2025-11-17T19:20:42-06:00 2024-12-31 990 2024-01-01 390808509 THE MONROE CLINIC INC MONR 6083242000 515 22ND AVENUE MONROE WI 53566 STEPHANIE KING VP FINANCE 6083242000 2025-11-17 0 2024 2025-03-06 01:10:19Z THE MONROE CLINIC HOME CARE JANE CURRAN-MEULI 515 22ND AVENUE MONROE WI 53566 237287431 0 0928 X WWW.SSMHEALTH.COM/LOCATIONS/LOCATION-DETAILS/MONR X 1963 WI THE MONROE CLINIC, INC. PROVIDES HEALTHCARE SERVICES TO THE COMMUNITIES IN AND SURROUNDING GREEN COUNTY, WI AND STEPHENSON COUNTY, IL. MEDICAL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. 12 9 1065 162 822399 0 428857 250763 209989012 223364255 5907186 10584158 3178355 2933875 219503410 237133051 319804 324146 0 0 111525411 108094689 0 0 3464 96524787 103963928 208370002 212382763 11133408 24750288 301884357 310379799 41462756 71754696 260421601 238625103 X WORKING TOGETHER TO ACHIEVE THE HIGHEST STANDARDS IN HEALTHCARE, WE CREATE HEALTHY COMMUNITIES THROUGH GOD'S HEALING SPIRIT. VISION: EXCEPTIONAL HEALTHCARE, AN EXCEPTIONAL EXPERIENCE. 0 0 197236586 324146 223364255 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. 197236586 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 1065 1 1 1 0 0 0 0 0 0 0 0 0 X 12 9 0 0 1 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 0 WI X BRADLEY REACH 6082416949 1808 W BELTLINE HWY MADISON WI 53713 SUZANNE ANDERSON DIRECTOR, REGIONAL PRESIDE 1.00 55.00 X X 0 1377728 548240 SR RHEA EMMER DIRECTOR 1.00 4.00 X 0 0 0 PAT LEITZEN FYE DIRECTOR 1.00 4.00 X 0 0 0 PENG HER DIRECTOR 1.00 4.00 X 0 0 0 MARK HOLZMAN DIRECTOR 1.00 4.00 X 0 0 0 JOAN KARSTEN DIRECTOR 1.00 4.00 X 0 0 0 JENNIFER MASKEL MD DIRECTOR, PHYSICIAN AT SSM HEALTH 1.00 50.00 X 0 145868 14398 WAYNE MATZKE DIRECTOR, VICE CHAIRPERSON 1.00 4.00 X X 0 0 0 THEODORE MILLER MD DIRECTOR 1.00 4.00 X 0 0 0 OLIVIA OTTE DIRECTOR 1.00 4.00 X 0 0 0 MATTHEW POGODZINSKI MD DIRECTOR, PHYSICIAN AT SSM HEALTH 1.00 50.00 X 0 813233 65767 WESLEY SPARKMAN DIRECTOR, CHAIRPERSON 1.00 4.00 X X 0 0 0 STEVEN SMOOT VICE PRESIDENT, COO AT SSM 1.00 55.00 X 0 2364935 1119698 DOUGLAS LONG SECRETARY, CLO AT SSM HEALTH 1.00 55.00 X 0 1587150 700771 THOMAS KIRSCHBAUM ASSISTANT SECRETARY 1.00 55.00 X 0 561495 175772 KEVIN SMITH TREASURER, CFO AT SSM HEALTH 1.00 55.00 X 0 1050477 627081 CHELSEA HARDACRE VP PATIENT CARE SVCS, CNO 40.00 0.00 X 264902 0 66773 ARIF AHMAD PHYSICIAN 40.00 0.00 X 875688 0 71083 GURMEET SINGH PHYSICIAN 40.00 0.00 X 839568 0 66952 SUNIL PENESETTI PHYSICIAN 40.00 0.00 X 1039896 0 67397 RICHARD HUNTSMAN PHYSICIAN 40.00 0.00 X 882038 0 61984 DANA DOLL PHYSICIAN 40.00 0.00 X 786502 0 60222 RANDALL COMBS FORMER OFFICER 0.00 0.00 X 0 1454021 29506 4688594 9354907 3675644 180 1 1 0 TRIMEDX HOLDINGS LLC 5451 LAKEVIEW PARKWAY S DR INDIANAPOLIS IN 46268 CLINICAL ENGINEERING SERVICES 846964 OWENS & MINOR DISTRIBUTION INC 10900 NUCKOLS ROAD SUITE 400 GLEN ALLEN VA 23060 MEDICAL SERVICES 754902 CHG COMPANIES INC 7259 S BINGHAM JUNCTION BLVD MIDVALE UT 84047 HEALTHCARE STAFFING SERVICES 342226 MEDTRONIC USA IN 710 MEDTRONIC PKWY NE MINNEAPOLIS MN 55432 MEDICAL SERVICES 333306 SIEMENS MEDICAL SOLUTIONS USA INC 40 LIBERTY BLVD MALVERN PA 193551418 MEDICAL SERVICES 316542 25 250445 318 5598 250763 NET PATIENT SERVICE RE 622110 214425139 214425139 PHARMACY REVENUE 456110 6580906 5759557 821349 CORPORATE FEES 561000 690974 690974 MANAGEMENT FEES 561000 454303 454303 VALUE BASED CARE REVEN 561000 153664 153664 1059269 1058219 1050 223364255 3917258 3917258 18285 0 18285 18285 18285 6648059 18841 0 0 6648059 18841 6666900 6666900 971856 154380 817476 817476 JOINT VENTURE REVENUE 900099 1666945 1666945 CAFETERIA REVENUE 722514 423989 423989 OTHER REVENUE 900099 7180 7180 2098114 237133051 222541856 822399 13518033 324146 324146 85896370 82566696 3329674 4508749 4333973 174776 12427816 11946066 481750 5261754 5057788 203966 3364749 3227054 137695 46552 169 46383 12800285 12534461 265824 9243 8896 347 1464734 1345934 