THE MONROE CLINIC INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- THE MONROE CLINIC INC (EIN 39-0808509)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202243199349315964
- 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 J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T13:38:39-06:00 | 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 | 390808509 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Monroe Clinic Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MONR | BusinessNameControlTxt |
| Phone | 6083242000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 22nd Avenue | AddressLine1Txt |
| City | Monroe | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53566 | 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
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JANE CURRAN-MEULI | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 22nd Avenue | AddressLine1Txt |
| City | Monroe | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53566 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $217,756,817 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.ssmhealth.com/locations/monroe-clinic-hospital | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1963 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | THE MONROE CLINIC, INC. PROVIDES HEALTHCARE SERVICES TO THE COMMUNITIES IN AND SURROUNDING GREEN COUNTY, WI, AND STEPHENSON COUNTY, IL. MEDICAL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1315 | TotalEmployeeCnt |
| Total Volunteers | 178 | TotalVolunteersCnt |
| Total Gross UBI | $628,493 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,968,911 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,108,688 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $168,953,358 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $194,732,021 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,393,209 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,834,653 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,879,457 | PYOtherRevenueAmt |
| CY Other Revenue | $7,165,917 | CYOtherRevenueAmt |
| PY Total Revenue | $192,194,935 | PYTotalRevenueAmt |
| CY Total Revenue | $215,841,279 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $66,025 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $12,450 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $105,661,262 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $110,830,316 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $391,085 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $78,363,002 | PYOtherExpensesAmt |
| CY Other Expenses | $88,600,168 | CYOtherExpensesAmt |
| PY Total Expenses | $184,090,289 | PYTotalExpensesAmt |
| CY Total Expenses | $199,442,934 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,104,646 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $16,398,345 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $368,180,054 | TotalAssetsBOYAmt |
| Total Assets EOY | $409,600,640 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $138,233,791 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $158,726,688 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $229,946,263 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $250,873,952 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WORKING TOGETHER TO ACHIEVE THE HIGHEST STANDARDS IN HEALTHCARE, WE CREATE HEALTHY COMMUNITIES THROUGH GOD'S HEALING SPIRIT. VISION: EXCEPTIONAL HEALTHCARE, AN EXCEPTIONAL EXPERIENCE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $186,397,335 | ExpenseAmt |
| Grant | $12,450 | GrantAmt |
| Revenue | $199,777,265 | RevenueAmt |
| Desc | Please see Schedule O for a complete description of program service accomplishments. | Desc |
| Total Program Service Expenses | $186,397,335 | 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 | false | 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 | false | 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 | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| 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 | 1315 | 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | 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 | Yes (true) | 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 |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| 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 (30 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Jane Curran-Meuli | ||||||||||
| Director, President/CEO of The Monroe Clinic Inc | 40.0 | 1.0 | Yes (X) | Yes (X) | $0 | $454,067 | $155,592 | |||
| Pat Leitzen Fye | ||||||||||
| Director, Chairperson | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Steve Smoot | ||||||||||
| Director, COO of SSM Health | 1.0 | 53.0 | Yes (X) | Yes (X) | $0 | $1,532,078 | $917,946 | |||
| Craig Hoesly | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Darren Pipp | ||||||||||
| Director, VP/Medical Affairs | 40.0 | 0 | Yes (X) | $480,795 | $0 | $138,283 | ||||
| Greg Fedders | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| James Berberet | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Joe Ehle | ||||||||||
| Pt Yr Director, Physician | 40.0 | 0 | Yes (X) | $418,161 | $0 | $45,145 | ||||
| John King | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Joshua Morrison | ||||||||||
| Director, Physician | 40.0 | 0 | Yes (X) | $569,489 | $0 | $51,397 | ||||
| Judy Thompson | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Mark Thompson MD | ||||||||||
| Director, Regional President-Medical Groups-Wisconsin | 1.0 | 42.0 | Yes (X) | $0 | $753,876 | $287,658 | ||||
| Patty James | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Sister Donna Innes | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Sister Jomarie Zielke | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Sister Susan Stucki | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Sunil Penesetti | ||||||||||
| Director, Physician | 40.0 | 0 | Yes (X) | $943,648 | $0 | $55,199 | ||||
| Douglas Long | ||||||||||
| Secretary, General Counsel at SSM Health | 1.0 | 68.2 | Yes (X) | $0 | $1,201,678 | $483,601 | ||||
| Randy Combs | ||||||||||
