Form 990 for tax year 2024

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $115,783

• 1e · Government grants (contributions)

  $2,182

• 2a · Program service revenue: NET PATIENT SERVICE

  total $865,082,828 · related or exempt $865,082,828

• 2b · Program service revenue: 340B PHARMACY

  total $56,817,275 · related or exempt $56,817,275

• 2c · Program service revenue: PHARMACY REVENUE

  total $13,208,726 · related or exempt $12,694,678 · unrelated business $514,048

• 2d · Program service revenue: CORPORATE FEES

  total $1,981,551 · related or exempt $1,981,551

• 2e · Program service revenue: VALUE BASED CARE REV

  total $180,388 · related or exempt $180,388

• 2f · All other program service revenue

  total $927,002 · related or exempt $926,656 · unrelated business $346

• 6a · Gross rents

  real property $2,979,185

• 6b · Less rental expenses

  real property $0

• 6c · Rental income or loss

  real property $2,979,185

• 6d · Net rental income or loss

  total $2,979,185 · excluded $2,979,185

• 7a · Gross sales of assets other than inventory

  other assets $17,376

• 7b · Less cost or other basis and sales expenses

  other assets $0

• 7c · Gain or loss

  other assets $17,376

• 7d · Net gain or loss

  total $17,376 · excluded $17,376

• 10a · Gross sales of inventory

  $664,277

• 10b · Cost of goods sold

  $415,268

• 10c · Net income from sales of inventory

  total $249,009 · excluded $249,009

• 11a · Other revenue: CAFETERIA REVENUE

  total $3,649,485 · excluded $3,649,485

• 11b · Other revenue: JOINT VENTURE REVENUE

  total $2,113,701 · excluded $2,113,701

• 11c · Other revenue: PARKING

  total $480,555 · excluded $480,555

• 11d · All other revenue

  total $118,096 · unrelated business $118,096

• 11e · Other revenue, total

  $6,361,837

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $14,751,410 · program services $14,751,410

• 2 · Grants to domestic individuals

  total $22,036 · program services $22,036

• 5 · Compensation of officers, directors and key employees

  total $1,718,261 · management and general $1,718,261

• 7 · Other salaries and wages

  total $174,241,154 · program services $149,002,352 · management and general $25,238,802

• 8 · Pension plan contributions

  total $4,929,417 · program services $4,181,459 · management and general $747,958

• 9 · Other employee benefits

  total $19,053,812 · program services $16,162,708 · management and general $2,891,104

• 10 · Payroll taxes

  total $12,354,631 · program services $10,480,018 · management and general $1,874,613

• 11a · Fees: management

  total $31,695,428 · program services $31,459,524 · management and general $235,904

• 11b · Fees: legal

  total $560,970 · program services $4,734 · management and general $556,236

• 11g · Fees: other

  total $258,192,173 · program services $253,126,432 · management and general $5,065,741

• 12 · Advertising and promotion

  total $282,436 · program services $97,842 · management and general $184,594

• 13 · Office expenses

  total $6,186,134 · program services $6,182,373 · management and general $3,761

• 14 · Information technology

  total $24,120,031 · program services $24,120,031

• 16 · Occupancy

  total $10,661,732 · program services $9,996,153 · management and general $665,579

• 17 · Travel

  total $383,979 · program services $193,755 · management and general $190,224

• 19 · Conferences, conventions and meetings

  total $348,224 · program services $197,933 · management and general $150,291

• 20 · Interest

  total $1,306 · management and general $1,306

• 21 · Payments to affiliates

  total $74,742,628 · program services $10,671,630 · management and general $64,070,998

• 22 · Depreciation, depletion and amortization

  total $27,461,974 · program services $15,416,057 · management and general $12,045,917

• 23 · Insurance

  total $3,836,750 · management and general $3,836,750

• 24a · Other expenses: MEDICAL SUPPLIES & EQUI

  total $235,563,841 · program services $235,563,841

• 24b · Other expenses: MEDICAL PROVIDER TAX &

  total $32,523,897 · program services $32,523,897

• 24c · Other expenses: LICENSES, DUES & SUBSCR

  total $983,894 · program services $463,020 · management and general $520,874

• 24d · Other expenses: BANK FEES

  total $68,764 · management and general $68,764

• 24e · All other expenses

  total $3,513 · program services $3,263 · management and general $250

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $269,475 · end of year $3,250

• 4 · Accounts receivable

  beginning of year $159,925,882 · end of year $157,372,459

• 8 · Inventories for sale or use

  beginning of year $17,241,521 · end of year $19,681,474

• 9 · Prepaid expenses and deferred charges

  beginning of year $6,130,074 · end of year $9,608,908

• 10a · Land, buildings and equipment: cost or other basis

  $716,865,302

• 10b · Land, buildings and equipment: accumulated depreciation

  $208,220,062

• 10c · Land, buildings and equipment, net

  beginning of year $518,061,588 · end of year $508,645,240

• 13 · Investments: program-related

  beginning of year $14,387,044 · end of year $12,729,326

• 14 · Intangible assets

  beginning of year $107,784 · end of year $72,148

• 15 · Other assets

  beginning of year $8,223,736 · end of year $26,329

• 17 · Accounts payable and accrued expenses

  beginning of year $57,863,266 · end of year $61,946,620

• 19 · Deferred revenue

  beginning of year $416,000 · end of year $0

• 24 · Unsecured notes and loans payable

  beginning of year $19,809 · end of year $5,347

• 25 · Other liabilities

  beginning of year $670,435,841 · end of year $786,692,647

• 27 · Net assets without donor restrictions

  beginning of year -$6,747,092 · end of year -$140,505,480

• 28 · Net assets with donor restrictions

  beginning of year $2,359,280 · end of year $0

The filer's explanations (Part III)

PART I, LINE 1A

SEVERAL INDIVIDUALS LISTED ON SCHEDULE J PART II RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2024. THE PAYMENT WAS INCLUDED IN THEIR 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, LINES 4A-B

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: STEVEN SCOTT - $23,769 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 EILEEN LAMM - $38,866 KELLY BAUMER - $12,258 TIM JOHNSON, MD - $58,143

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• SSM HEALTH SLU HOSPITAL ANESTHESIA PHYSICIAN BILLING LLC

  PHYSICIAN BILLING · MO · income $0 · assets $0

  Directly controlled by SSM-SLUH INC

• SLH PHYSICIAN LLC

  PHYSICIAN SERVICES · MO · income $0 · assets $0

  Directly controlled by SSM-SLUH INC

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• SSM ST JOSEPH ENDOSCOPY CENTER LLC

  SURGERY SERVICES · MO · general or managing partner

• ST LOUIS HEALTHCARE SUPPORT SERVICES LLC

  LAUNDRY SERVICES · MO · general or managing partner

• 1110 N CLASSEN BLVD LLC

  MOB · OK · general or managing partner

• MT VERNON RADIATION THERAPY CENTER LLC

  RADIATION THERAPY · IL · general or managing partner

• CHOWSMGSI OFFICE BUILDING LLC

  MOB · IL

• OZA CANCER CENTER LLC

  MOB · IL

• WINGRA BUILDING GROUP

  MOB · WI

• JANESVILLE RIVERVIEW CLINIC BUILDING PARTNERSHIP

  MOB · WI

• DEAN CLINIC & ST MARY'S HOSPITAL ACCOUNTABLE CARE ORGANIZATION LLC

  ACCOUNTABLE CARE ORGANIZATION · WI

• WISCONSIN INTEGRATED INFORMATION TECHNOLOGY AND TELEMEDICINE SYSTEMS LLC

  INFORMATION TECHNOLOGY SERVICES · WI

• ST CLARE IMAGING SERVICES LLC

  DIAG. SERVICES · WI · general or managing partner

• NAVITUS HEALTH SOLUTIONS LLC

  PHARMACY BENEFIT MANAGEMENT · WI

• EPIPHANY RX LLC

  PHARMACY BENEFIT MANAGEMENT · DE

• RXPRECHECK LL

  PHARMACY BENEFIT MANAGEMENT · TN

• ARCHIMEDES LLC

  PHARMACY BENEFIT MANAGEMENT · TN

• M&C REALTY LLC

  MOB · MO · general or managing partner

• BLOOM TREE LONG-ONLY FUND QP LP FKA BLOOM TREE PONDEROSA FUNDS QP LP

  INVESTMENTS · DE

• NECICF II AIV2-B LP

  INVESTMENTS · DE

• BISON CAPITAL PARTNERS VI-A LP

  INVESTMENTS · DE

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• SSMHC INSURANCE COMPANY

  C · INSURANCE · CJ

• OMNINHEALTH HOLDINGS

  C · HEALTH CARE CONSULTING · DE

• SSM MANAGED CARE ORGANIZATION LLC

  C · HEALTH PROMOTION · MO

• ST MARY'S HOSPITAL CAMPUS CONDOMINIUM OWNERS ASSOCIATION INC

  C · CONDO ASSOCIATION · WI

• PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS INC

  C · HEALTH CARE · IL

• FPP INC & SUBS

  C · HEALTH CARE · MO

• SSM MEDICAL GROUP INC

  C · PHYSICIAN OFFICES · MO

• SSM HEALTH PHARMACY LLC

  C · PHARMACY · MO

• SSMHC LIABILITY TRUST II

  C · INSURANCE · MO

• HEALTHFIRST PHYSICIAN MANAGEMENT SERVICES

  C · MEDICAL SERVICES · OK

• DIVERSIFIED HEALTH SERVICES CORP

  C · MEDICAL EQUIPMENT · MO

• SSM PROPERTIES INC

  C · PROPERTY SERVICES · MO

• DEAN HEALTH SYSTEMS INC

  C · PHYSICIAN OFFICES · WI

• DEAN RETAIL SERVICES INC

  C · PROPERTY SERVICES · WI

• NAVITUS HOLDINGS LLC

  C · PHARMACY · WI

• SSM HEALTH JANESVILLE CAMPUS CONDOMINIUM ASSOCIATION INC

  C · CONDO ASSOCIATION · WI

• QUALITY DRUG CORPORATION

  C · PHARMACY BENEFITS · CA

• PARTNERS GROUP PMC PRIVATE CREDIT LP

  C · INVESTMENT · CJ