CHRISTIAN HOSPITAL FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CHRISTIAN HOSPITAL FOUNDATION (EIN 43-1947644)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201343199349303599
- 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
- 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) |
|---|---|---|
| Timestamp | 2013-11-15T10:28:12-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431947644 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTIAN HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHRI | NameControl |
| Phone | 3146535000 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RON MCMULLEN | Name |
| Title | PRESIDENT | Title |
| Phone | 3146535000 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RON MCMULLEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 2179843 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2001 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | WITH THE GRACIOUS, VITAL SUPPORT OF OUR DONORS, THE CHRISTIAN HOSPITAL FOUNDATION'S MISSION IS TO PARTNER WITH OUR HOSPITAL TO PROVIDE SERVICE, COMPASSIONATE CARE AND CLINICAL EXCELLENCE TO OUR COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 140788 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 985289 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1101644 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1179554 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -14158 | OtherRevenuePriorYear |
| Other Revenue Current Year | -7596 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1228274 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2157247 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 154757 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 476178 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 203000 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 490205 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 414808 | OtherExpensePriorYear |
| Other Expenses Current Year | 329571 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 569565 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1008749 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 658709 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1148498 | RevenuesLessExpensesCY |
| Total Assets BOY | 6982584 | TotalAssetsBOY |
| Total Assets EOY | 8362531 | TotalAssetsEOY |
| Total Liabilities BOY | 615936 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1176975 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6366648 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7185556 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WITH THE GRACIOUS, VITAL SUPPORT OF OUR DONORS, THE CHRISTIAN HOSPITAL FOUNDATION'S MISSION IS TO PARTNER WITH OUR HOSPITAL TO PROVIDE SERVICE, COMPASSIONATE CARE AND CLINICAL EXCELLENCE TO OUR COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 0 | Expense |
| Grants | 0 | Grants |
| Revenue | 948651 | Revenue |
| Description | CHRISTIAN HOSPITAL FOUNDATION IS WORKING TOWARDS FINISHING A MAJOR CAPITAL CAMPAIGN TO CONSTRUCT HYBRID OPERATING ROOM AT CHRISTIAN HOSPITAL. APPROXIMATELY 62% OF THE $2.5 MILLION DOLLAR GOAL HAS BEEN MET. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 308625 | Expense |
| Grants | 308625 | Grants |
| Description | THE CHRISTIAN HOSPITAL FOUNDATION HELPED RENOVATE AND RESTOCK THE DIABETES MOBILE UNIT (DMU) WHICH PROVIDES EDUCATIONAL MATERIAL AND FREE SCREENINGS IN VARIOUS LOCATIONS THROUGHOUT THE ST. LOUIS AND METRO-EAST AREA. IN 2012, APPROXIMATELY 5,500 PEOPLE WERE SCREENED. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 16438 | Expense |
| Grants | 16438 | Grants |
| Description | THE HEART FAIR EVENT WAS SPONSORED BY CHRISTIAN HOSPITAL FOUNDATION FOR THE BENEFIT OF LOCAL COMMUNITY MEMBERS. IN 2012, EDUCATIONAL MATERIALS AND HEALTH SCREENINGS WERE PROVIDED AT NO CHARGE FOR 425 COMMUNITY MEMBERS IN ATTENDANCE. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 151115 | Expense |
| Grants | 151115 | Grants |
