4A (Expenses $ 334261332 including grants of $ 111173) (Revenue $ 400208481)
PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.

Schedule H, Part V, Section B, Line 3E
THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.

Schedule H, Part V, Section B, Line 5 Facility A, 1
Facility A, 1 - SSM Health Cardinal Glennon Children's Hospital. A single online community health needs assessment survey was available for community members across multiple service areas of all collaborating hospital systems, inclusive of Missouri and Illinois. The online community survey was available to complete from April 2021 through July 2021. This survey asked about people's personal health, their thoughts about the community's health, and provided sections for people to provide on ways to improve both individual and community health. The survey took an average of 10 minutes to complete with a total of 2,915 individuals completing the survey. A total of 378 responses were received from St. Louis City zip codes, accounting for 13 percent of survey responses. All respondents were asked to provide their primary zip codes, which were tagged according to the SSM and partner hospital CHNA community geographies. Community members had the option to submit open ended responses, comments and suggestions throughout the survey. Additionally, community conversations were held virtually, engaging individuals from SSM Health service areas where response rates were significantly lower in comparison to other service areas. These conversations helped us learn more about residents' concerns, solicit ideas, learn of their health care experiences and identify opportunities for improvement. These conversations also provided critical insight on community perceptions and generated ideas on how to improve health care access and resources. Community leaders were also engaged to complete the Stakeholder CHNA survey. Stakeholders included a diverse group of community professionals from organizations across service areas, providing a vast array of critical services including health access, social needs, education and emergency services. Upon completion, surveys were analyzed through the survey platform in order to identify common themes. Secondary data was collected from multiple sources including The County Health Rankings, ExploreMoHealth, and Think Health St. Louis. Analysis of these data sources revealed not only the most burdensome health issues, but also health disparities and key issues impacting social determinants of health. Data assessed included demographic information, chronic disease and morbidity/mortality information, health status indicators, health behaviors and general environment information. This data is compared to state and national benchmarks. Primary and secondary data were weighted in order to determine highest priority community health needs, based on importance to community members and the hospital's ability to make meaningful impact over the next several years.

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - SSM Health Cardinal Glennon Children's Hospital. The hospital conducted and completed its 2021 CHNA jointly with SSM Health St. Mary's Hospital - St. Louis and SSM Health Saint Louis University Hospital.

