CHRISTIAN HOSPITAL FOUNDATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CHRISTIAN HOSPITAL FOUNDATION (EIN 43-1947644)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201433219349308868
- Schema version
- 2013v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T15:16:43-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431947644 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTIAN HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHRI | BusinessNameControlTxt |
| Phone | 3146535000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11155 DUNN ROAD SUITE 300 NORTH | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63136 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RON MCMULLEN | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3146535000 | PhoneNum |
| Signature | 2014-11-17 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RON MCMULLEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11155 DUNN ROAD | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63136 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,080,936 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE SUPPORT TO CHRISTIAN HOSPITAL TO ACCOMPLISH ITS MISSION OF PROVIDING HEALTH CARE & CLINICAL EXCELLENCE TO OUR COMMUNITY. SEE MISSION STATEMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $985,289 | PYContributionsGrantsAmt |
| CY Contributions Grants | $460,629 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,179,554 | PYInvestmentIncomeAmt |
| CY Investment Income | $603,346 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$7,596 | PYOtherRevenueAmt |
| CY Other Revenue | -$18,442 | CYOtherRevenueAmt |
| PY Total Revenue | $2,157,247 | PYTotalRevenueAmt |
| CY Total Revenue | $1,045,533 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $476,178 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $582,419 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $203,000 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $116,000 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $497,299 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $329,571 | PYOtherExpensesAmt |
| CY Other Expenses | $419,000 | CYOtherExpensesAmt |
| PY Total Expenses | $1,008,749 | PYTotalExpensesAmt |
| CY Total Expenses | $1,117,419 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,148,498 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$71,886 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,362,531 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,545,040 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,176,975 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $469,063 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,185,556 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,075,977 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WITH THE GRACIOUS, VITAL SUPPORT OF OUR DONORS, THE CHRISTIAN HOSPITAL FOUNDATION'S MISSION IS TO PARTNER WITH CHRISTIAN HOSPITAL TO PROVIDE SERVICE, COMPASSIONATE CARE AND CLINICAL EXCELLENCE TO OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $407,419 | ExpenseAmt |
| Grant | $407,419 | GrantAmt |
| Desc | IN AN EFFORT TO REDUCE HOSPITAL READMISSION RATES, THE CHRISTIAN HOSPITAL FOUNDATION (FOUNDATION) PROVIDED FUNDING TO SUPPORT PATIENTS OF CHRISTIAN HOSPITAL THROUGH COMMUNITY PROGRAMS INCLUDING THE "TRANSITION TO WELLNESS CLINIC." THIS PROGRAM PROVIDED ITEMS NECESSARY TO PATIENTS TRANSITIONING FROM HOSPITAL TO HOME. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $95,000 | ExpenseAmt |
| Grant | $95,000 | GrantAmt |
| Desc | FOUNDATION PROVIDED START UP FUNDING FOR INNOVATIVE HEALTHCARE DELIVERY METHODS INCLUDING THE "COMMUNITY HEALTH ACCESS PROGRAM" AT CHRISTIAN HOSPITAL. PROGRAM FUNDING INCLUDED STAFFING AND OTHER COSTS FOR THE INITIAL YEAR OF OERATIONS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $80,000 | ExpenseAmt |
| Grant | $80,000 | GrantAmt |
| Desc | FOUNDATION FUNDS PROVIDED FINANCIAL ASSISTANCE TO MEDICALLY INDIGENT PATIENTS OF THE COMMUNITIES SERVED BY CHRISITAN HOSPITAL. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $423,925 | RevenueAmt |