| Description | THE CHRISTIAN HOSPITAL FOUNDATION PROVIDED FUNDING TO CHRISTIAN HOSPITAL, THE EMPLOYEE ASSISTANCE FUND AT CHRISTIAN HOSPITAL, AND SEVERAL LOCAL CHARITIES TO PROVIDE NEEDS IN THE COMMUNITY. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 151115 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 151115 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 476178 | 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 | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | 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 | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 1 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| 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 | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALERIE GRAY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3142860572 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 HIGHLAND PLZ DR WEST | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63110 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Average Hours Per Week RelatedAverageHoursPerWeekRelated |
|---|---|---|---|---|---|---|---|
| BOLLINGERHENRY DDS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| COOPER DEBORAH ENDED 72312 | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DUMAS LILLIE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| HANCOCK MILDRED | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| HORNING CAROL | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JENSEN JOSHUA II MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KEITH JUDI | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LANG SUSAN ENDED 12412 | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MALONE DAVID | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MONAHAN DIANE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| OTTO DAVE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| PLENDER CAROL ENDED 83012 | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| WOODWARD TIM | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MCKEE PAUL J JR | |||||||
| DIRECTOR/CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | |
| ZYKAN DONALD | |||||||
| VICE CHAIRMAN/DIRECTOR | 1.00 | X | 0 | 0 | 0 | X | |
| MCMULLEN RON | |||||||
| PRESIDENT/DIRECTOR | 1.00 | X | 0 | 487327 | 82100 | X | 39.00 |
| SELLERS REBECCA ENDED 83112 | |||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 0 | 114696 | 11422 | ||
| HOEFT MICHELE STARTED 9112 | |||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 0 | 37061 | 2563 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 639084 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 96085 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | 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 | COMMUNITY COUNSELING SERVICE | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| 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) |
|---|---|---|
| Description Of Services | FUNDRAISING CONSULTANT | DescriptionOfServices |
| Compensation | 203000 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Fundraising Events | 39302 | FundraisingEvents |
| All Other Contributions | 945987 | AllOtherContributions |
| Total Contributions | 985289 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 152591 | TotalRevenueColumn |
| Exclusion | $152,591 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1026963 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1026963 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1026963 | TotalRevenueColumn |
| Exclusion | $1,026,963 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 15000 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 39302 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 22596 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -7596 | TotalRevenueColumn |
| Exclusion | -$7,596 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2157247 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,171,958 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 470524 | Total |
| Program Services | 470524 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5654 | Total |
| Program Services | 5654 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203000 | Total |
| Fundraising | 203000 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9416 | Total |
| Management And General | 9416 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58200 | Total |
| Fundraising | 58200 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5247 | Total |
| Management And General | 365 | ManagementAndGeneral |
| Fundraising | 4882 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1805 | Total |
