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← SHARED MAGNETIC RESONANCE IMAGING FACILITY INC

Form 990 for tax year 2022

Filed by SHARED MAGNETIC RESONANCE IMAGING FACILITY INC.

Totals

Total revenue
$15,996,595
Total expenses
$12,608,463
Contributions and grants received
$31,059
Grants paid
$0
Program services expenses (Part IX)
$10,585,026
Management and general expenses
$2,023,437
Fundraising expenses
$0
Program service expenses (Part III)
$10,585,026

Program services were 84.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Barb Thiermann

    Director, President, Cancer Center Administrator

    Total calculated
    $289,497
    From this org
    $0
    From related orgs
    $225,069
    Other
    $64,428
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $221,849 related
    Bonus
    $0
    Other
    $0 + $3,220 related
    Deferred
    $0 + $36,025 related
    Nontaxable benefits
    $0 + $28,404 related
    Filer's total
    $0 + $289,497 related

  • Sarah Breon

    Director, Manager - Clinical Operations

    Total calculated
    $49,509
    From this org
    $0
    From related orgs
    $47,978
    Other
    $1,531
    Hours/week
    1 + 40 related

  • Sue Anderson

    DIRECTOR,CHAIR,REGIONAL PRESIDENT WI

    Total calculated
    $1,119,004
    From this org
    $0
    From related orgs
    $721,772
    Other
    $397,232
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $619,602 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $27,170 related
    Deferred
    $0 + $382,472 related
    Nontaxable benefits
    $0 + $14,760 related
    Filer's total
    $0 + $1,119,004 related

  • Douglas Long

    Secretary, General Counsel at SSM Health

    Total calculated
    $2,040,754
    From this org
    $0
    From related orgs
    $1,354,027
    Other
    $686,727
    Hours/week
    1 + 72.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $724,576 related
    Bonus
    $0 + $460,492 related
    Other
    $0 + $168,959 related
    Deferred
    $0 + $664,054 related
    Nontaxable benefits
    $0 + $22,673 related
    Filer's total
    $0 + $2,040,753 related

  • Randy Combs

    Treasurer, Chief Financial Officer at SSM Health

    Total calculated
    $2,850,791
    From this org
    $0
    From related orgs
    $1,879,738
    Other
    $971,053
    Hours/week
    1 + 69 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,144,254 related
    Bonus
    $0 + $475,226 related
    Other
    $0 + $260,259 related
    Deferred
    $0 + $938,234 related
    Nontaxable benefits
    $0 + $32,819 related
    Filer's total
    $0 + $2,850,792 related

  • Steve Smoot

    Vice President, COO of SSM Health

    Total calculated
    $2,904,291
    From this org
    $0
    From related orgs
    $1,870,292
    Other
    $1,033,999
    Hours/week
    1 + 65 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,084,584 related
    Bonus
    $0 + $672,081 related
    Other
    $0 + $113,627 related
    Deferred
    $0 + $995,370 related
    Nontaxable benefits
    $0 + $38,629 related
    Filer's total
    $0 + $2,904,291 related

  • Thomas Kirschbaum

    Assistant Secretary, General Counsel - WI

    Total calculated
    $825,190
    From this org
    $0
    From related orgs
    $633,784
    Other
    $191,406
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $380,139 related
    Bonus
    $0 + $103,083 related
    Other
    $0 + $150,561 related
    Deferred
    $0 + $154,976 related
    Nontaxable benefits
    $0 + $36,430 related
    Filer's total
    $0 + $825,190 related

  • James Richardson MD

    Radiation Oncologist

    Total calculated
    $519,137
    From this org
    $0
    From related orgs
    $473,398
    Other
    $45,739
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $468,666 related
    Bonus
    $0
    Other
    $0 + $4,732 related
    Deferred
    $0 + $17,301 related
    Nontaxable benefits
    $0 + $28,438 related
    Filer's total
    $0 + $519,136 related

  • Kurt Pedersen

    Physicist - Oncology

    Total calculated
    $211,997
    From this org
    $0
    From related orgs
    $196,154
    Other
    $15,843
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $180,982 related
    Bonus
    $0 + $15,000 related
    Other
    $0 + $172 related
    Deferred
    $0 + $5,130 related
    Nontaxable benefits
    $0 + $10,713 related
    Filer's total
    $0 + $211,997 related

  • Michelle Mackay MD

    Radiation Oncologist

    Total calculated
    $597,165
    From this org
    $0
    From related orgs
    $536,741
    Other
    $60,424
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $535,387 related
    Bonus
    $0
    Other
    $0 + $1,355 related
    Deferred
    $0 + $17,948 related
    Nontaxable benefits
    $0 + $42,477 related
    Filer's total
    $0 + $597,166 related

  • Timothy Kruser MD

    Radiation Oncologist

    Total calculated
    $504,739
    From this org
    $0
    From related orgs
    $476,370
    Other
    $28,369
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $475,367 related
    Bonus
    $0
    Other
    $0 + $1,004 related
    Deferred
    $0 + $17,850 related
    Nontaxable benefits
    $0 + $10,519 related
    Filer's total
    $0 + $504,739 related

  • Vera Nigrin MD

    Radiation Oncologist

    Total calculated
    $580,150
    From this org
    $0
    From related orgs
    $545,263
    Other
    $34,887
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $542,563 related
    Bonus
    $0
    Other
    $0 + $2,699 related
    Deferred
    $0 + $16,616 related
    Nontaxable benefits
    $0 + $18,271 related
    Filer's total
    $0 + $580,149 related

  • Kris Zimmer

    Former Officer

    Total calculated
    $135,402
    From this org
    $0
    From related orgs
    $135,402
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $135,402 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $135,402 related

  • Margo Francisco

    FORMER OFFICER

    Total calculated
    $603,915
    From this org
    $0
    From related orgs
    $455,253
    Other
    $148,662
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $306,891 related
    Bonus
    $0 + $120,583 related
    Other
    $0 + $27,778 related
    Deferred
    $0 + $122,163 related
    Nontaxable benefits
    $0 + $26,500 related
    Filer's total
    $0 + $603,915 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 — 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)

Schedule J, Part I, Line 1a Tax indemnification and gross-up payments
Several individuals listed on Part VII, Section A, received tax indemnification/gross up payments in 2022, which were included in their taxable compensation.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
The organization's top management official (Cancer Center Administrator) 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.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
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 2022. 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 2022: Steve Smoot $240,329 Douglas Long $159,815 Randall Combs $251,115 Thomas Kirschbaum $37,509 Margo Francisco $28,017 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2022. All distributions received from the plan in the current year were included in the individual's taxable compensation. Steve Smoot $111.005 Thomas Kirschbaum $107,335 Margo Francisco $ 25,041

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.

Provenance

Return type
form_990
Tax year
2022
Filed
16 November 2023
IRS schema version
2022v5.0
Source object
202343199349329144

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