PARKLAND HEALTH CENTER FOUNDATION: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PARKLAND HEALTH CENTER FOUNDATION (EIN 90-0424964)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201743199349309884
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T13:28:13-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | 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 | 5737608036 | 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 | THOMAS KARL | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 5737608036 | PhoneNum |
| Signature | 2017-11-13 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 159.251.7.3 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-13 | IPDt |
| IP Tm | 16:13:44 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 36DDC3E5062C74843A121C5F2526D3162B48B01A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 6D002A5DB424D8E23D8749209D763C9AE0ADB18E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS KARL | 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 | $2,527,802 | 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 | TO PROVIDE SUPPORT FOR PARKLAND HEALTH CENTER TO ACCOMPLISH ITS MISSION OF PROVIDING EXTRAORDINARY PATIENT CARE. SEE MISSION STATEMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,900 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,375 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $246,716 | PYInvestmentIncomeAmt |
| CY Investment Income | $87,903 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $1,785 | CYOtherRevenueAmt |
| PY Total Revenue | $253,616 | PYTotalRevenueAmt |
| CY Total Revenue | $104,063 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,000 | 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 | $3,830 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,803 | PYOtherExpensesAmt |
| CY Other Expenses | $14,895 | CYOtherExpensesAmt |
| PY Total Expenses | $22,803 | PYTotalExpensesAmt |
| CY Total Expenses | $16,895 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $230,813 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $87,168 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,442,114 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,633,303 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $179,822 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $125,416 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,262,292 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,507,887 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF THE PARKLAND HEALTH CENTER FOUNDATION IS TO SECURE PHILANTHROPIC SUPPORT FOR PARKLAND HEALTH CENTER TO ACCOMPLISH ITS MISSION OF PROVIDING EXTRAORDINARY CARE. FOLLOWING ARE THE AREAS THE FOUNDATION WILL FOCUS ON TO FULFILL ITS MISSION: LEADING-EDGE TECHNOLOGY AND CLINICAL EQUIPMENT; CLINICAL SERVICES; HIGH-QUALITY PHYSICIANS AND OTHER MEDICAL PROFESSIONALS; A THRIVING WORKFORCE THAT PROVIDES SUPERIOR PATIENT CARE AND IS PASSIONATE ABOUT SERVICE EXCELLENCE; AND PUBLIC HEALTH EDUCATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,000 | ExpenseAmt |
| Grant | $2,000 | GrantAmt |
| Desc | IN FURTHERANCE OF ITS MISSION, THE FOUNDATION PROVIDED FUNDING TO MINERAL AREA COLLEGE FOR THE LANDRUM HIRSCH MEMORIAL SCHOLARSHIP | Desc |
| Total Program Service Expenses | $2,000 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 0 | 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 | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | VALERIE GRAY | 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 (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| BAKER MARY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| COOK KEVIN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| COULTER CAROL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $21,060 | $0 | 39.00 | |
| GALLAGHER DONNA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHNSON LEANNA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PETERSON DEBBIE | |||||||
| 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 | ||
| WOOD JOYCE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WOOD NICOLE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| YAHNKE DAVID | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| COLSON JILL | |||||||
| CHAIRMAN, DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| KARL THOMAS P | |||||||
| PRESIDENT, DIRECTOR | 1.00 | Yes (X) | $0 | $355,083 | $125,695 | 39.00 | Yes (X) |
| OLIVER GEORGE DR | |||||||
| VICE CHAIRMAN, DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $376,143 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $125,695 | 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 | $3,800 | FundraisingAmt |
| Related Organizations | $7,000 | RelatedOrganizationsAmt |
| All Other Contributions | $3,575 | AllOtherContributionsAmt |
| Total Contributions | $14,375 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $103,886 | TotalRevenueColumnAmt |
| Exclusion | $103,886 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,403,991 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,419,974 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$15,983 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$15,983 | TotalRevenueColumnAmt |
| Exclusion | -$15,983 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $5,550 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $3,800 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $3,765 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,785 | TotalRevenueColumnAmt |
| Exclusion | $1,785 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $104,063 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $89,688 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,000 | TotalAmt |
| Program Services | $2,000 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,065 | TotalAmt |
| Management And General | $11,065 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,550 | TotalAmt |
| Fundraising | $2,550 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt |
|---|---|---|
| PRINTING PURCHASED | $807 | $807 |
| OTHER MISCELLANEOUS EXP | $243 | $243 |
| BANK FEES | $101 | $101 |
| POSTAGE | $94 | $94 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35 | TotalAmt |
| Fundraising | $35 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,895 | TotalAmt |
| Program Services | $2,000 | ProgramServicesAmt |
| Management And General | $11,065 | ManagementAndGeneralAmt |
| Fundraising | $3,830 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,225 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,782,998 | BOYAmt |
| EOY | $3,810,320 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $653,891 | BOYAmt |
| EOY | $822,633 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $350 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,442,114 | BOYAmt |
| EOY | $4,633,303 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,907 | BOYAmt |
| EOY | $36,937 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,915 | BOYAmt |
| EOY | $88,479 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,822 | BOYAmt |
| EOY | $125,416 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,076,686 | BOYAmt |
| EOY | $4,322,281 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,606 | BOYAmt |
| EOY | $185,606 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,262,292 | BOYAmt |
| EOY | $4,507,887 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,442,114 | BOYAmt |
| EOY | $4,633,303 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $87,168 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $119,227 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $39,200 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,518 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $399,458 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,100 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,900 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,375 | CurrentTaxYearAmt |
| Total | $428,351 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,518 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $399,458 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,100 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,900 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,375 | CurrentTaxYearAmt |
| Total | $428,351 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $371,207 | SubstantialContributorsTotAmt |
| Public Support Total170 | $57,144 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $125,996 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $170,333 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $137,815 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $125,771 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $103,886 | CurrentTaxYearAmt |
| Total | $663,801 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,092,152 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $13,340 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.05230 | PublicSupportCY170Pct |
| Public Support PY170 | 0.42290 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests PY170 | Yes (X) | ThirtyThrPctSuprtTestsPY170Ind |
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 | $466,214 | F |
| OTHER | $356,419 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $822,633 | TotalBookValueSecuritiesAmt |
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 |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KARL THOMAS P | PersonNm |
| Title | PRESIDENT, DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $0 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $234,108 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $87,781 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $33,194 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $90,745 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $34,950 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $0 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $480,778 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $10,234 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | DURING 2016, 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 $23,482 |
| PART I, LINE 3 | THE COMPENSATION AND BENEFIT AMOUNTS OF THE ORGANIZATION'S OFFICERS ARE DETERMINED BY AN INDEPENDENT COMMITTEE OF THE BOARD OF DIRECTORS OF BJC HEALTH SYSTEM, AN AFFILIATE OF THE SOLE CORPORATE MEMBER. 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 PRESIDENT OF THE ORGANIZATION. HIS COMPENSATION IS PROVIDED BY THE SOLE CORPORATE MEMBER, A RELATED ORGANIZATION. THE COMMITTEE REVIEWS, APPROVES, AND SUBSEQUENTLY RECONCILES EXECUTIVE COMPENSATION AS WELL AS DELIBERATES ON THE RESONABLENESS OF THE DATA. THIS REVIEW IS DOCUMENTED IN THE MINUTES OF THE BOARD COMMITTEE MEETINGS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 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 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 IX, LINE 11G | PURCHASES SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 2,550. TOTAL EXPENSES 2,550. |
| FORM 990, PART XI, LINE 9: | NET EQUITY TRANSFER FROM PARKLAND HOSPITAL AUXILIARY 33,500. NET EQUITY TRANSFER FROM PARKLAND HOSPITAL HOSPITAL 5,700. |
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 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 | 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 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) | |
| CHILDREN'S HEALTH NETWORK | |||||||||||
| ONE CHILDRENS PLACE | ST LOUIS | MO | 63110 | 431640467 | HEALTHCARE SERVICES | MO | 501(C)(3) | LINE 10 | 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 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 SIHVI | 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) | |
| 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 (6 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 |
| SURGERY CENTER OF FARMINGTON LLC | |||||||
| 400 PARKLAND DRIVE | FARMINGTON | MO | 63640 | 431811835 | MEDICAL SERVICES | MO | 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 |
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 | |||||
| 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 | |||||||
| 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 | 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 |
Comments