FAIRVIEW HEIGHTS MEDICAL GROUP SC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- FAIRVIEW HEIGHTS MEDICAL GROUP SC (EIN 36-4147189)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201233209349306598
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T14:35:36-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364147189 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAIRVIEW HEIGHTS MEDICAL GROUPSC | BusinessNameLine1 |
| Business Name Line2 | C/O BJC MEDICAL GROUP LC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FAIR | NameControl |
| Phone | 3149967601 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 MEMORIAL DRIVE NO 220 | AddressLine1 |
| City | ALTON | City |
| State | IL | State |
| ZIP Code | 62002 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN T ELLENA MD | Name |
| Title | PRESIDENT/SECY/DIRECTOR | Title |
| Phone | 3149967601 | Phone |
| Date Signed | 2012-11-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BJC MEDICAL GROUP OF ILLINOIS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN T ELLENA MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 MEMORIAL DRIVE NO 220 | AddressLine1 |
| City | ALTON | City |
| State | IL | State |
| ZIP Code | 62002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 35335038 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE HEALTHCARE SERVICES TO PATIENTS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 1 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 307 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 48241 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -24274 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 27806492 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 35335038 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 27806492 | TotalRevenuePriorYear |
| Total Revenue Current Year | 35335038 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 10050 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 19312144 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 23024410 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8494347 | OtherExpensePriorYear |
| Other Expenses Current Year | 12300566 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 27806491 | TotalExpensesPriorYear |
| Total Expenses Current Year | 35335026 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 12 | RevenuesLessExpensesCY |
| Total Assets BOY | 4484492 | TotalAssetsBOY |
| Total Assets EOY | 6034544 | TotalAssetsEOY |
| Total Liabilities BOY | 6374724 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7924765 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -1890232 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1890221 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 32528582 | Expense |
| Grants | 10050 | Grants |
| Revenue | 35335038 | Revenue |
| Description | 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 148,809 VISITS DURING 2011. | Description |
| Total Program Service Expense | 32528582 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 49 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 307 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 1 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIANNE NEWMAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3149967601 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 670 MASON RIDGE CENTER DR STE 300 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63141 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (6 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ELLENA JOHN MD | |||||||
| PRES/SECY/DIRECTOR | 40.00 | X | X | 0 | 536631 | 40850 | |
| CHATHADI KRISHNAVEL | |||||||
| PHYSICIAN | 40.00 | 547424 | 0 | 14771 | X | ||
| OMOTOLA AARON P | |||||||
| PHYSICIAN | 40.00 | 610579 | 0 | 31454 | X | ||
| RAI AJITESH | |||||||
| PHYSICIAN | 40.00 | 614449 | 0 | 29162 | X | ||
| SIKORSKI CHRISTIAN | |||||||
| PHYSICIAN | 40.00 | 794648 | 0 | 29409 | X | ||
| WUELLNER JOHN C | |||||||
| PHYSICIAN | 40.00 | 499716 | 0 | 45418 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3066816 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 536631 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 191064 | TotalOtherCompensation |
| Number Individuals GT100 K | 49 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CARDIOLOGY SPECIALISTS PC | |||||
| 3023 N BALLAS RD STE 400D | ST LOUIS | MO | 63141 | PRACTICE ACQUISITION | 323639 |
| INTERIM PHYSICIANS LLC | |||||
| 12140 WOODCREST EXECUTIVE DR STE 3 | ST LOUIS | MO | 63128 | PHYSICIAN LOCUM STAFFING | 292128 |
| STAT MED TRANSCRIPTION | |||||
| 12016 TESSON FERRY RD STE C | ST LOUIS | MO | 63141 | TRANSCRIPTION SERVICES | 190710 |
| GIUSEPPE ALIPERTI MD | |||||
| 12855 N FORTY DRIVE STE 175 | ST LOUIS | MO | 63131 | MANAGEMENT SERVICES | 170174 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PROGRAM SERVICE REV | 621110 | 24690009 | 24690009 | |
| SERVICES TO AFFILIATES | 621110 | 10593652 | 10593652 | |
| REFERENCE LAB/RAD REV | 621500 | 48241 | 48241 | |
| PROGRAM RENTAL INCOME | 621110 | 3136 | 3136 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 35335038 | TotalProgramServiceRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35335038 | TotalRevenueColumn |
| Related Or Exempt Function Income | 35286797 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 48241 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10050 | Total |
| Program Services | 10050 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19992978 | Total |
| Program Services | 19639671 | ProgramServices |
| Management And General | 353307 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 930904 | Total |
| Program Services | 930904 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1142892 | Total |
| Program Services | 1142892 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 957636 | Total |
| Program Services | 957636 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14463 | Total |
| Program Services | 14463 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2180032 | Total |
| Management And General | 2180032 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1222829 | Total |
| Program Services | 1222829 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25017 | Total |
| Program Services | 25017 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190309 | Total |
| Program Services | 190309 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 511773 | Total |
| Program Services | 511773 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1491279 | Total |
| Program Services | 1491279 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12079 | Total |
| Program Services | 12079 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2772 | Total |
| Program Services | 2772 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 443584 | Total |
| Program Services | 443584 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2432765 | Total |
| Program Services | 2432765 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 1588480 | 1588480 | |
| MEDICAL SUPPLIES | 1222700 | 1222700 | |
| MISCELLANEOUS | 581297 | 308192 | 273105 |
| EQUIP RENTAL & MAINTENA | 283565 | 283565 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97622 | Total |
| Program Services | 97622 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35335026 | Total |
| Program Services | 32528582 | ProgramServices |
| Management And General | 2806444 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1965 | BOY |
| EOY | 2351 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1718301 | BOY |
| EOY | 2244590 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2219636 | BOY |
| EOY | 2793837 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 390618 | BOY |
| EOY | 420523 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2497570 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1924327 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153972 | BOY |
| EOY | 573243 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4484492 | BOY |
| EOY | 6034544 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1371322 | BOY |
| EOY | 1746423 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5003402 | BOY |
| EOY | 6178342 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6374724 | BOY |
| EOY | 7924765 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1890232 | BOY |
| EOY | -1890221 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1890232 | BOY |
| EOY | -1890221 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4484492 | BOY |
| EOY | 6034544 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 12 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 778230 | OtherCostOrOtherBasis |
| Depreciation | 591554 | Depreciation |
| Book Value | 186676 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1706923 | OtherCostOrOtherBasis |
| Depreciation | 1327599 | Depreciation |
| Book Value | 379324 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12417 | OtherCostOrOtherBasis |
| Depreciation | 5174 | Depreciation |
| Book Value | 7243 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 573243 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $4,802,597 |
| MALPRACTICE RESERVE | $1,375,745 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6178342 | TotalOfAmounts |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN HEART ASSOCIATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 460 N LINDBERGH BLVD | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63141 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Of Cash Grant | 6000 | AmountOfCashGrant |
| Purpose Of Grant | HEART BALL - HELP ADVANCED VITAL RESEARCH, SUPPORT PUBLIC AND PROFESSIONAL EDUCATION INITIATIVES, COMMUNITY SERVICE PROGRAMS AND ADVOCACY EFFORTS OF THE AMERICAN HEART ASSOCIATION. | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELLENA JOHN MD | |||||||||||||
| 0 | 332191 | 0 | 147946 | 0 | 56494 | 0 | 25971 | 0 | 14879 | 0 | 577481 | 0 | 0 |
| CHATHADI KRISHNAVEL | |||||||||||||
| 545684 | 0 | 0 | 0 | 1740 | 0 | 4288 | 0 | 10483 | 0 | 562195 | 0 | 0 | 0 |
| OMOTOLA AARON P | |||||||||||||
| 608952 | 0 | 600 | 0 | 1027 | 0 | 4288 | 0 | 27166 | 0 | 642033 | 0 | 0 | 0 |
| RAI AJITESH | |||||||||||||
| 532183 | 0 | 81726 | 0 | 540 | 0 | 11871 | 0 | 17291 | 0 | 643611 | 0 | 0 | 0 |
| SIKORSKI CHRISTIAN | |||||||||||||
| 793298 | 0 | 0 | 0 | 1350 | 0 | 7590 | 0 | 21819 | 0 | 824057 | 0 | 0 | 0 |
| WUELLNER JOHN C | |||||||||||||
| 458366 | 0 | 39028 | 0 | 2322 | 0 | 27360 | 0 | 18058 | 0 | 545134 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | PART I 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 11 | 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 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 FOR 2011. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| ALTON MEMORIAL HOSPITAL | ||||||||||
| ONE MEMORIAL HOSPITAL DRIVE | ALTON | IL | 62002 | 370661172 | HEALTHCARE SERVICES | IL | 501(C)(3) | 3 | CH ALLIED SERVICES INC | 1 |
| 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 |
| BARNES-JEWISH HOSPITAL | ||||||||||
| ONE BARNES-JEWISH HOSPITAL PLAZA | ST LOUIS | MO | 63110 | 237309937 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BJC HEALTH SYSTEM | 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 |
| 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 HOSPITAL INC | ||||||||||
| 10 HOSPITAL DRIVE | ST PETERS | MO | 63376 | 431452426 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BARNES-JEWISH HOSPITAL | 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 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 | ST LOUIS | MO | 63108 | 431617558 | SUPPORTING ORG | MO | 501(C)(3) | 11A | 0 | |
| BJC HOME CARE SERVICES | ||||||||||
| 9890 CLAYTON ROAD 200 | ST LOUIS | MO | 63124 | 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 | MO | 501(C)(3) | 3 | CH HEALTH SERVICES DEV CORP | 1 |
| CHRISTIAN HEALTH SERVICES DEV CORP | ||||||||||
| 11133 DUNN ROAD | ST LOUIS | MO | 63136 | 431230583 | HEALTHCARE SERVICES | MO | 501(C)(3) | 11A | BJC HEALTH SYSTEM | 1 |
| CHILDREN'S HEALTH NETWORK | ||||||||||
| ONE CHILDRENS PLACE | ST LOUIS | MO | 63110 | 431640467 | HEALTHCARE SERVICES | MO | 501(C)(3) | 9 | ST LOUIS CHILDREN'S HOSPITAL | 1 |
| CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST | ||||||||||
| 11133 DUNN ROAD | ST LOUIS | MO | 63136 | 436057893 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | CH HEALTH SERVICES DEV CORP | 1 |
| CHRISTIAN HOSPITAL FOUNDATION | ||||||||||
| 11155 DUNN ROAD SUITE 300 N | ST LOUIS | MO | 63136 | 431947644 | SUPPORT TO CHNE | MO | 501(C)(3) | 11A | CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST | 1 |
| CHRISTIAN HOSP ILLINOIS SVCS | ||||||||||
| 8 SUNSET HILLS | EDWARDSVILLE | IL | 62025 | 260131339 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | CH ALLIED SERVICES INC | 1 |
| COMMUNITY HEALTH CONNECTION | ||||||||||
| 4353 CLAYTON AVE RM 164 | ST LOUIS | MO | 63110 | 460819384 | HEALTHCARE SERVICES | MO | 501(C)(3) | 9 | 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 AUXILIARY | ||||||||||
| 751 SAPPINGTON BRIDGE | SULLIVAN | MO | 63080 | 431349641 | SUPPORT TO MBHS | MO | 501(C)(3) | 3 | MISSOURI BAPTIST HOSPITAL OF SULLIVAN | 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 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 FOUNDATION | ||||||||||
| 1101 WEST LIBERTY ST | FARMINGTON | MO | 63640 | 900424964 | SUPPORT TO PHC | MO | 501(C)(3) | 7 | PARKLAND HEALTH 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 FOUNDATION | ||||||||||
| ONE CHILDRENS PLACE | ST LOUIS | MO | 63110 | 431626863 | SUPPORT TO SLCH | MO | 501(C)(3) | 7 | ST LOUIS CHILDREN'S HOSPITAL | 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 |
| VILLAGE NORTH INC | ||||||||||
| 11160 VILLAGE NORTH DRIVE | ST LOUIS | MO | 63136 | 431207154 | HEALTHCARE SERVICES | MO | 501(C)(3) | 9 | CH HEALTH SERVICES DEV CORP | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|
| TWIN RIVERS MRI LLC | ||||||||
| ONE MEMORIAL DRIVE | ALTON | IL | 62002 | 371400120 | HEALTH SERVICES | IL | 0 | 0 |
| THE HEART CARE INSTITUTE LLC | ||||||||
| 1020 NORTH MASON ROAD | ST LOUIS | MO | 63141 | 431870517 | MEDICAL SERVICES | MO | 0 | 0 |
| GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC | ||||||||
| 216 SOUTH KINGSHIGHWAY | ST LOUIS | MO | 63110 | 431846941 | OUTPATIENT CARE SERVICES | MO | 0 | 0 |
| SURGERY CENTER OF FARMINGTON LLC | ||||||||
| 400 PARKLAND DRIVE | FARMINGTON | MO | 63640 | 431811835 | MEDICAL SERVICES | MO | 0 | 0 |
| CHILDREN'S DISCOVERY INSTITUTE LLC | ||||||||
| 4901 FOREST PARK BLVD | ST LOUIS | MO | 63108 | SEARCH FOR CURES OF PEDIATRIC DISEASES | MO | 0 | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Type Of EntityTypeOfEntity | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ATG ASSURANCE COMPANY LTD | ||||||||||||
| PO BOX 1109 | GRAND CAYMAN | GRAND CAYMAN | CJ | 980599167 | INSURANCE | UK | C | |||||
| PF SERVICES INC | ||||||||||||
| 431237767 | MANAGEMENT SERVICES | C | 11155 DUNN ROAD | ST LOUIS | MO | 63136 | MO | |||||
| MB MEDICAL SERVICES INC | ||||||||||||
| 431437404 | HEALTHCARE SERVICES | C | 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | MO | |||||
| MISSOURI BAPTIST HOME HEALTH CARE INC | ||||||||||||
| 431460430 | INACTIVE | C | 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | MO | |||||
| MB PHARMACY INC | ||||||||||||
| 431640730 | INACTIVE | C | 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | MO | |||||
| ST PETERS MED OFFICE BLDG A CONDO ASSN INC | ||||||||||||
| 431472188 | CONDOMINIUM ASSOCIATION | C | 1040 N MASON SUITE 109 | ST LOUIS | MO | 63141 | MO | |||||
| DMP MIDWEST INC | ||||||||||||
| 271943910 | INACTIVE | C | ONE METROPOLITAN SQ 2600 | ST LOUIS | MO | 63102 | MO | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 1 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 1 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| G | 277372 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| H | 1111171 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| I | 58245 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| J | 588576 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| K | 12622317 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| L | 5736246 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| N | 15823039 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| O | 9637141 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| P | 3582904 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| Q | 22980588 |
| BJC HEALTH SYSTEMPHYSICIAN GROUPS LC | |
| R | 7262430 |
Comments