THE ST ANTHONY HOSPITAL FOUNDATION INC OKLAHOMA CITY OKLAHOMA: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- THE ST ANTHONY HOSPITAL FOUNDATION INC OKLAHOMA CITY OKLAHOMA (EIN 73-6104300)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202323199349330067
- Schema version
- 2022v5.0
- 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 M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-15T19:49:37+00:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 264532849 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Purk & Associates PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1034 S Brentwood Boulevard Suite 20 | AddressLine1Txt |
| Address Line2 | 00 | AddressLine2Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 736104300 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The St Anthony Hospital Foundation Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STAN | BusinessNameControlTxt |
| Phone | 3149947800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 Woodfield Ln | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63132 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Sheryl Rice Rhodes | PersonNm |
| Person Title | VP Charitable Contributions | PersonTitleTxt |
| Phone | 3149947800 | PhoneNum |
| Signature | 2023-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BARBARA | PersonFirstNm |
| Person Last | POTTS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Douglas G Pleus | PreparerPersonNm |
| PTIN | P00013488 | PTIN |
| Phone | 3148844022 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SSM Health St Anthony Foundation | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sheryl Rice Rhodes | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 NW 11TH St | AddressLine1Txt |
| City | Oklahoma City | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,848,162 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.givetosaints.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1963 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | To support patients in SSM Health Care of Oklahoma hospitals, healthplexes and clinics. | ActivityOrMissionDesc |
| Voting Members Governing Body | 30 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 30 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 39 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,599,811 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,691,769 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,929,828 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,077,514 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$82,273 | PYOtherRevenueAmt |
| CY Other Revenue | -$81,046 | CYOtherRevenueAmt |
| PY Total Revenue | $6,447,366 | PYTotalRevenueAmt |
| CY Total Revenue | $7,688,237 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,029,831 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,806,418 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $596,613 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $590,636 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $465,741 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $369,961 | PYOtherExpensesAmt |
| CY Other Expenses | $257,136 | CYOtherExpensesAmt |
| PY Total Expenses | $2,996,405 | PYTotalExpensesAmt |
| CY Total Expenses | $2,654,190 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,450,961 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,034,047 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $39,449,648 | TotalAssetsBOYAmt |
| Total Assets EOY | $38,501,106 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $677,692 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $600,079 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,771,956 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,901,027 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Through our exceptional health care services, we reveal the healing presence of God. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,808,890 | ExpenseAmt |
| Grant | $1,806,418 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. | Desc |
| Total Program Service Expenses | $1,808,890 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 30 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 30 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sheryl Rice Rhodes | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4052727060 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 NW 11th Street | AddressLine1Txt |
| City | Oklahoma City | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73101 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 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 |
|---|---|---|---|---|---|---|---|
| Brooks Richardson | |||||||
| Director - Chairman | 1.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Chuck Walworth | |||||||
| Director - Vice Chair | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Eric Joiner | |||||||
| Director & Past Chairman | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Linda Whittington | |||||||