| Desc | FOUNDATION HAS NEARLY COMPLETED ITS FIRST CAPITAL CAMPAIGN TO CONSTRUCT A HYBRID OPERATING ROOM FACILITY AT CHRISTIAN HOSPITAL. TO DATE $1.373M HAS BEEN RAISED TOWARDS A REVENUE GOAL OF $1.9M. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $423,925 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $582,419 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALERIE GRAY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3142860572 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4249 CLAYTON AVE STE 316 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63110 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt |
|---|---|---|---|---|---|---|---|
| DUMAS LILLIE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HANCOCK MILDRED | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HORNING CAROL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JENSEN JOSHUA II MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $182,784 | $16,973 | ||
| KEITH JUDI | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MALONE DAVID | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MILLER LORI | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MONAHAN DIANE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| OTTO DAVE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WOODWARD TIM | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MCKEE PAUL J JR | |||||||
| DIRECTOR/CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ZYKAN DONALD | |||||||
| VICE CHAIRMAN/DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MCMULLEN RON | |||||||
| PRESIDENT/DIRECTOR | 1.00 | Yes (X) | $0 | $467,959 | $85,788 | Yes (X) | 39.00 |
| HOEFT MICHELE | |||||||
| EXECUTIVE DIRECTOR/DIRECTOR | 40.00 | Yes (X) | $0 | $112,829 | $8,987 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $763,572 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $111,748 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY COUNSELING SERVICE | BusinessNameLine1 |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 27462 | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10087 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | FUNDRAISING CONSULTANT | ServicesDesc |
| Compensation | $116,000 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $64,125 | FundraisingAmt |
| All Other Contributions | $396,504 | AllOtherContributionsAmt |
| Noncash Contributions | $3,104 | NoncashContributionsAmt |
| Total Contributions | $460,629 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $216,623 | TotalRevenueColumnAmt |
| Exclusion | $216,623 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $386,723 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $386,723 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $386,723 | TotalRevenueColumnAmt |
| Exclusion | $386,723 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $16,961 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $64,125 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $35,403 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$18,442 | TotalRevenueColumnAmt |
| Exclusion | -$18,442 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,045,533 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $584,904 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $582,419 | TotalAmt |
| Program Services | $582,419 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,000 | TotalAmt |
| Fundraising | $116,000 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,057 | TotalAmt |
| Management And General | $24,057 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,452 | TotalAmt |
| Fundraising | $62,452 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,924 | TotalAmt |
| Management And General | $1,133 | ManagementAndGeneralAmt |
| Fundraising | $10,791 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,244 | TotalAmt |
| Management And General | $303 | ManagementAndGeneralAmt |
| Fundraising | $941 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,950 | TotalAmt |
| Management And General | $93 | ManagementAndGeneralAmt |
| Fundraising | $7,857 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| PURCHASED SERVICES | $307,580 | $12,000 | $295,580 |
| BANK FEES | $2,133 | $2,133 | |
| GIFTS/AWARDS | $1,145 | $1,145 | |
| DEPT OF TREASURY (IRS R | $400 | $400 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115 | TotalAmt |
| Management And General | $115 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,117,419 | TotalAmt |
