Civic Intelligence

Ssm Regional Health Services

EIN 44-0579850 • 501(c)3 • St Louis, MO

Profile

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

12800 Corporate Hill DriveSt Louis, MO 63131

www.ssmhealth.com

Siviq Scores

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

Liabilities / Assets

100th percentile

4.96x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

85th percentile

2.35x

Higher debt load relative to revenue than 85% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

10th percentile

-17%

Higher net margin than 10% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

99th percentile

$7,886,813

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 5.4% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

14th percentile

-3.5%

Faster asset growth than 14% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

36th percentile

3.6%

Faster revenue growth than 36% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Down

$69,797,071

Down $2,525,070 (-3.5%) from 2023

Liabilities

Up

$345,855,525

Up $56,855,889 (+20%) from 2023

Net Assets

Down

-$276,058,454

Down $59,380,959 (-27%) from 2023

Revenue

Up

$147,305,400

Up $5,051,735 (+3.6%) from 2023

Expenses

Up

$172,571,877

Up $216,433 (+0.1%) from 2023

Net Income

Up

-$25,266,477

Up $4,835,302 (+16%) from 2023

Trend Graphs

Balance Sheet Trend

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

$400M$200M$0-$200M-$400MAssets 2010: $137,523,233Liabilities 2010: $53,525,919Net Assets 2010: $83,997,3142010Assets 2011: $136,505,568Liabilities 2011: $57,319,302Net Assets 2011: $79,186,2662011Assets 2012: $153,467,018Liabilities 2012: $59,656,856Net Assets 2012: $93,810,1622012Assets 2013: $208,501,302Liabilities 2013: $112,925,343Net Assets 2013: $95,575,9592013Assets 2014: $298,877,084Liabilities 2014: $215,406,169Net Assets 2014: $83,470,9152014Assets 2015: $290,188,959Liabilities 2015: $229,739,662Net Assets 2015: $60,449,2972015Assets 2016: $317,708,899Liabilities 2016: $229,698,122Net Assets 2016: $88,010,7772016Assets 2017: $302,076,133Liabilities 2017: $221,121,763Net Assets 2017: $80,954,3702017Assets 2018: $187,989,109Liabilities 2018: $232,327,132Net Assets 2018: -$44,338,0232018Assets 2019: $160,035,059Liabilities 2019: $231,813,554Net Assets 2019: -$71,778,4952019Assets 2020: $175,128,531Liabilities 2020: $280,811,768Net Assets 2020: -$105,683,2372020Assets 2021: $77,480,408Liabilities 2021: $231,061,974Net Assets 2021: -$153,581,5662021Assets 2022: $69,353,223Liabilities 2022: $260,703,600Net Assets 2022: -$191,350,3772022Assets 2023: $72,322,141Liabilities 2023: $288,999,636Net Assets 2023: -$216,677,4952023Assets 2024: $69,797,071Liabilities 2024: $345,855,525Net Assets 2024: -$276,058,4542024

Highlighted filing

2024

Assets$69,797,071
Liabilities$345,855,525
Net Assets-$276,058,454

Operations Trend

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

$300M$200M$100M$0-$100MExpenses 2010: $222,600,0142010Revenue 2011: $215,889,512Expenses 2011: $221,836,642Net Income 2011: -$5,947,1302011Expenses 2012: $204,817,2972012Revenue 2013: $196,868,293Expenses 2013: $197,313,251Net Income 2013: -$444,9582013Revenue 2014: $194,831,719Expenses 2014: $202,208,670Net Income 2014: -$7,376,9512014Revenue 2015: $200,025,171Expenses 2015: $221,985,457Net Income 2015: -$21,960,2862015Revenue 2016: $212,323,507Expenses 2016: $236,043,183Net Income 2016: -$23,719,6762016Revenue 2017: $202,998,393Expenses 2017: $227,569,859Net Income 2017: -$24,571,4662017Revenue 2018: $223,157,560Expenses 2018: $239,600,915Net Income 2018: -$16,443,3552018Revenue 2019: $176,698,048Expenses 2019: $188,149,445Net Income 2019: -$11,451,3972019Revenue 2020: $157,183,513Expenses 2020: $172,773,623Net Income 2020: -$15,590,1102020Revenue 2021: $145,244,797Expenses 2021: $171,134,771Net Income 2021: -$25,889,9742021Revenue 2022: $140,812,174Expenses 2022: $177,980,243Net Income 2022: -$37,168,0692022Revenue 2023: $142,253,665Expenses 2023: $172,355,444Net Income 2023: -$30,101,7792023Revenue 2024: $147,305,400Expenses 2024: $172,571,877Net Income 2024: -$25,266,4772024

