Liabilities / Assets
94th percentile
Higher debt load relative to assets than 94% of similar nonprofits.
990EZ • Fiscal year 2011 • EIN 36-4170833
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
94th percentile
Higher debt load relative to assets than 94% of similar nonprofits.
Liabilities / Revenue
95th percentile
Higher debt load relative to revenue than 95% of similar nonprofits.
Net Margin
3rd percentile
Higher net margin than 3% of similar nonprofits.
Top Officer Pay
Score unavailable
This filing does not contain officer compensation rows.
Asset Growth
55th percentile
Faster asset growth than 55% of similar nonprofits.
Revenue Growth
54th percentile
Faster revenue growth than 54% of similar nonprofits.
Assets
Up$25,200
Up $600 (+2.4%) from 2010
Net Assets
Flat$0
Flat from 2010
Liabilities
Up$25,200
Up $600 (+2.4%) from 2010
Revenue
Up$25,200
Up $600 (+2.4%) from 2010
Expenses
Up$80,918
Up $5,097 (+6.7%) from 2010
Net Income
Down-$55,718
Down $4,497 (-8.8%) from 2010
Through our exceptional health care services, we reveal the healing presence of God.
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/ActivitiesNotPreviouslyRpt | 0 | 0 |
| IRS990EZ/AmountOfTaxImposedOnOrgMgr | 0 | 0 |
| IRS990EZ/AmountOfTaxReimbursedByOrg | 0 | 0 |
| IRS990EZ/CashSavingsAndInvestments/BOY | 0 | 21800 |
| IRS990EZ/CashSavingsAndInvestments/EOY | 0 | 24200 |
| IRS990EZ/DirectIndirectPoliticalExpend | 0 | 0 |
| IRS990EZ/DoesOrgHaveHospital | 0 | 0 |
| IRS990EZ/EngagedInExcessBenefitTrans | 0 | 0 |
| IRS990EZ/EngageInLobbyingActivities | 0 | 0 |
| IRS990EZ/EngagePoliticalCmpgnActivities | 0 | 0 |
| IRS990EZ/ExcessOrDeficitForYear | 0 | -55718 |
| IRS990EZ/FiledScheduleA | 0 | 1 |
| IRS990EZ/ForeignFinancialAccount | 0 | 0 |
| IRS990EZ/ForeignOffice | 0 | 0 |
| IRS990EZ/GrossReceipts | 0 | 25200 |
| IRS990EZ/InfoInScheduleOPartI | 0 | X |
| IRS990EZ/InfoInScheduleOPartII | 0 | X |
| IRS990EZ/InfoInScheduleOPartIII | 0 | X |
| IRS990EZ/InfoInScheduleOPartIV | 0 | X |
| IRS990EZ/InfoInScheduleOPartV | 0 | X |
| IRS990EZ/MadeChangesToOrgnzngEtcDoc | 0 | 0 |
| IRS990EZ/MadeLoansToFromOfficers | 0 | 0 |
| IRS990EZ/MaintainAnyDonorAdvisedFunds | 0 | 0 |
| IRS990EZ/MethodOfAccountingAccrual | 0 | X |
| IRS990EZ/NetAssetsOrFundBalances/BOY | 0 | 0 |
| IRS990EZ/NetAssetsOrFundBalancesBOY | 0 | 0 |
| IRS990EZ/NetAssetsOrFundBalances/EOY | 0 | 0 |
| IRS990EZ/NetAssetsOrFundBalancesEOY | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine1 | 0 | 477 N LINDBERGH BLVD |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine1 | 1 | 3800 W PETERSON AVENUE |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine1 | 2 | 400 NORTH PLEASANT |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine1 | 3 | 477 N LINDBERGH BLVD |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine1 | 4 | 400 NORTH PLEASANT |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine1 | 5 | 400 NORTH PLEASANT |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine1 | 6 | 3045 SOUTH 16TH STREET |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine1 | 7 | 400 NORTH PLEASANT |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine1 | 8 | 400 NORTH PLEASANT |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine1 | 9 | 400 NORTH PLEASANT |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine1 | 10 | 477 N LINDBERGH BLVD |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine1 | 11 | 605 N 12TH STREET |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City | 0 | ST LOUIS |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City | 1 | CHICAGO |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City | 2 | CENTRALIA |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City | 3 | ST LOUIS |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City | 4 | CENTRALIA |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City | 5 | CENTRALIA |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City | 6 | MILWAOKKE |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City | 7 | CENTRALIA |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City | 8 | CENTRALIA |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City | 9 | CENTRALIA |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City | 10 | ST LOUIS |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City | 11 | MT VERNON |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State | 0 | MO |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State | 1 | IL |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State | 2 | IL |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State | 3 | MO |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State | 4 | IL |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State | 5 | IL |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State | 6 | WI |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State | 7 | IL |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State | 8 | IL |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State | 9 | IL |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State | 10 | MO |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State | 11 | IL |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode | 0 | 631417832 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode | 1 | 62801 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode | 2 | 62801 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode | 3 | 63141 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode | 4 | 62801 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode | 5 | 62801 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode | 6 | 53215 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode | 7 | 62801 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode | 8 | 62801 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode | 9 | 62801 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode | 10 | 63141 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode | 11 | 62864 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition | 0 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition | 1 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition | 2 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition | 3 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition | 4 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition | 5 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition | 6 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition | 7 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition | 8 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition | 9 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition | 10 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition | 11 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation | 8 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation | 9 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation | 10 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation | 11 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc | 8 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc | 9 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc | 10 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc | 11 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances | 8 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances | 9 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances | 10 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances | 11 | 0 |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName | 0 | SR MARY JEAN RYAN FSM |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName | 1 | SR M CLARETTE STRYZEWSKI CSSF |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName | 2 | PHILIP GUSTAFSON |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName | 3 | JUNE L PICKETT |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName | 4 | CARISSA HIBBERT |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName | 5 | VERLE BESANT |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName | 6 | SR RAMONA DOMBROWSKI CSSF |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName | 7 | D BRUCE GEARY |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName | 8 | SAJJAN NEMANI MD |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName | 9 | JAMES SANGER |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName | 10 | WILLIAM P THOMPSON |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName | 11 | JITENDRA TRIVEDI MD |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title | 0 | DIRECTOR & CHAIRPERSON |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title | 1 | DIRECTOR & VICE CHAIR |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title | 2 | PRESIDENT/CEO |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title | 3 | SECRETARY |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title | 4 | ASST SECRETARY |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title | 5 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title | 6 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title | 7 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title | 8 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title | 9 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title | 10 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title | 11 | DIRECTOR |
| IRS990EZ/OperatingSchool | 0 | 0 |
| IRS990EZ/Organization501c3 | 0 | X |
| IRS990EZ/OrganizationDissolvedEtc | 0 | 0 |
| IRS990EZ/OrganizationHadUBI | 0 | 0 |
| IRS990EZ/OtherAssetsTotal/BOY | 0 | 2800 |
| IRS990EZ/OtherAssetsTotal/EOY | 0 | 1000 |
| IRS990EZ/OtherChangesInNetAssets | 0 | 55718 |
| IRS990EZ/OtherExpensesTotal | 0 | 53360 |
| IRS990EZ/PartVIAHghstPaidCntrctProfSer | 0 | NONE |
| IRS990EZ/PartVIOfCompOfHighestPaidEmpl | 0 | NONE |
| IRS990EZ/PrimaryExemptPurpose | 0 | IMPROVE ACCESS TO HEALTH CARE & IMPROVE HEALTH IN OUR COMMUNITIES. |
| IRS990EZ/ProgramServiceAccomplishment/DescriptionProgramServiceAccom | 0 | THE ORGANIZATION PROVIDES HOSPITALS AND PHYSICIANS WITH THE RESOURCES TO COORDINATE MANAGED CARE. DURING 2011, THERE WERE 118 PARTICIPATING PHYSICIANS. FORM 990-EZ, PART III SINCE IT WAS FOUNDED IN 1872 BY CATHOLIC SISTERS, SSM HEALTH CARE (SSMHC) HAS EXISTED TO MEET THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. SPONSORED BY THE FRANCISCAN SISTERS OF MARY AND HEADQUARTERED IN ST LOUIS, MISSOURI, SSMHC OPERATES 17 HOSPITAL LOCATIONS, TWO SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES IN FOUR STATES. THE HEALTH SYSTEM EMPLOYEES APPROXIMATELY 24,000 PEOPLE AND IS AFFILIATED WITH MORE THAN 6,500 PHYSICIANS. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMHC 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, ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS AND GOOD SAMARITAN REGIONAL HEALTH CENTER IN MOUNT VERNON, IL, TO PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES TO ALL PERSONS IN 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 SSMHC 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 SSMHC, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. SSMHC 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. SSMHC 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. SSMHC 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 WAITING AREAS, BROCHURES OR FLIERS 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 AND APPLIC |
| IRS990EZ/ProgramServiceAccomplishment/GrantsAndAllocations | 0 | 0 |
| IRS990EZ/ProgramServiceAccomplishment/ProgramServiceExpenses | 0 | 80918 |
| IRS990EZ/ProgramServiceRevenue | 0 | 25200 |
| IRS990EZ/ProhibitedTaxShelterTrans | 0 | 0 |
| IRS990EZ/RelatedOrgControlledEntity | 0 | 1 |
| IRS990EZ/SalariesOtherCompEmplBenefits | 0 | 27558 |
| IRS990EZ/ScheduleBNotRequired | 0 | X |
| IRS990EZ/StatesWhereCopyOfReturnIsFiled | 0 | IL |
| IRS990EZ/SubjectToProxyTax | 0 | 0 |
| IRS990EZ/SumOfTotalLiabilities/BOY | 0 | 24600 |
| IRS990EZ/SumOfTotalLiabilities/EOY | 0 | 25200 |
| IRS990EZ/TanningServicesProvided | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4911 | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4912 | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4955 | 0 | 0 |
| IRS990EZ/TheBooksAreInCareOf/AddressUS/AddressLine1 | 0 | 400 N PLEASANT |
| IRS990EZ/TheBooksAreInCareOf/AddressUS/City | 0 | CENTRALIA |
| IRS990EZ/TheBooksAreInCareOf/AddressUS/State | 0 | IL |
| IRS990EZ/TheBooksAreInCareOf/AddressUS/ZIPCode | 0 | 62801 |
| IRS990EZ/TheBooksAreInCareOf/NameBusiness/BusinessNameLine1 | 0 | PHILIP GUSTAFSON |
| IRS990EZ/TheBooksAreInCareOf/TelephoneNumber | 0 | 6184366540 |
| IRS990EZ/TotalAssets/BOY | 0 | 24600 |
| IRS990EZ/TotalAssets/EOY | 0 | 25200 |
| IRS990EZ/TotalExpenses | 0 | 80918 |
| IRS990EZ/TotalProgramServiceExpenses | 0 | 80918 |
| IRS990EZ/TotalRevenue | 0 | 25200 |
| IRS990EZ/TransactionWithControlEntity | 0 | 0 |
| IRS990EZ/TrnsfrsExemptNonCharRelatedOrg | 0 | 0 |
| IRS990EZ/WebSite | 0 | HTTP://WWW.SSMHC.COM |
| IRS990ScheduleA/CertificationCheckbox | 0 | X |
| IRS990ScheduleA/ContribBy35ControlledEntity | 0 | 0 |
| IRS990ScheduleA/ContribByControllingIndividual | 0 | 0 |
| IRS990ScheduleA/ContributionByRelatedParty | 0 | 0 |
| IRS990ScheduleA/FactsAndCircumstancesTest | 0 | 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. THESE EXPENSES TOTALED $80,918 DURING THE YEAR ENDED DECEMBER 31, 2011. |
| IRS990ScheduleA/SumOfAmounts | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformation/Amount | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformation/Amount | 1 | 0 |
| IRS990ScheduleA/SupportedOrgInformation/Amount | 2 | 0 |
| IRS990ScheduleA/SupportedOrgInformation/EIN | 0 | 370662580 |
| IRS990ScheduleA/SupportedOrgInformation/EIN | 1 | 430653587 |
| IRS990ScheduleA/SupportedOrgInformation/EIN | 2 | 237408025 |
| IRS990ScheduleA/SupportedOrgInformation/ListedInGoverningDoc | 0 | 1 |
| IRS990ScheduleA/SupportedOrgInformation/ListedInGoverningDoc | 1 | 1 |
| IRS990ScheduleA/SupportedOrgInformation/ListedInGoverningDoc | 2 | 1 |
| IRS990ScheduleA/SupportedOrgInformation/Name/BusinessNameLine1 | 0 | ST MARY'S HOSPITAL |
| IRS990ScheduleA/SupportedOrgInformation/Name/BusinessNameLine1 | 1 | GOOD SAMARITAN REGIONAL HEALTH CENTER |
| IRS990ScheduleA/SupportedOrgInformation/Name/BusinessNameLine1 | 2 | CENTRALIA MEDICAL SERVICES BUILDING |
| IRS990ScheduleA/SupportedOrgInformation/TypeOfOrganization | 0 | 03 |
| IRS990ScheduleA/SupportedOrgInformation/TypeOfOrganization | 1 | 03 |
| IRS990ScheduleA/SupportedOrgInformation/TypeOfOrganization | 2 | 03 |
| IRS990ScheduleA/SupportingOrg509a3Type1 | 0 | X |
| IRS990ScheduleA/SupportingOrganization509a3 | 0 | X |
| IRS990ScheduleA/TotalNumberOfSupportedOrgs | 0 | 3 |
| IRS990ScheduleO/GeneralExplanation/Explanation | 0 | DESCRIPTION: OFFICE EXPENSES. AMOUNT: 1,480. DESCRIPTION: TRAVEL. AMOUNT: 3,370. DESCRIPTION: INSURANCE. AMOUNT: 23,344. DESCRIPTION: LEGAL FEES. AMOUNT: 5,392. DESCRIPTION: MANAGEMENT. AMOUNT: 5,097. DESCRIPTION: OTHER FEES FOR SERVICES. AMOUNT: 14,677. TOTAL TO FORM 990-EZ, LINE 16: 53,360. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 1 | DESCRIPTION: FUND TRANSFER - GOOD SAMARITAN REGIONAL HEALTH CENTER. AMOUNT: 27,859. DESCRIPTION: FUND TRANSFER - ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS. AMOUNT: 27,859. TOTAL TO FORM 990-EZ, LINE 20: 55,718. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 2 | DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 2,800. END OF YEAR AMOUNT: 1,000. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 3 | DESCRIPTION: DUE TO ST. MARY'S HOSPITAL,CENTRALIA, ILLINOIS. BEG. OF YEAR AMOUNT: 12,300. END OF YEAR AMOUNT: 12,600. DESCRIPTION: DUE TO GOOD SAMARITAN REGIONAL HEALTH CENTER. BEG. OF YEAR AMOUNT: 12,300. END OF YEAR AMOUNT: 12,600. |
| IRS990ScheduleO/GeneralExplanation/Identifier | 0 | OTHER EXPENSES |
| IRS990ScheduleO/GeneralExplanation/Identifier | 1 | OTHER CHANGES IN NET ASSETS |
| IRS990ScheduleO/GeneralExplanation/Identifier | 2 | OTHER ASSETS |
| IRS990ScheduleO/GeneralExplanation/Identifier | 3 | OTHER LIABILITIES |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 0 | FORM 990-EZ, PART I, LINE 16 |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 1 | FORM 990-EZ, PART I, LINE 20 |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 2 | FORM 990-EZ, PART II, LINE 24 |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 3 | FORM 990-EZ, PART II, LINE 26 |
| TransferPrsnlBnftContractsDecl/Declaration | 0 | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. |
| ReturnHeader/BuildTS | 0 | 2016-02-24 21:20:13Z |
| ReturnHeader/Filer/EIN | 0 | 364170833 |
| ReturnHeader/Filer/Name/BusinessNameLine1 | 0 | ST MARY'S - GOOD SAMARITANINC |
| ReturnHeader/Filer/NameControl | 0 | STMA |
| ReturnHeader/Filer/Phone | 0 | 6184368000 |
| ReturnHeader/Filer/USAddress/AddressLine1 | 0 | 477 N LINDBERGH BLVD |
| ReturnHeader/Filer/USAddress/City | 0 | ST LOUIS |
| ReturnHeader/Filer/USAddress/State | 0 | MO |
| ReturnHeader/Filer/USAddress/ZIPCode | 0 | 63141 |
| ReturnHeader/Officer/AuthorizeThirdParty | 0 | 1 |
| ReturnHeader/Officer/DateSigned | 0 | 2012-11-14 |
| ReturnHeader/Officer/Name | 0 | JUNE L PICKETT |
| ReturnHeader/Officer/Phone | 0 | 6184368000 |
| ReturnHeader/Officer/Title | 0 | SECRETARY |
| ReturnHeader/PreparerFirm/EIN | 0 | 861065772 |
| ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine1 | 0 | DELOITTE TAX LLP |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine1 | 0 | 1111 BAGBY STREET SUITE 4500 |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City | 0 | HOUSTON |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State | 0 | TX |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode | 0 | 770022591 |
| ReturnHeader/Preparer/Name | 0 | SRIRAM SRINIVASAN |
| ReturnHeader/Preparer/Phone | 0 | 7139822000 |
| ReturnHeader/ReturnType | 0 | 990EZ |
| ReturnHeader/TaxPeriodBeginDate | 0 | 2011-01-01 |
| ReturnHeader/TaxPeriodEndDate | 0 | 2011-12-31 |
| ReturnHeader/TaxYear | 0 | 2011 |
| ReturnHeader/Timestamp | 0 | 2012-11-15T17:02:09-06:00 |
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Displayed year
2011 • Form 990EZFacts available. Structured filing facts are available, but richer extracted sections are limited.