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← CENTRALIA MEDICAL SERVICES BUILDING ASSOCIATION

Form 990 for tax year 2024

Filed by CENTRALIA MEDICAL SERVICES BUILDING ASSOCIATION.

Totals

Total revenue
$244,116
Total expenses
$383,707
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$244,116
Investment income
$0
Other revenue
$0
Total assets, end of year
$3,458,242
Total liabilities, end of year
$2,764,451
Net assets or fund balances, end of year
$693,791
Program services expenses (Part IX)
$31,108
Management and general expenses
$352,599
Fundraising expenses
$0
Program service expenses (Part III)
$31,108

Program services were 8.1% 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.

  • 2a · Program service revenue: RENTAL INCOME

    total $244,116 · related or exempt $244,116

Functional expenses

Part IX, the statement of functional expenses.

  • 11g · Fees: other

    total $28,114 · management and general $28,114

  • 16 · Occupancy

    total $184,765 · program services $23,541 · management and general $161,224

  • 21 · Payments to affiliates

    total $8,400 · management and general $8,400

  • 22 · Depreciation, depletion and amortization

    total $128,621 · program services $7,567 · management and general $121,054

  • 23 · Insurance

    total $8,641 · management and general $8,641

  • 24a · Other expenses: NON PATIENT BAD DEBT

    total $23,540 · management and general $23,540

  • 24b · Other expenses: BANK FEES

    total $1,626 · management and general $1,626

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,959,334 · end of year $2,101,221

  • 4 · Accounts receivable

    beginning of year $26,705 · end of year -$17,809

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,596 · end of year $0

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

    $3,681,328

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

    $2,306,498

  • 10c · Land, buildings and equipment, net

    beginning of year $1,501,645 · end of year $1,374,830

  • 17 · Accounts payable and accrued expenses

    beginning of year $210,131 · end of year $194,105

  • 25 · Other liabilities

    beginning of year $2,447,768 · end of year $2,570,346

  • 27 · Net assets without donor restrictions

    beginning of year $833,381 · end of year $693,791

Mission and programs · 2024

Mission

THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.

Activities or mission (Part I)

RENTAL OF OFFICE SPACE TO PHYSICIANS TO FACILITATE PATIENT AND HOSPITAL ACCESSIBILITY.

  • CENTRALIA MEDICAL SERVICES BUILDING ASSOCIATION PROMOTED HEALTH CARE PROGRAMS IN THE COMMUNITY BY PROVIDING OFFICE SPACE TO PHYSICIANS, AN MRI SUITE, AND A CONVENIENT CARE LOCATION. THESE SERVICES INCREASE THE AVAILABILITY OF DOCTORS FOR MEDICAL EMERGENCIES AND PROVIDE ADDED CONVENIENCE FOR THE PATIENT IN HOSPITAL ACCESSIBILITY.

    Expenses $31,108 · Revenue $244,116

As filed on the 2024 return.

Listed in Part VII

  • Matthew Flanigan

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Damon Harbison

    DIRECTOR, HOSPITAL PRESIDENT SSM HEALTH ST MARY'S

    Total calculated
    $796,069
    From this org
    $0
    From related orgs
    $575,496
    Other
    $220,573
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $420,997 related
    Bonus
    $0 + $122,672 related
    Other
    $0 + $31,827 related
    Deferred
    $0 + $166,694 related
    Nontaxable benefits
    $0 + $53,879 related
    Filer's total
    $0 + $796,069 related
  • Erica Ibendahl

    DIRECTOR, PHYSICIAN SSM HEALTH ST. MARY'S

    Total calculated
    $865,285
    From this org
    $0
    From related orgs
    $785,986
    Other
    $79,299
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $713,041 related
    Bonus
    $0 + $71,766 related
    Other
    $0 + $1,179 related
    Deferred
    $0 + $22,666 related
    Nontaxable benefits
    $0 + $56,633 related
    Filer's total
    $0 + $865,285 related
  • Sudeep Nair

    DIRECTOR, PHYSICIAN SSM GOOD SAMARITAN HOSPITAL

    Total calculated
    $609,697
    From this org
    $0
    From related orgs
    $518,099
    Other
    $91,598
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $494,951 related
    Bonus
    $0 + $20,942 related
    Other
    $0 + $2,206 related
    Deferred
    $0 + $35,958 related
    Nontaxable benefits
    $0 + $55,640 related
    Filer's total
    $0 + $609,697 related
  • Tena Hoyt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Patricia Williams

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Suzie Schmidt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Jeremy Midura Cssf

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Ben Houle MD

    DIRECTOR, SSM HEALTH GOOD SAM HOSPITAL PHYSIAN

    Total calculated
    $0
    Hours/week
    1
  • Jeremy Fotheringham

    PRESIDENT

    Total calculated
    $1,940,338
    From this org
    $0
    From related orgs
    $1,310,180
    Other
    $630,158
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $837,601 related
    Bonus
    $0 + $470,869 related
    Other
    $0 + $1,710 related
    Deferred
    $0 + $589,116 related
    Nontaxable benefits
    $0 + $41,042 related
    Filer's total
    $0 + $1,940,338 related
  • Paula Friedman

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Monica Heinzman

    DIRECTOR

    Total calculated
    $324,165
    From this org
    $0
    From related orgs
    $242,205
    Other
    $81,960
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $215,583 related
    Bonus
    $0 + $25,532 related
    Other
    $0 + $1,090 related
    Deferred
    $0 + $51,769 related
    Nontaxable benefits
    $0 + $30,191 related
    Filer's total
    $0 + $324,165 related
  • Rajendra Shroff

    DIRECTOR

    Total calculated
    $179,648
    From this org
    $0
    From related orgs
    $139,833
    Other
    $39,815
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $139,645 related
    Bonus
    $0
    Other
    $0 + $188 related
    Deferred
    $0 + $8,702 related
    Nontaxable benefits
    $0 + $31,113 related
    Filer's total
    $0 + $179,648 related
  • Susan Niepoetter

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Douglas Long

    SECRETARY, GENERAL COUNSEL

    Total calculated
    $2,287,921
    From this org
    $0
    From related orgs
    $1,587,150
    Other
    $700,771
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $813,979 related
    Bonus
    $0 + $583,198 related
    Other
    $0 + $189,973 related
    Deferred
    $0 + $676,547 related
    Nontaxable benefits
    $0 + $24,224 related
    Filer's total
    $0 + $2,287,921 related
  • Rachel Hall

    ASSISTANT SECRETARY

    Total calculated
    $125,793
    From this org
    $0
    From related orgs
    $93,198
    Other
    $32,595
    Hours/week
    1 + 40 related
  • Kevin Smith

    TREASURER, CFO AT SSM HEALTH

    Total calculated
    $1,677,558
    From this org
    $0
    From related orgs
    $1,050,477
    Other
    $627,081
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,034,519 related
    Bonus
    $0
    Other
    $0 + $15,958 related
    Deferred
    $0 + $586,407 related
    Nontaxable benefits
    $0 + $40,674 related
    Filer's total
    $0 + $1,677,558 related
  • Randall Combs

    FORMER CFO AT SSM HEALTH

    Total calculated
    $1,483,527
    From this org
    $0
    From related orgs
    $1,454,021
    Other
    $29,506
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $323,766 related
    Bonus
    $0 + $923,306 related
    Other
    $0 + $206,949 related
    Deferred
    $0 + $13,881 related
    Nontaxable benefits
    $0 + $15,625 related
    Filer's total
    $0 + $1,483,527 related
  • John Snodsmith

    REGIONAL VP, FINANCE

    Total calculated
    $410,246
    From this org
    $0
    From related orgs
    $320,127
    Other
    $90,119
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $264,636 related
    Bonus
    $0 + $40,328 related
    Other
    $0 + $15,163 related
    Deferred
    $0 + $59,973 related
    Nontaxable benefits
    $0 + $30,146 related
    Filer's total
    $0 + $410,246 related
  • Matthew Kinsella

    PT YR REGIONAL VP FINANCE

    Total calculated
    $736,408
    From this org
    $0
    From related orgs
    $561,331
    Other
    $175,077
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $417,285 related
    Bonus
    $0 + $101,437 related
    Other
    $0 + $42,609 related
    Deferred
    $0 + $132,986 related
    Nontaxable benefits
    $0 + $42,091 related
    Filer's total
    $0 + $736,408 related
  • Karen Rewerts

    VP-FINANCIAL OPERATIONS

    Total calculated
    $1,080,323
    From this org
    $0
    From related orgs
    $845,480
    Other
    $234,843
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $601,026 related
    Bonus
    $0 + $176,014 related
    Other
    $0 + $68,440 related
    Deferred
    $0 + $198,391 related
    Nontaxable benefits
    $0 + $36,452 related
    Filer's total
    $0 + $1,080,323 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 3
THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, REGIONAL 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 SSM HEALTH BOARD OF DIRECTORS.
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: DAMON HARBISON $37,247 SUDEEP NAIR $16,149 RANDALL COMBS $261,633 DOUGLAS LONG $161,286 JOHN SNODSMITH $11,873 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. DAMON HARBISON $25,899 KAREN REWERTS - $51,943 MATT KINSELLA- $8,819

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.

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
2024
Filed
17 November 2025
IRS schema version
2024v5.2
Source object
202503219349315965

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