SSM Health

Legal name: Agnesian Healthcare Inc

Nonprofit profile at a glance

EIN
390807236
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Troy, Michigan, United States
Phone
1-888-97CHART (1-888-972-4278)
Rating
70
Verdict
SUPPORTED
Rating confidence
Standard
Sector
Hospital, General
Affiliation
Christianity

Official website

Reported finances

Revenue
$584,413,789
Expenses
$545,845,013
Assets
$743,414,239
Liabilities
$306,875,329

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

27 people listed

Executive titles in this filing

  • SUE ANDERSON (DIRECTOR, REGIONAL PRESIDENT)
  • STEVE SMOOT (VICE PRESIDENT, COO AT SSM HEALTH)
  • KATHERINE VERGOS (PRESIDENT - ST. AGNES HOSPITAL)

Highest reported compensation

  • STEVE SMOOT (VICE PRESIDENT, COO AT SSM HEALTH): $3,484,633 total reported compensation
  • DOUGLAS LONG (SECRETARY, CLO AT SSM HEALTH): $2,287,921 total reported compensation
  • SUE ANDERSON (DIRECTOR, REGIONAL PRESIDENT): $1,925,968 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Through our exceptional health care services, we reveal the healing presence of God.

What it reported doing in 2024

Agnesian healthcare inc. Includes st. Agnes hospital, has been providing healing care for over 125 years. The hospital has grown into both an inpatient and outpatient facility providing innovative community and regional healthcare services to the greater fond du lac area. As a nonprofit catholic institution, st. Agnes hospital serves people of all faiths and beliefs. It is a leader in providing quality state-of-the-art healthcare services. The 146-bed hospital has grown into a state-of-the-art facility providing health care services to the greater fond du lac area, including:* comprehensive heart and vascular care at ssm health dale michels heart & vascular care.* immediate care for stroke patients at our joint commission certified primary stroke center.* inpatient physical rehabilitation for patients with serious conditions.* private, spa-like birthing suites to welcome your baby into the world.* 24/7 emergency care at our designated level iii trauma center.medicare, champus, tricare, and/or other government-sponsored health care programs

Operating model

Revenue model
Other-operating. 98% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 93% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and fundraising costs are high for each dollar raised.

Rating breakdown

  • Financial Efficiency: 69
  • Transparency & Controls: 72
  • Accountability: 67
  • Sustainability: 57
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 76.2%; rating input score 76
  • Program expense ratio: 78.7%; rating input score 79
  • Fundraising efficiency: $1.82 raised per $1 spent on fundraising; rating input score 5; 5th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 91.7%; rating input score 92; 24th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 66.7%; rating input score 67; 19th percentile among comparable filings
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 6.6%; rating input score 63; 63rd percentile among comparable filings
  • Total-asset coverage ratio: 1.36; rating input score 50; 50th percentile among comparable filings
  • Liabilities to assets ratio: 0.41; rating input score 44; 44th percentile among comparable filings
  • Officer compensation ratio: 1.5%; rating input score 65; 65th percentile among comparable filings

Growth

  • Program expense growth: 6.1% per year; rating input score 100; 49th percentile among comparable filings
  • Revenue growth: 4.2% per year; rating input score 100; 34th percentile among comparable filings
  • Asset growth: 4.7% per year; rating input score 100; 34th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 76.2% of revenue deployed · 78.7% of spending went to programs
  • Governance: 8 of 12 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $429.4M in reported program spending
  • Leadership: top reported pay $3.5M · 27 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $8.1M reported
  • Consistency: 36 of 37 current checks pass · 1 finding to review
  • Schedules: 12 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 30 filed money-flow records
  • Related organizations: 112 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Financial Efficiency: Fundraising efficiency scored 5/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • Review — Sustainability: Total-asset coverage ratio scored 50/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Moderate — Sustainability: Liabilities to assets ratio scored 44/100.