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Nonprofiteer
← ST MARYS HOSPITAL

Form 990 for tax year 2023

Filed by ST MARYS HOSPITAL.

Totals

Total revenue
$131,368,786
Total expenses
$101,930,158
Contributions and grants received
$6,468,846
Grants paid
$134,691
Program service revenue
$123,978,437
Investment income
$436,024
Other revenue
$485,479
Total assets, end of year
$135,782,680
Total liabilities, end of year
$40,782,611
Net assets or fund balances, end of year
$95,000,069
Program services expenses (Part IX)
$84,742,949
Management and general expenses
$17,187,209
Fundraising expenses
$0
Program service expenses (Part III)
$84,742,949

Program services were 83.1% 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.

  • 1d · Related organizations

    $3,528,149

  • 1e · Government grants (contributions)

    $2,940,697

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

    total $123,745,072 · related or exempt $123,745,072

  • 2b · Program service revenue: 340B PHARMACY REVENUE

    total $61,256 · related or exempt $61,256

  • 2c · Program service revenue: CORPORATE FEES

    total $38,972 · related or exempt $38,972

  • 2d · Program service revenue: MANAGEMENT FEES

    total $36,000 · related or exempt $36,000

  • 2f · All other program service revenue

    total $97,137 · related or exempt $97,137

  • 3 · Investment income

    total $271,403 · excluded $271,403

  • 6a · Gross rents

    real property $226,984

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $226,984

  • 6d · Net rental income or loss

    total $226,984 · excluded $226,984

  • 7a · Gross sales of assets other than inventory

    other assets $164,621

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    other assets $164,621

  • 7d · Net gain or loss

    total $164,621 · excluded $164,621

  • 11a · Other revenue: CAFETERIA REVENUE

    total $258,394 · excluded $258,394

  • 11b · Other revenue: BEAUTY SHOP REVENUE

    total $101 · excluded $101

  • 11e · Other revenue, total

    $258,495

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $134,691 · program services $134,691

  • 5 · Compensation of officers, directors and key employees

    total $2,672,931 · program services $2,509,024 · management and general $163,907

  • 7 · Other salaries and wages

    total $31,497,412 · program services $29,565,957 · management and general $1,931,455

  • 8 · Pension plan contributions

    total $1,771,285 · program services $1,662,668 · management and general $108,617

  • 9 · Other employee benefits

    total $7,903,070 · program services $7,418,445 · management and general $484,625

  • 10 · Payroll taxes

    total $2,475,939 · program services $2,324,112 · management and general $151,827

  • 11a · Fees: management

    total $1,332,168 · program services $817,138 · management and general $515,030

  • 11b · Fees: legal

    total $126,616 · management and general $126,616

  • 11g · Fees: other

    total $14,196,443 · program services $13,548,644 · management and general $647,799

  • 12 · Advertising and promotion

    total $26,729 · program services $7,876 · management and general $18,853

  • 13 · Office expenses

    total $1,581,697 · program services $1,494,614 · management and general $87,083

  • 14 · Information technology

    total $3,167,566 · program services $3,167,566

  • 16 · Occupancy

    total $2,427,810 · program services $2,427,810

  • 17 · Travel

    total $235,475 · program services $212,933 · management and general $22,542

  • 19 · Conferences, conventions and meetings

    total $24,310 · program services $20,614 · management and general $3,696

  • 21 · Payments to affiliates

    total $11,620,074 · program services $150,595 · management and general $11,469,479

  • 22 · Depreciation, depletion and amortization

    total $4,131,192 · program services $3,866,688 · management and general $264,504

  • 23 · Insurance

    total $889,875 · program services $6,763 · management and general $883,112

  • 24a · Other expenses: MEDICAL SUPPLIES & EQUI

    total $10,596,690 · program services $10,553,763 · management and general $42,927

  • 24b · Other expenses: TAXES

    total $4,766,172 · program services $4,766,172

  • 24c · Other expenses: LICENSES, DUES, SUBSCRI

    total $228,712 · program services $71,845 · management and general $156,867

  • 24d · Other expenses: BANK FEES

    total $108,270 · management and general $108,270

  • 24e · All other expenses

    total $15,031 · program services $15,031

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $122,942 · end of year $129,870

