Stillwater Health System in Minneapolis, Minnesota (MN)

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Stillwater Health System
Employer Identification Number (EIN)300221189
Name of OrganizationStillwater Health System
In Care of NameDouglas E Johnson
AddressPO BOX 1309, Minneapolis, MN 55440-1309
SubsectionCharitable Organization
Ruling Date01/2005
DeductibilityContributions are deductible
FoundationOrganizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2011
Assets$50,000,000 to greater
Income$500,000 to $999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$94,395,663
Amount of Income$981,865
Form 990 Revenue Amount$981,865
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Management & Technical Assistance


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Amount of income in 2011: $981,865
This organization: 

 $981,865
Other organizations performing similar types of work: 

 $346,545

Assets in 2011: $94,395,663
Stillwater Health System: 

 $94,395,663
Other organizations performing similar types of work: 

 $234,437

Expenses in 2004: $618,349
This organization: 

 $618,349
Other organizations performing similar types of work: 

 $6,643,725

Income to expenses ratio in 2004: 1.1
This organization: 

 1.1
Other organizations performing similar types of work: 

 1.3

Expenses allocated to program services in 2004: 100.0%
Stillwater Health System: 

 100.0%
Other organizations performing similar types of work: 

 81.0%

Number of employees in 2004: 3
Stillwater Health System: 

 3
Other organizations performing similar types of work: 

 517

Employees paid over $50,000 in 2004: 33.3%
This organization: 

 33.3%
Other organizations performing similar types of work: 

 33.3%

Grants share in income in 2004: 0.0%
This organization: 

 0.0%
Other organizations performing similar types of work: 

 1.8%

Financial snapshot ($)

Revenue for 2004

Assets at end of 2004

Functional Expenses for 2004 ($)

Income-Producing Activities for 2004

Revenue, Expenses, and Changes in Net Assets or Fund Balances
2004
Total revenue$663,706
Contributions, gifts, grants, and similar amounts received$0
Contributions to donor advised funds
Direct public support$0
Indirect public support$0
Government contributions (grants)$0
Program service revenue including government fees and contracts$618,349
Membership dues and assessments$0
Interest on savings and temporary cash investments$45,357
Dividends and interest from securities$0
Net rental income or (loss)$0
Gross rents$0
Less: rental expenses$0
Other investment income$0
Gain or (loss) from sales of assets other than inventory$0
Gross amount from sales of assets other than inventory$0
Less: cost or other basis and sales expenses$0
Net income or (loss) from special events and activities$0
Gross revenue$0
Less: direct expenses other than fundraising expenses$0
Gross profit or (loss) from sales of inventory$0
Gross sales of inventory, less returns and allowances$0
Less: cost of goods sold$0
Other revenue$0
Total expenses$618,349
Program services$618,349
Management and general$0
Fundraising$0
Payments to affiliates$0
Net assets or fund balances at end of year$-4,288,544
Excess or (deficit) for the year$45,357
Net assets or fund balances at beginning of year$0
Other changes in net assets or fund balances$-4,333,901
Statement of Functional Expenses (for 2004)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$618,349$618,349$0$0
Grants paid from donor advised funds
Other grants and allocations$0
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$509,032$509,032$0$0
Compensation of former officers, directors, key employees, etc.
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
Salaries and wages of employees not included above$0$0$0$0
Pension plan contributions not included above$0$0$0$0
Employee benefits not included above$78,236$78,236$0$0
Payroll taxes$0$0$0$0
Professional fundraising fees$0$0$0$0
Accounting fees$0$0$0$0
Legal fees$0$0$0$0
Supplies$95,569$95,569$0$0
Telephone$0$0$0$0
Postage and shipping$0$0$0$0
Occupancy$0$0$0$0
Equipment rental and maintenance$0$0$0$0
Printing and publications$0$0$0$0
Travel$0$0$0$0
Conferences, conventions, and meetings$0$0$0$0
Interest$135,581$135,581$0$0
Depreciation, depletion, etc.$12,626$12,626$0$0
Other expenses not covered above$-212,695$-212,695$0$0
Balance Sheets
2004
Total assets$29,879,952
Cash - non-interest-bearing$10,730
Savings and temporary cash investments$18,718,905
Accounts receivable less allowance for doubtful accounts$0
Pledges receivable less allowance for doubtful accounts$0
Grants receivable$0
Receivables from current and former officers, directors, trustees, and key employees$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
Other notes and loans receivable less allowance for doubtful accounts$0
Inventories for sale or use$0
Prepaid expenses and deferred charges$13,651
Investments - publicly-traded securities
Investments - other securities$0
Investments - land, buildings, and equipment less accumulated depreciation$0
Investments - other$0
Land, buildings, and equipment less accumulated depreciation$8,937,541
Other assets, including program-related investments$2,199,125
Total liabilities$34,168,496
Accounts payable and accrued expenses$3,446,422
Grants payable$0
Deferred revenue$0
Loans from officers, directors, trustees, and key employees$0
Tax-exempt bond liabilities$30,000,000
Mortgages and other notes payable$0
Other liabilities$722,074
Total liabilities and net assets/fund balances$29,879,952
Total net assets or fund balances$-4,288,544
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
2004
Total revenue$663,706
Total revenue, gains, and other support per audited financial statements$663,706
Other expenses$0
Net unrealized gains on investments$0
Donated services and use of facilities$0
Recoveries of prior year grants$0
Other$0
Other revenue$0
Investment expenses$0
Other$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
2004
Total expenses$618,349
Total expenses and losses per audited financial statements$618,349
Other revenue$0
Donated services and use of facilities$0
Prior year adjustments$0
Losses$0
Other$0
Other expenses$0
Investment expenses$0
Other$0
Current Officers, Directors, Trustees, and Key Employees
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings0
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?
Does the organization have a written conflict of interest policy?
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?
Did the organization acquire a direct or indirect interest in any applicable insurance contract?
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?
Number of employees employed in the pay period that includes March 12, 20063
Analysis of Income-Producing Activities (for 2004)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$0$45,357$618,349
Program service revenue
Program service revenue 1000000$000$0$618,349
Program service revenue 2000000$000$0$0
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$45,357$0
Dividends and interest from securities000000$000$0$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$000$0$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$000$0$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2004)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
0%$0$0
0%$0$0
0%$0$0
0%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2004)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$56,339$0$0
$0$0$0
$0$0$0
$0$0$0
$0$0$0
Total number of other employees paid over $50,0000
Statements About Activities (for 2004)
Expenses paid or incurred in connection with the lobbying activities$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?
Did the organization maintain any donor advised funds?
Did the organization make any taxable distributions under section 4966?
Did the organization make a distribution to a donor, donor advisor, or related person?
Enter the total number of donor advised funds owned at the end of the tax year
Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year
Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts
Enter the aggregate value of assets held in all funds or accounts included above at the end of the tax year
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isNot controlled by disqualified persons/supports non private foundation
Support Schedule
2003
Total$0
Gifts, grants, and contributions received$0
Membership fees received$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0
Net income from unrelated business activities not included above$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0
Other income$0
Lobbying Expenditures by Electing Public Charities (for 2004)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Iowa Health System1776 W Lakes Pkwy Ste 400, W Des Moines, IA 50266-8239IA1996-10$174,426,672
2Eskenazi Health Foundation Inc1001 W 10th St, Indianapolis, IN 46202-2859IN1985-07$65,619,535
3Trinity Health Plans1231 East Beltline Ne, Grand Rapids, MI 49525MI1999-06$31,437,774
4Academic Physicians Insurancecompany100 Bank St Ste 610, Burlington, VT 05401-4946VT2007-05$15,445,268
5Stillwater Health SystemPO BOX 1309, Minneapolis, MN 55440-1309MN2005-01$981,865
6Mercy Jeannette Hospital3805 West Chester Pike, Newtown Square, PA 19073-2329PA1977-06$190,831
7Central Florida Health Alliance Inc600 E Dixie Ave, Leesburg, FL 34748-5925FL2009-04$72,727
8Saliba Burns Wounds And Skin Problems Institute5582 Thunderbird Lane, La Jolla, CA 92037CA2002-06$36,000
9Intecare IncSte 325, Indianapolis, IN 46250IN2000-08$53,047,544
10Camp Bowie Service CenterOne Kaiser Plaza 15l, Oakland, CA 94612-3610CA1999-05$32,725,217
11Access East Inc2100 Stantonsburg Rd, Greenville, NC 27834-2818NC2002-05$19,905,409
12Rhsc IncPO BOX 1309, Minneapolis, MN 55440-1309MN1999-03$15,738,917
13Palo Alto Medical Foundation Hospital Corporation795 El Camino Real, Palo Alto, CA 94301-2302CA2001-02$14,312,213
14Joint Commission Center For Transforming Healthcare1 Renaissance Blvd, Oakbrook Ter, IL 60181-4294IL2009-03$12,363,725
15Community Care Of The Lower Cape Fear Inc201 N Front St Ste 709, Wilmington, NC 28401-5090NC2003-07$8,176,798
16Quality Health Network744 Horizon Ct Ste 210, Grand Jct, CO 81506-3939CO2005-12$6,783,885
17Allegheny Healthchoices Inc444 Liberty Ave Ste 240, Pittsburgh, PA 15222-1207PA2001-01$6,729,121
18National Nursing Center Consortium Inc260 South Broad Street, Philadelphia, PA 19102-5021PA2002-10$6,108,216
19Help-Psi Services Corp373 Park Ave S Fl 7, New York, NY 10016-8805NY2001-03$4,398,101
20Empira Inc2845 Hamline Avenue North, Roseville, MN 55113MN2002-05$5,768
Number of organizations performing similar types of work
Alabama1
California25
Colorado5
Connecticut2
Florida10
Georgia2
Hawaii1
Iowa1
Illinois3
Indiana3
Kansas2
Kentucky1
Louisiana5
Massachusetts1
Maryland7
Michigan6
Minnesota8
Missouri10
Mississippi1
Montana1
North Carolina4
Nebraska3
New Hampshire1
New Jersey4
Nevada1
New York18
Ohio8
Oklahoma1
Oregon3
Pennsylvania11
South Carolina1
South Dakota1
Tennessee3
Texas7
Utah2
Virginia5
Vermont2
Washington5
Wisconsin2
West Virginia2
Wyoming1
Total180

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