2025-11-17T17:07:11-06:00 2024-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2024-01-01 466029223 SSM HEALTH CARE CORPORATION SSMH 3149947800 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 STEPHANIE KING VP-FINANCE 3149947800 2025-11-17 1 0 SHAWNA M JANSONS P01222873 3174648600 2024 2025-03-06 01:10:19Z SEE SCHEDULE O LAURA KAISER 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 1391036296 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. 19 18 5315 18 -1824098 0 88914715 52028222 1039933735 1099633301 65556902 238991047 508032 383726 1194913384 1391036296 601524 401081 0 0 261199000 430239542 0 0 562657 922955952 851914332 1184756476 1282554955 10156908 108481341 5489373100 7018706101 3293526133 3603513986 2195846967 3415192115 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 839781793 401081 1099633301 SSM HEALTH CARE CORPORATION (SSMHCC), A MISSOURI NONPROFIT CORPORATION, IS THE PARENT ENTITY OF A FULLY INTEGRATED HEALTH SYSTEM WITH ITS HEADQUARTERS BASED IN ST. LOUIS, MISSOURI. SSMHCC AND ITS CONSOLIDATED SUBSIDIARIES (DOING BUSINESS AS SSM HEALTH (SSMH)) OWN AND OPERATE 23 ACUTE CARE HOSPITALS, ONE OF WHICH SPECIALIZES IN PEDIATRICS, 9 POST-ACUTE CARE FACILITIES, A NATIONAL PHARMACY BENEFIT MANAGEMENT COMPANY THAT SERVES 17.7 MILLION MEMBERS IN 50 STATES, AN EXTENSIVE NETWORK OF PHYSICIAN PRACTICE OPERATIONS (APPROXIMATELY 15,000 PHYSICIANS/PROVIDERS AND OVER 490 PHYSICIAN OFFICE/OUTPATIENT SITES, OTHER HEALTH CARE BUSINESSES AND SEVERAL FOUNDATIONS. SSMH'S HOSPITAL OPERATIONS ARE LOCATED PRIMARILY IN MISSOURI, WISCONSIN, OKLAHOMA AND ILLINOIS, AND ITS RELATED BUSINESSES PROVIDE HEALTH RELATED SERVICES IN 50 STATES. SSMHCC IS SPONSORED BY SSM HEALTH MINISTRIES, A MINISTERIAL JURIDIC PERSON, WHICH IS CURRENTLY COMPOSED OF ONE FRANCISCAN SISTER OF MARY, ONE SISTER OF ST. AGNES, ONE JESUIT PRIEST, ONE FRANCISCAN PRIEST, AND FOUR LAY PERSONS WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMH. 839781793 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 1778 0 1 5315 1 1 1 1 CA CJ DA MX UK SW EI AU CI PM PO SF NO PE 0 0 0 0 0 0 0 0 1 0 X 19 18 1 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 TOM MERFELD PART YR 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 5205665 0 2681148 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 PETER DOLAN DIRECTOR 1.00 0.00 X 0 0 0 TOM NAIM DIRECTOR 1.00 0.00 X 0 0 0 THERESE PANDL DIRECTOR 1.00 0.00 X 0 0 0 STEVEN SMOOT VICE PRESIDENT & CHIEF OPERATING OFFICER 50.00 5.00 X 2364935 0 1119698 KEVIN SMITH TREASURER & CHIEF FINANCIAL OFFICER 50.00 5.00 X 1050477 0 627081 DOUGLAS LONG SECRETARY & CHIEF LEGAL OFFICER 50.00 5.00 X 1587150 0 700771 MARK CAGWIN ASSISTANT TREASURER & VP TREASURY 40.00 0.00 X 666195 0 158561 JENNIFER HORROM ASSISTANT SECRETARY & VP LEGAL 40.00 0.00 X 399795 0 108341 PATRICK MCCRUDEN CHIEF MISSION INTEGRATION OFFICER 40.00 0.00 X 922653 0 441182 ALEXANDER GARZA MD CHIEF COMMUNTY HEALTH OFFICER 40.00 0.00 X 1116919 0 528512 JANET SMITH-HILL CHIEF HUMAN RESOURCES OFFICER 40.00 0.00 X 1239045 0 628976 JOHN NGUYEN CHIEF ADMINISTRATIVE OFFICER 40.00 0.00 X 1400059 0 203294 JOAN BACHLEITNER CHIEF STRATEGY OFFICER 40.00 0.00 X 859994 0 490458 STEPHANIE DUGGAN CHIEF CLINICAL OFFICER 40.00 0.00 X 876847 0 531303 TODD SHUMAN MD CHIEF CLINICAL OFFICER 40.00 0.00 X 609021 0 10298 CARTER DREDGE LEAD FUTURIST 40.00 0.00 X 516058 0 29212 JOY GROSSER CHIEF INFORMATION OFFICER 20.00 20.00 X 1023219 0 289898 KAREN REWERTS VP FINANCIAL OPERATIONS 40.00 5.00 X 845480 0 234843 MICHAEL GRAY VP SUPPLY CHAIN 40.00 5.00 X 806128 0 171012 TIMOTHY JOHNSON VP CLINICAL INTEGRATION 40.00 1.00 X 820503 0 241430 AMY WILSON CHIEF NURSING EXECUTIVE 40.00 0.00 X 744134 0 244532 RANDALL COMBS FORMER OFFICER 0.00 0.00 X 1454021 0 29506 24508298 0 9470056 694 1 1 0 JP MORGAN CHASE BANK 1111 POLARIS PARKWAY COLUMBUS OH 43240 INVESTMENT MANAGEMENT SERVICES 13409321 NAVVIS & COMPANY LLC 555 MARYVILLE UNIVERSITY DR STE 24 ST LOUIS MO 63141 CONSULTING SERVICES 10433100 HURON CONSULTING SERVICES INC 550 W VAN BUREN CHICAGO IL 60607 CONSULTING SERVICES 4671959 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 SOFTWARE SERVICES 3976357 GETIXHEALTH HOLDING CORPORATION 14141 SOUTHWEST FREEWAY STE 300 SUGAR LAND TX 77478 REVENUE CYCLE MANAGEMENT 2745313 40 600 31516316 20511306 52028222 CORPORATE FEES 561000 607109108 607109108 INSURANCE FEES 525100 491596954 491596954 MANAGEMENT FEES 561000 927239 927239 1099633301 121884307 -1824098 123708405 117106740 0 117106740 117106740 117106740 JOINT VENTURE INCOME 900099 253188 253188 CONSULTING INCOME 541610 96129 96129 OTHER INCOME 900099 34409 34409 383726 1391036296 1099633301 -1824098 241198871 X 401081 401081 25909061 19909035 6000026 2648116 2034865 613251 342061435 267020468 75040941 26 -7145078 -5572723 -1572354 -1 41881253 32664815 9216435 3 24884755 19408586 5476167 2 13135089 12068793 1066296 5687662 27662 5660000 216899166 99051250 117775325 72591 10901515 7743572 2858438 299505 636242 5831 607086 23325 6726217 1282167 5439047 5003 2518764 1490258 867516 160990 217170 161471 55699 91638343 91638343 1379740 6579 1373161 6612711 4072152 2540559 10102159 10102159 MEDICAL CLAIMS 471297795 362130544 109167251 LICENSES, DUES & SUBSCR 7702438 6219937 1481352 1149 BANK FEES 7334989 2992 7331997 TAXES 1551560 168962 1382598 -2427228 -618663 -1808629 64 1282554955 839781793 442210505 562657 167014629 54096485 129748271 525721476 29043962 28755292 1380868 1378269 24535681 40820472 53090266 19402513 16472408 33687753 2411693980 2029660173 72011594 4401989 25136630 7645607 12490509 2697435705 4194947448 5489373100 7018706101 239064309 296245558 104835194 67389305 665180000 662195000 1549385000 1528825000 239311772 585345373 495749858 463513750 3293526133 3603513986 X 2195847723 3415217116 -756 -25001 2195846967 3415192115 5489373100 7018706101 X 108481341 36418113 61766 1074383928 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 $1,282,373,620. 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 5751 0 1 391932 397683 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 0.00000 0.00000 0 1 1 15336319 12471861 2864458 10131842 6930652 3201190 27622105 27622105 33687753 DUE FROM AFFILIATES 3761398790 OTHER ASSETS 397799323 OPERATING RIGHT-OF-USE ASSETS 35749335 4194947448 SWAPS MARK TO MARKET LIABILITY 46026380 RABBI TRUST LIABILITY 45312000 RETIREMENT LIABILITIES 27677733 OPERATING LEASE OBLIGATIONS 344497637 463513750 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 2024 OR 2023. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 617185 NORTH AMERICA 0 0 INVESTMENTS 11329045 CENTRAL AMERICA AND THE CARIBBEAN 1 1 PROGRAM SERVICES SELF INSURANCE 4560988 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 44177415 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 3492436 SOUTH AMERICA 0 0 INVESTMENTS 2036636 SUB-SAHARAN AFRICA 0 0 INVESTMENTS 167717 1 1 0 0 1 1 66381422 0 66381422 1 0 1 1 1 0 1 COALITION TO PROTECT AMERICAS HEALTH CARE 800 10TH ST NWTWO CITYCENTER 400 WASHINGTON DC 20001 522253225 501(C)(4) 25000 0 CONTRIBUTION FOUNDATION FOR DANE COUNTY PARKS 5201 FEN OAK DR STE 208 MADISON WI 53718 823435481 501(C)(3) 25000 0 SPONSORSHIP FOND DU LAC FESTIVALS INC 650 N MAIN ST FOND DU LAC WI 54935 391387857 501(C)(3) 17000 0 SPONSORSHIP ST LOUIS SPORTS FOUNDATION INC 308 NORTH 21ST STREET 500 ST LOUIS MO 63103 431646222 501(C)(3) 15000 0 2024 BIZ DASH 5K MARCH OF DIMES INC 1550 CRYSTAL DR SUITE 1300 ARLINGTON VA 22202 131846366 501(C)(3) 15000 0 2024 SPONSORSHIP ST LOUIS COMMUNITY FOUNDATION 2 OAK KNOLL PARK ST LOUIS MO 63105 436023126 501(C)(3) 10000 0 2024 GIVES DAY SPONSORSHIP AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 10000 0 HEART OF ST. LOUIS 2024 CATHOLIC CHARITIES INC 4445 LINDELL BLVD ST LOUIS MO 63108 430653270 501(C)(3) 10000 0 SPONSORSHIP UNITED WAY OF GREEN COUNTY PO BOX 511 MONROE WI 53566 396060531 501(C)(3) 9250 0 SPONSORSHIP MADISON GOSPEL 5K FOUNDATION 2935 S FISH HATCHER RD FITCHBURG WI 53711 832761410 501(C)(3) 7500 0 SPONSORSHIP NURSES FOR NEWBORNS 3 SUNNEN DRIVE ST LOUIS MO 63143 431601329 501(C)(3) 7500 0 JEDI KNIGHT SPONSORSHIP SCHOOL DISTRICT OF BARABOO 423 LINN STREET BARABOO WI 53913 GOVERNMENT 6000 0 SPONSORSHIP SSM HEALTH FOUNDATION 12800 CORPORATE HIL DR ST LOUIS MO 63131 874109859 501(C)(3) 10000 0 SPONSORSHIP 12 1 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 X 1 1 X X X X 1 1 0 0 0 0 0 0 0 LAURA KAISER DIRECTOR (EX-OFFICIO) & PRES/CEO 2163350 0 2238900 0 803415 0 2656557 0 24591 0 7886813 0 2238900 0 STEVEN SMOOT VICE PRESIDENT & CHIEF OPERATING OFF 1305272 0 895103 0 164560 0 1075677 0 44021 0 3484633 0 1036001 0 DOUGLAS LONG SECRETARY & CHIEF LEGAL OFFICER 813979 0 583198 0 189973 0 676547 0 24224 0 2287921 0 583198 0 JANET SMITH-HILL CHIEF HUMAN RESOURCES OFFICER 699370 0 502151 0 37524 0 595901 0 33075 0 1868021 0 502151 0 KEVIN SMITH TREASURER & CHIEF FINANCIAL OFFICER 1034519 0 0 0 15958 0 586407 0 40674 0 1677558 0 0 0 ALEXANDER GARZA MD CHIEF COMMUNTY HEALTH OFFICER 592304 0 463050 0 61565 0 512785 0 15727 0 1645431 0 515895 0 JOHN NGUYEN CHIEF ADMINISTRATIVE OFFICER 535548 0 560550 0 303961 0 185338 0 17956 0 1603353 0 595064 0 RANDALL COMBS FORMER OFFICER 323766 0 923306 0 206949 0 13881 0 15625 0 1483527 0 923306 0 STEPHANIE DUGGAN CHIEF CLINICAL OFFICER 871945 0 0 0 4902 0 492217 0 39086 0 1408150 0 0 0 PATRICK MCCRUDEN CHIEF MISSION INTEGRATION OFFICER 479271 0 329185 0 114197 0 409159 0 32023 0 1363835 0 329185 0 JOAN BACHLEITNER CHIEF STRATEGY OFFICER 658684 0 199600 0 1710 0 449903 0 40555 0 1350452 0 199600 0 JOY GROSSER CHIEF INFORMATION OFFICER 672390 0 273644 0 77185 0 