2021-11-05T16:33:04-05:00 2020-12-31 350921680 Crowe LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2020-01-01 430688874 SSM Health Care of Wisconsin Inc SSMH 3149947800 10101 Woodfield Lane St Louis MO 63132 Randy Combs Treasurer 2021-11-05 true Randy Combs 999009999 Kim Scifres P01316095 5023263996 2020 2022-09-23 18:48:47Z See Schedule O Laura Kaiser 10101 Woodfield Lane St Louis MO 63132 682694098 false 0928 X www.ssmhealth.com X 1956 MO Part of an integrated network providing health care in south central Wisconsin Operating three hospitals and two skilled nursing facilities. 13 6 4095 699 8248229 441911 2171676 22238566 654468250 629542384 11321766 16416036 17791364 13645160 685753056 681842146 572571 542080 0 255341475 274710042 0 1030632 311872025 297701113 567786071 572953235 117966985 108888911 905718695 1113460770 358398234 433992738 547320461 679468032 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. false false 495829984 542080 629542384 PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 495829984 true true false true false false false false true true true false true true true false true false false false false false false false false true true true true true false false false false false false false false true false false false false true true true false false true X 0 0 4095 true true true false false false false false false false false false false false X 13 6 false false false false true true true true false false false false true true true true true false false true true X Mary Gigot 6082603551 1808 West Beltline Highway Madison WI 53713 Damond Boatwright Director, Chair, President, Regional President - WI 40.0 11.0 X X 1134246 0 404896 Mark Covaleski Director, Vice Chair 1.0 0 X X 0 0 0 Greg Matzke MD Director 1.0 40.0 X 0 658217 45956 Jamie Fuller Director 1.0 0 X 0 0 0 Jason Isenberg MD Director 1.0 40.0 X 0 504916 43776 Jennifer Maskel MD Director 1.0 40.0 X 0 142463 2196 John Phelan MD Director, Physician at Dean Medical Group 1.0 41.0 X 0 1057070 36256 Katie Kennedy Director 1.0 0 X 0 0 0 Ralph Kauten Director 1.0 0 X 0 0 0 Sr Rhea Emmer Director 1.0 0 X 0 0 0 Stephen Sramek MD Director 1.0 40.0 X 0 336324 30265 Wesley Sparkman Director 1.0 0 X 0 0 0 William Ehrhardt MD Director 1.0 40.0 X 0 660811 49703 Douglas Long Secretary, General Counsel at SSM Health 1.0 68.2 X 0 1201821 399352 Kris Zimmer Pt Yr Treasurer, Pt Yr Chief Financial Officer at SSM Health 1.0 67.0 X 0 1717045 73075 Laura Kaiser Pt Yr Vice Chair, President/CEO of SSM Health 1.0 45.0 X 0 3454725 1724577 Matt Kinsella Regional VP Finance-Wisconsin 40.0 0.0 X 0 403374 129930 Randy Combs Treasurer, Chief Financial Officer at SSM Health 1.0 64.0 X 0 403263 84602 Steve Smoot Vice President, COO at SSM Health 1.0 52.0 X 0 1441136 657492 Thomas Kirschbaum Assistant Secretary, General Counsel - SSMWI 40.0 3.0 X 0 450199 138242 Amy Franta Regional Chief Medical Officer 40.0 0 X 369705 0 92604 Colette Brust Administrative Director - Nursing 40.0 0 X 160285 0 17422 Craig Sommers VP - Hospital Operations 40.0 0 X 253255 0 72476 Eric Thornton Hospital President-Janesville 40.0 1.0 X 279157 0 92150 Ginger Malone Pt Yt VP Patient Services - St Mary's 40.0 0 X 290394 0 9082 Jennifer Culotta Interim VP Patient Care - St. Clare 40.0 0 X 171753 0 44829 Kerry Swanson Pt Yr Chief Operating Officer-SSMWI 40.0 0.0 X 0 918478 35971 Kyle Nondorf Hospital President - St. Mary's 40.0 1.0 X 536803 0 155149 Laura Walczak Hospital President - St. Clare 40.0 1.5 X 311031 0 71252 Lon McPherson Pt Yr VP-Medical Affairs 40.0 0 X 347364 0 13911 Margo Francisco Regional VP - Strategy 40.0 0.0 X 0 335948 101501 Mark Thompson MD Regional President-Medical Groups-Wisconsin 40.0 3.0 X 623606 0 151513 Thomas Ahr Regional VP - Human Resources 40.0 0 X 0 380436 113858 Veronica Scott-Fulton Regional CNO 40.0 0 X 387145 0 113635 Bradley Schmidt VP-Specialty Services 40.0 0 X 505000 0 99835 David Jarvis Physician 40.0 0 X 298005 0 43076 David Ottenbaker VP-Primary Care Services 40.0 0 X 454283 0 79383 Kansas Dubray Physician 40.0 0 X 329961 0 21545 Mike Degere VP - Population Health Management 40.0 0.0 X 439839 0 94972 Ben Layman Former Key Employee 0.0 0.0 X 0 210905 29516 Chris Sprowl Former Key Employee 0.0 0.0 X 0 518815 12762 Christopher Howard Former Officer 0.0 0.0 X 0 212519 0 Jonathan Rozenfeld Former Key Employee 0.0 0.0 X 0 752945 29705 Paula Friedman Former Officer 0.0 0.0 X 0 507002 0 Rosie Putman Former Officer 0.0 0 X 76103 0 36962 6967935 16268412 5353427 276 true true false BOARD OF REGENTS OF THE UNIV OF WI 1100 DELAPLAINE CT MADISON WI 53715 PHYSICIAN SERVICES 6662549 AMN Healthcare Inc 12400 High Bluff Drive San Diego CA 92130 Staffing services 3208640 Superior Health Linens LLC 5005 S Packand Avenue Cudahy WI 53110 Linen/laundry services 2405378 University of Wisconsin 1685 Highland Avenue Room 3165 Madison WI 53705 Medical and physician services 2192534 Associated Regional and University Patholigists 500 Chipeta Way Salt Lake City UT 84108 Medical testing services 2166271 51 3290380 18945018 3168 140984 22238566 NET PATIENT SERVICE REVENUE 622110 629542384 629542384 0 0 0 0 629542384 4285376 4285376 1759005 669622 1089383 0 1089383 1089383 12305851 175191 12305851 -175191 12130660 12130660 8571 7139 1432 1432 LABORATORY 621500 8172083 8172083 CAFETERIA 722210 1998724 1998724 PARKING 900099 1379589 1379589 1003949 0 76146 927803 12554345 681842146 629542384 8248229 21812967 X 532480 532480 9600 9600 6103664 5645207 443711 14746 196313295 181567817 14271205 474273 19030570 17601152 1383442 45976 38882299 35961785 2826579 93935 14380214 13300092 1045381 34741 32983340 215370 32767970 284256 284256 776 776 37767 37767 61939586 40708894 20899647 331045 70543 70543 24744454 23193545 1516435 34474 24655972 24634932 21040 10129993 9833752 296241 235434 120787 113714 933 283711 265238 18178 295 759431 759431 29130388 29130388 675195 675195 Medical supplies 96888421 96888421 Medicaid Provider Tax 14250559 14250559 Internal management fees 571664 490686 80764 214 Unrelated business income state tax 43000 43000 16623 1653 14970 0 572953235 495829984 76092619 1030632 426562 287751 18267220 830781 72751004 65514879 0 0 0 0 7887621 9928098 1792050 1967657 697647660 462354958 249732311 235292702 246701779 426189679 28100997 30129464 416667 291667 279642484 343028092 905718695 1113460770 60103214 55075083 753 21326166 0 0 298294267 357591489 358398234 433992738 X 534289676 665780301 13030785 13687731 547320461 679468032 905718695 1113460770 X 108888911 21238729 2019931 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 37767 37767 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAID DUES TO VARIOUS NATIONAL AND STATE HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WERE ALLOCATED TO LOBBYING ACTIVITIES. 20682751 333418 2955265 64800 1251674 22654960 16330282 979697 3837617 67394 397451 20682751 8752110 8480403 -713464 57826 130941 16330282 7830283 167906 994144 129422 110801 8752110 7283147 447278 293091 53069 140164 7830283 0.4579 0.5421 0.0 true true true 11354574 11354574 383420764 238908320 144512444 72069879 46343419 25726460 226361555 175208475 51153080 4440888 1894744 2546144 235292702 SSM COMPREHENSIVE INVESTMENT PROGRAM 368341934 F INVESTMENTS IN OTHER AFFILIATES 57847745 F 426189679 Other Receivables 2855313 Due from affiliates 336625014 Other non-current assets 407179 Third-party receivable Operating right-of-use assets 3140586 343028092 PENSION FUNDING LIABILITY -6961 DUE TO AFFILIATES ASSET RETIREMENT LIABILITY 749285 THIRD PARTY PAYOR 78938309 RABBI TRUST LIABILITY 414258 ALLOCATED TAX-EXEMPT DEBT - SSM HEALTH CARE 273056849 DEFERRED COMPENSATION -2791 DEFINED CONTRIBUTION LIABILITY Third-party patient loans 1299970 Operating lease obligations 3142570 357591489 X Schedule D, Part V, Line 4 Intended uses of endowment funds Endowment funds will be used for the specific purpose identified when the endowment was established. Activities supported by the endowment funds include scholarships, continuing education, and specific department patients. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote SSM HEALTH CARE OF WISCONSIN'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEALTH (SSMH). SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION IS RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED UPON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2020 OR 2019. true true X true X true X true true false true true 3214556 3214556 0.0056 95110699 68023491 27087208 0.0473 6880979 7023917 0 0.0 0 0 105206234 75047408 30301764 0.0529 1474760 9434 1465326 0.0026 7468597 2741643 4726954 0.0083 355068 355068 0.0006 72792 72792 0.0001 522624 522624 0.0009 0 0 9893841 2751077 7142764 0.0125 0 0 115100075 77798485 37444528 0.0654 0 0.0 0 0.0 2338 2338 0.0000 2933 2933 0.0000 0 0.0 1346 1346 0.0000 4119 4119 0.0000 2391 2391 0.0000 0 0.0 0 0 13127 0 13127 0.0000 true 29768341 153655471 164404624 -10749153 X true true 3 1 SSM Health St Mary's Hospital - Madison 700 SOUTH PARK STREET MADISON WI 53715 https://www.ssmhealth.com/locations/st-marys-hospital-madison 71 X X X X A 2 SSM Health St Clare Hospital - Baraboo 707 FOURTEENTH STREET BARABOO WI 53913 https://www.ssmhealth.com/locations/st-clare-hospital-baraboo 65 X X X X B 3 SSM Health St Mary's Hospital - Janesville 3900 E RACINE ST JANESVILLE WI 53546 https://www.ssmhealth.com/locations/st-marys-hospital-janesville 318 X X X X C A 1 false false true X X X X X X X X X 18 true true true true X https://www.ssmhealth.com/resources/about/community-health X true 18 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 B 2 false false true X X X X X X X X X 18 true true true true X https://www.ssmhealth.com/resources/about/community-health X true 18 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 C 3 false false true X X X X X X X X X 18 true true true true X https://www.ssmhealth.com/resources/about/community-health X true 18 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 - SSM Health St. Mary's Hospital - Madison. THE HOSPITAL, THROUGH THE HEALTHY DANE COLLABORATIVE, ASSESSED INPUT FROM THE COMMUNITY AND DATA RELATED TO HEALTH FACTORS PRESENTED BY THE COUNTY HEALTH RANKINGS TO UNDERSTAND WHAT IMPACTS THE HEALTH OF THE COMMUNITY. PARTICULAR ATTENTION WAS GIVEN TO SOCIAL, ECONOMIC, AND ENVIRONMENTAL DISADVANTAGED POPULATIONS. THE HOSPITAL UTILIZED FOCUS GROUPS AND ENGAGEMENT SESSIONS WITH A DIVERSE VARIETY OF STAKEHOLDERS AND THE PUBLIC AND ANALYZED HOW VARIOUS NEEDS AND FACTORS ARE TRENDING. ADDITIONAL INFORMATION ON HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY CAN BE FOUND ON PAGES 12 THROUGH 15 OF THE CHNA. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - SSM Health St. Mary's Hospital - Madison. THE 2019-2021 CHNA WAS COLLABORATIVELY COMPLETED IN 2018 WITH THE FOLLOWING OTHER HOSPITALS THROUGH THE HEALTHY DANE COLLABORATIVE: STOUGHTON HOSPITAL, UNITYPOINT HEALTH-MERITER, AND UW HEALTH. Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - SSM Health St. Mary's Hospital - Madison. THE 2019-2021 CHNA WAS COLLABORATIVELY COMPLETED IN 2018 WITH THE FOLLOWING OTHER COMMUNITY PARTNERS THROUGH THE HEALTHY DANE COLLABORATIVE: GROUP HEALTH COOPERATIVE AND PUBLIC HEALTH MADISON DANE COUNTY. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - SSM Health St. Mary's Hospital - Madison. The Hospital identified various health needs in the 2018 CHNA, which was done in conjunction with the Healthy Dane Collaborative. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Maternal/Child Health - Mental Health/Behavioral Health - Chronic Conditions (heart & diabetes) Maternal/child health In Dane County, maternal and child health has continually been identified as a top health priority. Mother and baby wellbeing plays a large role in the health of the next generation. There are also significant disparities within the county between races and ethnicities. Data regarding the maternal and child health in Wisconsin shows the following: - In Dane County, the infant mortality rate is 13.0 deaths per 1,000 live births and 14.7 deaths per 1,000 live births for babies born to black mothers and mothers of two or more races respectively. For white mothers, the rate is 4.3 deaths per 1,000 live births - The preterm birth rate rose to 9.6%, increasing for the third year in a row - Throughout the state, the preterm birth rate among black women is 54% higher than the rate among all other women The Hospital has the following action plan in place to improve maternal and child health: - Continue partnership with the Health Council on disparities in low birth weight-focusing specifically on racial inequities - Enhance collaboration with the Wisconsin Women's Health Foundation to increase awareness and educational opportunities around prenatal and preconception care, focusing on smoking cessation - Work with the Healthy Dane Collaborative Partners on opportunities to collaborate on evidence-based community programs/efforts to increase access to culturally competent preconception, prenatal and post-partum care with local community partners - Elevate efforts with safe communities-pregnancy to recovery program - Pursuit of baby-friendly designation at St. Mary's Madison - Support prenatal care services at access community health centers - Expand group prenatal care within Dean Medical Group locations - focus on cohorts with increased diversity - Continued growth of post-partum support and education in the Hospital and Medical Group Mental Health Mental health is also a top concern in Dane County. There is a disconnect between the perception of the problem and the true reality of the impact of mental health. Mental health is important at every stage of life, from childhood and adolescence through adulthood. Without treatment the consequences of mental illness for the individual and society are staggering: disability, unemployment, substance abuse, homelessness, incarceration, and suicide. The following data demonstrates the severity of mental health concern in the area: - Among suicides with known circumstances, 51% of decedents had a current mental health problem and 43% were currently receiving mental health treatment - Approximately $92 million spent annually on inpatient hospitalizations due to self-inflicted injury - Approximately 1 in 8 adults screened positive for major depression within Dane County, while 1 in 5 adults screened positive for moderate of severe anxiety The Hospital has implemented the following steps to address mental health in the community: - Increase telehealth opportunities with our medical group partners to allow for more timely access to care - Partner with Safe Communities Coalition on the Recovery Coach Program at St. Mary's ED as well as the Pregnancy to Recovery Program within OB - Work with Healthy Dane Partners on opportunities to collaborate to create, enhance, or sustain evidence-based community programs/efforts to reduce the incidence of suicide in Dane County - Collaborate with zero-suicide initiative partners to sustain community efforts across Dane County - Explore expansion of the Community Paramedic Program to include mental health - System change in approach to measuring mental health needs using Columbia Tool - Continued efforts in county-wide initiative on patient safety plans following discharge - Explore options for more follow-up and controlling day-to-day needs as well as transportation concerns for patients Chronic Conditions (heart & diabetes) Chronic conditions account for the greatest number of poor health outcomes and increasing health care costs in Wisconsin. Currently, the state spends an estimated $3.9 billion and $4.1 billion in health care and lost productivity costs annually on diabetes and heart disease alone. For many individuals suffering from chronic conditions, associated risk factors can be addressed and treated. By focusing on risk factors for chronic conditions, complications and comorbidities can be prevented. Statistics on chronic conditions in Wisconsin show: - 7 out of 10 leading causes of death in Wisconsin are due to chronic conditions accounting for two out of every three deaths annually - More than 1,300 Wisconsin residents die from diabetes and many more suffer disabling complications such as heart disease, kidney disease, blindness, and amputations. This burden is higher among minority populations - Heart disease is the second leading cause of death overall, and the leading cause for those over the age of 65.2 The Hospital's action plan on chronic disease involves: - Increase support of Rebalanced Life Wellness Association-Men's Health Center and Wellness Center - Engage with the Foundation for Black Women's Wellness -working specifically on black women's heart health - Support Edgewood students at triangle (diabetic clinic) and support at RLW - Pulse point partner-educate the community on importance of early intervention of CPR - Further explore Healthy Dane funders /AHA-food deserts - Explore expansion of Community Paramedic Program - Continue supporting Double Dollars Program-access to local / fresh produce for underserved populations - On-going partnership with Reap-Kids education and nutrition support in the schools - Explore primary care provider education options (vs. coming to ED) The Hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs and address additional community needs within its efforts. The following community needs were identified but have not been prioritized due to the Hospital's limited resources at this time: - Substance abuse, tobacco, drug and alcohol use - Obesity, diet, and exercise - Sexually-transmitted diseases - Access to and quality of care - Community safety - Pollution and housing Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - SSM Health St. Mary's Hospital - Madison (continued). During 2020, the following activities were performed to help address the issues identified in the CHNA: Working with the Dane County Health Council in the development of the Connect Rx care coordination program. Connect Rx intends to provide more culturally responsive care and address Black MCH inequities, automatically identify high-risk pregnant patients and alert clinicians, and address patients' unmet social needs. These efforts are combined with the Council's Saving Our Babies community engagement efforts. Schedule H, Part V, Section B, Line 3E THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. Schedule H, Part V, Section B, Line 5 Facility B, 1 Facility B, 1 - SSM Health St. Clare Hospital - Baraboo. THE HOSPITAL UTILIZED A COMMUNITY PERCEPTION SURVEY TO GATHER PRIMARY DATA ON AREA HEALTH NEEDS. IT ALSO CONDUCTED NUMEROUS FOCUS GROUPS WITH KEY STAKEHOLDERS IN SAUK COUNTY COMMUNITIES. THE SURVEY WAS PROVIDED TO DIVERSE GROUPS WITH ACCESS TO TRANSLATORS WHEN NEEDED AND WAS AVAILABLE ONLINE AND IN WRITTEN FORMAT. ADDITIONALLY, THE HOSPITAL RESEARCHED AND REVIEWED DATA FROM COUNTY HEALTH RANKINGS AND STATE AND NATIONAL HEALTH ASSOCIATIONS. ADDITIONAL DETAIL ON HOW THE HOSPITAL TOOK INTO ACCOUNT PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY CAN BE FOUND ON PAGES 12 THROUGH 14 OF