Civic Intelligence

Ssm Health Care Group

EIN 88-0988603 • 501(c)3 • St Louis, MO

Profile

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

10101 Woodfield LaneSt Louis, MO 63132

slucare.com

Siviq Scores

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

Liabilities / Assets

99th percentile

2.23x

Higher debt load relative to assets than 99% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

77th percentile

1.11x

Higher debt load relative to revenue than 77% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

6th percentile

-32%

Higher net margin than 6% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

91st percentile

$2,904,291

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 1.6% of source-year revenue.

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

Asset Growth

13th percentile

-4.4%

Faster asset growth than 13% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

43rd percentile

5.1%

Faster revenue growth than 43% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Down

$175,820,983

Down $8,014,904 (-4.4%) from 2023

Liabilities

Up

$392,352,621

Up $124,100,756 (+46%) from 2023

Net Assets

Down

-$216,531,638

Down $132,115,660 (-157%) from 2023

Revenue

Up

$351,909,349

Up $16,992,052 (+5.1%) from 2023

Expenses

Up

$463,047,094

Up $48,966,116 (+12%) from 2023

Net Income

Down

-$111,137,745

Down $31,974,064 (-40%) from 2023

Trend Graphs

Balance Sheet Trend

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

$400M$200M$0-$200M-$400MAssets 2022: $189,333,545Liabilities 2022: $194,585,842Net Assets 2022: -$5,252,2972022Assets 2023: $183,835,887Liabilities 2023: $268,251,865Net Assets 2023: -$84,415,9782023Assets 2024: $175,820,983Liabilities 2024: $392,352,621Net Assets 2024: -$216,531,6382024

Highlighted filing

2024

Assets$175,820,983
Liabilities$392,352,621
Net Assets-$216,531,638

Operations Trend

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

$600M$400M$200M$0-$200MRevenue 2022: $177,787,773Expenses 2022: $183,040,070Net Income 2022: -$5,252,2972022Revenue 2023: $334,917,297Expenses 2023: $414,080,978Net Income 2023: -$79,163,6812023Revenue 2024: $351,909,349Expenses 2024: $463,047,094Net Income 2024: -$111,137,7452024

Highlighted filing

2024

Revenue$351,909,349
Expenses$463,047,094
Net Income-$111,137,745

Filings

Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Mar 1, 2022 to Dec 31, 2022
Signed
Nov 16, 2023
Return Version
2022v5.0
Gross Receipts
$177,787,773
Mission and Program Overview

Mission

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

SSM HEALTH CARE GROUP IS A MULTI-SPECIALTY MEDICAL GROUP providing employed or otherwise contracted physicians effective medical care in a charitable manner to the Community served by SSM Health Care St. Louis as part of an integrated health care delivery system.

Balance Sheet Detail
LineBeginningEndChange
Assets
Intangible Assets-$148,203,720-
Accounts Receivable-$27,846,184-
Land, Buildings, and Equipment, Net-$6,341,350-
Prepaid Expenses and Deferred Charges-$5,574,926-
Inventories for Sale or Use-$1,329,208-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors-$0-
Total Assets$0$189,333,545▲ $189,333,545
Other Assets Total$0$38,157▲ $38,157
Liabilities
Other Liabilities$0$169,152,399▲ $169,152,399
Accounts Payable and Accrued Expenses-$25,433,443-
Total Liabilities$0$194,585,842▲ $194,585,842
Net Assets / Fund Balance
Net Assets Without Donor Restrictions-$-5,252,297-
Total Net Assets Fund Balance$0$-5,252,297▼ $5,252,297
Total Liabilities and Net Assets / Fund Balance$0$189,333,545▲ $189,333,545

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$6,341,350$1,124,592$7,465,942
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-PhysicianFT$452,559$13,090$465,649
-Director, Regional President - Medical GroupFT$255,272$117,846$373,118

Board Members and Trustees

NameTitle
-Vice President, COO of SSM Health
-Director
-Secretary, Chief Legal Officer at SSM Health
-Treasurer, CFO at SSM Health
-VP - Medical Group Operations
-VP-Oncology Services
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$177,787,773
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-5,252,297
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$154,022,633
Other Expenses$29,016,937
Grants and Similar Amounts Paid$500
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$131,854,611--$131,854,611
Other Employee Benefits$11,417,248--$11,417,248
Payroll Taxes$8,415,588--$8,415,588
Fees for Services Other$6,974,754$0$0$6,974,754
Occupancy$4,126,594--$4,126,594
Insurance$4,063,934--$4,063,934
Pension Plan Contributions$1,854,769--$1,854,769
Depreciation Depletion$1,443,115--$1,443,115
Current Officers, Directors, Trustees, and Key Employees$480,417--$480,417
Travel$331,046--$331,046
Other Expenses$285,253--$285,253
Office Expenses$219,188--$219,188
Advertising$101,401--$101,401
Conferences and Meetings$57,816--$57,816
Fees for Services Legal$9,598--$9,598
Grants to Domestic Orgs$500--$500
Total Functional Expenses$183,040,070$0$0$183,040,070
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
No
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-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$169,152,399
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

The organization's top management official, 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 board or compensation committee.

Form 990, Part VI, Line 15B

The organization does not compensate any other individuals.

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

The sole member of the Foundation is SSM Health Care St Louis. SSM Health Care Group is a nonprofit 501(c)(3) organization that employees multispecialty physician groups and medical clinics in the greater St. Louis area. Both the Group 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 right to appoint the Board of Trustees except for any Trustee who serves ex officio, and to remove appointed trustees with or without cause.

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 philosophy of the Foundation b. To appoint the Board of Trustees, except for the Trustees named in the Articles of Incorporation for their initial term and except for any Trustee who serves ex officio, and to remove the Trustee with or without cause c. To approve amendments to the Articles of Incorporation of the Foundation as provided in the Bylaws d. To approve the Bylaws of the Foundation and any amendments thereto e. To approve the merger, consolidation or dissolution of the Foundation f. To approve the sale, conveyance, assignment, transfer, alienation, pledge, encumbrance, mortgage or lease of real property or any interest therein of the Group in accordance with the policies approved by the Member g. To approve i) the acquisition of real property or any interest therein or ii) the acquisition of stock of a corporation if, after the acquisition, the Foundation will own a majority of the voting stock of such corporation, in accordance with policies approved by the Member h. To approve the sale, transfer or other disposition of the voting stock of a Corporation if before the disposition the Foundation owned a majority of the voting stock of the corporation and after such disposition the Foundation would not own a majority of the voting stock of the corporation, in accordance with policies approved by the Member i. To approve any borrowings or guarantees of the Foundation in accordance with policies approved by the Member j. 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 Group in connection with such programs k. To approve the acceptance of any gift or contribution which, in connection therewith, would impose a continuing obligation upon the Group, including, without limitation, the obligation to provide health care services, pay an annuity or undertake any other obligations, except as otherwise determined by the Member pursuant to policies adopted by the Member and l. To approve or reject proposals for expenditures or contributions in accordance with article IX of the Bylaws in the event the President of SSM Health Care St Louis and the Board of Trustees do not agree with respect to the approval of such proposal.

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

The President and Secretary of the Board monitor conflicts of interest for non-employee board members. 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 must 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 to the public upon request.

Filing and Contact Details

Filer

Filer Name
SSM Health Care Group
EIN
88-0988603
Phone
3149899400
Address
10101 Woodfield Lane, St Louis, MO 63132

Signing Officer

Name
Randall Combs
Title
Chief Financial Officer
Signed
2023-11-16
Discuss with paid preparer
Yes

Organization Details

Formed
2022
Legal Domicile
Mo
Voting Board Members
3
Independent Board Members
0
Employees
1,794
Volunteers
0

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 I, Line 1 DOING BUSINESS AS

Ssm health care group currently conducts business under the following registered names: slu care physician group slu care physician group slu care physician group pathology independent laboratory slu care physician group toxicology laboratory slu care physician group histocompatibility and immunogenetics laboratory slu care physician group dermatopathology lab

Form 990, Part III, Line 4A

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 290 physician offices and other outpatient and virtual care services, 12 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 over 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. The mission of SSM Health Foundation - St. Louis is to inspire financial and spiritual support of SSM Health's mission by building personal relationships and community engagement to achieve the vision of a sustainable and meaningful health impact in our community. The Foundation cares about people and the overall community. Since health and wellness touches every person and their quality of life, those impacts need to be addressed. SSM Health Foundation - St. Louis seeks to promote and advance quality health care through support of patient care services, medical education and community outreach programs. Patient care services include medical research, wellness and prevention programs and capital projects. The Foundation supports the following SSM Health hospitals in the St. Louis metropolitan area: SSM Health DePaul Hospital - St. Louis, SSM Health Saint Louis University Hospital, SSM Health St. Clare Hospital - Fenton, SSM Health St. Joseph Hospital - Lake Saint Louis, SSM Health St. Joseph Hospital - St. Charles, SSM Health St. Joseph Hospital - Wentzville and SSM Health St. Mary's Hospital - St. Louis. The Foundation provided philanthropic support to numerous programs at the seven SSM Health St. Louis area regional hospitals including, but not limited to: support groups for patients living with cancer; nutrition counseling, medical supplies for uninsured/underinsured patients; screening mammograms and diagnostic services for uninsured women; continuing program connecting mothers with needed resources and education; continued research in the field of maternal-fetal medicine, nursing scholarships for continuing education, advanced equipment and capital funding.

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.

Financial Statement Notes

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

SSM Health Care Group's 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 2022 or 2021.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0Director, Regional President - Medical Group
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IRS990/Form990PartVIISectionAGrp/TitleTxt4Treasurer, CFO at SSM Health
IRS990/Form990PartVIISectionAGrp/TitleTxt5Vice President, COO of SSM Health
IRS990/Form990PartVIISectionAGrp/TitleTxt6VP - Medical Group Operations
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0SSM Health Care Group's 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 2022 or 2021.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote
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