THE MONROE CLINIC INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- THE MONROE CLINIC INC (EIN 39-0808509)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-17
- IRS object ID
- 202513219349326116
- Schema version
- 2024v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-17T19:20:42-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390808509 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MONROE CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MONR | BusinessNameControlTxt |
| Phone | 6083242000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 22ND AVENUE | AddressLine1Txt |
| City | MONROE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53566 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANIE KING | PersonNm |
| Person Title | VP FINANCE | PersonTitleTxt |
| Phone | 6083242000 | PhoneNum |
| Signature | 2025-11-17 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MONROE CLINIC HOME CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JANE CURRAN-MEULI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 22ND AVENUE | AddressLine1Txt |
| City | MONROE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53566 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $237,287,431 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SSMHEALTH.COM/LOCATIONS/LOCATION-DETAILS/MONR | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1963 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | THE MONROE CLINIC, INC. PROVIDES HEALTHCARE SERVICES TO THE COMMUNITIES IN AND SURROUNDING GREEN COUNTY, WI AND STEPHENSON COUNTY, IL. MEDICAL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1065 | TotalEmployeeCnt |
| Total Volunteers | 162 | TotalVolunteersCnt |
| Total Gross UBI | $822,399 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $428,857 | PYContributionsGrantsAmt |
| CY Contributions Grants | $250,763 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $209,989,012 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $223,364,255 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,907,186 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,584,158 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,178,355 | PYOtherRevenueAmt |
| CY Other Revenue | $2,933,875 | CYOtherRevenueAmt |
| PY Total Revenue | $219,503,410 | PYTotalRevenueAmt |
| CY Total Revenue | $237,133,051 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $319,804 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $324,146 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $111,525,411 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $108,094,689 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $3,464 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $96,524,787 | PYOtherExpensesAmt |
| CY Other Expenses | $103,963,928 | CYOtherExpensesAmt |
| PY Total Expenses | $208,370,002 | PYTotalExpensesAmt |
| CY Total Expenses | $212,382,763 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,133,408 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $24,750,288 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $301,884,357 | TotalAssetsBOYAmt |
| Total Assets EOY | $310,379,799 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $41,462,756 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $71,754,696 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $260,421,601 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $238,625,103 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WORKING TOGETHER TO ACHIEVE THE HIGHEST STANDARDS IN HEALTHCARE, WE CREATE HEALTHY COMMUNITIES THROUGH GOD'S HEALING SPIRIT. VISION: EXCEPTIONAL HEALTHCARE, AN EXCEPTIONAL EXPERIENCE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $197,236,586 | ExpenseAmt |
| Grant | $324,146 | GrantAmt |
| Revenue | $223,364,255 | RevenueAmt |
| Desc | SSM HEALTH MONROE HOSPITAL IS A STATE-OF-THE-ART, 58-BED FACILITY BUILT IN 2012. THE INPATIENT AND INTENSIVE CARE DEPARTMENTS ARE STAFFED BY A TEAM OF HOSPITALISTS AND AVERAGE APPROXIMATELY 2,500 INPATIENT ADMISSIONS PER YEAR. THE FAMILY BIRTH SUITES OFFER SEVEN LABOR-DELIVERY-RECOVERY (LDR) SUITES, FIVE MEDICAL/SURGICAL ROOMS AND ITS OWN OPERATING ROOM. SSM HEALTH MONROE HOSPITAL AVERAGES 430 BIRTHS PER YEAR. ADDITIONALLY, AN ADDED LEVEL OF INTENSIVE AND DIRECT PATIENT CARE OFFERED AT SSM HEALTH MONROE HOSPITAL IS E-ICU. BY ADDING E-ICU CAPABILITIES, BEDSIDE NURSES AND DOCTORS ARE SUPPORTED BY AND CAN COLLABORATE WITH EXPERTS AT UW HEALTH TO ENHANCE PATIENT OUTCOMES AND HELP ELIMINATE FUTURE HEALTH PROBLEMS. OTHER DEPARTMENTS HOUSED IN THE HOSPITAL BUILDING INCLUDE THE SURGICAL SERVICES, CARDIOLOGY, PHYSICAL THERAPY, MEDICAL IMAGING AND EMERGENCY SERVICES.SSM HEALTH MONROE CLINIC MEDICAL GROUP, ON THE MAIN CAMPUS, PROVIDES COMPREHENSIVE CARE IN OVER 25 SPECIALTIES. | Desc |
| Total Program Service Expenses | $197,236,586 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1065 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADLEY REACH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6082416949 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1808 W BELTLINE HWY | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53713 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SUZANNE ANDERSON | ||||||||||
| DIRECTOR, REGIONAL PRESIDE | 1.00 | 55.00 | Yes (X) | Yes (X) | $0 | $1,377,728 | $548,240 | |||
| SR RHEA EMMER | ||||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAT LEITZEN FYE | ||||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| PENG HER | ||||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK HOLZMAN | ||||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOAN KARSTEN | ||||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| JENNIFER MASKEL MD | ||||||||||
| DIRECTOR, PHYSICIAN AT SSM HEALTH | 1.00 | 50.00 | Yes (X) | $0 | $145,868 | $14,398 | ||||
| WAYNE MATZKE | ||||||||||
| DIRECTOR, VICE CHAIRPERSON | 1.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| THEODORE MILLER MD | ||||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| OLIVIA OTTE | ||||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| MATTHEW POGODZINSKI MD | ||||||||||
| DIRECTOR, PHYSICIAN AT SSM HEALTH | 1.00 | 50.00 | Yes (X) | $0 | $813,233 | $65,767 | ||||
| WESLEY SPARKMAN | ||||||||||
| DIRECTOR, CHAIRPERSON | 1.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| STEVEN SMOOT | ||||||||||
| VICE PRESIDENT, COO AT SSM | 1.00 | 55.00 | Yes (X) | $0 | $2,364,935 | $1,119,698 | ||||
| DOUGLAS LONG | ||||||||||
| SECRETARY, CLO AT SSM HEALTH | 1.00 | 55.00 | Yes (X) | $0 | $1,587,150 | $700,771 | ||||
| THOMAS KIRSCHBAUM | ||||||||||
| ASSISTANT SECRETARY | 1.00 | 55.00 | Yes (X) | $0 | $561,495 | $175,772 | ||||
| KEVIN SMITH | ||||||||||
| TREASURER, CFO AT SSM HEALTH | 1.00 | 55.00 | Yes (X) | $0 | $1,050,477 | $627,081 | ||||
| CHELSEA HARDACRE | ||||||||||
| VP PATIENT CARE SVCS, CNO | 40.00 | 0.00 | $264,902 | $0 | $66,773 | Yes (X) | ||||
| ARIF AHMAD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $875,688 | $0 | $71,083 | Yes (X) | ||||
| GURMEET SINGH | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $839,568 | $0 | $66,952 | Yes (X) | ||||
| SUNIL PENESETTI | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,039,896 | $0 | $67,397 | Yes (X) | ||||
| RICHARD HUNTSMAN | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $882,038 | $0 | $61,984 | Yes (X) | ||||
| DANA DOLL | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $786,502 | $0 | $60,222 | Yes (X) | ||||
| RANDALL COMBS | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $1,454,021 | $29,506 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,688,594 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,354,907 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,675,644 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 180 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TRIMEDX HOLDINGS LLC | |||||
| 5451 LAKEVIEW PARKWAY S DR | INDIANAPOLIS | IN | 46268 | CLINICAL ENGINEERING SERVICES | $846,964 |
| OWENS & MINOR DISTRIBUTION INC | |||||
| 10900 NUCKOLS ROAD SUITE 400 | GLEN ALLEN | VA | 23060 | MEDICAL SERVICES | $754,902 |
| CHG COMPANIES INC | |||||
| 7259 S BINGHAM JUNCTION BLVD | MIDVALE | UT | 84047 | HEALTHCARE STAFFING SERVICES | $342,226 |
| MEDTRONIC USA IN | |||||
| 710 MEDTRONIC PKWY NE | MINNEAPOLIS | MN | 55432 | MEDICAL SERVICES | $333,306 |
| SIEMENS MEDICAL SOLUTIONS USA INC | |||||
| 40 LIBERTY BLVD | MALVERN | PA | 193551418 | MEDICAL SERVICES | $316,542 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $250,445 | RelatedOrganizationsAmt |
| Government Grants | $318 | GovernmentGrantsAmt |
| Noncash Contributions | $5,598 | NoncashContributionsAmt |
| Total Contributions | $250,763 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE RE | 622110 | $214,425,139 | $214,425,139 | |
| PHARMACY REVENUE | 456110 | $6,580,906 | $5,759,557 | $821,349 |
| CORPORATE FEES | 561000 | $690,974 | $690,974 | |
| MANAGEMENT FEES | 561000 | $454,303 | $454,303 | |
| VALUE BASED CARE REVEN | 561000 | $153,664 | $153,664 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,059,269 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,058,219 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,050 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $223,364,255 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,917,258 | TotalRevenueColumnAmt |
| Exclusion | $3,917,258 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,285 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,285 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,285 | TotalRevenueColumnAmt |
| Exclusion | $18,285 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,648,059 | SecuritiesAmt |
| Other | $18,841 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,648,059 | SecuritiesAmt |
| Other | $18,841 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,666,900 | TotalRevenueColumnAmt |
| Exclusion | $6,666,900 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $971,856 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $154,380 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $817,476 | TotalRevenueColumnAmt |
| Exclusion | $817,476 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| JOINT VENTURE REVENUE | 900099 | $1,666,945 | $1,666,945 |
| CAFETERIA REVENUE | 722514 | $423,989 | $423,989 |
| OTHER REVENUE | 900099 | $7,180 | $7,180 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,098,114 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $237,133,051 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $222,541,856 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $822,399 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,518,033 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,146 | TotalAmt |
| Program Services | $324,146 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,896,370 | TotalAmt |
| Program Services | $82,566,696 | ProgramServicesAmt |
| Management And General | $3,329,674 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,508,749 | TotalAmt |
| Program Services | $4,333,973 | ProgramServicesAmt |
| Management And General | $174,776 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,427,816 | TotalAmt |
| Program Services | $11,946,066 | ProgramServicesAmt |
| Management And General | $481,750 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,261,754 | TotalAmt |
| Program Services | $5,057,788 | ProgramServicesAmt |
| Management And General | $203,966 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,364,749 | TotalAmt |
| Program Services | $3,227,054 | ProgramServicesAmt |
| Management And General | $137,695 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,552 | TotalAmt |
| Program Services | $169 | ProgramServicesAmt |
| Management And General | $46,383 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,800,285 | TotalAmt |
| Program Services | $12,534,461 | ProgramServicesAmt |
| Management And General | $265,824 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,243 | TotalAmt |
| Program Services | $8,896 | ProgramServicesAmt |
| Management And General | $347 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,464,734 | TotalAmt |
| Program Services | $1,345,934 | ProgramServicesAmt |
| Management And General | $115,809 | ManagementAndGeneralAmt |
| Fundraising | $2,991 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,777,135 | TotalAmt |
| Program Services | $6,777,135 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,103,860 | TotalAmt |
| Program Services | $2,548,920 | ProgramServicesAmt |
| Management And General | $554,940 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,799 | TotalAmt |
| Program Services | $394,437 | ProgramServicesAmt |
| Management And General | $23,362 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,576 | TotalAmt |
| Program Services | $120,677 | ProgramServicesAmt |
| Management And General | $20,426 | ManagementAndGeneralAmt |
| Fundraising | $473 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,717,847 | TotalAmt |
| Program Services | $15,294,075 | ProgramServicesAmt |
| Management And General | $4,423,772 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,207,651 | TotalAmt |
| Program Services | $7,910,145 | ProgramServicesAmt |
| Management And General | $297,506 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $841,384 | TotalAmt |
| Program Services | $21,000 | ProgramServicesAmt |
| Management And General | $820,384 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & EQUI | $42,391,330 | $42,391,330 | |
| MEDICAID PROVIDER TAX & | $4,059,058 | $2,623 | $4,056,435 |
| LICENSES, DUES & SUBSCR | $573,103 | $389,489 | $183,614 |
| OTHER EXPENSES | $41,572 | $41,572 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,050 | TotalAmt |
| Management And General | $6,050 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,382,763 | TotalAmt |
| Program Services | $197,236,586 | ProgramServicesAmt |
| Management And General | $15,142,713 | ManagementAndGeneralAmt |
| Fundraising | $3,464 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $662,261 | BOYAmt |
| EOY | $8,892 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,246,150 | BOYAmt |
| EOY | $40,926,959 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,364,510 | BOYAmt |
| EOY | $3,628,375 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,344 | BOYAmt |
| EOY | $542,774 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $180,911,046 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $63,199,170 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,621,274 | BOYAmt |
| EOY | $117,711,876 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,710,870 | BOYAmt |
| EOY | $144,288,925 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,629,485 | BOYAmt |
| EOY | $885,868 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,119 | BOYAmt |
| EOY | $255,336 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,890,344 | BOYAmt |
| EOY | $2,130,794 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,884,357 | BOYAmt |
| EOY | $310,379,799 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,995,506 | BOYAmt |
| EOY | $14,295,606 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,681 | BOYAmt |
| EOY | $22,533 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,445,569 | BOYAmt |
| EOY | $57,436,557 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,462,756 | BOYAmt |
| EOY | $71,754,696 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,320,674 | BOYAmt |
| EOY | $238,625,103 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,100,927 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $260,421,601 | BOYAmt |
| EOY | $238,625,103 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,884,357 | BOYAmt |
