Form 990 for tax year 2023
Filed by SSM HEALTH CARDINAL GLENNON TRANSPORT.
Totals
- Total revenue
- $2,128,317
- Total expenses
- $4,914,130
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- not reported
- Investment income
- not reported
- Other revenue
- not reported
- Total assets, end of year
- not reported
- Total liabilities, end of year
- not reported
- Net assets or fund balances, end of year
- not reported
- Program services expenses (Part IX)
- $4,914,130
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $4,914,130
Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
JAN CERNY
DIRECTOR, VICE CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
JEREMY FOTHERINGHAM
CHAIRPERSON AND PRESIDENT
- Total calculated
- $1,813,400
- From this org
- $0
- From related orgs
- $1,125,814
- Other
- $687,586
- Hours/week
- 1 + 42 related
Schedule J breakdown matched by us
- Base
- $0 + $789,865 related
- Bonus
- $0 + $334,239 related
- Other
- $0 + $1,710 related
- Deferred
- $0 + $648,534 related
- Nontaxable benefits
- $0 + $39,052 related
- Filer's total
- $0 + $1,813,400 related
-
STEVE SMOOT
VICE PRESIDENT, COO OF SSM HEALTH
- Total calculated
- $3,258,847
- From this org
- $0
- From related orgs
- $2,054,358
- Other
- $1,204,489
- Hours/week
- 1 + 65 related
Schedule J breakdown matched by us
- Base
- $0 + $1,173,646 related
- Bonus
- $0 + $737,192 related
- Other
- $0 + $143,520 related
- Deferred
- $0 + $1,164,125 related
- Nontaxable benefits
- $0 + $40,364 related
- Filer's total
- $0 + $3,258,847 related
-
CHRISTINE JACOBS MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
DENNIS HARMS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
DOUGLAS PETTY PHD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
JOSEPH YANCY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
STEVEN SMITH
DIRECTOR
- Total calculated
- $51,274
- From this org
- $0
- From related orgs
- $38,560
- Other
- $12,714
- Hours/week
- 1 + 3 related
-
TIMOTHY JOHNSON MD
DIRECTOR
- Total calculated
- $1,050,690
- From this org
- $0
- From related orgs
- $749,701
- Other
- $300,989
- Hours/week
- 1 + 3 related
Schedule J breakdown matched by us
- Base
- $0 + $546,303 related
- Bonus
- $0 + $162,711 related
- Other
- $0 + $40,687 related
- Deferred
- $0 + $266,170 related
- Nontaxable benefits
- $0 + $34,819 related
- Filer's total
- $0 + $1,050,690 related
-
DOUGLAS LONG
SECRETARY
- Total calculated
- $2,202,252
- From this org
- $0
- From related orgs
- $1,425,239
- Other
- $777,013
- Hours/week
- 1 + 72.2 related
Schedule J breakdown matched by us
- Base
- $0 + $759,270 related
- Bonus
- $0 + $495,539 related
- Other
- $0 + $170,430 related
- Deferred
- $0 + $753,634 related
- Nontaxable benefits
- $0 + $23,379 related
- Filer's total
- $0 + $2,202,252 related
-
MELISSA FLAHERTY
ASSISTANT SECRETARY
- Total calculated
- $0
- Hours/week
- 1 + 40 related
-
KEVIN SMITH
TREASURER - PART YEAR
- Total calculated
- $318,920
- From this org
- $0
- From related orgs
- $219,586
- Other
- $99,334
- Hours/week
- 1 + 69 related
Schedule J breakdown matched by us
- Base
- $0 + $117,134 related
- Bonus
- $0 + $102,320 related
- Other
- $0 + $132 related
- Deferred
- $0 + $96,255 related
- Nontaxable benefits
- $0 + $3,079 related
- Filer's total
- $0 + $318,920 related
-
RANDY COMBS
TREASURER - PART YEAR
- Total calculated
- $3,420,428
- From this org
- $0
- From related orgs
- $2,182,354
- Other
- $1,238,074
- Hours/week
- 1 + 69 related
Schedule J breakdown matched by us
- Base
- $0 + $1,242,308 related
- Bonus
- $0 + $669,269 related
- Other
- $0 + $270,777 related
- Deferred
- $0 + $1,203,989 related
- Nontaxable benefits
- $0 + $34,085 related
- Filer's total
- $0 + $3,420,428 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 4B
- SSM HEAL TH (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: DOUGLAS LONG $161,286 JEREMY FOTHERINGHAM $158,615 KEVIN SMITH $95,493 RANDY COMBS $261,633 STEVE SMOOT $249,972 TIM JOHNSON $54,877 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. STEVE SMOOT $140,898 TIM JOHNSON $38,977