THE CHNA. Schedule H, Part V, Section B, Line 6a Facility B, 1 Facility B, 1 - SSM Health St. Clare Hospital - Baraboo. THE HOSPITAL, THROUGH THE SAUK COUNTY HEALTH & WELLNESS COALITION, CONDUCTED ITS MOST RECENT CHNA IN COLLABORATION WITH THE FOLLOWING HOSPITALS: REEDSBURG AREA MEDICAL CENTER AND SAUK PRAIRIE HEALTH CARE. Schedule H, Part V, Section B, Line 6b Facility B, 1 Facility B, 1 - SSM Health St. Clare Hospital - Baraboo. THE HOSPITAL, THROUGH THE SAUK COUNTY HEALTH & WELLNESS COALITION, CONDUCTED ITS MOST RECENT CHNA IN COLLABORATION WITH THE SAUK COUNTY HEALTH DEPARTMENT. Schedule H, Part V, Section B, Line 11 Facility B, 1 Facility B, 1 - SSM Health St. Clare Hospital - Baraboo. The hospital identified various health needs in the 2018 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Mental Health - Obesity - Chronic Disease Mental Health The main concern with mental health in the community is limited access and the lack of mental health facilities. In the past, local law enforcement officials stated they often have had to drive mental health patients hours away for treatment. The 2018 Wisconsin County Health Rankings show that respondents had an average of 3.4 mentally unhealthy days per month in Sauk County. Statistics from the 2018 Sauk County Health & Wellness Coalition Survey show: - 25.3% of respondents reported being treated for, or told by a doctor, that they have a mental health condition - 27.4% of respondents reported feeling sad, blue or depressed at least sometimes in the past month - Nearly 1 in 12 (8.8%) of respondents report they did not receive the mental health care they thought they needed in the last 12 months. Cost and lack of insurance coverage were cited by 2 of 5 (43.6%) of those respondents who did not receive care. One in four (25.5%) respondents said they were unable to get an appointment The hospital has outlined the following action plan to improve community mental health: - Collaborate with Journey Mental Health and Sauk County Health & Wellness Coalition to provide mental health first aid training two times per year in our service area - Enhance county-wide collaborations to increase awareness, education, treatment and pre-event intervention with organizations including Rural Safety Days, Sauk County Partnership for Prevention and Recovery, Region 11 Critical Incident and Stress Management group - Collaborate with hospital foundation on twice-yearly Healthy Community Partnership grants directed to organizations collaborating on health initiatives impacting mental health including Zoo camp, Boys and Girls Clubs programming, community mental health forums and school district mindfulness programming - Collaborate with SSM Health Regional team on Time For Kids Ambassador programming - Collaborate with service area health care providers to collate and share mental health resources for the agricultural community - Expand clinical and hospital-based mental health tools including implementation of Columbia Suicide Screening for high risk patients, addition of licensed clinical social worker, outpatient AODA clinical counselor and ED referral process for suboxone - Conduct an annual Grief Share 15-week mental health support group for individuals who have experienced a life-changing loss - Create community awareness of mental health by participating in St. Clare Hospital radio programs Obesity Obesity continues to be a growing issue in the Sauk and Columbia County communities. Lack of physical activity is one of the main contributors to obesity. Given the wide variety of venues to be physically active, there may be a lack of interest in utilizing the area's resources that encourage exercise and motion. Statistics from the 2018 Sauk County Health & Wellness Coalition survey show: - Only 31% of respondents reported a healthy BMI - 33% of respondents reported an overweight BMI - 35% of respondents reported an obese BMI - Only 20.5% of respondents reported being physically active for five days or more - 34.9% of respondents reported being physically active for one day or less - 23% of Sauk County respondents reported having no leisure-time physical activity The hospital has organized the following activities to improve community obesity measures: - Collaborate with hospital foundation on twice-yearly Healthy Community Partnership grants directed to organizations collaborating on health initiatives impacting obesity including fresh food boxes from local food pantries, Boys and Girls Clubs healthy eating programs for members and senior citizens, community-based nutritional meals, fitness programs - Collaborate with hospital foundation on childhood fitness in local school districts titled "Fun & Fit" program for all 3rd grade fitness classes in the Baraboo and Wisconsin Dells school districts - Partner to enhance farm-to-table options through food courses and cooking classes at local schools and community "tables" - Support partnerships with municipal and health coalition leaders to address population-dense areas of high-risk individuals to promote healthy food access / eating options including community meals and Farmer's Markets funding - Collaborate with county resources to build on Sauk County's Healthy Communities designation - Support local activities which promote fitness - Partner with Outlets at the Dells to implement a county-wide Saturday morning fitness program for children incorporating movement, healthy food options and fun - Honor requests from community organizations for speakers at healthy lifestyle presentations - Promote healthy living through community-based, schools and business-specific health fairs and events - Create community awareness of how to live healthy and well in Sauk County through St. Clare Hospital's radio programming Chronic disease Chronic disease burden is more highly concentrated among high-risk populations. The poor are more vulnerable to chronic diseases because of material deprivation and psychological stress, higher levels of risky behavior, unhealthy living conditions and limited access to good-quality healthcare. Statistics from the 2018 Sauk County Health & Wellness Coalition Survey and the County Health Rankings show: - 67.4% of respondents reported receiving a routine checkup in the last year - 58.3% of respondents received cholesterol testing in the last year - 52.5% of respondents reported having an eye exam in the last year - 19.8% of respondents reported being treated for/told by a doctor in the last 3 years that they have high blood pressure - 20.3% of respondents reported that they have been told by a physician that they have high cholesterol, most of whom say it is under control - 4.7% of respondents reported being treated for/told by a doctor in the last 3 years that they have heart disease - 6.1% of respondents reported having been treated or diagnosed by a physician for diabetes - 3.1% of respondents reported being treated for/told by a doctor in the last 3 years that they have cancer - 15% of Sauk County adults are currently smokers. This indicator is relevant because tobacco use is linked to leading causes of death such as cancer and cardiovascular disease The hospital was involved in the following initiatives to improve chronic disease in the community served: - Provide expanded hospital-based palliative intensive education care to outpatients for management of heart failure, COPD and diabetes - Work collaboratively with hospital foundation to expand access to services in Baraboo and Wisconsin Dells to improve follow up care - Collaborate with hospital foundation on twice-yearly Healthy Community Partnership grants directed to organizations collaborating on health initiatives impacting chronic disease and diabetes including fresh food boxes from local food pantries, Boys and Girls Clubs nutritional dietary programming for members and senior citizens, community-based nutritional meals - Enhance partnerships with key city, village, township and health coalition leaders to address population-dense areas of high-risk individuals to promote healthy food access / eating options including community meals and Farmer's Markets funding - Participate in area health fairs and educational seminars to provide education and strategies surrounding obesity, stress, COPD, vaping and the progression of chronic disease - Create community awareness of chronic disease options and proactive programming through St. Clare Hospital's radio show - Improving chronic disease management through personalized telephone follow up programming to heart failure patients after discharge from St. Clare Hospital. - Host monthly diabetes and chronic disease support groups at St. Clare Hospital for population/s and communities served The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs and address additional community needs within its efforts. The following community needs were identified but have not been prioritized due to the hospital's limited resources at this time: - Alcohol abuse - Unintentional injury and traffic accidents - Lack of dental care - Cancer Schedule H, Part V, Section B, Line 11 Facility B, 2 Facility B, 2 - SSM Health St. Clare Hospital - Baraboo (continued). During 2020, the following activities were performed to help address the issues identified in the CHNA: In 2020, SSM Health formalized an agreement with the Sauk County Health Department, created an Education Navigator position and transferred funds to start the project. The goal of the Education Navigator is to improve the health of Sauk County's citizens by establishing and