RIPON MEDICAL CENTER INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
RIPON MEDICAL CENTER INC (EIN 39-1101287)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-17
IRS object ID
202523219349319622
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-17T15:54:02-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391101287EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIPON MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRIPOBusinessNameControlTxt
Phone9207483101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1845 PARKSIDE STREETAddressLine1Txt
CityRIPONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54971ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHANIE KINGPersonNm
Person TitleVP FINANCEPersonTitleTxt
Phone9207483101PhoneNum
Signature2025-11-17SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSUE ANDERSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1845 PARKSIDE STREETAddressLine1Txt
CityRIPONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54971ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$35,547,266GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SSMHEALTH.COM/LOCATIONS/WISCONSIN/RIPON-MEDICWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1936FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTHE MISSION OF RIPON MEDICAL CENTER IS TO PROVIDE COMPASSIONATE CARE THAT BRINGS HOPE, HEALTH AND WHOLENESS TO THOSE WE SERVE BY HONORING THE SACREDNESS AND DIGNITY OF ALL PERSONS AT EVERY STAGE OF LIFE. WE ARE ROOTED IN THE HEALING MINISTRY OF THE CATHOLIC CHURCH.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers73TotalVolunteersCnt
Total Gross UBI$150,353TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$326,834PYContributionsGrantsAmt
CY Contributions Grants$246,880CYContributionsGrantsAmt
PY Program Service Revenue$32,192,936PYProgramServiceRevenueAmt
CY Program Service Revenue$35,085,067CYProgramServiceRevenueAmt
PY Investment Income$13,221PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$165,782PYOtherRevenueAmt
CY Other Revenue$215,319CYOtherRevenueAmt
PY Total Revenue$32,698,773PYTotalRevenueAmt
CY Total Revenue$35,547,266CYTotalRevenueAmt
PY Grants And Similar Paid$51,610PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$42,390CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,547,068PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,991,966CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$890CYTotalFundraisingExpenseAmt
PY Other Expenses$16,662,888PYOtherExpensesAmt
CY Other Expenses$17,419,672CYOtherExpensesAmt
PY Total Expenses$33,261,566PYTotalExpensesAmt
CY Total Expenses$34,454,028CYTotalExpensesAmt
PY Revenues Less Expenses-$562,793PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,093,238CYRevenuesLessExpensesAmt
Total Assets BOY$30,611,147TotalAssetsBOYAmt
Total Assets EOY$30,225,376TotalAssetsEOYAmt
Total Liabilities BOY$9,922,291TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,129,017TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,688,856NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,096,359NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF RIPON MEDICAL CENTER IS TO PROVIDE COMPASSIONATE CARE THAT BRINGS HOPE, HEALTH AND WHOLENESS TO THOSE WE SERVE BY HONORING THE SACREDNESS AND DIGNITY OF ALL PERSONS AT EVERY STAGE OF LIFE. WE ARE ROOTED IN THE HEALING MINISTRY OF THE CATHOLIC CHURCH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$29,769,676ExpenseAmt
Grant$42,390GrantAmt
Revenue$35,201,464RevenueAmt
DescRIPON MEDICAL CENTER:LOCATED IN RIPON, WISCONSIN, SSM HEALTH RIPON COMMUNITY HOSPITAL HAS BEEN PROVIDING QUALITY HEALTH CARE WITH A PERSONALIZED APPROACH FOR MORE THAN 85 YEARS. EMERGENCY CARE AND URGENT CARE SERVICES ARE AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK THROUGH HIGHLY-QUALIFIED PHYSICIANS AND NURSES IN THE EMERGENCY DEPARTMENT.THE FACILITY FEATURES 16 PRIVATE PATIENT ROOMS: 13 ARE MEDICAL/SURGICAL ROOMS AND THREE ARE PART OF THE INTENSIVE CARE UNIT (ICU). SURGICAL SERVICES ARE AVAILABLE ON THE HOSPITAL'S FIRST FLOOR, IMMEDIATELY BY THE MAIN ENTRANCE, AND FEATURE THREE SURGICAL SUITES AND ONE ENDOSCOPIC PROCEDURE ROOM.CARE AT SSM HEALTH RIPON COMMUNITY HOSPITAL IS COMPLEMENTED BY HOSPITALISTS PHYSICIANS THAT SPECIALIZE IN TAKING CARE OF PATIENTS WHILE THEY ARE HOSPITALIZED.Desc
Total Program Service Expenses$29,769,676TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRADLEY REACHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6082416949PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11808 W BELTLINE HWYAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53713ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SUZANNE ANDERSON
DIRECTOR & REG PRESIDENT1.0055.00Yes (X)Yes (X)$0$1,377,728$548,240
WESLEY SPARKMAN
DIRECTOR & CHAIR1.004.00Yes (X)Yes (X)$0$0$0
WAYNE MATZKE
DIRECTOR & VICE CHAIR1.004.00Yes (X)Yes (X)$0$0$0
SR RHEA EMMER
DIRECTOR1.004.00Yes (X)$0$0$0
JOAN KARSTEN
DIRECTOR1.004.00Yes (X)$0$0$0
PAT LEITZEN FYE
DIRECTOR1.004.00Yes (X)$0$0$0
JENNIFER MASKEL MD
DIRECTOR & PHYSICIAN AT SSM HEALTH1.0050.00Yes (X)$0$145,868$14,398
THEODORE MILLER MD
DIRECTOR1.004.00Yes (X)$0$0$0
MATTHEW POGODZINSKI MD
DIRECTOR & PHYSICIAN AT SSM HEALTH1.0050.00Yes (X)$0$813,233$65,767
OLIVIA OTTE
DIRECTOR1.004.00Yes (X)$0$0$0
PENG HER
DIRECTOR1.004.00Yes (X)$0$0$0
MARK HOLZMAN
DIRECTOR1.004.00Yes (X)$0$0$0
DOUGLAS LONG
SECRETARY & CLO AT SSM HEALTH1.0055.00Yes (X)$0$1,587,150$700,771
STEVEN SMOOT
VP & COO AT SSM HEALTH1.0055.00Yes (X)$0$2,364,935$1,119,698
THOMAS KIRSCHBAUM
ASST SEC. & REG GEN COUNSEL1.0055.00Yes (X)$0$561,495$175,772
KEVIN SMITH
TREASURER & CFO AT SSM HEALTH1.0055.00Yes (X)$0$1,050,477$627,081
BARB THIERMANN
HOSPITAL PRESIDENT55.000.00Yes (X)$0$102,482$21,840
RANDALL COMBS
FORMER OFFICER0.000.00$0$1,454,021$29,506Yes (X)
KATHERINE VERGOS
FORMER OFFICER0.0040.00$0$328,025$26,123Yes (X)
DEANN THURMER
FORMER OFFICER0.0040.00$0$452,136$138,008Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$10,237,550TotReportableCompRltdOrgAmt
Total Other Compensation$3,467,204TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CARDINAL HEALTH INC
7000 CARDINAL PLACEDUBLINOH43017HEALTHCARE SERVICES$614,878
TRIMEDX HOLDINGS LLC
5454 LAKEVIEW PARKWAY S DRINDIANAPOLISIN46268CLINICAL ENGINEERING SERVICES$204,262
SHEA ELECTRIC & COMMUNICATIONS LLC
3175 ATLAS AVEOSHKOSHWI54904ELECTRICAL CONTRACT SERVICES$163,393
CAREFUSION SOLUTIONS LLC
3750 TORREY VIEW CTSAN DIEGOCA92130MEDICAL TECHNOLOGY SERVICES$126,007
CD SMITH CONSTRUCTION INC
125 CAMELOT DRIVEFOND DU LACWI54935CONSTRUCTION SERVICES$105,828
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Related Organizations$232,789RelatedOrganizationsAmt
Government Grants$14,091GovernmentGrantsAmt
Total Contributions$246,880TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SVC REV622110$34,844,913$34,844,913
ATHLETIC TRAINING621990$215,112$215,112
OTHER PROGRAM REVENUE621990$16,848$16,848
340B PHARMACY REVENUE456110$6,322$6,322
CORPORATE FEES REVENUE900099$1,872$1,872
FieldValueIRS element (for citing)
Total Program Service Revenue$35,085,067TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,694RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,694RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,694TotalRevenueColumnAmt
Related Or Exempt Func Income$2,694RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
WELLNESS CENTER713940$122,038$122,038
CAFETERIA722514$62,272$62,272
MOBILE MEALS624210$28,315$28,315
FieldValueIRS element (for citing)
Other Revenue Total$212,625OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,547,266TotalRevenueColumnAmt
Related Or Exempt Func Income$35,087,761RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$150,353UnrelatedBusinessRevenueAmt
Exclusion$62,272ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$42,390TotalAmt
Program Services$42,390ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,589,583TotalAmt
Program Services$12,939,376ProgramServicesAmt
Management And General$650,207ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$693,082TotalAmt
Program Services$659,921ProgramServicesAmt
Management And General$33,161ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,830,939TotalAmt
Program Services$1,743,336ProgramServicesAmt
Management And General$87,603ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$878,362TotalAmt