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH MINISTRIES
-
501(C)(3) · INSURANCE · MO
Directly controlled by SSM HEALTH CARE CORPORATION
-
SSM CONSOLIDATED HEALTH SERVICES
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE CORPORATION
-
501(C)(4) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE CORPORATION
-
SSM HEALTH CARE PORTFOLIO MANAGEMENT CO
501(C)(3) · MANAGEMENT · MO
Directly controlled by SSM HEALTH CARE CORPORATION
-
SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE ST LOUIS
-
CARDINAL GLENNON CHILDREN'S FOUNDATION
501(C)(3) · FUNDRAISING · MO
Directly controlled by SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
-
SSM HEALTH FOUNDATION - ST LOUIS
501(C)(3) · FUNDRAISING · MO
Directly controlled by SSM HEALTH CARE ST LOUIS
-
SSM HEALTH CARE OF OKLAHOMA INC
501(C)(3) · HEALTH CARE · OK
Directly controlled by SSM HEALTH CARE CORPORATION
-
THE ST ANTHONY HOSPITAL FOUNDATION INC
501(C)(3) · FUNDRAISING · OK
Directly controlled by SSM HEALTH CARE OF OKLAHOMA
-
SSM HEALTH CARE OF WISCONSIN INC
501(C)(3) · HEALTH CARE · WI
Directly controlled by SSM HEALTH CARE CORPORATION
-
501(C)(2) · MOB · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
501(C)(3) · FUNDRAISING · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
ST CLARE HEALTH CARE FOUNDATION INC
501(C)(3) · FUNDRAISING · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
SSM HEALTH AT HOME FOUNDATION OF WISCONSIN INC
501(C)(3) · FUNDRAISING · WI
Directly controlled by HOME HEALTH UNITED INC
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE CORPORATION
-
ST MARY'S HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION
501(C)(3) · FUNDRAISING · MO
Directly controlled by SSM REGIONAL HEALTH SERVICES
-
GOOD SAMARITAN REGIONAL HEALTH CENTER
501(C)(3) · HEALTH CARE · IL
Directly controlled by SSM REGIONAL HEALTH SERVICES
-
ST MARY'S HOSPITAL CENTRALIA ILLINOIS
501(C)(3) · HEALTH CARE · IL
Directly controlled by SSM REGIONAL HEALTH SERVICES
-
ST MARY'S - GOOD SAMARITAN INC
501(C)(3) · HEALTH CARE · IL
Directly controlled by SSM REGIONAL HEALTH SERVICES
-
GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION
501(C)(3) · FUNDRAISING · IL
Directly controlled by ST MARY'S-GOOD SAMARITAN INC
-
501(C)(3) · FUNDRAISING · IL
Directly controlled by ST MARY'S-GOOD SAMARITAN INC
-
501(C)(3) · FUNDRAISING · IL
Directly controlled by ST MARY'S HOSPITAL FOUNDATION
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE CORPORATION
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE CORPORATION
-
CENTRALIA MEDICAL SERVICES BLDG ASSOC
501(C)(3) · MOB · IL
Directly controlled by SSM REGIONAL HEALTH SERVICES
-
ST MARY'S JANESVILLE FOUNDATION INC
501(C)(3) · FUNDRAISING · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
501(C)(3) · RELIGIOUS ORGANIZATION · MO
-
501(C)(3) · MOB · OK
Directly controlled by SSM HEALTH CARE OF OKLAHOMA
-
501(C)(3) · FUNDRAISING · MO
-
GOOD SAMARITAN HOSPITAL AUXILIARY
501(C)(3) · FUNDRAISING · IL
-
ST ANTHONY SHAWNEE HOSPITAL INC
501(C)(3) · HEALTH CARE · OK
Directly controlled by SSM HEALTH CARE OF OKLAHOMA
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM REGIONAL HEALTH SERVICES
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE ST LOUIS
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
SISTER SERVANTS OF CHRIST THE KING VILLA LORETTO
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
THE CHRISTIAN HOME AND REHABILITATION CENTER INCORPORATED
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
MONROE CLINIC AND HOSPITAL FOUNDATION INC
501(C)(3) · FUNDRAISING · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
AGNESIAN HEALTHCARE FOUNDATION INC
501(C)(3) · FUNDRAISING · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
SHARED MAGNETIC RESONANCE IMAGING FACILITY INC
501(C)(3) · HEALTH CARE · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
SSM HEALTH CARDINAL GLENNON TRANSPORT
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
-
501(C)(3) · FUNDRAISING · MO
Directly controlled by SSM HEALTH CARE CORPORATION
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE ST LOUIS
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH BUSINESSES