facilitating an educational pathway from incarceration and into employment. In 2020, individuals received 91 formal sessions of educational navigation, support and tutoring services. Schedule H, Part V, Section B, Line 3E THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. Schedule H, Part V, Section B, Line 5 Facility C, 1 Facility C, 1 - SSM Health St. Mary's Hospital - Janesville. THE HOSPITAL, IN COLLABORATION WITH THE ROCK COUNTY PUBLIC HEALTH DEPARTMENT AND HEALTY EQUITY ALLIANCE OF ROCK COUNTY, CREATED A COUNTY HEALTH ASSESSMENT WHICH GATHERED COMMUNITY PERSPECTIVES AND DATA THROUGH A SURVEY, ONE-ON-ONE INTERVIEWS, AND FOCUS GROUPS. ADDITIONALLY, STATISTICAL DATA WAS OBTAINED AND REVIEWED FROM THE HEALTHY COMMUNITIES INSTITUTE. MORE INFORMATION ON THE HOW THE HOSPITAL TOOK INTO ACCOUNT PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY CAN BE FOUND ON PAGES 11 AND 12 OF THE CHNA. Schedule H, Part V, Section B, Line 6a Facility C, 1 Facility C, 1 - SSM Health St. Mary's Hospital - Janesville. THE HOSPITAL WORKED CLOSELY WITH THE HEALTH EQUITY ALLIANCE OF ROCK COUNTY, AS WELL AS THE FOLLOWING HOSPITAL FACILITIES: BELOIT HEALTH SYSTEM, CHILDREN'S HOSPITAL - EXCHANGE FAMILY RESOURCE CENTER, COMMUNITY HEALTH SYSTEMS, INC., EDGERTON HOSPITAL, AND MERCY HEALTH. Schedule H, Part V, Section B, Line 6b Facility C, 1 Facility C, 1 - SSM Health St. Mary's Hospital - Janesville. THE HOSPITAL WORKED CLOSELY WITH THE HEALTH EQUITY ALLIANCE OF ROCK COUNTY, AS WELL AS NUMEROUS OTHER ORGANIZATIONS. A FULL LIST OF THE COLLABORATORS CAN BE FOUND ON PAGE 25 OF THE CHNA. Schedule H, Part V, Section B, Line 11 Facility C, 1 Facility C, 1 - SSM Health St. Mary's Hospital - Janesville. The hospital identified various health needs in the 2018 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: - Obesity - Substance abuse - Tobacco use Obesity Obesity continues to be a primary community health concern in Rock County. Lifestyle complications that lead to increased risk of obesity include physical inactivity combined with unhealthy diet and eating habits. In some cases, minorities and those living under financial distress are often segments of the population most affected by factors contributing to obesity. Additional facts and figures that relate to obesity show: - Obesity was identified as a community health issue by the Rock County Public Health Department - Obesity was identified as a community health issue by community stakeholders - Adults who are Obese represent 32.1 percent of adults in Rock County, more than 10 percent higher than the overall Wisconsin percentage of 28.5 percent - Families Living Below Poverty Level represent 11.2 percent of households in Rock County, more than 30 percent higher than the overall Wisconsin rate of 8.5 percent - The Child Food Insecurity Rate in Rock County was 18.9 percent, nearly 20 percent higher than the overall Wisconsin rate of 16.0 percent - Adults who are Sedentary are 20.2 percent of adults in Rock County, the same as the overall Wisconsin percentage of 20.2 percent The hospital is involved in the following initiatives to improve obesity measures in the community served: - Explore opportunities to collaborate with Rock County public schools on nutrition education - Work with faith community and other community groups on nutrition education and physical fitness - Continue sponsorship of the Janesville Farmer's Market - Partner with hospital cafeteria to ensure healthy offerings are consistently provided at a reasonable cost - Explore options to bring healthy food and opportunities for physical activity into underserved communities - Support organizations which provide healthy food to impoverished members of the community, including Meals on Wheels, ECHO, and food pantries - Partner with community organizations, such as the VeloClub, on providing access to physical fitness programming to underserved youth Substance Abuse Multiple factors contribute to substance abuse, including mental health needs, poor economic conditions, high poverty rates, lower educational attainment levels, higher percentages of individuals living alone, and easy access to alcohol and other substances. Additional facts and figures that relate to substance abuse are below. - Drug, alcohol, and substance abuse were identified as a community health issue by community stakeholders - A lack of substance abuse treatment was identified as a community health issue by community stakeholders - The Death Rate due to Drug Poisoning in Rock County is 21.7 deaths per 100,000 population, more than one-third higher than the Wisconsin rate of 16.2. This measure assesses the age-adjusted death rate per 100,000 population due to drug overdose - Alcohol-Impaired Driving Deaths are 43.4 percent of motor-vehicle crash deaths in Rock County, more than one-fifth higher than the overall Wisconsin percentage of 35.7 percent - Depression within the Medicare Population of Rock County is 19.1 percent, more than one tenth higher than the Wisconsin rate of 17.0 percent - Life Expectancy is lower in Rock County for both males (76.9 years) and females, compared to the overall Wisconsin life expectancy for males (77.7 years) and females (81.9 years) The hospital is implementing the following measures to reduce substance abuse: - Offer education or partner with other organizations regarding the root causes, prevention and/or treatment for opioid abuse - Research establishing an on-site pharmaceuticals disposal site and/or home medication lock boxes - Create community awareness regarding opioid and other drug issues through community activities - Provide community support services for diagnosed patients, and provide immediate support from community organizations for Emergency Department patients wanting assistance with substance abuse - Support organizations which provide substance abuse services, including Rock County One to One - Partner with regional mental health providers on offering patient placement - With partnerships with other organizations, explore establishing additional mental health services and placement opportunities in Rock County - Partner with physicians to increase alternatives to opioid (ALT) medication prescriptions Tobacco Use Tobacco use is a growing concern in the hospital's service area. Tobacco use is responsible for multitudes of avoidable illness and death nationwide, brings about premature death and complications from second-hand smoke. Statistics on tobacco use show: - Cancer, which can be caused by tobacco use, was identified as a community health issue by community stakeholders - Mothers who Smoked During Pregnancy are 15.2 percent of births in Rock County, one-third higher than the overall Wisconsin percentage of 11.4 percent - Adults who Smoke represent 22.4 percent of adults in Rock County, more than one-quarter higher than the overall Wisconsin percentage of 17.9 percent - The Age-Adjusted Death Rate due to Lung Cancer in Rock County is 54.4 deaths per 100,000 population, nearly one-quarter higher than the Wisconsin rate of 44.2 - The Lung and Bronchus Cancer Incidence Rate in Rock County is 73.9 cases per 100,000 population, more than one-fifth higher than the Wisconsin rate of 60.9 - The Age-Adjusted Death Rate due to Cancer in Rock County is 186.6 deaths per 100,000 population, more than one-tenth higher than the Wisconsin rate of 168.1 The hospital will address health implications from tobacco use through the following: - Offer education or partner with other organizations regarding the root causes, prevention and/or treatment for tobacco use - Provide prevention education to school-age children through various outreach efforts - Create community awareness regarding the hazards of tobacco use through community activities - Provide smoking cessation survival kits at community events - Continue offering on-site "Freedom from Smoking" smoking cessation program - Explore offering community evidence-based programs regarding tobacco cessation during pregnancy The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs and address additional community needs within its efforts. The following community needs were identified but have not been prioritized due to the hospital's limited resources at this time: - Access Issue - Aging Issues - Alcohol Abuse - Asthma - Cancers - Dental Problems - Diabetes - Domestic Violence - Heart Disease - HIV/AIDS - Maternal and Child Health - Mental Health - Rape and Sexual Assault - STDs / STIs - Teen Pregnancy - Violence/Gun Injuries Schedule H, Part V, Section B, Line 11 Facility C, 2 Facility C, 2 - SSM Health St. Mary's Hospital - Janesville (continued). During 2020, the following activities were performed to help address the issues identified in the CHNA: - In an effort to address food insecurity and also to improve health equity in Rock County, SSM Health teamed up with the Janesville Farmers' Market and also the Downtown Beloit Association Farmers' Market to start a new and exciting offering in 2021. Stateline Area community members who utilize Supplemental Nutrition Assistance Program (SNAP) benefits at the Janesville Farmers' Market were able to receive bonus "produce tokens" throughout the summer. In Beloit, a pilot program was started where SNAP users were gifted $10 in additional market tokens each month thanks to SSM Health. In both Janesville and Beloit, the SNAP market tokens are used to purchase fresh produce and items like honey, cheese or bread to nourish their families and support the local farming community. Through the funding, there was opportunity for more