| EOY | $310,379,799 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $24,750,288 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,073,767 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$48,620,552 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $14,832 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $14,832 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,870,697 | BeginningYearBalanceAmt |
| Contributions | $89,901 | ContributionsAmt |
| Investment Earnings Or Losses | $812,852 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,773,451 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,893,458 | BeginningYearBalanceAmt |
| Contributions | $94,138 | ContributionsAmt |
| Investment Earnings Or Losses | $1,058,980 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $175,879 | OtherExpendituresAmt |
| End Year Balance | $6,870,697 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,168,051 | BeginningYearBalanceAmt |
| Contributions | $747,841 | ContributionsAmt |
| Investment Earnings Or Losses | $137,457 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $159,891 | OtherExpendituresAmt |
| End Year Balance | $5,893,458 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,489,706 | BeginningYearBalanceAmt |
| Contributions | $252,166 | ContributionsAmt |
| Investment Earnings Or Losses | $843,308 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,417,129 | OtherExpendituresAmt |
| End Year Balance | $5,168,051 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,610,640 | BeginningYearBalanceAmt |
| Contributions | $29,793 | ContributionsAmt |
| Investment Earnings Or Losses | $849,273 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,489,706 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.15050 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.35180 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.49770 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,002,692 | OtherCostOrOtherBasisAmt |
| Book Value | $3,002,692 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $123,262,217 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,402,457 | DepreciationAmt |
| Book Value | $89,859,760 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,335,045 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,673,646 | DepreciationAmt |
| Book Value | $4,661,399 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,451,082 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,123,067 | DepreciationAmt |
| Book Value | $17,328,015 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,860,010 | OtherCostOrOtherBasisAmt |
| Book Value | $2,860,010 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $117,711,876 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LONG-TERM INVESTMENTS | Desc |
| Book Value | $144,288,925 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $144,288,925 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY PAYABLES | $4,005,742 |
| INTERCOMPANY PAYABLE | $53,165,350 |
| OPERATING RIGHT-OF-USE LIABILITIES | $265,465 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $57,436,557 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE OPERATING ENDOWMENT HAS BEEN ESTABLISHED TO SUPPORT THE OPERATING COSTS OF THE MONROE CLINIC. THE FUTURE OF HEALTHCARE ENDOWMENT HAS BEEN ESTABLISHED TO PROVIDE FUNDING FOR GRANTS AND PROGRAMS THAT SUPPORT THE MONROE CLINIC. |
| PART X, LINE 2: | THE MONROE CLINIC, INC.'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 2024 OR 2023. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,550,037 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,550,037 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,549,971 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,615,055 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,934,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08920 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,344,730 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,793,850 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $550,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,444,738 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,408,905 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,035,833 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09910 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $287,266 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $287,266 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $164,770 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $164,770 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,332,039 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,332,039 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01570 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $442,111 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $442,111 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,226,186 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,226,186 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02000 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,670,924 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,408,905 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,262,019 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11910 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $12,026,907 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $37,036,684 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $62,925,797 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$25,889,113 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONROE CLINIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 22ND AVENUE | AddressLine1Txt |
| City | MONROE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53566 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SSMHEALTH.COM/LOCATIONS/WISCONSIN/ | WebsiteAddressTxt |
| State License | 56 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONROE CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MONROE CLINIC | PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAVE PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. |
| MONROE CLINIC | PART V, SECTION B, LINE 5: SSM HEALTH MONROE HOSPITAL IS LOCATED IN MONROE, WISCONSIN WHICH SITS ALONG THE BOARDER TO ILLINOIS. BASED ON ITS LOCATION WITHIN WISCONSIN AND PROXIMITY TO ILLINOIS, SSM HEALTH MONROE HOSPITAL PARTICIPATED IN TWO SEPARATE CHNAS, ONE WITH GREEN COUNTY PUBLIC HEALTH AND ONE WITH STEPHENSON COUNTY HEALTH DEPARTMENT. GREEN COUNTY CHNAOVER 1,300 PEOPLE COMPLETED A SURVEY (AVAILABLE ONLINE AND IN PERSON; IN ENGLISH AND SPANISH) ASKING GREEN COUNTY RESIDENTS ABOUT THE BEST PARTS OF LIVING IN GREEN COUNTY, PERSPECTIVES ON THE DRIVERS OF HEALTH, THE MOST IMPORTANT HEALTH ISSUES FACING THE COMMUNITY, AND THE MOST IMPORTANT COMMUNITY NEEDS THAT HAVE TO BE ADDRESSED TO IMPROVE HEALTH.WE HELD A TOTAL OF FOUR (4) COMMUNITY CONVERSATIONS WITH MEMBERS OF OUR COMMUNITY WHO ARE FROM HISTORICALLY UNDER-REPRESENTED GROUPS IN ORDER TO BETTER UNDERSTAND THEIR PERSPECTIVES. WE ALSO CONDUCTED 13 KEY INFORMANT INTERVIEWS TO GAIN A COMPREHENSIVE UNDERSTANDING OF THE HEALTH NEEDS AND PRIORITIES OF THE GREEN COUNTY COMMUNITY.A COMPREHENSIVE REVIEW OF SECONDARY DATA WAS CONDUCTED, USING MEASURES FROM THE WISCONSIN DEPARTMENT OF HEALTH SERVICES CHA-CHIP INDICATOR LIST. DATA SOURCES INCLUDED THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, YOUTH RISK BEHAVIORAL SURVEY, COUNTY HEALTH RANKINGS, BEHAVIORAL RISK FACTOR SURVEY, AND THE WISCONSIN DEPARTMENT OF HEALTH SERVICES.STEPHENSON COUNTY CHNASSM HEALTH AND STEPHENSON COUNTY HEALTH DEPARTMENT WORKED IN CONJUNCTION FOR THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT. THE DATA WAS PRESENTED TO MEMBERS OF PUBLIC HEALTH, HEALTHCARE LEADERS, SOCIAL SERVICE ORGANIZATIONS AND COMMUNITY MEMBERS. THE DATA INCLUDED SURVEY RESULTS, COMMUNITY CONVERSATIONS, STAKEHOLDER INTERVIEWS ALONG WITH PRIMARY AND SECONDARY COMMUNITY HEALTH DATA. THE CHNA PROCESS INCLUDES AN ONLINE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY IN ENGLISH AND SPANISH. THE SURVEY WAS AVAILABLE FROM FEBRUARY TO MARCH OF 2024. THIS SURVEY ASKED ABOUT