  • 4 · Accounts receivable

    beginning of year $17,025,888 · end of year $24,491,034

  • 8 · Inventories for sale or use

    beginning of year $2,337,462 · end of year $1,953,230

  • 9 · Prepaid expenses and deferred charges

    beginning of year $664,628 · end of year $395,075

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

    $91,092,828

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

    $54,654,272

  • 10c · Land, buildings and equipment, net

    beginning of year $37,797,529 · end of year $36,438,556

  • 13 · Investments: program-related

    beginning of year $894,437 · end of year $1,153,383

  • 14 · Intangible assets

    beginning of year $630,679 · end of year $512,199

  • 15 · Other assets

    beginning of year $72,586,885 · end of year $70,709,333

  • 17 · Accounts payable and accrued expenses

    beginning of year $8,796,683 · end of year $10,215,840

  • 23 · Secured mortgages and notes payable

    beginning of year $53,034,000 · end of year $21,872,788

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $279,490

  • 25 · Other liabilities

    beginning of year $12,425,079 · end of year $8,414,493

  • 27 · Net assets without donor restrictions

    beginning of year $57,047,129 · end of year $94,161,504

  • 28 · Net assets with donor restrictions

    beginning of year $757,559 · end of year $838,565

Mission and programs · 2023

Mission

THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.

Activities or mission (Part I)

TO CONTINUE THE HEALING MINISTRY OF JESUS CHRIST BY IMPROVING & PROVIDING REGIONAL, COST EFFECTIVE QUALITY HEALTH SERVICES FOR EVERYONE, WITH A SPECIAL CONCERN FOR THE POOR AND VULNERABLE.

