2024-11-15T14:28:25-06:00 2023-12-31 990 2023-01-01 364636691 ST MARY'S HOSPITAL FOUNDATION STMA 6184366455 400 N PLEASANT CENTRALIA IL 62801 STEPHANIE KING VP FINANCE 6184366455 2024-11-15 0 2023 2024-10-15 13:58:12Z X STEPHANIE KING 400 N PLEASANT CENTRALIA IL 62801 403982 0 0928 X WWW.GIVETOSSMHEALTH.ORG/FOUNDATIONS/ILLINOIS/SSM- X 2008 IL TO PROVIDE SUPPORT TO SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA IN SUPPORT OF THEIR MISSION TO CONTINUE THE HEALING MINISTRY OF JESUS CHRIST BY IMPROVING REGIONAL QUALITY HEALTH SERVICES FOR EVERYONE. 15 13 0 20 0 0 248093 250039 0 127575 9559 15456 3560 -22 261212 393048 172133 47489 0 0 64675 93573 0 0 23068 28964 24442 265772 165504 -4560 227544 855954 1113515 6625 5240 849329 1108275 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 48863 47489 127575 PROVIDED SUPPORT TO VARIOUS PROGRAMS AND EQUIPMENT PURCHASES FOR SSM HEALTH ST MARY'S HOSPITAL - CENTRALIA. PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 48863 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 15 13 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 IL X PENNY HAGAN 3149892976 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 DAMON HARBISON TRUSTEE & HOSPITAL PRESIDENT 1.00 42.00 X X 0 478548 228496 DR MARYANN LANGENFELD TRUSTEE 1.00 0.00 X 0 0 0 DR RAJENDRA SHROFF TRUSTEE & PHYSICIAN 1.00 0.00 X 0 140496 37322 GARY UNVERFEHRT TRUSTEE & VICE CHAIRPERSON 1.00 0.00 X X 0 0 0 GREG DODSON TRUSTEE 1.00 0.00 X 0 0 0 GREGG WINN TRUSTEE 1.00 0.00 X 0 0 0 JACK GRAHAM TRUSTEE 1.00 0.00 X 0 0 0 KEITH KESSLER TRUSTEE 1.00 0.00 X 0 0 0 KIM MCMILLAN TRUSTEE & CHAIRPERSON 1.00 0.00 X X 0 0 0 LAVERNE BRINK TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL BAUMGARTNER TRUSTEE & REGIONAL PRESIDENT 1.00 0.00 X 0 0 0 PATTY WILLIAMS TRUSTEE 1.00 0.00 X 0 0 0 REV RON JOHNSON TRUSTEE 1.00 0.00 X 0 0 0 SUSAN ROBBINS TRUSTEE 1.00 0.00 X 0 0 0 WES MONKEN TRUSTEE 1.00 0.00 X 0 0 0 DOUGLAS LONG ASST SECRETARY, GENERAL COUNSEL AT SSM HEALTH 1.00 72.20 X 0 1425239 777013 JOHN SNODSMITH REGIONAL VP FINANCE 1.00 43.00 X 0 292287 99350 KAY ZIBBY-DAMRON EXECUTIVE DIRECTOR 20.00 20.00 X 0 162164 37460 KAREN REWERTS FORMER OFFICER, VP-FINANCIAL OPERATIONS 0.00 43.00 X 0 801331 287514 MATT KINSELLA FORMER OFFICER 0.00 40.00 X 0 532042 201905 0 3832107 1669060 0 1 1 0 0 46618 203421 250039 MANAGEMENT FEES 541610 127575 127575 127575 6435 6435 9021 0 9021 9021 9021 10412 46618 10684 -272 -272 500 250 250 250 393048 127575 0 15434 47489 47489 86752 86752 6821 6821 16366 16366 1060 1060 2445 2445 31 31 1045 1045 182 182 MISC EXPENSE 1939 1939 BANK FEES 1259 1259 TAXES 115 115 165504 48863 93573 23068 385817 633549 303272 350130 166865 129836 855954 1113515 6625 5240 6625 5240 X 333949 415646 515380 692629 849329 1108275 855954 1113515 227544 31402 0 X 0 1 X 1 0 X 801237 427279 