2018-11-14T15:15:01-06:00 2017-12-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2017-01-01 753052953 BJC HEALTH SYSTEM GROUP RETURN BJCH 3142862057 4901 FOREST PARK AVE NO 1200 ST LOUIS MO 63108 DAVID APLINGTON SR VP & GENERAL COUNSEL 3142862002 2018-11-14 0 JESSICA A WAGENER P01622613 3128792000 159.251.7.51 2018-11-14 15:14:16 CS P 41114BE78F9267D8857AD0643F4D09414A798F58 8A6FCD5E09A82FA1F8D7B87A26944CBD627221A5 2017 2019-02-21 02:37:17Z DAVID APLINGTON 4901 FOREST PARK AVE ST LOUIS MO 63108 4820901002 1 1 3844 X WWW.BJC.ORG X HEALTHCARE SERVICES AND HEALTH EDUCATION TO COMMUNITIES WE SERVE. 266 180 34934 3839 10084261 0 18981804 23173927 4466457859 4686884192 9585693 9177189 163318618 91522461 4658343974 4810757769 53782796 121155490 0 0 1839244664 1881572923 0 0 0 2557579935 2748214847 4450607395 4750943260 207736579 59814509 3672706660 3852789749 634862879 649126806 3037843781 3203662943 X 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. 0 0 2190055353 5485941 3834986996 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. 1107997573 754408794 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 $146.4 MILLION IN FINANCIAL ASSISTANCE DURING 2017 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 $207.2 MILLION DURING 2017 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 $353.6 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 $74.6 MILLION DURING 2017 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. 282784493 115669549 86809383 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 2017, BJC CONTRIBUTED $196.0 MILLION TOWARDS PROGRAMS THAT PROVIDE TRAINING AND EDUCATION TO 17,740 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. 146275582 0 10679019 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 2017, BJC CONTRIBUTED MORE THAN $119.2 MILLION TO COMMUNITY GROUPS FOR COMMUNITY BENEFIT PURPOSES AND EXPENDED $16.4 MILLION TO CONDUCT PROGRAMS TO BENEFIT THE COMMUNITIES SERVED BY BJC HOSPITALS & HEALTH SERVICES ORGANIZATIONS. 146275582 0 10679019 3727113001 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 1 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 1 3538 0 1 34934 1 1 1 0 0 0 0 1 1 0 0 0 0 X 266 180 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X LORI SCHREINER 3142862057 4901 FOREST PARK AVE ST 1200 ST LOUIS MO 63108 X AMH-BALSTERS KEN DIRECTOR 1.00 X 0 0 0 AMH-ERKER MELISSA DIRECTOR 1.00 X 0 0 0 AMH-FETTER LEE DIRECTOR 40.00 X 1672853 0 203641 AMH-GOINS SHEILA E DIRECTOR 1.00 X 0 0 0 AMH-HARTRICH BRUCE A DIRECTOR 1.00 X 0 0 0 AMH-HOELSCHER DR JOHN DIRECTOR 1.00 40.00 X 44688 583597 130164 AMH-JULIAN GAYE F DIRECTOR 1.00 X 0 0 0 AMH-LAUSCHKE SANDRA DIRECTOR 1.00 X 0 0 0 AMH-LOY KENNETH DIRECTOR 1.00 X 0 0 0 AMH-RIEDEL DAVID MD DIRECTOR 1.00 40.00 X 30750 247742 71501 AMH-RYRIE EDWARD DIRECTOR 1.00 X 0 0 0 AMH-WUELLNER JOHN MD DIRECTOR 1.00 40.00 X 0 455633 98221 BHHC JAMES DAVID TREY MD DIRECTOR 1.00 X 0 0 0 BHHC SINEK JIM DIRECTOR 1.00 X 0 0 0 BJC-BECKETT JANET DIRECTOR 1.00 X 0 0 0 BJC-DONALD ARNOLD DIRECTOR 1.00 X 0 0 0 BJC-FLAVIN LISA DIRECTOR 1.00 X 0 0 0 BJC-GANIM RANDY DIRECTOR 1.00 X 0 0 0 BJC-HARBISON KEITH DIRECTOR 1.00 X 0 0 0 BJC-HOLMES MICHAEL DIRECTOR 1.00 X 0 0 0 BJC-KLEIN WARD DIRECTOR 1.00 X 0 0 0 BJC-PERLMUTTER DAVID DIRECTOR 1.00 X 0 0 0 BJC-SULLIVAN DIANE DIRECTOR 1.00 X 0 0 0 BJC-WEDDLE JAMES DIRECTOR 1.00 X 0 0 0 BJC-WRIGHTON MARK MD DIRECTOR EX-OFFICIO 1.00 