2022-11-15T13:38:39-06:00 2021-12-31 990 2021-01-01 390808509 The Monroe Clinic Inc MONR 6083242000 515 22nd Avenue Monroe WI 53566 Randy Combs Treasurer 3149947800 2022-11-15 Barbara Potts 999009999 2021 2022-09-23 18:48:47Z JANE CURRAN-MEULI 515 22nd Avenue Monroe WI 53566 217756817 false 0928 X https://www.ssmhealth.com/locations/monroe-clinic-hospital X 1963 WI 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. 16 9 1315 178 628493 0 8968911 4108688 168953358 194732021 6393209 9834653 7879457 7165917 192194935 215841279 66025 12450 0 105661262 110830316 0 391085 78363002 88600168 184090289 199442934 8104646 16398345 368180054 409600640 138233791 158726688 229946263 250873952 WORKING TOGETHER TO ACHIEVE THE HIGHEST STANDARDS IN HEALTHCARE, WE CREATE HEALTHY COMMUNITIES THROUGH GOD'S HEALING SPIRIT. VISION: EXCEPTIONAL HEALTHCARE, AN EXCEPTIONAL EXPERIENCE. false false 186397335 12450 199777265 Please see Schedule O for a complete description of program service accomplishments. 186397335 true true false true false false false false true true true false false true true false true false false false false false false false false true true false false true false false false false false false true false false false false false false true false false false true X 0 0 1315 true true true false false false false false false false false false false false X 16 9 false false false false true true true true true false false false true true true true true false false true true IL WI X Jackie Taylor 6082416949 1808 W Beltline Hwy Madison WI 53713 Jane Curran-Meuli Director, President/CEO of The Monroe Clinic Inc 40.0 1.0 X X 0 454067 155592 Pat Leitzen Fye Director, Chairperson 1.0 0 X X 0 0 0 Steve Smoot Director, COO of SSM Health 1.0 53.0 X X 0 1532078 917946 Craig Hoesly Director 1.0 0 X 0 0 0 Darren Pipp Director, VP/Medical Affairs 40.0 0 X 480795 0 138283 Greg Fedders Director 1.0 0 X 0 0 0 James Berberet Director 1.0 0 X 0 0 0 Joe Ehle Pt Yr Director, Physician 40.0 0 X 418161 0 45145 John King Director 1.0 0 X 0 0 0 Joshua Morrison Director, Physician 40.0 0 X 569489 0 51397 Judy Thompson Director 1.0 0 X 0 0 0 Mark Thompson MD Director, Regional President-Medical Groups-Wisconsin 1.0 42.0 X 0 753876 287658 Patty James Director 1.0 0 X 0 0 0 Sister Donna Innes Director 1.0 1.0 X 0 0 0 Sister Jomarie Zielke Director 1.0 0 X 0 0 0 Sister Susan Stucki Director 1.0 1.0 X 0 0 0 Sunil Penesetti Director, Physician 40.0 0 X 943648 0 55199 Douglas Long Secretary, General Counsel at SSM Health 1.0 68.2 X 0 1201678 483601 Randy Combs Treasurer, Chief Financial Officer at SSM Health 1.0 66.0 X 0 1290602 485851 Thomas Kirschbaum Assistant Secretary, General Counsel - SSMWI 1.0 42.0 X 0 454287 183535 Chelsea Hardacre VP/Patient Care Services/CNO 40.0 0 X 167858 0 73672 Steve Brewer VP/Operations 40.0 0 X 212060 0 87362 Wes Speer Director-Clinical Operations 40.0 0 X 107941 0 42915 Arif Ahmad Physician 40.0 0 X 886042 0 57309 Lance Sathoff Physician 40.0 0 X 690373 0 52616 Michael Netzel Physician 40.0 0 X 692122 0 50353 Nicholas Maxwell Physician 40.0 0 X 1093625 0 54688 Robert Cates Physician 40.0 0 X 746316 0 37474 Kris Zimmer Former Officer 0.0 0.0 X 0 219379 0 Mike Sanders Former Officer 0.0 0 X 671963 0 0 7680393 5905967 3260597 143 true true false WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 STAFFING SERVICES 971230 CG SCHMIDT