PEOPLE'S PERSONAL HEALTH, THEIR THOUGHTS ABOUT THE COMMUNITY'S HEALTH, AND GAVE SPACE FOR PEOPLE TO PROVIDE SUGGESTIONS. THE SURVEY TOOK APPROXIMATELY 15 MINUTES TO COMPLETE. COMMUNITY MEMBERS COULD SUBMIT A COMMENT AT THE END OF THE SURVEY. WHEN THESE COMMENTS WERE ANALYZED, WE IDENTIFIED THE MOST FREQUENT COMMENT TOPICS AND SUGGESTIONS. COMMUNITY CONVERSATIONS WERE HELD IN SEVERAL COMMUNITIES WITHIN STEPHENSON COUNTY TO LEARN ABOUT RESIDENTS' CONCERNS, SOLICIT THEIR IDEAS ON HEALTHCARE AND HOW IT COULD BE IMPROVED. THESE FIVE CONVERSATIONS GAVE US INSIGHT INTO WHAT COMMUNITY PERCEPTION WAS AND OPENED UP THE CONVERSATION FOR IDEAS ON HOW TO IMPROVE HEALTH CARE ACCESS AND RESOURCES. KEY INFORMANT INTERVIEWS WERE HELD WITH SIX PROFESSIONALS FROM A VARIETY OF SETTINGS IN STEPHENSON COUNTY. DURING THESE INTERVIEWS, WE ASKED QUESTIONS AND TOOK NOTES. AFTERWARDS THOSE RESPONSES WERE ANALYZED TO AGAIN IDENTIFY COMMON THEMES. SECONDARY DATA WAS COLLECTED FROM MULTIPLE SOURCES AND ANALYZED AND REVEALED HEALTH DISPARITIES AND KEY ISSUES IMPACTING SOCIAL DETERMINANTS OF HEALTH. DATA COLLECTION INCLUDED DEMOGRAPHIC INFORMATION, CHRONIC DISEASE AND MORBIDITY/ MORTALITY INFORMATION, HEALTH STATUS INDICATORS, HEALTH BEHAVIORS AND GENERAL ENVIRONMENT INFORMATION. THIS DATA IS COMPARED TO STATE AND NATIONAL BENCHMARKS. THE STEPHENSON COUNTY HEALTH PLANNING COMMITTEE ALONG WITH REPRESENTATIVES FROM SSM HEALTH AND THE STEPHENSON COUNTY HEALTH DEPARTMENT REVIEWED THE COMMUNITY SURVEY AND SECONDARY DATA ON JULY 16, 2024. USING A NOMINAL GROUP PROCESS, AND BASED ON DATA COLLECTED FROM RESIDENTS, THE PLANNING COMMITTEE IDENTIFIED THE TOP THREE HEALTH PRIORITIES TO BE ADDRESSED. |
| MONROE CLINIC | PART V, SECTION B, LINE 6B: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER COMMUNITY PARTNERS:* GREEN COUNTY PUBLIC HEALTH * GREEN COUNTY HEALTH COMMUNITY COALITION * STEPHENSON COUNTY HEALTH DEPARTMENT * HEALTHY COMMUNITY COALITION OF STEPHENSON COUNTY |
| MONROE CLINIC | PART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2024 CHNA. IN ORDER TO MAKE A MEANINGFUL IMPACT, & TO USE ITS FINANCES MOST EFFECTIVELY & EFFICIENCY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES:* MENTAL HEALTH* HOUSINGMENTAL HEALTHPROGRESS MADE SINCE 2021* SSM HEALTH BECAME THE PRIMARY HEALTHCARE SPONSOR OF THE JACOB'S SWAG FOUNDATION "GOT YOUR BACK" APP TO SUPPORT MENTAL HEALTH ACCESS & SUICIDE PREVENTION ACROSS OUR SERVICE AREA.GOALS & OBJECTIVES ENHANCE AWARENESS OF EXISTING MENTAL HEALTH RESOURCES. * SUPPORT & PROMOTE THE CARE FOR THE CAREGIVER PROGRAM TO ASSIST OUR CAREGIVERS & STAFF IN MANAGING ADVERSE EVENTS THEY MAY ENCOUNTER AT WORK.* CONDUCT A COMPREHENSIVE REVIEW OF CURRENT MENTAL HEALTH COMMUNITY RESOURCE GUIDES & WORK COLLABORATIVELY WITH PARTNERS TO MAKE THEM EASIER TO ACCESS & USE. * DEVELOP & IMPLEMENT A MARKETING CAMPAIGN TO PROMOTE THE UPDATED WEBSITE & RESOURCE GUIDES TO TARGET GROUPS & BROADLY THROUGHOUT THE COMMUNITY. * ENCOURAGE & SUPPORT TRANSLATION OF CURRENT COMMUNITY RESOURCE GUIDES INTO SPANISH. * PROMOTE & SUPPORT THE JACOB SWAG FOUNDATION & THE GOT YOUR BACK APP.* DEPRESSION AWARENESS EDUCATION - COMMUNITY CONNECTION & SOCIAL ISOLATION. & STIGMA REDUCTION BY CONTINUING TO EDUCATE & PROMOTE RESOURCES. * MENTAL HEALTH TRAINING - OFFER COMMUNITY TRAINING TWO TIMES A YEAR.DECREASE STIGMA AROUND MENTAL HEALTH. * IDENTIFY & SHARE RECOMMENDATIONS FOR PARTNER ORGANIZATIONS TO USE STIGMA REDUCTION MESSAGES & ENHANCE ACCESSIBILITY TO ALL MEMBERS OF THE COMMUNITY. * DEVELOP & IMPLEMENT A MARKETING CAMPAIGN TO PROMOTE UPDATED MATERIALS TO TARGET GROUPS & BROADLY THROUGHOUT THE COMMUNITY. * ENCOURAGE & SUPPORT TRANSLATION OF KEY MENTAL HEALTH RESOURCES INTO SPANISH. * REACH OUT TO LOCAL BUSINESSES TO EXPLORE OPPORTUNITIES TO WORK TOGETHER TO SHARE INFORMATION ABOUT MENTAL HEALTH RESOURCES WITH THEIR CUSTOMERSENHANCE ACCESS & REDUCE BARRIERS TO UTILIZING MENTAL HEALTH SERVICES. * COLLECT MORE INFORMATION TO BETTER UNDERSTAND THE CHALLENGES PEOPLE IN GREEN COUNTY FACE WHEN TRYING TO ACCESS MENTAL HEALTH SERVICES.* BASED ON IDENTIFIED CHALLENGES, ADVOCATE FOR CHANGES THAT WILL HELP REDUCE BARRIERS TO UTILIZING MENTAL HEALTH SERVICES.* ENCOURAGE & SUPPORT THE VIRTUAL BEHAVIORAL HEALTH INTEGRATION (VBHI) PROGRAM TO ENHANCE ACCESS TO CARE FOR OUR PATIENTS.* INVESTIGATE MENTAL HEALTH POLICIES TO DISCOVER IMPROVED METHODS FOR PROVIDING ACCESS TO SERVICES & ENHANCING AWARENESS & EDUCATION.BUILD COMMUNITY RESILIENCE BY PROMOTING MEANINGFUL SOCIAL RELATIONSHIPS & CONNECTEDNESS ESPECIALLY AMONG YOUTH.* ADVOCATE FOR ADDITIONAL ACTIVITIES IN THE COMMUNITY THAT PROVIDE OPPORTUNITIES FOR YOUTH TO CONNECT WITH EACH OTHER IN SAFE & SUPPORTIVE ENVIRONMENTS. * ADVOCATE FOR ADDITIONAL ACTIVITIES FOR ADULTS THAT PROVIDE OPPORTUNITIES FOR ADULTS TO CONNECT WITH EACH OTHER IN SAFE & SUPPORTIVE ENVIRONMENTS.* IDENTIFY CURRENT ACTIVITIES WITHIN THE COMMUNITY THAT PROVIDE OPPORTUNITIES FOR YOUTH TO CONNECT WITH EACH OTHER IN SAFE & SUPPORTIVE ENVIRONMENTS. * IDENTIFY CURRENT ACTIVITIES WITHIN THE COMMUNITY THAT PROVIDE OPPORTUNITIES FOR ADULTS TO CONNECT WITH EACH OTHER IN SAFE & SUPPORTIVE ENVIRONMENTS. * DEVELOP & IMPLEMENT A SOCIAL MEDIA MARKETING CAMPAIGN TO PROMOTE YOUTH OPPORTUNITIES TO MIDDLE & HIGH SCHOOL STUDENTS. * DEVELOP & IMPLEMENT A MARKETING CAMPAIGN TO PROMOTE ADULT OPPORTUNITIES.* OFFER GROUP THERAPY FOR ADULTS & CHILDREN - PARTNER WITH OTHER AGENCIES TO PROVIDE GROUP THERAPY & NETWORKING SESSIONS.HOUSINGPROGRESS MADE SINCE 2021* IN 2023, THE GREEN COUNTY HEALTHY COMMUNITY COALITION CONVENED A HOUSING SUMMIT TO ADDRESS THE COMMUNITY'S PRIMARY HOUSING CONCERNS. THE EVENT FOCUSED ON STRATEGIES TO ATTRACT DEVELOPERS & EXPLORED PROJECT IDEAS, EVALUATING BOTH SUCCESSFUL INITIATIVES & LESSONS LEARNED FROM LESS SUCCESSFUL EFFORTS. WE ARE CONTINUALLY EXPLORING & DEVELOPING STRATEGIES TO ADDRESS THE HOUSING CHALLENGES WITHIN OUR COMMUNITIES.* IN 2018, SSM HEALTH MONROE HOSPITAL ACQUIRED SEVERAL RESIDENTIAL PROPERTIES NEAR THE HOSPITAL CAMPUS BEFORE CONSTRUCTING THE NEW HOSPITAL & CLINIC. WHEN SSM TOOK OVER IN 2018, THESE PROPERTIES WERE INCLUDED IN THE ACQUISITION. ORIGINALLY PROCURED FOR STRATEGIC VALUE, SOME OF THE 12 PROPERTIES ARE BEYOND THE MONROE HOSPITAL CAMPUS LIMITS & HAVE BEEN DONATED FOR COMMUNITY BENEFIT PROGRAMS. THESE DONATED PROPERTIES WILL GO TO HABITAT FOR HUMANITY & THE GREEN COUNTY DEVELOPMENT CORPORATIONGOALS & OBJECTIVES ENHANCE AWARENESS OF EXISTING HOUSING RESOURCES.* ASSIGN A DEDICATED AGENCY PERSON TO CREATE & MAINTAIN A COMPREHENSIVE DATABASE OF RESOURCES WITH THE SUPPORT OF THE HOUSING WORKGROUP.* DEVELOP A BILINGUAL RESOURCE GUIDE THAT IS BOTH A DIGITAL & PHYSICAL DOCUMENT ENSURING HEALTH LITERACY. * CREATE A PUBLIC PLATFORM, SUCH AS A WEBSITE OR APP, TO SHARE RESOURCES WITH THE COMMUNITY.* DISSEMINATE OUR HOUSING RESOURCES TO SSM HEALTH SOCIAL WORKERS & CASE MANAGERS WHILE CONCURRENTLY COLLABORATING WITH OUR MARKETING TEAM TO EFFECTIVELY PROMOTE & PUBLICIZE THESE EFFORTS.ENHANCE COMMUNITY AWARENESS OF HOW ADDRESSING THE HOUSING CHALLENGES THAT EXIST THROUGHOUT THE COUNTY CAN HAVE A POSITIVE IMPACT ON ALL MEMBERS OF THE COMMUNITY.* CREATE & LAUNCH A PUBLIC AWARENESS CAMPAIGN TO HIGHLIGHT THE COMMUNITY-WIDE IMPACT OF THE LACK OF AFFORDABLE HOUSING, IDENTIFYING OPPORTUNITIES FOR IN-PERSON EDUCATION. * IDENTIFY & SHARE SUCCESS STORIES & EXAMPLES OF THE POSITIVE IMPACT OF HOUSING INITIATIVES ON INDIVIDUALS IN THE COMMUNITY. * HOST A HOUSING SUMMIT WITH COMMUNITY PARTNERS.INCREASE THE DIVERSITY OF HOUSING OPTIONS AVAILABLE THROUGHOUT THE COMMUNITY.* ANNUAL CONFERENCES/SUMMITS - HOST ANNUAL BUILDERS/HOUSING CONFERENCES WITH TRACKS FOCUSED ON MULTIPLE HOUSING OPTIONS. * PROMOTE ENERGY INCENTIVES BY HAVING HOUSING AMBASSADORS LIKE LOCAL BUSINESSES & COMMUNITY LEADERS WHO REACH OUT TO LOCAL GOVERNMENT.* ADVOCATE & SUPPORT PLACE-BASED INVESTING EFFORTS.* ENCOURAGE MULTIPLE USE ZONING OPTIONS AT THE COUNTY LEVEL.THE CHNA ALSO IDENTIFIED THE FOLLOWING AS TOP HEALTH AREAS THAT WERE NOT SELECTED BY SSM HEALTH MONROE HOSPITAL FOR PRIORITIZATION IN ITS MOST RECENT IMPLEMENTATION STRATEGY: TRANSPORTATION, DISCRIMINATION, CRIME & VIOLENCE, POOR STREET CONDITIONS, LACK OF GOOD PAYING JOBS, TEEN PREGNANCY, LANGUAGE BARRIERS & LACK OF AFFORDABLE ACCESSIBLE, HEALTHY FOOD. HOWEVER, SSM HEALTH MONROE HOSPITAL HAS INTRODUCED PROGRAMS OR TAKEN ACTION TO ADDRESS MANY OF THESE HEALTH ISSUES THROUGH ITS MANY COMMUNITY BENEFIT PROGRAMS. PLEASE SEE BELOW FOR THE WAYS THE HOSPITAL IS ADDRESSING OTHER HEALTH CONCERNS WITHIN THE COMMUNITY IT SERVES:* SSM HEALTH PARTNERED WITH A VARIETY OF AGENCIES TO HOST THE LATINA HEALTH FAIR (FERIA DE SALUD), FEATURING A MOBILE VACCINATION UNIT, HEALTH SCREENINGS, & ENGAGING ACTIVITIES FOR CHILDREN WHERE 380 PEOPLE ATTENDED.* THE BARBERSHOP TRANSFORMATION & WELLNESS CENTER IS A SAFE SPACE FOR BLACK MEN, WOMEN, & CHILDREN, OFFERING COMMUNITY SERVICES & TRADITIONAL HAIR CARE. INITIATED BY THE FREEPORT MINISTERS FELLOWSHIP ALLIANCE & SSM HEALTH MONROE HOSPITAL, THE CENTER PROVIDES HEALTH RESOURCES, BLOOD PRESSURE SCREENINGS, & PROFESSIONAL HEALTHCARE SPEAKERS, NOW INCLUDING SERVICES FOR WOMEN & CHILDREN WITH THE ADDITION OF A COSMETOLOGY SUITE.* THE BASKET OF HOPE PROGRAM BY SSM HEALTH, IN COLLABORATION WITH LOCAL FOOD BANKS, AIMS TO SUPPORT FOOD-INSECURE PATIENTS, ESPECIALLY NEW MOTHERS, BY PROVIDING THEM WITH ESSENTIAL FOOD SUPPLIES UPON DISCHARGE FROM THE HOSPITAL. INITIALLY LAUNCHED IN 2020, THE INITIATIVE SCREENS PATIENTS FOR FOOD INSECURITY & OFFERS VOUCHERS FOR SHELF-STABLE FOOD FROM AN ON-SITE FOOD CLOSET, HELPING PATIENTS CONTINUE THEIR RECOVERY AT HOME.* SSM HEALTH HAS RECENTLY INTRODUCED THE SYNC FOR SOCIAL NEEDS PROGRAM IN OUR HOSPITALS. THIS INITIATIVE AIMS TO ESTABLISH DIGITAL ST&ARDS THAT HELP SCREEN PATIENTS & CONNECT THEM WITH COMMUNITY FOOD ASSISTANCE THROUGH ELECTRONIC HEALTH RECORDS. INSPIRED BY A RECENT CONFERENCE ON HUNGER, NUTRITION, & HEALTH, WHICH HIGHLIGHTED FOOD INSECURITY & OTHER HEALTH ISSUES, SSM HEALTH SUPPORTS EFFORTS TO TACKLE FOOD INSECURITY & FIRMLY BELIEVES THAT "FOOD IS MEDICINE.* STEPPING ON IS A 7-WEEK FALLS PREVENTION PROGRAM DESIGNED FOR OLDER ADULTS, WITH ONE 2-HOUR SESSION EACH WEEK. CONDUCTED BY TRAINED FACILITATORS, THE PROGRAM HELPS PARTICIPANTS BUILD PHYSICAL STRENGTH & BALANCE, UNDERSTAND FALL RISKS, & CREATE PERSONALIZED ACTION PLANS TO PREVENT FALLS. PROVEN TO REDUCE FALLS BY 31%, IT COMBINES PARTICIPANTS' LIFE EXPERIENCES WITH EXPERT ADVICE FROM PHYSICAL THERAPISTS, PHARMACISTS, & OTHER PROFESSIONALS.* SAFE SITTER CLASSES TEACH STUDENTS SAFETY SKILLS TO HANDLE EMERGENCIES, CHILDCARE SKILLS TO MANAGE BEHAVIOR & UNDERSTAND CHILD DEVELOPMENT, FIRST AID & RESCUE SKILLS LIKE CPR, & LIFE & BUSINESS SKILLS FOR JOB SUCCESS. |
| MONROE CLINIC | PART V, SECTION B, LINE 13H: SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.ADDITIONALLY, PATIENTS MAY BE ELIGIBLE TO RECEIVE A DISCOUNT ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MONROE CLINIC - HIGHLAND WOMEN'S CARE | ||||
| 3103 W KUNKLE BLVD | FREEPORT | IL | 61032 | COMMUNITY-BASED OUTPATIENT CLINIC |
| 2 - MONROE CLINIC - FREEPORT | ||||
| 1301 S KIWANIS DRIVE | FREEPORT | IL | 61032 | COMMUNITY-BASED OUTPATIENT CLINIC |
| 3 - MONROE CLINIC - FREEPORT EYE CARE | ||||
| 1110 S PARK BLVD | FREEPORT | IL | 61032 | COMMUNITY-BASED OUTPATIENT CLINIC |
| 4 - MONROE CLINIC - BRODHEAD | ||||
| 1904 FIRST CENTER AVENUE | BRODHEAD | WI | 53520 | COMMUNITY-BASED OUTPATIENT CLINIC |
| 5 - MONROE CLINIC - LENA | ||||
| 214 SCHUYLER | LENA | IL | 61048 | COMMUNITY-BASED OUTPATIENT CLINIC |
| 6 - MONROE CLINIC - NEW GLARUS | ||||
| 1800 SECOND STREET | NEW GLARUS | WI | 53574 | COMMUNITY-BASED OUTPATIENT CLINIC |
| 7 - MONROE CLINIC - ALBANY | ||||
| 700 CAROLAN DRIVE | ALBANY | WI | 53502 | COMMUNITY-BASED OUTPATIENT CLINIC |
| 8 - MONROE CLINIC - DURAND | ||||
| 400 S CENTER STREET | DURAND | IL | 61024 | COMMUNITY-BASED OUTPATIENT CLINIC |
| 9 - MONROE CLINIC FASTCARE | ||||
| 405 W 8TH STREET | MONROE | WI | 53566 | COMMUNITY-BASED OUTPATIENT CLINIC |
| 10 - MONROE CLINIC - BLANCHARDVILLE | ||||
| 309 S MAIN STRET | BLANCHARDVILLE | WI | 53516 | COMMUNITY-BASED OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | 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 HEAL TH 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." |
| PART I, LINE 6A: | SSM HEALTH CARE CORPORATION FILES A COMBINED COMMUNITY BENEFIT REPORT FOR ALL ITS AFFILIATES. THE COMMUNITY BENEFIT REPORT CAN BE FOUND ON SSM'S WEBSITE AT: HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH. |
| PART I, LINE 7: | 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. THE CALCULATION OF FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F UTILIZES FORM 990, PART IX, LINE 25, COLUMN A, WHICH DOES NOT INCLUDE BAD DEBT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | SSM HEALTH MONROE HOSPITAL PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN SCHEDULE H, PART II SSM HEALTH MONROE HOSPITAL INCLUDE THE FOLLOWING:* ECONOMIC DEVELOPMENT HOSPITAL STAFF ARE ACTIVELY INVOLVED IN THE MONROE MAIN STREET BOARD* JOB SHADOWS CLUB SCRUB IS HOSTED FOR A GROUP OF STUDENTS INTERESTED IN LEARNING MORE ABOUT HEALTHCARE* ENVIRONMENTAL IMPROVEMENTS HOSPITAL STAFF ADOPTED A PORTION OF THE HIGHWAY FOR ROUTINE CLEAN UP |
| PART III, LINE 2: | AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. |
| PART III, LINE 3: | FOR FINANCIAL STATEMENT PURPOSES, SSM HEALTH HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDE 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. THEREFORE, THERE IS NO AMOUNT REPORTED ON PART III, LINE 3 FOR THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER SSM HEALTH'S FINANCIAL ASSISTANCE POLICY. |
| PART III, LINE 4: | THE MONROE CLINIC, 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, 2024 CONSOLIDATED AUDIT IS CONTAINED ON PAGE 13 AND 14 OF THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COSTS 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. |
| PART III, LINE 9B: | THE HOSPITALS HAVE 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, THE HOSPITAL EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH IT PARTICIPATES BY ESTABLISHING SOUND BUSINESS PRACTICES. THE HOSPITALS' 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 STATEMENT2. 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 THE HOSPITAL'S COLLECTION AND FINANCIAL ASSISTANCE POLICIES. |
| PART VI, LINE 2: | THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. |
| PART VI, LINE 3: | 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 COUNSELINGTHE 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. |
| PART VI, LINE 4: | THE MONROE CLINIC IS LOCATED IN MONROE, WISCONSIN, IN GREEN COUNTY. THE COUNTY, AS WELL AS PORTIONS OF LAFAYETTE COUNTY, WISCONSIN, ACCOUNTS FOR 51% OF MONROE CLINIC'S PATIENTS. THE HOSPITAL ALSO SERVES STEPHENSON COUNTY, ILLINOIS, AND JO DAVIESS COUNTY, ILLINOIS.THE COMMUNITY IS OVERWHELMINGLY WHITE AT 96.8% FOR GREEN COUNTY, AND APPROXIMATELY 19.3% OF RESIDENTS ARE AGE 65 OR OLDER. MEDIAN HOUSEHOLD INCOME IS SLIGHTLY ABOVE THE STATE AVERAGE, AND RATES OF POVERTY ARE 6.4%, BELOW THE STATE RATE OF 10.4% AND NATIONAL RATE OF 10.5%. FOR THOSE UNDER 65, 5.4% OF GREEN COUNTY RESIDENTS ARE WITHOUT HEALTH INSURANCE, CONSIDERABLY LOWER THAN STATE AND NATIONAL PERCENTAGES. WHILE THERE IS A HIGHER PERCENTAGE OF COUNTY RESIDENTS GRADUATING HIGH SCHOOL THAN IN WISCONSIN AND THE U.S., THERE ARE LOWER RATES FOR THOSE WITH A BACHELOR'S DEGREE.ADDITIONAL DEMOGRAPHIC AND STATISTICAL INFORMATION ON THE HOSPITAL'S COMMUNITY CAN BE FOUND THROUGHOUT THE 2021 CHNA. |
| PART VI, LINE 5: | SSM HEALTH AND ITS AFFILIATES PARTICIPATE 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.SSM HEALTH AND ITS AFFILIATES PROMOTE GRASSROOTS ADVOCACY AND ENGAGES PERSONS OF INFLUENCE TO AFFECT SOCIAL AND PUBLIC POLICY CHANGE IN ORDER TO PROMOTE COMMUNITY HEALTH.THE HOSPITALS ALSO FURTHER THEIR 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. |