185174 248093 260951 1922734 801237 427279 185174 248093 260951 1922734 1922734 2489 56 3137 5932 6435 18049 19247 20641 13667 42821 96376 2037159 0.94380 0.80970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 OTHER LIABILITIES 5240 5240 X PART X, LINE 2: ST. MARY'S HOSPITAL FOUNDATION'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. GOLF TOURNAMENT 57030 46618 10412 1300 3384 2453 3547 57030 46618 10412 1300 3384 2453 3547 10684 -272 1 ST MARY'S HOSPITAL 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 370662580 501(C)(3) 41000 0 PT TRANSPORTATION 1 PART I, LINE 2: GRANTS TO ORGANIZATIONS ARE MADE TO A RELATED ORGANIZATION THAT IS TAX EXEMPT UNDER SECTION 501(C)(3). THE ORGANIZATION HAS DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. X X 0 1 0 0 0 0 0 0 0 DOUGLAS LONG ASST SECRETARY, GENERAL COUNSEL AT S 0 759270 0 495539 0 170430 0 753634 0 23379 0 2202252 0 495539 KAREN REWERTS FORMER OFFICER, VP-FINANCIAL OPERATI 0 589021 0 154022 0 58288 0 253200 0 34314 0 1088845 0 205965 MATT KINSELLA FORMER OFFICER 0 405421 0 105716 0 20905 0 160100 0 41805 0 733947 0 114535 DAMON HARBISON TRUSTEE & HOSPITAL PRESIDENT 0 366317 0 85494 0 26737 0 178768 0 49728 0 707044 0 109045 JOHN SNODSMITH REGIONAL VP FINANCE 0 257255 0 34175 0 857 0 69162 0 30188 0 391637 0 34175 KAY ZIBBY-DAMRON EXECUTIVE DIRECTOR 0 152528 0 8943 0 693 0 21367 0 16093 0 199624 0 8943 DR RAJENDRA SHROFF TRUSTEE & PHYSICIAN 0 140496 0 0 0 0 0 8661 0 28661 0 177818 0 0 PART I, LINE 3 THE FOUNDATION'S TOP MANAGEMENT OFFICIAL (EXECUTIVE DIRECTOR) 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. SCHEDULE J PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SSM HEAL TH (SSMH) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMH QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER THE SSMH QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMH OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMH. NO INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 2023. CAPITAL ACCUMULATION PLAN: SSMH PROVIDES THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO EXECUTIVE LEVEL EMPLOYEES. THE ORGANIZATION CONTRIBUTED A PERCENTAGE OF THE EMPLOYEE'S BASE SALARY INTO THEIR CHOICE OF A SELECT LIST OF INVESTMENTS. THE DEPOSITS AND EARNINGS OF THE PLAN ARE OWNED BY SSMH AND ARE TAX-DEFERRED UNTIL A DISTRIBUTION IS MADE TO THE EMPLOYEE. IN ADDITION, THE PLAN HAS SPECIAL SAFEGUARDS IN PLACE TO PROTECT THE FUNDS FROM CONTINGENCIES, OTHER THAN INSOLVENCY. FOR CONTRIBUTIONS MADE TO THE PLAN IN 2014 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF FOUR PLAN YEARS FOR ALL EXECUTIVES THAT ARE STILL ACTIVELY EMPLOYED ON THE DISTRIBUTION DATE. ANY ACTIVE PARTICIPANT 65 YEARS OR OLDER WILL RECEIVE THE CONTRIBUTION IN THE CURRENT YEAR. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DEFERRALS FROM THIS PLAN IN 2023: DAMON HARBISON $37,247 JOHN SNODSMITH $11,873 MATTHEW KINSELLA $39,596 KAREN REWERTS $56,755 DOUGLAS LONG $161,286 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. DAMON HARBISON $25,899 MATT KINSELLA $19,814 KAREN REWERTS $53,386 FORM 990, PART III, LINE 4 -PROGRAM SERVICE ACCOMPLISHMENTS SINCE IT WAS FOUNDED IN 1872 BY CATHOLIC SISTERS, SSM HEALTH (SSMH) HAS EXISTED TO MEET THE HEAL TH NEEDS OF THE COMMUNITIES IT SERVES. SSMH IS A CATHOLIC, NOT-FORPROFIT HEAL TH SYSTEM SERVING THE COMPREHENSIVE HEAL TH NEEDS OF COMMUNITIES ACROSS THE MIDWEST THROUGH ONE OF THE LARGEST INTEGRATED DELIVERY SYSTEMS IN THE NATION. WITH CARE DELIVERY SITES IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN, SSMH INCLUDES 23 ACUTE CARE HOSPITALS, ONE CHILDREN'S HOSPITAL, MORE THAN 300 PHYSICIAN OFFICES AND OTHER OUTPATIENT AND VIRTUAL CARE SERVICES, 10 POST-ACUTE FACILITIES, COMPREHENSIVE HOME CARE AND HOSPICE SERVICES, A PHARMACY BENEFIT COMPANY, A HEAL TH INSURANCE COMPANY, AND AN ACCOUNTABLE CARE ORGANIZATION. THE HEAL TH SYSTEM EMPLOYS NEARLY 40,000 PEOPLE AND IS AFFILIATED WITH 11,000 PHYSICIANS MAKING IT ONE OF THE LARGEST EMPLOYERS IN EVERY COMMUNITY IT SERVES. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMH STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL HEAL TH CARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. SSM HEAL TH ST. MARY'S FOUNDATION - MADISON HELPS PRESERVE A LEGACY THAT IS IMPORTANT TO OUR COMMUNITY - A LEGACY OF HEALING THE BODY, MIND AND SPIRIT THROUGH THE EXCEPTIONAL, COMPASSIONATE CARE FOR THOSE WE HAVE THE PRIVILEGE TO SERVE. IN 2022, ST. MARY'S FOUNDATION PROGRAM SUPPORT EXCEEDED $3.3 MILLION IN INVESTMENTS IN TECHNOLOGY, EDUCATION AND PEOPLE TO MEET THE GROWING NEED FOR COMPLEX CARE IN OUR COMMUNITY. WE ARE GRATEFUL FOR THE INDIVIDUALS AND ORGANIZATIONS WHOSE PHILANTHROPIC GIVING HAS IMPROVED THE LIVES OF OUR PATIENTS, FAMILIES, RESIDENTS AND STAFF. PHILANTHROPIC GIFTS FUNDED BOLD NEW INVESTMENTS IN SURGICAL INNOVATION AND ROBOTICS TO SIGNIFICANTLY ENHANCE THE OVER-ALL PATIENT EXPERIENCE. PATIENTS WHO RECEIVE LESS-INVASIVE, PHYSICIAN-LED ROBOTIC PROCEDURES EXPERIENCE LESS PAIN, FEWER COMPLICATIONS, QUICKER RECOVERY TIME AND REDUCED LENGTH OF STAY. BY REDUCING THE LENGTH OF STAY, ST. MARY'S HOSPITAL HAS THE ABILITY TO CARE FOR MORE PATIENTS IN SOUTH CENTRAL WISCONSIN WHO REQUIRE A HIGHER LEVEL OF CARE. THROUGH GRANTS AND COMMUNITY SUPPORT TO ST. MARY'S FOUNDATION, SSM HEALTH WISCONSIN LED EFFORTS TO IMPROVE ACCESS TO COVID VACCINES AND BOOSTERS, PLUS CHILDHOOD AND ADOLESCENT IMMUNIZATIONS THAT WERE MISSED DURING THE PANDEMIC. SSM HEALTH MOBILIZED CLINICS AT LOCAL SCHOOL DISTRICTS TO ELIMINATE SOME OF THE MOST SIGNIFICANT ACCESS BARRIERS FAMILIES FACED INCLUDING LANGUAGE, TRUST OF HEALTHCARE SETTINGS, TRANSPORTATION AND CLINIC HOURS. GENEROUS GIVING TO NURSING EDUCATION & ADVANCEMENT, WISCONSIN REGION EMPLOYEE RELIEF FUND, PASTORAL CARE AND MISSION, PATIENT CARE AND ASSISTANCE AND A VARIETY OF NAMED ENDOWMENTS PROVIDED FUNDING FOR EMERGING NEEDS THROUGHOUT THE YEAR AND EXPANDED FUNDING SOURCES FOR OUR FUTURE. THROUGH NURSING SCHOLARSHIPS, FINANCIAL NEED GRANTS FOR EMPLOYEES, FUNDING FOR DIVERSITY AND INCLUSION EFFORTS AND DIRECT PATIENT CARE NEEDS - THE GENEROUS GIFTS WE RECEIVE ARE INVESTMENTS IN PROGRESS AND PEOPLE THAT IMPROVE THE PATIENT EXPERIENCE. ADDITIONAL INFORMATION ABOUT ST. MARY'S FOUNDATION MAY BE FOUND AT HTTPS://WWW.SSMHEALTH.COM/DONATE/ST-MARYS-FOUNDATION-MADISON. 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 46-3069223. FORM 990, PART VI, SECTION A, LINE 2 FOREST LANGENFELD, TRUSTEE, AND DR MARYANN LANGENFELD, TRUSTEE - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER IS ST MARY'S-GOOD SAMARITAN, INC., A NONPROFIT 501(C)(3) ORGANIZATION. ST MARY'S-GOOD SAMARITAN, INC. AND THE FOUNDATION ARE PART OF THE INTEGRATED HEAL TH CARE SYSTEM KNOWN AS SSM HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE POWER TO APPOINT THE BOARD OF TRUSTEES EXCEPT FOR ANY TRUSTEE WHO SERVES EX OFFICIO, AND TO REMOVE APPOINTED TRUSTEES WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION A, LINE 7B A. TO ESTABLISH AND CHANGE THE PHILOSOPHY OF THE FOUNDATION B. TO APPOINT THE BOARD OF TRUSTEES, EXCEPT FOR ANY TRUSTEE WHO SERVES EX OFFICIO, AND TO REMOVE THE APPOINTED TRUSTEES WITH OR WITHOUT CAUSE C. TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE FOUNDATION AS PROVIDED IN THE BYLAWS D. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE FOUNDATION 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 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 HEAL TH CARE SERVICES, PAY AN ANNUITY OR UNDERTAKE ANY OTHER OBLIGATIONS, EXCEPT AS OTHERWISE DETERMINED BY THE MEMBER PURSUANT TO POLICIES ADOPTED BY THE MEMBER K.TO APPROVE OR REJECT PROPOSALS FOR EXPENDITURES OR CONTRIBUTIONS IN ACCORDANCE WITH ARTICLE IX OF THE BYLAWS IN THE EVENT THE PRESIDENT OF THE MEMBER AND THE BOARD OF TRUSTEES DO NOT AGREE WITH RESPECT TO THE APPROVAL OF SUCH PROPOSAL L.TO APPROVE THE ANNUAL OPERATING BUDGET OF THE FOUNDATION AND M.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. 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 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY OF THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ON LINE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END. FORM 990, PART VI, SECTION C, LINE 19 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 ILLINOIS 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. 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 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 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