The Monroe Clinic Inc

Nonprofit profile at a glance

EIN
390808509
IRS 990 coverage
2010–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Monroe, WI, USA
Phone
6083242000
Rating
73
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$237,133,051
Expenses
$212,382,763
Assets
$310,379,799
Liabilities
$71,754,696

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

Leadership & pay

23 people listed

Executive titles in this filing

  • STEVEN SMOOT (VICE PRESIDENT, COO AT SSM)

Highest reported compensation

  • STEVEN SMOOT (VICE PRESIDENT, COO AT SSM): $3,484,633 total reported compensation
  • DOUGLAS LONG (SECRETARY, CLO AT SSM HEALTH): $2,287,921 total reported compensation
  • SUZANNE ANDERSON (DIRECTOR, REGIONAL PRESIDE): $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

Working together to achieve the highest standards in healthcare, we create healthy communities through god's healing spirit. Vision: exceptional healthcare, an exceptional experience.

What it reported doing in 2024

Ssm health monroe hospital is a state-of-the-art, 58-bed facility built in 2012. The inpatient and intensive care departments are staffed by a team of hospitalists and average approximately 2,500 inpatient admissions per year. The family birth suites offer seven labor-delivery-recovery (ldr) suites, five medical/surgical rooms and its own operating room. Ssm health monroe hospital averages 430 births per year. Additionally, an added level of intensive and direct patient care offered at ssm health monroe hospital is e-icu. By adding e-icu capabilities, bedside nurses and doctors are supported by and can collaborate with experts at uw health to enhance patient outcomes and help eliminate future health problems. Other departments housed in the hospital building include the surgical services, cardiology, physical therapy, medical imaging and emergency services.ssm health monroe clinic medical group, on the main campus, provides comprehensive care in over 25 specialties.

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 92% 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 most voting board members are independent. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and the filing does not identify recipients for some grant dollars.

Rating breakdown

  • Financial Efficiency: 88
  • Transparency & Controls: 51
  • Accountability: 72
  • Sustainability: 61
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 86.1%; rating input score 86
  • Program expense ratio: 92.9%; rating input score 93
  • Fundraising efficiency: $72.39 raised per $1 spent on fundraising; rating input score 80; 80th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 17th 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: 10%; rating input score 10; 6th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Scored; rating input score 0

Accountability

  • Independent voting board: 75%; rating input score 75; 24th 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: 10.4%; rating input score 74; 74th percentile among comparable filings
  • Total-asset coverage ratio: 1.46; rating input score 52; 52nd percentile among comparable filings
  • Liabilities to assets ratio: 0.23; rating input score 64; 64th percentile among comparable filings
  • Officer compensation ratio: 3.9%; rating input score 26; 26th percentile among comparable filings

Growth

  • Program expense growth: 4.4% per year; rating input score 100; 35th percentile among comparable filings
  • Revenue growth: 2.8% per year; rating input score 100; 20th percentile among comparable filings
  • Asset growth: 2.6% per year; rating input score 100; 18th percentile among comparable filings

Details

  • Where the money goes: 86.1% of revenue deployed · 92.9% of spending went to programs
  • Governance: 9 of 12 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $197.2M in reported program spending
  • Leadership: top reported pay $3.5M · 23 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $2.6M reported
  • Consistency: 32 of 33 current checks pass · 1 finding to review
  • Schedules: 9 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 7 filed money-flow records
  • Related organizations: 93 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 — Transparency & Controls: Grant itemization coverage scored 10/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Transparency & Controls: Related-party transparency scored 0/100.
  • Review — Sustainability: Total-asset coverage ratio scored 52/100.
  • High — Sustainability: Officer compensation ratio scored 26/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.