SSM HEALTH CARE OF WISCONSIN INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SSM HEALTH CARE OF WISCONSIN INC (EIN 43-0688874)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-04
- IRS object ID
- 202023099349302482
- Schema version
- 2019v5.0
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-04T16:00:57-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430688874 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SSM Health Care of Wisconsin Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SSMH | BusinessNameControlTxt |
| Phone | 3149947800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 Woodfield Lane | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63132 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Doug Long | PersonNm |
| Person Title | Secretary | PersonTitleTxt |
| Signature | 2020-11-04 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | See Schedule O | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Damond Boatwright | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 Woodfield Lane | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63132 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $686,586,354 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.ssmhealth.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | Part of an integrated network providing health care in south central Wisconsin Operating three hospitals and two skilled nursing facilities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 4104 | TotalEmployeeCnt |
| Total Volunteers | 1141 | TotalVolunteersCnt |
| Total Gross UBI | $6,690,347 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,776,919 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,171,676 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $604,883,224 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $654,468,250 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,639,611 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,321,766 | CYInvestmentIncomeAmt |
| PY Other Revenue | $18,846,226 | PYOtherRevenueAmt |
| CY Other Revenue | $17,791,364 | CYOtherRevenueAmt |
| PY Total Revenue | $637,145,980 | PYTotalRevenueAmt |
| CY Total Revenue | $685,753,056 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $77,660 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $572,571 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $256,610,825 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $255,341,475 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $914,096 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $296,286,839 | PYOtherExpensesAmt |
| CY Other Expenses | $311,872,025 | CYOtherExpensesAmt |
| PY Total Expenses | $552,975,324 | PYTotalExpensesAmt |
| CY Total Expenses | $567,786,071 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $84,170,656 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $117,966,985 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $962,649,145 | TotalAssetsBOYAmt |
| Total Assets EOY | $905,718,695 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $541,091,533 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $358,398,234 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $421,557,612 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $547,320,461 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $497,087,093 | ExpenseAmt |
| Grant | $572,571 | GrantAmt |
| Revenue | $654,468,250 | RevenueAmt |
| Desc | PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. | Desc |
| Total Program Service Expenses | $497,087,093 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 4104 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mary Gigot | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6082603551 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1808 West Beltline Highway | AddressLine1Txt |
| City | Madison | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53713 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (46 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Steven Smoot | ||||||||||
| Pt Yr Director, Vice President, COO | 1.0 | 50.0 | Yes (X) | Yes (X) | $0 | $1,066,618 | $686,232 | |||
| Albert Musa | ||||||||||
| Director, Physician at Dean Medical Group | 1.0 | 40.0 | Yes (X) | $0 | $363,727 | $40,072 | ||||
| Carter Dredge | ||||||||||
| Pt Yr Director, Chief Transformation Officer | 1.0 | 41.0 | Yes (X) | $0 | $761,575 | $502,807 | ||||
| Gregory Matzke | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $705,281 | $45,280 | ||||
| Jason Isenberg | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $485,100 | $44,346 | ||||
| Jennifer Maskel | ||||||||||
| Director, Physician at Dean Medical Group | 1.0 | 40.0 | Yes (X) | $0 | $103,604 | $2,958 | ||||
| John Phelan | ||||||||||
| Director | 1.0 | 41.0 | Yes (X) | $0 | $719,811 | $43,588 | ||||
| Mark Covaleski | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Ralph Kauten | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Sr Rhea Emmer | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Stephen Sramek | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $388,586 | $44,116 | ||||
| Wesley Sparkman | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| William Ehrhardt | ||||||||||
| Director, Physician at Dean Medical Group | 1.0 | 40.0 | Yes (X) | $0 | $547,810 | $36,562 | ||||
| Damond Boatwright | ||||||||||
| Chair, Regional President - WI | 40.0 | 10.0 | Yes (X) | $923,465 | $0 | $474,323 | ||||
| Doug Long | ||||||||||
| Secretary, General Counsel at SSM Health | 1.0 | 65.2 | Yes (X) | $0 | $229,550 | $471,986 | ||||
| Ed Chadwick | ||||||||||
| Pt Yr Interim System Vice President, Finance | 40.0 | 0 | Yes (X) | $0 | $1,291,744 | $0 | ||||
| Kris Zimmer | ||||||||||
| Treasurer, Chief Financial Officer at SSM Health | 1.0 | 67.0 | Yes (X) | $0 | $1,365,634 | $813,620 | ||||
| Laura Bowers | ||||||||||
| Asst Secretary, SSM Health Care of Wisconsin | 40.0 | 0 | Yes (X) | $91,576 | $0 | $11,842 | ||||
| Laura Kaiser | ||||||||||
| Vice Chair, President/CEO of SSM Health | 1.0 | 47.0 | Yes (X) | $0 | $2,153,858 | $2,027,129 | ||||
| Matthew Kinsella | ||||||||||
| Regional VP Finance-Wisconsin | 20.0 | 24.0 | Yes (X) | $0 | $242,954 | $98,039 | ||||
| Paula Friedman | ||||||||||
| Pt Yr Vice President, Pt Yr Senior VP-Strategic Development SSM Health | 1.0 | 58.0 | Yes (X) | $0 | $1,384,920 | $282,580 | ||||
| Rosemarie Putman | ||||||||||
| Pt Yr Asst Secretary, SSM Health Care of Wisconsin | 40.0 | 0 | Yes (X) | $0 | $71,726 | $32,808 | ||||
| Ben Layman | ||||||||||
| Pt Yr Hospital President-Janesville | 40.0 | 1.0 | $334,964 | $0 | $59,883 | Yes (X) | ||||
| Christopher Sprowl | ||||||||||
| Pt Yr Regional Clinical Affairs Officer | 40.0 | 2.0 | $0 | $886,378 | $159,351 | Yes (X) | ||||
| Eric Thornton | ||||||||||
| Hospital President-Janesville | 40.0 | 1.0 | $0 | $204,619 | $58,435 | Yes (X) | ||||
| Jennifer Culotta | ||||||||||
| Interim VP Patient Care - St. Clare | 40.0 | 0 | $167,577 | $0 | $58,578 | Yes (X) | ||||
| Jonathan Lewis | ||||||||||
| VP Operations | 40.0 | 0 | $256,157 | $0 | $51,049 | Yes (X) | ||||
| Jonathan Rozenfeld | ||||||||||
| Pt Yr Hospital President - St Mary's | 40.0 | 2.0 | $682,772 | $0 | $187,993 | Yes (X) | ||||
| Kerry Swanson | ||||||||||
| Chief Operating Officer-SSMWI | 40.0 | 6.0 | $0 | $752,292 | $272,223 | Yes (X) | ||||
| Kyle Nondorf | ||||||||||
| Hospital President - St Mary's | 20.0 | 21.0 | $0 | $322,083 | $137,003 | Yes (X) | ||||
| Laura Walczak | ||||||||||
| Hospital President-St Clare | 40.0 | 0.5 | $321,125 | $0 | $86,396 | Yes (X) | ||||
| Linda Taplin Statz | ||||||||||
| Pt Yr Regional VP - Employee Experience | 40.0 | 0 | $0 | $282,803 | $18,414 | Yes (X) | ||||
| Lon McPherson | ||||||||||
| VP-Medical Affairs | 40.0 | 0 | $446,821 | $0 | $106,730 | Yes (X) | ||||
| Margo Francisco | ||||||||||
| Regional VP - Strategy | 40.0 | 1.0 | $0 | $304,918 | $117,254 | Yes (X) | ||||
| Mark Thompson | ||||||||||
| Regional President-Medical Groups-Wisconsin | 40.0 | 4.0 | $575,194 | $0 | $219,571 | Yes (X) | ||||
| Thomas Ahr | ||||||||||
| Interim Reg VP - Human Resources | 40.0 | 0 | $0 | $292,433 | $125,262 | Yes (X) | ||||
| Thomas Ter Horst | ||||||||||
| Pt Yr System VP - Human Resources | 40.0 | 0 | $0 | $477,895 | $50,487 | Yes (X) | ||||
| Veronica Scott-Fulton | ||||||||||
| Regional CNO | 40.0 | 0 | $238,734 | $0 | $77,978 | Yes (X) | ||||
| Virginia Malone | ||||||||||
| VP Patient Services - St Mary's | 40.0 | 0 | $372,236 | $0 | $84,365 | Yes (X) | ||||
| David Jarvis | ||||||||||
| Physician | 40.0 | 0 | $281,414 | $0 | $47,084 | Yes (X) | ||||
| David Ottenbaker | ||||||||||
| VP-Primary Care Services | 40.0 | 0 | $419,282 | $0 | $106,560 | Yes (X) | ||||
| Debra Nyquist | ||||||||||
| Physician | 40.0 | 0 | $284,979 | $0 | $36,208 | Yes (X) | ||||
| Jennifer Orkfritz | ||||||||||
| Physician | 40.0 | 0 | $275,190 | $0 | $15,550 | Yes (X) | ||||
| Kansas Dubray | ||||||||||
| Physician | 40.0 | 0 | $322,786 | $0 | $33,818 | Yes (X) | ||||
| Christopher Howard | ||||||||||
| Former Officer | 0.0 | 0.0 | $0 | $566,322 | $218,976 | Yes (X) | ||||
| Steven Caldwell | ||||||||||
| Former Officer | 1.0 | $0 | $510,090 | $12,904 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,994,272 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $16,482,333 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $8,000,357 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 277 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| BOARD OF REGENTS OF THE UNIV OF WI | ||||||
| 1100 DELAPLAINE CT | MADISON | WI | 53715 | PHYSICIAN SERVICES | $7,146,120 | |
| The Boldt Company | ||||||
| 2525 North Roemer Road | Appleton | WI | 54912 | Construction services | $5,957,281 | |
| AMN Healthcare Inc | ||||||
| 12400 High Bluff Drive | San Diego | CA | 92130 | Staffing services | $4,830,411 | |
| University of Wisconsin | ||||||
| 1685 Highland Avenue | Madison | WI | 53705 | Medical and physician services | $2,246,277 | Room 3165 |
| UW Hospital & Clinics | ||||||
| Drawer 853 | Milwaukee | WI | 53278 | Medical and ambulance services | $2,085,650 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 56 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $1,928,239 | RelatedOrganizationsAmt |
| Government Grants | $233,284 | GovernmentGrantsAmt |
| All Other Contributions | $10,153 | AllOtherContributionsAmt |
| Noncash Contributions | $5,400 | NoncashContributionsAmt |
| Total Contributions | $2,171,676 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $654,468,250 | $654,468,250 | $0 | $0 |
| $0 | $0 | $0 | $0 | ||
| $0 | $0 | $0 | $0 | ||
| $0 | $0 | $0 | $0 | ||
| $0 | $0 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $654,468,250 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,932,094 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,932,094 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,737,228 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $803,204 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $934,024 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $934,024 | TotalRevenueColumnAmt |
| Exclusion | $934,024 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,668,684 | SecuritiesAmt |
| Other | $2,720,988 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,668,684 | SecuritiesAmt |
| Other | $2,720,988 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,389,672 | TotalRevenueColumnAmt |
| Exclusion | $6,389,672 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $71,471 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $30,094 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,377 | TotalRevenueColumnAmt |
| Exclusion | $41,377 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| LABORATORY | 621500 | $6,690,347 | $0 | $6,690,347 | $0 |
| SHARED SERVICES/STAFF | 561000 | $5,196,453 | $0 | $0 | $5,196,453 |
| CAFETERIA | 722210 | $2,917,086 | $0 | $0 | $2,917,086 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,012,077 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,012,077 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $16,815,963 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $685,753,056 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $654,468,250 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $6,690,347 | UnrelatedBusinessRevenueAmt |
| Exclusion | $22,422,783 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,571 | TotalAmt |
| Program Services | $562,571 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,000 | TotalAmt |
| Program Services | $10,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,829,329 | TotalAmt |
| Program Services | $5,516,025 | ProgramServicesAmt |
| Management And General | $301,280 | ManagementAndGeneralAmt |
| Fundraising | $12,024 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,784,262 | TotalAmt |
| Program Services | $184,312,952 | ProgramServicesAmt |
| Management And General | $10,069,547 | ManagementAndGeneralAmt |
| Fundraising | $401,763 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,231,298 | TotalAmt |
| Program Services | $12,520,168 | ProgramServicesAmt |
| Management And General | $683,840 | ManagementAndGeneralAmt |
| Fundraising | $27,290 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,003,161 | TotalAmt |
| Program Services | $25,551,846 | ProgramServicesAmt |
| Management And General | $1,395,618 | ManagementAndGeneralAmt |
| Fundraising | $55,697 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,493,425 | TotalAmt |
| Program Services | $13,714,460 | ProgramServicesAmt |
| Management And General | $749,071 | ManagementAndGeneralAmt |
| Fundraising | $29,894 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,109,122 | TotalAmt |
| Program Services | $256,253 | ProgramServicesAmt |
| Management And General | $27,852,869 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,968 | TotalAmt |
| Management And General | $254,968 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,485 | TotalAmt |
| Management And General | $462,485 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,729 | TotalAmt |
| Management And General | $40,729 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,706,496 | TotalAmt |
| Program Services | $45,303,180 | ProgramServicesAmt |
| Management And General | $25,048,008 | ManagementAndGeneralAmt |
| Fundraising | $355,308 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,068 | TotalAmt |
| Management And General | $146,068 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,641,181 | TotalAmt |
| Program Services | $25,001,780 | ProgramServicesAmt |
| Management And General | $1,611,322 | ManagementAndGeneralAmt |
| Fundraising | $28,079 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,339,734 | TotalAmt |
| Program Services | $22,321,454 | ProgramServicesAmt |
| Management And General | $18,280 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,727,122 | TotalAmt |
| Program Services | $10,461,206 | ProgramServicesAmt |
| Management And General | $265,676 | ManagementAndGeneralAmt |
| Fundraising | $240 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $768,739 | TotalAmt |
| Program Services | $344,982 | ProgramServicesAmt |
| Management And General | $420,420 | ManagementAndGeneralAmt |
| Fundraising | $3,337 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,406 | TotalAmt |
| Program Services | $140,011 | ProgramServicesAmt |
| Management And General | $194,100 | ManagementAndGeneralAmt |
| Fundraising | $295 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,009,232 | TotalAmt |
| Program Services | $7,009,232 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,568,793 | TotalAmt |
| Program Services | $30,568,793 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $686,521 | TotalAmt |
| Program Services | $686,521 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical supplies | $97,679,953 | $97,679,953 | ||
| Medicaid Provider Tax | $14,436,414 | $14,436,414 | ||
| Internal management fees | $655,583 | $417,080 | $238,334 | $169 |
| Licenses and taxes | $272,212 | $272,212 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,267 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $32,267 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $567,786,071 | TotalAmt |
| Program Services | $497,087,093 | ProgramServicesAmt |
| Management And General | $69,784,882 | ManagementAndGeneralAmt |
| Fundraising | $914,096 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $483,874 | BOYAmt |
| EOY | $426,562 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,521,404 | BOYAmt |
| EOY | $18,267,220 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,445,552 | BOYAmt |
| EOY | $72,751,004 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,301,683 | BOYAmt |
| EOY | $7,887,621 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,590,394 | BOYAmt |
| EOY | $1,792,050 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $705,703,012 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $455,970,701 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,031,585 | BOYAmt |
| EOY | $249,732,311 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $317,833,904 | BOYAmt |
| EOY | $246,701,779 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,314,180 | BOYAmt |
| EOY | $28,100,997 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $416,667 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,126,569 | BOYAmt |
| EOY | $279,642,484 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $962,649,145 | BOYAmt |
| EOY | $905,718,695 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,512,467 | BOYAmt |
| EOY | $60,103,214 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $929 | BOYAmt |
| EOY | $753 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $485,578,137 | BOYAmt |
| EOY | $298,294,267 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $541,091,533 | BOYAmt |
| EOY | $358,398,234 | 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 | $410,609,737 | BOYAmt |
| EOY | $534,289,676 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,947,875 | BOYAmt |
| EOY | $13,030,785 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $421,557,612 | BOYAmt |
| EOY | $547,320,461 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $962,649,145 | BOYAmt |
| EOY | $905,718,695 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $117,966,985 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $25,016,980 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$17,221,116 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $40,729 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $40,729 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAID DUES TO VARIOUS NATIONAL AND STATE HOSPITAL ASSOCIATIONS AND A PORTION OF THESE DUES WERE ALLOCATED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,330,282 | BeginningYearBalanceAmt |
| Contributions | $979,697 | ContributionsAmt |
| Investment Earnings Or Losses | $3,837,617 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $67,394 | GrantsOrScholarshipsAmt |
| Other Expenditures | $397,451 | OtherExpendituresAmt |
| End Year Balance | $20,682,751 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,752,110 | BeginningYearBalanceAmt |
| Contributions | $8,480,403 | ContributionsAmt |
| Investment Earnings Or Losses | -$713,464 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $57,826 | GrantsOrScholarshipsAmt |
| Other Expenditures | $130,941 | OtherExpendituresAmt |
| End Year Balance | $16,330,282 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,830,283 | BeginningYearBalanceAmt |
| Contributions | $167,906 | ContributionsAmt |
| Investment Earnings Or Losses | $994,144 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $129,422 | GrantsOrScholarshipsAmt |
| Other Expenditures | $110,801 | OtherExpendituresAmt |
| End Year Balance | $8,752,110 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,283,147 | BeginningYearBalanceAmt |
| Contributions | $447,278 | ContributionsAmt |
| Investment Earnings Or Losses | $293,091 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $53,069 | GrantsOrScholarshipsAmt |
| Other Expenditures | $140,164 | OtherExpendituresAmt |
| End Year Balance | $7,830,283 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,033,561 | BeginningYearBalanceAmt |
| Contributions | $503,057 | ContributionsAmt |
| Investment Earnings Or Losses | -$11,394 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $45,000 | GrantsOrScholarshipsAmt |
| Other Expenditures | $197,077 | OtherExpendituresAmt |
| End Year Balance | $7,283,147 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.4401 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.5599 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,354,574 | OtherCostOrOtherBasisAmt |
| Book Value | $11,354,574 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $380,163,692 | OtherCostOrOtherBasisAmt |
| Depreciation | $226,747,652 | DepreciationAmt |
| Book Value | $153,416,040 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $66,807,310 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,136,628 | DepreciationAmt |
| Book Value | $23,670,682 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $231,284,357 | OtherCostOrOtherBasisAmt |
| Depreciation | $184,191,844 | DepreciationAmt |
| Book Value | $47,092,513 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,093,079 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,894,577 | DepreciationAmt |
| Book Value | $14,198,502 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $249,732,311 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| SSM COMPREHENSIVE INVESTMENT PROGRAM | $192,634,344 | F |
| INVESTMENTS IN OTHER AFFILIATES | $54,067,435 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $246,701,779 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $7,798,109 |
| Due from affiliates | $265,539,409 |
| Other non-current assets | $599,837 |
| Third-party receivable | $441,877 |
| Operating right-of-use assets | $5,263,252 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $279,642,484 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION FUNDING LIABILITY | -$5,906,698 |
| DUE TO AFFILIATES | $8,846,299 |
| ASSET RETIREMENT LIABILITY | $746,261 |
| THIRD PARTY PAYOR | $13,119,068 |
| RABBI TRUST LIABILITY | $375,258 |
| ALLOCATED TAX-EXEMPT DEBT - SSM HEALTH CARE | $273,084,145 |
| DEFERRED COMPENSATION | $728,318 |
| DEFINED CONTRIBUTION LIABILITY | |
| Third-party patient loans | $2,034,259 |
| Operating lease obligations | $5,267,357 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $298,294,267 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | Endowment funds will be used for the specific purpose identified when the endowment was established. Activities supported by the endowment funds include scholarships, continuing education, and specific department patients. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | SSM HEALTH CARE OF WISCONSIN'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEALTH (SSMH). SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION IS RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED UPON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2019 OR 2018. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,154,687 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,154,687 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0126 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $88,608,248 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $66,101,364 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,506,884 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0396 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,777,084 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,504,247 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,272,837 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0040 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $99,540,019 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $67,605,611 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,934,408 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0562 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,416,585 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,718 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,387,867 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0024 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,974,504 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,390,533 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,583,971 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0098 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,268,198 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,268,198 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0022 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $93,524 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $93,524 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $534,902 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $534,902 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0009 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $11,287,713 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,419,251 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,868,462 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0156 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $110,827,732 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $70,024,862 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,802,870 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0719 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $576 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $576 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,047 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,047 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,621 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,621 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,958 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,958 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,928 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,928 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $52,130 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $52,130 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $14,872,605 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $176,702,089 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $195,394,962 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$18,692,873 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SSM Health St Mary's Hospital - Madison | |||||||||||
| 1 | 700 SOUTH PARK STREET | MADISON | WI | 53715 | https://www.ssmhealth.com/locations/st-marys-hospital-madison | 71 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A |
| SSM Health St Clare Hospital - Baraboo | |||||||||||
| 2 | 707 FOURTEENTH STREET | BARABOO | WI | 53913 | https://www.ssmhealth.com/locations/st-clare-hospital-baraboo | 65 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | B |
| SSM Health St Mary's Hospital - Janesville | |||||||||||
| 3 | 3900 E RACINE ST | JANESVILLE | WI | 53546 | https://www.ssmhealth.com/locations/st-marys-hospital-janesville | 318 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | C |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | https://www.ssmhealth.com/locations/st-marys-hospital-madison | Yes (X) | https://www.ssmhealth.com/about/chna | Yes (X) | Yes (true) | 18 | Yes (true) | https://www.ssmhealth.com/about/chna | false | Yes (true) | Yes (X) | 200.0 | 400.0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | https://www.ssmhealth.com/resources/for-patients/financial-assistance | Yes (X) | https://www.ssmhealth.com/resources/for-patients/financial-assistance | Yes (X) | https://www.ssmhealth.com/resources/for-patients/financial-assistance | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| B | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | https://www.ssmhealth.com/locations/st-clare-hospital-baraboo | Yes (X) | https://www.ssmhealth.com/about/chna | Yes (X) | Yes (true) | 18 | Yes (true) | https://www.ssmhealth.com/about/chna | false | Yes (true) | Yes (X) | 200.0 | 400.0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | https://www.ssmhealth.com/resources/for-patients/financial-assistance | Yes (X) | https://www.ssmhealth.com/resources/for-patients/financial-assistance | Yes (X) | https://www.ssmhealth.com/resources/for-patients/financial-assistance | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| C | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | https://www.ssmhealth.com/locations/st-marys-hospital-janesville | Yes (X) | https://www.ssmhealth.com/about/chna | Yes (X) | Yes (true) | 18 | Yes (true) | https://www.ssmhealth.com/about/chna | false | Yes (true) | Yes (X) | 200.0 | 400.0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | https://www.ssmhealth.com/resources/for-patients/financial-assistance | Yes (X) | https://www.ssmhealth.com/resources/for-patients/financial-assistance | Yes (X) | https://www.ssmhealth.com/resources/for-patients/financial-assistance | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
Supplemental Information SupplementalInformationGrp (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. |
| Schedule H, Part V, Section B, Line 5 Facility A, 1 | Facility A, 1 - SSM Health St. Mary's Hospital - Madison. THE HOSPITAL, THROUGH THE HEALTHY DANE COLLABORATIVE, ASSESSED INPUT FROM THE COMMUNITY AND DATA RELATED TO HEALTH FACTORS PRESENTED BY THE COUNTY HEALTH RANKINGS TO UNDERSTAND WHAT IMPACTS THE HEALTH OF THE COMMUNITY. PARTICULAR ATTENTION WAS GIVEN TO SOCIAL, ECONOMIC, AND ENVIRONMENTAL DISADVANTAGED POPULATIONS. THE HOSPITAL UTILIZED FOCUS GROUPS AND ENGAGEMENT SESSIONS WITH A DIVERSE VARIETY OF STAKEHOLDERS AND THE PUBLIC AND ANALYZED HOW VARIOUS NEEDS AND FACTORS ARE TRENDING. ADDITIONAL INFORMATION ON HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY CAN BE FOUND ON PAGES 12 THROUGH 15 OF THE CHNA. |
| Schedule H, Part V, Section B, Line 6a Facility A, 1 | Facility A, 1 - SSM Health St. Mary's Hospital - Madison. THE 2019-2021 CHNA WAS COLLABORATIVELY COMPLETED IN 2018 WITH THE FOLLOWING OTHER HOSPITALS THROUGH THE HEALTHY DANE COLLABORATIVE: STOUGHTON HOSPITAL, UNITYPOINT HEALTH-MERITER, AND UW HEALTH. |
| Schedule H, Part V, Section B, Line 6b Facility A, 1 | Facility A, 1 - SSM Health St. Mary's Hospital - Madison. THE 2019-2021 CHNA WAS COLLABORATIVELY COMPLETED IN 2018 WITH THE FOLLOWING OTHER COMMUNITY PARTNERS THROUGH THE HEALTHY DANE COLLABORATIVE: GROUP HEALTH COOPERATIVE AND PUBLIC HEALTH MADISON DANE COUNTY. |
| Schedule H, Part V, Section B, Line 11 Facility A, 1 | Facility A, 1 - SSM Health St. Mary's - Madison. The hospital identified various health needs in the 2018 CHNA, which was done in conjunction with the Healthy Dane Collaborative. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Maternal/child health - Mental Health/Behavioral Health - Chronic conditions (heart & diabetes) Maternal/child health In Dane County, maternal and child health has continually been identified as a top health priority. Mother and baby wellbeing plays a large role in the health of the next generation. There are also significant disparities within the county between races and ethnicities. Data regarding the maternal and child health in Wisconsin shows the following: - In Dane County, the infant mortality rate is 13.0 deaths per 1,000 live births and 14.7 deaths per 1,000 live births for babies born to Black mothers and mothers of two or more races respectively. For white mothers, the rate is 4.3 deaths per 1,000 live births - The preterm birth rate rose to 9.6%, increasing for the third year in a row - Throughout the state, the preterm birth rate among Black women is 54% higher than the rate among all other women The hospital has the following action plan in place to improve maternal and child health: - Continue partnership with the Health Council on disparities in low birth weight-focusing specifically on racial inequities - Enhance collaboration with the Wisconsin Women's Health Foundation to increase awareness and educational opportunities around prenatal and preconception care, focusing on smoking cessation - Work with the Health Dane Collaborative partners on opportunities to collaborate on evidence-based community programs/efforts to increase access to culturally competent preconception, prenatal and post-partum care with local community partners - Elevate efforts with Safe Communities-Pregnancy to Recovery program - Pursuit of Baby-Friendly Designation at St. Mary's Madison - Support prenatal care services at Access Community Health Centers - Expand Group Prenatal Care within Dean Medical Group locations - focus on cohorts with increased diversity - Continued growth of post-partum support and education in the hospital and medical group Mental Health Mental health is also a top concern in Dane County. There is a disconnect between the perception of the problem and the true reality of the impact of mental health. Mental health is important at every stage of life, from childhood and adolescence through adulthood. Without treatment the consequences of mental illness for the individual and society are staggering: disability, unemployment, substance abuse, homelessness, incarceration, and suicide. The following data demonstrates the severity of mental health concern in the area: - Among suicides with known circumstances, 51% of decedents had a current mental health problem and 43% were currently receiving mental health treatment - Approximately $92 million spent annually on inpatient hospitalizations due to self-inflicted injury - Approximately 1 in 8 adults screened positive for major depression within Dane County, while 1 in 5 adults screened positive for moderate of severe anxiety The hospital has implemented the following steps to address mental health in the community: - Increase Telehealth opportunities with our medical group partners to allow for more timely access to care - Partner with Safe Communities Coalition on the Recovery Coach program at St. Mary's ED as well as the Pregnancy to Recovery program within OB - Work with Healthy Dane partners on opportunities to collaborate to create, enhance, or sustain evidence-based community programs/efforts to reduce the incidence of suicide in Dane County - Collaborate with Zero-Suicide Initiative partners to sustain community efforts across Dane County - Explore expansion of the Community Paramedic program to include Mental Health - System change in approach to measuring Mental Health needs using Columbia Tool - Continued efforts in county-wide initiative on patient safety plans following discharge - Explore options for more follow-up and controlling day-to-day needs as well as transportation concerns for patients Chronic conditions (heart & diabetes) Chronic conditions account for the greatest number of poor health outcomes and increasing health care costs in Wisconsin. Currently, the state spends an estimated $3.9 billion and $4.1 billion in health care and lost productivity costs annually on diabetes and heart disease alone. For many individuals suffering from chronic conditions, associated risk factors can be addressed and treated. By focusing on risk factors for chronic conditions, complications and comorbidities can be prevented. Statistics on chronic conditions in Wisconsin show: - 7 out of 10 leading causes of death in Wisconsin are due to chronic conditions accounting for two out of every three deaths annually - More than 1,300 Wisconsin residents die from diabetes and many more suffer disabling complications such as heart disease, kidney disease, blindness, and amputations. This burden is higher among minority populations - Heart disease is the second leading cause of death overall, and the leading cause for those over the age of 65.2 The hospital's action plan on chronic disease involves: - Increase support of Rebalanced Life Wellness Association-Men's Health Center and Wellness Center - Engage with the Foundation for Black Women's Wellness -working specifically on Black Women's Heart Health - Support Edgewood students at Triangle (Diabetic Clinic) and support at RLW - Pulse Point partner-educate the community on importance of early intervention of CPR - Further explore Healthy Dane Funders /AHA-food deserts - Explore expansion of Community Paramedic Program - Continue supporting Double Dollars Program-access to local / fresh produce for underserved populations - On-going partnership with REAP-kids education and nutrition support in the schools - Explore Primary Care Provider education options (vs. coming to ED) The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs and address additional community needs within its efforts. The following community needs were identified but have not been prioritized due to the hospital's limited resources at this time: - Substance abuse, tobacco, drug and alcohol use - Obesity, diet, and exercise - Sexually-transmitted diseases - Access to and quality of care - Community safety - Pollution and housing During 2019, the following activities were performed to help address the issues identified in the CHNA: Maternal/child health - Continued collaboration with the Dane County Health Council (partnership across health systems as well as Public health and non-profit partners) to work on disparities in low birthweight in Dane County. THE DCHC is working in partnership with the Foundation for Black Women's Wellness and EQT by Design Consulting to engage more fully in the Black community. Future plans include a Black Maternal Child Health Alliance (supported by the DCHC but facilitated by the community as well as a Black maternal child health summit. - At the end of 2019 we began our first 4th Trimester care support group called " New Beginnings". This program, offered to anyone in the community that had a baby in the last 12 months, meets weekly and offers support and guidance for new moms. Mental Health - Safe Communities Coalition - this year providing support specifically to the ED to Recovery Program as well as the Pregnancy to Recovery program. Both programs offer one-on-one support to patients when they present at SSM Health. - Zero-Suicide Initiative - Staff and Providers from SSM Health participate on the zero-suicide task force for Dane County. The group focuses on collaborative ways to reduce suicide in our community. Chronic Conditions - Continued partnership with Rebalanced Life Wellness Center - helped expand programing/ support with funding for a conversion van to transport senior population as well as youth to health education and wellness opportunities. - New twist on Adopt a School partnership with Lincoln Elementary - revised 4th grade activity into a fun run that allowed kids to be active and support local non-profits. Students heard presentations from Ronald McDonald House and Make-A-Wish and then did laps on an obstacle course running track. Each completed lap earned $1 from St. Mary's to the charities. Students and teachers ran for 30 minutes and raised nearly $1,000 while being physically active. - SSM Health continued their partnership with Second Harvest Food Bank and the Triangle Neighborhood Mobile Food Pantry. Together we served more than 100 households each month - providing food and fellowship for a high-risk population adjacent to the hospital. |
| Schedule H, Part V, Section B, Line 3E | THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. |
| Schedule H, Part V, Section B, Line 5 Facility B, 1 | Facility B, 1 - SSM Health St. Clare Hospital - Baraboo. THE HOSPITAL UTILIZED A COMMUNITY PERCEPTION SURVEY TO GATHER PRIMARY DATA ON AREA HEALTH NEEDS. IT ALSO CONDUCTED NUMEROUS FOCUS GROUPS WITH KEY STAKEHOLDERS IN SAUK COUNTY COMMUNITIES. THE SURVEY WAS PROVIDED TO DIVERSE GROUPS WITH ACCESS TO TRANSLATORS WHEN NEEDED AND WAS AVAILABLE ONLINE AND IN WRITTEN FORMAT. ADDITIONALLY, THE HOSPITAL RESEARCHED AND REVIEWED DATA FROM COUNTY HEALTH RANKINGS AND STATE AND NATIONAL HEALTH ASSOCIATIONS. ADDITIONAL DETAIL ON HOW THE HOSPITAL TOOK INTO ACCOUNT PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY CAN BE FOUND ON PAGES 12 THROUGH 14 OF THE CHNA. |
| Schedule H, Part V, Section B, Line 6a Facility B, 1 | Facility B, 1 - SSM Health St. Clare Hospital - Baraboo. THE HOSPITAL, THROUGH THE SAUK COUNTY HEALTH & WELLNESS COALITION, CONDUCTED ITS MOST RECENT CHNA IN COLLABORATION WITH THE FOLLOWING HOSPITALS: REEDSBURG AREA MEDICAL CENTER AND SAUK PRAIRIE HEALTH CARE. |
| Schedule H, Part V, Section B, Line 6b Facility B, 1 | Facility B, 1 - SSM Health St. Clare Hospital - Baraboo. THE HOSPITAL, THROUGH THE SAUK COUNTY HEALTH & WELLNESS COALITION, CONDUCTED ITS MOST RECENT CHNA IN COLLABORATION WITH THE SAUK COUNTY HEALTH DEPARTMENT. |
| Schedule H, Part V, Section B, Line 11 Facility B, 1 | Facility B, 1 - SSM Health St. Clare Hospital - Baraboo. The hospital identified various health needs in the 2018 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Mental Health - Obesity - Chronic Disease Mental Health The main concern with mental health in the community is limited access and the lack of mental health facilities. In the past, local law enforcement officials stated they often have had to drive mental health patients hours away for treatment. The 2018 Wisconsin County Health Rankings show that respondents had an average of 3.4 mentally unhealthy days per month in Sauk County. Statistics from the 2018 Sauk County Health & Wellness Coalition Survey show: - 25.3% of respondents reported being treated for, or told by a doctor, that they have a mental health condition - 27.4% of respondents reported feeling sad, blue or depressed at least sometimes in the past month - Nearly 1 in 12 (8.8%) of respondents report they did not receive the mental health care they thought they needed in the last 12 months. Cost and lack of insurance coverage were cited by 2 of 5 (43.6%) of those respondents who did not receive care. One in four (25.5%) respondents said they were unable to get an appointment The hospital has outlined the following action plan to improve community mental health: - Collaborate with Journey Mental Health and Sauk County Health & Wellness Coalition to provide mental health first aid training two times per year in our service area - Enhance county-wide collaborations to increase awareness, education, treatment and pre-event intervention with organizations including Rural Safety Days, Sauk County Partnership for Prevention and Recovery, Region 11 Critical Incident and Stress Management group - Collaborate with hospital foundation on twice-yearly Healthy Community Partnership grants directed to organizations collaborating on health initiatives impacting mental health including Zoo camp, Boys and Girls Clubs programming, community mental health forums and school district mindfulness programming - Collaborate with SSM Health Regional team on Time For Kids Ambassador programming - Collaborate with service area health care providers to collate and share mental health resources for the agricultural community - Expand clinical and hospital-based mental health tools including implementation of Columbia Suicide Screening for high risk patients, addition of licensed clinical social worker, outpatient AODA clinical counselor and ED referral process for suboxone - Conduct an annual Grief Share 15-week mental health support group for individuals who have experienced a life-changing loss - Create community awareness of mental health by participating in St. Clare Hospital radio programs Obesity Obesity continues to be a growing issue in the Sauk and Columbia County communities. Lack of physical activity is one of the main contributors to obesity. Given the wide variety of venues to be physically active, there may be a lack of interest in utilizing the area's resources that encourage exercise and motion. Statistics from the 2018 Sauk County Health & Wellness Coalition survey show: - Only 31% of respondents reported a healthy BMI - 33% of respondents reported an overweight BMI - 35% of respondents reported an obese BMI - Only 20.5% of respondents reported being physically active for five days or more - 34.9% of respondents reported being physically active for one day or less - 23% of Sauk County respondents reported having no leisure-time physical activity The hospital has organized the following activities to improve community obesity measures: - Collaborate with hospital foundation on twice-yearly Healthy Community Partnership grants directed to organizations collaborating on health initiatives impacting obesity including fresh food boxes from local food pantries, Boys and Girls Clubs healthy eating programs for members and senior citizens, community-based nutritional meals, fitness programs - Collaborate with hospital foundation on childhood fitness in local school districts titled "Fun & Fit" program for all 3rd grade fitness classes in the Baraboo and Wisconsin Dells school districts - Partner to enhance farm-to-table options through food courses and cooking classes at local schools and community "tables" - Support partnerships with municipal and health coalition leaders to address population-dense areas of high-risk individuals to promote healthy food access / eating options including community meals and Farmer's Markets funding - Collaborate with county resources to build on Sauk County's Healthy Communities designation - Support local activities which promote fitness - Partner with Outlets at the Dells to implement a county-wide Saturday morning fitness program for children incorporating movement, healthy food options and fun - Honor requests from community organizations for speakers at healthy lifestyle presentations - Promote healthy living through community-based, schools and business-specific health fairs and events - Create community awareness of how to live healthy and well in Sauk County through St. Clare Hospital's radio programming Chronic disease Chronic disease burden is more highly concentrated among high-risk populations. The poor are more vulnerable to chronic diseases because of material deprivation and psychological stress, higher levels of risky behavior, unhealthy living conditions and limited access to good-quality healthcare. Statistics from the 2018 Sauk County Health & Wellness Coalition Survey and the County Health Rankings show: - 67.4% of respondents reported receiving a routine checkup in the last year - 58.3% of respondents received cholesterol testing in the last year - 52.5% of respondents reported having an eye exam in the last year - 19.8% of respondents reported being treated for/told by a doctor in the last 3 years that they have high blood pressure - 20.3% of respondents reported that they have been told by a physician that they have high cholesterol, most of whom say it is under control - 4.7% of respondents reported being treated for/told by a doctor in the last 3 years that they have heart disease - 6.1% of respondents reported having been treated or diagnosed by a physician for diabetes - 3.1% of respondents reported being treated for/told by a doctor in the last 3 years that they have cancer - 15% of Sauk County adults are currently smokers. This indicator is relevant because tobacco use is linked to leading causes of death such as cancer and cardiovascular disease The hospital was involved in the following initiatives to improve chronic disease in the community served: - Provide expanded hospital-based palliative intensive education care to outpatients for management of heart failure, COPD and diabetes - Work collaboratively with hospital foundation to expand access to services in Baraboo and Wisconsin Dells to improve follow up care - Collaborate with hospital foundation on twice-yearly Healthy Community Partnership grants directed to organizations collaborating on health initiatives impacting chronic disease and diabetes including fresh food boxes from local food pantries, Boys and Girls Clubs nutritional dietary programming for members and senior citizens, community-based nutritional meals - Enhance partnerships with key city, village, township and health coalition leaders to address population-dense areas of high-risk individuals to promote healthy food access / eating options including community meals and Farmer's Markets funding - Participate in area health fairs and educational seminars to provide education and strategies surrounding obesity, stress, COPD, vaping and the progression of chronic disease - Create community awareness of chronic disease options and proactive programming through St. Clare Hospital's radio show - Improving chronic disease management through personalized telephone follow up programming to heart failure patients after discharge from St. Clare Hospital. - Host monthly diabetes and chronic disease support groups at St. Clare Hospital for population/s and communities served The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs and address additional community needs within its efforts. The following community needs were identified but have not been prioritized due to the hospital's limited resources at this time: - Alcohol abuse - Unintentional injury and traffic accidents - Lack of dental care - Cancer |
| Schedule H, Part V, Section B, Line 11 Facility B, 2 | Facility B, 2 - SSM Health St. Clare Hospital - Baraboo (continued). During 2019, the following activities were performed to help address the issues identified in the CHNA: Mental Health - At St. Clare's Hospital in Baraboo, SSM Health staff partnered with academic experts and county agencies to design and fund an educational training program for individuals engaged in Sauk County, Wisconsin's criminal justice system. The intent was to create a pathway out of the criminal justice system and into employment with the intent of reducing trauma on individuals and their families, increasing access to health care (including mental health care), reducing future adverse childhood experiences (ACEs), and breaking cycles of individual and/or family incarceration or engagement with the criminal justice system. In 2019, SSM Health completed a memorandum of understanding (MOU) with the Sauk County Health Department and transferred funding to support an Education Navigator in Sauk County's Criminal Justice Coordinating Council. Obesity - St. Clare Hospital personnel participated in Sauk County's Coalition for Activity and Nutrition. - Heather Alloway, a Chronic Disease Nurse, participated in the Coalition's leadership team and in the planning of events and priorities. Chronic Disease - St. Clare Hospital conducted a diabetes support group that was open to the public and met monthly during 2019. - St. Clare Hospital also conducted the Better Breathers support group for those with Chronic obstructive pulmonary disease (COPD) that met monthly during 2019. - The hospital's chronic disease staff participated in radio program and interviews regarding health disease prevention and control including symptom identification and lifestyle factors. - St. Clare Hospital provided blood pressure screenings for members of the general public as part of education and outreach events. |
| Schedule H, Part V, Section B, Line 3E | THE HOSPITAL FACILITY ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAS PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA. |
| Schedule H, Part V, Section B, Line 5 Facility C, 1 | Facility C, 1 - SSM Health St. Mary's Hospital - Janesville. THE HOSPITAL, IN COLLABORATION WITH THE ROCK COUNTY PUBLIC HEALTH DEPARTMENT AND HEALTY EQUITY ALLIANCE OF ROCK COUNTY, CREATED A COUNTY HEALTH ASSESSMENT WHICH GATHERED COMMUNITY PERSPECTIVES AND DATA THROUGH A SURVEY, ONE-ON-ONE INTERVIEWS, AND FOCUS GROUPS. ADDITIONALLY, STATISTICAL DATA WAS OBTAINED AND REVIEWED FROM THE HEALTHY COMMUNITIES INSTITUTE. MORE INFORMATION ON THE HOW THE HOSPITAL TOOK INTO ACCOUNT PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY CAN BE FOUND ON PAGES 11 AND 12 OF THE CHNA. |
| Schedule H, Part V, Section B, Line 6a Facility C, 1 | Facility C, 1 - SSM Health St. Mary's Hospital - Janesville. THE HOSPITAL WORKED CLOSELY WITH THE HEALTH EQUITY ALLIANCE OF ROCK COUNTY, AS WELL AS THE FOLLOWING HOSPITAL FACILITIES: BELOIT HEALTH SYSTEM, CHILDREN'S HOSPITAL - EXCHANGE FAMILY RESOURCE CENTER, COMMUNITY HEALTH SYSTEMS, INC., EDGERTON HOSPITAL, AND MERCY HEALTH. |
| Schedule H, Part V, Section B, Line 6b Facility C, 1 | Facility C, 1 - SSM Health St. Mary's Hospital - Janesville. THE HOSPITAL WORKED CLOSELY WITH THE HEALTH EQUITY ALLIANCE OF ROCK COUNTY, AS WELL AS NUMEROUS OTHER ORGANIZATIONS. A FULL LIST OF THE COLLABORATORS CAN BE FOUND ON PAGE 25 OF THE CHNA. |
| Schedule H, Part V, Section B, Line 11 Facility C, 1 | Facility C, 1 - SSM Health St. Mary's Hospital - Janesville. The hospital identified various health needs in the 2018 CHNA. In order to make meaningful impact, and to use its finances most effectively and efficiency, the hospital will place primary focus on the following key priorities: - Obesity - Substance abuse - Tobacco use Obesity Obesity continues to be a primary community health concern in Rock County. Lifestyle complications that lead to increased risk of obesity include physical inactivity combined with unhealthy diet and eating habits. In some cases, minorities and those living under financial distress are often segments of the population most affected by factors contributing to obesity. Additional facts and figures that relate to obesity show: - Obesity was identified as a community health issue by the Rock County Public Health Department - Obesity was identified as a community health issue by community stakeholders - Adults who are Obese represent 32.1 percent of adults in Rock County, more than 10 percent higher than the overall Wisconsin percentage of 28.5 percent - Families Living Below Poverty Level represent 11.2 percent of households in Rock County, more than 30 percent higher than the overall Wisconsin rate of 8.5 percent - The Child Food Insecurity Rate in Rock County was 18.9 percent, nearly 20 percent higher than the overall Wisconsin rate of 16.0 percent - Adults who are Sedentary are 20.2 percent of adults in Rock County, the same as the overall Wisconsin percentage of 20.2 percent The hospital is involved in the following initiatives to improve obesity measures in the community served: - Explore opportunities to collaborate with Rock County public schools on nutrition education - Work with faith community and other community groups on nutrition education and physical fitness - Continue sponsorship of the Janesville Farmer's Market - Partner with hospital cafeteria to ensure healthy offerings are consistently provided at a reasonable cost - Explore options to bring healthy food and opportunities for physical activity into underserved communities - Support organizations which provide healthy food to impoverished members of the community, including Meals on Wheels, ECHO, and food pantries - Partner with community organizations, such as the VeloClub, on providing access to physical fitness programming to underserved youth Substance Abuse Multiple factors contribute to substance abuse, including mental health needs, poor economic conditions, high poverty rates, lower educational attainment levels, higher percentages of individuals living alone, and easy access to alcohol and other substances. Additional facts and figures that relate to substance abuse are below. - Drug, alcohol, and substance abuse were identified as a community health issue by community stakeholders - A lack of substance abuse treatment was identified as a community health issue by community stakeholders - The Death Rate due to Drug Poisoning in Rock County is 21.7 deaths per 100,000 population, more than one-third higher than the Wisconsin rate of 16.2. This measure assesses the age-adjusted death rate per 100,000 population due to drug overdose - Alcohol-Impaired Driving Deaths are 43.4 percent of motor-vehicle crash deaths in Rock County, more than one-fifth higher than the overall Wisconsin percentage of 35.7 percent - Depression within the Medicare Population of Rock County is 19.1 percent, more than one tenth higher than the Wisconsin rate of 17.0 percent - Life Expectancy is lower in Rock County for both males (76.9 years) and females, compared to the overall Wisconsin life expectancy for males (77.7 years) and females (81.9 years) The hospital is implementing the following measures to reduce substance abuse: - Offer education or partner with other organizations regarding the root causes, prevention and/or treatment for opioid abuse - Research establishing an on-site pharmaceuticals disposal site and/or home medication lock boxes - Create community awareness regarding opioid and other drug issues through community activities - Provide community support services for diagnosed patients, and provide immediate support from community organizations for Emergency Department patients wanting assistance with substance abuse - Support organizations which provide substance abuse services, including Rock County One to One - Partner with regional mental health providers on offering patient placement - With partnerships with other organizations, explore establishing additional mental health services and placement opportunities in Rock County - Partner with physicians to increase alternatives to opioid (ALT) medication prescriptions Tobacco Use Tobacco use is a growing concern in the hospital's service area. Tobacco use is responsible for multitudes of avoidable illness and death nationwide, brings about premature death and complications from second-hand smoke. Statistics on tobacco use show: - Cancer, which can be caused by tobacco use, was identified as a community health issue by community stakeholders - Mothers who Smoked During Pregnancy are 15.2 percent of births in Rock County, one-third higher than the overall Wisconsin percentage of 11.4 percent - Adults who Smoke represent 22.4 percent of adults in Rock County, more than one-quarter higher than the overall Wisconsin percentage of 17.9 percent - The Age-Adjusted Death Rate due to Lung Cancer in Rock County is 54.4 deaths per 100,000 population, nearly one-quarter higher than the Wisconsin rate of 44.2 - The Lung and Bronchus Cancer Incidence Rate in Rock County is 73.9 cases per 100,000 population, more than one-fifth higher than the Wisconsin rate of 60.9 - The Age-Adjusted Death Rate due to Cancer in Rock County is 186.6 deaths per 100,000 population, more than one-tenth higher than the Wisconsin rate of 168.1 The hospital will address health implications from tobacco use through the following: - Offer education or partner with other organizations regarding the root causes, prevention and/or treatment for tobacco use - Provide prevention education to school-age children through various outreach efforts - Create community awareness regarding the hazards of tobacco use through community activities - Provide smoking cessation survival kits at community events - Continue offering on-site "Freedom from Smoking" smoking cessation program - Explore offering community evidence-based programs regarding tobacco cessation during pregnancy The hospital has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs and address additional community needs within its efforts. The following community needs were identified but have not been prioritized due to the hospital's limited resources at this time: - Access Issue - Aging Issues - Alcohol Abuse - Asthma - Cancers - Dental Problems - Diabetes - Domestic Violence - Heart Disease - HIV/AIDS - Maternal and Child Health - Mental Health - Rape and Sexual Assault - STDs / STIs - Teen Pregnancy - Violence/Gun Injuries |
| Schedule H, Part V, Section B, Line 11 Facility C, 2 | Facility C, 2 - SSM Health St. Mary's Hospital - Janesville (continued). During 2019, the following activities were performed to help address the issues identified in the CHNA: Obesity - SMHJ sits as a strong partner for the Health Equity Alliance of Rock County (HEAR) team which is the coordinating body for the county CHA/CHIP process. Healthy Weights is also a county priority. - Funded Academy After School Program as a part of the 2019 mini grant program ($5,000) to provide after school meals for kids in the 4th ward district of Janesville. The area is a known food desert and kids often don't have a meal once school is over each day. The program also offered Sunday afternoon family cooking classes for budget cooking, eating healthy foods and providing support for families. - SMHJ Offered 3 10-week sessions of the "10 in 10" Weight Loss program for adults in Rock County. - SMHJ also offered a Mindful Eating Course in Fall 2019 for members of the weight loss program - the course ran the month of September. - SMHJ and Division of Extension collaborated to provide funds (UW Extension dollars) to 6 Rock County Schools totaling $11,000. These funds were used for each school to complete a wellness initiative of their choice to get students moving more and eating healthier. Each school also completed a CDC School Health Assessment with the help of staff and created/updated a wellness policy for their schools. - SMHJ sponsors the Strong Bodies program for elders over the age of 65 to exercise 2X/week by a trained facilitator. Substance Abuse - SMHJ sits as a partner for the Substance Abuse Task Force (previously Heroin Task Force), the Behavioral Health Steering Committee (social workers at SMHJ serve on this), Harm Reduction Committee, Opioid related death committee and the Health Equity Alliance of Rock County Behavioral Health workgroup to discuss the current substance abuse issues in Rock County. - Funded BASE and Healthy Edgerton with a $5,000 mini grant to train staff and offer Living with Chronic Pain course through WIHA as an alternative to managing chronic pain. They offered two classes in 2019 that served over 25 individuals. - Staff from SMHJ attended the Opioid Forum in March 2019 in collaboration with our local prevention coalitions to learn more on how to support efforts in Rock County. Tobacco Use/Vaping - SMHJ sits as a strong partner for the Youth 2 Youth 4 Change prevention coalition which focuses on tobacco prevention in Rock County. Staff serves as the Vice President of the board as well as an active member of the coalition for policy change in Rock County. - Funded the four tobacco prevention coalitions of Rock County: Y2Y, BASE, Healthy Edgerton and JM4C to with a $5,000 mini grant to purchase educational equipment for vaping education in Rock County. They conducted several county wide educational sessions on vaping in 2019 including SMHJ site for the Great American Smokeout event and the July 2019 Farmers Market. - In Fall 2019, staff, as part of the Youth 2 Youth coalition offered Catch my Breath curriculum in Rock County schools as a part of the vaping prevention education. - SMHJ Family Birth Center is a First Breath Referral program for any women who has delivered her baby and wishes to quit smoking. - SMHJ has trained Freedom from Smoking Facilitators who offered the Freedom from Smoking class in 2019 at the SMHJ campus. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| ST CLARE CARDIAC AND PULMONARY REHAB - WISCONSIN DELLS | ||||
| 1306 BROADWAY ROAD | WISCONSIN DELLS | WI | 53965 | REHABILITATION |
| ST MARY'S CARE CENTER | ||||
| 3401 MAPLE GROVE DRIVE | MADISON | WI | 53719 | LONG-TERM CARE |
| ST MARY'S SUN PRAIRIE EMERGENCY CENTER | ||||
| 2840 OKEEFE AVENUE | SUN PRAIRIE | WI | 53590 | EMERGENCY CENTER |
| ST CLARE MEADOWS CARE CENTER | ||||
| 1414 JEFFERSON | BARABOO | WI | 53913 | LONG-TERM CARE |
| ST MARY'S SLEEP CENTER | ||||
| 2844 INDEX ROAD | FITCHBURG | WI | 53713 | SLEEP CENTER |
| ST CLARE URGENT CARE | ||||
| 530 WISCONSIN DELLS PARKWAY | LAKE DELTON | WI | 53965 | URGENT CARE CENTER |
| ST MARY'S CHILD CARE CENTER | ||||
| 723 S ORCHARD STREET | MADISON | WI | 53715 | CHILD CARE CENTER |
| ADULT DAY HEALTH CENTER | ||||
| 2440 ATWOOD AVENUE | MADISON | WI | 53704 | ADULT DAY CARE |
| ST CLARE CHILD CARE CENTER | ||||
| 1605 JEFFERSON STREET | BARABOO | WI | 53913 | CHILD CARE CENTER |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c Discounted Care Exceptions | Patients whose family income exceeds 400% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the hospital; however the discounted rates shall not be greater than the amounts generally billed to commercially insured [or Medicare] patients. In such cases, other factors may be considered in determining their eligibility for discounted or free services, including: * Bank accounts, investments and other assets * Employment status and earning capacity * Amount and frequency of bills for health care services * Other financial obligations and expenses * Generally, financial responsibility will be no more than 25% of gross family income. The hospital may utilize predictive analytical software or other criteria to assist in making a determination of financial assistance eligibility in situations where the patient qualifies for financial assistance but has not provided the necessary documentation to make a determination. This process is called "presumptive eligibility." |
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | SSM Health Care Corporation, 46-6029223 |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | The amounts reported on Form 990, Schedule H, Part I, Line 7a, 7b, and 7c were determined using the cost to charge ratio derived from worksheet 2 in the schedule h instructions. Form 990, schedule h, part I, Lines 7e, 7f, 7g, 7h, and 7i are reported at cost as reported in the organization's financial statements. The calculation of Schedule H, Part I, Line 7, Column F utilizes 990, Part IX, Line 25, Column A, which does not include Bad Debt Expense. |
| Schedule H, Part II Community Building Activities | SSM HEALTH CARE OF WISCONSIN PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN PART II OF SCHEDULE H INCLUDE THE FOLLOWING: ECONOMIC DEVELOPMENT: BOARD INVOLVEMENT WITH FORWARD JANESVILLE, COMMUNITY SUPPORT: SERVICES FOR LOCAL EMS ADVISORY COUNCIL, ADOPT-A-SCHOOL, VARIOUS HEALTH-SPECIFIC SUPPORT GROUPS, EMERGENCY PREPAREDNESS, COALITION BUILDING: ACTIVE SHOOTER AND EXERCISE TRAINING PROGRAMS, COMMUNITY HEALTH IMPROVEMENT ADVOCACY: PARTICIPATION IN THE HEALTHY DANE COLLABORATIVE AND OTHER COMMITTEES FOCUSED ON HEALTH NEEDS, WORKFORCE DEVELOPMENT: PARTICIPATION IN HEALTH CAREER FAIRS AND EDUCATION, JOB SHADOWING PROGRAMS. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | SSM Health Care of Wisconsin, Inc. did not make an estimate of the organization's bad debt attributable to patients eligible under the organization's financial assistance policy. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | SSM Health Care of Wisconsin, Inc. is part of the SSM Health consolidated audit. The footnote that references the treatment of uncollectible accounts and implicit price concessions in the December 31, 2019 consolidated audit is contained on page 11 and 12 of the attached financial statements. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | SSM Health Care of Wisconsin, Inc. has established a written credit and collection policy and procedures. The billing and collection policies and practices reflect the mission and values of SSM Health, including our special concern for people who are poor and vulnerable. SSM Health Care of Wisconsin embraces its responsibility to serve the communities in which it participates by establishing sound business practices. SSM Health Care of Wisconsin's billing and collection practices will be fairly and consistently applied. All staff and vendors are expected to treat all patients consistently and fairly regardless of their ability to pay. They respond to patients in a prompt and courteous manner regarding any questions about their bills and provide notification of the availability of financial assistance. All uninsured patients will be provided a standard discount for medically necessary inpatient and outpatient services, including services provided at off-campus outpatient sites. The hospital determined the amount of the discount based on the local managed care market, applicable statutory requirements and other relevant local circumstances. The rate must be no less than the lowest effective discount rate and no greater than the highest effective discount rate for the current managed care contracts of the hospital. Uninsured patients may also qualify for an additional discount based upon financial need under the system financial assistance policy. All accounts due from the patient will receive a statement after discharge or after final adjudication from patient's insurance. Generally the patient will receive 4 months (120 days) of in-house collection efforts (including early out vendors) and 12 months of bad debt collection efforts. The hospital will make Reasonable Efforts to determine FAP eligibility including: 1. The financial assistance summary will be included with each billing statement 2. Extraordinary Collection Activity (ECAs) may not occur until bad debt placement and only after 120 days. 3. ECAs must be suspended if a guarantor submits a FAP application during the application period. 4. Reasonable measures must be taken to reverse ECAs if the application is approved which may include refunding any payments made in excess of amounts owed as an FAP-eligible individual. 5. Bad Debt vendors will gain written approval from SSM prior to engaging in ECAs. SSM will review the accounts and verify satisfactory completion of reasonable efforts during the notification and application period. A waiver is not considered reasonable efforts. Obtaining a signed waiver that an individual does not wish to apply for FAP assistance or receive FAP application information will not meet the requirement to make "reasonable efforts" to determine whether the individual is FAP-eligible before engaging in ECAs. All outside collection agencies must comply with state and federal laws, comply with the association of credit and collection professional's code of ethics and professional responsibility and comply with SSM Health Care of Wisconsin's collection and financial assistance policies. |
| Schedule H, Part V, Section B, Line 16a FAP website | A - SSM Health St. Mary's Hospital - Madison: Line 16a URL: https://www.ssmhealth.com/resources/for-patients/financial-assistance; B - SSM Health St. Clare Hospital - Baraboo: Line 16a URL: https://www.ssmhealth.com/resources/for-patients/financial-assistance; C - SSM Health St. Mary's Hospital - Janesville: Line 16a URL: https://www.ssmhealth.com/resources/for-patients/financial-assistance; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | A - SSM Health St. Mary's Hospital - Madison: Line 16b URL: https://www.ssmhealth.com/resources/for-patients/financial-assistance; B - SSM Health St. Clare Hospital - Baraboo: Line 16b URL: https://www.ssmhealth.com/resources/for-patients/financial-assistance; C - SSM Health St. Mary's Hospital - Janesville: Line 16b URL: https://www.ssmhealth.com/resources/for-patients/financial-assistance; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | A - SSM Health St. Mary's Hospital - Madison: Line 16c URL: https://www.ssmhealth.com/resources/for-patients/financial-assistance; B - SSM Health St. Clare Hospital - Baraboo: Line 16c URL: https://www.ssmhealth.com/resources/for-patients/financial-assistance; C - SSM Health St. Mary's Hospital - Janesville: Line 16c URL: https://www.ssmhealth.com/resources/for-patients/financial-assistance; |
| Schedule H, Part VI, Line 2 Needs assessment | SSM Health (SSMH) participates in Community Benefit according to our vision, Through our participation in the healing ministry of Jesus Christ, communities, especially those that are economically, physically, and socially marginalized, will experience improved health in mind, body, spirit and environment. In the tradition of our founders, the Franciscan Sisters of Mary, caring for those in greatest need remains our organizational priority. Today our System Board monitors Community Benefit efforts, and views achievement of our vision as a primary responsibility. The purpose of SSMH's Community Benefit program is to assess and address community health needs. Making our communities healthier in measurable ways is always our goal. To fulfill this commitment, SSMH's Community Benefit is divided into two parts: 1) Community Health Needs Assessment (CHNA), and 2) Community Benefit Inventory for Social Accountability (CBISA). The CHNA is an assessment and prioritization of community health needs and the adoption and implementation of strategies to address those needs. A CHNA is conducted every three years by each hospital according to the following steps: * Assess and prioritize community health needs: Gather CHNA data from secondary sources; obtain input from stakeholders representing the broad interests of the community through interviews and focus groups; use data to select top health priorities; and complete written CHNA. * Develop, adopt, and implement strategies to address top-health priorities: Establish strategies to address priorities; complete Strategic Implementation Plan; obtain Regional/Divisional Board approval; and integrate strategies into operational plan. * Make CHNA widely available to the public: Publish CHNA and summary document on hospital's website. * Monitor, track, and report progress on top health priorities: Collect data and evaluate progress; report to Regional/Divisional Board every six months and System Board every year; share findings with community stakeholders; and send results to finance for submission to the Internal Revenue Service (IRS). System Office staff and leaders oversee and monitor SSMH's Community Benefit Program, and ensure reporting is in compliance with IRS regulations. In collaboration with community stakeholders and partner organizations, SSM Health Care Corporation also identifies needs based on assessments and research, and SSMH facilities also involve case managers and care team staff to pinpoint critical health issues in the community. All hospital CHNAs are completed, approved, and integrated into the organization's strategic plan. We continue to monitor and assess the progress of our local efforts in the spirit of caring for others and improving community health. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Each entity providing medical service shall provide information to the public regarding its charity care policies and the qualification requirements for each of its facilities. When standard system notices and communication regarding charity care are available, these must be used. Modifications to the standard may be made to comply with state and local laws, as well as reflect culturally sensitive terminology for the policy. All notices are easy to understand by the general public, culturally appropriate and available in those languages that are prevalent in the community. They provide information about: * The patient's responsibility for payment, * The availability of financial assistance from public programs and entity charity care and payment arrangements, * The entity's charity policy and application process, and * Who to contact to get additional information or financial counseling. The following types of notices to the public are provided: * Signs in the emergency department, outpatient and inpatient registration and public waiting areas. * Brochures or fliers provided at time of registration and available in the financial counseling areas. * Notices sent with or on patient bills or communications sent to patients and guarantors related to medical services. * Applications provided to uninsured patients at the time of registration. The application for charity care, together with any instructions, must clearly state the policies regarding charity care, including excluded services, eligibility criteria and documentation requirements. Information about the entity's charity policies is also provided to public agencies. |
| Schedule H, Part VI, Line 4 Community information | SSM Health St. Mary's Hospital - Madison St Mary's Hospital serves Dane County in south-central Wisconsin, which is home to Wisconsin's state capitol, Madison, and Wisconsin's flagship public university, the University of Wisconsin-Madison. Dane County is the second most densely populated county in Wisconsin and Madison is the second largest city in the state. The population of Dane County grew 5.5% between 2012 and 2016 bringing the population to 531,273. Dane County's Diversity is concentrated in the City of Madison, but the County as a minority population around 15%. Life expectancy in Dane County is higher than the national average for both men and women; however, the gap in life expectancy between Black and White populations has grown. The percent of the population that has at least a bachelor's degree is much higher in Dane County than in Wisconsin and the US. However, Dane County's current 87.1% high school graduation rate is one of the lowest among Wisconsin counties. The median household income for Dane County is $64,773, higher than state and national values. Despite the high median household income and second lowest unemployment rate in the state (2.8%), Dane County is faced with a disparity of minorities living in poverty. Additional detailed information on the St Mary's Hospital service area can be found throughout the CHNA. SSM Health St. Clare Hospital - Baraboo St. Clare Hospital serves the primarily serves Sauk County in Wisconsin. There are 16 zip codes in this county, which make up 85% of the hospital's total patients. The hospital, in Baraboo, Wisconsin, has urgent care clinics in Lake Delton and Wisconsin Dells. In 2017, Sauk County had an estimated population of 73,275 persons. The community has a high proportion of residents aged 55 and older at about 35%. Sauk County has seen increasing diversity in the past three years, with nearly 12% of the population a minority. While Sauk County has a lower poverty rate than the state and national averages at 10%, only 20.5% of residents hold at least a Bachelor's degree. Additional detailed information on the St Clare Hospital service area can be found on page 19 through 21 of the CHNA. SSM Health St. Mary's Hospital - Janesville St Mary's Janesville defines its community as Rock County, Wisconsin. There are 22 zip codes that are contained within or overlay the county. The hospital is located in Janesville, Wisconsin. In 2016, Rock County had an estimated population of 161,620 persons. Rock County is seeing increasing race and ethnic diversity, with nearly 17% of the population a minority. The county has a poverty rate for families of 11.2%, which while lower than previously reported, is still higher than the state and national averages. Life expectancy rates are near national averages. Additional detailed information on the St Mary's Janesville Hospital service area can be found on page 13 through 20 of the CHNA. |
| Schedule H, Part VI, Line 5 Promotion of community health | SSM Health Care of Wisconsin participates in a wide array of community programs throughout the area to further its exempt purpose of promoting the health of the community. The community initiatives build on the strengths of our communities and systems to improve the quality of life and to create a sense of hope. Community Benefit initiatives build community capacity and individual empowerment through community organizing, leadership development, partnerships, and coalition building. Our Community Health programs provide compassionate and competent care while they promote health improvement by reaching directly into the community to ensure that low-income and under-served persons can access health care services. Focusing on a broad definition of health, SSM Health Care of Wisconsin's hospitals, clinics and programs provide medical and mental health services, health education, health management, prevention, referrals, insurance enrollment and in-home primary care services and support, while fostering collaboration and incorporating Community Benefit strategies. SSM Health Care of Wisconsin promotes grassroots advocacy and engages persons of influence to affect social and public policy change in order to promote community health. SSM Health Care of Wisconsin also furthers its exempt purpose with the following activities: * Operates an emergency room that is open to all persons regardless of ability to pay, * Has an open medical staff with privileges available to all qualified physicians in the area, * Engages in the training and education of health care professionals, * Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs * All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. |
| Schedule H, Part VI, Line 6 Affiliated health care system | SSM HEALTH CARE OF WISCONSIN (SSMHC/WI) IS A COMPREHENSIVE NOT-FOR- PROFIT CATHOLIC HEALTH CARE ORGANIZATION PROVIDING HEALTH CARE SERVICES TO AN 18- COUNTY AREA IN SOUTH- CENTRAL WISCONSIN. SSMHC/WI, WITH HEADQUARTERS IN MADISON, WI, IS SPONSORED BY SSM HEALTH MINISTRIES AND IS OWNED AND OPERATED BY SSM HEALTH (SSMH) BASED IN ST. LOUIS, MISSOURI. SSMHC/WI PROVIDES HEALTH CARE SERVICES AT THREE WHOLLY-OWNED ACUTE CARE HOSPITALS, SSM HEALTH ST. MARY'S HOSPITAL - MADISON, SSM HEALTH ST. CLARE HOSPITAL - BARABOO AND SSM HEALTH ST. MARY'S HOSPITAL - JANESVILLE, AS WELL AS AT TWO NURSING HOMES - SSM HEALTH ST. MARY'S CARE CENTER IN MADISON AND SSM HEALTH ST. CLARE MEADOWS CARE CENTER IN BARABOO. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | WI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| City of Madison | ||||||||
| 215 Martin Luther King Jr Blvd | Madison | WI | 53703 | 396005507 | Government | $18,333 | Support for the Healthy Dane Collaborative | |
| American Heart Association | ||||||||
| 7272 Greenville Avenue | Dallas | TX | 75231 | 135613797 | 501(c)(3) | $50,000 | General support | |
| County of Dane Wisconsin | ||||||||
| City-County Building Room 426 | Madison | WI | 53703 | 396005684 | Government | $6,500 | Funding for Pulse Point Initiative and educational events | 210 Martin Luther King Jr Blvd |
| Forward Janesville Inc | ||||||||
| 14 S Jackson Street | Janesville | WI | 53545 | 390212060 | 501(c)(6) | $10,000 | General support | |
| Foundation for Black Women's Wellness | ||||||||
| PO Box 259831 | Madison | WI | 53725 | 460832901 | 501(c)(3) | $68,853 | Support for Foundation's wellness day | |
| Greater Madison Chamber of Commerce Inc | ||||||||
| 1 S Pinckney Street No 330 | Madison | WI | 53703 | 390843590 | 501(c)(6) | $5,250 | General support | |
| Madison Gospel 5K Foundation | ||||||||
| 4711 Jenewein Road Apt 208 | Madison | WI | 53711 | 832761410 | 501(c)(3) | $5,035 | General support | |
| Reap Food Group | ||||||||
| 306 E Wilson Street No 2w | Madison | WI | 53703 | 392043788 | 501(c)(3) | $6,250 | Provide healthy food options for the community | |
| Rebalanced Life Wellness Association Inc | ||||||||
| 143 Marcie Drive | Brooklyn | WI | 53521 | 824133284 | 501(c)(3) | $35,500 | Support for diabetes care and coordination | |
| Safe Community Coalition of Madison and Dane County Inc | ||||||||
| PO Box 6652 | Madison | WI | 53701 | 392010839 | 501(c)(3) | $10,000 | General support | |
| School District Of Janesville | ||||||||
| 527 S Franklin Street | Janesville | WI | 53548 | 396002726 | Government | $10,050 | General support | |
| United Way of Dane County Inc | ||||||||
| 2059 Atwood Avenue | Madison | WI | 53704 | 390817532 | 501(c)(3) | $25,000 | General support | |
| Upland Hills Health Inc | ||||||||
| 800 Compassion Way | Dodgeville | WI | 53533 | 421017512 | 501(c)(3) | $100,065 | General support | |
| Urban League of Greater Madison Inc | ||||||||
| 2222 S Park Street No 200 | Madison | WI | 53713 | 391098146 | 501(c)(3) | $16,833 | General support | |
| Wisconsin Womens Health Foundation Inc | ||||||||
| 2503 Todd Drive | Madison | WI | 53713 | 391900678 | 501(c)(3) | $21,200 | First breath program support | |
| March of Dimes Inc | ||||||||
| 1550 Crystal Drive Suite 1300 | Arlington | VA | 22202 | 131846366 | 501(c)(3) | $7,500 | General support | |
| Madison Community Health Center | ||||||||
| 1547 Ohio Avenue | Anderson | IN | 46016 | 352098820 | 501(c)(3) | $30,000 | Support for prenatal program | |
| St Clare Health Care Foundation Inc | ||||||||
| 10101 Woodfield Ln | St Louis | MO | 63132 | 431940683 | 501(c)(3) | $41,844 | Support Foundation programs | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 16 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Scholarships | GrantTypeTxt |
| Recipient | 17 | RecipientCnt |
| Cash Grant | $10,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | THE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDS VARIES BASED ON THE GRANT RECIPIENT. GRANTS TO RELATED ENTITIES ARE MONITORED DIRECTLY BY THE ORGANIZATION WHEREBY THE RECIPIENT REPORTS ON THE SPECIFIC USE OF THE FUNDING. FOR GRANTS TO UNRELATED ENTITIES, THE ORGANIZATION UTILIZES THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) TO TRACK, STORE, AND REPORT A WIDE RANGE OF INFORMATION RELATED TO GRANTS AND OVERALL COMMUNITY IMPACT. | 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 (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (39 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 | ||||||||||||||
| Pt Yr Director, Vice President, COO | $0 | $882,327 | $0 | $172,763 | $0 | $11,529 | $0 | $667,250 | $0 | $18,983 | $0 | $1,752,851 | $0 | $97,763 |
| Jason Isenberg | ||||||||||||||
| Director | $0 | $412,446 | $0 | $0 | $0 | $72,654 | $0 | $15,195 | $0 | $29,151 | $0 | $529,446 | $0 | $0 |
| Gregory Matzke | ||||||||||||||
| Director | $0 | $702,632 | $0 | $0 | $0 | $2,649 | $0 | $15,053 | $0 | $30,227 | $0 | $750,560 | $0 | $0 |
| John Phelan | ||||||||||||||
| Director | $0 | $708,882 | $0 | $0 | $0 | $10,929 | $0 | $16,662 | $0 | $26,927 | $0 | $763,399 | $0 | $0 |
| Stephen Sramek | ||||||||||||||
| Director | $0 | $380,899 | $0 | $0 | $0 | $7,688 | $0 | $20,696 | $0 | $23,420 | $0 | $432,703 | $0 | $0 |
| William Ehrhardt | ||||||||||||||
| Director, Physician at Dean Medical Group | $0 | $545,030 | $0 | $0 | $0 | $2,780 | $0 | $15,200 | $0 | $21,362 | $0 | $584,373 | $0 | $0 |
| Albert Musa | ||||||||||||||
| Director, Physician at Dean Medical Group | $0 | $357,664 | $0 | $0 | $0 | $6,063 | $0 | $20,700 | $0 | $19,372 | $0 | $403,799 | $0 | $0 |
| Carter Dredge | ||||||||||||||
| Pt Yr Director, Chief Transformation Officer | $0 | $623,897 | $0 | $130,350 | $0 | $7,327 | $0 | $483,773 | $0 | $19,033 | $0 | $1,264,381 | $0 | $130,350 |
| Christopher Howard | ||||||||||||||
| Former Officer | $0 | $0 | $0 | $0 | $0 | $566,322 | $0 | $214,327 | $0 | $4,649 | $0 | $785,299 | $0 | $0 |
| Steven Caldwell | ||||||||||||||
| Former Officer | $0 | $0 | $0 | $63,810 | $0 | $446,280 | $0 | $0 | $0 | $12,904 | $0 | $522,994 | $0 | $63,810 |
| Kris Zimmer | ||||||||||||||
| Treasurer, Chief Financial Officer at SSM Health | $0 | $887,868 | $0 | $230,489 | $0 | $247,277 | $0 | $797,538 | $0 | $16,082 | $0 | $2,179,255 | $0 | $340,596 |
| Doug Long | ||||||||||||||
| Secretary, General Counsel at SSM Health | $0 | $149,400 | $0 | $0 | $0 | $80,150 | $0 | $469,438 | $0 | $2,548 | $0 | $701,536 | $0 | $0 |
| Matthew Kinsella | ||||||||||||||
| Regional VP Finance-Wisconsin | $0 | $188,910 | $0 | $38,385 | $0 | $15,660 | $0 | $65,585 | $0 | $32,454 | $0 | $340,993 | $0 | $28,385 |
| Damond Boatwright | ||||||||||||||
| Chair, Regional President - WI | $654,392 | $0 | $166,656 | $0 | $102,416 | $0 | $474,323 | $0 | $0 | $0 | $1,397,787 | $0 | $239,891 | $0 |
| Laura Kaiser | ||||||||||||||
| Vice Chair, President/CEO of SSM Health | $0 | $1,591,955 | $0 | $536,550 | $0 | $25,353 | $0 | $2,013,276 | $0 | $13,853 | $0 | $4,180,987 | $0 | $536,550 |
| Paula Friedman | ||||||||||||||
| Pt Yr Vice President, Pt Yr Senior VP-Strategic Development SSM Health | $0 | $270,134 | $0 | $189,852 | $0 | $924,934 | $0 | $278,843 | $0 | $3,736 | $0 | $1,667,500 | $0 | $618,871 |
| Ed Chadwick | ||||||||||||||
| Pt Yr Interim System Vice President, Finance | $0 | $1,291,744 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,291,744 | $0 | $0 |
| Laura Walczak | ||||||||||||||
| Hospital President-St Clare | $252,403 | $0 | $35,286 | $0 | $33,436 | $0 | $76,583 | $0 | $9,813 | $0 | $407,522 | $0 | $43,091 | $0 |
| Kerry Swanson | ||||||||||||||
| Chief Operating Officer-SSMWI | $0 | $531,201 | $0 | $123,429 | $0 | $97,663 | $0 | $239,968 | $0 | $32,255 | $0 | $1,024,515 | $0 | $148,118 |
| Jonathan Rozenfeld | ||||||||||||||
| Pt Yr Hospital President - St Mary's | $499,691 | $0 | $106,720 | $0 | $76,361 | $0 | $161,132 | $0 | $26,861 | $0 | $870,765 | $0 | $144,269 | $0 |
| Ben Layman | ||||||||||||||
| Pt Yr Hospital President-Janesville | $211,107 | $0 | $44,075 | $0 | $79,783 | $0 | $30,467 | $0 | $29,416 | $0 | $394,847 | $0 | $83,072 | $0 |
| Eric Thornton | ||||||||||||||
| Hospital President-Janesville | $0 | $168,340 | $0 | $25,720 | $0 | $10,560 | $0 | $30,484 | $0 | $27,951 | $0 | $263,055 | $0 | $33,632 |
| Kyle Nondorf | ||||||||||||||
| Hospital President - St Mary's | $0 | $245,461 | $0 | $34,428 | $0 | $42,193 | $0 | $109,214 | $0 | $27,789 | $0 | $459,086 | $0 | $52,736 |
| Virginia Malone | ||||||||||||||
| VP Patient Services - St Mary's | $278,214 | $0 | $43,764 | $0 | $50,259 | $0 | $65,269 | $0 | $19,096 | $0 | $456,601 | $0 | $77,570 | $0 |
| Jennifer Culotta | ||||||||||||||
| Interim VP Patient Care - St. Clare | $146,537 | $0 | $0 | $0 | $21,040 | $0 | $32,135 | $0 | $26,443 | $0 | $226,154 | $0 | $0 | $0 |
| Linda Taplin Statz | ||||||||||||||
| Pt Yr Regional VP - Employee Experience | $0 | $36,733 | $0 | $0 | $0 | $246,070 | $0 | $621 | $0 | $17,793 | $0 | $301,217 | $0 | $78,190 |
| Mark Thompson | ||||||||||||||
| Regional President-Medical Groups-Wisconsin | $494,318 | $0 | $76,618 | $0 | $4,259 | $0 | $188,808 | $0 | $30,763 | $0 | $794,765 | $0 | $76,618 | $0 |
| Jonathan Lewis | ||||||||||||||
| VP Operations | $209,508 | $0 | $33,915 | $0 | $12,734 | $0 | $20,363 | $0 | $30,686 | $0 | $307,206 | $0 | $44,886 | $0 |
| Margo Francisco | ||||||||||||||
| Regional VP - Strategy | $0 | $258,510 | $0 | $41,632 | $0 | $4,776 | $0 | $86,899 | $0 | $30,354 | $0 | $422,172 | $0 | $41,632 |
| Thomas Ter Horst | ||||||||||||||
| Pt Yr System VP - Human Resources | $0 | $113,527 | $0 | $53,410 | $0 | $310,957 | $0 | $18,453 | $0 | $32,034 | $0 | $528,381 | $0 | $143,135 |
| Thomas Ahr | ||||||||||||||
| Interim Reg VP - Human Resources | $0 | $251,056 | $0 | $39,100 | $0 | $2,277 | $0 | $104,778 | $0 | $20,484 | $0 | $417,695 | $0 | $39,100 |
| Lon McPherson | ||||||||||||||
| VP-Medical Affairs | $367,397 | $0 | $59,120 | $0 | $20,304 | $0 | $79,803 | $0 | $26,927 | $0 | $553,551 | $0 | $59,120 | $0 |
| Veronica Scott-Fulton | ||||||||||||||
| Regional CNO | $193,135 | $0 | $25,000 | $0 | $20,599 | $0 | $69,003 | $0 | $8,976 | $0 | $316,712 | $0 | $0 | $0 |
| Christopher Sprowl | ||||||||||||||
| Pt Yr Regional Clinical Affairs Officer | $0 | $136,921 | $0 | $154,560 | $0 | $594,898 | $0 | $132,069 | $0 | $27,281 | $0 | $1,045,729 | $0 | $302,376 |
| David Ottenbaker | ||||||||||||||
| VP-Primary Care Services | $393,308 | $0 | $0 | $0 | $25,975 | $0 | $86,261 | $0 | $20,299 | $0 | $525,842 | $0 | $0 | $0 |
| Kansas Dubray | ||||||||||||||
| Physician | $318,521 | $0 | $0 | $0 | $4,265 | $0 | $23,022 | $0 | $10,796 | $0 | $356,604 | $0 | $0 | $0 |
| Debra Nyquist | ||||||||||||||
| Physician | $281,927 | $0 | $0 | $0 | $3,051 | $0 | $14,988 | $0 | $21,220 | $0 | $321,187 | $0 | $0 | $0 |
| David Jarvis | ||||||||||||||
| Physician | $278,992 | $0 | $0 | $0 | $2,422 | $0 | $20,111 | $0 | $26,973 | $0 | $328,498 | $0 | $0 | $0 |
| Jennifer Orkfritz | ||||||||||||||
| Physician | $273,385 | $0 | $0 | $0 | $1,805 | $0 | $14,220 | $0 | $1,330 | $0 | $290,740 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Tax indemnification and gross-up payments | The following individuals listed on Part VII Section A received a tax indemnification/gross up payment in 2019. These payments were included in their taxable compensation. Jonathan Rozenfeld Kansas Dubray |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | The organization's top management official, regional president, is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | SSM Health has adopted a severance policy to provide a financial transition in the event of involuntary termination without cause for executive level positions. The amount of the compensation is based on the position held and length of service with SSMH. The following individuals listed in Part VII of the Form 990 received payments under the plan in the current year. Paula Friedman $470,555 Ben Layman $34,615 Linda Taplin Statz $143,386 Christopher Sprowl, MD $442,308 Thomas Ter Horst $212,682 Christopher Howard $564,308 Steven Caldwell $426,031 |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Pension Restoration Plan: SSM Health (SSMH) provides this supplemental defined benefit nonqualified retirement plan to any employee who is a participant in the SSMH qualified defined benefit plan who earns over the Internal Revenue Service compensation limit. The plan "restores" the benefits to these employees that would have been provided under the SSMH qualified plan if the regulations did not impose compensation limits. An individual can take a distribution from the plan at (1) age 65 or older if the individual is still employed by SSMH or (2) age 55 or older if the individual is no longer employed by SSMH. No individuals listed on Part VII of Form 990 received distributions from the plan in 2019. Capital Accumulation Plan: SSMH provides this supplemental nonqualified retirement plan to executive level employees. The organization contributed a percentage of the employee's base salary into their choice of a select list of investments. The deposits and earnings of the plan are owned by SSMH and are tax-deferred until a distribution is made to the employee. In addition, the plan has special safeguards in place to protect the funds from contingencies, other than insolvency. For contributions made to the plan in 2014 or after, the distribution will occur after the completion of four plan years for all executives that are still actively employed on the distribution date. Any active participant 65 years or older will receive the contribution in the current year. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DEFERRALS FROM THIS PLAN IN 2019: Steven Smoot $105,168 Carter Dredge $74,736 Damond Boatwright $77,160 Laura Kaiser $314,000 Kris Zimmer $105,240 Matthew Kinsella $14,700 Ben Layman $20,000 Eric Thornton $6,538 Jonathan Rozenfeld $39,710 Kyle Nondorf $20,237 Virginia Malone $11,080 Jennifer Culotta $6,200 Laura Walczak $20,000 Mark Thompson, MD $38,000 Jonathan Lewis $8,621 Margo Francisco $21,061 Thomas Ahr $20,300 Lon McPherson $14,661 Kerry Swanson $44,000 Veronica Scott-Fulton $28,000 David Ottenbaker $15,600 Bradley Schmidt $16,000 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2019. All distributions received from the plan in the current year were included in the individual's taxable compensation. Damond Boatwright $73,235 Paula Friedman $429,019 Kris Zimmer $111,962 Ben Layman $38,997 Eric Thornton $7,912 Jonathan Rozenfeld $37,549 Kyle Nondorf $18,308 Virginia Malone $33,807 Laura Walczak $7,804 Linda Taplin Statz $78,190 Christopher Sprowl, MD $147,816 Jonathan Lewis $10,971 Thomas Ter Horst $89,725 Kerry Swanson $24,689 During 2019, the following individuals participated in a nonqualified retirement plan from the organization or a related organization. The amounts reported below represent the change in accrued benefit for each individual and also include amounts accrued under the pension restoration plan: Paula Friedman $9,691 Kris Zimmer $66,609 Jonathan Rozenfeld $15,852 Kerry Swanson $14,046 Kansas Dubray $1,157 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Integrated Healthcare Financial Strategies LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | ED CHADWICK - OFFICER | RelationshipDescriptionTxt |
| Transaction | $1,291,744 | TransactionAmt |
| Transaction | Contract services | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a Description of Program Service | Briefly describe the organization's mission: Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 23 acute care hospitals, one children's hospital, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company, and an Accountable Care Organization. The health system employs nearly 40,000 people and is affiliated with 11,000 physicians making it one of the largest employers in every community it serves. In the tradition of its founding sisters, SSMH strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. About SSM Health Care of Wisconsin: SSM Health Care of Wisconsin provides health care services at three wholly-owned acute care hospitals, SSM Health St. Mary's Hospital - Madison, SSM Health St. Clare Hospital - Baraboo and SSM Health St. Mary's Hospital - Janesville, as well as at two nursing homes - SSM Health St. Mary's Care Center in Madison and SSM Health St. Clare Meadows Care Center in Baraboo. SSM Health Care of Wisconsin, including its three wholly owned hospitals and two nursing homes, earned Wisconsin's highest recognition of quality business practices in 2013: the Excellence Level of the Wisconsin Forward Award. The honor remains in effect for five years. SSM Health Care of Wisconsin, in partnership with SSM Health Dean Medical Group, also earned recognition as a finalist for OrthoServiceLine.com's Ortho Transformation Award. The award highlighted the Steady Strides Joint Replacement Program which is available at all three acute care hospitals. SSM Health St. Mary's Hospital - Madison is a 440-bed tertiary referral hospital offering inpatient and outpatient treatment and diagnostic services in primary care and nearly all specialties. The campus includes an outpatient surgery center and an employee child care center. St. Mary's also operates an off-site Adult Day Health Center, is owner of a home health care organization, and is affiliated with the SSM Health St. Mary's Care Center (a skilled nursing facility) on Madison's southwest side. St. Mary's Hospital in partnership with SSM Health Dean Medical Group has chosen to participate in a Medicare Accountable Care Organization Program. St. Mary's Hospital offers a full range of inpatient and outpatient treatment and diagnostic services in primary care and nearly all specialties. St. Mary's was also redesignated as a Magnet hospital in 2017 and has previously attained elite status as well. Magnet hospitals are considered "the gold standard" of nursing. Their emphasis on quality, innovation and collaboration tends to lead to better outcomes, high patient satisfaction and a more stable workforce. In 2018, St. Mary's Hospital was recognized by the Women's Choice Award for high standards in obstetrics and also by the Watson Health 100 Top Hospitals. SSM Health St. Clare Hospital - Baraboo offers acute care services as well as a wide range of other services including chemical dependency treatment and hemodialysis. St. Clare also offers cardiac rehabilitation, orthopedics, women's services, and older adult services and senior living. SSM Health St. Clare Meadows Care Center, an affiliate of St. Clare Hospital, provides a variety of healthcare and living options for the elderly of the greater Baraboo and Sauk County area. The 100-bed Medicare and Medicaid skilled nursing facility provides 24-hour nursing care for temporary rehabilitation care or permanent care basis in an atmosphere that celebrates the needs of the individual. SSM Health St. Mary's Hospital - Janesville operates a 50-bed hospital and an adjacent physicians' office complex. The hospital serves its community through emergency services, inpatient and outpatient services, a sleep lab, radiology, cardiology rehabilitation, and palliative care consulting. Built in 2012, the medical campus provides all private rooms, electronic health records, and a state-of-the-art emergency department. SSM Health Care of Wisconsin also furthers its exempt purpose with the following activities: - Operates an emergency room that is open to all persons regardless of ability to pay - Has an open medical staff with privileges available to all qualified physicians in the area - Has a governing body in which independent persons representative of the community comprise a majority - Engages in the training and education of health care professionals - Participates in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs - All surplus funds generated by SSMH entities are reinvested in improving our patient care delivery system. Quantifiable Uncompensated Care: The following is a list of the types of programs and services that could be included as uncompensated care: Traditional Charity Care $ 7,154,687 Unpaid Cost of Medicaid $ 22,506,884 Unpaid Cost of Medicare $ 18,692,873 Unpaid Cost of Other Government Programs $ 2,272,837 Total Quantifiable Uncompensated Care $ 50,627,281 |
| Form 990, Part V, Line 1a | ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. |
| Form 990, Part VI, Line 15a Process for determining compensation | A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee. |
| Form 990, Part VI, Line 15b Process for determining compensation | A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE CORPORATION. SSM HEALTH CARE CORPORATION IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH SSM HEALTH CARE OF WISCONSIN, INC. AND SSM HEALTH CARE CORPORATION ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS C. TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS D. TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION E. TO APPROVE THE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN F. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION G. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION H. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY I. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION J. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY K. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY L. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS, TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS, AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS M. TO APPROVE THE STRATEGIC, FINANCIAL AND HUMAN RESOURCES PLAN OF THE CORPORATION N. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION O. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTEREST IN THE PROPERTY OF THE CORPORATION P. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO THE MEMBER OR TO ANY ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY THE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS, AND OBJECTIVES OF THE MEMBER AS DETERMINED BY THE MEMBER Q. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE MEMBER APPROVAL; AND R. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO THE MEMBER WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY. |
| Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body | The organization does not have any committees with authority to act on behalf of the governing body. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The Form 990 is prepared by the Tax Department of the parent organization, SSM Health Care Corporation (SSM). The Form 990 is reviewed by certain members of Senior Management. Any questions are addressed to the Tax Director of SSM prior to filing the Form 990 with the Internal Revenue Service. A copy of the Form 990 is provided to the Board of Directors at the next regularly scheduled board meeting. |
| Form 990, Part VI, Line 12c Conflict of interest policy | BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY TO THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE COURSE (COI) WHICH MUST BE COMPLETED ONLINE. PERIODICALLY THROUGH THE YEAR, THE ENTITY'S CORPORATE RESPONSIBILITY CONTACT PERSON (WITH THE HELP OF THE ENTITY'S LEARNING MANAGEMENT SYSTEM COORDINATOR) SENDS DEPARTMENT MANAGERS A LIST OF EMPLOYEES WHO HAVE NOT YET COMPLETED THEIR COI SO THEY CAN REMIND THE EMPLOYEES AND ENSURE THE EMPLOYEES HAVE TIME IN THEIR SCHEDULE TO COMPLETE THE REQUIRED COURSE. RESOLUTION OF ANY CONFLICTS THAT ARE DISCLOSED MUST BE DOCUMENTED AND KEPT ON FILE AT THE ENTITY. SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR-END. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE MISSOURI SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | All other revenue - Total Revenue: 2012077, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2012077; |
| Form 990, Part IX, Line 11g Other Fees | Medical and other professional fees - Total Expense: 70706496, Program Service Expense: 45303180, Management and General Expenses: 25048008, Fundraising Expenses: 355308; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Change in beneficial interest in foundations - 4786817; Transfers to affiliates - -22007933; |
| FORM 990, PART I DOING BUSINESS AS | SSM HEALTH CARE OF WISCONSIN, INC. CURRENTLY CONDUCTS BUSINESS UNDER THE FOLLOWING REGISTERED NAMES: GOLDEN CARE LAKE DELTON CLINIC MEADOW LANE ST. CLARE CENTER - JEFFERSON STREET ST. CLARE HOSPITAL ST. CLARE HOSPITAL AND HEALTH SERVICES ST. CLARE MEADOWS CARE CENTER ST. CLARE URGENT CARE AT LAKE DELTON ST. CLARE URGENT CARE AT WISCONSIN DELLS ST. MARY'S CARE CENTER ST. MARY'S HOSPITAL MEDICAL CENTER ST. MARY'S JANESVILLE HOSPITAL SSM HEALTH ST. CLARE MEADOWS CARE CENTER SSM HEALTH ST. MARY'S CARE CENTER SSM HEALTH ST. MARY'S HOSPITAL - MADISON SSM HEALTH ST. CLARE HOSPITAL - BARABOO SSM HEALTH ST. MARY'S HOSPITAL - JANESVILLE |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (50 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| SSM Health Care Corporation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 466029223 | Health Care | MO | 501(c)(3) | Type I | SSM Health Ministries | false |
| SSMHC Liability Trust I | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 436331003 | Insurance | MO | 501(c)(3) | Type I | SSM Health Care Corporation | false |
| SSM Consolidated Health Services | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431473657 | Health Care | MO | 501(c)(3) | 10 | SSM Health Care Corporation | false |
| SSM Policy Institute | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431788151 | Health Care | MO | 501(c)(4) | SSM Health Care Corporation | false | |
| SSM Health Care Portfolio Management Co | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431825256 | Management | MO | 501(c)(3) | Type I | SSM Health Care Corporation | false |
| SSM Cardinal Glennon Children's Hospital | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 430738490 | Health Care | MO | 501(c)(3) | 3 | SSM Health Care St Louis | false |
| Cardinal Glennon Children's Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431754347 | Fundraising | MO | 501(c)(3) | 7 | SSM Cardinal Glennon Children's Hospital | false |
| SSM Health Foundation - St Louis | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431552945 | Fundraising | MO | 501(c)(3) | 7 | SSM Health Care St Louis | false |
| SSM Health Care of Oklahoma Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 730657693 | Health Care | OK | 501(c)(3) | 3 | SSM Health Care Corporation | false |
| The St Anthony Hospital Foundation Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 736104300 | Fundraising | OK | 501(c)(3) | 7 | SSM Health Care of Oklahoma | false |
| Dells Medical Building Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 391613292 | MOB | WI | 501(c)(2) | SSM Health Care of Wisconsin | Yes (true) | |
| St Mary's Foundation Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431940686 | Fundraising | WI | 501(c)(3) | 7 | SSM Health Care of Wisconsin | Yes (true) |
| St Clare Health Care Foundation Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431940683 | Fundraising | WI | 501(c)(3) | 7 | SSM Health Care of Wisconsin | Yes (true) |
| Home Health United Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391539827 | Health Care | WI | 501(c)(3) | 10 | SSM Health Care of Wisconsin | Yes (true) |
| Home Care United Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391776340 | Health Care | WI | 501(c)(3) | 10 | SSM Health Care of Wisconsin | Yes (true) |
| HHU Xtra Care Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391705111 | Health Care | WI | 501(c)(3) | 10 | SSM Health Care of Wisconsin | Yes (true) |
| SSM Health at Home Foundation of Wisconsin Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391839309 | Fundraising | WI | 501(c)(3) | Type I | Home Health United Inc | false |
| SSM Regional Health Services | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 440579850 | Health Care | MO | 501(c)(3) | 3 | SSM Health Care Corporation | false |
| St Mary's Health Center Jefferson City Missouri Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431575307 | Fundraising | MO | 501(c)(3) | Type I | SSM Regional Health Services | false |
| Good Samaritan Regional Health Center | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 430653587 | Health Care | IL | 501(c)(3) | 3 | SSM Regional Health Services | false |
| St Mary's Hospital Centralia Illinois | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 370662580 | Health Care | IL | 501(c)(3) | 3 | SSM Regional Health Services | false |
| St Mary's - Good Samaritan Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 364170833 | Health Care | IL | 501(c)(3) | Type I | SSM Regional Health Services | false |
| Good Samaritan Regional Health Center Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 262884795 | Fundraising | IL | 501(c)(3) | 7 | St Mary's-Good Samaritan Inc | false |
| St Mary's Hospital Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 364636691 | Fundraising | IL | 501(c)(3) | 7 | St Mary's-Good Samaritan Inc | false |
| St Mary's Hospital Auxiliary | ||||||||||
| 400 N Pleasant | Centralia | IL | 62801 | 237126345 | Fundraising | IL | 501(c)(3) | 10 | St Mary's Hospital Foundation | false |
| SSM Health Businesses | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431333488 | Health Care | MO | 501(c)(3) | 10 | SSM Health Care Corporation | false |
| SSM Health Care St Louis | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431343281 | Health Care | MO | 501(c)(3) | 3 | SSM Health Care Corporation | false |
| Centralia Medical Services Bldg Assoc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 237408025 | MOB | IL | 501(c)(3) | Type I | SSM Regional Health Services | false |
| St Mary's Janesville Foundation Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 273439133 | Fundraising | WI | 501(c)(3) | 7 | SSM Health Care of Wisconsin | Yes (true) |
| SSM Health Ministries | ||||||||||
| 3221 McKelvey Road Suite 107 | Bridgeton | MO | 63044 | 431012492 | Religious Organization | MO | 501(c)(3) | 1 | NA | false |
| Lee Dewey Corporation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 731279603 | MOB | OK | 501(c)(3) | Type I | SSM Health Care of Oklahoma | false |
| SSM Hospice & Home Care Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 300012246 | Fundraising | MO | 501(c)(3) | 7 | SSM Health Businesses | false |
| St Mary's Hospital Auxiliary | ||||||||||
| 100 St Marys Medical Plaza | Jefferson City | MO | 65101 | 436049878 | Fundraising | MO | 501(c)(3) | Type II | NA | false |
| Good Samaritan Hospital Auxiliary | ||||||||||
| 1 Good Samaritan Way | Mount Vernon | IL | 62864 | 237049599 | Fundraising | IL | 501(c)(3) | Type III-FI | NA | false |
| St Anthony Shawnee Hospital Inc | ||||||||||
| 1000 N Lee Ave | Oklahoma City | OK | 73102 | 455055149 | Health Care | OK | 501(c)(3) | 3 | SSM Health Care of Oklahoma | false |
| SSM Audrain Health Care Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431550298 | Health Care | MO | 501(c)(3) | 3 | SSM Regional Health Services | false |
| Audrain Medical Center Foundation Inc | ||||||||||
| 620 E Monroe St | Mexico | MO | 65265 | 431265060 | Fundraising | MO | 501(c)(3) | Type I | NA | false |
| SSM-SLUH Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 474196634 | Health Care | MO | 501(c)(3) | 3 | SSM Health Care St Louis | false |
| SSM Health Plan | ||||||||||
| 1277 Deming Way | Madison | WI | 53717 | 831979548 | Insurance | MO | 501(c)(4) | SSM Health Businesses | false | |
| Agnesian Healthcare Inc | ||||||||||
| 430 E Division St | Fond du Lac | WI | 54935 | 390807236 | Health Care | WI | 501(c)(3) | 3 | SSM Health Care of Wisconsin | Yes (true) |
| Ripon Medical Center Inc | ||||||||||
| 845 Parkside Street | Ripon | WI | 54971 | 391101287 | Health Care | WI | 501(c)(3) | 3 | Agnesian Healthcare Inc | false |
| Waupun Memorial Hospital Inc | ||||||||||
| 620 West Brown Street | Waupun | WI | 53963 | 390806265 | Health Care | WI | 501(c)(3) | 3 | Agnesian Healthcare Inc | false |
| St Francis Home of Fond du Lac Wisconsin Inc | ||||||||||
| 33 Everett Street | Fond du Lac | WI | 54935 | 391029998 | Health Care | WI | 501(c)(3) | 10 | Agnesian Healthcare Inc | false |
| Sister Servants of Christ the King Villa Loretto | ||||||||||
| N8114 County WW | Mount Calvary | WI | 53057 | 391022770 | Health Care | WI | 501(c)(3) | 10 | Agnesian Healthcare Inc | false |
| Villa Rosa Inc | ||||||||||
| N8120 County WW | Mount Calvary | WI | 53057 | 421670962 | Health Care | WI | 501(c)(3) | 10 | Agnesian Healthcare Inc | false |
| The Christian Home and Rehabilitation Center Incorporated | ||||||||||
| 331 Bly Street | Waupun | WI | 53963 | 390884514 | Health Care | WI | 501(c)(3) | 10 | Agnesian Healthcare Inc | false |
| The Monroe Clinic Inc | ||||||||||
| 515 22nd Avenue | Monroe | WI | 53566 | 390808509 | Health Care | WI | 501(c)(3) | 3 | SSM Health Care of Wisconsin | Yes (true) |
| Monroe Clinic and Hospital Foundation Inc | ||||||||||
| 515 22nd Avenue | Monroe | WI | 53566 | 205769038 | Fundraising | WI | 501(c)(3) | 7 | SSM Health Care of Wisconsin | Yes (true) |
| Agnesian Healthcare Foundation Inc | ||||||||||
| 430 E Division St | Fond du Lac | WI | 54935 | 391684956 | Fundraising | WI | 501(c)(3) | Type I | SSM Health Care of Wisconsin | Yes (true) |
| Shared Magnetic Resonance Imaging Facility Inc | ||||||||||
| 1104 John Nolen Drive | Madison | WI | 53713 | 391534744 | Health Care | WI | 501(c)(3) | Type I | SSM Health Care of Wisconsin | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | UBI Code VUBICodeVAmt | OwnershipOwnershipPct | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SSM St Joseph Endoscopy Center LLC | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 270046559 | Surgery Services | MO | NA | N/A | $0 | $0 | $0 | 0 | ||
| St Clare Imaging Services LLC | ||||||||||||||
| 707 14th Street Suite A | Baraboo | WI | 53913 | 200122365 | Diag. Services | WI | NA | N/A | $0 | $0 | $0 | 0 | ||
| Mt Vernon Radiation Therapy Center LLC | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 201382620 | Radiation Therapy | IL | NA | N/A | $0 | $0 | $0 | 0 | ||
| Sleep & Neurology Center of Southern Illinois LLC | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 208468195 | Diag. Services | IL | NA | N/A | $0 | $0 | $0 | 0 | ||
| CHOWSMGSI Office Building LLC | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 371383861 | MOB | IL | NA | N/A | $0 | $0 | $0 | 0 | ||
| Oza Cancer Center LLC | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 201382727 | MOB | IL | NA | N/A | $0 | $0 | $0 | 0 | ||
| Shawnee Real Estate Holdings LLC | ||||||||||||||
| 1000 N Lee Ave | Oklahoma City | OK | 73102 | 455458304 | MOB | OK | NA | N/A | $0 | $0 | $0 | 0 | ||
| Dean Clinic & St Mary's Hospital Accountable Care Organization LLC | ||||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 452995500 | Accountable Care Organization | WI | NA | N/A | $0 | $0 | $0 | 0 | ||
| Wisconsin Integrated Information Technology and Telemedicine Systems LLC | ||||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 392016715 | Information Technology Services | WI | NA | N/A | $0 | $0 | $0 | 0 | ||
| Dean Health Holdings LLC | ||||||||||||||
| 1277 Deming Way | Madison | WI | 53717 | 261594709 | Support Services | WI | NA | N/A | $1,466,540 | $2,455,555 | $0 | 0.4737 | false | false |
| Wingra Building Group | ||||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 390237060 | MOB | WI | NA | N/A | $0 | $0 | $0 | 0 | ||
| Janesville Riverview Clinic Building Partnership | ||||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 396220698 | MOB | WI | NA | N/A | $0 | $0 | $0 | 0 | ||
| 1110 N Classen Blvd LLC | ||||||||||||||
| 1110 N Classen Boulevard | Oklahoma City | OK | 73106 | 731158158 | MOB | OK | NA | N/A | $0 | $0 | $0 | 0 | ||
| SSM St Clare Surgical Center LLC | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 261439695 | Surgery Services | MO | NA | N/A | $0 | $0 | $0 | 0 | ||
| Windmill LLP | ||||||||||||||
| 50 Village View Lane | Chesterfield | MO | 63017 | 431804651 | Investments | MO | NA | N/A | $0 | $0 | $0 | 0 | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SSM Managed Care Organization LLC | ||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431708511 | Health Promotion | MO | NA | C Corporation | $0 | $0 | 0 | false |
| FPP INC & Subs | ||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431465174 | Health Care | MO | NA | C Corporation | $0 | $0 | 0 | false |
| Diversified Health Services Corp | ||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431369305 | Medical Equipment | MO | NA | C Corporation | $0 | $0 | 0 | false |
| SSM Properties Inc | ||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431462486 | Property Services | MO | NA | C Corporation | $0 | $0 | 0 | false |
| HealthFirst Physician Management Services | ||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 731534336 | Medical Services | OK | NA | C Corporation | $0 | $0 | 0 | false |
| SSMHC Liability Trust II | ||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 816128118 | Insurance | MO | NA | C Corporation | $0 | $0 | 0 | false |
| SSM Medical Group Inc | ||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431664107 | Physician Offices | MO | NA | C Corporation | $0 | $0 | 0 | false |
| SSMHC Insurance Company | ||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 030310431 | Insurance | NA | C Corporation | $0 | $0 | 0 | false | |
| Physicians Services Corp of Southern Illinois Inc | ||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 364161526 | Health Care | IL | NA | C Corporation | $0 | $0 | 0 | false |
| Dean Health Systems Inc | ||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 391128616 | Physician Offices | WI | NA | C Corporation | $0 | $0 | 0 | false |
| Dean Health Insurance Inc | ||||||||||||
| PO Box 56099 | Madison | WI | 53705 | 391830837 | Insurance | WI | NA | C Corporation | $0 | $0 | 0 | false |
| Dean Health Plan Inc | ||||||||||||
| PO Box 56099 | Madison | WI | 53705 | 391535024 | Insurance | WI | NA | C Corporation | $0 | $0 | 0 | false |
| SMDV Office Building | ||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 391628491 | Physician Offices | WI | NA | C Corporation | $0 | $0 | 0 | false |
| Dean Retail Services Inc | ||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 391717636 | Property Services | WI | NA | C Corporation | $0 | $0 | 0 | false |
| Navitus Holdings LLC | ||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 800968174 | Pharmacy Benefits | WI | NA | C Corporation | $0 | $0 | 0 | false |
| Oza Oncology Inc | ||||||||||||
| 4117 Veterans Memorial Drive | Mt Vernon | IL | 62804 | 371343746 | Physician Offices | IL | NA | S Corporation | $0 | $0 | 0 | false |
| SSM Health Janesville Campus Condominium Association Inc | ||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 832038674 | Condo association | WI | NA | C Corporation | $0 | $0 | 0 | false |
| SSM Health Pharmacy LLC | ||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 264031708 | Pharmacy | MO | NA | C Corporation | $0 | $0 | 0 | false |
| Dane County Cytology Center Inc | ||||||||||||
| 2000 Engel Street Suite 201 | Madison | WI | 53713 | 391414219 | Medical Services | WI | NA | C Corporation | $0 | $0 | 0 | false |
| SSM Health Insurance Company | ||||||||||||
| 1277 Deming Way | Madison | WI | 53717 | 834718249 | Insurance | MO | NA | C Corporation | $0 | $0 | 0 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| St Mary's Foundation Inc | ||
| C | $1,702,779 | Cash |
| St Clare Health Care Foundation Inc | ||
| C | $225,460 | Cash |
| Dells Medical Building | ||
| A | $37,244 | Cash |