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Nonprofiteer
← THE MONROE CLINIC INC

Form 990 for tax year 2023

Filed by THE MONROE CLINIC INC.

Totals

Total revenue
$219,503,410
Total expenses
$208,370,002
Contributions and grants received
$428,857
Grants paid
$319,804
Program service revenue
$209,989,012
Investment income
$5,907,186
Other revenue
$3,178,355
Total assets, end of year
$301,884,357
Total liabilities, end of year
$41,462,756
Net assets or fund balances, end of year
$260,421,601
Program services expenses (Part IX)
$193,117,132
Management and general expenses
$15,252,870
Fundraising expenses
$0
Program service expenses (Part III)
$193,117,132

Program services were 92.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $156,009

  • 1e · Government grants (contributions)

    $272,848

  • 1g · Noncash contributions included above

    $15,963

  • 2a · Program service revenue: NET PATIENT SERVICE RE

    total $200,955,674 · related or exempt $200,955,674

  • 2b · Program service revenue: PHARMACY REVENUE

    total $6,300,999 · related or exempt $5,280,533 · unrelated business $1,020,466

  • 2c · Program service revenue: CORPORATE FEES

    total $468,171 · related or exempt $468,171

  • 2d · Program service revenue: MANAGEMENT FEES

    total $13,328 · related or exempt $13,328

  • 2f · All other program service revenue

    total $2,250,840 · related or exempt $1,231,294 · unrelated business $1,019,546

  • 3 · Investment income

    total $3,151,641 · excluded $3,151,641

  • 6a · Gross rents

    real property $12,190

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $12,190

  • 6d · Net rental income or loss

    total $12,190 · excluded $12,190

  • 7a · Gross sales of assets other than inventory

    securities $2,715,944 · other assets $39,601

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $2,715,944 · other assets $39,601

  • 7d · Net gain or loss

    total $2,755,545 · excluded $2,755,545

  • 10a · Gross sales of inventory

    $1,081,035

  • 10b · Cost of goods sold

    $147,730

  • 10c · Net income from sales of inventory

    total $933,305 · excluded $933,305

  • 11a · Other revenue: JOINT VENTURE REVENUE

    total $1,751,857 · excluded $1,751,857

  • 11b · Other revenue: CAFETERIA REVENUE

    total $481,003 · excluded $481,003

  • 11e · Other revenue, total

    $2,232,860

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $318,436 · program services $318,436

  • 2 · Grants to domestic individuals

    total $1,368 · program services $1,368

  • 5 · Compensation of officers, directors and key employees

    total $3,959,546 · program services $3,815,897 · management and general $143,649

  • 7 · Other salaries and wages

    total $85,504,903 · program services $82,402,859 · management and general $3,102,044

  • 8 · Pension plan contributions

    total $4,467,244 · program services $4,305,176 · management and general $162,068

  • 9 · Other employee benefits

    total $12,193,519 · program services $11,751,149 · management and general $442,370

  • 10 · Payroll taxes

    total $5,400,199 · program services $5,204,284 · management and general $195,915

  • 11a · Fees: management

    total $63,268 · program services $63,268

  • 11b · Fees: legal

    total $37,352 · program services $108 · management and general $37,244

  • 11g · Fees: other

    total $10,811,780 · program services $10,567,014 · management and general $244,766

  • 12 · Advertising and promotion

    total $20,214 · program services $17,649 · management and general $2,565

  • 13 · Office expenses

    total $2,289,772 · program services $2,089,750 · management and general $200,022

  • 14 · Information technology

    total $7,100,947 · program services $7,100,947

  • 16 · Occupancy

    total $2,901,762 · program services $2,406,041 · management and general $495,721

  • 17 · Travel

    total $441,171 · program services $421,112 · management and general $20,059

  • 19 · Conferences, conventions and meetings

    total $304,869 · program services $286,751 · management and general $18,118

  • 21 · Payments to affiliates

    total $20,255,862 · program services $15,555,050 · management and general $4,700,812

  • 22 · Depreciation, depletion and amortization

    total $9,163,586 · program services $8,861,940 · management and general $301,646

  • 23 · Insurance

    total $791,684 · program services $12,015 · management and general $779,669

  • 24a · Other expenses: MEDICAL SUPPLIES & EQUI

    total $37,537,401 · program services $37,516,252 · management and general $21,149

  • 24b · Other expenses: MEDICAID PROVIDER TAX &

    total $3,928,768 · program services $292 · management and general $3,928,476

  • 24c · Other expenses: LICENSES, DUES & SUBSCR

    total $526,364 · program services $379,955 · management and general $146,409

  • 24d · Other expenses: BANK FEES

    total $310,713 · program services $545 · management and general $310,168

  • 24e · All other expenses

    total $39,274 · program services $39,274

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $8,309 · end of year $662,261

  • 2 · Savings and temporary cash investments

    beginning of year $974,705

  • 4 · Accounts receivable

    beginning of year $41,429,943 · end of year $33,246,150

  • 8 · Inventories for sale or use

    beginning of year $3,592,782 · end of year $3,364,510

  • 9 · Prepaid expenses and deferred charges

    beginning of year $572,018 · end of year $378,344

  • 10a · Land, buildings and equipment: cost or other basis

    $173,727,606

  • 10b · Land, buildings and equipment: accumulated depreciation

    $55,106,332

  • 10c · Land, buildings and equipment, net

    beginning of year $122,589,485 · end of year $118,621,274

  • 12 · Investments: other securities

    beginning of year $116,841,680 · end of year $131,710,870

  • 13 · Investments: program-related

    beginning of year $9,969,917 · end of year $11,629,485

  • 14 · Intangible assets

    end of year $381,119

  • 15 · Other assets

    beginning of year $27,738,111 · end of year $1,890,344

  • 17 · Accounts payable and accrued expenses

    beginning of year $16,146,989 · end of year $16,995,506

  • 19 · Deferred revenue

    end of year $21,681

  • 25 · Other liabilities

    beginning of year $68,702,329 · end of year $24,445,569

  • 27 · Net assets without donor restrictions

    beginning of year $232,719,740 · end of year $251,320,674

  • 28 · Net assets with donor restrictions

    beginning of year $6,147,892 · end of year $9,100,927

Mission and programs · 2023

Mission

WORKING TOGETHER TO ACHIEVE THE HIGHEST STANDARDS IN HEALTHCARE, WE CREATE HEALTHY COMMUNITIES THROUGH GOD'S HEALING SPIRIT. VISION: EXCEPTIONAL HEALTHCARE, AN EXCEPTIONAL EXPERIENCE.

Activities or mission (Part I)

THE MONROE CLINIC, INC. PROVIDES HEALTHCARE SERVICES TO THE COMMUNITIES IN AND SURROUNDING GREEN COUNTY, WI AND STEPHENSON COUNTY, IL. MEDICAL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY.

  • 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 HEALTH SYSTEM SERVING THE COMPREHENSIVE HEALTH 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 650 PHYSICIAN OFFICES AND OTHER OUTPATIENT AND VIRTUAL CARE SERVICES, 12 POST-ACUTE FACILITIES, COMPREHENSIVE HOME CARE AND HOSPICE SERVICES, A PHARMACY BENEFIT COMPANY, AND AN ACCOUNTABLE CARE ORGANIZATION. THE HEALTH SYSTEM EMPLOYS NEARLY 40,000 PEOPLE AND IS AFFILIATED WITH 13,900 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. ABOUT MONROE CLINIC:MONROE CLINIC IS A NOT-FOR-PROFIT HEALTH CARE FACILITY FEATURING A MULTI-SPECIALTY CLINIC AND HOSPITAL DEDICATED TO BRINGING THE BEST CARE TO THE COMMUNITIES WE SERVE. WORKING TOGETHER TO ACHIEVE THE HIGHEST STANDARDS OF HEALTH CARE, WE CREATE HEALTHY COMMUNITIES THROUGH GOD'S HEALING SPIRIT.IN 2018, MONROE CLINIC JOINED THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH AND CONTINUES TO OFFER COMPREHENSIVE HEALTH CARE WITH OVER 120 PROVIDERS, A 24-HOUR EMERGENCY DEPARTMENT, HOME CARE AND HOSPICE SERVICES, AS WELL AS MULTIPLE CLINIC LOCATIONS IN SOUTHERN WISCONSIN AND NORTHERN ILLINOIS. IN ALL THAT WE DO, WE ARE DEDICATED TO HELPING OUR PATIENTS GET BETTER FASTER AND STAY HEALTHIER LONGER. AS A STATE-OF-THE-ART HEALTH SYSTEM, WE OFFER ADVANCED MEDICAL EQUIPMENT AND TECHNOLOGY COMBINED WITH CARE AND SENSITIVITY. PHYSICIANS AND STAFF ARE COMMITTED TO PROVIDING PERSONALIZED HEALTH CARE, EDUCATION AND PEACE OF MIND. OUR PATIENTS BENEFIT FROM EXCEPTIONAL PREVENTIVE AND REHABILITATION SERVICES AND MORE THAN 25 MEDICAL SPECIALTIES. WITH GOD'S BLESSING, MONROE CLINIC IS ABLE TO MEET THE NEEDS OF THOSE WE ARE PRIVILEGED TO SERVE.TO DATE WE HAVE BEEN AMONG THE HIGHEST PERFORMING HOSPITALS IN THE AREA. PATIENT SATISFACTION SCORES ARE SIGNIFICANTLY ABOVE THE AVERAGE OF OTHER HEALTHCARE FACILITIES. OUR HIGHLY TRAINED PHYSICIANS AND STAFF ARE READY TO PROVIDE BOTH EXCEPTIONAL HEALTHCARE AND AN EXCEPTIONAL EXPERIENCE TO THE PATIENTS AND COMMUNITIES WE SERVE. THE MONROE CLINIC 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,- HAS A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY- ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS,- PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS- ALL SURPLUS FUNDS GENERATED BY SSMH ENTITIES ARE REINVESTED IN IMPROVING OUR PATIENT CARE DELIVERY SYSTEM.QUANTIFIABLE UNCOMPENSATED CARE:THE FOLLOWING IS A LIST OF THE TYPES OF PROGRAMS AND SERVICES THAT COULD BE INCLUDED AS UNCOMPENSATED CARE:TRADITIONAL CHARITY CARE $ 1,465,623 UNPAID COST OF MEDICAID $ 19,357,298 OTHER MEANS-TESTED PROGRAMS $ 246,949TOTAL QUANTIFIABLE UNCOMPENSATED CARE $ 21,069,870

    Expenses $193,117,132 · Grants $319,804 · Revenue $207,949,000

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Sue Anderson

    DIRECTOR, REGIONAL PRESIDENT - WISCONSIN

    Total calculated
    $1,969,236
    From this org
    $0
    From related orgs
    $1,428,914
    Other
    $540,322
    Hours/week
    1 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $765,767 related
    Bonus
    $0 + $330,759 related
    Other
    $0 + $332,388 related
    Deferred
    $0 + $520,449 related
    Nontaxable benefits
    $0 + $19,873 related
    Filer's total
    $0 + $1,969,236 related

  • James Berberet

    PT YR DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Rhea Emmer

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • Patty James

    PT YR DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Pat Leitzen Fye

    DIRECTOR, PT YR CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • Peng Her

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • Mark Holzman

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • Joan Karsten

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • Jennifer Maskel

    DIRECTOR, PHYSICIAN

    Total calculated
    $156,819
    From this org
    $0
    From related orgs
    $142,795
    Other
    $14,024
    Hours/week
    1 + 5 related

    Schedule J breakdown matched by us

    Base
    $0 + $142,370 related
    Bonus
    $0
    Other
    $0 + $425 related
    Deferred
    $0 + $10,628 related
    Nontaxable benefits
    $0 + $3,396 related
    Filer's total
    $0 + $156,819 related

  • Wayne Matzke

    DIRECTOR, VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • Jane Curran-Meuli

    PT YR DIRECTOR, PRESIDENT - MONROE CLINIC

    Total calculated
    $754,903
    From this org
    $552,926
    From related orgs
    $0
    Other
    $201,977
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $388,761
    Bonus
    $118,561
    Other
    $45,604
    Deferred
    $171,633
    Nontaxable benefits
    $30,344
    Filer's total
    $754,903

  • Theodore Miller

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • Joshua Morrison

    PT YR DIRECTOR, PHYSICIAN

    Total calculated
    $780,706
    From this org
    $719,832
    From related orgs
    $0
    Other
    $60,874
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $712,430
    Bonus
    $0
    Other
    $7,402
    Deferred
    $18,705
    Nontaxable benefits
    $42,169
    Filer's total
    $780,706

  • Olivia Otte

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • Darren Pipp

    PT YR DIRECTOR, VP MEDICAL AFFAIRS

    Total calculated
    $627,241
    From this org
    $493,379
    From related orgs
    $0
    Other
    $133,862
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $421,918
    Bonus
    $61,066
    Other
    $10,395
    Deferred
    $91,127
    Nontaxable benefits
    $42,735
    Filer's total
    $627,241

  • Matthew Pogodzinski

    DIRECTOR, PHYSICIAN

    Total calculated
    $817,434
    From this org
    $0
    From related orgs
    $755,367
    Other
    $62,067
    Hours/week
    1 + 5 related

    Schedule J breakdown matched by us

    Base
    $0 + $753,607 related
    Bonus
    $0
    Other
    $0 + $1,760 related
    Deferred
    $0 + $19,050 related
    Nontaxable benefits
    $0 + $43,017 related
    Filer's total
    $0 + $817,434 related

  • Sister Susan Stucki

    PT YR DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Wesley Sparkman

    DIRECTOR, CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • Mark Thompson

    PT YR DIRECTOR, REGIONAL PRESIDENT-MEDICAL GROUPS-

    Total calculated
    $50,072
    From this org
    $0
    From related orgs
    $37,398
    Other
    $12,674
    Hours/week
    1

  • Sunil Penesetti

    PT YR DIRECTOR, PHYSICIAN

    Total calculated
    $1,131,172
    From this org
    $1,098,546
    From related orgs
    $0
    Other
    $32,626
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,081,836
    Bonus
    $15,000
    Other
    $1,710
    Deferred
    $18,687
    Nontaxable benefits
    $13,939
    Filer's total
    $1,131,172

  • Craig Hoesly

    PT YR DIRECTOR, VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • Sister Donna Innes

    PT YR DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • John King

    PT YR DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Judy Thompson

    PT YR DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Sister Jomarie Zielke

    PT YR DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • 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 + 55 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

  • Randy Combs

    TREASURER, CFO AT SSM HEALTH

    Total calculated
    $3,420,428
    From this org
    $0
    From related orgs
    $2,182,354
    Other
    $1,238,074
    Hours/week
    1 + 55 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

  • Douglas Long

    SECRETARY, GENERAL COUNSEL AT SSM HEALTH

    Total calculated
    $2,202,252
    From this org
    $0
    From related orgs
    $1,425,239
    Other
    $777,013
    Hours/week
    1 + 55 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

  • Thomas Kirschbaum

    ASSISTANT SECRETARY

    Total calculated
    $742,649
    From this org
    $0
    From related orgs
    $532,265
    Other
    $210,384
    Hours/week
    1 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $388,964 related
    Bonus
    $0 + $99,618 related
    Other
    $0 + $43,683 related
    Deferred
    $0 + $172,359 related
    Nontaxable benefits
    $0 + $38,025 related
    Filer's total
    $0 + $742,649 related

  • Chelsea Hardacre

    VP PATIENT CARE SERVICES, CNO

    Total calculated
    $305,702
    From this org
    $227,050
    From related orgs
    $0
    Other
    $78,652
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $199,481
    Bonus
    $27,179
    Other
    $390
    Deferred
    $45,237
    Nontaxable benefits
    $33,415
    Filer's total
    $305,702

  • Steve Brewer

    VP OPERATIONS

    Total calculated
    $360,211
    From this org
    $267,561
    From related orgs
    $0
    Other
    $92,650
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $231,300
    Bonus
    $33,974
    Other
    $2,287
    Deferred
    $56,156
    Nontaxable benefits
    $36,494
    Filer's total
    $360,211

  • Nicholas Maxwell

    PHYSICIAN

    Total calculated
    $925,275
    From this org
    $834,901
    From related orgs
    $0
    Other
    $90,374
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $799,346
    Bonus
    $0
    Other
    $35,555
    Deferred
    $45,256
    Nontaxable benefits
    $45,118
    Filer's total
    $925,275

  • Arif Ahmad

    PHYSICIAN

    Total calculated
    $895,997
    From this org
    $824,901
    From related orgs
    $0
    Other
    $71,096
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $801,170
    Bonus
    $0
    Other
    $23,731
    Deferred
    $31,730
    Nontaxable benefits
    $39,366
    Filer's total
    $895,997

  • Jonathan Swindle

    PHYSICIAN

    Total calculated
    $864,200
    From this org
    $811,020
    From related orgs
    $0
    Other
    $53,180
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $798,742
    Bonus
    $0
    Other
    $12,278
    Deferred
    $11,054
    Nontaxable benefits
    $42,126
    Filer's total
    $864,200

  • Gurmeet Singh

    PHYSICIAN

    Total calculated
    $867,355
    From this org
    $805,397
    From related orgs
    $0
    Other
    $61,958
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $783,257
    Bonus
    $21,000
    Other
    $1,140
    Deferred
    $19,649
    Nontaxable benefits
    $42,309
    Filer's total
    $867,355

  • Michael Netzel

    PHYSICIAN

    Total calculated
    $806,736
    From this org
    $740,105
    From related orgs
    $0
    Other
    $66,631
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $620,439
    Bonus
    $0
    Other
    $119,666
    Deferred
    $35,964
    Nontaxable benefits
    $30,667
    Filer's total
    $806,736

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

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 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 1A
SEVERAL INDIVIDUALS LISTED ON SCHEDULE J PART II RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2023. THE PAYMENT WAS INCLUDED IN THEIR TAXABLE COMPENSATION.
PART I, LINE 3
THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (HOSPITAL PRESIDENT) IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
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: STEVE SMOOT - $249,972 RANDY COMBS - $261,633 DOUGLAS LONG - $161,286 JANE CURRAN-MEULI - $38,469 JENNIFER MASKEL - $2,131 THOMAS KIRSCHBAUM - $37,511 CHELSEA HARDACRE - $9,318 STEVE BREWER - $10,880 NICHOLAS MAXWELL - $26,206 ARIF AHMAD - $12,858 MICHAEL NETZEL - $17,935 SUE ANDERSON - $153,458 DARREN PIPP - $19,253 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 ARIF AHMAD - $16,207 JONATHAN SWINDLE - $10,568 MICHAEL NETZEL - $94,207 SUE ANDERSON - $132,843 JOSHUA MORRISON - $5,692 DARREN PIPP - $8,210

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

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.

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

  • ST CLARE IMAGING SERVICES LLC

    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

  • CHOWSMGSI OFFICE BUILDING LLC

    MOB · IL

  • OZA CANCER CENTER LLC

    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

  • WINGRA BUILDING GROUP

    MOB · WI

  • JANESVILLE RIVERVIEW CLINIC BUILDING PARTNERSHIP

    MOB · WI

  • 1110 N CLASSEN BLVD LLC

    MOB · OK · general or managing partner

  • SSM ST CLARE SURGICAL CENTER LLC

    SURGERY SERVICES · MO

  • WINDMILL LLP

    INVESTMENTS · MO

  • NAVITUS HEALTH SOLUTIONS LLC

    PHARMACY BENEFIT MANAGEMENT · WI

  • SSM SELECT REHAB ST LOUIS LLC

    HEALTH CARE · DE

  • EPIPHANY RX LLC

    PHARMACY BENEFIT MANAGEMENT · DE

  • RXPRECHECK LL

    PHARMACY BENEFIT MANAGEMENT · TN

  • ARCHIMEDES LLC

    PHARMACY BENEFIT MANAGEMENT · TN

  • BLOOM TREE LONG-ONLY FUND QP LP FKA BLOOM TREE PONDEROSA FUNDS QP LP

    INVESTMENTS · DE

  • NECICF II AIV2-B LP

    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 MANAGED CARE ORGANIZATION LLC

    C · HEALTH PROMOTION · MO

  • FPP INC & SUBS

    C · HEALTH CARE · MO

  • DIVERSIFIED HEALTH SERVICES CORP

    C · MEDICAL EQUIPMENT · MO

  • SSM PROPERTIES INC

    C · PROPERTY SERVICES · MO

  • HEALTHFIRST PHYSICIAN MANAGEMENT SERVICES

    C · MEDICAL SERVICES · OK

  • SSMHC LIABILITY TRUST II

    C · INSURANCE · MO

  • SSM MEDICAL GROUP INC

    C · PHYSICIAN OFFICES · MO

  • SSMHC INSURANCE COMPANY

    C · INSURANCE · CJ

  • PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS INC

    C · HEALTH CARE · IL

  • DEAN HEALTH SYSTEMS INC

    C · PHYSICIAN OFFICES · WI

  • DEAN RETAIL SERVICES INC

    C · PROPERTY SERVICES · WI

  • SSM HEALTH JANESVILLE CAMPUS CONDOMINIUM ASSOCIATION INC

    C · CONDO ASSOCIATION · WI

  • SSM HEALTH PHARMACY LLC

    C · PHARMACY · MO

  • NAVITUS HOLDINGS LLC

    C · PHARMACY · WI

  • MS COMMUNITY JV LLC

    C · INSURANCE · DE

  • QUALITY DRUG CORPORATION

    C · PHARMACY BENEFITS · CA

  • ST MARY'S HOSPITAL CAMPUS CONDOMINIUM OWNERS ASSOCIATION INC

    C · CONDO ASSOCIATION · WI

  • PARTNERS GROUP PMC PRIVATE CREDIT LP

    C · INVESTMENT · CJ

  • OMNINHEALTH HOLDINGS

    C · HEALTH CARE CONSULTING · DE

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202413209349318386

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