| PART VI, LINE 6: | SSM HEALTH MONROE HOSPITAL IS A 501(C)(3) ORGANIZATION AND IS A MEMBER OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. SSM HEALTH CARE CORPORATION (SSMHCC), A MISSOURI NONPROFIT CORPORATION, IS THE ULTIMATE PARENT ENTITY OF A FULLY INTEGRATED HEALTH SYSTEM WITH ITS HEADQUARTERS BASED IN ST. LOUIS, MISSOURI. SSMHCC AND ITS CONSOLIDATED SUBSIDIARIES (DOING BUSINESS AS SSM HEALTH (SSMH) OWNS AND OPERATES 23 ACUTE CARE HOSPITALS, ONE OF WHICH SPECIALIZES IN PEDIATRICS, TWELVE POST-ACUTE CARE FACILITIES, A NATIONAL PHARMACY BENEFIT MANAGEMENT COMPANY (PBM), AN EXTENSIVE NETWORK OF PHYSICIAN PRACTICE OPERATIONS, OTHER HEALTH CARE BUSINESSES AND SEVERAL FOUNDATIONS. SSMH'S HOSPITAL OPERATIONS ARE LOCATED PRIMARILY IN MISSOURI, WISCONSIN, OKLAHOMA AND ILLINOIS, AND ITS RELATED BUSINESSES PROVIDE HEALTH RELATED SERVICES IN 50 STATES. SSMH'S MISSION STATEMENT IS AS FOLLOWS:THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.SSMHCC AND MOST OF ITS AFFILIATED SUBSIDIARY CORPORATIONS HAVE BEEN GRANTED EXEMPTION FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). CERTAIN SUBSIDIARIES OF SSMH ARE FOR-PROFIT ENTITIES THAT ARE TAXABLE UNDER THE IRC.SSMH IS SPONSORED BY SSM HEALTH MINISTRIES, A MINISTERIAL JURIDIC PERSON, WHICH IS CURRENTLY COMPOSED OF ONE FRANCISCAN SISTER OF MARY (FSM), ONE SISTER OF ST. AGNES, ONE JESUIT PRIEST, ONE FRANCISCAN PRIEST, AND FOUR LAY PERSONS WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMH. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IL,WI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREEPORT MINISTRY FELLOWSHIP ALLIANCE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18 W STEPHENSON STREET STE 8 | AddressLine1Txt |
| City | FREEPORT | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61032 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 475194581 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $32,557 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | GENERAL PURPOSE | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE MADE TO ORGANIZATIONS AND OFTEN MADE TO RELATED ORGANIZATIONS THAT ARE TAX EXEMPT UNDER SECTION 501(C)(3). THE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. ALL GRANTS TO INDIVIDUALS, WHEN APPLICABLE, INCLUDE A GRANT APPLICATION PROCESS THROUGH A PARTNER ORGANIZATION. APPROVED GRANT APPLICATIONS ARE FORWARDED TO THE MONROE CLINIC AND THE CLINIC PAYS THE REQUESTED EXPENDITURES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN SMOOT | ||||||||||||||
| VICE PRESIDENT, COO AT SSM | $0 | $1,305,272 | $0 | $895,103 | $0 | $164,560 | $0 | $1,075,677 | $0 | $44,021 | $0 | $3,484,633 | $0 | $1,036,001 |
| DOUGLAS LONG | ||||||||||||||
| SECRETARY, CLO AT SSM HEALTH | $0 | $813,979 | $0 | $583,198 | $0 | $189,973 | $0 | $676,547 | $0 | $24,224 | $0 | $2,287,921 | $0 | $583,198 |
| SUZANNE ANDERSON | ||||||||||||||
| DIRECTOR, REGIONAL PRESIDE | $0 | $787,210 | $0 | $422,941 | $0 | $167,577 | $0 | $527,309 | $0 | $20,931 | $0 | $1,925,968 | $0 | $480,783 |
| KEVIN SMITH | ||||||||||||||
| TREASURER, CFO AT SSM HEALTH | $0 | $1,034,519 | $0 | $0 | $0 | $15,958 | $0 | $586,407 | $0 | $40,674 | $0 | $1,677,558 | $0 | $0 |
| RANDALL COMBS | ||||||||||||||
| FORMER OFFICER | $0 | $323,766 | $0 | $923,306 | $0 | $206,949 | $0 | $13,881 | $0 | $15,625 | $0 | $1,483,527 | $0 | $923,306 |
| SUNIL PENESETTI | ||||||||||||||
| PHYSICIAN | $1,038,186 | $0 | $0 | $0 | $1,710 | $0 | $19,921 | $0 | $47,476 | $0 | $1,107,293 | $0 | $0 | $0 |
| ARIF AHMAD | ||||||||||||||
| PHYSICIAN | $839,150 | $0 | $0 | $0 | $36,538 | $0 | $28,762 | $0 | $42,321 | $0 | $946,771 | $0 | $16,207 | $0 |
| RICHARD HUNTSMAN | ||||||||||||||
| PHYSICIAN | $865,898 | $0 | $15,000 | $0 | $1,140 | $0 | $16,546 | $0 | $45,438 | $0 | $944,022 | $0 | $0 | $0 |
| GURMEET SINGH | ||||||||||||||
| PHYSICIAN | $817,428 | $0 | $21,000 | $0 | $1,140 | $0 | $19,970 | $0 | $46,982 | $0 | $906,520 | $0 | $0 | $0 |
| MATTHEW POGODZINSKI MD | ||||||||||||||
| DIRECTOR, PHYSICIAN AT SSM HEALTH | $0 | $735,611 | $0 | $75,000 | $0 | $2,622 | $0 | $19,513 | $0 | $46,254 | $0 | $879,000 | $0 | $0 |
| DANA DOLL | ||||||||||||||
| PHYSICIAN | $780,471 | $0 | $0 | $0 | $6,031 | $0 | $15,088 | $0 | $45,134 | $0 | $846,724 | $0 | $0 | $0 |
| THOMAS KIRSCHBAUM | ||||||||||||||
| ASSISTANT SECRETARY | $0 | $400,165 | $0 | $115,798 | $0 | $45,532 | $0 | $136,607 | $0 | $39,165 | $0 | $737,267 | $0 | $115,798 |
| CHELSEA HARDACRE | ||||||||||||||
| VP PATIENT CARE SVCS, CNO | $229,114 | $0 | $25,423 | $0 | $10,365 | $0 | $43,453 | $0 | $23,320 | $0 | $331,675 | $0 | $25,423 | $0 |
| JENNIFER MASKEL MD | ||||||||||||||
| DIRECTOR, PHYSICIAN AT SSM HEALTH | $0 | $145,211 | $0 | $0 | $0 | $657 | $0 | $10,712 | $0 | $3,686 | $0 | $160,266 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | AN INDIVIDUAL LISTED ON SCHEDULE J PART II RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2024. THE PAYMENT WAS INCLUDED IN TAXABLE COMPENSATION. |
| PART I, LINE 3 | THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (HOSPITAL PRESIDENT) IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| PART I, LINE 4B | 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 2024. 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 DISTRIBUTIONS FROM THIS PLAN IN 2024. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. STEVE SMOOT - $159,608 CHELSEA HARDACRE - $9,860 ARIF AHMAD - $29,014 DANA DOLL - $4,418 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, ITEM C | DBA: MONROE CLINIC HOSPICE DBA: SSM HEALTH AT HOME |
| FORM 990, PART V, LINE 1A | ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY A RELATED ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. |
| FORM 990, PART VI, SECTION A, LINE 4 | IN 2024, THE MONROE CLINIC, INC. UPATED ITS BYLAWS FOR THE FOLLOWING CHANGES: - CHANGE TO THE SIZE OF THE BOARD OF DIRECTORS AND NUMBER OF EX OFFICIO DIRECTORS - CHANGE TO TERMS AND TERM LIMITS FOR BOARD OF DIRECTORS MEMBERS - CHANGE TO OFFICER POSITIONS AND METHOD FOR APPOINTMENT - CHANGE TO THE COMMITTEES FOR THE HOSPITAL OPERATING ENTITY. |
| FORM 990, PART VI, SECTION A, LINE 6 | 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, SECTION A, LINE 7A | 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, SECTION A, LINE 7B | THE FOLLOWING POWERS ARE RESERVED FOR SSM HEALTH CARE CORPORATION (SSMHCC), THE SOLE MEMBER OF SSM HEALTH CARE OF WISCONSIN, INC., THE SOLE MEMBER OF THE MONROE CLINIC, INC.: 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 CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION; D. TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN; E. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION; F. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; G. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY; H. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; I. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; J. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY; K. 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; L. TO APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; M. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION; N. 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; O. 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; P. 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 SSMHCC APPROVAL; AND Q. 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, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | 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. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY OF 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 MUCH BE COMPLETED ON LINE. 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, SECTION B, LINE 15 | THE ORGANIZATION'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 ARRANGEMENT TO BE REVIEWED AND RECOMMENDED BY THE COMPENSATION COMMITTEE. THE 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, SECTION C, LINE 19 | 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 XI, LINE 9: | CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -6,456,487. BENEFICIAL INTEREST IN FOUNDATION -4,201,674. INTERCOMPANY TRANSFERS -37,962,391. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (53 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SSM HEALTH CARE CORPORATION | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 466029223 | HEALTH CARE | MO | 501(C)(3) | LINE 12A, I | SSM HEALTH MINISTRIES | 0 | |
| SSMHC LIABILITY TRUST I | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 436331003 | INSURANCE | MO | 501(C)(3) | LINE 12A, I | SSM HEALTH CARE CORPORATION | 0 | |
| SSM CONSOLIDATED HEALTH SERVICES | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431473657 | HEALTH CARE | MO | 501(C)(3) | LINE 10 | SSM HEALTH CARE CORPORATION | 0 | |
| SSM POLICY INSTITUTE | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431788151 | HEALTH CARE | MO | 501(C)(4) | SSM HEALTH CARE CORPORATION | 0 | ||
| SSM HEALTH CARE PORTFOLIO MANAGEMENT CO | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431825256 | MANAGEMENT | MO | 501(C)(3) | LINE 12A, I | SSM HEALTH CARE CORPORATION | 0 | |
| SSM CARDINAL GLENNON CHILDREN'S HOSPITAL | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 430738490 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM HEALTH CARE ST LOUIS | 0 | |
| CARDINAL GLENNON CHILDREN'S FOUNDATION | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431754347 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM CARDINAL GLENNON CHILDREN'S HOSPITAL | 0 | |
| SSM HEALTH FOUNDATION - ST LOUIS | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431552945 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | SSM HEALTH CARE ST LOUIS | 0 | |
| SSM HEALTH CARE OF OKLAHOMA INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 730657693 | HEALTH CARE | OK | 501(C)(3) | LINE 3 | SSM HEALTH CARE CORPORATION | 0 | |
| THE ST ANTHONY HOSPITAL FOUNDATION INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 736104300 | FUNDRAISING | OK | 501(C)(3) | LINE 7 | SSM HEALTH CARE OF OKLAHOMA | 0 | |
| SSM HEALTH CARE OF WISCONSIN INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 430688874 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | SSM HEALTH CARE CORPORATION | 0 | |
| DELLS MEDICAL BUILDING INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 391613292 | MOB | WI | 501(C)(2) | SSM HEALTH CARE OF WISCONSIN | 0 | ||
| ST MARY'S FOUNDATION INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431940686 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| ST CLARE HEALTH CARE FOUNDATION INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431940683 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| HOME HEALTH UNITED INC | |||||||||||
| 2802 WALTON COMMONS LANE | MADISON | WI | 53718 | 391539827 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| HOME CARE UNITED INC | |||||||||||
| 2802 WALTON COMMONS LANE | MADISON | WI | 53718 | 391776340 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| HHU XTRA CARE INC | |||||||||||
| 2802 WALTON COMMONS LANE | MADISON | WI | 53718 | 391705111 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| SSM HEALTH AT HOME FOUNDATION OF WISCONSIN INC | |||||||||||
| 2802 WALTON COMMONS LANE | MADISON | WI | 53718 | 391839309 | FUNDRAISING | WI | 501(C)(3) | LINE 12A, I | HOME HEALTH UNITED INC | 0 | |
| SSM REGIONAL HEALTH SERVICES | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 440579850 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM HEALTH CARE CORPORATION | 0 | |
| ST MARY'S HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431575307 | FUNDRAISING | MO | 501(C)(3) | LINE 12A, I | SSM REGIONAL HEALTH SERVICES | 0 | |
| GOOD SAMARITAN REGIONAL HEALTH CENTER | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 430653587 | HEALTH CARE | IL | 501(C)(3) | LINE 3 | SSM REGIONAL HEALTH SERVICES | 0 | |
| ST MARY'S HOSPITAL CENTRALIA ILLINOIS | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 370662580 | HEALTH CARE | IL | 501(C)(3) | LINE 3 | SSM REGIONAL HEALTH SERVICES | 0 | |
| ST MARY'S - GOOD SAMARITAN INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 364170833 | HEALTH CARE | IL | 501(C)(3) | LINE 12A, I | SSM REGIONAL HEALTH SERVICES | 0 | |
| GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 262884795 | FUNDRAISING | IL | 501(C)(3) | LINE 7 | ST MARY'S-GOOD SAMARITAN INC | 0 | |
| ST MARY'S HOSPITAL FOUNDATION | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 364636691 | FUNDRAISING | IL | 501(C)(3) | LINE 7 | ST MARY'S-GOOD SAMARITAN INC | 0 | |
| ST MARY'S HOSPITAL AUXILIARY | |||||||||||
| 400 N PLEASANT | CENTRALIA | IL | 62801 | 237126345 | FUNDRAISING | IL | 501(C)(3) | LINE 10 | ST MARY'S HOSPITAL FOUNDATION | 0 | |
| SSM HEALTH BUSINESSES | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431333488 | HEALTH CARE | MO | 501(C)(3) | LINE 10 | SSM HEALTH CARE CORPORATION | 0 | |
| SSM HEALTH CARE ST LOUIS | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431343281 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM HEALTH CARE CORPORATION | 0 | |
| CENTRALIA MEDICAL SERVICES BLDG ASSOC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 237408025 | MOB | IL | 501(C)(3) | LINE 12A, I | SSM REGIONAL HEALTH SERVICES | 0 | |
| ST MARY'S JANESVILLE FOUNDATION INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 273439133 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| SSM HEALTH MINISTRIES | |||||||||||
| 3221 MCKELVEY ROAD SUITE 107 | BRIDGETON | MO | 63044 | 431012492 | RELIGIOUS ORGANIZATION | MO | 501(C)(3) | LINE 1 | 0 | N/A | |
| LEE DEWEY CORPORATION | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 731279603 | MOB | OK | 501(C)(3) | LINE 12A, I | SSM HEALTH CARE OF OKLAHOMA | 0 | |
| ST MARY'S HOSPITAL AUXILIARY | |||||||||||
| 100 ST MARYS MEDICAL PLAZA | JEFFERSON CITY | MO | 65101 | 436049878 | FUNDRAISING | MO | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| GOOD SAMARITAN HOSPITAL AUXILIARY | |||||||||||
| 1 GOOD SAMARITAN WAY | MOUNT VERNON | IL | 62864 | 237049599 | FUNDRAISING | IL | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| ST ANTHONY SHAWNEE HOSPITAL INC | |||||||||||
| 1000 N LEE AVE | OKLAHOMA CITY | OK | 73102 | 455055149 | HEALTH CARE | OK | 501(C)(3) | LINE 3 | SSM HEALTH CARE OF OKLAHOMA | 0 | |
| SSM AUDRAIN HEALTH CARE INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431550298 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM REGIONAL HEALTH SERVICES | 0 | |
| SSM-SLUH INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 474196634 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | SSM HEALTH CARE ST LOUIS | 0 | |
| AGNESIAN HEALTHCARE INC | |||||||||||
| 430 E DIVISION ST | FOND DU LAC | WI | 54935 | 390807236 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| RIPON MEDICAL CENTER INC | |||||||||||
| 845 PARKSIDE STREET | RIPON | WI | 54971 | 391101287 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | AGNESIAN HEALTHCARE INC | 0 | |
| WAUPUN MEMORIAL HOSPITAL INC | |||||||||||
| 620 WEST BROWN STREET | WAUPUN | WI | 53963 | 390806265 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | AGNESIAN HEALTHCARE INC | 0 | |
| ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC | |||||||||||
| 33 EVERETT STREET | FOND DU LAC | WI | 54935 | 391029998 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | AGNESIAN HEALTHCARE INC | 0 | |
| SISTER SERVANTS OF CHRIST THE KING VILLA LORETTO | |||||||||||
| N8114 COUNTY WW | MOUNT CALVARY | WI | 53057 | 391022770 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | AGNESIAN HEALTHCARE INC | 0 | |
| VILLA ROSA INC | |||||||||||
| N8120 COUNTY WW | MOUNT CALVARY | WI | 53057 | 421670962 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | AGNESIAN HEALTHCARE INC | 0 | |
| THE CHRISTIAN HOME AND REHABILITATION CENTER INCORPORATED | |||||||||||
