FAIRVIEW HEIGHTS MEDICAL GROUP SC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- FAIRVIEW HEIGHTS MEDICAL GROUP SC (EIN 36-4147189)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-14
- IRS object ID
- 201823189349308487
- Schema version
- 2017v2.3
- 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 | 2018-11-14T15:04:22-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | 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 NO 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 | 2018-11-12 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 159.251.7.51 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-12 | IPDt |
| IP Tm | 18:03:09 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 41114BE78F9267D8857AD0643F4D09414A798F58 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2E0617DCF860B22C3F0F9F24470DBB0FF68CD602 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | 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 NO 220 | AddressLine1Txt |
| City | ALTON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $42,462,088 | 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 | 294 | 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 | $38,452,651 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $42,462,088 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $38,452,651 | PYTotalRevenueAmt |
| CY Total Revenue | $42,462,088 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,750 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,290 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,579,198 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $29,500,459 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,875,822 | PYOtherExpensesAmt |
| CY Other Expenses | $12,958,339 | CYOtherExpensesAmt |
| PY Total Expenses | $38,458,770 | PYTotalExpensesAmt |
| CY Total Expenses | $42,462,088 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,119 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,486,457 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,495,505 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,702,550 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,721,883 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,216,093 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,773,622 | 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 | $39,064,766 | ExpenseAmt |
| Grant | $3,290 | GrantAmt |
| Revenue | $42,462,088 | 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 180563 VISITS DURING 2017. | Desc |
| Total Program Service Expenses | $39,064,766 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | 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 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 62 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 294 | 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 |
| 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 | $516,897 | $214,547 | |
| OMOTOLAAARON | ||||||||
| PHYSICIAN | 40.00 | $1,365,975 | $0 | $73,794 | Yes (X) | |||
| STIRTON JOHN W | ||||||||
| PHYSICIAN | 40.00 | $934,445 | $151,322 | $67,433 | Yes (X) | |||
| KEST DAREN | ||||||||
| PHYSICIAN | 40.00 | $646,098 | $0 | $83,831 | Yes (X) | |||
| RAIAJITESH | ||||||||
| PHYSICIAN | 40.00 | $631,073 | $12,900 | $107,545 | Yes (X) | |||
| RAFIQ REHAN | ||||||||
| PHYSICIAN | 40.00 | $591,846 | $0 | $97,085 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,169,437 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $681,119 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $644,235 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 66 | 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 |
|---|---|---|---|---|---|
| LOCUM LEADERS | |||||
| 26745 NETWORK PLACE | CHICAGO | IL | 60673 | PHYSICIAN STAFFING | $407,940 |
| SHRED IT SAINT LOUIS | |||||
| 28883 NETWORK PLACE | CHICAGO | IL | 60673 | DOCUMENT SHREDDING & RECYCLING | $273,562 |
| INTERIM PHYSICIANS LLC | |||||
| 12647 OLIVE BLVD | STLOUIS | MO | 63141 | PHYSICIAN STAFFING | $254,841 |
| AXIS TELESOLUTIONS | |||||
| 2110 S VANDEVENTER | ST LOUIS | MO | 63110 | TELECOMMUNICATION SERVICES | $219,624 |
| LANGUAGE ACCESS MULTICULTURAL PEOPLE | |||||
| 8050 WATSON RD | ST LOUIS | MO | 63119 | FOREIGN LANGUAGE INTERPRETING | $141,857 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROGRAM SERVICE REV | 621110 | $29,389,820 | $29,389,820 |
| SERVICES TO AFFILIATES | 621110 | $13,072,268 | $13,072,268 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $42,462,088 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,462,088 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,462,088 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,290 | TotalAmt |
| Program Services | $3,290 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,001,214 | TotalAmt |
| Program Services | $25,001,214 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,362,424 | TotalAmt |
| Program Services | $1,362,424 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,802,840 | TotalAmt |
| Program Services | $1,802,840 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,333,981 | TotalAmt |
| Program Services | $1,333,981 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,260,370 | TotalAmt |
| Management And General | $2,260,370 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,847,579 | TotalAmt |
| Program Services | $2,847,579 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,963 | TotalAmt |
| Program Services | $33,963 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,307 | TotalAmt |
| Program Services | $184,307 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,150 | TotalAmt |
| Program Services | $65,150 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,587,711 | TotalAmt |
| Program Services | $1,587,711 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,402 | TotalAmt |
| Program Services | $33,402 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,461 | TotalAmt |
| Program Services | $5,461 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,847 | TotalAmt |
| Program Services | $522,847 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,378,992 | TotalAmt |
| Program Services | $1,378,992 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $2,287,377 | $2,287,377 |
| RECRUITMENT | $82,160 | $82,160 |
| EQUIP RENTAL & MAINT | $69,344 | $69,344 |
| DUES & SUBSCRIPTIONS | $48,171 | $48,171 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,551,505 | TotalAmt |
| Program Services | $414,553 | ProgramServicesAmt |
| Management And General | $1,136,952 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,462,088 | TotalAmt |
| Program Services | $39,064,766 | ProgramServicesAmt |
| Management And General | $3,397,322 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,168 | BOYAmt |
| EOY | $2,438 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,174,189 | BOYAmt |
| EOY | $15,523,401 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,483,256 | BOYAmt |
| EOY | $2,889,004 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,872 | BOYAmt |
| EOY | $191,549 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,892,986 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,003,873 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,147,350 | BOYAmt |
| EOY | $889,113 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,486,457 | BOYAmt |
| EOY | $19,495,505 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,218,170 | BOYAmt |
| EOY | $1,668,307 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,484,380 | BOYAmt |
| EOY | $2,053,576 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,702,550 | BOYAmt |
| EOY | $3,721,883 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,216,093 | BOYAmt |
| EOY | $15,773,622 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,216,093 | BOYAmt |
| EOY | $15,773,622 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,486,457 | BOYAmt |
| EOY | $19,495,505 | 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 | $16,989,715 | 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 | $2,946,669 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,479,755 | DepreciationAmt |
| Book Value | $466,914 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,293 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,108 | DepreciationAmt |
| Book Value | $185 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,945,024 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,523,010 | DepreciationAmt |
| Book Value | $422,014 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $889,113 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MALPRACTICE RESERVE | Desc |
| Amt | $2,053,576 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,053,576 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELLENA JOHN MD | ||||||||||||||
| PRES/SECY/DIRECTOR | $0 | $448,625 | $0 | $64,273 | $0 | $3,999 | $0 | $186,982 | $0 | $27,565 | $0 | $731,444 | $0 | $0 |
| OMOTOLAAARON | ||||||||||||||
| PHYSICIAN | $1,208,762 | $0 | $155,473 | $0 | $1,740 | $0 | $42,028 | $0 | $31,766 | $0 | $1,439,769 | $0 | $0 | $0 |
| STIRTON JOHN W | ||||||||||||||
| PHYSICIAN | $820,843 | $143,339 | $98,116 | $7,405 | $15,486 | $578 | $26,452 | $0 | $30,157 | $10,824 | $991,054 | $162,146 | $0 | $0 |
| KEST DAREN | ||||||||||||||
| PHYSICIAN | $565,248 | $0 | $78,483 | $0 | $2,367 | $0 | $50,840 | $0 | $32,991 | $0 | $729,929 | $0 | $0 | $0 |
| RAIAJITESH | ||||||||||||||
| PHYSICIAN | $531,837 | $12,900 | $97,994 | $0 | $1,242 | $0 | $75,034 | $0 | $32,448 | $63 | $738,555 | $12,963 | $0 | $0 |
| RAFIQ REHAN | ||||||||||||||
| PHYSICIAN | $526,524 | $0 | $64,512 | $0 | $810 | $0 | $66,928 | $0 | $30,157 | $0 | $688,931 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 | DURING 2017 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 16,989,715. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (40 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 12D, III-O | 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) | PF | 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 12D, III-O | 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 | Yes (1) | |
| 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 12D, III-O | 0 | N/A | |
| BJC HOME CARE SERVICES | |||||||||||
| 1935 BELTWAY DRIVE | ST LOUIS | MO | 63114 | 431450457 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 11 | 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 11 | 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) | |
| CHILDREN'S HEALTH NETWORK | |||||||||||
| ONE CHILDRENS PLACE | ST LOUIS | MO | 63110 | 431640467 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 11 | ST LOUIS CHILDREN'S HOSPITAL | Yes (1) | |
| CHRISTIAN HEALTH SERVICES DEV CORP | |||||||||||
| 11133 DUNN ROAD | ST LOUIS | MO | 63136 | 431230583 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 12D, III-O | 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 11 | 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 SIHVI | IL | 501(C)(3) | LINE 12D, III-O | 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 12D, III-O | 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) | |
| 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) | |
| PARKLAND HEALTH CENTER WEBER ROAD | |||||||||||
| 1101 WEST LIBERTY ST | FARMINGTON | MO | 63640 | 473251218 | 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 | HEALTHCARE SERVICES | IL | 501(C)(3) | LINE 3 | MEMORIAL GROUP 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 |
|---|---|---|---|---|---|---|---|
| THE HEART CARE INSTITUTE LLC | |||||||
| 1020 NORTH MASON ROAD | ST LOUIS | MO | 63141 | 431870517 | MEDICAL SERVICES | MO | N/A |
| GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC | |||||||
| ONE BARNES-JEWISH HOSP PLAZA | ST LOUIS | MO | 63110 | 431846941 | OUTPATIENT CARE SERVICES | MO | N/A |
| BJCHEALTHSOUTH REHABILITATION CENTER LLC | |||||||
| 3660 GRANDVIEW PKWY | BIRMINGHAM | AL | 35243 | 631254288 | MEDICAL SERVICES | AL | N/A |
| CHILDREN'S DISCOVERY INSTITUTE LLC | |||||||
| 4901 FOREST PARK AVE | ST LOUIS | MO | 63108 | SEARCH FOR CURES OF PEDIATRIC DISEASES | MO | N/A | |
| Y-SIHVI LLC | |||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 371385862 | PHYSICAL THERAPY & FITNESS | IL | N/A |
| SOUTHWEST ILLINOIS HEALTH SERVICES LLP | |||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 371312961 | MEDICAL SERVICES | IL | N/A |
| SOUTHWEST ILLINOIS HEALTH SERVICES REAL ESTATE LLP | |||||||
| 4500 MEMORIAL DRIVE | BELLEVILLE | IL | 62226 | 823633320 | COMMERCIAL REAL ESTATE | IL | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 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 | ||||||
| BLACKSTONEGSO GLOB DYN CR FEED FD | |||||||||||||||
| 190 ELGIN AVE | GEORGETOWN | GR CAYMAN | CJ | KY1-9005 | 981121163 | INVESTMENT HOLDINGS | CJ | N/A | C | 0 | |||||
| GARDNER LEWIS MERG ARB EX OFFSH | |||||||||||||||
| 31 VICTORIA PLACE | HAMILTON | BD | HM 10 | INVESTMENT HOLDINGS | BD | N/A | C | 0 | |||||||
| THEOREM PRIME YIELD FUND OFFSHORE LP | |||||||||||||||
| 27 HOSPITAL ROAD | GEORGETOWN | GR CAYMAN | CJ | KY1-9008 | INVESTMENT HOLDINGS | CJ | N/A | C | 0 | ||||||
| III EQUITY INDEX ALTERNATIVE FUND | |||||||||||||||
| 777 YAMATO ROAD SUITE 300 | BOCA RATON | GR CAYMAN | CJ | 33431 | INVESTMENT HOLDINGS | CJ | 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 | 0 | 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 | 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 (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| I | $1,159,240 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| J | $188,693 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| K | $5,274,365 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| L | $5,916,687 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| O | $13,048,582 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| P | $112,457,350 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| Q | $123,252,063 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| R | $6,314,536 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| S | $18,885,681 |
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