| Treasurer, Chief Financial Officer at SSM Health | 1.0 | 66.0 | Yes (X) | $0 | $1,290,602 | $485,851 | ||||
| Thomas Kirschbaum | ||||||||||
| Assistant Secretary, General Counsel - SSMWI | 1.0 | 42.0 | Yes (X) | $0 | $454,287 | $183,535 | ||||
| Chelsea Hardacre | ||||||||||
| VP/Patient Care Services/CNO | 40.0 | 0 | $167,858 | $0 | $73,672 | Yes (X) | ||||
| Steve Brewer | ||||||||||
| VP/Operations | 40.0 | 0 | $212,060 | $0 | $87,362 | Yes (X) | ||||
| Wes Speer | ||||||||||
| Director-Clinical Operations | 40.0 | 0 | $107,941 | $0 | $42,915 | Yes (X) | ||||
| Arif Ahmad | ||||||||||
| Physician | 40.0 | 0 | $886,042 | $0 | $57,309 | Yes (X) | ||||
| Lance Sathoff | ||||||||||
| Physician | 40.0 | 0 | $690,373 | $0 | $52,616 | Yes (X) | ||||
| Michael Netzel | ||||||||||
| Physician | 40.0 | 0 | $692,122 | $0 | $50,353 | Yes (X) | ||||
| Nicholas Maxwell | ||||||||||
| Physician | 40.0 | 0 | $1,093,625 | $0 | $54,688 | Yes (X) | ||||
| Robert Cates | ||||||||||
| Physician | 40.0 | 0 | $746,316 | $0 | $37,474 | Yes (X) | ||||
| Kris Zimmer | ||||||||||
| Former Officer | 0.0 | 0.0 | $0 | $219,379 | $0 | Yes (X) | ||||
| Mike Sanders | ||||||||||
| Former Officer | 0.0 | 0 | $671,963 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,680,393 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,905,967 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,260,597 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 143 | 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 |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | STAFFING SERVICES | $971,230 |
| CG SCHMIDT INC | |||||
| 11777 WEST LAKE PARK DRIVE | MILWAUKEE | WI | 53224 | CONSTRUCTION MANAGEMENT | $955,686 |
| ASSOCIATED PATHOLOGISTS SC | |||||
| PO Box 628215 | MIDDLETON | WI | 53562 | PATHOLOGY TESTING | $887,818 |
| AMN HEALTHCARE INC | |||||
| 12400 HIGH BLUFF DRIVE | SAN DIEGO | CA | 92130 | STAFFING SERVICES | $704,743 |
| ASSOCIATED REGIONAL & UNIVERSITY PATHOLOGISTS | |||||
| 500 CHIPETA WAY | SALT LAKE CITY | UT | 84108 | PATHOLOGY SERVICES | $469,448 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $159,358 | RelatedOrganizationsAmt |
| Government Grants | $3,948,330 | GovernmentGrantsAmt |
| All Other Contributions | $1,000 | AllOtherContributionsAmt |
| Noncash Contributions | $22,526 | NoncashContributionsAmt |
| Total Contributions | $4,108,688 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $191,384,711 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $191,384,711 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,347,310 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,347,310 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $194,732,021 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,185,460 | TotalRevenueColumnAmt |
| Exclusion | $2,185,460 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $41,150 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $41,150 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,150 | TotalRevenueColumnAmt |
| Exclusion | $41,150 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,369,193 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,720,000 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,369,193 | SecuritiesAmt |
| Other | -$1,720,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,649,193 | TotalRevenueColumnAmt |
| Exclusion | $7,649,193 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $202,558 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $195,538 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,020 | TotalRevenueColumnAmt |
| Exclusion | $7,020 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PHARMACY | 446110 | $5,673,737 | $5,045,244 | $628,493 | |
| JOINT VENTURE INCOME | 900099 | $742,028 | $742,028 | ||
| CAFETERIA | 722210 | $362,257 | $362,257 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $339,725 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $339,725 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,117,747 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $215,841,279 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $199,777,265 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $628,493 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,326,833 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,450 | TotalAmt |
| Program Services | $12,450 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,393,926 | TotalAmt |
| Program Services | $3,242,252 | ProgramServicesAmt |
| Management And General | $146,216 | ManagementAndGeneralAmt |
| Fundraising | $5,458 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $671,963 | TotalAmt |
| Program Services | $641,933 | ProgramServicesAmt |
| Management And General | $28,949 | ManagementAndGeneralAmt |
| Fundraising | $1,081 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,346,725 | TotalAmt |
| Program Services | $79,659,491 | ProgramServicesAmt |
| Management And General | $3,553,129 | ManagementAndGeneralAmt |
| Fundraising | $134,105 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,022,838 | TotalAmt |
| Program Services | $3,843,058 | ProgramServicesAmt |
| Management And General | $173,310 | ManagementAndGeneralAmt |
| Fundraising | $6,470 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,113,209 | TotalAmt |
| Program Services | $13,482,493 | ProgramServicesAmt |
| Management And General | $608,019 | ManagementAndGeneralAmt |
| Fundraising | $22,697 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,281,655 | TotalAmt |
| Program Services | $5,045,619 | ProgramServicesAmt |
| Management And General | $227,542 | ManagementAndGeneralAmt |
| Fundraising | $8,494 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,319 | TotalAmt |
| Program Services | $1,319 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,484 | TotalAmt |
| Management And General | $29,484 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,200 | TotalAmt |
| Management And General | $2,200 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,989 | TotalAmt |
| Management And General | $4,989 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,809,295 | TotalAmt |
| Program Services | $10,697,833 | ProgramServicesAmt |
| Management And General | $1,111,383 | ManagementAndGeneralAmt |
