ST LOUIS INTEGRATED HEALTH NETWORK: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST LOUIS INTEGRATED HEALTH NETWORK (EIN 20-3288245)
- Tax period
- 2012-09-01 to 2013-08-31
- Filed
- 2014-03-31
- IRS object ID
- 201420909349300407
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-03-31T09:39:57-05:00 | Timestamp |
| Tax Period End Date | 2013-08-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430765316 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RUBINBROWN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE NORTH BRENTWOOD | AddressLine1 |
| City | SAINT LOUIS | City |
| State | MO | State |
| ZIP Code | 63105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203288245 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LOUIS INTEGRATED HEALTH NETWORK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STLO | NameControl |
| Phone | 3146571483 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1520 MARKET STREET NO 4034 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 631032625 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BETHANY JOHNSON-JAVIOS | Name |
| Title | CEO | Title |
| Phone | 3146571483 | Phone |
| Date Signed | 2014-03-31 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRENT W STEVENS | Name |
| PTIN | P01291820 | PTIN |
| Phone | 3142903300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BETHANY JOHNSON-JAVOIS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1520 MARKET STREET SUITE 4034 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1264454 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STLOUISIHN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2004 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION IS A PARTNERSHIP OF MEDICAL CARE PROVIDERS IN ST. LOUIS CITY AND COUNTY. THE ORGANIZATION'S GOAL IS TO ENSURE ACCESS TO HEALTH CARE FOR UNINSURED AND UNDERINSURED CHILDREN AND ADULTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 12 | TotalNbrEmployees |
| Total Nbr Volunteers | 30 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1878973 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1153300 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 48531 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 110928 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 263 | InvestmentIncomePriorYear |
| Investment Income Current Year | 226 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1927767 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1264454 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 809191 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 803097 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 91479 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 893070 | OtherExpensePriorYear |
| Other Expenses Current Year | 325374 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1702261 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1128471 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 225506 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 135983 | RevenuesLessExpensesCY |
| Total Assets BOY | 825788 | TotalAssetsBOY |
| Total Assets EOY | 884754 | TotalAssetsEOY |
| Total Liabilities BOY | 179537 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 102520 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 646251 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 782234 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ORGANIZATION IS A PARTNERSHIP OF PRIMARY AND SPECIALTY MEDICAL CARE PROVIDERS IN ST LOUIS CITY AND COUNTY. THE GOAL OF THE ORGANIZATION IS TO ENSURE ACCESS TO HEALTH CARE FOR UNINSURED AND UNDERINSURED CHILDREN AND ADULTS THROUGH INCREASED INTEGRATION AND COORDINATION OF A SAFETY NET FOR HEALTH CARE. THE ORGANIZATION'S PROVIDERS SERVE 200,000 INDIVIDUALS IN THE ST. LOUIS REGION EACH YEAR FOR PRIMARY CARE THROUGH MORE THAN 400,000 ENCOUNTERS. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 844806 | Expense |
| Revenue | 110928 | Revenue |
| Description | THE REFERRAL COORDINATOR PROGRAM UTILIZES REFERRAL COORDINATORSTO CONNECT NON-EMERGENCY EMERGENCY DEPARTMENT PATIENTS WITH APRIMARY CARE PROVIDER FOR FOLLOW-UP AND PREVENTATIVE CARE. INPARTICULAR, THE PROGRAM FOCUSES ON SERVING MEDICAID AND UNINSUREDPATIENTS. THE PROGRAM IS ALSO FOCUSING EFFORTS ON PATIENTS WITHCHRONIC CARE NEEDS TO INCREASE THE UTLIIZATION OF PREVENTATIVECARE SERVICES AVAILABLE IN THE COMMUNITY. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 139347 | Expense |
| Revenue | 0 | Revenue |
| Description | PROJECT NETWORK CONNECT - AN INITIATIVE TO BUILD AND EXPAND SECURE HEALTH INFORMATION DATA ELEMENTS RANGING FROM INSURANCE INFORMATION TO CLINICAL INDICATORS WAREHOUSED BY THE MISSOURI PRIMARY CARE ASSOCIATION. THIS ROBUST DATA REPOSITORY WILL BE VALUABLE FOR FUTURE QUALITY REPORTING INITIATIVES AND WILL POSITION ST. LOUIS REGION SAFETY-NET PROVIDERS TO PARTICIPATE IN ANY FUTURE REGIONAL OR STATE HEALTH INFORMATION EXCHANGE (HIE) DEVELOPMENTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 16046 | Expense |
| Revenue | 0 | Revenue |
| Description | THE ORGANIZATION UNDERTOOK A PARTNERSHIP ENTITLED STUDENTS AS COACHES: NAVIGATING THE ST. LOUIS SAFETY-NET HEALTH CARE SYSTEM BETWEEN THE ORGANIZATION AND SAINT LOUIS UNIVERSITY (SLU) SCHOOL OF MEDICINE, DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE. THE GOAL OF THE PROGRAM IS TO DEVELOP A SERVICE AND ADVOCACY LEARNING COMMUNITY ELECTIVE AND INTEREST GROUP WITH MEDICAL STUDENTS THAT CREATES A LEARNING COMMUNITY FOCUSED ON CLINICAL AND LEADERSHIP OPPORTUNITIES AND PATIENT ADVOCACY WITHIN THE SAFETY-NET HEALTHCARE SYSTEM. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10700 | Expense |
| Description | SAFETY NET MARKETING IS A CAMPAIGN FOCUSED ON PRODUCING MARKETING MATERIALS TO INCREASE PUBLIC AWARENESS OF AVAILABLE HEALTH RESOURCES AND THE WAY TO NAVIGATE THESE RESOURCES. THE OBJECTIVES OF THE CAMPAIGN ARE TO INFORM CONSUMERS ON HOW TO NAVIGATE BETWEEN PRIMARY CARE, URGENT CARE, PREVENTATIVE, SPECIALTY AND EMERGENCY CARE, BRAND HEALTH CARE PROVIDERS AS A SINGLE NETWORK, AND TO RAISE AWARENESS OF THE LOCAL HEALTH CARE NETWORK. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 10700 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 1010899 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | 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 | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 8 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 12 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 |
| Form8899 Filed | 1 | Form8899Filed |
| Form1098 C Filed | 1 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | 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 | 0 | 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 | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BETHANY JOHNSON-JAVOIS CEO | NamePerson |
| Telephone Number | 3146571483 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1520 MARKET STREET SUITE 4034 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 631032625 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| ROBERT MASSIE | ||||||
| BOARD PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| MELODY ESKRIDGE | ||||||
| BOARD TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| DOLORES GUNN | ||||||
| BOARD SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| ALAN FREEMAN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JAMES P CRANE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DWAYNE BUTLER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KARL WILSON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KATE BECKER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ANGELA ARCHIBALD-CLABON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| BETHANY JOHNSON-JAVOIS | ||||||
| CEO | 40.00 | X | 123738 | 0 | 9515 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 123738 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 9515 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSOURI COALITION FOR PRIMARY HEALTHCAR | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3325 EMERALD LANE | AddressLine1 |
| City | JEFFERSON CITY | City |
| State | MO | State |
| ZIP Code | 65109 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | DATA COLLECTION AND REPORTING | DescriptionOfServices |
| Compensation | 120900 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Membership Dues | 235000 | MembershipDues |
| Government Grants | 917740 | GovernmentGrants |
| All Other Contributions | 560 | AllOtherContributions |
| Total Contributions | 1153300 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | REFERRAL COORDINATOR | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 110928 | TotalRevenueColumn |
| Related Or Exempt Function Income | 110928 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 110928 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 226 | TotalRevenueColumn |
| Exclusion | $226 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1264454 | TotalRevenueColumn |
| Related Or Exempt Function Income | 110928 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $226 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 138377 | Total |
| Program Services | 85623 | ProgramServices |
| Management And General | 13355 | ManagementAndGeneral |
| Fundraising | 39399 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 531402 | Total |
| Program Services | 531985 | ProgramServices |
| Fundraising | -583 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13363 | Total |
| Program Services | 13403 | ProgramServices |
| Fundraising | -40 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57793 | Total |
| Program Services | 55402 | ProgramServices |
| Management And General | 756 | ManagementAndGeneral |
| Fundraising | 1635 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62162 | Total |
| Program Services | 58515 | ProgramServices |
| Management And General | 949 | ManagementAndGeneral |
| Fundraising | 2698 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2239 | Total |
| Program Services | 1337 | ProgramServices |
| Fundraising | 902 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63880 | Total |
| Program Services | 31090 | ProgramServices |
| Management And General | 8686 | ManagementAndGeneral |
| Fundraising | 24104 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 192311 | Total |
| Program Services | 179395 | ProgramServices |
| Management And General | 1089 | ManagementAndGeneral |
| Fundraising | 11827 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37283 | Total |
| Program Services | 30072 | ProgramServices |
| Management And General | 692 | ManagementAndGeneral |
| Fundraising | 6519 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6966 | Total |
| Program Services | 5141 | ProgramServices |
| Management And General | 488 | ManagementAndGeneral |
| Fundraising | 1337 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 516 | Total |
| Program Services | 222 | ProgramServices |
| Fundraising | 294 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4372 | Total |
| Program Services | 2950 | ProgramServices |
| Fundraising | 1422 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1579 | Total |
| Program Services | 944 | ProgramServices |
| Fundraising | 635 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4127 | Total |
| Program Services | 3593 | ProgramServices |
| Fundraising | 534 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| LICENSING FEES | 4915 | 4915 | ||
| WORKER'S COMPENSATION | 3985 | 3680 | 78 | 227 |
| OTHER MISCELLANEOUS EXP | 2651 | 2632 | 19 | |
| MEMBERSHIP DUES | 550 | 550 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1128471 | Total |
| Program Services | 1010899 | ProgramServices |
| Management And General | 26093 | ManagementAndGeneral |
| Fundraising | 91479 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2502 | BOY |
| EOY | 80392 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 794140 | BOY |
| EOY | 761162 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25966 | BOY |
| EOY | 41598 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 12971 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 11369 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3180 | BOY |
| EOY | 1602 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 825788 | BOY |
| EOY | 884754 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116011 | BOY |
| EOY | 71092 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63526 | BOY |
| EOY | 31428 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 179537 | BOY |
| EOY | 102520 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 302464 | BOY |
| EOY | 405665 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 343787 | BOY |
| EOY | 376569 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 646251 | BOY |
| EOY | 782234 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 825788 | BOY |
| EOY | 884754 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 135983 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2278167 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1417599 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2212707 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1878973 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1153300 | CurrentTaxYear |
| Total | 8940746 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2278167 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1417599 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2212707 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1878973 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1153300 | CurrentTaxYear |
| Total | 8940746 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 111118 | AmountsSubstContributorsTotal |
| Public Support Total170 | 8829628 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2254 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 340 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 272 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 263 | CurrentTaxYearMinus1Year |
| Current Tax Year | 226 | CurrentTaxYear |
| Total | 3355 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 8944101 | TotalSupport |
| Gross Receipts From Admissions Etc | 265227 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.98720 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.96700 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12971 | OtherCostOrOtherBasis |
| Depreciation | 11369 | Depreciation |
| Book Value | 1602 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1602 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 1294694 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 30240 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 30240 | RevenueNotRptdF990 |
| Revenue Subtotal | 1264454 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1264454 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1158711 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 30240 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 30240 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1128471 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1128471 | TotalExpensesPerForm990 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | THE ORGANIZATION UNDERTOOK A PARTNERSHIP ENTITLED STUDENTS AS COACHES: NAVIGATING THE ST. LOUIS SAFETY-NET HEALTH CARE SYSTEM BETWEEN THE ORGANIZATION AND SAINT LOUIS UNIVERSITY (SLU) SCHOOL OF MEDICINE, DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE. THE GOAL OF THE PROGRAM IS TO DEVELOP A SERVICE AND ADVOCACY LEARNING COMMUNITY ELECTIVE AND INTEREST GROUP WITH MEDICAL STUDENTS THAT CREATES A LEARNING COMMUNITY FOCUSED ON CLINICAL AND LEADERSHIP OPPORTUNITIES AND PATIENT ADVOCACY WITHIN THE SAFETY-NET HEALTHCARE SYSTEM. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION HAS OUTSOURCED THE ACCOUNTING FUNCTION AND THE OFFICE OF THE CONTROLLER TO A PROFESSIONAL SERVICES FIRM - ROI BUSINESS SOLUTIONS, INC. THE ACCOUNTING ACTIVITY AND RESPONSIBILITIES OF THE CONTROLLER ARE SUPERVISED BY THE CEO AND THE TREASURER OF THE BOARD OF DIRECTORS OF THE ORGANIZATION ON A PERIODIC BASIS. | |
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT CURRENTLY HAVE ANY FORMAL COMMITTEES OF THE BOARD OF DIRECTORS THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM, REVIEWED BY MANAGEMENT AND PROVIDED TO THE BOARD OF DIRECTORS ELECTRONICALLY PRIOR TO THE FORM BEING FILED WITH THE IRS BY MANAGEMENT. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION COLLECTS CONFLICT OF INTEREST STATEMENTS FROM ALL MEMBERS OF THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. THE STATEMENTS ARE REVIEWED BY THE CEO OF THE ORGANIZATION AND THE CHAIRMAN OF THE BOARD OF DIRECTORS. IF A CONFLICT OF INTEREST IS PRESENT, THE APPLICABLE BOARD MEMBER(S) IS/ARE EXCUSED FROM ANY DECISIONS MADE BY THE ORGANIZATION AS RELATED TO THE NOTED CONFLICT OF INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE ORGANIZATION DOES NOT HAVE ANY KEY EMPLOYEES OR HIGHLY COMPENSATED EMPLOYEES OTHER THAN THE CEO.THE BOARD OF DIRECTORS APPROVED THE SALARY OF THE ORGANIZATION'S CURRENT CEO BASED ON COMPARISONS FOR SIMILAR POSITIONS IN SIMILAR NOT-FOR-PROFIT ORGANIZATIONS. THE COMPARATIVE INFORMATION WAS ACCUMULATED BY THE ORGANIZATION DURING THE SEARCH FOR A NEW CEO DURING THE PRIOR FISCAL YEAR. ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS REVIEWS THE CEO'S PERFORMANCE TO DETERMINE IF A CHANGE IN COMPENSATION IS WARRANTED. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE VARIOUS DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST ADDRESSED TO THE ORGANIZATION'S OFFICE. | |
| OTHER FEES | FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 179,395. MANAGEMENT AND GENERAL EXPENSES 1,089. FUNDRAISING EXPENSES 11,827. TOTAL EXPENSES 192,311. |