| Fundraising | 1805 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9480 | Total |
| Management And General | 190 | ManagementAndGeneral |
| Fundraising | 9290 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10637 | Total |
| Fundraising | 10637 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | FundraisingFundraising | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PURCHASED SERVICES | 202391 | 202391 | |
| RESERVE FOR BAD DEBT EX | 31000 | 31000 | |
| BANK FEES | 1280 | 1280 | |
| ILLINOIS CHARITY BUREAU | 115 | 115 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1008749 | Total |
| Program Services | 476178 | ProgramServices |
| Management And General | 42366 | ManagementAndGeneral |
| Fundraising | 490205 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39876 | BOY |
| EOY | 39858 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 644258 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6942708 | BOY |
| EOY | 5509491 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 2167784 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1140 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6982584 | BOY |
| EOY | 8362531 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 615936 | BOY |
| EOY | 810975 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 366000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 615936 | BOY |
| EOY | 1176975 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -123910 | BOY |
| EOY | -74748 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6460458 | BOY |
| EOY | 7230204 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30100 | BOY |
| EOY | 30100 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6366648 | BOY |
| EOY | 7185556 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6982584 | BOY |
| EOY | 8362531 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1148498 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -435590 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 106000 | 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 Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 | 81391 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1946104 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 113175 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 140788 | CurrentTaxYearMinus1Year |
| Current Tax Year | 914987 | CurrentTaxYear |
| Total | 3196445 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 81391 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1946104 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 113175 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 140788 | CurrentTaxYearMinus1Year |
| Current Tax Year | 914987 | CurrentTaxYear |
| Total | 3196445 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 242349 | AmountsSubstContributorsTotal |
| Public Support Total170 | 2954096 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 181550 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 61777 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 33679 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 79802 | CurrentTaxYearMinus1Year |
| Current Tax Year | 152592 | CurrentTaxYear |
| Total | 509400 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 3705845 | TotalSupport |
| Gross Receipts From Admissions Etc | 85715 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.79710 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.77580 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| General Explanation | SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: THE FILING ORGANIZATION RECENTLY REQUESTED AND RECEIVED A RE-DETERMINATION OF ITS PUBLIC CHARITY STATUS FROM THE IRS. ACCORDINGLY, THE PUBLIC CHARITY STATUS OF THE ORGANIZATION HAS BEEN REVISED TO SEC 509(A)(1) AND SEC 170(B)(1)(A)(VI) OF THE INTERNAL REVENUE CODE. | GeneralExplanation |
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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 39840 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 17 | InvestmentEarningsOrLosses |
| End Of Year Balance | 39857 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 39705 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 135 | InvestmentEarningsOrLosses |