| 331 BLY STREET | WAUPUN | WI | 53963 | 390884514 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | AGNESIAN HEALTHCARE INC | 0 | |
| THE MONROE CLINIC INC | |||||||||||
| 515 22ND AVENUE | MONROE | WI | 53566 | 390808509 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| MONROE CLINIC AND HOSPITAL FOUNDATION INC | |||||||||||
| 515 22ND AVENUE | MONROE | WI | 53566 | 205769038 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | SSM HEALTH CARE OF WISCONSIN | 0 | |
| AGNESIAN HEALTHCARE FOUNDATION INC | |||||||||||
| 430 E DIVISION ST | FOND DU LAC | WI | 54935 | 391684956 | FUNDRAISING | WI | 501(C)(3) | LINE 12A, I | SSM HEALTH CARE OF WISCONSIN | 0 | |
| SHARED MAGNETIC RESONANCE IMAGING FACILITY INC | |||||||||||
| 1104 JOHN NOLEN DRIVE | MADISON | WI | 53713 | 391534744 | HEALTH CARE | WI | 501(C)(3) | LINE 12A, I | SSM HEALTH CARE OF WISCONSIN | 0 | |
| SSM HEALTH CARDINAL GLENNON TRANSPORT | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 863519607 | HEALTH CARE | MO | 501(C)(3) | LINE 12A, I | SSM CARDINAL GLENNON CHILDREN'S HOSPITAL | 0 | |
| SSM HEALTH FOUNDATION | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 874109859 | FUNDRAISING | MO | 501(C)(3) | LINE 12A, I | SSM HEALTH CARE CORPORATION | 0 | |
| SSM HEALTH CARE GROUP | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 880988603 | HEALTH CARE | MO | 501(C)(3) | LINE 10 | SSM HEALTH CARE ST LOUIS | 0 | |
| THE SARAH COMMUNITY | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431784657 | HEALTH CARE | MO | 501(C)(3) | LINE 10 | SSM HEALTH BUSINESSES | 0 | |
| VISITING NURSE ASSOCIATION OF GREATER ST LOUIS | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 430567000 | HEALTH CARE | MO | 501(C)(3) | LINE 7 | SSM HEALTH BUSINESSES | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| SSM ST JOSEPH ENDOSCOPY CENTER LLC | |||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 270046559 | SURGERY SERVICES | MO | N/A | 0 | 0 |
| ST CLARE IMAGING SERVICES LLC | |||||||||
| 707 14TH STREET SUITE A | BARABOO | WI | 53913 | 200122365 | DIAG. SERVICES | WI | N/A | 0 | 0 |
| MT VERNON RADIATION THERAPY CENTER LLC | |||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 201382620 | RADIATION THERAPY | IL | N/A | 0 | Yes (1) |
| SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS LLC | |||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 208468195 | DIAG. SERVICES | IL | N/A | 0 | 0 |
| CHOWSMGSI OFFICE BUILDING LLC | |||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 371383861 | MOB | IL | N/A | 0 | 0 |
| OZA CANCER CENTER LLC | |||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 201382727 | MOB | IL | N/A | 0 | 0 |
| SHAWNEE REAL ESTATE HOLDINGS LLC | |||||||||
| 1000 N LEE AVE | OKLAHOMA CITY | OK | 73102 | 455458304 | MOB | OK | N/A | 0 | 0 |
| DEAN CLINIC & ST MARY'S HOSPITAL ACCOUNTABLE CARE ORGANIZATION LLC | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 452995500 | ACCOUNTABLE CARE ORGANIZATION | WI | N/A | 0 | 0 |
| WISCONSIN INTEGRATED INFORMATION TECHNOLOGY AND TELEMEDICINE SYSTEMS LLC | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 392016715 | INFORMATION TECHNOLOGY SERVICES | WI | N/A | 0 | 0 |
| WINGRA BUILDING GROUP | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 390237060 | MOB | WI | N/A | 0 | 0 |
| JANESVILLE RIVERVIEW CLINIC BUILDING PARTNERSHIP | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 396220698 | MOB | WI | N/A | 0 | 0 |
| 1110 N CLASSEN BLVD LLC | |||||||||
| 1110 N CLASSEN BOULEVARD | OKLAHOMA CITY | OK | 73106 | 731158158 | MOB | OK | N/A | 0 | Yes (1) |
| SSM ST CLARE SURGICAL CENTER LLC | |||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 261439695 | SURGERY SERVICES | MO | N/A | 0 | 0 |
| WINDMILL LLP | |||||||||
| 50 VILLAGE VIEW LANE | CHESTERFIELD | MO | 63017 | 431804651 | INVESTMENTS | MO | N/A | 0 | 0 |
| NAVITUS HEALTH SOLUTIONS LLC | |||||||||
| 361 INTEGRITY DRIVE | MADISON | WI | 53717 | 043608530 | PHARMACY BENEFIT MANAGEMENT | WI | N/A | 0 | 0 |
| SSM SELECT REHAB ST LOUIS LLC | |||||||||
| 4714 GETTYSBURG ROAD | MECHANICSBURG | PA | 17055 | 263694972 | HEALTH CARE | DE | N/A | 0 | 0 |
| EPIPHANY RX LLC | |||||||||
| 361 INTEGRITY DRIVE | MADISON | WI | 53717 | 364855405 | PHARMACY BENEFIT MANAGEMENT | DE | N/A | 0 | 0 |
| RXPRECHECK LL | |||||||||
| 278 FRANKLIN RD | BRENTWOOD | TN | 37027 | 812842151 | PHARMACY BENEFIT MANAGEMENT | TN | N/A | 0 | 0 |
| ARCHIMEDES LLC | |||||||||
| 278 FRANKLIN RD | BRENTWOOD | TN | 37027 | 811158028 | PHARMACY BENEFIT MANAGEMENT | TN | N/A | 0 | 0 |
| BLOOM TREE LONG-ONLY FUND QP LP FKA BLOOM TREE PONDEROSA FUNDS QP LP | |||||||||
| 101 PARK AVENUE 33RD FL | NEW YORK | NY | 10178 | 823704522 | INVESTMENTS | DE | N/A | 0 | 0 |
| NECICF II AIV2-B LP | |||||||||
| 300 DELAWARE AVE STE 210 | WILMINGTON | DE | 19801 | 845058167 | INVESTMENTS | DE | N/A | 0 | 0 |
| BISON CAPITAL PARTNERS VI-A LP | |||||||||
| 233 WILSHIRE BLVD STE 425 | SANTA MONICA | CA | 90401 | 874006968 | INVESTMENTS | DE | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SSM MANAGED CARE ORGANIZATION LLC | |||||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431708511 | HEALTH PROMOTION | MO | N/A | C | 0 | ||||
| FPP INC & SUBS | |||||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431465174 | HEALTH CARE | MO | N/A | C | 0 | ||||
| DIVERSIFIED HEALTH SERVICES CORP | |||||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431369305 | MEDICAL EQUIPMENT | MO | N/A | C | 0 | ||||
| SSM PROPERTIES INC | |||||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431462486 | PROPERTY SERVICES | MO | N/A | C | 0 | ||||
| HEALTHFIRST PHYSICIAN MANAGEMENT SERVICES | |||||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 731534336 | MEDICAL SERVICES | OK | N/A | C | 0 | ||||
| SSMHC LIABILITY TRUST II | |||||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 816128118 | INSURANCE | MO | N/A | C | 0 | ||||
| SSM MEDICAL GROUP INC | |||||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431664107 | PHYSICIAN OFFICES | MO | N/A | C | 0 | ||||
| SSMHC INSURANCE COMPANY | |||||||||||||
| 030310431 | INSURANCE | N/A | C | 0 | PO BOX 1051 GT | GRAND CAYMAN | CJ | CJ | |||||
| PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS INC | |||||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 364161526 | HEALTH CARE | IL | N/A | C | 0 | ||||
| DEAN HEALTH SYSTEMS INC | |||||||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 391128616 | PHYSICIAN OFFICES | WI | N/A | C | 0 | ||||
| DEAN RETAIL SERVICES INC | |||||||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 391717636 | PROPERTY SERVICES | WI | N/A | C | 0 | ||||
| SSM HEALTH JANESVILLE CAMPUS CONDOMINIUM ASSOCIATION INC | |||||||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 832038674 | CONDO ASSOCIATION | WI | N/A | C | 0 | ||||
| SSM HEALTH PHARMACY LLC | |||||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 264031708 | PHARMACY | MO | N/A | C | 0 | ||||
| NAVITUS HOLDINGS LLC | |||||||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 800968174 | PHARMACY | WI | N/A | C | 0 | ||||
| MS COMMUNITY JV LLC | |||||||||||||
| 401 CARLSON PARKWAY CP330 | MINNETONKA | MN | 55305 | 873240022 | INSURANCE | DE | N/A | C | 0 | ||||
| QUALITY DRUG CORPORATION | |||||||||||||
| 239 BROADWAY | LAGUNA BEACH | CA | 92651 | 330644268 | PHARMACY BENEFITS | CA | N/A | C | 0 | ||||
| ST MARY'S HOSPITAL CAMPUS CONDOMINIUM OWNERS ASSOCIATION INC | |||||||||||||
| 707 SOUTH MILLS STREET | MADISON | WI | 53715 | 000000000 | CONDO ASSOCIATION | WI | N/A | C | 0 | ||||
| PARTNERS GROUP PMC PRIVATE CREDIT LP | |||||||||||||
| 981439264 | INVESTMENT | N/A | C | 0 | C/O MAPLES CORPORATE SERVICES LTD | GRAND CAYMAN | CJ | CJ | |||||
| OMNINHEALTH HOLDINGS | |||||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 884144276 | HEALTH CARE CONSULTING | DE | N/A | C | 0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONROE CLINIC & HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $250,445 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |