SSM HEALTH CARE OF WISCONSIN INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SSM HEALTH CARE OF WISCONSIN INC (EIN 43-0688874)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202203199349313485
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T13:09:12-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430688874 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SSM Health Care of Wisconsin Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SSMH | BusinessNameControlTxt |
| Phone | 3149947800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 Woodfield Lane | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63132 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Randy Combs | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Phone | 3149947800 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Barbara | PersonFirstNm |
| Person Last | Potts | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | See Schedule O | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Suzanne Anderson | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 Woodfield Lane | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63132 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $730,905,362 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.ssmhealth.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | Part of an integrated network providing health care in south central Wisconsin Operating three hospitals and two skilled nursing facilities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 4156 | TotalEmployeeCnt |
| Total Volunteers | 392 | TotalVolunteersCnt |
| Total Gross UBI | $10,543,841 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,687,073 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $22,238,566 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,435,331 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $629,542,384 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $667,311,644 | CYProgramServiceRevenueAmt |
| PY Investment Income | $16,416,036 | PYInvestmentIncomeAmt |
| CY Investment Income | $36,578,289 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13,645,160 | PYOtherRevenueAmt |
| CY Other Revenue | $19,143,251 | CYOtherRevenueAmt |
| PY Total Revenue | $681,842,146 | PYTotalRevenueAmt |
| CY Total Revenue | $730,468,515 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $542,080 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $300,073 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $274,710,042 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $281,585,055 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $582,194 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $297,701,113 | PYOtherExpensesAmt |
| CY Other Expenses | $362,360,797 | CYOtherExpensesAmt |
| PY Total Expenses | $572,953,235 | PYTotalExpensesAmt |
| CY Total Expenses | $644,245,925 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $108,888,911 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $86,222,590 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,113,460,770 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,194,680,759 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $433,992,738 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $414,845,713 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $679,468,032 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $779,835,046 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $585,189,017 | ExpenseAmt |
| Grant | $300,073 | GrantAmt |
| Revenue | $667,311,644 | RevenueAmt |
| Desc | PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. | Desc |
| Total Program Service Expenses | $585,189,017 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 4156 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jackie Taylor | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6082416949 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1808 W Beltline Hwy | AddressLine1Txt |
| City | Madison | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53713 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Damond Boatwright | ||||||||||
| Pt Yr Director, Pt Yr Regional President - SSM Health Care of Wisconsin | 40.0 | 11.0 | Yes (X) | Yes (X) | $0 | $598,321 | $6,354 | |||
| Mark Covaleski | ||||||||||
| Director, Vice Chairperson | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Matt Hanley MD | ||||||||||
| Director, Chair, Interim Regional President - Wisconsin | 1.0 | 42.0 | Yes (X) | Yes (X) | $0 | $1,200,046 | $718,286 | |||
| Dr Ted Miller | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Greg Matzke MD | ||||||||||
| Pt Yr Director, Physician at Dean Medical Group | 1.0 | 40.0 | Yes (X) | $0 | $735,267 | $54,143 | ||||
| Jamie Fuller | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Jason Isenberg MD | ||||||||||
| Director, Physician at Dean Medical Group | 1.0 | 40.0 | Yes (X) | $0 | $442,138 | $51,647 | ||||
| Jennifer Maskel MD | ||||||||||
| Director, Physician at Dean Medical Group | 1.0 | 40.0 | Yes (X) | $0 | $150,197 | $5,546 | ||||
| Joan Karsten | ||||||||||
| Director | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| John Phelan MD | ||||||||||
| Pt Yr Director, Physician at Dean Medical Group | 1.0 | 40.0 | Yes (X) | $0 | $690,483 | $35,384 | ||||
| Katie Kennedy | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Ralph Kauten | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Sr Rhea Emmer | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Stephen Sramek MD | ||||||||||
| Pt Yr Director, Pt Yr Physician at Dean Medical Group | 1.0 | 40.0 | Yes (X) | $0 | $54,567 | $0 | ||||
| Therese Pandl | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Wayne E Matzke | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Wesley Sparkman | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| William Ehrhardt MD | ||||||||||
| Pt Yr Director, Physician at Dean Medical Group | 1.0 | 40.0 | Yes (X) | $0 | $686,034 | $53,803 | ||||
| Douglas Long | ||||||||||
| Secretary, General Counsel at SSM Health | 1.0 | 68.2 | Yes (X) | $0 | $1,201,678 | $483,601 | ||||
| Matt Kinsella | ||||||||||
| Regional VP Finance-Wisconsin | 40.0 | 0.0 | Yes (X) | $0 | $413,770 | $176,323 | ||||
| Randy Combs | ||||||||||
| Treasurer, Chief Financial Officer at SSM Health | 1.0 | 66.0 | Yes (X) | $0 | $1,290,602 | $485,851 | ||||
| Steve Smoot | ||||||||||
| Vice President, COO of SSM Health | 1.0 | 53.0 | Yes (X) | $0 | $1,532,078 | $917,946 | ||||
| Thomas Kirschbaum | ||||||||||
| Assistant Secretary, General Counsel - SSMWI | 40.0 | 3.0 | Yes (X) | $0 | $454,287 | $183,535 | ||||
| Amy Franta | ||||||||||
| Regional Chief Medical Officer | 40.0 | 0 | $443,933 | $0 | $193,245 | Yes (X) | ||||
| Craig Sommers | ||||||||||
| VP - Hospital Operations | 40.0 | 0 | $240,527 | $0 | $93,825 | Yes (X) | ||||
| Eric Thornton | ||||||||||
| Hospital President - St. Mary's Hospital-Janesville | 40.0 | 1.0 | $0 | $302,278 | $116,611 | Yes (X) | ||||
| Jeff Shadick | ||||||||||
| Regional VP - Laboratory | 40.0 | 0 | $219,369 | $0 | $75,504 | Yes (X) | ||||
| Jennifer Culotta | ||||||||||
| Interim VP Patient Care - St. Clare | 40.0 | 0 | $177,810 | $0 | $52,186 | Yes (X) | ||||
| Kyle Nondorf | ||||||||||
| Hospital President - St. Mary's Hospital-Madison | 40.0 | 2.0 | $0 | $530,851 | $232,184 | Yes (X) | ||||
| Laura Walczak | ||||||||||
| Pt Yr Hospital President - St. Clare Hospital-Baraboo | 40.0 | 2.0 | $0 | $357,959 | $19,323 | Yes (X) | ||||
| Margo Francisco | ||||||||||
| Regional VP - Strategy | 40.0 | 0 | $0 | $381,415 | $140,303 | Yes (X) | ||||
| Mark Thompson MD | ||||||||||
| Regional President-Medical Groups-Wisconsin | 40.0 | 3.0 | $753,876 | $0 | $287,658 | Yes (X) | ||||
| Mo Kharbat | ||||||||||
| Regional VP - Pharmacy | 40.0 | 0 | $251,376 | $0 | $78,572 | Yes (X) | ||||
| Thomas Ahr | ||||||||||
| Regional VP - Talent Management | 40.0 | 0 | $0 | $405,513 | $157,211 | Yes (X) | ||||
| Veronica Scott-Fulton | ||||||||||
| Regional CNO | 40.0 | 0 | $414,949 | $0 | $64,734 | Yes (X) | ||||
| Bradley Schmidt | ||||||||||
| VP - Acute Care Services | 40.0 | 0 | $470,081 | $0 | $72,093 | Yes (X) | ||||
| David Jarvis | ||||||||||
| Physician | 40.0 | 0 | $344,205 | $0 | $45,745 | Yes (X) | ||||
| David Ottenbaker | ||||||||||
| VP - Primary Care Services | 40.0 | 0 | $455,348 | $0 | $113,480 | Yes (X) | ||||
| Kansas Dubray | ||||||||||
| Physician | 40.0 | 0 | $365,699 | $0 | $23,679 | Yes (X) | ||||
| Larry Elfman | ||||||||||
| Reg. Chief Medical Information Officer | 40.0 | 0 | $446,987 | $0 | $99,355 | Yes (X) | ||||
| Colette Brust | ||||||||||
| Former Key Employee | 0.0 | 0 | $110,960 | $0 | $2,126 | Yes (X) | ||||
| Kerry Swanson | ||||||||||
| Former Key Employee | 0.0 | 0.0 | $0 | $501,061 | $28,261 | Yes (X) | ||||
| Kris Zimmer | ||||||||||
| Former Officer | 0.0 | 0.0 | $0 | $219,379 | $0 | Yes (X) | ||||
| Laura Kaiser | ||||||||||
| Former Officer | 0.0 | 46.0 | $0 | $3,489,979 | $2,214,336 | Yes (X) | ||||
| Mike Degere | ||||||||||
| Former Key Employee | 0.0 | 0.0 | $195,551 | $0 | $21,845 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,890,671 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $15,637,903 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $7,304,696 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 311 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| BOARD OF REGENTS OF THE UNIV OF WI | ||||||
| 1100 DELAPLAINE CT | MADISON | WI | 53715 | PHYSICIAN SERVICES | $4,480,252 | |
| AMN Healthcare Inc | ||||||
| 12400 High Bluff Drive | San Diego | CA | 92130 | Staffing services | $3,990,027 | |
| University of Wisconsin | ||||||
| 1685 Highland Avenue | Madison | WI | 53705 | Medical and physician services | $3,636,789 | Room 3165 |
| Associated Regional and University Patholigists | ||||||
| 500 Chipeta Way | Salt Lake City | UT | 84108 | Medical testing services | $2,678,396 | |
| JH Findorff & Son Inc | ||||||
| 300 S Bedford Street | Madison | WI | 53703 | General contracting services | $2,611,583 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 44 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $342,992 | RelatedOrganizationsAmt |
| Government Grants | $7,076,092 | GovernmentGrantsAmt |
| All Other Contributions | $16,247 | AllOtherContributionsAmt |
| Noncash Contributions | $39,012 | NoncashContributionsAmt |
| Total Contributions | $7,435,331 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $621,828,211 | $621,828,211 |
| JOINT VENTURE INCOME | 900099 | $16,310,894 | $16,310,894 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,172,539 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,172,539 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $667,311,644 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,623,776 | TotalRevenueColumnAmt |
| Exclusion | $6,623,776 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,150,839 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $430,582 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,720,257 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,720,257 | TotalRevenueColumnAmt |
| Exclusion | $1,720,257 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $29,933,272 | SecuritiesAmt |
| Other | $21,241 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $29,933,272 | SecuritiesAmt |
| Other | $21,241 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,954,513 | TotalRevenueColumnAmt |
| Exclusion | $29,954,513 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $29,864 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $6,265 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,599 | TotalRevenueColumnAmt |
| Exclusion | $23,599 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| LABORATORY | 621500 | $10,656,008 | $10,486,913 | $169,095 |
| CAFETERIA | 722210 | $2,348,338 | $2,348,338 | |
| PARKING | 812930 | $1,455,013 | $1,455,013 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,940,036 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $56,928 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,883,108 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $17,399,395 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $730,468,515 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $667,311,644 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $10,543,841 | UnrelatedBusinessRevenueAmt |
| Exclusion | $45,177,699 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,365 | TotalAmt |
| Program Services | $296,365 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,708 | TotalAmt |
| Program Services | $3,708 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,347,564 | TotalAmt |
| Program Services | $3,185,841 | ProgramServicesAmt |
| Management And General | $161,723 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $330,482 | TotalAmt |
| Program Services | $314,516 | ProgramServicesAmt |
| Management And General | $15,966 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,833,478 | TotalAmt |
| Program Services | $196,840,047 | ProgramServicesAmt |
| Management And General | $9,993,431 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,514,225 | TotalAmt |
