2025-11-17T16:13:11-06:00 2024-12-31 990 2024-01-01 431550298 SSM AUDRAIN HEALTH CARE INC SSMA 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 STEPHANIE KING 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 14951 0 X HTTPS://WWW.SSMHEALTH.COM X 1990 MO THE HOSPITAL'S ASSETS WERE SOLD IN MARCH OF 2021. PRIOR TO THAT DATE, IT OPERATED AS A COMMUNITY HOSPITAL OFFERING A RANGE OF SERVICES INCLUDING EMERGENCY CARE, CARDIOLOGY SERVICES, MEDICAL IMAGING, WOMEN AND CHILD SERVICES AND DIABETES EDUCATION. 4 0 0 0 0 0 87057 0 275298 14951 0 0 0 0 362355 14951 0 0 0 0 -54 0 0 0 0 238157 12982 238103 12982 124252 1969 16176 10176 48178962 48170993 -48162786 -48160817 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 4030 0 14951 EFFECTIVE MARCH 15, 2021, SSM AUDRAIN HEALTH CARE, INC. SOLD SUBSTANTIALLY ALL OF ITS ASSETS AND CEASED HOSPITAL OPERATIONS. 4030 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 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 1 1 0 X JOSEPH HENDERSON 5736813000 2505 MISSION DRIVE JEFFERSON CITY MO 65109 X STEVEN SMOOT DIR & VP/COO OF SSM HEALTH 0.00 50.00 X X 0 2364935 1119698 DOUGLAS LONG DIR, SEC & CLO OF SSM HEALTH 0.00 50.00 X X 0 1587150 700771 KAREN REWERTS DIR & VP FINANCE OPS OF SSM HEALTH 0.00 50.00 X 0 845480 234843 STEPHANIE DUGGAN DIR & CHIEF CLINICAL OFF OF SSM HEALTH 0.00 50.00 X X 0 876847 531303 KEVIN SMITH TREAS & CFO OF SSM HEALTH 0.00 50.00 X 0 1050477 627081 LAURA KAISER PRESIDENT/CEO SSM HEALTH, FMR OFFICER 0.00 50.00 X 0 5205665 2681148 RANDALL COMBS FORMER OFFICER 0.00 0.00 X 0 1454021 29506 MICHAEL BAUMGARTNER FORMER OFFICER 0.00 0.00 X 0 182141 11296 JOHN SNODSMITH FORMER OFFICER 0.00 0.00 X 0 320127 90119 0 13886843 6025765 0 1 1 0 0 NET PATIENT REVENUE 622110 14773 14773 OTHER PROGRAM REVENUE 622110 178 178 14951 14951 14951 0 0 X 4815 4815 3887 3887 1764 1589 175 132 57 75 MEDICAL SUPPLIES & EQUI 2852 2852 OTHER EXPENSES 739 739 TAXES -7 -7 NON-PATIENT BAD DEBT -1200 -1200 12982 4030 8952 0 1200 1 4801 10175 10175 16176 10176 25785 26376 6001 48147176 48144617 48178962 48170993 X -48172961 -48170992 10175 10175 -48162786 -48160817 16176 10176 1969 0 X 0 1 X 1 0 X FORM 990, SCHEDULE A, PART I, LINE 3 SSM AUDRAIN HEALTH CARE INC. IS TAX EXEMPT UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AS A HOSPITAL DESCRIBED IN IRC SECTION 170(B)(1)(A)(III). HOWEVER, IT DOES NOT FILE A SCHEDULE H AS IT SOLD ITS HOSPITAL OPERATIONS IN 2021. 361547 361547 361547 361547 361547 361547 361547 361547 361547 361547 0.00000 1.00000 0.00000 1 0 0 BENEFICIAL INTEREST IN FOUNDATION 10175 F 10175 INTERCOMPANY PAYABLES 48144617 48144617 X PART X, LINE 2: SSM AUDRAIN HEALTH CARE, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. 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. SCHEDULE D, PART V, LINE 4 ALL FUNDS ARE USED TO PROVIDE HEALTH CARE SERVICES AND CAPITAL IMPROVEMENTS. X 0 0 0 1 0 0 0 0 0 0 0 LAURA KAISER PRESIDENT/CEO SSM HEALTH, FMR OFFICE 0 2163350 0 2238900 0 803415 0 2656557 0 24591 0 7886813 0 2238900 STEVEN SMOOT DIR & VP/COO OF SSM HEALTH 0 1305272 0 895103 0 164560 0 1075677 0 44021 0 3484633 0 1036001 DOUGLAS LONG DIR, 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 DIR & CHIEF CLINICAL OFF OF SSM HEAL 0 871945 0 0 0 4902 0 492217 0 39086 0 1408150 0 0 KAREN REWERTS DIR & VP FINANCE OPS OF SSM HEALTH 0 601026 0 176014 0 68440 0 198391 0 36452 0 1080323 0 229400 JOHN SNODSMITH FORMER OFFICER 0 264636 0 40328 0 15163 0 59973 0 30146 0 410246 0 40328 MICHAEL BAUMGARTNER FORMER OFFICER 0 0 0 182141 0 0 0 11296 0 0 0 193437 0 182141 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 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 KAREN REWERTS - $60,917 JOHN SNODSMITH - $14,284 FORM 990, PAGE 1, PART C - DOING BUSINESS AS SSM AUDRAIN HEALTH CARE, INC. PRIOR TO MARCH 15, 2021 CONDUCTED BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: SSM HEALTH BEHAVIORAL HEALTH SSM HEALTH CANCER CENTER SSM HEALTH MEDICAL GROUP - FAMILY MEDICINE SSM HEALTH MEDICAL GROUP - INTERNAL MEDICINE SSM HEALTH MEDICAL GROUP - PULMONOLOGY & CRITICAL CARE SSM HEALTH ST. MARY'S HOSPITAL -AUDRAIN SSM HEALTH SLEEP CENTER SSM HEALTH MEDICAL GROUP SSM HEALTH URGENT CARE SSM HEALTH MEDICAL GROUP - ORTHOPEDIC SURGERY JORDAN-WATERS HEART CENTER FORM 990, PART IV, LINE 20A SSM AUDRAIN HEALTH CARE INC ASSETS WERE SOLD IN MARCH OF 2021. ACCORDINGLY, PART IV, LINE 20A RESPONSE IS "NO". 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 REGIONAL HEALTH SERVICES. SSM REGIONAL HEALTH SERVICES IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM AUDRAIN HEAL TH CARE, INC. AND SSM REGIONAL HEALTH SERVICES ARE PART OF THE INTEGRATED HEAL TH CARE SYSTEM KNOWN AS SSM HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND TO 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 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 STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION 0. 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 OF 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 OF THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVE OF THE MEMBER OF THE MEMBER AS DETERMINED BY THE MEMBER OF THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER OF THE MEMBER, OTHER THAN ANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OR 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 HEAL TH 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 AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. 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 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 VII, SECTION A, LINE 1A, COLUMN (B) AS A RESULT OF THE SALE OF ASSETS IN MARCH OF 2021, THE OFFICERS AND TRUSTEES ARE NOT ACTIVELY MANAGING THE HOSPITAL FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 1,589. MANAGEMENT AND GENERAL EXPENSES 175. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,764. 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