2020-11-04T15:35:04-06:00 2019-12-31 990 2019-01-01 390808509 The Monroe Clinic Inc MONR 6083242000 515 22nd Avenue Monroe WI 53566 Doug Long Secretary 2020-11-04 2019 2021-01-29 14:40:06Z JANE CURRAN-MEULI 515 22nd Avenue Monroe WI 53566 196406185 false 0928 X WWW.MONROECLINIC.ORG X 1963 WI THE MONROE CLINIC, INC. PROVIDES HEALTHCARE SERVICES TO THE COMMUNITIES IN AND SURROUNDING GREEN COUNTY, WI, AND STEPHENSON COUNTY, IL. MEDICAL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. 19 10 1488 246 2873009 0 245233 213664 177336847 173171698 4951748 13863575 7545316 8893764 190079144 196142701 11235 0 107949176 110719133 0 0 67072333 67836774 175021509 178567142 15057635 17575559 290834327 341623775 95931711 127279064 194902616 214344711 WORKING TOGETHER TO ACHIEVE THE HIGHEST STANDARDS IN HEALTHCARE, WE CREATE HEALTHY COMMUNITIES THROUGH GOD'S HEALING SPIRIT. VISION: EXCEPTIONAL HEALTHCARE, AN EXCEPTIONAL EXPERIENCE. false false 153455564 11235 177475231 Please see Schedule O for a complete description of program service accomplishments. 153455564 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 false true false false false false false false true false false false false false false true false false false true 1868 0 true 1488 true true true false false false false false false false false false true false X 19 10 false false false false true true true true true false false false true true true true true true true true true IL WI X Wade Weis 6083242775 515 22nd Avenue Monroe WI 53566 Darren Pipp Director, Assistant Secretary, Chief Medical Officer 40.0 0 X X 493034 0 30881 James Berberet Director, Chairperson 1.0 0 X X 0 0 0 Jane Curran-Meuli Director, President/CEO 40.0 1.0 X X 0 6731 0 Michael Sanders Director, President/CEO 40.0 1.0 X X 1286641 0 304411 Patty Leitzen Fye Director, Vice Chairperson 1.0 0 X X 0 0 0 Paula Friedman Pt Yr Director/Vice President, Pt Yr Senior VP-Strategic Development SSM Health 1.0 58.0 X X 0 1384920 282580 Steven Smoot Director, COO of SSM Health 1.0 50.0 X X 0 1066618 686232 Anthony Rogerson Director, Physician 40.0 0 X 612904 0 49225 Craig Hoesly Director 1.0 0 X 0 0 0 Greg Fedders Director 1.0 0 X 0 0 0 John King Director 1.0 0 X 0 0 0 Joseph Ehle Director, Physician 40.0 0 X 385568 0 46876 Joshua Morrison Director, Physician 40.0 0 X 410772 0 47981 Judy Thompson Director 1.0 0 X 0 0 0 Mark Thompson Director 1.0 43.0 X 0 575194 219571 Patty James Director 1.0 0 X 0 0 0 Sister Donna Innes Director 1.0 0 X 0 0 0 Sister Jomarie Zielke Director 1.0 0 X 0 0 0 Sr Susan Stucki Director 1.0 1.0 X 0 0 0 Steven Little Pt Yr Director, Pt Yr Regional Chief Operating Officer, Wisconsin 1.0 45.0 X 0 1395599 9512 Wendy Baumann Director 1.0 0 X 0 0 0 Doug Long Secretary, General Counsel at SSM Health 1.0 65.2 X 0 229550 471986 Kris Zimmer Treasurer, Chief Financial Officer at SSM Health 1.0 67.0 X 0 1365634 813620 Carrie Blum VP/Chief Information Officer 40.0 0 X 255914 0 84636 Chelsea Hardacre Interim Chief Nursing Officer 40.0 0 X 119546 0 40402 Jane Monahan VP Ministry & Human Resources 40.0 0 X 239230 0 82534 Lucinda Werkheiser VP/Service Excellence 40.0 0 X 225764 0 75652 Adam Schiro Physician 40.0 0 X 744359 0 54065 Ali Albaghdadi Physician 40.0 0 X 700207 0 38894 Arif Ahmad Physician 40.0 0 X 876461 0 63014 Nicholas Maxwell Physician 40.0 0 X 981371 0 60811 Sunil Penesetti Physician 40.0 0 X 953338 0 64434 8285109 6024248 3527316 135 false true false CG SCHMIDT INC 11777 WEST LAKE PARK DRIVE MILWAUKEE WI 53224 CONSTRUCTION MANAGEMENT 21588522 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 EHR MANAGEMENT 2258875 ASSOCIATED PATHOLOGISTS SC PO Box 628215 MIDDLETON WI 53562 PATHOLOGY TESTING 1071835 AMERICAN HEALTHCARE SERVICES ASSOCIATION 226 E SIXTEENTH STREET TRAVERSE CITY MI 49684 STAFFING SERVICES 996696 COMPHEALTH 7259 S BINGHAM JCT BLVD MIDVALE UT 84047 STAFFING SERVICES 602959 98 0 0 0 186365 12287 15012 0 213664 NET PATIENT REVENUE 621110 173171698 173171698 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 173171698 2304724 0 0 2304724 0 0 0 0 0 0 0 0 33013 0 33013 0 33013 33013 11304895 253956 11304895 253956 11558851 11558851 0 0 0 0 0 0 0 0 0 275658 263484 12174 12174 PHARMACY 446110 5666650 4303533 1363117 CAFETERIA 722210 1672035 0 0 1672035 COMMUNITY CONNECT 900099 1507877 0 1507877 0 2015 0 2015 0 8848577 196142701 177475231 2873009 15580797 11235 11235 4791971 4180338 611633 86523691 75480058 11043633 4827775 4211572 616203 9288003 8102509 1185494 5287693 4612787 674906 803 803 10235 10235 11281734 7848097 3433637 0 477731 477731 10085160 4086898 5998262 2478179 1517933 960246 771816 710624 61192 294608 257005 37603 2080255 2080255 9238464 9238464 357402 357402 Medical supplies 27278944 27278944 Medicaid Provider Tax 3091184 3091184 Licenses and taxes 390259 390259 0 0 0 0 178567142 153455564 25111578 0 7391 7392 12193180 17900963 26945921 26424125 0 0 0 0 1580382 1646788 3913039 2728914 2739673 2587480 150464526 16687717 111613665 133776809 108879894 103483127 4392068 5571111 18569114 47497066 290834327 341623775 20452714 18180149 879415 885826 0 0 74599582 108213089 95931711 127279064 X 190499764 209753746 4402852 4590965 194902616 214344711 290834327 341623775 X 17575559 687495 1179041 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 10235 10235 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The organization paid dues to various national and local hospital associations and a portion of these dues was allocated to lobbying activities. 