND MENTAL DISORDERS ARE AMONG THE MOST COMMON CAUSES OF DISABILITY. SUBSTANCE ABUSE DISORDERS HAVE A MAJOR IMPACT ON INDIVIDUALS, FAMILIES, AND COMMUNITIES. THE EFFECTS OF SUBSTANCE ABUSE ARE CUMULATIVE, SIGNIFICANTLY CONTRIBUTING TO COSTLY SOCIAL, PHYSICAL, MENTAL, AND PUBLIC HEALTH PROBLEMS. IN ST. LOUIS CITY, RESIDENTS EXPERIENCE AN AVERAGE OF 5 POOR MENTAL HEALTH DAYS PER MONTH, ABOVE THE STATEWIDE AVERAGE OF 4.5. AND SIXTEEN PERCENT OF ST. LOUIS CITY RESIDENT EXPERIENCE MENTAL HEALTH DISTRESS. THE HOSPITAL IS INVOLVED IN THE FOLLOWING INITIATIVES TO IMPROVE BEHAVIORAL HEALTH IN THE COMMUNITY SERVED:- INCREASE ACCESS TO EXISTING BH PROGRAMS/SERVICES - STRENGTHEN INTERNAL BH SERVICES & CAPACITIES - SUPPORT INITIATIVES THAT BUILD CAPACITY OF LOCAL PARTNERS ADDRESSING ACCESS TO BH SERVICES AND CARE- SUPPORT/ADVOCATE FOR POLICIES THAT IMPROVE ACCESS AND SERVICES TO BH- PROMOTE EFFORTS THAT EMPOWER LOCAL COMMUNITIES TO DRIVE CHANGE- FUND EVIDENCE BASED & INNOVATIVE APPROACHES - ENSURE DATA EQUITY - PROMOTE PUBLIC HEALTH EDUCATION & STRATEGIC COMMUNICATIONTHE SHORT-TERM AND LONG-TERM IMPACTS OF THESE ACTIVITIES ARE AS FOLLOWS:- CONSISTENT AND STRATEGIC SSM COMMUNITY PARTNERSHIPS FOCUSED ON BEHAVIORAL HEALTH - INCREASED INTERNAL AND COMMUNITY KNOWLEDGE & AWARENESS OF THE IMPORTANCE AND IMPACT OF BH ACCESS & CARE- INCREASED POLICIES SUPPORTING EQUITABLE BEHAVIORAL HEALTH TREATMENT & CARE - HEALTHIER COMMUNITIES WITH IMPROVED ACCESS TO MENTAL HEALTH/SUBSTANCE ABUSE CARE- INCREASED ADVOCACYOBESITY/CHRONIC CONDITIONS GOOD NUTRITION, PHYSICAL ACTIVITY, AND A HEALTHY BODY WEIGHT ARE ESSENTIAL PARTS OF A PERSON'S OVERALL HEALTH AND WELL-BEING. MOST AMERICANS, HOWEVER, DO NOT EAT A HEALTHFUL DIET AND ARE NOT PHYSICALLY ACTIVE AT LEVELS NEEDED TO MAINTAIN PROPER HEALTH AND WEIGHT. IN ST. LOUIS CITY, 35% OF ADULTS ARE CONSIDERED OBESE AND ABOUT 30% REPORT NO LEISURE TIME PHYSICAL ACTIVITY. ADDITIONALLY, ST. LOUIS CITY RANKS BELOW THE STATE AVERAGE WHEN CONSIDERING FACTORS THAT CONTRIBUTE TO HEALTHY FOOD ENVIRONMENTS. CHRONIC DISEASES, OFTEN STRONGLY LINKED TO OBESITY, ARE THE LEADING CAUSE OF DEATH AND DISABILITY IN THE UNITED STATES, CAUSING 7 OUT OF 10 DEATHS EACH YEAR. EXAMPLES OF CHRONIC DISEASES INCLUDE CARDIOVASCULAR DISEASE, ARTHRITIS, DIABETES AND CANCER. HEALTHY EATING & ACTIVE LIVING (HEAL) IS ESSENTIAL TO MANAGING OBESITY AND CHRONIC DISEASES. THE HOSPITAL IS IMPLEMENTING THE FOLLOWING MEASURES TO IMPROVE OBESITY AND CHRONIC CONDITIONS IN THE COMMUNITY:- SUPPORT INITIATIVES THAT BUILD CAPACITY OF LOCAL PARTNERS ADDRESSING OBESITY/CHRONIC DISEASE - INCREASE ACCESS TO CHRONIC DISEASE MANAGEMENT SERVICES- SUPPORT/ADVOCATE FOR POLICIES THAT IMPROVE ACCESS TO HEALTHY EATING/ACTIVE LIVING (HEAL)- STRENGTHEN INTERNAL AWARENESS/KNOWLEDGE OF OBESITY DISPARITIES THROUGH EDUCATION, SKILLS DEVELOPMENT- DIRECT AND/OR COLLABORATIVE FUNDING- ENSURE DATA EQUITY & EVALUATION FOCUSED ON MEASURABLE IMPACTS - PUBLIC HEALTH EDUCATION & STRATEGIC COMMUNICATIONSTHE SHORT-TERM AND LONG-TERM IMPACTS OF THESE ACTIVITIES ARE AS FOLLOWS:- STRATEGIC SSM COMMUNITY PARTNERSHIPS FOCUSED ON FOOD INSECURITY/HEALTHY FOOD ACCESS & PHYSICAL ACTIVITY - INCREASED INTERNAL AND COMMUNITY AWARENESS & KNOWLEDGE OF IMPORTANCE OF HEALTHY EATING & CHRONIC DISEASE MANAGEMENT - INCREASED COMMUNITY CONSUMPTION OF HEALTHY FOODS - INCREASED COMMUNITY PHYSICAL ACTIVITY - IMPROVED COMMUNITY ENVIRONMENTS, SCHOOLS AND WORKSITES THAT SUPPORT HEAL - INCREASED ADVOCACY FOR CHANGE - INCREASED POLICIES SUPPORTING HEALTHY LIVING FOR ALLVIOLENCE/INJURY PREVENTIONVIOLENCE, AS WELL AS UNINTENTIONAL INJURIES ARE WIDESPREAD IN SOCIETY. BOTH UNINTENTIONAL INJURIES AND THOSE CAUSED BY ACT OF VIOLENCE ARE AMONG THE TOP 15 KILLERS FOR AMERICANS OF ALL AGES. BEYOND THEIR IMMEDIATE HEALTH CONSEQUENCES, INJURIES AND VIOLENCE HAVE A SIGNIFICANT IMPACT ON THE WELL-BEING OF AMERICANS. UNINTENTIONAL INJURIES ARE A LEADING KILLER OF CHILDREN AGES 1-17 IN MISSOURI. EASIER ACCESS TO SAFETY MEASURES SUCH GUN SAFETY LOCKS, CAR SEATS AND POISON PREVENTION STRATEGIES HELP TO REDUCE SUCH PREVENTABLE INJURIES. VIOLENCE IN ST. LOUIS CITY