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      <Form990PartVIISectionAGrp>
        <PersonNm>KEN NAUMANN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE NISCHBACH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN NEWMAN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE OBERNAGEL</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID ORTHWEIN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL PROST</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HENRY RANDALL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM SCHROER</PersonNm>
        <TitleTxt>TRUSTEE/PHYSICIAN-DEPAUL</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EMERY SKOLFIELD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN SMITH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY SOUKENIK</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KIRK SYBERG</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GUY VENEZIA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GARY WELKER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHARITA KYLES WILSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL ROSS</PersonNm>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>EVNTIV</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RITZ CARLTON</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>1905 NEW MEDIATHOMSON PRINTING</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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        <FundraisingAmt>1250</FundraisingAmt>
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        <FundraisingAmt>105193</FundraisingAmt>
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        <FundraisingAmt>109575</FundraisingAmt>
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        <FundraisingAmt>1723</FundraisingAmt>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>286341</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>374132</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>411870</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>398857</CurrentTaxYearAmt>
        <TotalAmt>1695545</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>2044293</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1926059</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>744459</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1307424</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>354632</CurrentTaxYearAmt>
        <TotalAmt>6376867</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>30142309</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>2899861</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.59480</PublicSupportCY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EVENTS/GAMING ACTIVITIES - 2019 AMOUNT: $ 2,044,293. 2020 AMOUNT: $ 1,926,059. 2021 AMOUNT: $ 744,459. 2022 AMOUNT: $ 1,307,424. 2023 AMOUNT: $ 354,632.</ExplanationTxt>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
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        <ContributionsAmt>2500</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2547521</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>4724939</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>4577652</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-2402734</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>2174918</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>4176315</BeginningYearBalanceAmt>
        <ContributionsAmt>25000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>376337</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>4577652</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>672804</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>1500000</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>4176315</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>502477</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>333513</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>5003511</EndYearBalanceAmt>
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      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>LONG-TERM INVESTMENTS</Desc>
        <BookValueAmt>11298146</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>11298146</TotalBookValueSecuritiesAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>SPECIAL PURPOSE INVESTMENTS</Desc>
        <BookValueAmt>14191853</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>PERMANENT ENDOWMENT INVESTMENTS</Desc>
        <BookValueAmt>2514322</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>16706175</TotalBookValueProgramRltdAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTERCOMPANY PAYABLE</Desc>
        <Amt>363304</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LONG-TERM LIABILITIES</Desc>
        <Amt>5248</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING RIGHT-OF-USE LIABILITIES</Desc>
        <Amt>132059</Amt>
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      <TotalLiabilityAmt>500611</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT FUNDS AND THEIR EARNINGS ARE USED TO SUPPORT THE OPERATIONS AND MISSION OF THE SSM HEALTH ADULT HOSPITALS IN THE ST. LOUIS METROPOLITAN AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SSM HEALTH FOUNDATION - ST. LOUIS'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.</ExplanationTxt>
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        <FoodAndBeverageEvent1Amt>117115</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>32591</EntertainmentEvent1Amt>
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        <Event2Nm>GOLF</Event2Nm>
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        <FoodAndBeverageEvent2Amt>26704</FoodAndBeverageEvent2Amt>
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        <OtherDirectExpensesEvent2Amt>4056</OtherDirectExpensesEvent2Amt>
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        <RentFcltyCostsTotalEventsAmt>176038</RentFcltyCostsTotalEventsAmt>
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        <OthDirectExpnssTotalEventsAmt>43245</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>462088</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-114726</NetIncomeSummaryAmt>
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        <USAddress>
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      <RecipientTable>
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      <RecipientTable>
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      <GrantsOtherAsstToIndivInUSGrp>
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        <ExplanationTxt>GRANTS TO ORGANIZATIONS WERE MADE TO RELATED ORGANIZATIONS THAT ARE TAX EXEMPT UNDER SECTION 501(C)(3). THE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. ALL GRANTS TO INDIVIDUALS INCLUDE A GRANT APPLICATION PROCESS THROUGH A PARTNER ORGANIZATION. APPROVED GRANT APPLICATIONS ARE FORWARDED TO THE FOUNDATION AND THE FOUNDATION PAYS THE REQUESTED EXPENDITURES.</ExplanationTxt>
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        <PersonNm>WILLIAM SCHROER</PersonNm>
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        <BonusRelatedOrganizationsAmt>78569</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>11574</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>161485</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>32532</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>649089</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBORAH GRAVES</PersonNm>
        <TitleTxt>TRUSTEE/HOSP PRES-ST. JOSEPH LSL</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>435979</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>38389</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>49557</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>47286</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>22202</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>593413</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>38389</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL ROSS</PersonNm>
        <TitleTxt>PRESIDENT - FOUNDATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>308304</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>37975</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>17253</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>74880</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>11720</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>450132</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>52123</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GUY VENEZIA</PersonNm>
        <TitleTxt>TRUSTEE/PHYSICIAN-ST.CLARE</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>273798</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2168</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>21928</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>18219</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>316113</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERAL INDIVIDUALS LISTED ON PART VII, SECTION A, RECEIVED TAX INDEMNIFICATION/GROSS UP PAYMENTS IN 2022, WHICH WERE INCLUDED IN THEIR TAXABLE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (PRESIDENT- FOUNDATION) IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZES THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>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: STEVEN SCOTT - $58,802 JEREMY FOTHERINGHAM - $158,615 TINA GARRISON - $ 52,767 KYLE GRATE - $35,602 DEBORAH GRAVES - $37,936 GUY VENEZIA - $4,699 PAUL ROSS - $13,922 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. TINA GARRISON - $32,465 PAUL ROSS - $ 15,674 KYLE GRATE - 10,690</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>2265</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>442</ContributionCnt>
        <NoncashContributionsRptF990Amt>30295</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>30000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>AUCTION ITEMS</Desc>
        <ContributionCnt>7</ContributionCnt>
        <NoncashContributionsRptF990Amt>14746</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>SECURITIES - NUMBER OF SHARES CONTRIBUTED ALL OTHER - NUMBER OF CONTRIBUTORS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 290 PHYSICIAN OFFICES AND OTHER OUTPATIENT AND VIRTUAL CARE SERVICES, 12 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 OVER 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. THE MISSION OF SSM HEALTH FOUNDATION ST. LOUIS IS TO INSPIRE FINANCIAL AND SPIRITUAL SUPPORT OF SSM HEALTH'S MISSION BY BUILDING PERSONAL RELATIONSHIPS AND COMMUNITY ENGAGEMENT TO ACHIEVE THE VISION OF A SUSTAINABLE AND MEANINGFUL HEALTH IMPACT IN OUR COMMUNITY. THE FOUNDATION CARES ABOUT PEOPLE AND THE OVERALL COMMUNITY. SINCE HEALTH AND WELLNESS TOUCHES EVERY PERSON AND THEIR QUALITY OF LIFE, THOSE IMPACTS NEED TO BE ADDRESSED. SSM HEALTH FOUNDATION ST. LOUIS SEEKS TO PROMOTE AND ADVANCE QUALITY HEALTH CARE THROUGH SUPPORT OF PATIENT CARE SERVICES, MEDICAL EDUCATION AND COMMUNITY OUTREACH PROGRAMS. PATIENT CARE SERVICES INCLUDE MEDICAL RESEARCH, WELLNESS AND PREVENTION PROGRAMS AND CAPITAL PROJECTS. THE FOUNDATION SUPPORTS THE FOLLOWING SSM HEALTH HOSPITALS IN THE ST. LOUIS METROPOLITAN AREA: SSM HEALTH ST. CLARE HOSPITAL FENTON, SSM HEALTH DEPAUL HOSPITAL ST. LOUIS, SSM HEALTH ST. JOSEPH HOSPITAL LAKE SAINT LOUIS, SSM HEALTH ST. JOSEPH HOSPITAL ST. CHARLES, SSM HEALTH ST. JOSEPH HOSPITAL WENTZVILLE, SSM HEALTH ST. MARY'S HOSPITAL ST. LOUIS AND SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL. THE FOUNDATION PROVIDED PHILANTHROPIC SUPPORT TO NUMEROUS PROGRAMS AT THE SEVEN SSM HEALTH ST. LOUIS AREA REGIONAL HOSPITALS INCLUDING, BUT NOT LIMITED TO: SUPPORT GROUPS FOR PATIENTS LIVING WITH CANCER; NUTRITION COUNSELING, MEDICAL SUPPLIES FOR UNINSURED/UNDERINSURED PATIENTS; SCREENING MAMMOGRAMS AND DIAGNOSTIC SERVICES FOR UNINSURED WOMEN; CONTINUING PROGRAMS CONNECTING MOTHERS WITH NEEDED RESOURCES AND EDUCATION; PROMOTE RESEARCH IN THE FIELD OF MATERNAL-FETAL MEDICINE, NURSING SCHOLARSHIPS FOR CONTINUING EDUCATION, ADVANCED EQUIPMENT AND CAPITAL FUNDING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE FOUNDATION IS SSM HEALTH 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 THE FOUNDATION AND SSM HEALTH CARE ST LOUIS ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE PHILOSOPHY OF THE FOUNDATION B. TO APPOINT THE BOARD OF TRUSTEES, EXCEPT FOR THE TRUSTEES NAMED N THE ARTICLES OF INCORPORATION FOR THEIR INITIAL TERM AND EXCEPT FOR ANY TRUSTEE WHO SERVES EX OFFICIO, AND TO REMOVE THE TRUSTEE WITH OR WITHOUT CAUSE C. TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE FOUNDATION AS PROVIDED IN THE BYLAWS D. TO APPROVE THE BYLAWS OF THE FOUNDATION AND ANY AMENDMENTS THERETO E. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE FOUNDATION F. TO APPROVE THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, ENCUMBRANCE, MORTGAGE OR LEASE OF REAL PROPERTY OR ANY INTEREST THEREIN OF THE FOUNDATION IN ACCORDANCE WITH THE POLICIES APPROVED BY THE MEMBER G. TO APPROVE I) THE ACQUISITION OF REAL PROPERTY OR ANY INTEREST THEREIN OR II) THE ACQUISITION OF STOCK OF A CORPORATION IF, AFTER THE ACQUISITION, THE FOUNDATION WILL OWN A MAJORITY OF THE VOTING STOCK OF SUCH CORPORATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER H. TO APPROVE THE SALE, TRANSFER OR OTHER DISPOSITION OF THE VOTING STOCK OF A CORPORATION IF BEFORE THE DISPOSITION THE FOUNDATION OWNED A MAJORITY OF THE VOTING STOCK OF THE CORPORATION AND AFTER SUCH DISPOSITION THE FOUNDATION WOULD NOT OWN A MAJORITY OF THE VOTING STOCK OF THE CORPORATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER I. TO APPROVE ANY BORROWINGS OR GUARANTEES OF THE FOUNDATION IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER J. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE FOUNDATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE FOUNDATION IN CONNECTION WITH SUCH PROGRAMS K. TO APPROVE THE ACCEPTANCE OF ANY GIFT OR CONTRIBUTION WHICH, IN CONNECTION THEREWITH, WOULD IMPOSE A CONTINUING OBLIGATION UPON THE FOUNDATION, INCLUDING, WITHOUT LIMITATION, THE OBLIGATION TO PROVIDE HEALTH CARE SERVICES, PAY AN ANNUITY OR UNDERTAKE ANY OTHER OBLIGATIONS, EXCEPT AS OTHERWISE DETERMINED BY THE MEMBER PURSUANT TO POLICIES ADOPTED BY THE MEMBER AND L. TO APPROVE OR REJECT PROPOSALS FOR EXPENDITURES OR CONTRIBUTIONS IN ACCORDANCE WITH ARTICLE IX OF THE BYLAWS IN THE EVENT THE PRESIDENT OF THE HOSPITAL AND THE BOARD OF TRUSTEES DO NOT AGREE WITH RESPECT TO THE APPROVAL OF SUCH PROPOSAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT AND SECRETARY OF THE BOARD MONITOR CONFLICTS OF INTEREST FOR NON-EMPLOYEE BOARD MEMBERS. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, PRESIDENT, IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSUL TANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE ORGANIZATION DOES NOT COMPENSATE ANY OTHER INDIVIDUALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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 TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNCOLLECTIBLE PLEDGES 17,502. TRANSFERS FROM CONSOLIDATED ENTITIES 58,078. DIRECT DONOR BENEFIT -12,019.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <AddressLine1Txt>12800 CORPORATE HILL DRIVE</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
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          <BusinessNameLine1Txt>SSMHC LIABILITY TRUST I</BusinessNameLine1Txt>
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          <CityNm>ST LOUIS</CityNm>
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        <EIN>436331003</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>SSM CONSOLIDATED HEALTH SERVICES</BusinessNameLine1Txt>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>SSM HEALTH CARE CORPORATION</BusinessNameLine1Txt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SSM POLICY INSTITUTE</BusinessNameLine1Txt>
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          <AddressLine1Txt>12800 CORPORATE HILL DRIVE</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
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          <ZIPCd>63131</ZIPCd>
