Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1c · Fundraising events

  $58,425

• 1f · All other contributions, gifts and grants

  $239,288

• 3 · Investment income

  total $83,837 · excluded $83,837

• 7a · Gross sales of assets other than inventory

  securities $62,443

• 7b · Less cost or other basis and sales expenses

  securities $0

• 7c · Gain or loss

  securities $62,443

• 7d · Net gain or loss

  total $62,443 · excluded $62,443

• 8a · Fundraising events: gross income

  $12,865

• 8a · Fundraising events: contributions included on line 1c

  $58,425

• 8b · Fundraising events: direct expenses

  $22,688

• 8c · Net income from fundraising events

  total -$9,823 · excluded -$9,823

• 9a · Gaming: gross income

  $695

• 9b · Gaming: direct expenses

  $695

• 9c · Net income from gaming

  total $0

• 11a · Other revenue: INTERCOMPANY REVENUE-S

  total $125,845 · excluded $125,845

• 11b · Other revenue: OTHER REVENUE

  total $2,500 · excluded $2,500

• 11e · Other revenue, total

  $128,345

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $26,945 · program services $26,945

• 7 · Other salaries and wages

  total $86,752 · fundraising $86,752

• 10 · Payroll taxes

  total $6,817 · fundraising $6,817

• 11g · Fees: other

  total $16,366 · fundraising $16,366

• 12 · Advertising and promotion

  total $1,147 · fundraising $1,147

• 13 · Office expenses

  total $1,880 · fundraising $1,880

• 16 · Occupancy

  total $302 · fundraising $302

• 17 · Travel

  total $1,930 · fundraising $1,930

• 19 · Conferences, conventions and meetings

  total $113 · fundraising $113

• 24a · Other expenses: OTHER EXPENSES

  total $3,155 · fundraising $3,155

• 24b · Other expenses: BANK FEES

  total $726 · fundraising $726

• 24c · Other expenses: TAXES

  total $115 · fundraising $115

• 24d · Other expenses: LICENSES, DUES & SUBSCR

  total $60 · fundraising $60

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $408,309 · end of year $717,482

• 2 · Savings and temporary cash investments

  beginning of year $1,505,868 · end of year $1,669,626

• 3 · Pledges and grants receivable

  beginning of year $167,061 · end of year $172,327

• 12 · Investments: other securities

  beginning of year $593,299 · end of year $753,882

• 13 · Investments: program-related

  beginning of year $0 · end of year $0

• 15 · Other assets

  beginning of year $416,841 · end of year $416,841

• 25 · Other liabilities

  beginning of year $1,120 · end of year $6,337

• 27 · Net assets without donor restrictions

  beginning of year $1,392,328 · end of year $1,881,868

• 28 · Net assets with donor restrictions

  beginning of year $1,697,930 · end of year $1,841,953

The filer's explanations (Part III)

SCHEDULE J PART I, LINE 3

ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION THE FOUNDATION'S TOP MANAGEMENT OFFICIAL (EXECUTIVE DIRECTOR) 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.

FORM 990 SCHEDULE J PART I, LINE 4B

SUPPLEMENTAL NONQUALIFIED RETIREMENT 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: DOUGLAS LONG $161,286 JOHN SNODSMITH $11,873 MATTHEW KINSELLA $39,596 KAREN REWERTS $56,755 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. KAREN REWERTS $53,386 MATT KINSELLA $19,814

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

• PARTNERS GROUP PMC PRIVATE CREDIT LP

  C · INVESTMENT · CJ