-
VISITING NURSE ASSOCIATION OF GREATER ST LOUIS
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH BUSINESSES
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
SSM ST JOSEPH ENDOSCOPY CENTER LLC
SURGERY SERVICES · MO
-
DIAG. SERVICES · WI
-
MT VERNON RADIATION THERAPY CENTER LLC
RADIATION THERAPY · IL · general or managing partner
-
SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS LLC
DIAG. SERVICES · IL
-
MOB · IL
-
MOB · IL
-
SHAWNEE REAL ESTATE HOLDINGS LLC
MOB · OK
-
DEAN CLINIC & ST MARY'S HOSPITAL ACCOUNTABLE CARE ORGANIZATION LLC
ACCOUNTABLE CARE ORGANIZATION · WI
-
WISCONSIN INTEGRATED INFORMATION TECHNOLOGY AND TELEMEDICINE SYSTEMS LLC
INFORMATION TECHNOLOGY SERVICES · WI
-
MOB · WI
-
JANESVILLE RIVERVIEW CLINIC BUILDING PARTNERSHIP
MOB · WI
-
MOB · OK · general or managing partner
-
SSM ST CLARE SURGICAL CENTER LLC
SURGERY SERVICES · MO
-
INVESTMENTS · MO
-
PHARMACY BENEFIT MANAGEMENT · WI
-
HEALTH CARE · DE
-
PHARMACY BENEFIT MANAGEMENT · DE
-
PHARMACY BENEFIT MANAGEMENT · TN
-
PHARMACY BENEFIT MANAGEMENT · TN
-
BLOOM TREE LONG-ONLY FUND QP LP FKA BLOOM TREE PONDEROSA FUNDS QP LP
INVESTMENTS · DE
-
INVESTMENTS · DE
-
BISON CAPITAL PARTNERS VI-A LP
INVESTMENTS · DE
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
SSM ST JOSEPH ENDOSCOPY CENTER LLC
SURGERY SERVICES · MO · share of income $3,294,282 · share of assets $2,808,455 · controlled entity
Directly controlled by SSM HEALTH CARE ST LOUIS
-
DIAG. SERVICES · WI · share of income $722,657 · share of assets $2,909,989 · controlled entity
Directly controlled by SSM HEALTH CARE OF WISCONSIN INC
-
MT VERNON RADIATION THERAPY CENTER LLC
RADIATION THERAPY · IL · share of income $181,095 · share of assets $2,772,070 · controlled entity
Directly controlled by GOOD SAMARITAN REGIONAL HEALTH CENTER
-
SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS LLC
DIAG. SERVICES · IL · share of income $81,194 · share of assets $1,600,467 · controlled entity
Directly controlled by GOOD SAMARITAN REGIONAL HEALTH CENTER
-
MOB · IL · controlled entity
-
MOB · IL · controlled entity
-
SHAWNEE REAL ESTATE HOLDINGS LLC
MOB · OK · share of income $769,645 · share of assets $5,512,237 · controlled entity
Directly controlled by SSM HEALTH CARE OF OKLAHOMA INC
-
DEAN CLINIC & ST MARY'S HOSPITAL ACCOUNTABLE CARE ORGANIZATION LLC
ACCOUNTABLE CARE ORGANIZATION · WI · controlled entity
Directly controlled by SSM HEALTH CARE OF WISCONSIN INC
-
WISCONSIN INTEGRATED INFORMATION TECHNOLOGY AND TELEMEDICINE SYSTEMS LLC
INFORMATION TECHNOLOGY SERVICES · WI · share of income -$2,393 · share of assets $3,246,836 · controlled entity
Directly controlled by SSM HEALTH CARE OF WISCONSIN INC
-
MOB · WI · controlled entity
-
JANESVILLE RIVERVIEW CLINIC BUILDING PARTNERSHIP
MOB · WI · controlled entity
-
MOB · OK · controlled entity
Directly controlled by SSM HEALTH CARE OF OKLAHOMA INC
-
SSM ST CLARE SURGICAL CENTER LLC
SURGERY SERVICES · MO · controlled entity
-
INVESTMENTS · MO · share of income $41,401 · controlled entity
Directly controlled by CARDINAL GLENNON CHILDREN'S FOUNDATION
-
PHARMACY BENEFIT MANAGEMENT · WI · controlled entity
-
HEALTH CARE · DE · controlled entity
Directly controlled by SSM HEALTH CARE ST LOUIS
-
PHARMACY BENEFIT MANAGEMENT · DE · controlled entity
-
PHARMACY BENEFIT MANAGEMENT · TN · controlled entity
-
PHARMACY BENEFIT MANAGEMENT · TN · controlled entity
-
BLOOM TREE LONG-ONLY FUND QP LP FKA BLOOM TREE PONDEROSA FUNDS QP LP
INVESTMENTS · DE · share of income -$799,447 · controlled entity
Directly controlled by SSM HEALTH CARE PORTFOLIO MANAGEMENT COMPANY
-
INVESTMENTS · DE · share of income $161,416 · share of assets $4,201,201 · controlled entity
Directly controlled by SSM HEALTH CARE PORTFOLIO MANAGEMENT COMPANY
-
BISON CAPITAL PARTNERS VI-A LP
INVESTMENTS · DE · controlled entity
Directly controlled by SSM HEALTH CARE PORTFOLIO MANAGEMENT COMPANY
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 23 December 2024
- IRS schema version
- 2023v5.1
- Source object
- 202403589349301070
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