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Nonprofiteer
← SSM AUDRAIN HEALTH CARE INC

Form 990 for tax year 2023

Filed by SSM AUDRAIN HEALTH CARE INC.

Totals

Total revenue
$362,355
Total expenses
$238,103
Contributions and grants received
$87,057
Grants paid
$0
Program service revenue
$275,298
Investment income
$0
Other revenue
$0
Total assets, end of year
$16,176
Total liabilities, end of year
$48,178,962
Net assets or fund balances, end of year
-$48,162,786
Program services expenses (Part IX)
$236,772
Management and general expenses
$1,331
Fundraising expenses
$0
Program service expenses (Part III)
$236,772

Program services were 99.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • LAURA KAISER

    DIRECTOR, 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
    0 + 44 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

  • STEVE SMOOT

    DIRECTOR, VICE PRESIDENT/COO OF SSM HEALTH

    Total calculated
    $3,258,847
    From this org
    $0
    From related orgs
    $2,054,358
    Other
    $1,204,489
    Hours/week
    0 + 66 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

  • DOUGLAS LONG

    DIRECTOR, 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
    0 + 73.2 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

  • KAREN REWERTS

    DIRECTOR, VP-FINANCIAL OPERATIONS

    Total calculated
    $1,088,845
    From this org
    $0
    From related orgs
    $801,331
    Other
    $287,514
    Hours/week
    0 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $589,021 related
    Bonus
    $0 + $154,022 related
    Other
    $0 + $58,288 related
    Deferred
    $0 + $253,200 related
    Nontaxable benefits
    $0 + $34,314 related
    Filer's total
    $0 + $1,088,845 related

  • RANDY COMBS

    TREASURER, CFO OF SSM HEALTH

    Total calculated
    $3,420,428
    From this org
    $0
    From related orgs
    $2,182,354
    Other
    $1,238,074
    Hours/week
    0 + 70 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

  • JOHN SNODSMITH

    FORMER OFFICER

    Total calculated
    $391,637
    From this org
    $0
    From related orgs
    $292,287
    Other
    $99,350
    Hours/week
    0 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,255 related
    Bonus
    $0 + $34,175 related
    Other
    $0 + $857 related
    Deferred
    $0 + $69,162 related
    Nontaxable benefits
    $0 + $30,188 related
    Filer's total
    $0 + $391,637 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 3-ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT
THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, REGIONAL PRESIDENT, IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT, (2) COMPENSATION SURVEY OR STUDY, (3) APPROVAL BY THE SSM HEALTH BOARD OR COMPENSATION COMMITTEE.
SCHEDULE J, PART I, LINE 3 - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
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: KAREN REWERTS $56,755 STEVE SMOOT $249,972 LAURA KAISER $720,859 JOHN SNODSMITH $11,873 RANDALL COMBS $261,633 DOUGLAS LONG $161,286 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 STEVE SMOOT $140,898

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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202413209349314276

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