  • SINCE IT WAS FOUNDED IN 1872 BY CATHOLIC SISTERS, SSM HEALTH (SSMH) HAS EXISTED TO MEET THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. SSMH IS A CATHOLIC, NOT-FOR-PROFIT HEALTH SYSTEM SERVING THE COMPREHENSIVE HEALTH NEEDS OF COMMUNITIES ACROSS THE MIDWEST THROUGH ONE OF THE LARGEST INTEGRATED DELIVERY SYSTEMS IN THE NATION. WITH CARE DELIVERY SITES IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN, SSMH INCLUDES 23 ACUTE CARE HOSPITALS, ONE CHILDREN'S HOSPITAL, MORE THAN 650 PHYSICIAN OFFICES AND OTHER OUTPATIENT AND VIRTUAL CARE SERVICES, 12 POST-ACUTE FACILITIES, COMPREHENSIVE HOME CARE AND HOSPICE SERVICES, A PHARMACY BENEFIT COMPANY, AND AN ACCOUNTABLE CARE ORGANIZATION. THE HEALTH SYSTEM EMPLOYS NEARLY 40,000 PEOPLE AND IS AFFILIATED WITH 13,900 PHYSICIANS MAKING IT ONE OF THE LARGEST EMPLOYERS IN EVERY COMMUNITY IT SERVES. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMH STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL HEALTH CARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. ABOUT ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS: SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA, OPERATING IN PARTNERSHIP WITH THE FELICIAN SISTERS, IS A 125-BED HOSPITAL WITH A STRONG HISTORY OF OVER 100 YEARS OF COMMUNITY ENGAGEMENT. ST. MARY'S HOSPITAL DELIVERS HOSPITAL SERVICES IN INPATIENT, AMBULATORY SURGERY, OUTPATIENT, AND EMERGENCY ROOM SETTINGS. KEY SERVICE LINES INCLUDE BEHAVIORAL HEALTH, CANCER, MATERNITY, OCCUPATIONAL MEDICINE, WEIGHT MANAGEMENT SERVICES, WOUND CARE, AND MANY MORE. THE HOSPITAL'S SURGERY CENTERS ARE EQUIPPED WITH THE LATEST INNOVATIONS IN TECHNOLOGY ENSURING OUR PATIENTS HAVE ACCESS TO THE MOST ADVANCED TREATMENT WHILE STAYING CLOSE TO HOME. TO PROVIDE COMPLETE NEUROLOGICAL CARE, OUR SPECIALISTS ARE SUPPORTED BY BOARD CERTIFIED NEURORADIOLOGISTS, A FULL-SERVICE REHABILITATION UNIT, A HOME HEALTH DEPARTMENT, 24-HOUR MRI SERVICE, NEURODIAGNOSTIC EQUIPMENT, AND CARDIAC CATHETERIZATION LABORATORIES. SSM HEAL TH ST. MARY'S HOSPITAL - CENTRALIA ALSO OPERATES THE LITTLE EGYPT BREAST AND CERVICAL CANCER PROGRAM AND HAS BEEN A LEAD AGENCY FOR THIS ILLINOIS PUBLIC HEALTH PROGRAM SINCE 1998. THE PROGRAM OFTEN SERVES AS A LAST RESORT FOR BREAST AND CERVICAL CANCER SCREENINGS AND EDUCATION FOR WOMEN WHO ARE UNINSURED. FOR SEVEN CONSECUTIVE YEARS, HEAL THGRADES HAS PRESENTED ST. MARY'S HOSPITAL THE OUTSTANDING PATIENT EXPERIENCE AND CRITICAL CARE EXCELLENCE AWARDS. IN 2014, QUEST BY PREMIER INC. RECOGNIZED ST. MARY'S HOSPITAL-CENTRALIA WITH THE CITATION OF MERIT AWARD FOR HIGH-VALUE HEALTHCARE. IN 2016, SSM HEALTH ANNOUNCED A $20 MILLION RENOVATION PLAN FOR ST. MARY'S HOSPITAL CENTRALIA, WHICH WILL INCLUDE INTERIOR AND EXTERIOR UPGRADES, INCLUDING EXPANSION OF THE SURGERY DEPARTMENT AND IMPROVEMENTS TO THE EMERGENCY DEPARTMENT. ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS ALSO FURTHERS ITS EXEMPT PURPOSE WITH THE FOLLOWING ACTIVITIES: - OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY - HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA - HAS A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY- ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS- PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS - ALL SURPLUS FUNDS GENERATED BY SSMH ENTITIES ARE REINVESTED IN IMPROVING OUR PATIENT CARE DELIVERY SYSTEM.QUANTIFIABLE UNCOMPENSATED CARE: THIS SECTION INCLUDES A LIST OF THE TYPES OF PROGRAMS AND SERVICES THAT COULD BE QUANTIFIED AS UNCOMPENSATED CARE: TRADITIONAL CHARITY CARE$ 605,655 UNPAID COST OF MEDICARE SERVICES$ 6,767,110 UNPAID COST OF OTHER GOVERNMENT PROGRAMS$ 1,157,502 TOTAL QUANTIFIABLE UNCOMPENSATED CARE$ 8,530,267 SCHEDULE H, PART VI, QUESTION 4: COMMUNITY INFORMATION: DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES. UPDATED 7/18/2022 SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA, IN PARTNERSHIP WITH SSM HEALTH GOOD SAMARITAN HOSPITAL - MOUNT VERNON, DEFINES ITS PRIMARY SERVICE AREA AS MARION AND JEFFERSON COUNTIES IN ILLINOIS. THERE ARE 23 ZIP CODES THAT ARE LOCATED WITHIN OR PARTIALLY WITHIN THE COMMUNITY. THIS AREA HAD AN ESTIMATED POPULATION OF 81,171 PEOPLE IN 2020 AND ACCOUNTS FOR 54% OF THE TOTAL PATIENTS SERVED BY THE HOSPITALS. THE SECONDARY SERVICE AREA IS ANOTHER 84,000 PEOPLE AND 17% OF INPATIENT-CARE PATIENTS SERVED. THE MEDIAN AGE IN THE COMMUNITY IS 41.0 YEARS OLD, WHICH IS OLDER THAN THE U.S. MEDIAN AGE OF 38.1 YEARS. THE POPULATION HAS ALSO DECREASED ABOUT 3.7% IN THE LAST 10 YEARS. IN THE AREA SERVED, THE POVERTY LEVEL IS 18.0%, SIGNIFICANTLY MORE THAN THE 13% RATES FOR BOTH ILLINOIS AND THE U.S. AS A WHOLE. MEDIAN FAMILY INCOME IS $60,361, COMPARED TO $83,279 FOR ILLINOIS AND $77,263 FOR THE NATION. LIFE EXPECTANCY ALSO FALLS BEHIND STATE AND U.S. RATES FOR THIS AREA. ADDITIONAL INFORMATION CONCERNING THE SERVICE AREA CAN BE FOUND STARTING ON PAGE 6 OF THE 2021 CHNA.

