BJC HEALTH SYSTEM: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: BJC HEALTH SYSTEM (EIN 75-3052953)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-18
IRS object ID: 201903229349301160
Schema version: 2018v3.1
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 C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-18T21:59:29-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	155 N WACKER DRIVE	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	753052953	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BJC HEALTH SYSTEM GROUP RETURN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BJCH	BusinessNameControlTxt
Phone	3142862057	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4901 FOREST PARK AVE NO 1200	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63108	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	NICK BARTO	PersonNm
Person Title	SR VP & CFO	PersonTitleTxt
Phone	3142862002	PhoneNum
Signature	2019-11-18	SignatureDt
Discuss With Paid Preparer	0	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JESSICA A WAGENER	PreparerPersonNm
PTIN	P01622613	PTIN
Phone	3128792000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	96.40.213.106	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-18	IPDt
IP Tm	21:59:21	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	62D05A1550003123344EE78D68DE169571DF7517	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	NICK BARTO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4901 FOREST PARK AVE	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63108	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$4,978,166,586	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (1)	AllAffiliatesIncludedInd
Group Exemption	3844	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BJC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	HEALTHCARE SERVICES AND HEALTH EDUCATION TO COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	261	VotingMembersGoverningBodyCnt
Voting Members Independent	179	VotingMembersIndependentCnt
Total Employee	35243	TotalEmployeeCnt
Total Volunteers	3997	TotalVolunteersCnt
Total Gross UBI	$10,262,771	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$23,173,927	PYContributionsGrantsAmt
CY Contributions Grants	$18,116,830	CYContributionsGrantsAmt
PY Program Service Revenue	$4,686,884,192	PYProgramServiceRevenueAmt
CY Program Service Revenue	$4,816,344,139	CYProgramServiceRevenueAmt
PY Investment Income	$9,177,189	PYInvestmentIncomeAmt
CY Investment Income	$16,493,974	CYInvestmentIncomeAmt
PY Other Revenue	$91,522,461	PYOtherRevenueAmt
CY Other Revenue	$124,171,335	CYOtherRevenueAmt
PY Total Revenue	$4,810,757,769	PYTotalRevenueAmt
CY Total Revenue	$4,975,126,278	CYTotalRevenueAmt
PY Grants And Similar Paid	$121,155,490	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$11,965,122	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,881,572,923	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,949,297,106	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,748,214,847	PYOtherExpensesAmt
CY Other Expenses	$2,945,343,320	CYOtherExpensesAmt
PY Total Expenses	$4,750,943,260	PYTotalExpensesAmt
CY Total Expenses	$4,906,605,548	CYTotalExpensesAmt
PY Revenues Less Expenses	$59,814,509	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$68,520,730	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,852,789,749	TotalAssetsBOYAmt
Total Assets EOY	$3,922,161,481	TotalAssetsEOYAmt
Total Liabilities BOY	$649,126,806	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$674,619,629	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,203,662,943	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,247,541,852	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE 15 HOSPITALS & SERVICE ORGANIZATIONS OF BJC HEALTHCARE SERVE THE HEALTHCARE NEEDS OF THE RESIDENTS OF METROPOLITAN ST. LOUIS, MID-MISSOURI & SOUTHERN ILLINOIS. BASED IN URBAN, SUBURBAN & RURAL COMMUNITIES, BJC HOSPITALS INCLUDE ACADEMIC MEDICAL CENTERS & LARGE & SMALL COMMUNITY HOSPITALS. BJC'S HOSPITALS HAVE REMAINED IN COMMUNITIES THAT OTHER HEALTH SYSTEMS ABANDONED & WITH NO PUBLIC HOSPITAL IN THE REGION; BJC'S ACADEMIC MEDICAL CENTERS SERVE AS A CRITICAL COMPONENT OF THE HEALTH SAFETY NET FOR UNINSURED & UNDERINSURED PATIENTS. BJC ORGANIZATIONS PROVIDE INPATIENT & OUTPATIENT CARE, REHABILITATION, PRIMARY CARE, HOME CARE, HOSPICE, LONG-TERM CARE, MENTAL HEALTH, WORKPLACE HEALTH & COMMUNITY HEALTH/WELLNESS. BJC ORGANIZATIONS ALSO SUPPORT THE TRAINING OF FUTURE HEALTH PROFESSIONALS; ADVANCEMENT OF MEDICAL RESEARCH; REGIONAL HEALTH SAFETY NET SERVICES & EMERGENCY PREPAREDNESS; COMMUNITY OUTREACH & HEALTH LITERACY; & REGIONAL ECONOMIC DEVELOPMENT.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,682,805,170	ExpenseAmt
Grant	$5,857,316	GrantAmt
Revenue	$3,921,901,691	RevenueAmt
Desc	HEALTH CARE SERVICES: BJC HOSPITALS & SERVICE ORGANIZATIONS PROVIDE FULL, COMPREHENSIVE MEDICAL CARE FOR PATIENTS OF ALL AGES, REGARDLESS OF ABILITY TO PAY, THROUGH AN INTEGRATED NETWORK OF HOSPITALS, OUTPATIENT CENTERS, PRIMARY CARE PROVIDERS, HOME CARE SERVICES, REHABILITATION FACILITIES, LONG-TERM CARE FACILITIES, CORPORATE HEALTH SERVICES, COMMUNITY MENTAL HEALTH SERVICES & COMMUNITY OUTREACH PROGRAMS IN BUSINESSES, SCHOOLS & PLACES OF WORSHIP. BJC ENSURES THAT COMMUNITIES IN MISSOURI AND SOUTHERN ILLINOIS HAVE ACCESS TO THE HIGHEST LEVEL OF SPECIALIZED SERVICES AVAILABLE, INCLUDING THE FOLLOWING MAJOR PROGRAMS: SITEMAN CANCER CENTER, THE REGION'S ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER; LEVEL I ADULT & PEDIATRIC TRAUMA CENTERS; ADULT & PEDIATRIC ORGAN & BONE MARROW TRANSPLANT SERVICES; LEVEL III NEONATAL INTENSIVE CARE; & NATIONALLY RECOGNIZED PROGRAMS IN CRITICAL CARE, INFECTIOUS DISEASES, NEUROLOGY, NEUROSURGERY, HEART & HEART SURGERY, RESPIRATORY & KIDNEY DISEASES. BJC ALSO IS COMMITTED TO UNDER-SERVED COMMUNITIES & PROVIDES THE ONLY OBSTETRICS SERVICE IN THE CITY OF ST. LOUIS. BJC'S URBAN ACADEMIC MEDICAL CENTERS SERVE AS A CRITICAL COMPONENT OF THE HEALTH SAFETY NET FOR UNINSURED & UNDER-INSURED PATIENTS THROUGHOUT THE REGION.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,150,613,449	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$788,038,826	RevenueAmt
Desc	FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID & MEANS-TESTED UNCOMPENSATED CARE: BJC HEALTHCARE HOSPITALS & SERVICE ORGANIZATIONS (BJC) CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. BJC PROVIDED $150.9 MILLION IN FINANCIAL ASSISTANCE DURING 2018 TO PATIENTS WHO WERE UNABLE TO PAY FOR ANY OR ALL OF THE CARE THEY NEEDED. FINANCIAL ASSISTANCE CONSISTS OF MEDICAL SERVICES GIVEN FREE OF CHARGE TO THOSE WITHOUT INSURANCE OR WITH INADEQUATE INSURANCE WHO HAVE DEMONSTRATED THEY ARE UNABLE TO PAY FOR THEIR CARE. ADDITIONALLY, BJC HOSPITALS PROVIDED $211.7 MILLION DURING 2018 IN UNREIMBURSED CARE TO MEDICAID PATIENTS, ABSORBING THE SHORTFALL BETWEEN THE COST OF NEEDED MEDICAL SERVICES & THE REIMBURSEMENT RECEIVED FROM STATE PROGRAMS FOR QUALIFYING LOW-INCOME PATIENTS. THE COST OF CARE FOR CHARITY & UNREIMBURSED MEDICAID PATIENTS TOTALED $362.6 MILLION.BJC ALSO ABSORBS THE COST OF CARING FOR PATIENTS WHO ARE UNABLE TO PAY THEIR CO-PAYS, DEDUCTIBLES OR OTHER HEALTH CARE COSTS FOR A WIDE RANGE OF REASONS THAT THEY MAY OR MAY NOT SHARE WITH BJC. BJC PROVIDED AN ESTIMATED $77.8 MILLION DURING 2018 IN CARE TO PATIENTS WHO, BASED UPON AN EXTENSIVE ANALYSIS OF ZIP CODE & OTHER INFORMATION, WERE PRESUMED TO HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE BJC POLICY, HAD FINANCIAL INFORMATION BEEN PROVIDED TO THE ORGANIZATION. THESE PATIENTS RECEIVED NEEDED MEDICAL SERVICES AND, IN FACT, RECEIVED THE EQUIVALENT OF FINANCIAL ASSISTANCE BUT WERE NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$291,393,206	ExpenseAmt
Grant	$6,107,806	GrantAmt
Revenue	$94,785,608	RevenueAmt
Desc	HEALTH PROFESSIONS EDUCATION & RESEARCH: BJC HELPS BUILD THE FUTURE OF HEALTH CARE BY EDUCATING HEALTH PROFESSIONALS & ADVANCING MEDICAL RESEARCH INNOVATIONS. THROUGH OUR ACADEMIC AFFILIATION WITH WASHINGTON UNIVERSITY SCHOOL OF MEDICINE, BJC HELPS ENSURE THE ONGOING TRAINING & DEVELOPMENT OF HEALTH CARE PROFESSIONALS, WHICH ARE CRITICAL TO THE HEALTH OF THE COMMUNITY & THE FUTURE OF HEALTH CARE DELIVERY. DURING 2018, BJC CONTRIBUTED $196.6 MILLION TOWARDS PROGRAMS THAT PROVIDE TRAINING AND EDUCATION TO 18,790 INDIVIDUALS INCLUDING MEDICAL STUDENTS, NURSING STUDENTS, RESIDENTS, FELLOWS AND PERSONS IN THE COMMUNITIES SERVED BY BJC AFFILIATE HOSPITALS INTERESTED IN THE HEALTH PROFESSIONS. ADDITIONALLY, BJC IS COMMITTED TO BIOMEDICAL HEALTH RESEARCH EFFORTS THAT WILL CONTRIBUTE TO THE PREVENTION, DIAGNOSIS & TREATMENT OF DISEASE & DISABILITY.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$32,424,167	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$11,618,014	RevenueAmt
Desc	COMMUNITY HEALTH IMPROVEMENT PROGRAMS & CONTRIBUTIONS TO COMMUNITY GROUPS: BJC PROMOTES HEALTH AWARENESS AND SUPPORTS HEALTH LITERACY PROGRAMS TO THE COMMUNITIES WHERE CHILDREN AND ADULTS LIVE AND WORK. DURING 2018, BJC CONTRIBUTED MORE THAN $8.8 MILLION TO COMMUNITY GROUPS FOR COMMUNITY BENEFIT PURPOSES AND EXPENDED $12.0 MILLION TO CONDUCT PROGRAMS TO BENEFIT THE COMMUNITIES SERVED BY BJC HOSPITALS & HEALTH SERVICES ORGANIZATIONS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$32,424,167	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$11,618,014	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$4,157,235,992	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	2605	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	35243	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	261	GoverningBodyVotingMembersCnt
Independent Voting Member	179	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	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	Yes (1)	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	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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	LORI SCHREINER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3142862057	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4901 FOREST PARK AVE ST 1200	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63108	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (303 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
AMH-BALSTERS KEN
DIRECTOR	1.00	Yes (X)	$0	$0	$0
AMH-ERKER MELISSA
DIRECTOR	1.00	Yes (X)	$0	$0	$0
AMH-FETTER LEE
DIRECTOR	40.00	Yes (X)	$1,214,804	$0	$76,729
AMH-GOINS SHEILA E
DIRECTOR	1.00	Yes (X)	$0	$0	$0
AMH-HARTRICH BRUCE A
DIRECTOR	1.00	Yes (X)	$0	$0	$0
AMH-HOELSCHER DR JOHN
DIRECTOR	1.00	Yes (X)	$48,000	$598,051	$57,544	40.00
AMH-JULIAN GAYE F
DIRECTOR	1.00	Yes (X)	$0	$0	$0
AMH-LAUSCHKE SANDRA
DIRECTOR	1.00	Yes (X)	$0	$0	$0
AMH-LOY KENNETH
DIRECTOR	1.00	Yes (X)	$0	$0	$0
AMH-RIEDEL DAVID MD
DIRECTOR	1.00	Yes (X)	$21,450	$248,877	$38,900	40.00
AMH-RYRIE EDWARD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BHHC-JAMES DAVID TREY MD
DIRECTOR	40.00	Yes (X)	$293,553	$0	$22,862
BHHC-OLINGER STACY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJC-BECKETT JANET
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJC-DONALD ARNOLD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJC-FLAVIN LISA
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJC-GANIM RANDY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJC-HARBISON KEITH
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJC-HOLMES MICHAEL
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJC-KLEIN WARD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJC-MANNING ANNA
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJC-PERLMUTTER DAVID
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJC-SULLIVAN DIANE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJC-WRIGHTON MARK MD
DIRECTOR EX-OFFICIO	1.00	Yes (X)	$0	$0	$0
BJCHOME-GEE WILLIAM MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJCHOME-HALLORAN TERESA
DIRECTOR	40.00	Yes (X)	$212,192	$0	$19,265
BJCHOME-PATTERSON NANCY
DIRECTOR	40.00	Yes (X)	$269,390	$0	$35,207
BJCHOME-LOLLO TRISHA
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJCHOME-OLINGER STACY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJCHOME-PETERS LEWIS ANGELLEEN
DIRECTOR	40.00	Yes (X)	$409,128	$0	$36,597
BJCHOME-SCHREINER LORI
DIRECTOR	40.00	Yes (X)	$317,562	$0	$36,261
BJCHOME-VAN TREASESANDRA
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-AWADALLA MD SYLVIA
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-BAXTER WARNER
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-CLARK MAXINE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-EDISON PETER
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-GOLDBERG SUSAN
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-GRIFFIN JOANNE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-GROESCH SCOTT
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-HENLEY GARY DDS
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-HILLMAN TOM
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-KAHN EUGENE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-LEFTON MICHAEL
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-LIEKWEG RICHARD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-LOVE KATHRYN ELLIOTT
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-MILES RICHARD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-PATTERSON DEBORAH J
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-PERLMUTTER DAVID H MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-SCHEEL PAUL MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-SCHNUCK CRAIG
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-SMITH PETER
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-THORP HOLDEN PHD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJH-YAEGER DOUGLAS
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJSPH-APLINGTON DAVID
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJSPH-AST MARTIN MD
DIRECTOR	40.00	Yes (X)	$483,420	$0	$54,854
BJSPH-FETTER LEE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJSPH-FOX JERRY
DIRECTOR	40.00	Yes (X)	$714,139	$0	$121,636
BJWCH-BOSWELL CB MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJWCH-CANNON ROBERT
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJWCH-EAGON CHRIS MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJWCH-LONDEALAN MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BJWCH-OLINGER STACY
DIRECTOR	40.00	Yes (X)	$241,690	$0	$46,279
BJWCH-SCHEEL PAUL MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-AKINTOLA-OGUNREMI OLARONKE MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-BROWN DAVID
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-CLARKREV F JAMES MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-COLLINS-HART PHD NETTIE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-FETTER LEE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-GEORGE THOMAS F PHD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-JENSEN JOSHUA II MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-LIEKWEG RICH
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-MALONE DAVID C
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-MOEHN MICHAEL L
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-OTTO DAVID W
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-PACE PAULA D
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-RATLIFF HARRY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-REARDEN TIM MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-SHAW DAVID MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-SIDDIQUI ADNAN Y MD
DIRECTOR	1.00	Yes (X)	$36,333	$0	$0
CH-STAFFORD ERIC
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CH-TUCKER MICHELLE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CHAS-APLINGTON DAVID
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CHAS-VAN TREASE SANDRA
DIRECTOR	40.00	Yes (X)	$1,399,425	$0	$106,940
CHC-FOX JERRY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CHC-THOMAS MICHELE MD
DIRECTOR	40.00	Yes (X)	$251,832	$0	$35,685
CHIL-ZYKAN DONALD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CHSDC-BALSTERS KENNETH
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CHSDC-LIEKWEG RICH
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CHSDC-STEVENS RICK L
DIRECTOR	1.00	Yes (X)	$0	$0	$0
CHSDC-ZYKAN DONALD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBHS-BAKER ALISON MD
DIRECTOR	40.00	Yes (X)	$297,534	$0	$33,651
MBHS-DACE SHARON
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBHS-DIXON DEBBIE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBHS-JACKSON THOMAS MD
DIRECTOR	40.00	Yes (X)	$396,450	$0	$25,946
MBHS-MASTIN JAYNE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBHS-MACE RANDY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBHS-MIZELL LESA
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBHS-OBERLE JOYCE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBHS-VAN TREASE SANDRA
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-CAHILL JACK L
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-DUNNE THOMAS P SR
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-FERGUSON TRICIA ZIMMER
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-FETTER LEE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-FIELDS HARVEY JR
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-KIM CHARLES G
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-LAKEY NATHAN
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-LIEKWEG RICHARD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-MARTIN R SCOTT MD
DIRECTOR	40.00	Yes (X)	$580,795	$0	$17,549
MBMC-MASTIN LETA
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-MATHEWS KORY G
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-MCDONNELL VERONICA
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-MCKEE CHRIS
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-MUNDEN DARRYL R
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-OBERLE JOYCE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-PETERSON JAMES B
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-PLANTS EDWARD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-PRIVOTTW JOSEPH PHD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-REEG KURTIS B
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-RHODES CATHERINE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-STOKES DAVID M
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MBMC-WEINSTEIN DAVID L MD
DIRECTOR	40.00	Yes (X)	$287,596	$0	$60,450
MESI-BARNETT KEVIN MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MESI-BAUMER KEVIN MD
DIRECTOR	1.00	Yes (X)	$0	$545,227	$23,947	40.00
MESI-CLAYBORNE STACI
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MESI-COOK KEITH
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MESI-CUNDIFF GREG
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MESI-GASSER SUSAN
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MESI-HOLLOWAY THOMAS E
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MESI-JOHNSON KENNETH V
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MESI-MEHRTENS LESLIE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MESI-MOOSA HANS MD
DIRECTOR	1.00	Yes (X)	$0	$1,001,130	$22,109	40.00
MESI-MUNTON DOUG
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MESI-OLROYD BECKY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MMG-CASPERSON WILLIAM MD
DIRECTOR	40.00	Yes (X)	$361,316	$0	$38,933
MMG-MOOSA HANS MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MRHS-APLINGTON DAVID
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MRHS-GANIM RANDY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MRHS-THOUVENOT ROLLIE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PHC-BUNCH WILLIAM W
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PHC-CONKLIN RICHARD
DIRECTOR	1.00	Yes (X)	$28,813	$0	$0
PHC-DUMONTIER EDWARD MD
DIRECTOR	1.00	Yes (X)	$6,016	$0	$0
PHC-GRIX GARY MD
DIRECTOR	40.00	Yes (X)	$280,357	$0	-$8,410
PHC-JONES STEVEN R
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PHC-KENNON JOHN GILBERT
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PHC-KIRKLEY SCOTT D MD
DIRECTOR	40.00	Yes (X)	$543,621	$0	$15,612
PHC-KURTZ STEVEN J
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PHC-PETERSON DEBORAH S
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PHC-ROARK MICHAEL KENT
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PHC-SKAGGS LARRY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PHC-VAN TREASE SANDRA
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PMMCI-BEATTY ADRIENA
DIRECTOR	1.00	Yes (X)	$0	$394,612	$34,928	40.00
PMMCI-BOYER GERI
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PMMCI-DOTHAGER DOUG MD
DIRECTOR	1.00	Yes (X)	$5,063	$611,020	$27,959	40.00
PMMCI-HOERING EDWARD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PMMCI-KLOSTERMAN MATT
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PMMCI-LEOPOLD CLAIRE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PMMCI-OLROYD BECKY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PMMCI-RAMOS-PARDO BEATRIZ MD
DIRECTOR	1.00	Yes (X)	$0	$290,455	$28,016	40.00
PMMCI-ROBERTS OTTO
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PMMCI-SAVAGE CHAIRMAINE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PMMCI-THOUVENOT ROLAND
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PWHC-APLINGTON DAVID
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PWHC-FETTER LEE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PWHC-FOX JERRY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PWHC-MISSLER MICHAEL DO
DIRECTOR	40.00	Yes (X)	$507,543	$0	$29,927
SLCH-DESILVA MICHELLE C
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-DIEMER NANCY
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-HAGEDORN CHRIS
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-HARTTRACY E
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-KENNEDY MICHAEL B
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-LIEKWEG RICH
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-LINDSEY STEVE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-MAHER KEVIN
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-MCDONNELLJAMES III
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-MCMILLAN MIKE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-MUELLER CHARLES JR
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-MULLINS BIRCH
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-O'CONNELL JOHN
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-PERLMUTTER DAVID
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-RAMIREZ KARLOS
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-RHONE ERIC
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-WHITAKER PATRICA
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SLCH-SMITH-THURMAN PATRICIA A
DIRECTOR	1.00	Yes (X)	$0	$0	$0
AMH-AYRES GARY
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
AMH-BRAASCH DAVID ALAN
PRESIDENT, DIRECTOR	40.00	Yes (X)	$335,036	$0	$43,424		Yes (X)
AMH-MILNOR GEORGE
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
AMH-THOMPSON STEVE
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BHHC-EIKEL LIZ
SECRETARY, DIRECTOR	40.00	Yes (X)	$93,256	$0	$2,473		Yes (X)
BHHC-ROTHERY DAN
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BHHC-SINEK JIM
PRESIDENT, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BHHC-SMITH MONICA RN
VICE PRESIDENT, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BHHC-SZEWCZYK MICHAEL MD
PRESIDENT, DIRECTOR	1.00	Yes (X)	$48,340	$0	$0		Yes (X)
BJC BH-KARL BARBARA
VICE PRESIDENT & EXEC DIR	40.00	Yes (X)	$249,650	$0	$78,333		Yes (X)
