2024-11-15T18:52:30-06:00 2023-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2023-01-01 466029223 SSM HEALTH CARE CORPORATION SSMH 3149947800 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 STEPHANIE KING VP-FINANCE 3149947800 2024-11-15 1 0 SHAWNA M JANSONS P01222873 3174648600 2023 2024-10-15 13:58:12Z SEE SCHEDULE O LAURA KAISER 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 1208886015 0 0928 X WWW.SSMHEALTH.COM X 1874 MO THE ORGANIZATION IS THE PARENT OF THE SSM HEALTH SYSTEM. THE ORGANIZATION PROVIDES MANAGEMENT AND CENTRALIZED SUPPORT SERVICES TO THE HOSPITALS AND OTHER HEALTH CARE ORGANIZATIONS WITHIN THE SYSTEM. 18 17 2085 17 -2843147 0 44520582 88914715 870077515 1039933735 69802546 65556902 4214745 508032 988615388 1194913384 275641 601524 0 0 243917862 261199000 0 0 0 764383265 922955952 1008576768 1184756476 -19961380 10156908 3982767692 5489373100 3137992331 3293526133 844775361 2195846967 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 827501475 601524 1039933735 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 827501475 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 1 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 X 2196 0 2085 1 1 1 1 JA CA CJ DA MX UK NZ SN 0 0 0 0 0 0 0 0 1 0 X 18 17 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X STEPHANIE KING 3149947800 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 SR MARY NOEL BROWN CSA DIRECTOR (EX-OFFICIO) 1.00 0.00 X 0 0 0 SR KATHLEEN BUCHHEIT FSM DIRECTOR (EX-OFFICIO) 1.00 0.00 X 0 0 0 RICK CORCORAN DIRECTOR, CHAIR 1.00 0.00 X X 0 0 0 MARIE DEVLIN DIRECTOR, VICE CHAIR 1.00 0.00 X X 0 0 0 DON IMHOLZ DIRECTOR 1.00 0.00 X 0 0 0 LAWRENCE LEGRAND DIRECTOR 1.00 0.00 X 0 0 0 TOM MERFELD DIRECTOR 1.00 0.00 X 0 0 0 EVANS RICHARDSON DIRECTOR 1.00 0.00 X 0 0 0 SAMUEL L ROSS MD DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL ROZIER SJ DIRECTOR (EX-OFFICIO) 1.00 0.00 X 0 0 0 JAMES WHALEN DIRECTOR 1.00 1.00 X 0 0 0 JANICE BURNETT PHD DIRECTOR 1.00 0.00 X 0 0 0 JOHN HARDT PHD DIRECTOR 1.00 0.00 X 0 0 0 CAROLYN KINDLE DIRECTOR 1.00 0.00 X 0 0 0 LAURA KAISER DIRECTOR (EX-OFFICIO), PRES/CEO 50.00 5.00 X X 4644135 0 3002313 SR JUDITH BELL FSM DIRECTOR 1.00 0.00 X 0 0 0 ALEX J VALDEZ DIRECTOR 1.00 0.00 X 0 0 0 TOMAS VALDIVIA MD DIRECTOR 1.00 0.00 X 0 0 0 STEVE SMOOT VICE PRESIDENT, COO AT SSM HEALTH 50.00 5.00 X 2054358 0 1204489 RANDY COMBS TREASURER, CFO AT SSM HEALTH 50.00 5.00 X 2182354 0 1238074 DOUGLAS LONG SECRETARY, CLO AT SSM HEALTH 50.00 5.00 X 1425239 0 777013 MARK CAGWIN ASSISTANT TREASURER 40.00 0.00 X 592209 0 188240 JENNIFER HORROM ASSISTANT SECRETARY 40.00 0.00 X 372253 0 128361 PATRICK MCCRUDEN CHIEF MISSION INTEGRATION OFFICER 40.00 0.00 X 794349 0 469733 TODD SHUMAN MD CHIEF CLINICAL OFFICER 40.00 0.00 X 1436711 0 793115 ALEXANDER GARZA MD CHIEF COMMUNTY HEALTH OFFICER 40.00 0.00 X 1032700 0 624655 JANET SMITH-HILL CHIEF HUMAN RESOURCES OFFICER 40.00 0.00 X 1060510 0 694382 CARTER DREDGE LEAD FUTURIST 40.00 0.00 X 890988 0 528294 JOHN NGUYEN CHIEF ADMINISTRATIVE OFFICER 40.00 0.00 X 1225872 0 761764 JEREMY FOTHERINGHAM REGIONAL PRESIDENT - ST. LOUIS 20.00 20.00 X 1125814 0 687586 JOY GROSSER CHIEF INFORMATION OFFICER 20.00 20.00 X 860536 0 306224 KAREN REWERTS VP-FINANCIAL OPERATIONS 40.00 5.00 X 801331 0 287514 TIM JOHNSON VP-CLINICAL INTEGRATION 40.00 0.00 X 749701 0 300989 BRENDA CHILMAN CHIEF REVENUE CYCLE OFFICER 40.00 0.00 X 665694 0 195008 MATT HANLEY MD FORMER KEY EMPLOYEE 0.00 40.00 X 974654 0 0 22889408 0 12187754 672 1 1 0 OPTUMINSIGHT INC 11000 OPTUM CIRCLE EDEN PRAIRIE MN 55344 HEALTHCARE IT SERVICES 138780275 JP MORGAN CHASE BANK 1111 POLARIS PARKWAY COLUMBUS OH 43240 INVESTMENT MANAGEMENT SERVICES 102612107 NAVVIS & COMPANY LLC 555 MARYVILLE UNIVERSITY DR STE 24 ST LOUIS MO 63141 CONSULTING SERVICES 28039291 SYNERGI PARTNERS INC PO BOX 5599 FLORENCE SC 29502 ACCOUNTING & AUDIT SERVICES 10869551 ERNST & YOUNG LLP 200 PLAZA DRIVE STE 2222 SECAUCUS NJ 07094 ACCOUNTING & AUDIT SERVICES 9786524 114 332687 88582028 88914715 CORPORATE FEES 561000 566063294 566063294 INSURANCE FEES 525100 473303493 473303493 MANAGEMENT FEES 561000 566948 566948 1039933735 58101545 -2843147 60944692 21427988 0 13972631 21427988 -13972631 7455357 7455357 OTHER INCOME 900099 392639 392639 JOINT VENTURE INCOME 900099 115393 115393 508032 1194913384 1039933735 -2843147 68908081 601524 601524 28122111 19606940 8515171 974654 679536 295118 209591637 153509036 56082601 -4763447 -3475112 -1288335 13725483 10013251 3712232 13548562 9884181 3664381 175284409 175143305 141104 10351768 10268670 83098 13687976 66070 13621906 117384377 77175507 40208870 13780869 10134314 3646555 4400986 3996516 404470 55008 55008 5860182 2046578 3813604 2078737 1208838 869899 105049 52512 52537 85604545 5317 85599228 1868311 13775 1854536 4335833 1757547 2578286 8955339 8954634 705 MEDICAL CLAIMS 470711867 337003388 133708479 LICENSES, DUES & SUBSCR 9030230 7541739 1488491 OTHER EXPENSES 1695665 1685433 10232 TAXES 1039590 169276 870314 -3274789 -596308 -2678481 1184756476 827501475 357255001 0 230517136 167014629 12694464 129748271 59512825 29043962 1641716861 0 1437384 1380868 27161268 24535681 33903330 17430922 9827032 16472408 1558686440 2411693980 4262351 4401989 0 7645607 436951931 2697435705 3982767692 5489373100 225930283 239064309 0 104835194 1840639067 665180000 1549385000 627852495 239311772 443570486 495749858 3137992331 3293526133 X 844777842 2195847723 -2481 -756 844775361 2195846967 3982767692 5489373100 X 10156908 118997243 12487050 1209430405 X 0 1 X 1 1 1 X X 15 SSM HEALTH CARE ST LOUIS 431343281 3 1 0 0 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 430738490 3 1 0 0 SSM HEALTH CARE OF WISCONSIN INC 430688874 3 1 0 0 SSM HEALTH CARE OF OKLAHOMA INC 730657693 3 1 0 0 SSM REGIONAL HEALTH SERVICES 440579850 3 1 0 0 GOOD SAMARITAN REGIONAL HEALTH CENTER 430653587 3 1 0 0 ST MARY'S HOSPITAL CENTRALIA ILLINOIS 370662580 3 1 0 0 ST ANTHONY SHAWNEE HOSPITAL INC 455055149 3 1 0 0 SSM AUDRAIN HEALTH CARE INC 431550298 3 1 0 0 SSM HEALTH MINISTRIES 431012492 1 1 0 0 SSM-SLUH INC 474196634 3 1 0 0 AGNESIAN HEALTHCARE INC 390807236 3 1 0 0 RIPON MEDICAL CENTER INC 391101287 3 1 0 0 WAUPUN MEMORIAL HOSPITAL 390806265 3 1 0 0 THE MONROE CLINIC INC 390808509 3 1 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, PART I, LINE 12F SSM HEALTH CARE CORPORATION (SSMHCC) IS A TYPE I SUPPORTING ORGANIZATION THAT IS OPERATED TO SUPPORT THE OPERATIONS OF ALL ITS RELATED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 12(G). THE AMOUNT OF SUPPORT PROVIDED TO THESE ORGANIZATIONS, REPORTED ON SCHEDULE A, PART I, LINE 12(G)(V), DOES NOT INCLUDE EXPENSES PAID ON BEHALF OF BUT NOT DIRECTLY TO THE ENTITIES SSMHCC SUPPORTS. THESE EXPENSES TOTALED $1,184,756,477. SCHEDULE A, PART IV, SECTION A, LINE 1 SSM HEALTH CARE CORPORATION IS THE PARENT ORGANIZATION OF SSM HEALTH, A HEALTH SYSTEM OF WHICH ALL SUPPORTED ORGANIZATIONS ARE SUBSIDIARIES. SSM HEALTH CARE CORPORATION'S MEMBER, SSM HEALTH MINISTRIES, HAS THE POWER TO APPOINT OR ELECT THE MEMBERS OF SSM HEALTH CARE CORPORATION'S BOARD OF