| Fundraising | $79 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,542 | TotalAmt |
| Management And General | $8,542 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,444,183 | TotalAmt |
| Program Services | $7,676,155 | ProgramServicesAmt |
| Management And General | $556,817 | ManagementAndGeneralAmt |
| Fundraising | $211,211 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,800,272 | TotalAmt |
| Program Services | $6,799,672 | ProgramServicesAmt |
| Management And General | $600 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,366,925 | TotalAmt |
| Program Services | $1,621,684 | ProgramServicesAmt |
| Management And General | $745,241 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,758 | TotalAmt |
| Program Services | $331,343 | ProgramServicesAmt |
| Management And General | $36,415 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,702 | TotalAmt |
| Program Services | $148,173 | ProgramServicesAmt |
| Management And General | $16,039 | ManagementAndGeneralAmt |
| Fundraising | $1,490 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,299,442 | TotalAmt |
| Program Services | $2,299,442 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,222,521 | TotalAmt |
| Program Services | $10,222,521 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $467,269 | TotalAmt |
| Program Services | $467,269 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical supplies | $35,392,909 | $35,392,909 | |
| Medicaid Provider Tax | $3,731,928 | $3,731,928 | |
| Internal management fees | $5,405,639 | $5,405,639 | |
| Licenses and taxes | $1,079,791 | $1,079,791 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,442,934 | TotalAmt |
| Program Services | $186,397,335 | ProgramServicesAmt |
| Management And General | $12,654,514 | ManagementAndGeneralAmt |
| Fundraising | $391,085 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,789 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,394,104 | BOYAmt |
| EOY | $108,003,223 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,413,182 | BOYAmt |
| EOY | $26,780,157 | 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 |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,633,134 | BOYAmt |
| EOY | $3,703,796 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,941,749 | BOYAmt |
| EOY | $3,370,251 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,214,118 | BOYAmt |
| EOY | $580,746 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $162,110,450 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $36,201,007 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,171,689 | BOYAmt |
| EOY | $125,909,443 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,647,693 | BOYAmt |
| EOY | $128,683,551 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,812,304 | BOYAmt |
| EOY | $9,656,336 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,952,081 | BOYAmt |
| EOY | $2,906,348 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $368,180,054 | BOYAmt |
| EOY | $409,600,640 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,790,177 | BOYAmt |
| EOY | $18,987,805 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,234,389 | 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 | $120,209,225 | BOYAmt |
| EOY | $139,738,883 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,233,791 | BOYAmt |
| EOY | $158,726,688 | 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 | $225,316,269 | BOYAmt |
| EOY | $244,726,061 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,629,994 | BOYAmt |
| EOY | $6,147,891 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,946,263 | BOYAmt |
| EOY | $250,873,952 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $368,180,054 | BOYAmt |
| EOY | $409,600,640 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $16,398,345 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,670,088 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,859,256 | 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 | $4,989 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,989 | 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 local hospital associations and a portion of these dues was allocated to lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,489,706 | BeginningYearBalanceAmt |
| Contributions | $252,166 | ContributionsAmt |
| Investment Earnings Or Losses | $843,308 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,417,129 | OtherExpendituresAmt |
| End Year Balance | $5,168,051 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,610,640 | BeginningYearBalanceAmt |
| Contributions | $29,793 | ContributionsAmt |
| Investment Earnings Or Losses | $849,273 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,489,706 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,745,187 | BeginningYearBalanceAmt |
| Contributions | $127,089 | ContributionsAmt |
| Investment Earnings Or Losses | $867,013 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $128,649 | OtherExpendituresAmt |
| End Year Balance | $4,610,640 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,867,620 | BeginningYearBalanceAmt |
| Contributions | $46,068 | ContributionsAmt |
| Investment Earnings Or Losses | -$168,501 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,745,187 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,585,767 | BeginningYearBalanceAmt |
| Contributions | $5,101 | ContributionsAmt |
| Investment Earnings Or Losses | $276,752 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,867,620 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.2882 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.7118 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | 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 | $3,058,792 | OtherCostOrOtherBasisAmt |
| Book Value | $3,058,792 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $119,904,078 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,983,659 | DepreciationAmt |
| Book Value | $100,920,419 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,993,628 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,608,253 | DepreciationAmt |
| Book Value | $6,385,375 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,717,910 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,609,095 | DepreciationAmt |
| Book Value | $14,108,815 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,436,042 | OtherCostOrOtherBasisAmt |
| Book Value | $1,436,042 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $125,909,443 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SSM COMPREHENSIVE INVESTMENT PROGRAM | Desc |
| Book Value | $128,683,551 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $128,683,551 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $240,256 |
| ALLOCATED TAX-EXEMPT DEBT FROM SSM HEALTH CARE CORPORATION | $64,193,805 |
| DUE TO AFFILIATES | $60,944,882 |
| Operating lease obligations | $242,441 |
| THIRD PARTY PAYABLE | $14,117,499 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $139,738,883 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | THE OPERATING ENDOWMENT HAS BEEN ESTABLISHED TO SUPPORT THE OPERATING COSTS OF THE MONROE CLINIC AND HOSPITAL FOUNDATION. THE FUTURE OF HEALTHCARE ENDOWMENT HAS BEEN ESTABLISHED TO PROVIDE FUNDING FOR GRANTS AND PROGRAMS THAT SUPPORT THE MONROE CLINIC AND HOSPITAL FOUNDATION MISSION. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | THE MONROE CLINIC'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 MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON 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 | $1,036,434 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,036,434 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0052 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,979,617 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,688,738 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,290,879 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0666 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $26,016,051 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,688,738 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,327,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0718 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $217,671 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $217,671 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0011 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,404,702 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $905,061 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,499,641 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0075 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,201,766 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,235,969 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $965,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0048 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,679 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $41,679 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $8,865,818 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,141,030 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,724,788 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0137 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $34,881,869 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,829,768 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,052,101 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0855 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $584 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $584 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $765 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $292 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $292 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,065 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,065 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,818 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,818 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | 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 | $303 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $303 | 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 | $6,827 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,827 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,835,818 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $30,875,020 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $34,186,757 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,311,737 | 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 | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Monroe Clinic | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 22nd Avenue | AddressLine1Txt |
| City | Monroe | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53566 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://www.ssmhealth.com/locations/monroe-clinic-hospital | WebsiteAddressTxt |
| State License | 56 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | A | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.ssmhealth.com/resources/about/community-health | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.ssmhealth.com/resources/about/community-health | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 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 - Monroe Clinic. The GCHCC is co-chaired by representatives from SSM Health Monroe Hospital & Monroe Clinic Medical Group and Green County Public Health. The coalition is comprised of public health, healthcare leaders and representatives of the underserved population. The Coalition determined our community health priorities after collecting primary and secondary community health data. An online community health needs assessment survey in English and Spanish was available for community members to complete during February and March of 2021. This survey asked about people's personal health, their thoughts about the community's health, and gave space for people to provide suggestions. It took approximately 10 minutes to complete with 750 individuals fully completing the survey. Community members could submit a comment at the end of the survey. When these comments were analyzed we identified the 10 most frequent comment topics/suggestions. Five Community Conversations were held in several communities within Green County to learn about residents' concerns, solicit their ideas on healthcare and how it could be improved. These conversations gave us insight on what community perception was and opened-up the conversation for ideas on how to improve health care access and resources. Approximately 30 individuals contributed comments on a range of issues that affect population health and well-being, barriers for underserved populations and other community concerns. Eight "key informant" interviews were held with healthcare professionals from a variety of settings in Green County. During these interviews and conversations we asked questions and took notes. Afterwards those responses were analyzed to identify common themes. Secondary data was collected from multiple sources and analyzed and revealed health disparities and key issues impacting social determinants of health. Data collection included demographic information, chronic disease and morbidity/ mortality information, health status indicators, health behaviors and general environment information. This data is compared to state and national benchmarks. The community survey and secondary data were presented to the coalition. The committee identified and prioritized community health needs based on importance to community members and our ability to make a significant impact. The requirement that the hospital conducts a Community Health Needs Assessment (CHNA) under the Patient Protection and Affordable Care Act (PPACA) asks hospitals to pay specific attention to health care concerns that affect vulnerable populations. This prioritized list was then presented to SSM Health Monroe Hospital & Monroe Clinic Medical GroupBoard of Directors and Green County Public Health Board for approval. |
| Schedule H, Part V, Section B, Line 6b Facility A, 1 | Facility A, 1 - Monroe Clinic. The facility conducted its 2021 CHNA with Green County (WI) Public Health. |
| Schedule H, Part V, Section B, Line 11 Facility A, 1 | Facility A, 1 - Monroe Clinic. 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: - Adverse childhood experiences - Housing - Mental health Adverse childhood experiences What happens to people during their childhood impacts them throughout their life, and negative experiences at a young age can have detrimental consequences to a person's health. ACEs are traumatic events and unsafe or unstable environments experienced between the ages of 0 through 17. ACEs significantly affect childhood development, well-being, adult health, and social productivity. The more ACEs experienced as a child, the greater the individual's risk for chronic disease and mental illness throughout life. The hospital's vision is to break the cycle of adversity and trauma by building hope, resilience and growth for the children and families of Green County with the following goals and objectives: Goal #1: Develop a centralized website dedicated to building knowledge, prevention and resources towards adverse childhood experiences by October 2022. - Objective 1a: Develop easily understood information related to what adverse childhood experiences are and why it is important we prevent them (the buy in) by July 2022. - Objective 1b: Gather already available resources in Green County that promote the prevention of adverse experiences and develop prosocial behavior for children and families by April 2023. - Objective 1c: Developing a website through the Green County Healthy Community Coalition by October 2022. - Objective 1d: Provide content for the social media platform related to adverse childhood experiences and resources as an ongoing task. - Objective 1e: Monitor how frequently the webpage is accessed and the Facebook insights as to the number of people content reaches and webpage accessed as an ongoing task. Goal #2: Identify at least one evidence-based resource for community members that provides direct education related to parenting, helping parents and youth handle stress, manage emotions, and tackle everyday challenges by March 2023. - Objective 2a: Research available community evidence-based resources already available in Green County by July 2022. - Objective 2b: Determine what community intervention or model fits our mission and vision for the Resilient Children, Families, and Community committee by December 2022. - Objective 2c: Identify a steering committee interested in the development of the chosen model by January 2023. - Objective 2d: Develop action steps to carry out the implementation of the identified resource by February 2023. - Objective 2e: Determine a general budget to access training resource and carry out the action steps for implementation by March 2023. Goal #3: Increase public awareness by offering adverse childhood experiences education geared towards all levels of the community by April 2024. Objective 3a: Research available tool kits and prevention recommendations for communities for the prevention of ACES and Positive Childhood Experiences (PCES) by January 2023. Objective 3b: Develop goals and implementation steps for a public awareness campaign based on the tool kits and prevention recommendations by April 2023. 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). The committee plans to work to have available, affordable, accessible, and safe housing for all Green County residents, and to build awareness of housing issues through the following goals and objectives: Goal #1: Our group will create and distribute comprehensive resources for housing in Green County by December 2022. - Objective 1a: Determine best locations where resources need to be distributed. - Objective 1b: Will distribute 20 flyers/packets to determined locations. - Objective 1c: Determine how information should be published: Print, digital, social media and multilingual. Goal #2: Plan and host a Housing Summit with stakeholders by June 2023 in Green County. - Objective 2a: Determine format of summit and location by December 2022. - Objective 2b: Determine content and stakeholders by August 2022. - Objective 2c: Evaluate and create next steps after housing summit by August 2023. Mental Health Community education, prevention, access to care, addressing binge drinking and fighting stigma are important in sustaining a community that supports mental health. One in four Americans suffer from a mental health issue each year. Mental health includes our emotional, psychological and social well-being. It impacts general health and quality of life at every stage. The Pandemic has not helped with the isolation people have felt. Nationwide and locally, mental health professionals are challenged by a need for services that exceeds availability. The result is mental health care in Green County is largely focused on providing crisis intervention and follow-up services. Our focus is to build upon the existing foundations to expand and grow behavioral health resources in an inclusive and non-judgmental manner by educating, advocating for, and supporting everyone who lives, works, or learns in Green County. Goal #1: Mental Health Matters (MHM) will support and increase the awareness of the Substance Abuse and Mental Wellness Navigator position. - Objective 1a: MHM will share on many platforms the job posting to find a candidate. Upon hire, MHM will assist with the onboarding process for the candidate to be successful transitioning into the community. MHM will help the candidate connect with providers and resources. This will be measured by the candidate meeting 80% of identified providers and resources within four months of starting the position and consistently attending the MHM Committee Meetings. - Objective 1b: MHM will promote awareness in the community and increase with a grand re-opening and other media promotions. This will be measured by an increase in monthly data of those being connected and helped by the Navigator. Goal #2: MHM will increase mental health education, awareness, and outreach in Green County by June 2024. - Objective 2a: MHM has formed a subcommittee to develop a plan to increase awareness, resources, and issues to determine: a) the number of opportunities to develop, or b) the number of people we would like to reach in this goal. The subcommittee will complete this plan and present it at the July 2022 MHM Committee meeting. Goal #3: MHM will work on promotion and education to decrease binge drinking in Green County. - Objective 3a: MHM will formulate a subcommittee to work through a strategic framework process to identify the prevention priorities. This will be measured by the strategic process to be completed and presented at the September 2022 MHM Committee meeting. The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| MONROE CLINIC - HIGHLAND WOMEN'S CARE | ||||
| 3103 W KUNKLE BLVD | FREEPORT | IL | 61032 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC - FREEPORT | ||||
| 1301 S KIWANIS DRIVE | FREEPORT | IL | 61032 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC - FREEPORT EYE CARE | ||||
| 1110 S PARK BLVD | FREEPORT | IL | 61032 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC - BRODHEAD | ||||
| 1904 FIRST CENTER AVENUE | BRODHEAD | WI | 53520 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC - LENA | ||||
| 214 SCHUYLER | LENA | IL | 61048 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC - NEW GLARUS | ||||
| 1800 SECOND STREET | NEW GLARUS | WI | 53574 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC - ALBANY | ||||
| 700 CAROLAN DRIVE | ALBANY | WI | 53502 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC- DURAND | ||||
| 400 S CENTER STREET | DURAND | IL | 61024 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC FASTCARE | ||||
| 405 W 8TH ST | MONROE | WI | 53566 | COMMUNITY-BASED OUTPATIENT CLINIC |
| MONROE CLINIC - BLANCHARDVILLE | ||||
| 309 S MAIN STREET | BLANCHARDVILLE | WI | 53516 | COMMUNITY-BASED OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | THE MONROE CLINIC INC 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: PHYSICAL IMPROVEMENTS/HOUSING: HABITAT FOR HUMANITY BUILDING; ECONOMIC DEVELOPMENT: HOSPITAL PRESIDENT VOLUNTEERS ON GREEN COUNTY DEVELOPMENT BOARD WORKING WITH 20+ COMMUNITY LEADERS; COMMUNITY SUPPORT: HOSPITAL PRESIDENT VOLUNTEERS WITH EXCELLENCE IN EDUCATION TO SUPPORT SPECIAL TEACHER/STUDENT PROJECTS ADVANCING EDUCATION; ENVIRONMENTAL IMPROVEMENTS: HOSPITAL STAFF ADOPTED PORTION OF HIGHWAY FOR ROUTINE CLEAN UP; COALITION BUILDING: HOSPITAL STAFF PARTICIPATION IN THE UNITED WAY; WORKFORCE DEVELOPMENT: ASSISTANCE WITH AREA HEALTH EDUCATION COLLEGE IN PRESENTATION VIDEO ON HEALTH CARE CAREERS. |
| 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 | The Monroe Clinic 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 | MONROE CLINIC RECOGNIZES THE INHERENT VALUE OF ALL INDIVIDUALS. ALL INDIVIDUALS HAVE THE RIGHT TO BE TREATED WITH RESPECT AND DIGNITY. THOSE INDIVIDUALS INDICATING LACK OF FINANCIAL RESOURCES TO PAY FOR SERVICES WILL BE DIRECTED TO MONROE CLINIC'S COMMUNITY CARE PROGRAM TO ENSURE ALL INDIVIDUALS QUALIFYING FOR ASSISTANCE ARE INDEED GIVEN ASSISTANCE. INDIVIDUALS WITH THE FINANCIAL RESOURCES TO PAY FOR SERVICES ARE EXPECTED TO DO SO IN A TIMELY MANNER TO ENSURE MONROE CLINIC'S FINANCIAL HEALTH AND ABILITY TO MAINTAIN OPERATIONS AND CONTINUED COMMUNITY CARE. PATIENTS WITH FINANCIAL RESOURCES ARE ASKED TO PAY CO-PAYMENTS AT THE TIME OF SERVICE AND TO PAY BALANCES REMAINING DUE AFTER INSURANCE HAS PAID WITHIN 30 DAYS OR MAKE MUTUALLY AGREEABLE PAYMENT ARRANGEMENTS WITH PATIENT ACCOUNTING. COLLECTION AGENCIES USED BY MONROE CLINIC GUARANTEE COMPLIANCE WITH THE FAIR DEBT COLLECTION PRACTICES ACT AND THE ACA INTERNATIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY. |
| Schedule H, Part V, Section B, Line 16a FAP website | A - Monroe Clinic: 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 - Monroe Clinic: 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 - Monroe Clinic: 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 | The Monroe Clinic is located in Monroe, Wisconsin, in Green County. The county, as well as portions of Lafayette County, Wisconsin, accounts for 51% of Monroe Clinic's patients. The hospital also serves Stephenson County, Illinois, and Jo Daviess County, Illinois. The community is overwhelmingly white at 96.8% for Green County, and approximately 19.3% of residents are age 65 or older. Median household income is slightly above the State average, and rates of poverty are 6.4%, below the State rate of 10.4% and national rate of 10.5%. For those under 65, 5.4% of Green County residents are without health insurance, considerably lower than State and National percentages. While there is a higher percentage of County residents graduating high school than in Wisconsin and the U.S., there are lower rates for those with a Bachelor's degree. Additional demographic and statistical information on the hospital's community can be found throughout the 2021 CHNA. |
| Schedule H, Part VI, Line 5 Promotion of community health | The Monroe Clinic 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. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. In response to the global coronavirus pandemic, The Monroe Clinic, 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. The Monroe Clinic promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote community health. The Monroe Clinic 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 | The Monroe Clinic is a 501(c)(3) organization and is a member of the integrated health care system known as SSM Health. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | IL, WI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (20 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Steve Smoot | ||||||||||||||
| Director, 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 |
| Jane Curran-Meuli | ||||||||||||||
| Director, President/CEO of The Monroe Clinic Inc | $0 | $346,440 | $0 | $67,786 | $0 | $39,841 | $0 | $123,564 | $0 | $32,028 | $0 | $609,659 | $0 | $58,861 |
| Mark Thompson MD | ||||||||||||||
| Director, Regional President-Medical Groups-Wisconsin | $0 | $570,750 | $0 | $167,304 | $0 | $15,822 | $0 | $242,909 | $0 | $44,749 | $0 | $1,041,534 | $0 | $101,417 |
| Joshua Morrison | ||||||||||||||
| Director, Physician | $559,178 | $0 | $0 | $0 | $10,311 | $0 | $8,366 | $0 | $43,031 | $0 | $620,886 | $0 | $9,387 | $0 |
| Darren Pipp | ||||||||||||||
| Director, VP/Medical Affairs | $420,083 | $0 | $42,915 | $0 | $17,797 | $0 | $96,415 | $0 | $41,868 | $0 | $619,078 | $0 | $52,120 | $0 |
| Sunil Penesetti | ||||||||||||||
| Director, Physician | $942,508 | $0 | $0 | $0 | $1,140 | $0 | $8,669 | $0 | $46,530 | $0 | $998,847 | $0 | $0 | $0 |
| Joe Ehle | ||||||||||||||
| Pt Yr Director, Physician | $413,008 | $0 | $0 | $0 | $5,153 | $0 | $4,987 | $0 | $40,158 | $0 | $463,306 | $0 | $3,817 | $0 |
| Kris Zimmer | ||||||||||||||
| Former Officer | $0 | $0 | $0 | $219,008 | $0 | $372 | $0 | $0 | $0 | $0 | $0 | $219,379 | $0 | $372 |
| Mike Sanders | ||||||||||||||
| Former Officer | $0 | $0 | $0 | $0 | $671,963 | $0 | $0 | $0 | $0 | $0 | $671,963 | $0 | $0 | $0 |
| 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 |
| 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 |
| Chelsea Hardacre | ||||||||||||||
| VP/Patient Care Services/CNO | $144,688 | $0 | $13,961 | $0 | $9,209 | $0 | $40,408 | $0 | $33,264 | $0 | $241,530 | $0 | $16,072 | $0 |
| Steve Brewer | ||||||||||||||
| VP/Operations | $202,398 | $0 | $7,766 | $0 | $1,896 | $0 | $50,780 | $0 | $36,582 | $0 | $299,422 | $0 | $8,940 | $0 |
| Wes Speer | ||||||||||||||
| Director-Clinical Operations | $99,980 | $0 | $7,780 | $0 | $181 | $0 | $3,503 | $0 | $39,412 | $0 | $150,856 | $0 | $0 | $0 |
| Michael Netzel | ||||||||||||||
| Physician | $660,848 | $0 | $0 | $0 | $31,274 | $0 | $8,293 | $0 | $42,060 | $0 | $742,475 | $0 | $23,750 | $0 |
| Robert Cates | ||||||||||||||
| Physician | $716,353 | $0 | $0 | $0 | $29,963 | $0 | $7,258 | $0 | $30,216 | $0 | $783,790 | $0 | $22,439 | $0 |
| Lance Sathoff | ||||||||||||||
| Physician | $646,171 | $0 | $0 | $0 | $44,202 | $0 | $8,700 | $0 | $43,916 | $0 | $742,989 | $0 | $41,580 | $0 |
| Arif Ahmad | ||||||||||||||
| Physician | $856,411 | $0 | $0 | $0 | $29,631 | $0 | $8,700 | $0 | $48,609 | $0 | $943,351 | $0 | $24,729 | $0 |
| Nicholas Maxwell | ||||||||||||||
| Physician | $919,410 | $0 | $0 | $0 | $174,215 | $0 | $8,700 | $0 | $45,988 | $0 | $1,148,313 | $0 | $166,691 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | The organization's top management official, hospital 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: Michael Sanders $671,963 |
| 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: Darren Pipp $18,117 Mark Thompson $50,292 Steve Smoot $197,200 Thomas Kirschbaum $33,787 Chelsea Hardacre $7,323 Steve Brewer $8,736 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. Joshua Morrison $9,387 Darren Pipp $15,693 Thomas Kirschbaum $17,722 Nicholas Maxwell $166,691 Arif Ahmad $24,729 Lance Sathoff $41,580 Robert Cates $22,439 Michael Netzel $23,750 Kris Zimmer $372 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Trish Hoesly | |||
| Mother of Craig Hoesly, director of the organization | $98,804 | Employment | false |
| Creative Property Enterprises LLC | |||
| Entity owned more than 35% by Greg Fedders, director of the organization | $63,725 | Space leasing | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a Program Service Accomplishments | Briefly describe the corporation'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 Monroe Clinic: MONROE CLINIC IS A NOT-FOR-PROFIT HEALTH CARE FACILITY FEATURING A MULTI-SPECIALTY CLINIC AND HOSPITAL DEDICATED TO BRINGING THE BEST CARE TO THE COMMUNITIES WE SERVE. WORKING TOGETHER TO ACHIEVE THE HIGHEST STANDARDS OF HEALTH CARE, WE CREATE HEALTHY COMMUNITIES THROUGH GOD'S HEALING SPIRIT. In 2018, MONROE CLINIC JOINED THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH AND CONTINUES TO OFFER COMPREHENSIVE HEALTH CARE WITH OVER 120 PROVIDERS, A 24-HOUR EMERGENCY DEPARTMENT, HOME CARE AND HOSPICE SERVICES, AS WELL AS MULTIPLE CLINIC LOCATIONS IN SOUTHERN WISCONSIN AND NORTHERN ILLINOIS. IN ALL THAT WE DO, WE ARE DEDICATED TO HELPING OUR PATIENTS GET BETTER FASTER AND STAY HEALTHIER LONGER. AS A STATE-OF-THE-ART HEALTH SYSTEM, WE OFFER ADVANCED MEDICAL EQUIPMENT AND TECHNOLOGY COMBINED WITH CARE AND SENSITIVITY. PHYSICIANS AND STAFF ARE COMMITTED TO PROVIDING PERSONALIZED HEALTH CARE, EDUCATION AND PEACE OF MIND. OUR PATIENTS BENEFIT FROM EXCEPTIONAL PREVENTIVE AND REHABILITATION SERVICES AND MORE THAN 25 MEDICAL SPECIALTIES. WITH GOD'S BLESSING, MONROE CLINIC IS ABLE TO MEET THE NEEDS OF THOSE WE ARE PRIVILEGED TO SERVE. TO DATE WE HAVE BEEN AMONG THE HIGHEST PERFORMING HOSPITALS IN THE AREA. PATIENT SATISFACTION SCORES ARE SIGNIFICANTLY ABOVE THE AVERAGE OF OTHER HEALTHCARE FACILITIES. OUR HIGHLY TRAINED PHYSICIANS AND STAFF ARE READY TO PROVIDE BOTH EXCEPTIONAL HEALTHCARE AND AN EXCEPTIONAL EXPERIENCE TO THE PATIENTS AND COMMUNITIES WE SERVE. The Monroe Clinic 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 $ 1,036,434 Unpaid Cost of Medicaid $ 13,290,879 Unpaid Cost of Medicare $ 3,311,737 Total Quantifiable Uncompensated Care $ 17,639,050 |