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        <EIN>431788151</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CENTRALIA MEDICAL SERVICES BLDG ASSOC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>12800 CORPORATE HILL DRIVE</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST MARY'S JANESVILLE FOUNDATION INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>12800 CORPORATE HILL DRIVE</AddressLine1Txt>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
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          <BusinessNameLine1Txt>SSM HEALTH CARE OF WISCONSIN</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SSM HEALTH MINISTRIES</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3221 MCKELVEY ROAD SUITE 107</AddressLine1Txt>
          <CityNm>BRIDGETON</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63044</ZIPCd>
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        <EIN>431012492</EIN>
        <PrimaryActivitiesTxt>RELIGIOUS ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LEE DEWEY CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>12800 CORPORATE HILL DRIVE</AddressLine1Txt>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
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        <EIN>731279603</EIN>
        <PrimaryActivitiesTxt>MOB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SSM HEALTH CARE OF OKLAHOMA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST MARY'S HOSPITAL AUXILIARY</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 ST MARYS MEDICAL PLAZA</AddressLine1Txt>
          <CityNm>JEFFERSON CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65101</ZIPCd>
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        <EIN>436049878</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GOOD SAMARITAN HOSPITAL AUXILIARY</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1 GOOD SAMARITAN WAY</AddressLine1Txt>
          <CityNm>MOUNT VERNON</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62864</ZIPCd>
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        <EIN>237049599</EIN>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST ANTHONY SHAWNEE HOSPITAL INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1000 N LEE AVE</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73102</ZIPCd>
        </USAddress>
        <EIN>455055149</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>SSM HEALTH CARE OF OKLAHOMA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SSM AUDRAIN HEALTH CARE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>12800 CORPORATE HILL DRIVE</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
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        <EIN>431550298</EIN>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SSM-SLUH INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>12800 CORPORATE HILL DRIVE</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>AGNESIAN HEALTHCARE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>430 E DIVISION ST</AddressLine1Txt>
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          <BusinessNameLine1Txt>WAUPUN MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>33 EVERETT STREET</AddressLine1Txt>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54935</ZIPCd>
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        <EIN>391029998</EIN>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>SISTER SERVANTS OF CHRIST THE KING VILLA LORETTO</BusinessNameLine1Txt>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53057</ZIPCd>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>VILLA ROSA INC</BusinessNameLine1Txt>
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        <EIN>421670962</EIN>
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          <AddressLine1Txt>515 22ND AVENUE</AddressLine1Txt>
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          <AddressLine1Txt>1104 JOHN NOLEN DRIVE</AddressLine1Txt>
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          <BusinessNameLine1Txt>SSM HEALTH CARDINAL GLENNON TRANSPORT</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SSM HEALTH FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>12800 CORPORATE HILL DRIVE</AddressLine1Txt>
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          <BusinessNameLine1Txt>THE SARAH COMMUNITY</BusinessNameLine1Txt>
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          <AddressLine1Txt>12800 CORPORATE HILL DRIVE</AddressLine1Txt>
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          <BusinessNameLine1Txt>SSM HEALTH BUSINESSES</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>VISITING NURSE ASSOCIATION OF GREATER ST LOUIS</BusinessNameLine1Txt>
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          <AddressLine1Txt>12800 CORPORATE HILL DRIVE</AddressLine1Txt>
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        </USAddress>
        <EIN>430567000</EIN>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53715</ZIPCd>
        </USAddress>
        <EIN>000000000</EIN>
        <PrimaryActivitiesTxt>CONDO ASSOCIATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OMNINHEALTH HOLDINGS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>12800 CORPORATE HILL DRIVE</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
        </USAddress>
        <EIN>884144276</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE CONSULTING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>