Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

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

  total $995,852 · related or exempt $995,852

• 2f · All other program service revenue

  total $80,445 · related or exempt $80,445

• 11a · Other revenue: BARBER AND BEAUTY SHOP

  total $974 · excluded $974

• 11e · Other revenue, total

  $974

Functional expenses

Part IX, the statement of functional expenses.

• 7 · Other salaries and wages

  total $555,068 · program services $499,832 · management and general $55,236

• 8 · Pension plan contributions

  total $28,407 · program services $25,580 · management and general $2,827

• 9 · Other employee benefits

  total $65,030 · program services $58,559 · management and general $6,471

• 10 · Payroll taxes

  total $45,156 · program services $40,662 · management and general $4,494

• 11a · Fees: management

  total $85,067 · program services $5,932 · management and general $79,135

• 11b · Fees: legal

  total $177 · management and general $177

• 11g · Fees: other

  total $10,570 · program services $9,763 · management and general $807

• 13 · Office expenses

  total $42,354 · program services $42,010 · management and general $344

• 14 · Information technology

  total $2,186 · program services $2,186

• 16 · Occupancy

  total $55,413 · program services $55,413

• 17 · Travel

  total $128 · program services $128

• 19 · Conferences, conventions and meetings

  total $1,120 · program services $970 · management and general $150

• 21 · Payments to affiliates

  total $19,379 · program services $19,379

• 22 · Depreciation, depletion and amortization

  total $91,690 · program services $89,536 · management and general $2,154

• 23 · Insurance

  total $27,026 · program services $13,604 · management and general $13,422

• 24a · Other expenses: LICENSES/DUES/SUBSCRIPT

  total $4,916 · program services $4,561 · management and general $355

• 24b · Other expenses: OTHER EXPENSES

  total $2,460 · program services $2,460

• 24c · Other expenses: DIRECT DONOR BENEFIT

  total $20 · program services $20

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $141

• 4 · Accounts receivable

  beginning of year $101,047 · end of year $283,277

• 8 · Inventories for sale or use

  beginning of year $5,617 · end of year $10,629

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

  $1,699,713

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

  $697,568

• 10c · Land, buildings and equipment, net

  beginning of year $1,093,835 · end of year $1,002,145

• 15 · Other assets

  beginning of year $1,376,892 · end of year $0

• 17 · Accounts payable and accrued expenses

  beginning of year $61,541 · end of year $74,233

• 19 · Deferred revenue

  beginning of year $12,000 · end of year $16,000

• 25 · Other liabilities

  beginning of year $1,339,277 · end of year $0

• 27 · Net assets without donor restrictions

  beginning of year $1,164,714 · end of year $1,205,818

The filer's explanations (Part III)

PART I, LINE 1A

SEVERAL INDIVIDUALS LISTED ON PART VII, SECTION A, RECEIVED TAX INDEMNIFICATION/GROSS UP PAYMENTS IN 2023, WHICH WERE INCLUDED IN THEIR TAXABLE COMPENSATION.

PART I, LINE 3

THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (PRESIDENT-POST ACUTE) IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSUL TANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

PART I, LINE 4B

PENSION RESTORATION PLAN: 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: STEVE SMOOT $249,972 RANDALL COMBS $261,633 DOUGLAS LONG $161,286 DG GLOEDE $28,146 CHRIS THORNOCK $45,375 THE FOLLOWING INDIVIDUAL 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

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

• 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

• 1110 N CLASSEN BLVD LLC

  MOB · OK · general or managing partner

• WINDMILL LLP

  INVESTMENTS · MO

• SSM SELECT REHAB ST LOUIS LLC

  HEALTH CARE · DE

• 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

• 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

• OMNINHEALTH HOLDINGS

  C · HEALTH CARE CONSULTING · DE