Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $122,763

• 1f · All other contributions, gifts and grants

  $43,750

• 2a · Program service revenue: CORPORATE FEES

  total $163,011,825 · related or exempt $163,011,825

• 2b · Program service revenue: NET PATIENT REVENUE

  total $144,561,991 · related or exempt $144,561,991

• 2c · Program service revenue: NET PATIENT REVENUE INTERCOMPANY

  total $1,443,592 · related or exempt $1,443,592

• 2d · Program service revenue: OTHER PROGRAM REVENUE

  total -$987 · related or exempt -$987

• 11a · Other revenue: OTHER REVENUE

  total $25,734,363 · related or exempt $25,734,363

• 11e · Other revenue, total

  $25,734,363

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $13,985 · program services $13,985

• 7 · Other salaries and wages

  total $285,863,795 · program services $285,906,535 · management and general -$42,740

• 8 · Pension plan contributions

  total $15,824,598 · program services $15,826,964 · management and general -$2,366

• 9 · Other employee benefits

  total $19,791,591 · program services $19,794,550 · management and general -$2,959

• 10 · Payroll taxes

  total $14,287,753 · program services $14,289,889 · management and general -$2,136

• 11a · Fees: management

  total $194,285 · program services $194,285

• 11b · Fees: legal

  total $354,155 · program services $354,155

• 11g · Fees: other

  total $17,088,722 · program services $16,940,223 · management and general $148,499

• 12 · Advertising and promotion

  total $123,141 · program services $115,076 · management and general $8,065

• 13 · Office expenses

  total $1,195,217 · program services $1,190,513 · management and general $4,704

• 14 · Information technology

  total $4,085,545 · program services $3,951,107 · management and general $134,438

• 16 · Occupancy

  total $7,771,805 · program services $7,720,252 · management and general $51,553

• 17 · Travel

  total $1,084,081 · program services $1,084,081

• 19 · Conferences, conventions and meetings

  total $168,005 · program services $168,005

• 20 · Interest

  total $42 · program services $42

• 21 · Payments to affiliates

  total $17,656,257 · program services $17,656,257

• 22 · Depreciation, depletion and amortization

  total $2,681,199 · program services $2,462,297 · management and general $218,902

• 23 · Insurance

  total $9,443,211 · program services $9,443,211

• 24a · Other expenses: MEDICAL SUPPLIES & EQUI

  total $11,596,843 · program services $11,589,027 · management and general $7,816

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

  total $4,462,612 · program services $4,449,956 · management and general $12,656

• 24c · Other expenses: BANK FEES

  total $361,136 · program services $361,136

• 24d · Other expenses: OTHER EXPENSES

  total $30,933 · program services $34,698 · management and general -$3,765

• 24e · All other expenses

  total $2,067 · program services $2,067

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $0 · end of year -$3

• 4 · Accounts receivable

  beginning of year $27,846,182 · end of year $26,576,065

• 8 · Inventories for sale or use

  beginning of year $1,329,208 · end of year $927,462

• 9 · Prepaid expenses and deferred charges

  beginning of year $5,574,926 · end of year $1,569,765

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

  $8,710,304

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

  $3,222,003

• 10c · Land, buildings and equipment, net

  beginning of year $6,341,350 · end of year $5,488,301

• 14 · Intangible assets

  beginning of year $148,203,721 · end of year $147,627,281

• 15 · Other assets

  beginning of year $38,157 · end of year $1,647,016

• 17 · Accounts payable and accrued expenses

  beginning of year $25,433,443 · end of year $32,127,371

• 19 · Deferred revenue

  end of year $30,880

• 23 · Secured mortgages and notes payable

  end of year $76,217

• 25 · Other liabilities

  beginning of year $169,152,398 · end of year $236,017,397

• 27 · Net assets without donor restrictions

  beginning of year -$5,252,297 · end of year -$84,415,978

The filer's explanations (Part III)

PART I, LINE 4B

PENSION RESTORATION PLAN: SSM HEAL TH (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: STEVE SMOOT $249,972 RANDALL COMBS $261,633 KEVIN SMITH $95,493 DOUGLAS LONG $161,286 KEVIN ELLEDGE $48,528 BOB PENDLETON $59,726 JAYCEEN ENSRUDE $12,156 LISA KEHLENBRINK $13,188 HOWARD PLACE $14,107 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. STEVE SMOOT $140,898 KEVIN ELLEDGE $47,362 JAYCEEN ENSRUDE $11,267

SCHEDULE J, PART I, LINE 3-ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT

THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZES THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; COMPENSATION (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.