Civic Intelligence

St Mary'S - Good Samaritan Inc

990EZ • Fiscal year 2012 • EIN 36-4170833

Jan 01, 2012 to Dec 31, 2012 • Filed on Nov 15, 2013

Organization Profilewww.ssmhealth.com
477 N Lindbergh Blvd63141
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

94th percentile

1.00x

Higher debt load relative to assets than 94% of similar nonprofits.

2012 filings • 501(c)3 • <$500k nonprofits • Source year 2012

Liabilities / Revenue

95th percentile

1.00x

Higher debt load relative to revenue than 95% of similar nonprofits.

2012 filings • 501(c)3 • <$500k nonprofits • Source year 2012

Net Margin

3rd percentile

-157%

Higher net margin than 3% of similar nonprofits.

2012 filings • 501(c)3 • <$500k nonprofits • Source year 2012

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2012

Asset Growth

53rd percentile

2.4%

Faster asset growth than 53% of similar nonprofits.

2012 filings • 501(c)3 • <$500k nonprofits • Annualized from 2011 to 2012

Revenue Growth

52nd percentile

2.4%

Faster revenue growth than 52% of similar nonprofits.

2012 filings • 501(c)3 • <$500k nonprofits • Annualized from 2011 to 2012

Balance Sheet
Liabilities / Assets94th percentile

Assets

Up

$25,800

Up $600 (+2.4%) from 2011

Net Assets

Flat

$0

Flat from 2011

Liabilities

Up

$25,800

Up $600 (+2.4%) from 2011

Revenue And Expenses
Liabilities / Revenue95th percentileNet Margin3rd percentile

Revenue

Up

$25,800

Up $600 (+2.4%) from 2011

Expenses

Down

$66,343

Down $14,575 (-18%) from 2011

Net Income

Up

-$40,543

Up $15,175 (+27%) from 2011

Historical Trend

Balance Sheet Trend

Asset Growth53rd percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2012

Assets$25,800
Liabilities$25,800
Net Assets$0
Open 2012 Filing

Operations Trend

Revenue Growth52nd percentile

Revenue, expenses, and net income across loaded years, with this 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

2012

Revenue$25,800
Expenses$66,343
Net Income-$40,543
Open 2012 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2012 to Dec 31, 2012
Signed
Nov 15, 2013
Return Version
2012v2.1
Mission and Program Overview

Mission

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

Filing and Contact Details

Filer

EIN
36-4170833
Raw XML Appendix205 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.

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IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName0SR MARY JEAN RYAN FSM
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName1SR M CLARETTE STRYZEWSKI CSSF
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName2PHILIP GUSTAFSON
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName3JUNE L PICKETT
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName4CARISSA HIBBERT
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName5VERLE BESANT
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IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName8SAJJAN NEMANI MD
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName9WILLIAM P THOMPSON
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName10JITENDRA TRIVEDI MD
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName11MARY BURGAN
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title0PART YR DIRECTOR & CHAIRPERSON
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title1DIRECTOR & VICE CHAIR
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title2PRESIDENT
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title3SECRETARY
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title4ASST SECRETARY
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IRS990EZ/OtherAssetsTotal/BOY01000
IRS990EZ/OtherAssetsTotal/EOY025800
IRS990EZ/OtherChangesInNetAssets040543
IRS990EZ/OtherExpensesTotal024251
IRS990EZ/PartVIAHghstPaidCntrctProfSer0NONE
IRS990EZ/PartVIOfCompOfHighestPaidEmpl0NONE
IRS990EZ/PrimaryExemptPurpose0IMPROVE ACCESS TO HEALTH CARE & IMPROVE HEALTH IN OUR COMMUNITIES.
IRS990EZ/ProgramServiceAccomplishment/DescriptionProgramServiceAccom0THE ORGANIZATION PROVIDES HOSPITALS AND PHYSICIANS WITH THE RESOURCES TO COORDINATE MANAGED CARE. DURING 2012, THERE WERE 129 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 18 HOSPITAL LOCATIONS, TWO SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES IN FOUR STATES. THE HEALTH SYSTEM EMPLOYS APPROXIMATELY 25,600 PEOPLE AND IS AFFILIATED WITH MORE THAN 6,600 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 APPLICAT
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IRS990ScheduleA/GeneralExplanation0SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: 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 $66,343 DURING THE YEAR ENDED DECEMBER 31, 2012.
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IRS990ScheduleA/SupportedOrgInformation/ListedInGoverningDoc21
IRS990ScheduleA/SupportedOrgInformation/Name/BusinessNameLine10ST MARY'S HOSPITAL
IRS990ScheduleA/SupportedOrgInformation/Name/BusinessNameLine11GOOD SAMARITAN REGIONAL HEALTH CENTER
IRS990ScheduleA/SupportedOrgInformation/Name/BusinessNameLine12CENTRALIA MEDICAL SERVICES BUILDING
IRS990ScheduleA/SupportedOrgInformation/TypeOfOrganization03
IRS990ScheduleA/SupportedOrgInformation/TypeOfOrganization13
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IRS990ScheduleO/GeneralExplanation/Explanation0DESCRIPTION: OFFICE EXPENSES. AMOUNT: 779. DESCRIPTION: TRAVEL. AMOUNT: 1,006. DESCRIPTION: INSURANCE. AMOUNT: 11,690. DESCRIPTION: OTHER FEES FOR SERVICES. AMOUNT: 10,776. TOTAL TO FORM 990-EZ, LINE 16: 24,251.
IRS990ScheduleO/GeneralExplanation/Explanation1DESCRIPTION: FUND TRANSFER - GOOD SAMARITAN REGIONAL HEALTH CENTER. AMOUNT: 20,271. DESCRIPTION: FUND TRANSFER - ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS. AMOUNT: 20,272. TOTAL TO FORM 990-EZ, LINE 20: 40,543.
IRS990ScheduleO/GeneralExplanation/Explanation2DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 1,000. END OF YEAR AMOUNT: 25,800.
IRS990ScheduleO/GeneralExplanation/Explanation3DESCRIPTION: DUE TO ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS. BEG. OF YEAR AMOUNT: 12,600. END OF YEAR AMOUNT: 12,900. DESCRIPTION: DUE TO GOOD SAMARITAN REGIONAL HEALTH CENTER. BEG. OF YEAR AMOUNT: 12,600. END OF YEAR AMOUNT: 12,900.
IRS990ScheduleO/GeneralExplanation/Identifier0OTHER EXPENSES
IRS990ScheduleO/GeneralExplanation/Identifier1OTHER CHANGES IN NET ASSETS
IRS990ScheduleO/GeneralExplanation/Identifier2OTHER ASSETS
IRS990ScheduleO/GeneralExplanation/Identifier3OTHER LIABILITIES
IRS990ScheduleO/GeneralExplanation/ReturnReference0FORM 990-EZ, PART I, LINE 16
IRS990ScheduleO/GeneralExplanation/ReturnReference1FORM 990-EZ, PART I, LINE 20
IRS990ScheduleO/GeneralExplanation/ReturnReference2FORM 990-EZ, PART II, LINE 24
IRS990ScheduleO/GeneralExplanation/ReturnReference3FORM 990-EZ, PART II, LINE 26
TransferPrsnlBnftContractsDecl/Declaration0THE 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.
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ReturnHeader/Filer/Name/BusinessNameLine10ST MARY'S - GOOD SAMARITANINC
ReturnHeader/Filer/NameControl0STMA
ReturnHeader/Filer/Phone06184368000
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ReturnHeader/Filer/USAddress/City0ST LOUIS
ReturnHeader/Filer/USAddress/State0MO
ReturnHeader/Filer/USAddress/ZIPCode063141
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ReturnHeader/Officer/DateSigned02013-11-15
ReturnHeader/Officer/Name0JUNE L PICKETT
ReturnHeader/Officer/Phone06184368000
ReturnHeader/Officer/Title0SECRETARY
ReturnHeader/PreparerFirm/EIN0861065772
ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine10DELOITTE TAX LLP
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine101111 BAGBY STREET SUITE 4500
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City0HOUSTON
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State0TX
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode0770022591
ReturnHeader/Preparer/Name0BROOKE KITCHEN
ReturnHeader/Preparer/Phone07139822000
ReturnHeader/ReturnType0990EZ
ReturnHeader/TaxPeriodBeginDate02012-01-01
ReturnHeader/TaxPeriodEndDate02012-12-31
ReturnHeader/TaxYear02012
ReturnHeader/Timestamp02013-11-15T11:21:11-06:00

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2012 • Form 990EZFacts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$25,800
Liabilities
$25,800
Net assets
$0
Revenue
$25,800
Expenses
$66,343
Net income
-$40,543
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