    Expenses $84,742,949 · Grants $134,691 · Revenue $123,978,437

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

Listed in Part VII

  • MICHAEL BAUMGARTNER

    DIRECTOR, REGIONAL PRESIDENT-SOUTHERN ILLINOIS

    Total calculated
    $859,532
    From this org
    $0
    From related orgs
    $563,577
    Other
    $295,955
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $236,516 related
    Bonus
    $0 + $233,270 related
    Other
    $0 + $93,791 related
    Deferred
    $0 + $285,804 related
    Nontaxable benefits
    $0 + $10,151 related
    Filer's total
    $0 + $859,532 related

  • MATTHEW FLANIGAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JEREMY FOTHERINGHAM

    DIRECTOR, CHAIRPERSON, REGIONAL PRESIDENT

    Total calculated
    $1,813,400
    From this org
    $0
    From related orgs
    $1,125,814
    Other
    $687,586
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $789,865 related
    Bonus
    $0 + $334,239 related
    Other
    $0 + $1,710 related
    Deferred
    $0 + $648,534 related
    Nontaxable benefits
    $0 + $39,052 related
    Filer's total
    $0 + $1,813,400 related

  • PAULA FRIEDMAN

    DIRECTOR, VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • DAMON HARBISON

    DIRECTOR, HOSPITAL PRESIDENT-SSM HEALTH ST. MARY'S

    Total calculated
    $707,044
    From this org
    $478,548
    From related orgs
    $0
    Other
    $228,496
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $366,317
    Bonus
    $85,494
    Other
    $26,737
    Deferred
    $178,768
    Nontaxable benefits
    $49,728
    Filer's total
    $707,044

  • DR JEAN BENOIT-HOULE

    DIRECTOR, SSM HEALTH GOOD SAMARITAN HOSPITAL PHYSI

    Total calculated
    $0
    Hours/week
    1

  • TENA HOYT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DR ERICA IBENDAHL

    DIRECTOR, SSM HEALTH MEDICAL GROUP PHYSICIAN

    Total calculated
    $0
    Hours/week
    1

  • JEREMY MIDURA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DR SUDEEP NAIR

    DIRECTOR, SSM HEALTH MEDICAL GROUP PHYSICIAN

    Total calculated
    $0
    Hours/week
    1

  • SUZIE SCHMIDT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • RAJENDRA SHROFF MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • PATRICIA WILLIAMS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • RANDY COMBS

    TREASURER, CHIEF FINANCIAL OFFICER AT SSM HEALTH

    Total calculated
    $3,420,428
    From this org
    $0
    From related orgs
    $2,182,354
    Other
    $1,238,074
    Hours/week
    0 + 40 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

  • DOUGLAS LONG

    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 + 40 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

  • RACHEL HALL

    ASSISTANT SECRETARY

    Total calculated
    $119,212
    From this org
    $0
    From related orgs
    $88,558
    Other
    $30,654
    Hours/week
    40

  • JOHN SNODSMITH

    REGIONAL VP, FINANCE

    Total calculated
    $391,637
    From this org
    $0
    From related orgs
    $292,287
    Other
    $99,350
    Hours/week
    0 + 40 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

  • JULIE LONG

    VP - STRATEGIC PLANNING

    Total calculated
    $595,571
    From this org
    $0
    From related orgs
    $417,253
    Other
    $178,318
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $319,559 related
    Bonus
    $0 + $76,123 related
    Other
    $0 + $21,571 related
    Deferred
    $0 + $147,362 related
    Nontaxable benefits
    $0 + $30,956 related
    Filer's total
    $0 + $595,571 related

  • JOHN KOHLER SR

    CHIEF MEDICAL OFFICER

    Total calculated
    $398,750
    From this org
    $0
    From related orgs
    $334,507
    Other
    $64,243
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $273,681 related
    Bonus
    $0 + $60,259 related
    Other
    $0 + $567 related
    Deferred
    $0 + $36,472 related
    Nontaxable benefits
    $0 + $27,771 related
    Filer's total
    $0 + $398,750 related

  • HOLLIE COLLE

    VP HOSPITAL OPERATIONS

    Total calculated
    $246,172
    From this org
    $184,039
    From related orgs
    $0
    Other
    $62,133
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $170,413
    Bonus
    $13,270
    Other
    $356
    Deferred
    $36,882
    Nontaxable benefits
    $25,251
    Filer's total
    $246,172

  • MATTHEW SCOTT

    DIRECTOR - PHARMACY

    Total calculated
    $244,600
    From this org
    $172,469
    From related orgs
    $0
    Other
    $72,131
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,006
    Bonus
    $0
    Other
    $14,463
    Deferred
    $21,481
    Nontaxable benefits
    $50,650
    Filer's total
    $244,600

  • MARLA SMITH

    DIRECTOR - NURSING

    Total calculated
    $224,690
    From this org
    $168,807
    From related orgs
    $0
    Other
    $55,883
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $155,236
    Bonus
    $12,146
    Other
    $1,425
    Deferred
    $25,850
    Nontaxable benefits
    $30,033
    Filer's total
    $224,690

  • MAAMOUN JUNIDI

    PHYSICIAN

    Total calculated
    $342,403
    From this org
    $337,461
    From related orgs
    $0
    Other
    $4,942
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $330,013
    Bonus
    $526
    Other
    $6,922
    Deferred
    $0
    Nontaxable benefits
    $4,942
    Filer's total
    $342,403

  • TRACY FISCUS

    ADMINISTRATIVE DIRECTOR - NURSING

    Total calculated
    $263,814
    From this org
    $213,193
    From related orgs
    $0
    Other
    $50,621
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $194,909
    Bonus
    $15,030
    Other
    $3,254
    Deferred
    $31,870
    Nontaxable benefits
    $18,751
    Filer's total
    $263,814

  • CHRISTY DETERING

    NURSE PRACTITIONER

    Total calculated
    $179,832
    From this org
    $169,869
    From related orgs
    $0
    Other
    $9,963
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,658
    Bonus
    $20,181
    Other
    $30
    Deferred
    $1,183
    Nontaxable benefits
    $8,780
    Filer's total
    $179,832

  • AMBER WENNERSTROM

    NURSE PRACTITIONER

    Total calculated
    $223,585
    From this org
    $186,153
    From related orgs
    $0
    Other
    $37,432
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $117,129
    Bonus
    $68,694
    Other
    $330
    Deferred
    $11,204
    Nontaxable benefits
    $26,228
    Filer's total
    $223,585

  • TODD DAVIS

    PHARMACIST

    Total calculated
    $210,908
    From this org
    $168,178
    From related orgs
    $0
    Other
    $42,730
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $166,319
    Bonus
    $1,000
    Other
    $859
    Deferred
    $9,989
    Nontaxable benefits
    $32,741
    Filer's total
    $210,908

  • LAURA KAISER

    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 + 40 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

  • MATT KINSELLA

    PT YR REGIONAL VP FINANCE

    Total calculated
    $733,947
    From this org
    $0
    From related orgs
    $532,042
    Other
    $201,905
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $405,421 related
    Bonus
    $0 + $105,716 related
    Other
    $0 + $20,905 related
    Deferred
    $0 + $160,100 related
    Nontaxable benefits
    $0 + $41,805 related
    Filer's total
    $0 + $733,947 related

  • KAREN REWERTS

    SYSTEM VP, FINANCE (MO/ILL)

    Total calculated
    $1,088,845
    From this org
    $0
    From related orgs
    $801,331
    Other
    $287,514
    Hours/week
    0 + 40 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

  • GEORGE DANEKER

    INTERIM CHIEF MEDICAL OFFICER - SOUTHERN ILLINOIS

    Total calculated
    $502,210
    From this org
    $0
    From related orgs
    $443,773
    Other
    $58,437
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $373,699 related
    Bonus
    $0 + $46,272 related
    Other
    $0 + $23,802 related
    Deferred
    $0 + $35,172 related
    Nontaxable benefits
    $0 + $23,265 related
    Filer's total
    $0 + $502,210 related

  • MELISSA KARAFFA

    NURSE PRACTITIONER

    Total calculated
    $206,412
    From this org
    $161,335
    From related orgs
    $0
    Other
    $45,077
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $124,654
    Bonus
    $36,294
    Other
    $387
    Deferred
    $10,179
    Nontaxable benefits
    $34,898
    Filer's total
    $206,412

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 A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2023. THESE PAYMENTS WERE INCLUDED IN THEIR TAXABLE COMPENSATION.
PART I, LINE 3
THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (HOSPITAL PRESIDENT) HAS COMPENSATION THAT IS DETERMINED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE SSM HEAL TH PRESIDENT.
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: JEREMY FOTHERINGHAM $158,615 DAMON HARBISON $37,247 RANDALL COMBS $261,633 DOUGLAS LONG $161,286 JOHN SNODSMITH $11,873 JULIE LONG $31,049 JOHN KOHLER, SR $21,610 HOLLIE COLLIE $6,962 LAURA KAISER $720,859 MATT KINSELLA $39,596 KAREN REWERTS $56,755 GEORGE DANEKER $17,035 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. DAMON HARBISON $25,899 JULIE LONG $19,911 MATT KINSELLA $19,814 KAREN REWERTS $53,386

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

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
202433209349318658

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