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Nonprofiteer
← DELLS MEDICAL BUILDING INC

Form 990 for tax year 2023

Filed by DELLS MEDICAL BUILDING INC.

Totals

Total revenue
$884,407
Total expenses
$361,384
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$879,963
Investment income
$4,444
Other revenue
$0
Total assets, end of year
$8,473,253
Total liabilities, end of year
$11,556
Net assets or fund balances, end of year
$8,461,697
Program services expenses (Part IX)
$361,384
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$361,384

Program services were 100.0% 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: RENT INCOME

    total $879,963 · related or exempt $879,963

  • 3 · Investment income

    total $4,444 · excluded $4,444

Functional expenses

Part IX, the statement of functional expenses.

  • 16 · Occupancy

    total $78,928 · program services $78,928

  • 21 · Payments to affiliates

    total $42,000 · program services $42,000

  • 22 · Depreciation, depletion and amortization

    total $228,228 · program services $228,228

  • 23 · Insurance

    total $12,208 · program services $12,208

  • 24a · Other expenses: LICENSE

    total $20 · program services $20

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,950,654 · end of year $2,877,313

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

    $11,052,729

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

    $7,144,727

  • 10c · Land, buildings and equipment, net

    beginning of year $4,136,229 · end of year $3,908,002

  • 15 · Other assets

    beginning of year $851,791 · end of year $1,687,938

  • 17 · Accounts payable and accrued expenses

    end of year $11,556

  • 27 · Net assets without donor restrictions

    beginning of year $7,938,674 · end of year $8,461,697

Mission and programs · 2023

Mission

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

Activities or mission (Part I)

PROVIDE CONVENIENT MEDICAL OFFICE SPACE TO PHYSICIANS TO ENHANCE HEALTH CARE ACCESSIBILITY FOR PATIENTS.

  • DELLS MEDICAL BUILDING, INC'S (DMBI) LEASING ACTIVITIES ARE A VITAL COMPONENT OF ST CLARE HOSPITAL'S MEDICAL STAFF DEVELOPMENT EFFORTS. BY PROVIDING QUALITY OFFICE SPACE IN THE HOSPITAL'S SERVICE AREA CONVENIENT TO MEMBERS OF THE PUBLIC, DMBI IS SUPPORTING ITS EFFORTS IN RECRUITING AND RETAINING QUALIFIED PHYSICIANS TO THESE LOCALITIES.

    Expenses $361,384 · Revenue $879,963

As filed on the 2023 return.

Listed in Part VII

  • Kyle Nondorf

    DIRECTOR, CHAIR, PRESIDENT

    Total calculated
    $973,326
    From this org
    $0
    From related orgs
    $708,825
    Other
    $264,501
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $530,447 related
    Bonus
    $0 + $148,664 related
    Other
    $0 + $29,714 related
    Deferred
    $0 + $220,743 related
    Nontaxable benefits
    $0 + $43,758 related
    Filer's total
    $0 + $973,326 related

  • Troy Walker

    DIRECTOR, DIRECTOR OF FINANCE-WI

    Total calculated
    $256,416
    From this org
    $0
    From related orgs
    $196,432
    Other
    $59,984
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $173,473 related
    Bonus
    $0 + $15,976 related
    Other
    $0 + $6,983 related
    Deferred
    $0 + $23,408 related
    Nontaxable benefits
    $0 + $36,576 related
    Filer's total
    $0 + $256,416 related

  • Scott Wysocki

    DIRECTOR, VP-OPERATIONS

    Total calculated
    $291,687
    From this org
    $0
    From related orgs
    $217,931
    Other
    $73,756
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $181,495 related
    Bonus
    $0 + $27,067 related
    Other
    $0 + $9,369 related
    Deferred
    $0 + $44,674 related
    Nontaxable benefits
    $0 + $29,082 related
    Filer's total
    $0 + $291,687 related

  • Steve Smoot

    VICE PRES, COO-SSM HEALTH

    Total calculated
    $3,258,847
    From this org
    $0
    From related orgs
    $2,054,358
    Other
    $1,204,489
    Hours/week
    1 + 50 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 + 50 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 + 50 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, GENERAL COUNSEL - WI

    Total calculated
    $742,649
    From this org
    $0
    From related orgs
    $532,265
    Other
    $210,384
    Hours/week
    1 + 50 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

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

The filer's explanations (Part III)

PART I, LINE 3
THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, 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: KYLE NONDORF $53,282 SCOTT WYSOCKI $8,626 STEVE SMOOT $249,972 RANDALL COMBS $261,633 DOUGLAS LONG $161,286 THOMAS KIRSCHBAUM - $37,511 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. KYLE NONDORF $28,586 TROY WALKER $6,130 SCOTT WYSOCKI $7,676 STEVE SMOOT $140,898

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

  • 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

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202423209349310797

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