3745187 127089 867013 128649 4610640 3867620 46068 -168501 3745187 3585767 5101 276752 3867620 3313994 85 271688 3585767 3300227 37367 -23600 3313994 0.15 0.85 0.0 false true true 3050000 3050000 110818175 9207688 101610487 3214441 598155 2616286 20664906 6881874 13783032 12717004 12717004 133776809 SSM COMPREHENSIVE INVESTMENT PROGRAM 102055115 F INVESTMENTS IN JOINT VENTURES 1428012 F 103483127 OTHER ASSETS 13731739 THIRD-PARTY PAYOR RECEIVABLE 370000 DUE FROM AFFILIATES 32936149 Operating right-of-use assets 459178 47497066 DEFERRED COMPENSATION 12116064 ASSET RETIREMENT OBLIGATION 384762 ALLOCATED TAX-EXEMPT DEBT FROM SSM HEALTH CARE CORPORATION 64193805 DUE TO AFFILIATES 31059280 Operating lease obligations 459178 108213089 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE OPERATING ENDOWMENT HAS BEEN ESTABLISHED TO SUPPORT THE OPERATING COSTS OF THE MONROE CLINIC AND HOSPITAL FOUNDATION. THE FUTURE OF HEALTHCARE ENDOWMENT HAS BEEN ESTABLISHED TO PROVIDE FUNDING FOR GRANTS AND PROGRAMS THAT SUPPORT THE MONROE CLINIC AND HOSPITAL FOUNDATION MISSION. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE MONROE CLINIC'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEALTH (SSMH). SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2019 OR 2018. true true true X 120 true X true true true false true true 1304213 1304213 0.0073 22661996 10028677 12633319 0.0707 0 0.0 0 0 23966209 10028677 13937532 0.0781 641337 641337 0.0036 343619 343619 0.0019 4011618 4011618 0.0225 0 0.0 124159 124159 0.0007 0 0 5120733 0 5120733 0.0287 0 0 29086942 10028677 19058265 0.1067 0 0.0 7500 7500 0.0000 8902 8902 0.0000 915 915 0.0000 283 283 0.0000 0 0.0 0 0.0 35 35 0.0000 0 0.0 0 0 17635 0 17635 0.0001 true 9729260 32869687 45700106 -12830419 X true true 1 1 Monroe Clinic 515 22nd Avenue Monroe WI 53566 www.monroeclinic.org 56 X X X X A A 1 false false true X X X X X X X X X 18 true false true true X https://www.monroeclinic.org/communityhealthplan X https://www.ssmhealth.com/about/chna X true 19 true https://www.ssmhealth.com/about/chna false true X 120.0 300.0 X X X X X true true X X X true X https://www.monroeclinic.org/communitycare X https://www.monroeclinic.org/communitycare X https://www.monroeclinic.org/communitycare X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Monroe Clinic. The hospital facility designed and administered a community health survey to assess the top health-related needs perceived in the county. A total of 350 responses to the survey, which was distributed via paper and online, were collected. The survey was taken by community members, healthcare providers, key stakeholders, and community advisors. Secondary data from multiple sources was analyzed and revealed health disparities and key issues impacting social determinants of health. The community survey results and secondary data were presented to the coalition who then used the information to identify community health themes and issues. Secondary data from multiple sources also revealed health disparities and issues. This secondary data and the community perception survey results were presented to a group of community stakeholders, who used the data to make final selections to identify community health priorities. Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - Monroe Clinic. The facility conducted its 2018 CHNA through extensive collaboration with Green County (WI) Public Health. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Monroe Clinic. The hospital identified various health needs in the 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: - Substance abuse - Mental health - Physical activity - Food security and breastfeeding Substance abuse Multiple factors contribute to substance abuse: 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. Additionally, statistics show: - Alcohol is the most widely-used and widely-abused drug - Two-thirds of adults regularly consuming alcohol - 13 percent of the US population is classified as binge drinkers The hospital has taken the following steps to improve substance abuse in the community: - Implemented a "Drug Court" system in Green County - Hosted seven community Narcan trainings - Provided new services to residents for AODA & Mental Health - Implemented a Teen Intervene program in two schools - Distributed 80 medication lock boxes, drug disposal kits, and promoted use of drug drop off boxes - Monroe Clinic implemented a patient pain reduction contract and chronic pain education class to reduce the use of opioids - Hosted five opioid movie screenings and a variety of media and health promotions - Initiated a Youth to Youth group in Brodhead - Received grant funds to provide counseling, case management, nursing care, medication and assisted treatment, detoxification, and residential treatment services to the county Mental health One in five Americans suffer from a mental health issue each year. Mental health includes our emotional, psychological, and social well-being. It impacts general health and quality of life at every stage. Locally, mental health professions are challenged by a need for services that exceeds availability. The result is mental health care in Green County is largely focused on providing crisis intervention and follow-up services. The hospital has taken the following steps to improve mental health in the community: - Collaborated with "Better Brodhead" in expanding behavioral health services to the Brodhead area - Facilitated psychosocial skills groups at Brodhead High School and Monroe Middle School - Conceptualized a "Mental Health Navigator" role and partnered with the UW School of Medicine and Public Health for a feasibility study - Collaborative partner with the Southern Wisconsin Behavioral Health Partnership - Monroe Clinic sponsored two Mental Health First Aid trainings a year and have trained over 200 individuals Physical activity A sedentary lifestyle impacts health on many levels and is often a key contributor to obesity. The percentage of individuals considered overweight or obese continues to rise on a national and local level. Increased physical activity is proven to lower obesity rates as well as decrease risks for health conditions, such as heart disease, stroke, diabetes, depression and certain types of cancer. Additionally, statistics show: - Green County's obesity rate is 35% - Wisconsin's state-wide obesity rate is 31% The hospital has taken the following steps to improve physical activity in the community: - Surpassed goal of 20 participating businesses for company to company physical activity challenge in second year of "Let's get Moo-Ving Green County" - 1,391 participants recorded 526,473 minutes of physical activity in "Let's Get Moo-Ving Green County" challenge in 2018 - Promoted use of Badger State Trail by creating Green County Bike Resource Guide/Trail Map and held events on the trail - Supported addition of mile markers to Badger State Trail Food security and breastfeeding Food security is met when all people, at all times, have physical, social, and economic access to sufficient, safe, and nutritious food. A changing climate, growing global population, rising food prices, and environmental stressors may continue to have undetermined impacts on food security. Statistics show that Green County's food insecurity rate is 9 percent. At birth and the months following, the best source of food security for babies is breastfeeding. Breastmilk helps fight infections and respiratory illnesses in infants. It can also lower the risk of sudden infant death syndrome in the first year of baby's life. The hospital has taken the following steps to improve food security and breastfeeding in the community: - The Monroe Farmers Market saw a 35% increase in the number of vendors - EBT (Electronic Benefit Transfer) machine was added to the farmers market - 55 different SNAP clients bought from the Farmers Market - Farmers Market vendors donated 4,380 pounds of food to local food pantries in the past three years - Two breastfeeding resources were developed, endorsed and used regionally by community partners - Five certified lactation counselors are now available to provide support and education to breastfeeding families - 48 Green County employers received tool-kits with breastfeeding policies and practices - Monroe Clinic/SSM Health and and Green County Government adopted a workplace breastfeeding policy 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 (additional descriptions available in the 2018 CHNA): - Dementia/aging population - Housing - Access to care Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - Monroe Clinic (continued). During 2019, the following activities were performed to help address the issues identified in the CHNA: Substance abuse * Monroe Clinic Pharmacotherapist trained healthcare professionals on CBD and Marijuana * Offered E-Cig/Vaping education to local high school and junior high student Mental Health * Implemented Behavioral Health school clinics in five of our county schools * Staff participated in the Mental Health Summit (5 County collaboration) * Offered Mental Health First Aid trainings in WI and IL communities * Monroe Clinic sponsored the "Got Your Back" Mental Health App by Jacob Swag Foundation Physical Activity * Sponsored "Let's Get Moo-Ving" Green County Wellness Week (30 area businesses participated) Food Security and breastfeeding * Monroe Clinic employees donated food to local food pantries * Monroe Clinic and Green County Public Health and Stephenson County Public Health created a common breastfeeding message for patients upon discharge. * Trained two nurses to be Certified Lactation Counselors * Monroe Clinic staff delivers "Meals on Wheels" 10 MONROE CLINIC - HIGHLAND WOMEN'S CARE 3103 W KUNKLE BLVD FREEPORT IL 61032 COMMUNITY-BASED OUTPATIENT CLINIC MONROE CLINIC - FREEPORT 1301 S KIWANIS DRIVE FREEPORT IL 61032 COMMUNITY-BASED OUTPATIENT CLINIC MONROE CLINIC - FREEPORT EYE CARE 1110 S PARK BLVD FREEPORT IL 61032 COMMUNITY-BASED OUTPATIENT CLINIC MONROE CLINIC - BRODHEAD 1904 FIRST CENTER AVENUE BRODHEAD WI 53520 COMMUNITY-BASED OUTPATIENT CLINIC MONROE CLINIC - LENA 214 SCHUYLER LENA IL 61048 COMMUNITY-BASED OUTPATIENT CLINIC MONROE CLINIC - NEW GLARUS 1800 SECOND STREET NEW GLARUS WI 53574 COMMUNITY-BASED OUTPATIENT CLINIC MONROE CLINIC - ALBANY 700 CAROLAN DRIVE ALBANY WI 53502 COMMUNITY-BASED OUTPATIENT CLINIC MONROE CLINIC- DURAND 400 S CENTER STREET DURAND IL 61024 COMMUNITY-BASED OUTPATIENT CLINIC MONROE CLINIC FASTCARE 405 W 8TH ST MONROE WI 53566 COMMUNITY-BASED OUTPATIENT CLINIC MONROE CLINIC - BLANCHARDVILLE 309 S MAIN STREET BLANCHARDVILLE WI 53516 COMMUNITY-BASED OUTPATIENT CLINIC Schedule H, Part I, Line 6a Community benefit report prepared by related organization SSM Health Care Corporation, 46-6029223 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The amounts reported on Form 990, Schedule H, Part I, Line 7a, 7b, and 7c were determined using the cost to charge ratio derived from worksheet 2 in the schedule h instructions. Form 990, schedule h, part I, Lines 7e, 7f, 7g, 7h, and 7i are reported at cost as reported in the organization's financial statements. The calculation of Schedule H, Part I, Line 7, Column F utilizes 990, Part IX, Line 25, Column A, which does not include Bad Debt Expense. Schedule H, Part II Community Building Activities THE MONROE CLINIC 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: ECONOMIC DEVELOPMENT: SUPPORT FOR GREEN COUNTY GROWTH OPPORTUNITY FUND WHICH SUPPORTS SMALL BUSINESSES, COMMUNITY SUPPORT: SHOP WITH A COP PROGRAM IN GREEN AND LAFAYETTE COUNTIES, COMMUNITY RUN SUPPORT, FOOD PANTRY SUPPORT, ENVIRONMENTAL IMPROVEMENTS: ROADSIDE CLEANUP, LEADERSHIP DEVELOPMENT AND TRAINING: CONDUCTING MOCK INTERVIEW FOR STUDENTS TO PREPARE THEM FOR FUTURE CAREERS, WORKFORCE DEVELOPMENT: VISIT TO TECHNICAL SCHOOL FOR CAREER DAY. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The Monroe Clinic is part of the SSM Health consolidated audit. The footnote that references the treatment of uncollectible accounts and implicit price concessions in the December 31, 2019 consolidated audit is contained on page 11 and 12 of the attached financial statements. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance MONROE CLINIC RECOGNIZES THE INHERENT VALUE OF ALL INDIVIDUALS. ALL INDIVIDUALS HAVE THE RIGHT TO BE TREATED WITH RESPECT AND DIGNITY. THOSE INDIVIDUALS INDICATING LACK OF FINANCIAL RESOURCES TO PAY FOR SERVICES WILL BE DIRECTED TO MONROE CLINIC'S COMMUNITY CARE PROGRAM TO ENSURE ALL INDIVIDUALS QUALIFYING FOR ASSISTANCE ARE INDEED GIVEN ASSISTANCE. INDIVIDUALS WITH THE FINANCIAL RESOURCES TO PAY FOR SERVICES ARE EXPECTED TO DO SO IN A TIMELY MANNER TO ENSURE MONROE CLINIC'S FINANCIAL HEALTH AND ABILITY TO MAINTAIN OPERATIONS AND CONTINUED COMMUNITY CARE. PATIENTS WITH FINANCIAL RESOURCES ARE ASKED TO PAY CO-PAYMENTS AT THE TIME OF SERVICE AND TO PAY BALANCES REMAINING DUE AFTER INSURANCE HAS PAID WITHIN 30 DAYS OR MAKE MUTUALLY AGREEABLE PAYMENT ARRANGEMENTS WITH PATIENT ACCOUNTING. COLLECTION AGENCIES USED BY MONROE CLINIC GUARANTEE COMPLIANCE WITH THE FAIR DEBT COLLECTION PRACTICES ACT AND THE ACA INTERNATIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY. Schedule H, Part V, Section B, Line 16a FAP website A - Monroe Clinic: Line 16a URL: https://www.monroeclinic.org/communitycare; Schedule H, Part V, Section B, Line 16b FAP Application website A - Monroe Clinic: Line 16b URL: https://www.monroeclinic.org/communitycare; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - Monroe Clinic: Line 16c URL: https://www.monroeclinic.org/communitycare; 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, outpatient and inpatient registration and public waiting areas. * Brochures or fliers provided at time of registration and available in the financial counseling areas. * Notices sent with or on patient bills or communications sent to patients and guarantors related to medical services. * Applications provided to uninsured patients at the time of registration. The application for charity care, together with any instructions, must clearly state the policies regarding charity care, including excluded services, eligibility criteria and documentation requirements. Information about the entity's charity policies is also provided to public agencies. Schedule H, Part VI, Line 4 Community information The Monroe Clinic is located in Monroe, Wisconsin, in Green County. The county accounts for 51% of Monroe Clinic's clinic visits and 53% of its hospital admissions. The Monroe Clinic's service area also consists of portions of Lafayette and Rock Counties in Wisconsin, as well as portions of northern Illinois. The 2018 population estimate for the service area was 37,050. In Green County, the population is growing older. The median age in 2015 was 42.8 years old; however, by 2020, it is estimated that there will be a 37% increase (since 2010) in the population of those 65 years and older. Median Household income was reported at $57,416 in 2016, slightly higher than the state as a whole. Likewise, the county's poverty rate of 9 percent was below state and national averages. High school degrees were obtained by 43 percent of the county and a Bachelor's degree by 10 percent. Additional demographic and statistical information on the hospital's community can be found throughout the 2018 CHNA. Schedule H, Part VI, Line 5 Promotion of community health The Monroe Clinic participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. Focusing on a broad definition of health, Monroe Clinic provides medical and mental health services, health education, health management, prevention, referrals, insurance enrollment and in-home primary care services and support, while fostering collaboration and incorporating Community Benefit strategies. The Monroe Clinic promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote community health. The Monroe Clinic also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. Schedule H, Part VI, Line 6 Affiliated health care system The Monroe Clinic is a 501(c)(3) organization and is a member of the integrated health care system known as SSM Health. Schedule H, Part VI, Line 7 State filing of community benefit report IL, WI true Main Street Monroe 1717 10th Street Monroe WI 53566 452302582 501(c)(3) 6000 Support community 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDING 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 X X X true true false false false true false false false Steven Smoot Director, COO of SSM Health 0 882327 0 172763 0 11529 0 667250 0 18983 0 1752851 0 97763 Paula Friedman Pt Yr Director/Vice President, Pt Yr Senior VP-Strategic Development SSM Health 0 270134 0 189852 0 924934 0 278843 0 3736 0 1667500 0 618871 Michael Sanders Director, President/CEO 1146626 0 133157 0 6858 0 285883 0 18528 0 1591052 0 133157 0 Darren Pipp Director, Assistant Secretary, Chief Medical Officer 492195 0 425 0 414 0 16869 0 14012 0 523915 0 425 0 Mark Thompson Director 0 494318 0 76618 0 4259 0 188808 0 30763 0 794765 0 76618 Steven Little Pt Yr Director, Pt Yr Regional Chief Operating Officer, Wisconsin 0 119395 0 274864 0 1001341 0 5133 0 4379 0 1405111 0 112832 Joshua Morrison Director, Physician 398905 0 11807 0 60 0 27491 0 20490 0 458753 0 11807 0 Anthony Rogerson Director, Physician 600801 0 11845 0 258 0 28720 0 20505 0 662129 0 11845 0 Joseph Ehle Director, Physician 373452 0 12026 0 90 0 26371 0 20505 0 432444 0 12026 0 Kris Zimmer Treasurer, Chief Financial Officer at SSM Health 0 887868 0 230489 0 247277 0 797538 0 16082 0 2179255 0 340596 Doug Long Secretary, General Counsel at SSM Health 0 149400 0 0 0 80150 0 469438 0 2548 0 701536 0 0 Lucinda Werkheiser VP/Service