than 500 families to be helped through the initiative. We hope this program helps families have more access to healthy, quality foods they need and that it encourages them to try a new item that is on their wish list. 9 ST CLARE CARDIAC AND PULMONARY REHAB - WISCONSIN DELLS 1306 BROADWAY ROAD WISCONSIN DELLS WI 53965 REHABILITATION ST MARY'S CARE CENTER 3401 MAPLE GROVE DRIVE MADISON WI 53719 LONG-TERM CARE ST MARY'S SUN PRAIRIE EMERGENCY CENTER 2840 OKEEFE AVENUE SUN PRAIRIE WI 53590 EMERGENCY CENTER ST CLARE MEADOWS CARE CENTER 1414 JEFFERSON BARABOO WI 53913 LONG-TERM CARE ST MARY'S SLEEP CENTER 2844 INDEX ROAD FITCHBURG WI 53713 SLEEP CENTER ST CLARE URGENT CARE 530 WISCONSIN DELLS PARKWAY LAKE DELTON WI 53965 URGENT CARE CENTER ST MARY'S CHILD CARE CENTER 723 S ORCHARD STREET MADISON WI 53715 CHILD CARE CENTER ADULT DAY HEALTH CENTER 2440 ATWOOD AVENUE MADISON WI 53704 ADULT DAY CARE ST CLARE CHILD CARE CENTER 1605 JEFFERSON STREET BARABOO WI 53913 CHILD CARE CENTER Schedule H, Part I, Line 3c Discounted Care Exceptions Patients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called "presumptive eligibility." Schedule H, Part I, Line 6a Community benefit report prepared by related organization SSM Health Care Corporation, 46-6029223 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The amounts reported on Form 990, Schedule H, Part I, Line 7a, 7b, and 7c were determined using the cost to charge ratio derived from worksheet 2 in the schedule h instructions. Form 990, schedule h, part I, Lines 7e, 7f, 7g, 7h, and 7i are reported at cost as reported in the organization's financial statements. The calculation of Schedule H, Part I, Line 7, Column F utilizes 990, Part IX, Line 25, Column A, which does not include Bad Debt Expense. Schedule H, Part II Community Building Activities SSM HEALTH CARE OF WISCONSIN PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING: COMMUNITY SUPPORT: SUPPORT TO LOCAL EMS, EMERGENCY MANAGEMENT MEETINGS; ENVIRONMENTAL IMPROVEMENTS: DISTRIBUTION OF FREE SHARPS CONTAINERS TO THE PUBLIC; COALITION BUILDING: COMMUNITY COVID MEETINGS AND SUPPORT, ASSISTANCE TO LOCAL EMS, SAUK COUNTY HEALTH DEPARTMENT, CRISIS MANAGEMENT, AND DELLS-DELTON AREA RESPONSE GROUPS; COMMUNITY HEALTH IMPROVEMENT ADVOCACY: WORK WITH HEALTH COUNCIL (COLLABORATIVE GROUP OF LOCAL HEALTH SYSTEMS) TO REDUCE BIRTH-OUTCOME DISPARITIES, WORK WITH THE HEALTHY DANE COLLABORATIVE; WORKFORCE DEVELOPMENT: JOB SHADOWING FOR MEDICAL-RELATED PROFESSIONS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology FOR FINANCIAL STATEMENT PURPOSES, SSM Health HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER NORTON HOSPITAL'S FINANCIAL ASSISTANCE POLICY ON A GROSS BASIS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote SSM Health Care of Wisconsin, Inc. is part of the SSM Health consolidated audit. The footnote that references the treatment of uncollectible accounts and implicit price concessions in the December 31, 2020 consolidated audit is contained on page 13 and 14 of the attached financial statements. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance SSM Health Care of Wisconsin, Inc. has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable. SSM Health Care of Wisconsin embraces its responsibility to serve the communities in which it participates by establishing sound business practices. SSM Health Care of Wisconsin's billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after 120 days. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from SSM prior to engaging in ECAs. SSM will review the accounts and verify satisfactory completion of reasonable efforts during the notification and application period. A waiver is not considered reasonable efforts. Obtaining a signed waiver that an individual does not wish to apply for FAP assistance or receive FAP application information will not meet the requirement to make "reasonable efforts" to determine whether the individual is FAP-eligible before engaging in ECAs. All outside collection agencies must comply with state and federal laws, comply with the association of credit and collection professional's code of ethics and professional responsibility and comply with SSM Health Care of Wisconsin's collection and financial assistance policies. Schedule H, Part V, Section B, Line 16a FAP website A - SSM Health St. Mary's Hospital - Madison: Line 16a URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; B - SSM Health St. Clare Hospital - Baraboo: Line 16a URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; C - SSM Health St. Mary's Hospital - Janesville: Line 16a URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - SSM Health St. Mary's Hospital - Madison: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; B - SSM Health St. Clare Hospital - Baraboo: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; C - SSM Health St. Mary's Hospital - Janesville: Line 16b URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - SSM Health St. Mary's Hospital - Madison: Line 16c URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; B - SSM Health St. Clare Hospital - Baraboo: Line 16c URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; C - SSM Health St. Mary's Hospital - Janesville: Line 16c URL: https://www.ssmhealth.com/resources/patients-visitors/pay-my-bill/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment SSM Health (SSMH) participates in Community Benefit according to our vision, Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of SSMH's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always our goal. To fulfill this commitment, SSMH's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). The CHNA is an assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conducted every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Collect data and evaluate progress; report to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). System Office staff and leaders oversee and monitor SSMH's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, SSM Health Care Corporation also identifies needs based on assessments and research, and SSMH facilities also involve case managers and care team staff to pinpoint critical health issues in the community. All hospital CHNAs are completed, approved, and integrated into the organization's strategic plan. We continue to monitor and assess the progress of our local efforts in the spirit of caring for others and improving community health. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Each entity providing medical service shall provide information to the public regarding its charity care policies and the qualification requirements for each of its facilities. When standard system notices and communication regarding charity care are available, these must be used. Modifications to the standard may be made to comply with state and local laws, as well as reflect culturally sensitive terminology for the policy. All notices are easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They provide information about: * The patient's responsibility for payment, * The availability of financial assistance from public programs and entity charity care and payment arrangements, * The entity's charity policy and application process, and * Who to contact to get additional information or financial counseling. The following types of notices to the public are provided: * Signs in the emergency department, website resources, and public waiting areas. * Brochures or fliers provided at time of registration and available in the financial counseling areas. * Notices sent with or on patient bills or communications sent to patients and guarantors related to medical services. * Applications provided to uninsured patients at the time of registration. The application for charity care, together with any instructions, must clearly state the policies regarding charity care, including excluded services, eligibility criteria and documentation requirements. Information about the entity's charity policies is also provided to public agencies. Schedule H, Part VI, Line 4 Community information SSM Health St. Mary's Hospital - Madison St Mary's Hospital serves Dane County in south-central Wisconsin, which is home to Wisconsin's state capitol, Madison, and Wisconsin's flagship public university, the University of Wisconsin-Madison. Dane County is the second most densely populated county in Wisconsin and Madison is the second largest city in the state. The population of Dane County grew 5.5% between 2012 and 2016 bringing the population to 531,273. Dane County's Diversity is concentrated in the City of Madison, but the County as a minority population around 15%. Life expectancy in Dane County is higher than the national average for both men and women; however, the gap in life expectancy between Black and White populations has grown. The percent of the population that has at least a bachelor's degree is much higher in Dane County than in Wisconsin and the US. However, Dane County's current 87.1% high school graduation rate is one of the lowest among Wisconsin counties. The median household income for Dane County is $64,773, higher than state and national values. Despite the high median household income and second lowest unemployment rate in the state (2.8%), Dane County is faced with a disparity of minorities living in poverty. Additional detailed information on the St Mary's Hospital service area can be found throughout the CHNA. SSM Health St. Clare Hospital - Baraboo St. Clare Hospital serves the primarily serves Sauk County in Wisconsin. There are 16 zip codes in this county, which make up 85% of the hospital's total patients. The hospital, in Baraboo, Wisconsin, has urgent care clinics in Lake Delton and Wisconsin Dells. In 2017, Sauk County had an estimated population of 73,275 persons. The community has a high proportion of residents aged 55 and older at about 35%. Sauk County has seen increasing diversity in the past three years, with nearly 12% of the population a minority. While Sauk County has a lower poverty rate than the state and national averages at 10%, only 20.5% of residents hold at least a Bachelor's degree. Additional detailed information on the St Clare Hospital service area can be found on page 19 through 21 of the CHNA. SSM Health St. Mary's Hospital - Janesville St Mary's Janesville defines its community as Rock County, Wisconsin. There are 22 zip codes that are contained within or overlay the county. The hospital is located in Janesville, Wisconsin. In 2016, Rock County had an estimated population of 161,620 persons. Rock County is seeing increasing race and ethnic diversity, with nearly 17% of the population a minority. The county has a poverty rate for families of 11.2%, which while lower than previously reported, is still higher than the state and national averages. Life expectancy rates are near national averages. Additional detailed information on the St Mary's Janesville Hospital service area can be found on page 13 through 20 of the CHNA. Schedule H, Part VI, Line 5 Promotion of community health SSM Health Care of Wisconsin participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. In response to the global coronavirus pandemic, SSM Health Care of Wisconsin, Inc. worked relentlessly to respond to community needs by developing and implementing strategies to address social needs of those served, providing screening & testing services, personal protective equipment and education throughout the community, as well as treatment for those who presented with COVID-19. SSM Health Care of Wisconsin promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote community health. SSM Health Care of Wisconsin also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. Schedule H, Part VI, Line 6 Affiliated health care system SSM HEALTH CARE OF WISCONSIN (SSMHC/WI) IS A COMPREHENSIVE NOT-FOR- PROFIT CATHOLIC HEALTH CARE ORGANIZATION PROVIDING HEALTH CARE SERVICES TO AN 18- COUNTY AREA IN SOUTH- CENTRAL WISCONSIN. SSMHC/WI, WITH HEADQUARTERS IN MADISON, WI, IS SPONSORED BY SSM HEALTH MINISTRIES AND IS OWNED AND OPERATED BY SSM HEALTH (SSMH) BASED IN ST. LOUIS, MISSOURI. SSMHC/WI PROVIDES HEALTH CARE SERVICES AT THREE WHOLLY-OWNED ACUTE CARE HOSPITALS, SSM HEALTH ST. MARY'S HOSPITAL - MADISON, SSM HEALTH ST. CLARE HOSPITAL - BARABOO AND SSM HEALTH ST. MARY'S HOSPITAL - JANESVILLE, AS WELL AS AT TWO NURSING HOMES - SSM HEALTH ST. MARY'S CARE CENTER IN MADISON AND SSM HEALTH ST. CLARE MEADOWS CARE CENTER IN BARABOO. Schedule H, Part VI, Line 7 State filing of community benefit report WI true Boys and Girls Club of Dane County Inc 1818 W Beltline Highway Madison WI 53713 391925617 501(c)(3) 10000 Emergency relief support Archdiocese of Milwaukee PO Box 070912 Milwaukee WI 53207 390807221 501(c)(3) 8000 General support Centro Hispano of Dane County 810 West Badger Road Madison WI 53713 930844812 501(c)(3) 20000 Emergency relief support American Heart Association (listed as Community Partners) 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 32500 General support District Council of Madison Inc Society of St Vincent de Paul PO Box 259686 Madison WI 53715 390824876 501(c)(3) 20000 General support Janesville Performing Arts Center Inc PO Box 8130 Janesville WI 53547 391963821 501(c)(3) 5750 Community event sponsorships Foundation for Black Women's Wellness PO Box 259831 Madison WI 53725 460832901 501(c)(3) 91380 Wellness day support Madison Metropolitan School District 545 W Dayton Street Madison WI 53703 396003202 Government 7500 General support Madison Gospel 5K Foundation 4711 Jenewein Road Apt 208 Madison WI 53711 832761410 501(c)(3) 7500 Programming and event support Meriter Health Services Inc 202 South Park Street Madison WI 53715 391412318 501(c)(3) 35826 General support Rebalanced Life Wellness Association Inc 143 Marcie Drive Brooklyn WI 53718 824133284 501(c)(3) 30000 Support for diabetes care and coordination Safe Community Coalition of Madison and Dane County Inc PO Box 6652 Madison WI 53701 392010839 501(c)(3) 11500 General support Second Harvest Foodbank of Southern WI 2802 Dairy Drive Madison WI 53718 391490691 501(c)(3) 16500 General support United Way of Dane County Inc 2059 Atwood Avenue Madison WI 53704 390817532 501(c)(3) 15000 General support Medical Teams International 14150 SW Milton Ct Tigard OR 97224 930878944 501(c)(3) 15000 General support Urban League of Greater Madison Inc 2222 S Park Street No 200 Madison WI 53713 391098146 501(c)(3) 51333 Support for job training programs March of Dimes Inc 1550 Crystal Drive Suite 1300 Arlington VA 22202 131846366 501(c)(3) 7500 General support Madison Community Health Center 1547 Ohio Avenue Anderson IN 46016 352098820 501(c)(3) 30000 Support for prenatal program St Clare Health Care Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940683 501(c)(3) 15400 General support 19 0 Scholarships 11 6600 Hardship relief 12 3000 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDS VARIES BASED ON THE GRANT RECIPIENT. GRANTS TO RELATED ENTITIES ARE MONITORED DIRECTLY BY THE ORGANIZATION WHEREBY THE RECIPIENT REPORTS ON THE SPECIFIC USE OF THE FUNDING. FOR GRANTS TO UNRELATED ENTITIES, THE ORGANIZATION UTILIZES THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) TO TRACK, STORE, AND REPORT A WIDE RANGE OF INFORMATION RELATED TO GRANTS AND OVERALL COMMUNITY IMPACT. X true true true true false false false false false false false Damond Boatwright Director, Chair, President, Regional President - WI 665011 0 362963 0 106272 0 398144 0 6752 0 1539142 0 467525 0 Jason Isenberg MD Director 0 501980 0 0 0 2936 0 4275 0 39501 0 548692 0 0 Greg Matzke MD Director 0 656144 0 0 0 2073 0 4275 0 41681 0 704173 0 0 John Phelan MD Director, Physician at Dean Medical Group 0 1049183 0 0 0 7887 0 4275 0 31981 0 1093326 0 0 Stephen Sramek MD Director 0 328436 0 0 0 7888 0 3636 0 26629 0 366589 0 0 William Ehrhardt MD Director 0 657825 0 0 0 2986 0 4275 0 45428 0 710514 0 0 Paula Friedman Former Officer 0 0 0 249317 0 257685 0 0 0 0 0 507002 0 258551 Christopher Howard Former Officer 0 0 0 212519 0 0 0 0 0 0 0 212519 0 212519 Rosie Putman Former Officer 72394 0 2500 0 1209 0 1686 0 35276 0 113065 0 0 0 Kris Zimmer Pt Yr Treasurer, Pt Yr Chief Financial Officer at SSM Health 0 370664 0 803048 0 543333 0 56137 0 16938 0 1790120 0 1162526 Douglas Long Secretary, General Counsel at SSM Health 0 645435 0 469242 0 87144 0 374673 0 24679 0 1601173 0 547438 Matt Kinsella Regional VP Finance-Wisconsin 0 333432 0 40672 0 29270 0 90617 0 39313 0 533304 0 40920 Steve Smoot Vice President, COO at SSM Health 0 910565 0 527949 0 2622 0 620704 0 36788 0 2098628 0 527936 Randy Combs Treasurer, Chief Financial Officer at SSM Health 0 216927 0 100000 0 86336 0 82693 0 1909 0 487865 0 84600 Laura Kaiser Pt Yr Vice Chair, President/CEO of SSM Health 0 1605981 0 1659602 0 189142 0 1696604 0 27973 0 5179302 0 1659576 Thomas Kirschbaum Assistant Secretary, General Counsel - SSMWI 0 354878 0 69812 0 25509 0 99232 0 39010 0 588441 0 89696 Jonathan Rozenfeld Former Key Employee 0 8695 0 100676 0 643574 0 0 0 29705 0 782650 0 277052 Ben Layman Former Key Employee 0 0 0 0 0 210905 0 0 0 29516 0 240421 0 0 Chris Sprowl Former Key Employee 0 0 0 101361 0 417454 0 0 0 12762 0 531577 0 103657 Laura Walczak Hospital President - St. Clare 252653 0 40565 0 17813 0 56842 0 14410 0 382283 0 48447 0 Kyle Nondorf Hospital President - St. Mary's 398838 0 75048 0 62917 0 113819 0 41330 0 691952 0 97418 0 Eric Thornton Hospital President-Janesville 248550 0 22926 0 7681 0 53006 0 39144 0 371307 0 27434 0 Kerry Swanson Pt Yr Chief Operating Officer-SSMWI 0 206595 0 191770 0 520113 0 1315 0 34656 0 954449 0 367686 Ginger Malone Pt Yt VP Patient Services - St Mary's 116345 0 33710 0 140339 0 3206 0 5876 0 299476 0 33710 0 Colette Brust Administrative Director - Nursing 142843 0 10000 0 7442 0 4340 0 13082 0 177707 0 0 0 Jennifer Culotta Interim VP Patient Care - St. Clare 154641 0 15349 0 1763 0 26950 0 17879 0 216582 0 15286 0 Mark Thompson MD Regional President-Medical Groups-Wisconsin 515234 0 105750 0 2622 0 109967 0 41546 0 775119 0 116608 0 Craig Sommers VP - Hospital Operations 216762 0 26869 0 9624 0 34784 0 37692 0 325731 0 35395 0 Margo Francisco Regional VP - Strategy 0 281958 0 51492 0 2498 0 73502 0 27999 0 437449 0 51494 Thomas Ahr Regional VP - Human Resources 0 286756 0 51412 0 42268 0 78547 0 35311 0 494294 0 77598 Lon McPherson Pt Yr VP-Medical Affairs 55239 0 44604 0 247521 0 1315 0 12596 0 361275 0 108031 0 Amy Franta Regional Chief Medical Officer 336179 0 32326 0 1200 0 47609 0 44995 0 462309 0 32199 0 Veronica Scott-Fulton Regional CNO 346532 0 38819 0 1794 0 89800 0 23835 0 500780 0 38640 0 Bradley Schmidt VP-Specialty Services 455005 0 48011 0 1984 0 59694 0 40141 0 604835 0 48678 0 David Ottenbaker VP-Primary Care Services 385440 0 47461 0 21382 0 42053 0 37330 0 533666 0 63061 0 Kansas Dubray Physician 325895 0 0 0 4066 0 4114 0 17431 0 351506 0 0 0 David Jarvis Physician 295482 0 0 0 2523 0 4047 0 39029 0 341081 0 0 0 Mike Degere VP - Population Health Management 348006 0 27923 0 63910 0 55935 0 39037 0 534811 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments The following individuals listed on Part VII Section A received a tax indemnification/gross up payment in 2020. These payments were included in their taxable compensation. Kansas Dubray Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization's top management official, regional president, is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee. Schedule J, Part I, Line 4a Severance or change-of-control payment SSM Health has adopted a severance policy to provide a financial transition in the event of involuntary termination without cause for executive level positions. The amount of the compensation is based on the position held and length of service with SSMH. The following individuals listed in Part VII of the Form 990 received payments under the plan in the current year. Ginger Malone $138,500 Lon McPherson $183,261 Kerry Swanson $338,461 Paula Friedman $257,685 Ben Layman $210,905 Jonathan Rozenfeld $483,007 Chris Sprowl $420,192 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 2020. 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 2020: Steve Smoot $105,168 Damond Boatwright $77,160 Laura Kaiser $314,000 Kris Zimmer $54,000 Thomas Kirschbaum $28,554 Matt Kinsella $27,200 Eric Thornton $20,000 Kyle Nondorf $32,000 Laura Walczak $20,000 Jennifer Culotta $6,200 Craig Sommers $8,832 Margo Francisco $21,061 Thomas Ahr $24,000 Amy Franta $14,000 Veronica Scott-Fulton $28,000 Bradley Schmidt $16,000 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2020. All distributions received from the plan in the current year were included in the individual's taxable compensation. Damond Boatwright $104,562 Kris Zimmer $493,428 Randy Combs $84,600 Douglas Long $78,000 Thomas Kirschbaum $19,883 Eric Thornton $6,196 Kyle Nondorf $22,369 Laura Walczak $7,882 Craig Sommers $8,526 Thomas Ahr $26,185 Lon McPherson $63,427 Kerry Swanson $175,918 David Ottenbaker $15,600 Jonathan Rozenfeld $159,830 During 2020, the following individuals participated in a nonqualified retirement plan from the organization or a related organization. The amounts reported below represent the change in accrued benefit for each individual and also include amounts accrued under the pension restoration plan: Kris Zimmer $26,226 Kerry Swanson $2,812 Kansas Dubray $1,654 X 28490 Cost X 1 33850 Cost X PPE/Supplies 2 78644 Cost 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Books and publications - Number of contributors Food inventory - Number of contributors Other - PPE/Supplies Number of contributors Form 990, Part III, Line 4a Description of Program Service Briefly describe the organization's mission: Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 23 acute care hospitals, one children's hospital, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company, and an Accountable Care Organization. The health system employs nearly 40,000 people and is affiliated with 11,000 physicians making it one of the largest employers in every community it serves. In the tradition of its founding sisters, SSMH strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. About SSM Health Care of Wisconsin: SSM Health Care of Wisconsin provides health care services at three wholly-owned acute care hospitals, SSM Health St. Mary's Hospital - Madison, SSM Health St. Clare Hospital - Baraboo and SSM Health St. Mary's Hospital - Janesville, as well as at two nursing homes - SSM Health St. Mary's Care Center in Madison and SSM Health St. Clare Meadows Care Center in Baraboo. SSM Health Care of Wisconsin, including its three wholly owned hospitals and two nursing homes, earned Wisconsin's highest recognition of quality business practices in 2013: the Excellence Level of the Wisconsin Forward Award. The honor remains in effect for five years. SSM Health Care of Wisconsin, in partnership with SSM Health Dean Medical Group, also earned recognition as a finalist for OrthoServiceLine.com's Ortho Transformation Award. The award highlighted the Steady Strides Joint Replacement Program which is available at all three acute care hospitals. SSM Health St. Mary's Hospital - Madison is a 440-bed tertiary referral hospital offering inpatient and outpatient treatment and diagnostic services in primary care and nearly all specialties. The campus includes an outpatient surgery center and an employee child care center. St. Mary's also operates an off-site Adult Day Health Center, is owner of a home health care organization, and is affiliated with the SSM Health St. Mary's Care Center (a skilled nursing facility) on Madison's southwest side. St. Mary's Hospital in partnership with SSM Health Dean Medical Group has chosen to participate in a Medicare Accountable Care Organization Program. St. Mary's Hospital offers a full range of inpatient and outpatient treatment and diagnostic services in primary care and nearly all specialties. St. Mary's was also redesignated as a Magnet hospital in 2017 and has previously attained elite status as well. Magnet hospitals are considered "the gold standard" of nursing. Their emphasis on quality, innovation and collaboration tends to lead to better outcomes, high patient satisfaction and a more stable workforce. In 2018, St. Mary's Hospital was recognized by the Women's Choice Award for high standards in obstetrics and also by the Watson Health 100 Top Hospitals. SSM Health St. Clare Hospital - Baraboo offers acute care services as well as a wide range of other services including chemical dependency treatment and hemodialysis. St. Clare also offers cardiac rehabilitation, orthopedics, women's services, and older adult services and senior living. SSM Health St. Clare Meadows Care Center, an affiliate of St. Clare Hospital, provides a variety of healthcare and living options for the elderly of the greater Baraboo and Sauk County area. The 100-bed Medicare and Medicaid skilled nursing facility provides 24-hour nursing care for temporary rehabilitation care or permanent care basis in an atmosphere that celebrates the needs of the individual. SSM Health St. Mary's Hospital - Janesville operates a 50-bed hospital and an adjacent physicians' office complex. The hospital serves its community through emergency services, inpatient and outpatient services, a sleep lab, radiology, cardiology rehabilitation, and palliative care consulting. Built in 2012, the medical campus provides all private rooms, electronic health records, and a state-of-the-art emergency department. SSM Health Care of Wisconsin also furthers its exempt purpose with the following activities: - Operates an emergency room that is open to all persons regardless of ability to pay - Has an open medical staff with privileges available to all qualified physicians in the area - Has a governing body in which independent persons representative of the community comprise a majority - Engages in the training and education of health care professionals - Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs - All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. Quantifiable Uncompensated Care: The following is a list of the types of programs and services that could be included as uncompensated care: Traditional Charity Care $ 3,214,556 Unpaid Cost of Medicaid $ 27,087,208 Unpaid Cost of Medicare $ 10,749,153 Total Quantifiable Uncompensated Care $ 41,050,917 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 CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM HEALTH CARE OF WISCONSIN, INC. AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS D. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTEREST IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVES OF THE MEMBER AS DETERMINED BY THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body The organization does not have any committees with authority to act on behalf of the governing body. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is prepared by the tax department of the parent organization, SSM Health Care Corporation (SSMH). The return is then reviewed by an independent accounting firm who signs as paid preparer. The return is then provided to member of senior management. Any questions are addressed by the tax department of SSMH prior to filing the Form 990 with the Internal Revenue Service. A copy of the Form 990 is provided to the board of directors at the next regularly scheduled board meeting. Form 990, Part VI, Line 12c Conflict of interest policy BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY TO THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ONLINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR-END. Form 990, Part VI, Line 19 Required documents available to the public THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL OTHER REVENUE - Total Revenue: 1003949, Related or Exempt Function Revenue: , Unrelated Business Revenue: 76146, Revenue Excluded from Tax Under Sections 512, 513, or 514: 927803; Form 990, Part IX, Line 11g Other Fees Medical and other professional fees - Total Expense: 61939586, Program Service Expense: 40708894, Management and General Expenses: 20899647, Fundraising Expenses: 331045; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in beneficial interest in foundations - 2440231; Transfers to affiliates - -420300; FORM 990, PART I DOING BUSINESS AS SSM HEALTH CARE OF WISCONSIN, INC. CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: ST. CLARE HOSPITAL ST. MARY'S JANESVILLE HOSPITAL SSM HEALTH ST. CLARE MEADOWS CARE CENTER SSM HEALTH ST. MARY'S CARE CENTER SSM HEALTH ST. MARY'S HOSPITAL - MADISON SSM HEALTH ST. CLARE HOSPITAL - BARABOO SSM HEALTH ST. MARY'S HOSPITAL - JANESVILLE SSM Health Care Corporation 10101 Woodfield Lane St Louis MO 63132 466029223 Health Care MO 501(c)(3) Type I SSM Health Ministries false SSMHC Liability Trust I 10101 Woodfield Lane St Louis MO 63132 436331003 Insurance MO 501(c)(3) Type I SSM Health Care Corporation false SSM Consolidated Health Services 10101 Woodfield Lane St Louis MO 63132 431473657 Health Care MO 501(c)(3) 10 SSM Health Care Corporation false SSM Policy Institute 10101 Woodfield Lane St Louis MO 63132 431788151 Health Care MO 501(c)(4) SSM Health Care Corporation false SSM Health Care Portfolio Management Co 10101 Woodfield Lane St Louis MO 63132 431825256 Management MO 501(c)(3) Type I SSM Health Care Corporation false SSM Cardinal Glennon Children's Hospital 10101 Woodfield Lane St Louis MO 63132 430738490 Health Care MO 501(c)(3) 3 SSM Health Care St Louis false Cardinal Glennon Children's Foundation 10101 Woodfield Lane St Louis MO 63132 431754347 Fundraising MO 501(c)(3) 7 SSM Cardinal Glennon Children's Hospital false SSM Health Foundation - St Louis 10101 Woodfield Lane St Louis MO 63132 431552945 Fundraising MO 501(c)(3) 7 SSM Health Care St Louis false SSM Health Care of Oklahoma Inc 10101 Woodfield Lane St Louis MO 63132 730657693 Health Care OK 501(c)(3) 3 SSM Health Care Corporation false The St Anthony Hospital Foundation Inc 10101 Woodfield Lane St Louis MO 63132 736104300 Fundraising OK 501(c)(3) 7 SSM Health Care of Oklahoma false Dells Medical Building Inc 10101 Woodfield Lane St Louis MO 63132 391613292 MOB WI 501(c)(2) SSM Health Care of Wisconsin true St Mary's Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940686 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin true St Clare Health Care Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940683 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin true Home Health United Inc 2802 Walton Commons Lane Madison WI 53718 391539827 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin true Home Care United Inc 2802 Walton Commons Lane Madison WI 53718 391776340 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin true HHU Xtra Care Inc 2802 Walton Commons Lane Madison WI 53718 391705111 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin true SSM Health at Home Foundation of Wisconsin Inc 2802 Walton Commons Lane Madison WI 53718 391839309 Fundraising WI 501(c)(3) Type I Home Health United Inc false SSM Regional Health Services 10101 Woodfield Lane St Louis MO 63132 440579850 Health Care MO 501(c)(3) 3 SSM Health Care Corporation false St Mary's Health Center Jefferson City Missouri Foundation 10101 Woodfield Lane St Louis MO 63132 431575307 Fundraising MO 501(c)(3) Type I SSM Regional Health Services false Good Samaritan Regional Health Center 10101 Woodfield Lane St Louis MO 63132 430653587 Health Care IL 501(c)(3) 3 SSM Regional Health Services false St Mary's Hospital Centralia Illinois 10101 Woodfield Lane St Louis MO 63132 370662580 Health Care IL 501(c)(3) 3 SSM Regional Health Services false St Mary's - Good Samaritan Inc 10101 Woodfield Lane St Louis MO 63132 364170833 Health Care IL 501(c)(3) Type I SSM Regional Health Services false Good Samaritan Regional Health Center Foundation 10101 Woodfield Lane St Louis MO 63132 262884795 Fundraising IL 501(c)(3) 7 St Mary's-Good Samaritan Inc false St Mary's Hospital Foundation 10101 Woodfield Lane St Louis MO 63132 364636691 Fundraising IL 501(c)(3) 7 St Mary's-Good Samaritan Inc false St Mary's Hospital Auxiliary 400 N Pleasant Centralia IL 62801 237126345 Fundraising IL 501(c)(3) 10 St Mary's Hospital Foundation false SSM Health Businesses 10101 Woodfield Lane St Louis MO 63132 431333488 Health Care MO 501(c)(3) 10 SSM Health Care Corporation false SSM Health Care St Louis 10101 Woodfield Lane St Louis MO 63132 431343281 Health Care MO 501(c)(3) 3 SSM Health Care Corporation false Centralia Medical Services Bldg Assoc 10101 Woodfield Lane St Louis MO 63132 237408025 MOB IL 501(c)(3) Type I SSM Regional Health Services false St Mary's Janesville Foundation Inc 10101 Woodfield Lane St Louis MO 63132 273439133 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin true SSM Health Ministries 3221 McKelvey Road Suite 107 Bridgeton MO 63044 431012492 Religious Organization MO 501(c)(3) 1 NA false Lee Dewey Corporation 10101 Woodfield Lane St Louis MO 63132 731279603 MOB OK 501(c)(3) Type I SSM Health Care of Oklahoma false SSM Hospice & Home Care Foundation 10101 Woodfield Lane St Louis MO 63132 300012246 Fundraising MO 501(c)(3) 7 SSM Health Businesses false St Mary's Hospital Auxiliary 100 St Marys Medical Plaza Jefferson City MO 65101 436049878 Fundraising MO 501(c)(3) Type II NA false Good Samaritan Hospital Auxiliary 1 Good Samaritan Way Mount Vernon IL 62864 237049599 Fundraising IL 501(c)(3) Type III-FI NA false St Anthony Shawnee Hospital Inc 1000 N Lee Ave Oklahoma City OK 73102 455055149 Health Care OK 501(c)(3) 3 SSM Health Care of Oklahoma false SSM Audrain Health Care Inc 10101 Woodfield Lane St Louis MO 63132 431550298 Health Care MO 501(c)(3) 3 SSM Regional Health Services false Audrain Medical Center Foundation Inc 620 E Monroe St Mexico MO 65265 431265060 Fundraising MO 501(c)(3) Type I NA false SSM-SLUH Inc 10101 Woodfield Lane St Louis MO 63132 474196634 Health Care MO 501(c)(3) 3 SSM Health Care St Louis false SSM Health Plan 1277 Deming Way Madison WI 53717 831979548 Insurance MO 501(c)(4) SSM Health Businesses false Agnesian Healthcare Inc 430 E Division St Fond du Lac WI 54935 390807236 Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin true Ripon Medical Center Inc 845 Parkside Street Ripon WI 54971 391101287 Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc false Waupun Memorial Hospital Inc 620 West Brown Street Waupun WI 53963 390806265 Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc false St Francis Home of Fond du Lac Wisconsin Inc 33 Everett Street Fond du Lac WI 54935 391029998 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Sister Servants of Christ the King Villa Loretto N8114 County WW Mount Calvary WI 53057 391022770 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Villa Rosa Inc N8120 County WW Mount Calvary WI 53057 421670962 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false The Christian Home and Rehabilitation Center Incorporated 331 Bly Street Waupun WI 53963 390884514 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false The Monroe Clinic Inc 515 22nd Avenue Monroe WI 53566 390808509 Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin true Monroe Clinic and Hospital Foundation Inc 515 22nd Avenue Monroe WI 53566 205769038 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin true Agnesian Healthcare Foundation Inc 430 E Division St Fond du Lac WI 54935 391684956 Fundraising WI 501(c)(3) Type I SSM Health Care of Wisconsin true Shared Magnetic Resonance Imaging Facility Inc 1104 John Nolen Drive Madison WI 53713 391534744 Health Care WI 501(c)(3) Type I SSM Health Care of Wisconsin true 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 Dean Health Systems Inc Excluded -881956 0 false 0 false 0.4737 Wingra Building Group 1808 West Beltline Highway Madison WI 53713 390237060 MOB WI NA N/A Janesville Riverview Clinic Building Partnership 1808 West Beltline Highway Madison WI 53713 396220698 MOB WI NA N/A 1110 N Classen Blvd LLC 1110 N Classen Boulevard Oklahoma City OK 73106 731158158 MOB OK NA N/A SSM St Clare Surgical Center LLC 10101 Woodfield Lane St Louis MO 63132 261439695 Surgery Services MO NA N/A Windmill LLP 50 Village View Lane Chesterfield MO 63017 431804651 Investments MO NA N/A SSM Managed Care Organization LLC 10101 Woodfield Lane St Louis MO 63132 431708511 Health Promotion MO NA C Corporation false FPP INC & Subs 10101 Woodfield Lane St Louis MO 63132 431465174 Health Care MO NA C Corporation false Diversified Health Services Corp 10101 Woodfield Lane St Louis MO 63132 431369305 Medical Equipment MO NA C Corporation false SSM Properties Inc 10101 Woodfield Lane St Louis MO 63132 431462486 Property Services MO NA C Corporation false HealthFirst Physician Management Services 10101 Woodfield Lane St Louis MO 63132 731534336 Medical Services OK NA C Corporation false SSMHC Liability Trust II 10101 Woodfield Lane St Louis MO 63132 816128118 Insurance MO NA C Corporation false SSM Medical Group Inc 10101 Woodfield Lane St Louis MO 63132 431664107 Physician Offices MO NA C Corporation false SSMHC Insurance Company 10101 Woodfield Lane St Louis MO 63132 030310431 Insurance 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 SMDV Office Building 1808 West Beltline Highway Madison WI 53713 391628491 Physician Offices WI NA C Corporation false Dean Retail Services Inc 1808 West Beltline Highway Madison WI 53713 391717636 Property Services WI NA C Corporation false Navitus Holdings LLC 1808 West Beltline Highway Madison WI 53713 800968174 Pharmacy Benefits 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 Dane County Cytology Center Inc 2000 Engel Street Suite 201 Madison WI 53713 391414219 Medical Services WI NA C Corporation false SSM Health Insurance Company 1277 Deming Way Madison WI 53717 834718249 Insurance MO NA C Corporation false true true true false false false false false false true true true true true true false false true true St Mary's Foundation Inc C 2784085 Cash St Clare Health Care Foundation Inc C 274041 Cash Dells Medical Building A 37244 Cash St Mary's Janesville Foundation Inc C 201754 Cash