Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1c · Fundraising events

  $689,294

• 1d · Related organizations

  $37,648

• 1e · Government grants (contributions)

  $344

• 1f · All other contributions, gifts and grants

  $1,680,776

• 1g · Noncash contributions included above

  $54,998

• 2f · All other program service revenue

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

• 3 · Investment income

  total $411,870 · excluded $411,870

• 6c · Rental income or loss

  real property $0 · personal property $0

• 7a · Gross sales of assets other than inventory

  securities $153,936

• 7c · Gain or loss

  securities $153,936 · other assets $0

• 7d · Net gain or loss

  total $153,936 · excluded $153,936

• 8a · Fundraising events: gross income

  $202,653

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

  $689,294

• 8b · Fundraising events: direct expenses

  $508,959

• 8c · Net income from fundraising events

  total -$306,306 · excluded -$306,306

• 9a · Gaming: gross income

  $5,434

• 9b · Gaming: direct expenses

  $3,425

• 9c · Net income from gaming

  total $2,009 · excluded $2,009

• 10a · Gross sales of inventory

  $1,161,575

• 10b · Cost of goods sold

  $1,277,405

• 10c · Net income from sales of inventory

  total -$115,830 · excluded -$115,830

• 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.

• 1 · Grants to domestic organizations and governments

  total $2,019,075 · program services $2,019,075

• 2 · Grants to domestic individuals

  total $139,090 · program services $139,090

• 7 · Other salaries and wages

  total $1,547,505 · program services $1,160,629 · management and general $309,501 · fundraising $77,375

• 8 · Pension plan contributions

  total $30,373 · program services $22,780 · management and general $6,074 · fundraising $1,519

• 9 · Other employee benefits

  total $136,243 · program services $102,182 · management and general $27,249 · fundraising $6,812

• 10 · Payroll taxes

  total $105,524 · program services $79,143 · management and general $21,105 · fundraising $5,276

• 11b · Fees: legal

  total $15,807 · fundraising $15,807

• 11g · Fees: other

  total $114,541 · program services $85,906 · management and general $22,908 · fundraising $5,727

• 12 · Advertising and promotion

  total $156,395 · fundraising $156,395

• 13 · Office expenses

  total $190,359 · program services $142,769 · management and general $38,072 · fundraising $9,518

• 14 · Information technology

  total $83,640 · program services $62,730 · management and general $16,728 · fundraising $4,182

• 16 · Occupancy

  total $113,985 · program services $85,489 · management and general $22,796 · fundraising $5,700

• 17 · Travel

  total $25,484 · program services $25,484

• 19 · Conferences, conventions and meetings

  total $1,888 · program services $1,888

• 20 · Interest

  total $2,119 · management and general $2,119

• 23 · Insurance

  total $6,284 · program services $6,284

• 24a · Other expenses: BANK SERVICE CHARGES

  total $13,334 · fundraising $13,334

• 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

  beginning of year $221,721 · end of year $1,718,468

• 2 · Savings and temporary cash investments

  beginning of year $3,069,396 · end of year $9,319,029

• 3 · Pledges and grants receivable

  beginning of year $4,592,176 · end of year $4,639,804

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  end of year $420

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

  $0

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

  $0

• 10c · Land, buildings and equipment, net

  beginning of year $0 · end of year $0

• 12 · Investments: other securities

  beginning of year $10,033,649 · end of year $15,444,052

• 13 · Investments: program-related

  beginning of year $17,518,269

• 15 · Other assets

  beginning of year $42,231 · end of year $239,066

• 17 · Accounts payable and accrued expenses

  beginning of year $144,549 · end of year $121,373

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $2,353,019 · end of year $871,344

• 27 · Net assets without donor restrictions

  beginning of year $10,869,429 · end of year $9,128,990

• 28 · Net assets with donor restrictions

  beginning of year $22,110,445 · end of year $21,239,132

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Tax indemnification and gross-up payments

Several individuals listed on Part VII, Section A, received tax indemnification/gross up payments in 2022, which were included in their taxable compensation.

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

The organization's top management official (President - Foundation) is compensated by a related organization that utilizes the following to determine compensation: (1) Independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.

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: Travis Capers $51,061 Steven Scott $57,028 Jeremy Fotheringham $161,977 Tina Garrison $45,292 Kyle Grate $63,654 Deborah Graves $29,332 Guy Venezia $3,274 Paul Ross $14,393 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. Travis Capers $46,369 Tina Garrison $8,053 Paul Ross $14,148

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