Excellence 187549 0 37555 0 660 0 58172 0 17480 0 301416 0 37555 0 Carrie Blum VP/Chief Information Officer 213851 0 41797 0 266 0 69372 0 15264 0 340550 0 41797 0 Jane Monahan VP Ministry & Human Resources 197802 0 40311 0 1117 0 61966 0 20568 0 321764 0 40311 0 Chelsea Hardacre Interim Chief Nursing Officer 109151 0 10341 0 54 0 20389 0 20013 0 159948 0 10341 0 Nicholas Maxwell Physician 957162 0 23813 0 396 0 42513 0 18298 0 1042182 0 23813 0 Arif Ahmad Physician 855883 0 20320 0 258 0 42509 0 20505 0 939475 0 20320 0 Adam Schiro Physician 726536 0 17775 0 48 0 35767 0 18298 0 798424 0 17775 0 Ali Albaghdadi Physician 693167 0 6950 0 90 0 37173 0 1721 0 739101 0 6950 0 Sunil Penesetti Physician 944098 0 9180 0 60 0 45369 0 19065 0 1017772 0 9180 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees The organization paid social club dues on behalf of the following individuals listed on Part VII, Section A in 2019. These payments were included in their taxable compensation. Michael Sanders $120 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: Paula Friedman $470,555 Steven Little $928,541 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The following individuals listed on Part VII, Section A, Line 1a participate in a nonqualified retirement plan and earned the following amounts in 2019: Arif Ahmad $4,346 Ali Albaghdadi $3,503 Carrie Blum $1,221 Joseph Ehle $1,977 Chelsea Hardacre $636 Nicholas Maxwell $4,778 Jane Monahan $1,178 Joshua Morrison $2,053 Sunil Penesetti $4,742 Darren Pipp $2,448 Anthony Rogerson $3,073 Michael Sanders $5,114 Adam Schiro $3,597 Lucinda Werkheiser $1,097 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 2019. 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 2019: Mark Thompson $38,000 Steven Smoot $105,1668 Kris Zimmer $105,240 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2019. All distributions received from the plan in the current year were included in the individual's taxable compensation. Steven Little $56,667 Paula Friedman $429,019 Kris Zimmer $111,962 During 2019, 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: Paula Friedman $9,691 Kris Zimmer $66,609 Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization THE ORGANIZATION USES NET EARNINGS AS 20% OF THE CALCULATION FOR THE GAIN SHARE PROGRAM. Tiffany Pipp Spouse of Darren Pipp, director and officer of the organization 99749 Employment false Trish Hoesly Mother of Craig Hoesly, director of the organization 99874 Employment false Sarah Endicott DAUGHTER OF MICHAEL SANDERS, DIRECTOR AND OFFICER OF THE ORGANIZATION 10937 EMPLOYMENT false Form 990, Part III, Line 4a Program Service Accomplishments Briefly describe the corporation's mission: Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 23 acute care hospitals, one children's hospital, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company, and an Accountable Care Organization. The health system employs nearly 40,000 people and is affiliated with 11,000 physicians making it one of the largest employers in every community it serves. In the tradition of its founding sisters, SSMH strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. About Monroe Clinic: MONROE CLINIC IS A NOT-FOR-PROFIT HEALTHCARE FACILITY FEATURING A MULTI-SPECIALTY CLINIC AND HOSPITAL DEDICATED TO BRINGING THE BEST CARE TO THE COMMUNITIES WE SERVE. WORKING TOGETHER TO ACHIEVE THE HIGHEST STANDARDS OF HEALTHCARE, WE CREATE HEALTHY COMMUNITIES THROUGH GOD'S HEALING SPIRIT. In 2018, MONROE CLINIC JOINED THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH AND CONTINUES TO OFFER COMPREHENSIVE HEALTH CARE WITH OVER 120 PROVIDERS, A 24-HOUR EMERGENCY DEPARTMENT, HOME CARE AND HOSPICE SERVICES, AS WELL AS MULTIPLE CLINIC LOCATIONS IN SOUTHERN WISCONSIN AND NORTHERN ILLINOIS. IN ALL THAT WE DO, WE ARE DEDICATED TO HELPING OUR PATIENTS GET BETTER FASTER AND STAY HEALTHIER LONGER. AS A STATE-OF-THE-ART HEALTH SYSTEM, WE OFFER ADVANCED MEDICAL EQUIPMENT AND TECHNOLOGY COMBINED WITH CARE AND SENSITIVITY. PHYSICIANS AND STAFF ARE COMMITTED TO PROVIDING PERSONALIZED HEALTH CARE, EDUCATION AND PEACE OF MIND. OUR PATIENTS BENEFIT FROM EXCEPTIONAL PREVENTIVE AND REHABILITATION SERVICES AND MORE THAN 25 MEDICAL SPECIALTIES. WITH GOD'S BLESSING, MONROE CLINIC IS ABLE TO MEET THE NEEDS OF THOSE WE ARE PRIVILEGED TO SERVE. TO DATE WE HAVE BEEN AMONG THE HIGHEST PERFORMING HOSPITALS IN THE AREA. PATIENT SATISFACTION SCORES ARE SIGNIFICANTLY ABOVE THE AVERAGE OF OTHER HEALTHCARE FACILITIES. OUR HIGHLY TRAINED PHYSICIANS AND STAFF ARE READY TO PROVIDE BOTH EXCEPTIONAL HEALTHCARE AND AN EXCEPTIONAL EXPERIENCE TO THE PATIENTS AND COMMUNITIES WE SERVE. The Monroe Clinic furthers its exempt purpose with the following activities: - Operates an emergency room that is open to all persons regardless of ability to pay, - Has an open medical staff with privileges available to all qualified physicians in the area, - Has a governing body in which independent persons representative of the community comprise a majority - Engages in the training and education of health care professionals, - Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs - All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. Quantifiable Uncompensated Care: The following is a list of the types of programs and services that could be included as uncompensated care: Traditional Charity Care $ 1,304,213 Unpaid Cost of Medicaid $ 12,633,319 Unpaid Cost of Medicare $ 12,830,419 Total Quantifiable Uncompensated Care $ 26,767,951 Form 990, Part VI, Line 6 Classes of members or stockholders The sole member of the corporation is SSM Health Care of Wisconsin, Inc. SSM Health Care of Wisconsin, Inc, is a nonprofit 501(C)(3) organization. Both The Monroe Clinic and SSM Health Care of Wisconsin, Inc. are part of the integrated health care system known as SSM Health. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The member has the power to appoint additional, successor or replacement members and to appoint and remove the appointed directors and the ex officio directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The member has the following powers: A. to establish and change the mission, philosophy and values of the Corporation; B. to appoint additional, successor or replacement Members; C. to appoint and remove the Directors; D. to appoint and remove the President of the Corporation and the chief executive officer of any operating division of the Corporation; E. to approve amendments to the Articles of Incorporation of the Corporation as provided therein; F. to approve amendments to the Bylaws of the Corporation; G. to approve the merger, consolidation or dissolution of the Corporation; H. to approve the formation of a Controlled Subsidiary or a Remotely Controlled Subsidiary; I. to approve the sale of all or substantially all of the assets of the Corporation; J. to approve the acquisition or disposition by the Corporation of another legal entity or an interest in another legal entity; K. to authorize or approve the acquisition or disposition by the Corporation of real property or any interest in real property; L. to establish centralized employee benefit, insurance, investment, financing, corporate responsibility, performance assessment and improvement and other operational and support programs; to require the participation of the Corporation in such programs; and to authorize the opening and closing of bank accounts and investment accounts in the name of the Corporation in connection with such programs; M. to approve the strategic, financial and human resources plan of the Corporation; N. to appoint the auditor and corporate counsel for the Corporation; O. to authorize and approve borrowing money and entering into financial guaranties by the Corporation, including actions relating to the formation, joining, operation, withdrawal from and termination of a credit group or an obligated group and the granting of security interests in the property of the Corporation; P. to require the Corporation to transfer assets, including but not limited to cash, to SSMHCC or to any other entity exempt from federal income tax as an organization described in §501(c)(3) of the Internal Revenue Code of 1986, as amended, or the corresponding provision of any future United States Internal Revenue Law, which is controlled by SSMHCC, to the extent necessary to accomplish the mission, goals and objectives of SSMHCC as determined by SSMHCC; Q. to approve the transfer of assets by the Corporation to any entity other than SSMHCC, other than transfers made in the ordinary course of operations of the Corporation which will not require Member approval; and R. to determine the extent to which and the manner in which the powers described in this section which are reserved to SSMHCC with respect to the Corporation are to be included in the governing documents of any Controlled Subsidiary, Remotely Controlled Subsidiary or Non-Controlled Subsidiary and exercised with respect to any Controlled Subsidiary, any Remotely Controlled Subsidiary or any Non-Controlled Subsidiary. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is prepared by the Tax Department of the parent organization, SSM Health Care Corporation (SSM). The Form 990 is reviewed by certain members of Senior Management. Any questions are addressed to the Tax Director of SSM prior to filing the Form 990 with the Internal Revenue Service. A copy of the Form 990 is provided to the Board of Directors at the next regularly scheduled board meeting. Form 990, Part VI, Line 12c Conflict of interest policy ANNUALLY, CONFLICT OF INTEREST STATEMENTS AND POLICY ARE DISTRIBUTED TO MEMBERS OF THE BOARD AND ANY EMPLOYEE WHO HAS AUTHORITY TO ENTER INTO CONTRACTS AND OTHER TRANSACTIONS ON BEHALF OF MONROE CLINIC. THE COMPLETED FORMS ARE REVIEWED BY ADMINISTRATION. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE ORGANIZATION'S CEO AND SENIOR LEADERSHIP TEAM'S COMPENSATION PLAN IS REVIEWED AND APPROVED AT FORMAL MEETINGS OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT NON-EMPLOYEE MEMBERS WHO HAVE NO PERSONAL INTEREST IN THE COMPENSATION AGREEMENT TO BE REVIEWED AND RECOMMENDED BY THE COMPENSATION COMMITTEE. THIS COMMITTEE REVIEWS COMPARABLE WISCONSIN AND NATIONAL COMPENSATION DATA AND ESTABLISHES BASE COMPENSATION AT THE COMPARABLE MARKET MEDIAN BY THE POSITION AS OUTLINED IN THE COMPENSATION COMMITTEE CHARTER. ADDITIONALLY THE COMMITTEE HAS AUTHORITY TO RETAIN A COMPENSATION CONSULTANT TO ASSIST THE COMMITTEE IN EVALUATING SENIOR MANAGEMENT COMPENSATION. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE ORGANIZATION'S CEO AND SENIOR LEADERSHIP TEAM'S COMPENSATION PLAN IS REVIEWED AND APPROVED AT FORMAL MEETINGS OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT NON-EMPLOYEE MEMBERS WHO HAVE NO PERSONAL INTEREST IN THE COMPENSATION AGREEMENT TO BE REVIEWED AND RECOMMENDED BY THE COMPENSATION COMMITTEE. THIS COMMITTEE REVIEWS COMPARABLE WISCONSIN AND NATIONAL COMPENSATION DATA AND ESTABLISHES BASE COMPENSATION AT THE COMPARABLE MARKET MEDIAN BY THE POSITION AS OUTLINED IN THE COMPENSATION COMMITTEE CHARTER. ADDITIONALLY THE COMMITTEE HAS AUTHORITY TO RETAIN A COMPENSATION CONSULTANT TO ASSIST THE COMMITTEE IN EVALUATING SENIOR MANAGEMENT COMPENSATION. Form 990, Part VI, Line 19 Required documents available to the public The year-end audited consolidated financial statements and unaudited quarterly consolidated financial statements for the SSM Health System are made available to the public on SSM Health's website. The organization's Articles of Incorporation are available on the Wisconsin Secretary of State's website. Copies of the Form 990 and the conflict of interest policy are available to the public upon request. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revenue - Total Revenue: 2015, Related or Exempt Function Revenue: , Unrelated Business Revenue: 2015, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in beneficial interest in foundation - 1179041; SSM Health Care Corporation 10101 Woodfield Lane St Louis MO 63132 466029223 Health Care MO 501(c)(3) Type I SSM Health Ministries false SSMHC Liability Trust I 10101 Woodfield Lane St Louis MO 63132 436331003 Insurance MO 501(c)(3) Type I SSM Health Care Corporation false SSM Consolidated Health Services 10101 Woodfield Lane St Louis MO 63132 431473657 Health Care MO 501(c)(3) 10 SSM Health Care Corporation false SSM Policy Institute 10101 Woodfield Lane St Louis MO 63132 431788151 Health Care MO 501(c)(4) SSM Health Care Corporation false SSM Health Care Portfolio Management Co 10101 Woodfield Lane St Louis MO 63132 431825256 Management MO 501(c)(3) Type I SSM Health Care Corporation false SSM Cardinal Glennon Children's Hospital 10101 Woodfield Lane St Louis MO 63132 430738490 Health Care MO 501(c)(3) 3 SSM Health Care St Louis false Cardinal Glennon Children's Foundation 10101 Woodfield Lane St Louis MO 63132 431754347 Fundraising MO 501(c)(3) 7 SSM Cardinal Glennon Children's Hospital false SSM Health Foundation - St Louis 10101 Woodfield Lane St Louis MO 63132 431552945 Fundraising MO 501(c)(3) 7 SSM Health Care St Louis false SSM Health Care of Oklahoma Inc 10101 Woodfield Lane St Louis MO 63132 730657693 Health Care OK 501(c)(3) 3 SSM Health Care Corporation false The St Anthony Hospital Foundation Inc 10101 Woodfield Lane St Louis MO 63132 736104300 Fundraising OK 501(c)(3) 7 SSM Health Care of Oklahoma false SSM Health Care of Wisconsin Inc 10101 Woodfield Lane St Louis MO 63132 430688874 Health Care WI 501(c)(3) 3 SSM Health Care Corporation false Dells Medical Building Inc 10101 Woodfield Lane St Louis MO 63132 391613292 MOB WI 501(c)(2) SSM Health Care of Wisconsin false St Mary's Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940686 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false St Clare Health Care Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940683 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false Home Health United Inc 2802 Walton Commons Lane Madison WI 53718 391539827 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false Home Care United Inc 2802 Walton Commons Lane Madison WI 53718 391776340 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false HHU Xtra Care Inc 2802 Walton Commons Lane Madison WI 53718 391705111 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false SSM Health at Home Foundation of Wisconsin Inc 2802 Walton Commons Lane Madison WI 53718 391839309 Fundraising WI 501(c)(3) Type I Home Health United Inc false SSM Regional Health Services 10101 Woodfield Lane St Louis MO 63132 440579850 Health Care MO 501(c)(3) 3 SSM Health Care Corporation false St Mary's Health Center Jefferson City Missouri Foundation 10101 Woodfield Lane St Louis MO 63132 431575307 Fundraising MO 501(c)(3) Type I SSM Regional Health Services false Good Samaritan Regional Health Center 10101 Woodfield Lane St Louis MO 63132 430653587 Health Care IL 501(c)(3) 3 SSM Regional Health Services false St Mary's Hospital Centralia Illinois 10101 Woodfield Lane St Louis MO 63132 370662580 Health Care IL 501(c)(3) 3 SSM Regional Health Services false St Mary's - Good Samaritan Inc 10101 Woodfield Lane St Louis MO 63132 364170833 Health Care IL 501(c)(3) Type I SSM Regional Health Services false Good Samaritan Regional Health Center Foundation 10101 Woodfield Lane St Louis MO 63132 262884795 Fundraising IL 501(c)(3) 7 St Mary's-Good Samaritan Inc false St Mary's Hospital Foundation 10101 Woodfield Lane St Louis MO 63132 364636691 Fundraising IL 501(c)(3) 7 St Mary's-Good Samaritan Inc false St Mary's Hospital Auxiliary 400 N Pleasant Centralia IL 62801 237126345 Fundraising IL 501(c)(3) 10 St Mary's Hospital Foundation false SSM Health Businesses 10101 Woodfield Lane St Louis MO 63132 431333488 Health Care MO 501(c)(3) 10 SSM Health Care Corporation false SSM Health Care St Louis 10101 Woodfield Lane St Louis MO 63132 431343281 Health Care MO 501(c)(3) 3 SSM Health Care Corporation false Centralia Medical Services Bldg Assoc 10101 Woodfield Lane St Louis MO 63132 237408025 MOB IL 501(c)(3) Type I SSM Regional Health Services false St Mary's Janesville Foundation Inc 10101 Woodfield Lane St Louis MO 63132 273439133 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false SSM Health Ministries 3221 McKelvey Road Suite 107 Bridgeton MO 63044 431012492 Religious Organization MO 501(c)(3) 1 NA false Lee Dewey Corporation 10101 Woodfield Lane St Louis MO 63132 731279603 MOB OK 501(c)(3) Type I SSM Health Care of Oklahoma false SSM Hospice & Home Care Foundation 10101 Woodfield Lane St Louis MO 63132 300012246 Fundraising MO 501(c)(3) 7 SSM Health Businesses false St Mary's Hospital Auxiliary 100 St Marys Medical Plaza Jefferson City MO 65101 436049878 Fundraising MO 501(c)(3) Type II NA false Good Samaritan Hospital Auxiliary 1 Good Samaritan Way Mount Vernon IL 62864 237049599 Fundraising IL 501(c)(3) Type III-FI NA false St Anthony Shawnee Hospital Inc 1000 N Lee Ave Oklahoma City OK 73102 455055149 Health Care OK 501(c)(3) 3 SSM Health Care of Oklahoma false SSM Audrain Health Care Inc 10101 Woodfield Lane St Louis MO 63132 431550298 Health Care MO 501(c)(3) 3 SSM Regional Health Services false Audrain Medical Center Foundation Inc 620 E Monroe St Mexico MO 65265 431265060 Fundraising MO 501(c)(3) Type I NA false SSM-SLUH Inc 10101 Woodfield Lane St Louis MO 63132 474196634 Health Care MO 501(c)(3) 3 SSM Health Care