THE SARAH COMMUNITY

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1997

Legal Domicile

Principal Officer

SR JUDITH BELL

Phone

3149947800

Tax Period

2023-01-01 to 2023-12-31

THE SARAH COMMUNITY, founded in 1997, is a mid-sized nonprofit in the Human Services sector that reported $21.1M in total revenue in fiscal year 2023. Revenue grew 15% year-over-year, indicating healthy expansion.

Mission

THROUGH OUR EXCEPTIONAL HEAL TH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.

Program Service Accomplishments

Program 1

Expenses: $19,059,348 Revenue: $20,116,567

BRIEFLY DESCRIBE THE ORGANIZATION'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 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, 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 HEAL TH'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 HEAL TH AND WELLNESS TOUCHES EVERY PERSON AND THEIR QUALITY OF LIFE, THOSE IMPACTS NEED TO BE ADDRESSED. SSM HEAL TH FOUNDATION - ST. LOUIS SEEKS TO PROMOTE AND ADVANCE QUALITY HEAL TH 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 HEAL TH HOSPITALS IN THE ST. LOUIS METROPOLITAN AREA: SSM HEAL TH DEPAUL HOSPITAL - ST. LOUIS, SSM HEAL TH 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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $98,949

Program Service Revenue $20,116,567

Investment Income $625,755

Other Revenue $295,975

TOTAL REVENUE $21,137,246

Expense Breakdown

Grants Paid $1,000

Salaries & Benefits $10,738,757

Fundraising Expenses $0

Program Expenses $19,059,348

Other Expenses $10,143,401

TOTAL EXPENSES $20,883,158

Year-over-Year Comparison

	2023	2022	Change
Revenue	$21,137,246	$18,350,734	+0.2%
Expenses	$20,883,158	$20,284,356	+0.0%
Net Income	$254,088	$-1,933,622	-1.1%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

291

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$11,527,798

Total Directors

$2,578,692

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
SR TERESA GEORGE DC	DIRECTOR - PART YEAR	1.00	Director	$0	$0	$0
SRKARL MARY WINKELMANN SSND	DIRECTOR	1.00	Director	$0	$0	$0
TINA GARRISON	DIRECTOR, REGIONAL CHIEF OPERATING OFFICER	1.00	Director	$0	$266,288	$956,018
SR IRMA KENNEBECK FSM	DIRECTOR - PART YEAR	1.00	Director	$0	$0	$0
SR DAWN ACHS SSND	DIRECTOR - PART YEAR	1.00	Director	$0	$0	$0
SR ANNE STEVENS SL	DIRECTOR - PART YEAR	1.00	Director	$0	$0	$0
MICHAEL JAMES RAKEY II	DIRECTOR	1.00	Director	$0	$0	$0
DIAN DAVITT	DIRECTOR	1.00	Director	$0	$0	$0
SRMARY CATHERINE DUNN DC	DIRECTOR	1.00	Director	$0	$0	$0
SRLYNNE LIEUX RSCJ	DIRECTOR	1.00	Director	$0	$0	$0
KAREN REWERTS	DIRECTOR, PT YR TRESURER, VP FINANCE SSM HEALTH	1.00	Officer Director	$0	$287,514	$1,088,845
DG GLOEDE	DIRECTOR, PY CHAIRPERSON, PRESIDENT SSM POST ACUTE	1.00	Officer Director	$0	$181,038	$533,829
JAYNE LYNCH	PT YR DIRECTOR, SECRETARY	1.00	Officer Director	$0	$0	$0
JOHN O'SHAUGHNESSY	PT YR DIRECTOR, TREASURER	1.00	Officer Director	$0	$0	$0
MARY ANN DRAKE	DIRECTOR, VICE PRESIDENT	1.00	Officer Director	$0	$0	$0
SR JUDITH BELL FSM	DIRECTOR, PRESIDENT, CHAIRPERSON - PART YR	1.00	Officer Director	$0	$0	$0
DOUGLAS LONG	SECRETARY, CHIEF LEGAL COUNSEL	1.00	Officer	$0	$777,013	$2,202,252
STEVE SMOOT	VICE PRESIDENT, COO OF SSM HEALTH	1.00	Officer	$0	$888,561	$3,963,524
RANDY COMBS - PART YEAR	TREASURER, CFO SSM HEALTH	1.00	Officer	$0	$1,238,074	$3,420,428
KEVIN SMITH - PART YEAR	TREASURER, CFO SSM HEALTH	1.00	Officer	$0	$99,334	$318,920
TRACY HAARMANN	EXECUTIVE DIRECTOR	40.00	Officer	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$21,137,246	$20,883,158	$35,774,573	$254,088
2022	$18,350,734	$20,284,356	$32,438,130	$-1,933,622
2021	$17,605,015	$17,615,330	$41,387,410	$-10,315
2020	$20,033,196	$17,774,559	$43,078,275	$2,258,637
2019	$19,997,644	$17,954,741	$41,633,045	$2,042,903
2018	$18,224,960	$18,117,816	$41,947,775	$107,144