2025-11-17T17:45:32-06:00 2024-12-31 990 2024-01-01 440579850 SSM REGIONAL HEALTH SERVICES SSMR 3149947800 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 STEPHANIE KING VP FINANCE 3149947800 2025-11-17 0 2024 2025-03-06 01:10:19Z LAURA KAISER 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 147306155 0 0928 X WWW.SSMHEALTH.COM X 1965 MO OPERATES A HOSPITAL IN JEFFERSON CITY, MISSOURI AND ASSOCIATED PHYSICIAN SERVICES. 4 0 1005 342 69919 54358 129837 230367 141605413 146512831 27980 28151 490435 534051 142253665 147305400 199321 285960 0 0 73054398 72635326 0 0 651 99101725 99650591 172355444 172571877 -30101779 -25266477 72322141 69797071 288999636 345855525 -216677495 -276058454 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 152539996 285960 146442157 SSM REGIONAL HEALTH SERVICES INCLUDES SSM HEALTH ST. MARY'S HOSPITAL JEFFERSON CITY IN JEFFERSON CITY, MISSOURI, AS WELL AS A NETWORK OF PRIMARY CARE MEDICAL CLINICS AND SPECIALTY OFFERINGS THAT SERVE JEFFERSON CITY AND SURROUNDING COMMUNITIES.LOCATED IN MISSOURI'S STATE CAPITAL FOR MORE THAN 100 YEARS, SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY IS A FULL-SERVICE, COMMUNITY HOSPITAL WITH A RICH HISTORY. THE HOSPITAL MOVED TO A NEW STATE-OF-THE-ART BUILDING IN 2014 AND FEATURES AN EVIDENCE-BASED DESIGN THAT FOCUSES ON HEALING ENVIRONMENTS AND PATIENT SAFETY. WE SERVE PATIENTS IN NEED OF EMERGENCY, CARDIOLOGY, ORTHOPEDIC, CANCER, MATERNITY AND MEDICAL IMAGING SERVICES. WE CONSISTENTLY OFFER THE LATEST ADVANCES IN MEDICAL SERVICES TO PROVIDE OUR PATIENTS WITH EXCEPTIONAL HEALTH CARE. WITH AN EMPHASIS ON PRIVACY, SAFETY, EFFICIENCY, ACCESS AND HEALING, YOU'LL NOTICE THE SSM HEALTH DIFFERENCE FROM THE MOMENT YOU ENTER OUR FACILITIES. 152539996 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 1005 1 1 1 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 0 X JOE HENDERSON 5736813761 2505 MISSION DRIVE JEFFERSON CITY MO 65109 KAREN REWERTS DIRECTOR & VP FINANCIAL OPS 1.00 55.00 X 0 845480 234843 STEVEN SMOOT DIRECTOR, VP & COO OF SSM HEALTH 1.00 55.00 X X 0 2364935 1119698 LAURA KAISER PT YR DIRECTOR & PRES/CEO OF SSM HEALTH 1.00 55.00 X X 0 5205665 2681148 DOUGLAS LONG DIRECTOR, SEC & CLO OF SSM HEALTH 1.00 55.00 X X 0 1587150 700771 STEPHANIE DUGGAN PT YR DIRECTOR & CHIEF CLINICAL OFF 1.00 50.00 X X 0 876847 531303 KC DEBOER REGIONAL PRESIDENT 50.00 0.00 X 529583 0 317463 KEVIN SMITH TREAS & CFO OF SSM HEALTH 1.00 55.00 X 0 1050477 627081 AMY CAMPBELL VP PATIENT CARE SVCS & CNO 50.00 0.00 X 245094 0 81879 JUSTIN MORLEY VP HOSPITAL OPERATIONS 50.00 0.00 X 0 533696 221349 JOHN LUCIO REGIONAL CMO 50.00 0.00 X 535405 0 114130 TONYA PEHLE VP OPERATIONS 50.00 0.00 X 267740 0 58066 NATHAN KENYON PHYSICIAN 50.00 0.00 X 737805 0 37673 THOMAS RYAN PHYSICIAN 50.00 0.00 X 719476 0 52983 JOANNA YOUNKER PHYSICIAN 50.00 0.00 X 460241 0 32618 ANDREW KARANAS PHYSICIAN 50.00 0.00 X 449267 0 55204 DEVIN KENNEDY PHYSICIAN 50.00 0.00 X 457881 0 48352 JOHN SNODSMITH FORMER OFFICER/VP FINANCE 0.00 50.00 X 0 320127 90119 RANDALL COMBS FORMER OFFICER 0.00 0.00 X 0 1454021 29506 4402492 14238398 7034186 130 1 1 0 OWENS & MINOR DISTRIBUTION INC 9120 LOCKWOOD BLVD MECHANICSVILLE VA 23116 CONSTRUCTION SERVICES 884770 MID-MISSOURI ANESTHESIA 1445 CHRISTY DRIVE JEFFERSON CITY MO 65101 MEDICAL SERVICES 725201 TRIMEDX HOLDINGS LLC 5451 LAKEVIEW PARKWAY S DR INDIANAPOLIS IN 46268 CLINICAL ASSET MANAGEMENT SERVICES 700234 CAPITAL EMERGENCY PHYSICIANS 2505 MISSION DRIVE JEFFERSON CITY MO 65109 STAFFING SERVICES 538741 COLE PHYSICIAN SERVICES LLC 200 CORPORATE BLVD STE 201 LAFAYETTE LA 70508 MEDICAL SERVICES 462668 26 228517 1850 1800 230367 NET PATIENT SERVICE RE 621990 142087530 142087530 PHARMACY REVENUE 456110 4051437 4051437 340 PHARMACY REVENUE 456110 130819 130819 243045 173126 69919 146512831 10354 10354 17797 0 17797 17797 17797 755 -755 -755 CAFETERIA REVENUE 722514 534806 534806 534806 147305400 146442157 69919 562957 X 272849 272849 13111 13111 2380361 2094718 285643 55472794 54273252 1199542 2934622 2859285 75337 7761042 7561803 199239 4086507 3981600 104907 7515683 7472828 42855 86028 86028 23007385 22496020 511365 33514 8702 24812 2388470 2266246 122224 5214748 5214748 3816227 3604859 211368 49050 45220 3830 64540 54562 9327 651 1803 1803 20084132 3287522 16796610 3050662 2974561 76101 880467 224965 655502 MEDICAL SUPPLIES & EQUI 27382130 27989592 -607462 MEDICAID PROVIDER TAX & 5541078 5541078 LICENSES, DUES & SUBSCR 435586 274036 161550 BANK FEES 171575 2782 168793 -72487 23854 -96341 172571877 152539996 20031230 651 139799 205577 197380 220565 22288764 18866806 4658385 4740882 672771 513061 107961309 73570244 32635786 34391065 237579 259970 6494957 5573990 140117 4996720 4885038 72322141 69797071 15013473 14246593 46196 8999 8949 0 273931018 331599933 288999636 345855525 X -218384458 -276318524 1706963 260070 -216677495 -276058454 72322141 69797071 X -25266477 23186 -34137668 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 32250 32250 0 111000 111000 111000 111000 111000 111000 111000 111000 111000 3523 3523 111000 1 0 529302 529302 61773077 38354564 23418513 523000 368087 154913 43614546 34791004 8823542 1521384 56589 1464795 34391065 INTEREST IN FOUNDATION 5573990 F 5573990 ESTIMATED THIRD PARTY SETTLEMENT 1070101 OTHER ASSETS 30398 OPERATING RIGHT-OF-USE ASSETS 3185145 PENSION RESTORATION & DEFERRED COMPENSATION 599394 4885038 DEFERRED COMPENSATION PLAN LIABILITIES 599394 INTERCOMPANY PAYABLE 327532875 OPERATING RIGHT-OF-USE LIABILITIES 3186544 THIRD PARTY PAYABLES 281120 331599933 X PART V, LINE 4: ENDOWMENT FUNDS ARE USED TO SUPPORT OPERATIONS AND THE MISSION OF SSM HEALTH ST. MARY'S HOSPITAL-JEFFERSON CITY. PART X, LINE 2: SSM REGIONAL HEALTH SERVICES' 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 2024 OR 2023. 