St Mary'S - Good Samaritan Inc

“A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.”

“A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.”

“The sole corporate member is SSM Regional Health Services. SSM Regional Health Services is a nonprofit 501(c)(3) organization. Both organizations are part of the integrated health care system known as SSM Health.”

“The member has the power to appoint and remove the directors.”

“The member has the following powers: 1. Approve the unified mission and philosophy of the Corporation 2. Approve a merger, dissolution, consolidation, reorganization or sale of all or substantially all of the assets of the Corporation 3. Approve the acquisition, lease, disposition or encumbrance of real property which has a value in excess of $1,000,000 by the Corporation 4. Approve the individual and unified strategic and financial plans of the corporation 5. Approve incurrence or assumption of indebtedness, including refinancing of indebtedness and including capital lease and guaranties which the Corporation may incur 6. Approve establishment and dissolution of subsidiaries and addition or deletion of any Entity.”

“The organization does not have any committees with authority to act on behalf of the governing body.”

“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 at the next regularly scheduled board meeting.”

“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 on line. 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.”

“The year-end audited consolidated financial statements and unaudited quarterly consolidated financial statements for the the SSM Health System are made available to the public on SSM Health's website. The organization's articles of incorporation are available upon request to the Illinois Secretary of State's website. Copies of the Form 990 and the organization's conflict of interest policy are available to the public upon request.”

“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 amount is 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”

“Other Fees for Services - Total Expense: 1874, Program Service Expense: 1874, Management and General Expenses: , Fundraising Expenses: ;”

“Fund transfer with affiliates - 15010;”