2024-11-15T11:40:22-06:00 2023-12-31 990 2023-01-01 391613292 DELLS MEDICAL BUILDING INC DELL 6083561423 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 BARBARA POTTS VP FINANCE 6083561423 2024-11-15 0 2023 2024-10-15 13:58:12Z X KYLE NONDORF 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 884407 0 X WWW.SSMHEALTH.COM X 1988 WI PROVIDE CONVENIENT MEDICAL OFFICE SPACE TO PHYSICIANS TO ENHANCE HEALTH CARE ACCESSIBILITY FOR PATIENTS. 3 0 0 0 0 0 0 0 879963 879963 445 4444 0 0 880408 884407 0 0 0 0 0 0 0 0 0 423038 361384 423038 361384 457370 523023 7938674 8473253 0 11556 7938674 8461697 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD 0 0 361384 879963 DELLS MEDICAL BUILDING, INC'S (DMBI) LEASING ACTIVITIES ARE A VITAL COMPONENT OF ST CLARE HOSPITAL'S MEDICAL STAFF DEVELOPMENT EFFORTS. BY PROVIDING QUALITY OFFICE SPACE IN THE HOSPITAL'S SERVICE AREA CONVENIENT TO MEMBERS OF THE PUBLIC, DMBI IS SUPPORTING ITS EFFORTS IN RECRUITING AND RETAINING QUALIFIED PHYSICIANS TO THESE LOCALITIES. 361384 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 0 1 0 0 0 0 1 1 1 1 1 0 0 0 X THE ORGANIZATION 6083561423 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 KYLE NONDORF DIRECTOR, CHAIR, PRESIDENT 1.00 50.00 X X 0 708825 264501 TROY WALKER DIRECTOR, DIRECTOR OF FINANCE-WI 1.00 50.00 X 0 196432 59984 SCOTT WYSOCKI DIRECTOR, VP-OPERATIONS 1.00 50.00 X 0 217931 73756 STEVE SMOOT VICE PRES, COO-SSM HEALTH 1.00 50.00 X 0 2054358 1204489 RANDY COMBS TREASURER, CFO AT SSM HEALTH 1.00 50.00 X 0 2182354 1238074 DOUGLAS LONG SECRETARY, GENERAL COUNSEL AT SSM HEALTH 1.00 50.00 X 0 1425239 777013 THOMAS KIRSCHBAUM ASSISTANT SECRETARY, GENERAL COUNSEL - WI 1.00 50.00 X 0 532265 210384 0 7317404 3828201 0 0 1 0 0 RENT INCOME 531120 879963 879963 879963 4444 4444 884407 879963 0 4444 78928 78928 42000 42000 228228 228228 12208 12208 LICENSE 20 20 361384 361384 0 0 2950654 2877313 11052729 7144727 4136229 3908002 851791 1687938 7938674 8473253 11556 0 11556 X 7938674 8461697 7938674 8461697 7938674 8473253 523023 0 X 0 1 X 1 0 380000 380000 10341256 6879792 3461464 140573 140394 179 190900 124541 66359 3908002 INTERCOMPANY RECEIVABLE 1687938 1687938 X PART X, LINE 2: DELLS MEDICAL BUILDING, 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 RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2022 OR 2023. 0 1 0 RANDY COMBS TREASURER, CFO AT SSM HEALTH 0 1242308 0 669269 0 270777 0 1203989 0 34085 0 3420428 0 669269 STEVE SMOOT VICE PRES, COO-SSM HEALTH 0 1173646 0 737192 0 143520 0 1164125 0 40364 0 3258847 0 878090 DOUGLAS LONG SECRETARY, GENERAL COUNSEL AT SSM HE 0 759270 0 495539 0 170430 0 753634 0 23379 0 2202252 0 495539 KYLE NONDORF DIRECTOR, CHAIR, PRESIDENT 0 530447 0 148664 0 29714 0 220743 0 43758 0 973326 0 161317 THOMAS KIRSCHBAUM ASSISTANT SECRETARY, GENERAL COUNSEL 0 388964 0 99618 0 43683 0 172359 0 38025 0 742649 0 206953 SCOTT WYSOCKI DIRECTOR, VP-OPERATIONS 0 181495 0 27067 0 9369 0 44674 0 29082 0 291687 0 34218 TROY WALKER DIRECTOR, DIRECTOR OF FINANCE-WI 0 173473 0 15976 0 6983 0 23408 0 36576 0 256416 0 22002 PART I, LINE 3 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, 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 SSM HEALTH BOARD OF DIRECTORS. 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 2023. CAPITAL ACCUMULATION PLAN: SSMH PROVIDES THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO EXECUTIVE LEVEL EMPLOYEES. THE ORGANIZATION CONTRIBUTED A PERCENTAGE OF THE EMPLOYEE'S BASE SALARY INTO THEIR CHOICE OF A SELECT LIST OF INVESTMENTS. THE DEPOSITS AND EARNINGS OF THE PLAN ARE OWNED BY SSMH AND ARE TAX-DEFERRED UNTIL A DISTRIBUTION IS MADE TO THE EMPLOYEE. IN ADDITION, THE PLAN HAS SPECIAL SAFEGUARDS IN PLACE TO PROTECT THE FUNDS FROM CONTINGENCIES, OTHER THAN INSOLVENCY. FOR CONTRIBUTIONS MADE TO THE PLAN IN 2014 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF FOUR PLAN YEARS FOR ALL EXECUTIVES THAT ARE STILL ACTIVELY EMPLOYED ON THE DISTRIBUTION DATE. ANY ACTIVE PARTICIPANT 65 YEARS OR OLDER WILL RECEIVE THE CONTRIBUTION IN THE CURRENT YEAR. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DEFERRALS FROM THIS PLAN IN 2023: KYLE NONDORF $53,282 SCOTT WYSOCKI $8,626 STEVE SMOOT $249,972 RANDALL COMBS $261,633 DOUGLAS LONG $161,286 THOMAS KIRSCHBAUM - $37,511 THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN IN 2023. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. KYLE NONDORF $28,586 TROY WALKER $6,130 SCOTT WYSOCKI $7,676 STEVE SMOOT $140,898 FORM 990, PART V, LINE 1A ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE OF WISCONSIN. SSM HEALTH CARE OF WISCONSIN IS A NONPROFIT 501 (C)(3) ORGANIZATION THAT CURRENTLY OPERATES THREE HOSPITALS AND TWO NURSING HOMES IN WISCONSIN. BOTH DELLS MEDICAL BUILDING, INC. AND SSM HEALTH CARE OF WISCONSIN ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH, WHICH OPERATES IN FOUR STATES AND OPERATES 20 HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS ARE ELECTED BY A MAJORITY VOTE OF ALL OUTSTANDING SHARES. 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 AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. 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 MUST BE COMPLETED ONLINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. 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 UPON REQUEST TO THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTION'S OFFICE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART VI, LINE 15A A RELATED ORGANIZATION UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2 ) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990 PART VI, LINE 15B A RELATED ORGANIZATION UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2 ) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. 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