PARKLAND HEALTH CENTER FOUNDATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- PARKLAND HEALTH CENTER FOUNDATION (EIN 90-0424964)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-12
- IRS object ID
- 202143169349305004
- Schema version
- 2020v4.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-12T11:03:30-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 N WACKER DRIVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900424964 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKLAND HEALTH CENTER FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PARK | BusinessNameControlTxt |
| Phone | 5737566451 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 WEST LIBERTY STREET | AddressLine1Txt |
| City | FARMINGTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63640 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANNETTE D SCHNABEL | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 5737566451 | PhoneNum |
| Signature | 2021-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANNETTE | PersonFirstNm |
| Person Last | SCHNABEL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JESSICA WAGENER | PreparerPersonNm |
| PTIN | P01622613 | PTIN |
| Phone | 3128792000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANNETTE D SCHNABEL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 WEST LIBERTY ST | AddressLine1Txt |
| City | FARMINGTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63640 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,287,689 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,657 | PYContributionsGrantsAmt |
| CY Contributions Grants | $70,207 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $261,213 | PYInvestmentIncomeAmt |
| CY Investment Income | $305,933 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,773 | PYOtherRevenueAmt |
| CY Other Revenue | $134,288 | CYOtherRevenueAmt |
| PY Total Revenue | $278,643 | PYTotalRevenueAmt |
| CY Total Revenue | $510,428 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $249,750 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $59,892 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $56,823 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $77,676 | PYOtherExpensesAmt |
| CY Other Expenses | $67,855 | CYOtherExpensesAmt |
| PY Total Expenses | $327,426 | PYTotalExpensesAmt |
| CY Total Expenses | $127,747 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$48,783 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $382,681 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,439,462 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,832,296 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $508,565 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $408,565 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,930,897 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,423,731 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF THE FOUNDATION IS TO SECURE PHILANTHROPIC SUPPORT FOR PARKLAND HEALTH CENTER. SEE SCHEDULE O. THIS SUPPORT WILL ASSIST PARKLAND HEALTH CENTER IN FULFILLING ITS MISSION TO PROVIDE EXCELLENT CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND TO PROVIDE HEALTHCARE EDUCATION AND RELATED SERVICES TO OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $48,055 | ExpenseAmt |
| Grant | $48,055 | GrantAmt |
| Desc | CAPITAL: DUE TO THE COVID-19 PANDEMIC, AN IDENTIFIED NEED FOR A PEDIATRIC VENTILATOR TO CARE FOR ITS SMALLEST AND MOST VULNERABLE PATIENTS WAS DISCOVERED AT PARKLAND HOSPITAL. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,500 | ExpenseAmt |
| Grant | $5,500 | GrantAmt |
| Desc | EXTERNAL COMMUNITY SCHOLARSHIP: A SCHOLARSHIP WAS GRANTED TO A STUDENT TO ATTEND THE UNIVERSITY OF MISSOURI. A COMMUNITY GRANT TO MEALS ON WHEELS WAS PROVIDED TO SUPPORT THE LOCAL FOOD PANTRY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,995 | ExpenseAmt |
| Grant | $4,995 | GrantAmt |
| Desc | PATIENT CARE: AS PART OF THE OB REFRESH FUNDED IN 2019, THE FOUNDATION PROVIDED FUNDING FOR THE PURCHASE OF A CUDDLE COT IN 2020. CUDDLE COTS PROVIDE A CHANCE FOR GRIEVING PARENTS TO BOND WITH THEIR BABY AFTER NEONATAL DEATH. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,342 | ExpenseAmt |
| Grant | $1,342 | GrantAmt |
| Desc | SUPPORT FOR SNACKS AND FOOD FOR STAFF | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,342 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,342 | TotalOtherProgSrvcGrantAmt |
| Total Program Service Expenses | $59,892 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARAH FREDERICK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3142860572 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4249 CLAYTON AVE STE 316 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63110 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| BORCHERS KIMBERLY MD | |||||||
| DIRECTOR | 1.00 | 39.00 | Yes (X) | $0 | $604,826 | $85,743 | |
| SCHNABEL ANNETTE | |||||||
| PRESIDENT, DIRECTOR BEG 5/20 | 1.00 | 39.00 | Yes (X) | $0 | $219,678 | $20,050 | Yes (X) |
| KARL THOMAS P | |||||||
| PRESIDENT, DIRECTOR TERM 5/20 | 1.00 | 39.00 | Yes (X) | $0 | $200,678 | $219,057 | Yes (X) |
| BAKER MARY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BAUMAN THERESA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BOYER BRIAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BROCKMILLER MARLENE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| COOK KEVIN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| COTTON BILL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GALLAGHER DONNA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GALLAGHER PAIGE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LANDRUM CHRISTINA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RHODES CATHERINE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| UMFLEET LISA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| OLIVER GEORGE DR | |||||||
| VICE CHAIRMAN, DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| PETERSON DEBBIE | |||||||
| CHAIRMAN, DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| GOLDSMITH CHERI | |||||||
| TREASURER | 1.00 | 39.00 | $0 | $163,493 | $33,497 | Yes (X) | |
| CROCKER CARLA | |||||||
| SECRETARY | 1.00 | 6.00 | $33,553 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $33,553 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,188,675 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $358,347 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $5,945 | FundraisingAmt |
| All Other Contributions | $64,262 | AllOtherContributionsAmt |
| Total Contributions | $70,207 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $112,796 | TotalRevenueColumnAmt |
| Exclusion | $112,796 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,967,561 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,774,424 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $193,137 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $193,137 | TotalRevenueColumnAmt |
| Exclusion | $193,137 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $2,000 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $5,945 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $2,837 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$837 | TotalRevenueColumnAmt |
| Exclusion | -$837 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REC PRIOR YEAR GRANTS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $135,125 | TotalRevenueColumnAmt |
| Exclusion | $135,125 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $135,125 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $510,428 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $440,221 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,392 | TotalAmt |
| Program Services | $57,392 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,500 | TotalAmt |
| Program Services | $2,500 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,854 | TotalAmt |
| Management And General | $10,854 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54 | TotalAmt |
| Fundraising | $54 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt |
|---|---|---|
| PURCHASED SERVICES SALA | $55,049 | $55,049 |
| OTHER MISCELLANEOUS EXP | $740 | $740 |
| GIFTS/AWARDS | $366 | $366 |
| BJC-SIGN SHOP | $258 | $258 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $534 | TotalAmt |
| Management And General | $178 | ManagementAndGeneralAmt |
| Fundraising | $356 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,747 | TotalAmt |
| Program Services | $59,892 | ProgramServicesAmt |
| Management And General | $11,032 | ManagementAndGeneralAmt |
| Fundraising | $56,823 | FundraisingAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $100 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,736,343 | BOYAmt |
| EOY | $2,570,450 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,703,119 | BOYAmt |
| EOY | $3,261,746 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,439,462 | BOYAmt |
| EOY | $5,832,296 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441 | BOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $487,794 | BOYAmt |
| EOY | $357,303 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,595 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,330 | BOYAmt |
| EOY | $48,667 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $508,565 | BOYAmt |
| EOY | $408,565 | 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 | $4,821,672 | BOYAmt |
| EOY | $5,344,122 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,225 | BOYAmt |
| EOY | $79,609 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,930,897 | BOYAmt |
| EOY | $5,423,731 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,439,462 | BOYAmt |
| EOY | $5,832,296 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $382,681 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $97,655 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $12,498 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 3 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (3 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| PARKLAND HEALTH CENTER | ||||
| 431332368 | 3 | Yes (1) | $54,392 | $0 |
| FARMINGTON MEALS ON WHEELS FOR SPECIAL DIETS INC | ||||
| 431212534 | 10 | 0 | $3,000 | $0 |
| BJC BEHAVIORAL HEALTH | ||||
| 431610561 | 3 | 0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 3 | SupportedOrganizationsTotalCnt |
| Support Sum | $57,392 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | Yes (1) | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | Yes (1) | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV SECTION A LINE 2 | THE SPECIFIED SUPPORT ORGANIZATIONS ARE INCLUDED IN THE GROUP RULING. THEY ARE HOSPITALS, THEREFORE THEY ARE DESCRIBED IN SECTION 509(A)(1) AS 170(B)(1)(A)(III) ENTITIES. |
| PART IV SECTION A LINE 6 | FROM TIME TO TIME, THE FOUNDATION MAY PROVIDE SUPPORT TO OTHER 501(C)(3) PUBLIC CHARITIES THAT ARE OPERATED, OR CONTROLLED DIRECTLY BY OR IN CONNECTION WITH PARKLAND HEALTH CENTER, AS PERMITTED UNDER SECTION 1.509(A)-4(E) OF THE REGULATIONS. IN 2020 A GRANT WAS PROVIDED TO UNIVERSITY OF MISSOURI FOR A STUDENT'S SCHOLARSHIP IN THE AMOUNT OF $2,500 AND $3,000 TO MEALS ON WHEELS FOR SPECIAL DIETS. |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| HEDGE FUNDS | $1,678,395 | F |
| OTHER | $1,583,351 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $3,261,746 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $48,637 |
| OTHER LIABILITIES | $30 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $48,667 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKLAND HEALTH CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 WEST LIBERTY STREET | AddressLine1Txt |
| City | FARMINGTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63640 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 431332368 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $54,392 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Purpose Of Grant | OB UNIT UPDATES AND OPERATIONAL SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 1 | RecipientCnt |
| Cash Grant | $2,500 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | SEMI-ANNUAL AND ANNUAL WRITTEN REPORTS ON USES OF FUNDS ARE REQUIRED BY THE FOUNDATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BORCHERS KIMBERLY MD | ||||||||||||||
| DIRECTOR | $0 | $539,471 | $0 | $64,763 | $0 | $592 | $0 | $64,395 | $0 | $21,348 | $0 | $690,569 | $0 | $0 |
| KARL THOMAS P | ||||||||||||||
| PRESIDENT, DIRECTOR TERM 5/20 | $0 | $94,483 | $0 | $89,219 | $0 | $16,976 | $0 | $211,089 | $0 | $7,968 | $0 | $419,735 | $0 | $15,245 |
| SCHNABEL ANNETTE | ||||||||||||||
| PRESIDENT, DIRECTOR BEG 5/20 | $0 | $166,872 | $0 | $30,357 | $0 | $22,449 | $0 | $0 | $0 | $20,050 | $0 | $239,728 | $0 | $0 |
| GOLDSMITH CHERI | ||||||||||||||
| TREASURER | $0 | $126,699 | $0 | $33,073 | $0 | $3,721 | $0 | $0 | $0 | $33,497 | $0 | $196,990 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE COMPENSATION AND BENEFIT AMOUNTS OF THE ORGANIZATION'S OFFICERS AND TOP MANAGEMENT OFFICIALS ARE DETERMINED BY AN INDEPENDENT COMMITTEE OF BJC HEALTH SYSTEM, AN AFFILIATE OF THE PARKLAND HEALTH CENTER FOUNDATION. THE COMMITTEE IS COMPRISED OF INDEPENDENT PERSONS AND USES INDEPENDENT COMPENSATION STUDIES AND BENCHMARKING DATA TO ESTABLISH COMPENSATION AMOUNTS AND GUIDELINES. ALL AMOUNTS ARE APPROVED BY THE COMPENSATION COMMITTEE. THE ORGANIZATION RECONCILES THE AGGREGATE AMOUNTS PAID TO THE APPROVAL AMOUNTS SHORTLY AFTER THE CLOSE OF EACH CALENDAR YEAR. |
| PART I, LINE 4B | DURING 2020, THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS/ACCRUALS FROM A RELATED ORGANIZATION AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS(SEE FORM 990, PART VII AND SCHEDULE J, PART II): KARL,THOMAS $19,024 SCHNABEL,ANNETTE $9,625 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | TO PROVIDE SUPPORT FOR PARKLAND HEALTH CENTER TO ACCOMPLISH ITS MISSION OF PROVIDING EXTRAORDINARY PATIENT CARE. |
| FORM 990, PART V, LINE 1 | NUMBER REPORTED IN BOX 3 FORM 1096: THE ORGANIZATION IS AN AFFILIATE OF BJC HEALTH SYSTEM (BJC), A SUPPORTING ORGANIZATION DESCRIBED IN CODE SECTION 509(A)(3). BJC ASSUMES RESPONSIBILITY FOR REMITTING ALL PAYMENTS TO VENDORS THROUGH A CENTRALIZED ACCOUNTS PAYABLE SYSTEM. BJC ALSO ASSUMES RESPONSIBILITY FOR REPORTING THESE PAYMENTS TO THE IRS USING ITS EIN AS THE COMMON PAYOR ON FORM(S) 1099, 1098, 5498, AND W-2G. THE AMOUNT REPORTED ON LINE 1, IF ANY, REFLECTS THE NUMBER OF FORMS FILED BY BJC HEALTH SYSTEM (EIN 43-1617558) ON BEHALF OF THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 2 | CERTAIN OFFICERS AND DIRECTORS OF THE ORGANIZATION ALSO SERVED ON THE BOARDS OF OTHER RELATED OR UNRELATED ORGANIZATIONS. THE RELATIONSHIP AND ANY POTENTIAL CONFLICTS OF INTEREST WERE REVIEWED TO ENSURE THAT ANY PAYMENTS RECEIVED OR AMOUNTS PAID DID NOT EXCEED THE FAIR MARKET VALUE OF THE GOODS AND SERVICES RECEIVED BY THE REPORTING ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 2 | DONNA GALLAGHER AND PAIGE GALLAGHER ARE MOTHER AND DAUGHTER. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE CORPORATE MEMBER HAS THE POWER TO APPOINT AND REMOVE DIRECTORS AND OFFICERS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE CORPORATE MEMBER HAS THE POWER TO APPOINT AND REMOVE DIRECTORS AND OFFICERS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE CORPORATE MEMBER MUST APPROVE ACTIONS TAKEN BY THE BOARD INCLUDING CAPITAL & OPERATING BUDGETS, AFFILIATION AGREEMENTS, INVESTING OR FINANCING ARRANGEMENTS & OTHER ORGANIZATIONAL ACTIVITIES OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION PREPARES DRAFT COPIES OF FORM 990 AND ATTACHMENTS FOR REVIEW BY MEMBERS OF FINANCE, LEGAL AND TAX DEPARTMENTS. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE FOUNDATION BOARD MEMBERS TO REVIEW. QUESTIONS AND COMMENTS THAT ARISE DURING THE INDIVIDUAL BOARD MEMBER REVIEWS OF THE FORMS ARE ADDRESSED IN ADVANCE OF SUBMISSION TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH THE POLICY BY ISSUING ANNUALLY A CONFLICT OF INTEREST QUESTIONNAIRE REMINDING COVERED INDIVIDUALS OF THEIR OBLIGATIONS TO DISCLOSE OF CONFLICTS AND AN ATTESTATION OF THEIR CONTINUING OBLIGATION TO DISCLOSE SAID CONFLICTS SHOULD THE NEED ARISE. THE RESULTS OF THE CONFLICT OF INTEREST QUESTIONNAIRE ARE REVIEWED BY THE CENTRALIZED COMPLIANCE DEPARTMENT OF THE SOLE CORPORATE MEMBER AND APPROPRIATE ACTION TAKEN AS NECESSARY. SHOULD THE ORGANIZATION BECOME AWARE OF A CONFLICT NOT PREVIOUSLY REPORTED, GENERAL COUNSEL FOR THE CORPORATE MEMBER WOULD INVESTIGATE THE ISSUE AND RESPOND IN ACCORDANCE WITH THE POLICY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE FOR INSPECTION BY THE GENERAL PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES. |
| FORM 990, PART XI, LINE 9: | TRANSFERS FROM RELATED PARTIES: 12,500. ROUNDING ADJUSTMENT -2. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (38 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ALTON MEMORIAL HEALTH SERVICES FOUNDATION | |||||||||||
| 1109 N OXFORDSHIRE LANE | EDWARDSVILLE | IL | 62025 | 371177053 | SUPPORT TO AMH | IL | 501(C)(3) | LINE 12C, III-FI | ALTON MEMORIAL HOSPITAL | Yes (1) | |
| ALTON MEMORIAL HOSPITAL | |||||||||||
| ONE MEMORIAL HOSPITAL DRIVE | ALTON | IL | 62002 | 370661172 | HEALTHCARE SERVICES | IL | 501(C)(3) | LINE 3 | CH ALLIED SERVICES INC | Yes (1) | |
| ALTON MEMORIAL HOSPITAL CHARITABLE TRUST | |||||||||||
| PO BOX 0634 | MILWAUKEE | WI | 53201 | 376039185 | SUPPORT TO AMH | IL | 501(C)(3) | LINE 12D, III-O | ALTON MEMORIAL HOSPITAL | Yes (1) | |
| BARNES JEWISH HOSP AUXILIARY PARKVIEW CHAPTER | |||||||||||
| ONE BARNES-JEWISH HOSPITAL PLAZA | ST LOUIS | MO | 63110 | 237000410 | SUPPORT TO BJH | MO | 501(C)(3) | LINE 12C, III-FI | BARNES-JEWISH HOSPITAL | Yes (1) | |
| BARNES JEWISH ST PETERS & PROGRESS WEST FOUNDATION | |||||||||||
| 10 HOSPITAL DRIVE | ST PETERS | MO | 63376 | 454471497 | SUPPORT TO BJSPH & PWHC | MO | 501(C)(3) | LINE 7 | BJSP HOSPITAL & PROGRESS WEST | Yes (1) | |
| BARNES-JEWISH HOSPITAL | |||||||||||
| ONE BARNES-JEWISH HOSPITAL PLAZA | ST LOUIS | MO | 63110 | 237309937 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 3 | BJC HEALTH SYSTEM | Yes (1) | |
| BARNES-JEWISH ST PETERS HOSPITAL AUXILIARY | |||||||||||
| 10 HOSPITAL DRIVE | ST PETERS | MO | 63376 | 431232811 | SUPPORT TO BJSP HOSPITAL | MO | 501(C)(3) | LINE 3 | BARNES-JEWISH ST PETERS HOSPITAL | Yes (1) | |
| BARNES-JEWISH ST PETERS HOSPITAL INC | |||||||||||
| 10 HOSPITAL DRIVE | ST PETERS | MO | 63376 | 431452426 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 3 | BARNES-JEWISH HOSPITAL | 0 | |
| BARNES-JEWISH WEST COUNTY HOSPITAL | |||||||||||
| 12634 OLIVE STREET ROAD | CREVE COEUR | MO | 63141 | 431527130 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 3 | BARNES-JEWISH HOSPITAL | Yes (1) | |
| BJC BEHAVIORAL HEALTH | |||||||||||
| 1430 OLIVE STREET SUITE 400 | ST LOUIS | MO | 63103 | 431610561 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 3 | BJC HEALTH SYSTEM | Yes (1) | |
| BJC CORPORATE HEALTH SERVICES | |||||||||||
| 5000 MANCHESTER AVENUE | ST LOUIS | MO | 63110 | 431324103 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 3 | BARNES-JEWISH HOSPITAL | Yes (1) | |
| BJC HEALTH SYSTEM | |||||||||||
| 4901 FOREST PARK AVE STE 1200 | ST LOUIS | MO | 63108 | 431617558 | SUPPORTING ORG | MO | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| BJC HOME CARE SERVICES | |||||||||||
| 1935 BELTWAY DRIVE | ST LOUIS | MO | 63114 | 431450457 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 10 | BARNES-JEWISH HOSPITAL | Yes (1) | |
| BOONE HOSPITAL CENTER'S VISITING NURSES INC | |||||||||||
| 601 BUSINESS LOOP 70 W SUITE 280 | COLUMBIA | MO | 65203 | 430998347 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 10 | CH ALLIED SERVICES INC | Yes (1) | |
| CH ALLIED SERVICES INC | |||||||||||
| 1600 E BROADWAY | COLUMBIA | MO | 65201 | 431279063 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 3 | CH HEALTH SERVICES DEV CORP | Yes (1) | |
| CHRISTIAN HEALTH SERVICES DEV CORP | |||||||||||
| 11133 DUNN ROAD | ST LOUIS | MO | 63136 | 431230583 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 12C, III-FI | BJC HEALTH SYSTEM | Yes (1) | |
| CHRISTIAN HOSP ILLINOIS SVCS | |||||||||||
| 8 SUNSET HILLS | EDWARDSVILLE | IL | 62025 | 260131339 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 3 | CH ALLIED SERVICES INC | Yes (1) | |
| CHRISTIAN HOSPITAL FOUNDATION | |||||||||||
| 11155 DUNN ROAD SUITE 300 N | ST LOUIS | MO | 63136 | 431947644 | SUPPORT TO CHNE | MO | 501(C)(3) | LINE 7 | CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST | Yes (1) | |
| CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST | |||||||||||
| 11133 DUNN ROAD | ST LOUIS | MO | 63136 | 436057893 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 3 | CH HEALTH SERVICES DEV CORP | Yes (1) | |
| COMMUNITY HEALTH CONNECTION | |||||||||||
| 4353 CLAYTON AVE ROOM 164 | ST LOUIS | MO | 63110 | 460819384 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 10 | BJC HEALTH SYSTEM | Yes (1) | |
| FAIRVIEW HEIGHTS MEDICAL GROUP SC | |||||||||||
| 670 MASON RIDGE CENTER DR SUITE 300 | ST LOUIS | MO | 63141 | 364147189 | HEALTHCARE SERVICES | IL | 501(C)(3) | LINE 3 | BJC HEALTH SYSTEM | Yes (1) | |
| FOUNDATION FOR BARNES-JEWISH HOSPITAL | |||||||||||
| 1001 HIGHLANDS PLAZA DR WEST SUITE | ST LOUIS | MO | 63110 | 431648435 | SUPPORT TO BJH | MO | 501(C)(3) | LINE 7 | BARNES-JEWISH HOSPITAL | Yes (1) | |
| MEMORIAL FOUNDATION INC | |||||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 371186034 | SUPPORT TO PMMCI | IL | 501(C)(3) | LINE 7 | MEMORIAL REGIONAL HEALTH SVCS INC | Yes (1) | |
| MEMORIAL GROUP INC | |||||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 371186035 | SUPPORT TO MFI & MRHSI | IL | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| MEMORIAL REGIONAL HEALTH SERVICES INC | |||||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 810850178 | HEALTHCARE SERVICES | IL | 501(C)(3) | LINE 3 | BJC HEALTH SYSTEM | Yes (1) | |
| MEMORIAL REGIONAL HEALTH SVCS SELF-INS TRUST | |||||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 371064809 | PROVIDE MED MAL INSURANCE | IL | 501(C)(3) | LINE 12C, III-FI | MEMORIAL REGIONAL HEALTH SVCS INC | Yes (1) | |
| METRO EAST SERVICES INC | |||||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 460838901 | HEALTHCARE SERVICES | IL | 501(C)(3) | LINE 3 | MEMORIAL REGIONAL HEALTH SVCS INC | Yes (1) | |
| MISSOURI BAPTIST HEALTHCARE FOUNDATION | |||||||||||
| 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | 431472026 | SUPPORT TO MBMC | MO | 501(C)(3) | LINE 7 | MISSOURI BAPTIST MEDICAL CENTER | Yes (1) | |
| MISSOURI BAPTIST HOSPITAL OF SULLIVAN | |||||||||||
| 751 SAPPINGTON BRIDGE | SULLIVAN | MO | 63080 | 431459495 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 3 | MISSOURI BAPTIST MEDICAL CENTER | Yes (1) | |
| MISSOURI BAPTIST HOSPITAL OF SULLIVAN AUXILIARY | |||||||||||
| 751 SAPPINGTON BRIDGE | SULLIVAN | MO | 63080 | 431349641 | SUPPORT TO MBHS | MO | 501(C)(3) | LINE 3 | MISSOURI BAPTIST HOSPITAL OF SULLIVAN | Yes (1) | |
| MISSOURI BAPTIST MEDICAL CENTER | |||||||||||
| 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | 430652656 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 3 | BJC HEALTH SYSTEM | Yes (1) | |
| PARKLAND HEALTH CENTER | |||||||||||
| 1101 WEST LIBERTY ST | FARMINGTON | MO | 63640 | 431332368 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 3 | MISSOURI BAPTIST MEDICAL CENTER | Yes (1) | |
| PROGRESS EAST HEALTHCARE CENTER | |||||||||||
| 11155 DUNN ROAD SUITE 300 N | ST LOUIS | MO | 63136 | 261343214 | HEALTHCARE SERVICES | IL | 501(C)(3) | LINE 3 | CH ALLIED SERVICES INC | Yes (1) | |
| PROGRESS WEST HEALTHCARE CENTER | |||||||||||
| 2 PROGRESS POINT PARKWAY | OFALLON | MO | 63368 | 412140764 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 3 | BJC HEALTH SYSTEM | Yes (1) | |
| PROTESTANT MEMORIAL MEDICAL CENTER INC | |||||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 370635502 | HEALTHCARE SERVICES | IL | 501(C)(3) | LINE 3 | MEMORIAL REGIONAL HEALTH SVCS INC | Yes (1) | |
| SOUTHWEST ILLINOIS HEALTH VENTURES INC | |||||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 371413286 | SUPPORT TO PMMCI | IL | 501(C)(3) | LINE 12A, I | MEMORIAL REGIONAL HEALTH SVCS INC | 0 | |
| ST LOUIS CHILDREN'S HOSPITAL | |||||||||||
| ONE CHILDRENS PLACE | ST LOUIS | MO | 63110 | 430654870 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 3 | BJC HEALTH SYSTEM | Yes (1) | |
| ST LOUIS CHILDREN'S HOSPITAL FOUNDATION | |||||||||||
| ONE CHILDRENS PLACE | ST LOUIS | MO | 63110 | 431626863 | SUPPORT TO SLCH | MO | 501(C)(3) | LINE 7 | ST LOUIS CHILDREN'S HOSPITAL | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| THE HEART CARE INSTITUTE LLC | |||||||||
| 1020 NORTH MASON ROAD | ST LOUIS | MO | 63141 | 431870517 | MEDICAL SERVICES | MO | N/A | 0 | 0 |
| GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC | |||||||||
| ONE BARNES-JEWISH HOSP PLAZA | ST LOUIS | MO | 63110 | 431846941 | OUTPATIENT CARE SERVICES | MO | N/A | 0 | 0 |
| THE REHABILITATION INSTITUE OF ST LOUIS LLC | |||||||||
| 3660 GRANDVIEW PKWY | BIRMINGHAM | AL | 35243 | 631254288 | MEDICAL SERVICES | AL | N/A | 0 | 0 |
| CHILDREN'S DISCOVERY INSTITUTE LLC | |||||||||
| 4901 FOREST PARK AVE | ST LOUIS | MO | 63108 | SEARCH FOR CURES OF PEDIATRIC DISEASES | MO | N/A | 0 | 0 | |
| Y-SIHVI LLC | |||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 371385862 | PHYSICAL THERAPY & FITNESS | IL | N/A | 0 | 0 |
| SOUTHWEST ILLINOIS HEALTH SERVICES LLP | |||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 371312961 | MEDICAL SERVICES | IL | N/A | 0 | 0 |
| SOUTHWEST ILLINOIS HEALTH SERVICES REAL ESTATE LLP | |||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 823633320 | COMMERCIAL REAL ESTATE | IL | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ATG ASSURANCE COMPANY LTD | |||||||||||||||
| PO BOX 1109 GRAND CAYMAN | GEORGETOWN | GR CAYMAN | CJ | KY1-1002 | 980599167 | INSURANCE | CJ | N/A | C | 0 | |||||
| MEMORIAL CAPTIVE INSURANCE COMPANY | |||||||||||||||
| 94 SOLARIS 2ND FLOOR | CAMANA BAY | GR CAYMAN | CJ | KY1-1102 | 981082415 | INSURANCE | CJ | N/A | C | 0 | |||||
| PF SERVICES INC | |||||||||||||||
| 431237767 | MANAGEMENT SERVICES | N/A | C | 0 | 11155 DUNN ROAD | ST LOUIS | MO | 63136 | MO | ||||||
| MB MEDICAL SERVICES INC | |||||||||||||||
| 431437404 | HEALTHCARE SERVICES | N/A | C | 0 | 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | MO | ||||||
| DMP MIDWEST INC | |||||||||||||||
| 271943910 | INACTIVE | N/A | C | 0 | ONE METROPOLITAN SQ 2600 | ST LOUIS | MO | 63102 | MO | ||||||
| WLA INVESTMENT LTD | |||||||||||||||
| PO BOX 178 | OKOTOKS | ALBERTA | CA | T1S A15 | INVESTMENT HOLDINGS | CA | N/A | C | 0 | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
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