| Program Services | $17,619,789 | ProgramServicesAmt |
| Management And General | $894,436 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,723,121 | TotalAmt |
| Program Services | $35,900,689 | ProgramServicesAmt |
| Management And General | $1,822,432 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,836,185 | TotalAmt |
| Program Services | $14,119,438 | ProgramServicesAmt |
| Management And General | $716,747 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469,098 | TotalAmt |
| Program Services | $57,951 | ProgramServicesAmt |
| Management And General | $411,147 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,948 | TotalAmt |
| Management And General | $462,948 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,256 | TotalAmt |
| Management And General | $30,256 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,950,097 | TotalAmt |
| Program Services | $86,334,628 | ProgramServicesAmt |
| Management And General | $16,615,469 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,036 | TotalAmt |
| Management And General | $23,036 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,424,303 | TotalAmt |
| Program Services | $23,437,899 | ProgramServicesAmt |
| Management And General | $1,404,210 | ManagementAndGeneralAmt |
| Fundraising | $582,194 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,401,000 | TotalAmt |
| Program Services | $22,249,819 | ProgramServicesAmt |
| Management And General | $151,181 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,612,570 | TotalAmt |
| Program Services | $9,252,134 | ProgramServicesAmt |
| Management And General | $360,436 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,145 | TotalAmt |
| Program Services | $139,273 | ProgramServicesAmt |
| Management And General | $136,872 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,035 | TotalAmt |
| Program Services | $95,823 | ProgramServicesAmt |
| Management And General | $33,212 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $592,956 | TotalAmt |
| Program Services | $592,956 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,538,790 | TotalAmt |
| Program Services | $29,538,790 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,446,073 | TotalAmt |
| Program Services | $1,446,073 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical supplies | $110,453,840 | $110,453,840 | |
| Medicaid Provider Tax | $13,978,428 | $13,978,428 | |
| Internal management fees | $36,923,114 | $11,681,902 | $25,241,212 |
| Claims pools losses | $7,500,000 | $7,500,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,108 | TotalAmt |
| Program Services | $149,108 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $644,245,925 | TotalAmt |
| Program Services | $585,189,017 | ProgramServicesAmt |
| Management And General | $58,474,714 | ManagementAndGeneralAmt |
| Fundraising | $582,194 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,751 | BOYAmt |
| EOY | $305,530 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $830,781 | BOYAmt |
| EOY | $218,728 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,514,879 | BOYAmt |
| EOY | $97,941,875 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,928,098 | BOYAmt |
| EOY | $8,921,050 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,967,657 | BOYAmt |
| EOY | $445,255 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $710,519,466 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $488,411,944 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,292,702 | BOYAmt |
| EOY | $222,107,522 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $426,189,679 | BOYAmt |
| EOY | $486,484,405 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,129,464 | BOYAmt |
| EOY | $36,258,815 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,667 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $343,028,092 | BOYAmt |
| EOY | $341,497,579 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,113,460,770 | BOYAmt |
| EOY | $1,194,680,759 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,075,083 | BOYAmt |
| EOY | $79,717,381 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,326,166 | BOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $357,591,489 | BOYAmt |
| EOY | $335,128,332 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $433,992,738 | BOYAmt |
| EOY | $414,845,713 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $665,780,301 | BOYAmt |
| EOY | $772,615,227 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,687,731 | BOYAmt |
| EOY | $7,219,819 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $679,468,032 | BOYAmt |
| EOY | $779,835,046 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,113,460,770 | BOYAmt |
| EOY | $1,194,680,759 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $86,222,590 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,530,142 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $5,614,282 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $30,256 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $30,256 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAID DUES TO VARIOUS NATIONAL AND STATE HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WERE ALLOCATED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,654,960 | BeginningYearBalanceAmt |
| Contributions | $237,100 | ContributionsAmt |
| Investment Earnings Or Losses | $3,112,122 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $55,400 | GrantsOrScholarshipsAmt |
| Other Expenditures | -$19,030 | OtherExpendituresAmt |
| End Year Balance | $25,967,812 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,682,751 | BeginningYearBalanceAmt |
| Contributions | $333,418 | ContributionsAmt |
| Investment Earnings Or Losses | $2,955,265 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $64,800 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,251,674 | OtherExpendituresAmt |
| End Year Balance | $22,654,960 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,330,282 | BeginningYearBalanceAmt |
| Contributions | $979,697 | ContributionsAmt |
| Investment Earnings Or Losses | $3,837,617 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $67,394 | GrantsOrScholarshipsAmt |
| Other Expenditures | $397,451 | OtherExpendituresAmt |
| End Year Balance | $20,682,751 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,752,110 | BeginningYearBalanceAmt |
| Contributions | $8,480,403 | ContributionsAmt |
| Investment Earnings Or Losses | -$713,464 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $57,826 | GrantsOrScholarshipsAmt |
| Other Expenditures | $130,941 | OtherExpendituresAmt |
| End Year Balance | $16,330,282 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,830,283 | BeginningYearBalanceAmt |
| Contributions | $167,906 | ContributionsAmt |
| Investment Earnings Or Losses | $994,144 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $129,422 | GrantsOrScholarshipsAmt |
| Other Expenditures | $110,801 | OtherExpendituresAmt |
| End Year Balance | $8,752,110 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.5388 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.4612 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,299,195 | OtherCostOrOtherBasisAmt |
| Book Value | $11,299,195 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $384,704,607 | OtherCostOrOtherBasisAmt |
| Depreciation | $252,233,021 | DepreciationAmt |
| Book Value | $132,471,586 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,435,839 | OtherCostOrOtherBasisAmt |
| Depreciation | $50,847,797 | DepreciationAmt |
| Book Value | $22,588,042 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $230,873,451 | OtherCostOrOtherBasisAmt |
| Depreciation | $181,181,510 | DepreciationAmt |
| Book Value | $49,691,941 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,206,374 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,149,616 | DepreciationAmt |
| Book Value | $6,056,758 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $222,107,522 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| SSM COMPREHENSIVE INVESTMENT PROGRAM | $413,182,337 | F |
| INVESTMENTS IN OTHER AFFILIATES | $73,302,068 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $486,484,405 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $308,466 |
| Due from affiliates | $338,954,174 |
| Other non-current assets | $174,513 |
| Operating right-of-use assets | $2,060,426 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $341,497,579 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION FUNDING LIABILITY | -$274,135 |
| DUE TO AFFILIATES | |
| ASSET RETIREMENT LIABILITY | $740,509 |
| THIRD PARTY PAYOR | $58,791,278 |
| RABBI TRUST LIABILITY | $464,262 |
| ALLOCATED TAX-EXEMPT DEBT - SSM HEALTH CARE | $273,018,748 |
| DEFERRED COMPENSATION | -$2,791 |
| Third-party patient loans | $336,044 |
| Operating lease obligations | $2,054,417 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $335,128,332 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 1e Other Expenditures for facilities and programs | The organization is reporting a negative amount of Schedule D, Part V, Line 1e due to changing its method of accounting for endowment expenses during 2021. |
| Schedule D, Part V, Line 4 Intended uses of endowment funds | Endowment funds will be used for the specific purpose identified when the endowment was established. Activities supported by the endowment funds include scholarships, continuing education, and specific department patients. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | SSM HEALTH CARE OF WISCONSIN'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEALTH (SSMH). SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION IS RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED UPON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2021 OR 2020. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,752,352 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,752,352 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0043 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $103,103,398 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $73,214,566 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,888,832 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0464 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,546,346 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,081,546 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $112,402,096 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $80,296,112 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,641,184 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0507 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $632,783 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $632,783 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,105,623 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,779,671 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,325,952 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0067 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,888 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38,888 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $445,936 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $445,936 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0007 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $8,223,230 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,779,671 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,443,559 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0084 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $120,625,326 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $83,075,783 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,084,743 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0591 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,128 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38,128 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $763 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $763 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $39,391 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $39,391 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $32,131,565 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $167,535,138 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $174,101,916 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,566,778 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SSM Health St Mary's Hospital - Madison | |||||||||||
| 1 | 700 SOUTH PARK STREET | MADISON | WI | 53715 | https://www.ssmhealth.com/locations/st-marys-hospital-madison | 71 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A |
| SSM Health St Clare Hospital - Baraboo | |||||||||||
| 2 | 707 FOURTEENTH STREET | BARABOO | WI | 53913 | https://www.ssmhealth.com/locations/st-clare-hospital-baraboo | 65 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | B |
| SSM Health St Mary's Hospital - Janesville | |||||||||||
