FAIRVIEW HEIGHTS MEDICAL GROUP SC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- FAIRVIEW HEIGHTS MEDICAL GROUP SC (EIN 36-4147189)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-13
- IRS object ID
- 202503179349309410
- Schema version
- 2024v5.2
- 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 | 2025-11-13T15:15:04-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364147189 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAIRVIEW HEIGHTS MEDICAL GROUPSC | BusinessNameLine1Txt |
| Business Name Line2 | C/O BJC MEDICAL GROUP LC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAIR | BusinessNameControlTxt |
| Phone | 3149967601 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 MEMORIAL DRIVE 220 | AddressLine1Txt |
| City | ALTON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62002 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN T ELLENA MD | PersonNm |
| Person Title | PRESIDENT/SECY/DIRECTOR | PersonTitleTxt |
| Phone | 3149967601 | PhoneNum |
| Signature | 2025-11-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BJC MEDICAL GROUP OF ILLINOIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN T ELLENA MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 MEMORIAL DRIVE 220 | AddressLine1Txt |
| City | ALTON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $167,657,984 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HEALTHCARE SERVICES TO PATIENTS | ActivityOrMissionDesc |
| Voting Members Governing Body | 1 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 1047 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $148,188,435 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $167,657,984 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $148,188,435 | PYTotalRevenueAmt |
| CY Total Revenue | $167,657,984 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $8,100 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $104,884,763 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $117,019,823 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $43,303,672 | PYOtherExpensesAmt |
| CY Other Expenses | $50,630,061 | CYOtherExpensesAmt |
| PY Total Expenses | $148,188,435 | PYTotalExpensesAmt |
| CY Total Expenses | $167,657,984 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $0 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $29,789,138 | TotalAssetsBOYAmt |
| Total Assets EOY | $33,779,586 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $26,397,048 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,907,971 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,392,090 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,871,615 | NetAssetsOrFundBalancesEOYAmt |
| Mission | AS AN AFFILIATE OF BJC HEALTH SYSTEM (BJC), FAIRVIEW HEIGHTS MEDICAL GROUP SC IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES IT SERVES THROUGH LEADERSHIP, EDUCATION, INNOVATION AND EXCELLENCE IN MEDICINE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $158,480,769 | ExpenseAmt |
| Grant | $8,100 | GrantAmt |
| Revenue | $167,657,984 | RevenueAmt |
| Desc | DURING THE YEAR, THE ORGANIZATION PROVIDED QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. THE ORGANIZATION HAD 651,016 VISITS DURING 2024. | Desc |
| Total Program Service Expenses | $158,480,769 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | 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 | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1047 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 |
| 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 | 1 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIANNE NEWMAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3142862057 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 670 MASON RIDGE CENTER DR STE 300 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63141 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (6 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ELLENA JOHN MD | ||||||||
| PRES/SECY/DIRECTOR | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $711,842 | $8,581 | |
| KANDULA PRASAD MD | ||||||||
| PHYSICIAN | 40.00 | $1,369,659 | $14,788 | $3,430 | Yes (X) | |||
| JAMOUS ABDULSALAM MD | ||||||||
| PHYSICIAN | 40.00 | $1,339,101 | $0 | $14,839 | Yes (X) | |||
| OMOTOLA AARON MD | ||||||||
| PHYSICIAN | 40.00 | $1,284,892 | $0 | $19,095 | Yes (X) | |||
| STIRTON JOHN W MD | ||||||||
| PHYSICIAN | 40.00 | $1,018,313 | $23,400 | $18,029 | Yes (X) | |||
| TIWARI SUMIT MD | ||||||||
| PHYSICIAN | 40.00 | $868,475 | $0 | $16,211 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,880,440 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $750,030 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $80,185 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 278 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CHG COMPANIES INC COMPHEALTH | |||||
| 7259 S BINGHAM JUNCTION BLVD | MIDVALE | UT | 84047 | PHYSICIAN STAFFING | $2,796,126 |
| INTERIM PHYSICIANS | |||||
| 12647 OLIVE BLVD SUITE | ST LOUIS | MO | 63141 | PHYSICIAN STAFFING | $2,434,524 |
| WEATHERBY LOCUMS | |||||
| 6451 NORTH FEDERAL HIGHWAY | FORT LAUDERDALE | FL | 33308 | PHYSICIAN STAFFING | $1,610,588 |
| ALTON DOCTORS BUILDING LP | |||||
| ONE PROFESSIONAL DRIVE | ALTON | IL | 62002 | LEASING | $678,942 |
| EXCHANGERIGHT NLP 67 MASTER LESSEE LLC | |||||
| 1055 E COLORADO BLVD | PASADENA | CA | 91106 | LEASING | $321,892 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROGRAM SERVICE REV | 621110 | $109,273,742 | $109,273,742 |
| SERVICES TO AFFILIATES | 621110 | $58,384,242 | $58,384,242 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $167,657,984 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $167,657,984 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $167,657,984 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,100 | TotalAmt |
| Program Services | $8,100 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,370,369 | TotalAmt |
| Program Services | $97,370,369 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,616,745 | TotalAmt |
| Program Services | $4,616,745 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,171,043 | TotalAmt |
| Program Services | $9,171,043 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,861,666 | TotalAmt |
| Program Services | $5,861,666 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,455,988 | TotalAmt |
| Program Services | $13,455,988 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $640,719 | TotalAmt |
| Program Services | $640,719 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $715,090 | TotalAmt |
| Program Services | $715,090 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,450,646 | TotalAmt |
| Program Services | $7,450,646 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,810 | TotalAmt |
| Program Services | $63,810 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,185 | TotalAmt |
| Program Services | $13,185 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,384 | TotalAmt |
| Program Services | $149,384 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,810,782 | TotalAmt |
| Program Services | $2,810,782 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,807,308 | TotalAmt |
| Program Services | $5,807,308 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $8,840,448 | $8,840,448 |
| RECRUITMENT | $577,430 | $577,430 |
| EQUIP RENTAL & MAINT | $359,197 | $359,197 |
| DUES & SUBSCRIPTIONS | $43,355 | $43,355 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,702,719 | TotalAmt |
| Program Services | $525,504 | ProgramServicesAmt |
| Management And General | $9,177,215 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,657,984 | TotalAmt |
| Program Services | $158,480,769 | ProgramServicesAmt |
| Management And General | $9,177,215 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,207 | BOYAmt |
| EOY | $1,082 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,689,877 | BOYAmt |
| EOY | $8,396,131 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,000 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $825,834 | BOYAmt |
| EOY | $903,893 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,653,588 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,880,141 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,402,063 | BOYAmt |
| EOY | $6,773,447 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,686,157 | BOYAmt |
| EOY | $17,205,033 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,789,138 | BOYAmt |
| EOY | $33,779,586 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,119,200 | BOYAmt |
| EOY | $8,245,854 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,277,848 | BOYAmt |
| EOY | $23,662,117 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,397,048 | BOYAmt |
| EOY | $31,907,971 | 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 | $3,392,090 | BOYAmt |
| EOY | $1,871,615 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,392,090 | BOYAmt |
| EOY | $1,871,615 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,789,138 | BOYAmt |
| EOY | $33,779,586 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,520,475 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,681,683 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,277,143 | DepreciationAmt |
| Book Value | $4,404,540 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,606 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,410 | DepreciationAmt |
| Book Value | $17,196 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,910,299 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,558,588 | DepreciationAmt |
| Book Value | $2,351,711 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,773,447 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEFERRED COMPENSATION | $9,532,139 |
| RIGHT OF USE ASSETS | $7,672,894 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $17,205,033 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $9,539,870 |
| LONG TERM OTHER OPER LEASE | $6,480,656 |
| MALPRACTICE RESERVE | $7,641,591 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $23,662,117 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KANDULA PRASAD MD | ||||||||||||||
| PHYSICIAN | $1,246,611 | $1,625 | $119,484 | $0 | $3,564 | $13,163 | $0 | $0 | $3,402 | $28 | $1,373,061 | $14,816 | $0 | $0 |
| JAMOUS ABDULSALAM MD | ||||||||||||||
| PHYSICIAN | $1,250,686 | $0 | $84,375 | $0 | $4,040 | $0 | $0 | $0 | $14,839 | $0 | $1,353,940 | $0 | $0 | $0 |
| OMOTOLA AARON MD | ||||||||||||||
| PHYSICIAN | $1,245,074 | $0 | $38,909 | $0 | $909 | $0 | $0 | $0 | $19,095 | $0 | $1,303,987 | $0 | $0 | $0 |
| STIRTON JOHN W MD | ||||||||||||||
| PHYSICIAN | $958,346 | $23,400 | $59,157 | $0 | $810 | $0 | $0 | $0 | $17,919 | $110 | $1,036,232 | $23,510 | $0 | $0 |
| TIWARI SUMIT MD | ||||||||||||||
| PHYSICIAN | $756,348 | $0 | $111,504 | $0 | $623 | $0 | $0 | $0 | $16,211 | $0 | $884,686 | $0 | $0 | $0 |
| ELLENA JOHN MD | ||||||||||||||
| PRES/SECY/DIRECTOR | $0 | $641,803 | $0 | $55,649 | $0 | $14,390 | $0 | $0 | $0 | $8,581 | $0 | $720,423 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 | THE ORGANIZATION PROVIDED INCENTIVE PAYMENTS THAT ARE CALCULATED USING A PERCENT OF BASE PAY AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE MET. THE AMOUNT OF INCENTIVE PAYMENTS DO NOT ACCRUE TO THE BENEFIT OF THE INDIVIDUALS UNTIL AFTER THE FINANCIAL RESULTS HAVE BEEN DETERMINED FOR THE CALENDAR YEAR. |
| SCH J PART 1, LINE 3 | THE COMPENSATION AND BENEFIT AMOUNTS OF THE ORGANIZATION'S OFFICER AND TOP MANAGEMENT OFFICIALS ARE DETERMINED BY AN INDEPENDENT COMMITTEE OF THE BOARD OF DIRECTORS OF BJC HEALTH SYSTEM. THIS COMMITTEE IS COMPRISED OF INDEPENDENT PERSONS AND USES COMPENSATION CONSULTING STUDIES AND BENCHMARKING DATA PROVIDED BY AN INDEPENDENT MANAGEMENT CONSULTANT TO ESTABLISH COMPENSATION AMOUNTS AND GUIDELINES. THE PROCESS INCLUDES A VALIDATION OF JOB DESCRIPTIONS AS WELL AS REPORTING ALL FORMS OF COMPENSATION. THE CONSULTANT USES SURVEY DATA TO DETERMINE MARKET RATES OF BASE SALARY AND OTHER SHORT AND LONG TERM INCENTIVES FOR THE BJC HEALTH SYSTEM CEO AND OTHER SENIOR EXECUTIVES. THE COMPENSATION COMMITTEE REVIEWS AND APPROVES, AND SUBSEQUENTLY RECONCILES EXECUTIVE COMPENSATION AS WELL AS DELIBERATES ON THE REASONABLENESS OF THE DATA. THIS REVIEW IS DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE MEETINGS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART IV, LINE 20 | FAIRVIEW HEIGHTS MEDICAL GROUP, S.C. (ORGANIZATION) IS AN ILLINOIS PROFESSIONAL SERVICE CORPORATION ORGANIZED TO SATISFY THE REQUIREMENTS UNDER THE ILLINOIS MEDICAL PRACTICE ACT. THE ORGANIZATION EMPLOYS LICENSED PHYSICIANS TO PROVIDE HEALTH CARE SERVICES TO PATIENTS. THE ORGANIZATION IS NOT A LICENSED HOSPITAL WITHIN THE STATE OF ILLINOIS AND DOES NOT OPERATE ONE OR MORE FACILITES THAT SATISFY THE DEFINITION OF A HOSPITAL. ACCORDINGLY, THE ORGANIZATION IS NOT REQUIRED TO COMPLETE AND FILE FORM 990, SCHEDULE H. |
| 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, DIRECTORS OR KEY EMPLOYEES OF THE ORGANIZATION AND BJC HEALTH SYSTEM (BJC) MAY ALSO SERVE ON THE BOARDS OF OTHER RELATED OR UNRELATED ORGANIZATIONS. ADDITIONALLY, CERTAIN FAMILY MEMBERS OF OFFICERS, DIRECTORS OR KEY EMPLOYEES MAY, DURING THE NORMAL COURSE OF BUSINESS YET CONSISTENT WITH ITS STATED EXEMPT PURPOSE, ENGAGE IN TRANSACTIONS IN WHICH POTENTIAL CONFLICTS OF INTEREST COULD EXIST. THESE OFFICERS, DIRECTORS, KEY EMPLOYEES AND RELATED PERSONS DISCLOSE THESE POTENTIAL CONFLICTS TO BJC HEALTH SYSTEM ANNUALLY AND DO NOT PARTICIPATE IN DECISIONS IN WHICH THEY HAVE SUCH CONFLICTS. SUCH CONFLICTS AND RELATIONSHIPS ARE REVIEWED TO ENSURE THAT ANY PAYMENTS RECEIVED OR AMOUNTS PAID DO NOT EXCEED THE FAIR MARKET VALUE OF THE GOODS AND SERVICES RECEIVED BY THE REPORTING ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION PREPARES DRAFT COPIES OF FORM 990 AND ATTACHMENTS FOR REVIEW BY MEMBERS OF MANAGEMENT. AFTER RESOLVING ANY OPEN ITEMS, THE FINAL DRAFT RETURNS ARE MADE AVAILABLE TO THE BOARD FOR REVIEW. QUESTIONS AND COMMENTS THAT ARISE DURING THE REVIEW OF THE FORMS ARE ADDRESSED IN ADVANCE OF SUBMISSION TO THE APPROPRIATE TAXING AUTHORITIES. |
| 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 POTENTIAL CONFLICTS AND REQUESTING THAT THEY COMPLETE A CONFLICTS OF INTEREST QUESTIONNAIRE. THE QUESTIONNAIRE REQUIRES THE DISCLOSURE OF CONFLICTS AND AN ATTESTATION TO THEIR CONTINUING OBLIGATION TO DISCLOSE SAID CONFLICTS SHOULD THE NEED ARISE. THE RESULTS OF THE CONFLICTS OF INTEREST QUESTIONNAIRE ARE REVIEWED BY A CENTRALIZED COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION TAKEN AS NECESSARY. SHOULD THE ORGANIZATION BECOME AWARE OF A CONFLICT NOT PREVIOUSLY REPORTED, ITS GENERAL COUNSEL WOULD INVESTIGATE THE ISSUE AND RESPOND IN ACCORDANCE WITH THE POLICY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE NET ASSETS AND ACTIVITIES OF FAIRVIEW HEIGHTS MEDICAL GROUP, S.C. (THE ORGANIZATION) ARE INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF BJC HEALTH SYSTEM AND AFFILIATES (BJC). BJC AND THE ORGANIZATION MAKES ALL GOVERNING DOCUMENTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE FOR INSPECTION BY THE GENERAL PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION. |
| FORM 990, PART XI, LINE 9: | ENTITY TRANSFERS TO FROM AFFILIATES -1,520,475. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 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 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 ST PETERS & PROGRESS WEST FOUNDATION | |||||||||||
| 10 HOSPITAL DRIVE | ST PETERS | MO | 63376 | 454471497 | SUPPORT TO BJSPH & PWHC | MO | 501(C)(3) | LINE 7 | BJSPH & PWHC | 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 NENW | 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 | PROTESTANT MEMORIAL MEDICAL CENTER INC | Yes (1) | |
| MEMORIAL GROUP INC | |||||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 371186035 | SUPPORT TO MFI & PMMCI | IL | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| 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 AUXILIARY INC | |||||||||||
| 751 SAPPINGTON BRIDGE RD | SULLIVAN | MO | 63080 | 431349641 | SUPPORT TO MBHS | MO | 501(C)(3) | LINE 10 | MISSOURI BAPTIST HOSP OF SULLIVAN | Yes (1) | |
| PARKLAND HEALTH CENTER FOUNDATION | |||||||||||
| 1101 WEST LIBERTY ST | FARMINGTON | MO | 63640 | 900424964 | SUPPORT TO PHC | MO | 501(C)(3) | LINE 12A, I | PARKLAND HEALTH CENTER | 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) | |
| SAINT LUKE'S FOUNDATION | |||||||||||
| 901 E 104TH STREET | KANSAS CITY | MO | 64131 | 446014699 | SUPPORT TO SLHS | MO | 501(C)(3) | LINE 7 | SAINT LUKES HEALTH SYSTEM | Yes (1) | |
| SAINT LUKE'S CUSHING HOSPITAL INC (TERM'D 2024) | |||||||||||
| 5830 NW BARRY ROAD | KANSAS CITY | MO | 64154 | 480543792 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 3 | SAINT LUKES HEALTH SYSTEM | Yes (1) | |
| WINDSOR CARE INCORPORATED (TERM'D 2024) | |||||||||||
| 4301 MADISON AVENUE | KANSAS CITY | MO | 64111 | 205284328 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 10 | SAINT LUKES HEALTH SYSTEM | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 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 INSTITUTE OF ST LOUIS LLC | |||||||||
| 9001 LIBERTY PARKWAY | BIRMINGHAM | AL | 35242 | 631254288 | MEDICAL SERVICES | AL | N/A | 0 | 0 |
| THE REHABILITATION INSTITUTE OF SOUTHERN ILLINOIS LLC | |||||||||
| 9001 LIBERTY PARKWAY | BIRMINGHAM | AL | 35242 | 834553991 | 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 REAL ESTATE LLP | |||||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 823633320 | COMMERCIAL REAL ESTATE | IL | N/A | 0 | 0 |
| ST LOUIS HEALTHCARE SUPPORT SERVICES LLC | |||||||||
| 4901 FOREST PARK AVE | ST LOUIS | MO | 63108 | 372121486 | SUPPORT SERVICES | MO | N/A | 0 | 0 |
| SAINT LUKE'S SURGICENTER-LEE'S SUMMIT LLC | |||||||||
| PO BOX 7010 | OVERLAND PARK | KS | 66207 | 470853481 | MEDICAL SERVICES | KS | N/A | 0 | 0 |
| MEDICAL PLAZA PARTNERS LP | |||||||||
| 901 E 104TH | KANSAS CITY | MO | 64131 | 431357824 | OWN & OPERATE MEDICAL OFFICE BUILDING | MO | N/A | 0 | 0 |
| SAINT LUKE'S - GI DIAGNOSTICS LLC | |||||||||
| 4321 WASHINGTON STE 5700 | KANSAS CITY | MO | 64111 | 274142549 | MEDICAL SERVICES | MO | N/A | 0 | 0 |
| SAINT LUKE'S NORTH SURGERY CENTER LLC | |||||||||
| 901 E 104TH | KANSAS CITY | MO | 64131 | 920591506 | MEDICAL SERVICES | MO | N/A | 0 | 0 |
| SAINT LUKE'S RADIATION THERAPY-LIBERTY LLC | |||||||||
| 901 E 104TH | KANSAS CITY | MO | 64131 | 473793070 | MEDICAL SERVICES | MO | N/A | 0 | 0 |
| SAINT LUKE'S SOUTH SURGERY CENTER LLC | |||||||||
| PO BOX 7010 | OVERLAND PARK | KS | 66207 | 201721929 | MEDICAL SERVICES | KS | N/A | 0 | 0 |
| SAINT LUKE'S SOUTH PAIN MANAGEMENT CENTER LLC | |||||||||
| 7651 W 159TH STREET | OVERLAND PARK | KS | 66223 | 863451115 | MEDICAL SERVICES | KS | N/A | 0 | 0 |
| KANSAS CITY ORTHPAEDIC INSTITUTE LLC | |||||||||
| 3651 COLLEGE BLVD | LEAWOOD | KS | 66211 | 481197295 | MEDICAL SERVICES | KS | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 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 | |||||
| MB MEDICAL SERVICES INC | |||||||||||||||
| 431437404 | HEALTHCARE SERVICES | N/A | C | 0 | 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | MO | ||||||
| PF SERVICES INC | |||||||||||||||
| 431237767 | MANAGEMENT SERVICES | N/A | C | 0 | 11155 DUNN ROAD | ST LOUIS | MO | 63136 | MO | ||||||
| ACTIVUM SG FEEDER FUND VII LP | |||||||||||||||
| ORDNANCE HOUISE 31 PIER ROAD | ST. HELIER | JE | JE4 8PW | 981641958 | INVESTMENT HOLDINGS | JE | N/A | C | 0 | ||||||
| SAINT LUKES HEALTH SYSTEM RISK RETENTION GROUP | |||||||||||||||
| 371471890 | INSURANCE | N/A | C | 0 | 901 E104TH ST | KANSAS CITY | MO | 64131 | SC | ||||||
| ST LUKES HEALTH VENTURES INC | |||||||||||||||
| 431278476 | ACCOUNTING | N/A | C | 0 | 901 E104TH ST | KANSAS CITY | MO | 64131 | MO | ||||||
| MEDICAL PLAZA MANAGEMENT INC | |||||||||||||||
| 431352317 | MEDICAL OFFICE BUILDING MANAGEMENT | N/A | C | 0 | 901 E104TH ST | KANSAS CITY | MO | 64131 | MO | ||||||
| SAINT LUKES HEALTH SYSTEM INSURANCE LTD | |||||||||||||||
| 113 SOUTH CHURCH RD | GEORGETOWN | GR CAYMAN | CJ | CAPTIVE | CJ | N/A | C | 0 | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | 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 | Yes (1) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | 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 | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| A | $149,384 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| I | $591,331 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| H | $411,214 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| K | $578,965 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| J | $4,592,537 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| M | $7,293,045 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| L | $19,295,486 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| O | $61,062,042 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| Q | $430,799,053 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| P | $318,386,142 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| S | $109,364,775 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART II | FormAndLineReferenceDesc |
| Explanation | THE FILING ORGANIZATION IS AN AFFILIATE OF BJC HEALTH SYSTEM BUT IS NOT INCLUDED THE GROUP EXEMPTION FOR BJC HEALTH SYSTEM. PER THE INSTRUCTIONS, AN ORGANIZATION THAT ISN'T INCLUDED IN A GROUP EXEMPTION ISN'T REQUIRED TO LIST IN PART II A RELATED ORGANIZATION THAT IS INCLUDED IN A GROUP EXEMPTION. THUS, MEMBERS OF THE BJC HEALTH SYSTEM GROUP EXEMPTION ARE NOT REPORTED ON SCH R FOR THE FILING ORGANIZATION. | ExplanationTxt |
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