115809 2991 6777135 6777135 3103860 2548920 554940 417799 394437 23362 141576 120677 20426 473 19717847 15294075 4423772 8207651 7910145 297506 841384 21000 820384 MEDICAL SUPPLIES & EQUI 42391330 42391330 MEDICAID PROVIDER TAX & 4059058 2623 4056435 LICENSES, DUES & SUBSCR 573103 389489 183614 OTHER EXPENSES 41572 41572 6050 6050 212382763 197236586 15142713 3464 662261 8892 33246150 40926959 3364510 3628375 378344 542774 180911046 63199170 118621274 117711876 131710870 144288925 11629485 885868 381119 255336 1890344 2130794 301884357 310379799 16995506 14295606 21681 22533 24445569 57436557 41462756 71754696 X 251320674 238625103 9100927 0 260421601 238625103 301884357 310379799 X 24750288 2073767 -48620552 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14832 14832 0 PART II-B, LINE 1: 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. 6870697 89901 812852 7773451 5893458 94138 1058980 175879 6870697 5168051 747841 137457 159891 5893458 5489706 252166 843308 1417129 5168051 4610640 29793 849273 5489706 0.15050 0.35180 0.49770 0 1 1 3002692 3002692 123262217 33402457 89859760 8335045 3673646 4661399 43451082 26123067 17328015 2860010 2860010 117711876 LONG-TERM INVESTMENTS 144288925 F 144288925 THIRD PARTY PAYABLES 4005742 INTERCOMPANY PAYABLE 53165350 OPERATING RIGHT-OF-USE LIABILITIES 265465 57436557 X 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 1550037 1550037 0.00730 25549971 6615055 18934916 0.08920 2344730 1793850 550880 0.00260 29444738 8408905 21035833 0.09910 287266 287266 0.00140 164770 164770 0.00080 3332039 3332039 0.01570 442111 442111 0.00210 4226186 4226186 0.02000 33670924 8408905 25262019 0.11910 1 12026907 0 37036684 62925797 -25889113 X 1 1 1 1 MONROE CLINIC 515 22ND AVENUE MONROE WI 53566 WWW.SSMHEALTH.COM/LOCATIONS/WISCONSIN/ 56 X X X X MONROE CLINIC 1 0 0 1 X X X X X X X X X X 24 1 0 1 1 X HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH X 1 24 1 HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X WWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTA X X X X X X 1 X 0 X X X X 1 X 0 0 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. 10 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 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 1 FREEPORT MINISTRY FELLOWSHIP ALLIANCE 18 W STEPHENSON STREET STE 8 FREEPORT IL 61032 475194581 501(C)(3) 32557 0 GENERAL PURPOSE 1 0 PART I, LINE 2: 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. X 1 1 0 1 0 0 0 0 0 0 0 STEVEN SMOOT VICE PRESIDENT, COO AT SSM 0 1305272 0 895103 0 164560 0 1075677 0 44021 0 3484633 0 1036001 DOUGLAS LONG SECRETARY, CLO AT SSM HEALTH 0 813979 0 583198 0 189973 0 676547 0 24224 0 2287921 0 583198 SUZANNE ANDERSON DIRECTOR, REGIONAL PRESIDE 0 787210 0 422941 0 167577 0 527309 0 20931 0 1925968 0 480783 KEVIN SMITH TREASURER, CFO AT SSM HEALTH 0 1034519 0 0 0 15958 0 586407 0 40674 0 1677558 0 0 RANDALL COMBS FORMER OFFICER 0 323766 0 923306 0 206949 0 13881 0 15625 0 1483527 0 923306 SUNIL PENESETTI PHYSICIAN 1038186 0 0 0 1710 0 19921 0 47476 0 1107293 0 0 0 ARIF AHMAD PHYSICIAN 839150 0 0 0 36538 0 28762 0 42321 0 946771 0 16207 0 RICHARD HUNTSMAN PHYSICIAN 865898 0 15000 0 1140 0 16546 0 45438 0 944022 0 0 0 GURMEET SINGH PHYSICIAN 817428 0 21000 0 1140 0 19970 0 46982 0 906520 0 0 0 MATTHEW POGODZINSKI MD DIRECTOR, PHYSICIAN AT SSM HEALTH 0 735611 0 75000 0 2622 0 19513 0 46254 0 879000 0 0 DANA DOLL PHYSICIAN 780471 0 0 0 6031 0 15088 0 45134 0 846724 0 0 0 THOMAS KIRSCHBAUM ASSISTANT SECRETARY 0 400165 0 115798 0 45532 0 136607 0 39165 0 737267 0 115798 CHELSEA HARDACRE VP PATIENT CARE SVCS, CNO 229114 0 25423 0 10365 0 43453 0 23320 0 331675 0 25423 0 JENNIFER MASKEL MD DIRECTOR, PHYSICIAN AT SSM HEALTH 0 145211 0 0 0 657 0 10712 0 3686 0 160266 0 0 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 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. 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