1 1 X 1 X 1 X 1 1 1 0 1 1 2176774 2176774 0.01260 27839431 26176907 1662524 0.00960 3611330 2373621 1237709 0.00720 33627535 28550528 5077007 0.02940 357780 12119 345661 0.00200 297307 297307 0.00170 1492396 1492396 0.00860 49384 49384 0.00030 2196867 12119 2184748 0.01260 35824402 28562647 7261755 0.04200 1 10577387 0 22999450 32032799 -9033349 X 1 1 1 1 SSM HEALTH ST MARY'S HOSPITAL - JEFFERSON CITY 100 ST MARYS MEDICAL PLAZA JEFFERSON CITY MO 65101 WWW.SSMHEALTH.COM/LOCATIONS/MID-MISSOU 455-21 X X X SSM HEALTH ST MARY'S HOSPITAL - JEFFERS 1 0 0 1 X X X X X X X X X X 24 1 1 1 1 X HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH X 1 24 1 HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X X X X X X 1 X 0 X X X X 1 X 0 0 SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAVE PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY PART V, SECTION B, LINE 5: THIS ASSESSMENT INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE PRC COMMUNITY HEALTH SURVEY AND PRC ONLINE KEY INFORMANT SURVEY), AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). IT ALSO ALLOWS FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY CAPITAL REGION MEDICAL CENTER, SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY, AND PRC AND IS SIMILAR TO THE PREVIOUS SURVEY USED IN THE REGION, ALLOWING FOR DATA TRENDING. THE STUDY AREA FOR THE SURVEY EFFORT (REFERRED TO AS "TOTAL SERVICE AREA" IN THIS REPORT) IS DEFINED AS EACH OF THE RESIDENTIAL ZIP CODES PRIMARILY ASSOCIATED WITH COLE, CALLAWAY, MILLER, MONITEAU, MORGAN, AND OSAGE COUNTIES. THIS COMMUNITY DEFINITION DETERMINED BASED ON THE ZIP CODES OF RESIDENCE OF RECENT PATIENTS OF CAPITAL REGION MEDICAL CENTER AND ST. MARY'S HOSPITAL.A PRECISE AND CAREFULLY IMPLEMENTED METHODOLOGY IS CRITICAL IN ASSERTING THE VALIDITY OF THE RESULTS GATHERED IN THE PRC COMMUNITY HEALTH SURVEY. THUS, TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A MIXED-MODE METHODOLOGY WAS IMPLEMENTED. THIS INCLUDED SURVEYS CONDUCTED BY PRC VIA TELEPHONE (LANDLINE AND CELL PHONE) OR THROUGH ONLINE QUESTIONNAIRES, AS WELL AS A COMMUNITY OUTREACH COMPONENT PROMOTED BY THE STUDY SPONSORS THROUGH SOCIAL MEDIA POSTING AND OTHER COMMUNICATIONS. FOR THE TARGETED ADMINISTRATION, PRC ADMINISTERED 402 SURVEYS THROUGHOUT THE SERVICE AREA. PRC ALSO CREATED A LINK TO AN ONLINE VERSION OF THE SURVEY, AND CAPITAL REGION MEDICAL CENTER AND ST. MARY'S HOSPITAL PROMOTED THIS LINK LOCALLY IN ORDER TO DRIVE ADDITIONAL PARTICIPATION AND BOLSTER OVERALL SAMPLES. THIS YIELDED AN ADDITIONAL 157 SURVEYS TO THE OVERALL SAMPLE. IN ALL, 559 SURVEYS WERE COMPLETED THROUGH THESE MECHANISMS, INCLUDING 74 IN CALLAWAY COUNTY, 246 IN COLE COUNTY, 57 IN MILLER COUNTY, 65 IN MONITEAU COUNTY, 52 IN MORGAN COUNTY, AND 65 IN OSAGE COUNTY. ONCE THE INTERVIEWS WERE COMPLETED, THESE WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT THE TOTAL SERVICE AREA AS A WHOLE. ALL ADMINISTRATION OF THE SURVEYS, DATA COLLECTION, AND DATA ANALYSIS WAS CONDUCTED BY PRC. FOR STATISTICAL PURPOSES, FOR QUESTIONS ASKED OF ALL RESPONDENTS, THE MAXIMUM RATE OF ERROR ASSOCIATED WITH A SAMPLE SIZE OF 559 RESPONDENTS IS 4.0% AT THE 95 PERCENT CONFIDENCE LEVEL.TO ACCURATELY REPRESENT THE POPULATION STUDIED, PRC STRIVES TO MINIMIZE BIAS THROUGH APPLICATION OF A PROVEN TELEPHONE METHODOLOGY AND RANDOM-SELECTION TECHNIQUES. WHILE THIS RANDOM SAMPLING OF THE POPULATION PRODUCES A HIGHLY REPRESENTATIVE SAMPLE, IT IS A COMMON AND PREFERRED PRACTICE TO "WEIGHT" THE RAW DATA TO IMPROVE THIS REPRESENTATIVENESS EVEN FURTHER. THIS IS ACCOMPLISHED BY ADJUSTING THE RESULTS OF A RANDOM SAMPLE TO MATCH THE GEOGRAPHIC DISTRIBUTION AND DEMOGRAPHIC CHARACTERISTICS OF THE POPULATION SURVEYED (POSTSTRATIFICATION), SO AS TO ELIMINATE ANY NATURALLY OCCURRING BIAS. SPECIFICALLY, ONCE THE RAW DATA ARE GATHERED, RESPONDENTS ARE EXAMINED BY KEY DEMOGRAPHIC CHARACTERISTICS (NAMELY SEX, AGE, RACE, ETHNICITY, AND POVERTY STATUS), AND A STATISTICAL APPLICATION PACKAGE APPLIES WEIGHTING VARIABLES THAT PRODUCE A SAMPLE WHICH MORE CLOSELY MATCHES THE POPULATION FOR THESE CHARACTERISTICS. THUS, WHILE THE INTEGRITY OF EACH INDIVIDUAL'S RESPONSES IS MAINTAINED, ONE RESPONDENT'S RESPONSES MIGHT CONTRIBUTE TO THE WHOLE THE SAME WEIGHT AS, FOR EXAMPLE, 1.1 RESPONDENTS. ANOTHER RESPONDENT, WHOSE DEMOGRAPHIC CHARACTERISTICS MIGHT HAVE BEEN SLIGHTLY OVERSAMPLED, MIGHT CONTRIBUTE THE SAME WEIGHT AS 0.9 RESPONDENTS.TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY CAPITAL REGION MEDICAL CENTER AND ST. MARY'S HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY THE PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 62 COMMUNITY REPRESENTATIVES TOOK PART IN THE ONLINE KEY INFORMANT SURVEY.ON OCTOBER 29, 2024, CAPITAL REGION MEDICAL CENTER AND SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY CONVENED AN ONLINE MEETING OF PROVIDERS AND OTHER COMMUNITY LEADERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) TO EVALUATE AND PRIORITIZE HEALTH ISSUES FOR THE COMMUNITY, BASED ON FINDINGS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PRC BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH (SEE AREAS OF OPPORTUNITY ABOVE). FOLLOWING THE DATA REVIEW, PRC ANSWERED ANY QUESTIONS. FINALLY, PARTICIPANTS WERE PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED. IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS (I.E., AREAS OF OPPORTUNITY), AN ONLINE VOTING PLATFORM WAS USED IN WHICH EACH PARTICIPANT WAS ABLE TO REGISTER THEIR RATINGS USING A MOBILE DEVICE OR WEB BROWSER. SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY PART V, SECTION B, LINE 6A: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER HOSPITALS:* MU HEALTH CARE CAPITAL REGION MEDICAL CENTER SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY PART V, SECTION B, LINE 6B: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER COMMUNITY PARTNERS:* PROFESSIONAL RESEARCH CONSULTANTS, INC. SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY PART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2024 CHNA. IN ORDER TO MAKE MEANINGFUL IMPACT, & TO USE ITS FINANCES MOST EFFECTIVELY & EFFICIENTLY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES:* FOOD INSECURITY (INCLUDES NUTRITION, PHYSICAL ACTIVITY & WEIGHT, HEART DISEASE & STROKE, & DIABETES FROM THE CHNA).* BEHAVIORAL HEALTH (INCLUDES MENTAL HEALTH, SUBSTANCE ABUSE, HOUSING, TOBACCO USE, DISABLING CONDITIONS & INJURY & VIOLENCE FROM THE CHNA).* ACCESS TO CARE (INCLUDES HEART DISEASE & STROKE, ACCESS TO HEALTH CARE SERVICES, NUTRITION, PHYSICAL ACTIVITY & WEIGHT, DIABETES, CANCER, & RESPIRATORY DISEASE FROM THE CHNA).WHILE IT IS NOT POSSIBLE TO CREATE A STRATEGY ADDRESSING EACH OF THESE NEEDS INDIVIDUALLY DUE TO THE HOSPITAL'S AVAILABLE RESOURCES & EXPERTISE, THE HOSPITAL LEADERSHIP TEAM BELIEVES THAT ORGANIZING ITS COMMUNITY HEALTH STRATEGY AROUND THESE PRIORITY AREAS PRESENTS AN OPPORTUNITY TO IMPACT MANY OF THESE NEEDS DUE TO THEIR INTERCONNECTED NATURE. OTHER HEALTHCARE PROVIDERS & SOCIAL SERVICE AGENCIES IN THE COMMUNITY MAY BE BETTER EQUIPPED TO DEVELOP STRATEGIES TO MORE DIRECTLY ADDRESS SOME OF THESE NEEDS. FOOD INSECURITY PROGRESS MADE SINCE 2021* THE HOPE & HEALING FOOD BAG PROGRAM, IN PARTNERSHIP WITH CATHOLIC CHARITIES OF CENTRAL & NORTHERN MISSOURI, PROVIDES AN INSULATED REUSABLE BAG OF SHELF-STABLE FOOD TO PATIENTS EXPERIENCING FOOD INSECURITY & INFORMATION ON CONNECTING WITH CATHOLIC CHARITIES. THE PROGRAM'S FIRST LOCATION WAS AT ST. MARY'S HOSPITAL & HAS NOW EXPANDED TO SOME SSM HEALTH MEDICAL GROUP LOCATIONS IN MID-MISSOURI. HEALTH GOALS* DECREASE THE RATE OF FOOD INSECURITY IN ST. MARY'S PRIMARY SERVICE AREA; DECREASE THE PREVALENCE OF DIET-RELATED CHRONIC DISEASESACTION PLAN * EXPAND & CONTINUE THE HOPE & HEALING FOOD BAG PROGRAM - MAINTAIN & ENHANCE EXISTING DISTRIBUTION LOCATIONS AT ST. MARY'S HOSPITAL & WITHIN SSM HEALTH MEDICAL GROUP: BELLE, PEDIATRICS CLINIC, SPINE CLINIC, & INFUSION CENTER - TRACK THE NUMBER OF FOOD BAGS DISTRIBUTED AT EACH SITE & ASSESS THE PROGRAM'S IMPACT ON FOOD INSECURITY - PROVIDE SSM HEALTH STAFF TO HELP PACK THE HOPE & HEALING BAGS AT CATHOLIC CHARITIES MONTHLY - EVALUATE OPPORTUNITIES TO EXPAND THE PROGRAM TO ADDITIONAL CLINIC LOCATIONS* PROVIDE SSM HEALTH STAFF TO SUPPORT THE FOOD BANK FOR CENTRAL & NORTHEAST MISSOURI'S MOBILE FOOD PANTRY PROGRAM 3-4 TIMES PER YEAR. * SUPPORT A SCHOOL-BASED FEEDING PROGRAM AT A SCHOOL IN SSM HEALTH MID-MISSOURI'S PRIMARY SERVICE AREA TO ADDRESS CHILDHOOD FOOD INSECURITY (I.E. THE FOOD BANK FOR CENTRAL & NORTHEAST MISSOURI'S "FOOD FOR KIDS" PROGRAM). * PARTNER WITH THE AMERICAN HEART ASSOCIATION TO CONDUCT A "SERVE DAY FOOD DRIVE" TO COLLECT FOOD RESOURCES & ENGAGE ADDITIONAL DONORS FOR CATHOLIC CHARITIES OF CENTRAL & NORTHEAST MISSOURI. * PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT FOR THEIR WORK IN ADDRESSING FOOD INSECURITY IN MID-MISSOURI.BEHAVIORAL HEALTH PROGRESS MADE SINCE 2021* STARTING IN 2021, ST. MARY'S HOSPITAL EMERGENCY DEPARTMENT PERIODICALLY USED EMERGENCY ROOM ENHANCEMENT (ERE) DESIGNED TO SUPPORT PATIENTS IN THE COMMUNITY EXPERIENCING MENTAL HEALTH CHALLENGES WHO FREQUENTLY SEEK CARE THROUGH AN ER & WHO ARE UNINSURED. ST. MARY'S EMERGENCY DEPARTMENT HAS ALSO COLLABORATED WITH COMPASS HEALTH TO SERVE VULNERABLE PATIENTS WITH MENTAL HEALTH CHALLENGES. * ST. MARY'S, THROUGH GRANT FUNDING & EXECUTIVE BOARD MEMBERSHIP, CONTINUED ITS PARTNERSHIP WITH COUNCIL FOR DRUG FREE YOUTH (CDFY) WHICH EXPANDED SCHOOL-BASED EDUCATION PROGRAMS & INCREASED THE AVAILABILITY OF SUBSTANCE USE PREVENTION, EARLY IDENTIFICATION, & INTERVENTION INITIATIVES IN THE REGION. * ST. MARY'S SUSTAINED ITS OUTPATIENT BRIEF TREATMENT PROGRAM FOR ADULTS & THE OUTPATIENT TRANSITIONAL CARE PROGRAM FOR ADULTS & SENIORS. * ST. MARY'S ESTABLISHED A QUARTERLY PROGRAM TO INVITE ANY MENTAL HEALTH PROFESSIONALS, SCHOOL COUNSELORS, PASTORS, & OTHER COMMUNITY LEADERS TO GATHER FOR AN EVENING OF NETWORKING, EDUCATION, & INCREASING AWARENESS ABOUT MENTAL HEALTH RESOURCES AVAILABLE IN MID-MISSOURI. ST. MARY'S BEHAVIORAL HEALTH TEAM ALSO CONTINUES TO EDUCATE THE COMMUNITY THROUGH PRESENTATIONS & ARTICLES IN LOCAL MEDIA. HEALTH GOALS* IMPROVE MENTAL HEALTH & DECREASE SUBSTANCE USE & SUICIDE RATES THROUGH PREVENTION & BY ENSURING ACCESS TO APPROPRIATE, QUALITY BEHAVIORAL HEALTH SERVICES. ACTION PLAN* OFFER THE FOLLOWING CLINICAL BEHAVIORAL HEALTH PROGRAMS AT SSM HEALTH MEDICAL GROUP IN MID-MISSOURI: - OUTPATIENT BRIEF TREATMENT PROGRAM FOR ADULTS - OUTPATIENT TRANSITIONAL CARE PROGRAM FOR ADULTS & SENIORS - SUBSTANCE USE DISORDER GROUP - ADOLESCENT MENTAL HEALTH GROUP * COORDINATE A QUARTERLY PROGRAM TO INVITE MENTAL HEALTH PROFESSIONALS, SCHOOL COUNSELORS, PASTORS, & OTHER COMMUNITY LEADERS TO GATHER FOR AN EVENING OF NETWORKING, EDUCATION, & INCREASING AWARENESS ABOUT MENTAL HEALTH RESOURCES AVAILABLE IN MID-MISSOURI. * OFFER INTEGRATED VIRTUAL BEHAVIORAL HEALTH IN ALL SSM HEALTH MEDICAL GROUP PRIMARY CARE PRACTICES IN MID-MISSOURI. * OFFER THE STEPONE SERVICE AT ST. MARY'S HOSPITAL. THE STEPONE SERVICE IS A THREE-TO-FIVE DAY ACUTE WITHDRAWAL PROGRAM FOR ADULTS IN THE IMPENDING OR EARLY STAGE OF WITHDRAWAL FROM ALCOHOL &/OR OPIOIDS. * CONTINUE SSM HEALTH ST. MARY'S PARTNERSHIP WITH COUNCIL FOR DRUG FREE YOUTH TO SUPPORT SCHOOL-BASED EDUCATION & SUBSTANCE USE PREVENTION & EARLY IDENTIFICATION/INTERVENTION INITIATIVES IN MID-MISSOURI. * PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT FOR THEIR WORK IN ADDRESSING BEHAVIORAL HEALTH IN MID-MISSOURI. ACCESS TO CAREPROGRESS MADE SINCE 2021* HEALTHTRAN, A COLLABORATION WITH AREA HEALTH CARE PROVIDERS & UNITED WAY OF CENTRAL MISSOURI, IS A COMMUNITY-BASED PROGRAM, UTILIZED BY THE HOSPITAL & MEDICAL GROUP LOCATIONS, WHICH OFFERS TRANSPORTATION TO MEDICAL APPOINTMENTS FREE OF CHARGE TO PATIENTS WITH FINANCIAL CHALLENGES. HEALTHTRAN BEGAN SERVING THE COMMUNITY IN JANUARY 2024. * SSM HEALTH ADOPTED A REFERRAL APPLICATION CALLED UNITE US, A PLATFORM THAT ALLOWS THE ELECTRONIC REFERRAL OF PATIENTS EXPERIENCING SOCIAL DETERMINANTS OF HEALTH CHALLENGES TO LOCAL AGENCIES WHO CAN HELP THEM ADDRESS THEIR LONG-TERM NEEDS. STARTING IN 2023, SSM HEALTH PAYS FOR UNITE US, ALLOWING MOST OTHER NON-PROFIT ORGANIZATIONS IN THE COMMUNITY TO UTILIZE THE PLATFORM FREE OF CHARGE. * SSM HEALTH CONTINUED TO ADDRESS ACCESS TO CARE CHALLENGES IN MID-MISSOURI BY RECRUITING MORE PRIMARY CARE & SPECIALTY PROVIDERS TO THE COMMUNITY, INCLUDING PHYSICIANS, NURSE PRACTITIONERS, & A LICENSED PROFESSIONAL COUNSELOR TO SUPPORT BEHAVIORAL HEALTH. DURING THE 2022-2024 PERIOD, SSM HEALTH MEDICAL GROUP EVALUATED THE POSSIBILITY OF EXPANDING TELEHEALTH IN THE REGION.* DURING THE 2022-2024 STRATEGY PERIOD, SSM HEALTH EXPERTS IN MID-MISSOURI PROVIDE MORE THAN 70 ARTICLES ON IMPORTANT HEALTH TOPICS TO THE NEWS TRIBUNE TO EDUCATE THEIR READERS. ADDITIONALLY, ST. MARY'S PROVIDED OVER $160,000 IN ASSISTANCE TO OUR COMMUNITY PARTNERS TO SUPPORT HEALTH EDUCATION, PREVENTION SCREENINGS, & OTHER ACTIVITIES ADDRESSING HEALTH LITERACY. * ST. MARY'S HELD SIX DIABETES SUPPORT GROUPS WITH 49 MEMBERS OF THE COMMUNITY PARTICIPATING. ST. MARY'S ALSO PROVIDED DIABETES PREVENTION PRESENTATIONS TO EMPLOYEES OF THE CALLAWAY ENERGY PLANT & PARENTS OF CHILDREN IN THE LOCAL BOYS & GIRLS CLUB. * ST. MARY'S HOSPITAL CONTINUED TO SUPPORT THE COMMUNITY'S HEALTH FAIRS & HEALTH SCREENINGS, PARTICIPATING IN 22 EVENTS & SERVING OVER 2,094 COMMUNITY MEMBERS OVER THE 2022-2024 PERIOD.HEALTH GOALS* INCREASE THE NUMBER OF PATIENTS WHO RECEIVE SUCCESSFUL REFERRALS TO SOCIAL SERVICES AGENCIES; DECREASE NUMBER OF COMMUNITY MEMBERS WHO REPORT EXPERIENCING BARRIERS TO RECEIVING MEDICAL CARE; DECREASE THE NUMBER OF COMMUNITY MEMBERS WHO SELF-REPORT HAVING "FAIR OR "POOR" OVERALL HEALTH.ACTION PLAN* COLLABORATE WITH AREA HEALTHCARE PROVIDERS, THE UNITED WAY, & SOCIAL SERVICE AGENCIES TO CONTINUE SUSTAINING HEALTHTRAN, A COMMUNITY-BASED PROGRAM WHICH OFFERS TRANSPORTATION TO MEDICAL APPOINTMENTS FREE OF CHARGE TO PATIENTS WITH FINANCIAL CHALLENGES. * UTILIZE THE UNITE US PLATFORM TO REFER PATIENTS TO COMMUNITY PARTNERS WHEN THEY SCREEN POSITIVE FOR SOCIAL DETERMINANTS OF HEALTH NEEDS IN THE CLINICAL SETTING.* INCREASE THE NUMBER & CAPACITY OF HEALTH CARE PROFESSIONALS TO IMPROVE ACCESS TO PRIMARY CARE & SPECIALTY CARE PROVIDERS IN IDENTIFIED SHORTAGE AREAS. * PROVIDE COMMUNITY HEALTH EDUCATION, HEALTH RISK & PREVENTION SCREENINGS, CHRONIC DISEASE SELF-MANAGEMENT & LIFE SKILLS EDUCATION, & COMMUNITY & WORKPLACE HEALTH RESOURCE FAIRS * EXPLORE OPPORTUNITIES TO PROVIDE GRANT FUNDING & OTHER SUPPORT TO COMMUNITY-BASED ORGANIZATIONS WORKING TO ADDRESS HOUSING INSECURITY IN THE COMMUNITY. * PROVIDE COMMUNITY-BASED ORGANIZATIONS WITH FINANCIAL SUPPORT FOR THEIR WORK IN ADDRESSING ACCESS TO CARE IN MID-MISSOURI. SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY PART V, SECTION B, LINE 13B: SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.ADDITIONALLY, PATIENTS MAY BE ELIGIBLE TO RECEIVE A DISCOUNT ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS. 20 1 - SSM HEALTH MEDICAL GROUP 100 HWY 28 EAST BELLE MO 65013 RURAL HEALTH CLINIC 2 - SSM HEALTH SPORTS MEDICINE & REHABILITAT 1225 WEST STADIUM BLVD JEFFSERSON CITY MO 65109 OUTPATIENT CLINIC 3 - SSM HEALTH CANCER CENTER 1241 WEST STADIUM BLVD JEFFSERSON CITY MO 65109 OUTPATIENT CLINIC 4 - SSM HEALTH MEDICAL GROUP 140 NORTHSTAR DRIVE HOLTS SUMMIT MO 65043 FAMILY PRACTICE CLINIC 5 - SSM HEALTH MEDICAL GROUP 2265 BAGNELL DAM BLVD LAKE OZARK MO 65049 RURAL HEALTH CLINIC 6 - SSM HEALTH PHARMACY 2505 MISSION DRIVE STE 110 JEFFSERSON CITY MO 651099508 RETAIL PHARMACY 7 - SSM HEALTH SPINE & PAIN MANAGEMENT CENTE 2505 MISSION DRIVE STE 1200 JEFFSERSON CITY MO 651099508 OUTPATIENT CLINIC 8 - SSM HEALTH WOUND CARE 2505 MISSION DRIVE STE 210 JEFFSERSON CITY MO 651099508 OUTPATIENT CLINIC 9 - SSM HEALTH MEDICAL GROUP - OULMONARY MED 2505 MISSION DRIVE STE 300 JEFFSERSON CITY MO 651099508 OUTPATIENT CLINIC 10 - SSM HEALTH MEDICAL GROUP - CARDIOVASCULA 2505 MISSION DRIVE STE 310 JEFFSERSON CITY MO 651099508 OUTPATIENT CLINIC 11 - SSM HEALTH MEDICAL GROUP - OCCUPATIONAL 2511 WEST EDGEWOOD DRIVE STE F JEFFSERSON CITY MO 65109 OUTPATIENT CLINIC 12 - SSM HEALTH MEDICAL GROUP 2511 WEST EDGEWOOD DRIVE STE G JEFFSERSON CITY MO 65109 FAMILY PRACTICE CLINIC 13 - SSM HEALTH URGENT CARE 2511 WEST EDGEWOOD DRIVE STE D JEFFSERSON CITY MO 65109 URGENT CARE CLINIC 14 - SSM HEALTH MEDICAL GROUP - BEHAVIORAL HE 2701 W EDGEWOOD DR STE 101 JEFFSERSON CITY MO 651095890 OUTPATIENT CLINIC 15 - SSM HEALTH MEDICAL GROUP - PEDIATRICS 3348 AMERICAN AVENUE JEFFSERSON CITY MO 65109 PEDIATRIC CLINIC 16 - SSM HEALTH SLEEP CENTER 3349 AMERICAN AVENUE STE D JEFFSERSON CITY MO 65109 OUTPATIENT CLINIC 17 - SSM HEALTH MEDICAL GROUP 3527 WEST TRUMAN BLVD STE 100 JEFFSERSON CITY MO 65109 FAMILY PRACTICE CLINIC 18 - SSM HEALTH MEDICAL GROUP 801 KIDWELL DRIVE VERSAILLES MO 65084 RURAL HEALTH CLINIC 19 - SSM HEALTH MEDICAL GROUP 875 HIGHWAY 5 SOUTH TIPTON MO 65081 RURAL HEALTH CLINIC 20 - SSM HEALTH MULTI-SPECIALTY CLINIC - CARD 2505 MISSION DRIVE STE 310 JEFFSERSON CITY MO 65109 OUTPATIENT CLINIC PART I, LINE 3C: ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR THOSE INDIVIDUALS WHO:* HAVE LIMITED OR NO HEALTH INSURANCE;* COOPERATE WITH SSM HEALTH'S POLICIES AND PROCEDURES;* DEMONSTRATE FINANCIAL NEED;* SUPPLY ALL REQUIRED INFORMATION TO PROCESS THE APPLICATION; AND * REIMBURSES THE HOSPITAL FOR ANY MONIES PAID DIRECTLY TO PATIENT BY INSURANCE. PATIENTS WHOSE FAMILY INCOME EXCEED 400% OF THE FEDERAL POVERTY GUIDELINES (FPL) MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF THE HOSPITAL. IN SUCH CASES, OTHER FACTORS MAY BE CONSIDERED IN DETERMINING THEIR ELIGIBILITY FOR DISCOUNTED OR FREE SERVICES, INCLUDING:*BANK ACCOUNTS, INVESTMENTS AND OTHER ASSETS*EMPLOYMENT STATUS AND EARNING CAPACITY*AMOUNT AND FREQUENCY OF BILLS FOR HEALTH CARE SERVICES*OTHER FINANCIAL OBLIGATIONS AND EXPENSES*GENERALLY, FINANCIAL RESPONSIBILITY WILL BE NO MORE THAN 25% OF GROSS FAMILY INCOME.SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION. PART I, LINE 6A: SSM HEALTH CARE CORPORATION FILES A COMBINED COMMUNITY BENEFIT REPORT FOR ALL ITS AFFILIATES. THE COMMUNITY BENEFIT REPORT CAN BE FOUND ON SSM'S WEBSITE AT: HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH. PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B, AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H, AND 7I ARE REPORTED AT COST AS REPORTED. THE CALCULATION OF FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F UTILIZES FORM 990, PART IX, LINE 25, COLUMN A, WHICH DOES NOT INCLUDE BAD DEBT EXPENSE.UDE BAD DEBT EXPENSE. PART III, LINE 2: AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. PART III, LINE 3: FOR FINANCIAL STATEMENT PURPOSES, SSM HEALTH HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDE BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THEREFORE, THERE IS NO AMOUNT REPORTED ON PART III, LINE 3 FOR THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER SSM HEALTH'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: SSM REGIONAL HEALTH SERVICES IS PART OF THE SSM HEALTH CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES THE TREATMENT OF UNCOLLECTIBLE ACCOUNTS AND IMPLICIT PRICE CONCESSIONS IN THE DECEMBER 31, 2024 CONSOLIDATED AUDIT IS CONTAINED ON PAGE 13 AND 14 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COSTS REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST. PART III, LINE 9B: THE HOSPITALS HAVE ESTABLISHED A WRITTEN CREDIT AND COLLECTION POLICY AND PROCEDURES. THE BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSM HEALTH, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE, THE HOSPITAL EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH IT PARTICIPATES BY ESTABLISHING SOUND BUSINESS PRACTICES. THE HOSPITALS' BILLING AND COLLECTION PRACTICES WILL BE FAIRLY AND CONSISTENTLY APPLIED.ALL STAFF AND VENDORS ARE EXPECTED TO TREAT ALL PATIENTS CONSISTENTLY AND FAIRLY, REGARDLESS OF THEIR ABILITY TO PAY. THEY RESPOND TO PATIENTS IN A PROMPT AND COURTEOUS MANNER REGARDING ANY QUESTIONS ABOUT THEIR BILLS AND PROVIDE NOTIFICATION OF THE AVAILABILITY OF FINANCIAL ASSISTANCE.ALL UNINSURED PATIENTS WILL BE PROVIDED A STANDARD DISCOUNT FOR MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES, INCLUDING SERVICES PROVIDED AT OFF-CAMPUS OUTPATIENT SITES. THE HOSPITAL DETERMINED THE AMOUNT OF THE DISCOUNT BASED ON THE LOCAL MANAGED CARE MARKET, APPLICABLE STATUTORY REQUIREMENTS AND OTHER RELEVANT LOCAL CIRCUMSTANCES. THE RATE MUST BE NO LESS THAN THE LOWEST EFFECTIVE DISCOUNT RATE AND NO GREATER THAN THE HIGHEST EFFECTIVE DISCOUNT RATE FOR THE CURRENT MANAGED CARE CONTRACTS OF THE HOSPITAL. UNINSURED PATIENTS MAY ALSO QUALIFY FOR AN ADDITIONAL DISCOUNT BASED UPON FINANCIAL NEED UNDER THE SYSTEM FINANCIAL ASSISTANCE POLICY.ALL ACCOUNTS DUE FROM THE PATIENT WILL RECEIVE A STATEMENT AFTER DISCHARGE OR AFTER FINAL ADJUDICATION FROM PATIENT'S INSURANCE. GENERALLY, THE PATIENT WILL RECEIVE 4 MONTHS (120 DAYS) OF IN-HOUSE COLLECTION EFFORTS (INCLUDING EARLY OUT VENDORS) AND 12 MONTHS OF BAD DEBT COLLECTION EFFORTS. THE HOSPITAL WILL MAKE REASONABLE EFFORTS TO DETERMINE FAP ELIGIBILITY INCLUDING:1. THE FINANCIAL ASSISTANCE SUMMARY WILL BE INCLUDED WITH EACH BILLING STATEMENT2. EXTRAORDINARY COLLECTION ACTIVITY (ECAS) MAY NOT OCCUR UNTIL BAD DEBT PLACEMENT AND ONLY AFTER 120 DAYS.3. ECAS MUST BE SUSPENDED IF A GUARANTOR SUBMITS A FAP APPLICATION DURING THE APPLICATION PERIOD.4. REASONABLE MEASURES MUST BE TAKEN TO REVERSE ECAS IF THE APPLICATION IS APPROVED WHICH MAY INCLUDE REFUNDING ANY PAYMENTS MADE IN EXCESS OF AMOUNTS OWED AS AN FAP-ELIGIBLE INDIVIDUAL.5. BAD DEBT VENDORS WILL GAIN WRITTEN APPROVAL FROM SSM PRIOR TO ENGAGING IN ECAS. SSM WILL REVIEW THE ACCOUNTS AND VERIFY SATISFACTORY COMPLETION OF REASONABLE EFFORTS DURING THE NOTIFICATION AND APPLICATION PERIOD.A WAIVER IS NOT CONSIDERED REASONABLE EFFORTS. OBTAINING A SIGNED WAIVER THAT AN INDIVIDUAL DOES NOT WISH TO APPLY FOR FAP ASSISTANCE OR RECEIVE FAP APPLICATION INFORMATION WILL NOT MEET THE REQUIREMENT TO MAKE "REASONABLE EFFORTS" TO DETERMINE WHETHER THE INDIVIDUAL IS FAP-ELIGIBLE BEFORE ENGAGING IN ECAS.ALL OUTSIDE COLLECTION AGENCIES MUST COMPLY WITH STATE AND FEDERAL LAWS, COMPLY WITH THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY AND COMPLY WITH THE HOSPITAL'S COLLECTION AND FINANCIAL ASSISTANCE POLICIES. PART VI, LINE 2: SSM HEALTH (SSMH) PARTICIPATES IN COMMUNITY BENEFIT ACCORDING TO OUR VISION, THROUGH OUR PARTICIPATION IN THE HEALING MINISTRY OF JESUS CHRIST, COMMUNITIES, ESPECIALLY THOSE THAT ARE ECONOMICALLY, PHYSICALLY, AND SOCIALLY MARGINALIZED, WILL EXPERIENCE IMPROVED HEALTH IN MIND, BODY, SPIRIT AND ENVIRONMENT. IN THE TRADITION OF OUR FOUNDERS, THE FRANCISCAN SISTERS OF MARY, CARING FOR THOSE IN GREATEST NEED REMAINS OUR ORGANIZATIONAL PRIORITY. TODAY OUR SYSTEM BOARD MONITORS COMMUNITY BENEFIT EFFORTS, AND VIEWS ACHIEVEMENT OF OUR VISION AS A PRIMARY RESPONSIBILITY.THE PURPOSE OF SSMH'S COMMUNITY BENEFIT PROGRAM IS TO ASSESS AND ADDRESS COMMUNITY HEALTH NEEDS. MAKING OUR COMMUNITIES HEALTHIER IN MEASURABLE WAYS IS ALWAYS OUR GOAL. TO FULFILL THIS COMMITMENT, SSMH'S COMMUNITY BENEFIT IS DIVIDED INTO TWO PARTS: 1) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AND 2) COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA).THE CHNA IS AN ASSESSMENT AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS AND THE ADOPTION AND IMPLEMENTATION OF STRATEGIES TO ADDRESS THOSE NEEDS. A CHNA IS CONDUCTED EVERY THREE YEARS BY EACH HOSPITAL ACCORDING TO THEFOLLOWING STEPS:*ASSESS AND PRIORITIZE COMMUNITY HEALTH NEEDS: GATHER CHNA DATA FROM SECONDARY SOURCES; OBTAIN INPUT FROM STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH INTERVIEWS AND FOCUS GROUPS; USE DATATO SELECT TOP HEALTH PRIORITIES; AND COMPLETE WRITTEN CHNA.*DEVELOP, ADOPT, AND IMPLEMENT STRATEGIES TO ADDRESS TOP-HEALTH PRIORITIES: ESTABLISH STRATEGIES TO ADDRESS PRIORITIES; COMPLETE STRATEGIC IMPLEMENTATION PLAN; OBTAIN REGIONAL/DIVISIONAL BOARD APPROVAL; AND INTEGRATE STRATEGIES INTO OPERATIONAL PLAN.*MAKE CHNA WIDELY AVAILABLE TO THE PUBLIC: PUBLISH CHNA AND SUMMARY DOCUMENT ON HOSPITAL'S WEBSITE.*MONITOR, TRACK, AND REPORT PROGRESS ON TOP HEALTH PRIORITIES: COLLECT DATA AND EVALUATE PROGRESS; REPORT TO REGIONAL/DIVISIONAL BOARD EVERY SIX MONTHS AND SYSTEM BOARD EVERY YEAR; SHARE FINDINGS WITH COMMUNITYSTAKEHOLDERS; AND SEND RESULTS TO FINANCE FOR SUBMISSION TO THE INTERNAL REVENUE SERVICE (IRS).SYSTEM OFFICE STAFF AND LEADERS OVERSEE AND MONITOR SSMH'S COMMUNITY BENEFIT PROGRAM, AND ENSURE REPORTING IS IN COMPLIANCE WITH IRS REGULATIONS. IN COLLABORATION WITH COMMUNITY STAKEHOLDERS AND PARTNER ORGANIZATIONS, SSM HEALTH CARE CORPORATION ALSO IDENTIFIES NEEDS BASED ON ASSESSMENTS AND RESEARCH, AND SSMH FACILITIES ALSO INVOLVE CASE MANAGERS AND CARE TEAM STAFF TO PINPOINT CRITICAL HEALTH ISSUES IN THE COMMUNITY. ALL HOSPITAL CHNAS ARE COMPLETED, APPROVED, AND INTEGRATED INTO THE ORGANIZATION'S STRATEGIC PLAN. WE CONTINUE TO MONITOR AND ASSESS THE PROGRESS OF OUR LOCAL EFFORTS IN THE SPIRIT OF CARING FOR OTHERS AND IMPROVING COMMUNITY HEALTH. PART VI, LINE 3: EACH ENTITY PROVIDING MEDICAL SERVICE SHALL PROVIDE INFORMATION TO THE PUBLIC REGARDING ITS CHARITY CARE POLICIES AND THE QUALIFICATION REQUIREMENTS FOR EACH OF ITS FACILITIES. WHEN STANDARD SYSTEM NOTICES AND COMMUNICATION REGARDING CHARITY CARE ARE AVAILABLE, THESE MUST BE USED. MODIFICATIONS TO THE STANDARD MAY BE MADE TO COMPLY WITH STATE AND LOCAL LAWS, AS WELL AS REFLECT CULTURALLY SENSITIVE TERMINOLOGY FOR THE POLICY. ALL NOTICES ARE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY. THEY PROVIDE INFORMATION ABOUT:* THE PATIENT'S RESPONSIBILITY FOR PAYMENT,* THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND ENTITY CHARITY CARE AND PAYMENT ARRANGEMENTS* THE ENTITY'S CHARITY POLICY AND APPLICATION PROCESS, AND* WHO TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC ARE PROVIDED:*SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT AND INPATIENT REGISTRATION AND PUBLIC WAITING AREAS.*BROCHURES OR FLIERS PROVIDED AT TIME OF REGISTRATION AND AVAILABLE IN THE FINANCIAL COUNSELING AREAS.*NOTICES SENT WITH OR ON PATIENT BILLS OR COMMUNICATIONS SENT TO PATIENTS AND GUARANTORS RELATED TO MEDICAL SERVICES.*APPLICATIONS PROVIDED TO UNINSURED PATIENTS AT THE TIME OF REGISTRATION.THE APPLICATION FOR CHARITY CARE, TOGETHER WITH ANY INSTRUCTIONS, MUST CLEARLY STATE THE POLICIES REGARDING CHARITY CARE, INCLUDING EXCLUDED SERVICES, ELIGIBILITY CRITERIA AND DOCUMENTATION REQUIREMENTS. INFORMATION ABOUT THE ENTITY'S CHARITY POLICIES IS ALSO PROVIDED TO PUBLIC AGENCIES. PART VI, LINE 4: SSM HEALTH ST. MARY'S HOSPITAL JEFFERSON CITY IS LOCATED AT 2505 MISSION DRIVE IN JEFFERSON CITY, MISSOURI. JEFFERSON CITY IS IN CENTRAL MISSOURI AND DEFINES ITS SERVICE AREA TO INCLUDE COLE, CALLAWAY, OSAGE, MILLER, MONITEAU AND MORGAN COUNTIES. THIS SERVICE AREA ENCOMPASSES OVER 3,400 SQUARE MILES AND HOUSES A TOTAL POPULATION OF 196,206 RESIDENTS. BETWEEN THE 2010 AND 2020 US CENSUSES, THE POPULATION OF THE TOTAL SERVICE AREA INCREASED BY 918 PERSONS, OR 0.5%. THE TOTAL SERVICE AREA IS FAIRLY DIVIDED OVERALL BETWEEN URBAN AND RURAL POPULATIONS, WITH 47.2% OF THE POPULATION LIVING IN AREAS DESIGNATED AS URBAN. IN CONTRAST, THE STATE AND NATION ARE COMPRISED OF A LARGELY URBAN POPULATION OVERALL.IN THE TOTAL SERVICE AREA, 22.3% OF THE POPULATION ARE CHILDREN AGED 0-17; ANOTHER 59.6% ARE AGED 18 TO 64, WHILE 18.1% ARE AGE 65 AND OLDER. WITH THE EXCEPTION OF MONITEAU COUNTY, THE COUNTIES COMPRISING THE TOTAL SERVICE AREA ARE "OLDER" THAN THE STATE AND THE NATION IN THAT THE MEDIAN AGES ARE HIGHER, ESPECIALLY IN MORGAN COUNTY. IN LOOKING AT RACE INDEPENDENT OF ETHNICITY (HISPANIC OR LATINO ORIGIN), 88.9% OF RESIDENTS OF THE TOTAL SERVICE AREA ARE WHITE AND 5.8% ARE BLACK; A LESS DIVERSE POPULATION THAN FOUND STATEWIDE AND (ESPECIALLY) NATIONALLY. A TOTAL OF 2.7% OF TOTAL SERVICE AREA RESIDENTS ARE HISPANIC OR LATINO; LOWER THAN THE STATE PERCENTAGE AND WELL BELOW THAT REPORTED NATIONALLY. LESS THAN ONE PERCENT (0.7%) OF THE TOTAL SERVICE AREA POPULATION AGE 5 AND OLDER LIVES IN A HOME IN WHICH NO PERSON AGE 14 OR OLDER IS PROFICIENT IN ENGLISH (SPEAKING ONLY ENGLISH OR SPEAKING ENGLISH "VERY WELL") WHICH IS LESS THAN THE STATE AND NATIONAL PERCENTAGES.THE LATEST CENSUS ESTIMATE SHOWS 11.4% OF THE TOTAL POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL WITH THE HIGHEST LEVELS BEING IN MILLER AND MORGAN COUNTIES. AMONG JUST CHILDREN (AGES 0 TO 17), THIS PERCENTAGE IN THE TOTAL SERVICE AREA IS 15.6% (REPRESENTING AN ESTIMATED 6,705 CHILDREN). BOTH STATISTICS FAIL TO MEET THE TARGETED THRESHOLD FOR THE HEALTH PEOPLE 2030 OBJECTIVE.AMONG THE TOTAL SERVICE AREA POPULATION AGE 25 AND OLDER, AN ESTIMATED 10.3% (OVER 135,000 PEOPLE) DO NOT HAVE A HIGH SCHOOL EDUCATION WHICH IS HIGHER THAN THE STATE PERCENTAGE. ACCORDING TO DATA DERIVED FROM THE US DEPARTMENT OF LABOR, THE UNEMPLOYMENT RATE IN THE TOTAL SERVICE AREA AS OF JUNE 2024 WAS 3.7% WHICH IS LOWER THAN THEN NATIONAL PERCENTAGE. A TOTAL OF 24.5% OF TOTAL SERVICE AREA RESIDENTS WOULD NOT BE ABLE TO AFFORD AN UNEXPECTED $400 EXPENSE WITHOUT GOING INTO DEBT WHICH WAS A SIGNIFICANT INCREASE OVER 2021.32.6% OF THE TOTAL SERVICE AREA REPORT EITHER 'SOMETIMES', 'USUALLY OR 'ALWAYS; BEING WORRIED OR STRESSED ABOUT HAVING ENOUGH MONEY TO PAY FOR HOUSING. THIS IS LOWER THAN THE NATIONAL FIGURE BUT A SUBSTANTIAL INCREASE OVER THE 2021 PERCENTAGE. A TOTAL OF 14.0% OF TOTAL SERVICE AREA RESIDENTS REPORT LIVING IN UNHEALTHY OR UNSAFE HOUSING CONDITIONS DURING THE PAST YEAR WHICH WAS ALSO A SIGNIFICANT INCREASE OVER 2021.THE US DEPARTMENT OF AGRICULTURE DATA SHOWS THAT 19.6% OF THE TOTAL SERVICE AREA POPULATION (REPRESENTING OVER 38,000 RESIDENTS) HAVE LOW FOOD ACCESS, MEANING THAT THEY DO NOT LIVE NEAR A SUPERMARKET OR LARGE GROCERY STORE WHICH IS LOWER THAN THE STATE PREVALENCE. OVERALL, 29.0% OF COMMUNITY RESIDENTS ARE DETERMINED TO BE "FOOD INSECURE, HAVING RUN OUT OF FOOD IN THE PAST YEAR AND/OR BEEN WORRIED ABOUT RUNNING OUT OF FOOD WHICH WHILE BELOW THE NATIONAL PREVALENCE IS A SIGNIFICANT INCREASE OVER 2021. TOGETHER, HEART DISEASE, CANCERS, AND COVID-19 ACCOUNTED FOR HALF OF ALL DEATHS IN THE TOTAL SERVICE AREA IN 2020. BETWEEN 2018 AND 2020, THERE WAS AN ANNUAL AVERAGE AGE-ADJUSTED HEART DISEASE MORTALITY RATE OF 176.2 DEATHS PER 100,000 POPULATION IN THE TOTAL SERVICE AREA WHICH FAILS TO MEET THE HEALTHY PEOPLE 2030 OBJECTIVE. A TOTAL OF 10.0% OF SURVEYED ADULTS REPORT THAT THEY SUFFER FROM OR HAVE BEEN DIAGNOSED WITH HEART DISEASE, SUCH AS CORONARY HEART DISEASE, ANGINA, OR HEART ATTACK WHICH IS A SIGNIFICANT INCREASE OVER 2021. A TOTAL OF 42.0% OF TOTAL SERVICE AREA ADULTS HAVE BEEN TOLD BY A HEALTH PROFESSIONAL AT SOME POINT THAT THEIR BLOOD PRESSURE WAS HIGH WHICH IS HIGHER THAN THE STATE PREVALENCE. BETWEEN 2018 AND 2020, THE SERVICE AREA REPORTED AN ANNUAL AVERAGE AGE-ADJUSTED CANCER MORTALITY RATE OF 159.3 DEATHS PER 100,000 POPULATION WHICH FAILS TO MEET THE HEALTHY PEOPLE 2030 OBJECTIVE. LUNG CANCER WAS THE LEADING CAUSE OF CANCER DEATHS IN THE TOTAL SERVICE AREA WHICH IS A HIGHER RATE THAN THE NATIONAL AVERAGE AND FAILS TO MEET THE HEALTHY PEOPLE 2030 OBJECTIVE. PART VI, LINE 5: SSM HEALTH AND ITS AFFILIATES PARTICIPATE IN A WIDE ARRAY OF COMMUNITY PROGRAMS THROUGHOUT THE AREA TO FURTHER ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY. THE COMMUNITY INITIATIVES BUILD ON THE STRENGTHS OF OUR COMMUNITIES AND SYSTEMS TO IMPROVE THE QUALITY OF LIFE AND TO CREATE A SENSE OF HOPE.COMMUNITY BENEFIT INITIATIVES BUILD COMMUNITY CAPACITY AND INDIVIDUAL EMPOWERMENT THROUGH COMMUNITY ORGANIZING, LEADERSHIP DEVELOPMENT, PARTNERSHIPS, AND COALITION BUILDING.SSM HEALTH AND ITS AFFILIATES PROMOTE GRASSROOTS ADVOCACY AND ENGAGES PERSONS OF INFLUENCE TO AFFECT SOCIAL AND PUBLIC POLICY CHANGE IN ORDER TO PROMOTE COMMUNITY HEALTH.THE HOSPITALS ALSO FURTHER THEIR EXEMPT PURPOSE WITH THE FOLLOWING ACTIVITIES:*OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY,*HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA,*ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS,*PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS*ALL SURPLUS FUNDS GENERATED BY SSMH ENTITIES ARE REINVESTED IN IMPROVING OUR PATIENT CARE DELIVERY SYSTEM. PART VI, LINE 6: SSM REGIONAL HEALTH SERVICES IS A 501(C)(3) ORGANIZATION AND IS A MEMBER OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. SSM REGIONAL HEALTH SERVICES IS A HEALTH CARE NETWORK THAT OPERATES SSM HEALTH ST. MARY'S HOSPITAL JEFFERSON CITY, MISSOURI.SSM HEALTH CARE CORPORATION (SSMHCC), A MISSOURI NONPROFIT CORPORATION, IS THE ULTIMATE 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) OWNS AND OPERATES 23 ACUTE CARE HOSPITALS, ONE OF WHICH SPECIALIZES IN PEDIATRICS, TWELVE POST-ACUTE CARE FACILITIES, A NATIONAL PHARMACY BENEFIT MANAGEMENT COMPANY (PBM), AN EXTENSIVE NETWORK OF PHYSICIAN PRACTICE OPERATIONS, 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. SSMH'S MISSION STATEMENT IS AS FOLLOWS:THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.SSMHCC AND MOST OF ITS AFFILIATED SUBSIDIARY CORPORATIONS HAVE BEEN GRANTED EXEMPTION FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). CERTAIN SUBSIDIARIES OF SSMH ARE FOR-PROFIT ENTITIES THAT ARE TAXABLE UNDER THE IRC.SSMH IS SPONSORED BY SSM HEALTH MINISTRIES, A MINISTERIAL JURIDIC PERSON, WHICH IS CURRENTLY COMPOSED OF ONE FRANCISCAN SISTER OF MARY (FSM), ONE SISTER OF ST. AGNES, ONE JESUIT PRIEST, ONE FRANCISCAN PRIEST, AND FOUR LAY PERSONS WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMH. PART VI, LINE 7, REPORTS FILED WITH STATES MO 1 CATHOLIC CHARITIES OF CENTRAL AND NORTHERN MISSOURI PO BOX 104626 JEFFERSON CITY MO 65110 452395310 501(C)(3) 37500 0 GENERAL PURPOSE JEFFERSON CITY COUNTRY CLUB 516 S COUNTRY CLUB DR JEFFERSON CITY MO 65109 440299955 501(C)(7) 30265 0 GENERAL PURPOSE ROMAN CATHOLIC DIOCESE OF JEFFERSON CITY PO BOX 104900 JEFFERSON CITY MO 65110 440612540 501(C)(3) 16000 0 GENERAL PURPOSE LINCOLN UNIVERSITY 820 CHESTNUT STREET JEFFERSON CITY MO 65101 446001089 501(C)(3) 60407 0 NURSE TRAINING PROGRAM GRANT EL PUENTE HISPANIC MINISTRY 2709 INDUSTRIAL DR STE B JEFFERSON CITY MO 65109 500005943 501(C)(3) 11520 0 GENERAL PURPOSE 4 1 PHARMACY ASSISTANCE 12 13111 PART I, LINE 2: THE ORGANIZATION'S GRANTS WERE MADE TO GOVERNMENTAL OR TAX-EXEMPT ORGANIZATIONS, UNDER IRC SECTION 501(C)(3). THESE ORGANIZATIONS ARE EXPECTED TO MAINTAIN ADEQUATE CONTROLS REGARDING THE USE OF GRANT FUNDS FOR THEIR INTENDED PURPOSE. X 1 1 0 1 0 0 0 0 0 0 0 LAURA KAISER PT YR DIRECTOR & PRES/CEO OF SSM HEA 0 2163350 0 2238900 0 803415 0 2656557 0 24591 0 7886813 0 2238900 STEVEN SMOOT DIRECTOR, VP & COO OF SSM HEALTH 0 1305272 0 895103 0 164560 0 1075677 0 44021 0 3484633 0 1036001 DOUGLAS LONG DIRECTOR, SEC & CLO OF SSM HEALTH 0 813979 0 583198 0 189973 0 676547 0 24224 0 2287921 0 583198 KEVIN SMITH TREAS & CFO OF SSM HEALTH 0 1034519 0 0 0 15958 0 586407 0 40674 0 1677558 0 0 RANDALL COMBS FORMER OFFICER 0 323766 0 923306 0 206949 0 13881 0 15625 0 1483527 0 923306 STEPHANIE DUGGAN PT YR DIRECTOR & CHIEF CLINICAL OFF 0 871945 0 0 0 4902 0 492217 0 39086 0 1408150 0 0 KAREN REWERTS DIRECTOR & VP FINANCIAL OPS 0 601026 0 176014 0 68440 0 198391 0 36452 0 1080323 0 229400 KC DEBOER REGIONAL PRESIDENT 368273 0 155748 0 5562 0 281457 0 36006 0 847046 0 155748 0 NATHAN KENYON PHYSICIAN 736785 0 0 0 1020 0 18798 0 18875 0 775478 0 0 0 THOMAS RYAN PHYSICIAN 660332 0 50000 0 9144 0 22915 0 30068 0 772459 0 0 0 JUSTIN MORLEY VP HOSPITAL OPERATIONS 0 382341 0 112343 0 39012 0 185735 0 35614 0 755045 0 141611 JOHN LUCIO REGIONAL CMO 504882 0 11366 0 19157 0 68159 0 45971 0 649535 0 11366 0 DEVIN KENNEDY PHYSICIAN 444963 0 12000 0 918 0 19544 0 28808 0 506233 0 0 0 ANDREW KARANAS PHYSICIAN 444881 0 0 0 4386 0 20271 0 34933 0 504471 0 0 0 JOANNA YOUNKER PHYSICIAN 445439 0 14000 0 802 0 15321 0 17297 0 492859 0 0 0 JOHN SNODSMITH FORMER OFFICER/VP FINANCE 0 264636 0 40328 0 15163 0 59973 0 30146 0 410246 0 40328 AMY CAMPBELL VP PATIENT CARE SVCS & CNO 215766 0 28607 0 721 0 47061 0 34818 0 326973 0 28607 0 TONYA PEHLE VP OPERATIONS 228174 0 28314 0 11252 0 46823 0 11243 0 325806 0 35280 0 PART I, LINE 1A AN INDIVIDUAL LISTED ON PART VII OF THE FORM 990 RECEIVED A TAX INDEMNIFICATION/GROSS-UP PAYMENT IN 2024. THE PAYMENT WAS INCLUDED IN TAXABLE COMPENSATION. PART I, LINE 3 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, HOSPITAL PRESIDENT, IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B PENSION RESTORATION PLAN: SSM HEALTH (SSMH) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMH QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER THE SSMH QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMH OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMH. NO INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 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. KAREN REWERTS - $60,917 STEVE SMOOT - $159,608 TONYA PEHLE - $9,041 JOHN SNODSMITH - $14,284 JUSTIN MORLEY - $38,077 FORM 990, PART I DOING BUSINESS AS: SSM REGIONAL HEALTH SERVICES CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING NAMES: SSM HEALTH BEHAVIORAL HEALTH SSM HEALTH MEDICAL GROUP SSM HEALTH MEDICAL GROUP - BEHAVIORAL MEDICINE SSM HEALTH MEDICAL GROUP - CARDIOTHORACIC SURGERY SSM HEALTH SPINE SURGERY & INTERVENTIONAL PAIN CENTER SSM HEALTH SPORTS MEDICINE & REHABILITATION CENTER SSM HEALTH ST MARY'S HOSPITAL- JEFFERSON CITY SSM HEALTH WOUND CENTER FORM 990, PART V, LINE 1A: ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM REGIONAL HEALTH SERVICES AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND APPOINT AND REMOVE THE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE DIRECTORS D. TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. 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 CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTEREST IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER , TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVE OF THE MEMBER AS DETERMINED BY THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION (SSM). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SSM PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY OF THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUCH BE COMPLETED 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 THE ORGANIZATION'S COMPENSATION PLAN IS REVIEWED AND APPROVED AT FORMAL MEETINGS OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT NON-EMPLOYEE MEMBERS WHO HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENT TO BE REVIEWED AND RECOMMENDED BY THE COMPENSATION COMMITTEE. THE COMMITTEE REVIEWS COMPARABLE WISCONSIN AND NATIONAL COMPENSATION DATA AND ESTABLISHES BASE COMPENSATION AT THE COMPARABLE MARKET MEDIAN BY THE POSITION AS OUTLINED IN THE COMPENSATION COMMITTEE CHARTER. ADDITIONALLY, THE COMMITTEE HAS AUTHORITY TO RETAIN A COMPENSATION CONSULTANT TO ASSIST THE COMMITTEE IN EVALUATING SENIOR MANAGEMENT COMPENSATION. 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 PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 22,496,020. MANAGEMENT AND GENERAL EXPENSES 511,365. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,007,385. FORM 990, PART XI, LINE 9: TRANSFERS WITH CONSOLIDATED ENTITIES -33,216,702. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -1,358,383. BENEFICIAL INTEREST IN FOUNDATION 437,417. 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