Ssm Health Care St Louis
Nonprofit profile at a glance
- EIN
- 431343281
- IRS 990 coverage
- 2010–2024
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- St Louis, MO, USA
- Phone
- 3149947800
- Rating
- 69
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Community Health Systems
Reported finances
- Revenue
- $2,192,307,272
- Expenses
- $2,082,484,679
- Assets
- $1,081,459,845
- Liabilities
- $1,370,743,617
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
32 people listed
Executive titles in this filing
- JEREMY FOTHERINGHAM (CHAIR, PRESIDENT & REG PRESIDENT)
- KEVIN ELLEDGE (REGIONAL PRESIDENT - MEDICAL GROUP)
- LAURA KAISER (FMR OFF & PRES/CEO AT SSM HEALTH)
Highest reported compensation
- LAURA KAISER (FMR OFF & PRES/CEO AT SSM HEALTH): $7,886,813 total reported compensation
- STEVEN SMOOT (DIR, VP & COO AT SSM HEALTH): $3,484,633 total reported compensation
- DOUGLAS LONG (SECRETARY & CLO AT SSM HEALTH): $2,287,921 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Through our exceptional health care services, we reveal the healing presence of god.
What it reported doing in 2024
Ssm health care st. Louis 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-st. Charles, ssm health st. Clare hospital-fenton, ssm health st. Joseph hospital-lake st. Louis, and ssm health st. Joseph hospital-wentzville. Ssm health care st. Louis is also the sole corporate member of ssm health cardinal glennon children's hospital and ssm health saint louis university hospital. 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 depaul hospital - st. Louis (depaul hospital) treats patients from across the st. Louis metropolitan area, including the communities of bridgeton, florissant, hazelwood, st. Ann, st. John, Maryland heights, overland and communities in st. Charles county. Depaul hospital offers a wide range of comprehensive medical care, a level i time critical diagnosis stemi center and a joint commission-certified comprehensive stroke center. Depaul hospital uses some of the most advanced technology and procedures available in minimally invasive heart, spine, knee, hip and weight loss surgery. All patient rooms are private, allowing patients and families to rest and heal in a quiet, soothing environment. Each and every day the compassionate employees and physicians at depaul hospital bring hope and healing to st. Louis.ssm health st. Mary's hospital - st. Louis (st. Mary's hospital) is a two-time winner of the premier award for quality and has earned the joint commission's gold seal of approval for the advanced primary heart attack center certification. Centrally located in metro st. Louis, it provides exceptional care to all patients and are a level ii time critical diagnosis stemi center. St. Mary's hospital specializes in high-risk pregnancy care. Additionally, st. Mary's hospital has a chest pain center, certified stroke center, and imaging and outpatient services ensure patients are well taken care of in any situation. St. Mary's hospital also operates as a teaching hospital, offering an independent, accredited internal medicine residency program and serves as the primary location for st. Louis university school of medicine's department of obstetrics and gynecology and its family practice residency programs.ssm health st. Joseph hospital - st. Charles continues to meet the evolving health care needs of our patients and community. Located conveniently in historic downtown st. Charles, our 329-bed acute care hospital is a joint commission-certified primary stroke center, a level ii time critical diagnosis stemi center, and a bronze standard, level 3 geriatric emergency department. Our heritage of healing the st. Charles community continues today with the exceptional and compassionate care you'll receive with ssm health.ssm health st. Clare hospital - fenton, a primary stroke center, level ii time critical diagnosis stemi center, and a primary heart attack center serves the medical needs of the expanding community in southwest st. Louis county. Specializing in heart and vascular, neurosciences, cancer care, maternity and other medical services, ssm health st. Clare hospital - fenton makes your health and wellness a primary focus.ssm health st. Joseph hospital - lake st. Louis, established in 1986, offers residents of western st. Charles, lincoln, and warren counties exceptional health care close to home. Our 216-bed hospital is a state-designated level iii trauma center, a level ii time critical diagnosis stemi center and specializes in obstetric and pediatric care, as well as many other specialties.ssm health st. Joseph hospital - wentzville is the high-quality, health care provider t
Operating model
- Revenue model
- Other-operating. 99% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 99% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.
Rating breakdown
- Financial Efficiency: 72
- Transparency & Controls: 68
- Accountability: 63
- Sustainability: 42
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 74%; rating input score 74
- Program expense ratio: 77.9%; rating input score 78
- Fundraising efficiency: $10.03 raised per $1 spent on fundraising; rating input score 42; 42nd percentile among comparable filings
Transparency & Controls
- Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: 98.6%; rating input score 99; 36th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Scored; rating input score 0
Accountability
- Independent voting board: 60%; rating input score 60; 16th percentile among comparable filings
- Governance controls: 6 of 9 controls in place; rating input score 67
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Fail
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 5%; rating input score 57; 57th percentile among comparable filings
- Total-asset coverage ratio: 0.52; rating input score 19; 19th percentile among comparable filings
- Liabilities to assets ratio: 1.27; rating input score 3; 3rd percentile among comparable filings
- Officer compensation ratio: 0.9%; rating input score 75; 75th percentile among comparable filings
Growth
- Program expense growth: 4.7% per year; rating input score 100; 37th percentile among comparable filings
- Revenue growth: 4.8% per year; rating input score 100; 41st percentile among comparable filings
- Asset growth: 4.3% per year; rating input score 100; 30th percentile among comparable filings
Details
- Where the money goes: 74% of revenue deployed · 77.9% of spending went to programs
- Governance: 6 of 10 board members independent · 6 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $1.6B in reported program spending
- Leadership: top reported pay $7.9M · 32 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $47.5M reported
- Consistency: 35 of 36 current checks pass · 1 finding to review
- Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 27 filed money-flow records
- Related organizations: 105 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Review — Accountability: Governance controls: 3 of 9 not reported.
- Moderate — Financial Efficiency: Fundraising efficiency scored 42/100.
- High — Transparency & Controls: Related-party transparency scored 0/100.
- High — Sustainability: Total-asset coverage ratio scored 19/100.
- Review — Sustainability: Operating margin scored 57/100.
- High — Sustainability: Liabilities to assets ratio scored 3/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.