DIRECTORS. THE PURPOSE OF SSM HEALTH CARE CORPORATION IS TO PROVIDE, EITHER DIRECTLY OR IN CONJUNCTION WITH OTHER PERSONS OR ORGANIZATIONS, HEALTH CARE, HEALTH EDUCATION, HOUSING SERVICES, CHILD CARE SERVICES, SERVICES FOR THE ELDERLY AND RELATED SERVICES AND FACILITIES AND/OR OTHER CHARITABLE ACTIVITIES AS MAY BE DETERMINED FROM TIME TO TIME BY MEMBERS OF THE CORPORATION AND THE BOARD OF DIRECTORS IN ACCORDANCE WITH THE BYLAWS OF THE CORPORATION AND WITH THE TEACHINGS AND MISSION OF THE ROMAN CATHOLIC CHURCH. SSM HEALTH CARE CORPORATION, IN CONJUNCTION WITH ITS SPONSOR, SSM HEALTH MINISTRIES, HAS DETERMINED THAT THE SUPPORTED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 12 ALLOW THE CORPORATION TO FULFILL ITS MISSION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 7476 0 1 391932 399408 0 SCHEDULE C, PART II-B, LINE 1 SSM HEALTH CARE CORPORATION EMPLOYS AND CONTRACTS WITH LOBBYISTS WHOSE ACTIVITIES INCLUDE SERVING AS LIAISONS TO CITY, STATE, AND FEDERAL OFFICIALS. THEY TRACK AND EVALUATE HEALTH CARE AND OTHER LEGISLATION THAT MAY HAVE AN IMPACT ON THE SYSTEM, EXPLORE AND EVALUATE POSSIBLE FUNDING OPPORTUNITIES FOR SSM HEALTH CARE CORPORATION, AND SERVE AS THE SPOKESPERSON TO LEGISLATIVE COMMITTEES AND STATE AGENCIES FOR THE SYSTEM ON LEGISLATIVE ISSUES. THE LOBBYIST'S ACTIVITIES INCLUDE DIRECT CONTACT WITH LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS. 21648 21648 21648 21648 21648 21648 21648 21648 21648 21648 0.00000 1.00000 0.00000 0 1 1 15336319 11212898 4123421 10029796 6218024 3811772 8537215 8537215 16472408 DUE FROM AFFILIATES 2334826050 OTHER ASSETS 323812420 OPERATING RIGHT-OF-USE ASSETS 38797235 2697435705 SWAPS MARK TO MARKET LIABILITY 5953431 RABBI TRUST LIABILITY 49031500 RETIREMENT LIABILITIES 32702913 OPERATING LEASE OBLIGATIONS 43434353 DEFERRED COMPENSATION LIABILITIES 364627661 495749858 X PART V, LINE 4: SSM HEALTH CARE CORPORATION'S ENDOWMENT FUNDS ARE TO BE USED TO DEFRAY THE COSTS OF AN ANNUAL EXECUTIVE LEVEL MANAGEMENT MEETING. PART X, LINE 2: SSM HEALTH CARE CORPORATION 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 2022 OR 2023. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 357185643 NORTH AMERICA 0 0 INVESTMENTS 331862 CENTRAL AMERICA AND THE CARIBBEAN 1 1 PROGRAM SERVICES SELF INSURANCE 4562340 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 1096795 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 5277400 1 1 0 0 1 1 368454040 0 368454040 1 0 1 0 1 0 SCHEDULE F, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN -ACCRUAL EAST ASIA AND THE PACIFIC -ACCRUAL EUROPE (INCLUDING ICELAND AND GREENLAND) -ACCRUAL NORTH AMERICA (CANADA & MEXICO ONLY) -ACCRUAL 1 TRAILNET INC 317 NORTH 11TH ST SUITE 302 ST LOUIS MO 63117 431509048 501(C)(3) 10000 0 BFC SPONSORSHIP ST LOUIS SPORTS COMMISSION INC 308 N 21ST ST 500 ST LOUIS MO 63103 431646221 501(C)(3) 13000 0 BIZ DASH 5K SPONSORSHIP PINK RIBBON GOOD INC 350 HULS DRIVE CLAYTON OH 45315 320020270 501(C)(3) 20000 0 SUPPORT THOSE AFFECTED BY BREAST AND GYNECOLOGICAL CANCER NURSES FOR NEWBORNS 3 SUNNEN DRIVE ST LOUIS MO 63143 431601329 501(C)(3) 7500 0 DIAMOND SPONSOR FOR A NIGHT FOR NEWBORNS MT VERNON FESTIVALS INC PO BOX 1708 MT VERNON IL 62864 455380442 501(C)(3) 8000 0 FALL FESTIVAL SPONSORSHIP MARCH OF DIMES INC 1550 CRYSTAL DR SUITE 1300 ARLINGTON VA 22202 131846366 501(C)(3) 20000 0 FOR THE HEALTH OF ALL MOMS AND BABIES THE LEUKEMIA AND LYMPHOMA SOCIETY 3 INTERNATIONAL DR STE 200 RYE BROOK NY 10573 135644916 501(C)(3) 7500 0 LIGHT THE NIGHT SPONSORSHIP JDRF INTERNATIONAL 200 VESEY ST 28TH FLOOR NEW YORK NY 10281 231907729 501(C)(3) 7500 0 ONE WALK SPONSORSHIP GENERATE HEALTH STL 5501 DELMAR BLVD B240 ST LOUIS MO 63112 412139772 501(C)(3) 20000 0 SPONSORSHIP FOR STANDING UP FOR BLACK MOTHERS AND BABIES ANNUAL EVENT CASA DE SALUD 3200 CHOUTEAU AVE ST LOUIS MO 63103 270732049 501(C)(3) 10000 0 ZOCALOCO GALA SPONSORSHIP AMERICAN RED CROSS 431 18TH ST NW WASHINGTON DC 20006 530196605 501(C)(3) 10000 0 SICKLE CELL INITIATIVE AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 10000 0 GO RED FOR WOMEN AMERICAN CANCER SOCIETY INC 3380 CHASTAIN MEADOWS PKWY KENSAW GA 30144 131788491 501(C)(3) 46000 0 CHAMPIONS OF HOPE GALA SPONSORSHIP RONALD MCDONALD HOUSE CHARITIES OF METRO ST LOUIS INC 3450 PARK AVE ST LOUIS MO 63104 431160478 501(C)(3) 100000 0 RONALD MCDONALD HOUSE PLEDGE ARCHDIOCESE OF ST LOUIS 20 ARCHBISHOP MAY DRIVE ST LOUIS MO 63119 430653244 501(C)(3) 11750 0 SUPPORT PRIEST WELLNESS PROGRAM GREATER ST LOUIS INC 211 N BROADWAY STE 200 ST LOUIS MO 63102 371982729 501(C)(6) 145720 0 FOUNDING PARTNER FOND DU LAC BASEBALL CLUB 980 E DIVISION ST FOND DU LAC WI 54935 391472844 501(C)(6) 25000 0 2023 SPONSORSHIP CENTRO HISPANO OF DANE COUNTY 2403 CYPRESS WAY MADISON WI 53713 930844812 501(C)(3) 25000 0 2023 SPONSORSHIP MADISON FESTIVALS INC 787 LOIS DRIVE SUN PRAIRIE WI 53590 391366837 501(C)(3) 24000 0 2023 SPONSORSHIP EDMOND SOCCER CLUB INC PO BOX 955 EDMOND OK 73083 731059887 501(C)(3) 20000 0 2023 SPONSORSHIP GIRLS ON THE RUN OF SOUTH CENTRAL WISCONSIN INC 901 DEMING WAY SUITE 11 MADISON WI 53717 113732108 501(C)(3) 20000 0 2023 SPONSORSHIP MADISON GOSPEL 5K FOUNDATION 2935 S FISH HATCHER RD FITCHBURG WI 53711 832761410 501(C)(3) 7500 0 2023 SPONSORSHIP BOOKS FOR NEWBORNS INC 9051 WATSON RD 329 ST LOUIS MO 63126 813977018 501(C)(3) 6000 0 2023 SPONSORSHIP SCHOOL DISTRICT OF BARABOO 423 LINN STREET BARABOO WI 53913 GOVERNMENT 6000 0 2023 SPONSORSHIP ENVISION GREATER FOND DU LAC 23 S MAIN ST SUITE 101 FOND DU LAC WI 54935 390284470 501(C)(6) 5760 0 2023 SPONSORSHIP COMMUNITY FOUNDATION OF SOUTHERN WISCONSIN PO BOX 8125 JANESVILLE WI 53547 391711388 501(C)(3) 5250 0 2023 SPONSORSHIP 23 3 PART I, LINE 2: THE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDING VARIES BASED ON THE GRANT RECIPIENT. GRANTS TO RELATED ENTITIES ARE MONITORED DIRECTLY BY THE ORGANIZATION WHEREBY THE RECIPIENT REPORTS ON THE SPECIFIC USE OF THE FUNDING. FOR GRANTS TO UNRELATED ENTITIES, THE ORGANIZATION UTILIZES THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) TO TRACK, STORE AND REPORT A WIDE RANGE OF INFORMATION RELATED TO GRANTS AND OVERALL COMMUNITY IMPACT. IN CERTAIN CIRCUMSTANCES, QUALIFYING EXPENSES MAY BE PAID ON BEHALF OF SYSTEM EMPLOYEES BASED UPON DEMONSTRATED FINANCIAL HARDSHIP CAUSED BY NATURAL DISASTERS, ILLNESS, OR OTHER UNFORESEEN TRAGEDY. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 LAURA KAISER DIRECTOR (EX-OFFICIO), PRES/CEO 2047588 0 1868164 0 728383 0 2978810 0 23503 0 7646448 0 1868164 0 RANDY COMBS TREASURER, CFO AT SSM HEALTH 1242308 0 669269 0 270777 0 1203989 0 34085 0 3420428 0 669269 0 STEVE SMOOT VICE PRESIDENT, COO AT SSM HEALTH 1173646 0 737192 0 143520 0 1164125 0 40364 0 3258847 0 878090 0 TODD SHUMAN MD CHIEF CLINICAL OFFICER 866251 0 380743 0 189717 0 769411 0 23704 0 2229826 0 380743 0 DOUGLAS LONG SECRETARY, CLO AT SSM HEALTH 759270 0 495539 0 170430 0 753634 0 23379 0 2202252 0 495539 0 JOHN NGUYEN CHIEF ADMINISTRATIVE OFFICER 755294 0 434924 0 35654 0 739244 0 22520 0 1987636 0 469439 0 JEREMY FOTHERINGHAM REGIONAL PRESIDENT - ST. LOUIS 789865 0 334239 0 1710 0 648534 0 39052 0 1813400 0 334239 0 JANET SMITH-HILL CHIEF HUMAN RESOURCES OFFICER 663993 0 361615 0 34902 0 662622 0 31760 0 1754892 0 361615 0 ALEXANDER GARZA MD CHIEF COMMUNTY HEALTH OFFICER 591556 0 383397 0 57747 0 608149 0 16506 0 1657355 0 436242 0 CARTER DREDGE LEAD FUTURIST 548658 0 239274 0 103056 0 495222 0 33072 0 1419282 0 341189 0 PATRICK MCCRUDEN CHIEF MISSION INTEGRATION OFFICER 421161 0 275331 0 97857 0 439577 0 30156 0 1264082 0 275331 0 JOY GROSSER CHIEF INFORMATION OFFICER 648479 0 202478 0 9579 0 294750 0 11474 0 1166760 0 202478 0 KAREN REWERTS VP-FINANCIAL OPERATIONS 589021 0 154022 0 58288 0 253200 0 34314 0 1088845 0 207408 0 TIM JOHNSON VP-CLINICAL INTEGRATION 546303 0 162711 0 40687 0 266170 0 34819 0 1050690 0 201688 0 MATT HANLEY MD FORMER KEY EMPLOYEE 0 0 974654 0 0 0 0 0 0 0 974654 0 0 0 BRENDA CHILMAN CHIEF REVENUE CYCLE OFFICER 397750 0 96636 0 171308 0 175050 0 19958 0 860702 0 223479 0 MARK CAGWIN ASSISTANT TREASURER 422914 0 168329 0 966 0 172974 0 15266 0 780449 0 80220 0 JENNIFER HORROM ASSISTANT SECRETARY 276446 0 68552 0 27255 0 122646 0 5715 0 500614 0 94897 0 PART I, LINE 1A SEVERAL INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A HAD CHARTER TRAVEL DURING 2023. SCHEDULE J, 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: LAURA KAISER $720,859 STEVE SMOOT $249,972 RANDALL COMBS $261,633 DOUGLAS LONG $161,286 MARK CAGWIN $40,747 JENNIFER HORROM $26,363 TODD SHUMAN $180,573 ALEXANDER GARZA $126,049 JANET SMITH-HILL $141,421 CARTER DREDGE $157,909 JOHN NGUYEN $159,731 PATRICK MCCRUDEN $91,353 JEREMY FOTHERINGHAM $158,615 JOY GROSSER $2,055 KAREN REWERTS $56,755 TIM JOHNSON $54,877 BRENDA CHILMAN $38,467 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 JENNIFER HORROM $26,345 ALEXANDER GARZA $52,845 CARTER DREDGE $101,915 JOHN NGUYEN $34,514 KAREN REWERTS $53,386 TIM JOHNSON $38,977 BRENDA CHILMAN $126,843 A HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60637AGB2 2014-05-14 257654670 SEE PART VI 0 0 0 B HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60637AFK3 2014-05-14 632155000 SEE PART VI 1 0 0 C HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60637AMQ2 2018-05-08 282751276 SEE PART VI 0 0 0 D HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 000000000 2019-07-17 239340000 SEE PART VI 0 0 0 A 36225000 257654670 257654670 1 0 1 1 B 632176484 80084433 552092051 2016 1 0 1 1 C 13395000 282751276 150443842 132307434 2020 1 0 1 1 D 18855000 239340000 239340000 1 0 1 1 A 0 1 1 1 0 0.02560 0.00000 0.02560 0 1 0.05410 1 1 B 0 1 1 1 0 0.00000 0.00000 0.00000 0 1 0.00850 1 1 C 0 1 1 1 0 0.00840 0.00000 0.00840 0 0 1 D 0 1 1 1 0 0.01060 0.00000 0.01060 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 FORM 990, SCHEDULE K, PART I, COLUMN (C), LINE B: THE ISSUE WAS ORIGINALLY COMPRISED OF 10 SEPARATE SERIES OF BONDS. THE BONDS OF THE ISSUE WITH THE LATEST MATURITY DATES (THE SERIES 2014J AND SERIES 2014K BONDS EACH MATURING 06/01/2045) WERE NOT ASSIGNED A CUSIP NUMBER. THE SERIES 2014B, 2014C, 2014D, 2014E, 2014F AND 2014G BONDS WERE ASSIGNED CUSIP NUMBERS. OF THESE SERIES OF BONDS, THE SERIES 2014D, 2014E, 2014F AND 2014G BONDS EACH MATURE 06/01/2044. THEREFORE, THE BONDS WITH THE LATEST MATURITY WITH CUSIP NUMBERS ARE THE 06/01/2044 MATURITIES OF THE SERIES 2014D, 2014E, 2014F AND 2014G BONDS. THE CUSIP NUMBERS FOR THESE BONDS ARE AS FOLLOWS: 2014D - 60637A FK3; 2014E - 60637A FL1; 2014F - 60637A FM9; 2014G - 60637A FN7. FORM 990, SCHEDULE K, PART I, COLUMN (C), LINE C: CUSIP NUMBERS: 60637AMQ2 AND 60637AMP4 FORM 990, SCHEDULE K, PART I, COLUMN (C), LINE A(2): CUSIP NUMBERS: 60637AVV1 AND 60637AVU3 FORM 990, SCHEDULE K, PART I, COLUMN (F), LINE A: (1) REFUND SERIES 2005CD BONDS ISSUED 7/21/2005, AND (2) REFUND SERIES 2010D BONDS ISSUED 5/13/2010. FORM 990, SCHEDULE K, PART I, COLUMN (F), LINE B: (1) FINANCE VARIOUS CAPITAL EQUIPMENT AND IMPROVEMENTS AND (2) REFUND SERIES 2005CD BONDS ISSUED ON 7/21/2005, SERIES 2010D BONDS ISSUED ON 5/13/2010 AND BRIDGE LOANS DATED 8/29/2023 AND 11/15/2023. FORM 990, SCHEDULE K, PART I, COLUMN (F), LINE C: REISSUANCE OF SERIES 2012A BONDS ISSUED ON 7/26/2012. FORM 990, SCHEDULE K, PART I, COLUMN (F), LINE D: (1) CURRENT REFUND $62,485,000 PRINCIPAL AMOUNT OF THE SERIES 2012B BONDS ISSUED ON 7/26/2012, AND (2) CURRENT REFUND $176,855,000 PRINCIPAL AMOUNT OF THE SERIES 2014B-K BONDS ISSUED ON 5/14/2014. FORM 990, SCHEDULE K, PART I, COLUMN (F), LINE A(2): (1) REFUND SERIES 2014I REFINANCED BONDS ISSUED ON 12/11/2018, AND (2) SSM-SLUH REFINANCED BONDS ISSUED ON 2/23/2023, 3/10/2022, 3/24/2022, 4/1/2022, AND 4/6/2022. FORM 990, SCHEDULE K, PART I, COLUMN (F), LINE B(2): REFINANCE REFUNDED SERIES 2018BC BONDS ISSUED ON 5/8/2018. FORM 990, SCHEDULE K, PART I, COLUMN (G), LINE B: ON 12/11/2018, SSM ISSUED TAXABLE SERIES 2018 BONDS TO REFUND AND REDEEM ALL OF THE OUTSTANDING SERIES 2014I AND SERIES 2014J BONDS. $100,000,000 OF SERIES 2014H BONDS AND $76,855,000 OF SERIES 2014K BONDS WERE CURRENT REFUNDED BY THE SERIES 2019ABC BONDS ISSUED ON 7/17/2019. FORM 990, SCHEDULE K, PART II, COLUMN B, LINE 3: AMOUNT IS NOT EQUAL TO THE ISSUE PRICE DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD. FORM 990, SCHEDULE K, PART III, COLUMN A, LINE 8(C): REMEDIAL ACTION WAS TAKEN ON 1/4/2016 TO REDEEM $535,000 OF 2014A BONDS RELATED TO THE SALE OF ST. MARY'S HOSPITAL IN JEFFERSON CITY, MISSOURI. A NOTICE WAS SENT TO THE IRS. FORM 990, SCHEDULE K, PART III, COLUMN B, LINE 8(C): A REMEDIAL ACTION WAS TAKEN ON 1/4/2016 TO REDEEM $250,000 OF SERIES 2014K BONDS RELATED TO THE SALE OF ST. MARY'S HEALTH CENTER IN JEFFERSON CITY, MISSOURI. IN ADDITION, A REMEDIAL ACTION WAS TAKEN ON 12/11/2018 TO REDEEM $85,000,000 OF SERIES 2014J BONDS RELATED TO THE SALE OF THE NEW ST. MARY'S HOSPITAL IN JEFFERSON CITY, MISSOURI AND ST. FRANCIS HOSPITAL IN MARYVILLE, MISSOURI. A NOTICE WAS SENT TO THE IRS. A HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60637AVV1 2022-04-21 350784695 SEE PART VI 0 0 0 B HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60637AVX7 2023-04-26 89760457 SEE PART VI 0 0 0 A 350784695 350784695 0 1 1 1 B 89760457 89760457 1 0 1 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 DAVID LONG SON OF OFFICER OF ORGANIZATION 162479 EMPLOYMENT 0 JOE NGUYEN BROTHER OF KEY EMPLOYEE OF ORGANIZATION 332292 EMPLOYMENT 0 FORM 990, PART I DOING BUSINESS AS: SSM HEALTH CARE CORPORATION CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING NAMES: SSM HEALTH SSM HEALTH AT WORK SSM HEALTH ARCHIVES FORM 990, PART III, LINE 4 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. DESCRIBE THE TAX-EXEMPT PURPOSE ACHIEVEMENTS: SSM HEALTH CARE CORPORATION IS THE PARENT OF A LARGE HEALTHCARE SYSTEM SPREAD ACROSS FOUR STATES - ILLINOIS, MISSOURI, OKLAHOMA AND WISCONSIN. AS THE PARENT OF SSM HEALTH (SSMH), THE CORPORATE OFFICE PROVIDES SERVICES TO ALL SSMH FACILITIES. THESE SERVICES INCLUDE THE FOLLOWING: IMPLEMENTATION AND OPTIMIZATION OF A COMMON PLATFORM OF CARE FOR SSMH FACILITIES; SUPPORT AND IMPLEMENTATION OF THE ELECTRONIC HEALTH RECORD AT SSMH HOSPITALS AND FACILITIES; EVALUATION AND CONSULTATION OF NEW GROWTH STRATEGIES AND OPPORTUNITIES; COMMUNICATIONS COUNSEL, STRATEGY AND PLANNING; OVERSIGHT OF THE MISSION AWARENESS TEAMS AND SPIRITUAL CARE DEPARTMENTS; HIGH-LEVEL CORPORATE RESPONSIBILITY PROCESS OVERSIGHT TO ENSURE ETHICAL AND LEGAL COMPLIANCE; ORGANIZATIONAL AND CLINICAL ETHICS EDUCATION; POLICY WRITING AND REVIEW AND PATIENT BILLING SERVICES. OTHER SERVICES INCLUDE CAPITAL PLANNING AND ALLOCATION; STRATEGIC, FINANCIAL AND HUMAN RESOURCE PLAN PREPARATION; INVESTMENT MANAGEMENT AND DEBT FINANCING; SYSTEM-LEVEL INTERNAL AND EXTERNAL FINANCIAL REPORTING; TAX COMPLIANCE PROCESS MANAGEMENT; EMPLOYEE BENEFITS ADMINISTRATION; EDUCATIONAL PROGRAM OFFERINGS FOR LEADERSHIP DEVELOPMENT; AND RISK MANAGEMENT STRATEGIES. THE EFFORTS OF SSM HEALTH CARE CORPORATION PROVIDE FOR HIGH QUALITY, COST EFFECTIVE, AND COMPASSIONATE HEALTH CARE SERVICES FOR THE COMMUNITIES WE SERVE. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS: 1. UNCOMPENSATED CARE - SSM HEALTH PROVIDED $346,800,000 IN FREE OR DISCOUNTED HEALTH CARE SERVICES TO PERSONS WHO COULD NOT AFFORD TO PAY OR WHO MET ORGANIZATIONAL ELIGIBILITY CRITERIA. 2. HEALTH PROFESSIONS EDUCATION - SSM HEALTH INVESTED $89,721,000 IN EDUCATIONAL PROGRAMS, THROUGH ITS MANY TEACHING HOSPITALS, ACADEMIC MEDICAL CENTERS, RESIDENCY PROGRAMS AND ENVIRONMENTS FOR LEARNING. THIS INVESTMENT PROVIDED NURSING STUDENTS, GRADUATE AND UNDERGRADUATE MEDICAL STUDENTS, AND ALLIED HEALTH PROFESSIONALS THE EDUCATION NECESSARY TO OBTAIN/ RETAIN STATE LICENSE OR HEALTH PROFESSIONS CERTIFICATION WITH THEIR PROFESSIONAL BOARD. 3. SUBSIDIZED HEALTH SERVICES -SSM HEALTH CONTINUED TO OFFER CLINICAL SERVICES THAT ADDRESSED IDENTIFIED NEED IN COMMUNITIES SERVED BY THE ORGANIZATION AT A NET LOSS OF $13,858,000, ENSURING CONTINUED ACCESS TO NEEDED SERVICES IN MATERNAL, INFANT AND PEDIATRIC CARE. 4. RESEARCH - SSM INVESTED $15,182 IN CLINICAL, COMMUNITY HEALTH, AND CARE DELIVERY RESEARCH. 5. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BUILDING - SSM HEALTH, IN RESPONSE TO THE MOST PREVALENT IDENTIFIED NEEDS AND ACCESS TO CARE IN COMMUNITIES SERVED, PROVIDED $14,199,000 IN ADDITIONAL COMMUNITY HEALTH IMPROVEMENT SERVICES, INCLUDING: A. ASSISTING UNINSURED PATIENTS WITH ENROLLMENT IN MEDICAID OR OTHER RELEVANT COVERAGE SERVICES AT A COST OF $8,368,000. B. FUNDING $2,810,000 IN EXPENSES RELATED TO THE OPERATION OF THE MISSOURI POISON CONTROL CENTER. C. PROVIDING PHARMACY CONCIERGE AND PRESCRIPTION ASSISTANCE COSTING $44,157. D. PROVIDED $385,772 OF SUPPORT TO A PROGRAM PROVIDED BY THE SUPPLY CHAIN MANAGEMENT TEAM AIDING PATIENTS (UNINSURED OR UNDERINSURED) WITH REGISTRATION AND ENROLLMENT IN PROGRAMS PROVIDING FREE OR LOW-COST MEDICINE AND DEVICES. E. PROVIDING $1,006,000 OF TRANSPORTATION EXPENSE TO PATIENTS TO ENSURE THEY HAD ACCESS TO BEHAVIORAL HEALTH, PRIMARY CARE, SPECIALTY CARE, FOLLOW-UP APPOINTMENTS AND SAFE TRANSPORT BETWEEN HEALTH CARE FACILITIES. 6. HOSPITAL LEADERS AND MINISTRY TEAMS THROUGHOUT THE ORGANIZATION, SUPPORTED IMPROVED COMMUNITY HEALTH THROUGH BOARD SERVICE, COMMUNITY HEALTH IMPROVEMENT ACTIVITIES AND VOLUNTEERISM CONTRIBUTING TO COMMUNITY MEMBERS AND ORGANIZATIONS: A. CASH & IN-KIND CONTRIBUTIONS OF $5,250,000; B. COMMUNITY-BASED CLINICAL SERVICES AND COMMUNITY HEALTH EDUCATION VALUED AT $1,097,000. 7. COMMUNITY SERVICE - SSM HEALTH'S EXECUTIVE LEADERSHIP AND THEIR TEAMS WERE INVOLVED WITH SEVERAL ORGANIZATIONS, INCLUDING THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION, URBAN LEAGUE OF ST. LOUIS, ST. LOUIS CRISIS NURSERY, UNITED WAY, DANE COUNTY HEALTH COUNCIL, DOWNTOWN OKLAHOMA CITY, AND THE SOUTHERN ILLINOIS WORKFORCE DEVELOPMENT BOARD. 8. SSM PUBLIC POLICY LEADERS PARTICIPATE IN VARIOUS DISCUSSIONS WITH LEGISLATORS ON NUMEROUS ISSUES IMPACTING THE COMMUNITY'S HEALTH AND SAFETY INCLUDING MEDICAID EXPANSION AND TRANSFORMATION, COVID-19 RESPONSE, TELEHEALTH AND TELEMEDICINE, BEHAVIORAL HEALTH, THE 340B DRUG PRICING PROGRAM AND OTHER PHARMACY BENEFIT REFORM, AND SOCIAL DETERMINANTS OF HEALTH. IN SUMMARY, SSM HEALTH CONTRIBUTED $470,017,000 IN COMMUNITY BENEFIT, INCLUDING CHARITY CARE, HEALTH SCREENINGS, EDUCATIONAL PROGRAMS, COMMUNITY DONATIONS, AND A WIDE VARIETY OF OTHER SERVICES TO THE COMMUNITIES WE SERVE DURING 2023. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CLASS OF MEMBERS. THESE MEMBERS CONSIST OF THE INDIVIDUALS WHO ARE THE THEN-SERVING MEMBERS OF SSM HEALTH MINISTRIES, A PUBLIC JURIDIC PERSON AND CANONICAL SUCCESSOR TO THE RELIGIOUS INSTITUTE, THE FRANCISCAN SISTERS OF MARY (EIGHT INDIVIDUALS). THE VOTING RIGHTS, INTERESTS AND PRIVILEGES OF EACH MEMBER ARE EQUAL. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS HAVE THE POWER TO APPOINT AND REMOVE BOARD MEMBERS, WITH OR WITHOUT CAUSE, EXCEPT FOR THOSE WHO SERVE EX-OFFICIO. 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 B) TO APPOINT THE BOARD OF DIRECTORS, EXCEPT FOR THOSE DIRECTORS WHO SERVE EX OFFICIO, AND TO REMOVE THE APPOINTED DIRECTORS WITH OR WITHOUT CAUSE C) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN ENCUMBRANCE, MORTGAGE OR LEASE OF REAL PROPERTY OR ANY INTEREST THEREIN OF THE CORPORATION IN ACCORDANCE WITH THE POLICIES APPROVED BY THE MEMBERS FROM TIME TO TIME G) TO APPROVE ANY BORROWING OR GUARANTEES OF THE CORPORATION IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBERS FROM TIME TO TIME; AND H) TO APPROVE ANY ACTIONS OF THE CORPORATION FOR ITSELF OR ITS CONTROLLED SUBSIDIARIES, REMOTELY CONTROLLED SUBSIDIARIES AND NON-CONTROLLED SUBSIDIARIES WHICH UNDER THE CODE OF CANON LAW WOULD REQUIRE THE CONSENT OR APPROVAL OF THE MEMBERS IN THEIR CAPACITY AS THE MEMBERS OF SSM HEALTH MINISTRIES. 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 (SSMH). THE RETURN IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM WHO SIGNS AS PAID PREPARER. THE RETURN IS THEN PROVIDED TO A MEMBER OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED BY THE TAX DEPARTMENT OF SSMH PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. 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 ONLINE. 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 ALL SSMH EXECUTIVE SALARY/COMPENSATION INFORMATION IS BASED ON COMPARATIVE DATA WITH SIMILAR POSITIONS IN THE MARKET. THE COMPENSATION REVIEW PROCESS IS PERFORMED ANNUALLY BY EXTERNAL INDEPENDENT COMPENSATION CONSULTANTS. THE SALARY DATA AND POTENTIAL ADJUSTMENTS, FOR THE PRESIDENT/CEO OF THE SYSTEM, THE SENIOR VICE PRESIDENTS AND THE REGIONAL PRESIDENTS ARE PRESENTED TO THE SSMH BOARD OF DIRECTORS BY THE SAME INDEPENDENT COMPENSATION CONSULTANTS TO APPROVE, DISAPPROVE, OR MODIFY. THE SAME COMPARATIVE COMPENSATION PROCESS USED FOR EXECUTIVE SALARY/COMPENSATION IS PERFORMED INTERNALLY FOR ALL EMPLOYEES. THE SSMH BOARD OF DIRECTORS HAS DELEGATED SALARY APPROVAL FOR ALL OTHER POSITIONS TO THE SSM HEALTH PRESIDENT/CEO. 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: ACTUARIAL CHANGE IN DEFINED BENEFIT LIABILITY 2,491,040,780. TRANSFERS WITH AFFILIATES -1,281,610,375. 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