2026-08-01T07:27:08-05:00 2025-09-30 420946155 HONKAMP PC 12250 WEBER HILL RD SUITE 315 ST LOUIS MO 63127 990 2024-10-01 431382746 MIDWEST STONE INSTITUTE MIDW 3148351549 12166 OLD BIG BEND ROAD 110 ST LOUIS MO 631226836 JESSE SMITHHART EXECUTIVE DIRECTOR 3148351549 2026-07-23 1 0 JOHN J JABOURI CPA P03112334 3148494999 2026-07-23 2024 2025-03-06 01:10:19Z JESSE SMITHHART 12166 OLD BIG BEND ROAD SUITE 110 ST LOUIS MO 63122 15610372 0 X WWW.MWSTONE.COM X NONPROFIT 1985 MO PRIMARY PURPOSE IS TO MAKE GRANTS FOR RESEARCH AND EDUCATION, PROVIDE CHARITY CARE, AND TO EXPAND THE SERVICE AND KNOWLEDGE OF EXTRACORPOREAL SHOCKWAVE TREATMENTS AND MINIMALLY INVASIVE SURGERY. 8 8 0 0 0 0 0 0 1525036 2920738 1202675 2457456 595437 262758 3323148 5640952 128811 57498 0 0 0 0 0 0 0 2245322 2834633 2374133 2892131 949015 2748821 35524208 38052062 1600627 541311 33923581 37510751 THE ORGANIZATION'S PRIMARY PURPOSE IS TO MAKE GRANTS FOR RESEARCH AND EDUCATION, PROVIDE CHARITY CARE AND TO EXPAND THE SERVICE AND KNOWLEDGE OF EXTRACORPOREAL SHOCKWAVE TREATMENTS AND MINIMALLY INVASIVE SURGERY. 0 0 1968952 57498 3183496 ADVANCEMENTS IN RESEARCH, EDUCATION AND PATIENT CARE. 1968952 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X CHRIST STREET 3148351549 12166 OLD BIG BEND ROAD SUITE 110 ST LOUIS MO 63122 X SAM BHAYANI MD PRESIDENT/CHAIRMAN 1.00 X X 0 0 0 TIM BULLER TREASURER 1.00 X X 0 0 0 RAJEN DOSHI MD DIRECTOR 1.00 X 0 0 0 ZACHARY HAMILTON MD DIRECTOR 1.00 X 0 0 0 JON BETTALE RN DIRECTOR 1.00 X 0 0 0 JACKIE MARTIN MD SECRETARY/DIRECTOR 1.00 X X 0 0 0 JEFFREY GLASER MD DIRECTOR 1.00 X 0 0 0 MICHAEL JOHNSON MD DIRECTOR 1.00 X 0 0 0 JESSE SMITHHART EXECUTIVE DIRECTOR 40.00 X 0 0 0 0 0 0 0 0 0 0 BARNES JEWISH HOSPITAL 4249 CLAYTON AVENUE ST LOUIS MO 63110 NURSES AND DOCTORS 1194352 WASHINGTON UNIVERSITY 660 S EUCLID ST LOUIS MO 63110 RESEARCH, NURSES AND DOCTORS 426556 2 PATIENT SERVICE REVENUE 621110 1392993 1392993 MW SURGICAL TECHNOLOGIES, LLC MGM 621110 914482 914482 MIDWEST SURGICAL TECHNOLOGIES K-1 621110 613263 613263 2920738 818357 818357 11608519 9969420 1639099 1639099 1639099 REFUND OF GRANTS 621110 254765 254765 MISCELLANEOUS INCOME 621110 7993 7993 262758 5640952 3183496 0 2457456 57498 57498 39680 39680 92523 92523 9593 9593 38904 38904 1360 1360 32496 32496 378521 264965 113556 40397 40397 LEASED EMPLOYEES 1601523 1121066 480457 SUPPLIES 461037 322725 138312 MAINTENANCE 109285 109285 PURCHASED SERVICES 29314 20520 8794 2892131 1968952 923179 0 242114 1030415 692288 342302 237769 107902 2782667 1466625 1205913 1316042 32208149 34245341 737552 799160 200423 210900 35524208 38052062 1501168 460620 99459 80691 1600627 541311 X 33923581 37510751 33923581 37510751 35524208 38052062 X 2748821 835547 2802 X X 0 1 X 0 0 X 2782667 1466625 1316042 1316042 X PART X, LINE 2: THE FOOTNOTE REGARDING FIN 48 (ASC 740) PROVIDED BY THE TAXPAYER'S AUDITED FINANCIAL STATEMENTS STATES AS FOLLOWS: "MIDWEST STONE INSTITUE (MSI) IS A NONPROFIT ORGANIZATION AND IS EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION FOR FEDERAL, STATE, OR LOCAL INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS FOR MSI. MIDWEST SURGICAL TECHNOLOGIES, LLC (MST) AND MIDWEST THERAPY, LLC (MWT) ARE NOT TAXPAYING ENTITIES FOR PURPOSES OF FEDERAL, STATE, AND LOCAL INCOME TAXES. IN LIEU OF INCOME TAXES, THE MEMBERS OF THESE ENTITIES ARE TAXED OR RECEIVE BENEFITS BASED UPON THEIR PROPORTIONATE SHARE OF THE PARTICULAR ENTITY'S TAXABLE INCOME OR LOSS, RESPECTIVELY. THEREFORE, NO PROVISION FOR FEDERAL, STATE, OR LOCAL INCOME TAXES FOR THESE ENTITIES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS." 1 WASHINGTON UNIVERSITY 660 S EUCLID ST LOUIS MO 63110 430653611 501(C)(3) 57498 0 FMV UROLOGIC RESEARCH. NURSE PRACTITIONER TRAINING PROGRAMS, DESAI. PART I, LINE 2: GRANTEES ARE REQUIRED TO KEEP A SYSTEMATIC RECORD ON A FUND ACCOUNTING BASIS OF THE RECEIPT AND DISBURSEMENT OF FUNDS AND EXPENDITURES INCURRED AND THE SUBSTANTIATING DOCUMENTS SHALL BE RETAINED IN GRANTEE'S FILES FOR A PERIOD OF NOT LESS THAN 3 YEARS AFTER EXPIRATION OF GRANT. GRANTEES ALSO AGREE TO MAKE AVAILABLE ITS BOOKS AND RECORDS RELATING TO THE GRANT TO GRANTOR UPON REQUEST AT ALL REASONABLE TIMES. IN ADDITION TO PERIODIC REPORTING REQUIREMENTS, GRANTEES MUST SUBMIT TO GRANTOR A PROGRESS REPORT BY DECEMBER 31 OF EACH GRANT YEAR AND A FINAL REPORT BY MARCH 31 OF GRANT YEAR, SETTING FORTH THE MANNER IN WHICH THE GRANT FUNDS WERE SPENT, THE RESULTS OBTAINED AND HOW SUCH RESULTS ACCOMPLISHED THE PURPOSES SET FORTH IN THEIR ORIGINAL PROPOSAL. FORM 990, PART VI, SECTION A, LINE 7A MIDWEST STONE INSTITUTE HAS ONE CLASS OF MEMBERS. ADDITIONAL HOSPITALS THAT MAY IN TURN NAME MEMBERS MAY BE ADMITTED ONLY WITH THE APPROVAL OF THE MEMBERS UPON SUCH TERMS AS THEY MAY ESTABLISH FROM TIME TO TIME. IN ADDITION TO ANY MATTERS REQUIRING THE APPROVAL OF THE MEMBERS SET FORTH IN APPLICABLE LAW OR THE ARTICLES OF INCORPORATION, THE FOLLOWING ACTIONS OR DECISIONS OF THE CORPORATION SHALL REQUIRE THE APPROVAL OF THE MEMBERS OF THE CORPORATION IN ORDER TO BE EFFECTIVE: (A)APPROVAL OF THE ADMISSION OF NEW HOSPITAL, AS DESCRIBED IN SECTION 3.01; (B)ELECTION OF DIRECTORS AS DESCRIBED IN SECTION 5.04 FORM 990, PART VI, SECTION A, LINE 7B CHANGES TO THE BYLAWS MUST BE APPROVED BY THE MEMBERS OF THE ORGANIZATION. THERE IS AN ANNUAL MEETING OF ALL MEMBERS WHERE ANY CHANGES TO THE BYLAWS ARE DISCUSSED AND VOTED ON. FORM 990, PART VI, SECTION B, LINE 11B COPIES OF THE FINAL FORM 990 AND SCHEDULES ARE EMAILED TO EACH BOARD MEMBER PRIOR TO BEING FILED WITH THE IRS. BOARD MEMBERS ARE ASKED TO REVIEW THE RETURN INDIVIDUALLY AND TO CONTACT THE RETURN PREPARER, OTHER BOARD MEMBERS, OR EXECUTIVE OFFICERS WITH ANY QUESTIONS OR CONCERNS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS BOARD MEMBERS SIGN THE CONFLICT OF INTEREST POLICY YEARLY. BOARD MEMBERS ARE RECUSED FROM PROCEEDINGS IF THERE IS ANY APPEARANCE OF CONFLICT OF INTEREST. THIS IS SHOWN IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF BARNES-JEWISH HOSPITAL. THE HOSPITAL'S HUMAN RESOURCE DEPARTMENT REGULARLY SURVEYS THE MARKET. AS DOCUMENTED IN THE BOARD MINUTES, THE BOARD DISCUSSED THE EXECUTIVE DIRECTOR'S COMPENSATION IN SEPTEMBER. A MEMBER OF THE BOARD IS A BARNES-JEWISH HOSPITAL REPRESENTATIVE. ALL LEASED EMPLOYEES ARE EMPLOYED BY BARNES-JEWISH HOSPITAL. THE HOSPITAL'S HUMAN RESOURCE DEPARTMENT REGULARLY SURVEYS THE MARKET. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC SAM BHAYANI, MD - 4960 CHILDREN'S PLACE, ST. LOUIS, MO 63110. TIM BULLER - 1173 CORPORATE LAKE DRIVE, ST. LOUIS, MO 63132. RAJEN DOSHI, MD - 6400 CLAYTON RD, SUITE 201, ST. LOUIS, MO 63117. ZACHARY HAMILTON, MD - 1008 SOUTH SPRING AVE., ST. LOUIS, MO 63110. JON BETTALE, RN - 232 WOODS MILL ROAD, CHESTERFIELD, MO 63017. JESSE SMITHHART - 12166 OLD BIG BEND, SUITE 110, ST. LOUIS, MO 63122. JACKIE MARTIN, MD - ONE BARNES JEWISH, ST. LOUIS, MO 63110. JEFFREY GLASER, MD - 70 JUNGERMANN CIRCLE SUITE 402, ST. PETERS, MO 63376. FORM 990, PART XI, LINE 9: BOOK INCOME IN EXCESS OF TAX INCOME ON JOINT VENTURE 2,802. FORM 990, PART XII, LINE 2C: NO CHANGES FROM THE PRIOR YEAR PROCESS. MIDWEST THERAPY LLC 12166 OLD BIG BEND STE 110 KIRKWOOD MO 63122 470866743 ACQUIRE, INSTALL AND OPERATE EXTRACORPOREAL SHOCKWAVE THERAPY DEVICES. MO 2323276 2140234 MIDWEST STONE INSTITUTE MIDWEST SURGICAL TECHNOLOGIES LLC 12166 OLD BIG BEND ROAD SUITE 100 KIRKWOOD MO 63122 201577417 HEALTHCARE MO RELATED 613263 766236 0 1 0.60000 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 1 MIDWEST SURGICAL TECHNOLOGIES F 554457 FAIR MARKET VALUE MIDWEST SURGICAL TECHNOLOGIES S 53850 FAIR MARKET VALUE MIDWEST SURGICAL TECHNOLOGIES N 457241 FAIR MARKET VALUE MIDWEST SURGICAL TECHNOLOGIES Q 457241 FAIR MARKET VALUE