HAS BEEN A LONG-STANDING CHALLENGE FOR LOCAL RESIDENTS, HOWEVER, IN 2021, HOMICIDES IN ST. LOUIS CITY DROPPED 25% -A TESTAMENT TO HOW COLLECTIVE ACTION AND REGION-WIDE COLLABORATION CAN BEGIN TO MAKE A POSITIVE DIFFERENCE WHEN ADDRESSING COMPLEX COMMUNITY ISSUES. TO STAY ON THIS TRACK, WE MUST CONTINUE TO INVEST IN INNOVATIVE PROGRAMS, POLICIES AND LEADERSHIP FOR SUSTAINED ACTION. THE HOSPITAL HAS THE FOLLOWING ACTION PLAN IN PLACE TO IMPROVE VIOLENCE/INJURY PREVENTION:- INCREASE ACCESS TO TRAUMA AND SOCIAL NEEDS SERVICES - SUPPORT INITIATIVES THAT BUILD CAPACITY OF COMMUNITY PARTNERS ADDRESSING VIOLENCE/INJURY PREVENTION - SUPPORT/ADVOCATE FOR POLICIES THAT DECREASE VIOLENCE & INJURY PREVENTION- STRENGTHEN INTERNAL CAPACITIES TO ADDRESS VIOLENCE/INJURY PREVENTION THROUGH EDUCATION, SILLS BUILDING - DIRECT AND/OR COLLABORATIVE FUNDING- ENSURE DATA EQUITY & EVALUATION FOCUSED ON MEASURABLE IMPACTS- SUPPORT PUBLIC HEALTH EDUCATION & STRATEGIC COMMUNICATIONTHE SHORT-TERM AND LONG-TERM IMPACTS OF THESE ACTIVITIES ARE AS FOLLOWS:- INCREASED, MORE CONSISTENT SSM COMMUNITY PARTNERSHIPS FOCUSED ON VIOLENCE AND INJURY - PREVENTION- INCREASED INTERNAL AND COMMUNITY AWARENESS & KNOWLEDGE OF THE EFFECTS OF VIOLENCE, TRAUMA AND UNINTENTIONAL INJURIES ON VULNERABLE PATIENTS/COMMUNITIES - HEALTHIER, SAFER HOMES AND COMMUNITY ENVIRONMENTS - INCREASED POLICIES SUPPORTING VIOLENCE & INJURY PREVENTION - INCREASED ADVOCACY FOR CHANGETHE HOSPITAL HAS NO PLANS TO DISCONTINUE OTHER COMMUNITY BENEFIT EFFORTS TO ADDRESS ADDITIONAL HEALTH NEEDS AS OUTLINED IN ITS CHNA. 2 1 - OUPATIENT SERVICES AT SSM-SLUH 1755 SOUTH GRAND ST LOUIS MO 63104 MEDICAL OFFICES 2 - OUPATIENT SERVICES AT SSM-SLUH 3635 VISTA AVE ST LOUIS MO 63110 MEDICAL OFFICES PART I, LINE 3C: 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 HEAL TH 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." PART I, LINE 6A: SSM HEALTH CARE CORPORATION, 46-6029223 PART I, LINE 7: 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 71 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. PART III, LINE 2: AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. PART III, LINE 3: FOR FINANCIAL STATEMENT PURPOSES, SSM HEALTH 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. THEREFORE, THERE IS NO AMOUNT REPORTED ON PART III, LINE 3 FOR THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER SSM HEALTH'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: SSM-SLUH, INC. 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, 2023 CONSOLIDATED AUDIT IS CONTAINED ON PAGE 13 AND 14 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: 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 HEAL TH 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. PART III, LINE 9B: SSM-SUH, INC. HAS ESTABLISHED A WRITTEN CREDIT AND COLLECTION POLICY AND PROCEDURES. THE BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSM HEAL TH, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE, THE HEAL TH CENTER EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH IT PARTICIPATES BY ESTABLISHING SOUND BUSINESS PRACTICES. THE HEALTH CENTER'S 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 RA TE 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 SSM PRIOR TO ENGAGING IN ECAS. SSM 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-SLUH, INC.'S COLLECTION AND FINANCIAL ASSISTANCE POLICIES. PART VI, LINE 2: 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 SSMH'S COMMUNITY BENEFIT PROGRAM IS TO ASSESS AND ADDRESS COMMUNITY HEAL TH NEEDS. MAKING OUR COMMUNITIES HEALTHIER IN MEASURABLE WAYS IS ALWAYS OUR GOAL. TO FULFILL THIS COMMITMENT, SSMH'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-HEAL TH PRIORITIES: ESTABLISH STRATEGIES TO ADDRESS PRIORITIES; COMPLETE STRATEGIC IMPLEMENTATION PLAN; OBTAIN REGIONAUDIVISIONAL 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 HEAL TH PRIORITIES: COLLECT DATA AND EVALUATE PROGRESS; REPORT TO REGIONAUDIVISIONAL 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 HEAL TH 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. PART VI, LINE 3: 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 COUNSELINGTHE FOLLOWING TYPES OF NOTICES TO THE PUBLIC ARE PROVIDED: *SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT AND INPATIENT REGISTRATION AND PUBLIC WAITING AREAS. *BROCHURES OR FLIERS PROVIDED AT TIME OF REGISTRATION AND AVAILABLE IN THE FINANCIAL COUNSELING AREAS. *NOTICES SENT WITH OR ON PATIENT BILLS OR COMMUNICATIONS SENT TO PATIENTS AND GUARANTORS RELATED TO MEDICAL SERVICES. *APPLICATIONS PROVIDED TO UNINSURED PATIENTS AT THE TIME OF REGISTRATION. THE APPLICATION FOR CHARITY CARE, TOGETHER WITH ANY INSTRUCTIONS, MUST CLEARLY STATE THE POLICIES REGARDING CHARITY CARE, INCLUDING EXCLUDED SERVICES, ELIGIBILITY CRITERIA AND DOCUMENTATION REQUIREMENTS. INFORMATION ABOUT THE ENTITY'S CHARITY POLICIES IS ALSO PROVIDED TO PUBLIC AGENCIES. PART VI, LINE 4: SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL IS LOCATED IN ST. LOUIS CITY WITHIN THE 63104 ZIP CODE. HOWEVER, AS A SPECIALTY HOSPITAL, THE SERVICE AREA ALSO INCLUDES THE ST. LOUIS METROPOLITAN AREA AND SOUTHERN ILLINOIS. SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL SERVES 89 ZIP CODES IN ITS PRIMARY SERVICE AREA AND 87 ZIP CODES IN ITS SECONDARY SERVICE AREA. IN 2018, THE POPULATION OF ST. LOUIS CITY WAS ESTIMATED AT 302,000. IN 2020, THE POPULATION OF ST. LOUIS COUNTY WAS APPROXIMATELY 980,000HOUSEHOLD INCOME IS RISING FOR THE AREA, WITH THE AVERAGE HOUSEHOLD INCOME AT $64,089 AND MEDIAN HOUSEHOLD INCOME AT $43,896. HOWEVER, 12.24% OF INDIVIDUALS AGE 25 OF YOUNGER HAVE NO HIGH SCHOOL DIPLOMA, COMPARED TO 10.08% IN MISSOURI AND 12.00% FOR THE U.S. AS A WHOLE. SIGNIFICANT TO NOTE ARE THE 93.7% OF STUDENTS ELIGIBLE FOR FREE OR REDUCED-PRICE LUNCHES, COMPARED TO 50.2% IN MISSOURI AND 49.5% FOR THE NATION.IN ST. LOUIS CITY, 14.41% OF ADULTS ARE MEDICALLY UNINSURED. WHILE THIS HAS DECREASED SLIGHTLY IN RECENT YEARS, INSURANCE STATUS IS A KEY DRIVER OF HEALTH.ADDITIONAL STATISTICAL INFORMATION ON THE SERVICE AREA FOR SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL CAN BE FOUND IN THE 2021 CHNA. PART VI, LINE 5: SSM HEALTH ST LOUIS UNIVERSITY 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 HEAL TH IMPROVEMENT BY REACHING DIRECTLY INTO THE COMMUNITY TO ENSURE THAT LOW-INCOME AND UNDER-SERVED PERSONS CAN ACCESS HEAL TH CARE SERVICES. IN RESPONSE TO THE GLOBAL CORONAVIRUS PANDEMIC, SSM-SLUH INC 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 ST LOUIS UNIVERSITY HOSPITAL PROMOTES GRASSROOTS ADVOCACY AND ENGAGES PERSONS OF INFLUENCE TO AFFECT SOCIAL AND PUBLIC POLICY CHANGE IN ORDER TO PROMOTE BOTH COMMUNITY HEALTH AND HEALTHY COMMUNITIES. SSM HEALTH ST LOUIS UNIVERSITY HOSPITAL ALSO FURTHERS ITS EXEMPT PURPOSE WITH THE FOLLOWING ACTIVITIES: *OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY, *HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, *HAS A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY *ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS, *PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS *ALL SURPLUS FUNDS GENERATED BY SSMH ENTITIES ARE REINVESTED IN IMPROVING OUR PATIENT CARE DELIVERY SYSTEM. PART VI, LINE 6: SSM HEALTH ST LOUIS UNIVERSITY HOSPITAL INC IS A 501 (C)(3) ORGANIZATION AND IS A MEMBER OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. SSM HEAL TH ST LOUIS UNIVERSITY HOSPITAL IS PART OF ONE OF THE LARGEST, FULL-SERVICE HEALTH CARE NETWORKS IN THE ST. LOUIS, MISSOURI, AREA. IT IS THE ONLY TEACHING HOSPITAL IN THE SSM HEALTH INTEGRATED HEALTH CARE SYSTEM. SSM HEALTH (SSMH) IS A CENTRALLY MANAGED, FULLY INTEGRATED HEALTH CARE DELIVERY SYSTEM WITH ITS HEADQUARTERS BASED IN ST. LOUIS, MISSOURI. SSM HEALTH CARE CORPORATION (SSMHCC) (DOING BUSINESS AS SSMH) IS THE PRINCIPAL NOT-FOR-PROFIT CORPORATION AND HAS BEEN ESTABLISHED AS THE PARENT CORPORATION. SSMH OWNS AND OPERATES 22 ADULT HOSPITALS, ONE PEDIATRIC HOSPITAL, THIRTEEN POST-ACUTE CARE FACILITIES, A NATIONAL PHARMACY BENEFIT MANAGEMENT COMPANY (PBM), AN EXTENSIVE NETWORK OF PHYSICIAN PRACTICE OPERATIONS, AND OTHER HEALTH CARE BUSINESSES. SSMH'S HOSPITAL OPERATIONS ARE LOCATED PRIMARILY IN MISSOURI, WISCONSIN, OKLAHOMA AND