Program Services$836,336ProgramServicesAmt
Management And General$42,026ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,212,991TotalAmt
Program Services$1,212,474ProgramServicesAmt
Management And General$517ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,485,823TotalAmt
Program Services$2,271,660ProgramServicesAmt
Management And General$213,273ManagementAndGeneralAmt
Fundraising$890FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,386TotalAmt
Program Services$290ProgramServicesAmt
Management And General$1,096ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$255,469TotalAmt
Program Services$251,752ProgramServicesAmt
Management And General$3,717ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,020,318TotalAmt
Program Services$1,020,318ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,069,589TotalAmt
Program Services$889,610ProgramServicesAmt
Management And General$179,979ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$25,910TotalAmt
Program Services$24,943ProgramServicesAmt
Management And General$967ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,840TotalAmt
Program Services$3,632ProgramServicesAmt
Management And General$208ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$5,365,146TotalAmt
Program Services$2,180,506ProgramServicesAmt
Management And General$3,184,640ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,273,353TotalAmt
Program Services$1,255,693ProgramServicesAmt
Management And General$17,660ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$140,611TotalAmt
Program Services$1,299ProgramServicesAmt
Management And General$139,312ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & EQUI$4,357,451$4,357,451
LICENSES, DUES & SUBSCR$85,570$27,373$58,197
TAXES$69,503$69,503
OTHER EXPENSES$51,112$51,112

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,600TotalAmt
Program Services$204ProgramServicesAmt
Management And General$1,396ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$34,454,028TotalAmt
Program Services$29,769,676ProgramServicesAmt
Management And General$4,683,462ManagementAndGeneralAmt
Fundraising$890FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,305BOYAmt
EOY$300EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,920,804BOYAmt
EOY$8,418,451EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$536,548BOYAmt
EOY$534,712EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$72,979BOYAmt
EOY$75,921EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$37,617,425LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,703,973LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$21,435,326BOYAmt
EOY$20,913,452EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,437,074BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$199,111BOYAmt
EOY$282,540EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,611,147BOYAmt
EOY$30,225,376EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$623,003EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,922,291BOYAmt
EOY$15,506,014EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,922,291BOYAmt
EOY$16,129,017EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,688,856BOYAmt
EOY$14,096,359EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,688,856BOYAmt
EOY$14,096,359EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,611,147BOYAmt
EOY$30,225,376EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,093,238ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$7,685,735OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,571OtherActivitiesAmt
Total Lobbying Expenditures$3,571TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAID DUES TO VARIOUS NATIONAL, STATE AND LOCAL HOSPITALS ASSOCIATIONS AND A PORTION OF THESE DUES WERE ALLOCATED TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$660,000OtherCostOrOtherBasisAmt
Book Value$660,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,734,145OtherCostOrOtherBasisAmt
Depreciation$11,667,488DepreciationAmt
Book Value$17,066,657BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$237,992OtherCostOrOtherBasisAmt
Depreciation$87,065DepreciationAmt
Book Value$150,927BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,523,136OtherCostOrOtherBasisAmt
Depreciation$4,949,420DepreciationAmt
Book Value$2,573,716BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$462,152OtherCostOrOtherBasisAmt
Book Value$462,152BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,913,452TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
THIRD PARTY PAYOR$1,460,969
INTERCOMPANY PAYABLE$14,045,045
FieldValueIRS element (for citing)
Total Liability$15,506,014TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationRIPON MEDICAL CENTER, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEALTH (SSMH). SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2024 OR 2023.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$304,497TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$304,497NetCommunityBenefitExpnsAmt
Total Expense0.00880TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,728,995TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,072,716DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,656,279NetCommunityBenefitExpnsAmt
Total Expense0.04810TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$534,142TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$591,413DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,567,634TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,664,129DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,960,776NetCommunityBenefitExpnsAmt
Total Expense0.05690TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,147TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,147NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$160,304TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$160,304NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,890TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,890NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$240,341TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$240,341NetCommunityBenefitExpnsAmt
Total Expense0.00700TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,807,975TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,664,129DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,201,117NetCommunityBenefitExpnsAmt
Total Expense0.06390TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,967TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,967NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,967TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,967NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,379,861BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$15,472,546ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$24,956,674CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,484,128MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIPON MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1845 PARKSIDE STREETAddressLine1Txt
CityRIPONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54971ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SSMHEALTH.COM/LOCATIONS/WISCONSIN/WebsiteAddressTxt
State License1024StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1RIPON MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTHOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTHStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTAFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTAFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.SSMHEALTH.COM/RESOURCES/PATIENTS-VISITORS/PAY-MY-BILL/FINANCIAL-ASSISTAFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
RIPON MEDICAL CENTERPART V, SECTION B, LINE 3J: THE HOSPITAL FACILITIES ANALYZED SEVERAL HEALTH NEEDS OF THE COMMUNITY AND HAVE PRIORITIZED THOSE OF MOST CONCERN. THE PRIORITIZATION OF THE TOP SIGNIFICANT COMMUNITY HEALTH NEEDS IS DESCRIBED IN THE CHNA.