| End Of Year Balance | 39840 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 40140 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 79 | InvestmentEarningsOrLosses |
| Administrative Expenses | 514 | AdministrativeExpenses |
| End Of Year Balance | 39705 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 39359 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 781 | InvestmentEarningsOrLosses |
| End Of Year Balance | 40140 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 37647 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1712 | InvestmentEarningsOrLosses |
| End Of Year Balance | 39359 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.24500 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.75500 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NON-PUBLICLY TRADED SECURITIES | Description |
| Book Value | 2167784 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 2167784 | TotalOfBookValueSecurities |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | Identifier |
| Return Reference | PART V, LINE 4: | ReturnReference |
| Explanation | INVESTMENT EARNINGS ARE USED TO FUND NURSING SCHOLARSHIPS. | Explanation |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Email Solicitations | X | EmailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
Name Of Organization NameOfOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY COUNSELING SERVICES | BusinessNameLine1 |
Address US AddressUS
| 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 | Activity |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFunds |
| Gross Receipts | 949992 | GrossReceipts |
| Amount Retained By Contractor | 203000 | AmountRetainedByContractor |
| Net To Organization | 746992 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 949992 | TotalGrossReceipts |
| Total Retained By Contractors | 203000 | TotalRetainedByContractors |
| Total Net To Organization | 746992 | TotalNetToOrganization |
| Licensed States | MO | LicensedStates |
| Licensed States | IL | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | LEGACY LEADER DINNER | NameOfEvent1 |
| Gross Receipts Event1 | 26345 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 18845 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 7500 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 7707 | FoodAndBeverageEvent1 |
| Name Of Event2 | GOLF OUTING | NameOfEvent2 |
| Gross Receipts Event2 | 27957 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 20457 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 7500 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 1601 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 13288 | RentFacilityCostsEvent2 |
| Gross Receipts Total | 54302 | GrossReceiptsTotal |
| Charitable Contributions Total | 39302 | CharitableContributionsTotal |
| Gross Revenue Total Events | 15000 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 1601 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 13288 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 7707 | FoodAndBeverageTotalEvents |
| Direct Expense Summary Events | 22596 | DirectExpenseSummaryEvents |
| Net Income Summary | -7596 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTIAN HOSPITAL NE-NW | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11133 DUNN ROAD | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63136 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 436057893 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 469674 | AmountOfCashGrant |
| Purpose Of Grant | PROVIDE SUPPORT FOR COMMUNITY PROGRAMS | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | CHRISTIAN HOSPITAL SPECIAL HELP FUND PROVIDES DIRECT PAYMENT TO BANKS/ CREDITORS ON BEHALF OF CHRISTIAN HOSPTIAL EMPLOYEES WHO ARE IN NEED OF FINANCIAL HELP. | TypeOfGrant |
| Number Of Recipients | 8 | NumberOfRecipients |
| Amount Of Cash Grant | 5654 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MCMULLEN RON | NamePerson |