ILLINOIS, AND ITS RELATED BUSINESSES PROVIDE HEAL TH RELATED SERVICES IN 50 STATES. SSMH'S MISSION STATEMENT IS AS FOLLOWS: THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. SSMHCC AND MOST OF ITS AFFILIATED SUBSIDIARY CORPORATIONS HAVE BEEN GRANTED EXEMPTION FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). CERTAIN SUBSIDIARIES OF SSMH ARE FOR-PROFIT ENTITIES THAT ARE TAXABLE UNDER THE IRC. SSMH IS SPONSORED BY SSM HEALTH MINISTRIES, AN INDEPENDENT NINE-MEMBER BODY COMPOSED OF TWO FRANCISCAN SISTERS OF MARY, ONE SISTER OF ST. AGNES, ONE JESUIT PRIEST, AND FIVE LAY PERSONS WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMH. PART VI, LINE 7, REPORTS FILED WITH STATES MO 1 CREMATION ASSISTNACE 16 11470 PART I, LINE 2: THE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDS 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. X 1 1 0 1 0 0 0 0 0 0 0 LAURA KAISER FORMER OFFICER, PRESIDENT & CO AT SS 0 2047588 0 1868164 0 728383 0 2978810 0 23503 0 7646448 0 1868164 RANDY COMBS TREASURER, CFO AT SSM HEALTH 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, GENERAL COUNSEL AT SSM HE 0 759270 0 495539 0 170430 0 753634 0 23379 0 2202252 0 495539 JEREMY FOTHERINGHAM CHAIRPERSON, PRESIDENT, REGIONAL PRE 0 789865 0 334239 0 1710 0 648534 0 39052 0 1813400 0 334239 STEVEN SCOTT HOSPITAL PRESIDENT SSM-SLUH 588529 0 208287 0 68151 0 270296 0 13465 0 1148728 0 158287 0 KAREN REWERTS FORMER OFFICER, SYSTEM VP FINANCE 0 589021 0 154022 0 58288 0 253200 0 34314 0 1088845 0 207408 TIM JOHNSON DIRECTOR, SYSTEM VP MEDICAL GROUP & 0 546303 0 162711 0 40687 0 266170 0 34819 0 1050690 0 201688 EILEEN LAMM SYSTEM VP, FINANCE (MO/ILL) 0 410075 0 91935 0 14339 0 169951 0 34402 0 720702 0 103885 MISTY JONES VICE PRESIDENT - COO 0 424661 0 65409 0 1430 0 159935 0 19329 0 670764 0 65409 RITA FOWLER VP-PATIENT CARE SERVICES, CHIEF NURS 285527 0 34984 0 17414 0 73170 0 30484 0 441579 0 34984 0 HOSEA SSESANGA RN 388505 0 10902 0 0 0 0 0 31977 0 431384 0 0 0 KELLY BAUMER VICE PRESIDENT - CLINICAL SERVICES 253744 0 29276 0 13634 0 64966 0 10665 0 372285 0 40530 0 JOSEPH KISTER MANAGER - ADVANCED ANESTHESIA PROVID 303656 0 0 0 578 0 15839 0 29831 0 349904 0 0 0 KAREN GOFTON RN - CHARGE NURSE 285412 0 12287 0 383 0 13552 0 21708 0 333342 0 0 0 ALICIA ALTOMARI RN - ADMINISTRATIVE SUPERVISOR 294600 0 705 0 118 0 10072 0 19819 0 325314 0 0 0 YINGJIE REN CLINICAL PHARMACIST 285225 0 135 0 539 0 11333 0 23645 0 320877 0 0 0 JENNIFER GARNICA FORMER KEY EMPLOYEE, RN 0 231761 0 24629 0 746 0 54477 0 2898 0 314511 0 24629 KATE MARTIN VICE PRESIDENT - OPERATIONS 0 205897 0 11097 0 457 0 46867 0 31486 0 295804 0 11097 PART I, LINE 1A SEVERAL INDIVIDUALS LISTED ON SCHEDULE J PART II RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2023. THE PAYMENT WAS INCLUDED IN THEIR TAXABLE COMPENSATION. PART I, LINE 3 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (HOSPITAL PRESIDENT) IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B 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 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: STEVE SMOOT - $249,972 TIM JOHNSON, MD - $54,877 RANDALL COMBS - $261,633 DOUGLAS LONG - $161,286 EILEEN LAMM - $39,082 JEREMY FOTHERINGHAM - $158,615 MISTY JONES - $38,537 KATE MARTIN - $9,096 KELLY BAUMER - $11,561 RITA FOWLER - $13,166 KAREN REWERTS - $56,755 JENNIFER GARNICA - $10,445 LAURA KAISER - $720,859 STEVEN SCOTT - $58,802 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 KAREN REWERTS - $53,386 EILEEN LAMM - $11,950 KELLY BAUMER - $11,254 TIM JOHNSON, MD - $38,977 FORM 990, PART I, DOING BUSINESS AS: SSM-SLUH INC CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL SSM HEALTH PHARMACY AT SAINT LOUIS UNIVERSITY HOSPITAL SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL-SOUTH CAMPUS SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL 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, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE ST LOUIS. SSM HEALTH CARE ST LOUIS IS A NONPROFIT 501(C)(3) ORGANIZATION THAT OPERATES SEVEN HOSPITALS. BOTH SSM-SLUH, INC. 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 POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS SUBJECT TO THE WRITTEN CONSENT OF SAINT LOUIS UNIVERSITY (SLU) AND TO APPOINT AND REMOVE THE APPOINTED DIRECTORS , OTHER THAN THE SLU DESIGNATED DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE FOLLOWING POWERS: (A) TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION, EXCEPT TO THE EXTENT LIMITED ELSEWHERE IN THE BYLAWS; (B) TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS OF THE CORPORATION, PROVIDED, THAT ANY MEMBER REQUIRING 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 DESIGNATED DIRECTORS WHO WILL BE SUBJECT TO DESIGNATION FOR APPOINTMENT AND REMOVAL BY SLU AND AS TO WHOM SSMSL SHALL FOLLOW AND IMPLEMENT THE WRITTEN INSTRUCTIONS OF SLU REGARDING THE APPOINTMENT AND REMOVAL OF THE SLU DESIGNATED DIRECTORS; PROVIDED, HOWEVER, THAT SSMHCC MAY REMOVE SLU DESIGNATED DIRECTORS WHO VIOLATE 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; (D) TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER OF 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 (ILL) CONSULT WITH SLU IN CONNECTION WITH HIRING CERTAIN SENIOR EMPLOYEES; (E) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION, BUT SUBJECT TO SLU'S PRIOR WRITTEN CONSENT; (F) TO APPROVE AMENDMENTS TO THESE BYLAWS, BUT SUBJECT TO SLU'S PRIOR WRITTEN CONSENT EXCEPT THAT SLU'S PRIOR WRITTEN CONSENT IS NOT REQUIRED FOR 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 (PURSUANT TO THE MEMBERS' AGREEMENT) NOT LESS THAN THIRTY (30) 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 (PURSUANT TO THE MEMBERS' AGREEMENT) 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 ANY DEVIATION FROM THE REQUIREMENTS SET FORTH IN THE SSMSL BYLAWS SHALL REQUIRE THE PRIOR WRITTEN CONSENT 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 AS A MEMBER OF, THE CORPORATION OR ANY OTHER DEFINED SUBSIDIARY (AS DEFINED IN THE SSMSL BYLAWS) WHOSE ASSETS INCLUDE THE ASSETS COMPRISING SLUH; (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 OF SLUH, EXCEPT THAT THE WRITTEN CONSENT OF SLU SHALL NOT BE REQUIRED FOR THE GRANTING OF UTILITY EASEMENTS OR ACCESS EASEMENTS WHICH DO NOT MATERIALLY ADVERSELY AFFECT THE USE OF SUCH REAL PROPERTY; (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 (ILL) 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, THE SSMSL BYLAWS AND THESE BYLAWS; (M) TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION, SUBJECT TO SLU'S RIGHTS SET FORTH IN THE BYLAWS; (N) TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION; (O) SUBJECT TO SLU'S RIGHTS IN THE BYLAWS, 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, THE SSMSL BYLAWS AND THESE 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 IN THE BYLAWS, 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 MEMBER); 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. 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 HEALTH CARE CORPORATION (SSM). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SSM PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS. 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 B, LINE 15 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, SECTION C, LINE 19 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. FORM 990, PART XI, LINE 9: TRANSFER WITH CONSOLIDATED ENTITIES 51,924. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 207,871. BENEFICIAL INTEREST IN FOUNDATION 509,284. SSM HEALTH SLU HOSPITAL ANESTHESIA PHYSICIAN BILLING LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 364814355 PHYSICIAN BILLING MO 0 0 SSM-SLUH INC SLUH ANESTHESIA PHYSICIANS LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 452653015 PHYSICIAN SERVICES MO 0 0 SSM-SLUH INC SLH PHYSICIAN LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 201957741 PHYSICIAN SERVICES MO 0 0 SSM-SLUH INC SSM HEALTH CARE CORPORATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 466029223 HEALTH CARE MO 501(C)(3) LINE 12A, I SSM HEALTH MINISTRIES 0 SSMHC LIABILITY TRUST I 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 436331003 INSURANCE MO 501(C)(3) LINE 12A, I SSM HEALTH CARE CORPORATION 0 SSM CONSOLIDATED HEALTH SERVICES 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431473657 HEALTH CARE MO 501(C)(3) LINE 10 SSM HEALTH CARE CORPORATION 0 SSM POLICY INSTITUTE 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431788151 HEALTH CARE MO 501(C)(4) SSM HEALTH CARE CORPORATION 0 SSM HEALTH CARE PORTFOLIO MANAGEMENT CO 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431825256 MANAGEMENT MO 501(C)(3) LINE 12A, I SSM HEALTH CARE CORPORATION 0 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 430738490 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE ST LOUIS 0 CARDINAL GLENNON CHILDREN'S FOUNDATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431754347 FUNDRAISING MO 501(C)(3) LINE 7 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 0 SSM HEALTH FOUNDATION - ST LOUIS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431552945 FUNDRAISING MO 501(C)(3) LINE 7 SSM HEALTH CARE ST LOUIS 0 SSM HEALTH CARE OF OKLAHOMA INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 730657693 HEALTH CARE OK 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 0 THE ST ANTHONY HOSPITAL FOUNDATION INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 736104300 FUNDRAISING OK 501(C)(3) LINE 7 SSM HEALTH CARE OF OKLAHOMA 0 SSM HEALTH CARE OF WISCONSIN INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 430688874 HEALTH CARE WI 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 0 DELLS MEDICAL BUILDING INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 391613292 MOB WI 501(C)(2) SSM HEALTH CARE OF WISCONSIN 0 ST MARY'S FOUNDATION INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431940686 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 ST CLARE HEALTH CARE FOUNDATION INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431940683 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 HOME HEALTH UNITED INC 2802 WALTON COMMONS LANE MADISON WI 53718 391539827 HEALTH CARE WI 501(C)(3) LINE 10 SSM HEALTH CARE OF WISCONSIN 0 HOME CARE UNITED INC 2802 WALTON COMMONS LANE MADISON WI 53718 391776340 HEALTH CARE WI 501(C)(3) LINE 10 SSM HEALTH CARE OF WISCONSIN 0 HHU XTRA CARE INC 2802 WALTON COMMONS LANE MADISON WI 53718 391705111 HEALTH CARE WI 501(C)(3) LINE 10 SSM HEALTH CARE OF WISCONSIN 0 SSM HEALTH AT HOME FOUNDATION OF WISCONSIN INC 2802 WALTON COMMONS LANE MADISON WI 53718 391839309 FUNDRAISING WI 501(C)(3) LINE 12A, I HOME HEALTH UNITED INC 0 SSM REGIONAL HEALTH SERVICES 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 440579850 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 0 ST MARY'S HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431575307 FUNDRAISING MO 501(C)(3) LINE 12A, I SSM REGIONAL HEALTH SERVICES 0 GOOD SAMARITAN REGIONAL HEALTH CENTER 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 430653587 HEALTH CARE IL 501(C)(3) LINE 3 SSM REGIONAL HEALTH SERVICES 0 ST MARY'S HOSPITAL CENTRALIA ILLINOIS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 370662580 HEALTH CARE IL 501(C)(3) LINE 3 SSM REGIONAL HEALTH SERVICES 0 ST MARY'S - GOOD SAMARITAN INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 364170833 HEALTH CARE IL 501(C)(3) LINE 12A, I SSM REGIONAL HEALTH SERVICES 0 GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 262884795 FUNDRAISING IL 501(C)(3) LINE 7 ST MARY'S-GOOD SAMARITAN INC 0 ST MARY'S HOSPITAL FOUNDATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 364636691 FUNDRAISING IL 501(C)(3) LINE 7 ST MARY'S-GOOD SAMARITAN INC 0 ST MARY'S HOSPITAL AUXILIARY 400 N PLEASANT CENTRALIA IL 62801 237126345 FUNDRAISING IL 501(C)(3) LINE 10 ST MARY'S HOSPITAL FOUNDATION 0 SSM HEALTH BUSINESSES 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431333488 HEALTH CARE MO 501(C)(3) LINE 10 SSM HEALTH CARE CORPORATION 0 SSM HEALTH CARE ST LOUIS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431343281 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE CORPORATION 0 CENTRALIA MEDICAL SERVICES BLDG ASSOC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 237408025 MOB IL 501(C)(3) LINE 12A, I SSM REGIONAL HEALTH SERVICES 0 ST MARY'S JANESVILLE FOUNDATION INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 273439133 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 SSM HEALTH MINISTRIES 3221 MCKELVEY ROAD SUITE 107 BRIDGETON MO 63044 431012492 RELIGIOUS ORGANIZATION MO 501(C)(3) LINE 1 N/A 0 LEE DEWEY CORPORATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 731279603 MOB OK 501(C)(3) LINE 12A, I SSM HEALTH CARE OF OKLAHOMA 0 ST MARY'S HOSPITAL AUXILIARY 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 436049878 FUNDRAISING MO 501(C)(3) LINE 12B, II N/A 0 GOOD SAMARITAN HOSPITAL AUXILIARY 1 GOOD SAMARITAN WAY MOUNT VERNON IL 62864 237049599 FUNDRAISING IL 501(C)(3) LINE 12C, III-FI N/A 0 ST ANTHONY SHAWNEE HOSPITAL INC 1000 N LEE AVE OKLAHOMA CITY OK 73102 455055149 HEALTH CARE OK 501(C)(3) LINE 3 SSM HEALTH CARE OF OKLAHOMA 0 SSM AUDRAIN HEALTH CARE INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431550298 HEALTH CARE MO 501(C)(3) LINE 3 SSM REGIONAL HEALTH SERVICES 0 SSM-SLUH INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 474196634 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE ST LOUIS 0 AGNESIAN HEALTHCARE INC 430 E DIVISION ST FOND DU LAC WI 54935 390807236 HEALTH CARE WI 501(C)(3) LINE 3 SSM HEALTH CARE OF WISCONSIN 0 RIPON MEDICAL CENTER INC 845 PARKSIDE STREET RIPON WI 54971 391101287 HEALTH CARE WI 501(C)(3) LINE 3 AGNESIAN HEALTHCARE INC 0 WAUPUN MEMORIAL HOSPITAL INC 620 WEST BROWN STREET WAUPUN WI 53963 390806265 HEALTH CARE WI 501(C)(3) LINE 3 AGNESIAN HEALTHCARE INC 0 ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC 33 EVERETT STREET FOND DU LAC WI 54935 391029998 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 SISTER SERVANTS OF CHRIST THE KING VILLA LORETTO N8114 COUNTY WW MOUNT CALVARY WI 53057 391022770 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 VILLA ROSA INC N8120 COUNTY WW MOUNT CALVARY WI 53057 421670962 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 THE CHRISTIAN HOME AND REHABILITATION CENTER INCORPORATED 331 BLY STREET WAUPUN WI 53963 390884514 HEALTH CARE WI 501(C)(3) LINE 10 AGNESIAN HEALTHCARE INC 0 THE MONROE CLINIC INC 515 22ND AVENUE MONROE WI 53566 390808509 HEALTH CARE WI 501(C)(3) LINE 3 SSM HEALTH CARE OF WISCONSIN 0 MONROE CLINIC AND HOSPITAL FOUNDATION INC 515 22ND AVENUE MONROE WI 53566 205769038 FUNDRAISING WI 501(C)(3) LINE 7 SSM HEALTH CARE OF WISCONSIN 0 AGNESIAN HEALTHCARE FOUNDATION INC 430 E DIVISION ST FOND DU LAC WI 54935 391684956 FUNDRAISING WI 501(C)(3) LINE 12A, I SSM HEALTH CARE OF WISCONSIN 0 SHARED MAGNETIC RESONANCE IMAGING FACILITY INC 1104 JOHN NOLEN DRIVE MADISON WI 53713 391534744 HEALTH CARE WI 501(C)(3) LINE 12A, I SSM HEALTH CARE OF WISCONSIN 0 SSM HEALTH CARDINAL GLENNON TRANSPORT 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 863519607 HEALTH CARE MO 501(C)(3) LINE 12A, I SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 0 SSM HEALTH FOUNDATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 874109859 FUNDRAISING MO 501(C)(3) LINE 12A, I SSM HEALTH CARE CORPORATION 0 SSM HEALTH CARE GROUP 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 880988603 HEALTH CARE MO 501(C)(3) LINE 10 SSM HEALTH CARE ST LOUIS 0 THE SARAH COMMUNITY 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431784657 HEALTH CARE MO 501(C)(3) LINE 10 SSM HEALTH BUSINESSES 0 VISITING NURSE ASSOCIATION OF GREATER ST LOUIS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 430567000 HEALTH CARE MO 501(C)(3) LINE 7 SSM HEALTH BUSINESSES 0 SSM ST JOSEPH ENDOSCOPY CENTER LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 270046559 SURGERY SERVICES MO N/A 0 0 ST CLARE IMAGING SERVICES LLC 707 14TH STREET SUITE A BARABOO WI 53913 200122365 DIAG. SERVICES WI N/A 0 0 MT VERNON RADIATION THERAPY CENTER LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 201382620 RADIATION THERAPY IL N/A 0 1 SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 208468195 DIAG. SERVICES IL N/A 0 0 CHOWSMGSI OFFICE BUILDING LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 371383861 MOB IL N/A 0 0 OZA CANCER CENTER LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 201382727 MOB