| 3 | 3900 E RACINE ST | JANESVILLE | WI | 53546 | https://www.ssmhealth.com/locations/st-marys-hospital-janesville | 318 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | C |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 21 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | https://www.ssmhealth.com/resources/about/community-health | Yes (X) | http://healthydane.org/?hcn=ReportCenter | Yes (X) | Yes (true) | 22 | Yes (true) | https://www.ssmhealth.com/resources/about/community-health | false | Yes (true) | Yes (X) | 200.0 | 400.0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance | Yes (X) | https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance | Yes (X) | https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| B | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 21 | Yes (true) | false | false | Yes (true) | Yes (X) | https://www.ssmhealth.com/resources/about/community-health | Yes (X) | Yes (true) | 22 | Yes (true) | https://www.ssmhealth.com/resources/about/community-health | false | Yes (true) | Yes (X) | 200.0 | 400.0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance | Yes (X) | https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance | Yes (X) | https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | ||
| C | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 21 | Yes (true) | false | Yes (true) | Yes (true) | Yes (X) | https://www.ssmhealth.com/resources/about/community-health | Yes (X) | Yes (true) | 22 | Yes (true) | https://www.ssmhealth.com/resources/about/community-health | false | Yes (true) | Yes (X) | 200.0 | 400.0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance | Yes (X) | https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance | Yes (X) | https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | ||
Supplemental Information SupplementalInformationGrp (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. |
| Schedule H, Part V, Section B, Line 5 Facility A, 1 | Facility A, 1 - SSM Health St. Mary's Hospital - Madison. THE HOSPITAL, THROUGH THE HEALTHY DANE COLLABORATIVE, ASSESSED INPUT FROM THE COMMUNITY AND DATA RELATED TO HEALTH FACTORS PRESENTED BY THE COUNTY HEALTH RANKINGS TO UNDERSTAND WHAT IMPACTS THE HEALTH OF THE COMMUNITY. PARTICULAR ATTENTION WAS GIVEN TO SOCIAL, ECONOMIC, AND ENVIRONMENTAL DISADVANTAGED POPULATIONS. THE HOSPITAL UTILIZED KEY INFORMANT INTERVIEWS, COMMUNITY INPUT SESSIONS AND SURVEYS, PROVIDER SURVEYS, AND A YOUTH ASSESSMENT. |
| Schedule H, Part V, Section B, Line 6a Facility A, 1 | Facility A, 1 - SSM Health St. Mary's Hospital - Madison. THE 2021 CHNA WAS COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER HOSPITALS THROUGH THE HEALTHY DANE COLLABORATIVE: UW HEALTH, UNITYPOINT HEALTH-MERITER, AND STOUGHTON HOSPITAL. |
| Schedule H, Part V, Section B, Line 6b Facility A, 1 | Facility A, 1 - SSM Health St. Mary's Hospital - Madison. THE 2021 CHNA WAS COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER COMMUNITY PARTNERS THROUGH THE HEALTHY DANE COLLABORATIVE: GROUP HEALTH COOPERATIVE AND PUBLIC HEALTH MADISON DANE COUNTY. |
| Schedule H, Part V, Section B, Line 11 Facility A, 1 | Facility A, 1 - SSM Health St. Mary's Hospital - Madison. The Hospital identified various health needs in the 2021 CHNA, which was done in conjunction with the Healthy Dane Collaborative. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Reproductive justice - Chronic conditions - Behavioral health - Injury prevention Reproductive justice In Dane County, maternal and child health has continually been identified as a top health priority. Mother and baby wellbeing plays a large role in the health of the next generation. There are also significant disparities within the county between races and ethnicities. Our vision is for all Dane County residents to have an optimal health and wellbeing. Our mission Is to eliminate gaps and barriers to optimal health and reduce disparities In health outcomes. Our #1 priority is maternal and child health for the following reasons: - The Dane County Black-White disparity in severe maternal mortality is similar to statewide and national benchmarks. Structural racism is associated with these disparities and may affect the quality of care Black women and birthing persons receive before and during pregnancy, during delivery hospitalization, and postpartum. - In Dane County, 82.7% of women accessed early prenatal care. Rates were lower for mothers 15-24 years old. - African American babies are more likely to be born with low birth weight (less than 5 pounds, 8 ounces) or very low birth weight (less than 3 pounds, 5 ounces) than White babies. - The birth of a healthy baby is not only the result of 9 months of pregnancy, but the entire span of a woman's life leading up to pregnancy. Chronic stress over the life course (e.g. in the community, social relationships, discrimination, finances, trauma) causes wear and tear on the body and can impact health outcomes. The Hospital has the following action plan in place to improve reproductive justice: - Employ a community healthcare approach to identify low, medium, and high-risk pregnant women by gathering social determinants of health (SDOH) information. - All pregnant women will be screened for SDOH and have access to the 211 Community support directory. Medium and high-risk patients will be referred to Community Health workers or an OB RN navigator. - Host the Black Maternal and Child health community advisory board (CAB) monthly to provide input and recommendation for improving culturally competent healthcare. - Institute process, programming and policy changes in response to CAB recommendations. - Provide financial stipends to participants for their time and expertise. We expect the outcomes outlined below as a result of the action plan: - Black and African American women that are identified as medium to high risk will be referred to Compass Rose program at UW Health. - Reduce black infant mortality rates in Dane County from 10.5 deaths per 1000 live births to 5.6 deaths per 1000 live births which is equivalent to the mortality rate for white infants. - Reduce black pre-term deliveries from 15% to 10% which is equivalent to other populations. - Participation in the community advisory board to assist in the efforts for process change, program development, and policy efforts. - Build trust between the black and African American community and healthcare in Dane County. Chronic conditions Significant racial and ethnic health inequities exist in the Madison community and the broader Dane County area. Disparities in equity of care also persist within healthcare institutions. St. Mary's Hospital Madison has a sincere interest in working closely with community partners to provide health education, health promotion and disease prevention activities and resources. - The age adjusted hospitalization rate due to pediatric asthma in Dane County is higher than state rate (6.8) at 11.0 hospitalizations per 100,000, the rate for Black pediatric Dane residents is almost 6 times that of Whites. - 88.2% of high school students report being physically active for 60 minutes at least one or more days per week, slightly lower than 2018 at 91. - In Dane County there are 0.15 grocery stores per 1,000 population. - 25.3% of adults living in Dane County are obese and 32.6% of adults in Dane County are overweight. - The age adjusted hospitalization rate due to Hypertension for Black and African American individuals is 55.2 compared to 4.0 for White individuals in Dane County. The Hospital has implemented the following steps to address chronic conditions in the community: - Regularly provide subject matter experts (SMEs) for health education, health promotion and disease prevention events with a Rebalanced-Life Wellness Association (RLWA) group. - Provide a meeting space and refreshments at SSM Health for the group to converse. - Launch pre- and post-surveys to track knowledge enhancement and areas of need. - Provide funding to RLWA. - Host the Black Men's Health Community Advisory Board (CAB) quarterly to provide input and recommendation for improving culturally competent healthcare. - Institute process, programming and policy changes in response to CAB recommendations. - Promote physical activity events such as Black Men Run and Black Men Cycle Madison. With the steps above put in place, outcomes associated with chronic conditions include: - More black men in Dane County will have access to health education on chronic disease. - Participating black men will have increased knowledge on chronic disease prevention and management. - Reduce the heart disease death rate in black, Dane County residents from 175.2 per 100,000 to 150.0 per 100,000. - Reduce hospitalizations in black, Dane County residents from 55.2 to 40.0. - Black men will assist in the community advisory board (CAB) to assist in the efforts for process change, program development, and policy development. - Black men will share satisfaction with CAB process and SSM response to change. - Black community members will share there is improved communication and cultural humility in healthcare services. Behavioral Health In 2021, Behavioral Health came to the top of the identified priority needs in Dane County. Our children need to learn that talking about feelings in an effort to get better is the right thing to do. No one should suffer in silence. - The overall age adjusted death rate due to Alzheimer's Disease in Dane County is higher than state and national rates at 33.3 deaths per 100,000. - 13.8% of high school seniors report binge drinking. 60.1% of the binge drinkers were girls. - Lower income high school youth report a higher rate of suicidal thoughts (41.9%) than their more affluent peers (16.3%). - Although responses varied by race, ethnicity and language preference, "Substance abuse" was consistently seen as the second most critical health need among survey respondents. - Between 2015 and 2019, the rate of opioid related overdose deaths in Dane County increased by almost 50%. The Hospital's action plan on behavioral health involves: - Educate and provide information to local schools and colleges. - Campaign for the Jakob's SWAG Foundation and its Got Your Back app. - Educate youth on mental health resources and prevention through clubs, athletics and/or health classes. - Educate school staff through in-services or staff meetings. - Ensure every patient seeking Behavioral health services has a collaborative safety plan completed. - Continue collaborative efforts as a key member of the Dane County zero suicide to implement the initiative. - Be the healthcare representative on the WI Coalition for Senior Isolation and Loneliness. The hospital intentionally plans the below results: - students will have access to an app with prevention tools to ensure support though mental health crises. - decrease in students reporting suicidal thoughts in the last 30 days. - decrease of low-income students reporting a high rate of suicidal thoughts. - patients seeking behavioral health services will receive a collaborative action plan. - St. Mary's Hospital will be a key stakeholder in the Zero Suicide Team and Coalition for Senior Isolation. - Seniors in Dane County will have more education on the impact of isolation on mental health. - Reduce the age-adjusted suicide rate from Dane County men from 18.1 to 15.0. - Reduce the suicide rate for the senior population from 18.9 to 15.0. |
| Schedule H, Part V, Section B, Line 11 Facility A, 2 | Facility A, 2 - SSM Health St. Mary's Hospital - Madison (continued). Injury Prevention In the State of Wisconsin, the top five causes for hospitalization due to injury from 2016-2019 include: fall, poisoning, motor vehicle, non-traffic transportation and struck by/or against an object or person. In 2019 2,242 Dane County residents were hospitalized due to an injury, of those hospitalizations 1,095 were due to an unintentional fall related injury. 65% (710) of those hospitalizations were for patients 65+. Falls are the number one leading cause of injury in Wisconsin and Dane County; this is also reflected in the St. Mary's Hospital Madison trauma registry. It is important to note that geriatric falls make up the majority of the trauma patients seen at St. Mary's Hospital Madison. Therefore, it was easily determined a fall prevention program needs to be an area of focus. The SSM Health Trauma Program collaborates with the SSM Health SAFE at Home program which provides comprehensive care for patients who are high risk for falling. The goal is to reduce falls and help participants live as safely and independently in their own homes for as long as possible. Recommendations are made in the following categories: medication, adaptive equipment, basic maintenance, community agency referral, decluttering, and home modification. - 17.2% of 9th 12th and 17.7% of 7th 8th grade youth report they had intentionally harmed themselves in the past 12 months compared to 15.5% and 14.9% respectively in 2018. - Poisoning was the leading cause of injury related hospitalization (from 2017 2019), followed by falls, then motor vehicle crashes. - Suffocation was the leading cause of injury related death, followed by motor vehicle crashes during this same time period. - Alcohol is involved in 34.3% of motor vehicle crash deaths in Dane County. - The age group with the highest suicide rate in Dane County was ages 65+. This age group (18.9) and ages 45 64 (15.3) had higher rates than Wisconsin rates (14.9). The Hospital's plans the following initiatives to assist with injury prevention: - Promote and support health and wellness events and classes around Fall Prevention such as Stepping On, Tai Chi, and the Only Leave Should Fall Prevention Conference. - Provide Fall prevention kids to seniors 65+ and support other initiatives of the SAFE at Home Initiative. - Support the work and efforts of the Focused Interruption's Community Safety Workers, Support Groups for families impacted by gun violence, and the outreach team. - Provide education to healthcare staff on Trauma-informed care. - Support SAFE Communities gun shop project. Results of the initiatives are predicted to be: - Dane County seniors will have access to fall prevention education. - Dane County seniors will receive fall prevention kits and community facing events focusing on fall prevention. - Reduce the number of falls in Dane County for the senior population. - Reduce the age-adjusted death rate from falls from 28.4 to 20.6 to be equivalent with Wisconsin as a whole. - Increase support for individuals seeking emergency medical services from gun violence through community safety workers or support groups. - Increase number of healthcare workers educated on trauma-informed care. - Increase number of gun shops and owners who are trained and practice lawful gun compliance. - Reduce gun violence in Dane County and deaths due to unintentional injuries from 58.6 to 50.0. The hospital has no plans to discontinue other community benefit efforts addressing additional health needs as outlined in its CHNA. |
| Schedule H, Part V, Section B, Line 3E | THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. |
| Schedule H, Part V, Section B, Line 5 Facility B, 1 | Facility B, 1 - SSM Health St. Clare Hospital - Baraboo. SSM Health St. Clare Hospital -Baraboo sought and received input from the Sauk County Public Health Department. The hospital also worked closely with the Health & Wellness Steering Committee to develop the 2021 Sauk County Community Health Assessment (CHA).Community perspectives and data gathered during this endeavor were incorporated into the SSM Health St. Clare Hospital -Baraboo Community Health Needs Assessment. Community perspectives were gathered from multiple activities, including a community survey, key informant interviews, and focus groups (community conversations). In addition to a review of demographics, we gathered and reviewed data from broad sources to set the initial direction and priorities of the community health needs assessment. The secondary data was derived from a variety of unbiased sources including the County Health Rankings, 211 Count data from Sauk County, Community Commons, Wisconsin Hospital Association CHNA Dashboard and the Wisconsin Department of Health Service. |
| Schedule H, Part V, Section B, Line 11 Facility B, 1 | Facility B, 1 - SSM Health St. Clare Hospital - Baraboo. The Hospital identified various health needs in the 2021 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Mental Health - Affordable housing - Substance use Mental Health In 2021, Mental Health came to the top of the identified priority needs in Sauk County. Our children and seniors need to learn that talking about feelings in an effort to get better is the right thing to do. No one should suffer in silence. - 31% of survey residents said mental services are a challenge to obtain. - 15% of adults reporting fair or poor health. - 12% of survey residents said everyone in their household could get the Health services they needed only sometimes, rarely or never. - 13% of adults reporting 14 or more days of poor mental health per month The Hospital's action plan on mental health involves: - Educate and provide information to local schools and colleges. - Campaign for the Jakob's SWAG Foundation and its Got Your Back app. - Educate youth on mental health resources and prevention through clubs, athletics and/or health classes. - Educate school staff through in-services or staff meetings. - Provide access to healthy social activities through "What's Your New Purpose" for a healthy retirement - Wisconsin Institute for Healthy Aging (WIHA) evidence-based classes such as Living Well with Chronic Conditions and Stepping On Senior Exercise Classes at Civic Center - Service on WI Coalition to end Social Isolation - Utilize the "Make It Okay" campaign toolkit to reduce stigma around mental health in Sauk County. - Members of the Sauk County Health and Wellness Coalition and Prevention for Change along with other community members will become "Make it Okay" ambassadors. - Promote use of Pledge Cards in the community. Planned results of the hospital's strategies include the following: - students will have access to an app with prevention tools to ensure support though mental health crises. - increase of students having access to emotional support for mental health needs. - decrease of students reporting serious consideration of suicide. - increase of seniors enrolled in health-related classes to enhance both physical and mental health. - SSM Health will join the Coalition of Social Isolation as healthcare leaders in this work. - 33% of older adults in WI will report feeling lonely on a regular basis (decrease from 43%). - Sauk County organizations and community members will be a part of reducing stigma around mental health in Sauk County by becoming "Make it okay" ambassadors. - Reduce poor mental health days from 4.3 to 4.0 to be equivalent to the state of WI overall. - 5% increase in people who feel comfortable talking to someone about their mental health. Affordable Housing Safe, affordable housing is imperative to the health of an individual and for a thriving community. Evidence shows housing and health can be understood as supporting the existence of four pathways. First, the health impacts of not having a stable home (the stability pathway). Second, the health impacts of conditions inside the home (the safety and quality pathway), third, the health impacts of the financial burdens resulting from high cost housing (the affordability pathway) and lastly, the health impacts of neighborhoods, including both the environmental and social characteristics of where people live (the neighborhood pathway). - 28% Of the population live in cost burdened households (housing cost are 30% or more of total household income). - 8% of the population lack adequate access to foods. - 40% of children enrolled in public schools are eligible for free lunch or reduce price lunch. - 2.45% of occupied housing units are lacking complete kitchen facilities. The hospital has organized the following activities to improve affordable housing measures: - Provide financial support to Baraboo Area Homeless Shelter to do the following: initiate the purchase of shelter facility, begin a fund to supplement state-funded client grants for affordable rental housing, provide support towards salary of shelter staff. - Provide community education on health issues related to housing issues such as asthma and black mold. - Create pamphlet and educational materials on what to watch for in your home for health. - Share at local libraries, schools, WIC clinics and other community events. - Collaborate with key stakeholders in Sauk County focused on housing issues including quality and affordability. - Establish a workgroup to address Housing concerns in Sauk County. - Identify strategies as a county task force to better meet the needs of residents. Outcomes anticipated include: - Baraboo Area Homeless Shelter will own a facility building with SSM Health financial support. - Supplemental financial support will be provided to clients for affordable rental housing - Increase of homeless clients accessing the shelter who get permanent placement in stable housing. - Decreased number of homeless individuals in Sauk County. - Increase of individuals who access the shelter being placed in permanent housing (from 65% to 75% goal). - Sauk County residents will have increase knowledge of how housing impacts health through education. - 22% of county residents will report living in substandard living conditions (which would be a decrease from 27.55% currently). - Housing workgroup will be established and made up of multi-disciplinary organizations. - Decrease of county residents requesting rent and shelter assistance, and living in cost-burdened households. Substance Use Substance misuse is a serious concern in the community. Underage drinking, the use of vaping products, and misuse of prescription drugs and opioids are all issues. - 28% Of adults self-reported excessive drinking in the last 30 days. - 26.6 per 1,000 people were diagnosis with Drug/Substance abuse. - As of 2019 there were 21 reported drug poising deaths per 100,000. - Within the Sauk county area there are 18.7% adults who have smoked or are currently smoking. The hospital is involved in the following initiatives to help substance use in the community served: - Educate middle school students on dangers of vaping for prevention efforts. - Serve as the healthcare representative on the Tobacco Restorative Justice team. - Distribute Lock Boxes during discharge process with pharmacy team. - Distribute bottle locks and lock boxes at community-based events. - Create sample script and educate safe storage/disposal practices. - Promote "Not In My House" campaign throughout Sauk County. - Promote access to Satori House through referrals at ED when a patient presents with an opioid addiction. - Education provided regarding Satori House peer counselors. Goals of these initiatives are listed below: - middle and high school students will be more knowledgeable about dangers of vaping in Sauk County. - Decrease of youth vaping in Sauk County middle schoolers from 13% to 10%. - parents will have access to bottle locks and lock boxes to prevent youth access to alcohol. - increase public knowledge about the WI Social Host Law. - decrease in the percentage of youth accessing alcohol and unnecessary prescription drugs. - Provide resources to those seeking recovery in Sauk County. - Decrease the number of overdoses in Sauk County and related ER admissions. - increase recovery support for those with addiction. - decrease rate of opioid deaths from 25.3 to 20.0 per 100,000. The hospital has no plans to discontinue other community benefit efforts addressing additional health needs as outlined in its CHNA. |
| Schedule H, Part V, Section B, Line 3E | THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. |
| Schedule H, Part V, Section B, Line 5 Facility C, 1 | Facility C, 1 - SSM Health St. Mary's Hospital - Janesville. SSM Health St. Mary's Hospital -Janesville sought and received input from the Rock County Public Health Department. The hospital also worked closely with the Health Equity Alliance of Rock County to develop the 2021 Rock County Community Health Assessment (CHA).Community perspectives and data gathered during this endeavor were incorporated into the SSM Health St. Mary's Hospital -Janesville's Community Health Needs Assessment. Community perspectives were gathered from multiple activities, including a community survey, key informant interviews, and focus groups (community conversations). In addition to a review of demographics, we gathered and reviewed data from broad sources to set the initial direction and priorities of the community health needs assessment. The secondary data was derived from a variety of unbiased sources including the Wisconsin Hospital Association's CHNA Dashboard, County Health Rankings, Youth Behavioral Risk Survey, Community Commons, Area Deprivation Index and Opportunity Atlas, and the Wisconsin Department of Health Services. |
| Schedule H, Part V, Section B, Line 6b Facility C, 1 | Facility C, 1 - SSM Health St. Mary's Hospital - Janesville. The hospital partnered with Health Equity Alliance of Rock County to complete its 2021 Community Health Needs Assessment. |
| Schedule H, Part V, Section B, Line 11 Facility C, 1 | Facility C, 1 - SSM Health St. Mary's Hospital - Janesville. The Hospital identified various health needs in the 2021 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Mental health - Access to care Mental health Mental health is an essential part of overall health that includes emotional, psychological, and social wellbeing. Mental health can be determined by a range of factors and often affects how individuals cope with stress, relate to others, and make choices. Mental health was a primary topic of concern among Rock County residents through every mode of data collection. Specifically: - 17% of Rock County Youth reported they were seriously considering suicide in the past 12 months, with 8% actually attempting it. - In Rock County, 17% of adults aged 18 and older report they receive insufficient social and emotional support. - 18% of Rock County adults have a mental health diagnosis and Rock County residents averaged 4.3 poor mental health days compared to 4.0 for Wisconsin overall. The hospital is involved in the following initiatives to improve mental health measures in the community served: - Educate and provide information to local schools and colleges. - Campaign for the Jakob's SWAG Foundation and its Got Your Back app. - Educate youth on mental health resources and prevention through clubs, athletics and/or health classes. - Educate school staff through in-services or staff meetings. - Sponsor and provide space for the Strong Bodies program. - Serve as the healthcare leader on the coalition for social isolation and loneliness. - provide health related educational series geared toward seniors. - consider developing an Adopt a Senior program in Rock County. - Utilize the "Make It Okay" campaign toolkit to reduce stigma around mental health in Sauk County. - Members of the Sauk County Health and Wellness Coalition and Prevention for Change along with other community members will become "Make it Okay" ambassadors. - Promote use of Pledge Cards in the community. - distribute bottle locks and lock boxes as part of outreach events. - provide the Catch My Breath curriculum to middle and high school students in Rock County. - identify evidence-based workplace assessment and score card to offer local businesses. - provide education and tools to local businesses to make changes in the workplace culture around mental health. - adopt the Mental Health Friendly Workplace Initiative. Outcomes related to mental health are anticipated to be: - students will have access to an app with prevention tools to ensure support though mental health crises. - increase of students having access to emotional support for mental health needs. - decrease of students reporting serious consideration of suicide. - increase of seniors enrolled in health-related classes to enhance both physical and mental health. - SSM Health will join the Coalition of Social Isolation as healthcare leaders in this work. - 33% of older adults in WI will report feeling lonely on a regular basis (decrease from 43%). - Sauk County organizations and community members will be a part of reducing stigma around mental health in Sauk County by becoming "Make it okay" ambassadors. - Reduce poor mental health days from 4.3 to 4.0 to be equivalent to the state of WI overall. - 5% increase in people who feel comfortable talking to someone about their mental health. - Education to youth in Rock County on vaping prevention and distribution of lock boxes for prescription drugs and alcohol. - Reduction in youth vaping, youth drinking, and youth misuse of pain medications. - Assessment, education, and tools provided to local businesses, with these businesses adopting new mental health initiatives within their organization. - Rock County employees will report a reduction of stress and burnout in the workplace. Access to Care Access to healthcare generally means an individual is able to access timely health services to achieve the best health outcomes possible. Healthcare access is determined by healthcare coverage, timeliness of the available services, and the availability of the workforce providing healthcare services. These key components of healthcare access impact many of the factors that can promote good health such as service affordability, and receiving quality or routine care. Additional facts and figures that relate to access to care are below. - There were 991 preventable oral health visits in 2019. When compared to WI, Rock County averages 20 more ER visits / 10,000 people related to non-traumatic oral health issues. - The lack of health insurance is considered a key driver of health status.5.93% of Rock County residents are uninsured and 20.59% of Rock County Latinos are uninsured. - Health literacy is not simply a reflection of an individual's skills and abilities, but on how well health systems provide information and services. The hospital is implementing the following measures to improve access to care: - develop a partnership with HealthNet Dental to create an Emergency Room diversion program for uninsured and under-insured patients. - Train SSM Health emergency department staff in workflow for referring oral health patients to HealthNet Dental to establish a dental home. - establish a Maternal and Child Health Task Force in Rock County. - Identify and train black women from Rock County as birth doulas through Harambee Village. - Promote doula services in Rock County to improve black birth outcomes. - Teach Living Well with Chronic Conditions class for seniors on advocating for themselves. - Research and conduct a health literacy assessment at St. Mary's Hospital - Janesville. - MyChart education sessions for patient navigation at local libraries, churches, community centers and senior apartments. - Discuss opportunities for healthcare career pipelines for diverse students at Blackhawk Technical Collage. - Provide scholarship opportunities to culturally-diverse healthcare students. - Engage with Fresh Start students in pursuing healthcare careers. - Provide financial support for patients needing transportation services to access healthcare services. - Sponsor and enhance the Janesville Jets literacy program for area schools. - Sponsor Healthnet of Rock County to provide free healthcare services for low-income residents. - Sponsor local farmers markets and expand on existing SNAP benefits. The hospital attempts the following progress: - reduction of the number of ED visits related to an oral health concern at the hospital and increase referrals to HealthNet for dental services. - increase the number of uninsured and under-insured residents in Rock County with an established dental home. - Black women from within Rock County will be trained as birth doulas for low-income Rock County pregnant women. - Maternal and Child Health Task Force made up of local healthcare partners and nonprofits to address infant mortality in Rock County. - Reduce Blank Infant mortality from 16.8 per 1,000 births to 9.4 per 1,000 births, which is still two times the rate of white infants in Rock County. - seniors will learn new skills in advocating for themselves and navigating healthcare. - SMHJ will learn what changes to implement from an assessment to improve health literacy. - More Spanish language health education provided in Rock County. - No Rock County census tracts will be in the bottom quartile related to health literacy. - Seniors in Rock County will report improved health outcomes due to improved health literacy. - more Rock County diverse students will be interested in and receive financial assistance for healthcare careers. - Increased number of healthcare professionals in Rock County that represent diverse cultures, resulting in black patients feeling more welcome. - provide free transportation for residents to access healthcare. - sponsor HealthNet of Rock County. - Janesville students will increase time ready to improve literacy. - sponsor farmers' markets and other programs improving access to healthy food. - increase of Latino Rock County families with health insurance from 79% to 90%. - Decrease in percentage of households that are food insecure from 10.4% to 5%. The hospital has no plans to discontinue other community benefit efforts addressing additional health needs as outlined in its CHNA. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| ST CLARE CARDIAC AND PULMONARY REHAB - WISCONSIN DELLS | ||||
| 1306 BROADWAY ROAD | WISCONSIN DELLS | WI | 53965 | REHABILITATION |
| ST MARY'S CARE CENTER | ||||
| 3401 MAPLE GROVE DRIVE | MADISON | WI | 53719 | LONG-TERM CARE |
| ST MARY'S SUN PRAIRIE EMERGENCY CENTER | ||||
| 2840 OKEEFE AVENUE | SUN PRAIRIE | WI | 53590 | EMERGENCY CENTER |
| ST CLARE MEADOWS CARE CENTER | ||||
| 1414 JEFFERSON | BARABOO | WI | 53913 | LONG-TERM CARE |
| ST MARY'S SLEEP CENTER | ||||
| 2844 INDEX ROAD | FITCHBURG | WI | 53713 | SLEEP CENTER |
| ST CLARE URGENT CARE | ||||
| 530 WISCONSIN DELLS PARKWAY | LAKE DELTON | WI | 53965 | URGENT CARE CENTER |
| ST MARY'S CHILD CARE CENTER | ||||
| 723 S ORCHARD STREET | MADISON | WI | 53715 | CHILD CARE CENTER |
| ADULT DAY HEALTH CENTER | ||||
| 2440 ATWOOD AVENUE | MADISON | WI | 53704 | ADULT DAY CARE |
| ST CLARE CHILD CARE CENTER | ||||
| 1605 JEFFERSON STREET | BARABOO | WI | 53913 | CHILD CARE CENTER |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c Discounted Care Exceptions | Patients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called "presumptive eligibility." |
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | SSM Health Care Corporation, 46-6029223 |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | The amounts reported on Form 990, Schedule H, Part I, Line 7a, 7b, and 7c were determined using the cost to charge ratio derived from worksheet 2 in the schedule h instructions. Form 990, schedule h, part I, Lines 7e, 7f, 7g, 7h, and 7i are reported at cost as reported in the organization's financial statements. The calculation of Schedule H, Part I, Line 7, Column F utilizes 990, Part IX, Line 25, Column A, which does not include Bad Debt Expense. |
| Schedule H, Part II Community Building Activities | SSM HEALTH CARE OF WISCONSIN PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING: COMMUNITY SUPPORT: IN-KIND DONATIONS RELATED TO COVID, BELOIT AREA COMMUNITY HEALTH CENTER TRUCK OR TREAT EVENT SUPPORT; ENVIRONMENTAL IMPROVEMENTS: SAFE SHARPS DISPOSAL, HIGHWAY CLEANUP; LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: BOYS AND GIRLS CLUB'S TODAY'S DREAMERS TOMORROW'S LEADERS EVENT SPONSORSHIP; WORKFORCE DEVELOPMENT: JOB SHADOWING PROGRAMS AND HEALTH CARE INDUSTRY DAY. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | FOR FINANCIAL STATEMENT PURPOSES, SSM Health HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER NORTON HOSPITAL'S FINANCIAL ASSISTANCE POLICY ON A GROSS BASIS. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | SSM Health Care of Wisconsin, Inc. is part of the SSM Health consolidated audit. The footnote that references the treatment of uncollectible accounts and implicit price concessions in the December 31, 2021 consolidated audit is contained on page 13, 14 and 15 of the attached financial statements. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | SSM Health Care of Wisconsin, Inc. has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable. SSM Health Care of Wisconsin embraces its responsibility to serve the communities in which it participates by establishing sound business practices. SSM Health Care of Wisconsin's billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after 120 days. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from SSM prior to engaging in ECAs. SSM will review the accounts and verify satisfactory completion of reasonable efforts during the notification and application period. A waiver is not considered reasonable efforts. Obtaining a signed waiver that an individual does not wish to apply for FAP assistance or receive FAP application information will not meet the requirement to make "reasonable efforts" to determine whether the individual is FAP-eligible before engaging in ECAs. All outside collection agencies must comply with state and federal laws, comply with the association of credit and collection professional's code of ethics and professional responsibility and comply with SSM Health Care of Wisconsin's collection and financial assistance policies. |
| Schedule H, Part V, Section B, Line 16a FAP website | A - SSM Health St. Mary's Hospital - Madison: Line 16a URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; B - SSM Health St. Clare Hospital - Baraboo: Line 16a URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; C - SSM Health St. Mary's Hospital - Janesville: Line 16a URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | A - SSM Health St. Mary's Hospital - Madison: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; B - SSM Health St. Clare Hospital - Baraboo: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; C - SSM Health St. Mary's Hospital - Janesville: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | A - SSM Health St. Mary's Hospital - Madison: Line 16c URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; B - SSM Health St. Clare Hospital - Baraboo: Line 16c URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; C - SSM Health St. Mary's Hospital - Janesville: Line 16c URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; |
| Schedule H, Part VI, Line 2 Needs assessment | SSM Health (SSMH) participates in Community Benefit according to our vision, Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of SSMH's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always our goal. To fulfill this commitment, SSMH's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). The CHNA is an assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conducted every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Collect data and evaluate progress; report to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). System Office staff and leaders oversee and monitor SSMH's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, SSM Health Care Corporation also identifies needs based on assessments and research, and SSMH facilities also involve case managers and care team staff to pinpoint critical health issues in the community. All hospital CHNAs are completed, approved, and integrated into the organization's strategic plan. We continue to monitor and assess the progress of our local efforts in the spirit of caring for others and improving community health. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Each entity providing medical service shall provide information to the public regarding its charity care policies and the qualification requirements for each of its facilities. When standard system notices and communication regarding charity care are available, these must be used. Modifications to the standard may be made to comply with state and local laws, as well as reflect culturally sensitive terminology for the policy. All notices are easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They provide information about: * The patient's responsibility for payment, * The availability of financial assistance from public programs and entity charity care and payment arrangements, * The entity's charity policy and application process, and * Who to contact to get additional information or financial counseling. The following types of notices to the public are provided: * Signs in the emergency department, website resources, and public waiting areas. * Brochures or fliers provided at time of registration and available in the financial counseling areas. * Notices sent with or on patient bills or communications sent to patients and guarantors related to medical services. * Applications provided to uninsured patients at the time of registration. The application for charity care, together with any instructions, must clearly state the policies regarding charity care, including excluded services, eligibility criteria and documentation requirements. Information about the entity's charity policies is also provided to public agencies. |
| Schedule H, Part VI, Line 4 Community information | SSM Health St. Mary's Hospital - Madison St. Mary's Hospital serves Dane County in south-central Wisconsin, which is home to Wisconsin's state capitol, Madison, and Wisconsin's flagship public university, the University of Wisconsin-Madison. Dane County is the second most densely populated county in Wisconsin and Madison is the second largest city in the state. The population of Dane County grew 2.8% between 2016 and 2019 bringing the population to 546,695. Dane County's diversity is concentrated in the City of Madison, but the County as a whole has minority population around 20%. The percent of the population that has at least a bachelor's degree around 70% and is much higher in Dane County than in Wisconsin and the US. Approximately 17% of the area population is over 65 years old. Additional detailed information on the St Mary's Hospital service area can be found in its 2021CHNA. SSM Health St. Clare Hospital - Baraboo St. Clare Hospital serves the primarily serves Sauk County in Wisconsin, along with portions of adjacent Adams, Columbia and Juneau counties. This primary service area covers about 75% of the hospital's total patients. Sauk County's population is less diverse and slightly older than the populations of Wisconsin and the United States, as a whole. White individuals represent 90.4% of the populations, and 19.1% are 65 or older. The most recent total population estimate of the service area is 109,298. Sauk County and the St. Clare Hospital service areas includes people who are at high risk of not receiving adequate medical care due to being uninsured/underinsured, have limitations in housing, education, language, or geography, or are experiencing other health disparities. People with disabilities may also be a more vulnerable or under-served population within the community and occur at a rate of about 8%. Additional detailed information on the St. Clare Hospital service area can be found on in its 2021 CHNA. SSM Health St. Mary's Hospital - Janesville St. Mary's Janesville defines its community as Rock County, Wisconsin. Approximately 87% of the hospital's patient population live in the county. The hospital is located in Janesville, Wisconsin, the county seat of Rock County and the county's largest city. In 2019, Janesville had an estimated population of 64,575 with a population for all of Rock County of 163,354 persons. Rock County includes people who are at high risk of not receiving adequate medical care due to being uninsured/underinsured, have limitations in housing, education, language, or geography, or are experiencing other health disparities. Poverty rates are higher in the county, at 12.3%, than in Wisconsin and the U.S. as a whole. Also, disability rates are higher at 13.7% of the county's population. Additional detailed information on the St. Mary's Janesville Hospital service area can be found in its 2021 CHNA. |
| Schedule H, Part VI, Line 5 Promotion of community health | SSM Health Care of Wisconsin participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. In response to the global coronavirus pandemic, SSM Health Care of Wisconsin, Inc. worked relentlessly to respond to community needs by developing and implementing strategies to address social needs of those served, providing screening & testing services, personal protective equipment and education throughout the community, as well as treatment for those who presented with COVID-19. SSM Health Care of Wisconsin promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote community health. SSM Health Care of Wisconsin 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, * 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. |
| Schedule H, Part VI, Line 6 Affiliated health care system | SSM HEALTH CARE OF WISCONSIN (SSMHC/WI) IS A COMPREHENSIVE NOT-FOR- PROFIT CATHOLIC HEALTH CARE ORGANIZATION PROVIDING HEALTH CARE SERVICES TO AN 18- COUNTY AREA IN SOUTH- CENTRAL WISCONSIN. SSMHC/WI, WITH HEADQUARTERS IN MADISON, WI, IS SPONSORED BY SSM HEALTH MINISTRIES AND IS OWNED AND OPERATED BY SSM HEALTH (SSMH) BASED IN ST. LOUIS, MISSOURI. SSMHC/WI PROVIDES HEALTH CARE SERVICES AT THREE WHOLLY-OWNED ACUTE CARE HOSPITALS, SSM HEALTH ST. MARY'S HOSPITAL - MADISON, SSM HEALTH ST. CLARE HOSPITAL - BARABOO AND SSM HEALTH ST. MARY'S HOSPITAL - JANESVILLE, AS WELL AS AT TWO NURSING HOMES - SSM HEALTH ST. MARY'S CARE CENTER IN MADISON AND SSM HEALTH ST. CLARE MEADOWS CARE CENTER IN BARABOO. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | WI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| American Heart Association | ||||||||
| 7272 Greenville Avenue | Dallas | TX | 75231 | 135613797 | 501(c)(3) | $10,000 | General support | |
| Foundation for Black Women's Wellness | ||||||||
| PO Box 259831 | Madison | WI | 53725 | 460832901 | 501(c)(3) | $26,920 | Care coordination project | |
| Healing Our Hearts Foundation Inc | ||||||||
| 583 Donofrio Drive | Madison | WI | 53719 | 850770215 | 501(c)(3) | $19,670 | General support | Suite 103 |
| Madison Gospel 5K Foundation | ||||||||
| 4711 Jenewein Road Apt 208 | Madison | WI | 53711 | 832761410 | 501(c)(3) | $7,542 | General support | |
| Meriter Health Services Inc | ||||||||
| 202 South Park Street | Madison | WI | 53715 | 391412318 | 501(c)(3) | $44,798 | Dental health support | |
| Rebalanced Life Wellness Association Inc | ||||||||
| 143 Marcie Drive | Brooklyn | WI | 53718 | 824133284 | 501(c)(3) | $45,000 | Chronic disease prevention support | |
| Safe Community Coalition of Madison and Dane County Inc | ||||||||
| PO Box 6652 | Madison | WI | 53701 | 392010839 | 501(c)(3) | $10,000 | General support | |
| County of Sauk | ||||||||
| 510 Broadway Street | Baraboo | WI | 53913 | 396005740 | Government | $71,000 | Justice, diversion and support program | |
| St Clare Health Care Foundation Inc | ||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431940683 | 501(c)(3) | $10,300 | General support | |
| South Central Wisconsin AHEC Inc | ||||||||
| 136 W Grand Avenue | Beloit | WI | 53511 | 391798043 | 501(c)(3) | $7,200 | Health education support | No 100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 10 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | THE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDS VARIES BASED ON THE GRANT RECIPIENT. GRANTS TO RELATED ENTITIES ARE MONITORED DIRECTLY BY THE ORGANIZATION WHEREBY THE RECIPIENT REPORTS ON THE SPECIFIC USE OF THE FUNDING. FOR GRANTS TO UNRELATED ENTITIES, THE ORGANIZATION UTILIZES THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) TO TRACK, STORE, AND REPORT A WIDE RANGE OF INFORMATION RELATED TO GRANTS AND OVERALL COMMUNITY IMPACT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Damond Boatwright | ||||||||||||||
| Pt Yr Director, Pt Yr Regional President - SSM Health Care of Wisconsin | $0 | $285,165 | $0 | $312,433 | $0 | $723 | $0 | $3,681 | $0 | $2,673 | $0 | $604,675 | $0 | $669,419 |
| Matt Hanley MD | ||||||||||||||
| Director, Chair, Interim Regional President - Wisconsin | $0 | $767,127 | $0 | $426,143 | $0 | $6,776 | $0 | $681,835 | $0 | $36,451 | $0 | $1,918,332 | $0 | $426,143 |
| Jason Isenberg MD | ||||||||||||||
| Director, Physician at Dean Medical Group | $0 | $439,508 | $0 | $0 | $0 | $2,630 | $0 | $8,675 | $0 | $42,972 | $0 | $493,785 | $0 | $0 |
| Greg Matzke MD | ||||||||||||||
| Pt Yr Director, Physician at Dean Medical Group | $0 | $708,557 | $0 | $25,000 | $0 | $1,710 | $0 | $8,617 | $0 | $45,526 | $0 | $789,410 | $0 | $0 |
| John Phelan MD | ||||||||||||||
| Pt Yr Director, Physician at Dean Medical Group | $0 | $685,648 | $0 | $0 | $0 | $4,835 | $0 | $8,700 | $0 | $26,684 | $0 | $725,867 | $0 | $0 |
| William Ehrhardt MD | ||||||||||||||
| Pt Yr Director, Physician at Dean Medical Group | $0 | $683,404 | $0 | $0 | $0 | $2,630 | $0 | $8,700 | $0 | $45,103 | $0 | $739,837 | $0 | $0 |
| Jennifer Maskel MD | ||||||||||||||
| Director, Physician at Dean Medical Group | $0 | $150,190 | $0 | $0 | $0 | $7 | $0 | $4,524 | $0 | $1,022 | $0 | $155,743 | $0 | $0 |
| Laura Kaiser | ||||||||||||||
| Former Officer | $0 | $1,734,729 | $0 | $1,374,054 | $0 | $381,195 | $0 | $2,194,966 | $0 | $19,371 | $0 | $5,704,315 | $0 | $1,747,726 |
| Kris Zimmer | ||||||||||||||
| Former Officer | $0 | $0 | $0 | $219,008 | $0 | $372 | $0 | $0 | $0 | $0 | $0 | $219,379 | $0 | $372 |
| Steve Smoot | ||||||||||||||
| Vice President, COO of SSM Health | $0 | $1,014,744 | $0 | $506,986 | $0 | $10,347 | $0 | $877,981 | $0 | $39,965 | $0 | $2,450,024 | $0 | $506,986 |
| Douglas Long | ||||||||||||||
| Secretary, General Counsel at SSM Health | $0 | $683,805 | $0 | $374,673 | $0 | $143,200 | $0 | $460,492 | $0 | $23,109 | $0 | $1,685,279 | $0 | $374,673 |
| Matt Kinsella | ||||||||||||||
| Regional VP Finance-Wisconsin | $0 | $339,271 | $0 | $62,880 | $0 | $11,619 | $0 | $138,111 | $0 | $38,212 | $0 | $590,093 | $0 | $66,793 |
| Randy Combs | ||||||||||||||
| Treasurer, Chief Financial Officer at SSM Health | $0 | $940,014 | $0 | $182,693 | $0 | $167,895 | $0 | $478,907 | $0 | $6,945 | $0 | $1,776,454 | $0 | $82,693 |
| Thomas Kirschbaum | ||||||||||||||
| Assistant Secretary, General Counsel - SSMWI | $0 | $368,861 | $0 | $62,127 | $0 | $23,299 | $0 | $145,570 | $0 | $37,965 | $0 | $637,822 | $0 | $79,849 |
| Kerry Swanson | ||||||||||||||
| Former Key Employee | $0 | $0 | $0 | $19,047 | $0 | $482,014 | $0 | $0 | $0 | $28,261 | $0 | $529,322 | $0 | $0 |
| Mike Degere | ||||||||||||||
| Former Key Employee | $147,656 | $0 | $47,385 | $0 | $510 | $0 | $3,569 | $0 | $18,276 | $0 | $217,396 | $0 | $47,385 | $0 |
| Colette Brust | ||||||||||||||
| Former Key Employee | $99,348 | $0 | $10,000 | $0 | $1,612 | $0 | $1,341 | $0 | $785 | $0 | $113,086 | $0 | $0 | $0 |
| Kyle Nondorf | ||||||||||||||
| Hospital President - St. Mary's Hospital-Madison | $0 | $421,481 | $0 | $84,996 | $0 | $24,374 | $0 | $190,603 | $0 | $41,581 | $0 | $763,035 | $0 | $97,976 |
| Laura Walczak | ||||||||||||||
| Pt Yr Hospital President - St. Clare Hospital-Baraboo | $0 | $230,064 | $0 | $34,366 | $0 | $93,529 | $0 | $6,825 | $0 | $12,498 | $0 | $377,282 | $0 | $94,923 |
| Eric Thornton | ||||||||||||||
| Hospital President - St. Mary's Hospital-Janesville | $0 | $260,122 | $0 | $34,366 | $0 | $7,790 | $0 | $77,684 | $0 | $38,927 | $0 | $418,889 | $0 | $35,629 |
| Mark Thompson MD | ||||||||||||||
| Regional President-Medical Groups-Wisconsin | $570,750 | $0 | $167,304 | $0 | $15,822 | $0 | $242,909 | $0 | $44,749 | $0 | $1,041,534 | $0 | $101,417 | $0 |
| Craig Sommers | ||||||||||||||
| VP - Hospital Operations | $208,066 | $0 | $22,601 | $0 | $9,860 | $0 | $56,225 | $0 | $37,600 | $0 | $334,352 | $0 | $27,906 | $0 |
| Jennifer Culotta | ||||||||||||||
| Interim VP Patient Care - St. Clare | $161,790 | $0 | $15,913 | $0 | $107 | $0 | $40,188 | $0 | $11,998 | $0 | $229,996 | $0 | $18,319 | $0 |
| Amy Franta | ||||||||||||||
| Regional Chief Medical Officer | $407,474 | $0 | $35,039 | $0 | $1,420 | $0 | $148,284 | $0 | $44,961 | $0 | $637,178 | $0 | $29,742 | $0 |
| Veronica Scott-Fulton | ||||||||||||||
| Regional CNO | $352,728 | $0 | $60,390 | $0 | $1,831 | $0 | $41,283 | $0 | $23,451 | $0 | $479,683 | $0 | $53,250 | $0 |
| Mo Kharbat | ||||||||||||||
| Regional VP - Pharmacy | $227,908 | $0 | $22,508 | $0 | $960 | $0 | $55,780 | $0 | $22,792 | $0 | $329,948 | $0 | $19,106 | $0 |
| Jeff Shadick | ||||||||||||||
| Regional VP - Laboratory | $201,155 | $0 | $17,216 | $0 | $998 | $0 | $49,661 | $0 | $25,843 | $0 | $294,873 | $0 | $19,819 | $0 |
| Margo Francisco | ||||||||||||||
| Regional VP - Strategy | $0 | $302,462 | $0 | $45,865 | $0 | $33,088 | $0 | $113,055 | $0 | $27,248 | $0 | $521,718 | $0 | $76,353 |
| Thomas Ahr | ||||||||||||||
| Regional VP - Talent Management | $0 | $306,093 | $0 | $52,259 | $0 | $47,161 | $0 | $122,993 | $0 | $34,218 | $0 | $562,724 | $0 | $77,664 |
| Bradley Schmidt | ||||||||||||||
| VP - Acute Care Services | $418,699 | $0 | $41,403 | $0 | $9,979 | $0 | $27,658 | $0 | $44,435 | $0 | $542,174 | $0 | $35,144 | $0 |
| David Jarvis | ||||||||||||||
| Physician | $341,357 | $0 | $0 | $0 | $2,848 | $0 | $5,248 | $0 | $40,497 | $0 | $389,950 | $0 | $0 | $0 |
| David Ottenbaker | ||||||||||||||
| VP - Primary Care Services | $392,352 | $0 | $39,470 | $0 | $23,526 | $0 | $76,721 | $0 | $36,759 | $0 | $568,828 | $0 | $33,503 | $0 |
| Larry Elfman | ||||||||||||||
| Reg. Chief Medical Information Officer | $354,581 | $0 | $35,669 | $0 | $56,737 | $0 | $70,520 | $0 | $28,835 | $0 | $546,342 | $0 | $30,277 | $0 |
| Kansas Dubray | ||||||||||||||
| Physician | $364,175 | $0 | $0 | $0 | $1,524 | $0 | $6,023 | $0 | $17,656 | $0 | $389,378 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Tax indemnification and gross-up payments | The following individuals listed on Part VII Section A received a tax indemnification/gross up payment in 2021. These payments were included in their taxable compensation. Mo Kharbat Jennifer Culotta |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | 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 board or compensation committee. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | SSM Health has adopted a severance policy to provide a financial transition in the event of involuntary termination without cause for executive level positions. The amount of the compensation is based on the position held and length of service with SSMH. The following individuals listed in Part VII of the Form 990 received payments under the plan in the current year. Kerry Swanson $486,538 |
| 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 2021. 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 2021: Matt Hanley $150,807 Steve Smoot $197,200 Thomas Kirschbaum $33,787 Matt Kinsella $31,550 Eric Thornton $24,254 Kyle Nondorf $39,636 Mark Thompson $50,292 Craig Sommers $10,241 Margo Francisco $25,005 Thomas Ahr $27,699 Amy Franta $36,711 Veronica Scott-Fulton $32,583 Mo Kharbat $10,282 Jeff Shadick $7,869 Jennifer Culotta $7,237 Bradley Schmidt $18,958 Laura Kaiser $549,883 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2021. All distributions received from the plan in the current year were included in the individual's taxable compensation. Damond Boatwright $356,985 Thomas Kirschbaum $17,722 Matt Kinsella $10,849 Eric Thornton $6,458 Kyle Nondorf $23,309 Laura Walczak $65,752 Craig Sommers $8,721 Margo Francisco $30,488 Thomas Ahr $31,261 Kris Zimmer $372 Laura Kaiser $373,672 |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $375 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $2,500 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Items for NICU and health care workers | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $36,137 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I Explanations of reporting method for number of contributions | FormAndLineReferenceDesc |
| Explanation | Other - Items for NICU and health care workers Number of contributors Drugs and medical supplies - Number of contributors Art - Works of art - Number of contributors | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a Description of Program Service | Briefly describe the organization's mission: 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 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company, and an Accountable Care Organization. The health system employs nearly 40,000 people and is affiliated with 11,000 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 SSM Health Care of Wisconsin: SSM Health Care of Wisconsin provides health care services at three wholly-owned acute care hospitals, SSM Health St. Mary's Hospital - Madison, SSM Health St. Clare Hospital - Baraboo and SSM Health St. Mary's Hospital - Janesville, as well as at two nursing homes - SSM Health St. Mary's Care Center in Madison and SSM Health St. Clare Meadows Care Center in Baraboo. SSM Health Care of Wisconsin, including its three wholly owned hospitals and two nursing homes, earned Wisconsin's highest recognition of quality business practices in 2013: the Excellence Level of the Wisconsin Forward Award. The honor remains in effect for five years. SSM Health Care of Wisconsin, in partnership with SSM Health Dean Medical Group, also earned recognition as a finalist for OrthoServiceLine.com's Ortho Transformation Award. The award highlighted the Steady Strides Joint Replacement Program which is available at all three acute care hospitals. SSM Health St. Mary's Hospital - Madison is a 440-bed tertiary referral hospital offering inpatient and outpatient treatment and diagnostic services in primary care and nearly all specialties. The campus includes an outpatient surgery center and an employee child care center. St. Mary's also operates an off-site Adult Day Health Center, is owner of a home health care organization, and is affiliated with the SSM Health St. Mary's Care Center (a skilled nursing facility) on Madison's southwest side. St. Mary's Hospital in partnership with SSM Health Dean Medical Group has chosen to participate in a Medicare Accountable Care Organization Program. St. Mary's Hospital offers a full range of inpatient and outpatient treatment and diagnostic services in primary care and nearly all specialties. St. Mary's was also redesignated as a Magnet hospital in 2017 and has previously attained elite status as well. Magnet hospitals are considered "the gold standard" of nursing. Their emphasis on quality, innovation and collaboration tends to lead to better outcomes, high patient satisfaction and a more stable workforce. In 2018, St. Mary's Hospital was recognized by the Women's Choice Award for high standards in obstetrics and also by the Watson Health 100 Top Hospitals. SSM Health St. Clare Hospital - Baraboo offers acute care services as well as a wide range of other services including chemical dependency treatment and hemodialysis. St. Clare also offers cardiac rehabilitation, orthopedics, women's services, and older adult services and senior living. SSM Health St. Clare Meadows Care Center, an affiliate of St. Clare Hospital, provides a variety of healthcare and living options for the elderly of the greater Baraboo and Sauk County area. The 100-bed Medicare and Medicaid skilled nursing facility provides 24-hour nursing care for temporary rehabilitation care or permanent care basis in an atmosphere that celebrates the needs of the individual. SSM Health St. Mary's Hospital - Janesville operates a 50-bed hospital and an adjacent physicians' office complex. The hospital serves its community through emergency services, inpatient and outpatient services, a sleep lab, radiology, cardiology rehabilitation, and palliative care consulting. Built in 2012, the medical campus provides all private rooms, electronic health records, and a state-of-the-art emergency department. SSM Health Care of Wisconsin 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: The following is a list of the types of programs and services that could be included as uncompensated care: Traditional Charity Care $ 2,752,352 Unpaid Cost of Medicaid $ 29,888,832 Unpaid Cost of Medicare $ 6,566,778 Total Quantifiable Uncompensated Care $ 39,207,962 |
| Form 990, Part V, Line 1a | ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. |
| Form 990, Part VI, Line 15a Process for determining compensation | A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee. |
| Form 990, Part VI, Line 15b Process for determining compensation | A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee. |
| Form 990, Part VI, Line 4 Significant changes to organizational documents | The bylaws of the organization were updated during the year for the following items: A. number and composition of Board of Directors, B. method of notification of appointment and resignation of Board of Directors, and C. length of appointment of Vice Chairperson. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM HEALTH CARE OF WISCONSIN, INC. AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS D. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTEREST IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVES OF THE MEMBER AS DETERMINED BY THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. |
| Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body | The organization does not have any committees with authority to act on behalf of the governing body. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The Form 990 is prepared by the Tax Department of the parent organization, SSM Health Care Corporation (SSM). The Form 990 is reviewed by certain members of Senior Management. Any questions are addressed to the Tax Director of SSM prior to filing the Form 990 with the Internal Revenue Service. A copy of the Form 990 is provided to the Board of Directors at the next regularly scheduled board meeting. |
| Form 990, Part VI, Line 12c Conflict of interest policy | BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY TO THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ONLINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR-END. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | All other program service revenue - Total Revenue: 29172539, Related or Exempt Function Revenue: 29172539, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | All other revenue - Total Revenue: 2940036, Related or Exempt Function Revenue: , Unrelated Business Revenue: 56928, Revenue Excluded from Tax Under Sections 512, 513, or 514: 2883108; |
| Form 990, Part IX, Line 11g Other Fees | Medical and other professional fees - Total Expense: XXX-XX-XXXX, Program Service Expense: 86334628, Management and General Expenses: 16615469, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Change in beneficial interest in foundations - 6129352; Fund balance transfers - -515070; |
| FORM 990, PART I DOING BUSINESS AS | SSM HEALTH CARE OF WISCONSIN, INC. CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: ST. CLARE HOSPITAL ST. MARY'S JANESVILLE HOSPITAL SSM HEALTH ST. CLARE MEADOWS CARE CENTER SSM HEALTH ST. MARY'S CARE CENTER SSM HEALTH ST. MARY'S HOSPITAL - MADISON SSM HEALTH ST. CLARE HOSPITAL - BARABOO SSM HEALTH ST. MARY'S HOSPITAL - JANESVILLE |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SSMWI ACO LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1808 W Beltline Hwy | AddressLine1Txt |
| City | Madison | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53713 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 871042947 | EIN |
| Primary Activities | Health promotion | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SSM HEALTH CARE OF WISCONSIN INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (52 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SSM Health Care Corporation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 466029223 | Health Care | MO | 501(c)(3) | Type I | SSM Health Ministries | false |
| SSMHC Liability Trust I | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 436331003 | Insurance | MO | 501(c)(3) | Type I | SSM Health Care Corporation | false |
| SSM Consolidated Health Services | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431473657 | Health Care | MO | 501(c)(3) | 10 | SSM Health Care Corporation | false |
| SSM Policy Institute | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431788151 | Health Care | MO | 501(c)(4) | SSM Health Care Corporation | false | |
| SSM Health Care Portfolio Management Co | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431825256 | Management | MO | 501(c)(3) | Type I | SSM Health Care Corporation | false |
| SSM Cardinal Glennon Children's Hospital | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 430738490 | Health Care | MO | 501(c)(3) | 3 | SSM Health Care St Louis | false |
| Cardinal Glennon Children's Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431754347 | Fundraising | MO | 501(c)(3) | 7 | SSM Cardinal Glennon Children's Hospital | false |
| SSM Health Foundation - St Louis | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431552945 | Fundraising | MO | 501(c)(3) | 7 | SSM Health Care St Louis | false |
| SSM Health Care of Oklahoma Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 730657693 | Health Care | OK | 501(c)(3) | 3 | SSM Health Care Corporation | false |
| The St Anthony Hospital Foundation Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 736104300 | Fundraising | OK | 501(c)(3) | 7 | SSM Health Care of Oklahoma | false |
| Dells Medical Building Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 391613292 | MOB | WI | 501(c)(2) | SSM Health Care of Wisconsin | Yes (true) | |
| St Mary's Foundation Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431940686 | Fundraising | WI | 501(c)(3) | 7 | SSM Health Care of Wisconsin | Yes (true) |
| St Clare Health Care Foundation Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431940683 | Fundraising | WI | 501(c)(3) | 7 | SSM Health Care of Wisconsin | Yes (true) |
| Home Health United Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391539827 | Health Care | WI | 501(c)(3) | 10 | SSM Health Care of Wisconsin | Yes (true) |
| Home Care United Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391776340 | Health Care | WI | 501(c)(3) | 10 | SSM Health Care of Wisconsin | Yes (true) |
| HHU Xtra Care Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391705111 | Health Care | WI | 501(c)(3) | 10 | SSM Health Care of Wisconsin | Yes (true) |
| SSM Health at Home Foundation of Wisconsin Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391839309 | Fundraising | WI | 501(c)(3) | Type I | Home Health United Inc | false |
| SSM Regional Health Services | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 440579850 | Health Care | MO | 501(c)(3) | 3 | SSM Health Care Corporation | false |
| St Mary's Health Center Jefferson City Missouri Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431575307 | Fundraising | MO | 501(c)(3) | Type I | SSM Regional Health Services | false |
| Good Samaritan Regional Health Center | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 430653587 | Health Care | IL | 501(c)(3) | 3 | SSM Regional Health Services | false |
| St Mary's Hospital Centralia Illinois | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 370662580 | Health Care | IL | 501(c)(3) | 3 | SSM Regional Health Services | false |
| St Mary's - Good Samaritan Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 364170833 | Health Care | IL | 501(c)(3) | Type I | SSM Regional Health Services | false |
| Good Samaritan Regional Health Center Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 262884795 | Fundraising | IL | 501(c)(3) | 7 | St Mary's-Good Samaritan Inc | false |
| St Mary's Hospital Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 364636691 | Fundraising | IL | 501(c)(3) | 7 | St Mary's-Good Samaritan Inc | false |
| St Mary's Hospital Auxiliary | ||||||||||
| 400 N Pleasant | Centralia | IL | 62801 | 237126345 | Fundraising | IL | 501(c)(3) | 10 | St Mary's Hospital Foundation | false |
| SSM Health Businesses | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431333488 | Health Care | MO | 501(c)(3) | 10 | SSM Health Care Corporation | false |
| SSM Health Care St Louis | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431343281 | Health Care | MO | 501(c)(3) | 3 | SSM Health Care Corporation | false |
| Centralia Medical Services Bldg Assoc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 237408025 | MOB | IL | 501(c)(3) | Type I | SSM Regional Health Services | false |
| St Mary's Janesville Foundation Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 273439133 | Fundraising | WI | 501(c)(3) | 7 | SSM Health Care of Wisconsin | Yes (true) |
| SSM Health Ministries | ||||||||||
| 3221 McKelvey Road Suite 107 | Bridgeton | MO | 63044 | 431012492 | Religious Organization | MO | 501(c)(3) | 1 | NA | false |
| Lee Dewey Corporation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 731279603 | MOB | OK | 501(c)(3) | Type I | SSM Health Care of Oklahoma | false |
| SSM Hospice & Home Care Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 300012246 | Fundraising | MO | 501(c)(3) | 7 | SSM Health Businesses | false |
| St Mary's Hospital Auxiliary | ||||||||||
| 100 St Marys Medical Plaza | Jefferson City | MO | 65101 | 436049878 | Fundraising | MO | 501(c)(3) | Type II | NA | false |
| Good Samaritan Hospital Auxiliary | ||||||||||
| 1 Good Samaritan Way | Mount Vernon | IL | 62864 | 237049599 | Fundraising | IL | 501(c)(3) | Type III-FI | NA | false |
| St Anthony Shawnee Hospital Inc | ||||||||||
| 1000 N Lee Ave | Oklahoma City | OK | 73102 | 455055149 | Health Care | OK | 501(c)(3) | 3 | SSM Health Care of Oklahoma | false |
| SSM Audrain Health Care Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431550298 | Health Care | MO | 501(c)(3) | 3 | SSM Regional Health Services | false |
| Audrain Medical Center Foundation Inc | ||||||||||
| 620 E Monroe St | Mexico | MO | 65265 | 431265060 | Fundraising | MO | 501(c)(3) | Type I | NA | false |
| SSM-SLUH Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 474196634 | Health Care | MO | 501(c)(3) | 3 | SSM Health Care St Louis | false |
| SSM Health Plan | ||||||||||
| 1277 Deming Way | Madison | WI | 53717 | 831979548 | Insurance | MO | 501(c)(4) | SSM Health Businesses | false | |
| Agnesian Healthcare Inc | ||||||||||
| 430 E Division St | Fond du Lac | WI | 54935 | 390807236 | Health Care | WI | 501(c)(3) | 3 | SSM Health Care of Wisconsin | Yes (true) |
| Ripon Medical Center Inc | ||||||||||
| 845 Parkside Street | Ripon | WI | 54971 | 391101287 | Health Care | WI | 501(c)(3) | 3 | Agnesian Healthcare Inc | false |
| Waupun Memorial Hospital Inc | ||||||||||
| 620 West Brown Street | Waupun | WI | 53963 | 390806265 | Health Care | WI | 501(c)(3) | 3 | Agnesian Healthcare Inc | false |
| St Francis Home of Fond du Lac Wisconsin Inc | ||||||||||
| 33 Everett Street | Fond du Lac | WI | 54935 | 391029998 | Health Care | WI | 501(c)(3) | 10 | Agnesian Healthcare Inc | false |
| Sister Servants of Christ the King Villa Loretto | ||||||||||
| N8114 County WW | Mount Calvary | WI | 53057 | 391022770 | Health Care | WI | 501(c)(3) | 10 | Agnesian Healthcare Inc | false |
| Villa Rosa Inc | ||||||||||
| N8120 County WW | Mount Calvary | WI | 53057 | 421670962 | Health Care | WI | 501(c)(3) | 10 | Agnesian Healthcare Inc | false |
| The Christian Home and Rehabilitation Center Incorporated | ||||||||||
| 331 Bly Street | Waupun | WI | 53963 | 390884514 | Health Care | WI | 501(c)(3) | 10 | Agnesian Healthcare Inc | false |
| The Monroe Clinic Inc | ||||||||||
| 515 22nd Avenue | Monroe | WI | 53566 | 390808509 | Health Care | WI | 501(c)(3) | 3 | SSM Health Care of Wisconsin | Yes (true) |
| Monroe Clinic and Hospital Foundation Inc | ||||||||||
| 515 22nd Avenue | Monroe | WI | 53566 | 205769038 | Fundraising | WI | 501(c)(3) | 7 | SSM Health Care of Wisconsin | Yes (true) |
| Agnesian Healthcare Foundation Inc | ||||||||||
| 430 E Division St | Fond du Lac | WI | 54935 | 391684956 | Fundraising | WI | 501(c)(3) | Type I | SSM Health Care of Wisconsin | Yes (true) |
| Shared Magnetic Resonance Imaging Facility Inc | ||||||||||
| 1104 John Nolen Drive | Madison | WI | 53713 | 391534744 | Health Care | WI | 501(c)(3) | Type I | SSM Health Care of Wisconsin | Yes (true) |
| SSM Health Cardinal Glennon Transport | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 863519607 | Health Care | MO | 501(c)(3) | Type I | SSM Cardinal Glennon Children's Hospital | false |
| SSM Health Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 874109859 | Fundraising | MO | 501(c)(3) | Type I | SSM Health Care Corporation | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SSM St Joseph Endoscopy Center LLC | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 270046559 | Surgery Services | MO | NA | N/A | ||||||
| St Clare Imaging Services LLC | ||||||||||||||
| 707 14th Street Suite A | Baraboo | WI | 53913 | 200122365 | Diag. Services | WI | NA | N/A | ||||||
| Mt Vernon Radiation Therapy Center LLC | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 201382620 | Radiation Therapy | IL | NA | N/A | ||||||
| Sleep & Neurology Center of Southern Illinois LLC | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 208468195 | Diag. Services | IL | NA | N/A | ||||||
| CHOWSMGSI Office Building LLC | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 371383861 | MOB | IL | NA | N/A | ||||||
| Oza Cancer Center LLC | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 201382727 | MOB | IL | NA | N/A | ||||||
| Shawnee Real Estate Holdings LLC | ||||||||||||||
| 1000 N Lee Ave | Oklahoma City | OK | 73102 | 455458304 | MOB | OK | NA | N/A | ||||||
| Dean Clinic & St Mary's Hospital Accountable Care Organization LLC | ||||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 452995500 | Accountable Care Organization | WI | SSM Health Care of Wisconsin Inc | Related | $0 | $0 | false | $0 | false | 0.50 |
| Wisconsin Integrated Information Technology and Telemedicine Systems LLC | ||||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 392016715 | Information Technology Services | WI | SSM Health Care of Wisconsin Inc | Excluded | $73,992 | $3,158,633 | false | $0 | false | 0.50 |
| Dean Health Holdings LLC | ||||||||||||||
| 1277 Deming Way | Madison | WI | 53717 | 261594709 | Support Services | WI | SSM Health Care of Wisconsin Inc | Excluded | $3,392,641 | $0 | false | $0 | false | 0.4737 |
| Wingra Building Group | ||||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 390237060 | MOB | WI | NA | N/A | ||||||
| Janesville Riverview Clinic Building Partnership | ||||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 396220698 | MOB | WI | NA | N/A | ||||||
| 1110 N Classen Blvd LLC | ||||||||||||||
| 1110 N Classen Boulevard | Oklahoma City | OK | 73106 | 731158158 | MOB | OK | NA | N/A | ||||||
| SSM St Clare Surgical Center LLC | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 261439695 | Surgery Services | MO | NA | N/A | ||||||
| Windmill LLP | ||||||||||||||
| 50 Village View Lane | Chesterfield | MO | 63017 | 431804651 | Investments | MO | NA | N/A | ||||||
| Navitus Health Solutions LLC | ||||||||||||||
| 361 Integrity Drive | Madison | WI | 53717 | 043608530 | Pharmacy Benefits | WI | NA | N/A | ||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|
| SSM Managed Care Organization LLC | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431708511 | Health Promotion | MO | NA | C Corporation | false | |
| FPP INC & Subs | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431465174 | Health Care | MO | NA | C Corporation | false | |
| Diversified Health Services Corp | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431369305 | Medical Equipment | MO | NA | C Corporation | false | |
| SSM Properties Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431462486 | Property Services | MO | NA | C Corporation | false | |
| HealthFirst Physician Management Services | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 731534336 | Medical Services | OK | NA | C Corporation | false | |
| SSMHC Liability Trust II | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 816128118 | Insurance | MO | NA | C Corporation | false | |
| SSM Medical Group Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431664107 | Physician Offices | MO | NA | C Corporation | false | |
| SSMHC Insurance Company | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 030310431 | Insurance | NA | C Corporation | false | CJ | |
| Physicians Services Corp of Southern Illinois Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 364161526 | Health Care | IL | NA | C Corporation | false | |
| Dean Health Systems Inc | ||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 391128616 | Physician Offices | WI | NA | C Corporation | false | |
| Dean Health Insurance Inc | ||||||||||
| PO Box 56099 | Madison | WI | 53705 | 391830837 | Insurance | WI | NA | C Corporation | false | |
| Dean Health Plan Inc | ||||||||||
| PO Box 56099 | Madison | WI | 53705 | 391535024 | Insurance | WI | NA | C Corporation | false | |
| Dean Retail Services Inc | ||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 391717636 | Property Services | WI | NA | C Corporation | false | |
| Oza Oncology Inc | ||||||||||
| 4117 Veterans Memorial Drive | Mt Vernon | IL | 62804 | 371343746 | Physician Offices | IL | NA | S Corporation | false | |
| SSM Health Janesville Campus Condominium Association Inc | ||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 832038674 | Condo association | WI | NA | C Corporation | false | |
| SSM Health Pharmacy LLC | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 264031708 | Pharmacy | MO | NA | C Corporation | false | |
| SSM Health Insurance Company | ||||||||||
| 1277 Deming Way | Madison | WI | 53717 | 834718249 | Insurance | MO | NA | C Corporation | false | |
| Navitus Holdings LLC | ||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 800968174 | Pharmacy | WI | NA | C Corporation | false | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| St Mary's Foundation Inc | ||
| C | $170,656 | Cash |
| St Clare Health Care Foundation Inc | ||
| C | $149,780 | Cash |
| Dells Medical Building | ||
| A | $37,244 | Cash |
| St Mary's Janesville Foundation Inc | ||
| C | $22,556 | Cash |
| St Mary's Janesville Foundation Inc | ||
| P | $133,207 | Cash |
| St Mary's Foundation Inc | ||
| P | $393,962 | Cash |
| St Clare Health Care Foundation Inc | ||
| P | $124,841 | Cash |