INC 11777 WEST LAKE PARK DRIVE MILWAUKEE WI 53224 CONSTRUCTION MANAGEMENT 955686 ASSOCIATED PATHOLOGISTS SC PO Box 628215 MIDDLETON WI 53562 PATHOLOGY TESTING 887818 AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 STAFFING SERVICES 704743 ASSOCIATED REGIONAL & UNIVERSITY PATHOLOGISTS 500 CHIPETA WAY SALT LAKE CITY UT 84108 PATHOLOGY SERVICES 469448 11 159358 3948330 1000 22526 4108688 NET PATIENT REVENUE 622110 191384711 191384711 3347310 3347310 0 0 194732021 2185460 2185460 41150 41150 0 41150 41150 9369193 1720000 9369193 -1720000 7649193 7649193 202558 195538 7020 7020 PHARMACY 446110 5673737 5045244 628493 JOINT VENTURE INCOME 900099 742028 742028 CAFETERIA 722210 362257 362257 339725 0 0 339725 7117747 215841279 199777265 628493 11326833 12450 12450 3393926 3242252 146216 5458 671963 641933 28949 1081 83346725 79659491 3553129 134105 4022838 3843058 173310 6470 14113209 13482493 608019 22697 5281655 5045619 227542 8494 1319 1319 29484 29484 2200 2200 4989 4989 11809295 10697833 1111383 79 8542 8542 8444183 7676155 556817 211211 6800272 6799672 600 2366925 1621684 745241 367758 331343 36415 165702 148173 16039 1490 2299442 2299442 10222521 10222521 467269 467269 Medical supplies 35392909 35392909 Medicaid Provider Tax 3731928 3731928 Internal management fees 5405639 5405639 Licenses and taxes 1079791 1079791 0 0 0 0 199442934 186397335 12654514 391085 6789 49394104 108003223 27413182 26780157 0 0 0 0 1633134 3703796 2941749 3370251 2214118 580746 162110450 36201007 133171689 125909443 114647693 128683551 7812304 9656336 28952081 2906348 368180054 409600640 12790177 18987805 5234389 0 0 120209225 139738883 138233791 158726688 X 225316269 244726061 4629994 6147891 229946263 250873952 368180054 409600640 X 16398345 2670088 1859256 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4989 4989 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The organization paid dues to various national and local hospital associations and a portion of these dues was allocated to lobbying activities. 5489706 252166 843308 1417129 5168051 4610640 29793 849273 5489706 3745187 127089 867013 128649 4610640 3867620 46068 -168501 3745187 3585767 5101 276752 3867620 0.2882 0.7118 0.0 false true true 3058792 3058792 119904078 18983659 100920419 7993628 1608253 6385375 29717910 15609095 14108815 1436042 1436042 125909443 SSM COMPREHENSIVE INVESTMENT PROGRAM 128683551 F 128683551 DEFERRED COMPENSATION 240256 ALLOCATED TAX-EXEMPT DEBT FROM SSM HEALTH CARE CORPORATION 64193805 DUE TO AFFILIATES 60944882 Operating lease obligations 242441 THIRD PARTY PAYABLE 14117499 139738883 X 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. true true X true X true X true true false true true 1036434 1036434 0.0052 24979617 11688738 13290879 0.0666 0 0.0 0 0 26016051 11688738 14327313 0.0718 217671 217671 0.0011 2404702 905061 1499641 0.0075 6201766 5235969 965797 0.0048 0 0.0 41679 41679 0.0002 0 0 8865818 6141030 2724788 0.0137 0 0 34881869 17829768 17052101 0.0855 584 584 0.0000 765 765 0.0000 292 292 0.0000 3065 3065 0.0000 0 0.0 1818 1818 0.0000 0 0.0 303 303 0.0000 0 0.0 0 0 6827 0 6827 0.0000 true 8835818 30875020 34186757 -3311737 X true true 1 1 Monroe Clinic 515 22nd Avenue Monroe WI 53566 https://www.ssmhealth.com/locations/monroe-clinic-hospital 56 X X X X A A 1 false false true X X X X X X X X X 21 true false true true X https://www.ssmhealth.com/resources/about/community-health X true 22 true https://www.ssmhealth.com/resources/about/community-health false true X 200.0 400.0 X X X X X true true X X X true X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance X https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance X X X X X X true X false X X X X true X false false 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. 10 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 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 true true false false false false false false false Steve Smoot Director, COO of SSM Health 0 1014744 0 506986 0 10347 0 877981 0 39965 0 2450024 0 506986 Jane Curran-Meuli Director, President/CEO of The Monroe Clinic Inc 0 346440 0 67786 0 39841 0 123564 0 32028 0 609659 0 58861 Mark Thompson MD Director, Regional President-Medical Groups-Wisconsin 0 570750 0 167304 0 15822 0 242909 0 44749 0 1041534 0 101417 Joshua Morrison Director, Physician 559178 0 0 0 10311 0 8366 0 43031 0 620886 0 9387 0 Darren Pipp Director, VP/Medical Affairs 420083 0 42915 0 17797 0 96415 0 41868 0 619078 0 52120 0 Sunil Penesetti Director, Physician 942508 0 0 0 1140 0 8669 0 46530 0 998847 0 0 0 Joe Ehle Pt Yr Director, Physician 413008 0 0 0 5153 0 4987 0 40158 0 463306 0 3817 0 Kris Zimmer Former Officer 0 0 0 219008 0 372 0 0 0 0 0 219379 0 372 Mike Sanders Former Officer 0 0 0 0 671963 0 0 0 0 0 671963 0 0 0 Douglas Long Secretary, General Counsel at SSM Health 0 683805 0 374673 0 143200 0 460492 0 23109 0 1685279 0 374673 Randy Combs Treasurer, Chief Financial Officer at SSM Health 0 940014 0 182693 0 167895 0 478907 0 6945 0 1776454 0 82693 Thomas Kirschbaum Assistant Secretary, General Counsel - SSMWI 0 368861 0 62127 0 23299 0 145570 0 37965 0 637822 0 79849 Chelsea Hardacre VP/Patient Care Services/CNO 144688 0 13961 0 9209 0 40408 0 33264 0 241530 0 16072 0 Steve Brewer VP/Operations 202398 0 7766 0 1896 0 50780 0 36582 0 299422 0 8940 0 Wes Speer Director-Clinical Operations 99980 0 7780 0 181 0 3503 0 39412 0 150856 0 0 0 Michael Netzel Physician 660848 0 0 0 31274 0 8293 0 42060 0 742475 0 23750 0 Robert Cates Physician 716353 0 0 0 29963 0 7258 0 30216 0 783790 0 22439 0 Lance Sathoff Physician 646171 0 0 0 44202 0 8700 0 43916 0 742989 0 41580 0 Arif Ahmad Physician 856411 0 0 0 29631 0 8700 0 48609 0 943351 0 24729 0 Nicholas Maxwell Physician 919410 0 0 0 174215 0 8700 0 45988 0 1148313 0 166691 0 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 Trish Hoesly Mother of Craig Hoesly, director of the organization 98804 Employment false Creative Property Enterprises LLC Entity owned more than 35% by Greg Fedders, director of the organization 63725 Space leasing false 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 §501(c)(3) of the Internal Revenue Code of 1986, as amended, or the corresponding provision of any future United States Internal Revenue Law, which is controlled by 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; 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 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 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 PO Box 1051 GT Grand Cayman CJ KY11102 030310431 Insurance CJ NA C Corporation false 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 false false true false false false false false false false false true true false false true false false false