BJC BH-ROTHERY DAN
PRESIDENT, CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BJC BH-TERRACE SARAH
SECRETARY, DIRECTOR	40.00	Yes (X)	$445,352	$0	$63,590		Yes (X)
BJC CHS-ROTHERY DAN
PRESIDENT, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BJC CHS-TERRACE SARAH
VICE PRESIDENT, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BJC CHS-VENDITTI PATRICK
VICE PRESIDENT & SECRETARY, DIRECTOR	40.00	Yes (X)	$157,852	$0	$19,645		Yes (X)
BJC-EASON CLIFFORD J
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BJC-LIEKWEG RICHARD
PRESIDENT, DIRECTOR	40.00	Yes (X)	$1,898,100	$0	$193,455		Yes (X)
BJC-MCCLURE RICHARD
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BJC-PLUMMER ROBERT
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BJC-SCHNUCK CRAIG
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BJC-WEDDLE JAMES
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BJC-WESTBROOK KELVIN
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BJCHOME-KARL TOM
SECRETARY, TREASURER, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BJCHOME-ROTHERY DAN
PRESIDENT, DIRECTOR	40.00	Yes (X)	$539,723	$0	$74,237		Yes (X)
BJH-CANNON ROBERT W
PRESIDENT, DIRECTOR	40.00	Yes (X)	$1,102,615	$0	$97,682		Yes (X)
BJH-WEDDLE JAMES
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BJSPH-WATTS CHRIS
PRESIDENT, DIRECTOR	40.00	Yes (X)	$481,569	$0	$23,024		Yes (X)
BJWCH-APLINGTON DAVID
SECRETARY/TREASURER, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
BJWCH-LOLLO TRISH
PRESIDENT, DIRECTOR	40.00	Yes (X)	$461,925	$0	$38,182		Yes (X)
BJWCH-ROBERTS KEVIN
TREASURER, DIRECTOR TERM 3/18	1.00	Yes (X)	$0	$0	$0		Yes (X)
CH-PLUMMER ROBERT
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
CH-STEVENS RICK L
PRESIDENT, DIRECTOR	40.00	Yes (X)	$489,203	$0	$63,531		Yes (X)
CH-ZYKAN DON
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
CHC-POUGE DOUGLAS MD
PRESIDENT, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
CHC-VAN TREASE SANDRA
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
CHAS-BECKETT JAN
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
CHAS-BLOUNT ROBIN
SECRETARY, DIRECTOR	40.00	Yes (X)	$334,013	$0	$68,196		Yes (X)
CHAS-SINEK JIM
PRESIDENT, DIRECTOR	40.00	Yes (X)	$437,939	$0	$83,905		Yes (X)
CHAS-SMITH MONICA RN
VICE CHAIRMAN, DIRECTOR	40.00	Yes (X)	$256,343	$0	$59,632		Yes (X)
CHIL -PLUMMER ROBERT
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
CHIL-STEVENS RICK L
PRESIDENT, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
CHSDC-FETTER LEE
PRESIDENT, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
CHSDC-PLUMMER ROBERT
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
CHSDC-RATLIFF HARRY
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
MBHS-HOFFMAN MIKE
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
MBHS-RUBLE IRENE
SECRETARY, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
MBMC-ANTES JOHN
PRESIDENT, DIRECTOR	40.00	Yes (X)	$566,346	$0	$39,799		Yes (X)
MBMC-COPELAND DOUGLAS
CHAIR ELECT, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
MBMC-EASON CLIFF
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
MBMC-MCCARTHY THOMAS
SECRETARY, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
MBMC-ROSS DONALD
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
MESI-DISTLER DOUG
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
MESI-ECKERT CHRIS
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
MESI-SCHROEDER KURT
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
MESI-THAXTON VALERIE
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
MESI-TURNER MARK
PRESIDENT, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
MMG-DAVIS JAMES B
EXECUTIVE DIRECTOR, SECRETARY	40.00	Yes (X)	$191,859	$0	$22,244		Yes (X)
MMG-TURNER MARK J
PRESIDENT, CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
MRHS-LIEKWEG RICHARD
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
MRHS-TURNER MARK J
PRESIDENT, DIRECTOR	40.00	Yes (X)	$954,207	$0	$50,716		Yes (X)
PEHC-APLINGTON DAVID
SECRETARY, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
PEHC-FETTER LEE
TREASURER, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
PEHC-LIEKWEG RICHARD
PRESIDENT, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
PHC-BAKER MARY
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
PHC-COOK KEVIN
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
PHC-KARL THOMAS
PRESIDENT, DIRECTOR	40.00	Yes (X)	$305,791	$0	$58,313		Yes (X)
PHC-RHODES CATHERINE
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
PMMCI-DYER ROB REV
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
PMMCI-GIVENS SCOTT
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
PMMCI-GRAEBE ROBERT W
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
PMMCI-MUELLER ROBERT C
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
PMMCI-TURNER MARK
PRESIDENT, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
PWHC-WATTS CHRISTOPER
PRESIDENT, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
SLCH-HERMANN ROBERT JR
ASST TREASURER, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
SLCH-IMBS CHRISTOPHER
SECRETARY, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
SLCH-JAIN SANJAY
TREASURER, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
SLCH-MAGRUDER JOAN
PRESIDENT, DIRECTOR	40.00	Yes (X)	$880,059	$0	$75,298		Yes (X)
SLCH-MCCLURE RICH
CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
SLCH-SHEN MARK MD
PRESIDENT, DIRECTOR	40.00	Yes (X)	$219,318	$0	$11,883		Yes (X)
SLCH-SHORT RICK S
TREASURER, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
SLCH-STUPP JOHN JR
VICE CHAIRMAN, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
SLCH-SUGGS DONALD
ASST TREASURER, DIRECTOR	1.00	Yes (X)	$0	$0	$0		Yes (X)
AMH-KOESTERER SUSAN
VICE PRESIDENT, FINANCE	1.00		$0	$0	$0		Yes (X)
BJC-APLINGTON DAVID
SR. VP,GENERAL COUNSEL,SEC'Y	40.00		$795,402	$0	$73,762		Yes (X)
BJC-BARTO NICK
SR VP, CFO, TREASURER BEG 11/18	40.00		$47,527	$0	$22,757		Yes (X)
BJC-ROBERTS KEVIN
SR VP, CFO, TREASURER TERM 4/18	40.00		$644,926	$0	$28,015		Yes (X)
BJH-KRIEGER MARK
VP, CFO, TREASURER	40.00		$589,324	$0	$76,412		Yes (X)
BJH-PATTERSON GREG
SECRETARY TERM 3/18	40.00		$407,788	$0	$55,359		Yes (X)
BJH-REID SARA
SECRETARY START 3/18	40.00		$249,012	$0	$31,741		Yes (X)
BJSPH-LAWSON ELIZABETH
VICE PRESIDENT, FINANCE	1.00		$0	$0	$0		Yes (X)
CH-KOESTERER SUSAN
VICE PRESIDENT, FINANCE	40.00		$276,146	$0	$50,471		Yes (X)
CHC-WARD CHRIS
SECRETARY, TREASURER	40.00		$195,421	$0	$43,645		Yes (X)
CHSDC-KOESTERER SUSAN
VICE PRESIDENT, FINANCE	1.00		$0	$0	$0		Yes (X)
MBMC-DESART AMY
VICE PRESIDENT, FINANCE	40.00		$284,679	$0	$48,199		Yes (X)
MBHS-DESART AMY
VICE PRESIDENT, FINANCE	1.00		$0	$0	$0		Yes (X)
MBHS-SCHWARM TONY
PRESIDENT	40.00		$264,388	$0	$65,340		Yes (X)
MESI-GUSMANO JANE
SECRETARY, VP FINANCE	1.00		$0	$0	$0		Yes (X)
MMG-GUSMANO JANE
VICE PRESIDENT, TREASURER	1.00		$0	$0	$0		Yes (X)
MRHS-GUSMANO JANE
SECRETARY, TREASURER	1.00		$0	$0	$0		Yes (X)
MRHS-ROBERTS KEVIN
TREASURER TERM 4/18	1.00		$0	$0	$0		Yes (X)
PGLC-POGUE DOUGLAS MD
PRESIDENT & MANAGER	40.00		$605,091	$0	$33,579		Yes (X)
PHC-DESART AMY
VICE PRESIDENT, FINANCE	1.00		$0	$0	$0		Yes (X)
PMMCI-GUSMANO JANE
VP FINANCE, SECRETARY	40.00		$371,550	$0	$47,398		Yes (X)
PWHC-LAWSON ELIZABETH
VICE PRESIDENT, FINANCE	40.00		$229,644	$0	$39,411		Yes (X)
SLCH-MCKEE MICHELE
VICE PRESIDENT, FINANCE	40.00		$406,093	$0	$36,109		Yes (X)
BJC-BEATTY JOHN
SVP/CHIEF HR OFFICER	40.00		$691,241	$0	$85,742			Yes (X)
BJC-SCHULER GREG
VP/CHIEF INVEST OFFICER TERM 7/18	40.00		$531,176	$0	$37,670			Yes (X)
BJC-THOMAS JOSEPH
VP/CHIEF INVEST OFFICER EFF 8/18	40.00		$423,107	$0	$42,432			Yes (X)
BJC-GRIMSHAW CHARLES
PHYSICIAN	40.00		$1,138,070	$0	$36,504				Yes (X)
BJC-O'BERT ROBERT J
PHYSICIAN	40.00		$1,003,044	$0	$14,882				Yes (X)
BJC-HALL LANNIS E
PHYSICIAN	40.00		$955,062	$0	$26,465				Yes (X)
BJC-KRAINIK ANDREW J
PHYSICIAN	40.00		$885,638	$0	$28,942				Yes (X)
BJC-SEWALL DAVID J
PHYSICIAN	40.00		$853,822	$0	$49,692				Yes (X)
BJC-DEHAVEN MICHAEL
FORMER SR VP,GEN COUN,SEC TERM 12/16	0.00		$108,909	$0	$0					Yes (X)
BJC-LIPSTEIN STEVEN
FORMER CEO, DIRECTOR TERM 12/17	0.00		$2,442,760	$0	$95,595					Yes (X)
BJWCH-BLACK CHARLES DOUGLAS
FORMER PRES/DIR TERM 1/2016	40.00		$332,062	$0	$33,710					Yes (X)
CHAS-FOWLER ROSELLA
FORMER VICE CHAIRMAN TERM 4/17	40.00		$242,671	$0	$34,858					Yes (X)
MESI-HOLMES RUTH
FORMER SECRETARY TERM 6/2016	40.00		$167,376	$0	$1,619					Yes (X)
MRHS-LANIUS JOE
FORMER SECRETARY, TERM 6/2016	0.00		$257,469	$0	$0					Yes (X)
MRHS-MCMANUS MICHAEL
FORMER SEC, DIRECTOR TERM 6/17	40.00		$307,940	$0	$37,807					Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$35,363,856	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,689,372	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,385,054	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3291	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WASHINGTON UNIV SCHOOL OF MEDICINE
660 S EUCLID ST	SAINT LOUIS	MO	63110	MEDICAL SERVICES	$248,549,622
THE HCI GROUP
6440 SOUTHPOINT PARKWAY STE 300	JACKSONVILLE	FL	32216	HEALTHCARE IT CONSULTING	$55,200,273
MID AMERICA TRANSPLANT SERV
1110 HIGHLAND PL DR E 100	SAINT LOUIS	MO	63110	PROCUREMENT OF TRANSPLANTS	$20,600,538
MISSOURI CARDIOVASCULAR SPECIALISTS LLP
1065 EAST BROADWAY STE 300	COLUMBIA	MO	65205	MEDICAL SERVICES	$20,065,802
MORRISONS HEALTH CARE INC
5801 PEACHTREE DUNWDY	ALTANTA	GA	30342	FOOD SERVICES	$17,300,613

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	341	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$76,649	FederatedCampaignsAmt
Fundraising	$105,494	FundraisingAmt
Related Organizations	$13,659,222	RelatedOrganizationsAmt
Government Grants	$3,148,662	GovernmentGrantsAmt
All Other Contributions	$1,126,803	AllOtherContributionsAmt
Noncash Contributions	$86,668	NoncashContributionsAmt
Total Contributions	$18,116,830	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PROGRAM SVC REVENUE	621990	$4,767,254,758	$4,767,254,758
PROGRAM RENTAL INCOME	531190	$35,327,242	$35,327,242
PROGRAM INVESTMENT REV	621400	$4,857,110	$4,857,110	$0
WASHINGTON UNIV -OTHER	621400	$4,623,071	$4,420,755	$202,316
REFERENCE LABORATORY	621400	$3,429,838		$3,429,838

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$852,120	TotalRevenueColumnAmt
Related Or Exempt Func Income	$378,336	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$473,784	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$4,816,344,139	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,742,082	TotalRevenueColumnAmt
Exclusion	$16,742,082	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,659	TotalRevenueColumnAmt
Exclusion	$1,659	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,083,779	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,083,779	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,083,779	TotalRevenueColumnAmt
Exclusion	$2,083,779	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$395,965	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$644,073	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$248,108	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$248,108	TotalRevenueColumnAmt
Exclusion	-$248,108	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$41,436	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$105,494	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$27,053	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,383	TotalRevenueColumnAmt
Exclusion	$14,383	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$4,715	GamingGrossIncomeAmt
Gaming Direct Expenses	$7,640	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,925	TotalRevenueColumnAmt
Exclusion	-$2,925	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$5,574,833	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,361,542	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,213,291	TotalRevenueColumnAmt
Exclusion	$3,213,291	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RETAIL PHARMACY	441600	$32,896,797	$2,511,653	$30,385,144
CAFETERIA SALES	722210	$20,386,098	$201,731	$20,184,367	$0
OTHER OPERATING	900099	$17,884,406	$340,876	$17,543,530	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$47,693,847	TotalRevenueColumnAmt
Unrelated Business Revenue	$3,102,573	UnrelatedBusinessRevenueAmt
Exclusion	$44,591,274	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$118,861,148	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,975,126,278	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,812,238,201	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$10,262,771	UnrelatedBusinessRevenueAmt
Exclusion	$134,508,476	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$9,561,775	TotalAmt
Program Services	$9,561,775	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$2,403,347	TotalAmt
Program Services	$2,403,347	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$24,990,615	TotalAmt
Management And General	$24,990,615	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,506,881,520	TotalAmt
Program Services	$1,465,270,820	ProgramServicesAmt
Management And General	$41,610,700	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$116,682,667	TotalAmt
Program Services	$114,654,647	ProgramServicesAmt
Management And General	$2,028,020	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$190,736,103	TotalAmt
Program Services	$187,422,034	ProgramServicesAmt
Management And General	$3,314,069	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$110,006,201	TotalAmt
Program Services	$105,761,807	ProgramServicesAmt
Management And General	$4,244,394	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,531,022	TotalAmt
Program Services	$2,250,623	ProgramServicesAmt
Management And General	$280,399	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$144,555	TotalAmt
Management And General	$144,555	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$614,915	TotalAmt
Management And General	$614,915	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$526,880	TotalAmt
Management And General	$526,880	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$497,028,698	TotalAmt
Program Services	$475,866,426	ProgramServicesAmt
Management And General	$21,162,272	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$10,212,470	TotalAmt
Program Services	$6,607,452	ProgramServicesAmt
Management And General	$3,605,018	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$68,749,587	TotalAmt
Program Services	$64,653,488	ProgramServicesAmt
Management And General	$4,096,099	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,206,958	TotalAmt
Program Services	$6,269,477	ProgramServicesAmt
Management And General	$937,481	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$22,266	TotalAmt
Program Services	$22,266	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$85,762,612	TotalAmt
Program Services	$66,782,342	ProgramServicesAmt
Management And General	$18,980,270	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,256,301	TotalAmt
Program Services	$4,842,039	ProgramServicesAmt
Management And General	$414,262	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,154,504	TotalAmt
Program Services	$2,494,323	ProgramServicesAmt
Management And General	$660,181	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$39,904,806	TotalAmt
Management And General	$39,904,806	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$345,078,525	TotalAmt
Program Services	$332,782,632	ProgramServicesAmt
Management And General	$12,295,893	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$30,126,501	TotalAmt
Program Services	$30,124,382	ProgramServicesAmt
Management And General	$2,119	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$961,067,200	$961,067,200	$0
OVERHEAD ALLOCATION	$556,043,306	$0	$556,043,306
OTHER MISCELLANEOUS	$127,927,180	$122,203,225	$5,723,955
TEACHING SERVICES	$115,940,822	$115,940,822	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$88,044,212	TotalAmt
Program Services	$80,254,865	ProgramServicesAmt
Management And General	$7,789,347	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,906,605,548	TotalAmt
Program Services	$4,157,235,992	ProgramServicesAmt
Management And General	$749,369,556	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$143,218	BOYAmt
EOY	$181,301	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$12,162,073	BOYAmt
EOY	$14,957,620	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$713,325,727	BOYAmt
EOY	$773,803,368	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$32,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$100,834,674	BOYAmt
EOY	$101,823,058	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,102,421	BOYAmt
EOY	$11,578,136	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,428,124,814	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,612,341,235	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,767,481,212	BOYAmt
EOY	$2,815,783,579	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$53,134,561	BOYAmt
EOY	$53,123,794	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$49,998,280	BOYAmt
EOY	$23,814,717	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$146,607,583	BOYAmt
EOY	$127,063,908	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,852,789,749	BOYAmt
EOY	$3,922,161,481	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$340,496,660	BOYAmt
EOY	$374,451,251	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$688,625	BOYAmt
EOY	$929,542	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$198,000,000	BOYAmt
EOY	$198,000,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$14,639,394	BOYAmt
EOY	$14,639,394	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$95,302,127	BOYAmt
EOY	$86,599,442	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$649,126,806	BOYAmt
EOY	$674,619,629	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,197,489,005	BOYAmt
EOY	$3,239,245,352	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,173,938	BOYAmt
EOY	$8,296,500	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,203,662,943	BOYAmt
EOY	$3,247,541,852	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,852,789,749	BOYAmt
EOY	$3,922,161,481	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$68,520,730	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$24,641,821	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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE A, PART I, LINE 3, 12	CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION EIN 43-1230583 (ORGANIZATION) IS A SUBORDINATE MEMBER OF THE BJC HEALTH SYSTEM GROUP RULING. THE ORGANIZATION'S PUBLIC CHARITY STATUS IS SECTION 509(A)(3)TYPE III FI. DURING 2018: 12F- NUMBER OF SUPPORTED ORGANIZATIONS AT DECEMBER 31, 2018 = 2 12G - INFORMATION REGARDING SUPPORTED ORGANIZATIONS: CHRISTIAN HOSPITAL NE-NW (CHNE) EIN 43-6057893 - BOX 3 $56,900,430 CH ALLIED SERVICES, INC. (CHAS) EIN 43-1279063 - BOX 3 $23,200,406 THE ABOVE SUPPORTED ORGANIZATIONS ARE U.S. CORPORATIONS AND ARE LISTED IN THE GOVERNING DOCUMENTS FOR CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION. PART III PUBLIC SUPPORT FOR ORGANIZATIONS DESCRIBED IN SEC 509(A)(2): THE FOLLOWING SUBORDINATES OF THE BJC GROUP RULING MAINTAIN PUBLIC CHARITY STATUS AS SEC 509(A)(2) ORGANIZATIONS: BOONE HOSP VISITING NURSES INC (DBA BOONE HOSPITAL HOME CARE) BJC HOME CARE SERVICES CHILDREN'S HEALTH NETWORK THE COMMUNITY HEALTH CONNECTION THE MAJORITY OF THE GROUP MEMBERS MAINTAIN PUBLIC CHARITY STATUS AS HOSPITAL ORGANIZATIONS DESCRIBED IN SEC 170(B)(1)(A)(III), THE SOFTWARE USED TO PREPARE THE BJC GROUP RETURN DOES NOT ALLOW FOR MULTIPLE PUBLIC CHARITY STATUS. ACCORDINGLY, THE ABOVE ORGANIZATIONS HAVE SEPARATELY DOCUMENTED THEIR PUBLIC SUPPORT AND INVESTMENT INCOME PERCENTAGES AGGREGATED AS FOLLOWS: PUBLIC SUPPORT PERCENTAGE FOR 2018 99.73% PUBLIC SUPPORT PERCENTAGE FOR 2017 99.74% INVESTMENT INCOME PERCENTAGE FOR 2018 0.12% INVESTMENT INCOME PERCENTAGE FOR 2017 0.10% _
SCHEDULE A, PART IV - SECTION A	1. YES, DURING 2018, CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION (CHSDC) WAS THE SUPPORTING ORGANIZATION TO THE FOLLOWING SUPPORTED ORGANIZATIONS: -CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST (EIN 43-6057893) 501(C)(3), BOX 3 -CH ALLIED SERVICES, INC. DBA BOONE HOSPITAL (43-1279063) 501(C)(3), BOX 3 THESE SUPPORTED ORGANIZATIONS WERE LISTED BY NAME IN THE ORGANIZING DOCUMENTS FOR CHSDC. CHSDC RESPONDS "NO" TO SECTION A, LINES 2-11. _
PART IV - SECTION D LINES 1-3	CHSDC RESPONDS "YES" TO QUESTIONS 1-3. CHSDC MAINTAINS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATIONS AND APPOINTS THE MAJORITY OF OFFICERS AND DIRECTORS SERVING ON THE BOARDS OF THESE SUPPORTED ORGANIZATIONS. BECAUSE AND AS A RESULT OF THIS CLOSE WORKING RELATIONSHIP, THE SUPPORTED ORGANIZATIONS PROVIDE INPUT ON MONTHLY FINANCIAL OPERATIONS, ANNUAL BUDGET PROCESS INCLUDING ALLOCATIONS FOR CAPITAL PROJECTS, USE OF HEALTH INFORMATION SYSTEMS AND OTHER MATTERS CONCERNING HOSPITAL OPERATIONS. _
PART IV - SECTION E LINES 1-3	LINE 1B: CHSDC IS THE PARENT OF EACH OF ITS SUPPORTED ORGANIZATIONS. LINE 3A: AS SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS, CHSDC HAS RESERVED POWERS TO APPOINT A MAJORITY OF THE OFFICERS AND DIRECTORS OF ITS SUPPORTED ORGANIZATIONS. CERTAIN OF THOSE DIRECTORS IN TURN SERVE ON THE GOVERNING BOARD OF CHSDC. LINE 3B: CHSDC EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS. BJC AND CHSDC REQUIRE THAT EACH SUPPORTED ORGANIZATION ADOPT ITS POLICIES. BJC AND CHSDC APPROVES THE OPERATIONAL AND FISCAL BUDGET FOR EACH OF ITS SUPPORTED ORGANIZATIONS AND PROVIDES ADMINISTRATIVE OVERSIGHT FOR HOSPITAL PROGRAMS AND CAPITAL PROJECTS.

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (1)	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$441,450	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$85,430	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$526,880	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	GOVERNMENT RELATIONS DEPARTMENT EXPENSES INCLUDE RESOURCES DEDICATED TO TRACKING LEGISLATION THAT MAY ADVERSELY IMPACT THE FILING ORGANIZATION. INDIRECT ALLOCATION OF EXPENSES INCLUDE RELEVANT PORTION OF LOBBYING ACTIVITIES THAT ARE SEPARATELY STATED IN DUES PAID TO VARIOUS HOSPITAL AND OTHER MEDICAL ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$97,413,276	OtherCostOrOtherBasisAmt
Book Value	$97,413,276	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,472,423,979	OtherCostOrOtherBasisAmt
Depreciation	$984,413,404	DepreciationAmt
Book Value	$488,010,575	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$332,579,144	OtherCostOrOtherBasisAmt
Depreciation	$213,567,446	DepreciationAmt
Book Value	$119,011,698	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,954,175,267	OtherCostOrOtherBasisAmt
Depreciation	$2,236,974,386	DepreciationAmt
Book Value	$717,200,881	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,571,533,148	OtherCostOrOtherBasisAmt
Depreciation	$177,385,999	DepreciationAmt
Book Value	$1,394,147,149	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,815,783,579	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
OTHER LONG TERM LIABILITIES	$7,323,820
DUE TO THIRD PARTY PAYORS	$32,130,008
OTHER CURRENT LIABILITIES	$28,982,314
SELF-FUNDED INSURANCE LIABLITIES	$7,140,292
ACCRUED ENVIRONMENTAL LIABILITIES	$9,271,000
LONG TERM PENSION LIABILITIES	$1,752,008

Field	Value	IRS element (for citing)
Total Liability	$86,599,442	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART X, LINE 2:

THE AUTHORITATIVE GUIDANCE IN ASC 740, INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDANCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. BJC HAS NOT RECOGNIZED A LIABILITY FOR UNCERTAIN TAX POSITIONS.