RIPON MEDICAL CENTERPART V, SECTION B, LINE 5: SSM HEALTH RIPON COMMUNITY HOSPITAL SOUGHT AND RECEIVED INPUT FROM THE FOND DU LAC COUNTY PUBLIC HEALTH DEPARTMENT. THE HOSPITAL ALSO WORKED CLOSELY WITH HEALTHY FOND DU LAC COUNTY STEERING COMMITTEE TO DEVELOP THE 2024-2027 FOND DU LAC COUNTY COMMUNITY HEALTH ASSESSMENT (CHA). COMMUNITY PERSPECTIVES AND DATA GATHERED DURING THIS ENDEAVOR WERE INCORPORATED INTO THE SSM HEALTH RIPON COMMUNITY HOSPITAL - RIPON'S COMMUNITY HEALTH NEEDS ASSESSMENT. COMMUNITY PERSPECTIVES WERE GATHERED FROM MULTIPLE ACTIVITIES, INCLUDING A COMMUNITY SURVEY, PUBLIC INPUT SURVEY, KEY INFORMANT INTERVIEWS, AND FOCUS GROUPS (COMMUNITY CONVERSATIONS).IN ADDITION TO A REVIEW OF DEMOGRAPHICS, DATA FROM BROAD SOURCES WAS GATHERED AND RECEIVED TO SET THE INITIAL DIRECTION AND PRIORITIES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE SECONDARY DATA WAS DERIVED FROM A VARIETY OF UNBIASED SOURCES INCLUDING THE COUNTY HEALTH RANKINGS, YOUTH BEHAVIORAL RISK SURVEY AND THE WISCONSIN DEPARTMENT OF HEALTH SERVICES.
RIPON MEDICAL CENTERPART V, SECTION B, LINE 6B: THE 2024 CHNA WAS COMPLETED COLLABORATIVELY COMPLETED WITH THE FOLLOWING OTHER COMMUNITY PARTNERS:* FOND DU LAC COUNTY HEALTH DEPARTMENT * HEALTHY FOND DU LAC COUNTY STEERING COMMITTEE* DRUG FREE COMMUNITIES OF FOND DU LAC* FOND DU LAC COUNTY MENTAL HEALTH ACTION TEAM* LIVING WELL COALITION OF FOND DU LAC COUNTY
RIPON MEDICAL CENTERPART V, SECTION B, LINE 11: THE HOSPITAL IDENTIFIED VARIOUS HEALTH NEEDS IN THE 2024 CHNA. IN ORDER TO MAKE A MEANINGFUL IMPACT, AND TO USE ITS FINANCES MOST EFFECTIVELY AND EFFICIENCY, THE HOSPITAL WILL PLACE PRIMARY FOCUS ON THE FOLLOWING KEY PRIORITIES:* MENTAL HEALTH* SUBSTANCE ABUSE* HEALTH CARE ACCESSMENTAL HEALTHMENTAL HEALTH WAS IDENTIFIED AS THE NUMBER ONE PRIORITY TO ADDRESS AS A RESULT OF THE 2024 CHNA. MENTAL HEALTH NEEDS IN THE GREATER FOND DU LAC AREA, WHICH MAY INCLUDE BUT IS NOT LIMITED TO CHALLENGES, BARRIERS OR NEEDS RELATED TO PROVIDER AVAILABILITY, AFFORDABILITY, TRANSPORTATION, INSURANCE, STIGMA, SUBSTANCE USE, CULTURAL SENSITIVITY AND DIVERSE PROVIDERS AND SERVICES, STRESS, AND SUICIDE. * 15 DEATHS BY SUICIDE REPORTED IN 2024. * 20% OF ADULTS REPORTED TO HAVE A MENTAL HEALTH CONDITION IN THE PAST THREE YEARS. * 49% OF YOUTH REPORTED SIGNIFICANT PROBLEMS WITH FEELINGS (ANXIOUS, NERVOUS, TENSE, ETC.). * 14% OF HOUSEHOLDS REPORTED NOT RECEIVING MENTAL HEALTH CARE AS NEEDED. * 67% OF ADULTS STRONGLY AGREED THAT MENTAL HEALTH CONCERN CAN BE AS SERIOUS AS A PHYSICAL CONCERN.PROGRESS MADE SINCE 2021* THE BEHAVIORAL HEALTH WALK IN CLINIC WAS OPENED NOVEMBER 2023 AT RIPON COMMUNITY HOSPITAL, OFFERING SAME DAY CARE FOR PATIENTS IN NEED OF URGENT CARE WHILE IN TRANSITION TO ESTABLISHING LONG-TERM CARE WITH INTENTIONS TO AVOID EMERGENT SITUATIONS.GOALS & OBJECTIVES INCREASE ACCESS TO BEHAVIORAL/MENTAL HEALTH SERVICES.* PROMOTE VIRTUAL BEHAVIORAL HEALTH INTEGRATION (VBHI) IN PRIMARY CARE AND TELEHEALTH OPTIONS.* SUPPORT, BUILD AND MAINTAIN COMMUNITY SUPPORT GROUPS AND TOOLS (PATHWAYS TO CARE DOCUMENT, NAMI PEER TO PEER GROUPS, LOCAL SUPPORT GROUPS).* PROVIDE SCHWARTZ ROUNDS QUARTERLY IN ALL HOSPITAL SETTINGS. PROVIDE PEER GRIEF SUPPORT GROUPS (I.E. CARE FOR THE CAREGIVERS) AND ZERO SUICIDE.* ENCOURAGE LOCAL EMPLOYERS TO ADOPT A SICK LEAVE POLICY TO INCLUDE MENTAL HEALTH (WORKPLACE MENTAL HEALTH TOOLKIT).DECREASE NUMBER OF DEATHS BY SUICIDE.* HAVE SSM STAFF ATTEND SODRT (SUICIDE OVERDOSE DEATH REVIEW TEAM) AT EVERY MEETING.* HOST AT LEAST FOUR QPR TRAININGS PER YEAR.* PROMOTE ZERO SUICIDE WORK AND EXPAND HEARTMATH EDUCATION AND TRAINING.* ENCOURAGE LOCAL EMPLOYERS TO ADOPT A SICK LEAVE POLICY TO INCLUDE MENTAL HEALTH (WORKPLACE MENTAL HEALTH TOOLKIT).SUBSTANCE ABUSESUBSTANCE USE WAS IDENTIFIED AS THE NUMBER TWO PRIORITY TO ADDRESS IN THE 2025-2027 CHIP. SUBSTANCE USE NEEDS IN THE GREATER FOND DU LAC AREA, WHICH MAY INCLUDE BUT ARE NOT LIMITED TO BARRIERS, CHALLENGES AND NEEDS RELATED TO TOBACCO, VAPING, DRUGS (NARCOTICS, MARIJUANA, ETC.) PRESCRIPTION MEDICATIONS, AND ALCOHOL USE, MENTAL HEALTH AND ACCESS TO CARE. THROUGHOUT THE CHNA, SUBSTANCE USE WAS CONSISTENTLY A TOP-RANKING PRIORITY.* 18 OPIOID RELATED DEATHS IN 2022, COMPARED TO 24 IN 2020. * 16% OF YOUTH REPORTED DRINKING ALCOHOL IN THE PAST MONTH. * 7% OF YOUTH REPORTED BINGE DRINKING IN THE PAST MONTH. * 6% OF YOUTH WHO BOUGHT OR DRANK ALCOHOL AT A COMMUNITY EVENT. * 44% OF YOUTH WHO THIS THE COMMUNITY IS "ACTIVELY DISCOURAGING OR "THINK IT ISN'T OK" UNDERAGE DRINKING. * 33% OF YOUTH WHO REPORT THEY TALKED WITH THEIR PARENTS ABOUT ALCOHOL IN THE PAST MONTH. * 27% OF ADULTS REPORTED *BINGE DRINKING ALCOHOL IN THE PAST MONTH. * 71% OF ADULTS REPORTED DRINKING ALCOHOL IN THE PAST MONTH. * 4% OF YOUTH WHO REPORT USING PRESCRIPTION MEDICATION FOR NON-MEDICAL USE. * 23% OF YOUTH WHO REPORT RELATIVE EASE IN OBTAINING PRESCRIPTION MEDICATION FOR NON-MEDICAL USE. PROGRESS MADE SINCE 2021* SSM HEALTH RIPON COMMUNITY HOSPITAL COLLECTS ON AVERAGE 30 OF POUNDS PRESCRIPTION MEDICATIONS EVERY MONTH IN THE DRUG DROP BOX LOCATED IN THE LOBBY.GOALS & OBJECTIVES DECREASE UNDERAGE DRINKING AND BINGE DRINKING.* PROMOTE ALCOHOL YOUTH PREVENTION PROGRAMS (I.E. FACT AND STAAND).* HOST A SMALL TALKS CAMPAIGN, ANNUALLY. * BUILD A COMMUNITY EVENTS BEST PRACTICE TOOLKIT.* FUND AND PROMOTE ALCOHOL YOUTH PREVENTION WORK.* REQUEST SPONSORSHIP EVENTS TO ADHERE TO COMMUNITY EVENTS BEST PRACTICE TOOLKIT.DECREASE MISUSE OF OPIOIDS AND PRESCRIPTION MEDICATIONS.* PROMOTE DRUG TAKE BACK CAMPAIGNS, ANNUALLY AND REPORT POUNDAGE DISPOSED. * PROMOTE FDL FOR RECOVERY'S MESSAGE.* MONITOR QUARTERLY PDMP AND FOLLOW UP WITH PROVIDERS TO ENSURE BEST PRACTICES ARE BEING FOLLOWED. * REPORT QUARTERLY ON POUNDAGE DISPOSED FROM INTERNAL DRUG DISPOSAL BINS.HEALTH CARE ACCESS FINANCIAL BARRIERS AND LACK OF INSURANCE AND TRANSPORTATION WERE THE MOST SIGNIFICANT BARRIERS TO ACCESSING CARE IDENTIFIED DURING THE CHNA. HEALTH CARE ACCESS IS NOT LIMITED TO THE ABOVE-MENTIONED BARRIERS TO CARE. HOWEVER, DURING THE GOAL SETTING SESSION HEALTH NAVIGATION AND TRANSPORTATION WERE THE MOST MENTIONED THEMES FROM THE GROUP. SINCE HEALTH CARE ACCESS IS A NEW PRIORITY AREA MAJORITY OF THE WORK WILL BE INITIAL AND DATA COLLECTION TO BETTER UNDERSTAND THE NEED. ALSO, A NEW GREATER FOND DU LAC AREA WORKGROUP WILL BE FORMED AND START THE WORK OUTLINED IN THIS CHIP.* 23% OF ADULTS REPORTED DELAYING OR NOT SEEKING MEDICAL CARE BECAUSE OF COST. * 32% OF ADULTS REPORTED SOMEONE IN THEIR HOUSEHOLD DID NOT RECEIVE THE HEALTH CARE NEEDED IN 2023. * 62% (ABOUT 4,200) OF ACUTE CARE PATIENTS AT RIPON HOSPITAL SCREENED POSITIVE FOR TRANSPORTATION ACCESS IN 2024. * 5.6% OR 106 CALLS TO 2-1-1 FOR TRANSPORTATION ASSISTANCE (LOW-COST PUBLIC OR LONG-DISTANCE TRAVEL) WERE PLACED IN 2023.PROGRESS MADE SINCE 2021* SSM HEALTH RIPON COMMUNITY HOSPITAL OFFERS CHAIR YOGA IN PARTNERSHIP WITH RIPON COLLEGE TO SENIORS TO PARTICIPATE IN FOR TWO 6-WEEK SERIES AND WAS BROUGHT BACK BY HIGH DEMAND OF COMMUNITY MEMBERS.GOALS & OBJECTIVES INCREASE UTILIZATION OF HEALTH NAVIGATORS IN THE COMMUNITY.* PARTICIPATE IN A NEW ACCESS TO HEALTH CARE WORKGROUP, AT LEAST SIX TIMES ANNUALLY.* CONDUCT AN ENVIRONMENTAL SCAN OF TRANSPORTATION RESOURCES.* BUILD PATHWAYS DOCUMENT FOR PATIENTS TO ACCESS TRANSPORTATION SERVICES.* REEVALUATE CURRENT PATIENT TRANSPORTATION POLICY TO BE USEFUL AND CONCISE.THE CHNA ALSO IDENTIFIED THE FOLLOWING AS TOP HEALTH AREAS THAT WERE NOT SELECTED BY THE COMMUNITY PARTICIPANTS TO BE IN THE TOP THREE PRIORITIES TO ADDRESS:* VIOLENCE AND CRIME* HOUSING * CHILDCARE
RIPON MEDICAL CENTERPART V, SECTION B, LINE 13H: SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.ADDITIONALLY, PATIENTS MAY BE ELIGIBLE TO RECEIVE A DISCOUNT ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR THOSE INDIVIDUALS WHO:* HAVE LIMITED OR NO HEALTH INSURANCE;* COOPERATE WITH SSM HEALTH'S POLICIES AND PROCEDURES;* DEMONSTRATE FINANCIAL NEED;* SUPPLY ALL REQUIRED INFORMATION TO PROCESS THE APPLICATION; AND * REIMBURSES THE HOSPITAL FOR ANY MONIES PAID DIRECTLY TO PATIENT BY INSURANCE. PATIENTS WHOSE FAMILY INCOME EXCEED 400% OF THE FEDERAL POVERTY GUIDELINES (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. 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.SSM HEALTH MAY UTILIZE PREDICTIVE ANALYTICAL SOFTWARE OR OTHER CRITERIA TO ASSIST IN MAKING A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IN SITUATIONS, INCLUDING BUT NOT LIMITED TO THE HOMELESS POPULATION, WHERE THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT HAS NOT PROVIDED THE NECESSARY DOCUMENTATION TO MAKE A DETERMINATION. IRREGULARLY, IN THE ABSENCE OF USING THE PREDICTIVE ANALYTICAL SOFTWARE, PRESUMPTIVE CHARITY MAY BE AUTHENTICATED BY THE PATIENT CARE TEAM AS REPRESENTED AS CHARITY OR UNINSURED DISCOUNTS TO THE PATIENTS' FINANCIAL OBLIGATION.
