ST MARYS HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION (EIN 43-1575307)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-17
- IRS object ID
- 202513219349324946
- Schema version
- 2024v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-17T18:42:39-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431575307 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HEALTH CENTER JEFFERSON | BusinessNameLine1Txt |
| Business Name Line2 | CITY MO FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 5736813742 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2505 MISSION DRIVE | AddressLine1Txt |
| City | JEFFERSON CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65109 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANIE KING | PersonNm |
| Person Title | VP FINANCE | PersonTitleTxt |
| Phone | 5736813742 | PhoneNum |
| Signature | 2025-11-17 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | VICTORIA BAKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2505 MISSION DRIVE | AddressLine1Txt |
| City | JEFFERSON CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,027,504 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GIVETOSSMHEALTH.ORG/STMARYSJC | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | THE FOUNDATION WAS FOUNDED TO BENEFIT SSM REGIONAL HEALTH SERVICES, OWNING AND OPERATING SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY. THE FOUNDATION ADVOCATES THE PRIORITY NEEDS OF THE HEALTH CENTER IN ORDER TO ASSURE QUALITY HEALTH CARE DELIVERY, HEALTH EDUCATION, PATIENT CARE, AND COST EFFECTIVE, PRODUCTIVE MANAGEMENT OF SCARCE RESOURCES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 29 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $266,614 | PYContributionsGrantsAmt |
| CY Contributions Grants | $274,342 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $119,314 | CYProgramServiceRevenueAmt |
| PY Investment Income | $282,175 | PYInvestmentIncomeAmt |
| CY Investment Income | $614,808 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,523 | PYOtherRevenueAmt |
| CY Other Revenue | -$22,069 | CYOtherRevenueAmt |
| PY Total Revenue | $564,312 | PYTotalRevenueAmt |
| CY Total Revenue | $986,395 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $116,688 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $136,637 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,890 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $105,074 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $146,386 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $29,267 | PYOtherExpensesAmt |
| CY Other Expenses | $41,312 | CYOtherExpensesAmt |
| PY Total Expenses | $166,845 | PYTotalExpensesAmt |
| CY Total Expenses | $283,023 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $397,467 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $703,372 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,498,150 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,269,666 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,193 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $56,477 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,494,957 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,213,189 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $116,637 | ExpenseAmt |
| Grant | $116,637 | GrantAmt |
| Revenue | $119,314 | RevenueAmt |
| Desc | SSM HEALTH ST. MARY'S HOSPITAL FOUNDATION PROVIDES PHILANTHROPIC DOLLARS TO SUPPORT THE HEALING MISSION OF SSM HEALTH ST. MARY'S HOSPITAL IN PROVIDING EXCEPTIONAL, COMPASSIONATE HEALTH CARE TO THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THE POOR AND VULNERABLE. ST. MARY'S HOSPITAL IS PART OF SSM HEALTH (SSMH) A NOT-FOR-PROFIT CATHOLIC HEALTH CARE SYSTEM FOUNDED IN 1872 BY CATHOLIC SISTERS. SSMH IS 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/OUTPATIENT SITES, VIRTUAL CARE SERVICES, 13 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 11,600 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. OUR TOP PRIORITY IS THE HEALTH, COMFORT, AND SATISFACTION OF OUR PATIENTS. EXCEPTIONALLY SKILLED TEAMS OF PHYSICIANS, NURSES AND TECHNICIANS PROVIDE STATE-OF-THE-ART MEDICINE IN AN ENVIRONMENT THAT FOSTERS HOPE AND HEALING. PHILANTHROPIC DONATIONS HELP GIVE PATIENTS THE VERY BEST CARE BY FUNDING NEW EQUIPMENT AND TECHNOLOGY, IMPROVING PATIENT CARE AREAS, TRAINING OUR HEALTH CARE PROFESSIONALS, AND ENSURING ALL OUR PATIENTS RECEIVE EXCEPTIONAL, COMPASSIONATE HEALTH CARE. OUR CURRENT GIVING PRIORITIES ARE:* AREAS OF GREATEST NEED: FUNDS SUPPORT PROGRAMS AND SERVICES MOST NEEDED TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE.* SCHOLARSHIPS: FUNDS SUPPORT EDUCATION AND TRAINING OF CURRENT HEALTHCARE STAFF AND STUDENTS THAT ARE IN COLLEGE MAJORING IN A HEALTHCARE RELATED FIELD.* MEDICATION & TRANSPORTATION ASSISTANCE: FUNDS PROVIDE SHORT-TERM ASSISTANCE TO PATIENTS IN NEED WHO CANNOT AFFORD THEIR PRESCRIPTIONS AND CANNOT OBTAIN THEM IN A TIMELY MANNER FROM ANY OTHER MECHANISM OR AGENCY. FUNDS PROVIDE SUPPORT FOR TRANSPORTATION PROGRAMS LIKE HEALTHTRAN TO GET PATIENTS IN NEED TO AND FROM MEDICAL APPOINTMENTS.* CANCER CARE: DONATIONS TO THE CANCER PATIENT ASSISTANCE FUND PROVIDE COMFORTS, MEDICATIONS, TRANSPORTATION AND OTHER ASSISTANCE TO CANCER PATIENTS. THE CANCER SERVICES FUND PROVIDES SUPPORT FOR OUR CANCER CENTER AT JCMG.EMPLOYEE RELIEF: THIS FUND WAS ESTABLISHED TO ASSIST EMPLOYEES WHO HAVE ENCOUNTERED FINANCIAL DISTRESS AND NEED ASSISTANCE TO GET THEM OVER THAT HUMP AND STAY A LOYAL ST. MARY'S EMPLOYEE.* CARDIAC CARE: DONATIONS ENABLE ST. MARY'S TO CONTINUE ITS LEADERSHIP IN CARDIAC AND VASCULAR CARE, INCLUDING THE ACQUISITION OF ADVANCED TECHNOLOGY AND PATIENT SERVICES.DONATIONS SUPPORT HOSPITAL AND FACILITY IMPROVEMENTS, ADD NEW TECHNOLOGY AND EQUIPMENT, SUPPORT PATIENT CARE AREAS, PROVIDE CONTINUING EDUCATION OPPORTUNITIES TO MEDICAL STAFF AND PROVIDE PATIENT ASSISTANCE THROUGH OUR SISTERS FUND THAT PROVIDES PRESCRIPTION MEDICATIONS TO THOSE IN NEED. RECENT ACCOMPLISHMENTS MADE POSSIBLE WITH DONATIONS TO THE FOUNDATION INCLUDE BUT ARE NOT LIMITED TO:* FUNDING FOR TRANSPORTATION ASSISTANCE FOR PATIENTS IN NEED TO GET TO AND FROM THE HOSPITAL FOR APPOINTMENTS.* OVER $275,000 IN SCHOLARSHIPS HAVE BEEN AWARDED TO EMPLOYEES FURTHERING THEIR EDUCATION AND TRAINING IN THE HEALTHCARE FIELD.* FUNDING FOR THE CONSTRUCTION AND DEVELOPMENT OF THE NEW CANCER CENTER.* FUNDING TO FACILITATE MUCH-NEEDED RENOVATIONS TO OUR PATIENT FLOORS, CREATING A MORE COMFORTABLE AND HEALING ENVIRONMENT FOR THOSE IN OUR CARE. * SUPPORT FOR OUR EMPLOYEES WHEN THEY FACE PERSONAL DISASTERS AND CHALLENGES.* ADDING NEW EQUIPMENT AND TECHNOLOGY TO DELIVER THE BEST CARE TO OUR PATIENTS. * HELPING OUR MOST VULNERABLE PATIENTS BY PROVIDING PRESCRIPTION MEDICATIONS, AS WELL AS CLOTHING ITEMS, SHOES AND OTHER NEEDS TO HELP KEEP THEM WELL AFTER DISCHARGE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $20,000 | ExpenseAmt |
| Grant | $20,000 | GrantAmt |
| Desc | THE FOUNDATION RAISES FUNDS TO PROVIDE SCHOLARSHIPS TO DESERVING STUDENTS/EMPLOYEES WHO DESIRE TO GET OR ENHANCE AN EDUCATION IN THE HEALTHCARE FIELD. THROUGH THESE FUNDRAISING EFFORTS 21 SCHOLARSHIPS WERE AWARDED IN 2024. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $136,637 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NIKKI PAYNE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5736813742 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2505 MISSION DRIVE | AddressLine1Txt |
| City | JEFFERSON CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65109 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| ROGER DUDENHOEFFER | |||||||
| PRESIDENT & DIRECTOR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| TERRY RACKERS | |||||||
| FIRST VICE-PRESIDENT & DIRECTOR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MORGAN FECHTEL | |||||||
| SECOND VICE-PRESIDENT & DIRECTOR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| HARRY OTTO | |||||||
| TREASURER & DIRECTOR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JUDY SCHNEIDER | |||||||
| SECRETARY & DIRECTOR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KENNETH DEBOER | |||||||
| DIRECTOR, REG PRESIDENT | 1.00 | 55.00 | Yes (X) | $0 | $529,583 | $317,463 | |
| LISA DULLE | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| THERESSA FERGUSON | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN A KLEBBA | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LARRY KOLB | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| GREG MEEKER | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MARGARET REHMA-BOULCH | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KEVIN L RILEY | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MARK SCHELL | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOE SCHEPPERS | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| BARBARA SHEEHAN | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DEBORA SNYDER | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ERIC STRUEMPH | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DR DENISE TRITZ | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DR BOB WANKUM | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ANN WARREN | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DOUGLAS LONG | |||||||
| ASST SEC, CLO AT SSM HEALTH | 1.00 | 54.00 | Yes (X) | $0 | $1,587,150 | $700,771 | |
| VICTORIA BAKER | |||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | Yes (X) | $0 | $88,130 | $22,685 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,204,863 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,040,919 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $38,260 | FundraisingAmt |
| All Other Contributions | $236,082 | AllOtherContributionsAmt |
| Noncash Contributions | $5,778 | NoncashContributionsAmt |
| Total Contributions | $274,342 | TotalContributionsAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $119,314 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $119,314 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $119,314 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $234,810 | TotalRevenueColumnAmt |
| Exclusion | $234,810 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $379,998 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $379,998 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $379,998 | TotalRevenueColumnAmt |
| Exclusion | $379,998 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $19,040 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $38,260 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $41,109 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$22,069 | TotalRevenueColumnAmt |
| Exclusion | -$22,069 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $986,395 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $119,314 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $592,739 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,584 | TotalAmt |
| Program Services | $89,584 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,053 | TotalAmt |
| Program Services | $47,053 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,014 | TotalAmt |
| Fundraising | $98,014 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,060 | TotalAmt |
| Fundraising | $7,060 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,187 | TotalAmt |
| Fundraising | $5,187 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,721 | TotalAmt |
| Fundraising | $2,721 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,121 | TotalAmt |
| Fundraising | $6,121 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54 | TotalAmt |
| Fundraising | $54 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55 | TotalAmt |
| Fundraising | $55 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt |
|---|---|---|
| BANK FEES | $22,756 | $22,756 |
| DIRECT DONOR BENEFIT | $2,258 | $2,258 |
| OTHER EXPENSES | $1,720 | $1,720 |
| LICENSES, DUES & SUBSCR | $440 | $440 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,023 | TotalAmt |
| Program Services | $136,637 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $146,386 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,915 | BOYAmt |
| EOY | $289,734 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $150 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,290 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,391,235 | BOYAmt |
| EOY | $6,973,492 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,498,150 | BOYAmt |
| EOY | $7,269,666 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,193 | BOYAmt |
| EOY | $56,477 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,193 | BOYAmt |
| EOY | $56,477 | 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 | $5,025,574 | BOYAmt |
| EOY | $5,573,990 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,469,383 | BOYAmt |
| EOY | $1,639,199 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,494,957 | BOYAmt |
| EOY | $7,213,189 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,498,150 | BOYAmt |
| EOY | $7,269,666 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $703,372 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $14,860 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SSM REGIONAL HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 440579850 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $87,326 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $87,326 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $111,000 | BeginningYearBalanceAmt |
| End Year Balance | $111,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $111,000 | BeginningYearBalanceAmt |
| End Year Balance | $111,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $111,000 | BeginningYearBalanceAmt |
| End Year Balance | $111,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $111,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $289 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $289 | AdministrativeExpensesAmt |
| End Year Balance | $111,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $111,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,523 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $3,523 | AdministrativeExpensesAmt |
| End Year Balance | $111,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY PAYABLES | Desc |
| Amt | $56,477 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $56,477 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENT FUNDS ARE USED TO SUPPORT OPERATIONS AND MISSION OF SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY. |
| PART X, LINE 2: | ST. MARY'S HEALTH CENTER, JEFFERSON 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 FURTHER EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2024 OR 2023. |
| SCHEDULE D, PART V, LINE 3A(I) | ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY CENTRAL TRUST COMPANY AND HAWTHORN BANK, BOTH UNRELATED ORGANIZATIONS. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF & TENNIS TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $57,300 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $38,260 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $19,040 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $880 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $35,042 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $4,358 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $829 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $57,300 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $38,260 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $19,040 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $880 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $35,042 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $4,358 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $829 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $41,109 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$22,069 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SSM REGIONAL HEALTH SERVICES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12800 CORPORATE HILL DRIVE | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63131 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 440579850 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $87,784 | CashGrantAmt |
| Non Cash Assistance | $1,800 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Non Cash Assistance | CHAIR & STUFFED ANIMALS | NonCashAssistanceDesc |
| Purpose Of Grant | SUPPORT FOR SSM HEALTH ST MARYS HOSPITAL - JEFFERSON CITY | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| SMHC FOUNDATION MEDICATION ASSISTANCE GRANT - PRESCRIPTION DRUG PURCHASES | 245 | $12,119 |
| EMPLOYEE RELIEF GRANT | 9 | $8,336 |
| CANCER PATIENT ASSISTANCE GRANT | 225 | $6,598 |
| SCHOLARSHIPS | 21 | $20,000 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE FOUNDATION HAS A BOARD APPROVED POLICY CONTAINING THE GUIDELINES, TERMS AND CONDITIONS GOVERNING THE SCHOLARSHIP SELECTION AND MONITORING PROCESS. CANDIDATES MUST SHOW PROOF OF ENROLLMENT TO QUALIFY FOR THE SCHOLARSHIP. STUDENT APPLICANTS MUST SUBMIT A TRANSCRIPT AND LETTER OF RECOMMENDATION. EMPLOYEE APPLICANTS MUST SUBMIT A LETTER DETAILING THE NEED AND BENEFITS OF THE EDUCATION AND A LETTER OF RECOMMENDATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOUGLAS LONG | ||||||||||||||
| ASST SEC, 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 |
| KENNETH DEBOER | ||||||||||||||
| DIRECTOR, REG PRESIDENT | $0 | $368,273 | $0 | $155,748 | $0 | $5,562 | $0 | $281,457 | $0 | $36,006 | $0 | $847,046 | $0 | $155,748 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL (EXECUTIVE DIRECTOR) IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| PART I, LINE 4B | PENSION RESTORATION PLAN: SSM HEALTH (SSMH) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMH QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER THE SSMH QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMH OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMH. NO INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 2024. CAPITAL ACCUMULATION PLAN: SSMH PROVIDES THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO EXECUTIVE LEVEL EMPLOYEES. THE ORGANIZATION CONTRIBUTED A PERCENTAGE OF THE EMPLOYEE'S BASE SALARY INTO THEIR CHOICE OF A SELECT LIST OF INVESTMENTS. THE DEPOSITS AND EARNINGS OF THE PLAN ARE OWNED BY SSMH AND ARE TAX-DEFERRED UNTIL A DISTRIBUTION IS MADE TO THE EMPLOYEE. IN ADDITION, THE PLAN HAS SPECIAL SAFEGUARDS IN PLACE TO PROTECT THE FUNDS FROM CONTINGENCIES, OTHER THAN INSOLVENCY. FOR CONTRIBUTIONS MADE TO THE PLAN IN 2014 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF FOUR PLAN YEARS FOR ALL EXECUTIVES THAT ARE STILL ACTIVELY EMPLOYED ON THE DISTRIBUTION DATE. ANY ACTIVE PARTICIPANT 65 YEARS OR OLDER WILL RECEIVE THE CONTRIBUTION IN THE CURRENT YEAR. THE NO 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE FOUNDATION IS SSM REGIONAL HEALTH SERVICES. SSM REGIONAL HEALTH SERVICES IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH THE FOUNDATION AND SSM REGIONAL HEALTH SERVICES ARE PART OF THE INTEGRATED HEALTH SYSTEM KNOWN AS SSM HEALTH. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CORPORATE MEMBER HAS POWER TO ELECT AND REMOVE BOARD OF DIRECTORS MEMBERS, WITH OR WITHOUT CAUSE, EXCEPT FOR ANY DIRECTOR WHO SERVES EX-OFFICIO. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER HAS THE FOLLOWING RESERVED POWERS: (A) TO ESTABLISH AND CHANGE THE PHILOSOPHY OF THE FOUNDATION; (B) TO APPOINT THE BOARD OF DIRECTORS EXCEPT FOR ANY DIRECTOR WHO SERVES EX OFFICIO, AND TO REMOVE THE APPOINTED DIRECTORS WITH OR WITHOUT CAUSE; (C) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE FOUNDATION AS PROVIDED THEREIN; (D) TO APPROVE AMENDMENTS TO THE BYLAWS OF THE FOUNDATION; (E) TO APPROVE THE MERGER, CONSOLIDATION, OR DISSOLUTION OF THE FOUNDATION; (F) TO APPROVE THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, ENCUMBRANCE, MORTGAGE OR LEASE OF REAL PROPERTY OR ANY INTEREST THEREIN OF THE FOUNDATION IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER FROM TIME TO TIME; (G) TO APPROVE (I) THE ACQUISITION OF REAL PROPERTY OR ANY INTEREST THEREIN OR (II) THE ACQUISITION OF STOCK OF A CORPORATION IF, AFTER THE ACQUISITION THE FOUNDATION WILL OWN A MAJORITY OF VOTING STOCK OF SUCH CORPORATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER FROM TIME TO TIME; (H) TO APPROVE, THE SALE, TRANSFER OR OTHER DISPOSITION ("DISPOSITION") OF THE VOTING STOCK OF A CORPORATION IF BEFORE THE DISPOSITION THE FOUNDATION OWNED A MAJORITY OF THE VOTING STOCK OF THE CORPORATION AND AFTER SUCH DISPOSITION THE FOUNDATION WOULD NOT OWN A MAJORITY OF THE VOTING STOCK OF THE CORPORATION, IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER FROM TIME TO TIME; (I) TO APPROVE ANY BORROWING OR GUARANTEES OF THE FOUNDATION IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER FROM TIME TO TIME; (J) TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, FINANCING, CORPORATE RESPONSIBILITY, PERFORMANCE ASSESSMENT AND IMPROVEMENT AND OTHER OPERATIONAL AND SUPPORT PROGRAMS; TO REQUIRE THE PARTICIPATION OF THE FOUNDATION IN SUCH PROGRAMS; AND TO AUTHORIZE THE OPENING AND CLOSING OF BANK ACCOUNTS IN THE NAME OF THE FOUNDATION IN CONNECTION WITH SUCH PROGRAMS; (K) TO APPROVE THE ACCEPTANCE OF ANY GIFT OR CONTRIBUTION WHICH, IN CONNECTION THEREWITH, WOULD IMPOSE A CONTINUING OBLIGATION UPON THE FOUNDATION, INCLUDING, WITHOUT LIMITATION, THE OBLIGATION TO PROVIDE HEALTH CARE SERVICES, PAY AN ANNUITY OR OTHERWISE PROVIDE SERVICE OR CONSIDERATION IN EXCHANGE THEREFOR, EXCEPT AS OTHERWISE DETERMINED BY THE MEMBER FROM TIME TO TIME; AND (L) TO APPROVE OR REJECT PROPOSALS FOR EXPENDITURES OR CONTRIBUTIONS IN ACCORDANCE WITH ARTICLE IX OF THE BYLAWS IN THE EVENT THE PRESIDENT OF THE HEALTH CENTER AND THE BOARD OF DIRECTORS DO NOT AGREE WITH RESPECT TO APPROVAL OF SUCH PROPOSAL. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION (SSMH). THE RETURN IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM WHO SIGNS AS PAID PREPARER. THE RETURN IS THEN PROVIDED TO MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED BY THE TAX DEPARTMENT OF SSMH PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY, AND IT IS USUALLY DONE AT THE ANNUAL BOARD MEETING. THE CHAIRPERSON AND SECRETARY TO THE BOARD OVERSEES COMPLIANCE WITH THIS REQUIREMENT. EMPLOYEES WITH PURCHASING AUTHORITY AND/OR ABILITY TO INFLUENCE PURCHASING DECISIONS ARE ASSIGNED THE CONFLICT OF INTEREST DISCLOSURE (COI) WHICH MUST BE COMPLETED ONLINE. PERIODICALLY THROUGH THE YEAR, EACH 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 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 EACH ENTITY. THEIR SUPERVISORS VERIFY REQUIRED COURSE COMPLETION PRIOR TO YEAR END, OFTEN IN CONJUNCTION WITH THE PERFORMANCE REVIEW PROCESS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEAL TH'S WEBSITE. THE FOUNDATION'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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (53 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SSM HEALTH MINISTRIES | |||||||||||
| 3221 MCKELVEY ROAD SUITE 107 | BRIDGETON | MO | 63044 | 431012492 | RELIGIOUS ORGANIZATION | MO | 501(C)(3) | LINE 1 | N/A | 0 | |
| SSM HEALTH CARE CORPORATION | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 466029223 | HEALTH CARE | MO | 501(C)(3) | LINE 12A, I | 0 | SSM HEALTH MINISTRIES | |
| SSMHC LIABILITY TRUST I | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 436331003 | INSURANCE | MO | 501(C)(3) | LINE 12A, I | 0 | SSM HEALTH CARE CORPORATION | |
| SSM CONSOLIDATED HEALTH SERVICES | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431473657 | HEALTH CARE | MO | 501(C)(3) | LINE 10 | 0 | SSM HEALTH CARE CORPORATION | |
| SSM POLICY INSTITUTE | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431788151 | HEALTH CARE | MO | 501(C)(4) | 0 | SSM HEALTH CARE CORPORATION | ||
| SSM HEALTH CARE PORTFOLIO MANAGEMENT CO | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431825256 | MANAGEMENT | MO | 501(C)(3) | LINE 12A, I | 0 | SSM HEALTH CARE CORPORATION | |
| SSM HEALTH FOUNDATION | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 874109859 | FUNDRAISING | MO | 501(C)(3) | LINE 12A, I | 0 | SSM HEALTH CARE CORPORATION | |
| SSM HEALTH CARE ST LOUIS | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431343281 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | 0 | SSM HEALTH CARE CORPORATION | |
| SSM-SLUH INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 474196634 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | 0 | SSM HEALTH CARE ST LOUIS | |
| SSM CARDINAL GLENNON CHILDREN'S HOSPITAL | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 430738490 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | 0 | SSM HEALTH CARE ST LOUIS | |
| CARDINAL GLENNON CHILDREN'S FOUNDATION | |||||||||||
| 3800 PARK AVE | ST LOUIS | MO | 63110 | 431754347 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | 0 | SSM CARDINAL GLENNON CHILDREN'S HOSPITAL | |
| SSM HEALTH CARDINAL GLENNON TRANSPORT | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 863519607 | HEALTH CARE | MO | 501(C)(3) | LINE 12A, I | 0 | SSM CARDINAL GLENNON CHILDREN'S HOSPITAL | |
| SSM HEALTH CARE GROUP | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 880988603 | HEALTH CARE | MO | 501(C)(3) | LINE 10 | 0 | SSM HEALTH CARE ST LOUIS | |
| SSM HEALTH FOUNDATION - ST LOUIS | |||||||||||
| 12312 OLIVE BLVD STE 100 | ST LOUIS | MO | 63141 | 431552945 | FUNDRAISING | MO | 501(C)(3) | LINE 7 | 0 | SSM HEALTH CARE ST LOUIS | |
| SSM HEALTH CARE OF OKLAHOMA INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 730657693 | HEALTH CARE | OK | 501(C)(3) | LINE 3 | 0 | SSM HEALTH CARE CORPORATION | |
| LEE DEWEY CORPORATION | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 731279603 | MOB | OK | 501(C)(3) | LINE 12A, I | 0 | SSM HEALTH CARE OF OKLAHOMA INC | |
| ST ANTHONY SHAWNEE HOSPITAL INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 455055149 | HEALTH CARE | OK | 501(C)(3) | LINE 3 | 0 | SSM HEALTH CARE OF OKLAHOMA INC | |
| THE ST ANTHONY HOSPITAL FOUNDATION INC | |||||||||||
| 601 NW 11TH STREET | OKLAHOMA CITY | OK | 73101 | 736104300 | FUNDRAISING | OK | 501(C)(3) | LINE 7 | 0 | SSM HEALTH CARE OF OKLAHOMA INC | |
| SSM HEALTH CARE OF WISCONSIN INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 430688874 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | 0 | SSM HEALTH CARE CORPORATION | |
| DELLS MEDICAL BUILDING INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 391613292 | MOB | WI | 501(C)(2) | 0 | SSM HEALTH CARE OF WISCONSIN INC | ||
| ST MARY'S FOUNDATION INC | |||||||||||
| 700 SOUTH PARK STREET | MADISON | WI | 53715 | 431940686 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | 0 | SSM HEALTH CARE OF WISCONSIN INC | |
| ST CLARE HEALTH CARE FOUNDATION INC | |||||||||||
| 707 14TH STREET | BARABOO | WI | 53913 | 431940683 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | 0 | SSM HEALTH CARE OF WISCONSIN INC | |
| ST MARY'S JANESVILLE FOUNDATION INC | |||||||||||
| 3400 E RACINE ST | JANESVILLE | WI | 53546 | 273439133 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | 0 | SSM HEALTH CARE OF WISCONSIN INC | |
| AGNESIAN HEALTHCARE FOUNDATION INC | |||||||||||
| 430 E DIVISION ST | FOND DU LAC | WI | 54935 | 391684956 | FUNDRAISING | WI | 501(C)(3) | LINE 12A, I | 0 | SSM HEALTH CARE OF WISCONSIN INC | |
| MONROE CLINIC AND HOSPITAL FOUNDATION INC | |||||||||||
| 515 22ND AVENUE | MONROE | WI | 53566 | 205769038 | FUNDRAISING | WI | 501(C)(3) | LINE 7 | 0 | SSM HEALTH CARE OF WISCONSIN INC | |
| SHARED MAGNETIC RESONANCE IMAGING FACILITY INC | |||||||||||
| 1104 JOHN NOLEN DRIVE | MADISON | WI | 53713 | 391534744 | HEALTH CARE | WI | 501(C)(3) | LINE 12A, I | 0 | SSM HEALTH CARE OF WISCONSIN INC | |
| AGNESIAN HEALTHCARE INC | |||||||||||
| 430 E DIVISION ST | FOND DU LAC | WI | 54935 | 390807236 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | 0 | SSM HEALTH CARE OF WISCONSIN INC | |
| RIPON MEDICAL CENTER INC | |||||||||||
| 845 PARKSIDE STREET | RIPON | WI | 54971 | 391101287 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | 0 | AGNESIAN HEALTHCARE INC | |
| WAUPUN MEMORIAL HOSPITAL INC | |||||||||||
| 620 WEST BROWN STREET | WAUPUN | WI | 53963 | 390806265 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | 0 | AGNESIAN HEALTHCARE INC | |
| ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC | |||||||||||
| 33 EVERETT STREET | FOND DU LAC | WI | 54935 | 391029998 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | 0 | AGNESIAN HEALTHCARE INC | |
| SISTER SERVANTS OF CHRIST THE KING VILLA LORETTO | |||||||||||
| N8114 COUNTY WW | MOUNT CALVARY | WI | 53057 | 391022770 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | 0 | AGNESIAN HEALTHCARE INC | |
| VILLA ROSA INC | |||||||||||
| N8120 COUNTY WW | MOUNT CALVARY | WI | 53057 | 421670962 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | 0 | AGNESIAN HEALTHCARE INC | |
| THE CHRISTIAN HOME AND REHABILITATION CENTER INCORPORATED | |||||||||||
| 452 FOX LAKE ROAD | WAUPUN | WI | 53963 | 390884514 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | 0 | AGNESIAN HEALTHCARE INC | |
| THE MONROE CLINIC INC | |||||||||||
| 515 22ND AVENUE | MONROE | WI | 53566 | 390808509 | HEALTH CARE | WI | 501(C)(3) | LINE 3 | 0 | SSM HEALTH CARE OF WISCONSIN INC | |
| SSM HEALTH AT HOME FOUNDATION OF WISCONSIN INC | |||||||||||
| 4639 HAMMERSLEY ROAD | MADISON | WI | 53711 | 391839309 | FUNDRAISING | WI | 501(C)(3) | LINE 12A, I | 0 | HOME HEALTH UNITED INC | |
| SSM REGIONAL HEALTH SERVICES | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 440579850 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | 0 | SSM HEALTH CARE CORPORATION | |
| ST MARY'S HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION | |||||||||||
| 2505 MISSION DRIVE | JEFFERSON CITY | MO | 65109 | 431575307 | FUNDRAISING | MO | 501(C)(3) | LINE 12A, I | 0 | SSM REGIONAL HEALTH SERVICES | |
| ST MARY'S HOSPITAL AUXILIARY | |||||||||||
| 2505 MISSION DRIVE | JEFFERSON CITY | MO | 65109 | 436049878 | FUNDRAISING | MO | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| SSM AUDRAIN HEALTH CARE INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431550298 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | 0 | SSM REGIONAL HEALTH SERVICES | |
| ST MARY'S - GOOD SAMARITAN INC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 364170833 | HEALTH CARE | IL | 501(C)(3) | LINE 12A, I | 0 | SSM REGIONAL HEALTH SERVICES | |
| ST MARY'S HOSPITAL FOUNDATION | |||||||||||
| 400 N PLEASANT | CENTRALIA | IL | 62801 | 364636691 | FUNDRAISING | IL | 501(C)(3) | LINE 7 | 0 | ST MARY'S-GOOD SAMARITAN INC | |
| ST MARY'S HOSPITAL AUXILIARY | |||||||||||
| 400 N PLEASANT | CENTRALIA | IL | 62801 | 237126345 | FUNDRAISING | IL | 501(C)(3) | LINE 10 | 0 | ST MARY'S HOSPITAL FOUNDATION | |
| GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION | |||||||||||
| 1 GOOD SAMARITAN WAY | MOUNT VERNON | IL | 62864 | 262884795 | FUNDRAISING | IL | 501(C)(3) | LINE 7 | 0 | ST MARY'S-GOOD SAMARITAN INC | |
| GOOD SAMARITAN HOSPITAL AUXILIARY | |||||||||||
| 1 GOOD SAMARITAN WAY | MOUNT VERNON | IL | 62864 | 237049599 | FUNDRAISING | IL | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| GOOD SAMARITAN REGIONAL HEALTH CENTER | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 430653587 | HEALTH CARE | IL | 501(C)(3) | LINE 3 | 0 | SSM REGIONAL HEALTH SERVICES | |
| ST MARY'S HOSPITAL CENTRALIA ILLINOIS | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 370662580 | HEALTH CARE | IL | 501(C)(3) | LINE 3 | 0 | SSM REGIONAL HEALTH SERVICES | |
| CENTRALIA MEDICAL SERVICES BLDG ASSOC | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 237408025 | MOB | IL | 501(C)(3) | LINE 12A, I | 0 | SSM REGIONAL HEALTH SERVICES | |
| SSM HEALTH BUSINESSES | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431333488 | HEALTH CARE | MO | 501(C)(3) | LINE 10 | 0 | SSM HEALTH CARE CORPORATION | |
| THE SARAH COMMUNITY | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 431784657 | HEALTH CARE | MO | 501(C)(3) | LINE 10 | 0 | SSM HEALTH BUSINESSES | |
| VISITING NURSE ASSOCIATION OF GREATER ST LOUIS | |||||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 430567000 | HEALTH CARE | MO | 501(C)(3) | LINE 7 | 0 | SSM HEALTH BUSINESSES | |
| HOME HEALTH UNITED INC | |||||||||||
| 2802 WALTON COMMONS LANE | MADISON | WI | 53718 | 391539827 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | 0 | SSM HEALTH BUSINESSES | |
| HHU XTRA CARE INC | |||||||||||
| 2802 WALTON COMMONS LANE | MADISON | WI | 53718 | 391705111 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | 0 | SSM HEALTH BUSINESSES | |
| HOME CARE UNITED INC | |||||||||||
| 2802 WALTON COMMONS LANE | MADISON | WI | 53718 | 391776340 | HEALTH CARE | WI | 501(C)(3) | LINE 10 | 0 | SSM HEALTH BUSINESSES | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| SSM ST JOSEPH ENDOSCOPY CENTER LLC | |||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 270046559 | SURGERY SERVICES | MO | N/A | 0 | Yes (1) |
| ST LOUIS HEALTHCARE SUPPORT SERVICES LLC | |||||||||
| 4901 FOREST PARK AVENUE STE 1140 | ST LOUIS | MO | 63108 | 372121486 | LAUNDRY SERVICES | MO | N/A | 0 | Yes (1) |
| 1110 N CLASSEN BLVD LLC | |||||||||
| 1110 N CLASSEN BOULEVARD | OKLAHOMA CITY | OK | 73106 | 731158158 | MOB | OK | N/A | 0 | Yes (1) |
| MT VERNON RADIATION THERAPY CENTER LLC | |||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 201382620 | RADIATION THERAPY | IL | N/A | 0 | Yes (1) |
| CHOWSMGSI OFFICE BUILDING LLC | |||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 371383861 | MOB | IL | N/A | 0 | 0 |
| OZA CANCER CENTER LLC | |||||||||
| 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | 201382727 | MOB | IL | N/A | 0 | 0 |
| WINGRA BUILDING GROUP | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 390237060 | MOB | WI | N/A | 0 | 0 |
| JANESVILLE RIVERVIEW CLINIC BUILDING PARTNERSHIP | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 396220698 | MOB | WI | N/A | 0 | 0 |
| DEAN CLINIC & ST MARY'S HOSPITAL ACCOUNTABLE CARE ORGANIZATION LLC | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 452995500 | ACCOUNTABLE CARE ORGANIZATION | WI | N/A | 0 | 0 |
| WISCONSIN INTEGRATED INFORMATION TECHNOLOGY AND TELEMEDICINE SYSTEMS LLC | |||||||||
| 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | 392016715 | INFORMATION TECHNOLOGY SERVICES | WI | N/A | 0 | 0 |
| ST CLARE IMAGING SERVICES LLC | |||||||||
| 707 14TH STREET SUITE A | BARABOO | WI | 53913 | 200122365 | DIAG. SERVICES | WI | N/A | 0 | Yes (1) |
| NAVITUS HEALTH SOLUTIONS LLC | |||||||||
| 361 INTEGRITY DRIVE | MADISON | WI | 53717 | 043608530 | PHARMACY BENEFIT MANAGEMENT | WI | N/A | 0 | 0 |
| EPIPHANY RX LLC | |||||||||
| 361 INTEGRITY DRIVE | MADISON | WI | 53717 | 364855405 | PHARMACY BENEFIT MANAGEMENT | DE | N/A | 0 | 0 |
| RXPRECHECK LL | |||||||||
| 278 FRANKLIN RD | BRENTWOOD | TN | 37027 | 812842151 | PHARMACY BENEFIT MANAGEMENT | TN | N/A | 0 | 0 |
| ARCHIMEDES LLC | |||||||||
| 278 FRANKLIN RD | BRENTWOOD | TN | 37027 | 811158028 | PHARMACY BENEFIT MANAGEMENT | TN | N/A | 0 | 0 |
| M&C REALTY LLC | |||||||||
| 343 DUENKE RD | FORISTELL | MO | 63348 | 621851447 | MOB | MO | N/A | 0 | Yes (1) |
| BLOOM TREE LONG-ONLY FUND QP LP FKA BLOOM TREE PONDEROSA FUNDS QP LP | |||||||||
| 101 PARK AVENUE 33RD FL | NEW YORK | NY | 10178 | 823704522 | INVESTMENTS | DE | N/A | 0 | 0 |
| NECICF II AIV2-B LP | |||||||||
| 300 DELAWARE AVE STE 210 | WILMINGTON | DE | 19801 | 845058167 | INVESTMENTS | DE | N/A | 0 | 0 |
| BISON CAPITAL PARTNERS VI-A LP | |||||||||
| 233 WILSHIRE BLVD STE 425 | SANTA MONICA | CA | 90401 | 874006968 | INVESTMENTS | DE | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (18 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SSMHC INSURANCE COMPANY | |||||||||||||
| PO BOX 1051 GT | GRAND CAYMAN | CJ | 030310431 | INSURANCE | CJ | N/A | C | 0 | |||||
| OMNINHEALTH HOLDINGS | |||||||||||||
| 884144276 | HEALTH CARE CONSULTING | N/A | C | 0 | 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | DE | ||||
| SSM MANAGED CARE ORGANIZATION LLC | |||||||||||||
| 431708511 | HEALTH PROMOTION | N/A | C | 0 | 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | MO | ||||
| ST MARY'S HOSPITAL CAMPUS CONDOMINIUM OWNERS ASSOCIATION INC | |||||||||||||
| 000000000 | CONDO ASSOCIATION | N/A | C | 0 | 707 SOUTH MILLS STREET | MADISON | WI | 53715 | WI | ||||
| PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS INC | |||||||||||||
| 364161526 | HEALTH CARE | N/A | C | 0 | 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | IL | ||||
| FPP INC & SUBS | |||||||||||||
| 431465174 | HEALTH CARE | N/A | C | 0 | 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | MO | ||||
| SSM MEDICAL GROUP INC | |||||||||||||
| 431664107 | PHYSICIAN OFFICES | N/A | C | 0 | 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | MO | ||||
| SSM HEALTH PHARMACY LLC | |||||||||||||
| 264031708 | PHARMACY | N/A | C | 0 | 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | MO | ||||
| SSMHC LIABILITY TRUST II | |||||||||||||
| 816128118 | INSURANCE | N/A | C | 0 | 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | MO | ||||
| HEALTHFIRST PHYSICIAN MANAGEMENT SERVICES | |||||||||||||
| 731534336 | MEDICAL SERVICES | N/A | C | 0 | 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | OK | ||||
| DIVERSIFIED HEALTH SERVICES CORP | |||||||||||||
| 431369305 | MEDICAL EQUIPMENT | N/A | C | 0 | 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | MO | ||||
| SSM PROPERTIES INC | |||||||||||||
| 431462486 | PROPERTY SERVICES | N/A | C | 0 | 12800 CORPORATE HILL DRIVE | ST LOUIS | MO | 63131 | MO | ||||
| DEAN HEALTH SYSTEMS INC | |||||||||||||
| 391128616 | PHYSICIAN OFFICES | N/A | C | 0 | 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | WI | ||||
| DEAN RETAIL SERVICES INC | |||||||||||||
| 391717636 | PROPERTY SERVICES | N/A | C | 0 | 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | WI | ||||
| NAVITUS HOLDINGS LLC | |||||||||||||
| 800968174 | PHARMACY | N/A | C | 0 | 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | WI | ||||
| SSM HEALTH JANESVILLE CAMPUS CONDOMINIUM ASSOCIATION INC | |||||||||||||
| 832038674 | CONDO ASSOCIATION | N/A | C | 0 | 1808 WEST BELTLINE HIGHWAY | MADISON | WI | 53713 | WI | ||||
| QUALITY DRUG CORPORATION | |||||||||||||
| 330644268 | PHARMACY BENEFITS | N/A | C | 0 | 239 BROADWAY | LAGUNA BEACH | CA | 92651 | CA | ||||
| PARTNERS GROUP PMC PRIVATE CREDIT LP | |||||||||||||
| C/O MAPLES CORPORATE SERVICES LTD | GRAND CAYMAN | CJ | 981439264 | INVESTMENT | CJ | N/A | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments