2016-11-15T14:19:07-06:00 2015-12-31 990 2015-01-01 900424964 PARKLAND HEALTH CENTER FOUNDATION PARK 5737608036 1101 WEST LIBERTY STREET FARMINGTON MO 63640 THOMAS KARL PRESIDENT 5737608036 2016-11-15 2015 2017-02-10 21:41:12Z THOMAS KARL 1101 WEST LIBERTY ST FARMINGTON MO 63640 253616 0 X N/A X 2008 MO TO PROVIDE SUPPORT FOR PARKLAND HEALTH CENTER TO ACCOMPLISH ITS MISSION OF PROVIDING EXTRAORDINARY PATIENT CARE. SEE MISSION STATEMENT. 13 11 0 13 0 0 1100 6900 0 0 213814 246716 0 0 214914 253616 987975 7000 0 0 0 0 0 0 3725 46076 15803 1034051 22803 -819137 230813 5202604 4442114 988056 179822 4214548 4262292 X 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. 0 0 5000 5000 IN FURTHERANCE OF ITS MISSION, THE FOUNDATION PROVIDED FUNDING TO "MEALS ON WHEELS" FOR COMMUNITY RESIDENTS ON SPECIAL DIETS. 2000 2000 IN FURTHERANCE OF ITS MISSION, THE FOUNDATION PROVIDED FUNDING TO MINERAL AREA COLLEGE FOR THE LANDRUM HIRSCH MEMORIAL SCHOLARSHIP 7000 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 11 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X VALERIE GRAY 3142860572 4249 CLAYTON AVE STE 316 ST LOUIS MO 63110 BAKER MARY DIRECTOR 1.00 X 0 0 0 COOK KEVIN DIRECTOR 1.00 X 0 0 0 COULTER CAROL DIRECTOR 1.00 38.00 X 0 38055 0 GALLAGHER DONNA DIRECTOR 1.00 X 0 0 0 JOHNSON LEANNA DIRECTOR 1.00 X 0 0 0 RHODES CATHERINE DIRECTOR 1.00 X 0 0 0 WILLIAMS PAUL DIRECTOR 1.00 X 0 0 0 WOOD NICOLE DIRECTOR 1.00 X 0 0 0 WOOD JOYCE DIRECTOR 1.00 X 0 0 0 YAHNKE DAVID DIRECTOR 1.00 X 0 0 0 COLSON JILL CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 OLIVER GEORGE DR VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 KARL THOMAS P PRESIDENT, DIRECTOR 1.00 39.00 X X 0 279736 60522 0 317791 60522 0 0 1 0 0 6900 6900 125771 125771 120945 0 120945 120945 120945 253616 0 0 246716 7000 7000 12078 12078 PRINTING PURCHASED 3094 3094 POSTAGE 484 484 FREIGHT 74 74 OTHER MISCELLANEOUS EXD 73 73 22803 7000 12078 3725 5225 4423550 3782998 779054 653891 5202604 4442114 33087 22907 954969 156915 988056 179822 X 4028942 4076686 185606 185606 4214548 4262292 5202604 4442114 X 230813 -206569 23500 X 0 1 X 1 0 X 655489 6518 399458 1100 6900 1069465 655489 6518 399458 1100 6900 1069465 359469 709996 49670 125996 170333 137815 125771 609585 1679050 16290 0.42290 0.81300 X 0 HEDGE FUNDS 486325 F OTHER 167566 F 653891 0 1 0 0 0 0 0 1 0 KARL THOMAS P PRESIDENT, DIRECTOR 0 206921 0 69364 0 3451 0 22619 0 37903 0 340258 0 10065 PART I, LINE 4B DURING 2015, THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN 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 $20,404 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. 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. DURING 2014, TWO BOARD MEMBERS HAD A FAMILY RELATIONSHIP AND DISCLOSED THEIR RELATIONSHIP THROUGH THE ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS. 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 OF THE ORGANIZATION IS THE PARKLAND HEALTH CENTER, A MISSOURI NONPROFIT CORPORATION. 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 11 MEMBERS OF THE BOARD DISCUSSED THE FINANCIAL AND NARRATIVE DISCLOSURES INCLUDED IN THE FORM 990 FOR THE PARKLAND HEALTH CENTER FOUNDATION, HOWEVER, A COPY OF FORM 990 WAS NOT PROVIDED FOR REVIEW BY FOUNDATION BOARD MEMBERS PRIOR TO SUBMITTING THE RETURN 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 XI, LINE 9: NET EQUITY TRANSFER FROM PARKLAND HOSPITAL AUXILIARY 23,500. ALTON MEMORIAL HEALTH SERVICES FOUNDATION 1109 N OXFORDSHIRE LANE EDWARDSVILLE IL 62025 371177053 SUPPORT TO AMH IL 501(C)(3) 11C ALTON MEMORIAL HOSPITAL 1 ALTON MEMORIAL HOSPITAL ONE MEMORIAL HOSPITAL DRIVE ALTON IL 62002 370661172 HEALTHCARE SERVICES IL 501(C)(3) 3 CH ALLIED SERVICES INC 1 BARNES JEWISH HOSP AUXILIARY PARKVIEW CHAPTER 216 SO KINGSHIGHWAY CAB 140 ST LOUIS MO 63110 237000410 SUPPORT TO BJH MO 501(C)(3) 11C BARNES-JEWISH HOSPITAL 1 BARNES JEWISH ST PETERS & PROGRESS WEST FOUNDATION 10 HOSPITAL DRIVE ST PETERS MO 63376 454471497 SUPPORT TO BJSPH & PROGRESS WEST MO 501(C)(3) 7 BJSP HOSPITAL & PROGRESS WEST 1 BARNES-JEWISH HOSPITAL ONE BARNES-JEWISH HOSPITAL PLAZA ST LOUIS MO 63110 237309937 HEALTHCARE SERVICES MO 501(C)(3) 3 BJC HEALTH SYSTEM 1 BARNES-JEWISH ST PETERS HOSPITAL AUXILIARY 10 HOSPITAL DRIVE ST PETERS MO 63376 431232811 SUPPORT TO BJSP HOSPITAL MO 501(C)(3) 3 BARNES-JEWISH ST PETERS HOSPITAL 1 BARNES-JEWISH ST PETERS HOSPITAL INC 10 HOSPITAL DRIVE ST PETERS MO 63376 431452426 HEALTHCARE SERVICES MO 501(C)(3) 3 BARNES-JEWISH HOSPITAL 1 BARNES-JEWISH WEST COUNTY HOSPITAL 12634 OLIVE STREET ROAD CREVE COEUR MO 63141 431527130 HEALTHCARE SERVICES MO 501(C)(3) 3 BARNES-JEWISH HOSPITAL 1 BJC BEHAVIORAL HEALTH 1430 OLIVE STREET SUITE 400 ST LOUIS MO 63103 431610561 HEALTHCARE SERVICES MO 501(C)(3) 3 BJC HEALTH SYSTEM 1 BJC CORPORATE HEALTH SERVICES 5000 MANCHESTER AVENUE ST LOUIS MO 63110 431324103 HEALTHCARE SERVICES MO 501(C)(3) 3 BARNES-JEWISH HOSPITAL 1 BJC HEALTH SYSTEM 4901 FOREST PARK AVE STE 1200 ST LOUIS MO 63108 431617558 SUPPORTING ORG MO 501(C)(3) 11A N/A 0 BJC HOME CARE SERVICES 1935 BELTWAY DRIVE ST LOUIS MO 63114 431450457 HEALTHCARE SERVICES MO 501(C)(3) 9 BARNES-JEWISH HOSPITAL 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) 9 CH ALLIED SERVICES INC 1 CH ALLIED SERVICES INC 1600 E BROADWAY COLUMBIA MO 65201 431279063 HEALTHCARE SERVICES 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HEALTHCARE SERVICES IL 501(C)(3) 3 BJC HEALTH SYSTEM 1 MISSOURI BAPTIST HEALTHCARE FOUNDATION 3015 N BALLAS ROAD ST LOUIS MO 63131 431472026 SUPPORT TO MBMC MO 501(C)(3) 7 MISSOURI BAPTIST MEDICAL CENTER 1 MISSOURI BAPTIST HOSPITAL OF SULLIVAN 751 SAPPINGTON BRIDGE SULLIVAN MO 63080 431459495 HEALTHCARE SERVICES MO 501(C)(3) 3 MISSOURI BAPTIST MEDICAL CENTER 1 MISSOURI BAPTIST HOSPITAL OF SULLIVAN AUXILIARY 751 SAPPINGTON BRIDGE SULLIVAN MO 63080 431349641 SUPPORT TO MBHS MO 501(C)(3) 3 MISSOURI BAPTIST HOSPITAL OF SULLIVAN 1 MISSOURI BAPTIST MEDICAL CENTER 3015 N BALLAS ROAD ST LOUIS MO 63131 430652656 HEALTHCARE SERVICES MO 501(C)(3) 3 BJC HEALTH SYSTEM 1 PARKLAND HEALTH CENTER 1101 WEST LIBERTY ST FARMINGTON MO 63640 431332368 HEALTHCARE SERVICES MO 501(C)(3) 3 MISSOURI BAPTIST MEDICAL CENTER 1 PARKLAND HEALTH CENTER WEBER ROAD 1101 WEST LIBERTY ST FARMINGTON MO 63640 473251218 HEALTHCARE SERVICES MO 501(C)(3) 3 MISSOURI BAPTIST MEDICAL CENTER 1 PROGRESS EAST HEALTHCARE CENTER 11155 DUNN ROAD SUITE 300 N ST LOUIS MO 63136 261343214 HEALTHCARE SERVICES IL 501(C)(3) 3 CH ALLIED SERVICES INC 1 PROGRESS WEST HEALTHCARE CENTER 2 PROGRESS POINT PARKWAY OFALLON MO 63368 412140764 HEALTHCARE SERVICES MO 501(C)(3) 3 BJC HEALTH SYSTEM 1 ST LOUIS CHILDREN'S HOSPITAL ONE CHILDRENS PLACE ST LOUIS MO 63110 430654870 HEALTHCARE SERVICES MO 501(C)(3) 3 BJC HEALTH SYSTEM 1 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION ONE CHILDRENS PLACE ST LOUIS MO 63110 431626863 SUPPORT TO SLCH MO 501(C)(3) 7 ST LOUIS CHILDREN'S HOSPITAL 1 THE FOUNDATION FOR BARNES-JEWISH HOSPITAL 1001 HIGHLANDS PLAZA DR WEST SUITE ST LOUIS MO 63110 431648435 SUPPORT TO BJH MO 501(C)(3) 7 BARNES-JEWISH HOSPITAL 1 THE HEART CARE INSTITUTE LLC 1020 NORTH MASON ROAD ST LOUIS MO 63141 431870517 MEDICAL SERVICES MO N/A RELATED 0 0 GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC 216 SOUTH KINGSHIGHWAY ST LOUIS MO 63110 431846941 OUTPATIENT CARE SERVICES MO N/A RELATED 0 0 SURGERY CENTER OF FARMINGTON LLC 400 PARKLAND DRIVE FARMINGTON MO 63640 431811835 MEDICAL SERVICES MO N/A RELATED 0 0 CHILDREN'S DISCOVERY INSTITUTE LLC 4901 FOREST PARK AVE ST LOUIS MO 63108 SEARCH FOR CURES OF PEDIATRIC DISEASES MO N/A RELATED 0 0 ATG ASSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN CJ 980599167 INSURANCE CJ N/A C 1 PF SERVICES INC 11155 DUNN ROAD ST LOUIS MO 63136 431237767 MANAGEMENT SERVICES MO N/A C 1 MB MEDICAL SERVICES INC 3015 N BALLAS ROAD ST LOUIS MO 63131 431437404 HEALTHCARE SERVICES MO N/A C 1 ST PETERS MED OFFICE BLDG A CONDO ASSN INC 1040 N MASON SUITE 109 ST LOUIS MO 63141 431472188 CONDOMINIUM ASSOCIATION MO N/A C 1 DMP MIDWEST INC ONE METROPOLITAN SQ 2600 ST LOUIS MO 63102 271943910 INACTIVE MO N/A C 1 WLA INVESTMENT LTD PO BOX 178 OKOTOKS ALBERTA CA INVESTMENT HOLDINGS CA N/A C 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1