Totals
- Total revenue
- $4,728,333
- Total expenses
- $2,820,501
- Contributions and grants received
- $1,677,019
- Grants paid
- $2,381,685
- Program service revenue
- $347,679
- Investment income
- $2,712,089
- Other revenue
- -$8,454
- Total assets, end of year
- $34,450,593
- Total liabilities, end of year
- $258,218
- Net assets or fund balances, end of year
- $34,192,375
- Program services expenses (Part IX)
- $2,381,685
- Management and general expenses
- $0
- Fundraising expenses
- $438,816
- Program service expenses (Part III)
- $2,381,685
Program services were 84.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
ADAM TIERNEY
DIRECTOR & DEAN PHYSICIAN
- Total calculated
- $490,453
- From this org
- $0
- From related orgs
- $419,747
- Other
- $70,706
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $417,633 related
- Bonus
- $0
- Other
- $0 + $2,114 related
- Deferred
- $0 + $25,189 related
- Nontaxable benefits
- $0 + $45,517 related
- Filer's total
- $0 + $490,453 related
-
ERIC THORNTON
DIRECTOR & HOSPITAL PRESIDENT
- Total calculated
- $711,494
- From this org
- $0
- From related orgs
- $538,837
- Other
- $172,657
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $436,768 related
- Bonus
- $0 + $68,423 related
- Other
- $0 + $33,646 related
- Deferred
- $0 + $131,130 related
- Nontaxable benefits
- $0 + $41,527 related
- Filer's total
- $0 + $711,494 related
-
SARAH GROESSL
DIRECTOR & DEAN PHYSICIAN
- Total calculated
- $221,953
- From this org
- $0
- From related orgs
- $203,383
- Other
- $18,570
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $201,525 related
- Bonus
- $0
- Other
- $0 + $1,858 related
- Deferred
- $0 + $14,864 related
- Nontaxable benefits
- $0 + $3,706 related
- Filer's total
- $0 + $221,953 related
-
KELLYE GOLDEN
DIRECTOR & CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
KIMBERLY SHAUL
DIRECTOR & SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
JOEL MCNEIL
DIRECTOR & TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
SEAN BAXTER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
PAUL CUTA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
SEBASTAIN GERACI
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
MICHAEL FOLEY MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
ERIC HELSHER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
SARAH KUEMMEL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
JEFF MACK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
TIM O'BRIEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
JEANNIE CULLEN SCHULTZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
DAVE SHAW
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
DENISE TOBIE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
JEFFREY TUBBS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
LAURA ZACH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
DOUGLAS LONG
ASST. SEC. & CLO AT HHM HEALTH
- Total calculated
- $2,287,921
- From this org
- $0
- From related orgs
- $1,587,150
- Other
- $700,771
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $813,979 related
- Bonus
- $0 + $583,198 related
- Other
- $0 + $189,973 related
- Deferred
- $0 + $676,547 related
- Nontaxable benefits
- $0 + $24,224 related
- Filer's total
- $0 + $2,287,921 related
-
DINA BOYLE
EXECUTIVE DIRECTOR
- Total calculated
- $233,262
- From this org
- $0
- From related orgs
- $171,062
- Other
- $62,200
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $160,007 related
- Bonus
- $0 + $10,276 related
- Other
- $0 + $779 related
- Deferred
- $0 + $24,468 related
- Nontaxable benefits
- $0 + $37,732 related
- Filer's total
- $0 + $233,262 related
-
KYLE NONDORF
FORMER OFFICER
- Total calculated
- $989,618
- From this org
- $0
- From related orgs
- $757,276
- Other
- $232,342
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $555,313 related
- Bonus
- $0 + $148,411 related
- Other
- $0 + $53,552 related
- Deferred
- $0 + $186,115 related
- Nontaxable benefits
- $0 + $46,227 related
- Filer's total
- $0 + $989,618 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
- 1a · Tax indemnification and gross-up payments
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing expenses
- 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)
- PART I, LINE 1A
- AN INDIVIDUAL LISTED ON PART VII, SECTION A, RECEIVED TAX INDEMNIFICATION/GROSS UP PAYMENTS IN 2023, WHICH WAS INCLUDED IN TAXABLE COMPENSATION.
- PART I, LINE 3
- THE FOUNDATION'S TOP MANAGEMENT OFFICIAL (EXECUTIVE DIRECTOR) 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 BOARD OR COMPENSATION COMMITTEE.
- PART I, LINE 4B
- 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 2024. 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 DISTRIBUTIONS FROM THIS PLAN IN 2024. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. KYLE NONDORF - $51,642 ERIC THORNTON - $29,317
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
-
SSM HEALTH CARE OF WISCONSIN INC
$2,174,100
HOSPITAL SUPPORT
-
SUPPORT
-
$8,915
FOOD PANTRY SUPPORT
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.
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE CORPORATION
-
CENTRALIA MEDICAL SERVICES BLDG ASSOC
501(C)(3) · MOB · IL
Directly controlled by SSM REGIONAL HEALTH SERVICES
-
ST MARY'S JANESVILLE FOUNDATION INC
501(C)(3) · FUNDRAISING · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
501(C)(3) · RELIGIOUS ORGANIZATION · MO
-
501(C)(3) · MOB · OK
Directly controlled by SSM HEALTH CARE OF OKLAHOMA
-
501(C)(3) · FUNDRAISING · MO
-
GOOD SAMARITAN HOSPITAL AUXILIARY
501(C)(3) · FUNDRAISING · IL
-
ST ANTHONY SHAWNEE HOSPITAL INC
501(C)(3) · HEALTH CARE · OK
Directly controlled by SSM HEALTH CARE OF OKLAHOMA
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM REGIONAL HEALTH SERVICES
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE ST LOUIS
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
SISTER SERVANTS OF CHRIST THE KING VILLA LORETTO
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
THE CHRISTIAN HOME AND REHABILITATION CENTER INCORPORATED
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
MONROE CLINIC AND HOSPITAL FOUNDATION INC
501(C)(3) · FUNDRAISING · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
AGNESIAN HEALTHCARE FOUNDATION INC
501(C)(3) · FUNDRAISING · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
SHARED MAGNETIC RESONANCE IMAGING FACILITY INC
501(C)(3) · HEALTH CARE · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
SSM HEALTH CARDINAL GLENNON TRANSPORT
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
-
501(C)(3) · FUNDRAISING · MO
Directly controlled by SSM HEALTH CARE CORPORATION
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE ST LOUIS
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH BUSINESSES
-
VISITING NURSE ASSOCIATION OF GREATER ST LOUIS
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH BUSINESSES
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE CORPORATION
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE CORPORATION
-
CENTRALIA MEDICAL SERVICES BLDG ASSOC
501(C)(3) · MOB · IL
Directly controlled by SSM REGIONAL HEALTH SERVICES
-
ST MARY'S JANESVILLE FOUNDATION INC
501(C)(3) · FUNDRAISING · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
501(C)(3) · RELIGIOUS ORGANIZATION · MO
-
501(C)(3) · MOB · OK
Directly controlled by SSM HEALTH CARE OF OKLAHOMA
-
501(C)(3) · FUNDRAISING · MO
-
GOOD SAMARITAN HOSPITAL AUXILIARY
501(C)(3) · FUNDRAISING · IL
-
ST ANTHONY SHAWNEE HOSPITAL INC
501(C)(3) · HEALTH CARE · OK
Directly controlled by SSM HEALTH CARE OF OKLAHOMA
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM REGIONAL HEALTH SERVICES
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE ST LOUIS
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
SISTER SERVANTS OF CHRIST THE KING VILLA LORETTO
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
THE CHRISTIAN HOME AND REHABILITATION CENTER INCORPORATED
501(C)(3) · HEALTH CARE · WI
Directly controlled by AGNESIAN HEALTHCARE INC
-
501(C)(3) · HEALTH CARE · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
MONROE CLINIC AND HOSPITAL FOUNDATION INC
501(C)(3) · FUNDRAISING · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
AGNESIAN HEALTHCARE FOUNDATION INC
501(C)(3) · FUNDRAISING · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
SHARED MAGNETIC RESONANCE IMAGING FACILITY INC
501(C)(3) · HEALTH CARE · WI
Directly controlled by SSM HEALTH CARE OF WISCONSIN
-
SSM HEALTH CARDINAL GLENNON TRANSPORT
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
-
501(C)(3) · FUNDRAISING · MO
Directly controlled by SSM HEALTH CARE CORPORATION
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH CARE ST LOUIS
-
501(C)(3) · HEALTH CARE · MO
Directly controlled by SSM HEALTH BUSINESSES
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
SURGERY SERVICES · MO
-
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
-
MOB · IL
-
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
-
MOB · WI
-
JANESVILLE RIVERVIEW CLINIC BUILDING PARTNERSHIP
MOB · WI
-
MOB · OK · general or managing partner
-
SSM ST CLARE SURGICAL CENTER LLC
SURGERY SERVICES · MO
-
INVESTMENTS · MO
-
PHARMACY BENEFIT MANAGEMENT · WI
-
HEALTH CARE · DE
-
PHARMACY BENEFIT MANAGEMENT · DE
-
PHARMACY BENEFIT MANAGEMENT · TN
-
PHARMACY BENEFIT MANAGEMENT · TN
-
BLOOM TREE LONG-ONLY FUND QP LP FKA BLOOM TREE PONDEROSA FUNDS QP LP
INVESTMENTS · DE
-
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
-
C · HEALTH CARE · MO
-
DIVERSIFIED HEALTH SERVICES CORP
C · MEDICAL EQUIPMENT · MO
-
C · PROPERTY SERVICES · MO
-
HEALTHFIRST PHYSICIAN MANAGEMENT SERVICES
C · MEDICAL SERVICES · OK
-
C · INSURANCE · MO
-
C · PHYSICIAN OFFICES · MO
-
C · INSURANCE · CJ
-
PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS INC
C · HEALTH CARE · IL
-
C · PHYSICIAN OFFICES · WI
-
C · PROPERTY SERVICES · WI
-
SSM HEALTH JANESVILLE CAMPUS CONDOMINIUM ASSOCIATION INC
C · CONDO ASSOCIATION · WI
-
C · PHARMACY · MO
-
C · PHARMACY · WI
-
C · INSURANCE · DE
-
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
-
C · HEALTH CARE CONSULTING · DE
Provenance
- Return type
- form_990
- Tax year
- 2024
- Filed
- 17 November 2025
- IRS schema version
- 2024v5.2
- Source object
- 202523219349325287
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.