TY 2014 Form 990 Schedule R

efile Public Visual Render ObjectId: 201523209349310187 - Submission: 2015-11-16 TIN: 44-0579850

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
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Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

SSM Regional Health Services

Employer identification number

44-0579850

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SSM Health Care Corporation 10101 Woodfield Lane St Louis,MO63132 46-6029223	Health Care	MO	501(c)(3	Type I	SSM Health Ministries		No
(2)SSMHC Liability Trust I 10101 Woodfield Lane St Louis,MO63132 43-6331003	Insurance	MO	501(c)(3	Type I	SSM Health Care Corporation		No
(3)SSM Consolidated Health Services 10101 Woodfield Lane St Louis,MO63132 43-1473657	Health Care	MO	501(c)(3	Type I	SSM Health Care Corporation		No
(4)SSM Policy Institute 10101 Woodfield Lane St Louis,MO63132 43-1788151	Health Care	MO	501(c)(4		SSM Health Care Corporation		No
(5)SSM Health Care Portfolio Management Co 10101 Woodfield Lane St Louis,MO63132 43-1825256	Management	MO	501(c)(3	Type I	SSM Health Care Corporation		No
(6)SSM Cardinal Glennon Children's Hospital 10101 Woodfield Lane St Louis,MO63132 43-0738490	Health Care	MO	501(c)(3	3	SSM Health Care St Louis		No
(7)Cardinal Glennon Children's Foundation 10101 Woodfield Lane St Louis,MO63132 43-1754347	Fundraising	MO	501(c)(3	7	SSM Cardinal Glennon Children's Hospital		No
(8)SSM DePaul Health Center Foundation 10101 Woodfield Lane St Louis,MO63132 43-1776109	Fundraising	MO	501(c)(3	7	SSM Health Care St Louis		No
(9)SSM St Joseph Foundation 10101 Woodfield Lane St Louis,MO63132 43-1591556	Fundraising	MO	501(c)(3	7	SSM Health Care St Louis		No
(10)SSM St Clare Health Center Foundation 10101 Woodfield Lane St Louis,MO63132 43-1273310	Fundraising	MO	501(c)(3	7	SSM Health Care St Louis		No
(11)SSM St Mary's Health Center Foundation 10101 Woodfield Lane St Louis,MO63132 43-1552945	Fundraising	MO	501(c)(3	7	SSM Health Care St Louis		No
(12)SSM Health Care of Oklahoma Inc 10101 Woodfield Lane St Louis,MO63132 73-0657693	Health Care	OK	501(c)(3	3	SSM Health Care Corporation		No
(13)St Anthony Hospital Foundation Inc 10101 Woodfield Lane St Louis,MO63132 73-6104300	Fundraising	OK	501(c)(3	7	SSM Health Care of Oklahoma		No
(14)SSM Health Care of Wisconsin Inc 10101 Woodfield Lane St Louis,MO63132 43-0688874	Health Care	WI	501(c)(3	3	SSM Health Care Corporation		No
(15)Dells Medical Building Inc 10101 Woodfield Lane St Louis,MO63132 39-1613292	MOB	WI	501(c)(2		SSM Health Care of Wisconsin		No
(16)St Mary's Foundation Inc 10101 Woodfield Lane St Louis,MO63132 43-1940686	Fundraising	WI	501(c)(3	7	SSM Health Care of Wisconsin		No
(17)St Clare Health Care Foundation Inc 10101 Woodfield Lane St Louis,MO63132 43-1940683	Fundraising	WI	501(c)(3	7	SSM Health Care of Wisconsin		No
(18)Home Health United Inc 2802 Walton Commons Lane Madison,WI53718 39-1539827	Health Care	WI	501(c)(3	9	SSM Health Care of Wisconsin		No
(19)Home Care United Inc 2802 Walton Commons Lane Madison,WI53718 39-1776340	Health Care	WI	501(c)(3	9	SSM Health Care of Wisconsin		No
(20)HHU Xtra Care Inc 2802 Walton Commons Lane Madison,WI53718 39-1705111	Health Care	WI	501(c)(3	9	SSM Health Care of Wisconsin		No
(21)Home Health United - VNS Foundation Inc 2802 Walton Commons Lane Madison,WI53718 39-1839309	Fundraising	WI	501(c)(3	Type I	NA		No
(22)St Francis Hospital Foundation 10101 Woodfield Lane St Louis,MO63132 43-1099253	Fundraising	MO	501(c)(3	7	SSM Regional Health Services	Yes
(23)St Mary's Health Center Jefferson City Missouri Foundation 10101 Woodfield Lane St Louis,MO63132 43-1575307	Fundraising	MO	501(c)(3	Type II	NA		No
(24)Good Samaritan Regional Health Center 10101 Woodfield Lane St Louis,MO63132 43-0653587	Health Care	IN	501(c)(3	3	SSM Regional Health Services	Yes
(25)St Mary's Hospital Centralia Illinois 10101 Woodfield Lane St Louis,MO63132 37-0662580	Health Care	IL	501(c)(3	3	SSM Regional Health Services	Yes
(26)St Mary's - Good Samaritan Inc 10101 Woodfield Lane St Louis,MO63132 36-4170833	Health Care	IL	501(c)(3	Type I	SSM Regional Health Services	Yes
(27)Good Samaritan Regional Health Center Foundation 10101 Woodfield Lane St Louis,MO63132 26-2884795	Fundraising	IL	501(c)(3	7	St Mary's - Good Samaritan		No
(28)St Mary's Hospital Foundation 10101 Woodfield Lane St Louis,MO63132 36-4636691	Fundraising	IL	501(c)(3	7	St Mary's - Good Samaritan		No
(29)St Mary's Hospital Auxiliary 400 N Pleasant Centralia,IL62801 23-7126345	Fundraising	IL	501(c)(3	9	St Mary's Hospital Foundation		No
(30)SSM Health Businesses 10101 Woodfield Lane St Louis,MO63132 43-1333488	Health Care	MO	501(c)(3	9	SSM Health Care Corporation		No
(31)SSM Health Care St Louis 10101 Woodfield Lane St Louis,MO63132 43-1343281	Health Care	MO	501(c)(3	3	SSM Health Care Corporation		No
(32)Centralia Medical Services Bldg Assoc 10101 Woodfield Lane St Louis,MO63132 23-7408025	MOB	IL	501(c)(3	Type II	NA		No
(33)St Mary's Janesville Foundation Inc 2901 Landmark PL Ste 300 Madison,WI53713 27-3439133	Fundraising	WI	501(c)(3	7	SSM Health Care of Wisconsin		No
(34)Franciscan Sisters of Mary 3221 McKelvey Road Suite 107 Bridgeton,MO63044 43-1012492	Religious Organization	MO	501(c)(1		NA		No
(35)Lee Dewey Corporation 10101 Woodfield Lane St Louis,MO63132 73-1279603	MOB	OK	501(c)(3	Type I	SSM Health Care of Oklahoma		No
(36)SSM Hospice and Home Care Foundation 10101 Woodfield Lane St Louis,MO63132 30-0012246	Fundraising	MO	501(c)(3	7	SSM Health Businesses		No
(37)St Mary's Hospital Auxiliary 100 St Marys Medical Plaza Jefferson City,MO65101 43-6049878	Fundraising	MO	501(c)(3	Type II	NA		No
(38)Good Samaritan Hospital Auxiliary 605 North 12th Street Mt Vernon,IL62864 23-7049599	Fundraising	IL	501(c)(3	Type III-FI	NA		No
(39)St Anthony Shawnee Hospital Inc 1000 N Lee Ave Oklahoma City,OK73102 45-5055149	Health Care	OK	501(c)(3	3	SSM Health Care of Oklahoma		No
(40)SSM Audrain Health Care Inc 10101 Woodfield Lane St Louis,MO63132 43-1550298	Health Care	MO	501(c)(3	3	SSM Regional Health Services	Yes
(41)Audrain Medical Center Foundation Inc 620 E Monroe Street Mexico,MO65265 43-1265060	Fundraising	MO	501(c)(3	Type I	SSM Audrain Health Care Inc		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

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Schedule R (Form 990) 2014

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Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) SSM St Joseph Endoscopy Center LLC 10101 Woodfield Lane St Louis,MO63132 27-0046559	Surgery Services	MO	NA	N/A
(2) St Clare Imaging Services 707 14th Street Suite A Baraboo,WI53913 20-0122365	Diag Services	WI	NA	N/A
(3) Mt Vernon Radiation Therapy Center LLC 10101 Woodfield Lane St Louis,MO63132 20-1382620	Radiation Therapy	IL	NA	N/A
(4) Sleep & Neurology Center of S Illinois LLC 10101 Woodfield Lane St Louis,MO63132 20-8468195	Diag Services	IL	NA	N/A
(5) SMHC Surgical Co-Mgmt Company LLC 100 St Marys Medical Plaza Jefferson City,MO65101 20-8929305	Management	MO	SSM Regional Health Services	Related	19,137	0		No			No	0 %
(6) SMHC Cardiovascular Co-Mgmt Company LLC 100 St Marys Medical Plaza Jefferson City,MO65101 20-8929381	Management	MO	SSM Regional Health Services	Related	25,605	0		No			No	0 %
(7) SMHC Musculoskeletal Co-Mgmt Company LLC 100 St Marys Medical Plaza Jefferson City,MO65101 20-8929237	Management	MO	SSM Regional Health Services	Related	17,753	0		No			No	0 %
(8) ChowSMGSI Office Building LLC 10101 Woodfield Lane St Louis,MO63132 37-1383861	MOB	IL	NA	N/A
(9) Center for Comprehensive Cancer Care LLC 10101 Woodfield Lane St Louis,MO63132 20-1382727	MOB	IL	NA	N/A
(10) Shawnee Real Estate Holdings LLC 1000 N Lee Ave Oklahoma City,OK73102 45-5458304	MOB	OK	NA	N/A
(11) SSM RX Express LLC 10101 Woodfield Lane St Louis,MO63132 26-4031708	Pharmacy	MO	NA	N/A
(12) Dean Clinic & St Marys Hospital Accountable Care Organization LLC 1808 West Beltline Highway Madison,WI53713 45-2995500	Accountable Care Organization	WI	NA	N/A
(13) Wisconsin Integrated Information Technology and Telemedicine Systems LLC 1808 West Beltline Highway Madison,WI53713 39-2016715	Information Technology Services	WI	NA	N/A
(14) Dean Health Holdings LLC 1277 Deming Way Madison,WI53717 26-1594709	Support Services	WI	NA	N/A
(15) Wingra Building Group 1808 West Beltline Highway Madison,WI53713 39-0237060	MOB	WI	NA	N/A
(16) Janesville Riverview Clinic Building Partnership 1808 West Beltline Highway Madison,WI53713 39-6220698	MOB	WI	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) SSM Managed Care Organization LLC 10101 Woodfield Lane St Louis,MO63132 43-1708511	Health Promotion	MO	NA	C Corporation				No
(2) FPP Inc 10101 Woodfield Lane St Louis,MO63132 43-1465174	Health Care	MO	NA	C Corporation				No
(3) Diversified Health Services Corp 10101 Woodfield Lane St Louis,MO63132 43-1369305	Medical Equipment	MO	NA	C Corporation				No
(4) SSM Cardio and Thoracic Services Inc 10101 Woodfield Lane St Louis,MO63132 26-0286559	Health Care	MO	NA	C Corporation				No
(5) SSM Properties Inc 10101 Woodfield Lane St Louis,MO63132 43-1462486	Property Services	MO	NA	C Corporation				No
(6) SSM Depaul Medical Group Inc 10101 Woodfield Lane St Louis,MO63132 43-1715106	Health Care	MO	NA	C Corporation				No
(7) SSM St Charles Clinic Med Group Inc 10101 Woodfield Lane St Louis,MO63132 43-0626408	Physician Offices	MO	NA	C Corporation				No
(8) Health First Phys Management 10101 Woodfield Lane St Louis,MO63132 73-1534336	Medical Services	OK	NA	C Corporation				No
(9) SSMHCS Liability Trust II 10101 Woodfield Lane St Louis,MO63132 81-6128118	Insurance	MO	NA	C Corporation				No
(10) SSM Neurosciences Inc 10101 Woodfield Lane St Louis,MO63132 26-3413981	Health Care	MO	NA	C Corporation				No
(11) SSM Medical Group Inc 10101 Woodfield Lane St Louis,MO63132 43-1664107	Physician Offices	MO	NA	C Corporation				No
(12) SSMHC Insurance Company 10101 Woodfield Lane St Louis,MO63132 03-0310431	Insurance	CA	NA	C Corporation				No
(13) SSM Orthopedic Inc 10101 Woodfield Lane St Louis,MO63132 27-1557033	Health Care	MO	NA	C Corporation				No
(14) SSM Cancer Care Inc 10101 Woodfield Lane St Louis,MO63132 27-1557324	Health Care	MO	NA	C Corporation				No
(15) Physicians Services Corp of Southern Illinois 10101 Woodfield Lane St Louis,MO63132 36-4161526	Health Care	IL	NA	C Corporation				No
(16) Dean Health Systems Inc 1808 West Beltline Highway Madison,WI53713 39-1128616	Physician Offices	WI	NA	C Corporation				No
(17) Dean Health Insurance Inc PO Box 56099 Madison,MO53705 39-1830837	Insurance	WI	NA	C Corporation				No
(18) Dean Health Plan Inc PO Box 56099 Madison,WI53705 39-1535024	Insurance	WI	NA	C Corporation				No
(19) St Mary's Dean Ventures Inc 1808 West Beltline Highway Madison,WI53713 39-1628491	Physician Offices	WI	NA	C Corporation				No
(20) Dean Retail Services Inc 1808 West Beltline Highway Madison,WI53713 39-1717636	Property Services	WI	NA	C Corporation				No
(21) Navitus Holdings LLC 1808 West Beltline Highway Madison,WI53713 80-0968174	Pharmacy Benefits	WI	NA	C Corporation				No
(22) Yagnesh V Oza MD Inc 4117 Veterans Memorial Drive Mt Vernon,IL62804	Physician Offices	IL	NA	C Corporation				No

Schedule R (Form 990) 2014

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Schedule R (Form 990) 2014

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Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ST FRANCIS HOSPITAL FOUNDATION	C	130,188	CASH TRANSFER
(2) ST MARY'S HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION	C	5,228,233	CASH TRANSFER

Schedule R (Form 990) 2014

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Schedule R (Form 990) 2014

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Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

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Schedule R (Form 990) 2014

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Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0