2024-11-15T13:55:01-06:00 2023-12-31 990 2023-01-01 436331003 SSMHC LIABILITY TRUST I SSMH 3149947800 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 STEPHANIE KING FINANCE - VICE PRESIDENT 3149947800 2024-11-15 0 2023 2024-10-15 13:58:12Z X 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 50425968 0 X WWW.SSMHEALTH.COM X 1986 MO TO PROVIDE SUPPORT AND ASSISTANCE TO INTEGRATED HEALTH CARE SYSTEM OPERATING IN FOUR STATES,TO ENABLE THEIR MISSION OF PROVIDING EXCEPTIONAL HEALTH CARE SERVICES. 2 0 0 0 0 0 0 0 37048885 43261004 1479404 7164964 0 0 38528289 50425968 0 0 0 0 2524 17980674 0 0 0 30503059 31844914 30505583 49825588 8022706 600380 216866063 147643372 147134231 90564249 69731832 57079123 THROUGH OUR EXCEPTIONAL HEAL TH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 22157299 43261004 TO PROVIDE SUPPORT AND ASSISTANCE TO SSM HEALTH_(SSMH) TO ENABLE THEIR MISSION AND PURPOSE. SSMH IS A CATHOLIC, NOT-FOR-PROFIT HEAL TH SYSTEM SERVING THE COMPREHENSIVE HEAL TH 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. 22157299 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 2 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 0 0 X PENNY HAGAN 3149892976 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 RANDY COMBS TRUSTEE, CFO PART YEAR 1.00 69.00 X X 0 2182354 1238074 KEVIN SMITH TRUSTEE, CFO PART YEAR 1.00 69.00 X X 0 219586 99334 THE NORTHERN TRUST COMPANY TRUSTEE 1.00 0.00 X 1405 61438 0 1405 2463378 1337408 0 0 1 0 THE SIMON LAW FIRM PC 800 MARKET STREET STE 1700 ST LOUIS MO 63101 LEGAL SERVICES 4600000 MAPLES NIX & DIESSELHORST PLLC 15401 N MAY AVE EDMOND OK 73013 LEGAL SERVICES 3870000 KEEFE KEEFE & UNSELL PC 6 EXECUTIVE WOODS COURT BELLEVILLE IL 62226 LEGAL SERVICES 3500000 USAA ANNUITY SERVICES CORPORATION 9800 FREDERICKSBURG ROAD SAN ANTONIO TX 78288 FINANCIAL SERVICES 3406686 ZZDNU LOCKTON COMPANIES LLC 3 CITY PLACE DR STE 900 ST LOUIS MO 63141 RISK MANAGEMENT SERVICES 1672483 5 ADDITIONS BY INSURED 524298 43261004 43261004 43261004 3811665 3811665 3353299 0 3353299 3353299 3353299 50425968 43261004 0 7164964 17980674 17980674 130188 130188 26 26 2130422 2130422 28871445 3995303 24876142 TAXES 712833 51134 661699 49825588 22157299 27668289 0 120558888 2401811 174086 211447 34779256 0 61353833 145030114 216866063 147643372 658991 114483055 0 2542031 146475240 -26460837 147134231 90564249 X 69731832 57079123 69731832 57079123 216866063 147643372 X 600380 12386785 -25639874 X 0 1 X 1 0 X X 1 SSM HEALTH CARE CORPORATION 466029223 3 1 43261004 0 1 43261004 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 SELF INSURANCE FUNDS 142488083 COLLATERAL HELD UNDER AGREEMENT 2542031 145030114 INTERCOMPANY PAYABLES -41231837 WORKER'S COMPESANTION LIABILITIES 14771000 -26460837 X PART X, LINE 2: SSMHC LIABILITY TRUST I'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 RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2023 OR 2022. 0 1 0 0 0 0 0 0 0 RANDY COMBS TRUSTEE, CFO PART YEAR 0 1242308 0 669269 0 270777 0 1203989 0 34085 0 3420428 0 669269 KEVIN SMITH TRUSTEE, CFO PART YEAR 0 117134 0 102320 0 132 0 96255 0 3079 0 318920 0 0 PART I, LINE 4B PENSION RESTORATION PLAN: SSM HEALTH (SSMH) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMH QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER THE SSMH QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMH OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMH. NO INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 2023. CAPITAL ACCUMULATION PLAN: SSMH PROVIDES THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO EXECUTIVE LEVEL EMPLOYEES. THE ORGANIZATION CONTRIBUTED A PERCENTAGE OF THE EMPLOYEE'S BASE SALARY INTO THEIR CHOICE OF A SELECT LIST OF INVESTMENTS. THE DEPOSITS AND EARNINGS OF THE PLAN ARE OWNED BY SSMH AND ARE TAX-DEFERRED UNTIL A DISTRIBUTION IS MADE TO THE EMPLOYEE. IN ADDITION, THE PLAN HAS SPECIAL SAFEGUARDS IN PLACE TO PROTECT THE FUNDS FROM CONTINGENCIES, OTHER THAN INSOLVENCY. FOR CONTRIBUTIONS MADE TO THE PLAN IN 2014 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF FOUR PLAN YEARS FOR ALL EXECUTIVES THAT ARE STILL ACTIVELY EMPLOYED ON THE DISTRIBUTION DATE. ANY ACTIVE PARTICIPANT 65 YEARS OR OLDER WILL RECEIVE THE CONTRIBUTION IN THE CURRENT YEAR. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DEFERRALS FROM THIS PLAN IN 2023: RANDY COMBS $261,633 KEVIN SMITH $95,493 THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN IN 2023. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. NONE FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION MADE CHANGES TO THEIR TRUST AGREEMENT FOR THE FOLLOWING: 1) UPDATING THE LIST OF INDIVIDUALS AUTHORIZED TO PROVIDE DIRECTOR TO THE TRUSTEE REGARDING TRUST FUND MA TIERS. 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 GOVERNING BODY AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. 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 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, SECTION C, LINE 19 THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEAL TH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRS CONS ENT -25,639,874. 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