PARKLAND HEALTH CENTER FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PARKLAND HEALTH CENTER FOUNDATION (EIN 90-0424964)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201323199349303777
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T10:28:12-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN900424964EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PARKLAND HEALTH CENTER FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPARKNameControl
Phone5737608036Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 WEST LIBERTY STREETAddressLine1
CityFARMINGTONCity
StateMOState
ZIP Code63640ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS KARLName
TitlePRESIDENTTitle
Phone5737608036Phone
Date Signed2013-11-15DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS KARLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11101 WEST LIBERTY STREETAddressLine1
CityFARMINGTONCity
StateMOState
ZIP Code63640ZIPCode
FieldValueIRS element (for citing)
Gross Receipts140304GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2008YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF THE PARKLAND HEALTH CENTER FOUNDATION IS TO SECURE PHILANTHROPIC SUPPORT FOR THE PARKLAND HEALTH CENTER TO ACCOMPLISH ITS MISSION OF PROVIDING EXTRAORDINARY CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers14TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year655489ContributionsGrantsPriorYear
Contributions Grants Current Year6518ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1042621InvestmentIncomePriorYear
Investment Income Current Year99913InvestmentIncomeCurrentYear
Other Revenue Prior Year1262OtherRevenuePriorYear
Other Revenue Current Year1296OtherRevenueCurrentYear
Total Revenue Prior Year1699372TotalRevenuePriorYear
Total Revenue Current Year107727TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year769017GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY402206GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year7790TotalFundrsngExpCurrentYear
Other Expense Prior Year2469OtherExpensePriorYear
Other Expenses Current Year13418OtherExpensesCurrentYear
Total Expenses Prior Year771486TotalExpensesPriorYear
Total Expenses Current Year415624TotalExpensesCurrentYear
Revenues Less Expenses Prior Year927886RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-307897RevenuesLessExpensesCY
Total Assets BOY4467030TotalAssetsBOY
Total Assets EOY4746245TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY325143TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4467030NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4421102NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense300000Expense
Grants300000Grants
DescriptionIN FURTHERANCE OF ITS MISSION, THE FOUNDATION PROVIDED A PHILANTHROPIC GIFT TO PARKLAND HEALTH CENTER (HOSPITAL). DURING 2012, FUNDING WAS PROVIDED TO PURCHASE AND IMPLEMENT THE VOCERA COMMUNICATION SYSTEM THROUGHOUT THE HOSPITAL.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense94206Expense
Grants94206Grants
DescriptionIN FURTHERANCE OF ITS MISSION, THE FOUNDATION PROVIDED FUNDING TO PARKLAND HEALTH CENTER (HOSPITAL) TO USE FOR PATIENT CARE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense5000Expense
Grants5000Grants
DescriptionIN FURTHERANCE OF ITS MISSION, THE FOUNDATION PROVIDED FUNDING TO WASHINGTON UNIVERSITY TO USE FOR SCHOLARSHIPS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense3000Expense
Grants3000Grants
DescriptionIN FURTHERANCE OF ITS MISSION,THE FOUNDATION PROVIDED FUNDING TO MEALS ON WHEELS TO USE TO ASSIST SENIORS IN THE COMMUNITY.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp3000TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt3000TotalOfOtherProgramServiceGrnt
Total Program Service Expense402206TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1VALERIE GRAYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3142860572TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11001 HIGHLANDS PLZ DR WESTAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63110ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per Week RelatedAverageHoursPerWeekRelated
BAKER MARY
DIRECTOR1.00X000
COLSON JILL
DIRECTOR1.00X000
COOK KEVIN
DIRECTOR1.00X000
COULTER CAROL
DIRECTOR1.00X000
GALLAGHER DONNA
DIRECTOR1.00X000
JOHNSON LEANNA
DIRECTOR1.00X000
RHODES CATHERINE
DIRECTOR1.00X000
WILLIAMS PAUL
DIRECTOR1.00X000
WOOD NICOLE
DIRECTOR1.00X000
WOOD JOYCE
DIRECTOR1.00X000
YAHNKE DAVID
DIRECTOR1.00X000
CROUCH JOHN R
CHAIRMAN, DIRECTOR1.00X000X
OLIVER GEORGE DR
VICE CHAIRMAN, DIRECTOR1.00X000X
KARL THOMAS P
PRESIDENT, DIRECTOR1.00X0236073106219X39.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs236073TotalReportableCompFrmRltdOrgs
Total Other Compensation106219TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions6518AllOtherContributions
Noncash Contributions5093NoncashContributions
Total Contributions6518TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column125996TotalRevenueColumn
Exclusion$125,996ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities26083Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-26083Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-26083TotalRevenueColumn
Exclusion-$26,083ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events7790GrossIncomeFundraisingEvents
Fundraising Direct Expenses6494FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column1296TotalRevenueColumn
Exclusion$1,296ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column107727TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$101,209ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total402206Total
Program Services402206ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total5615Total
Management And General5615ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total13Total
Management And General13ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total7011Total
Fundraising7011Fundraising

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionSPECIAL EVENTSDescription
Total779Total
Fundraising779Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total415624Total
Program Services402206ProgramServices
Management And General5628ManagementAndGeneral
Fundraising7790Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10006BOY
EOY26221EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4345353BOY
EOY3920379EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY799645EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY111671BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4467030BOY
EOY4746245EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY25143EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
EOY300000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY325143EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3473818BOY
EOY3821902EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY993212BOY
EOY599200EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4467030BOY
EOY4421102EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4467030BOY
EOY4746245EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-307897ReconcilationRevenueExpenses
Reconciliation Unrealized Invest369486ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment-107517ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1699383CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2207279CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year655489CurrentTaxYearMinus1Year
Current Tax Year6518CurrentTaxYear
Total4568669Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1699383CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2207279CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year655489CurrentTaxYearMinus1Year
Current Tax Year6518CurrentTaxYear
Total4568669Total
FieldValueIRS element (for citing)
Public Support Total1704568669PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years21890CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8985CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49670CurrentTaxYearMinus1Year
Current Tax Year125996CurrentTaxYear
Total206541Total
FieldValueIRS element (for citing)
Total Support4775210TotalSupport
Gross Receipts From Admissions Etc18675GrossReceiptsFromAdmissionsEtc
First5 Years170XFirst5Years170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER MISC SECURITIESDescription
Book Value799645BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities799645TotalOfBookValueSecurities

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
PARKLAND HEALTH CENTER
1101 W LIBERTY STREETFARMINGTONMO63640431332368501(C)(3)300000VOCERA COMMUNICATION SYSTEM
PARKLAND HEALTH CENTER
1101 W LIBERTY STREETFARMINGTONMO63640431332368501(C)(3)94206PATIENT CARE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
Return ReferencePROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATESReturnReference
ExplanationFUNDS ARE DISTRIBUTED TO PARKLAND HEALTH CENTER WHEN THE HOSPITAL SUBMITS PROPER DOCUMENTATION OF EXPENSES PAID FOR THE PURPOSE OF THE GRANT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonKARL THOMAS PNamePerson
TitlePRESIDENT, DIRECTORTitle
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs156911CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs72369BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs6793OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs86029DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs20190NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs342292TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs10740CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BPART I, LINE 4B: DURING 2012, 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 $20,464.86
PART IIIPART 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.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NUMBER REPORTED IN BOX 3 FORM 1096FORM 990, PART V, LINE 1THE 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 2CERTAIN OFFICERS AND DIRECTORS OF THE ORGANIZATION MAY ALSO SERVE ON THE BOARDS OF OTHER RELATED OR UNRELATED ORGANIZATIONS. ADDITIONALLY, CERTAIN FAMILY MEMBERS OF OFFICERS AND DIRECTORS MAY, DURING THE NORMAL COURSE OF BUSINESS YET CONSISTENT WITH THE STATED EXEMPT PURPOSE OF THE ORGANIZATION, ENGAGE IN TRANSACTIONS IN WHICH POTENTIAL CONFLICTS OF INTEREST COULD EXIST. THESE OFFICERS, DIRECTORS AND RELATED PERSONS DISCLOSE THESE POTENTIAL CONFLICTS TO THE ORGANIZATION 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 A, LINE 6THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS THE PARKLAND HEALTH CENTER, A MISSOURI NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE CORPORATE MEMBER HAS THE POWER TO APPOINT AND REMOVE DIRECTORS AND OFFICERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11MEMBERS OF THE BOARD HAVE DISCUSSED THE FINANCIAL AND NARRATIVE DISCLOSURES INCLUDED IN THE FORM 990 FOR THE PARKLAND HEALTH CENTER FOUNDATION.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 19THE 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ALTON MEMORIAL HOSPITAL
ONE MEMORIAL HOSPITAL DRIVEALTONIL62002370661172HEALTHCARE SERVICESIL501(C)(3)3CH ALLIED SERVICES INC1
ALTON MEMORIAL HEALTH SERVICES FOUNDATION
1109 N OXFORDSHIRE LANEEDWARDSVILLEIL62025371177053SUPPORT TO AMHIL501(C)(3)11CALTON MEMORIAL HOSPITAL1
BARNES-JEWISH HOSPITAL
ONE BARNES-JEWISH HOSPITAL PLAZAST LOUISMO63110237309937HEALTHCARE SERVICESMO501(C)(3)3BJC HEALTH SYSTEM1
THE FOUNDATION FOR BARNES-JEWISH HOSPITAL
1001 HIGHLANDS PLAZA DR WEST SUITEST LOUISMO63110431648435SUPPORT TO BJHMO501(C)(3)7BARNES-JEWISH HOSPITAL1
BARNES JEWISH HOSP AUXILIARY PARKVIEW CHAPTER
216 SO KINGSHIGHWAY CAB 140ST LOUISMO63110237000410SUPPORT TO BJHMO501(C)(3)11CBARNES-JEWISH HOSPITAL1
BARNES JEWISH ST PETERS & PROGRESS WEST FOUNDATION
10 HOSPITAL DRIVEST PETERSMO63376454471497SUPPORT TO BJSPH & PROGRESS WESTMO501(C)(3)7BJSP HOSPITAL & PROGRESS WEST1
BARNES-JEWISH ST PETERS HOSPITAL INC
10 HOSPITAL DRIVEST PETERSMO63376431452426HEALTHCARE SERVICESMO501(C)(3)3BARNES-JEWISH HOSPITAL1
BARNES-JEWISH ST PETERS HOSPITAL AUXILIARY
10 HOSPITAL DRIVEST PETERSMO63376431232811SUPPORT TO BJSP HOSPITALMO501(C)(3)3BARNES-JEWISH ST PETERS HOSPITAL1
BARNES-JEWISH WEST COUNTY HOSPITAL
12634 OLIVE STREET ROADCREVE COEURMO63141431527130HEALTHCARE SERVICESMO501(C)(3)3BARNES-JEWISH HOSPITAL1
BJC BEHAVIORAL HEALTH
1430 OLIVE STREET SUITE 400ST LOUISMO63103431610561HEALTHCARE SERVICESMO501(C)(3)3BJC HEALTH SYSTEM1
BJC CORPORATE HEALTH SERVICES
5000 MANCHESTER AVENUEST LOUISMO63110431324103HEALTHCARE SERVICESMO501(C)(3)3BARNES-JEWISH HOSPITAL1
BJC HEALTH SYSTEM
4901 FOREST PARK AVE STE 1200ST LOUISMO63108431617558SUPPORTING ORGMO501(C)(3)11A0N/A
BJC HOME CARE SERVICES
1935 BELTWAY DRIVEST LOUISMO63114431450457HEALTHCARE SERVICESMO501(C)(3)9BARNES-JEWISH HOSPITAL1
BOONE HOSPITAL CENTER'S VISITING NURSES INC
601 BUSINESS LOOP 70 W SUITE 280COLUMBIAMO65203430998347HEALTHCARE SERVICESMO501(C)(3)9CH ALLIED SERVICES INC1
CH ALLIED SERVICES INC
1600 E BROADWAYCOLUMBIAMO65201431279063HEALTHCARE SERVICESMO501(C)(3)3CH HEALTH SERVICES DEV CORP1
CHRISTIAN HEALTH SERVICES DEV CORP
11133 DUNN ROADST LOUISMO63136431230583HEALTHCARE SERVICESMO501(C)(3)11ABJC HEALTH SYSTEM1
CHILDREN'S HEALTH NETWORK
ONE CHILDRENS PLACEST LOUISMO63110431640467HEALTHCARE SERVICESMO501(C)(3)9ST LOUIS CHILDREN'S HOSPITAL1
CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST
11133 DUNN ROADST LOUISMO63136436057893HEALTHCARE SERVICESMO501(C)(3)3CH HEALTH SERVICES DEV CORP1
CHRISTIAN HOSPITAL FOUNDATION
11155 DUNN ROAD SUITE 300 NST LOUISMO63136431947644SUPPORT TO CHNEMO501(C)(3)7CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST1
CHRISTIAN HOSP ILLINOIS SVCS
8 SUNSET HILLSEDWARDSVILLEIL62025260131339HEALTHCARE SERVICESMO501(C)(3)3CH ALLIED SERVICES INC1
COMMUNITY HEALTH CONNECTION
4353 CLAYTON AVE ROOM 164ST LOUISMO63110460819384HEALTHCARE SERVICESMO501(C)(3)9BJC HEALTH SYSTEM1
FAIRVIEW HEIGHTS MEDICAL GROUP SC
670 MASON RIDGE CENTER DR SUITE 300ST LOUISMO63141364147189HEALTHCARE SERVICESIL501(C)(3)3BJC HEALTH SYSTEM1
MISSOURI BAPTIST HOSPITAL OF SULLIVAN AUXILIARY
751 SAPPINGTON BRIDGESULLIVANMO63080431349641SUPPORT TO MBHSMO501(C)(3)3MISSOURI BAPTIST HOSPITAL OF SULLIVAN1
MISSOURI BAPTIST HOSPITAL OF SULLIVAN
751 SAPPINGTON BRIDGESULLIVANMO63080431459495HEALTHCARE SERVICESMO501(C)(3)3MISSOURI BAPTIST MEDICAL CENTER1
MISSOURI BAPTIST MEDICAL CENTER
3015 N BALLAS ROADST LOUISMO63131430652656HEALTHCARE SERVICESMO501(C)(3)3BJC HEALTH SYSTEM1
PARKLAND HEALTH CENTER
1101 WEST LIBERTY STFARMINGTONMO63640431332368HEALTHCARE SERVICESMO501(C)(3)3MISSOURI BAPTIST MEDICAL CENTER1
PROGRESS EAST HEALTHCARE CENTER
11155 DUNN ROAD SUITE 300 NST LOUISMO63136261343214HEALTHCARE SERVICESIL501(C)(3)3CH ALLIED SERVICES INC1
PROGRESS WEST HEALTHCARE CENTER
2 PROGRESS POINT PARKWAYOFALLONMO63368412140764HEALTHCARE SERVICESMO501(C)(3)3BJC HEALTH SYSTEM1
ST LOUIS CHILDREN'S HOSPITAL FOUNDATION
ONE CHILDRENS PLACEST LOUISMO63110431626863SUPPORT TO SLCHMO501(C)(3)7ST LOUIS CHILDREN'S HOSPITAL1
ST LOUIS CHILDREN'S HOSPITAL
ONE CHILDRENS PLACEST LOUISMO63110430654870HEALTHCARE SERVICESMO501(C)(3)3BJC HEALTH SYSTEM1
VILLAGE NORTH INC
11160 VILLAGE NORTH DRIVEST LOUISMO63136431207154HEALTHCARE SERVICESMO501(C)(3)9CH HEALTH SERVICES DEV CORP1

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
THE HEART CARE INSTITUTE LLC
1020 NORTH MASON ROADST LOUISMO63141431870517MEDICAL SERVICESMON/ARELATED00
GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC
216 SOUTH KINGSHIGHWAYST LOUISMO63110431846941OUTPATIENT CARE SERVICESMON/ARELATED00
SURGERY CENTER OF FARMINGTON LLC
400 PARKLAND DRIVEFARMINGTONMO63640431811835MEDICAL SERVICESMON/ARELATED00
CHILDREN'S DISCOVERY INSTITUTE LLC
4901 FOREST PARK AVEST LOUISMO63108SEARCH FOR CURES OF PEDIATRIC DISEASESMON/ARELATED00

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileStateProvince Or StateAddressForeign/ProvinceOrState
ATG ASSURANCE COMPANY LTD
PO BOX 1109GRAND CAYMANCJ980599167INSURANCECJBJC HEALTH SYSTEMC133831143385431.000001
PF SERVICES INC
431237767MANAGEMENT SERVICESCHRISTIAN HEALTH SERVICES DEV CORPC13932061.00000111155 DUNN ROADST LOUISMO63136MO
MB MEDICAL SERVICES INC
431437404HEALTHCARE SERVICESMISSOURI BAPTIST MEDICAL CENTERC2182621.0000013015 N BALLAS ROADST LOUISMO63131MO
MISSOURI BAPTIST HOME HEALTH CARE INC
431460430INACTIVEMB MEDICAL SERVICES INCC1.0000013015 N BALLAS ROADST LOUISMO63131MO
MB PHARMACY SERVICES INC
431640730INACTIVEMB MEDICAL SERVICES INCC1.0000013015 N BALLAS ROADST LOUISMO63131MO
ST PETERS MED OFFICE BLDG A CONDO ASSN INC
431472188CONDOMINIUM ASSOCIATIONBARNES-JEWISH ST PETERS HOSPITALC3211722910240.9511011040 N MASON SUITE 109ST LOUISMO63141MO
DMP MIDWEST INC
271943910INACTIVEPF SERVICES INCC1.000001ONE METROPOLITAN SQ 2600ST LOUISMO63102MO
BJC HEALTHCARE FUND LTD
90 FORT ST PO BOX 32021GRAND CAYMANCJINACTIVECJBJC HEALTH SYSTEMC1.000001
WLA INVESTMENT LTD
PO BOX 178OKOTOKSCAINVESTMENT HOLDINGSCABMCA PRIVATE EQUITY LLCC5768863232395241.000001ALBERTA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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