Highlighted filing

2024

Revenue$147,305,400
Expenses$172,571,877
Net Income-$25,266,477

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$69.8$346$276$147$173$25.3
2023Detailed filing. Detailed filing data is available for this year.$72.3$289$217$142$172$30.1
2022Detailed filing. Detailed filing data is available for this year.$69.4$261$191$141$178$37.2
2021Detailed filing. Detailed filing data is available for this year.$77.5$231$154$145$171$25.9
2020Detailed filing. Detailed filing data is available for this year.$175$281$106$157$173$15.6
2019Detailed filing. Detailed filing data is available for this year.$160$232$71.8$177$188$11.5
2018Detailed filing. Detailed filing data is available for this year.$188$232$44.3$223$240$16.4
2017Detailed filing. Detailed filing data is available for this year.$302$221$81.0$203$228$24.6
2016Detailed filing. Detailed filing data is available for this year.$318$230$88.0$212$236$23.7
2015Detailed filing. Detailed filing data is available for this year.$290$230$60.4$200$222$22.0
2014Detailed filing. Detailed filing data is available for this year.$299$215$83.5$195$202$7.38
2013Detailed filing. Detailed filing data is available for this year.$209$113$95.6$197$197$0.44
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$153$59.7$93.8$205
2011Summary only. Only limited summary data is available for this year.$137$57.3$79.2$216$222$5.95
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$138$53.5$84.0$223
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.2
Gross Receipts
$147,306,155
Mission and Program Overview

Mission

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

Operates a hospital in jefferson city, missouri and associated physician services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$32,635,786$34,391,065▲ $1,755,279
Accounts Receivable$22,288,764$18,866,806▼ $3,421,958
Investments Program Related$6,494,957$5,573,990▼ $920,967
Inventories for Sale or Use$4,658,385$4,740,882▲ $82,497
Prepaid Expenses and Deferred Charges$672,771$513,061▼ $159,710
Investments in Publicly Traded Securities$237,579$259,970▲ $22,391
Savings and Temporary Cash Investments$197,380$220,565▲ $23,185
Cash and Non-Interest-Bearing Accounts$139,799$205,577▲ $65,778
Intangible Assets-$140,117-
Total Assets$72,322,141$69,797,071▼ $2,525,070
Other Assets Total$4,996,720$4,885,038▼ $111,682
Liabilities
Other Liabilities$273,931,018$331,599,933▲ $57,668,915
Accounts Payable and Accrued Expenses$15,013,473$14,246,593▼ $766,880
Mortgage Notes Payable Secured by Investment Property$46,196$8,999▼ $37,197
Unsecured Notes Loans Payable$8,949$0▼ $8,949
Total Liabilities$288,999,636$345,855,525▲ $56,855,889
Net Assets / Fund Balance
Net Assets With Donor Restrictions$1,706,963$260,070▼ $1,446,893
Net Assets Without Donor Restrictions$-218,384,458$-276,318,524▼ $57,934,066
Total Net Assets Fund Balance$-216,677,495$-276,058,454▼ $59,380,959
Total Liabilities and Net Assets / Fund Balance$72,322,141$69,797,071▼ $2,525,070

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$23,418,513$38,354,564$61,773,077
Equipment$8,823,542$34,791,004$43,614,546
Other Land Buildings$1,464,795$56,589$1,521,384
Land$529,302-$529,302
Leasehold Improvements$154,913$368,087$523,000
Investment Program Related Org$5,573,990--
Other Assets Org$599,394--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$111,000---$111,000
2023$111,000---$111,000
2022$111,000---$111,000
2021$111,000---$111,000
2020$111,000-▲ $3,523-$111,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Laura KaiserPt Yr Director & Pres/CEO of Ssm Health--$7,886,813$7,886,813
Kc DeboerRegional PresidentFT$368,273$478,773$847,046
Nathan KenyonPhysicianFT$736,785$38,693$775,478
Thomas RyanPhysicianFT$660,332$112,127$772,459
John LucioRegional CMOFT$504,882$144,653$649,535
Devin KennedyPhysicianFT$444,963$61,270$506,233
Andrew KaranasPhysicianFT$444,881$59,590$504,471
Joanna YounkerPhysicianFT$445,439$47,420$492,859
Amy CampbellVP Patient Care Svcs & CNOFT$215,766$111,207$326,973
Tonya PehleVP OperationsFT$228,174$97,632$325,806

Board Members and Trustees

NameTitle
Karen RewertsDirector & VP Financial Ops
Douglas LongDirector, Sec & CLO of Ssm Health
Steven SmootDirector, VP & COO of Ssm Health
Stephanie DugganPt Yr Director & Chief Clinical Off
Laura KaiserPt Yr Director & Pres/CEO of Ssm Hea
Randall CombsFormer Officer
John SnodsmithFormer Officer/VP Finance
Kevin SmithTreas & CFO of Ssm Health
Justin MorleyVP Hospital Operations

Highest Paid Contractors

ContractorServicesLocationCompensation
Owens & Minor Distribution INCConstruction Services9120 LOCKWOOD BLVD, Mechanicsville, VA 23116$884,770
Mid-missouri AnesthesiaMedical Services1445 CHRISTY DRIVE, Jefferson City, MO 65101$725,201
Trimedx Holdings LLCClinical Asset Management Services5451 LAKEVIEW PARKWAY S DR, Indianapolis, IN 46268$700,234
Capital Emergency PhysiciansStaffing Services2505 MISSION DRIVE, Jefferson City, MO 65109$538,741
Cole Physician Services LLCMedical Services200 CORPORATE BLVD STE 201, Lafayette, LA 70508$462,668
Revenue and Support

Revenue Composition

Contributions and Grants
$230,367
Program Service Revenue
$146,512,831
Investment Income
$28,151
Other Revenue
$534,051
Change in Net Assets
$-25,266,477
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$99,650,591
Salaries, Compensation, and Employee Benefits$72,635,326
Grants and Similar Amounts Paid$285,960
Total Fundraising Expense$651
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$54,273,252$1,199,542-$55,472,794
Fees for Services Other$22,496,020$511,365-$23,007,385
Payments to Affiliates$3,287,522$16,796,610-$20,084,132
Other Employee Benefits$7,561,803$199,239-$7,761,042
Fees for Services Management$7,472,828$42,855-$7,515,683
Information Technology$5,214,748--$5,214,748
Payroll Taxes$3,981,600$104,907-$4,086,507
Occupancy$3,604,859$211,368-$3,816,227
Depreciation Depletion$2,974,561$76,101-$3,050,662
Pension Plan Contributions$2,859,285$75,337-$2,934,622
Office Expenses$2,266,246$122,224-$2,388,470
Current Officers, Directors, Trustees, and Key Employees$2,094,718$285,643-$2,380,361
Insurance$224,965$655,502-$880,467
Grants to Domestic Orgs$272,849--$272,849
Other Expenses$2,782$168,793-$171,575
Fees for Services Legal-$86,028-$86,028
Conferences and Meetings$54,562$9,327$651$64,540
Travel$45,220$3,830-$49,050
Advertising$8,702$24,812-$33,514
Grants to Domestic Individuals$13,111--$13,111
Interest$1,803--$1,803
All Other Expenses$23,854$-96,341-$-72,487
Total Functional Expenses$152,539,996$20,031,230$651$172,571,877
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Lincoln UniversityJefferson City, MO501(c)(3)Nurse Training Program Grant$60,407
Catholic Charities of Central and Northern MissouriJefferson City, MO501(c)(3)General Purpose$37,500
Jefferson City Country ClubJefferson City, MO501(c)(7)General Purpose$30,265
Roman Catholic Diocese of Jefferson CityJefferson City, MO501(c)(3)General Purpose$16,000
El Puente Hispanic MinistryJefferson City, MO501(c)(3)General Purpose$11,520
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Payable$327,532,875
Operating Right-of-use Liabilities$3,186,544
Deferred Compensation Plan Liabilities$599,394
Third Party Payables$281,120
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of the corporation is ssm health care corporation. Ssm health care corporation is a nonprofit 501(c)(3) organization. Both ssm regional health services and ssm health care corporation are part of the integrated health care system known as ssm health.

Form 990, Part VI, Section A, Line 7A

The member has the power to appoint additional, successor or replacement members and appoint and remove the directors.

Form 990, Part VI, Section A, Line 7B

The member has the following powers: a. To establish and change the mission, philosophy and values of the corporation b. To appoint additional, successor or replacement members c. To appoint and remove the directors d. To appoint and remove the chief executive officer of any operating division of the corporation e. To approve the amendments to the articles of incorporation of the corporation as provided therein f. To approve amendments to the bylaws of the corporation g. To approve the merger, consolidation or dissolution of the corporation h. To approve the formation of a controlled subsidiary or a remotely controlled subsidiary i. To approve the sale of all or substantially all of the assets of the corporation j. To approve the acquisition or disposition by the corporation of another legal entity or an interest in another legal entity k. To authorize or approve the acquisition or disposition by the corporation of real property or any interest in real property l. To establish centralized employee benefit, insurance, investment, financing, corporate responsibility, performance assessment and improvement and other operational and support programs, to require the participation of the corporation in such programs, and to authorize the opening and closing of bank accounts and investment accounts in the name of the corporation in connection with such programs m. To approve the operating and capital budgets of the corporation n. To appoint the auditor and corporate counsel for the corporation o. To authorize and approve borrowing money and entering into financial guaranties by the corporation, including actions relating to the formation, joining, operation, withdrawal from and termination of a credit group or an obligated group and the granting of security interest in the property of the corporation p. To require the corporation to transfer assets, including but not limited to cash, to the member or to any entity exempt from federal income tax as an organization described in section 501(c)(3) of the internal revenue code of 1986, as amended, or the corresponding provision of any future united states internal revenue law, which is controlled by the member , to the extent necessary to accomplish the mission, goals, and objective of the member as determined by the member q. To approve the transfer of assets by the corporation to any entity other than the member, other than transfers made in the ordinary course of operations of the corporation which will not require member approval; and r. To determine the extent to which and the manner in which the powers described in this section which are reserved to the member with respect to the corporation are to be included in the governing documents of any controlled subsidiary, remotely controlled subsidiary or non-controlled subsidiary and exercised with respect to any controlled subsidiary, any remotely controlled subsidiary or any non-controlled subsidiary.

Form 990, Part VI, Section A, Line 8B

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

Form 990, Part VI, Section B, Line 11B

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.

Form 990, Part VI, Section B, Line 12C

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 much be completed online. 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.

Form 990, Part VI, Section B, Line 15

The organization's compensation plan is reviewed and approved at formal meetings of the compensation committee of the board of directors. The compensation committee is comprised of independent non-employee members who have no personal interest in the compensation arrangement to be reviewed and recommended by the compensation committee. The committee reviews comparable wisconsin and national compensation data and establishes base compensation at the comparable market median by the position as outlined in the compensation committee charter. Additionally, the committee has authority to retain a compensation consultant to assist the committee in evaluating senior management compensation.

Form 990, Part VI, Section C, Line 19

The year-end audited consolidated financial statements and unaudited quarterly consolidated financial statements for the ssm health system are made available to the public on ssm health's website. The organization's articles of incorporation are available on the missouri secretary of state's website. Copies of the form 990 and the organization's conflict of interest policy are available upon request.

Filing and Contact Details

Filer

Filer Name
Ssm Regional Health Services
EIN
44-0579850
Phone
3149947800
Address
12800 CORPORATE HILL DRIVE, ST LOUIS, MO 63131

Signing Officer

Name
Stephanie King
Title
VP Finance
Phone
3149947800
Signed
2025-11-17

Organization Details

Principal Officer
Laura Kaiser
Formed
1965
Legal Domicile
Mo
Voting Board Members
4
Independent Board Members
0
Employees
1,005
Volunteers
342
Supplemental Narrative

Additional Explanations

Form 990, Part I

Doing business as: ssm regional health services currently conducts business under the following names: ssm health behavioral health ssm health medical group ssm health medical group - behavioral medicine ssm health medical group - cardiothoracic surgery ssm health spine surgery & interventional pain center ssm health sports medicine & rehabilitation center ssm health st mary's hospital- jefferson city ssm health wound center

FORM 990, PART V, LINE 1A:

All applicable 1099 and 1096 irs tax forms are reported and filed by the parent organization, ssm health care corporation, ein 46-6029223.

Form 990, Part IX, Line 11G

Professional services: program service expenses 22,496,020. Management and general expenses 511,365. Fundraising expenses 0. Total expenses 23,007,385.

FORM 990, PART XI, LINE 9:

Transfers with consolidated entities -33,216,702. Change in temporarily restricted net assets -1,358,383. Beneficial interest in foundation 437,417.

Financial Statement Notes

PART V, LINE 4:

Endowment funds are used to support operations and the mission of ssm health st. Mary's hospital-jefferson city.

PART X, LINE 2:

Ssm regional health services' financial information is included in the consolidated audited financial statements of a related organization, ssm health (ssmh). Ssmh evaluates its uncertain tax positions on an annual basis. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. There have been no uncertain tax positions recorded in 2024 or 2023.

Raw XML AppendixShowing 400 of 2,362 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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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3CAPITAL EMERGENCY PHYSICIANS
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4COLE PHYSICIAN SERVICES LLC
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IRS990/Desc0SSM REGIONAL HEALTH SERVICES INCLUDES SSM HEALTH ST. MARY'S HOSPITAL JEFFERSON CITY IN JEFFERSON CITY, MISSOURI, AS WELL AS A NETWORK OF PRIMARY CARE MEDICAL CLINICS AND SPECIALTY OFFERINGS THAT SERVE JEFFERSON CITY AND SURROUNDING COMMUNITIES.LOCATED IN MISSOURI'S STATE CAPITAL FOR MORE THAN 100 YEARS, SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY IS A FULL-SERVICE, COMMUNITY HOSPITAL WITH A RICH HISTORY. THE HOSPITAL MOVED TO A NEW STATE-OF-THE-ART BUILDING IN 2014 AND FEATURES AN EVIDENCE-BASED DESIGN THAT FOCUSES ON HEALING ENVIRONMENTS AND PATIENT SAFETY. WE SERVE PATIENTS IN NEED OF EMERGENCY, CARDIOLOGY, ORTHOPEDIC, CANCER, MATERNITY AND MEDICAL IMAGING SERVICES. WE CONSISTENTLY OFFER THE LATEST ADVANCES IN MEDICAL SERVICES TO PROVIDE OUR PATIENTS WITH EXCEPTIONAL HEALTH CARE. WITH AN EMPHASIS ON PRIVACY, SAFETY, EFFICIENCY, ACCESS AND HEALING, YOU'LL NOTICE THE SSM HEALTH DIFFERENCE FROM THE MOMENT YOU ENTER OUR FACILITIES.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR & VP FINANCIAL OPS
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR, VP & COO OF SSM HEALTH
IRS990/Form990PartVIISectionAGrp/TitleTxt2PT YR DIRECTOR & PRES/CEO OF SSM HEALTH
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR, SEC & CLO OF SSM HEALTH
IRS990/Form990PartVIISectionAGrp/TitleTxt4PT YR DIRECTOR & CHIEF CLINICAL OFF
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