IL N/A 0 0 SHAWNEE REAL ESTATE HOLDINGS LLC 1000 N LEE AVE OKLAHOMA CITY OK 73102 455458304 MOB OK N/A 0 0 DEAN CLINIC & ST MARY'S HOSPITAL ACCOUNTABLE CARE ORGANIZATION LLC 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 452995500 ACCOUNTABLE CARE ORGANIZATION WI N/A 0 0 WISCONSIN INTEGRATED INFORMATION TECHNOLOGY AND TELEMEDICINE SYSTEMS LLC 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 392016715 INFORMATION TECHNOLOGY SERVICES WI N/A 0 0 WINGRA BUILDING GROUP 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 390237060 MOB WI N/A 0 0 JANESVILLE RIVERVIEW CLINIC BUILDING PARTNERSHIP 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 396220698 MOB WI N/A 0 0 1110 N CLASSEN BLVD LLC 1110 N CLASSEN BOULEVARD OKLAHOMA CITY OK 73106 731158158 MOB OK N/A 0 1 SSM ST CLARE SURGICAL CENTER LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 261439695 SURGERY SERVICES MO N/A 0 0 WINDMILL LLP 50 VILLAGE VIEW LANE CHESTERFIELD MO 63017 431804651 INVESTMENTS MO N/A 0 0 NAVITUS HEALTH SOLUTIONS LLC 361 INTEGRITY DRIVE MADISON WI 53717 043608530 PHARMACY BENEFIT MANAGEMENT WI N/A 0 0 SSM SELECT REHAB ST LOUIS LLC 4714 GETTYSBURG ROAD MECHANICSBURG PA 17055 263694972 HEALTH CARE DE N/A 0 0 EPIPHANY RX LLC 361 INTEGRITY DRIVE MADISON WI 53717 364855405 PHARMACY BENEFIT MANAGEMENT DE N/A 0 0 RXPRECHECK LL 278 FRANKLIN RD BRENTWOOD TN 37027 812842151 PHARMACY BENEFIT MANAGEMENT TN N/A 0 0 ARCHIMEDES LLC 278 FRANKLIN RD BRENTWOOD TN 37027 811158028 PHARMACY BENEFIT MANAGEMENT TN N/A 0 0 BLOOM TREE LONG-ONLY FUND QP LP FKA BLOOM TREE PONDEROSA FUNDS QP LP 101 PARK AVENUE 33RD FL NEW YORK NY 10178 823704522 INVESTMENTS DE N/A 0 0 NECICF II AIV2-B LP 300 DELAWARE AVE STE 210 WILMINGTON DE 19801 845058167 INVESTMENTS DE N/A 0 0 BISON CAPITAL PARTNERS VI-A LP 233 WILSHIRE BLVD STE 425 SANTA MONICA CA 90401 874006968 INVESTMENTS DE N/A 0 0 SSM MANAGED CARE ORGANIZATION LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431708511 HEALTH PROMOTION MO N/A C 0 FPP INC & SUBS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431465174 HEALTH CARE MO N/A C 0 DIVERSIFIED HEALTH SERVICES CORP 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431369305 MEDICAL EQUIPMENT MO N/A C 0 SSM PROPERTIES INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431462486 PROPERTY SERVICES MO N/A C 0 HEALTHFIRST PHYSICIAN MANAGEMENT SERVICES 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 731534336 MEDICAL SERVICES OK N/A C 0 SSMHC LIABILITY TRUST II 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 816128118 INSURANCE MO N/A C 0 SSM MEDICAL GROUP INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431664107 PHYSICIAN OFFICES MO N/A C 0 SSMHC INSURANCE COMPANY PO BOX 1051 GT GRAND CAYMAN CJ 030310431 INSURANCE CJ N/A C 0 PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS INC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 364161526 HEALTH CARE IL N/A C 0 DEAN HEALTH SYSTEMS INC 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 391128616 PHYSICIAN OFFICES WI N/A C 0 DEAN RETAIL SERVICES INC 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 391717636 PROPERTY SERVICES WI N/A C 0 SSM HEALTH JANESVILLE CAMPUS CONDOMINIUM ASSOCIATION INC 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 832038674 CONDO ASSOCIATION WI N/A C 0 SSM HEALTH PHARMACY LLC 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 264031708 PHARMACY MO N/A C 0 NAVITUS HOLDINGS LLC 1808 WEST BELTLINE HIGHWAY MADISON WI 53713 800968174 PHARMACY WI N/A C 0 MS COMMUNITY JV LLC 401 CARLSON PARKWAY CP330 MINNETONKA MN 55305 873240022 INSURANCE DE N/A C 0 QUALITY DRUG CORPORATION 239 BROADWAY LAGUNA BEACH CA 92651 330644268 PHARMACY BENEFITS CA N/A C 0 ST MARY'S HOSPITAL CAMPUS CONDOMINIUM OWNERS ASSOCIATION INC 707 SOUTH MILLS STREET MADISON WI 53715 000000000 CONDO ASSOCIATION WI N/A C 0 PARTNERS GROUP PMC PRIVATE CREDIT LP C/O MAPLES CORPORATE SERVICES LTD GRAND CAYMAN CJ 981439264 INVESTMENT CJ N/A C 0 OMNINHEALTH HOLDINGS 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 884144276 HEALTH CARE CONSULTING DE N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0