2012-11-15T15:10:38-06:00 2011-12-31 990 2011-01-01 900424964 PARKLAND HEALTH CENTER FOUNDATION PARK 5737608036 1101 WEST LIBERTY STREET FARMINGTON MO 63640 THOMAS KARL 5737608036 2012-11-15 2011 2016-02-24 21:20:13Z THOMAS KARL 1101 WEST LIBERTY STREET FARMINGTON MO 63640 1706610 0 X N/A X 2008 MO TO SERVE THE HEALTHCARE NEEDS OF THE COMMUNITY 13 12 0 14 0 0 2207279 655489 0 0 27270 1042621 512 1262 2235061 1699372 0 769017 0 0 0 0 0 0 0 1608 2469 1608 771486 2233453 927886 4238773 4467030 0 0 4238773 4467030 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 698439 698439 IN FURTHERANCE OF ITS MISSION, THE FOUNDATION PROVIDED A PHILANTHROPIC GIFT TO PARKLAND HEALTH CENTER (HOSPITAL). DURING 2011, FUNDING WAS PROVIDED TO ADD A THIRD RADIOLOGY ROOM TO PARKLAND HEALTH CENTER IN FARMINGTON AND THE NEW EQUIPMENT PROVIDES DIGITAL TECHNOLOGY. 49628 49628 IN FURTHERANCE OF ITS MISSION, THE FOUNDATION PROVIDED A PHILANTHROPIC GIFT TO PARKLAND HEALTH CENTER (HOSPITAL). DURING 2011, THE FOUNDATION HELPED FUND THE EXPANSION OF THE ONCOLOGY DEPARTMENT AT THE BONNE TERRE LOCATION. THE EXPNASION WILL HELP THE DEPARTMENT ACCOMMODATE MORE PATIENTS IN A MORE COMFORTABLE ATMOSPHERE. 20950 20950 IN FURTHERANCE OF ITS MISSION, THE FOUNDATION PROVIDED A PHILANTHROPIC GIFT TO PARKLAND HEALTH CENTER (HOSPITAL). DURING 2011, THE FOUNDATION HELPED FUND THE PURCHASE AND IMPLEMENTATION OF A PEDIATRIC PSYCH TELEMEDICINE ROOM. 769017 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 13 12 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X THOMAS KARL 5737608275 1101 W LIBERTY ST FARMINGTON MO 63640 WILLIAMS PAUL 1.00 X 0 0 0 WOOD JOYCE 1.00 X 0 0 0 WOOD NICOLE 1.00 X 0 0 0 BAKER MARY 1.00 X 0 0 0 COOK KEVIN 1.00 X 0 0 0 COULTER CAROL 1.00 X 0 0 0 COLSON JILL 1.00 X 0 0 0 YAHNKE DAVID 1.00 X 0 0 0 CROUCH JOHN R 1.00 X X 0 0 0 KARL THOMAS P 1.00 X X 0 201948 67101 OLIVER GEORGE DR 1.00 X X 0 0 0 RHODES CATHERINE 1.00 X X 0 0 0 0 201948 67101 0 0 1 0 0 655489 655489 49670 49670 992951 0 992951 992951 992951 8500 7238 1262 1262 1699372 0 0 1043883 769017 769017 SPECIAL EVENTS 2469 2469 771486 769017 2469 0 4379 10006 1000000 0 1205284 0 1915439 4345353 113671 111671 4238773 4467030 0 0 X 2289390 3473818 1949383 993212 4238773 4467030 4238773 4467030 X 927886 -699629 X 0 1 1 X 0 X 1699383 2207279 655489 4562151 1699383 2207279 655489 4562151 907146 3655005 21890 8985 49670 80545 4642696 10885 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 PARKLAND HEALTH CENTER 1101 W LIBERTY STREET FARMINGTON MO 63640 431332368 501(C)(3) 698439 0 NEW RADIOLOGY ROOM PARKLAND HEALTH CENTER 1101 W LIBERTY STREET FARMINGTON MO 63640 431332368 501(C)(3) 49628 0 ONCOLOGY DEPARTMENT RENOVATIONS PARKLAND HEALTH CENTER 1101 W LIBERTY STREET FARMINGTON MO 63640 431332368 501(C)(3) 20950 0 TELEMEDICINE ROOM 0 1 0 0 0 0 0 0 0 KARL THOMAS P 0 153371 0 39743 0 8834 0 46317 0 20784 0 269049 0 11659 PART I, LINE 4B PART I, LINE 4B: DURING 2011, 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 $21,170 SUPPLEMENTAL INFORMATION PART III 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 VI, SECTION A, LINE 2 CERTAIN 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 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 HAVE DISCUSSED THE FINANCIAL AND NARRATIVE DISCLOSURES INCLUDED IN THE FORM 990 FOR THE PARKLAND HEALTH CENTER FOUNDATION. ALTHOUGH CERTAIN MEMBERS REVIEWED A PRELIMINARY COPY OF THE RETURN DISCLOSURES, THE FINAL DRAFT WAS NOT MADE AVAILABLE TO THE ENTIRE BOARD PRIOR TO FILING THE RETURN. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -699,629. ALTON MEMORIAL HOSPITAL ONE MEMORIAL HOSPITAL DRIVE ALTON IL 62002 370661172 HEALTHCARE SERVICES IL 501(C)(3) LINE 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) LINE 11A, I ALTON MEMORIAL HOSPITAL 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 1 THE FOUNDATION FOR BARNES-JEWISH HOSPITAL FOUNDATION 1001 HIGHLANDS PLAZA DR WEST SUITE ST LOUIS MO 63110 431648435 SUPPORT TO BJH MO 501(C)(3) LINE 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) LINE 11C, III-FI BARNES-JEWISH HOSPITAL 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 1 BARNES-JEWISH ST PETERS HOSPITAL AUXILIARY 10 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LINE 9 BJC HEALTH SYSTEM 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 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 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 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 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 1 PARKLAND HEALTH CENTER 1101 WEST LIBERTY ST FARMINGTON MO 63640 431332368 HEALTHCARE SERVICES MO 501(C)(3) LINE 3 MISSOURI BAPTIST MEDICAL CENTER 1 PROGRESS EAST HEALTHCARE CENTER 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