| 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 6 Classes of members or stockholders | The sole member of the corporation is SSM Health Care of Wisconsin, Inc. SSM Health Care of Wisconsin, Inc, is a nonprofit 501(C)(3) organization. Both The Monroe Clinic and SSM Health Care of Wisconsin, Inc. 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 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 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 interests in the property of the Corporation; P. to require the Corporation to transfer assets, including but not limited to cash, to SSMHCC or to any other entity exempt from federal income tax as an organization described in ยง501(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 SSMHCC, to the extent necessary to accomplish the mission, goals and objectives of SSMHCC as determined by SSMHCC; Q. to approve the transfer of assets by the Corporation to any entity other than SSMHCC, 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 SSMHCC 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 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 | ANNUALLY, CONFLICT OF INTEREST STATEMENTS AND POLICY ARE DISTRIBUTED TO MEMBERS OF THE BOARD AND ANY EMPLOYEE WHO HAS AUTHORITY TO ENTER INTO CONTRACTS AND OTHER TRANSACTIONS ON BEHALF OF MONROE CLINIC. THE COMPLETED FORMS ARE REVIEWED BY ADMINISTRATION. |
| 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 Wisconsin Secretary of State's website. Copies of the Form 990 and the conflict of interest policy are available to the public upon request. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | ALL OTHER PROG SERVICE REVENUE - Total Revenue: 3347310, Related or Exempt Function Revenue: 3347310, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | COMMUNITY CONNECT - Total Revenue: 339725, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 339725; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Change in beneficial interest in foundation - 1861603; Fund balance transfers - -2347; |
Schedule R IRS990ScheduleR
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 |
| SSM Health Care of Wisconsin Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 430688874 | Health Care | WI | 501(c)(3) | 3 | SSM Health Care Corporation | false |
| Dells Medical Building Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 391613292 | MOB | WI | 501(c)(2) | SSM Health Care of Wisconsin | false | |
| St Mary's Foundation Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431940686 | Fundraising | WI | 501(c)(3) | 7 | SSM Health Care of Wisconsin | false |
| 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 | false |
| Home Health United Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391539827 | Health Care | WI | 501(c)(3) | 10 | SSM Health Care of Wisconsin | false |
| Home Care United Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391776340 | Health Care | WI | 501(c)(3) | 10 | SSM Health Care of Wisconsin | false |
| HHU Xtra Care Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391705111 | Health Care | WI | 501(c)(3) | 10 | SSM Health Care of Wisconsin | false |
| 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 | false |
| 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 | false |
| 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 |
| Monroe Clinic and Hospital Foundation Inc | ||||||||||
| 515 22nd Avenue | Monroe | WI | 53566 | 205769038 | Fundraising | WI | 501(c)(3) | 7 | SSM Health Care of Wisconsin | false |
| 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 | false |
| 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 | false |
| 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 (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| 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 | NA | N/A |
| Wisconsin Integrated Information Technology and Telemedicine Systems LLC | ||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 392016715 | Information Technology Services | WI | NA | N/A |
| Dean Health Holdings LLC | ||||||||
| 1277 Deming Way | Madison | WI | 53717 | 261594709 | Support Services | WI | NA | N/A |
| 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 |
| SSM Select Rehab St Louis LLC | ||||||||
| 4714 Gettysburg Road | Mechanicsburg | PA | 17055 | 263694972 | Health Care | DE | NA | N/A |
| Epiphany Rx LLC | ||||||||
| 361 Integrity Drive | Madison | WI | 53717 | 364855405 | Pharmacy Benefits | DE | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (21 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 | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | 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 | ||||||||||||||
| 030310431 | Insurance | NA | C Corporation | false | PO Box 1051 GT | Grand Cayman | CJ | KY11102 | 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 | |||||
| MS Community JV LLC | ||||||||||||||
| 401 Carlson Parkway CP330 | Minnetonka | MN | 55305 | 873240022 | Insurance | DE | NA | C Corporation | false | |||||
| Quality Drug Corporation | ||||||||||||||
| 239 Broadway | Laguna Beach | CA | 92651 | 330644268 | Pharmacy benefits | CA | NA | C Corporation | false | |||||
| St Mary's Hospital Campus Condominium Owners Association Inc | ||||||||||||||
| 707 South Mills Street | Madison | WI | 53715 | 000000000 | Condo association | WI | NA | C Corporation | false | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | 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 | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | 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 |