St Louis false SSM Health Plan 1277 Deming Way Madison WI 53717 831979548 Insurance MO 501(c)(4) SSM Health Businesses false Agnesian Healthcare Inc 430 E Division St Fond du Lac WI 54935 390807236 Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin false Ripon Medical Center Inc 845 Parkside Street Ripon WI 54971 391101287 Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc false Waupun Memorial Hospital Inc 620 West Brown Street Waupun WI 53963 390806265 Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc false St Francis Home of Fond du Lac Wisconsin Inc 33 Everett Street Fond du Lac WI 54935 391029998 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Sister Servants of Christ the King Villa Loretto N8114 County WW Mount Calvary WI 53057 391022770 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Villa Rosa Inc N8120 County WW Mount Calvary WI 53057 421670962 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false The Christian Home and Rehabilitation Center Incorporated 331 Bly Street Waupun WI 53963 390884514 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Monroe Clinic and Hospital Foundation Inc 515 22nd Avenue Monroe WI 53566 205769038 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false Agnesian Healthcare Foundation Inc 430 E Division St Fond du Lac WI 54935 391684956 Fundraising WI 501(c)(3) Type I SSM Health Care of Wisconsin false Shared Magnetic Resonance Imaging Facility Inc 1104 John Nolen Drive Madison WI 53713 391534744 Health Care WI 501(c)(3) Type I SSM Health Care of Wisconsin false SSM St Joseph Endoscopy Center LLC 10101 Woodfield Lane St Louis MO 63132 270046559 Surgery Services MO NA N/A 0 0 0 0 St Clare Imaging Services LLC 707 14th Street Suite A Baraboo WI 53913 200122365 Diag. Services WI NA N/A 0 0 0 0 Mt Vernon Radiation Therapy Center LLC 10101 Woodfield Lane St Louis MO 63132 201382620 Radiation Therapy IL NA N/A 0 0 0 0 Sleep & Neurology Center of Southern Illinois LLC 10101 Woodfield Lane St Louis MO 63132 208468195 Diag. Services IL NA N/A 0 0 0 0 CHOWSMGSI Office Building LLC 10101 Woodfield Lane St Louis MO 63132 371383861 MOB IL NA N/A 0 0 0 0 Oza Cancer Center LLC 10101 Woodfield Lane St Louis MO 63132 201382727 MOB IL NA N/A 0 0 0 0 Shawnee Real Estate Holdings LLC 1000 N Lee Ave Oklahoma City OK 73102 455458304 MOB OK NA N/A 0 0 0 0 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 0 0 0 0 Wisconsin Integrated Information Technology and Telemedicine Systems LLC 1808 West Beltline Highway Madison WI 53713 392016715 Information Technology Services WI NA N/A 0 0 0 0 Dean Health Holdings LLC 1277 Deming Way Madison WI 53717 261594709 Support Services WI NA N/A 0 0 0 0 Wingra Building Group 1808 West Beltline Highway Madison WI 53713 390237060 MOB WI NA N/A 0 0 0 0 Janesville Riverview Clinic Building Partnership 1808 West Beltline Highway Madison WI 53713 396220698 MOB WI NA N/A 0 0 0 0 1110 N Classen Blvd LLC 1110 N Classen Boulevard Oklahoma City OK 73106 731158158 MOB OK NA N/A 0 0 0 0 SSM St Clare Surgical Center LLC 10101 Woodfield Lane St Louis MO 63132 261439695 Surgery Services MO NA N/A 0 0 0 0 Windmill LLP 50 Village View Lane Chesterfield MO 63017 431804651 Investments MO NA N/A 0 0 0 0 SSM Managed Care Organization LLC 10101 Woodfield Lane St Louis MO 63132 431708511 Health Promotion MO NA C Corporation 0 0 0 false FPP INC & Subs 10101 Woodfield Lane St Louis MO 63132 431465174 Health Care MO NA C Corporation 0 0 0 false Diversified Health Services Corp 10101 Woodfield Lane St Louis MO 63132 431369305 Medical Equipment MO NA C Corporation 0 0 0 false SSM Properties Inc 10101 Woodfield Lane St Louis MO 63132 431462486 Property Services MO NA C Corporation 0 0 0 false HealthFirst Physician Management Services 10101 Woodfield Lane St Louis MO 63132 731534336 Medical Services OK NA C Corporation 0 0 0 false SSMHC Liability Trust II 10101 Woodfield Lane St Louis MO 63132 816128118 Insurance MO NA C Corporation 0 0 0 false SSM Medical Group Inc 10101 Woodfield Lane St Louis MO 63132 431664107 Physician Offices MO NA C Corporation 0 0 0 false SSMHC Insurance Company 10101 Woodfield Lane St Louis MO 63132 030310431 Insurance NA C Corporation 0 0 0 false Physicians Services Corp of Southern Illinois Inc 10101 Woodfield Lane St Louis MO 63132 364161526 Health Care IL NA C Corporation 0 0 0 false Dean Health Systems Inc 1808 West Beltline Highway Madison WI 53713 391128616 Physician Offices WI NA C Corporation 0 0 0 false Dean Health Insurance Inc PO Box 56099 Madison WI 53705 391830837 Insurance WI NA C Corporation 0 0 0 false Dean Health Plan Inc PO Box 56099 Madison WI 53705 391535024 Insurance WI NA C Corporation 0 0 0 false SMDV Office Building 1808 West Beltline Highway Madison WI 53713 391628491 Physician Offices WI NA C Corporation 0 0 0 false Dean Retail Services Inc 1808 West Beltline Highway Madison WI 53713 391717636 Property Services WI NA C Corporation 0 0 0 false Navitus Holdings LLC 1808 West Beltline Highway Madison WI 53713 800968174 Pharmacy Benefits WI NA C Corporation 0 0 0 false Oza Oncology Inc 4117 Veterans Memorial Drive Mt Vernon IL 62804 371343746 Physician Offices IL NA S Corporation 0 0 0 false SSM Health Janesville Campus Condominium Association Inc 1808 West Beltline Highway Madison WI 53713 832038674 Condo association WI NA C Corporation 0 0 0 false SSM Health Pharmacy LLC 10101 Woodfield Lane St Louis MO 63132 264031708 Pharmacy MO NA C Corporation 0 0 0 false Dane County Cytology Center Inc 2000 Engel Street Suite 201 Madison WI 53713 391414219 Medical Services WI NA C Corporation 0 0 0 false SSM Health Insurance Company 1277 Deming Way Madison WI 53717 834718249 Insurance MO NA C Corporation 0 0 0 false false false true false false false false false false false false true true false false true false false false