277641 0 12257 0 1313117 0 273644 0 KAREN REWERTS VP FINANCIAL OPERATIONS 601026 0 176014 0 68440 0 198391 0 36452 0 1080323 0 229400 0 TIMOTHY JOHNSON VP CLINICAL INTEGRATION 567495 0 192243 0 60765 0 204984 0 36446 0 1061933 0 231220 0 AMY WILSON CHIEF NURSING EXECUTIVE 609502 0 132922 0 1710 0 218756 0 25776 0 988666 0 132922 0 MICHAEL GRAY VP SUPPLY CHAIN 446562 0 129596 0 229970 0 147952 0 23060 0 977140 0 169321 0 MARK CAGWIN ASSISTANT TREASURER & VP TREASURY 447018 0 218155 0 1022 0 143564 0 14997 0 824756 0 115649 0 TODD SHUMAN MD CHIEF CLINICAL OFFICER 39233 0 569788 0 0 0 10298 0 0 0 619319 0 569788 0 CARTER DREDGE LEAD FUTURIST 197366 0 318263 0 429 0 13920 0 15292 0 545270 0 318263 0 JENNIFER HORROM ASSISTANT SECRETARY & VP LEGAL 288154 0 81024 0 30617 0 102375 0 5966 0 508136 0 107369 0 PART I, LINE 1A SEVERAL INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A HAD CHARTER TRAVEL DURING 2024. SEVERAL INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENTS IN 2024. THE PAYMENT WAS INCLUDED IN THEIR TAXABLE COMPENSATION SCHEDULE J, PART I, LINE 4A: SSM HEALTH HAS ADOPTED A SEVERANCE POLICY TO PROVIDE A FINANCIAL TRANSITION IN THE EVENT OF INVOLUNTARY TERMINATION WITHOUT CAUSE FOR EXECUTIVE LEVEL POSITIONS. THE AMOUNT OF THE COMPENSATION IS BASED ON THE POSITION HELD AND LENGTH OF SERVICE WITH SSMH. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF THE FORM 990 RECEIVED PAYMENTS UNDER THE PLAN IN THE CURRENT YEAR: JOHN NGUYEN - $236,079 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 2024. 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 DISTRIBUTIONS FROM THIS PLAN IN 2024. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. STEVE SMOOT $159,608 JENNIFER HORROM $29,615 ALEXANDER GARZA $59,662 MICHAEL GRAY $179,359 JOHN NGUYEN $66,565 KAREN REWERTS $60,917 TIM JOHNSON $58,143 A HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60637AFK3 2014-05-14 632155000 SEE PART VI 1 0 0 B HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60637AMQ2 2018-05-08 282751276 SEE PART VI 0 0 0 C HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 000000000 2019-07-17 239340000 SEE PART VI 0 0 0 D HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60637AVV1 2022-04-21 350784695 SEE PART VI 0 0 0 A 332155000 632176484 80084433 552092051 2016 1 0 1 1 B 16380000 282751276 150443842 132307434 2020 1 0 1 1 C 221425000 239340000 239340000 1 0 1 1 D 350784695 350784695 0 1 1 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 1 0.00850 1 1 B 0 1 1 1 0 0.01160 0.00000 0.01160 0 0 1 C 0 1 1 1 0 0.00250 0.00000 0.00250 0 0 1 D 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 FORM 990, SCHEDULE K, PART I, COLUMN (C), LINE A: 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 B: CUSIP NUMBERS: 60637AMQ2 AND 60637AMP4 LINE D: CUSIP NUMBERS: 60637AVV1 AND 60637AVU3 LINE B(2): CUSIP NUMBERS: 60637AWP3 AND 60637AWQ1 FORM 990, SCHEDULE K, PART I, COLUMN (F): LINE A: (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. LINE B: REISSUANCE OF SERIES 2012A BONDS ISSUED ON 7/26/2012. LINE C: (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. LINE D: (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. LINE A(2): REFINANCE REFUNDED SERIES 2018BC BONDS ISSUED ON 5/8/2018. LINE B(2): REFUND SERIES 2019A AND 2019B REFINANCED BONDS ISSUED ON 7/17/2019. FORM 990, SCHEDULE K, PART I, COLUMN (G), LINE A: 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 A, 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): 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 60637AVX7 2023-04-26 89760457 SEE PART VI 0 0 0 B HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 60637AWP3 2024-07-02 198370000 SEE PART VI 0 0 0 A 89760457 89760457 1 0 1 1 B 198370000 198370000 1 0 1 1 A 0 1 1 1 0 0.00630 0.00000 0.00630 0 0 1 B 0 1 1 0 0 0.00460 0.00000 0.00460 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 161528 EMPLOYMENT 0 JOE NGUYEN BROTHER OF KEY EMPLOYEE OF ORGANIZATION 435608 EMPLOYMENT 0 FORM 990, PART I, ITEM C DBA: SSM HEALTH ARCHIVES DBA: SSM HEALTH CARE DBA: SSM HEALTH AT WORK FORM 990, PART VI, SECTION A, LINE 2 PETER DOLAN & RICK CORCORAN HAVE A BUSINESS RELATIONSHIP. 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; (D) TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION; (E) TO APPROVE THE MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION; (F) TO APPROVE THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, ENCUMBRANCE, MORTGAGE OR LEASE OF REAL PROPERTY OR ANY INTEREST THEREIN OF THE CORPORATION IN ACCORDANCE WITH 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 IX, LINE 11G OTHER NON-CLINICAL PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 79,415,770. MANAGEMENT AND GENERAL EXPENSES 94,772,391. FUNDRAISING EXPENSES 58,414. TOTAL EXPENSES 174,246,575. MAINTENANCE & REPAIR CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 7,872,128. MANAGEMENT AND GENERAL EXPENSES 9,222,184. FUNDRAISING EXPENSES 5,684. TOTAL EXPENSES 17,099,996. MEDICAL & RELATED SERVICES: PROGRAM SERVICE EXPENSES 11,763,352. MANAGEMENT AND GENERAL EXPENSES 13,780,750. FUNDRAISING EXPENSES 8,493. TOTAL EXPENSES 25,552,595. FORM 990, PART XI, LINE 9: ACTUARIAL CHANGE IN DEFINED BENEFIT LIABILITY 1,271,831,372. TRANSFERS WITH AFFILIATES -197,447,444. SSM HEALTH CARE CORPORATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 466029223 HEALTH CARE MO 501(C)(3) LINE 12A, I SSM HEALTH MINISTRIES 1 SSMHC LIABILITY TRUST I 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 436331003 INSURANCE MO 501(C)(3) LINE 12A, I SSM HEALTH CARE CORPORATION 1 SSM CONSOLIDATED HEALTH SERVICES 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431473657 HEALTH CARE MO 501(C)(3) LINE 10 SSM HEALTH CARE CORPORATION 1 SSM POLICY INSTITUTE 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431788151 HEALTH CARE MO 501(C)(4) SSM HEALTH CARE CORPORATION 1 SSM HEALTH CARE PORTFOLIO MANAGEMENT CO 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431825256 MANAGEMENT MO 501(C)(3) LINE 12A, I SSM HEALTH CARE CORPORATION 1 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 430738490 HEALTH CARE MO 501(C)(3) LINE 3 SSM HEALTH CARE ST LOUIS 1 CARDINAL GLENNON CHILDREN'S FOUNDATION 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 431754347 FUNDRAISING MO 501(C)(3) LINE 7 SSM CARDINAL GLENNON CHILDREN'S HOSPITAL 1 SSM HEALTH FOUNDATION - 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