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Nonprofiteer
← HHU XTRA CARE INC

Form 990 for tax year 2023

Filed by HHU XTRA CARE INC.

Totals

Total revenue
$5,132,611
Total expenses
$5,117,913
Contributions and grants received
$70,393
Grants paid
$0
Program service revenue
$5,062,218
Investment income
$0
Other revenue
$0
Total assets, end of year
$2,069,601
Total liabilities, end of year
$264,013
Net assets or fund balances, end of year
$1,805,588
Program services expenses (Part IX)
$4,164,384
Management and general expenses
$953,529
Fundraising expenses
$0
Program service expenses (Part III)
$4,164,384

Program services were 81.4% 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.

  • 1a · Federated campaigns

    $1,398

  • 1d · Related organizations

    $68,988

  • 1e · Government grants (contributions)

    $7

  • 2a · Program service revenue: NET PATIENT SERVICE RE

    total $5,062,218 · related or exempt $5,062,218

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $1,098,649 · program services $764,868 · management and general $333,781

  • 8 · Pension plan contributions

    total $48,516 · program services $33,776 · management and general $14,740

  • 9 · Other employee benefits

    total $179,177 · program services $124,741 · management and general $54,436

  • 10 · Payroll taxes

    total $82,783 · program services $57,633 · management and general $25,150

  • 11c · Fees: accounting

    total $7,025 · program services $7,025

  • 11g · Fees: other

    total $252,175 · program services $239,680 · management and general $12,495

  • 13 · Office expenses

    total $562,240 · program services $552,516 · management and general $9,724

  • 14 · Information technology

    total $45,718 · program services $45,718

  • 16 · Occupancy

    total $224,018 · program services $54,749 · management and general $169,269

  • 17 · Travel

    total $12,214 · program services $8,168 · management and general $4,046

  • 19 · Conferences, conventions and meetings

    total $620 · program services $620

  • 21 · Payments to affiliates

    total $433,321 · program services $110,727 · management and general $322,594

  • 22 · Depreciation, depletion and amortization

    total $1,138 · program services $1,138

  • 23 · Insurance

    total $2,378 · management and general $2,378

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $2,156,740 · program services $2,156,740

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

    total $6,619 · program services $6,285 · management and general $334

  • 24c · Other expenses: BANK SERVICE CHARGES

    total $4,572 · management and general $4,572

  • 24d · Other expenses: TAXES

    total $10 · management and general $10

Balance sheet

Part X, book values.

  • 4 · Accounts receivable

    beginning of year $843,415 · end of year $708,111

  • 8 · Inventories for sale or use

    beginning of year $117,015 · end of year $163,812

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,447 · end of year $620

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

    $197,465

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

    $192,487

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $4,978

  • 15 · Other assets

    beginning of year $1,224,528 · end of year $1,192,080

  • 17 · Accounts payable and accrued expenses

    beginning of year $395,515 · end of year $264,013

  • 27 · Net assets without donor restrictions

    beginning of year $1,790,890 · end of year $1,805,588

Mission and programs · 2023

Mission

PROMOTE OPTIMAL HEALTH AND QUALITY OF LIFE TO THOSE WE SERVE THROUGH OUR EXCEPTIONAL, COMPREHENSIVE CARE AT HOME AND IN THE COMMUNITY.

Activities or mission (Part I)

TO PROVIDE HOME INFUSION, PHARMACY, DURG, ENTERNAL THERAPY, VACCINATIONS, AND OTHER WELLNESS SERVICES.

  • PROVIDE HOME INFUSION PHARMACY AND DRUG THERAPY TO PATIENTS WE SERVE, INCLUDING PAIN MEDICATION TO HOSPICE PATIENTS. ALSO PROVIDE ORAL PAIN MEDICATION TO HOSPICE PATIENTS AND ENTERAL NUTRITION INFUSION THERAPY.

    Expenses $3,433,483 · Revenue $4,225,901

  • DELIVERY OF MEALS TO HOMEBOUND INDIVIDUALS IN SOUTHERN WISCONSIN.

    Expenses $544,454 · Revenue $582,794

  • PROVIDE TELEHEALTH MONITORING TO HELP REDUCE HOSPITAL RE-ADMISSIONS FOR PATIENTS WITH CHRONIC HEALTH CONDITIONS, SAFE PROGRAM, AND VACCINATIONS

    Expenses $2,094

  • PERSONAL EMERGENCY RESPONSE SYSTEM PROVIDED TO MEMBERS OF THE COMMUNITY.