| Director - Secretary/Treasurer | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Avis Scaramucci | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Brent Stockwell | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Brooke Haneborg | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Chadwick Holeman | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Cindy Batt | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Cindy Mikeman | |||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Corey Phillips | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| David Walters | |||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Elizabeth Taylor Semtner | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Gary W Rahe MD | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Geoff Stallings | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Jerry Bendorf | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Jimmy Irwin | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Julie Naifeh | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Matt Chesnut | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Mike Turpen | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Paul Dudman | |||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Phillip Stratemeier MD | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Randy Stalcup | |||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Salima Ahmad MD | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Sheila Heim | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Suzanne Pointer | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Suzette Hatfield | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Terry Taylor | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Wade Huckabay | |||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Whitney Rainbolt | |||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Shasta Manuel | |||||||
| System VP Finance - Oklahoma | 1.0 | 41.0 | Yes (X) | $0 | $492,700 | $188,305 | |
| Sheryl Rice Rhodes | |||||||
| VP - Philanthropy and Foundation | 40.0 | 0 | Yes (X) | $0 | $294,723 | $66,473 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $787,423 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $254,778 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $122,946 | FundraisingAmt |
| Related Organizations | $13,500 | RelatedOrganizationsAmt |
| Government Grants | $150 | GovernmentGrantsAmt |
| All Other Contributions | $6,555,173 | AllOtherContributionsAmt |
| Noncash Contributions | $138,743 | NoncashContributionsAmt |
| Total Contributions | $6,691,769 | TotalContributionsAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $581,232 | TotalRevenueColumnAmt |
| Exclusion | $581,232 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $496,282 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $496,282 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $496,282 | TotalRevenueColumnAmt |
| Exclusion | $496,282 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $65,344 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $122,946 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $156,772 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$91,428 | TotalRevenueColumnAmt |
| Exclusion | -$91,428 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $13,535 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $3,153 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,382 | TotalRevenueColumnAmt |
| Exclusion | $10,382 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,688,237 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $996,468 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,723,205 | TotalAmt |
| Program Services | $1,723,205 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,213 | TotalAmt |
| Program Services | $83,213 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $552,654 | TotalAmt |
| Management And General | $275,560 | ManagementAndGeneralAmt |
| Fundraising | $277,094 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,982 | TotalAmt |
| Management And General | $18,938 | ManagementAndGeneralAmt |
| Fundraising | $19,044 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $690 | TotalAmt |
| Management And General | $314 | ManagementAndGeneralAmt |
| Fundraising | $376 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,082 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $25,520 | ManagementAndGeneralAmt |
| Fundraising | $30,562 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,195 | TotalAmt |
| Fundraising | $62,195 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,975 | TotalAmt |
| Management And General | $4,356 | ManagementAndGeneralAmt |
| Fundraising | $6,619 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,887 | TotalAmt |
| Management And General | $14,756 | ManagementAndGeneralAmt |
| Fundraising | $11,131 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,902 | TotalAmt |
| Management And General | $26,164 | ManagementAndGeneralAmt |
| Fundraising | $19,738 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,868 | TotalAmt |
| Management And General | $3,166 | ManagementAndGeneralAmt |
| Fundraising | $1,702 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,120 | TotalAmt |
| Management And General | $1,379 | ManagementAndGeneralAmt |
| Fundraising | $741 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101 | TotalAmt |
| Management And General | $40 | ManagementAndGeneralAmt |
| Fundraising | $61 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,472 | TotalAmt |
| Program Services | $2,472 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| Donor cultivation | $28,632 | $750 | $27,882 |
| Bank service charges | $13,199 | $6,006 | $7,193 |
| DUES & SUBSCRIPTIONS | $4,013 | $2,610 | $1,403 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,654,190 | TotalAmt |
| Program Services | $1,808,890 | ProgramServicesAmt |
| Management And General | $379,559 | ManagementAndGeneralAmt |
| Fundraising | $465,741 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,176 | BOYAmt |
| EOY | $52,138 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,403,630 | BOYAmt |
| EOY | $5,694,836 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,202 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $60,103 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $44,646 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,929 | BOYAmt |
| EOY | $15,457 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,268,773 | BOYAmt |
| EOY | $15,245,828 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,346,264 | BOYAmt |
| EOY | $17,131,860 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $341,674 | BOYAmt |
| EOY | $360,987 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,449,648 | BOYAmt |
| EOY | $38,501,106 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,249 | BOYAmt |
| EOY | $30,024 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $646,443 | BOYAmt |
| EOY | $570,055 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $677,692 | BOYAmt |
| EOY | $600,079 | 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 | $19,070,505 | BOYAmt |
| EOY | $15,103,251 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,701,451 | BOYAmt |
| EOY | $22,797,776 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,771,956 | BOYAmt |
| EOY | $37,901,027 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,449,648 | BOYAmt |
| EOY | $38,501,106 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,034,047 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$5,836,873 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $111,114 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | -$179,217 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,600,997 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,540,886 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,321,856 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,599,811 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,555,173 | CurrentTaxYearAmt |
| Total | $18,618,723 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,600,997 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,540,886 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,321,856 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,599,811 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,555,173 | CurrentTaxYearAmt |
| Total | $18,618,723 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $7,199,076 | SubstantialContributorsTotAmt |
| Public Support Total170 | $11,419,647 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $669,033 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $635,975 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $503,296 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $540,712 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $581,232 | CurrentTaxYearAmt |
| Total | $2,930,248 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $170,332 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $173,089 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $45,370 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $93,197 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $78,879 | CurrentTaxYearAmt |
| Total | $560,867 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $22,109,838 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $0 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.5165 | PublicSupportCY170Pct |
| Public Support PY170 | 0.5646 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - OTHER INCOME, COLUMN A - 170332.0, COLUMN B - 173089.0, COLUMN C - 45370.0, COLUMN D - 93197.0, COLUMN E - 78879.0, COLUMN F - 560867.0; | ExplanationTxt |
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 | $8,358,781 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,192,638 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $338,863 | OtherExpendituresAmt |
| End Year Balance | $6,827,280 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,602,602 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,077,481 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $271,598 | OtherExpendituresAmt |
| Administrative Expenses | $49,704 | AdministrativeExpensesAmt |
| End Year Balance | $8,358,781 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,920,655 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,001,726 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $270,197 | OtherExpendituresAmt |
| Administrative Expenses | $49,582 | AdministrativeExpensesAmt |
| End Year Balance | $7,602,602 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,117,193 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,117,557 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $264,967 | OtherExpendituresAmt |
| Administrative Expenses | $49,128 | AdministrativeExpensesAmt |
| End Year Balance | $6,920,655 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $45,573 | BeginningYearBalanceAmt |
| Contributions | $6,762,508 | ContributionsAmt |
| Investment Earnings Or Losses | -$285,734 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $307,875 | OtherExpendituresAmt |
| Administrative Expenses | $97,279 | AdministrativeExpensesAmt |
| End Year Balance | $6,117,193 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.0 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,291 | OtherCostOrOtherBasisAmt |
| Book Value | $1,291 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $58,812 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,646 | DepreciationAmt |
| Book Value | $14,166 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,457 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNRESTRICTED PROGRAM FUNDS HELD IN SSM Comprehensive Investment Program | Desc |
| Book Value | $15,245,828 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $15,245,828 | TotalBookValueSecuritiesAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | TEMPORARILY-RESTRICTED PROGRAM FUNDS | Desc |