| Program Services | $582,419 | ProgramServicesAmt |
| Management And General | $37,701 | ManagementAndGeneralAmt |
| Fundraising | $497,299 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $18,804 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,858 | BOYAmt |
| EOY | $43,084 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $644,258 | BOYAmt |
| EOY | $707,826 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,509,491 | BOYAmt |
| EOY | $5,164,790 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,167,784 | BOYAmt |
| EOY | $1,610,536 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,140 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,362,531 | BOYAmt |
| EOY | $7,545,040 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $810,975 | BOYAmt |
| EOY | $35,227 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $366,000 | BOYAmt |
| EOY | $433,836 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,176,975 | BOYAmt |
| EOY | $469,063 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$74,748 | BOYAmt |
| EOY | $44,239 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,230,204 | BOYAmt |
| EOY | $7,001,638 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,100 | BOYAmt |
| EOY | $30,100 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,185,556 | BOYAmt |
| EOY | $7,075,977 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,362,531 | BOYAmt |
| EOY | $7,545,040 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$71,886 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$92,514 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $54,821 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,946,104 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $113,175 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $140,788 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $985,289 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $460,629 | CurrentTaxYearAmt |
| Total | $3,645,985 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,946,104 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $113,175 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $140,788 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $985,289 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $460,629 | CurrentTaxYearAmt |
| Total | $3,645,985 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $130,297 | SubstantialContributorsTotAmt |
| Public Support Total170 | $3,515,688 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $61,777 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,679 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $79,802 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $152,591 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $216,623 | CurrentTaxYearAmt |
| Total | $544,472 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,190,457 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $63,374 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.83900 | PublicSupportCY170Pct |
| Public Support PY170 | 0.79710 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $39,857 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $154 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $287 | GrantsOrScholarshipsAmt |
| End Year Balance | $39,724 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $39,840 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $39,857 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $39,705 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $135 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $39,840 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $40,140 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $79 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $514 | AdministrativeExpensesAmt |
| End Year Balance | $39,705 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $39,359 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $781 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $40,140 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.24300 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.75700 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| HEDGE FUNDS | $181,480 | F |
| GSO BANK LOANS | $619,267 | F |
| LOW VOLUME HEDGE FUND | $330,377 | F |
