2024-11-15T14:17:20-06:00 2023-12-31 990 2023-01-01 431940683 ST CLARE HEALTH CARE FOUNDATION INC STCL 6083738015 707 14TH STREET BARABOO WI 53913 STEPHANIE KING VP FINANCE 6083738015 2024-11-15 0 2023 2024-10-15 13:58:12Z X STEPHANIE KING 707 14TH STREET BARABOO WI 53913 418928 0 0928 X HTTPS://WWW.SSMHEALTH.COM/DONATE/ST-CLARE-FOUNDAT X 2000 WI FACILITIES STRATEGIC PARTNERSHIPS AND COMMUNITY INVESTMENT THAT WILL RESULT IN THE HIGHEST QUALITY HEALTH CARE FACILITIES, TECHNOLOGY AND SERVICES, INNOVATIVE PROGRAMS, OPTIMAL HEALTH LITERACY AND ACCESS TO HEALTH CARE. 13 10 0 15 0 0 310627 295928 0 0 121076 119453 -265 -236 431438 415145 251657 285499 0 0 109363 129284 0 0 154617 24688 25333 385708 440116 45730 -24971 3778160 4201900 0 2164 3778160 4199736 X THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. 0 0 227897 227897 PROVIDED FUNDING TO SSM HEALTH ST CLARE HOSPITAL - BARABOO TO SUPPORT HEALTHCARE AND WELLNESS INITIATIVES. SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 17857 17857 PROVIDED CLINICAL SCHOLARSHIPS AND LOAN REIMBURSEMENT FOR STUDENTS. PROVIDED ASSISTANCE FOR INDIVIDUALS WITH HOUSING AND UTILITIES NEEDS. SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 39745 39745 PROVIDED GRANTS TO SUPPORT PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN THE COMMUNITIES SERVED BY SSM HEALTH ST CLARE HOSPITAL - BARABOO. SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 285499 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 10 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 WI X JULIA RANDLES 6083561449 707 14TH ST BARABOO WI 53913 DEANN THURMER HOSPITAL PRESIDENT/EX OFF W/ VOTE 1.00 42.00 X X 0 407419 137142 SHARILYN MUNNEKE DIRECTOR & PHYSICIAN AT DEAN MEDICAL GROUP 1.00 40.00 X 0 197992 40630 MARY DRESSEN DIRECTOR & PRESIDENT 1.00 0.00 X X 0 0 0 MERIJE AJVAZI DIRECTOR & VICE PRESIDENT 1.00 0.00 X X 0 0 0 MATT SCHAEFER DIRECTOR & TREASURER 1.00 0.00 X X 0 0 0 TERESA JACOBSON DIRECTOR & SECRETARY 1.00 0.00 X X 0 0 0 DAVE ABANGAN DIRECTOR 1.00 0.00 X 0 0 0 BRENT GASSER DIRECTOR 1.00 0.00 X 0 0 0 DR JENNIFER GAVINSKI DIRECTOR 1.00 0.00 X 0 0 0 DR SHARILYN MUNNEKE DIRECTOR 1.00 0.00 X 0 0 0 SHAWNA MARQUARDT DIRECTOR 1.00 0.00 X 0 0 0 MARCUS MITCHELL DIRECTOR 1.00 0.00 X 0 0 0 CRAIG PHILIPP DIRECTOR 1.00 0.00 X 0 0 0 TIFFANY SLOAN DIRECTOR 1.00 0.00 X 0 0 0 JULIA RANDLES FOUNDATION DIRECTOR & ASSISTANT SECRETARY 40.00 0.00 X 0 114010 58206 SCOTT WYSOCKI INTERIM HOSPITAL PRESIDENT/EX OFF W/ VOTE 0.00 41.00 X 0 217931 73756 0 937352 309734 0 1 1 0 0 10358 24000 261570 295928 94152 94152 25301 0 25301 25301 25301 942 10358 2020 -1078 -1078 2605 1763 842 842 415145 0 0 119217 267642 267642 17857 17857 120290 120290 8994 8994 580 580 5089 5089 6581 6581 11781 11781 933 933 BANK CHARGES 264 264 LICENSES 105 105 440116 285499 0 154617 369478 419951 154500 3254182 3781949 3778160 4201900 0 2164 0 2164 X 1740302 1930521 2037858 2269215 3778160 4199736 3778160 4201900 X -24971 329109 117438 X 0 1 X 1 0 X 748344 254354 317055 310627 299475 1929855 748344 254354 317055 310627 299475 1929855 1929855 76476 50595 45090 57856 94152 324169 4451 4091 3247 942 12731 2266755 0.85140 0.72090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3446964 68145 448563 143214 3820458 4011711 102650 -527527 139870 3446964 3523214 148500 424894 84897 4011711 3534117 6725 133045 150673 3523214 2199748 900267 549571 115469 3534117 0.44800 0.55200 1 0 0 INTERCOMPANY PAYABLES 2164 2164 X PART V, LINE 4: SCHEDULE D, PART V, LINE 4 - INTENDED USES OF ENDOWMENT FUNDS ST. CLARE HEALTH CARE FOUNDATION SUPPORTS SSM HEALTH ST. CLARE HOSPITAL - BARABOO'S (SCH) CAPITAL NEEDS & OTHER LOCAL HEALTH CARE PROGRAMS AS DESIGNATED BY THE FOUNDATION'S BOARD OF DIRECTORS. THE FAITH ENDOWMENT SUPPORTS CHEMICALLY DEPENDENT & CO-DEPENDENT POPULATIONS SERVED BY SSM HEALTH ST. CLARE HOSPITAL - BARABOO. THE JEAN DIEHM FUND SUPPORTS THE HOSPITAL AUXILIARY'S SPONSORSHIP OF ANNUAL CAPITAL NEEDS AND MEDICAL EQUIPMENT FOR SCH. THE BARABOO RURAL RESIDENCY TRAINING PROGRAM FUND SUPPORTS BARABOO RURAL RESIDENCY TRAINING PROGRAM BY HELPING OFFSET COSTS FOR BOOKS, EQUIPMENT AND DEFICITS INCURRED BY SCH IN SUPPORT OF THE PROGARM. THE ST. CLARE HEALING GARDEN ENDOWMENT FUND MAINTAINS AND ENHANCES THE ST. CLARE HEALING GARDEN. PART X, LINE 2: SCHEDULE D, PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE ST CLARE HEALTH CARE FOUNDATION, 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 VENEFIT 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 POSTIONS RECORDED IN 2023 OR 2022. SCHEDULE D, PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE ST CLARE HEALTH CARE FOUNDATION, 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, BAED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2023 AND 2022. 1 SSM HEALTH CARE WISCONSIN 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 430688874 501(C)(3) 0 227897 BOOK HEALTHCARE EQUIPMENT AND OTHER RELATED ITEMS SUPPORT FOR SSM HEALTH ST. CLARE HOSPITAL - BARABOO 1 SCHOLARSHIPS 8 15582 PART I, LINE 2: SCHEDULE I, PART I, LINE 2 - PROCEDURES FOR MONITORING USE OF GRANT FUNDS. THE FOUNDATION USES SEVERAL METHODS FOR MONITORING THE USE OF GRANT FUNDS. MOST GRANTS TO ORGANIZATIONS ARE MADE TO RELATED ORGANIZATIONS THAT ARE TAX EXEMPT UNDER SECTION 501(C)(3). THESE ORGANIZATIONS HAVE DEVELOPED INTERNAL CONTROL PROCEDURES FOR THE USE OF GRANT FUNDS. OTHER FUNDS ARE EITHER GRANTED FOR PRE-APPROVED PROGRAMS OR DOCUMENTATION IS REQUESTED ON A REGULAR BASIS FROM THE GRANT RECIPIENTS. X 1 1 0 1 0 0 0 0 0 0 0 DEANN THURMER HOSPITAL PRESIDENT/EX OFF W/ VOTE 0 317834 0 58131 0 31454 0 111051 0 26091 0 544561 0 58132 SCOTT WYSOCKI INTERIM HOSPITAL PRESIDENT/EX OFF W/ 0 181495 0 27067 0 9369 0 44674 0 29082 0 291687 0 34218 SHARILYN MUNNEKE DIRECTOR & PHYSICIAN AT DEAN MEDICAL 0 179556 0 16814 0 1622 0 17187 0 23443 0 238622 0 0 JULIA RANDLES FOUNDATION DIRECTOR & ASSISTANT SECR 0 103439 0 10139 0 432 0 15263 0 42943 0 172216 0 10139 PART I, LINE 1A SCHEDULE J, PART I, LINE 1A - TAX INDEMNIFICATION AND GROSS-UP PAYMENTS SEVERAL INDIVIDUALS LISTED ON PART VII, SECTION A RECEIVED TAX INDEMNIDFICATION/GROSS UP PAYMENTS IN 2023, WHICH WERE INCLUDED IN THEIR TAXABLE COMPENSATION. PART I, LINE 1B SCHEDULE J, PART I, LINE 3 - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PENSION RESTORATION PLAN: SSM HEAL TH (SSMH) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMH QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER THE SSMH QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMH OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMH. NO INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 2023. CAPITAL ACCUMULATION PLAN: SSMH PROVIDES THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO EXECUTIVE LEVEL EMPLOYEES. THE ORGANIZATION CONTRIBUTED A PERCENTAGE OF THE EMPLOYEE'S BASE SALARY INTO THEIR CHOICE OF A SELECT LIST OF INVESTMENTS. THE DEPOSITS AND EARNINGS OF THE PLAN ARE OWNED BY SSMH AND ARE TAX-DEFERRED UNTIL A DISTRIBUTION IS MADE TO THE EMPLOYEE. IN ADDITION, THE PLAN HAS SPECIAL SAFEGUARDS IN PLACE TO PROTECT THE FUNDS FROM CONTINGENCIES, OTHER THAN INSOLVENCY. FOR CONTRIBUTIONS MADE TO THE PLAN IN 2014 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF FOUR PLAN YEARS FOR ALL EXECUTIVES THAT ARE STILL ACTIVELY EMPLOYED ON THE DISTRIBUTION DATE. ANY ACTIVE PARTICIPANT 65 YEARS OR OLDER WILL RECEIVE THE CONTRIBUTION IN THE CURRENT YEAR. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DEFERRALS FROM THIS PLAN IN 2023: DEANN THURMER $29,866 SCOTT WYSOCKI $8,626 SHARILYN MUNN EKE $5,625 THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN IN 2023. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. DEANN THURMER $26,741 SCOTT WYSOCKI $7,676 PART I, LINE 3 SCHEDULE J, PART I, LINE 3 - ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION THE FOUNDATION'S TOP MANAGEMENT OFFICIAL (FOUNDATION 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. FORM 990, PART III, LINE 4A - PROGRAM SERVICE ACCOMPLISHMENTS SINCE IT WAS FOUNDED IN 1872 BY CATHOLIC SISTERS, SSM HEALTH (SSMH) HAS EXISTED TO MEET THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. SSMH IS A CATHOLIC, NOT-FOR-PROFIT HEALTH SYSTEM SERVING THE COMPREHENSIVE HEALTH NEEDS OF COMMUNITIES ACROSS THE MIDWEST THROUGH ONE OF THE LARGEST INTEGRATED DELIVERY SYSTEMS IN THE NATION. WITH CARE DELIVERY SITES IN ILLINOIS, MISSOURI, OKLAHOMA, AND WISCONSIN, SSMH INCLUDES 23 ACUTE CARE HOSPITALS, ONE CHILDREN'S HOSPITAL, MORE THAN 300 PHYSICIAN OFFICES AND OTHER OUTPATIENT AND VIRTUAL CARE SERVICES, 10 POST-ACUTE FACILITIES, COMPREHENSIVE HOME CARE AND HOSPICE SERVICES, A PHARMACY BENEFIT COMPANY, A HEALTH INSURANCE COMPANY, AND AN ACCOUNTABLE CARE ORGANIZATION. THE HEALTH SYSTEM EMPLOYS NEARLY 40,000 PEOPLE AND IS AFFILIATED WITH 11,000 PHYSICIANS MAKING IT ONE OF THE LARGEST EMPLOYERS IN EVERY COMMUNITY IT SERVES. IN THE TRADITION OF ITS FOUNDING SISTERS, SSMH STRIVES TO FULFILL ITS MISSION BY PROVIDING EXCEPTIONAL HEALTH CARE TO EVERYONE WHO COMES TO ITS HOSPITALS, REGARDLESS OF THEIR ABILITY TO PAY. DESCRIBE THE EXEMPT PURPOSE ACHIEVEMENTS: THE ST. CLARE HEALTH CARE FOUNDATION, INC. D/B/A SSM HEALTH ST. CLARE FOUNDATION BARABOO'S MISSION IS TO PROVIDE THE HIGHEST QUALITY LOCAL HEALTH CARE FACILITIES, TECHNOLOGY AND SERVICES, OFFER INNOVATIVE PROGRAMS AND BUILD PROGRAM NETWORKS THAT INCREASE HEALTH AND WELLNESS. IN DOING SO ST. CLARE FOUNDATION PROVIDES ANNUAL SUPPORT FOR EQUIPMENT NEEDS THROUGHOUT OUR FACILITIES AND SUPPORTS PROGRAMS THAT ASSIST OUR EMPLOYEES AND THE COMMUNITIES WE SERVE. IN 2023, ST. CLARE FOUNDATION, THROUGH GIFTS AND A DISTRIBUTION FROM ITS ENDOWED FUNDS, SPONSORED EQUIPMENT AND OTHER ITEMS FOR NEARLY EVERY SSM HEALTH ST. CLARE HOSPITAL CAMPUS FACILITY AND DEPARTMENT INCLUDING SSM HEALTH ST. CLARE MEADOWS CARE CENTER, ST. CLARE TOMMY BARTLETT CHILD CARE CENTER, WISCONSIN DELLS REHABILITATION CENTER AND FOR THE FOLLOWING DEPARTMENTS WITHIN ST. CLARE HOSPITAL: CARDIAC/PULMONARY REHABILITATION; CHRONIC DISEASE; CLINICAL RESOURCE MANAGEMENT; LABORATORY; INFUSION THERAPY; DAY SURGERY; MEDICAL IMAGING; NUTRITION SERVICES; RADIATION ONCOLOGY CENTER; RESPIRATORY THERAPY; AND SURGERY. SOME OF THE EQUIPMENT WAS SPONSORED THROUGH THE FOUNDATION'S 2023 ENDOWMENT DISTRIBUTION. SSM HEALTH ST. CLARE FOUNDATION BARABOO ALSO FUNDED SCHOLARSHIPS AND LOAN REIMBURSEMENT, FOR EMPLOYEES IN CLINICAL AREAS SEEKING TO EXPAND THEIR EDUCATION OR TO PROVIDE FINANCIAL SUPPORT FOR EDUCATION LOANS ALREADY INCURRED. THEY ALSO PROVIDE FINANCIAL ASSISTANCE TO EMPLOYEES EXPERIENCING QUALIFYING HARDSHIPS THROUGH THE EMPLOYEE RELIEF FUND. THE FOUNDATION SUPPORTS PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN THE COMMUNITIES SERVED BY SSM HEALTH ST. CLARE HOSPITAL - BARABOO. A MAJOR ASPECT OF THAT SUPPORT IS THE SSM HEALTH ST. CLARE FOUNDATION'S ANNUAL HEALTHY COMMUNITY PARTNERSHIP GRANTS, SPONSORED BY A PORTION OF THE FOUNDATION'S YEARLY ENDOWMENT DISTRIBUTIONS. THE GRANTS ARE ISSUED TO AREA BUSINESSES AND ORGANIZATIONS THAT ARE ENGAGED IN PROJECTS, PROGRAMS AND INITIATIVES THAT ADVANCE COMMUNITY HEALTH AND WELLNESS. WITH FUNDING FROM THE FOUNDATION'S ENDOWMENT, GRANTS WERE AWARDED DURING TWO GRANT CYCLES IN 2023 TO LOCAL AGENCIES AND ORGANIZATIONS: BARABOO COMMUNITY DEVELOPMENT AUTHORITY CORSON SQUARE APTS & DONAHUE TERRACE APTS BEYOND BLESSED FOOD PANTRY FIRST PRESBYTERIAN CHURCH OUTREACH COMMITTEE FRIENDS OF EDUCATION/TOWER ROCK SCHOOL ONE SCHOOL, ONE BOOK PROGRAM KIDS' RANCH - SCHOOL YEAR LITERACY & MENTAL WELLNESS PROGRAM SAUK COUNTY CHILDREN'S GIVING TREE WINTER COATS AND SNOW BOOTS SAUK COUNTY HEALTH DEPT SEAL A SMILE PROGRAM SAUK COUNTY HEALTH DEPARTMENT TRANSPORTATION NEEDS ST. JOSEPH'S CATHOLIC CHURCH SOCIAL JUSTICE COMMISSION GOOD SAMARITAN PROJECT PRISON MINISTRY V.E.T.S. SUMMER CAMP 2023 FOR 20 CHILDREN TO ATTEND CAMP IN ADDITION TO THE GRANTS, THE FOUNDATION DIRECTED SUPPORT FROM THE FOUNDATION'S ENDOWMENT DISTRIBUTION TO SSM HEALTH ST. CLARE HOSPITAL - BARABOO'S CLINICAL RESOURCE MANAGEMENT DEPARTMENT TO FUND MEDICATIONS FOR INPATIENTS IN NEED UPON DISCHARGE. IN 2023, THE FOUNDATION DESIGNATED FUNDS FROM ITS ENDOWMENT TO SUPPORT THE GRADE 3 FUN 'N FIT PROGRAM FOR OVER 400 THIRD GRADE STUDENTS IN THE BARABOO AND WISCONSIN DELLS, WISCONSIN PUBLIC AND PRIVATE SCHOOLS. THE PROGRAM HEIGHTENED AWARENESS OF GOOD NUTRITION AND PROMOTED DAILY PHYSICAL ACTIVITY THROUGH A SERIES OF EDUCATIONAL MESSAGES, THE USE OF PEDOMETERS IN PHYSICAL EDUCATION CLASSES AND PROVIDING WEEKLY INCENTIVE ITEMS (SUCH AS A MOLDED MYPLATE, WATER BOTTLES AND JUMP ROPES) OVER A SIX-WEEK PERIOD. ALSO, THE FOUNDATION DESIGNATED ENDOWMENT FUNDS TO EXPAND HYGIENE ACCESS WITH TOILET PAPER, SHAMPOO, BODY WASH, TOOTHBRUSHES, TOOTHPASTE AND LAUNDRY SOAP TO THE BARABOO AND WISCONSIN DELLS FOOD PANTRIES. FORM 990 PART V, LINE 1A ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. FORM 990, PART VI, SECTION A, LINE 6 FORM 990, PART VI, LINE 6 - CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE CORPORATE MEMBER IS SSM HEALTH CARE OF WISCONSIN, INC. SSM HEALTH CARE OF WISCONSIN, INC. IS A NONPROFIT 501(C)(3) ORGANIZATION THAT OPERATES THREE HOSPITALS AND TWO SKILLED NURSING FACILITIES. BOTH THE FOUNDATION AND SSM HEALTH CARE OF WISCONSIN, INC. ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. FORM 990, PART VI, SECTION A, LINE 7A FORM 990, PART VI, LINE 7A - MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY THE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS, EXCEPT FOR ANY DIRECTOR WHO SERVES EX OFFICIO, AND TO REMOVE THE DIRECTORS WITH OR WITHOUT CAUSE FORM 990, PART VI, SECTION A, LINE 7B FORM 990, PART VI, LINE 7B - DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE PHILOSOPHY OF THE CORPORATION B. TO APPOINT THE BOARD OF DIRECTORS, EXCEPT FOR ANY DIRECTOR WHO SERVES EX OFFICIO, AND TO REMOVE THE DIRECTORS WITH OR WITHOUT CAUSE C. TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AS PROVIDED THEREIN D. TO APPROVE THE BYLAWS OF THE CORPORATION AND ANY AMENDMENTS THERETO E. TO APPROVE THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION F. TO APPROVE THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, ENCUMBRANCE, MORTGAGE OR LEASE OF REAL PROPERTY OR ANY INTEREST THEREIN OF THE CORPORATION IN ACCORDANCE WITH THE POLICIES APPROVED BY THE MEMBER FROM TIME TO TIME G. TO APPROVE (I) THE ACQUISITION OF REAL PROPERTY OR ANY INTEREST THEREIN OR (11) THE ACQUISITION OF STOCK OF A CORPORATION IF, AFTER THE ACQUISITION, THE CORPORATION WILL OWN A MAJORITY OF THE 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 CORPORATION OWNED A MAJORITY OF THE VOTING STOCK OF THE CORPORATION AND AFTER SUCH DISPOSITION THE CORPORATION 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 CORPORATION IN ACCORDANCE WITH POLICIES APPROVED BY THE MEMBER FROM TIME TO TIME J. TO ESTABLISH CENTRALIZED EMPLOYEE BENEFIT, INSURANCE, 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 IN THE NAME OF THE CORPORATION 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 CORPORATION, INCLUDING, WITHOUT LIMITATION, THE OBLIGATION TO PROVIDE HEALTH CARE SERVICES, PAY AN ANNUITY OR UNDERTAKE ANY OTHER OBLIGATION, EXCEPT AS OTHERWISE DETERMINED BY THE MEMBER PURSUANT TO POLICIES ADOPTED BY THE MEMBER FROM TIME TO TIME; AND L. TO APPROVE OR REJECT PROPOSALS FOR EXPENDITURES OR CONTRIBUTIONS IN ACCORDANCE WITH THE BYLAWS IN THE EVENT THE PRESIDENT OF ST CLARE HOSPITAL AND THE BOARD OF DIRECTORS DO NOT AGREE WITH RESPECT TO THE APPROVAL OF SUCH PROPOSAL. FORM 990, PART VI, SECTION A, LINE 8B FORM 990, PART VI, LINE 8B - DOCUMENTATION OF MEETINGS HELD BY COMMITTEES OF GOVERNING BODY THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B FORM 990, PART VI, LINE 11A - REVIEW OF FORM 990 BY GOVERNING BODY THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION (SSM). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SSM PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. THE PRESIDENT AND SECRETARY OF THE BOARD OVERSEE COMPLIANCE WITH THIS REQUIREMENT. ALL BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST ABSTAIN FROM BOARD DISCUSSIONS AND VOTES WHEN APPLICABLE. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, LINE 15A PROCESS FOR DETERMINING COMPENSATION THE FOUNDATION'S TOP MANAGEMENT OFFICIAL (FOUNDATION 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. FORM 990, PART VI, LINE 15B - PROCESS FOR DETERMINING COMPENSATION THE FOUNDATION DOES NOT COMPENSATE ANY OTHER INDIVIDUALS FORM 990, PART VI, SECTION C, LINE 19 FORM 990, PART VI, LINE 19 - REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE UPON REQUEST TO THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTION'S OFFICE. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS THE MEMBER HAS THE FOLLOWING POWERS: A. TO ESTABLISH AND CHANGE THE PHILOSOPHY OF THE CORPORATION B. TO APPOINT THE BOARD OF DIRECTORS, EXCEPT FOR ANY DIRECTOR WHO SERVES EX OFFICIO AND TO REMOVE THE DIRECTORS WITH OR WITHOUT CAUSE FORM 990 , PART VI, LINE 8B DOCUMENTATION OF MEETINGS HELD BY COMMITTEES OF GOVERNING BODY THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990 PART VI, LINE 11B - REVIEW OF FORM 990 BY GOVERNING BODY THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION (SSM). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SSM PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990 PART VI, LINE 15A - PROCESS FOR DETERMING COMPENSATION THE FOUNDATION'S TOP MANAGMENT OFFICIAL (FOUNDATION DIRECTOR) IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, LINE 15B - PROCESS FOR DETERMING COMPENSATION THE FOUNDATION DOES NOT COMPENSATE ANY OTHER INDIVIDUALS. FORM 990 , PART VI, LINE 19 - REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE YEAR-END AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL STATEMENTS FOR THE SSM HEALTH SYSTEM ARE MADE AVAILABLE TO THE PUBLIC ON SSM HEALTH'S WEBSITE. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE UPON REQURES TO THE WISCONSIN DEPARTMENT OF FINANCIAL INSTITUTION'S OFFICE. FORM 990, PART XI, LINE 9: FUND BALANCE TRANSFERS 117,438. 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