Skip to content
Nonprofiteer
← SSM HEALTH CARDINAL GLENNON TRANSPORT

Form 990 for tax year 2022

Filed by SSM HEALTH CARDINAL GLENNON TRANSPORT.

Totals

Total revenue
$2,328,559
Total expenses
$5,111,868
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$2,328,559
Investment income
$0
Other revenue
$0
Total assets, end of year
$4,542,689
Total liabilities, end of year
$7,269,866
Net assets or fund balances, end of year
-$2,727,177
Program services expenses (Part IX)
$5,111,868
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$5,111,868

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: Transportation Services

    total $2,328,559 · related or exempt $2,328,559

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $4,198,039 · program services $4,198,039

  • 10 · Payroll taxes

    total $314,322 · program services $314,322

  • 11g · Fees: other

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $45,099 · program services $45,099

  • 22 · Depreciation, depletion and amortization

    total $554,408 · program services $554,408

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    end of year $742,964

  • 4 · Accounts receivable

    beginning of year $56,132 · end of year $1,641,727

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

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

    $3,841,421

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

    $1,683,423

  • 10c · Land, buildings and equipment, net

    end of year $2,157,998

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    end of year $45,099

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $7,224,767

  • 27 · Net assets without donor restrictions

    beginning of year $56,132 · end of year -$2,727,177

Mission and programs · 2022

Mission

Operation of a neonatal and pediatric transport program and provision of emergency and non-emergency transportation of sick, diseased, injured, and crippled children and others in support of SSM Cardinal Glennon Children's Hospital and SSM Health Care St. Louis.

  • Operation of a neonatal and pediatric transport program and provision of emergency and non-emergency transportation of sick, diseased, injured, and crippled children and others in support of SSM Cardinal Glennon Children's Hospital and SSM Health Care St. Louis.

    Expenses $5,111,868 · Revenue $2,328,559

As filed on the 2022 return.

Listed in Part VII

  • Jan Cerny

    Vice-Chairperson

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Jeremy Fotheringham

    Chairperson and President

    Total calculated
    $1,583,083
    From this org
    $0
    From related orgs
    $1,029,820
    Other
    $553,263
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $763,791 related
    Bonus
    $0 + $264,320 related
    Other
    $0 + $1,710 related
    Deferred
    $0 + $513,411 related
    Nontaxable benefits
    $0 + $39,852 related
    Filer's total
    $0 + $1,583,084 related

  • Steve Smoot

    Vice President, COO of SSM Health

    Total calculated
    $2,904,291
    From this org
    $0
    From related orgs
    $1,870,292
    Other
    $1,033,999
    Hours/week
    1 + 65 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,084,584 related
    Bonus
    $0 + $672,081 related
    Other
    $0 + $113,627 related
    Deferred
    $0 + $995,370 related
    Nontaxable benefits
    $0 + $38,629 related
    Filer's total
    $0 + $2,904,291 related

  • Christine Jacobs MD

    Director

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Dennis Harms

    Director

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Douglass Petty

    Director

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Joseph Yancey

    Director

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Kevin Elledge

    Director

    Total calculated
    $373,118
    From this org
    $0
    From related orgs
    $259,034
    Other
    $114,084
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $255,272 related
    Bonus
    $0
    Other
    $0 + $3,762 related
    Deferred
    $0 + $107,521 related
    Nontaxable benefits
    $0 + $6,563 related
    Filer's total
    $0 + $373,118 related

  • Timothy Johnson MD

    Director

    Total calculated
    $955,312
    From this org
    $0
    From related orgs
    $686,908
    Other
    $268,404
    Hours/week
    1 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $524,380 related
    Bonus
    $0 + $160,818 related
    Other
    $0 + $1,710 related
    Deferred
    $0 + $234,817 related
    Nontaxable benefits
    $0 + $33,587 related
    Filer's total
    $0 + $955,312 related

  • Douglas Long

    Secretary

    Total calculated
    $2,040,754
    From this org
    $0
    From related orgs
    $1,354,027
    Other
    $686,727
    Hours/week
    1 + 72.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $724,576 related
    Bonus
    $0 + $460,492 related
    Other
    $0 + $168,959 related
    Deferred
    $0 + $664,054 related
    Nontaxable benefits
    $0 + $22,673 related
    Filer's total
    $0 + $2,040,753 related

  • Melissa Flaherty

    Assistant Secretary

    Total calculated
    $30,449
    From this org
    $0
    From related orgs
    $26,858
    Other
    $3,591
    Hours/week
    1 + 40 related

  • Randy Combs

    Treasurer

    Total calculated
    $2,850,791
    From this org
    $0
    From related orgs
    $1,879,738
    Other
    $971,053
    Hours/week
    1 + 69 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,144,254 related
    Bonus
    $0 + $475,226 related
    Other
    $0 + $260,259 related
    Deferred
    $0 + $938,234 related
    Nontaxable benefits
    $0 + $32,819 related
    Filer's total
    $0 + $2,850,792 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)

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
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 2022. 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 2022: Steve Smoot - $240,329 Randall Combs $251,115 Douglas Long $159,815 DG Gloede $24,694 Chris Thornock $43,014 Michael Topolski $11,150 Tim Johnson $54,257 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2022. All distributions received from the plan in the current year were included in the individual's taxable compensation. Steve Smoot $111,005

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

    N/A · Surgery Services · MO

    Directly controlled by NA

  • St Clare Imaging Services LLC

    N/A · Diag. Services · WI

    Directly controlled by NA

  • Mt Vernon Radiation Therapy Center LLC

    N/A · Radiation Therapy · IL

    Directly controlled by NA

  • Sleep & Neurology Center of Southern Illinois LLC

    N/A · Diag. Services · IL

    Directly controlled by NA

  • CHOWSMGSI Office Building LLC

    N/A · MOB · IL

    Directly controlled by NA

  • Oza Cancer Center LLC

    N/A · MOB · IL

    Directly controlled by NA

  • Shawnee Real Estate Holdings LLC

    N/A · MOB · OK

    Directly controlled by NA

  • Dean Clinic & St Mary's Hospital Accountable Care Organization LLC

    N/A · Accountable Care Organization · WI

    Directly controlled by NA

  • Wisconsin Integrated Information Technology and Telemedicine Systems LLC

    N/A · Information Technology Services · WI

    Directly controlled by NA

  • Wingra Building Group

    N/A · MOB · WI

    Directly controlled by NA

  • Janesville Riverview Clinic Building Partnership

    N/A · MOB · WI

    Directly controlled by NA

  • 1110 N Classen Blvd LLC

    N/A · MOB · OK

    Directly controlled by NA

  • SSM St Clare Surgical Center LLC

    N/A · Surgery Services · MO

    Directly controlled by NA

  • Windmill LLP

    N/A · Investments · MO

    Directly controlled by NA

  • Navitus Health Solutions LLC

    N/A · Pharmacy Benefits · WI

    Directly controlled by NA

  • SSM Select Rehab St Louis LLC

    N/A · Health Care · DE

    Directly controlled by NA

  • Epiphany Rx LLC

    N/A · Pharmacy Benefits · DE

    Directly controlled by NA

  • Bain Capital Global Direct Lending 2021 (L Offshore) LP

    N/A · Investments · DE

    Directly controlled by NA

  • Bloom Tree Long-Only Fund QP LP fka Bloom Tree Ponderosa Funds QP LP

    N/A · Investments · DE

    Directly controlled by NA

  • Carlyle Property Investors LP

    N/A · Investments · DE

    Directly controlled by NA

  • NECICF II AIV2-B LP

    N/A · Investments · DE

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • SSM Managed Care Organization LLC

    C Corporation · Health Promotion · MO

    Directly controlled by NA

  • FPP INC & Subs

    C Corporation · Health Care · MO

    Directly controlled by NA

  • Diversified Health Services Corp

    C Corporation · Medical Equipment · MO

    Directly controlled by NA

  • SSM Properties Inc

    C Corporation · Property Services · MO

    Directly controlled by NA

  • HealthFirst Physician Management Services

    C Corporation · Medical Services · OK

    Directly controlled by NA

  • SSMHC Liability Trust II

    C Corporation · Insurance · MO

    Directly controlled by NA

  • SSM Medical Group Inc

    C Corporation · Physician Offices · MO

    Directly controlled by NA

  • SSMHC Insurance Company

    C Corporation · Insurance · CJ

    Directly controlled by NA

  • Physicians Services Corp of Southern Illinois Inc

    C Corporation · Health Care · IL

    Directly controlled by NA

  • Dean Health Systems Inc

    C Corporation · Physician Offices · WI

    Directly controlled by NA

  • Dean Health Insurance Inc

    C Corporation · Insurance · WI

    Directly controlled by NA

  • Dean Retail Services Inc

    C Corporation · Property Services · WI

    Directly controlled by NA

  • Oza Oncology Inc

    S Corporation · Physician Offices · IL

    Directly controlled by NA

  • SSM Health Janesville Campus Condominium Association Inc

    C Corporation · Condo association · WI

    Directly controlled by NA

  • SSM Health Pharmacy LLC

    C Corporation · Pharmacy · MO

    Directly controlled by NA

  • Navitus Holdings LLC

    C Corporation · Pharmacy · WI

    Directly controlled by NA

  • MS Community JV LLC

    C Corporation · Insurance · DE

    Directly controlled by NA

  • Quality Drug Corporation

    C Corporation · Pharmacy benefits · CA

    Directly controlled by NA

  • St Mary's Hospital Campus Condominium Owners Association Inc

    C Corporation · Condo association · WI

    Directly controlled by NA

  • Partners Group PMC Private Credit LP

    C Corporation · Investment · CJ

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
16 November 2023
IRS schema version
2022v5.0
Source object
202323199349329287

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

The source document this was parsed from is served over the API, which is where bulk and document access live.