Civic Intelligence

Ssm-Sluh Inc

990 • Fiscal year 2022 • EIN 47-4196634

Jan 01, 2022 to Dec 31, 2022 • Filed on Nov 16, 2023

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

90th percentile

0.96x

Higher debt load relative to assets than 90% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Liabilities / Revenue

71st percentile

0.86x

Higher debt load relative to revenue than 71% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Net Margin

29th percentile

-0.5%

Higher net margin than 29% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Top Officer Pay

99th percentile

$8,384,492

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2022

Asset Growth

72nd percentile

3.2%

Faster asset growth than 72% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2021 to 2022

Revenue Growth

66th percentile

9.9%

Faster revenue growth than 66% of similar nonprofits.

2022 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2021 to 2022

Assets

Up

$739,037,071

Up $23,220,227 (+3.2%) from 2021

Net Assets

Down

$26,745,599

Down $5,214,178 (-16%) from 2021

Liabilities

Up

$712,291,472

Up $28,434,405 (+4.2%) from 2021

Revenue

Up

$824,291,418

Up $74,173,849 (+9.9%) from 2021

Expenses

Up

$828,735,844

Up $89,934,643 (+12%) from 2021

Net Income

Down

-$4,444,426

Down $15,760,794 (-139%) from 2021

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

2022

Assets$739,037,071
Liabilities$712,291,472
Net Assets$26,745,599

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

2022

Revenue$824,291,418
Expenses$828,735,844
Net Income-$4,444,426
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 16, 2023
Return Version
2022v5.0
Gross Receipts
$824,499,219
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$554,827,382$536,700,872▼ $18,126,510
Accounts Receivable$122,941,437$166,541,198▲ $43,599,761
Inventories for Sale or Use$14,765,375$16,705,723▲ $1,940,348
Investments Program Related$9,621,751$13,983,434▲ $4,361,683
Investments Other Securities$10,193,429--
Prepaid Expenses and Deferred Charges$2,708,212$4,332,178▲ $1,623,966
Intangible Assets-$276,545-
Cash and Non-Interest-Bearing Accounts$11,544$250,264▲ $238,720
Savings and Temporary Cash Investments$226,034--
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$715,816,844$739,037,071▲ $23,220,227
Other Assets Total$521,680$246,857▼ $274,823
Liabilities
Other Liabilities$587,577,482$621,737,998▲ $34,160,516
Accounts Payable and Accrued Expenses$96,279,585$90,137,474▼ $6,142,111
Deferred Revenue-$416,000-
Total Liabilities$683,857,067$712,291,472▲ $28,434,405
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$29,229,442$24,594,190▼ $4,635,252
Net Assets With Donor Restrictions$2,730,335$2,151,409▼ $578,926
Total Net Assets Fund Balance$31,959,777$26,745,599▼ $5,214,178
Total Liabilities and Net Assets / Fund Balance$715,816,844$739,037,071▲ $23,220,227

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$432,318,609$84,580,659$516,899,268
Equipment$78,747,495$64,645,229$143,392,724
Land$15,930,263-$15,930,263
Other Land Buildings$8,542,673$570,797$9,113,470
Leasehold Improvements$1,161,832$473,622$1,635,454
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Chief Nursing OfficerFT$279,345$152,665$432,010
-Vice President - Clinical ServicesFT$237,402$117,501$354,903
-CrnaFT$265,815$72,052$337,866
-Respiratory TherapistFT$216,666$73,959$290,625
-RnFT$227,682$30,715$258,398
-Vice President - OperationsFT$123,948$64,529$188,476
-CFOFT$82,969$95,970$178,938
-Assistant SecretaryPT-$30,449$30,449

Board Members and Trustees

NameTitle
-Chairperson, President, Regional President - St. Louis
-Hospital President, SSM Health Saint Louis University Hospital
-Director, Vice Chairperson
-Director, Vice President, COO of SSM Health
-Director
-Director, Acting Dean, Interim VP Medical Affairs
-Director, System VP Medical Group & Pop Health Ops
-Former Officer
-Secretary, General Counsel at SSM Health
-System VP, Finance (MO/ILL)
-Treasurer, Chief Financial Officer at SSM Health

Highest Paid Contractors

ContractorServicesLocationCompensation
Saint Louis UniversityPhysician and clinical services1 N Grand Blvd, St Louis, MO 63103$114,776,575
AMN Healthcare IncStaffing Services12400 High Bluff Drive, San Diego, CA 92130$43,430,531
McGrath & Associates Inccontracting & Construction management1920 S Kingshighway Blvd, St Louis, MO 63110$5,626,852
Management Health Systems INCtechnology services1580 SAWGRASS CORP PKWY STE 200, Sunrise, FL 33323$4,783,057
Mid-america Transplant Servicesmedical services1110 HIGHLAND PLAZA DR EAST, St Louis, MO 63110$3,779,081
Revenue and Support