Schedule H, Part V, Section B, Line 11 Facility A, 1
Facility A, 1 - SSM Health Cardinal Glennon Children's Hospital. The hospital identified various health needs in the 2021 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Behavioral health - Obesity/chronic conditions - Violence/injury prevention Behavioral health Behavioral Health (BH), inclusive of mental health and substance use disorders, was determined to be a priority health need in each hospital ministry community's CHNA process. The burden of mental illness in the United States is among the highest of all diseases, and mental disorders are among the most common causes of disability. Substance abuse disorders have a major impact on individuals, families, and communities. The effects of substance abuse are cumulative, significantly contributing to costly social, physical, mental, and public health problems. In St. Louis City, residents experience an average of 5 poor mental health days per month, above the statewide average of 4.5. and sixteen percent of St. Louis City resident experience mental health distress. The hospital is involved in the following initiatives to improve behavioral health in the community served: - Increase access to existing BH programs/services - Strengthen internal BH services & capacities - Support initiatives that build capacity of local partners addressing access to BH services and care - Support/advocate for policies that improve access and services to BH - Promote efforts that empower local communities to drive change - Fund evidence based & innovative approaches - Ensure Data Equity - Promote public health education & strategic communication The short-term and long-term impacts of these activities are as follows: - Consistent and strategic SSM community partnerships focused on behavioral health - Increased internal and community knowledge & awareness of the importance and impact of BH access & care - Increased policies supporting equitable behavioral health treatment & care - Healthier communities with improved access to mental health/substance abuse care - Increased advocacy Obesity/Chronic conditions Good nutrition, physical activity, and a healthy body weight are essential parts of a person's overall health and well-being. Most Americans, however, do not eat a healthful diet and are not physically active at levels needed to maintain proper health and weight. In St. Louis City, 35% of Adults are considered obese and about 30% report no leisure time physical activity. Additionally, St. Louis City ranks below the state average when considering factors that contribute to healthy food environments. Chronic diseases, often strongly linked to obesity, are the leading cause of death and disability in the United States, causing 7 out of 10 deaths each year. Examples of chronic diseases include cardiovascular disease, arthritis, diabetes and cancer. Healthy Eating & Active Living (HEAL) is essential to managing obesity and chronic diseases. The hospital is implementing the following measures to improve obesity and chronic conditions in the community: - Support initiatives that build capacity of local partners addressing obesity/chronic disease - Increase access to chronic disease management services - Support/advocate for policies that improve access to healthy eating/active living (HEAL) - Strengthen internal awareness/knowledge of obesity disparities through education, skills development - Direct and/or collaborative funding - Ensure data Equity & evaluation focused on measurable impacts - Public Health Education & strategic communications The short-term and long-term impacts of these activities are as follows: - Strategic SSM community partnerships focused on food insecurity/healthy food access & physical activity - Increased internal and community awareness & knowledge of importance of healthy eating & chronic disease management - Increased community consumption of healthy foods - Increased community physical activity - Improved community environments, schools and worksites that support HEAL - Increased advocacy for change - Increased policies supporting healthy living for all Violence/injury prevention Violence, as well as unintentional injuries are widespread in society. Both unintentional injuries and those caused by act of violence are among the top 15 killers for Americans of all ages. Beyond their immediate health consequences, injuries and violence have a significant impact on the well-being of Americans. Unintentional injuries are a leading killer of children ages 1-17 in Missouri. Easier access to safety measures such gun safety locks, car seats and poison prevention strategies help to reduce such preventable injuries. Violence in St. Louis City has been a long-standing challenge for local residents, however, in 2021, homicides in St. Louis City dropped 25% - a testament to how collective action and region-wide collaboration can begin to make a positive difference when addressing complex community issues. To stay on this track, we must continue to invest in innovative programs, policies and leadership for sustained action. The hospital has the following action plan in place to improve violence/injury prevention: - Increase access to trauma and social needs services - Support initiatives that build capacity of community partners addressing violence/injury prevention - Support/advocate for policies that decrease violence & injury prevention - Strengthen internal capacities to address violence/injury prevention through education, sills building - Direct and/or collaborative funding - Ensure data equity & evaluation focused on measurable impacts - Support public health education & strategic communication The short-term and long-term impacts of these activities are as follows: - Increased, more consistent SSM community partnerships focused on violence and injury - prevention - Increased internal and community awareness & knowledge of the effects of violence, trauma and unintentional injuries on vulnerable patients/communities - Healthier, safer homes and community environments - Increased policies supporting violence & injury prevention - Increased advocacy for change The hospital has no plans to discontinue other community benefit efforts to address additional health needs as outlined in its CHNA.

Schedule H, Part I, Line 3c Discounted Care Exceptions
"Patients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called ""presumptive eligibility."""

Schedule H, Part VI, Line 5 Promotion of Community Health (Continued)
In response to the global coronavirus pandemic, SSM Cardinal Glennon Children's Hospital worked relentlessly to respond to community needs by developing and implementing strategies to address social needs of those served, providing screening & testing services, personal protective equipment and education throughout the community, as well as treatment for those who presented with COVID-19. Glennon also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs * Cardinal Glennon is committed to providing a high quality patient care delivery system which includes the reinvestment of surplus funds

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
SSM Health Care Corporation, 46-6029223

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
The amounts reported on Form 990, Schedule H, Part I, Line 7a, 7b, and 7c were determined using the cost to charge ratio derived from worksheet 2 in the schedule h instructions. Form 990, schedule h, part I, Lines 7e, 7f, 7g, 7h, and 7i are reported at cost as reported in the organization's financial statements. The calculation of Schedule H, Part I, Line 7, Column F utilizes 990, Part IX, Line 25, Column A, which does not include Bad Debt Expense.