FORM 990, SCHEDULE D, PART(S) XI AND XII

FOR 2018, THE NET ASSETS AND ACTIVITIES OF THE REPORTING ORGANIZATION ARE INCLUDED IN THE AUDITED FINANCIAL STATEMENTS OF BJC HEALTH SYSTEM & AFFILIATES (BJC). THE AUDIT IS CONDUCTED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. NO SEPARATE AUDITED FINANCIAL STATEMENTS ARE PREPARED FOR THE REPORTING ORGANIZATION. ACCORDINGLY, FORM 990, SCHEDULE D, PART(S) XI, XII, AND XIII RECONCILIATION OF CHANGE IN NET ASSETS, REVENUE & EXPENSES FROM FORM 990 TO AUDITED FINANCIAL STATEMENTS ARE NOT REQUIRED TO BE COMPLETED.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	1	PROGRAM SERVICES	OPERATIONS OF MEMORIAL CAPTIVE INS CO, A WHOLLY OWNED SUBSIDIARY OF MEMORIAL REG HEALTH SVCS INC.	$5,276,212
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	1	NET INVESTMENT IN MEMORIAL CAPTIVE INS CO, A WHOLLY OWNED SUBSIDIARY OF MEMORIAL REG HEALTH SVCS INC		$39,667,421

Field	Value	IRS element (for citing)
Subtotal Offices	2	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	2	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$44,943,633	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$44,943,633	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CRUISE DINNER	Event1Nm
Gross Receipts Event1	$65,855	GrossReceiptsEvent1Amt
Charitable Contri Event1	$46,410	CharitableContriEvent1Amt
Gross Revenue Event1	$19,445	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$4,670	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$8,162	FoodAndBeverageEvent1Amt
Entertainment Event1	$500	EntertainmentEvent1Amt
Other Direct Expenses Event1	$4,255	OtherDirectExpensesEvent1Amt
Event2	GIRLS ON GRAPES BOYS ON BREWS	Event2Nm
Gross Receipts Event2	$33,726	GrossReceiptsEvent2Amt
Charitable Contri Event2	$11,735	CharitableContriEvent2Amt
Gross Revenue Event2	$21,991	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$345	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$1,089	RentFacilityCostsEvent2Amt
Other Direct Expenses Event2	$1,372	OtherDirectExpensesEvent2Amt
Other Events Total	4	OtherEventsTotalCnt
Gross Receipts Other Events	$47,349	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$47,349	CharitableContriOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$5,586	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$1,074	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$0	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$0	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$146,930	GrossReceiptsTotalAmt
Charitable Contributions Tot	$105,494	CharitableContributionsTotAmt
Gross Revenue Total Events	$41,436	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$345	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$11,345	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$9,236	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$500	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$5,627	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$27,053	DirectExpenseSummaryEventsAmt
Net Income Summary	$14,383	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	185785	PersonsServedCnt
Total Community Benefit Expns	$241,561,250	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$90,668,470	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$150,892,780	NetCommunityBenefitExpnsAmt
Total Expense	0.03050	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	383034	PersonsServedCnt
Total Community Benefit Expns	$909,052,199	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$697,370,356	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$211,681,843	NetCommunityBenefitExpnsAmt
Total Expense	0.04290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	568819	PersonsServedCnt
Total Community Benefit Expns	$1,150,613,449	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$788,038,826	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$362,574,623	NetCommunityBenefitExpnsAmt
Total Expense	0.07340	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	276	ActivitiesOrProgramsCnt
Persons Served	571938	PersonsServedCnt
Total Community Benefit Expns	$21,842,669	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,884,969	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,957,700	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	58	ActivitiesOrProgramsCnt
Persons Served	14033	PersonsServedCnt
Total Community Benefit Expns	$277,139,079	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,531,481	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$196,607,598	NetCommunityBenefitExpnsAmt
Total Expense	0.03980	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	1494230	PersonsServedCnt
Total Community Benefit Expns	$1,090,713,388	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$948,277,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$142,436,058	NetCommunityBenefitExpnsAmt
Total Expense	0.02890	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$14,254,127	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,254,127	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	52	ActivitiesOrProgramsCnt
Persons Served	35558	PersonsServedCnt
Total Community Benefit Expns	$10,581,498	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,733,045	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,848,453	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	404	ActivitiesOrProgramsCnt
Persons Served	2115759	PersonsServedCnt
Total Community Benefit Expns	$1,414,530,761	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,054,680,952	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$359,849,809	NetCommunityBenefitExpnsAmt
Total Expense	0.07290	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	404	ActivitiesOrProgramsCnt
Persons Served	2684578	PersonsServedCnt
Total Community Benefit Expns	$2,565,144,210	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,842,719,778	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$722,424,432	NetCommunityBenefitExpnsAmt
Total Expense	0.14630	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,019	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,019	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,923,731	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,450	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,921,281	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	247	PersonsServedCnt
Total Community Benefit Expns	$862,237	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,171	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$856,066	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$683,489	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$683,489	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$37,966	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,966	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	42	ActivitiesOrProgramsCnt
Persons Served	247	PersonsServedCnt
Total Community Benefit Expns	$5,513,942	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,621	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,505,321	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$151,166,862	BadDebtExpenseAmt
Bad Debt Expense Attributable	$77,826,757	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$846,147,105	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$807,025,833	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$39,121,272	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	15	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (15 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Business Name Line1SubordinateHospitalName/BusinessNameLine1Txt	Subordinate Hospital EINSubordinateHospitalEIN	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Childrens HospitalChildrensHospitalInd	OtherOtherDesc	Critical Access HospitalCriticalAccessHospitalInd
BARNES-JEWISH HOSPITAL NORTHSOUTH
1	ONE BARNES-JEWISH HOSP PLZ	SAINT LOUIS	MO	63110	WWW.BARNESJEWISH.ORG	MO 421	BARNES-JEWISH HOSPITAL	237309937	Yes (X)	Yes (X)	Yes (X)	Yes (X)
ST LOUIS CHILDREN'S HOSPITAL
2	ONE CHILDRENS PLACE	SAINT LOUIS	MO	63110	WWW.STLOUISCHILDRENS.ORG	MO 324	ST LOUIS CHILDREN'S HOSPITAL	430654870	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
MISSOURI BAPTIST MEDICAL CENTER
3	3015 NORTH BALLAS ROAD	TOWN COUNTRY	MO	63131	WWW.MISSOURIBAPTIST.ORG	MO 234	MISSOURI BAPTIST MEDICAL CENTER	430652656	Yes (X)	Yes (X)		Yes (X)
CHRISTIAN HOSPITAL NE-NW
4	11133 DUNN ROAD	SAINT LOUIS	MO	63136	WWW.CHRISTIANHOSPITAL.ORG	MO 425	CHRISTIAN HOSPITAL NE-NW	436057893	Yes (X)	Yes (X)		Yes (X)
BOONE HOSPITAL CENTER
5	1600 EAST BROADWAY	COLUMBIA	MO	65201	WWW.BOONE.ORG	MO 361	CH ALLIED SERVICES INC	431279063	Yes (X)	Yes (X)		Yes (X)		OPER VIA LEASE W/ BOONE COUNTY HOSP TRUSTEES
PROTESTANT MEMORIAL MEDICAL CENTER INC
6	4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	WWW.MEMHOSP.COM	IL 0001461	PROTESTANT MEMORIAL MEDICAL CTR INC	370635502	Yes (X)	Yes (X)		Yes (X)
ALTON MEMORIAL HOSPITAL
7	ONE MEMORIAL DRIVE	ALTON	IL	62002	WWW.ALTONMEMORIAL.ORG	IL 0000026	ALTON MEMORIAL HOSPITAL	370661172	Yes (X)	Yes (X)		Yes (X)
BARNES-JEWISH WEST COUNTY HOSPITAL
8	12634 OLIVE BOULEVARD	CREVE COEUR	MO	63141	WWW.BARNESJEWISHWESTCOUNTY.ORG	MO 368	BARNES-JEWISH WEST COUNTY HOSPITAL	431527130	Yes (X)	Yes (X)		Yes (X)
BARNES-JEWISH ST PETERS HOSPITAL INC
9	10 HOSPITAL DRIVE	SAINT PETERS	MO	63376	WWW.BJSPH.ORG	MO 357	BARNES-JEWISH ST PETERS HOSPITAL INC	431452426	Yes (X)	Yes (X)		Yes (X)
METRO-EAST SERVICES INC
10	1404 CROSS STREET	SHILOH	IL	62269	WWW.MEMHOSPEAST.COM	IL 0006049	METRO-EAST SERVICES INC	460838901	Yes (X)	Yes (X)		Yes (X)
PROGRESS WEST HEALTHCARE CENTER
11	2 PROGRESS POINT PKWY	OFALLON	MO	63366	WWW.PROGRESSWEST.ORG	MO 502	PROGRESS WEST HEALTHCARE CENTER	412140764	Yes (X)	Yes (X)		Yes (X)
MISSOURI BAPTIST HOSPITAL OF SULLIVAN
12	751 SAPPINGTON BRIDGE ROAD	SULLIVAN	MO	63080	WWW.MISSOURIBAPTISTSULLIVAN.ORG	MO 355	MISSOURI BAPTIST HOSPITAL OF SULLIVAN	431459495	Yes (X)	Yes (X)		Yes (X)			Yes (X)
PARKLAND HEALTH CENTER-FARMINGTON
13	1101 WEST LIBERTY STREET	FARMINGTON	MO	63640	WWW.PARKLANDHEALTHCENTER.ORG	MO 379	PARKLAND HEALTH CENTER	431332368	Yes (X)	Yes (X)		Yes (X)
BJCHEALTHSOUTH REHABIL CENTER LLC
14	4455 DUNCAN AVENUE	SAINT LOUIS	MO	63110	WWW.REHABINSTITUTESTL.COM	MO 467	BARNES-JEWISH HOSPITAL (PARTNER)	237309937	Yes (X)					50% OWNERSHIP
PARKLAND HEALTH CENTER-BONNE TERRE
15	7245 RAIDER ROAD	BONNE TERRE	MO	63628	WWW.PARKLANDHEALTHCENTER.ORG	MO 474	PARKLAND HEALTH CENTER	431332368	Yes (X)	Yes (X)		Yes (X)			Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (15 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Asset Level CriteriaAssetLevelCriteriaInd	No Emergency CareNoEmergencyCareInd
BARNES-JEWISH HOSPITAL NORTHSOUTH
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	0	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	16	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	100.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	BARNESJEWISH.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE	Yes (X)	BARNESJEWISH.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE	Yes (X)	BARNESJEWISH.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
ST LOUIS CHILDREN'S HOSPITAL
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	16	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	100.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
MISSOURI BAPTIST MEDICAL CENTER
3	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	16	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	100.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
CHRISTIAN HOSPITAL NE-NW
4	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	16	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	100.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
BOONE HOSPITAL CENTER
5	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	0	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	16	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	100.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
PROTESTANT MEMORIAL MEDICAL CENTER INC
6	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	18	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	200.000000000000	600.000000000000		Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
ALTON MEMORIAL HOSPITAL
7	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	0	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	16	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	200.000000000000	600.000000000000		Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
BARNES-JEWISH WEST COUNTY HOSPITAL
8	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	16	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	100.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
BARNES-JEWISH ST PETERS HOSPITAL INC
9	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	16	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	100.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
METRO-EAST SERVICES INC
10	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	18	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	200.000000000000	600.000000000000		Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.MEMHOSPEAST.COM/FINANCIAL	Yes (X)	WWW.MEMHOSPEAST.COM/FINANCIAL	Yes (X)	WWW.MEMHOSPEAST.COM/FINANCIAL	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
PROGRESS WEST HEALTHCARE CENTER
11	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	16	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	100.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
MISSOURI BAPTIST HOSPITAL OF SULLIVAN
12	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	0	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	16	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	100.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
PARKLAND HEALTH CENTER-FARMINGTON
13	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	16	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	100.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
BJCHEALTHSOUTH REHABIL CENTER LLC
14	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	0	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	16	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	100.000000000000	300.000000000000		Yes (X)		Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.ENCOMPASSHEALTH.COM/LOCATIONS/REHABINSTITUTESTL/FINANCIAL-ASSISTANCE	Yes (X)	WWW.ENCOMPASSHEALTH.COM/LOCATIONS/REHABINSTITUTESTL/FINANCIAL-ASSISTANCE	Yes (X)	WWW.ENCOMPASSHEALTH.COM/LOCATIONS/REHABINSTITUTESTL/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	0	0	Yes (X)	Yes (X)
PARKLAND HEALTH CENTER-BONNE TERRE
15	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (1)	16	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	100.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (81 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BARNES-JEWISH HOSPITAL NORTH/SOUTH	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), BARNES-JEWISH HOSPITAL (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH OF BJC HOSPITAL SERVES. HOSPITAL IDENTIFIED ITS COMMUNITY AS THE CITY OF ST. LOUIS WHICH COMPRISES 5% OF MISSOURI'S POPULATION. POPULATION OF THE CITY WAS APPROXIMATELY 52% FEMALE/48% MALE; 46% WHITE, 47% AFRICAN AMERICAN, 4% HISPANIC OR LATINO AND 3% ASIAN. MEDIAN HOUSEHOLD INCOME FOR CITY WAS 27% LOWER THAN THE STATE OVERALL. HOSPITAL FURTHER IDENTIFIED THE HOMELESS POPULATION IN THE CITY TO REQUIRE ADDITIONAL CONSIDERATION (ESPECIALLY UPON DISCHARGE FROM THE HOSPITAL) AND NOTED NEEDS OF INCREASING IMPORTANCE TO BE SAFETY FROM VIOLENCE, ACCESS TO COVERAGE DUE TO NO MEDICAID EXPANSION IN MISSOURI AND BEHAVIORAL HEALTH ISSUES REGARDING OPIOID ABUSE. INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OUR POPULATION. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE COUNTY OR CITY HEALTH DEPARTMENTS AND MET AT VARIOUS TIMES TO DISCUSS THE RESULTS OF PRIOR CHNA AND REVIEWED THE CURRENT IMPLEMENTATION PLAN (IP). FOCUS GROUP PARTICIPANTS GAVE COMMENTARY ON THE PRIOR CHNA AND PROVIDED SUGGESTIONS FOR ADDRESSING THE NEEDS OF RESIDENTS IN THE CITY OF ST. LOUIS. THE DATA GATHERING PROCESS WAS CONDUCTED IN TWO PHASES WHICH INCLUDED A DISCUSSION OF 2013 CHNA RESULTS, GAPS IN PRIOR IMPLEMENTATION STRATEGIES AND WAYS TO IMPROVE ACCESS TO COVERAGE USING TECHNOLOGY. THE FOCUS GROUP INCLUDED PARTICIPANTS REPRESENTING:COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)URBAN LEAGUE OF GREATER ST. LOUISMISSOURI FOUNDATION FOR HEALTHPARAQUADINTERNATIONAL INSTITUTEALDERWOMAN, WARD 19REGIONAL HEALTH COMMISSIONAFFINIA HEALTHCARE, FORMERLY GRACE HILL HEALTH CENTERSST. LOUIS AREA FOOD BANKGATEWAY REGION YMCAST. LOUIS COUNTY HEALTH DEPARTMENTCASA DE SALUDCITY OF ST. LOUIS HEALTH COMMISSIONERST. LOUIS INTEGRATED HEALTH NETWORKPATIENT ADVOCATES
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), ST. LOUIS CHILDREN'S HOSPITAL (HOSPITAL) AND SSM HEALTH CARDINAL GLENNON CHILDREN'S MEDICAL CENTER CONDUCTED A FOCUS GROUP TO OBTAIN INPUT FROM PEDIATRIC AND PUBLIC HEALTH EXPERTS ON THE HEALTH CONCERNS OF ST. LOUIS CITY CHILDREN AGES 0-18. HOSPITAL COMMUNITY INCLUDES ST. LOUIS CITY. THE POPULATION OF THIS COMMUNITY IS 47% AFRICAN AMERICAN; 31% WHITE; AND 4% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 52% FEMALE AND 48% MALE WITH ALMOST 10% OF THE POPULATION WHERE LANGUAGE OTHER THAN ENGLISH IS SPOKEN AT HOME AND ALMOST 7% ARE FOREIGN BORN PERSONS. TRANSIENT FAMILIES WERE IDENTIFIED AS A SPECIAL CONCERN FOR TRACKING THOSE PERSONS WHO HAVE BEEN ENROLLED IN PILOT PROGRAMS. HOSPITAL CONDUCTED ITS 2016 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WHICH REVIEWED THE 2013 CHNA AND FINDINGS THEN DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013. THIS GROUP THEN REVIEWED GAPS IN MEETING NEEDS AND IDENTIFIED OTHER COMMUNITY ORGANIZATIONS TO COLLABORATE WITH IN ADDRESSING NEEDS. A PATIENT HEALTH CONCERNS SURVEY WAS ADMINISTERED TO MORE THAN 1,000 PARENTS LIVING WITHIN THE ST. LOUIS METROPOLITAN AREA WHICH IDENTIFIED PRIMARY DATA ON HEALTH NEEDS. DURING PHASE TWO, THIS GROUP IDENTIFIED INTERNAL WORK GROUP AT HOSPITAL WHICH FURTHER IDENTIFIED HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. LOUIS METROPOLITAN AREA. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS AND INCLUDED PARTICIPANTS REPRESENTING:WOMAN'S PLACE (STS. JOACHIM & ANN)CITY OF O'FALLONFORT ZUMWALT SCHOOL DISTRICTUNITED WAY OF GREATER ST. LOUISST. CHARLES CITY-COUNTY LIBRARY DISTRICTCRIDER HEALTH CENTERYOUTH IN NEEDMID-EAST AREA ON AGINGVOLUNTEERS IN MEDICINECOMMUNITY COUNCILRENARULD SPIRIT CENTERUNITED SERVICESFIRST STEPS BACK HOMEST. LOUIS CHARLES COUNTY AMBULANCE DISTRICTALDERWOMAN, CITY OF O'FALLONSTS. JOACHIM & ANN CARE SERVICEVOLUNTEERS IN MEDICINECAVALRY CHURCHCENTRAL COUNTY FIRE & RESCUECRISIS NURSERYST. CHARLES CHAMBER OF COMMERCEST. CHARLES COUNTY DRUG TASK FORCEST. CHARLES COUNTY DEPARTMENT OF HEALTH
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), MISSOURI BAPTIST MEDICAL CENTER (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY WHICH INCLUDES AREAS OF SOUTH AND WEST ST. LOUIS COUNTY. THE POPULATION OF THIS COMMUNITY IS 67% WHITE; 24% AFRICAN AMERICAN; 4% ASIAN; AND 3% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 52% MALE AND 48% FEMALE. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN WEST COUNTY AND SOUTH COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN HEART ASSOCIATIONST. LOUIS SUBURBAN SCHOOL NURSESMISSOURI HOUSE OF REPRESENTATIVESCATHOLIC FAMILY SERVICESNATIONAL COUNCIL ON ALCOHOLISM & DRUG ABUSEMANCHESTER UNITED METHODIST CHURCHSOUTH COUNTY HEALTH CENTERALIVELEMAY FIRE PROTECTION DISTRICTOFFICE OF THE COUNTY EXECUTIVEST. LOUIS CRISIS NURSERYBEHAVIORAL HEALTH NETWORKMID-EAST AREA ON AGINGST. LOUIS COUNTY DEPARTMENT OF HEALTHHOPE LODGEREGIONAL HEALTH COMMISSIONUNITED WAYPEOPLE'S HEALTH CENTERSFEED MY PEOPLECRISIS NURSERYAMERICAN CANCER SOCIETYJEWISH COMMUNITY CENTER
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), CHRISTIAN HOSPITAL (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY WHICH INCLUDES AREAS OF NORTH ST. LOUIS COUNTY. THE POPULATION OF THIS COMMUNITY IS 64% AFRICAN AMERICAN; 31% WHITE; AND 2% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 54% FEMALE AND 46% MALE. HOSPITAL CONDUCTED ITS 2016 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WHICH REVIEWED THE 2013 CHNA AND FINDINGS THEN DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013. THIS GROUP THEN REVIEWED GAPS IN MEETING NEEDS AND IDENTIFIED OTHER COMMUNITY ORGANIZATIONS TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, THIS GROUP IDENTIFIED INTERNAL WORK GROUP AT HOSPITAL WHICH FURTHER IDENTIFIED HEALTH DISPARITIES AND TRENDS EVIDENT IN NORTH ST. LOUIS COUNTY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN NORTH ST. LOUIS COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:FAMILY RESOURCE CENTERST. LOUIS UNIVERSITY EDUCATION AND PUBLIC SERVICESST. LOUIS COUNTY POLICE DEPARTMENTWARD 1 - FLORISSANTGREATER NORTH COUNTY CHAMBER OF COMMERCEHOLY NAME OF JESUS CATHOLIC CHURCHEDWARD JONES YMCAHAZELWOOD SCHOOL DISTRICTREDDY HEALTH AND PERFORMANCEMID-EAST AREA ON AGINGST. LOUIS COUNTY DEPARTMENT OF HEALTHNORTH COUNTY CHURCHES UNITINGUNIVERSITY OF MISSOURI - ST. LOUISUNITED WAYPEOPLE'S HEALTH CENTERSCRISIS NURSERY
BOONE HOSPITAL CENTER	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), BOONE HOSPITAL CENTER (HOSPITAL) FORMED AN INTERNAL WORKGROUP OF CLINICAL AND NON-CLINICAL STAFF WITH KNOWLEDGE OF THE COMMUNITY AND PATIENTS TO REVIEW THE FOCUS GROUP RESULTS AND THE SECONDARY DATA IN ORDER TO PROVIDE INPUT INTO THE PRIORITY NEEDS OF THE COUNTY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY WHICH WAS IDENTIFIED AS BOONE COUNTY. THE POPULATION OF THIS COMMUNITY IS 80% WHITE; 10% AFRICAN AMERICAN; 5% ASIAN; AND 3% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 52% FEMALE AND 48% MALE AND FOREIGN BORN PERSONS COMPRISE 6% OF THIS COMMUNITY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN BOONE COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:COLUMBIA-BOONE COUNTY DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES (DHHS)FAMILY HEALTH CENTERCOLUMBIA HOUSING AUTHORITYFORMER BHC TRUSTEECENTRAL MO COMMUNITY ACTION
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), PROTESTANT MEMORIAL MEDICAL CENTER, INC. (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. HOSPITAL IDENTIFIED ITS COMMUNITY AS ST. CLAIR COUNTY (COUNTY) WHICH COMPRISES 2% OF ILLINOIS' TOTAL POPULATION. POPULATION OF THE COUNTY WAS APPROXIMATELY 52% FEMALE/48% MALE; 65% WHITE, 30% AFRICAN AMERICAN, 4% HISPANIC OR LATINO AND 1% ASIAN. MEDIAN HOUSEHOLD INCOME FOR COUNTY WAS 14% LOWER THAN THE STATE OVERALL. PERSONS LIVING BELOW THE POVERTY LEVEL IN THE COUNTY TOTALED 16.4 PERCENT COMPARED TO 13.0 PERCENT IN THE STATE. INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. NINETEEN OF 21 INVITED PARTICIPANTS REPRESENTING VARIOUS ST. CLAIR COUNTY ORGANIZATIONS PARTICIPATED IN THE FOCUS GROUP. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OUR POPULATION. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE COUNTY OR CITY HEALTH DEPARTMENTS AND MET AT VARIOUS TIMES TO DISCUSS THE RESULTS OF PRIOR CHNA AND REVIEWED THE CURRENT IMPLEMENTATION PLAN (IP). FOCUS GROUP PARTICIPANTS GAVE COMMENTARY ON THE PRIOR CHNA AND PROVIDED SUGGESTIONS FOR ADDRESSING THE NEEDS OF RESIDENTS IN ST. CLAIR COUNTY. THE DATA GATHERING PROCESS WAS CONDUCTED IN TWO PHASES WHICH INCLUDED A DISCUSSION OF 2015 CHNA RESULTS, GAPS IN PRIOR IMPLEMENTATION STRATEGIES AND WAYS TO IMPROVE ACCESS TO COVERAGE USING TECHNOLOGY. THE FOCUS GROUP INCLUDED PARTICIPANTS REPRESENTING:EASTSIDE ALIGNEDPROGRAMS AND SERVICES FOR OLDER PEOPLEYMCACITY OF O'FALLONCITY OF BELLEVILLEINTERFAITH FOOD PANTRYST. CLAIR COUNTY HEALTH DEPARTMENTESTL ST. VINCENT DE PAUL SOCIETYO'FALLON CHAMBER OF COMMERCEST. CLAIR COUNTY STATE'S ATTORNEYMCKENDREE UNIVERSITYABBOT EMSTOUCHETTE REGIONAL HOSPITALAGE SMARTST. CLAIR REGIONAL OFFICE OF EDUCATIONBELLEVILLE CHAMBER OF COMMERCEKARLA SMITH FOUNDATIONSCOTT AIR FORCE BASEBEACON MINISTRIES
ALTON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), ALTON MEMORIAL HOSPITAL (HOSPITAL) CONDUCTED A FOCUS GROUP TO SOLICIT FEEDBACK FROM COMMUNITY STAKEHOLDERS, PUBLIC HEALTH EXPERTS AND THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN MADISON COUNTY. THE POPULATION OF THIS COMMUNITY IS 85% WHITE; 10% AFRICAN AMERICAN; AND 3% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 51% FEMALE AND 49% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 3% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN MADISON COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. THE PURPOSE OF THE FOCUS GROUPS WAS TO GAIN INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITALS, AS WELL AS THOSE FROM MADISON COUNTY HEALTH DEPARTMENT WITH SPECIAL KNOWLEDGE AND EXPERTISE IN THE AREA OF PUBLIC HEALTH.AN INTERNAL COMMUNITY BENEFIT COMMITTEE WAS FORMED AT AMH MADE UP OF COMMUNITY OUTREACH HEALTH PERSONNEL, NURSES, CHAPLAIN, PHYSICIANS AND OTHER SPECIALTY CLINICIANS. THE GROUP REVIEWED THE EXTERNAL FOCUS GROUP RESULTS AND THE SECONDARY DATA BASED ON THE FOCUS GROUP RESULTS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN MADISON COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SALVATION ARMYALTON DEPARTMENT OF HOUSINGNOWUPPER ALTON BAPTIST CHURCHSOUTHERN ILLINOIS HEALTHCARE FOUNDATIONSIERRA CLUBROXANA CHURCH OF THE NAZARENEALTON FIRE DEPARTMENTRIVERBEND FAMILY MINISTRIESOASIS WOMEN'S CENTERST. AMBROSE CHURCH AND SCHOOLEAST ALTON UNITED METHODIST CHURCHALTON FIRE DEPARTMENTNAUTILAUSALTON GIRLS AND BOYS CLUBSIERRA CLUBMADISON COUNTY HEALTH DEPARTMENTGIFT OF VOICE.COMALTON MISSION CHURCH/RIVERBEND MINISTERIAL ALLIANCELEWIS AND CLARK FAMILY HEALTH CLINICILLINOIS DEPARTMENT OF MENTAL HEALTH
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), BARNES-JEWISH WEST COUNTY HOSPITAL (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL WHICH IS DEFINED AS WEST ST. LOUIS COUNTY AREA. THE POPULATION OF THIS COMMUNITY IS 67% WHITE; 24% AFRICAN AMERICAN; 4%% ASIAN 3ND 3% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 51% FEMALE AND 47% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 7% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN WEST ST. LOUIS COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN HEART ASSOCIATIONST. LOUIS SUBURBAN SCHOOL NURSESMISSOURI HOUSE OF REPRESENTATIVESCATHOLIC FAMILY SERVICESNATIONAL COUNCIL ON ALCOHOLISM & DRUG ABUSEMANCHESTER UNITED METHODIST CHURCHSOUTH COUNTY HEALTH CENTERALIVELEMAY FIRE PROTECTION DISTRICTOFFICE OF THE COUNTY EXECUTIVEST. LOUIS CRISIS NURSERYBEHAVIORAL HEALTH NETWORKMID-EAST AREA ON AGINGST. LOUIS COUNTY DOHHOPE LODGEREGIONAL HEALTH COMMISSIONUNITED WAYPEOPLE'S HEALTH CENTERSFEED MY PEOPLECRISIS NURSERYAMERICAN CANCER SOCIETYJEWISH COMMUNITY CENTER
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), BARNES-JEWISH ST. PETERS HOSPITAL (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. THE POPULATION OF THIS COMMUNITY IS 88% WHITE; 5% AFRICAN AMERICAN; 3% HISPANIC OR LATINO AND 2% ASIAN. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 51% FEMALE AND 49% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 4% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. CHARLES COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. CHARLES COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:WOMAN'S PLACE (STS. JOACHIM & ANN) CITY OF O'FALLONECONOMIC DEVELOPMENT CENTERFORT ZUMWALT SCHOOL DISTRICT UNITED WAY OF GREATER ST. LOUIS ST. CHARLES CITY-COUNTY LIBRARY DISTRICTCRIDER HEALTH CENTER YOUTH IN NEEDMID-EAST AREA ON AGINGVOLUNTEERS IN MEDICINECOMMUNITY COUNCIL RENAULD SPIRIT CENTER UNITED SERVICESFIRST STEPS BACK HOMEST. LOUIS CHARLES COUNTY AMBULANCE DISTRICTST. CHARLES COUNTY GOVERNMENT ALDERWOMAN, CITY OF O'FALLONSTS. JOACHIM & ANN CARE SERVICE VOLUNTEERS IN MEDICINELINDENWOOD UNIVERSITYCAVALRY CHURCHCITY OF WENTZVILLECENTRAL COUNTY FIRE & RESCUECRISIS NURSERYST. CHARLES CHAMBER OF COMMERCEWENTZVILLE SCHOOL DISTRICTST. CHARLES COUNTY DRUG TASK FORCEST. CHARLES COUNTY DEPARTMENT OF HEALTH
METRO-EAST SERVICES, INC.	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), METRO EAST SERVICES, INC. (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. HOSPITAL IDENTIFIED ITS COMMUNITY AS ST. CLAIR COUNTY (COUNTY) WHICH COMPRISES 2% OF ILLINOIS' TOTAL POPULATION. POPULATION OF THE COUNTY WAS APPROXIMATELY 52% FEMALE/48% MALE; 65% WHITE, 30% AFRICAN AMERICAN, 4% HISPANIC OR LATINO AND 1% ASIAN. MEDIAN HOUSEHOLD INCOME FOR COUNTY WAS 14% LOWER THAN THE STATE OVERALL. PERSONS LIVING BELOW THE POVERTY LEVEL IN THE COUNTY TOTALED 16.4 PERCENT COMPARED TO 13.0 PERCENT IN THE STATE. INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. NINETEEN OF 21 INVITED PARTICIPANTS REPRESENTING VARIOUS ST. CLAIR COUNTY ORGANIZATIONS PARTICIPATED IN THE FOCUS GROUP. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OUR POPULATION. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE COUNTY OR CITY HEALTH DEPARTMENTS AND MET AT VARIOUS TIMES TO FORMULATE THE NEEDS OF THE COMMUNITY SERVED. FOCUS GROUP PARTICIPANTS PROVIDED SUGGESTIONS FOR ADDRESSING THE NEEDS OF RESIDENTS IN ST. CLAIR COUNTY. THE DATA GATHERING PROCESS WAS CONDUCTED IN TWO PHASES WHICH INCLUDED A DISCUSSION OF CHNA RESULTS FOR OTHER AREA HOSPITALS, GAPS IN PRIOR IMPLEMENTATION STRATEGIES FOR OTHER HOSPITALS, AND WAYS TO IMPROVE ACCESS TO COVERAGE USING TECHNOLOGY. THE FOCUS GROUP INCLUDED PARTICIPANTS REPRESENTING:EASTSIDE ALIGNEDPROGRAMS AND SERVICES FOR OLDER PEOPLEYMCACITY OF O'FALLONCITY OF BELLEVILLEINTERFAITH FOOD PANTRYST. CLAIR COUNTY HEALTH DEPARTMENTESTL ST. VINCENT DE PAUL SOCIETYO'FALLON CHAMBER OF COMMERCEST. CLAIR COUNTY STATE'S ATTORNEYMCKENDREE UNIVERSITYABBOT EMSTOUCHETTE REGIONAL HOSPITALAGE SMARTST. CLAIR REGIONAL OFFICE OF EDUCATIONBELLEVILLE CHAMBER OF COMMERCEKARLA SMITH FOUNDATIONSCOTT AIR FORCE BASEBEACON MINISTRIES
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), PROGRESS WEST HEALTHCARE CENTER (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY DEFINED AS ST. CHARLES COUNTY. THE POPULATION OF THIS COMMUNITY IS 88% WHITE; 5% AFRICAN AMERICAN; 3% HISPANIC OR LATINO AND 2% ASIAN. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 51% FEMALE AND 49% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 4% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. CHARLES COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. CHARLES COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:WOMAN'S PLACE (STS. JOACHIM & ANN) CITY OF O'FALLONECONOMIC DEVELOPMENT CENTERFORT ZUMWALT SCHOOL DISTRICT UNITED WAY OF GREATER ST. LOUIS ST. CHARLES CITY-COUNTY LIBRARY DISTRICTCRIDER HEALTH CENTER YOUTH IN NEEDMID-EAST AREA ON AGINGVOLUNTEERS IN MEDICINECOMMUNITY COUNCIL RENAULD SPIRIT CENTER UNITED SERVICESFIRST STEPS BACK HOMEST. LOUIS CHARLES COUNTY AMBULANCE DISTRICTST. CHARLES COUNTY GOVERNMENT ALDERWOMAN, CITY OF O'FALLONSTS. JOACHIM & ANN CARE SERVICE VOLUNTEERS IN MEDICINELINDENWOOD UNIVERSITYCAVALRY CHURCHCITY OF WENTZVILLECENTRAL COUNTY FIRE & RESCUECRISIS NURSERYST. CHARLES CHAMBER OF COMMERCEWENTZVILLE SCHOOL DISTRICTST. CHARLES COUNTY DRUG TASK FORCEST. CHARLES COUNTY DEPARTMENT OF HEALTH
MISSOURI BAPTIST HOSPITAL OF SULLIVAN	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), MISSOURI BAPTIST HOSPITAL OF SULLIVAN (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL DEFINED AS CRAWFORD COUNTY. THE POPULATION OF THIS COMMUNITY IS 96% WHITE; 2% HISPANIC OR LATINO AND 1% AFRICAN AMERICAN. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 50% FEMALE AND 50% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 1% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN CRAWFORD COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN CRAWFORD COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:CUBA SCHOOL DISTRICTN. CRAWFORD COUNTY/AMBULANCE DISTRICTMERAMEC COMMUNITY MISSIONCUBA SCHOOL DISTRICTCITY OF SULLIVANSULLIVAN POLICE DEPARTMENTSULLIVAN SCHOOL DISTRICTPATTONVILLE FIRE DEPARTMENTFRANKLIN COUNTY UNITED WAYCRAWFORD COUNTY SHERRIFF'S DEPARTMENTPARENTS AS TEACHERSSULLIVAN AREA CHAMBERS OF COMMERCESTEELVILLE R-3 SCHOOL DISTRICTSTEELVILLE AMBULANCE DISTRICTPARENTS AS TEACHERSCRAWFORD COUNTY HEALTH DEPARTMENTPARENTS AS TEACHERSBOURBON SCHOOL DISTRICTCUBA SCHOOL DISTRICTCRAWFORD COUNTYSULLIVAN SCHOOL DISTRICT
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), PARKLAND HEALTH CENTER (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL WHICH WAS IDENTIFIED AS ST. FRANCOIS COUNTY. THE POPULATION OF THIS COMMUNITY IS 92% WHITE; 5% AFRICAN AMERICAN; AND 2% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 53% MALE AND 47% FEMALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 2% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. FRANCOIS COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. FRANCOIS COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:EAST MISSOURI ACTION AGENCYMINERAL AREA COLLEGESOUTHEAST MISSOURI BEHAVIORAL HEALTHMINERAL AREA COLLEGEST. FRANCOIS COUNTY HEALTH DEPARTMENTFARMINGTON CHAMBER OF COMMERCEST. FRANCOIS COUNTY COMMUNITY PARTNERSHIPST. FRANCOIS COUNTY AMBULANCE DISTRICTFARMINGTON OAKS SENIOR CENTER
BJC/HEALTHSOUTH REHABIL CENTER LLC	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), THE BJC/HEALTHSOUTH REHABILITATION CENTER, LLC (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. LOUIS CITY'S CENTRAL WEST END. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN PARKINSON DISEASE ASSOCIATIONABC BRIGADE NATIONAL MULTIPLE SCLEROSIS SOCIETY, GATEWAY CHAPTER BJC HOME CARE SERVICES MO DEPT. OF ELEMENTARY & SECONDARY EDUCATION, DEPT. OF VOCATIONAL REHABILITATION GATEWAY APOTHECARY WUSM OCCUPATIONAL PERFORMANCE LAB PARAQUAD MO DEPT. OF HEALTH & SENIOR SERVICES, ADULT BRAIN INJURY PROGRAM BRAIN INJURY ASSOCIATION OF MISSOURI BJC HOSPICE
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), PARKLAND HEALTH CENTER - BONNE TERRE (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL WHICH WAS IDENTIFIED AS ST. FRANCOIS COUNTY. THE POPULATION OF THIS COMMUNITY IS 92% WHITE; 5% AFRICAN AMERICAN; AND 2% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 53% MALE AND 47% FEMALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 2% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. FRANCOIS COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. FRANCOIS COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:EAST MISSOURI ACTION AGENCYMINERAL AREA COLLEGESOUTHEAST MISSOURI BEHAVIORAL HEALTHMINERAL AREA COLLEGEST. FRANCOIS COUNTY HEALTH DEPARTMENTFARMINGTON CHAMBER OF COMMERCEST. FRANCOIS COUNTY COMMUNITY PARTNERSHIPST. FRANCOIS COUNTY AMBULANCE DISTRICTFARMINGTON OAKS SENIOR CENTER
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 6A: SSM HEALTH CARDINAL GLENNON CHILDREN'S MEDICAL CENTER
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 6A: BARNES-JEWISH WEST COUNTY HOSPITAL, MERCY SOUTH (FKA ST. ANTHONY'S MEDICAL CENTER), ST. LUKE'S HOSPITAL AND MERCY ST. LOUIS.
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 6A: SSM DEPAUL HOSPITAL
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 6A: METRO-EAST SERVICES, INC. AND HSHS ST. ELIZABETH'S HOSPITAL
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 6A: PROGRESS WEST HEALTHCARE CENTER, SSM ST. JOSEPH HEALTH CENTER, SSM ST. JOSEPH WEST
METRO-EAST SERVICES, INC.	PART V, SECTION B, LINE 6A: PROTESTANT MEMORIAL MEDICAL CENTER, INC. AND HSHS ST. ELIZABETH HOSPITAL
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 6A: BARNES-JEWISH ST. PETERS HOSPITAL
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 6A: PARKLAND HEALTH CENTER - BONNE TERRE
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 6A: PARKLAND HEALTH CENTER - FARMINGTON
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 6B: MISSOURI BAPTIST MEDICAL CENTER
BARNES-JEWISH HOSPITAL NORTH/SOUTH	PART V, SECTION B, LINE 7D: SEE WWW.BARNESJEWISH.ORG/CHNA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 7D: SEE STLOUISCHILDRENS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 7D: SEE WWW.MISSOURIBAPTIST.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 7D: SEE CHRISTIANHOSPITAL.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
BOONE HOSPITAL CENTER	PART V, SECTION B, LINE 7D: SEE BOONE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 7D: SEE WWW.MEMHOSP.COM/COMMUNITY-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
ALTON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: SEE ALTONMEMORIALHOSPITAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 7D: SEE BARNESJEWISHWESTCOUNTY.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 7D: SEE WWW.BJSPH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
METRO-EAST SERVICES, INC.	PART V, SECTION B, LINE 7D: SEE WWW.MEMHOSPEAST.COM/COMMUNITY-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 7D: SEE PROGRESSWEST.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
MISSOURI BAPTIST HOSPITAL OF SULLIVAN	PART V, SECTION B, LINE 7D: SEE MISSOURIBAPTISTSULLIVAN.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CHNA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 7D: SEE PARKLANDHEALTHCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
BJC/HEALTHSOUTH REHABIL CENTER LLC	PART V, SECTION B, LINE 7D: SEE HTTPS://WWW.ENCOMPASSHEALTH.COM/-/MEDIA/HEALTHSOUTH/PROJECT/HEALTHSOUTH/LOC FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 7D: SEE PARKLANDHEALTHCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
BARNES-JEWISH HOSPITAL NORTH/SOUTH	PART V, SECTION B, LINE 11: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS UPDATED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY SERVED BY THE BARNES-JEWISH HOSPITAL (HOSPITAL). THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:ACCESS TO SERVICESHEALTHY LIFESTYLESMENTAL & BEHAVIORAL HEALTH/SUBSTANCE ABUSEPUBLIC SAFETY/VIOLENCEWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO COVERAGEACCESS TO TRANSPORTATIONCANCER RESEARCH AND SUPPORTDIABETES RESEARCH AND SUPPORTHEALTH LITERACYHEART DISEASE AND STROKE RESEARCH AND SUPPORTIMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMSMATERNAL & CHILD HEALTHMENTAL HEALTH & DISORDERSNUTRITIONOBESITY RESEARCH AND PROGRAMSORAL HEALTH RESEARCH AND PROGRAMSPUBLIC SAFETY: FATAL INJURIESREPRODUCTIVE & SEXUAL HEALTH PROGRAMSRESPIRATORY DISEASES RESEARCH AND PROGRAMSSMOKING & TOBACCO EDUCATION
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 11: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS UPDATED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:OBESITYDENTAL HEALTHALLERGIES (FOOD)HEALTHY LIFESTYLESRESPIRATORY DISEASE - ASTHMAMATERNAL, CHILD HEALTHMENTAL/BEHAVIORAL HEALTH & MATERNAL, CHILD HEALTHMENTAL/BEHAVIORAL HEALTHACCESS: BLOOD DISEASESPUBLIC SAFETYACCESS: SERVICES & INFECTIOUS DISEASESSEXUALLY TRANSMITTED DISEASES: HEALTH EDUCATION WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:CANCERDIABETES
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 11: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS UPDATED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:DIABETES (TYPE 2)HEART AND VASCULAR DISEASEWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO COVERAGEACCESS TO SERVICESBEHAVIORAL/MENTAL HEALTH BEHAVIORAL/ALCOHOL/SUBSTANCE ABUSECANCER (BREAST)CANCER (LUNG)CANCER (COLON)CANCER (SKIN)MATERNAL AND INFANT HEALTH CULTURAL LITERACYHEALTH LITERACYTOBACCO USEVIOLENCESENIOR SERVICES/SUPPORT
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 11: FOR THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:HEART AND VASCULAR DISEASEACCESS TO CARE AND CARE COORDINATIONDIABETES WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:MENTAL HEALTH INFECTIOUS DISEASEREPRODUCTIVE HEALTH CANCERCHILD WELFARESOCIO-ECONOMIC FACTORSSENIOR HEALTH CAREDENTAL HEALTHASTHMA
BOONE HOSPITAL CENTER	PART V, SECTION B, LINE 11: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS UPDATED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:OBESITYWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREA. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:CANCER (LUNG, SKIN, PROSTATE/COLORECTAL, BREAST)HEALTH LITERACYHEALTHY LIFESTYLESCOORDINATION OF CAREACCESS TO COVERAGEDIABETESHEART & VASCULARCULTURAL LITERACYASTHMA/COPDREPRODUCTIVE AND SEXUAL HEALTHINJURY AND VIOLENCEMENTAL HEALTH/SUBSTANCE ABUSEDENTAL HEALTH CARE
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 11: FOR THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, PROTESTANT MEMORIAL MEDICAL CENTER, INC. (HOSPITAL), THE HOSPITAL ASSEMBLED AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL STAFF. THIS GROUP REVIEWED FOCUS GROUP RESULTS AS WELL AS FINDINGS FROM A SECONDARY DATA ANALYSIS TO FURTHER ASSESS IDENTIFIED NEEDS. THE SECONDARY ANALYSIS USED DATA FROM MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)/STATE CANCER PROFILES. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. CLAIR COUNTY WHEN COMPARED AGAINST STATE AND U.S. DATA. THE WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED BY SETTING GOALS AND MEASURING THE RESULTS OF HOSPITAL EFFORTS. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:HEART AND VASCULAR STROKEMENTAL/BEHAVIORAL HEALTH SUBSTANCE ABUSENUTRITION EDUCATIONWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO COVERAGECOPDDIABETESFOOD AVAILABILITYINFANT MORTALITYLUNG CANCER RESEARCH AND SUPPORTOBESITY RESEARCH AND PROGRAMSPOVERTYTEEN PREGNANCYTOBACCO ACCESS TO TRANSPORTATIONSEXUALLY TRANSMITTED INFECTIONSVIOLENT CRIME MENTAL HEALTH
ALTON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS UPDATED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:OBESITYDIABETESWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:MENTAL/BEHAVIORAL HEALTH ACCESS TO CARESEXUALLY TRANSMITTED DISEASESDENTAL CAREHOUSING/HOMELESSNESSAIR QUALITYHEART AND VASCULAR HEALTHCANCER (BREAST, LUNG, SKIN, PROSTATE)HEALTH EDUCATION
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 11: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS UPDATED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:CANCER (HEAD AND NECK)BEHAVIORAL/MENTAL HEALTH ALCOHOL AND SUBSTANCE ABUSEWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS: HEALTH INSURANCE COVERAGEACCESS: SERVICES BEHAVIORAL/MENTAL HEALTHSEXUALLY TRANSMITTED DISEASESDENTAL CAREHOUSING/HOMELESSNESSAIR QUALITYHEART AND VASCULAR HEALTHCANCER (BREAST, LUNG, SKIN, PROSTATE)HEALTH EDUCATION
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:LUNG CANCERBREAST CANCEROBESITYWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH & SUBSTANCE ABUSEDENTAL HEALTHPEDIATRIC HEALTHACCESS: COVERAGEACCESS: TRANSPORTATIONASTHMAHEALTH LITERACYCANCER: COLORECTAL
METRO-EAST SERVICES, INC.	PART V, SECTION B, LINE 11: FOR THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, METRO-EAST SERVICES, INC. (HOSPITAL), ASSEMBLED AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL STAFF. THIS GROUP REVIEWED FOCUS GROUP RESULTS AS WELL AS FINDINGS FROM A SECONDARY DATA ANALYSIS TO FURTHER ASSESS IDENTIFIED NEEDS. THE SECONDARY ANALYSIS USED DATA FROM MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)/STATE CANCER PROFILES. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. CLAIR COUNTY WHEN COMPARED AGAINST STATE AND U.S. DATA. THE WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED BY SETTING GOALS AND MEASURING THE RESULTS OF HOSPITAL EFFORTS. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:HEART AND VASCULAR STROKENUTRITION EDUCATIONWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO COVERAGECOPDDIABETESFOOD AVAILABILITYINFANT MORTALITYLUNG CANCER RESEARCH AND SUPPORTOBESITY RESEARCH AND PROGRAMSPOVERTYTEEN PREGNANCYTOBACCO ACCESS TO TRANSPORTATIONSEXUALLY TRANSMITTED INFECTIONSVIOLENT CRIME MENTAL HEALTH
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 11: FOR THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:OBESITYADULTS WITH TYPE 2 DIABETESWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH ALCOHOL AND SUBSTANCE ABUSEDENTAL HEALTH PEDIATRIC HEALTH ACCESS: COVERAGEACCESS: TRANSPORTATIONASTHMAHEALTH LITERACYCANCER: COLORECTAL
MISSOURI BAPTIST HOSPITAL OF SULLIVAN	PART V, SECTION B, LINE 11: FOR THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:MENTAL/BEHAVIORAL HEALTH: SUBSTANCE ABUSEMENTAL/BEHAVIORAL HEALTHHEART & VASCULAR: HEART HEALTHWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:MENTAL/BEHAVIORAL HEALTH: PEDIATRICINFANT/MATERNAL HEALTHDENTAL CAREPEDIATRIC CAREHEALTH LITERACYINFECTIOUS DISEASEHEALTH EDUCATIONPHYSICAL ACTIVITY/OUTREACHACCESS: COVERAGEACCESS: SERVICESACCESS: TRANSPORTATIONCANCER: BREASTCANCER: PROSTATE
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 11: FOR THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:DIABETESOBESITYWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH REPRODUCTIVE HEALTHSUBSTANCE ABUSECANCER (BREAST, COLORECTAL, LUNG)SMOKINGHEART HEALTH & VASCULAR DISEASESACCESS: SERVICESSENIOR HEALTHHEALTH LITERACYACCESS: TRANSPORTATION
BJC/HEALTHSOUTH REHABIL CENTER LLC	PART V, SECTION B, LINE 11: FOR THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE:BRAIN INJURY PREVENTION AND CAREGIVER EDUCATIONSTROKE EDUCATION/PREVENTIONWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO RESOURCES/INADEQUATE INSURANCETRANSPORTATIONEXERCISE/PHYSICAL ACTIVITY
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 11: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS UPDATED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:DIABETESOBESITYWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH REPRODUCTIVE HEALTHSUBSTANCE ABUSECANCER (BREAST, COLORECTAL, LUNG)SMOKINGHEART HEALTH & VASCULAR DISEASESACCESS: SERVICESSENIOR HEALTHHEALTH LITERACYACCESS: TRANSPORTATION
BARNES-JEWISH HOSPITAL NORTH/SOUTH	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
BOONE HOSPITAL CENTER	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
MISSOURI BAPTIST HOSPITAL OF SULLIVAN	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
BARNES-JEWISH HOSPITAL NORTH/SOUTH	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
BOONE HOSPITAL CENTER	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. THE FINANCIAL RESPONSIBILITY OF AN INSURED PATIENT QUALIFYING FOR FINANCIAL ASSISTANCE WILL BE LIMITED TO 10 PERCENT OF ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD. THE FINANCIAL RESPONSIBILITY OF ANY UNINSURED PATIENT WILL BE LIIMITED TO 25 PERCENT OF ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD.
ALTON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
METRO-EAST SERVICES, INC.	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. THE FINANCIAL RESPONSIBILITY OF AN INSURED PATIENT QUALIFYING FOR FINANCIAL ASSISTANCE WILL BE LIMITED TO 10 PERCENT OF ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD. THE FINANCIAL RESPONSIBILITY OF ANY UNINSURED PATIENT WILL BE LIIMITED TO 25 PERCENT OF ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD.
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
MISSOURI BAPTIST HOSPITAL OF SULLIVAN	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
BJC/HEALTHSOUTH REHABIL CENTER LLC	PART V, SECTION B, LINE 13H: WHEN A PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THIS POLICY BUT HAS SPECIAL CIRCUMSTANCES, OTHER DISCOUNTS MAY BE AVAILABLE THAT ARE NOT PART OF THIS FINANCIAL ASSISTANCE POLICY. IN THESE SITUATIONS, HOSPITAL STAFF WILL REVIEW ALL AVAILABLE INFORMATION (INCLUDING DOCUMENTATION OF INCOME, LIQUID AND ILLIQUID ASSETS, AND OTHER RESOURCES, AMOUNT OF OUTSTANDING MEDICAL BILLS AND OTHER FINANCIAL OBLIGATIONS) AND MAKE A CASE-BY-CASE DETERMINATION OF THE PATIENT'S ELIGIBILITY FOR OTHER POTENTIAL DISCOUNTS.
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.

Field	Value	IRS element (for citing)
Facility	147	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (147 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - BJH SITEMAN CANCER CENTER (CAM)
4921 PARKVIEW PLACE	ST LOUIS	MO	63110	OUTPATIENT CANCER CENTER
2 - BJH SITEMAN CANCER CENER (SCSC)
5225 MIDAMERICA PLAZA	ST LOUIS	MO	63129	OUTPATIENT CANCER CENTER
3 - BARNES-JEWISH EXTENDED CARE (BJEC)
401 CORPORATE PARK DRIVE	ST LOUIS	MO	63105	SKILLED NURSING FACILITY
4 - BJH CENTER FOR OUTPATIENT HEALTH
4901 FOREST PARK AVE	ST LOUIS	MO	63108	OUTPATIENT CLINICS
5 - BJH CENTER FOR ADVANCED MED (CAM)
4921 PARKVIEW PLACE	ST LOUIS	MO	63110	OUTPATIENT CLINICS
6 - BJH CENTER FOR ADVANCED MED (SOUTH)
5201 MIDAMERICA PLAZA	ST LOUIS	MO	63129	OUTPATIENT CLINIC & PROF SVCS
7 - BJH ORTHOPEDIC CENTER (OC)
14532 SO OUTER FORTY RD 100	CHESTERFIELD	MO	63017	ORTHOPED SURGERY CTR & PROF SVCS
8 - BJH GOLDFARB SCHOOL OF NURSING
4483 DUNCAN AVE	ST LOUIS	MO	63110	CLINICAL INSTRUCTION
9 - BJH PSYCHIATRIC SUPPORT CTR (PSC)
5355 DELMAR BLVD	ST LOUIS	MO	63112	IP / OP PSYCH SERVICES & SUPPORT CENTER
10 - BJH RADIOLOGYLAB AT HIGHLANDS
1110 HIGHLANDS PLZ EAST RM325	ST LOUIS	MO	63110	RADIOLOGY AND LAB SERVICES OFF SITE
11 - BARNES-JEWISH HOSP INPATOUTPAT
1 PARKVIEW PLACE	ST LOUIS	MO	63110	IP/OP SERVICES
12 - FOREST PARK KIDNEY CENTER
4205 FOREST PARK AVE	ST LOUIS	MO	63108	BJH/WU OP KIDNEY SERVICES
13 - THE REHABILITATION INST OF ST LOUIS LLC
4455 DUNCAN AVE	ST LOUIS	MO	63110	REHABILITATION HOSPITAL SVCS
14 - BJH INVITRO FERTILITY CLIN (IFC)
4444 FOREST PARK BLVD	ST LOUIS	MO	63108	INFERTILITY OUTPATIENT PROCEDURES
15 - THE HEART CARE INSTITUTE LLC
1020 NORTH MASON ROAD	ST LOUIS	MO	63141	DIAGNOSTIC CARDIOLOGY
16 - BREAST HEALTH CENTER AT MBMC
3023 N BALLAS ROAD STE 630	ST LOUIS	MO	63131	RADIOLOGY SERVICES
17 - THE CHILD BIRTH CENTER AT MBMC
3023 N BALLAS ROAD STE 300	ST LOUIS	MO	63131	WOMEN'S REPRODUCTIVE HEALTH SVCS
18 - MBMC GIENDOSCOPY
3023 N BALLAS ROAD 550	ST LOUIS	MO	63131	GI/ENDOSCOPY SERVICES
19 - MBMC ULTRASOUND
3023 N BALLAS ROAD 450	ST LOUIS	MO	63131	ULTRASOUND SERVICES
20 - MBMC FAMILY CARE PHARMACY
3023 N BALLAS ROAD 100	ST LOUIS	MO	63131	PHARMACY SERVICES
21 - MBMC MRI
3023 N BALLAS ROAD 150	ST LOUIS	MO	63131	MRI/RADIOLOGY SERVICES
22 - MBMC CARDIOVASCULAR DIAGNOSTICS
3023 N BALLAS ROAD 220	ST LOUIS	MO	63131	CARDIAC DIAGNOSTIC SERVICES
23 - MBMC SURGICAL PRE TEST LAB & RAD
3009 N BALLAS ROAD 112	ST LOUIS	MO	63131	OUTPATIENT SERVICES
24 - MBMC OUTPATIENT CARDIAC TESTING
3009 N BALLAS ROAD 262	ST LOUIS	MO	63131	OUTPATIENT CARDIAC TESTING
25 - MBMC OUTPATIENT CTR AT SUNSET HILLS
3844 LINDBERGH BLVD STE 100 130 140	ST LOUIS	MO	63127	OP, RADIOLOGY, CANCER, INFUSION SVCS
26 - MBMC OUTPATIENT LAB
3844 LINDBERGH BLVD STE 110	ST LOUIS	MO	63127	OP, RADIOLOGY, CANCER, INFUSION SVCS
27 - MBMC EMPLOYED PHYS GROUP PRACTICE
3844 LINDBERGH BLVD	ST LOUIS	MO	63127	PROFESSIONAL SERVICES
28 - MBMC EMPLOYED PHYS GROUP PRACTICE
7245 RAIDER ROAD	BONNE TERRE	MO	63628	PROFESSIONAL SERVICES
29 - MBMC CANCER & INFUSION CENTER
800 ST GENEVIEVE DRIVE	ST GENEVIEVE	MO	63670	PROFESSIONAL SERVICES, ONCOLOGY
30 - MBMC PHYS SERVICES LLC GROUP PRAC
3009 N BALLAS ROAD STE 359 C	ST LOUIS	MO	63131	PROFESSIONAL SERVICES
31 - MBMC PHYS SERVICES LLC GROUP PRAC
3009 N BALLAS ROAD STE 315A 323A	ST LOUIS	MO	63131	PROFESSIONAL SERVICES
32 - MBMC PHYS SERVICES LLC GROUP PRAC
3009 N BALLAS RD 315A	ST LOUIS	MO	63131	PROFESSIONAL SERVICES
33 - MBMC PHYS SERVICES LLC GROUP PRAC
3023 N BALLAS ROAD STE 150 D	ST LOUIS	MO	63131	PROFESSIONAL SERVICES
34 - MBMC PROF BILL SERVICES ADV SPINE INST
3009 N BALLAS ROAD STE 320A 269C	ST LOUIS	MO	63131	PROFESSIONAL SERVICES
35 - MBMC PHYS SERVICES LLC GROUP PRAC
555 N NEW BALLAS ROAD STE 265	ST LOUIS	MO	63141	PROFESSIONAL SERVICES
36 - MBMC PHYS SERVICES LLC STL ORTHO & SPORTS
675 N NEW BALLAS ROAD STE 100	ST LOUIS	MO	63141	PROFESSIONAL SERVICES
37 - MBMC SUBURBAN SURGICAL
555 N NEW BALLAS RD	ST LOUIS	MO	63131	OP SURGICAL SERVICES
38 - BREAST HEALTHCARE CENTER MBMC
9450 MANCHESTER RD STE 206	ST LOUIS	MO	63119	MAMMOGRAPHY AND LAB SERVICES
39 - BJC EMPLOYEE PHARMACY AT MBMC
3844 LINDBERGH BLVD STE 150	ST LOUIS	MO	63127	PHARMACY SERVICES
40 - MO BAP CANCER & INFUSION CENTER
11652 STUDT AVENUE	ST LOUIS	MO	63141	OUTPATIENT RADIATION & INFUSION CENTER
41 - NORTHWEST HEALTHCARE (CHNENW)
1225 GRAHAM ROAD	FLORISSANT	MO	63031	PROF SVCS, HOME CARE PHARMACY
42 - GRAHAM MED CENTER I-(VAR)
1150 GRAHAM ROAD	FLORISSANT	MO	63031	PT,OT & ST, SLEEP STUDY
43 - PAUL F DIETRICH BLDG - VAR
11125 DUNN ROAD	ST LOUIS	MO	63136	OP SENIOR PSYCHIATRIC SERVICES
44 - CH POB #2 - VAR SUITES
11125 DUNN ROAD	ST LOUIS	MO	63136	OP CANCER, WOUND CARE, RETAIL PHARMACY
45 - CH POB #1 - VAR SUITES
11155 DUNN ROAD	ST LOUIS	MO	63136	OP PAIN MGMT, RAD ONC, DIABETES CENTER
46 - CHRISTIAN EXTENDED CARE & REHAB
11160 VILLAGE NORTH DRIVE	ST LOUIS	MO	63136	SKILLED NURSING FACILITY
47 - BELLEVILLE HEALTH & SPORTS CTR
1001 SOUTH 74TH STREET	BELLEVILLE	IL	62223	SPORTS FITNESS FACILITY
48 - PROTESTANT MEMORIAL MED CENTER
310 SEVEN HILLS ROAD	OFALLON	IL	62269	OP THERAPY
49 - PROTESTANT MEMORIAL MED CENTER
200 ADMIRAL TROST ROAD	COLUMBIA	IL	62236	OP LAB / RADIOLOGY
50 - MEMORIAL CARE CENTER
4315 MEMORIAL DRIVE	BELLEVILLE	IL	62226	SKILLED NURSING FACILITY
51 - METRO-EAST SERVICES INC BREAST HEALTH CTR
1414 CROSS STREET STE 220	SHILOH	IL	62269	BREAST HEALTH SERVICES
52 - METRO-EAST SERVICES INC DIAG IMAGING
1414 CROSS STREET STE 130	SHILOH	IL	62269	DIAGNOSTIC IMAGING
53 - METRO-EAST SERVICES INC OP LAB
1414 CROSS STREET STE 120	SHILOH	IL	62269	LABORATORY TESTING SVCS
54 - METRO-EAST SERVICES INC OP REHAB
1414 CROSS STREET STE 310	SHILOH	IL	62269	REHABILITATION SERVICES
55 - SOUTHWEST ILL HEALTH SVCS LLP SITEMAN
4000 N ILLINOIS LN STE B	SHILOH	IL	62269	CANCER TREATMENT SERVICES
56 - SOUTHWEST ILL HEALTH SVCS LLP SITEMAN
4000 N ILLINOIS LN STE A	SHILOH	IL	62269	PET, CT IMAGING SERVICES
57 - BOONE HOSP CARDIAC DIAGNOSTIC
1605 E BROADWAY STE 400	COLUMBIA	MO	65201	OP DIAGNOSTIC CARDIOLOGY
58 - BOONE HOSP OUTPATIENT THERAPIES
1601 E BROADWAY STE LL1	COLUMBIA	MO	65201	OUTPATIENT CLINIC
59 - BOONE HOSP OUTPATIENT CLINICS
1701 E BROADWAY LL101102	COLUMBIA	MO	65201	CARD REHAB, WOUND CARE, DIABETES
60 - BOONE HOSPITAL RADIOLOGY
303 N KEENE ST STE 302	COLUMBIA	MO	65201	OUTPATIENT RADIOLOGY SVCS
61 - BOONE HOSPITAL OUTPATIENT
900 W NIFONG BLVD	COLUMBIA	MO	65203	PHARMACY & OUTPATIENT SVCS
62 - BOONE HOSP CTR'S VISIT NURSES INC
1605 E BROADWAY STE 250	COLUMBIA	MO	65201	HOME HEALTH & HOSPICE
63 - BOONE PHYSICIAN SERVICES LLC
1705 E BROADWAY STE 280	COLUMBIA	MO	65201	PULMONARY DIAGNOSTIC TESTING
64 - CHAS PHYSICIAN SERVICES LLC
1241 W STADIUM BLVD	JEFFERSON CITY	MO	65109	PROFESSIONAL PRACTICE GROUP SERVICES
65 - CHAS PHYSICIAN SERVICES LLC
1605 E BROADWAY STE 100	COLUMBIA	MO	65201	PROFESSIONAL PRACTICE GROUP - NEUROLOGY
66 - CHAS PHYSICIAN SERVICES LLC
1605 E BROADWAY STE 300	COLUMBIA	MO	65201	PROFESSIONAL PRACTICE GROUP SERVICES
67 - CHAS PHYSICIAN SERVICES LLC
2305 S HIGHWAY 65	MARSHALL	MO	65340	PROFESSIONAL PRACTICE GROUP SERVICES
68 - CHAS PHYSICIAN SERVICES LLC
300 N MORLEY STREET	MOBERLY	MO	65270	PROFESSIONAL PRACTICE GROUP SERVICES
69 - CHAS PHYSICIAN SERVICES LLC
404 PROVIDENCE ROAD	MACON	MO	63552	PROFESSIONAL PRACTICE GROUP SERVICES
70 - CHAS PHYSICIAN SERVICES LLC
509 W 18TH STREET	HERMAN	MO	65041	PROFESSIONAL PRACTICE GROUP SERVICES
71 - CHAS PHYSICIAN SERVICES LLC
606 E SPRING ST	BOONEVILLE	MO	65233	PROFESSIONAL PRACTICE GROUP SERVICES
72 - ST LOUIS CHILD HOSP AFTER HOURS
12436 TESSON FERRY RD	ST LOUIS	MO	63128	OP SERVICES, LAB & RADIOLOGY
73 - ST LOUIS CHILD HOSP PSYCHOL SVCS
13001 NORTH OUTER FORTY RD	CHESTERFIELD	MO	63017	PEDIATRIC MENTAL HEALTH
74 - ST LOUIS CHILD SPEC CARE CENTER
13001 NORTH OUTER FORTY RD	CHESTERFIELD	MO	63017	MULTIPLE OUTPATIENT SVCS
75 - ST LOUIS CHILD PHARMACY
13001 NORTH OUTER FORTY RD	CHESTERFIELD	MO	63017	OUTPATIENT PHARMACY
76 - ST LOUIS CHILD DENTAL CENTER
13001 NORTH OUTER FORTY RD	CHESTERFIELD	MO	63017	DENTAL SERVICES
77 - EUNICE SMITH
1251 COLLEGE AVE	ALTON	IL	62002	SKILLED NURSING FACILITY
78 - ALTON NORTH REHABILITATION
226 REGIONAL DRIVE	ALTON	IL	62002	ORTHO/SPORTS REHAB
79 - ALTON MEMORIAL HOSP OP CANCER
FOUR MEMORIAL DRIVE SUITE 132	ALTON	IL	62002	ONCOLOLGY/RADIATION ONCOLOGY SVCS
80 - ALTON MEMORIAL CONVENIENT CARE
5520 GODFREY RD STE B	ALTON	IL	62035	URGENT CARE SERVICES
81 - ALTON MEMORIAL HOSP OP RAD
SIX MEMORIAL DRIVE	ALTON	IL	62002	OUTPATIENT RADIATION ONC
82 - ALTON MEMORIAL OP PAIN MGMT
TWO MEMORIAL DRIVE	ALTON	IL	62002	OUTPATIENT PAIN MGMT
83 - ALTON MEMORIAL HOSPITAL
FOUR MEMORIAL DRIVE	ALTON	IL	62002	PROFESSIONAL PRACTICE GROUP SERVICES
84 - ALTON MEMORIAL HOSPITAL
FOUR MEMORIAL DRIVE SUITE 230	ALTON	IL	62002	OUTPATIENT NEURODIAGNOSTICS
85 - ALTON MEMORIAL HOSPITAL
ONE PROFESSIONAL DR VAR SUITES	ALTON	IL	62002	PROFESSIONAL PRACTICE GROUP SERVICES
86 - PARKLAND THERAPY SERVICES
1280 DOCTORS DRIVE	FARMINGTON	MO	63640	PHY, OCC AND SPEECH THERAPY
87 - PARKLAND BONNE TERRE WELL LIFE CTR
118 EAST SCHOOL RD	BONNE TERRE	MO	63628	PHYSICAL THERAPY SERVICES
88 - BJSPH OP THERAPY
70 JUNGERMAN CIR SUITE 304	ST PETERS	MO	63376	OUTPATIENT THERAPY
89 - BJSPH SLEEP LAB
70 JUNGERMAN CIR SUITE 303	ST PETERS	MO	63376	SLEEP LAB
90 - BJSPH INFUSION
70 JUNGERMAN CIR SUITE 102	ST PETERS	MO	63376	SLEEP LAB
91 - BJSPH ST LOUIS UROLOGICAL
2 PROGRESS POINT PKWY	ST PETERS	MO	63376	PROFESSIONAL SERVICES - UROLOGY
92 - BJSPH ST LOUIS UROLOGICAL
20 PROGRESS POINT PKWY SUITE 108	ST PETERS	MO	63376	PROFESSIONAL SERVICES - UROLOGY
93 - SITEMAN CANCER CENTER AT BJSPH
150 ENTRANCE WAY	ST PETERS	MO	63376	OUTPAT RADIATION & ONCOL
94 - BENRUS SURGICAL AT BJSPH
6 JUNGERMANN CIRCLE STE 205	ST PETERS	MO	63376	OP SERVICES
95 - SPORTS THERAPY & REHAB (STAR)
1020 N MASON STE 220	ST LOUIS	MO	63141	PHYSICAL THERAPY
96 - SPORTS THERAPY & REHAB (STAR)
14532 S OUTER FORTY SUITE 120	CHESTERFIELD	MO	63017	PHYSICAL THERAPY
97 - SPORTS THERAPY & REHAB (STAR)
5201 MIDAMERICA PLAZA SUITE 2100	ST LOUIS	MO	63129	PHYSICAL THERAPY
98 - BJWC SLEEP DISORDERS LAB
969 N MASON STE 260	ST LOUIS	MO	63141	SLEEP LAB
99 - BJWC PROFESSIONAL GRP PRAC
12634 OLIVE BLVD	CREVE COEUR	MO	63141	PROFESSIONAL PRACTICE GROUP SERVICES
100 - BJWC PAIN MANAGEMENT CENTER
969 N MASON STE 240	ST LOUIS	MO	63141	PAIN MANAGEMENT
101 - BJWC OUTPATIENT RADIOLOGY
969 N MASON STE 110 AND 235	ST LOUIS	MO	63141	OUTPATIENT RADIOLOGY
102 - BJWC RADIOLOGY
1040 N MASON STE G-02	ST LOUIS	MO	63141	OUTPATIENT RADIOLOGY
103 - BJWC NUTRITION COUNSELING
1040 N MASON STE 212	ST LOUIS	MO	63141	NUTRITION COUNSELING
104 - BJWC LABORATORY
1020 N MASON STE 120	ST LOUIS	MO	63141	OUTPATIENT LABORATORY
105 - BJWC RAD ONCOLOGY (SITEMAN)
10 BARNES WEST DRIVE STE 101	ST LOUIS	MO	63141	RADIATION ONCOLOGY
106 - BJWC LABORATORY
10 BARNES WEST DRIVE STE 102	ST LOUIS	MO	63141	OUTPATIENT LABORATORY
107 - BJWC RADIOLOGY
10 BARNES WEST DRIVE STE 202	ST LOUIS	MO	63141	OUTPATIENT RADIOLOGY
108 - BJWC OUTPATIENT SVCS
10 BARNES WEST DRIVE STE 201	ST LOUIS	MO	63141	OUTPATIENT SVCS
109 - PROGRESS WEST HOSP OUTPATIENT CTR
2630 HIGHWAY K	OFALLON	MO	63366	OP RAD, PT, WOUND CARE
110 - PROGRESS WEST HOSP OUTPATIENT CTR
20 PROGRESS POINT PKWY STE 108	OFALLON	MO	63366	PHYSICIAN SERVICES
111 - MO BAP SULLIVAN SPORTS FIT REHAB
216 W MAIN	SULLIVAN	MO	63080	PT, OT & ST
112 - MO BAP SULL SPORTS FIT REHAB CUBA
314 E WASHINGTON	CUBA	MO	65453	PT & OT
113 - MO BAPTIST BOURBON MEDICAL OFFICE
240 COLLEGE	BOURBON	MO	65441	RURAL HEALTH CLINIC
114 - MO BAPTIST BOURBON MEDICAL OFFICE
240 COLLEGE	BOURBON	MO	65441	NON-RURAL HEALTH CLINIC
115 - MO BAPTIST CUBA MEDICAL OFFICE
102 OZARK STREET STE B	CUBA	MO	65453	RURAL HEALTH CLINIC
116 - MO BAPTIST CUBA MEDICAL OFFICE
102 OZARK STREET STE B	CUBA	MO	65453	NON-RURAL HEALTH CLINIC
117 - MO BAPTIST STEELEVILLE MED OFFICE
510 W MAIN STREET	STEELEVILLE	MO	65565	RURAL HEALTH CLINIC
118 - MO BAPTIST STEELEVILLE MED OFFICE
510 W MAIN STREET	STEELEVILLE	MO	65565	NON-RURAL HEALTH CLINIC
119 - MO BAPTIST SULLIVAN MED OFFICE
965 MATTOX DR	SULLIVAN	MO	63080	RURAL HEALTH CLINIC
120 - MO BAPTIST SULLIVAN MED OFFICE
965 MATTOX DR	SULLIVAN	MO	63080	NON-RURAL HEALTH CLINIC
121 - MO BAPTIST SULLIVAN EMS
1230 N CHURCH	SULLIVAN	MO	63080	TRAUMA AND AMBULANCE SERVICES
122 - BJC HOME CARE SVCS - ALTON
3535 COLLEGE AVE	ALTON	IL	62002	HOME HEALTH
123 - BJC HOME CARE SERVICES-ST LOUIS
1935 BELTWAY DRIVE	ST LOUIS	MO	63114	HOME HEALTH
124 - BJC HOME CARE SERVICES
4249 CLAYTON AVE	ST LOUIS	MO	63110	HOME CARE SERVICES
125 - BJC HOME CARE SERVICES
1000 N MASON ROAD	ST LOUIS	MO	63141	HOSPICE SVCS
126 - BJC HOME CARE SERVICES
330A 5TH STREET	CARROLLTON	IL	62016	HOSPICE SVCS
127 - BJC HOME MEDICAL EQUIP
1935 BELTWAY DRIVE	ST LOUIS	MO	63114	DURABLE MEDICAL EQUIP; SUPPLIES
128 - BJC HOME MED EQUIP - FARMINGTON
301 N WASHINGTON STREET	FARMINGTON	MO	63640	DURABLE MEDICAL EQUIP; SUPPLIES
129 - BJC HOME CARE SVCS - PHARMACY
1935 BELTWAY DRIVE	ST LOUIS	MO	63114	HOME INFUSION
130 - BJC HOSPICE ST LOUIS
1935 BELTWAY DRIVE	ST LOUIS	MO	63114	HOSPICE SVCS
131 - BJC HOSPICE SULLIVAN
113 PROGRESS PARKWAY	SULLIVAN	MO	63080	HOME HEALTH & HOSPICE
132 - BJC HOSPICE - FARMINGTON
757 WEBER RD	FARMINGTON	MO	63640	DURABLE MEDICAL EQUIP, HOSPICE
133 - BJC HOSPICE - ALTON
ONE PROFESSIONAL DR STE 180	ALTON	IL	62002	HOSPICE SVCS
134 - BJC BEHAVIORAL HEALTH STL
6763 PAGE AVE	ST LOUIS	MO	63133	MENTAL HEALTH SUBS ABUSE COUNSEL
135 - BJC BEHAVIORAL HEALTH CENTRAL
11133 DUNN ROAD STE 400	ST LOUIS	MO	63136	MENTAL HEALTH & PHARMACY SVCS
136 - BJC BEHAVIORAL HEALTH CENTRAL
1430 OLIVE ST STE 500	ST LOUIS	MO	63103	MENTAL HEALTH & PHARMACY SVCS
137 - BJC BEHAVIORAL HEALTH NORTH
3165 MCKELVEY ROAD STE 200	BRIDGETON	MO	63044	MENTAL HEALTH SUBS ABUSE COUNSEL
138 - BJC BEHAVIORAL HEALTH NORTH
1150 GRAHAM ROAD	ST LOUIS	MO	63031	MENTAL HEALTH SUBS ABUSE COUNSEL
139 - BJC BEHAVIORAL HEALTH SOUTH
11102 LINDBERGH BUS COURT	ST LOUIS	MO	63123	MENTAL HEALTH EMPL ASSIST COUNSEL
140 - BJC BEHAVIORAL HEALTH SOUTHEAST
1085 MAPLE	FARMINGTON	MO	63640	MENTAL HEALTH AND PHARMACY SVCS
141 - BJC BEHAVIORAL HEALTH SOUTHEAST
109 NORTH MAIN	IRONTON	MO	63650	MENTAL HEALTH SUBS ABUSE SVCS
142 - BJC BEHAVIORAL HEALTH SOUTHEAST
326 EAST HIGH STREET	POTOSI	MO	63664	MENTAL HEALTH SUBS ABUSE SVCS
143 - BJC BEHAVIORAL HEALTH SOUTHEAST
657 WALTON DRIVE	FARMINGTON	MO	63640	MENTAL HEALTH SVCS FRIENDS IN ACTION
144 - BJC BEHAVIORAL HEALTH PARKLAND
1101 W LIBERTY STREET	FARMINGTON	MO	63640	MENTAL HEALTH SUBS ABUSE SVCS
145 - BARNESCARE
11501 PAGE SERVICE DR	ST LOUIS	MO	63146	OCC MED & AMBULATORY CARE CTR
146 - BARNESCARE
1901 TRADE CENTER DR	ST PETERS	MO	63376	OCC MED & AMBULATORY CARE CTR
147 - BJC CORP HEALTH SERVICES
5000 MANCHESTER AVENUE	ST LOUIS	MO	63110	OCC MED & AMBULATORY CARE CTR

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	BJC HOSPITALS PROVIDE EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL PATIENTS SEEKING SUCH CARE, REGARDLESS OF ABILITY TO PAY OR TO QUALIFY FOR FINANCIAL ASSISTANCE, IN ACCORDANCE WITH THE REQUIREMENTS OF THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA). THESE SERVICES ARE PROVIDED TO PATIENTS WHO LIVE IN MISSOURI AND ILLINOIS REGARDLESS OF RACE, COLOR, CREED OR GENDER AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. PATIENTS WHO MEET CERTAIN FINANCIAL CRITERIA BASED UPON INCOME AND FAMILY SIZE MAY QUALIFY FOR BJC FINANCIAL ASSISTANCE, INCLUDING REDUCED HOSPITAL CHARGES AND LONG-TERM, INTEREST FREE PAYMENT PLANS. PURSUANT TO ITS FINANCIAL ASSISTANCE POLICY, BJC WILL PROVIDE FINANCIAL ASSISTANCE OF 100% OF THE PATIENT'S RESPONSIBILITY WHEN FAMILY INCOME IS AT OR BELOW 100% OF THE YEARLY FEDERAL POVERTY LEVEL (FPL). A DISCOUNTED FEE SCHEDULE IS AVAILABLE FROM 101% TO 300% OF THE FPL FOR PATIENTS WITH FAMILY INCOME LESS THAN $100,000. ILLINOIS RESIDENTS RECEIVING SERVICES AT ALTON MEMORIAL HOSPITAL, PROTESTANT MEMORIAL MEDICAL CENTER, INC. (DBA MEMORIAL HOSPITAL BELLEVILLE) AND METRO EAST SERVICES, INC. (DBA MEMORIAL HOSPITAL EAST) MAY BE ELIGIBLE FOR ADDITIONAL DISCOUNTS UNDER THE ILLINOIS HOSPITAL UNINSURED PATIENT DISCOUNT ACT. PATIENTS WHO HAVE BEEN ENROLLED IN MEDICAID IN THE LAST SIX MONTHS MAY AUTOMATICALLY QUALIFY FOR FINANCIAL ASSISTANCE FOR MEDICAL SERVICES THAT ARE NOT COVERED BY MEDICAID. THE CATASTROPHIC PROVISION OF THE BJC FINANCIAL ASSISTANCE POLICY PROVIDES THAT A PATIENT'S ANNUAL OUT-OF-POCKET LIABILITY SHALL NOT EXCEED 25% OF THE PATIENT'S ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD. A SIMILAR FINANCIAL ASSISTANCE POLICY APPLIES TO MEDICALLY NECESSARY HEALTHCARE SERVICES RENDERED BY BJC EMPLOYED PHYSICIANS AND QUALIFYING HOME CARE SERVICES.
PART I, LINE 6A:	BJC HEALTH SYSTEM (EIN 43-1617558) PREPARES A WRITTEN ANNUAL COMMUNITY BENEFIT REPORT ON BEHALF OF ALL HOSPITALS WHICH DESCRIBES PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY BJC HOSPITALS AND HOSPITAL SERVICES ORGANIZATIONS. THE COMMUNITY BENEFIT REPORT (REPORT) FOR BJC PROVIDES VALUABLE INFORMATION ON PROGRAMS AND SERVICES PROVIDED BY THE MEMBER HOSPITALS INCLUDED IN THE BJC HEALTH SYSTEM GROUP RETURN FORM 990. BJC MAKES THE REPORT AVAILABLE TO THE GENERAL PUBLIC VIA ITS WEBSITE AT WWW.BJC.ORG AND VIA A LINK ON ALL BJC HOSPITAL WEBSITES. THE REPORT IS ALSO DISTRIBUTED VIA MAILINGS TO COMMUNITY MEMBERS IN MISSOURI AND ILLINOIS, CIVIC LEADERS AND VARIOUS OTHER INTEREST GROUPS. UPDATES ARE POSTED ON THE BJC WEBSITE AS INFORMATION BECOMES AVAILABLE.
PART I, LINE 7:	THE COST OF FINANCIAL ASSISTANCE INCLUDES FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PERSONS WHO MEET THE CRITERIA DESCRIBED IN THE FINANCIAL ASSISTANCE POLICY (SEE SCHEDULE H, PART I, LINE 3 ABOVE). FINANCIAL ASSISTANCE IS DEFINED AS THE COSTS IN EXCESS OF PAYMENTS (UNCOMPENSATED COSTS) ON ACCOUNTS WRITTEN OFF AS FINANCIAL ASSISTANCE IN THE CURRENT YEAR. ONCE A PATIENT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE ENTIRE COST (OR A PORTION OF THE QUALIFYING AMOUNT) OF THE ACCOUNT IS CLASSIFIED AS FINANCIAL ASSISTANCE. BJC UTILIZED A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 TO DETERMINE THE COSTS OF THE FINANCIAL ASSISTANCE ACCOUNTS. ANY PAYMENTS RECEIVED ARE THEN NETTED AGAINST THE COST OF THE ACCOUNT AS DIRECT OFFSETTING REVENUE TO DETERMINE THE UNCOMPENSATED COSTS.CALCULATONS FOR OTHER COMMUNITY BENEFITS REPORTED ON SCHEDULE H, PART I, LINES 7E-7I VARY BY LINE ITEM AND ARE GENERALLY CONSISTENT WITH THE WORKSHEETS PROVIDED IN IRS INSTRUCTIONS. DATA IS GATHERED BY BJC COMMUNITY BENEFITS LIASONS AND ENTERED INTO CBISA SOFTWARE. LINE ITEM DOCUMENTATION OF OTHER COMMUNITY BENEFITS IS SUBJECT TO BJC INTERNAL AUDIT PROCEDURES AND BACK UP FILES ARE RETAINED AT EACH HOSPITAL SITE. ONCE REVIEWED AND APPROVED BY THE COMMUNITY BENEFITS MANAGER, THE AMOUNTS ARE ADDED TO IRS FORM 990, SCHEDULE H. IN ADDITION TO TOTAL FUNCTIONAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25, COLUMN (A), THE ALLOCABLE SHARE OF EXPENSES (LESS THE ALLOCABLE SHARE OF BAD DEBTS) FROM A 50% OWNED JOINT VENTURE HOSPITAL AND OTHER JOINT VENTURES HAVE BEEN ADDED TO THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE CONSIDERED THE NET COMMUNITY BENEFIT EXPENSE AND REPORTED IN PART I, LINE 7, COLUMN (F). TOTAL EXPENSES USED WHEN CALCULATING LINE 7, COL (F) PERCENTAGES = $4,936,881,453 WHICH EXCLUDES THE ALLOCABLE SHARE OF JOINT VENTURE BAD DEBT EXPENSES OF $860,594 FOR 2018.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES ARE CLINICAL SERVICES PROVIDED TO BOTH INPATIENTS AND OUTPATIENTS DESPITE A FINANCIAL LOSS TO BJC. EACH LOSS HAS BEEN CALCULATED AFTER REMOVING LOSSES ASSOCIATED WITH BAD DEBTS, FINANCIAL ASSISTANCE, MEDICAID AND OTHER COSTS. ALTHOUGH THESE SERVICES GENERATE OVERALL LOSSES TO BJC, THEY CONTINUE TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. THE SUBSIDIZED HEALTH SERVICES AMOUNTS INCLUDE ADDITIONAL SERVICES THAT GENERATED LOSSES PROVIDED BY BJC THROUGH PHYSICIAN PRACTICES. FOR 2018, SUBSIDIZED HEALTH SERVICES PROVIDED THROUGH THESE PHYSICIAN PRACTICES GENERATED LOSSES OF $60,920,550.
PART II, COMMUNITY BUILDING ACTIVITIES:	BELIEVING THAT HEALTH PROMOTION BEGINS WITH EDUCATION AND ACCESS TO SERVICES, BJC PROVIDES A NUMBER OF HEALTH OUTREACH PROGRAMS FOR CHILDREN AND ADULTS IN UNDERSERVED COMMUNITIES. BJC'S SCHOOL OUTREACH AND YOUTH DEVELOPMENT PROGRAM IS ONE OF THE MOST EXTENSIVE IN THE EASTERN MISSOURI AND SOUTHERN ILLINOIS REGIONS. WORKING IN PARTNERSHIP WITH SCHOOL FACULTY AND ADMINISTRATORS, BJC DEVELOPS AND DELIVERS HEALTH EDUCATION CURRICULA, JOB SHADOWING OPPORTUNITIES, AND HEALTH FAIRS. THE PROGRAMS ALSO FOCUS ON HEALTH ISSUES AND BEHAVIORS INCLUDING DRUG, ALCOHOL AND TOBACCO USE; NUTRITION AND FITNESS; SEXUALLY TRANSMITTED DISEASE, INCLUDING HIV/AIDS; SAFETY, AND VIOLENCE PREVENTION. FOR ADULTS 50+ YEARS OF AGE, BJC CO-SPONSORS OASIS, AN EDUCATION AND VOLUNTEER SERVICE ORGANIZATION PROMOTING HEALTHY LIFESTYLES AND BEHAVIORS FOR SENIOR CITIZENS.IN LOW-INCOME COMMUNITIES, BJC PARTNERS WITH FAITH-BASED ORGANIZATIONS TO PROVIDE FREE MEDICAL SCREENINGS, EDUCATION AND OTHER NEEDED HEALTH SERVICES. ADDITIONALLY, FOR THE PAST 9 YEARS, BJC HAS CHANNELED RESOURCES AND OUTREACH HEALTH SERVICES TO RESIDENTS IN THE SEVEN ZIP CODES IN THE REGION THAT HAVE THE POOREST HEALTH STATISTICS AND OUTCOMES.
PART III, LINE 2:	NET PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, AND NET PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED PRIMARILY ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, ALONG WITH THE AGING STATUS FOR EACH MAJOR PAYOR SOURCE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF BJC'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED, THUS, A PROVISION IS RECORDED FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO THESE PATIENTS. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH BJC'S POLICIES, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS. BJC RECORDS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. BAD DEBTS REPRESENT THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS REPORTED IN BJC'S AUDITED FINANCIAL STATEMENTS FOR 2018. SEE ALSO FOOTNOTE TO THE AUDITED FINANICAL STATEMENTS.
PART III, LINE 3:	IF A PATIENT OR RESPONSIBLE PARTY IS CONCERNED ABOUT THEIR ABILITY TO PAY, IS PROVIDED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY OR OTHERWISE REQUESTS FINANCIAL ASSISTANCE, THE HOSPITAL STAFF PROVIDES INFORMATION AND GUIDANCE TO ASSIST THE PATIENT IN APPLYING FOR FINANCIAL ASSISTANCE. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT OF THE REGISTRATION, BILLING OR COLLECTION PROCESSES. IN CERTAIN SITUATIONS, THE PATIENT FAILS TO COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE AND THE ACCOUNT PROGRESSES THROUGH THE REVENUE CYCLE TO BAD DEBTS. BJC USES EXTERNAL FINANCIAL DATA SOURCES TO IDENTIFY THOSE INDIVIDUALS WHO MAY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE, YET WERE UNWILLING TO COMPLETE THE APPLICATION PROCESS.
PART III, LINE 4:	BJC HEALTHCARE (BJC) BAD DEBT EXPENSE IS INCLUDED IN THE PATIENT SERVICE REVENUE, OTHER OPERATING REVENUE AND UNCOMPENSATED CARE FOOTNOTE 2 TO ITS CONSOLIDATED FINANCIAL STATEMENTS WHICH BEGINS ON PAGE 16 OF THE CONSOLIDATED FINANCIAL STATEMENTS ATTACHED HERETO.
PART III, LINE 8:	PATIENT LEVEL DETAIL DATA IS USED TO CALCULATE THE UNCOMPENSATED COST OF BAD DEBT AND FINANCIAL ASSISTANCE. ONCE AN ACCOUNT IS WRITTEN OFF TO BAD DEBT AND/OR FINANCIAL ASSISTANCE, THE ENTIRE COST OF THE ACCOUNT IS CLASSIFIED AS BAD DEBT AND ANY PAYMENTS RECEIVED ARE NETTED AGAINST THE COST OF THE ACCOUNT TO DETERMINE THE UNCOMPENSATED COSTS. UNCOMPENSATED COSTS PATIENT DETAIL CALCULATION: (GROSS CHARGES X COST TO CHARGE RATIO) LESS PAYMENTS RECEIVEDONLY THOSE PATIENT ACCOUNTS WITH UNCOMPENSATED COSTS (THOSE IN EXCESS OF PAYMENTS) ARE INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE ON SCHEDULE H. PATIENT ACCOUNTS WITH PAYMENTS IN EXCESS OF COSTS ARE NOT INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE. THE COST OF BAD DEBT AND FINANCIAL ASSISTANCE ON MEDICARE PATIENT ACCOUNTS IS INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE. MEDICARE SURPLUS (SHORTFALL) IS REPORTED SEPARATELY ON SCHEDULE H, HOWEVER, THE MEDICARE SURPLUS (SHORTFALL) IS REDUCED BY THE COST OF BAD DEBT AND FINANCIAL ASSISTANCE FOR MEDICARE PATIENTS.
PART III, LINE 9B:	BJC UNDERSTANDS THAT HEALTH CARE EXPENSES ARE OFTEN UNEXPECTED AND PAYING FOR SUCH SERVICES CAN BE OVERWHELMING. WE ARE COMMITTED TO IDENTIFYING PATIENTS WHO QUALIFY FOR ASSISTANCE AT THE EARLIEST OPPORTUNITY, TO HELPING THEM APPLY FOR PROGRAMS AND OTHER ASSISTANCE AND TO WORKING OUT A FAIR WAY FOR PATIENTS TO PAY THEIR BILLS. BJC HAS ADOPTED A FINANCIAL ASSISTANCE POLICY THAT IS APPLIED UNIFORMLY TO MOST AFFILIATED HOSPITAL OPERATIONS. INTERNAL DUE DILIGENCE PROCEDURES INCLUDE DETERMINING WHETHER THE RESPONSIBLE PARTY IS FINANCIALLY ABLE TO PAY FOR ALL OR A PORTION OF UNPAID BALANCES IN THE PATIENT ACCOUNT, OFFERING REPAYMENT UNDER NO INTEREST TERMS AND CONSIDERATION FOR FINANCIAL ASSISTANCE WHEN THE PATIENT DEMONSTRATES INABILITY TO PAY AMOUNTS DUE. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON INCOME AND FAMILY SIZE UTILIZING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUAL POVERTY GUIDELINES PUBLISHED IN THE FEDERAL REGISTER. BJC UTILIZES A PROCESS WHICH COMBINES DATA, TECHNOLOGY AND ANALYTICAL FUNCTIONALITY TO IDENTIFY PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE AT ANY POINT IN THE BILLING PROCESS. THIS RESULTS IN EARLIER IDENTIFICATION OF PATIENTS MERITING FINANCIAL ASSISTANCE AND RECLASSIFICATION FROM BAD DEBTS.BJC HAS ADOPTED A WRITTEN DEBT COLLECTION POLICY THAT IS APPLIED UNIFORMLY TO ALL AFFILIATE HOSPITAL OPERATIONS. INTERNAL COLLECTION EFFORTS INCLUDE HOSPITAL MAILING OF ROUTINE BILLING STATEMENTS WHICH INCLUDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. COLLECTION PROCEDURES INCLUDE IDENTIFYING INDIVIDUALS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE, OFFERING SUCH INDIVIDUALS THE OPPORTUNITY TO COMPLETE APPLICATIONS FOR FINANCIAL ASSISTANCE AND HELPING THE INDIVIDUALS COMPLETE THE APPLICATION FORMS. ONCE AN INDIVIDUAL OR RESPONSIBLE PARTY IS DEEMED FINANCIALLY UNABLE TO PAY SOME OR ALL OF THE OPEN BALANCE ON A PATIENT ACCOUNT, THE REMAINING BALANCE IS WRITTEN OFF AS UNCOLLECTIBLE.
PART VI, LINE 2:	BJC USES RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED AND INCLUDE BUT ARE NOT LIMITED TO REPORTS FROM:- LOCAL AND STATE DEPARTMENTS OF HEALTH- ST. LOUIS REGIONAL HEALTH COMMISSION- MISSOURI FOUNDATION FOR HEALTH- LOCAL GOVERNMENT PLANNING DEPARTMENTS- THE COMMONWEALTH FUND- U.S. CENSUS BUREAU- ECONOMIC IMPACT STUDIES- EAST WEST GATEWAY COUNCIL OF GOVERNMENTS (A RECOGNIZED METROPOLITAN PLANNING ORGANIZATION - MPO) BJC USES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE SERVICES THROUGHOUT THE REGION. IN ADDITION, BJC CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. FOR EXAMPLE, BJC CONTINUES TO OPERATE FULL SERVICE HOSPITAL(S) AT A FINANCIAL LOSS IN CERTAIN GEOGRAPHIES BECAUSE THE IMPACT OF CLOSING THE HOSPITALS WOULD BE DETRIMENTAL TO THE COMMUNITY. BJC ALSO CONTINUES TO PROVIDE CERTAIN CLINICAL SERVICES, INCLUDING TRAUMA AND OBSTETRICS, IN GEOGRAPHIES AT A FINANCIAL LOSS FOR THE SAME REASON.
PART VI, LINE 3:	BJC EMPLOYS A VARIETY OF METHODS TO REACH PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING:-BJC AND ALL HOSPITAL WEB SITES POST INFORMATION ABOUT FINANCIAL ASSISTANCE AND PROVIDE INFORMATION ON HOW TO CONTACT A FINANCIAL ASSISTANCE REPRESENTATIVE-BJC HOSPITALS DISPLAY PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE ON POSTERS IN ALL EMERGENCY, ADMITTING, OUTPATIENT AND CLINIC AREAS THAT INCLUDE A PHONE NUMBER TO CALL FOR FINANCIAL ASSISTANCE COUNSELING-BJC HOSPITAL DEPARTMENTS THAT HAVE INITIAL CONTACT WITH INCOMING INPATIENTS AND OUTPATIENTS ARE SUPPLIED WITH BROCHURES ABOUT FINANCIAL ASSISTANCE FOR DISTRIBUTION TO PATIENTS AND FAMILY MEMBERS-ALL BJC HOSPITALS EMPLOY TRAINED FINANCIAL ASSISTANCE COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE SUCH AS APPLICATION FOR FEDERAL AND/OR STATE PROGRAMS; QUALIFICATION FOR FINANCIAL ASSISTANCE; DETERMINATION OF AUTOMATIC DISCOUNTS AND/OR FURTHER REDUCTIONS IN CHARGES; AND SETTING UP LONG-TERM FINANCIAL ARRANGEMENTS.
PART VI, LINE 4:	BJC HAS THREE PRIMARY SERVICE AREAS. FIRST AND LARGEST IS THE ST. LOUIS METROPOLITAN STATISTICAL AREA, CONSISTING OF THE FOLLOWING COUNTIES: ST. LOUIS CITY, ST. LOUIS, ST. CHARLES, FRANKLIN, JEFFERSON, WARREN, AND LINCOLN IN MISSOURI, AND MADISON, ST. CLAIR, MONROE, JERSEY AND CLINTON IN ILLINOIS; POPULATION OF BJC'S PRIMARY SERVICE AREA = 4.3M. BJC'S SECONDARY SERVICE AREA INCLUDES BOONE COUNTY IN MID-MISSOURI AND ST. FRANCOIS COUNTY IN SOUTHEAST MISSOURI. BECAUSE OF BJC'S TEACHING HOSPITALS AND THEIR STATUS AS ACADEMIC MEDICAL CENTERS, ITS SECONDARY SERVICE AREAS INCLUDE THE REMAINING COUNTIES IN MISSOURI, AND COUNTIES IN ILLINOIS SOUTH OF PEORIA. POPULATION OF BJC'S SECONDARY SERVICE AREA = 16.6M. BJC HOSPITALS LOCATED WITHIN ALL SERVICE AREAS INCLUDE ALTON MEMORIAL HOSPITAL, BARNES-JEWISH HOSPITAL, ST. LOUIS CHILDREN'S HOSPITAL, PROTESTANT MEMORIAL MEDICAL CENTER (MEMORIAL HOSPITAL BELLEVILLE), BJC/HEALTHSOUTH REHABILITATION CENTER, CHRISTIAN HOSPITAL NE/NW (CHRISTIAN HOSPITAL), MISSOURI BAPTIST MEDICAL CENTER, PROGRESS WEST HEALTHCARE CENTER, BARNES JEWISH ST. PETERS HOSPITAL, INC., MISSOURI BAPTIST HOSPITAL OF SULLIVAN, BARNES-JEWISH WEST COUNTY HOSPITAL, BOONE HOSPITAL CENTER, METRO EAST SERVICES (MEMORIAL HOSPITAL EAST) AND PARKLAND HEALTH CENTER (FARMINGTON AND BONNE TERRE LOCATIONS). AGED (65 YEARS AND OVER) POPULATION IN BOTH PRIMARY AND SECONDARY SERVICE AREAS CONTINUE TO GROW AT A STEADY RATE.
PART VI, LINE 5:	SERVICES. BJC PROVIDES A FULL RANGE OF PRIMARY AND TERTIARY PATIENT CARE SERVICES AND PROVIDES EXTENSIVE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY PRACTICE, INTERNAL MEDICINE, SURGICAL AND EMERGENCY CARE SERVICES. ADDITIONALLY, BJC PROVIDES COMPREHENSIVE MEDICAL CARE IN ORTHOPEDICS, NEUROLOGY, DIAGNOSTIC IMAGING, CARDIOLOGY, GASTROENTEROLOGY, ONCOLOGY, OBSTETRICS AND GYNECOLOGY, PEDIATRICS, IMMUNOLOGY, PSYCHIATRY, DERMATOLOGY, GERIATRICS, PATHOLOGY AND PHYSICAL REHABILITATION. BJC ALSO PROVIDES PREVENTIVE MEDICAL CARE.MEDICAL STAFF. BJC HOSPITALS MAINTAIN OPEN MEDICAL STAFFS AND MAKE APPOINTMENTS IN ACCORDANCE WITH MEDICAL STAFF BYLAWS APPROVED BY THEIR RESPECTIVE BOARDS. THE MEMBERS OF THE BARNES-JEWISH HOSPITAL MEDICAL STAFF ARE EITHER FULL-TIME OR PART-TIME FACULTY MEMBERS OF THE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE (WUSM). IN ADDITION, SUBSTANTIALLY ALL OF THE MEMBERS OF THE ST. LOUIS CHILDREN'S HOSPITAL MEDICAL STAFF ARE ALSO MEMBERS OF WUSM FACULTY. AT THE END OF 2018, APPROXIMATELY 7,000 PHYSICIANS WERE ACTIVE MEMBERS OF THE MEDICAL STAFFS OF ALL BJC HOSPITALS. OF THE TOTAL PHYSICIANS, 2,600 ARE FACULTY MEMBERS OF THE WUSM.GOVERNING BODY. BJC IS GOVERNED BY A BOARD OF DIRECTORS (BOARD) WITH 19 VOTING MEMBERS COMPRISED PRIMARILY OF COMMUNITY LEADERS. MEMBERS ARE APPOINTED BY BOARDS OF ITS SUPPORTED ORGANIZATIONS INCLUDING BARNES-JEWISH HOSPITAL, CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION, MISSOURI BAPTIST MEDICAL CENTER AND ST. LOUIS CHILDREN'S HOSPITAL. OTHER MEMBERS OF THE BOARD INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BJC, THE CHANCELLOR AND EXECUTIVE VICE CHANCELLOR OF WASHINGTON UNIVERSITY, AND THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL. THE BOARD HAS ADOPTED A CODE OF CONDUCT AND CONFLICT OF INTEREST POLICY THAT GOVERN TRANSACTIONS BETWEEN MEMBERS OF THE BOARD AND BJC TO ENSURE THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED BY BJC. THE BOARD HAS DELEGATED AUTHORITY FOR THE MANAGEMENT AND DAILY OPERATIONS OF BJC TO ITS PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE EXECUTIVE MANAGEMENT STAFF. THE BOARD HAS ESTABLISHED VARIOUS COMMITTEES INCLUDING THE FOLLOWING: AUDIT, COMMUNITY BENEFIT, EXECUTIVE, FINANCE, GOVERNANCE, AND PATIENT CARE.AFFILIATION AGREEMENTS. BJC THROUGH ITS AFFILIATE, BARNES-JEWISH HOSPITAL (BJH) HAS MAINTAINED A LONG STANDING CLOSE RELATIONSHIP WITH WUSM. BJH AND WUSM ARE PARTIES TO AN AFFILIATION AGREEMENT TO PROVIDE PROFESSIONAL MEDICAL STAFF AND ALLOCATION OF RESPONSIBILITY FOR HOSPITAL AND HEALTH CARE DELIVERY FACILITIES FOR BJH AND WUSM. ST. LOUIS CHILDREN'S HOSPITAL (CHILDREN'S) IS ALSO AFFILIATED WITH AND IS THE PEDIATRIC TEACHING HOSPITAL FOR WUSM. THE CHILDREN'S/UNIVERSITY AGREEMENT SETS FORTH THE RESPONSIBILITIES OF WUSM TO PROVIDE MEDICAL PROFESSIONALS TO SUPPORT THE HOSPITAL'S PROGRAMS AND TO PROVIDE ACADEMIC SUPPORT. WUSM PROVIDES LEADERSHIP AND DIRECTION FOR THE RESIDENCY PROGRAMS AT BOTH BJH AND CHILDREN'S. ALLOCATION OF SURPLUS FUNDS. UNRESTRICTED ASSETS AND SURPLUS FUNDS HELD BY BJC ARE USED IN FURTHERANCE OF THE MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES IT SERVES THROUGH LEADERSHIP, EDUCATION, INNOVATION AND EXCELLENCE IN MEDICINE. EXAMPLES INCLUDE:-BJH IN CONJUNCTION WITH WUSM FORMED THE BJC INSTITUTE OF HEALTH AT WASHINGTON UNIVERSITY (INSTITUTE). THE INSTITUTE ALLOWS TEAMS OF RESEARCHERS TO COLLABORATE IN KEY THERAPEUTIC AREAS SUCH AS CANCER GENOMICS, DIABETIC CARDIOVASCULAR DISEASE, WOMEN'S INFECTIOUS DISEASES, MEMBRANE EXCITABILITY DISORDERS AND NEURODEGENERATIVE CONDITIONS. THE RESULTS OF THIS MULTI-DISCIPLINARY EFFORT ARE EXPECTED TO ADVANCE MEDICAL SCIENCE, TECHNOLOGY, AND PATIENT CARE PRACTICES. -BJH SUPPORTS THE OPERATIONS OF THE GOLDFARB SCHOOL OF NURSING (SCHOOL) WHICH FOCUSES ON THE EDUCATION OF BACCALAUREATE AND MASTERS PREPARED NURSES. THE SCHOOL ADDRESSES THE NEED FOR MORE NURSING PROFESSIONALS TO SERVE BJC PRIMARY AND SECONDARY SERVICE AREAS.-BJC SUPPORTS BIOSCIENCE AND TECHNOLOGY RESEARCH, DEVELOPMENT AND COMMERCIALIZATION THROUGH ITS SUPPORT OF CORTEX, A TAX EXEMPT 501(C)(3) ORGANIZATION FORMED TO FACILITATE AN ECOSYSTEM FOR BIOMEDICAL RESEARCH AND INNOVATION.
PART VI, LINE 6:	BJC HEALTH SYSTEM IS ONE OF THE LARGEST NONPROFIT HEALTH CARE ORGANIZATIONS IN THE UNITED STATES, DELIVERING SERVICES TO RESIDENTS PRIMARILY IN THE GREATER ST. LOUIS, SOUTHERN ILLINOIS AND MID-MISSOURI REGIONS. WITH NET REVENUE OF $5.3 BILLION, BJC SERVES URBAN, SUBURBAN AND RURAL COMMUNITIES THROUGH 15 HOSPITAL FACILITIES AND MULTIPLE COMMUNITY HEALTH LOCATIONS. SERVICES INCLUDE INPATIENT AND OUTPATIENT CARE, PRIMARY CARE, COMMUNITY HEALTH AND WELLNESS, WORKPLACE HEALTH, HOME HEALTH, COMMUNITY MENTAL HEALTH, REHABILITATION, LONG-TERM CARE, AND HOSPICE.AS ONE OF THE LARGEST NONPROFIT HEALTH CARE DELIVERY ORGANIZATIONS IN THE COUNTRY, WE ARE COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE THROUGH LEADERSHIP, EDUCATION, INNOVATION AND EXCELLENCE IN MEDICINE.BJC STRIVES TO BE THE NATIONAL MODEL AMONG HEALTH CARE DELIVERY ORGANIZATIONS AS MEASURED BY:-OUTSTANDING PATIENT ADVOCACY AND LOYALTY -UNSURPASSED CLINICAL QUALITY AND PATIENT SAFETY -SIGNIFICANT CONTRIBUTIONS TO MEDICAL EDUCATION AND RESEARCH -EXCEPTIONAL EMPLOYEE WORKFORCE DEVELOPMENT -EXCELLENT FINANCIAL AND OPERATIONAL MANAGEMENT
PART VI, LINE 7, REPORTS FILED WITH STATES	MO,IL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (45 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
660 S EUCLID CAMPUS BOX 8092	ST LOUIS	MO	63110	431519670	501(C)(3)	$5,000,000	SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE BJH COMMUNITIES
BOONE COUNTY TREASURER
801 E WALNUT ST	COLUMBIA	MO	65201	436000349		$2,473,810	SUPPORT COMMUNITY PROGRAMS WITHIN BOONE COUNTY
WASHINGTON UNIVERSITY
ONE BARNES JEWISH HOSPITAL PLAZA	ST LOUIS	MO	63110	430653611	501(C)(3)	$853,332	SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE BJH COMMUNITIES
AMERICAN HEART ASSOCIATION
PO BOX 50035	PRESCOTT	AZ	863045035	135613797	501(C)(3)	$137,500	SPONSOR RESEARCH OF HEART DISEASES
PEMISCOT COUNTY MEMORIAL HOSPITAL
946 E REED ST	HAYTI	MO	63851	436004544	501(C)(3)		DONATION OF MEDICAL EQUIPMENT	$58,629	COST	ULTRASOUND SCANNING SYSTEM, 8 PROBES, 1 GEL WARMER, 2 FETAL MONITORS
JEWISH COMMUNITY CENTER ASSOCIATION
2 MILLSTONE CAMPUS DRIVE	ST LOUIS	MO	63146	430681477	501(C)(3)	$45,000	SUPPORT OF JEWISH COMMUNITY EVENTS FOR MEN AND WOMEN
JEWISH FAMILY AND CHILDREN'S SERVICES
10950 SCHUETZ ROAD	ST LOUIS	MO	63146	430790330	501(C)(3)	$44,340	SUPPORT OF JEWISH COMMUNITY EVENTS FOR MEN AND WOMEN
CAPITAL REGIONAL MEDICAL FOUNDATION
PO BOX 1128	JEFFERSON CITY	MO	65102	431506900	501(C)(3)	$39,900	SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE
MARCH OF DIMES INC
11829 DORSETT RD	MARYLAND HEIGHTS	MO	63043	131846366	501(C)(3)	$37,500	SUPPORT FOR SERVICES ON PREGNANCY, PREMATURITY AND BIRTH DEFECTS
MISSOURI STATE MEDICAL ASSOC PHYSICIANS HEALTH FOUNDATION
680 CRAIG ROAD SUITE 308	ST LOUIS	MO	63141	431572458	501(C)(3)	$29,000	SUPPORT PROGRAM FOR MENTAL ILLNESS, SUBSTANCE ABUSE, SUICIDE, ETC.
ALTON ATHLETICS ASSOCIATION
1854 EAST BROADWAY	ALTON	IL	62002	371089883	501(C)(3)	$22,200	SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE
BETHALTO COMMUNITY UNIT SCHOOL
610 TEXAS BLVD	BETHALTO	IL	62010	376006341	501(C)(3)	$22,000	SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE
COLUMBIA PUBLIC SCHOOLS
1818 W WORLEY ST	COLUMBIA	MO	65203	436000318	501(C)(3)	$20,000	SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE
NATIONAL MULTIPLE SCLEROSIS SOCIETY
733 THIRD AVE 3RD FLOOR	NEW YORK	NY	10017	135661935	501(C)(3)	$17,600	SUPPORT FOR SERVICES FOR MULTIPLE SCLEROSIS
SAINT CHARLES COMMUNITY COLLEGE
4601 MID RIVERS MALL DRIVE	ST PETERS	MO	63376	431591959	501(C)(3)	$17,500	SUPPORT PROMOTING EDUCATIONAL SUCCESS FOR COLUMBIA PUBLIC SCHOOLS STUDENTS
JERSEY COMMUNITY UNIT SCHOOL
100 LINCOLN AVE	JERSEYVILLE	IL	62052	376003496	501(C)(3)	$16,000	SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE
ST LOUIS CRISIS NURSERY
11710 ADMINISTRATIVE DR STE 18	ST LOUIS	MO	63146	431410297	501(C)(3)	$15,500	SUPPORT KEEPING KIDS SAFE AND BUILDING STRONG FAMILIES
SUSAN G KOMEN BREAST CANCER FOUNDATION
9288 DIELMAN INDUSTRIAL DRIVE	ST LOUIS	MO	63132	752844650	501(C)(3)	$15,000	SUPPORT PROGRAMS AND RESEARCH FOR BREAST CANCER
AMERICAN CANCER SOCIETY
5 SCHIBER COURT	MARYVILLE	IL	62062	131788491	501(C)(3)	$14,000	SUPPORT PROGRAMS FOR PEOPLE AFFECTED BY CANCER
ASTHMA AND ALLERGY FOUNDATION OF AMERICA
1500 BIG BEND SUITE 1S	ST LOUIS	MO	63117	431484316	501(C)(3)	$14,000	SUPPORT THOSE AFFECTED BY ASTHMA AND ALLERGIES THROUGH EDUCATION, SUPPORT, AND MEDICAL RESOURCES
SOUTHEAST HOSPITAL
789 S MT AUBURN	CAPE GIRARDEAU	MO	63703	430654874	501(C)(3)	$12,100	SUPPORT THE RESEARCH OF CANCER STUDIES
HAVENHOUSE ST LOUIS
12685 OLIVE BLVD	ST LOUIS	MO	63141	201876315	501(C)(3)	$11,000	SUPPORT FOR HOPEFEST PROGRAM
ST LOUIS FIRE DEPARTMENT LIFESAVING FOUNDATION
2634 HAMPTON AVENUE	ST LOUIS	MO	63139	200512259	501(C)(3)	$10,020	SUPPORT ST LOUIS FIRE DEPARTMENT TO PROMOTE SAVING LIFES
PRIDE INCORPORATED
5800 GODFREY ROAD	GODFREY	IL	62035	370890017	501(C)(3)	$10,000	SUPPORT COMMUNITY BEAUTIFICATION, CIVIC PRIDE AND EDUCATIONAL PROGRAMS
GENERATE HEALTH STL
1300 HAMPTON AVE SUITE 111	ST LOUIS	MO	63139	412139772	501(C)(3)	$10,000	SUPPORT IMPROVING BIRTH OUTCOMES, PROMOTE HEALTHY FAMILIES, AND BUILD HEALTHY COMMUNITIES
SHAKESPEARE FESTIVAL ST LOUIS
5715 ELIZABETH AVE	ST LOUIS	MO	63110	431815139	501(C)(3)	$10,000	SUPPORT THEATRE FOR A DIVERSE AUDIENCE AND PROVIDE EDUCATION
AM NURSES FOUNDATION INC
PO BOX 504342	ST LOUIS	MO	63150	131893924	501(C)(3)	$10,000	SUPPORT THE TRANSFORMING NATIONAL HEALTH THROUGH THE POWER OF NURSING
ST CHARLES CITY COUNTY LIBRARY DISTRICT
PO BOX 529	ST PETERS	MO	63376	431860793	501(C)(3)	$10,000	SUPPORT PROGRAMS WITH COUNTY LIBRARY
THE LEUKEMIA & LYMPHOMA SOCIETY
1972 INNERBELT BUSINESS CENTER DR	ST LOUIS	MO	63114	135644916	501(C)(3)	$8,500	SUPPORT COMMUNITY PROGRAMS ON EDUCATION OF LEUKEMIA AND LYMPHOMA.
CROHNS AND COLITIS FOUNDATION
1034 S BRENTWOOD STE 1510	ST LOUIS	MO	63117	136193105	501(C)(3)	$8,500	SUPPORT PEOPLE AFFECTED BY CROHN'S AND COLITIS
ROXANA COMMUNITY UNIT SCHOOL
401 CHAFFER AVE	ROXANA	IL	62084	376006171	501(C)(3)	$8,100	SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE
MARQUETTE CATHOLIC HIGH SCHOOL
219 E 4TH ST	ALTON	IL	62002	371122740	501(C)(3)	$8,000	SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE
SOUTHWESTERN COMMUNITY UNIT SCHOOL
PO BOX 728	BRIGHTON	IL	62012	376003713	501(C)(3)	$8,000	SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE
DIVERSITY AWARENESS PARTNERSHIP
40 N ROCK HILL ROAD	WEBSTER GROVES	MO	63119	311787746	501(C)(3)	$8,000	SUPPORT COMMUNITY PROGRAMS FOR DIVERSITY
EAST ALTON - WOOD RIVER COMMUNITY HIGH SCHOOL
777 N WOOD RIVER AVE	WOOD RIVER	IL	62095	376003816	501(C)(3)	$8,000	SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE
THE MARFAN FOUNDATION INC
22 MANHASSET AVENUE	PORT WASHINGTON	NY	11050	521265361	501(C)(3)	$7,500	SUPPORT PROGRAMS AND RESEARCH FOR MARFAN SYNDROME
YWCA METRO ST LOUIS
3820 WEST PINE BOULEVARD	ST LOUIS	MO	63108	430653618	501(C)(3)	$7,250	SUPPORT WOMEN AND PROMOTE PEACE, JUSTICE, AND DIGNITY FOR ALL
FARMINGTON CHAMBER OF COMMERCE
PO BOX 191	FARMINGTON	MO	63640	431028820	501(C)(3)	$6,280	SUPPORT COMMUNITY PROGRAMS WITHIN FARMINGTON AREA
SENIOR SERVICES PLUS INC
2603 NORTH RODGERS AVE	ALTON	IL	62002	370975762	501(C)(3)	$6,000	SUPPORT OPPORTUNITIES AND RESOURCES TO INDIVIDUALS AS THEY AGE
CYSTIC FIBROSIS FOUNDATION
8251 MARYLAND AVE SUITE 12	ST LOUIS	MO	63105	131930701	501(C)(3)	$6,000	SUPPORT PROGRAMS AND RESEARCH FOR CYSTIC FIBROSIS
O'FALLON-SHILOH CHAMBER OF COMMERCE INCORPORATED
PO BOX 371	OFALLON	IL	62269	371059980	501(C)(6)	$5,775	SUPPORT, UNITE AND PROMOTE BUSINESS WITH THE COMMUNITY
ILLINOIS HOSPITAL RESEARCH & EDUCATIONAL FOUNDATION
24676 NETWORK PLACE	CHICAGO	IL	60678	237421930	501(C)(3)	$5,724	SUPPORT CONTINUING EDUCATION OF HOSPITAL AND OTHER PERSONNEL
SUPPORT DOGS INC
10955 LINPAGE PLACE	ST LOUIS	MO	63132	431379801	501(C)(3)	$5,500	SUPPORT SKILLED SERVICE DOGS TO OTHERS WITH DISABLITIES
NAMI ST LOUIS
1750 S BRENTWOOD BLVD SUITE 511	ST LOUIS	MO	63144	431143899	501(C)(3)	$5,500	SUPPORT MENTAL HEALTH THROUGH EDUCATION, SUPPORT AND SERVICES
CULTURAL LEADERSHIP INC
225 S MERAMEC STE 107	ST LOUIS	MO	63105	201269305	501(C)(3)	$5,150	SUPPORT A MORE JUST AND EQUITABLE COMMUNITY BY EDUCATING HIGH SCHOOL STUDENTS

Field	Value	IRS element (for citing)
Total501c3 Org	43	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
FEDERAL GRANTS - PELL GRANTS & FSEOG & SCHOLARSHIPS	429	$2,334,947
MEDICAL TRANSPORTATION-SW AIRLINES	282		$56,400	FMV	AIRLINE TICKET VOUCHERS FOR PATIENT TRANSPORTATION
COLLEGE SCHOLARSHIPS FOR NURSING	6	$12,000

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DURING 2018, BJC HEALTH SYSTEM AND AFFILIATES MADE GRANTS TO OTHER SECTION 501(C)(3) PUBLIC CHARITIES OR OTHER ORGANIZATIONS IN SUPPORT OF THE COMMUNITIES WE SERVE AND TO BE USED IN FULFILLING THE EXEMPT PURPOSE OF THE GRANTEE ORGANIZATION. WHILE IMMEDIATE OVERSIGHT OF THE CHARITY IS NOT CONSIDERED NECESSARY, GRANT MATERIALS PROVIDE STRICT GUIDELINES FOR USE OF ALL GRANTS OR AWARDS AS WELL AS RECOVERY OF GRANT MONIES NOT USED FOR STATED PURPOSES. FEDERAL GRANTS AND AWARDS PROVIDED TO INDIVIDUALS ARE MONITORED TO ENSURE COMPLIANCE WITH THE FEDERAL GRANT PROCEDURES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (73 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
AMH-FETTER LEE
DIRECTOR	$683,759	$0	$476,907	$0	$54,138	$0	-$1,109	$0	$77,838	$0	$1,291,533	$0	$37,262	$0
AMH-HOELSCHER DR JOHN
DIRECTOR	$48,000	$485,843	$0	$108,629	$0	$3,579	$0	$35,435	$333	$21,776	$48,333	$655,262	$0	$0
AMH-RIEDEL DAVID MD
DIRECTOR	$21,450	$227,677	$0	$15,624	$0	$5,576	$0	$19,285	$0	$19,615	$21,450	$287,777	$0	$0
BHHC-JAMES DAVID TREY MD
DIRECTOR	$291,188	$0	$1,000	$0	$1,365	$0	$0	$0	$22,862	$0	$316,415	$0	$0	$0
BJCHOME-HALLORAN TERESA
DIRECTOR	$196,230	$0	$12,579	$0	$3,383	$0	$0	$0	$19,265	$0	$231,457	$0	$0	$0
BJCHOME-PATTERSON NANCY
DIRECTOR	$220,575	$0	$47,943	$0	$872	$0	$0	$0	$35,207	$0	$304,597	$0	$0	$0
BJCHOME-PETERS LEWIS ANGELLEEN
DIRECTOR	$340,355	$0	$37,111	$0	$31,662	$0	$0	$0	$36,597	$0	$445,725	$0	$0	$0
BJCHOME-SCHREINER LORI
DIRECTOR	$245,124	$0	$71,064	$0	$1,374	$0	-$9,004	$0	$45,265	$0	$353,823	$0	$0	$0
BJSPH-AST MARTIN MD
DIRECTOR	$433,567	$0	$47,516	$0	$2,337	$0	$28,920	$0	$25,934	$0	$538,274	$0	$0	$0
BJSPH-FOX JERRY
DIRECTOR	$517,666	$0	$192,555	$0	$3,918	$0	$37,690	$0	$83,946	$0	$835,775	$0	$0	$0
BJWCH-OLINGER STACY
DIRECTOR	$207,264	$0	$32,622	$0	$1,804	$0	$15,045	$0	$31,234	$0	$287,969	$0	$0	$0
CHAS-VAN TREASE SANDRA
DIRECTOR	$665,187	$0	$464,067	$0	$270,171	$0	$15,045	$0	$91,895	$0	$1,506,365	$0	$261,410	$0
CHC-THOMAS MICHELE MD
DIRECTOR	$235,180	$0	$15,395	$0	$1,257	$0	$16,308	$0	$19,377	$0	$287,517	$0	$0	$0
MBHS-BAKER ALISON MD
DIRECTOR	$257,859	$0	$28,760	$0	$10,915	$0	$4,406	$0	$29,245	$0	$331,185	$0	$0	$0
MBHS-JACKSON THOMAS MD
DIRECTOR	$331,282	$0	$33,357	$0	$31,811	$0	-$3,452	$0	$29,398	$0	$422,396	$0	$0	$0
MBMC-MARTIN R SCOTT MD
DIRECTOR	$527,602	$0	$50,000	$0	$3,193	$0	-$10,749	$0	$28,298	$0	$598,344	$0	$0	$0
MBMC-WEINSTEIN DAVID L MD
DIRECTOR	$225,894	$0	$27,137	$0	$34,565	$0	$34,045	$0	$26,405	$0	$348,046	$0	$0	$0
MESI-BAUMER KEVIN MD
DIRECTOR	$0	$508,596	$0	$25,245	$0	$11,386	$0	$23,947	$0	$0	$0	$569,174	$0	$0
MESI-MOOSA HANS MD
DIRECTOR	$0	$955,551	$0	$32,308	$0	$13,271	$0	$0	$0	$22,109	$0	$1,023,239	$0	$0
MMG-CASPERSON WILLIAM MD
DIRECTOR	$334,361	$0	$21,672	$0	$5,283	$0	$0	$0	$38,933	$0	$400,249	$0	$0	$0
PHC-GRIX GARY MD
DIRECTOR	$222,176	$0	$51,308	$0	$6,873	$0	-$30,189	$0	$21,779	$0	$271,947	$0	$0	$0
PHC-KIRKLEY SCOTT D MD
DIRECTOR	$461,394	$0	$81,672	$0	$555	$0	-$6,779	$0	$22,391	$0	$559,233	$0	$0	$0
PMMCI-BEATTY ADRIENA
DIRECTOR	$0	$352,522	$0	$24,097	$0	$17,993	$0	$0	$0	$34,928	$0	$429,540	$0	$0
PMMCI-DOTHAGER DOUG MD
DIRECTOR	$5,063	$548,892	$0	$49,965	$0	$12,163	$0	$0	$36	$27,923	$5,099	$638,943	$0	$0
PMMCI-RAMOS-PARDO BEATRIZ MD
DIRECTOR	$0	$264,643	$0	$24,035	$0	$1,777	$0	$0	$0	$28,016	$0	$318,471	$0	$0
PWHC-MISSLER MICHAEL DO
DIRECTOR	$451,942	$0	$54,776	$0	$825	$0	$4,965	$0	$24,962	$0	$537,470	$0	$0	$0
AMH-BRAASCH DAVID ALAN
PRESIDENT, DIRECTOR	$256,347	$0	$58,573	$0	$20,116	$0	-$1,363	$0	$44,787	$0	$378,460	$0	$16,072	$0
BJC BH-KARL BARBARA
VICE PRESIDENT & EXEC DIR	$181,426	$0	$66,069	$0	$2,155	$0	$58,746	$0	$19,587	$0	$327,983	$0	$0	$0
BJC BH-TERRACE SARAH
SECRETARY, DIRECTOR	$330,136	$0	$96,223	$0	$18,993	$0	$23,586	$0	$40,004	$0	$508,942	$0	$15,823	$0
BJC CHS-VENDITTI PATRICK
VICE PRESIDENT & SECRETARY, DIRECTOR	$135,838	$0	$14,472	$0	$7,542	$0	-$1,499	$0	$21,144	$0	$177,497	$0	$0	$0
BJC-LIEKWEG RICHARD
PRESIDENT, DIRECTOR	$982,409	$0	$798,510	$0	$117,181	$0	$22,667	$0	$170,788	$0	$2,091,555	$0	$91,121	$0
BJCHOME-ROTHERY DAN
PRESIDENT, DIRECTOR	$347,456	$0	$139,973	$0	$52,294	$0	$10,946	$0	$63,291	$0	$613,960	$0	$38,026	$0
BJH-CANNON ROBERT W
PRESIDENT, DIRECTOR	$592,418	$0	$408,889	$0	$101,308	$0	$5,961	$0	$91,721	$0	$1,200,297	$0	$62,645	$0
BJSPH-WATTS CHRIS
PRESIDENT, DIRECTOR	$362,815	$0	$102,938	$0	$15,816	$0	-$9,296	$0	$32,320	$0	$504,593	$0	$14,458	$0
BJWCH-LOLLO TRISH
PRESIDENT, DIRECTOR	$331,491	$0	$108,738	$0	$21,696	$0	$3,920	$0	$34,262	$0	$500,107	$0	$19,618	$0
CH-STEVENS RICK L
PRESIDENT, DIRECTOR	$325,837	$0	$146,880	$0	$16,486	$0	$22,565	$0	$40,966	$0	$552,734	$0	$14,676	$0
CHAS-BLOUNT ROBIN
SECRETARY, DIRECTOR	$290,562	$0	$22,757	$0	$20,694	$0	$39,905	$0	$28,291	$0	$402,209	$0	$0	$0
CHAS-SINEK JIM
PRESIDENT, DIRECTOR	$347,133	$0	$64,712	$0	$26,094	$0	$33,852	$0	$50,053	$0	$521,844	$0	$20,753	$0
CHAS-SMITH MONICA RN
VICE CHAIRMAN, DIRECTOR	$222,087	$0	$20,592	$0	$13,664	$0	$20,572	$0	$39,060	$0	$315,975	$0	$10,926	$0
MBMC-ANTES JOHN
PRESIDENT, DIRECTOR	$381,221	$0	$160,735	$0	$24,390	$0	-$3,139	$0	$42,938	$0	$606,145	$0	$22,429	$0
MMG-DAVIS JAMES B
EXECUTIVE DIRECTOR, SECRETARY	$179,156	$0	$12,231	$0	$472	$0	$0	$0	$22,244	$0	$214,103	$0	$0	$0
MRHS-TURNER MARK J
PRESIDENT, DIRECTOR	$568,323	$0	$379,021	$0	$6,863	$0	$0	$0	$50,716	$0	$1,004,923	$0	$0	$0
PHC-KARL THOMAS
PRESIDENT, DIRECTOR	$237,270	$0	$50,710	$0	$17,811	$0	$30,706	$0	$27,607	$0	$364,104	$0	$14,390	$0
SLCH-MAGRUDER JOAN
PRESIDENT, DIRECTOR	$505,719	$0	$343,497	$0	$30,843	$0	$1,236	$0	$74,062	$0	$955,357	$0	$0	$0
SLCH-SHEN MARK MD
PRESIDENT, DIRECTOR	$69,154	$0	$150,000	$0	$164	$0	$0	$0	$11,883	$0	$231,201	$0	$0	$0
BJC-APLINGTON DAVID
SR. VP,GENERAL COUNSEL,SEC'Y	$495,370	$0	$207,481	$0	$92,551	$0	-$3,500	$0	$77,262	$0	$869,164	$0	$75,066	$0
BJC-ROBERTS KEVIN
SR VP, CFO, TREASURER TERM 4/18	$234,004	$0	$329,937	$0	$80,985	$0	$17,816	$0	$10,199	$0	$672,941	$0	$77,794	$0
BJH-KRIEGER MARK
VP, CFO, TREASURER	$412,241	$0	$144,976	$0	$32,107	$0	$41,720	$0	$34,692	$0	$665,736	$0	$24,255	$0
BJH-PATTERSON GREG
SECRETARY TERM 3/18	$283,509	$0	$101,939	$0	$22,340	$0	$15,811	$0	$39,548	$0	$463,147	$0	$19,037	$0
BJH-REID SARA
SECRETARY START 3/18	$213,963	$0	$33,217	$0	$1,832	$0	$5,530	$0	$26,211	$0	$280,753	$0	$0	$0
CH-KOESTERER SUSAN
VICE PRESIDENT, FINANCE	$220,855	$0	$35,766	$0	$19,525	$0	$18,277	$0	$32,194	$0	$326,617	$0	$18,241	$0
CHC-WARD CHRIS
SECRETARY, TREASURER	$151,917	$0	$39,277	$0	$4,227	$0	$23,668	$0	$19,977	$0	$239,066	$0	$0	$0
MBMC-DESART AMY
VICE PRESIDENT, FINANCE	$212,633	$0	$58,485	$0	$13,561	$0	$20,796	$0	$27,403	$0	$332,878	$0	$12,182	$0
MBHS-SCHWARM TONY
PRESIDENT	$199,648	$0	$38,103	$0	$26,637	$0	$30,970	$0	$34,370	$0	$329,728	$0	$23,192	$0
PGLC-POGUE DOUGLAS MD
PRESIDENT & MANAGER	$452,050	$0	$129,512	$0	$23,529	$0	-$14,837	$0	$48,416	$0	$638,670	$0	$21,014	$0
PMMCI-GUSMANO JANE
VP FINANCE, SECRETARY	$254,842	$0	$114,074	$0	$2,634	$0	$8,992	$0	$38,406	$0	$418,948	$0	$0	$0
PWHC-LAWSON ELIZABETH
VICE PRESIDENT, FINANCE	$195,002	$0	$33,338	$0	$1,304	$0	-$1,317	$0	$40,728	$0	$269,055	$0	$0	$0
SLCH-MCKEE MICHELE
VICE PRESIDENT, FINANCE	$269,560	$0	$120,192	$0	$16,341	$0	$6,712	$0	$29,397	$0	$442,202	$0	$15,138	$0
BJC-BEATTY JOHN
SVP/CHIEF HR OFFICER	$439,035	$0	$184,399	$0	$67,807	$0	$14,078	$0	$71,664	$0	$776,983	$0	$44,102	$0
BJC-SCHULER GREG
VP/CHIEF INVEST OFFICER TERM 7/18	$259,572	$0	$244,571	$0	$27,033	$0	$12,483	$0	$25,187	$0	$568,846	$0	$25,699	$0
BJC-THOMAS JOSEPH
VP/CHIEF INVEST OFFICER EFF 8/18	$366,237	$0	$55,549	$0	$1,321	$0	$0	$0	$42,432	$0	$465,539	$0	$0	$0
BJC-GRIMSHAW CHARLES
PHYSICIAN	$1,017,893	$0	$99,676	$0	$20,501	$0	$8,883	$0	$27,621	$0	$1,174,574	$0	$0	$0
BJC-O'BERT ROBERT J
PHYSICIAN	$995,497	$0	$7,046	$0	$501	$0	-$13,077	$0	$27,959	$0	$1,017,926	$0	$0	$0
BJC-HALL LANNIS E
PHYSICIAN	$817,474	$0	$133,571	$0	$4,017	$0	$1,263	$0	$25,202	$0	$981,527	$0	$0	$0
BJC-KRAINIK ANDREW J
PHYSICIAN	$770,864	$0	$114,219	$0	$555	$0	$887	$0	$28,055	$0	$914,580	$0	$0	$0
BJC-SEWALL DAVID J
PHYSICIAN	$737,090	$0	$113,389	$0	$3,343	$0	$16,058	$0	$33,634	$0	$903,514	$0	$0	$0
BJC-DEHAVEN MICHAEL
FORMER SR VP,GEN COUN,SEC TERM 12/16	$0	$0	$0	$0	$108,909	$0	$0	$0	$0	$0	$108,909	$0	$0	$0
BJC-LIPSTEIN STEVEN
FORMER CEO, DIRECTOR TERM 12/17	$548,545	$0	$1,238,150	$0	$656,065	$0	$0	$0	$95,595	$0	$2,538,355	$0	$113,150	$0
BJWCH-BLACK CHARLES DOUGLAS
FORMER PRES/DIR TERM 1/2016	$260,247	$0	$53,265	$0	$18,550	$0	$4,140	$0	$29,570	$0	$365,772	$0	$16,723	$0
CHAS-FOWLER ROSELLA
FORMER VICE CHAIRMAN TERM 4/17	$169,458	$0	$58,538	$0	$14,675	$0	$20,832	$0	$14,026	$0	$277,529	$0	$14,570	$0
MESI-HOLMES RUTH
FORMER SECRETARY TERM 6/2016	$35,608	$0	$14,373	$0	$117,395	$0	$0	$0	$1,619	$0	$168,995	$0	$11,221	$0
MRHS-LANIUS JOE
FORMER SECRETARY, TERM 6/2016	$0	$0	$0	$0	$257,469	$0	$0	$0	$0	$0	$257,469	$0	$0	$0
MRHS-MCMANUS MICHAEL
FORMER SEC, DIRECTOR TERM 6/17	$286,797	$0	$18,380	$0	$2,763	$0	$0	$0	$37,807	$0	$345,747	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	SCHEDULE J, PART I, LINE 1A AND 1B FIRST CLASS OR CHARTER TRAVEL - CURRENT EXPENSE POLICY OF THE ORGANIZATION PROHIBITS PAYMENT OF (OR REIMBURSEMENT FOR) FIRST CLASS AIR TRAVEL OR CHARTER TRAVEL. DURING 2018, WHILE WORKING ON URGENT BUSINESS MATTERS RELATED TO THE BJC COLLABORATIVE LIMITED LIABILITY COMPANY, SEVEN SENIOR EXECUTIVES WERE REQUIRED TO EXPEDITE TRAVEL TO MEETINGS WHERE TIME DID NOT ALLOW FOR TRAVEL BY NORMAL MEANS. SUCH TRAVEL INVOLVED MEETINGS IN RURAL AREAS OF MISSOURI WHEN MEETING WITH OTHER BJC COLLABORATIVE MEMBERS. THE ORGANIZATION ENGAGED THE SERVICES OF UNRELATED AIR CHARTER COMPANIES. EXPENSES ASSOCIATED WITH AIR CHARTER TRAVEL DURING 2018 WERE: $36,400. TAX INDEMNIFICATION AND GROSS UP PAYMENTS - CURRENT EXPENSE POLICY OF THE ORGANIZATION PROVIDES THAT CERTAIN TAXABLE FRINGE BENEFITS BE GROSSED UP TO PROVIDE RELIEF OF FEDERAL AND STATE INCOME TAXES ASSOCIATED WITH CERTAIN EXPENSES INCURRED ON BEHALF OF THE ORGANIZATION, YET NOT DEDUCTIBLE FOR PERSONAL TAX PURPOSES. DURING 2018, THE ORGANIZATION PAID DIRECTLY OR REIMBURSED EXPENSES FOR TAX GROSS UP PAYMENTS RELATED TO CERTAIN TAXABLE FRINGE BENEFITS. THE PAYMENTS WERE MADE PURSUANT TO A WRITTEN POLICY THAT ALLOWS FOR DIRECT PAYMENTS OR REIMBURSEMENTS BASED ON ADEQUATE SUBSTANTIATION OF THE ALLOWABLE EXPENSE. DOCUMENTATION OF THESE EXPENSES IS RETAINED IN THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION AND, IF REQUIRED, INCLUDED IN THE REPORTABLE COMPENSATION OF THE INDIVIDUALS LISTED HEREIN. HEALTH OR SOCIAL CLUB DUES OR FEES - CURRENT EXPENSE POLICY OF THE ORGANIZATION ALLOWS PAYMENT OF (OR REIMBURSEMENT FOR) SOCIAL CLUB DUES OR FEES INCURRED FOR BUSINESS PURPOSES. AT TIMES AN EXECUTIVE MAY INCUR EXPENSES FOR PERSONAL USE OF THE SOCIAL CLUB AND AN ALLOCATION IS MADE BETWEEN THE BUSINESS AND PERSONAL USE OF THE CLUB DUES. THE ALLOCATION OF SOCIAL CLUB DUES CONSIDERED PERSONAL USE IS CONSIDERED TAXABLE TO THE EXECUTIVE. DURING 2018, THE ORGANIZATION PROVIDED TOTAL REIMBURSEMENTS OF $3,368 INCLUDING $1,053 OF TAX GROSS UP PAYMENTS FOR THE PERSONAL USE PORTION OF SOCIAL CLUB DUES TO FIVE EXECUTIVES. DOCUMENTATION OF THESE EXPENSES IS RETAINED IN THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION AND INCLUDED IN THE REPORTABLE COMPENSATION OF THE INDIVIDUALS LISTED HEREIN. TOTAL PAYMENTS RELATED TO ORDINARY AND NECESSARY EXPENSES FOR BUSINESS USE OF SOCIAL CLUBS WERE $22,304 FOR 2018.
PART I, LINE 3	THE COMPENSATION AND BENEFIT AMOUNTS OF THE ORGANIZATION'S OFFICERS AND TOP MANAGEMENT OFFICIALS ARE DETERMINED BY AN INDEPENDENT COMMITTEE OF BJC HEALTH SYSTEM, AN AFFILIATE OF THE FOUNDATION FOR BARNES-JEWISH HOSPITAL. THE COMMITTEE IS COMPRISED OF INDEPENDENT PERSONS AND USES INDEPENDENT COMPENSATION STUDIES AND BENCHMARKING DATA TO ESTABLISH COMPENSATION AMOUNTS AND GUIDELINES. ALL AMOUNTS ARE APPROVED BY THE COMPENSATION COMMITTEE. THE ORGANIZATION RECONCILES THE AGGREGATE AMOUNTS PAID TO THE APPROVAL AMOUNTS SHORTLY AFTER THE CLOSE OF EACH CALENDAR YEAR.
PART I, LINES 4A-B	DURING 2018, THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS/ACCRUALS FROM THE ORGANIZATION AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS (SEE FORM 990, PART VII AND SCHEDULE J, PART II): LIPSTEIN,STEVEN $656,109 VAN TREASE,SANDRA $330,882 LIEKWEG,RICHARD $224,292 APLINGTON,DAVID $125,666 CANNON,ROBERT $125,590 HOLMES,RUTH $117,167 DEHAVEN,MICHAEL $108,909 FETTER,LEE $93,053 BEATTY,JOHN $89,073 ROBERTS,KEVIN $77,794 ROTHERY,DANIEL $76,415 FOX,JEROME $56,650 MAGRUDER,JOAN $53,579 KRIEGER,MARK $48,625 POGUE,DOUGLAS $48,014 ANTES,JOHN $44,965 SINEK,JIM $41,707 LOLLO,TRISHA $39,329 PATTERSON,GREGORY $36,173 SCHWARM,TONY $35,312 TERRACE,SARAH $35,023 TURNER,MARK $34,405 STEVENS,RICK $34,260 WATTS,CHRISTOPHER $32,758 BLACK,CHARLES $31,949 BLOUNT,ROBIN $31,883 BRAASCH,DAVID $31,405 KOESTERER,SUSAN $31,345 MCKEE,MICHELE $30,572 KARL,THOMAS $28,920 CONKLIN,RICHARD $28,813 DESART,AMY $24,482 BARTO,NICK $22,688 SMITH,MONICA $22,119 CASPERSON,WILLIAM $20,209 GUSMANO,JANE $19,883 PETERS LEWIS,ANGELLEEN $17,250 MCMANUS,MICHAEL $17,140 SCHREINER,LORI $15,000 FOWLER,ROSELLA $14,570 LAWSON,ELIZABETH $12,000 SHEN,MARK $11,883 OLINGER,STACY $10,500 KARL,BARBARA $10,800 DURING 2018, THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS: LANIUS, JOHN $257,469
PART II, COLUMN (C)	CERTAIN INDIVIDUALS AND PARTICIPANTS IN THE BJC PENSION PLAN REPORTED NEGATIVE ACCRUALS FOR 2018. THIS IS LARGELY DUE TO THE INCREASE IN DISCOUNT RATE FROM YEAR-END 2017 TO YEAR-END 2018, WHICH DECREASES THE PRESENT VALUE OF THE RESPECTIVE PENSION VALUE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHWEST ILLINOIS DEVELOPMENT AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	371234684	BondIssuerEIN
CUSIP	84553AAE2	CUSIPNum
Bond Issued	2013-12-06	BondIssuedDt
Issue Price	$156,712,718	IssuePriceAmt
Purpose	REFUND PRIOR BONDS & CAPITAL EXP - SEE PART VI	PurposeDesc
Defeased	Yes (1)	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$156,933,078	TotalProceedsAmt
In Reserve Fund	$13,206,925	InReserveFundAmt
Capitalized Interest	$17,844,084	CapitalizedInterestAmt
Issuance Costs From Proceeds	$1,978,772	IssuanceCostsFromProceedsAmt
Capital Expenditures	$94,312,852	CapitalExpendituresAmt
Other Spent Proceeds	$29,266,815	OtherSpentProceedsAmt
Unspent	$323,630	UnspentAmt
Substantial Completion	2016	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	0	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN (F)	SOUTHWEST ILLINOIS DEVELOPMENT AUTHORITY SERIES 2013 BONDS WERE ISSUED IN PART TO REFUND SERIES 2011 BONDS (ISSUED ON 8/11/2011) AND TO FINANCE, IN PART, CAPITAL EXPENDITURES AT MEMORIAL HEALTH SYSTEM.
SCHEDULE K, PART II, LINE 3	ANY DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART III, LINES 3B AND 3D	INTERNAL LEGAL COUNSEL IS FAMILIAR WITH TAX LAWS AND ROUTINELY REVIEWS THESE AGREEMENTS.
SCHEDULE K, PART IV, LINE 2	SERIES 2013 BOND IS "NO REBATE DUE." REBATE CALCULATION WAS PERFORMED ON JUNE 11, 2015.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
KATHY FERGUSON
FAMILY MEMBER. RELATED TO BOARD MEMBER BUNCH OF PHC	$110,279	EMPLOYMENT AGREEMENT WITH PHC	0
LINDSAY SELNER
FAMILY MEMBER. RELATED TO BOARD MEMBER WEDDLE OF BJC	$137,936	EMPLOYMENT AGREEMENT WITH BJC	0
LISA MCDONALD
FAMILY MEMBER. RELATED TO BOARD MEMBER ECKERT OF PMMCI	$75,441	EMPLOYMENT AGREEMENT WITH PMMCI	0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	AIRLINE VOUCHERS	282	$56,400	SELLING PRICE
Yes (X)	MHA PREP EQUIP	29	$27,793	FAIR MARKET VALUE
Yes (X)	HALO INFANT SLEEP SACS	300	$2,475	FAIR MARKET VALUE

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	RECEIVED 29 CONTRIBUTION IN TOTAL FROM MHA PREPAREDNESS EQUIPMENT TOTALING A VALUE OF $27,793 RECEIVED 282 AIRLINE VOUCHERS TOTALING A VALUE OF $56,400 RECEIVED 300 HALO INFANT SLEEP SACS TOTALING A VALUE OF $2,475	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART IV, LINE 12:	ALL SUBORDINATE MEMBERS OF THE BJC GROUP ARE INCLUDED IN THE AUDITED FINANCIAL STATEMENTS FOR BJC HEALTH SYSTEM (DBA BJC HEALTHCARE). BOONE HOSPITAL CENTER (A DIVISION OF CH ALLIED SERVICES, INC., A SUBORDINATE GROUP MEMBER) ALSO OBTAINED SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS FOR THE TAX YEAR AS REQUIRED BY THE MANAGEMENT AGREEMENT BETWEEN CH ALLIED SERVICES, INC. (CHAS) AND THE BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 2	CERTAIN OFFICERS, DIRECTORS OR KEY EMPLOYEES OF BJC HEALTH SYSTEM (BJC) MAY ALSO SERVE ON THE BOARDS OF OTHER RELATED OR UNRELATED ORGANIZATIONS. ADDITIONALLY, CERTAIN FAMILY MEMBERS OF OFFICERS, DIRECTORS OR KEY EMPLOYEES MAY, DURING THE NORMAL COURSE OF BUSINESS YET CONSISTENT WITH THE STATED EXEMPT PURPOSE OF BJC, ENGAGE IN TRANSACTIONS IN WHICH POTENTIAL CONFLICTS OF INTEREST COULD EXIST. THESE OFFICERS, DIRECTORS, KEY EMPLOYEES AND RELATED PERSONS DISCLOSE THESE POTENTIAL CONFLICTS TO BJC HEALTH SYSTEM ANNUALLY AND DO NOT PARTICIPATE IN DECISIONS IN WHICH THEY HAVE SUCH CONFLICTS. SUCH CONFLICTS AND RELATIONSHIPS ARE REVIEWED TO ENSURE THAT ANY PAYMENTS RECEIVED OR AMOUNTS PAID DO NOT EXCEED THE FAIR MARKET VALUE OF THE GOODS AND SERVICES RECEIVED BY THE REPORTING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6	BJC HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF BARNES-JEWISH HOSPITAL, ST. LOUIS CHILDREN'S HOSPITAL, CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION AND MISSOURI BAPTIST MEDICAL CENTER. THESE AFFILIATES ALSO SERVE AS THE SOLE MEMBER OF ONE OR MORE SUBORDINATE ORGANIZATIONS INCLUDED IN THE BJC HEALTH SYSTEM GROUP RETURN.
FORM 990, PART VI, SECTION A, LINE 7A	THE GOVERNANCE AND NOMINATING COMMITTEE(S) OF BJC HEALTH SYSTEM, THE SOLE CORPORATE MEMBER OF THE SUBORDINATE ORGANIZATIONS, HAVE THE POWER TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODIES OF SUBORDINATE ORGANIZATIONS INCLUDED IN THE BJC HEALTH SYSTEM GROUP RETURN.
FORM 990, PART VI, SECTION A, LINE 7B	CHANGES TO BYLAWS OR GOVERNING DOCUMENTS OF SUBORDINATE ORGANIZATIONS ARE SUBJECT TO THE APPROVAL OF BJC HEALTH SYSTEM, THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 AND ALL SUPPORTING SCHEDULES AND WORKPAPERS ARE PREPARED BY ORGANIZATION FINANCE, TAX AND LEGAL DEPARTMENTS AND ARE SUBMITTED FOR REVIEW BY AN INDEPENDENT ACCOUNTING FIRM. THE ORGANIZATION THEN PREPARES DRAFT COPIES OF FORM 990 AND ATTACHMENTS FOR REVIEW BY MEMBERS OF MANAGEMENT. AFTER RESOLVING ANY OPEN ITEMS, THE FINAL DRAFT RETURNS ARE MADE AVAILABLE TO THE BOARD AND TO TWO BOARD COMMITTEES FOR THEIR REVIEW. QUESTIONS AND COMMENTS THAT ARISE FROM THE COMMITTEES OR INDIVIDUAL BOARD MEMBER REVIEWS ARE ADDRESSED IN ADVANCE OF SUBMISSION TO THE APPROPRIATE TAXING AUTHORITIES.
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, ITS GENERAL COUNSEL WOULD INVESTIGATE THE ISSUE AND RESPOND IN ACCORDANCE WITH THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION AND BENEFIT AMOUNTS OF THE ORGANIZATION'S OFFICERS AND TOP MANAGEMENT OFFICIALS ARE DETERMINED BY AN INDEPENDENT COMMITTEE OF THE BOARD OF DIRECTORS OF BJC HEALTH SYSTEM. THIS COMMITTEE IS COMPRISED OF INDEPENDENT PERSONS AND USES COMPENSATION CONSULTING STUDIES AND BENCHMARKING DATA PROVIDED BY AN INDEPENDENT MANAGEMENT CONSULTANT TO ESTABLISH COMPENSATION AMOUNTS AND GUIDELINES. THE PROCESS INCLUDES A VALIDATION OF JOB DESCRIPTIONS AS WELL AS REPORTING ALL FORMS OF COMPENSATION. THE CONSULTANT USES SURVEY DATA TO DETERMINE MARKET RATES OF BASE SALARY AND OTHER SHORT AND LONG TERM INCENTIVES FOR: THE BJC HEALTH SYSTEM CEO AND OTHER SENIOR EXECUTIVES. THE COMMITTEE REVIEWS, APPROVES, AND SUBSEQUENTLY RECONCILES EXECUTIVE COMPENSATION AS WELL AS DELIBERATES ON THE REASONABLENESS OF THE DATA. THIS REVIEW IS DOCUMENTED IN THE MINUTES OF THE BOARD COMMITTEE MEETINGS.
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 VII, SECTION A, LINE 1A:	THE ORGANIZATION USED THE FOLLOWING ACRONYMS THROUGHOUT FORM 990 PART VII. LISTED BELOW ARE THE DEFINITIONS OF EACH: AMH - ALTON MEMORIAL HOSPITAL BHHC - BOONE HOSPITAL VISITING NURSES INC (DBA BOONE HOSPITAL HOME CARE) BJC - BJC HEALTH SYSTEM (DBA BJC HEALTHCARE) BJCBH - BJC BEHAVIORAL HEALTH BJCCHS - BJC CORPORATE HEALTH SERVICES BJCHOME - BJC HOME CARE SERVICES BJH - BARNES-JEWISH HOSPITAL BJSPH - BARNES-JEWISH ST. PETERS HOSPITAL BJWCH - BARNES-JEWISH WEST COUNTY HOSPITAL CH - CHRISTIAN HOSPITAL NORTHEAST/NORTHWEST CHC - COMMUNITY HEALTH CONNECTION CHAS - CH ALLIED SERVICES CHIL - CHRISTIAN HOSPITAL-ILLINOIS SERVICES CHSDC - CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION CHN - CHILDRENS HEALTH NETWORK MBHS - MISSOURI BAPTIST HOSPITAL - SULLIVAN MBMC - MISSOURI BAPTIST MEDICAL CENTER MESI - METRO-EAST SERVICES INC. MMG - MEMORIAL MEDICAL GROUP INC. MRHS - MEMORIAL REGIONAL HEALTH SERVICES INC. PEHC - PROGRESS EAST HEALTHCARE CENTER PGLC - PHYSICIAN GROUPS, LC (DBA BJC MEDICAL GROUP) PHC - PARKLAND HEALTH CENTER PHCWR - PARKLAND HEALTH CENTER - WEBER ROAD PMMCI - PRTESTANT MEMORIAL MEDICAL CENTER, INC. PWHC - PROGRESS WEST HEALTHCARE CENTER SLCH - ST LOUIS CHILDREN'S HOSPITAL SOME OF THE INDIVIDUALS LISTED AS DIRECTORS OR OFFICERS OF THE ABOVE CORPORATIONS SERVE AS FULL TIME EMPLOYEES OF RELATED ORGANIZATIONS. EACH RECEIVE COMPENSATION FOR AN AVERAGE OF 40 HOURS PER WEEK WITHOUT REGARD TO THEIR POSITION AS DIRECTOR OR OFFICER FOR THE RELATED ORGANIZATION
FORM 990, PART IX, LINE 11G	PURCHASED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 97,345,625. MANAGEMENT AND GENERAL EXPENSES 5,992,777. TOTAL EXPENSES 103,338,402. TEMP AGENCY PURCHASE SERVICE: PROGRAM SERVICE EXPENSES 53,459,785. MANAGEMENT AND GENERAL EXPENSES 81,975. TOTAL EXPENSES 53,541,760. ORGAN ACQUISITION-EXT SVC: PROGRAM SERVICE EXPENSES 21,741,161. TOTAL EXPENSES 21,741,161. OUTSIDE TESTS & EXAMS: PROGRAM SERVICE EXPENSES 18,346,222. MANAGEMENT AND GENERAL EXPENSES 16,669. TOTAL EXPENSES 18,362,891. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 284,973,633. MANAGEMENT AND GENERAL EXPENSES 15,070,851. TOTAL EXPENSES 300,044,484.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS FROM AFFILIATES -28,609,090. NET ASSETS RELEASED FROM RESTRICTIONS 3,967,269.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ALTON MEMORIAL PHYSICIAN BILLING SERVICES LLC
ONE MEMORIAL DR	ALTON	IL	62002	611628092	ADMIN & BILLING SERV	IL	$1,748,826	$2,766,488	ALTON MEMORIAL HOSPITAL
BJSPH PHYSICAN BILLING SERVICE LLC
10 HOSPITAL DR	ST PETERS	MO	63367	454482673	ADMIN & BILLING SERV	MO	$2,759,175	$691,802	BARNES JEWISH ST PETERS HOSPITAL
BOONE PHYSICIAN SERVICES LLC
1600 EAST BROADWAY	COLUMBIA	MO	65201	460552280	PHYSICIAN SERVICES	MO	$4,025,858	$212,755	CH ALLIED SERVICES INC
CHAS PHYSICIAN SERVICES LLC
1600 E BROADWAY	COLUMBIA	MO	65201	320275207	PHYSICIAN SERVICES	MO	$14,575,544	$4,323,106	CH ALLIED SERVICES INC
CHRISTIAN HOSPITAL PHYSICIAN BILLING SERVICES LLC
11155 DUNN ROAD	ST LOUIS	MO	63136	943448764	BILLING SERVICES	MO	$0	$547,707	CHRISTIAN HOSPITAL NE-NW
HEALTHCARE REAL ESTATE MANAGEMENT LLC
4901 FOREST PARK AVE	STLOUIS	MO	63108	460782034	REAL ESTATE HOLDINGS	MO	$3,840,185	$33,732,503	CH ALLIED SERVICES INC
MB PROFESSIONAL BILLING SERVICES LLC
3015 N BALLAS ROAD	ST LOUIS	MO	63131	113794837	BILLING SERVICES	MO	$0	$0	MISSOURI BAPTIST MEDICAL CENTER
MISSOURI BAPTIST PHYSICIAN SVCS LLC
3015 N BALLAS ROAD	ST LOUIS	MO	63131	342028972	PHYSICIAN SERVICES	MO	$3,458,934	$17,286,090	MISSOURI BAPTIST MEDICAL CENTER
MEMORIAL MEDICAL GROUP LLC
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	272019352	HEALTH SERVICES	IL	$0	$0	MEMORIAL REGIONAL HEALTH SVCS INC
PC ASSOCIATES LLC
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	371595406	HEALTH SERVICES	IL	$0	$0	MEMORIAL MEDICAL GROUP LLC
CA GROUP LLC
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	383810259	HEALTH SERVICES	IL	$0	$0	MEMORIAL MEDICAL GROUP LLC
OA ASSOCIATES LLC
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	272025002	HEALTH SERVICES	IL	$0	$0	MEMORIAL MEDICAL GROUP LLC
MSA ALLIANCE LLC
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	272019538	HEALTH SERVICES	IL	$0	$0	MEMORIAL MEDICAL GROUP LLC
OB PRACTICE LLC
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	272795665	HEALTH SERVICES	IL	$0	$0	MEMORIAL MEDICAL GROUP LLC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ALTON MEMORIAL HEALTH SERVICES FOUNDATION
1109 N OXFORDSHIRE LANE	EDWARDSVILLE	IL	62025	371177053	SUPPORT TO AMH	IL	501(C)(3)	LINE 12C, III-FI	ALTON MEMORIAL HOSPITAL	Yes (1)
ALTON MEMORIAL HOSPITAL CHARITABLE TRUST
PO BOX 0634	MILWAUKEE	WI	53201	376039185	SUPPORT TO AMH	IL	501(C)(3)	LINE 12D, III-O	ALTON MEMORIAL HOSPITAL	Yes (1)
BARNES JEWISH HOSP AUXILIARY PARKVIEW CHAPTER
ONE BARNES-JEWISH HOSPITAL PLZ	ST LOUIS	MO	63110	237000410	SUPPORT TO BJH	MO	501(C)(3)	LINE 12C, III-FI	BARNES-JEWISH HOSPITAL	Yes (1)
BARNES JEWISH ST PETERS & PROGRESS WEST FOUNDATION
10 HOSPITAL DRIVE	ST PETERS	MO	63376	454471497	SUPPORT TO BJSPH & PWHC	MO	501(C)(3)	LINE 7	BJSP HOSPITAL & PROGRESS WEST	Yes (1)
BARNES-JEWISH ST PETERS HOSPITAL AUXILIARY
10 HOSPITAL DRIVE	ST PETERS	MO	63376	431232811	SUPPORT TO BJSP HOSPITAL	MO	501(C)(3)	LINE 3	BARNES-JEWISH STPETERS HOSPITAL	Yes (1)
CHRISTIAN HOSPITAL FOUNDATION
11155 DUNN ROAD SUITE 300 N	ST LOUIS	MO	63136	431947644	SUPPORT TO CHNE	MO	501(C)(3)	LINE 7	CHRISTIAN HOSPITAL NENW	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)	LINE 3	BJC HEALTH CARE	Yes (1)
FOUNDATION FOR BARNES-JEWISH HOSPITAL
1001 HIGHLANDS PLAZA DR WEST SUITE	ST LOUIS	MO	63110	431648435	SUPPORT TO BJH	MO	501(C)(3)	LINE 7	BARNES-JEWISH HOSPITAL	Yes (1)
MEMORIAL FOUNDATION INC
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	371186034	SUPPORT TO PMMCI	IL	501(C)(3)	LINE 7	MEMORIAL REGIONAL HEALTH SVCS INC	Yes (1)
MEMORIAL GROUP INC
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	371186035	SUPPORT TO MFI & MRHSI	IL	501(C)(3)	LINE 12C, III-FI		0	N/A
MEMORIAL REGIONAL HEALTH SVCS SELF-INS TRUST
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	371064809	PROVIDE MED MAL INSURANCE	IL	501(C)(3)	LINE 12C, III-FI	MEMORIAL REGIONAL HEALTH SVCS INC	Yes (1)
MISSOURI BAPTIST HEALTHCARE FOUNDATION
3015 N BALLAS ROAD	ST LOUIS	MO	63131	431472026	SUPPORT TO MBMC	MO	501(C)(3)	LINE 7	MISSOURI BAPTIST MEDICAL CENTER	Yes (1)
MISSOURI BAPTIST HOSPITAL OF SULLIVAN AUXILIARY INC
751 SAPPINGTON BRIDGE RD	SULLIVAN	MO	63080	431349641	SUPPORT TO MBHS	MO	501(C)(3)	LINE 3	MISSOURI BAPTIST HOSP OF SULLIVAN	Yes (1)
PARKLAND HEALTH CENTER FOUNDATION
1101 WEST LIBERTY ST	FARMINGTON	MO	63640	900424964	SUPPORT TO PHC	MO	501(C)(3)	LINE 12A, I	PARKLAND HEALTH CENTER	Yes (1)
SOUTHWEST ILLINOIS HEALTH VENTURES INC
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	371413286	SUPPORT TO PMMCI	IL	501(C)(3)	LINE 12A, I	MEMORIAL REGIONAL HEALTH SVCS INC	Yes (1)
ST LOUIS CHILDREN'S HOSPITAL FOUNDATION
ONE CHILDRENS PLACE	ST LOUIS	MO	63110	431626863	SUPPORT TO SLCH	MO	501(C)(3)	LINE 7	ST LOUIS CHILDREN'S HOSPITAL	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
THE HEART CARE INSTITUTE LLC
1020 NORTH MASON ROAD	ST LOUIS	MO	63141	431870517	MEDICAL SERVICES	MO	BARNES-JEWISH HOSPITAL	RELATED	$704,857	$734,160	0	Yes (1)	0.25000
THE HEART CARE INSTITUTE LLC
1020 NORTH MASON ROAD	ST LOUIS	MO	63141	431870517	MEDICAL SERVICES	MO	BARNES-JEWISH WEST COUNTY HOSPITAL	RELATED	$704,857	$734,160	0	Yes (1)	0.25000
GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC
ONE BARNES-JEWISH HOSP PLZ	ST LOUIS	MO	63110	431846941	OUTPATIENT CARE SERVICES	MO	BARNES-JEWISH HOSPITAL	RELATED	$2,511,497	$1,360,751	0	Yes (1)	0.50000
BJCHEALTHSOUTH REHABILITATION CENTER LLC
3660 GRANDVIEW PKWY	BIRMINGHAM	AL	35243	631254288	MEDICAL SERVICES	AL	BARNES-JEWISH HOSPITAL	RELATED	-$170,845	$12,106,726	0	Yes (1)	0.50000
CHILDREN'S DISCOVERY INSTITUTE LLC
4901 FOREST PARK AVE	ST LOUIS	MO	63108		SEARCH FOR CURES OF PEDIATRIC DISEASES	MO								N/A
Y-SIHVI LLC
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	371385862	PHYSICAL THERAPY & FITNESS	IL	MEMORIAL REGIONAL HEALTH SERVICES INC	RELATED	$14,363	$3,242,236	0	Yes (1)	0.50000
SOUTHWEST ILLINOIS HEALTH SERVICES LLP
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	371312961	MEDICAL SERVICES	IL	SOUTHWEST ILLINOIS HEALTH VENTURES INC	RELATED	$593,715	$1,333,468	0	0	0.50000
SOUTHWEST ILLINOIS HEALTH SERVICES REAL ESTATE LLP
4500 MEMORIAL DRIVE	BELLEVILLE	IL	62226	823633320	COMMERCIAL REAL ESTATE	IL	SOUTHWEST ILLINOIS HEALTH VENTURES INC	RELATED	$354,832	$1,082,848	0	0	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
ATG ASSURANCE COMPANY LTD
PO BOX 1109	GEORGETOWN	GR CAYMAN	CJ	KY1-1002	980599167	INSURANCE	CJ	N/A	C	0
MEMORIAL CAPTIVE INSURANCE COMPANY
94 SOLARIS 2ND FLOOR	CAMANA BAY	GR CAYMAN	CJ	KY1-1102	981082415	INSURANCE	CJ		C	0	MEMORIAL REGIONAL HEALTH SVCS INC	$8,875,708	$39,667,421	1.00000
PF SERVICES INC
					431237767	MANAGEMENT SERVICES			C	0	CHRISTIAN HEALTH SERVICES DEV CORP		$76,441	1.00000	11155 DUNN ROAD	ST LOUIS	MO	63136	MO
MB MEDICAL SERVICES INC
					431437404	HEALTHCARE SERVICES			C	0	MISSOURI BAPTIST MEDICAL CENTER		$482	1.00000	3015 N BALLAS ROAD	ST LOUIS	MO	63131	MO
DMP MIDWEST INC
					271943910	INACTIVE		N/A	C	0					ONE METROPOLITAN SQ 2600	ST LOUIS	MO	63102	MO
WLA INVESTMENT LTD
PO BOX 178	OKOTOKS	ALBERTA	CA	T1S A15		INVESTMENT HOLDINGS	CA	N/A	C	0
CAPSTONE GATEWAY FUND (B) LTD
27 HOSPITAL ROAD	GEORGETOWN	GR CAYMAN	CJ	KY1-9008		INVESTMENT HOLDINGS	CJ	N/A	C	0
BLACKSTONEGSO GLOB DYN CR FEED FD
190 ELGIN AVE	GEORGETOWN	GR CAYMAN	CJ	KY1-9005	981121163	INVESTMENT HOLDINGS	CJ	N/A	C	0
THEOREM PRIME YIELD FUND OFFSHORE LP
27 HOSPITAL ROAD	GEORGETOWN	GR CAYMAN	CJ	KY1-9008		INVESTMENT HOLDINGS	CJ	N/A	C	0
III EQUITY INDEX ALTERNATIVE FUND
						INVESTMENT HOLDINGS	CJ	N/A	C	0					777 YAMATO ROAD SUITE 300	BOCA RATON	FL	33431

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	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	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
ST LOUIS CHILDREN'S HOSPITAL FOUNDATION
C	$11,788,516
THE FOUNDATION FOR BARNES JEWISH HOSPITAL
C	$7,446,282
ST LOUIS CHILDREN'S HOSPITAL FOUNDATION
O	$4,203,616
THE FOUNDATION FOR BARNES JEWISH HOSPITAL
O	$2,516,786
MISSOURI BAPTIST HEALTHCARE FOUNDATION
C	$1,849,414
ALTON MEMORIAL HEALTH SERVICES FOUNDATION
B	$916,110
ALTON MEMORIAL HEALTH SERVICES FOUNDATION
C	$589,166
MEMORIAL FOUNDATION INC
C	$582,837
MISSOURI BAPTIST HEALTHCARE FOUNDATION
O	$403,476
MEMORIAL FOUNDATION INC
O	$223,934
PARKLAND HEALTH CARE FOUNDATIONS
C	$172,000
CHRISTIAN HOSPITAL FOUNDATION
O	$142,563
CHRISTIAN HOSPITAL FOUNDATION
C	$129,072
BARNES-JEWISH ST PETERS & PROGRESS WEST FOUNDATION
O	$118,769
PARKLAND HEALTH CARE FOUNDATIONS
O	$56,289