Revenue Composition

Contributions and Grants
$603,071
Program Service Revenue
$788,446,117
Investment Income
$137,500
Other Revenue
$35,104,730
All Other Contributions
$389,500
Change in Net Assets
$-4,444,426

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table1$389,500Cost
Total Noncash Contributions1$389,500-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$651,027,317
Salaries, Compensation, and Employee Benefits$177,140,909
Grants and Similar Amounts Paid$567,618
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$254,621,361$28,905,056$0$283,526,417
Other Salaries and Wages$139,835,618$3,818,555-$143,654,173
Payments to Affiliates-$40,981,452-$40,981,452
Depreciation Depletion$20,170,210$13,492,914-$33,663,124
Information Technology$22,803,110$23,897-$22,827,007
Office Expenses$16,693,414$1,790,706-$18,484,120
Other Employee Benefits$839,176$16,239,844-$17,079,020
Interest-$16,934,260-$16,934,260
Occupancy$13,928,568$417,576-$14,346,144
Payroll Taxes$10,061,239$142,208-$10,203,447
Fees for Services Management$7,899,388--$7,899,388
Pension Plan Contributions-$3,991,991-$3,991,991
Insurance$14,855$2,267,877-$2,282,732
Current Officers, Directors, Trustees, and Key Employees$2,147,798$64,480-$2,212,278
Fees for Services Legal-$1,112,339-$1,112,339
Other Expenses$574,866$156,319-$731,185
All Other Expenses$0$524,672$0$524,672
Grants to Domestic Individuals$456,886--$456,886
Travel$178,072$145,736-$323,808
Fees for Services Lobbying-$114,391-$114,391
Grants to Domestic Orgs$110,732--$110,732
Conferences and Meetings$78,596$1,335-$79,931
Advertising$3,723$20,546-$24,269
Total Functional Expenses$697,589,690$131,146,154$0$828,735,844
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Washington UniversitySt Louis, MO501c3Charitable Support$56,231
St Louis Regional Health CommissionSt Louis, MOGovernmentSupport$25,000
National Kidney FoundationSt Louis, MO501c3Licenses and taxes$15,000
DoorwaysSt Louis, MO501c3Licenses and taxes$10,500
SSM Health Foundation - St LouisSt Louis, MO501c3Charitable Support$5,000
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$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to affiliates$621,688,825
Operating lease obligations$49,173
Third party payor$0
Third party patient loans$0
Deferred compensation$0
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, Line 15A Processing of determining compensation

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.

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

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.

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 prior to filing.

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.

Form 990, Part VIII, Line 2F Other Program Service Revenue

All other program service revenue - Total Revenue: 3732185, Related or Exempt Function Revenue: 3732185, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

all other revenue - Total Revenue: 266476, Related or Exempt Function Revenue: , Unrelated Business Revenue: 266476, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

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
See Schedule O

Signing Officer

Name
Randy Combs
Title
Treasurer
Signed
2023-11-16
Discuss with paid preparer
Yes

Organization Details

Formed
2015
Legal Domicile
Mo
Voting Board Members
9
Independent Board Members
7
Employees
2,640
Volunteers
164

Preparer

Firm
Purk & Associates PC
Address
1034 S Brentwood Boulevard Suite 20, 00, St Louis, MO 63117
Preparer
Douglas G Pleus
Phone
3148844022
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 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. 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. In September 2020, the hospital opened a new $550 million facility for hospital and outpatient care services. The new complex improves integration between the hospital and Saint Louis University School of Medicine and SSM Health Cardinal Glennon Children's Hospital. The new hospital includes 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 purpose with the following activities: - Operates an emer

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: 28905056, Fundraising Expenses: ;

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

Change in beneficial interest in foundation - -975106; Fund balance transfers - 257488; Other adjustments - -52134;

FORM 990, PART I, DOING BUSINESS AS:

Ssm-sluh inc currently conducts business under the following registered names: ssm health saint louis university hospital ssm health pharmacy at saint louis university hospital

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 2022 and 2021.

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IRS990/Form990PartVIISectionAGrp/TitleTxt2Director, Acting Dean, Interim VP Medical Affairs
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IRS990/Form990PartVIISectionAGrp/TitleTxt9System VP, Finance (MO/ILL)
IRS990/Form990PartVIISectionAGrp/TitleTxt10Chairperson, President, Regional President - St. Louis
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IRS990/Form990PartVIISectionAGrp/TitleTxt13Hospital President, SSM Health Saint Louis University Hospital
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