Schedule H, Part II Community Building Activities
SSM CARDINAL GLENNON CHILDREN'S HOSPITAL PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING: COALITION BUILDING: Cor Jesu High School Professional Development Presentation on a Career in Dietetics; COMMUNITY HEALTH IMPROVEMENT ADVOCACY: EFFORTS TO GENERATE COMMUNITY-WIDE IMPROVEMENT AND RESPONSE FROM GOVERNMENT AND PRIVATE ORGANIZATIONS, INCLUDING ADVOCACY ON PUBLIC POLICY ISSUES THAT GO BEYOND HEALTH CARE, SUCH AS HOUSING, SAFETY, AND EDUCATION.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
FOR FINANCIAL STATEMENT PURPOSES, SSM Health HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER NORTON HOSPITAL'S FINANCIAL ASSISTANCE POLICY ON A GROSS BASIS.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
SSM Health Cardinal Glennon Children's Hospital is part of the SSM Health consolidated audit. The footnote that references the treatment of uncollectible accounts and implicit price concessions in the December 31, 2021 consolidated audit is contained on page 13, 14 and 15 of the attached financial statements.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
"SSM Health Cardinal Glennon Children's Hospital has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable, The Health Center embraces its responsibility to serve the communities in which it participates by establishing sound business practices. The Health Center's billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after 120 days. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from SSM prior to engaging in ECAs. SSM will review the accounts and verify satisfactory completion of reasonable efforts during the notification and application period. A waiver is not considered reasonable efforts. Obtaining a signed waiver that an individual does not wish to apply for FAP assistance or receive FAP application information will not meet the requirement to make ""reasonable efforts"" to determine whether the individual is FAP-eligible before engaging in ECAs. All outside collection agencies must comply with state and federal laws, comply with the association of credit and collection professional's code of ethics and professional responsibility and comply with SSM Health Cardinal Glennon Children's Hospital's collection and financial assistance policies."

Schedule H, Part VI, Line 5 Promotion of Community Health (Continued)
"E. PACTS for Life/PALS PACTS for Life (Pediatric Advanced Cardiorespiratory and Trauma Support for life) was created by Cardinal Glennon emergency physician Anthony Scalzo, M.D., and provides training for caregivers in emergency life support. PALS (Pediatric Advanced Life Support) is the result of a collaboration between the American Heart Association (AHA) and the American Academy of Pediatrics. The courses are designed to provide caregivers with skills which will enable them to both recognize the potential for respiratory and/or cardiac arrest in infants and children, and intervene in an appropriate manner by providing a systemic approach to these patients. The courses are offered to physicians, nurses, paramedics, respiratory therapists, and other health care providers, and carry continuing education credits. F. School Partnership Program Children who are hospitalized or who live with chronic illness benefit from keeping much of their regular routines from their lives outside the hospital. Attending school, working on school academics and completing schoolwork are a healthy part of a child's life routine. Participating in school activities can give children hope of returning to normal events. To meet this very important need for normalcy and development, Cardinal Glennon has its very own school, the Shining Star School. Shining Star School helps promote general academic development, social and emotional development as well as the overall well-being of individual children and groups in the hospital setting. G. Community Education Cardinal Glennon provides education classes at various events throughout the area including: School Tools for Nurses through the School Nurse Partnership and coordinating activities/presentations to outside special groups regarding child life, including coordinating service project volunteers; Rally Squirrel Safety Treehouse in the Dan Dierdorf Emergency Center which provides tools to educate parents in the areas of environmental safety, home safety, disaster preparedness, and sports safety to decrease the risk of pediatric injury; H. Dorothy and Larry Dallas Heart Center The Dorothy and Larry Dallas Heart Center provides comprehensive heart care for children with heart defects and other problems. Through advanced diagnosed imaging, heart experts can determine if a baby has a heart problem while still in the womb and work with the family to determine the best course of action to treat the issue. The Dallas Heart Center has the most advanced diagnostic equipment to learn more about a child's heart through less invasive procedures. Digital echo technology and a cardiac ultrasound machine with advanced 3D imaging allow doctors to see 3D heart imaging in real time to make the most accurate diagnosis. I. St. Louis Fetal Care Institute The St. Louis Fetal Care Institute serves families across the country by offering the most comprehensive fetal care program in middle America. A multi-disciplinary team of pediatric and high-risk maternity experts are able to treat life-threatening conditions in babies before birth. Although many fetal conditions require only careful monitoring and preparation for the baby's birth, many conditions that threaten a baby's quality of life can be surgically corrected while the baby is still in the womb. In conditions such as Twin-Twin Transfusion Syndrome, congenital diaphragmatic hernia, amniotic band syndrome and large tumors, physicians have been able to provide life-changing intervention to allow a baby to be born healthy. Babies with Myelomeningocele, the most severe form of spina bifida, have been significantly helped through surgical intervention. The internationally known MOMS Trial determined that babies who have their spina bifida addressed through surgery in the womb have better function and do better as they age than babies who did not receive surgical intervention. The St. Louis Fetal Care Institute has become one of the only centers in the country to provide this type of life-changing surgery and has helped a number of children whose live would have otherwise been significantly different. J. Knights of Columbus Developmental Center The Knights of Columbus Developmental Center is an 11,000-square-foot space dedicated to helping children with autism and other neurodevelopmental disorders. The facility enables experts to see children with special needs in a health care setting developed just for them, outside the distractions of the hospital. The Knights of Columbus Developmental Center at SSM Cardinal Glennon helps children with autism and neurodevelopmental disorders to reach their highest potential through comprehensive evaluation, care, family guidance, education and innovative research. Children with autism spectrum disorders receive innovative care to treat their complex diagnoses. The multi-disciplinary provides applied behavioral analysis, speech and language therapy, occupational therapy and physical therapy as needed to children with autism. A PEERS Social Skill program teaches children with autism how to interact with others, which is often challenging for children on the autism spectrum disorder. The Knights of Columbus Developmental Center also has a dog therapy program. Trained therapy dog Higgins, a Goldendoodle, works with children to make them more comfortable with medical treatment and provide distraction during therapy sessions. K. Pediatric Research Institute The Pediatric Research Institute operates to improve and assure the health and safety of children in the greater St Louis area, promoting research that advances the knowledge and management of childhood health and diseases, a number of nationally known physician-scientists conduct research that can be applied to the clinical setting to improve disease prevention and treatment. Ongoing programs include the study of pediatric infections and vaccine development, cardiac transplant rejection, liver disease, metabolic diseases and neonatal lung inflammation. L. Community Outreach Cardinal Glennon supports numerous outreach programs throughout the community including: Holding a free public flu clinic; sponsoring a Milk Depot or ""drop Off"" for mothers in the community that want to donate breast milk to the Milk Bank; serving as Board members for organizations promoting community health related endeavors; providing funding for medication for children when families are unable to pay; donating medication to mission trips; providing meal tickets and cab fare to family members of patients; providing conference room space to organizations aligned with our mission/values. M. The Dan Dierdorf Emergency and Trauma Center The Dan Dierdorf Emergency and Trauma Center at SSM Health Cardinal Glennon Children's Hospital was the first Level I Pediatric Trauma Center in Missouri. We are designated a Level I Pediatric Trauma Center by both Missouri and Illinois. This means we can handle any type of emergency at any time of day. N. The GlennonKids Safety Program The GlennonKids Safety Program at SSM Cardinal Glennon Children's Medical Center and is dedicated to the prevention of childhood injuries. It also serves as the lead agency for Safe Kids St. Louis, a local chapter of the national Safe Kids program. Since its inception more than 20 years ago, the GlennonKids Safety Program has contributed to a 45 % national reduction in child fatalities resulting from unintentional injuries, saving more than 38,000 lives. We partner with Kohl's 4 Kids and West County EMS and Fire Protection District to provide free car seat inspections/ installations by certified child passenger safety (CPS) technicians and distribution of properly fitted bicycle helmets. Nearly 41,000 children visit our Emergency and Trauma Center each year for all types of injuries and illness, ranging from sprains and asthma attacks to serious trauma injuries that may occur during car accidents."

Schedule H, Part V, Section B, Line 16a FAP website
A - SSM Health Cardinal Glennon Children's Hospital: Line 16a URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - SSM Health Cardinal Glennon Children's Hospital: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - SSM Health Cardinal Glennon Children's Hospital: Line 16c URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance;

Schedule H, Part VI, Line 2 Needs assessment
SSM Health (SSMH) participates in Community Benefit according to our vision, Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of SSMH's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always our goal. To fulfill this commitment, SSMH's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). The CHNA is an assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conducted every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Collect data and evaluate progress; report to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). System Office staff and leaders oversee and monitor SSMH's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, SSM Health Care Corporation also identifies needs based on assessments and research, and SSMH facilities also involve case managers and care team staff to pinpoint critical health issues in the community. All hospital CHNAs are completed, approved, and integrated into the organization's strategic plan. We continue to monitor and assess the progress of our local efforts in the spirit of caring for others and improving community health.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
Each entity providing medical service shall provide information to the public regarding its charity care policies and the qualification requirements for each of its facilities. When standard system notices and communication regarding charity care are available, these must be used. Modifications to the standard may be made to comply with state and local laws, as well as reflect culturally sensitive terminology for the policy. All notices are easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They provide information about: * The patient's responsibility for payment, * The availability of financial assistance from public programs and entity charity care and payment arrangements, * The entity's charity policy and application process, and * Who to contact to get additional information or financial counseling. The following types of notices to the public are provided: * Signs in the emergency department, website resources, and public waiting areas. * Brochures or fliers provided at time of registration and available in the financial counseling areas. * Notices sent with or on patient bills or communications sent to patients and guarantors related to medical services. * Applications provided to uninsured patients at the time of registration. The application for charity care, together with any instructions, must clearly state the policies regarding charity care, including excluded services, eligibility criteria and documentation requirements. Information about the entity's charity policies is also provided to public agencies.

Schedule H, Part VI, Line 6 Affiliated health care system
SSM Cardinal Glennon Hospital is a 501(c)(3) non profit corporation operating a children's hospital which serves a 12-county area surrounding the St Louis metropolitan area. It is the only children's hospital in the integrated health care system known as SSM Health.

Schedule H, Part VI, Line 7 State filing of community benefit report
MO

Schedule H, Part VI, Line 4 Community information
SSM Health Cardinal Glennon Children's Hospital is located in St. Louis City within the 63110 zip code. However, as specialty pediatric hospital, the service area also includes the St. Louis metropolitan area and Southern Illinois. Cardinal Glennon serves 276 zip codes in its primary service area and 2,214 zip codes in its secondary / outreach service area. In 2018, the population of St. Louis City was estimated at 302,000. In 2020, the population of St. Louis county was approximately 980,000 Household income is rising for the area, with the average household income at $64,089 and median household income at $43,896. However, 12.24% of individuals age 25 of younger have no high school diploma, compared to 10.08% in Missouri and 12.00% for the U.S. as a whole. Significant to note are the 93.7% of students eligible for free or reduced-price lunches, compared to 50.2% in Missouri and 49.5% for the nation. In St. Louis City, 14.41% of adults are medically uninsured. While this has decreased slightly in recent years, insurance status is a key driver of health. Additional statistical information on the service area for SSM Health Cardinal Glennon Children's Hospital can be found in the 2021 CHNA.

Schedule H, Part VI, Line 5 Promotion of community health
"SSM Health Cardinal Glennon Children's Hospital provides many services to promote the health and well-being of the community we serve, upholding our vision that ""through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically and socially marginalized, will experience improved health in mind, body spirit and environment."" Our primary community outreach initiatives include: A. Special Needs Tracking and Awareness Response System (STARS). Cardinal Glennon created the STARS program to provide focused, individualized training to area hospitals and first responders in more than 30 counties, to help them better care for children living in their districts who have challenging medical needs, such as heart defects, autism, severe neurological disorders and more. The ultimate goal of STARS is to have pertinent, up-to-date information about each STARS child in the hands of first responders before they arrive at the child's home and for community hospitals to be equipped with the knowledge to safely care for these special children. This ultimately helps decrease anxiety (for caregivers as well as the children) and potentially prevents unnecessary hospitalizations, reducing overall health care costs. B. Safety Program and Safe Kids-St. Louis. Through generous funding from Kohl's Department Stores and Safe Kids Worldwide, our program is dedicated to the reduction and prevention of childhood injuries, with a primary focus on child passenger safety and safe sleep. In partnership with more than 50 agencies in St. Louis and surrounding counties, we provide car seat checks and free car seats for families in need. In addition, we provide education on home safety, poison prevention, pedestrian safety, bicycle safety, safe sleep and more, along with resources for at-risk families. C. Perinatal Outreach. This program is designed to improve outcomes for mothers and babies through educational programs and quality improvement initiatives. Programs for both physicians and nurses include topic presentations, case reviews, fetal monitoring classes, neonatal resuscitation training, and training on stabilizing sick or preterm newborns. D. Missouri Poison Center. Since 1986, the Missouri Poison Center has been a trusted resource for families. Each year, more than 100,000 callers are assisted with potential poisonings. In addition, our staff provides education to first responders and health care professionals from across the state on a variety of topics related to poison prevention."