Civic Intelligence

St Mary'S - Good Samaritan Inc

EIN 36-4170833 • 501(c)3 • St Louis, MO

Profile

Through our exceptional health care services, we reveal the healing presence of God.

10101 Woodfield LnSt Louis, MO 63132

www.ssmhealth.com/system

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

59th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

61st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

9th percentile

-99%

Higher net margin than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Top Officer Pay

84th percentile

$0

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2022

Asset Growth

84th percentile

38%

Faster asset growth than 84% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2022 to 2024

Revenue Growth

17th percentile

-49%

Faster revenue growth than 17% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2022 to 2024

Assets

Down

$88,225

Down $14,363 (-14%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$88,225

Down $14,363 (-14%) from 2023

Revenue

Down

$14,561

Down $41,646 (-74%) from 2023

Expenses

Up

$28,924

Up $28,919 (+578380%) from 2023

Net Income

Down

-$14,363

Down $70,565 (-126%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150K$100K$50K$0Assets 2010: $24,600Liabilities 2010: $24,600Net Assets 2010: $02010Assets 2011: $25,200Liabilities 2011: $25,200Net Assets 2011: $02011Assets 2012: $25,800Liabilities 2012: $25,800Net Assets 2012: $02012Assets 2013: $25,600Liabilities 2013: $25,600Net Assets 2013: $02013Assets 2014: $24,000Liabilities 2014: $24,000Net Assets 2014: $02014Assets 2015: $25,000Liabilities 2015: $25,000Net Assets 2015: $02015Assets 2016: $28,200Liabilities 2016: $28,200Net Assets 2016: $02016Assets 2017: $28,600Liabilities 2017: $28,600Net Assets 2017: $02017Assets 2018: $29,400Liabilities 2018: $29,400Net Assets 2018: $02018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021Assets 2022: $46,386Liabilities 2022: $0Net Assets 2022: $46,3862022Assets 2023: $102,588Liabilities 2023: $0Net Assets 2023: $102,5882023Assets 2024: $88,225Liabilities 2024: $0Net Assets 2024: $88,2252024

Highlighted filing

2024

Assets$88,225
Liabilities$0
Net Assets$88,225

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150K$100K$50K$0-$50K-$100KRevenue 2010: $24,600Expenses 2010: $75,821Net Income 2010: -$51,2212010Revenue 2011: $25,200Expenses 2011: $80,918Net Income 2011: -$55,7182011Revenue 2012: $25,800Expenses 2012: $66,343Net Income 2012: -$40,5432012Revenue 2013: $25,600Expenses 2013: $100,156Net Income 2013: -$74,5562013Revenue 2014: $24,000Expenses 2014: $47,312Net Income 2014: -$23,3122014Revenue 2015: $25,000Expenses 2015: $18,028Net Income 2015: $6,9722015Revenue 2016: $28,200Expenses 2016: $12,190Net Income 2016: $16,0102016Revenue 2017: $28,600Expenses 2017: $12,250Net Income 2017: $16,3502017Revenue 2018: $29,400Expenses 2018: $14,310Net Income 2018: $15,0902018Revenue 2019: $0Expenses 2019: $15,010Net Income 2019: -$15,0102019Revenue 2020: $0Expenses 2020: $13,498Net Income 2020: -$13,4982020Revenue 2021: $41,630Expenses 2021: $24,203Net Income 2021: $17,4272021Revenue 2022: $55,151Expenses 2022: $26,192Net Income 2022: $28,9592022Revenue 2023: $56,207Expenses 2023: $5Net Income 2023: $56,2022023Revenue 2024: $14,561Expenses 2024: $28,924Net Income 2024: -$14,3632024

Highlighted filing

2024

Revenue$14,561
Expenses$28,924
Net Income-$14,363

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.88$0.00$0.88$0.15$0.29$0.14
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.03$0.00$1.03$0.56$0.00$0.56
2022Detailed filing. Detailed filing data is available for this year.$0.46$0.00$0.46$0.55$0.26$0.29
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.42$0.24$0.17
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.00$0.13$0.13
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.00$0.15$0.15
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.29$0.29$0.00$0.29$0.14$0.15
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.29$0.29$0.00$0.29$0.12$0.16
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.28$0.28$0.00$0.28$0.12$0.16
2015Detailed filing. Detailed filing data is available for this year.$0.25$0.25$0.00$0.25$0.18$0.07
2014Detailed filing. Detailed filing data is available for this year.$0.24$0.24$0.00$0.24$0.47$0.23
2013Detailed filing. Detailed filing data is available for this year.$0.26$0.26$0.00$0.26$1.00$0.75
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.26$0.26$0.00$0.26$0.66$0.41
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.25$0.25$0.00$0.25$0.81$0.56
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.25$0.25$0.00$0.25$0.76$0.51
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 16, 2023
Return Version
2022v5.0
Gross Receipts
$55,151
Mission and Program Overview

Mission

Through our exceptional health care services, we reveal the healing presence of God.

To improve access to health care and improve health in our communities.

Program Services

DescriptionGrantsExpenses
PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.-$26,192
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sr M Clarette Stryzewski CSSFDirector, Chairperson-$0--
Damon HarbisonDirector, Hospital President-Ssm Health St. Mary'S Hospital-$0--
Patty WilliamsDirector-$0--
Michael BaumgartnerDirector, Regional President-Southern Illinois-$0--
Sr M Ramona Dombrowski CSSFDirector-$0--
Matthew FlaniganDirector-$0--
Jeremy BradfordDirector, Hospital President-Ssm Health Good Samaritan Hospital-$0--
Erica Ibendahl MDDirector, Ssm Health Medical Group Physician-$0--
Sudeep Nair MDDirector, Ssm Health Medical Group Physician-$0--
Herb WilliamsDirector-$0--
Douglas LongSecretary, General Counsel At Ssm Health-$0--
John SnodsmithRegional VP, Finance-$0--
Randy CombsTreasurer, Chief Financial Officer At Ssm Health-$0--
Rachel HallAssistant Secretary-$0--
Filing and Contact Details

Filer

Filer Name
St Mary's - Good Samaritan Inc
EIN
36-4170833
Phone
6184368000
Address
10101 Woodfield Ln, St Louis, MO 63132

Signing Officer

Name
Randy Combs
Title
Treasurer
Phone
3149947800
Signed
2023-11-16
Discuss with paid preparer
Yes

Preparer

Firm
Purk & Associates PC
Address
1034 S Brentwood Boulevard Suite 20, 00, St Louis, MO 63117
Preparer
Douglas G Pleus
Phone
3148844022
Supplemental Narrative

Additional Explanations

Form 990-EZ, Part I, Line 16 Other Expenses

SUPPLIES - -29; PROFESSIONAL LIABILITY INSURANCE - 25221; Consulting Fees - 1000;

Form 990-EZ, Part II, Line 24B Other Assets

Due from affiliates - boy:17427,eoy:46386;

Form 990-EZ, Part III, Exempt Purpose PRIMARY EXEMPT PURPOSE

To improve access to health care and improve health in our communities.

Form 990-EZ, Part III, Program Services Details

Since it was founded in 1872 by catholic sisters, ssm health (ssmh) has existed to meet the health needs of the communities it serves. Ssmh is a catholic, not-for profit health system serving the comprehensive health needs of communities across the midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in illinois, missouri, oklahoma, and wisconsin, ssmh includes 23 acute care hospitals, one children's hospital, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company, and an accountable care organization. The health system employs nearly 40,000 people and is affiliated with 11,000 physicians making it one of the largest employers in every community it serves. In the tradition of its founding sisters, ssmh strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. St. Mary's - good samaritan, inc. Is committed to the purpose of enabling its entities, ssm health st mary's hospital - centralia and ssm health good samaritan hospital - mt. Vernon to provide access to quality health care services to all persons on the southern illinois region regardless of their ability to pay. Through its governance, operation and administration, st mary's - good samaritan, inc. Helps to meet the community needs identified by each hospital in an economic and efficient manner. The leaders of st. Mary's - good samaritan, inc. Participate in community organizations which enable them to identify community needs. All ssmh facilities will strive to provide exceptional health care services to all persons in need regardless of their ability to pay. All billing and collection policies and practices will reflect the mission and values of ssmh, including our special concern for people who are poor and vulnerable. Ssmh facilities offer discounts for hospital services to all uninsured persons. Self-pay discounts apply to everyone who does not have health insurance, no matter their ability to pay. Ssmh will apply its charity care policies fairly and consistently. Each person will be treated as an individual with specific needs for assistance without regard to payment. Ssmh embraces its responsibility to serve the communities in which we participate by establishing sound business practices. Charity care is provided to patients based on a sliding scale for household incomes up to four times the federal poverty level. Patients whose household income is no more than two times the federal poverty level are eligible for free hospital services. In addition, an exception to the sliding scale is provided for a patient's balance due if the amountis too large to be reasonably paid through an installment plan over four years given the family income and expenses. Each entity providing medical services 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 communications 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 will be easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They will 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 whom to contact to get additional information or financial counseling. The following types of notices to the public shall be provided: signs in the emergency department, outpatient and inpatient registration and public

30 Financial Support

St. Mary's - good samaritan, inc. Is a type i supporting organization that is operated exclusively to support the operations of st. Mary's hospital and good samaritan regional health center, related tax-exempt organizations. The amounts of support provided to st mary's hospital and good samaritan regional health center on schedule a, part i, line 11(h)(vii) do not include expenses paid on behalf of but not directly to st mary's hospital and good samaritan regional health center.

Raw XML Appendix231 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990EZ/ActivitiesNotPreviouslyRptInd0false
IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0Mark Stover
IRS990EZ/BooksInCareOfDetail/PhoneNum06184367545
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0400 N Pleasant
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0Centralia
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0IL
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd062801
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/DirectIndirectPltclExpendAmt00
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt028959
IRS990EZ/FiledScheduleAInd0true
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form1120PolFiledInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt017427
IRS990EZ/Form990TotalAssetsGrp/EOYAmt046386
IRS990EZ/GainOrLossFromSaleOfAssetsAmt00
IRS990EZ/GrantsAndSimilarAmountsPaidAmt00
IRS990EZ/GrossProfitLossSlsOfInvntryAmt00
IRS990EZ/GrossReceiptsAmt055151
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MembershipDuesAmt055151
IRS990EZ/MethodOfAccountingAccrualInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt017427
IRS990EZ/NetAssetsOrFundBalancesEOYAmt046386
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt017427
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt046386
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt01.000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt21.000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt31.000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt41.000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt51.000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt61.000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt71.000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt81.000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt91.000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt101.000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt111.000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt121.000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt131.000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt110
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt120
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt130
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt110
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt120
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt130
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt110
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt120
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt130
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0Sr M Clarette Stryzewski CSSF
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1Damon Harbison
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2Patty Williams
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3Michael Baumgartner
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4Sr M Ramona Dombrowski CSSF
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5Matthew Flanigan
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6Jeremy Bradford
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7Erica Ibendahl MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8Sudeep Nair MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm9Herb Williams
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm10Douglas Long
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm11John Snodsmith
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm12Randy Combs
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm13Rachel Hall
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0Director, Chairperson
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1Director, Hospital President-SSM Health St. Mary's Hospital
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3Director, Regional President-Southern Illinois
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6Director, Hospital President-SSM Health Good Samaritan Hospital
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7Director, SSM Health Medical Group Physician
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8Director, SSM Health Medical Group Physician
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt9Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt10Secretary, General Counsel at SSM Health
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt11Regional VP, Finance
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt12Treasurer, Chief Financial Officer at SSM Health
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt13Assistant Secretary
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt017427
IRS990EZ/OtherAssetsTotalDetail/EOYAmt046386
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherExpensesTotalAmt026192
IRS990EZ/OtherRevenueTotalAmt00
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0TO IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN OUR COMMUNITIES.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt026192
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SpecialEventsNetIncomeLossAmt00
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt026192
IRS990EZ/TotalProgramServiceExpensesAmt026192
IRS990EZ/TotalRevenueAmt055151
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0www.ssmhealth.com
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd0true
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd0true
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd0true
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0ST. MARY'S - GOOD SAMARITAN, INC. IS A TYPE I SUPPORTING ORGANIZATION THAT IS OPERATED EXCLUSIVELY TO SUPPORT THE OPERATIONS OF ST. MARY'S HOSPITAL, GOOD SAMARITAN REGIONAL HEALTH CENTER, AND CENTRALIA MEDICAL SERVICES BUILDING ASSOCIATION, RELATED TAX-EXEMPT ORGANIZATIONS. THE AMOUNTS OF SUPPORT PROVIDED TO THESE ORGANIZATIONS ON SCHEDULE A, PART I, LINE 11(H)(V) AND LINE 11(H)(VI) DO NOT INCLUDE EXPENSES PAID ON BEHALF OF BUT NOT DIRECTLY TO THESE ORGANIZATIONS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1ST. MARY'S - GOOD SAMARITAN, INC. IS A SUPPORTING ORGANIZATION THAT PROVIDES SUPPORT TO ST. MARY'S HOSPITAL CENTRALIA, ILLINOIS AND GOOD SAMARITAN REGIONAL HEALTH CENTER, BOTH TAX EXEMPT HOSPITALS. THROUGH ITS SUPPORT OF THESE TWO HOSPITALS, ST. MARY'S - GOOD SAMARITAN, INC. ALSO PROVIDES SUPPORT TO CENTRALIA MEDICAL SERVICES BUILDING ASSOCIATION, A SUPPORTING ORGANIZATION OF TO ST. MARY'S HOSPITAL CENTRALIA, ILLINOIS. CENTRALIA MEDICAL SERVICES BUILDING ASSOCIATION PROVIDES OFFICE SPACE TO PHYSICIANS, AN MRI SUITE, AND A CONVENIENT CARE LOCATION TO INCREASE THE AVAILABILITY OF DOCTORS FOR MEDICAL EMERGENCIES AND PROVIDE ADDITIONAL PATIENT ACCESSIBILITY.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc030 FINANCIAL SUPPORT
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2)
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt03
IRS990ScheduleA/SupportedOrganizationsTotalCnt03
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0370662580
IRS990ScheduleA/SupportedOrgInformationGrp/EIN1430653587
IRS990ScheduleA/SupportedOrgInformationGrp/EIN2237408025
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd0true
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd1true
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd2true
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd13
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd29
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0ST MARY'S HOSPITAL CENTRALIA ILLINOIS
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1GOOD SAMARITAN REGIONAL HEALTH CENTER
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2CENTRALIA MEDICAL SERVICES BUILDING ASSOCIATION
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0SUPPLIES - -29; PROFESSIONAL LIABILITY INSURANCE - 25221; Consulting Fees - 1000;
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DUE FROM AFFILIATES - BOY:17427,EOY:46386;
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2TO IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN OUR COMMUNITIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3SINCE IT WAS FOUNDED IN 1872 BY CATHOLIC SISTERS, SSM HEALTH (SSMH) HAS EXISTED TO MEET THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. SSMH IS A CATHOLIC, NOT-FOR PROFIT HEALTH SYSTEM SERVING THE COMPREHENSIVE HEALTH NEEDS OF COMMUNITIES ACROSS THE MIDWEST THROUGH ONE OF THE LARGEST INTEGRATED DELIVERY SYSTEMS IN THE NATION. WITH CARE DELIVERY SITES IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN, SSMH INCLUDES 23 ACUTE CARE HOSPITALS, ONE CHILDREN'S HOSPITAL, MORE THAN 300 PHYSICIAN OFFICES AND OTHER OUTPATIENT AND VIRTUAL CARE SERVICES, 10 POST-ACUTE FACILITIES, COMPREHENSIVE HOME CARE AND HOSPICE SERVICES, A PHARMACY BENEFIT COMPANY, A HEALTH INSURANCE COMPANY, AND AN ACCOUNTABLE CARE ORGANIZATION. THE HEALTH SYSTEM EMPLOYS NEARLY 40,000 PEOPLE AND IS AFFILIATED WITH 11,000 PHYSICIANS MAKING IT ONE OF THE LARGEST EMPLOYERS IN EVERY COMMUNITY IT SERVES. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMH STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL HEALTH CARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. ST. MARY'S - GOOD SAMARITAN, INC. IS COMMITTED TO THE PURPOSE OF ENABLING ITS ENTITIES, SSM HEALTH ST MARY'S HOSPITAL - CENTRALIA AND SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON TO PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES TO ALL PERSONS ON THE SOUTHERN ILLINOIS REGION REGARDLESS OF THEIR ABILITY TO PAY. THROUGH ITS GOVERNANCE, OPERATION AND ADMINISTRATION, ST MARY'S - GOOD SAMARITAN, INC. HELPS TO MEET THE COMMUNITY NEEDS IDENTIFIED BY EACH HOSPITAL IN AN ECONOMIC AND EFFICIENT MANNER. THE LEADERS OF ST. MARY'S - GOOD SAMARITAN, INC. PARTICIPATE IN COMMUNITY ORGANIZATIONS WHICH ENABLE THEM TO IDENTIFY COMMUNITY NEEDS. ALL SSMH FACILITIES WILL STRIVE TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY. ALL BILLING AND COLLECTION POLICIES AND PRACTICES WILL REFLECT THE MISSION AND VALUES OF SSMH, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. SSMH FACILITIES OFFER DISCOUNTS FOR HOSPITAL SERVICES TO ALL UNINSURED PERSONS. SELF-PAY DISCOUNTS APPLY TO EVERYONE WHO DOES NOT HAVE HEALTH INSURANCE, NO MATTER THEIR ABILITY TO PAY. SSMH WILL APPLY ITS CHARITY CARE POLICIES FAIRLY AND CONSISTENTLY. EACH PERSON WILL BE TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. SSMH EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH WE PARTICIPATE BY ESTABLISHING SOUND BUSINESS PRACTICES. CHARITY CARE IS PROVIDED TO PATIENTS BASED ON A SLIDING SCALE FOR HOUSEHOLD INCOMES UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. PATIENTS WHOSE HOUSEHOLD INCOME IS NO MORE THAN TWO TIMES THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR FREE HOSPITAL SERVICES. IN ADDITION, AN EXCEPTION TO THE SLIDING SCALE IS PROVIDED FOR A PATIENT'S BALANCE DUE IF THE AMOUNTIS TOO LARGE TO BE REASONABLY PAID THROUGH AN INSTALLMENT PLAN OVER FOUR YEARS GIVEN THE FAMILY INCOME AND EXPENSES. EACH ENTITY PROVIDING MEDICAL SERVICES 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 COMMUNICATIONS 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 WILL BE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY. THEY WILL 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 WHOM TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL COUNSELING. THE FOLLOWING TYPES OF NOTICES TO THE PUBLIC SHALL BE PROVIDED: SIGNS IN THE EMERGENCY DEPARTMENT, OUTPATIENT AND INPATIENT REGISTRATION AND PUBLIC
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ST. MARY'S - GOOD SAMARITAN, INC. IS A TYPE I SUPPORTING ORGANIZATION THAT IS OPERATED EXCLUSIVELY TO SUPPORT THE OPERATIONS OF ST. MARY'S HOSPITAL AND GOOD SAMARITAN REGIONAL HEALTH CENTER, RELATED TAX-EXEMPT ORGANIZATIONS. THE AMOUNTS OF SUPPORT PROVIDED TO ST MARY'S HOSPITAL AND GOOD SAMARITAN REGIONAL HEALTH CENTER ON SCHEDULE A, PART I, LINE 11(H)(VII) DO NOT INCLUDE EXPENSES PAID ON BEHALF OF BUT NOT DIRECTLY TO ST MARY'S HOSPITAL AND GOOD SAMARITAN REGIONAL HEALTH CENTER.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990-EZ, Part I, Line 16 Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990-EZ, Part II, Line 24b Other Assets
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990-EZ, Part III, Exempt Purpose PRIMARY EXEMPT PURPOSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990-EZ, Part III, Program Services Details
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc430 FINANCIAL SUPPORT
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Randy Combs
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Treasurer
ReturnHeader/BusinessOfficerGrp/PhoneNum03149947800
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-11-16
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0St Mary's - Good Samaritan Inc
ReturnHeader/Filer/BusinessNameControlTxt0STMA
ReturnHeader/Filer/EIN0364170833
ReturnHeader/Filer/PhoneNum06184368000
ReturnHeader/Filer/USAddress/AddressLine1Txt010101 Woodfield Ln
ReturnHeader/Filer/USAddress/CityNm0St Louis
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MO
ReturnHeader/Filer/USAddress/ZIPCd063132
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0264532849
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Purk & Associates PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01034 S Brentwood Boulevard Suite 20
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine2Txt000
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0St Louis
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd063117
ReturnHeader/PreparerPersonGrp/PhoneNum03148844022
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Douglas G Pleus
ReturnHeader/ReturnTs02023-11-15T19:54:33+00:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0Barbara
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0Potts
ReturnHeader/TaxPeriodBeginDt02022-01-01
ReturnHeader/TaxPeriodEndDt02022-12-31
ReturnHeader/TaxYr02022

Document Assets

No mirrored PDF or thumbnail assets are attached yet.