| Title | PRESIDENT/DIRECTOR | Title |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 301944 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 180896 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 4487 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 67123 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 14977 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 569427 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 20060 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | DURING 2012, 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 $38,416 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NUMBER REPORTED IN BOX 3 FORM 1096 | FORM 990, PART V, LINE 1 | 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. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | EQUITY TRANSFER FROM BJC (AUXILIARY) 106,000. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ALTON MEMORIAL HOSPITAL | |||||||||||
| ONE MEMORIAL HOSPITAL DRIVE | ALTON | IL | 62002 | 370661172 | HEALTHCARE SERVICES | IL | 501(C)(3) | 3 | CH ALLIED SERVICES INC | 1 | |
| ALTON MEMORIAL HEALTH SERVICES FOUNDATION | |||||||||||
| 1109 N OXFORDSHIRE LANE | EDWARDSVILLE | IL | 62025 | 371177053 | SUPPORT TO AMH | IL | 501(C)(3) | 11C | ALTON MEMORIAL HOSPITAL | 1 | |
| BARNES-JEWISH HOSPITAL | |||||||||||
| ONE BARNES-JEWISH HOSPITAL PLAZA | ST LOUIS | MO | 63110 | 237309937 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BJC HEALTH SYSTEM | 1 | |
| THE FOUNDATION FOR BARNES-JEWISH HOSPITAL | |||||||||||
| 1001 HIGHLANDS PLAZA DR WEST SUITE | ST LOUIS | MO | 63110 | 431648435 | SUPPORT TO BJH | MO | 501(C)(3) | 7 | BARNES-JEWISH HOSPITAL | 1 | |
| BARNES JEWISH HOSP AUXILIARY PARKVIEW CHAPTER | |||||||||||
| 216 SO KINGSHIGHWAY CAB 140 | ST LOUIS | MO | 63110 | 237000410 | SUPPORT TO BJH | MO | 501(C)(3) | 11C | BARNES-JEWISH HOSPITAL | 1 | |
| BARNES JEWISH ST PETERS & 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 | 1 | |
| BARNES-JEWISH ST PETERS HOSPITAL INC | |||||||||||
| 10 HOSPITAL DRIVE | ST PETERS | MO | 63376 | 431452426 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BARNES-JEWISH HOSPITAL | 1 | |
| BARNES-JEWISH ST PETERS HOSPITAL AUXILIARY | |||||||||||
| 10 HOSPITAL DRIVE | ST PETERS | MO | 63376 | 431232811 | SUPPORT TO BJSP HOSPITAL | MO | 501(C)(3) | 3 | BARNES-JEWISH ST PETERS HOSPITAL | 1 | |
| BARNES-JEWISH WEST COUNTY HOSPITAL | |||||||||||
| 12634 OLIVE STREET ROAD | CREVE COEUR | MO | 63141 | 431527130 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BARNES-JEWISH HOSPITAL | 1 | |
| BJC BEHAVIORAL HEALTH | |||||||||||
| 1430 OLIVE STREET SUITE 400 | ST LOUIS | MO | 63103 | 431610561 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BJC HEALTH SYSTEM | 1 | |
| BJC CORPORATE HEALTH SERVICES | |||||||||||
| 5000 MANCHESTER AVENUE | ST LOUIS | MO | 63110 | 431324103 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BARNES-JEWISH HOSPITAL | 1 | |
| BJC HEALTH SYSTEM | |||||||||||
| 4901 FOREST PARK 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 | 1 | |
| BOONE HOSPITAL CENTER'S VISITING NURSES INC | |||||||||||
| 601 BUSINESS LOOP 70 W SUITE 280 | COLUMBIA | MO | 65203 | 430998347 | HEALTHCARE SERVICES | MO | 501(C)(3) | 9 | CH ALLIED SERVICES INC | 1 | |
| CH ALLIED SERVICES INC | |||||||||||
| 1600 E BROADWAY | COLUMBIA | MO | 65201 | 431279063 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | CH HEALTH SERVICES DEV CORP | 1 | |
| CHRISTIAN HEALTH SERVICES DEV CORP | |||||||||||
| 11133 DUNN ROAD | ST LOUIS | MO | 63136 | 431230583 | HEALTHCARE SERVICES | MO | 501(C)(3) | 11A | BJC HEALTH SYSTEM | 1 | |
| CHILDREN'S HEALTH NETWORK | |||||||||||
| ONE CHILDRENS PLACE | ST LOUIS | MO | 63110 | 431640467 | HEALTHCARE SERVICES | MO | 501(C)(3) | 9 | ST LOUIS CHILDREN'S HOSPITAL | 1 | |
| CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST | |||||||||||
| 11133 DUNN ROAD | ST LOUIS | MO | 63136 | 436057893 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | CH HEALTH SERVICES DEV CORP | 1 | |
| CHRISTIAN HOSP ILLINOIS SVCS | |||||||||||
| 8 SUNSET HILLS | EDWARDSVILLE | IL | 62025 | 260131339 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | CH ALLIED SERVICES INC | 1 | |
| COMMUNITY HEALTH CONNECTION | |||||||||||
| 4353 CLAYTON AVE ROOM 164 | ST LOUIS | MO | 63110 | 460819384 | HEALTHCARE SERVICES | MO | 501(C)(3) | 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) | 3 | BJC HEALTH SYSTEM | 1 | |
| MISSOURI BAPTIST HOSPITAL OF SULLIVAN AUXILIARY | |||||||||||
| 751 SAPPINGTON BRIDGE | SULLIVAN | MO | 63080 | 431349641 | SUPPORT TO MBHS | MO | 501(C)(3) | 3 | MISSOURI BAPTIST HOSPITAL OF SULLIVAN | 1 | |
| MISSOURI BAPTIST HOSPITAL OF SULLIVAN | |||||||||||
| 751 SAPPINGTON BRIDGE | SULLIVAN | MO | 63080 | 431459495 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | MISSOURI BAPTIST MEDICAL CENTER | 1 | |
| MISSOURI BAPTIST MEDICAL CENTER | |||||||||||
| 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | 430652656 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BJC HEALTH SYSTEM | 1 | |
| PARKLAND HEALTH CENTER | |||||||||||
| 1101 WEST LIBERTY ST | FARMINGTON | MO | 63640 | 431332368 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | MISSOURI BAPTIST MEDICAL CENTER | 1 | |
| PARKLAND HEALTH CENTER FOUNDATION | |||||||||||
| 1101 WEST LIBERTY ST | FARMINGTON | MO | 63640 | 900424964 | SUPPORT TO PHC | MO | 501(C)(3) | 7 | MISSOURI BAPTIST MEDICAL CENTER | 1 | |
| PROGRESS EAST HEALTHCARE CENTER | |||||||||||
| 11155 DUNN ROAD SUITE 300 N | ST LOUIS | MO | 63136 | 261343214 | HEALTHCARE SERVICES | IL | 501(C)(3) | 3 | CH ALLIED SERVICES INC | 1 | |
| PROGRESS WEST HEALTHCARE CENTER | |||||||||||
| 2 PROGRESS POINT PARKWAY | OFALLON | MO | 63368 | 412140764 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BJC HEALTH SYSTEM | 1 | |
| ST LOUIS CHILDREN'S HOSPITAL FOUNDATION | |||||||||||
| ONE CHILDRENS PLACE | ST LOUIS | MO | 63110 | 431626863 | SUPPORT TO SLCH | MO | 501(C)(3) | 7 | ST LOUIS CHILDREN'S HOSPITAL | 1 | |
| ST LOUIS CHILDREN'S HOSPITAL | |||||||||||
| ONE CHILDRENS PLACE | ST LOUIS | MO | 63110 | 430654870 | HEALTHCARE SERVICES | MO | 501(C)(3) | 3 | BJC HEALTH SYSTEM | 1 | |
| VILLAGE NORTH INC | |||||||||||
| 11160 VILLAGE NORTH DRIVE | ST LOUIS | MO | 63136 | 431207154 | HEALTHCARE SERVICES | MO | 501(C)(3) | 9 | CH HEALTH SERVICES DEV CORP | 1 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| THE HEART CARE INSTITUTE LLC | ||||||||||
| 1020 NORTH MASON ROAD | ST LOUIS | MO | 63141 | 431870517 | MEDICAL SERVICES | MO | N/A | RELATED | 0 | 0 |
| GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC | ||||||||||
| 216 SOUTH KINGSHIGHWAY | ST LOUIS | MO | 63110 | 431846941 | OUTPATIENT CARE SERVICES | MO | N/A | RELATED | 0 | 0 |
| SURGERY CENTER OF FARMINGTON LLC | ||||||||||
| 400 PARKLAND DRIVE | FARMINGTON | MO | 63640 | 431811835 | MEDICAL SERVICES | MO | N/A | RELATED | 0 | 0 |
| CHILDREN'S DISCOVERY INSTITUTE LLC | ||||||||||
| 4901 FOREST PARK AVE | ST LOUIS | MO | 63108 | SEARCH FOR CURES OF PEDIATRIC DISEASES | MO | N/A | RELATED | 0 | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState | Province Or StateAddressForeign/ProvinceOrState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ATG ASSURANCE COMPANY LTD | |||||||||||||||||
| PO BOX 1109 | GRAND CAYMAN | CJ | 980599167 | INSURANCE | CJ | BJC HEALTH SYSTEM | C | 133831 | 14338543 | 1.00000 | 1 | ||||||
| PF SERVICES INC | |||||||||||||||||
| 431237767 | MANAGEMENT SERVICES | CHRISTIAN HEALTH SERVICES DEV CORP | C | 13 | 93206 | 1.00000 | 1 | 11155 DUNN ROAD | ST LOUIS | MO | 63136 | MO | |||||
| MB MEDICAL SERVICES INC | |||||||||||||||||
| 431437404 | HEALTHCARE SERVICES | MISSOURI BAPTIST MEDICAL CENTER | C | 2 | 18262 | 1.00000 | 1 | 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | MO | |||||
| MISSOURI BAPTIST HOME HEALTH CARE INC | |||||||||||||||||
| 431460430 | INACTIVE | MB MEDICAL SERVICES INC | C | 1.00000 | 1 | 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | MO | |||||||
| MB PHARMACY SERVICES INC | |||||||||||||||||
| 431640730 | INACTIVE | MB MEDICAL SERVICES INC | C | 1.00000 | 1 | 3015 N BALLAS ROAD | ST LOUIS | MO | 63131 | MO | |||||||
| ST PETERS MED OFFICE BLDG A CONDO ASSN INC | |||||||||||||||||
| 431472188 | CONDOMINIUM ASSOCIATION | BARNES-JEWISH ST PETERS HOSPITAL | C | 321172 | 291024 | 0.95110 | 1 | 1040 N MASON SUITE 109 | ST LOUIS | MO | 63141 | MO | |||||
| DMP MIDWEST INC | |||||||||||||||||
| 271943910 | INACTIVE | PF SERVICES INC | C | 1.00000 | 1 | ONE METROPOLITAN SQ 2600 | ST LOUIS | MO | 63102 | MO | |||||||
| BJC HEALTHCARE FUND LTD | |||||||||||||||||
| 90 FORT ST PO BOX 32021 | GRAND CAYMAN | CJ | INACTIVE | CJ | BJC HEALTH SYSTEM | C | 1.00000 | 1 | |||||||||
| WLA INVESTMENT LTD | |||||||||||||||||
| PO BOX 178 | OKOTOKS | CA | INVESTMENT HOLDINGS | CA | BMCA PRIVATE EQUITY LLC | C | 5768863 | 23239524 | 1.00000 | 1 | ALBERTA | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |