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Nonprofiteer
← ST ANTHONY SHAWNEE HOSPITAL INC

Form 990 for tax year 2023

Filed by ST ANTHONY SHAWNEE HOSPITAL INC.

Totals

Total revenue
$181,720,065
Total expenses
$180,339,975
Contributions and grants received
$501,163
Grants paid
$161,861
Program services expenses (Part IX)
$158,471,942
Management and general expenses
$21,868,033
Fundraising expenses
$0
Program service expenses (Part III)
$158,471,942

Program services were 87.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • IFTIKHAR AHMAD MD

    DIRECTOR, PHYSICIAN AT SSM HEALTH ST. ANTHONY HOSP

    Total calculated
    $0
    Hours/week
    1

  • PAIGE BASS STRATTON

    DIRECTOR, CHAIR

    Total calculated
    $0
    Hours/week
    1

  • LINDA CAPPS

    DIRECTOR

    Total calculated
    $64,946
    From this org
    $0
    From related orgs
    $60,953
    Other
    $3,993
    Hours/week
    1 + 40 related

  • TINA HANNA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JAMES KIRK

    DIRECTOR

    Total calculated
    $226,957
    From this org
    $0
    From related orgs
    $188,194
    Other
    $38,763
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $185,390 related
    Bonus
    $0
    Other
    $0 + $2,804 related
    Deferred
    $0 + $11,433 related
    Nontaxable benefits
    $0 + $27,330 related
    Filer's total
    $0 + $226,957 related

  • DUKE LIGON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KEVIN PERRY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BROOKS RICHARDSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JOE HODGES

    DIRECTOR, VICE CHAIR, REGIONAL PRESIDENT - SSM HEA

    Total calculated
    $1,757,482
    From this org
    $0
    From related orgs
    $1,110,479
    Other
    $647,003
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $646,174 related
    Bonus
    $0 + $378,436 related
    Other
    $0 + $85,869 related
    Deferred
    $0 + $604,303 related
    Nontaxable benefits
    $0 + $42,700 related
    Filer's total
    $0 + $1,757,482 related

  • RANDY COMBS

    TREASURER, CHIEF FINANCIAL OFFICER 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

  • STEVE SMOOT

    VICE PRESIDENT, COO AT 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

  • RAMONA CAREY

    ASSISTANT SECRETARY

    Total calculated
    $107,793
    From this org
    $0
    From related orgs
    $76,129
    Other
    $31,664
    Hours/week
    1 + 40 related

  • SHASTA MANUEL

    SYSTEM VICE PRESIDENT-FINANCE

    Total calculated
    $711,306
    From this org
    $0
    From related orgs
    $495,900
    Other
    $215,406
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $363,197 related
    Bonus
    $0 + $95,897 related
    Other
    $0 + $36,806 related
    Deferred
    $0 + $173,791 related
    Nontaxable benefits
    $0 + $41,615 related
    Filer's total
    $0 + $711,306 related

  • ANGI MOHR

    HOSPITAL PRESIDENT, SSM HEALTH ST. ANTHONY HOSPITA

    Total calculated
    $732,142
    From this org
    $473,207
    From related orgs
    $0
    Other
    $258,935
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $359,178
    Bonus
    $103,080
    Other
    $10,949
    Deferred
    $222,877
    Nontaxable benefits
    $36,058
    Filer's total
    $732,142

  • DARIN FARRELL

    VP - HOSPITAL OPERATIONS

    Total calculated
    $342,133
    From this org
    $238,107
    From related orgs
    $0
    Other
    $104,026
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $206,688
    Bonus
    $30,329
    Other
    $1,090
    Deferred
    $63,265
    Nontaxable benefits
    $40,761
    Filer's total
    $342,133

  • CATHY BROOME

    VP - PATIENT CARE SERVICES

    Total calculated
    $296,826
    From this org
    $226,044
    From related orgs
    $0
    Other
    $70,782
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $197,283
    Bonus
    $26,913
    Other
    $1,848
    Deferred
    $58,089
    Nontaxable benefits
    $12,693
    Filer's total
    $296,826

  • VENKATA DAMERA

    PHYSICIAN

    Total calculated
    $685,509
    From this org
    $626,963
    From related orgs
    $0
    Other
    $58,546
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $480,561
    Bonus
    $145,414
    Other
    $988
    Deferred
    $17,678
    Nontaxable benefits
    $40,868
    Filer's total
    $685,509

  • GAYNELL ANDERSON

    PHYSICIAN

    Total calculated
    $408,446
    From this org
    $357,809
    From related orgs
    $0
    Other
    $50,637
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $291,223
    Bonus
    $65,078
    Other
    $1,508
    Deferred
    $14,522
    Nontaxable benefits
    $36,115
    Filer's total
    $408,446

  • SHAWNAREE LEE

    PHYSICIAN

    Total calculated
    $425,376
    From this org
    $388,032
    From related orgs
    $0
    Other
    $37,344
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $379,206
    Bonus
    $7,115
    Other
    $1,711
    Deferred
    $15,340
    Nontaxable benefits
    $22,004
    Filer's total
    $425,376

  • ISMA JAVED

    PHYSICIAN

    Total calculated
    $371,823
    From this org
    $361,162
    From related orgs
    $0
    Other
    $10,661
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $286,117
    Bonus
    $74,764
    Other
    $281
    Deferred
    $2,654
    Nontaxable benefits
    $8,007
    Filer's total
    $371,823

  • LAUREN FLOYD

    PHYSICIAN

    Total calculated
    $398,438
    From this org
    $350,725
    From related orgs
    $0
    Other
    $47,713
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $345,154
    Bonus
    $4,955
    Other
    $616
    Deferred
    $9,906
    Nontaxable benefits
    $37,807
    Filer's total
    $398,438

  • LAURA KAISER

    VICE CHAIR, PRESIDENT/CEO OF SSM HEALTH

    Total calculated
    $7,646,448
    From this org
    $0
    From related orgs
    $4,644,135
    Other
    $3,002,313
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,047,588 related
    Bonus
    $0 + $1,868,164 related
    Other
    $0 + $728,383 related
    Deferred
    $0 + $2,978,810 related
    Nontaxable benefits
    $0 + $23,503 related
    Filer's total
    $0 + $7,646,448 related

  • RANDY KAMM

    PROVIDER-BASED CLINICS DIRECTOR

    Total calculated
    $263,038
    From this org
    $0
    From related orgs
    $193,896
    Other
    $69,142
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $177,877 related
    Bonus
    $0 + $15,114 related
    Other
    $0 + $905 related
    Deferred
    $0 + $33,353 related
    Nontaxable benefits
    $0 + $35,789 related
    Filer's total
    $0 + $263,038 related

  • CHRISTINE DIENNA

    PHYSICIAN

    Total calculated
    $261,820
    From this org
    $238,357
    From related orgs
    $0
    Other
    $23,463
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $170,351
    Bonus
    $67,694
    Other
    $312
    Deferred
    $12,577
    Nontaxable benefits
    $10,886
    Filer's total
    $261,820

  • DAVID HADLEY

    PHYSICIAN

    Total calculated
    $392,471
    From this org
    $331,393
    From related orgs
    $0
    Other
    $61,078
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $265,108
    Bonus
    $63,646
    Other
    $2,639
    Deferred
    $18,351
    Nontaxable benefits
    $42,727
    Filer's total
    $392,471

  • KENNETH DARVIN

    PHYSICIAN

    Total calculated
    $372,994
    From this org
    $323,975
    From related orgs
    $0
    Other
    $49,019
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $251,491
    Bonus
    $71,126
    Other
    $1,358
    Deferred
    $9,150
    Nontaxable benefits
    $39,869
    Filer's total
    $372,994

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

  • 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 (HOSPITAL PRESIDENT) HAS COMPENSATION THAT IS DETERMINED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE SSM HEALTH PRESIDENT.
PART I, LINE 4B
PENSION RESTORATION PLAN: 4B - SUPPLEMENTAL 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: JOE HODGES $ 134,663 RANDALL COMBS $261,633 DOUGLAS LONG $161,286 STEVE SMOOT $ 249,972 SHASTA MANUEL $ 35,621 ANGI MOHR $ 67,146 DARIN FARRELL $ 9,828 CATHY BROOME $9,100 LAURA KAISER $720,859 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. JOE HODGES $ 80,953 STEVE SMOOT $ 140,898 SHASTA MANUEL $34,874 ANGI MOHR $9,041 LAURA KAISER $1,488,789

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.

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202433209349306183

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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