| GLOBAL BONDS | $479,412 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $1,610,536 | TotalBookValueSecuritiesAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | INVESTMENT EARNINGS ARE USED TO FUND NURSING SCHOLARSHIPS. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY COUNSELING SERVICES | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 430159 | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100877462 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | CONSULTING ON CAPITAL FUND RAISING CAMPAIGN | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $423,925 | GrossReceiptsAmt |
| Retained By Contractor | $116,000 | RetainedByContractorAmt |
| Net To Organization | $307,925 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $423,925 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $116,000 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $307,925 | TotalNetToOrganizationAmt |
| Licensed States | MO | LicensedStatesCd |
| Licensed States | IL | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | LEGACY LEADER DINNER | NameOfEvent1Amt |
| Gross Receipts Event1 | $36,860 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $30,125 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $6,735 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $8,472 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $400 | EntertainmentEvent1Amt |
| Name Of Event2 | GOLF OUTING | NameOfEvent2Amt |
| Gross Receipts Event2 | $44,226 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $34,000 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $10,226 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $658 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $25,873 | RentFacilityCostsEvent2Amt |
| Gross Receipts Total | $81,086 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $64,125 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $16,961 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $658 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $25,873 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $8,472 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $400 | EntertainmentTotalEventsAmt |
| Direct Expense Summary Events | $35,403 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$18,442 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| CHRISTIAN HOSPITAL NE-NW | |||||||
| 11133 DUNN ROAD | ST LOUIS | MO | 63136 | 436057893 | 501(C)(3) | $554,819 | PROVIDE SUPPORT FOR COMMUNITY PROGRAMS |
| PHYSICIANS GROUP LC A DISREGARDED ENTITY OF BJC HEALTH SYSTEM | |||||||
| 670 MASON RIDGE CENTER DR | ST LOUIS | MO | 63141 | 431681957 | 501(C)(3) | $27,600 | TRANSITION TO WELLNESS PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | CHRISTIAN HOSPITAL FOUNDATION WORKS CLOSELY WITH THE COMMUNITY RELATIONS COMMITTEE OF THE CHRISTIAN HOSPITAL BOARD WHEN APPROVING ALL COMMUNITY BENEFIT PROGRAMS, INCLUDING ASSISTANCE TO OTHERS. FUNDING FOR THE NEXT YEAR IS DETERMINED IN THE FALL. ALL EXPENSES ARE APPROVED THROUGH THE EXECUTIVE DIRECTOR OF THE CHRISTIAN HOSPITAL FOUNDATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JENSEN JOSHUA II MD | ||||||||||||||
| DIRECTOR | $0 | $176,717 | $0 | $0 | $0 | $6,067 | $0 | $425 | $0 | $16,548 | $0 | $199,757 | $0 | $0 |
| MCMULLEN RON | ||||||||||||||
| PRESIDENT/DIRECTOR | $0 | $310,448 | $0 | $152,662 | $0 | $4,849 | $0 | $70,475 | $0 | $15,313 | $0 | $553,747 | $0 | $20,605 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | DURING 2013, THE FOLLOWING INDIVIDUAL(S) RECEIVED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ACCRUALS FROM THE RELATED ORGANIZATION AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS (SEE FORM 990, PART VII AND SCHEDULE J, PART II): MCMULLEN, RONALD B $39,401 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 1 | NUMBER REPORTED IN BOX 3 FORM 1096 THE ORGANIZATION IS AN AFFILIATE OF BJC HEALTH SYSTEM (BJC), A SUPPORTING ORGANIZATION DESCRIBED IN CODE SECTION 509(A)(3). BJC ASSUMES RESPONSIBILITY FOR REMITTING ALL PAYMENTS TO VENDORS THROUGH A CENTRALIZED ACCOUNTS PAYABLE SYSTEM. BJC ALSO ASSUMES RESPONSIBILITY FOR REPORTING THESE PAYMENTS TO THE IRS USING ITS EIN AS THE COMMON PAYOR ON FORM(S) 1099, 1098, 5498, AND W-2G. THE AMOUNT REPORTED ON LINE 1, IF ANY, REFLECTS THE NUMBER OF FORMS FILED BY BJC HEALTH SYSTEM (EIN 43-1617558) ON BEHALF OF THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE FOUNDATION IS CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST, A MISSOURI NOT-FOR-PROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER OF THE CHRISTIAN HOSPITAL FOUNDATION (FOUNDATION) IS CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST. THE BOARD OF DIRECTORS OF THE FOUNDATION ARE CHOSEN BY ITS SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | ALTHOUGH THE PROPERTY AND AFFAIRS OF THE FOUNDATION ARE MANAGED BY THE BOARD OF DIRECTORS, THE POWERS OF THE BOARD ARE LIMITED AND MUST BE APPROVED BY ITS SOLE MEMBER. THESE POWERS INCLUDE, BUT ARE NOT LIMITED TO: VARIOUS CAPITAL EXPENDITURES; BUYING, SELLING, LEASING OF REAL PROPERTY HELD BY THE FOUNDATION; ANNUAL OPERATING BUDGET; INCURRENCE OF DEBT; REVISIONS OR AMENDMENTS TO ARTICLES OF INCORPORATION OR BYLAWS OF THE FOUNDATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION PREPARES DRAFT COPIES OF FORM 990 AND ATTACHMENTS FOR REVIEW BY MEMBERS OF MANAGEMENT INCLUDING THE EXECUTIVE OFFICER OF THE FOUNDATION. AFTER RESOLVING ANY OPEN ITEMS, THE FINAL DRAFT RETURN WAS SUBMITTED TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH THE POLICY BY ISSUING ANNUALLY A CONFLICT OF INTEREST QUESTIONNAIRE REMINDING COVERED INDIVIDUALS OF THEIR OBLIGATIONS TO DISCLOSE POTENTIAL CONFLICTS AND REQUESTING THAT THEY COMPLETE A CONFLICTS OF INTEREST QUESTIONNAIRE. THE QUESTIONNAIRE REQUIRES THE DISCLOSURE OF CONFLICTS AND AN ATTESTATION TO THEIR CONTINUING OBLIGATION TO DISCLOSE SAID CONFLICTS SHOULD THE NEED ARISE. THE RESULTS OF THE CONFLICT OF INTEREST QUESTIONNAIRE ARE REVIEWED BY A CENTRALIZED COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION TAKEN AS NECESSARY. SHOULD THE ORGANIZATION BECOME AWARE OF A CONFLICT NOT PREVIOUSLY REPORTED, MANAGEMENT WOULD INVESTIGATE THE ISSUE AND RESPOND IN ACCORDANCE WITH THE POLICY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE FOR INSPECTION BY THE GENERAL PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER FROM BJC (AUXILIARY) 60,000. EQUITY TRANSFER FROM BJC (DRS. TO GOLF EVENT) 5,000. EQUITY TRANSFER TO AMH -10,179. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ALTON MEMORIAL HOSPITAL | |||||||||||
| ONE MEMORIAL HOSPITAL DRIVE | ALTON | IL | 62002 | 370661172 | HEALTHCARE SERVICES | IL | 501(C)(3) | 3 | CH ALLIED SERVICES INC | Yes (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 | Yes (1) | |
| BARNES-JEWISH HOSPITAL | |||||||||||
| ONE BARNES-JEWISH HOSPITAL PLAZA | ST LOUIS | MO | 63110 | 237309937 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BJC HEALTH SYSTEM | Yes (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 | Yes (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 | Yes (1) | |
| BARNES JEWISH ST PETERS & PROGRESS WEST FOUNDATION | |||||||||||
| 10 HOSPITAL DRIVE | ST PETERS | MO | 63376 | 454471497 | SUPPORT TO BJSPH & PROGRESS WEST | MO | 501(C)(3) | 7 | BJSP HOSPITAL & PROGRESS WEST | Yes (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 | Yes (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 | Yes (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 | Yes (1) | |
| BJC BEHAVIORAL HEALTH | |||||||||||
| 1430 OLIVE STREET SUITE 400 | ST LOUIS | MO | 63103 | 431610561 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BJC HEALTH SYSTEM | Yes (1) | |
| BJC CORPORATE HEALTH SERVICES | |||||||||||
| 5000 MANCHESTER AVENUE | ST LOUIS | MO | 63110 | 431324103 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BARNES-JEWISH HOSPITAL | Yes (1) | |
| BJC HEALTH SYSTEM | |||||||||||
| 4901 FOREST PARK AVE STE 1200 | ST LOUIS | MO | 63108 | 431617558 | SUPPORTING ORG | MO | 501(C)(3) | 11A | 0 | N/A | |
| BJC HOME CARE SERVICES | |||||||||||
| 1935 BELTWAY DRIVE | ST LOUIS | MO | 63114 | 431450457 | HEALTHCARE SERVICES | MO | 501(C)(3) | 9 | BARNES-JEWISH HOSPITAL | Yes (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 | Yes (1) | |
| CH ALLIED SERVICES INC | |||||||||||
| 1600 E BROADWAY | COLUMBIA | MO | 65201 | 431279063 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | CH HEALTH SERVICES DEV CORP | Yes (1) | |
| CHRISTIAN HEALTH SERVICES DEV CORP | |||||||||||
| 11133 DUNN ROAD | ST LOUIS | MO | 63136 | 431230583 | HEALTHCARE SERVICES | MO | 501(C)(3) | 11A | BJC HEALTH SYSTEM | Yes (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 | Yes (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 | Yes (1) | |
| CHRISTIAN HOSP ILLINOIS SVCS | |||||||||||
| 8 SUNSET HILLS | EDWARDSVILLE | IL | 62025 | 260131339 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | CH ALLIED SERVICES INC | Yes (1) | |
| COMMUNITY HEALTH CONNECTION | |||||||||||
| 4353 CLAYTON AVE ROOM 164 | ST LOUIS | MO | 63110 | 460819384 | HEALTHCARE SERVICES | MO | 501(C)(3) | 9 | BJC HEALTH SYSTEM | Yes (1) | |
| FAIRVIEW HEIGHTS MEDICAL GROUP SC | |||||||||||
| 670 MASON RIDGE CENTER DR SUITE 300 | ST LOUIS | MO | 63141 | 364147189 | HEALTHCARE SERVICES | IL | 501(C)(3) | 3 | BJC HEALTH SYSTEM | Yes (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 | Yes (1) | |
| MISSOURI BAPTIST HOSPITAL OF SULLIVAN | |||||||||||
| 751 SAPPINGTON BRIDGE | SULLIVAN | MO | 63080 | 431459495 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | MISSOURI BAPTIST MEDICAL CENTER | Yes (1) | |
| MISSOURI BAPTIST MEDICAL CENTER | |||||||||||
| 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | 430652656 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BJC HEALTH SYSTEM | Yes (1) | |
| PARKLAND HEALTH CENTER | |||||||||||
| 1101 WEST LIBERTY ST | FARMINGTON | MO | 63640 | 431332368 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | MISSOURI BAPTIST MEDICAL CENTER | Yes (1) | |
| PARKLAND HEALTH CENTER FOUNDATION | |||||||||||
| 1101 WEST LIBERTY ST | FARMINGTON | MO | 63640 | 900424964 | SUPPORT TO PHC | MO | 501(C)(3) | 7 | MISSOURI BAPTIST MEDICAL CENTER | Yes (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 | Yes (1) | |
| PROGRESS WEST HEALTHCARE CENTER | |||||||||||
| 2 PROGRESS POINT PARKWAY | OFALLON | MO | 63368 | 412140764 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BJC HEALTH SYSTEM | Yes (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 | Yes (1) | |
| ST LOUIS CHILDREN'S HOSPITAL | |||||||||||
| ONE CHILDRENS PLACE | ST LOUIS | MO | 63110 | 430654870 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BJC HEALTH SYSTEM | Yes (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 | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| THE HEART CARE INSTITUTE LLC | |||||||
| 1020 NORTH MASON ROAD | ST LOUIS | MO | 63141 | 431870517 | MEDICAL SERVICES | MO | N/A |
| GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC | |||||||
| 216 SOUTH KINGSHIGHWAY | ST LOUIS | MO | 63110 | 431846941 | OUTPATIENT CARE SERVICES | MO | N/A |
| SURGERY CENTER OF FARMINGTON LLC | |||||||
| 400 PARKLAND DRIVE | FARMINGTON | MO | 63640 | 431811835 | MEDICAL SERVICES | MO | N/A |
| CHILDREN'S DISCOVERY INSTITUTE LLC | |||||||
| 4901 FOREST PARK AVE | ST LOUIS | MO | 63108 | SEARCH FOR CURES OF PEDIATRIC DISEASES | MO | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Legal Domicile StateLegalDomicileStateCd | Province Or StateForeignAddress/ProvinceOrState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ATG ASSURANCE COMPANY LTD | ||||||||||||||
| PO BOX 1109 | GRAND CAYMAN | CJ | 980599167 | INSURANCE | CJ | N/A | C | Yes (1) | ||||||
| PF SERVICES INC | ||||||||||||||
| 431237767 | MANAGEMENT SERVICES | N/A | C | Yes (1) | 11155 DUNN ROAD | ST LOUIS | MO | 63136 | MO | |||||
| MB MEDICAL SERVICES INC | ||||||||||||||
| 431437404 | HEALTHCARE SERVICES | N/A | C | Yes (1) | 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | MO | |||||
| MISSOURI BAPTIST HOME HEALTH CARE INC | ||||||||||||||
| 431460430 | INACTIVE | N/A | C | Yes (1) | 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | MO | |||||
| MB PHARMACY SERVICES INC | ||||||||||||||
| 431640730 | INACTIVE | N/A | C | Yes (1) | 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | MO | |||||
| ST PETERS MED OFFICE BLDG A CONDO ASSN INC | ||||||||||||||
| 431472188 | CONDOMINIUM ASSOCIATION | N/A | C | Yes (1) | 1040 N MASON SUITE 109 | ST LOUIS | MO | 63141 | MO | |||||
| DMP MIDWEST INC | ||||||||||||||
| 271943910 | INACTIVE | N/A | C | Yes (1) | ONE METROPOLITAN SQ 2600 | ST LOUIS | MO | 63102 | MO | |||||
| WLA INVESTMENT LTD | ||||||||||||||
| PO BOX 178 | OKOTOKS | CA | INVESTMENT HOLDINGS | CA | N/A | C | Yes (1) | ALBERTA | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |