Civic Intelligence

Ssm-Sluh Inc

990 • Fiscal year 2018 • EIN 47-4196634

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 07, 2019

10101 Woodfield LaneSt Louis, MO 63132

(314) 994-7800

Siviq Scores

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

Liabilities / Assets

89th percentile

0.91x

Higher debt load relative to assets than 89% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Liabilities / Revenue

64th percentile

0.70x

Higher debt load relative to revenue than 64% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Net Margin

13th percentile

-5.6%

Higher net margin than 13% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Top Officer Pay

91st percentile

$2,733,005

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Asset Growth

95th percentile

40%

Faster asset growth than 95% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Revenue Growth

57th percentile

6.6%

Faster revenue growth than 57% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Assets

Up

$417,690,559

Up $118,937,208 (+40%) from 2017

Net Assets

Down

$38,282,243

Down $23,300,956 (-38%) from 2017

Liabilities

Up

$379,408,316

Up $142,238,164 (+60%) from 2017

Revenue

Up

$545,392,232

Up $33,751,563 (+6.6%) from 2017

Expenses

Up

$575,694,866

Up $31,565,578 (+5.8%) from 2017

Net Income

Up

-$30,302,634

Up $2,185,985 (+6.7%) from 2017

Historical Trend

Balance Sheet Trend

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

$1.0B$500M$0-$500MAssets 2015: $240,256,834Liabilities 2015: $103,434,023Net Assets 2015: $136,822,8112015Assets 2016: $261,709,806Liabilities 2016: $167,655,192Net Assets 2016: $94,054,6142016Assets 2017: $298,753,351Liabilities 2017: $237,170,152Net Assets 2017: $61,583,1992017Assets 2018: $417,690,559Liabilities 2018: $379,408,316Net Assets 2018: $38,282,2432018Assets 2019: $684,534,266Liabilities 2019: $647,006,404Net Assets 2019: $37,527,8622019Assets 2020: $721,850,169Liabilities 2020: $701,183,189Net Assets 2020: $20,666,9802020Assets 2021: $715,816,844Liabilities 2021: $683,857,067Net Assets 2021: $31,959,7772021Assets 2022: $739,037,071Liabilities 2022: $712,291,472Net Assets 2022: $26,745,5992022Assets 2023: $724,347,104Liabilities 2023: $728,734,916Net Assets 2023: -$4,387,8122023Assets 2024: $708,139,134Liabilities 2024: $848,644,614Net Assets 2024: -$140,505,4802024

Highlighted filing

2018

Assets$417,690,559
Liabilities$379,408,316
Net Assets$38,282,243

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.0B$500M$0-$500MRevenue 2015: $149,880,571Expenses 2015: $151,577,343Net Income 2015: -$1,696,7722015Revenue 2016: $445,577,362Expenses 2016: $485,345,679Net Income 2016: -$39,768,3172016Revenue 2017: $511,640,669Expenses 2017: $544,129,288Net Income 2017: -$32,488,6192017Revenue 2018: $545,392,232Expenses 2018: $575,694,866Net Income 2018: -$30,302,6342018Revenue 2019: $598,184,941Expenses 2019: $612,743,013Net Income 2019: -$14,558,0722019Revenue 2020: $639,922,510Expenses 2020: $664,042,126Net Income 2020: -$24,119,6162020Revenue 2021: $750,117,569Expenses 2021: $738,801,201Net Income 2021: $11,316,3682021Revenue 2022: $824,291,418Expenses 2022: $828,735,844Net Income 2022: -$4,444,4262022Revenue 2023: $855,894,157Expenses 2023: $887,804,499Net Income 2023: -$31,910,3422023Revenue 2024: $947,923,142Expenses 2024: $934,688,395Net Income 2024: $13,234,7472024

Highlighted filing

2018

Revenue$545,392,232
Expenses$575,694,866
Net Income-$30,302,634
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 7, 2019
Return Version
2018v3.1
Gross Receipts
$548,458,530
Mission and Program Overview

Mission

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

Operates an academic medical center in St Louis Missouri that serves as the teaching hospital for the St Louis University School of Medicine.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$141,295,044$278,888,049▲ $137,593,005
Accounts Receivable$102,190,570$95,033,597▼ $7,156,973
Inventories for Sale or Use$9,599,046$10,706,694▲ $1,107,648
Investments Other Securities$10,698,026$10,457,176▼ $240,850
Investments Program Related$0$4,937,831▲ $4,937,831
Intangible Assets$4,185,722--
Prepaid Expenses and Deferred Charges$5,764,669$3,082,401▼ $2,682,268
Cash and Non-Interest-Bearing Accounts-$134,610-
Savings and Temporary Cash Investments$2,676,097$69,032▼ $2,607,065
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc$0$0→ $0
Loans From Officers Directors-$0-
Total Assets$298,753,351$417,690,559▲ $118,937,208
Other Assets Total$22,344,177$14,381,169▼ $7,963,008
Liabilities
Accounts Payable and Accrued Expenses$233,173,404$377,447,403▲ $144,273,999
Other Liabilities$3,996,748$1,960,913▼ $2,035,835
Total Liabilities$237,170,152$379,408,316▲ $142,238,164
Net Assets / Fund Balance
Unrestricted Net Assets$61,583,199$35,920,317▼ $25,662,882
Permanently Rstr Net Assets-$2,361,926-
Total Net Assets Fund Balance$61,583,199$38,282,243▼ $23,300,956
Total Liabilities and Net Assets / Fund Balance$298,753,351$417,690,559▲ $118,937,208

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$206,102,958-$206,102,958
Buildings$31,354,082$37,341,053$68,695,135
Equipment$25,423,750$39,747,469$65,171,219
Land$15,930,263-$15,930,263
Leasehold Improvements$76,996$103,482$180,478
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Chief Operating OfficerFT$344,108$31,851$375,959
-Chief Financial OfficerFT$284,982$36,302$321,284
-VP Nursing at SSM Health Saint Louis University HospitalFT$246,497$31,645$278,142
-Transplant AdministratorFT$232,021$36,557$268,578
-CrnaFT$217,196$33,203$250,399
-Registered NurseFT$165,803$76,124$241,927
-VP - Specialty Services, SSM Health Saint Louis University HospitalFT$214,249$20,085$234,334
-Pt Yr Asst SecretaryPT-$79,573$79,573

Board Members and Trustees

NameTitle
-Chair, Regional President-St. Louis
-Pt Yr Chair, Pt Yr Pres-Hospital Operations of SSM Health
-Pt Yr Hospital President
-Director and Vice Chair, President/CEO of SSM Health
-Vice President, Senior VP-Strategic Development SSM Health
-Director
-Director, Chief Operations Officer at SSM Health
-Pt Yr Director
-Secretary, Asst VP Governance & Archives, SSM Health
-System VP - Finance
-Treasurer, Chief Financial Officer at SSM Health

Highest Paid Contractors

ContractorServicesLocationCompensation
Saint Louis UniversityPhysician and clinical services1 N Grand Blvd, Suite 1000, St Louis, MO 63103$116,655,015
Alberici Constructors IncConstruction services8800 Page Ave, St Louis, MO 63114$116,136,551
AMN Healthcare IncStaffing Services12400 High Bluff Drive, San Diego, CA 92130$9,605,497
Lawrence Group IncArchitectural services319 North 4th Street, St Louis, MO 63102$8,643,032
Conifer Health SolutionsFinancial & management services3560 Dallas Pkwy, Frisco, TX 75034$4,146,016
Revenue and Support

Revenue Composition

Contributions and Grants
$118,492
Program Service Revenue
$543,023,858
Investment Income
$153,695
Other Revenue
$2,096,187
Change in Net Assets
$-30,302,634
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$414,123,161
Salaries, Compensation, and Employee Benefits$161,374,830
Grants and Similar Amounts Paid$196,875
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$153,128,309$27,336,458$0$180,464,767
Other Salaries and Wages$127,562,368$3,937,311-$131,499,679
Depreciation Depletion$22,444,097--$22,444,097
Office Expenses$18,806,004$714,727-$19,520,731
Other Employee Benefits$16,510,981$509,624-$17,020,605
Information Technology$12,122,536$176,942-$12,299,478
Occupancy$10,654,946$540,030-$11,194,976
Payroll Taxes$9,087,562$280,495-$9,368,057
Interest$3,666,376--$3,666,376
Fees for Services Management$3,160,149$26,737-$3,186,886
Pension Plan Contributions$2,208,601$68,170-$2,276,771
Insurance$1,355,236--$1,355,236
Other Expenses$1,327,736$12,804,964-$1,327,736
Current Officers, Directors, Trustees, and Key Employees$1,173,497$36,221-$1,209,718
Advertising-$984,407-$984,407
Travel$223,182$26,426-$249,608
Fees for Services Legal-$216,811-$216,811
Grants to Domestic Orgs$196,875--$196,875
Fees for Services Accounting-$171,381-$171,381
Conferences and Meetings$82,374$7,791-$90,165
All Other Expenses$23,074$0$0$23,074
Total Functional Expenses$527,856,371$47,838,495$0$575,694,866
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Alexian Brothers Lansdowne VillageSt Louis, MO501(c)(3)Support for Patients at Long-term Care Facility$70,865
Friends of the St Louis University Liver CenterChesterfield, MO501(c)(3)Support General Operations$35,000
Park Central Development CorporationSt Louis, MO501(c)(3)Support General Operations$26,500
Fontbonne UniversitySt Louis, MO501(c)(3)Support General Operations$15,000
National Kidney FoundationNew York, NY501(c)(3)Support General Operations$15,000
American Heart AssociationDallas, TX501(c)(3)Support General Operations$10,000
Tiffany Community AssociationSt Louis, MO501(c)(3)Support General Operations$6,000
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to affiliates$880,938
Third party payor$413,559
Third party patient loans$270,275
Capital lease obligation$220,906
Deferred compensation$175,235
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
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, Line 15A Processing of determining compensation