| Book Value | $17,131,860 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $17,131,860 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Gift Annuity Liability | $157,812 |
| Due to affiliate | $412,243 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $570,055 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,977,353 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$5,836,873 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $111,114 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $14,875 | OtherRevenueAmt |
| Revenue Not Reported | -$5,710,884 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,688,237 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,688,237 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,848,281 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $179,217 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $179,217 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,669,064 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$14,874 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$14,874 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,654,190 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | The Foundation's endowment funds are held for the purpose of providing scholarships to nursing students, as well as supporting and advancing orthopedic and arthritis research, education, and clinical programs in the greater Oklahoma City area. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | The St Anthony Hospital Foundation's financial information is included in the consolidated audited financial statements of a related organization, SSM Health (SSMH). SSMH evaluates its uncertain tax positions on an annual basis. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. There have been no uncertain tax positions recorded in 2022 or 2021. |
| Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 | special event expenses - 14875 |
| Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 | special event expenses - uncollectible pledges - 154078 actuarial change on gift annuity liabiility - 25139 |
| Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements | special event expenses - -14875 rounding - 1 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SAINTS BALL | Event1Nm |
| Gross Receipts Event1 | $188,290 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $122,946 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $65,344 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $60,422 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $59,725 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $9,117 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $27,508 | OtherDirectExpensesEvent1Amt |
| Gross Revenue Event2 | $0 | GrossRevenueEvent2Amt |
| Gross Revenue Other Events | $0 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $188,290 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $122,946 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $65,344 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $60,422 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $59,725 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $9,117 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $27,508 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $156,772 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$91,428 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SSM Health Care of Oklahoma Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 Woodfield Lane | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63132 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 730657693 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $1,666,510 | CashGrantAmt |
| Non Cash Assistance | $57,694 | NonCashAssistanceAmt |
| Valuation Method Used | Book | ValuationMethodUsedDesc |
| Non Cash Assistance | Items for hospitals and patients | NonCashAssistanceDesc |
| Purpose Of Grant | Support SSM Health St. Anthony Hospital - Oklahoma 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 (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| PRESCRIPTION ASSISTANCE TO THE INDIGENT | 682 | $53,213 |
| EMPLOYEE ASSISTANCE | 150 | $30,000 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | The Foundation's grants to organizations were primarily made to a related organization that is tax exempt under Section 501(c)(3). This organization has developed internal control procedures for the use of grant funds. Approved grant applications are forwarded to the Foundation and the Foundation pays the requested expenditure. To monitor the use of all grants, the Foundation President reviews all requests for grants from all designated funds including the tree of life fund and the sister's fund to ensure requests meet the criteria established for these funds. Payments from the Sister's fund for pharmaceuticals are made directly to the pharmacy after the pharmaceuticals have been provided and not to the individual receiving assistance. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sheryl Rice Rhodes | ||||||||||||||
| VP - Philanthropy and Foundation | $0 | $240,433 | $0 | $39,012 | $0 | $15,278 | $0 | $60,416 | $0 | $6,057 | $0 | $361,196 | $0 | $95,865 |
| Shasta Manuel | ||||||||||||||
| System VP Finance - Oklahoma | $0 | $356,556 | $0 | $99,950 | $0 | $36,194 | $0 | $148,868 | $0 | $39,438 | $0 | $681,005 | $0 | $139,946 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | The organization's top management official, Vice president-Philanthropy and Foundation, 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 SSM Health Board of Directors. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | 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 2022. 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 2022: Shasta Manuel $35,825 Sheryl Rice Rhodes $11,249 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2022. All distributions received from the plan in the current year were included in the individual's taxable compensation. Shasta Manuel $34,306 |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | Auction/event items | 121 | $76,504 | Market value |
| Yes (X) | SUPPLIES | 98 | $62,239 | Cost |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule M, Part I, Line 25 OTHER - AUCTION/EVENT ITEMS | NUMBER OF CONTRIBUTIONS |
| Schedule M, Part I, Line 26 OTHER - SUPPLIES | NUMBER OF CONTRIBUTIONS |
| Schedule M, Part I Explanations of reporting method for number of contributions | Other - Auction/event items Number of contributions Other - SUPPLIES Number of contributions |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a Program Service Accomplishments | SSM Health St. Anthony Hospital Foundation provides philanthropic dollars to support the healing mission of SSM Health St. Anthony Hospital and all SSM Health (SSMH) Oklahoma healthcare facilities of providing exceptional, compassionate healthcare to the people and communities we serve, including the poor and vulnerable. SSM Health Oklahoma is comprised of SSM Health St. Anthony Hospital, SSM Health Bone & Joint Hospital at St. Anthony, SSM Health St. Anthony Hospital - Shawnee, SSM Health St. Anthony Hospital - Midwest, St. Anthony North, St. Anthony South, numerous clinics and five Healthplexes. Through our Saints 1st Affiliate Health Network of 18 rural hospitals, we are strengthening healthcare throughout Oklahoma by providing management expertise, telemedicine, specialty physicians, technology assistance and caring for critically ill patients transferred each month to receive care their home hospital cannot provide. 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. Summarize the Foundation's approach to providing community benefit. 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 giving priorities are aligned with the strategic goals of SSM Health St. Anthony Hospital and SSM Health Oklahoma, ensuring that monies donated to the St. Anthony Foundation are used to support critical medical services. 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. Hospitals & Facilities Development: Funds new construction and improvements for patient care areas. Cancer Care: Donations enable St. Anthony to continue its leadership in cancer care through the Frank C. Love Cancer Institute. The Tree of Life Fund provides comforts, medications and other assistance to cancer patients. Equipment and Technology: Funds help purchase new advanced equipment and technological innovations in specialized patient care to continue to provide the highest quality care. Cardiac Care: Donations enable St. Anthony's Heart and Vascular Institute to continue its leadership in cardiac and vascular care, including the acquisition of advanced technology and patient services. Orthopedics: Contributions enable SSM Health Bone & Joint Hospital at St. Anthony to continue its leadership in the diagnosis and treatment of all types of arthritic, orthopedic and spinal bone conditions. Behavioral Medicine: As the largest provider of mental health in the state of Oklahoma, we help patients from as young as four to elderly citizens. Description of Community Benefit Programs 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 Care and Compassion Fund, Shawnee Compassion Fund and the Sisters Fund that provides prescription medications to the needy. Recent accomplishments made possible with donations to the Foundation include but are not limited to: * During the COVID-19 pandemic, providing critically needed PPE to protect health care workers and patients, as well as thousands of meals to support health care teams. * Completing a transformative expansion of the Frank C. Love Cancer Institute. * Creating the S. K. and Mira Bhatia Heart and Vascular Unit. * Adding furniture, furnishings and new playground equipment for our Behavioral Medicine Center to provide a more welcoming and healing environment for our children & adolescent patients. * Adding furnishing, equipment and technology to our Cardiorenal Unit and other patient care areas. * Adding equipment to Joyful Beginnings and our Neonatal Intensive Care Unit to care for more medically fragile babies. * Helping our most vulnerable patients by providing 1,289 prescription medications, as well as clothing items and shoes to help keep them well after discharge. * Supporting Orthopedic Research at Bone & Joint Hospital. * Assisting out-of-town families with housing while their loved ones are patients in the hospital through the Guest Services Fund. * Helping our children and adult patients facing the challenges of mental illness. As many of our children and adolescent patients come to us with little but the clothing on their backs, donations buy shoes, clothing, provide dental and vision care, and add special training and educational sessions for both patients and their family members. Support of Community Nonprofit Organizations Limited funds are provided to other nonprofit community organizations through event sponsorships. Each funding request is reviewed to determine benefit to the community and connection to the SSM Health Foundation's and hospital's goals. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE SOLE MEMBER OF THE CORPORATION IS SSM HEALTH CARE OF OKLAHOMA. SSM HEALTH CARE OKLAHOMA IS A NONPROFIT 501(C)(3) ORGANIZATION. BOTH THE ST. ANTHONY HOSPITAL FOUNDATION AND SSM HEALTH CARE OF OKLAHOMA ARE PART OF THE INTEGRATED HEALTH CARE SYSTEM KNOWN AS SSM HEALTH. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The member has the power to appoint successor, additional or replacement members, provided that any successor, additional or replacement member shall be a tax-exempt organization described in section 501(c)(3) of the internal revenue code of 1986, as amended, and elect and remove directors with or without cause. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | The member reserves the power to establish centralized employee benefit, insurance, 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 and investment accounts in the name of the foundation in connection with such programs. |
| 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 12c Conflict of interest policy | Board members are required to complete a conflict of interest disclosure statement annually. The Chair of the Board oversees compliance with this requirement. All Board members with an identified conflict of interest abstain from Board discussions and votes when applicable. Employees with purchasing authority and/or ability to influence purchasing decisions are assigned the conflict of interest disclosure course (COI) which must be completed on line. Periodically through the year, the 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 the 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 the entity. Supervisors verify required course completion prior to year end. |
| 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 on the Oklahoma Secretary of State's website. Copies of the Form 990 and the organization's conflict of interest policy are available upon request. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Actuarial loss on gift annuity liability - -25139; Uncollectible pledges - -154078; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (52 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SSM Health Care Corporation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 466029223 | Health Care | MO | 501(c)(3) | Type I | SSM Health Ministries | false |
| SSMHC Liability Trust I | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 436331003 | Insurance | MO | 501(c)(3) | Type I | SSM Health Care Corporation | false |
| SSM Consolidated Health Services | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431473657 | Health Care | MO | 501(c)(3) | 10 | SSM Health Care Corporation | false |
| SSM Policy Institute | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431788151 | Health Care | MO | 501(c)(4) | SSM Health Care Corporation | false | |
| SSM Health Care Portfolio Management Co | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431825256 | Management | MO | 501(c)(3) | Type I | SSM Health Care Corporation | false |
| SSM Cardinal Glennon Children's Hospital | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 430738490 | Health Care | MO | 501(c)(3) | 3 | SSM Health Care St Louis | false |
| Cardinal Glennon Children's Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431754347 | Fundraising | MO | 501(c)(3) | 7 | SSM Cardinal Glennon Children's Hospital | false |
| SSM Health Foundation - St Louis | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431552945 | Fundraising | MO | 501(c)(3) | 7 | SSM Health Care St Louis | false |
| SSM Health Care of Oklahoma Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 730657693 | Health Care | OK | 501(c)(3) | 3 | SSM Health Care Corporation | false |
| The St Anthony Hospital Foundation Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 736104300 | Fundraising | OK | 501(c)(3) | 7 | SSM Health Care of Oklahoma | false |
| SSM Health Care of Wisconsin Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 430688874 | Health Care | WI | 501(c)(3) | 3 | SSM Health Care Corporation | false |
| Dells Medical Building Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 391613292 | MOB | WI | 501(c)(2) | SSM Health Care of Wisconsin | false | |
| St Mary's Foundation Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431940686 | Fundraising | WI | 501(c)(3) | 7 | SSM Health Care of Wisconsin | false |
| St Clare Health Care Foundation Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431940683 | Fundraising | WI | 501(c)(3) | 7 | SSM Health Care of Wisconsin | false |
| Home Health United Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391539827 | Health Care | WI | 501(c)(3) | 10 | SSM Health Care of Wisconsin | false |
| Home Care United Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391776340 | Health Care | WI | 501(c)(3) | 10 | SSM Health Care of Wisconsin | false |
| HHU Xtra Care Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391705111 | Health Care | WI | 501(c)(3) | 10 | SSM Health Care of Wisconsin | false |
| SSM Health at Home Foundation of Wisconsin Inc | ||||||||||
| 2802 Walton Commons Lane | Madison | WI | 53718 | 391839309 | Fundraising | WI | 501(c)(3) | Type I | Home Health United Inc | false |
| SSM Regional Health Services | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 440579850 | Health Care | MO | 501(c)(3) | 3 | SSM Health Care Corporation | false |
| St Mary's Health Center Jefferson City Missouri Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431575307 | Fundraising | MO | 501(c)(3) | Type I | SSM Regional Health Services | false |
| Good Samaritan Regional Health Center | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 430653587 | Health Care | IL | 501(c)(3) | 3 | SSM Regional Health Services | false |
| St Mary's Hospital Centralia Illinois | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 370662580 | Health Care | IL | 501(c)(3) | 3 | SSM Regional Health Services | false |
| St Mary's - Good Samaritan Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 364170833 | Health Care | IL | 501(c)(3) | Type I | SSM Regional Health Services | false |
| Good Samaritan Regional Health Center Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 262884795 | Fundraising | IL | 501(c)(3) | 7 | St Mary's-Good Samaritan Inc | false |
| St Mary's Hospital Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 364636691 | Fundraising | IL | 501(c)(3) | 7 | St Mary's-Good Samaritan Inc | false |
| St Mary's Hospital Auxiliary | ||||||||||
| 400 N Pleasant | Centralia | IL | 62801 | 237126345 | Fundraising | IL | 501(c)(3) | 10 | St Mary's Hospital Foundation | false |
| SSM Health Businesses | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431333488 | Health Care | MO | 501(c)(3) | 10 | SSM Health Care Corporation | false |
| SSM Health Care St Louis | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431343281 | Health Care | MO | 501(c)(3) | 3 | SSM Health Care Corporation | false |
| Centralia Medical Services Bldg Assoc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 237408025 | MOB | IL | 501(c)(3) | Type I | SSM Regional Health Services | false |
| St Mary's Janesville Foundation Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 273439133 | Fundraising | WI | 501(c)(3) | 7 | SSM Health Care of Wisconsin | false |
| SSM Health Ministries | ||||||||||
| 3221 McKelvey Road Suite 107 | Bridgeton | MO | 63044 | 431012492 | Religious Organization | MO | 501(c)(3) | 1 | NA | false |
| Lee Dewey Corporation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 731279603 | MOB | OK | 501(c)(3) | Type I | SSM Health Care of Oklahoma | false |
| St Mary's Hospital Auxiliary | ||||||||||
| 100 St Marys Medical Plaza | Jefferson City | MO | 65101 | 436049878 | Fundraising | MO | 501(c)(3) | Type II | NA | false |
| Good Samaritan Hospital Auxiliary | ||||||||||
| 1 Good Samaritan Way | Mount Vernon | IL | 62864 | 237049599 | Fundraising | IL | 501(c)(3) | Type III-FI | NA | false |
| St Anthony Shawnee Hospital Inc | ||||||||||
| 1000 N Lee Ave | Oklahoma City | OK | 73102 | 455055149 | Health Care | OK | 501(c)(3) | 3 | SSM Health Care of Oklahoma | false |
| SSM Audrain Health Care Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431550298 | Health Care | MO | 501(c)(3) | 3 | SSM Regional Health Services | false |
| SSM-SLUH Inc | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 474196634 | Health Care | MO | 501(c)(3) | 3 | SSM Health Care St Louis | false |
| Agnesian Healthcare Inc | ||||||||||
| 430 E Division St | Fond du Lac | WI | 54935 | 390807236 | Health Care | WI | 501(c)(3) | 3 | SSM Health Care of Wisconsin | false |
| Ripon Medical Center Inc | ||||||||||
| 845 Parkside Street | Ripon | WI | 54971 | 391101287 | Health Care | WI | 501(c)(3) | 3 | Agnesian Healthcare Inc | false |
| Waupun Memorial Hospital Inc | ||||||||||
| 620 West Brown Street | Waupun | WI | 53963 | 390806265 | Health Care | WI | 501(c)(3) | 3 | Agnesian Healthcare Inc | false |
| St Francis Home of Fond du Lac Wisconsin Inc | ||||||||||
| 33 Everett Street | Fond du Lac | WI | 54935 | 391029998 | Health Care | WI | 501(c)(3) | 10 | Agnesian Healthcare Inc | false |
| Sister Servants of Christ the King Villa Loretto | ||||||||||
| N8114 County WW | Mount Calvary | WI | 53057 | 391022770 | Health Care | WI | 501(c)(3) | 10 | Agnesian Healthcare Inc | false |
| Villa Rosa Inc | ||||||||||
| N8120 County WW | Mount Calvary | WI | 53057 | 421670962 | Health Care | WI | 501(c)(3) | 10 | Agnesian Healthcare Inc | false |
| The Christian Home and Rehabilitation Center Incorporated | ||||||||||
| 331 Bly Street | Waupun | WI | 53963 | 390884514 | Health Care | WI | 501(c)(3) | 10 | Agnesian Healthcare Inc | false |
| The Monroe Clinic Inc | ||||||||||
| 515 22nd Avenue | Monroe | WI | 53566 | 390808509 | Health Care | WI | 501(c)(3) | 3 | SSM Health Care of Wisconsin | false |
| Monroe Clinic and Hospital Foundation Inc | ||||||||||
| 515 22nd Avenue | Monroe | WI | 53566 | 205769038 | Fundraising | WI | 501(c)(3) | 7 | SSM Health Care of Wisconsin | false |
| Agnesian Healthcare Foundation Inc | ||||||||||
| 430 E Division St | Fond du Lac | WI | 54935 | 391684956 | Fundraising | WI | 501(c)(3) | Type I | SSM Health Care of Wisconsin | false |
| Shared Magnetic Resonance Imaging Facility Inc | ||||||||||
| 1104 John Nolen Drive | Madison | WI | 53713 | 391534744 | Health Care | WI | 501(c)(3) | Type I | SSM Health Care of Wisconsin | false |
| SSM Health Cardinal Glennon Transport | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 863519607 | Health Care | MO | 501(c)(3) | Type I | SSM Cardinal Glennon Children's Hospital | false |
| SSM Health Foundation | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 874109859 | Fundraising | MO | 501(c)(3) | Type I | SSM Health Care Corporation | false |
| SSM Health Care Group | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 880988603 | Health Care | MO | 501(c)(3) | 10 | SSM Health Care St Louis | false |
| The Sarah Community | ||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431784657 | Health Care | MO | 501(c)(3) | 10 | SSM Health Businesses | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| SSM St Joseph Endoscopy Center LLC | ||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 270046559 | Surgery Services | MO | NA | N/A |
| St Clare Imaging Services LLC | ||||||||
| 707 14th Street Suite A | Baraboo | WI | 53913 | 200122365 | Diag. Services | WI | NA | N/A |
| Mt Vernon Radiation Therapy Center LLC | ||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 201382620 | Radiation Therapy | IL | NA | N/A |
| Sleep & Neurology Center of Southern Illinois LLC | ||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 208468195 | Diag. Services | IL | NA | N/A |
| CHOWSMGSI Office Building LLC | ||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 371383861 | MOB | IL | NA | N/A |
| Oza Cancer Center LLC | ||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 201382727 | MOB | IL | NA | N/A |
| Shawnee Real Estate Holdings LLC | ||||||||
| 1000 N Lee Ave | Oklahoma City | OK | 73102 | 455458304 | MOB | OK | NA | N/A |
| Dean Clinic & St Mary's Hospital Accountable Care Organization LLC | ||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 452995500 | Accountable Care Organization | WI | NA | N/A |
| Wisconsin Integrated Information Technology and Telemedicine Systems LLC | ||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 392016715 | Information Technology Services | WI | NA | N/A |
| Wingra Building Group | ||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 390237060 | MOB | WI | NA | N/A |
| Janesville Riverview Clinic Building Partnership | ||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 396220698 | MOB | WI | NA | N/A |
| 1110 N Classen Blvd LLC | ||||||||
| 1110 N Classen Boulevard | Oklahoma City | OK | 73106 | 731158158 | MOB | OK | NA | N/A |
| SSM St Clare Surgical Center LLC | ||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 261439695 | Surgery Services | MO | NA | N/A |
| Windmill LLP | ||||||||
| 50 Village View Lane | Chesterfield | MO | 63017 | 431804651 | Investments | MO | NA | N/A |
| Navitus Health Solutions LLC | ||||||||
| 361 Integrity Drive | Madison | WI | 53717 | 043608530 | Pharmacy Benefits | WI | NA | N/A |
| SSM Select Rehab St Louis LLC | ||||||||
| 4714 Gettysburg Road | Mechanicsburg | PA | 17055 | 263694972 | Health Care | DE | NA | N/A |
| Epiphany Rx LLC | ||||||||
| 361 Integrity Drive | Madison | WI | 53717 | 364855405 | Pharmacy Benefits | DE | NA | N/A |
| Bain Capital Global Direct Lending 2021 (L Offshore) LP | ||||||||
| 200 Clarendon Street FL 41 | Boston | MA | 021165016 | 981506451 | Investments | DE | NA | N/A |
| 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 | NA | N/A |
| Carlyle Property Investors LP | ||||||||
| 1001 Pennsylvania Ave NW STE 220 | Washington | DC | 20004 | 371789359 | Investments | DE | NA | N/A |
| NECICF II AIV2-B LP | ||||||||
| 300 Delaware Ave STE 210 | Wilmington | DE | 19801 | 845058167 | Investments | DE | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SSM Managed Care Organization LLC | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431708511 | Health Promotion | MO | NA | C Corporation | false | |||||
| FPP INC & Subs | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431465174 | Health Care | MO | NA | C Corporation | false | |||||
| Diversified Health Services Corp | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431369305 | Medical Equipment | MO | NA | C Corporation | false | |||||
| SSM Properties Inc | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431462486 | Property Services | MO | NA | C Corporation | false | |||||
| HealthFirst Physician Management Services | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 731534336 | Medical Services | OK | NA | C Corporation | false | |||||
| SSMHC Liability Trust II | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 816128118 | Insurance | MO | NA | C Corporation | false | |||||
| SSM Medical Group Inc | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 431664107 | Physician Offices | MO | NA | C Corporation | false | |||||
| SSMHC Insurance Company | ||||||||||||||
| 030310431 | Insurance | NA | C Corporation | false | PO Box 1051 GT | Grand Cayman | CJ | KY11102 | CJ | |||||
| Physicians Services Corp of Southern Illinois Inc | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 364161526 | Health Care | IL | NA | C Corporation | false | |||||
| Dean Health Systems Inc | ||||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 391128616 | Physician Offices | WI | NA | C Corporation | false | |||||
| Dean Health Insurance Inc | ||||||||||||||
| PO Box 56099 | Madison | WI | 53705 | 391830837 | Insurance | WI | NA | C Corporation | false | |||||
| Dean Retail Services Inc | ||||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 391717636 | Property Services | WI | NA | C Corporation | false | |||||
| Oza Oncology Inc | ||||||||||||||
| 4117 Veterans Memorial Drive | Mt Vernon | IL | 62804 | 371343746 | Physician Offices | IL | NA | S Corporation | false | |||||
| SSM Health Janesville Campus Condominium Association Inc | ||||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 832038674 | Condo association | WI | NA | C Corporation | false | |||||
| SSM Health Pharmacy LLC | ||||||||||||||
| 10101 Woodfield Lane | St Louis | MO | 63132 | 264031708 | Pharmacy | MO | NA | C Corporation | false | |||||
| Navitus Holdings LLC | ||||||||||||||
| 1808 West Beltline Highway | Madison | WI | 53713 | 800968174 | Pharmacy | WI | NA | C Corporation | false | |||||
| MS Community JV LLC | ||||||||||||||
| 401 Carlson Parkway CP330 | Minnetonka | MN | 55305 | 873240022 | Insurance | DE | NA | C Corporation | false | |||||
| Quality Drug Corporation | ||||||||||||||
| 239 Broadway | Laguna Beach | CA | 92651 | 330644268 | Pharmacy benefits | CA | NA | C Corporation | false | |||||
| St Mary's Hospital Campus Condominium Owners Association Inc | ||||||||||||||
| 707 South Mills Street | Madison | WI | 53715 | 000000000 | Condo association | WI | NA | C Corporation | false | |||||
| Partners Group PMC Private Credit LP | ||||||||||||||
| 981439264 | Investment | NA | C Corporation | false | c/o Maples Corporate Services LTD | George Town | CJ | KY11104 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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