PART I, LINE 6A:SSM HEALTH CARE CORPORATION FILES A COMBINED COMMUNITY BENEFIT REPORT FOR ALL ITS AFFILIATES. THE COMMUNITY BENEFIT REPORT CAN BE FOUND ON SSM'S WEBSITE AT: HTTPS://WWW.SSMHEALTH.COM/RESOURCES/ABOUT/COMMUNITY-HEALTH.
PART I, LINE 7:THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B, AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H, AND 7I ARE REPORTED AT COST AS REPORTED. THE CALCULATION OF FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F UTILIZES FORM 990, PART IX, LINE 25, COLUMN A, WHICH DOES NOT INCLUDE BAD DEBT EXPENSE.
PART II, COMMUNITY BUILDING ACTIVITIES:SSM HEALTH RIPON COMMUNITY HOSPITAL PARTICIPATES IN A WIDE ARRAY OF COMMUNITY AND CIVIC ORGANIZATIONS IN THE PROMOTION OF HEALTH CARE AND COMMUNITY BUILDING ACTIVITIES. SPECIFIC ACTIVITIES REPORTED IN SCHEDULE H, PART II RIPON COMMUNITY HOSPITAL INCLUDE THE FOLLOWING:* ENVIRONMENTAL IMPROVEMENTS SHARPS HOME COLLECTION DISPOSAL
PART III, LINE 2:AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE.
PART III, LINE 3:FOR FINANCIAL STATEMENT PURPOSES, SSM HEALTH HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDE BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THEREFORE, THERE IS NO AMOUNT REPORTED ON PART III, LINE 3 FOR THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER SSM HEALTH'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:RIPON COMMUNITY HOSPITAL, INC. IS PART OF THE SSM HEALTH CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES THE TREATMENT OF UNCOLLECTIBLE ACCOUNTS AND IMPLICIT PRICE CONCESSIONS IN THE DECEMBER 31, 2024 CONSOLIDATED AUDIT IS CONTAINED ON PAGE 13 AND 14 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COSTS REPORTED CAME FROM THE MEDICARE COST REPORT. SSM HEALTH ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SSM HEALTH BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST.
PART III, LINE 9B:THE HOSPITALS HAVE ESTABLISHED A WRITTEN CREDIT AND COLLECTION POLICY AND PROCEDURES. THE BILLING AND COLLECTION POLICIES AND PRACTICES REFLECT THE MISSION AND VALUES OF SSM HEALTH, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE, THE HOSPITAL EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH IT PARTICIPATES BY ESTABLISHING SOUND BUSINESS PRACTICES. THE HOSPITALS' BILLING AND COLLECTION PRACTICES WILL BE FAIRLY AND CONSISTENTLY APPLIED.ALL STAFF AND VENDORS ARE EXPECTED TO TREAT ALL PATIENTS CONSISTENTLY AND FAIRLY, REGARDLESS OF THEIR ABILITY TO PAY. THEY RESPOND TO PATIENTS IN A PROMPT AND COURTEOUS MANNER REGARDING ANY QUESTIONS ABOUT THEIR BILLS AND PROVIDE NOTIFICATION OF THE AVAILABILITY OF FINANCIAL ASSISTANCE.ALL UNINSURED PATIENTS WILL BE PROVIDED A STANDARD DISCOUNT FOR MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES, INCLUDING SERVICES PROVIDED AT OFF-CAMPUS OUTPATIENT SITES. THE HOSPITAL DETERMINED THE AMOUNT OF THE DISCOUNT BASED ON THE LOCAL MANAGED CARE MARKET, APPLICABLE STATUTORY REQUIREMENTS AND OTHER RELEVANT LOCAL CIRCUMSTANCES. THE RATE MUST BE NO LESS THAN THE LOWEST EFFECTIVE DISCOUNT RATE AND NO GREATER THAN THE HIGHEST EFFECTIVE DISCOUNT RATE FOR THE CURRENT MANAGED CARE CONTRACTS OF THE HOSPITAL. UNINSURED PATIENTS MAY ALSO QUALIFY FOR AN ADDITIONAL DISCOUNT BASED UPON FINANCIAL NEED UNDER THE SYSTEM FINANCIAL ASSISTANCE POLICY.ALL ACCOUNTS DUE FROM THE PATIENT WILL RECEIVE A STATEMENT AFTER DISCHARGE OR AFTER FINAL ADJUDICATION FROM PATIENT'S INSURANCE. GENERALLY, THE PATIENT WILL RECEIVE 4 MONTHS (120 DAYS) OF IN-HOUSE COLLECTION EFFORTS (INCLUDING EARLY OUT VENDORS) AND 12 MONTHS OF BAD DEBT COLLECTION EFFORTS. THE HOSPITAL WILL MAKE REASONABLE EFFORTS TO DETERMINE FAP ELIGIBILITY INCLUDING:1. THE FINANCIAL ASSISTANCE SUMMARY WILL BE INCLUDED WITH EACH BILLING STATEMENT2. EXTRAORDINARY COLLECTION ACTIVITY (ECAS) MAY NOT OCCUR UNTIL BAD DEBT PLACEMENT AND ONLY AFTER 120 DAYS.3. ECAS MUST BE SUSPENDED IF A GUARANTOR SUBMITS A FAP APPLICATION DURING THE APPLICATION PERIOD.4. REASONABLE MEASURES MUST BE TAKEN TO REVERSE ECAS IF THE APPLICATION IS APPROVED WHICH MAY INCLUDE REFUNDING ANY PAYMENTS MADE IN EXCESS OF AMOUNTS OWED AS AN FAP-ELIGIBLE INDIVIDUAL.5. BAD DEBT VENDORS WILL GAIN WRITTEN APPROVAL FROM SSM PRIOR TO ENGAGING IN ECAS. SSM WILL REVIEW THE ACCOUNTS AND VERIFY SATISFACTORY COMPLETION OF REASONABLE EFFORTS DURING THE NOTIFICATION AND APPLICATION PERIOD.A WAIVER IS NOT CONSIDERED REASONABLE EFFORTS. OBTAINING A SIGNED WAIVER THAT AN INDIVIDUAL DOES NOT WISH TO APPLY FOR FAP ASSISTANCE OR RECEIVE FAP APPLICATION INFORMATION WILL NOT MEET THE REQUIREMENT TO MAKE "REASONABLE EFFORTS" TO DETERMINE WHETHER THE INDIVIDUAL IS FAP-ELIGIBLE BEFORE ENGAGING IN ECAS.ALL OUTSIDE COLLECTION AGENCIES MUST COMPLY WITH STATE AND FEDERAL LAWS, COMPLY WITH THE ASSOCIATION OF CREDIT AND COLLECTION PROFESSIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY AND COMPLY WITH THE HOSPITAL'S COLLECTION AND FINANCIAL ASSISTANCE POLICIES.
PART VI, LINE 2: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 THEFOLLOWING 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 DATATO 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 COMMUNITYSTAKEHOLDERS; 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.
PART VI, LINE 3:EACH ENTITY PROVIDING MEDICAL SERVICE SHALL PROVIDE INFORMATION TO THE PUBLIC REGARDING ITS CHARITY CARE POLICIES AND THE QUALIFICATION REQUIREMENTS FOR EACH OF ITS FACILITIES. WHEN STANDARD SYSTEM NOTICES AND COMMUNICATION REGARDING CHARITY CARE ARE AVAILABLE, THESE MUST BE USED. MODIFICATIONS TO THE STANDARD MAY BE MADE TO COMPLY WITH STATE AND LOCAL LAWS, AS WELL AS REFLECT CULTURALLY SENSITIVE TERMINOLOGY FOR THE POLICY. ALL NOTICES ARE EASY TO UNDERSTAND BY THE GENERAL PUBLIC, CULTURALLY APPROPRIATE AND AVAILABLE IN THOSE LANGUAGES THAT ARE PREVALENT IN THE COMMUNITY. THEY PROVIDE INFORMATION ABOUT:* THE PATIENT'S RESPONSIBILITY FOR PAYMENT,* THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND ENTITY CHARITY CARE AND PAYMENT ARRANGEMENTS* THE ENTITY'S CHARITY POLICY AND APPLICATION PROCESS, AND* WHO TO CONTACT TO GET ADDITIONAL INFORMATION OR FINANCIAL 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.
PART VI, LINE 4:SSM HEALTH RIPON COMMUNITY HOSPITAL DEFINES ITS COMMUNITY AS AN AREA SIMILAR TO ITS PRIMARY SERVICE DELIVERY AREA. THIS INCLUDES THE RIPON AREA, THE WEST PORTION OF FOND DU LAC COUNTY, MUCH OF GREEN LAKE COUNTY AND SMALL PORTIONS OF WINNEBAGO AND WAUSHARA COUNTIES. THE HOSPITAL'S SECONDARY SERVICE AREA INCLUDES PORTIONS OF FOND DU LAC COUNTY, AND SMALL PORTIONS OF DODGE, GREEN LAKE, MARQUETTE AND WAUSHARA COUNTIES.RIPON COMMUNITY HOSPITAL IS IN RIPON, WISCONSIN. THE CITY OF RIPON IS A THRIVING COMMUNITY OF 7,833 RESIDENTS LOCATED JUST 20 MILES WEST OF THE FOX VALLEY. THE COMMUNITY OFFERS THE ADVANTAGES AND CONVENIENCES OF LIVING NEAR A METROPOLITAN AREA, PLUS THE PEACEFULNESS AND SAFETY OF A SMALL TOWN. RIPON IS HOME TO CHARTER AND PUBLIC-SCHOOL SYSTEMS AND RIPON COLLEGE. RIPON IS ALSO HOME TO A LARGE BLUE-COLLAR WORKFORCE, EMPLOYING MANY PEOPLE AT LARGE MANUFACTURING BUSINESSES, SUCH AS ALLIANCE LAUNDRY SYSTEMS, J.M. SMUCKER, AND THE PICKLE FACTORY. THE CITY OF RIPON IS FIVE SQUARE MILES, IS IN THE NORTHWEST CORNER OF FOND DU LAC COUNTY AND IS ALSO NEAR THE CITY OF GREEN LAKE AND GREEN LAKE COUNTY BORDER. THE SURROUNDING AREAS AROUND RIPON CONSIST OF RURAL, RICH FARMLAND WHICH HAS A DIVERSITY OF FARMING OPERATIONS, RURAL RESIDENTIAL DEVELOPMENTS, AND WETLANDS WITH SILVER CREEK RUNNING THROUGH TO GREEN LAKE. TO THE NORTH LIES RUSH LAKE, THE LARGEST "PRAIRIE POTHOLE" EAST OF THE MISSISSIPPI RIVER. IT IS A GREAT AREA FOR DUCK HUNTERS AND BIRD WATCHERS. THERE ARE A WIDE VARIETY OF RECREATIONAL OPPORTUNITIES THROUGHOUT AND AROUND RIPON, INCLUDING RIGGS COUNTY PARK, NORTHWESTERN TRAIL, MASCOUTIN VALLEY TRAIL, AND THE SOUTHWOOD'S NATURE PRESERVE.WHEN COMPARED TO WISCONSIN AND THE UNITED STATES, FOND DU LAC COUNTY'S POPULATION IS SLIGHTLY OLDER AND LESS DIVERSE WITH 87.7% OF THE POPULATION BEING WHITE. ADDITIONAL ETHNICITIES THAT MAKE UP THE POPULATION IN FOND DU LAC COUNTY INCLUDE, 6.4% HISPANIC/LATINX, 2.3% BLACK/AFRICAN AMERICAN AND 1.2% ASIAN. FOND DU LAC COUNTY'S POPULATION IS 50.4% FEMALE AND 49.6% MALE.THE PERCENTAGE OF FOND DU LAC COUNTY ADULTS WITH A HIGH SCHOOL EDUCATION IS 51% COMPARED TO THE STATE PERCENTAGE OF 42%. FOND DU LAC COUNTY HAS A SIGNIFICANTLY LOWER POPULATION WITH A COLLEGE EDUCATION AT 15% COMPARED TO THE STATE AT 23%. THE PERCENTAGE OF PERSONS LIVING IN POVERTY IS COMPARABLE IN FOND DU LAC COUNTY AT 9.6% AND THE STATE AT 10.7%. FOND DU LAC COUNTY AND THE SSM HEALTH RIPON COMMUNITY HOSPITAL SERVICE AREA INCLUDE PEOPLE WHO ARE HIGH RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE DUE TO BEING UNINSURED/UNDERINSURED, ARE EXPERIENCING HEALTH DISPARITIES, OR FACING BARRIERS RELATED TO GEOGRAPHY, LANGUAGE, FINANCIAL CIRCUMSTANCES, TRANSPORTATION, STIGMA, ACCESSIBILITY TO TECHNOLOGY OR KNOWLEDGE OF TECHNOLOGY, MEDICATION COMPLIANCE DUE TO COST OR COVERAGE, ACCESS TO HEALTHY FOODS, AND LOW-INCOME HOUSING. POTENTIALLY MEDICALLY UNDERSERVED POPULATIONS INCLUDE THE RURAL, POOR, AND OLDER ADULTS WHO MAY BE WITHOUT ADEQUATE TRANSPORTATION; BLACK, INDIGENOUS AND OTHER PERSONS OF COLOR (BIPOC) INDIVIDUALS WHO MAY BE EXPERIENCING DISCRIMINATION AND RACIAL OR ETHNIC HEALTH DISPARITIES; NON-ENGLISH (PRIMARILY SPANISH) SPEAKING INDIVIDUALS WHO MAY ALSO BE UNDOCUMENTED; LOW SOCIO-ECONOMIC STATUS (SES) AND HOMELESS INDIVIDUALS; LESBIAN, GAY, BISEXUAL, TRANSGENDER AND QUEER (LGBTQ+) RESIDENTS; AND INCARCERATED INDIVIDUALS OR PEOPLE IN THE CRIMINAL JUSTICE SYSTEM.
PART VI, LINE 5:SSM HEALTH AND ITS AFFILIATES PARTICIPATE IN A WIDE ARRAY OF COMMUNITY PROGRAMS THROUGHOUT THE AREA TO FURTHER ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY. THE COMMUNITY INITIATIVES BUILD ON THE STRENGTHS OF OUR COMMUNITIES AND SYSTEMS TO IMPROVE THE QUALITY OF LIFE AND TO CREATE A SENSE OF HOPE.COMMUNITY BENEFIT INITIATIVES BUILD COMMUNITY CAPACITY AND INDIVIDUAL EMPOWERMENT THROUGH COMMUNITY ORGANIZING, LEADERSHIP DEVELOPMENT, PARTNERSHIPS, AND COALITION BUILDING.SSM HEALTH AND ITS AFFILIATES PROMOTE GRASSROOTS ADVOCACY AND ENGAGES PERSONS OF INFLUENCE TO AFFECT SOCIAL AND PUBLIC POLICY CHANGE IN ORDER TO PROMOTE COMMUNITY HEALTH.THE HOSPITALS ALSO FURTHER THEIR EXEMPT PURPOSE WITH THE FOLLOWING ACTIVITIES:*OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY,*HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA,*ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS,*PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS*ALL SURPLUS FUNDS GENERATED BY SSMH ENTITIES ARE REINVESTED IN IMPROVING OUR PATIENT CARE DELIVERY SYSTEM.
PART VI, LINE 6:SSM HEALTH RIPON COMMUNITY HOSPITAL IS A 501(C)(3) ORGANIZATION AND IS A MEMBER OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. SSM HEALTH CARE CORPORATION (SSMHCC), A MISSOURI NONPROFIT CORPORATION, IS THE ULTIMATE PARENT ENTITY OF A FULLY INTEGRATED HEALTH SYSTEM WITH ITS HEADQUARTERS BASED IN ST. LOUIS, MISSOURI. SSMHCC AND ITS CONSOLIDATED SUBSIDIARIES (DOING BUSINESS AS SSM HEALTH (SSMH) OWNS AND OPERATES 23 ACUTE CARE HOSPITALS, ONE OF WHICH SPECIALIZES IN PEDIATRICS, TWELVE POST-ACUTE CARE FACILITIES, A NATIONAL PHARMACY BENEFIT MANAGEMENT COMPANY (PBM), AN EXTENSIVE NETWORK OF PHYSICIAN PRACTICE OPERATIONS, OTHER HEALTH CARE BUSINESSES AND SEVERAL FOUNDATIONS. SSMH'S HOSPITAL OPERATIONS ARE LOCATED PRIMARILY IN MISSOURI, WISCONSIN, OKLAHOMA AND ILLINOIS, AND ITS RELATED BUSINESSES PROVIDE HEALTH RELATED SERVICES IN 50 STATES. SSMH'S MISSION STATEMENT IS AS FOLLOWS:THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.SSMHCC AND MOST OF ITS AFFILIATED SUBSIDIARY CORPORATIONS HAVE BEEN GRANTED EXEMPTION FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). CERTAIN SUBSIDIARIES OF SSMH ARE FOR-PROFIT ENTITIES THAT ARE TAXABLE UNDER THE IRC.SSMH IS SPONSORED BY SSM HEALTH MINISTRIES, A MINISTERIAL JURIDIC PERSON, WHICH IS CURRENTLY COMPOSED OF ONE FRANCISCAN SISTER OF MARY (FSM), ONE SISTER OF ST. AGNES, ONE JESUIT PRIEST, ONE FRANCISCAN PRIEST, AND FOUR LAY PERSONS WHO COLLECTIVELY HOLD CERTAIN RESERVED POWERS OVER SSMH.
PART VI, LINE 7, REPORTS FILED WITH STATESWI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1BOYS AND GIRLS CLUB OF THE TRI-COUNTY AREABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1344 BROADWAY STREETAddressLine1Txt
CityBERLINCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54941ZIPCd
FieldValueIRS element (for citing)
Recipient EIN820721270RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$20,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantCHARITABLE SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDING VARIES BASED ON THE GRANT RECIPIENT. GRANTS TO RELATED ENTITIES ARE MONITORED DIRECTLY BY THE ORGANIZATION WHEREBY THE RECIPIENT REPORTS ON THE SPECIFIC USE OF THE FUNDING. FOR GRANTS TO UNRELATED ENTITIES, THE ORGANIZATION UTILIZES THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) TO TRACK, STORE AND REPORT A WIDE RANGE OF INFORMATION RELATED TO GRANTS AND OVERALL COMMUNITY IMPACT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN SMOOT
VP & COO AT SSM HEALTH$0$1,305,272$0$895,103$0$164,560$0$1,075,677$0$44,021$0$3,484,633$0$1,036,001
DOUGLAS LONG
SECRETARY & CLO AT SSM HEALTH$0$813,979$0$583,198$0$189,973$0$676,547$0$24,224$0$2,287,921$0$583,198
SUZANNE ANDERSON
DIRECTOR & REG PRESIDENT$0$787,210$0$422,941$0$167,577$0$527,309$0$20,931$0$1,925,968$0$480,783
KEVIN SMITH
TREASURER & CFO AT SSM HEALTH$0$1,034,519$0$0$0$15,958$0$586,407$0$40,674$0$1,677,558$0$0
RANDALL COMBS
FORMER OFFICER$0$323,766$0$923,306$0$206,949$0$13,881$0$15,625$0$1,483,527$0$923,306
MATTHEW POGODZINSKI MD
DIRECTOR & PHYSICIAN AT SSM HEALTH$0$735,611$0$75,000$0$2,622$0$19,513$0$46,254$0$879,000$0$0
THOMAS KIRSCHBAUM
ASST SEC. & REG GEN COUNSEL$0$400,165$0$115,798$0$45,532$0$136,607$0$39,165$0$737,267$0$115,798
DEANN THURMER
FORMER OFFICER$0$355,608$0$62,461$0$34,067$0$110,651$0$27,357$0$590,144$0$89,202
KATHERINE VERGOS
FORMER OFFICER$0$191,958$0$135,363$0$704$0$13,715$0$12,408$0$354,148$0$172,389
JENNIFER MASKEL MD
DIRECTOR & PHYSICIAN AT SSM HEALTH$0$145,211$0$0$0$657$0$10,712$0$3,686$0$160,266$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AAN INDIVIDUAL LISTED ON PART VII OF THE FORM 990 RECEIVED A TAX INDEMNIFICATION/GROSS-UP PAYMENT IN 2024. THE PAYMENT WAS INCLUDED IN TAXABLE COMPENSATION.
PART I, LINE 3THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, PRESIDENT, IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4BPENSION RESTORATION PLAN: SSM HEALTH (SSMH) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMH QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER THE SSMH QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMH OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMH. NO INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 2024. CAPITAL ACCUMULATION PLAN: SSMH PROVIDES THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO EXECUTIVE LEVEL EMPLOYEES. THE ORGANIZATION CONTRIBUTED A PERCENTAGE OF THE EMPLOYEE'S BASE SALARY INTO THEIR CHOICE OF A SELECT LIST OF INVESTMENTS. THE DEPOSITS AND EARNINGS OF THE PLAN ARE OWNED BY SSMH AND ARE TAX-DEFERRED UNTIL A DISTRIBUTION IS MADE TO THE EMPLOYEE. IN ADDITION, THE PLAN HAS SPECIAL SAFEGUARDS IN PLACE TO PROTECT THE FUNDS FROM CONTINGENCIES, OTHER THAN INSOLVENCY. FOR CONTRIBUTIONS MADE TO THE PLAN IN 2014 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF FOUR PLAN YEARS FOR ALL EXECUTIVES THAT ARE STILL ACTIVELY EMPLOYED ON THE DISTRIBUTION DATE. ANY ACTIVE PARTICIPANT 65 YEARS OR OLDER WILL RECEIVE THE CONTRIBUTION IN THE CURRENT YEAR. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN IN 2024. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. STEVE SMOOT $159,608 DEANNE THURMER $ 28,747

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonWAYNE MATZKEPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionDIRECTOR OF RIPON MEDICAL CENTER INC BOARDRelationshipDescriptionTxt
Transaction$105,828TransactionAmt
TransactionBOARD MEMBER OF CD SMITH CONSTRUCTIONTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 1AALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY A RELATED ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223.
FORM 990, PART VI, SECTION A, LINE 4IN 2024, RIPON MEDICAL CENTER, INC. UPATED ITS BYLAWS FOR THE FOLLOWING CHANGES: - CHANGE TO THE SIZE OF THE BOARD OF DIRECTORS AND NUMBER OF EX OFFICIO DIRECTORS - CHANGE TO TERMS AND TERM LIMITS FOR BOARD OF DIRECTORS MEMBERS - CHANGE TO OFFICER POSITIONS AND METHOD FOR APPOINTMENT - CHANGE TO THE COMMITTEES FOR THE HOSPITAL OPERATING ENTITY.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE CORPORATION IS AGNESIAN HEALTHCARE INC. AGNESIAN HEALTHCARE INC IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH RIPON MEDICAL CENTER AND AGNESIAN HEALTHCARE INC ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER HAS THE POWER TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS AND TO APPOINT AND REMOVE THE APPOINTED DIRECTORS AND THE EX OFFICIO DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING POWERS ARE RESERVED FOR SSM HEALTH CARE CORPORATION (SSMHCC), THE ULTIMATE PARENT OF RIPON MEDICAL CENTER INC. AND ITS SOLE MEMBER AGNESIAN HEALTHCARE INC.: A. ESTABLISH AND CHANGE THE MISSION, PHILOSOPHY AND VALUES OF THE CORPORATION; B. TO APPOINT ADDITIONAL, SUCCESSOR OR REPLACEMENT MEMBERS; C. TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF ANY OPERATING DIVISION OF THE CORPORATION; D. TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN; E. TO APPROVE AMENDMENTS TO THE BYLAWS OF THE CORPORATION; F. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; G. TO APPROVE THE FORMATION OF A CONTROLLED SUBSIDIARY OR A REMOTELY CONTROLLED SUBSIDIARY; H. TO APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; I. TO APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF ANOTHER LEGAL ENTITY OR AN INTEREST IN ANOTHER LEGAL ENTITY; J. TO AUTHORIZE OR APPROVE THE ACQUISITION OR DISPOSITION BY THE CORPORATION OF REAL PROPERTY OR ANY INTEREST IN REAL PROPERTY; K. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, INVESTMENT, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS; TO REQUIRE THE PARTICIPATION OF THE CORPORATION IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS AND INVESTMENT ACCOUNTS IN THE NAME OF THE CORPORATION IN CONNECTION WITH SUCH PROGRAMS; L. TO APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; M. TO APPOINT THE AUDITOR AND CORPORATE COUNSEL FOR THE CORPORATION; N. TO AUTHORIZE AND APPROVE BORROWING MONEY AND ENTERING INTO FINANCIAL GUARANTIES BY THE CORPORATION, INCLUDING ACTIONS RELATING TO THE FORMATION, JOINING, OPERATION, WITHDRAWAL FROM AND TERMINATION OF A CREDIT GROUP OR AN OBLIGATED GROUP AND THE GRANTING OF SECURITY INTERESTS IN THE PROPERTY OF THE CORPORATION; O. TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, INCLUDING BUT NOT LIMITED TO CASH, TO SSMHCC OR TO ANY OTHER ENTITY EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, WHICH IS CONTROLLED BY SSMHCC, TO THE EXTENT NECESSARY TO ACCOMPLISH THE MISSION, GOALS AND OBJECTIVES OF SSMHCC AS DETERMINED BY SSMHCC; P. TO APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION TO ANY ENTITY OTHER THAN SSMHCC, OTHER THAN TRANSFERS MADE IN THE ORDINARY COURSE OF OPERATIONS OF THE CORPORATION WHICH WILL NOT REQUIRE SSMHCC APPROVAL; AND Q. TO DETERMINE THE EXTENT TO WHICH AND THE MANNER IN WHICH THE POWERS DESCRIBED IN THIS SECTION WHICH ARE RESERVED TO SSMHCC WITH RESPECT TO THE CORPORATION ARE TO BE INCLUDED IN THE GOVERNING DOCUMENTS OF ANY CONTROLLED SUBSIDIARY, REMOTELY CONTROLLED SUBSIDIARY OR NON-CONTROLLED SUBSIDIARY AND EXERCISED WITH RESPECT TO ANY CONTROLLED SUBSIDIARY, ANY REMOTELY CONTROLLED SUBSIDIARY OR ANY NON-CONTROLLED SUBSIDIARY.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION (SSM). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SSM PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AT THE NEXT REGULARLY SCHEDULED BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST AND INSIDER TRANSACTION POLICY THAT REQUIRES EACH DIRECTOR, PRINCIPAL OFFICER, TRUSTEE OR COMMITTEE MEMBER TO DISCLOSE ON A ANNUAL BASIS TO THE DESIGNATED AUTHORITY A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DESIGNATED AUTHORITY ENSURES THAT ALL STATEMENTS ARE COMPLETED, REVIEWS THEM FOR CONFLICTS, AND SUBMITS TO THE BOARD FOR REVIEW ANY CONFLICT OF INTEREST DISCLOSURE STATEMENTS THAT DISCLOSE ACTUAL OR POTENTIAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S COMPENSATION PLAN IS REVIEWED AND APPROVED AT FORMAL MEETINGS OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT NON-EMPLOYEE MEMBERS WHO HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENT TO BE REVIEWED AND RECOMMENDED BY THE COMPENSATION COMMITTEE. THE COMMITTEE REVIEWS COMPARABLE WISCONSIN AND NATIONAL COMPENSATION DATA AND ESTABLISHES BASE COMPENSATION AT THE COMPARABLE MARKET MEDIAN BY THE POSITION AS OUTLINED IN THE COMPENSATION COMMITTEE CHARTER. ADDITIONALLY, THE COMMITTEE HAS AUTHORITY TO RETAIN A COMPENSATION CONSULTANT TO ASSIST THE COMMITTEE IN EVALUATING SENIOR MANAGEMENT COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE WISCONSIN SECRETARY OF STATE'S WEBSITE. COPIES OF THE FORM 990 AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN UNRESTRICTED NET ASSETS -273,807. TRANSFERS TO/FROM CONSOLIDATED ENTITIES -7,411,928.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (53 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SSM HEALTH MINISTRIES
3221 MCKELVEY ROAD SUITE 107BRIDGETONMO63044431012492RELIGIOUS ORGANIZATIONMO501(C)(3)LINE 1N/A0
SSM HEALTH CARE CORPORATION
12800 CORPORATE HILL DRIVEST LOUISMO63131466029223HEALTH CAREMO501(C)(3)LINE 12A, I0SSM HEALTH MINISTRIES
SSMHC LIABILITY TRUST I
12800 CORPORATE HILL DRIVEST LOUISMO63131436331003INSURANCEMO501(C)(3)LINE 12A, I0SSM HEALTH CARE CORPORATION
SSM CONSOLIDATED HEALTH SERVICES
12800 CORPORATE HILL DRIVEST LOUISMO63131431473657HEALTH CAREMO501(C)(3)LINE 100SSM HEALTH CARE CORPORATION
SSM POLICY INSTITUTE
12800 CORPORATE HILL DRIVEST LOUISMO63131431788151HEALTH CAREMO501(C)(4)0SSM HEALTH CARE CORPORATION
SSM HEALTH CARE PORTFOLIO MANAGEMENT CO
12800 CORPORATE HILL DRIVEST LOUISMO63131431825256MANAGEMENTMO501(C)(3)LINE 12A, I0SSM HEALTH CARE CORPORATION
SSM HEALTH FOUNDATION
12800 CORPORATE HILL DRIVEST LOUISMO63131874109859FUNDRAISINGMO501(C)(3)LINE 12A, I0SSM HEALTH CARE CORPORATION
SSM HEALTH CARE ST LOUIS
12800 CORPORATE HILL DRIVEST LOUISMO63131431343281HEALTH CAREMO501(C)(3)LINE 30SSM HEALTH CARE CORPORATION
SSM-SLUH INC
12800 CORPORATE HILL DRIVEST LOUISMO63131474196634HEALTH CAREMO501(C)(3)LINE 30SSM HEALTH CARE ST LOUIS
SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
12800 CORPORATE HILL DRIVEST LOUISMO63131430738490HEALTH CAREMO501(C)(3)LINE 30SSM HEALTH CARE ST LOUIS
CARDINAL GLENNON CHILDREN'S FOUNDATION
3800 PARK AVEST LOUISMO63110431754347FUNDRAISINGMO501(C)(3)LINE 70SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
SSM HEALTH CARDINAL GLENNON TRANSPORT
12800 CORPORATE HILL DRIVEST LOUISMO63131863519607HEALTH CAREMO501(C)(3)LINE 12A, I0SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
SSM HEALTH CARE GROUP
12800 CORPORATE HILL DRIVEST LOUISMO63131880988603HEALTH CAREMO501(C)(3)LINE 100SSM HEALTH CARE ST LOUIS
SSM HEALTH FOUNDATION - ST LOUIS
12312 OLIVE BLVD STE 100ST LOUISMO63141431552945FUNDRAISINGMO501(C)(3)LINE 70SSM HEALTH CARE ST LOUIS
SSM HEALTH CARE OF OKLAHOMA INC
12800 CORPORATE HILL DRIVEST LOUISMO63131730657693HEALTH CAREOK501(C)(3)LINE 30SSM HEALTH CARE CORPORATION
LEE DEWEY CORPORATION
12800 CORPORATE HILL DRIVEST LOUISMO63131731279603MOBOK501(C)(3)LINE 12A, I0SSM HEALTH CARE OF OKLAHOMA INC
ST ANTHONY SHAWNEE HOSPITAL INC
12800 CORPORATE HILL DRIVEST LOUISMO63131455055149HEALTH CAREOK501(C)(3)LINE 30SSM HEALTH CARE OF OKLAHOMA INC
THE ST ANTHONY HOSPITAL FOUNDATION INC
601 NW 11TH STREETOKLAHOMA CITYOK73101736104300FUNDRAISINGOK501(C)(3)LINE 70SSM HEALTH CARE OF OKLAHOMA INC
SSM HEALTH CARE OF WISCONSIN INC
12800 CORPORATE HILL DRIVEST LOUISMO63131430688874HEALTH CAREWI501(C)(3)LINE 30SSM HEALTH CARE CORPORATION
DELLS MEDICAL BUILDING INC
12800 CORPORATE HILL DRIVEST LOUISMO63131391613292MOBWI501(C)(2)0SSM HEALTH CARE OF WISCONSIN INC
ST MARY'S FOUNDATION INC
700 SOUTH PARK STREETMADISONWI53715431940686FUNDRAISINGWI501(C)(3)LINE 70SSM HEALTH CARE OF WISCONSIN INC
ST CLARE HEALTH CARE FOUNDATION INC
707 14TH STREETBARABOOWI53913431940683FUNDRAISINGWI501(C)(3)LINE 70SSM HEALTH CARE OF WISCONSIN INC
ST MARY'S JANESVILLE FOUNDATION INC
3400 E RACINE STJANESVILLEWI53546273439133FUNDRAISINGWI501(C)(3)LINE 70SSM HEALTH CARE OF WISCONSIN INC
AGNESIAN HEALTHCARE FOUNDATION INC
430 E DIVISION STFOND DU LACWI54935391684956FUNDRAISINGWI501(C)(3)LINE 12A, I0SSM HEALTH CARE OF WISCONSIN INC
MONROE CLINIC AND HOSPITAL FOUNDATION INC
515 22ND AVENUEMONROEWI53566205769038FUNDRAISINGWI501(C)(3)LINE 70SSM HEALTH CARE OF WISCONSIN INC
SHARED MAGNETIC RESONANCE IMAGING FACILITY INC
1104 JOHN NOLEN DRIVEMADISONWI53713391534744HEALTH CAREWI501(C)(3)LINE 12A, I0SSM HEALTH CARE OF WISCONSIN INC
AGNESIAN HEALTHCARE INC
430 E DIVISION STFOND DU LACWI54935390807236HEALTH CAREWI501(C)(3)LINE 30SSM HEALTH CARE OF WISCONSIN INC
RIPON MEDICAL CENTER INC
845 PARKSIDE STREETRIPONWI54971391101287HEALTH CAREWI501(C)(3)LINE 30AGNESIAN HEALTHCARE INC
WAUPUN MEMORIAL HOSPITAL INC
620 WEST BROWN STREETWAUPUNWI53963390806265HEALTH CAREWI501(C)(3)LINE 30AGNESIAN HEALTHCARE INC
ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC
33 EVERETT STREETFOND DU LACWI54935391029998HEALTH CAREWI501(C)(3)LINE 100AGNESIAN HEALTHCARE INC
SISTER SERVANTS OF CHRIST THE KING VILLA LORETTO
N8114 COUNTY WWMOUNT CALVARYWI53057391022770HEALTH CAREWI501(C)(3)LINE 100AGNESIAN HEALTHCARE INC
VILLA ROSA INC
N8120 COUNTY WWMOUNT CALVARYWI53057421670962HEALTH CAREWI501(C)(3)LINE 100AGNESIAN HEALTHCARE INC
THE CHRISTIAN HOME AND REHABILITATION CENTER INCORPORATED
452 FOX LAKE ROADWAUPUNWI53963390884514HEALTH CAREWI501(C)(3)LINE 100AGNESIAN HEALTHCARE INC
THE MONROE CLINIC INC
515 22ND AVENUEMONROEWI53566390808509HEALTH CAREWI501(C)(3)LINE 30SSM HEALTH CARE OF WISCONSIN INC
SSM HEALTH AT HOME FOUNDATION OF WISCONSIN INC
4639 HAMMERSLEY ROADMADISONWI53711391839309FUNDRAISINGWI501(C)(3)LINE 12A, I0HOME HEALTH UNITED INC
SSM REGIONAL HEALTH SERVICES
12800 CORPORATE HILL DRIVEST LOUISMO63131440579850HEALTH CAREMO501(C)(3)LINE 30SSM HEALTH CARE CORPORATION
ST MARY'S HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION
2505 MISSION DRIVEJEFFERSON CITYMO65109431575307FUNDRAISINGMO501(C)(3)LINE 12A, I0SSM REGIONAL HEALTH SERVICES
ST MARY'S HOSPITAL AUXILIARY
2505 MISSION DRIVEJEFFERSON CITYMO65109436049878FUNDRAISINGMO501(C)(3)LINE 12B, IIN/A0
SSM AUDRAIN HEALTH CARE INC
12800 CORPORATE HILL DRIVEST LOUISMO63131431550298HEALTH CAREMO501(C)(3)LINE 30SSM REGIONAL HEALTH SERVICES
ST MARY'S - GOOD SAMARITAN INC
12800 CORPORATE HILL DRIVEST LOUISMO63131364170833HEALTH CAREIL501(C)(3)LINE 12A, I0SSM REGIONAL HEALTH SERVICES
ST MARY'S HOSPITAL FOUNDATION
400 N PLEASANTCENTRALIAIL62801364636691FUNDRAISINGIL501(C)(3)LINE 70ST MARY'S-GOOD SAMARITAN INC
ST MARY'S HOSPITAL AUXILIARY
400 N PLEASANTCENTRALIAIL62801237126345FUNDRAISINGIL501(C)(3)LINE 100ST MARY'S HOSPITAL FOUNDATION
GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION
1 GOOD SAMARITAN WAYMOUNT VERNONIL62864262884795FUNDRAISINGIL501(C)(3)LINE 70ST MARY'S-GOOD SAMARITAN INC
GOOD SAMARITAN HOSPITAL AUXILIARY
1 GOOD SAMARITAN WAYMOUNT VERNONIL62864237049599FUNDRAISINGIL501(C)(3)LINE 12C, III-FIN/A0
GOOD SAMARITAN REGIONAL HEALTH CENTER
12800 CORPORATE HILL DRIVEST LOUISMO63131430653587HEALTH CAREIL501(C)(3)LINE 30SSM REGIONAL HEALTH SERVICES
ST MARY'S HOSPITAL CENTRALIA ILLINOIS
12800 CORPORATE HILL DRIVEST LOUISMO63131370662580HEALTH CAREIL501(C)(3)LINE 30SSM REGIONAL HEALTH SERVICES
CENTRALIA MEDICAL SERVICES BLDG ASSOC
12800 CORPORATE HILL DRIVEST LOUISMO63131237408025MOBIL501(C)(3)LINE 12A, I0SSM REGIONAL HEALTH SERVICES
SSM HEALTH BUSINESSES
12800 CORPORATE HILL DRIVEST LOUISMO63131431333488HEALTH CAREMO501(C)(3)LINE 100SSM HEALTH CARE CORPORATION
THE SARAH COMMUNITY
12800 CORPORATE HILL DRIVEST LOUISMO63131431784657HEALTH CAREMO501(C)(3)LINE 100SSM HEALTH BUSINESSES
VISITING NURSE ASSOCIATION OF GREATER ST LOUIS
12800 CORPORATE HILL DRIVEST LOUISMO63131430567000HEALTH CAREMO501(C)(3)LINE 70SSM HEALTH BUSINESSES
HOME HEALTH UNITED INC
2802 WALTON COMMONS LANEMADISONWI53718391539827HEALTH CAREWI501(C)(3)LINE 100SSM HEALTH BUSINESSES
HHU XTRA CARE INC
2802 WALTON COMMONS LANEMADISONWI53718391705111HEALTH CAREWI501(C)(3)LINE 100SSM HEALTH BUSINESSES
HOME CARE UNITED INC
2802 WALTON COMMONS LANEMADISONWI53718391776340HEALTH CAREWI501(C)(3)LINE 100SSM HEALTH BUSINESSES

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
SSM ST JOSEPH ENDOSCOPY CENTER LLC
12800 CORPORATE HILL DRIVEST LOUISMO63131270046559SURGERY SERVICESMON/A0Yes (1)
ST LOUIS HEALTHCARE SUPPORT SERVICES LLC
4901 FOREST PARK AVENUE STE 1140ST LOUISMO63108372121486LAUNDRY SERVICESMON/A0Yes (1)
1110 N CLASSEN BLVD LLC
1110 N CLASSEN BOULEVARDOKLAHOMA CITYOK73106731158158MOBOKN/A0Yes (1)
MT VERNON RADIATION THERAPY CENTER LLC
12800 CORPORATE HILL DRIVEST LOUISMO63131201382620RADIATION THERAPYILN/A0Yes (1)
CHOWSMGSI OFFICE BUILDING LLC
12800 CORPORATE HILL DRIVEST LOUISMO63131371383861MOBILN/A00
OZA CANCER CENTER LLC
12800 CORPORATE HILL DRIVEST LOUISMO63131201382727MOBILN/A00
WINGRA BUILDING GROUP
1808 WEST BELTLINE HIGHWAYMADISONWI53713390237060MOBWIN/A00
JANESVILLE RIVERVIEW CLINIC BUILDING PARTNERSHIP
1808 WEST BELTLINE HIGHWAYMADISONWI53713396220698MOBWIN/A00
DEAN CLINIC & ST MARY'S HOSPITAL ACCOUNTABLE CARE ORGANIZATION LLC
1808 WEST BELTLINE HIGHWAYMADISONWI53713452995500ACCOUNTABLE CARE ORGANIZATIONWIN/A00
WISCONSIN INTEGRATED INFORMATION TECHNOLOGY AND TELEMEDICINE SYSTEMS LLC
1808 WEST BELTLINE HIGHWAYMADISONWI53713392016715INFORMATION TECHNOLOGY SERVICESWIN/A00
ST CLARE IMAGING SERVICES LLC
707 14TH STREET SUITE ABARABOOWI53913200122365DIAG. SERVICESWIN/A0Yes (1)
NAVITUS HEALTH SOLUTIONS LLC
361 INTEGRITY DRIVEMADISONWI53717043608530PHARMACY BENEFIT MANAGEMENTWIN/A00
EPIPHANY RX LLC
361 INTEGRITY DRIVEMADISONWI53717364855405PHARMACY BENEFIT MANAGEMENTDEN/A00
RXPRECHECK LL
278 FRANKLIN RDBRENTWOODTN37027812842151PHARMACY BENEFIT MANAGEMENTTNN/A00
ARCHIMEDES LLC
278 FRANKLIN RDBRENTWOODTN37027811158028PHARMACY BENEFIT MANAGEMENTTNN/A00
M&C REALTY LLC
343 DUENKE RDFORISTELLMO63348621851447MOBMON/A0Yes (1)
BLOOM TREE LONG-ONLY FUND QP LP FKA BLOOM TREE PONDEROSA FUNDS QP LP
101 PARK AVENUE 33RD FLNEW YORKNY10178823704522INVESTMENTSDEN/A00
NECICF II AIV2-B LP
300 DELAWARE AVE STE 210WILMINGTONDE19801845058167INVESTMENTSDEN/A00
BISON CAPITAL PARTNERS VI-A LP
233 WILSHIRE BLVD STE 425SANTA MONICACA90401874006968INVESTMENTSDEN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (18 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
SSMHC INSURANCE COMPANY
PO BOX 1051 GTGRAND CAYMANCJ030310431INSURANCECJN/AC0
OMNINHEALTH HOLDINGS
884144276HEALTH CARE CONSULTINGN/AC012800 CORPORATE HILL DRIVEST LOUISMO63131DE
SSM MANAGED CARE ORGANIZATION LLC
431708511HEALTH PROMOTIONN/AC012800 CORPORATE HILL DRIVEST LOUISMO63131MO
ST MARY'S HOSPITAL CAMPUS CONDOMINIUM OWNERS ASSOCIATION INC
000000000CONDO ASSOCIATIONN/AC0707 SOUTH MILLS STREETMADISONWI53715WI
PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS INC
364161526HEALTH CAREN/AC012800 CORPORATE HILL DRIVEST LOUISMO63131IL
FPP INC & SUBS
431465174HEALTH CAREN/AC012800 CORPORATE HILL DRIVEST LOUISMO63131MO
SSM MEDICAL GROUP INC
431664107PHYSICIAN OFFICESN/AC012800 CORPORATE HILL DRIVEST LOUISMO63131MO
SSM HEALTH PHARMACY LLC
264031708PHARMACYN/AC012800 CORPORATE HILL DRIVEST LOUISMO63131MO
SSMHC LIABILITY TRUST II
816128118INSURANCEN/AC012800 CORPORATE HILL DRIVEST LOUISMO63131MO
HEALTHFIRST PHYSICIAN MANAGEMENT SERVICES
731534336MEDICAL SERVICESN/AC012800 CORPORATE HILL DRIVEST LOUISMO63131OK
DIVERSIFIED HEALTH SERVICES CORP
431369305MEDICAL EQUIPMENTN/AC012800 CORPORATE HILL DRIVEST LOUISMO63131MO
SSM PROPERTIES INC
431462486PROPERTY SERVICESN/AC012800 CORPORATE HILL DRIVEST LOUISMO63131MO
DEAN HEALTH SYSTEMS INC
391128616PHYSICIAN OFFICESN/AC01808 WEST BELTLINE HIGHWAYMADISONWI53713WI
DEAN RETAIL SERVICES INC
391717636PROPERTY SERVICESN/AC01808 WEST BELTLINE HIGHWAYMADISONWI53713WI
NAVITUS HOLDINGS LLC
800968174PHARMACYN/AC01808 WEST BELTLINE HIGHWAYMADISONWI53713WI
SSM HEALTH JANESVILLE CAMPUS CONDOMINIUM ASSOCIATION INC
832038674CONDO ASSOCIATIONN/AC01808 WEST BELTLINE HIGHWAYMADISONWI53713WI
QUALITY DRUG CORPORATION
330644268PHARMACY BENEFITSN/AC0239 BROADWAYLAGUNA BEACHCA92651CA
PARTNERS GROUP PMC PRIVATE CREDIT LP
C/O MAPLES CORPORATE SERVICES LTDGRAND CAYMANCJ981439264INVESTMENTCJN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FOUNDATION FOR RIPON MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$232,789InvolvedAmt
Method Of Amount DeterminationBOOKMethodOfAmountDeterminationTxt

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