The organization's top management official, Hospital President, is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the SSM Health Board of Directors or compensation committee.

Form 990, Part VI, Line 15B Processing of determining compensation

The organization's top management official, Hospital President, is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the SSM Health Board of Directors or compensation committee.

Form 990, Part VI, Line 4 Significant changes to organizational documents

The organization's bylaws were amended for the following items: (a) to increase the maximum number of appointed directors, (b) to reduce the number of ex-officio directors, leaving only the Chairperson as an ex-officio director, (c) to name the Chairperson of the organization as the individual serving as the President of the organization, (d) to change the Vice Chairperson from the President/CEO of SSM Health Care Corporation to an appointment of one of the directors.

Form 990, Part VI, Line 6 Classes of members or stockholders

The sole member of the corporation is SSM Health Care St Louis. SSM Health Care St Louis is a nonprofit 501(c)(3) organization that operates seven hospitals. Both SSM-SLUH, Inc. and SSM Health Care St Louis are part of the integrated health care system known as SSM Health.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The member has the power to appoint additional, successor or replacement members subject to the written consent of Saint Louis University (SLU) and to appoint and remove the appointed directors , other than the SLU designated directors.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

The member has the following powers: (a) to establish and change the mission, philosophy and values of the Corporation, except to the extent limited elsewhere in the bylaws; (b) to appoint additional, successor or replacement members of the Corporation, provided, that any member requiring approval of SLU receives that approval according to the bylaws; (c) to appoint and remove the individuals serving on the Board, other than the SLU Designated Directors who will be subject to designation for appointment and removal by SLU and as to whom SSMSL shall follow and implement the written instructions of SLU regarding the appointment and removal of the SLU Designated Directors; provided, however, that SSMHCC may remove SLU Designated Directors who violate the conflict of interest policy and other Board policies of the Corporation, as the same may be amended from time to time, upon prior written notice to SLU pursuant to the Members' Agreement; (d) to appoint and remove the President of the Corporation and the chief executive officer of any Health Care Operating Division, provided, that SSMHCC shall (i) obtain the written consent of SLU before appointing any chief executive officer of SLUH, (ii) consult with the Board and SLU before exercising its reserved power to remove the chief executive officer of SLUH and (iii) consult with SLU in connection with hiring certain senior employees; (e) to approve amendments to the Articles of Incorporation of the Corporation, but subject to SLU's prior written consent; (f) to approve amendments to these Bylaws, but subject to SLU's prior written consent except that SLU's prior written consent is not required for non-material changes required by applicable law, regulation or any applicable accrediting entity; (g) to approve the merger or consolidation of the Corporation; provided, that (i) SLU's prior written consent shall be required in the event such transaction constitutes a Prohibited Change of Control, and (ii) with respect to a Permitted Change of Control that is a Permitted Affiliate Change of Control, SSMHCC shall provide SLU with written notice (pursuant to the Members' Agreement) not less than thirty (30) days prior to the effective date of such change of control, and with respect to any other Permitted Change of Control, SSMHCC shall provide SLU with written notice (pursuant to the Members' Agreement) within thirty (30) days after the signing of a letter of intent, in both cases, with no separate SLU approval right; (h) to approve the dissolution of the Corporation, but subject to SLU's prior written consent; (i) to approve the formation of a Controlled Subsidiary or a Remotely Controlled Subsidiary, provided, that any deviation from the requirements set forth in the SSMSL Bylaws shall require the prior written consent of SLU; (j) to approve the acquisition or disposition by the Corporation of another legal entity or an interest in another legal entity, provided, that the Corporation shall obtain the written consent of SLU before divesting of, or admitting another Person as a member of, the Corporation or any other defined Subsidiary (as defined in the SSMSL Bylaws) whose assets include the assets comprising SLUH; (k) to authorize or approve the acquisition or disposition by the Corporation of real property or any interest in real property, provided, that the Corporation shall obtain the written consent of SLU before disposing of any real property or any interest in real property comprising a substantial portion of the operating assets of SLUH, except that the written consent of SLU shall not be required for the granting of utility easements or access easements which do not materially adversely affect the use of such real property; (l) to (i) establish centralized employee benefit, insurance, investment, financing, corporate responsibility, performance assessment and improvement and other operational and support programs; (ii) require the participation of the Corporation and any Controlled

Form 990, Part VI, Line 8B Documentation of meetings held by committees of governing body

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

Form 990, Part VI, Line 11B Review of form 990 by 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.

Form 990, Part VI, Line 12C Conflict of interest policy

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 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.

Form 990, Part VI, Line 19 Required documents available to the public

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-SLUH Inc
EIN
47-4196634
Phone
3149947800
Address
10101 Woodfield Lane, St Louis, MO 63132
Doing Business As
SSM Health Saint Louis University Hospital

Signing Officer

Name
Doug Long
Title
Secretary
Signed
2019-11-07

Organization Details

Formed
2015
Legal Domicile
Mo
Voting Board Members
8
Independent Board Members
5
Employees
2,678
Volunteers
207
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A Description of Program Services

Briefly describe the corporation's mission: 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 more than 40,000 people and is affiliated with more than 9,900 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. About SSM Health Saint Louis University Hospital: SSM Health Saint Louis University Hospital is a quaternary and tertiary care academic medical center in St. Louis that serves as the teaching hospital for Saint Louis University School of Medicine. As an academic medical center, we are at the forefront of ground-breaking medical treatments and procedures-providing them to our patients, teaching them to our students and developing them through research and innovation. While we all strive to provide the latest in high-technology medicine, we also share a deep, Catholic heritage that empowers us to be caregivers at every level. We treat the whole patient-bodies as well as minds and spirits-with compassion and respect. The hospital was the first Level 1 Trauma Center certified in Missouri and Illinois and is also the founder of the Mid America Stroke Network, a regional program that provides stroke care education to promote quality stroke care throughout the Midwest. Scheduled to open in September 2020, the hospital continues construction on a new $550 million facility for hospital and outpatient care services. The new complex will improve integration between the hospital and Saint Louis University School of Medicine and SSM Health Cardinal Glennon Children's Hospital. The new hospital will include all private patient rooms, larger intensive care units, an expanded emergency department, new outpatient care center, additional clinical space for SLUCare physician practices, and educational space for training. SSM Health Saint Louis University Hospital operates in collaboration with SSM Health Care St Louis, which provides health care services at six wholly-owned acute care hospitals: SSM Health DePaul Hospital-St Louis, SSM Health St Mary's Hospital-St Louis, SSM Health St Joseph Hospital - St Charles, SSM Health St Clare Hospital-Fenton, SSM Health St Joseph Hospital-Lake St Louis, and SSM Health St Joseph Hospital - Wentzville. Since SSM Health's founding sisters began their ministry in St. Louis with just $5 among them more than 145 years ago, it has grown into one of the largest integrated delivery systems in the nation. The St. Louis region also includes SSM Health Cardinal Glennon Children's Hospital, numerous urgent care locations, SSM Health Express Clinics at Walgreens, SSM Health Medical Group offices, pediatric-specific locations, outpatient rehab centers, occupational health locations and hospice and home health services. SSM Health Care St. Louis also is partial owner of SSM Health Rehabilitation Hospital, a specialty rehabilitation hospital that offers care and advanced treatment for individuals with stroke, brain injury, spinal cord injury, neurological disorders, amputation, joint replacement and other orthopedic trauma, as well as general medical rehabilitation needs. SSM Health Saint Louis Hospital also furthers its exempt

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 Other Fees

MEDICAL AND OTHER PROFESSIONAL FEES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 27336458, Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Change in beneficial interest in foundation - 2338367; Fund balance transfers - 3258359;

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

SSM-SLUH Inc's financial information is included in the consolidated financial statements of SSM Health (SSMH), a related organization. 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 2018 and 2017.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0Chair, Regional President-St. Louis
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