    Expenses $184,353 · Revenue $253,523

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Dg Gloede

    DIRECTOR, PRES-POST ACUTE

    Total calculated
    $533,829
    From this org
    $0
    From related orgs
    $352,791
    Other
    $181,038
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $307,772 related
    Bonus
    $0 + $43,403 related
    Other
    $0 + $1,616 related
    Deferred
    $0 + $151,034 related
    Nontaxable benefits
    $0 + $30,004 related
    Filer's total
    $0 + $533,829 related

  • Emily Sallows

    PHARMACIST

    Total calculated
    $151,020
    From this org
    $128,729
    From related orgs
    $0
    Other
    $22,291
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $128,635
    Bonus
    $0
    Other
    $94
    Deferred
    $8,127
    Nontaxable benefits
    $14,164
    Filer's total
    $151,020

  • Chris Thornock

    DIRECTOR, CHAIRPERSON, PRESIDENT-POST ACUTE

    Total calculated
    $847,024
    From this org
    $0
    From related orgs
    $583,387
    Other
    $263,637
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $466,669 related
    Bonus
    $0 + $112,038 related
    Other
    $0 + $4,680 related
    Deferred
    $0 + $228,224 related
    Nontaxable benefits
    $0 + $35,413 related
    Filer's total
    $0 + $847,024 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
SEVERAL INDIVIDUALS LISTED ON PART VII, SECTION A, RECEIVED TAX INDEMNIFICATION/GROSS UP PAYMENTS IN 2023, WHICH WERE INCLUDED IN THEIR TAXABLE COMPENSATION.
PART I, LINE 3
THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, THE 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 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 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: DG GLOEDE $28,146 CHRIS THORNOCK $45,375 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. NONE

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

    SURGERY SERVICES · MO

  • ST CLARE IMAGING SERVICES LLC

    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

  • CHOWSMGSI OFFICE BUILDING LLC

    MOB · IL

  • OZA CANCER CENTER LLC

    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

  • WINGRA BUILDING GROUP

    MOB · WI

  • JANESVILLE RIVERVIEW CLINIC BUILDING PARTNERSHIP

    MOB · WI

  • 1110 N CLASSEN BLVD LLC

    MOB · OK · general or managing partner

  • SSM ST CLARE SURGICAL CENTER LLC

    SURGERY SERVICES · MO

  • WINDMILL LLP

    INVESTMENTS · MO

  • NAVITUS HEALTH SOLUTIONS LLC

    PHARMACY BENEFIT MANAGEMENT · WI

  • SSM SELECT REHAB ST LOUIS LLC

    HEALTH CARE · DE

  • EPIPHANY RX LLC

    PHARMACY BENEFIT MANAGEMENT · DE

  • RXPRECHECK LL

    PHARMACY BENEFIT MANAGEMENT · TN

  • ARCHIMEDES LLC

    PHARMACY BENEFIT MANAGEMENT · TN

  • BLOOM TREE LONG-ONLY FUND QP LP FKA BLOOM TREE PONDEROSA FUNDS QP LP

    INVESTMENTS · DE

  • NECICF II AIV2-B LP

    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

  • FPP INC & SUBS

    C · HEALTH CARE · MO

  • DIVERSIFIED HEALTH SERVICES CORP

    C · MEDICAL EQUIPMENT · MO

  • SSM PROPERTIES INC

    C · PROPERTY SERVICES · MO

  • HEALTHFIRST PHYSICIAN MANAGEMENT SERVICES

    C · MEDICAL SERVICES · OK

  • SSMHC LIABILITY TRUST II

    C · INSURANCE · MO

  • SSM MEDICAL GROUP INC

    C · PHYSICIAN OFFICES · MO

  • SSMHC INSURANCE COMPANY

    C · INSURANCE · CJ

  • PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS INC

    C · HEALTH CARE · IL

  • DEAN HEALTH SYSTEMS INC

    C · PHYSICIAN OFFICES · WI

  • DEAN RETAIL SERVICES INC

    C · PROPERTY SERVICES · WI

  • SSM HEALTH JANESVILLE CAMPUS CONDOMINIUM ASSOCIATION INC

    C · CONDO ASSOCIATION · WI

  • SSM HEALTH PHARMACY LLC

    C · PHARMACY · MO

  • NAVITUS HOLDINGS LLC

    C · PHARMACY · WI

  • MS COMMUNITY JV LLC

    C · INSURANCE · DE

  • QUALITY DRUG CORPORATION

    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

  • OMNINHEALTH HOLDINGS

    C · HEALTH CARE CONSULTING · DE

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202413209349311961

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