X 0 0 0 BJCHOME-GEE WILLIAM MD DIRECTOR 1.00 X 0 0 0 BJCHOME-HOLLORAN TERRI DIRECTOR 1.00 X 0 0 0 BJCHOME-LOLLO TRISHA DIRECTOR 1.00 X 0 0 0 BJCHOME-POGUE DOUGLAS MD DIRECTOR 1.00 X 0 0 0 BJCHOME-SCHREINER LORI DIRECTOR 40.00 X 274598 0 182169 BJCHOME-VAN TREASESANDRA DIRECTOR 1.00 X 0 0 0 BJCHOME-VLODARCHYKCOREEN DIRECTOR 40.00 X 480878 0 122700 BJH-BADER KATHRYN DIRECTOR 1.00 X 0 0 0 BJH-BAXTER WARNER DIRECTOR 1.00 X 0 0 0 BJH-CLARK MAXINE DIRECTOR 1.00 X 0 0 0 BJH-CRANE JAMES DIRECTOR EX-OFFICIO 1.00 X 0 0 0 BJH-EDISON PETER DIRECTOR 1.00 X 0 0 0 BJH-GOLDBERG SUSAN DIRECTOR 1.00 X 0 0 0 BJH-GRIFFIN JOANNE DIRECTOR 1.00 X 0 0 0 BJH-GROESCH SCOTT DIRECTOR 1.00 X 0 0 0 BJH-HENLEY GARY DDS DIRECTOR 1.00 X 0 0 0 BJH-HILLMAN TOM DIRECTOR 1.00 X 0 0 0 BJH-KAHN EUGENE DIRECTOR 1.00 X 0 0 0 BJH-KNIGHT CHARLES F DIRECTOR 1.00 X 0 0 0 BJH-LIEKWEG RICHARD DIRECTOR 1.00 X 0 0 0 BJH-LOVE KATHRYN ELLIOTT DIRECTOR 1.00 X 0 0 0 BJH-PATTERSON DEBORAH J DIRECTOR 1.00 X 0 0 0 BJH-PAZ GEORGE DIRECTOR 1.00 X 0 0 0 BJH-PERLMUTTER DAVID H MD DIRECTOR 1.00 X 0 0 0 BJH-SUELTHAUS KENNETH DIRECTOR 1.00 X 0 0 0 BJH-THORP HOLDEN PHD DIRECTOR 1.00 X 0 0 0 BJH-YAEGER DOUGLAS DIRECTOR 1.00 X 0 0 0 BJHSP-APLINGTON DAVID DIRECTOR 1.00 X 0 0 0 BJHSP-AST MARTIN MD DIRECTOR 1.00 X 474137 0 99615 BJSPH-FETTER LEE DIRECTOR 1.00 X 0 0 0 BJSPH-WEISS DAVID DIRECTOR 1.00 X 0 0 0 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DIRECTOR 1.00 X 0 0 0 MBMC-FIELDS HARVEY JR DIRECTOR 1.00 X 0 0 0 MBMC-FULLERTON RANDALL DIRECTOR 1.00 X 0 0 0 MBMC-KIM CHARLES G DIRECTOR 1.00 X 0 0 0 MBMC-LIEKWEG RICHARD DIRECTOR 1.00 X 0 0 0 MBMC-MARTIN R SCOTT MD DIRECTOR 40.00 X 567478 0 193813 MBMC-MATHEWS KORY G DIRECTOR 1.00 X 0 0 0 MBMC-MCDONNELL VERONICA DIRECTOR 1.00 X 0 0 0 MBMC-MCKEE CHRIS DIRECTOR 1.00 X 0 0 0 MBMC-MUNDEN DARRYL R DIRECTOR 1.00 X 0 0 0 MBMC-MURPHY MICHAEL C MD DIRECTOR 1.00 X 60000 0 0 MBMC-OBERLE JOYCE DIRECTOR 1.00 X 0 0 0 MBMC-PETERSON JAMES B DIRECTOR 1.00 X 0 0 0 MBMC-PRIVOTTW JOSEPH PHD DIRECTOR 1.00 X 0 0 0 MBMC-REEG KURTIS B DIRECTOR 1.00 X 0 0 0 MBMC-RHODES CATHERINE DIRECTOR 1.00 X 0 0 0 MBMC-STOKES DAVID M DIRECTOR 1.00 X 0 0 0 MBMC-WEINSTEIN DAVID L MD DIRECTOR 40.00 X 205801 0 88338 MESI-BARNETT KEVIN MD DIRECTOR 1.00 X 0 0 0 MESI-BAUMER KEVIN MD DIRECTOR 40.00 X 501500 0 20539 MESI-BLOMBERG LYNN DIRECTOR 1.00 X 0 0 0 MESI-COOK KEITH DIRECTOR 1.00 X 0 0 0 MESI-CUNDIFF GREG DIRECTOR 1.00 X 0 0 0 MESI-GASSER SUSAN DIRECTOR 1.00 X 0 0 0 MESI-HOLLOWAY THOMAS E DIRECTOR 1.00 X 0 0 0 MESI-JOHNSON KENNETH V DIRECTOR 1.00 X 0 0 0 MESI-MEHRTENS LESLIE DIRECTOR 1.00 X 0 0 0 MESI-MOOSA HANS MD DIRECTOR 40.00 X 948501 0 19306 MESI-MUNTON DOUG DIRECTOR 1.00 X 0 0 0 MESI-ROHR RAY DIRECTOR 1.00 X 0 0 0 MMG-CASPERSON WILLIAM MD DIRECTOR 1.00 X 351133 0 35802 MMG-KANDULA PRASAD V MD DIRECTOR 40.00 X 951251 0 18148 MMG-MOOSA HANS MD DIRECTOR 1.00 X 0 0 0 MRHS-COOK KEITH DIRECTOR 1.00 X 0 0 0 MRHS-GANIM RANDY DIRECTOR 1.00 X 0 0 0 MRHS-HANNA MYRON DIRECTOR 1.00 X 0 0 0 MRHS-HOERING EDWARD DIRECTOR 1.00 X 0 0 0 MRHS-LIEKWEG RICHARD DIRECTOR 1.00 X 0 0 0 MRHS-MUELLER CHARLES DIRECTOR 1.00 X 0 0 0 MRHS-PLUMMER BOB DIRECTOR 1.00 X 0 0 0 MRHS-ROSS DON DIRECTOR 1.00 X 0 0 0 MRHS-THOUVENOT ROLLIE DIRECTOR 1.00 X 0 0 0 PHC-BUNCH WILLIAM W DIRECTOR 1.00 X 0 0 0 PHC-COLSON JILL DIRECTOR 1.00 X 0 0 0 PHC-CONKLIN RICHARD DIRECTOR 1.00 X 0 0 0 PHC-DUMONTIER EDWARD MD DIRECTOR 1.00 X 6000 0 0 PHC-GRIX 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DIRECTOR 1.00 X 0 0 0 PMMCI-BOYER GERI DIRECTOR 1.00 X 0 0 0 PMMCI-DOTHAGER DOUG MD DIRECTOR 1.00 X 522730 0 25666 PMMCI-KLOSTERMAN MATT DIRECTOR 1.00 X 0 0 0 PMMCI-LEOPOLD CLAIRE DIRECTOR 1.00 X 0 0 0 PMMCI-MUELLER ROBERT C DIRECTOR 1.00 X 0 0 0 PMMCI-PARDO BEATRIZ MD DIRECTOR 1.00 X 0 0 0 PMMCI-ROBERTS OTTO DIRECTOR 1.00 X 0 0 0 PMMCI- ROSE EDWARD MD DIRECTOR 1.00 X 0 0 0 PMMCI-SAVAGE CHAIRMAINE DIRECTOR 1.00 X 0 0 0 PMMCI-THOUVENOT ROLAND DIRECTOR 1.00 X 0 0 0 PWHC-APLINGTON DAVID DIRECTOR 1.00 X 0 0 0 PWHC-MISSLER MICHAEL DO DIRECTOR 1.00 X 481088 0 73666 PWHC-WEISS DAVID DIRECTOR 40.00 X 539783 0 230051 SLCH-DESILVA MICHELLE C DIRECTOR 1.00 X 0 0 0 SLCH-DIEMER NANCY DIRECTOR 1.00 X 0 0 0 SLCH-HAGEDORN CHRIS DIRECTOR 1.00 X 0 0 0 SLCH-HARTTRACY E DIRECTOR 1.00 X 0 0 0 SLCH-KENNEDY MICHAEL B DIRECTOR 1.00 X 0 0 0 SLCH-LINDSEY STEVE DIRECTOR 1.00 X 0 0 0 SLCH-LIPSTEIN STEVEN DIRECTOR EX OFFICIO 1.00 X 0 0 0 SLCH-MAHER KEVIN DIRECTOR 1.00 X 0 0 0 SLCH-MCDONNELLJAMES III DIRECTOR 1.00 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& EXEC DIR 40.00 X X 209764 0 134493 BJC BH-ROTHERY DAN PRESIDENT & CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 BJC BH-TERRACE SARAH SECRETARY, DIRECTOR 40.00 X X 420916 0 107435 BJC CHS-ROTHERY DAN PRESIDENT, DIRECTOR 1.00 X X 0 0 0 BJC CHS-TERRACE SARAH VICE PRESIDENT, DIRECTOR 1.00 X X 0 0 0 BJC CHS-VENDITTI PATRICK VICE PRESIDENT & SECRETARY, DIRECTOR 40.00 X X 168413 0 74668 BJC-EASON CLIFFORD J VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 BJC-LIEKWEG RICHARD PRESIDENT, DIRECTOR 40.00 X X 1773135 0 200414 BJC-LIPSTEIN STEVEN CEO, DIRECTOR 40.00 X X 2537985 0 138740 BJC-PLUMMER ROBERT VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 BJC-SCHNUCK CRAIG VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 BJC-WESTBROOK KELVIN CHARIMAN, DIRECTOR 1.00 X X 0 0 0 BJCHOME-KARL TOM SECRETARY, TREASURER, DIRECTOR 1.00 X X 0 0 0 BJCHOME-ROTHERY DAN PRESIDENT, DIRECTOR 40.00 X X 534225 0 134590 BJH-CANNON ROBERT W PRESIDENT, DIRECTOR 40.00 X X 1122309 0 219411 BJH-SCHNUCK CRAIG CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 BJH-WEDDLE JAMES VICE 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THE ORGANIZATION'S PUBLIC CHARITY STATUS IS SECTION 509(A)(3)TYPE III FI. DURING 2017: 12F- NUMBER OF SUPPORTED ORGANIZATIONS AT DECEMBER 31, 2017 = 2 12G - INFORMATION REGARDING SUPPORTED ORGANIZATIONS: CHRISTIAN HOSPITAL NE-NW (CHNE) EIN 43-6057893 - BOX 3 $44,106,394 CH ALLIED SERVICES, INC. (CHAS) EIN 43-1279063 - BOX 3 $16,985,295 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 2017 99.74% PUBLIC SUPPORT PERCENTAGE FOR 2016 99.75% INVESTMENT INCOME PERCENTAGE FOR 2017 0.10% INVESTMENT INCOME PERCENTAGE FOR 2016 0.07% _ SCHEDULE A, PART IV - SECTION A 1. YES, DURING 2017, 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. 1 1 0 0 0 1 590985 1 96555 0 0 687540 0 PART II-B, LINE 1: 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. 95278728 95278728 1461777720 942258210 519519510 332235192 207182170 125053022 3087545153 2332429041 755116112 1375407762 102893922 1272513840 2767481212 OTHER LONG TERM LIABILITIES 7228510 DUE TO THIRD PARTY PAYORS 29174989 OTHER CURRENT LIABILITIES 41660075 SELF-FUNDED INSURANCE LIABLITIES 6322754 ACCRUED ENVIRONMENTAL LIABILITIES 9182000 LONG TERM PENSION LIABILITIES 1733799 95302127 X 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 2017, 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. 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. 7851109 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 34191679 2 0 0 0 2 0 42042788 0 42042788 1 0 1 0 0 0 LITTLE MERMAID AT THE MUNY 57720 29801 27919 0 0 12486 2477 957 2400 BIG BEAR BRUNCH 53015 22250 30765 2000 9084 3849 2657 12 283621 142130 141491 2220 370 19205 17766 550 9928 394356 194181 200175 2220 370 33691 29327 5356 14985 85949 114226 1 1 X 1 X 1 X 1 1 1 0 1 1 178201 237696414 91275647 146420767 0.03070 401995 870301159 663133147 207168012 0.04340 580196 1107997573 754408794 353588779 0.07410 280 687226 26052867 9634920 16417947 0.00340 50 17740 270123053 74147943 195975110 0.04100 72 1741860 983541043 840796115 142744928 0.02990 3 0 12661440 12661440 0.00000 59 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BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 PARKLAND HEALTH CENTER-BONNE TERRE 15 0 0 1 X X X X X X X X X 16 1 1 0 1 X PARKLANDHEALTHCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X 1 16 1 PARKLANDHEALTHCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 100.000000000000 300.000000000000 X X X X 1 1 X X X X 1 X BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 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 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 PROTESTANT MEMORIAL MEDICAL CENTER INC PART V, SECTION B, LINE 5: SINCE 1991, THE COLLABORATIVE PARTNERSHIP KNOWN AS THE ST. CLAIR COUNTY HEALTHCARE COMMISSION (COMMISSION) HAS CONDUCTED NUMEROUS COMMUNITY HEALTH ASSESSMENTS, PLANNING PROJECTS AND ANNUAL FORUMS. PROTESTANT MEMORIAL MEDICAL CENTER, INC. (HOSPITAL) HAS BEEN AND CONTINUES TO BE AN ACTIVE MEMBER OF THE COMMISSION IN WORKING TO EXPAND SERVICES TO MEET THE IDENTIFIED NEEDS OF THE COMMUNITY. THE HOSPITAL COMMUNITY IS A MIXED PERCENTAGE OF WHITES, AFRICAN AMERICAN, NATIVE AMERICAN, HISPANIC OR LATINO AND ASIAN. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 52% FEMALE AND 48% MALE. THE PERCENTAGE OF PERSONS LIVING IN POVERTY IN ST. CLAIR COUNTY HAS STEADILY INCREASED IN RECENT YEARS. VARIOUS FOCUS TEAMS CONDUCTED A COMPREHENSIVE ASSESSMENT OF THE ENTIRE POPULATION THROUGH THE USE OF COMMUNITY SURVEYS, A REVIEW OF POPULATION TRENDS, HEALTH OUTCOMES AND BEHAVIORS OVER THE LAST FIVE YEARS. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN HEART ASSOCIATION AMERICAN LUNG ASSOCIATION AGE SMART ASTHMA COALITION FOR THE GREATER ST. LOUIS METRO EAST AREA EAST SIDE HEALTH DISTRICT MARCH OF DIMES MCKENDREE UNIVERSITY PIONEERING HEALTHIER COMMUNITIES PROGRAMS AND SERVICES PERSONS REGIONAL OFFICE OF EDUCATION SCOTT AIR FORCE BASE HEALTH AND WELLNESS CENTER ST. CLAIR COUNTY HEALTH DEPARTMENT ST. CLAIR COUNTY MEDICAL SOCIETY ST. CLAIR COUNTY MENTAL HEALTH BOARD ST. CLAIR COUNTY OFFICE ON AGING ST. CLAIR COUNTY YOUTH COALITION ST. ELIZABETH'S HOSPITAL SOUTHWESTERN ILLINOIS COALITION AGAINST TOBACCO SOUTHERN IL HEALTHCARE FOUNDATION SOUTHERN ILLINOIS UNIVERSITY, SCHOOL OF NURSING SOUTHWEST ILLINOIS HIV/AIDS COALITION TOUCHETTE REGIONAL HOSPITAL WILLARD C. SCRIVNER, MD PUBLIC HEALTH FOUNDATION YMCA OF SOUTHWEST ILLINOIS 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 CI41. 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 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 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 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 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-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 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: ST. ELIZABETH'S HOSPITAL ST LOUIS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A: SSM HEALTH CARDINAL GLENNON CHILDREN'S MEDICAL CENTER BARNES-JEWISH WEST COUNTY HOSPITAL PART V, SECTION B, LINE 6A: MISSOURI BAPTIST MEDICAL CENTER 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 PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 6A: PARKLAND HEALTH CENTER - BONNE TERRE PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 6A: BARNES-JEWISH ST. PETERS HOSPITAL PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 6A: PARKLAND HEALTH CENTER - FARMINGTON PROTESTANT MEMORIAL MEDICAL CENTER INC PART V, SECTION B, LINE 2: EFFECTIVE JANUARY 1, 2016 BJC HEALTH SYSTEM (BJC) ADDED PROTESTANT MEMORIAL MEDICAL CENTER, INC. (HOSPITAL) TO THE BJC GROUP EXEMPTION (NUMBER 3844) AS A SUBORDINATE MEMBER OF THE GROUP. METRO-EAST SERVICES, INC. PART V, SECTION B, LINE 2: EFFECTIVE JANUARY 1, 2016, BJC HEALTH SYSTEM (BJC) ADDED METRO-EAST SERVICES, INC. (HOSPITAL) TO THE BJC GROUP RETURN EXEMPTION (NUMBER 3844) AS A SUBORDINATE MEMBER OF THE GROUP. PRIOR TO 2016, THIS SUBORDINATE WAS NOT OPERATED AS A CHARITABLE SEC 501(C)(3) HOSPITAL. BARNES-JEWISH HOSPITAL NORTH/SOUTH PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE BARNES-JEWISH HOSPITAL (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 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 MISSOURI BAPTIST MEDICAL CENTER 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 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: 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: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 PROTESTANT MEMORIAL MEDICAL CENTER INC PART V, SECTION B, LINE 11: THE HOSPITAL WORKS IN CONJUNCTION WITH THE ST. CLAIR COUNTY HEALTHCARE COMMISSION TO ADDRESS THE NEEDS IDENTIFIED IN THE COMMUNITY. TEAMS MEET REGULARLY TO MONITOR OBJECTIVES AND SUB-OBJECTIVES FOR OUTCOME AND IMPACT. 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 THE HOSPITAL WILL ADDRESS THESE COMMUNITY HEALTH NEEDS IN THE CURRENT TAX YEAR:LUNG CANCER AND COPDDIABETESCARDIOVASCULAR DISEASEALL IDENTIFIED NEEDS OF THE HOSPITAL ARE CURRENTLY BEING ADDRESSED. ST LOUIS CHILDREN'S HOSPITAL 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: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 BOONE HOSPITAL CENTER 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: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 ALTON MEMORIAL HOSPITAL 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: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: 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: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 PARKLAND HEALTH CENTER-FARMINGTON 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: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: 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: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 PROGRESS WEST HEALTHCARE CENTER 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: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: 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: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-BONNE TERRE 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: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. 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. 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. 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. ALTON MEMORIAL 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 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. 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. 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-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. 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. 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. 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. 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. 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. 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. 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. 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. 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-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. 155 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 PZA EAST RM325 ST LOUIS MO 63110 RADIOLOGY AND LAB SERVICES OFF SITE 11 - BJH OUTPATIENT LAB 620 S TAYLOR STE 100 ST LOUIS MO 63110 LAB & OUTPATIENT SERVICES 12 - FOREST PARK KIDNEY CENTER 4205 FOREST PARK AVE ST LOUIS MO 63108 BJH/WU OP KIDNEY SERVICES 13 - BJC REHABILITATION CENTER 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 100 130 ST LOUIS MO 63127 OP, RADIOLOGY, CANCER, INFUSION SVCS 26 - MBMC EMPLOYED PHYS GROUP PRACTICE 3844 LINDBERGH BLVD ST LOUIS MO 63127 PROFESSIONAL SERVICES 27 - MBMC EMPLOYED PHYS GROUP PRACTICE 7245 RAIDER ROAD BONNE TERRE MO 63628 PROFESSIONAL SERVICES 28 - MBMC CANCER & INFUSION CENTER 800 ST GENEVIEVE DRIVE ST GENEVIEVE MO 63670 PROFESSIONAL SERVICES, ONCOLOGY 29 - MBMC OP RAD MAMMO ULTSOUND BONE DENS 3844 S LINDBERGH BLVD RM140 ST LOUIS MO 63127 OP RAD, MAMMOGRAPHY, ULTRASOUND, BONE DENSITY 30 - MBMC OP RADIOLOGY CT & MRI 3844 S LINDBERGH BLVD RM100 ST LOUIS MO 63127 OP RADIOLOGY CT & MRI 31 - MBMC FAMILY CARE PHARMACY 3023 N BALLAS RD STE 100D ST LOUIS MO 63131 OUTPATIENT PHARMACY 32 - MBMC PHYS SERVICES LLC GROUP PRAC 3009 N BALLAS ROAD STE 359 C ST LOUIS MO 63131 PROFESSIONAL SERVICES 33 - MBMC PHYS SERVICES LLC GROUP PRAC 200 ADMIRAL TROST RD 1A 1B ST LOUIS MO 63131 PROFESSIONAL SERVICES 34 - MBMC PHYS SERVICES LLC GROUP PRAC 3009 N BALLAS ROAD STE 323 A ST LOUIS MO 63131 PROFESSIONAL SERVICES 35 - MBMC GROUP PRACTICES 3009 N BALLAS RD VAR SUITES ST LOUIS MO 63131 OP SERVICES 36 - MBMC PHYS SERVICES LLC GROUP PRAC 3023 N BALLAS ROAD STE 150 D ST LOUIS MO 63131 PROFESSIONAL SERVICES 37 - MBMC PHYS SERVICES LLC GROUP PRAC 555 N NEW BALLAS ROAD STE 265 ST LOUIS MO 63141 PROFESSIONAL SERVICES 38 - MBMC SUBURBAN SURGICAL 555 N NEW BALLAS RD ST LOUIS MO 63131 OP SURGICAL SERVICES 39 - BREAST HEALTHCARE CENTER MBMC 9450 MANCHESTER RD STE 206 ST LOUIS MO 63119 MAMMOGRAPHY AND LAB SERVICES 40 - BJC EMPLOYEE PHARMACY AT MBMC 3844 LINDBERGH BLVD STE 150 ST LOUIS MO 63127 PHARMACY SERVICES 41 - MO BAP GYNECOLOGY & ONCOLOGY 11652 STUDT AVENUE ST LOUIS MO 63141 OUTPATIENT RADIATION & INFUSION CENTER 42 - NORTHWEST HEALTHCARE (CHNENW) 1225 GRAHAM ROAD FLORISSANT MO 63031 PROF SVCS, HOME CARE PHARMACY 43 - GRAHAM MED CENTER I-(VAR) 1150 GRAHAM ROAD FLORISSANT MO 63031 PT,OT & ST, SLEEP STUDY 44 - GRAHAM MED CENTER II-(VAR) 1224 GRAHAM ROAD FLORISSANT MO 63031 OP RETAIL PHARMACY & MEDICAL GROUP PRACTICE 45 - PAUL F DIETRICH BLDG - VAR 11125 DUNN ROAD ST LOUIS MO 63136 OP SENIOR PSYCHIATRIC SERVICES 46 - CH POB #2 - VAR SUITES 11125 DUNN ROAD ST LOUIS MO 63136 OP CANCER, WOUND CARE, RETAIL PHARMACY 47 - CH POB #1 - VAR SUITES 11155 DUNN ROAD ST LOUIS MO 63136 OP PAIN MGMT, RAD ONC, DIABETES CENTER 48 - VILLAGE NORTH INC 11160 VILLAGE NORTH DRIVE ST LOUIS MO 63136 SKILLED NURSING FACILITY 49 - BELLEVILLE HEALTH & SPORTS CTR 1001 SOUTH 74TH STREET BELLEVILLE IL 62223 SPORTS FITNESS FACILITY 50 - MEMORIAL MED GROUP - ALTON 2 MEMORIAL DRIVE MOB A 201 ALTON IL 62002 O/P VASCULAR SURGERY 51 - MEMORIAL MED GROUP-BELLEVILLE 130 LINCOLN PLACE CT BELLEVILLE IL 62221 GERIATRICS AND INTERNAL MED 52 - MEMORIAL MED GRP-EAR NOSE THROAT 2900 FRANK SCOTT PKWY RM 930 BELLEVILLE IL 62223 EAR, NOSE, THROAT SVCS 53 - MEMORIAL MED GROUP-FAM MED 3701 MEMORIAL DRIVE BELLEVILLE IL 62226 FAMILY MEDICINE 54 - MEMORIAL MED GROUP-PRIM & SPEC 4600 MEMORIAL DRIVE BELLEVILLE IL 62226 PRIMARY AND SPECIALTY PHYS SVCS 55 - MEMORIAL MED GRP-ORTHO & NEURO 4700 MEMORIAL DRIVE BELLEVILLE IL 62226 ORTHOPEDIC & NEUROSCIENCES CENTER 56 - MEMORIAL MED GRP - FAMILY MED 1095 BELT LINE ROAD STE 500 COLLINSVILLE IL 62234 FAMILY MEDICINE 57 - MEMORIAL MED GRP IN COLUMBIA 200 ADMIRAL TROST RD 1A 1B COLUMBIA IL 62236 CARDIOLOGY, VASCULAR & FAM MED 58 - MEMORIAL MED GRP IN BELLEVILLE 333 S ILLINOIS ST STE A BELLEVILLE IL 62220 PHYSICIAN SERVICES 59 - MEMORIAL MED GRP IN MARYVILLE 2016 VADALABENE DR STE B MARYVILLE IL 62062 VASCULAR SURGERY 60 - MEMORIAL MED GRP - NASHVILLE 1245 SOUTH MILL ST NASHVILLE IL 62263 CARDIOLOGY & FAM MED 61 - MEMORIAL MED GRP - O'FALLON 310 N SEVEN HILLS RD OFALLON IL 62269 CARDIOLOGY & FAM MED 62 - MEMORIAL MED GRP - SMITHTON 4017 ILLINOIS ST ROAD 159 SMITHTON IL 62285 FAMILY MEDICINE 63 - MEMORIAL MED GRP - SWANSEA 3 PARK PLACE STE A SWANSEA IL 62226 FAMILY MEDICINE 64 - PROTESTANT MEMORIAL MED CENTER 123 LINCOLN PLACE COURT BELLEVILLE IL 62221 OUTPATIENT RAD, PT, WOUND CARE 65 - PROTESTANT MEMORIAL MED CENTER 310 SEVEN HILLS ROAD OFALLON IL 62269 OP THERAPY 66 - PROTESTANT MEMORIAL MED CENTER 200 ADMIRAL TROST ROAD COLUMBIA IL 62236 OP LAB / RADIOLOGY 67 - MEMORIAL CARE CENTER 4315 MEMORIAL DRIVE BELLEVILLE IL 62226 SKILLED NURSING FACILITY 68 - BOONE HOSP CARDIAC DIAGNOSTIC 1605 E BROADWAY STE 400 COLUMBIA MO 65201 OP DIAGNOSTIC CARDIOLOGY 69 - BOONE HOSP OUTPATIENT THERAPIES 1601 E BROADWAY STE LL1 COLUMBIA MO 65201 OUTPATIENT CLINIC 70 - BOONE HOSP OUTPATIENT CLINICS 1701 E BROADWAY LL101102 COLUMBIA MO 65201 CARD REHAB, WOUND CARE, DIABETES 71 - BOONE HOSPITAL RADIOLOGY 303 N KEENE ST STE 302 COLUMBIA MO 65201 OUTPATIENT RADIOLOGY SVCS 72 - BOONE PULMONARY MEDICINE 1601 E BROADWAY STE 240 COLUMBIA MO 65201 OUTPATIENT PULMONARY MED 73 - BOONE HOSPITAL OUTPATIENT 900 W NIFONG BLVD COLUMBIA MO 65203 PHARMACY & OUTPATIENT SVCS 74 - BOONE HOSP CTR'S VISIT NURSES INC 1605 E BROADWAY STE 250 COLUMBIA MO 65201 HOME HEALTH & HOSPICE 75 - BOONE PHYSICIAN SERVICES LLC 1605 E BROADWAY STE 110 COLUMBIA MO 65201 BOONE SURGERY GROUP 76 - CHAS PHYSICIAN SERVICES LLC 130 E LOCKING STREET BROOKFIELD MO 64628 PROFESSIONAL PRACTICE GROUP SERVICES 77 - CHAS PHYSICIAN SERVICES LLC 1605 E BROADWAY STE 300 COLUMBIA MO 65201 PROFESSIONAL PRACTICE GROUP SERVICES 78 - CHAS PHYSICIAN SERVICES LLC 2305 S HIGHWAY 65 MARSHALL MO 65340 PROFESSIONAL PRACTICE GROUP SERVICES 79 - CHAS PHYSICIAN SERVICES LLC 300 N MORLEY STREET MOBERLY MO 65270 PROFESSIONAL PRACTICE GROUP SERVICES 80 - CHAS PHYSICIAN SERVICES LLC 404 PROVIDENCE ROAD MACON MO 63552 PROFESSIONAL PRACTICE GROUP SERVICES 81 - CHAS PHYSICIAN SERVICES LLC 509 W 18TH STREET HERMAN MO 65041 PROFESSIONAL PRACTICE GROUP SERVICES 82 - ST LOUIS CHILD HOSP AFTER HOURS 12436 TESSON FERRY RD ST LOUIS MO 63128 OP SERVICES, LAB & RADIOLOGY 83 - ST LOUIS CHILD HOSP PSYCHOL SVCS 13001 NORTH OUTER FORTY RD CHESTERFIELD MO 63017 PEDIATRIC MENTAL HEALTH 84 - ST LOUIS CHILD SPEC CARE CENTER 13001 NORTH OUTER FORTY RD CHESTERFIELD MO 63017 MULTIPLE OUTPATIENT SVCS 85 - ST LOUIS CHILD PHARMACY 13001 NORTH OUTER FORTY RD CHESTERFIELD MO 63017 OUTPATIENT PHARMACY 86 - ST LOUIS CHILD DENTAL CENTER 13001 NORTH OUTER FORTY RD CHESTERFIELD MO 63017 DENTAL SERVICES 87 - EUNICE SMITH 1251 COLLEGE AVE ALTON IL 62002 SKILLED NURSING FACILITY 88 - ALTON NORTH REHABILITATION 226 REGIONAL DRIVE ALTON IL 62003 ORTHO/SPORTS REHAB 89 - ALTON MEMORIAL HOSP OP CANCER FOUR MEMORIAL DRIVE ALTON IL 62002 ONCOLOLGY/RADIATION ONCOLOGY SVCS 90 - ALTON MEMORIAL CONVENIENT CARE 5520 GODFREY RD ALTON IL 62035 ALTON MEMORIAL CONVENIENT CARE 91 - ALTON MEMORIAL HOSP OP RAD SIX MEMORIAL DRIVE ALTON IL 62002 OUTPATIENT RADIATION ONC 92 - ALTON MEMORIAL OP PAIN MGMT TWO MEMORIAL DRIVE ALTON IL 62002 OUTPATIENT PAIN MGMT 93 - ALTON MEMORIAL HOSPITAL FOUR MEMORIAL DRIVE ALTON IL 62202 PROFESSIONAL PRACTICE GROUP SERVICES 94 - ALTON MEMORIAL HOSPITAL FOUR MEMORIAL DRIVE ALTON IL 62202 OUTPATIENT NEURODIAGNOSTICS 95 - PARKLAND THERAPY SERVICES 1280 DOCTORS DRIVE FARMINGTON MO 63640 PHY, OCC AND SPEECH THERAPY 96 - PARKLAND BONNE TERRE WELL LIFE CTR 118 EAST SCHOOL RD BONNE TERRE MO 63628 PHYSICAL THERAPY SERVICES 97 - SITEMAN OUTPATIENT SURG CTR 100 ENTRANCE WAY ST PETERS MO 63376 OUTPATIENT SURGERY 98 - BJSPH OP THERAPY MOB 2 70 JUNGERMAN CIR 304 ST PETERS MO 63376 OUTPATIENT THERAPY 99 - BJSPH SLEEP LAB MOB 2 70 JUNGERMAN CIR 303 ST PETERS MO 63376 SLEEP LAB 100 - SITEMAN CANCER CENTER AT BJSPH 150 ENTRANCE WAY ST PETERS MO 63376 OUTPAT RADIATION & ONCOL 101 - BENRUS SURGICAL AT BJSPH 6 JUNGERMANN CIRCLE STE 205 ST PETERS MO 63376 OP SERVICES 102 - SPORTS THERAPY & REHAB (STAR) 1020 N MASON STE 220 ST LOUIS MO 63141 PHYSICAL THERAPY 103 - SPORTS THERAPY & REHAB (STAR) 14532 S OUTER FORTY CHESTERFIELD MO 63017 PHYSICAL THERAPY 104 - SPORTS THERAPY & REHAB (STAR) 5201 MIDAMERICA PLAZA ST LOUIS MO 63129 PHYSICAL THERAPY 105 - BJWC SLEEP DISORDERS LAB 969 N MASON STE 260 ST LOUIS MO 63141 SLEEP LAB 106 - BJWC PROFESSIONAL GRP PRAC 12634 OLIVE BLVD CREVE COEUR MO 63141 PROFESSIONAL PRACTICE GROUP SERVICES 107 - BJWC PAIN MANAGEMENT CENTER 969 N MASON STE 240 ST LOUIS MO 63141 PAIN MANAGEMENT 108 - BJWC OUTPATIENT RADIOLOGY 969 N MASON STE 110 AND 235 ST LOUIS MO 63141 OUTPATIENT RADIOLOGY 109 - BJWC PULMONARY FUNCTION TEST 1040 N MASON STE 116 ST LOUIS MO 63141 PULMONARY DIAGNOSTIC TESTING 110 - BJWC RADIOLOGY 1040 N MASON STE G-02 ST LOUIS MO 63141 OUTPATIENT RADIOLOGY 111 - BJWC LABORATORY 1020 N MASON STE 120 ST LOUIS MO 63141 OUTPATIENT LABORATORY 112 - BJWC NUTRITION COUNSELING 1020 N MASON STE 212 ST LOUIS MO 63141 NUTRITION COUNSELING 113 - BJWC RAD ONCOLOGY (SITEMAN) 10 BARNES WEST DRIVE STE 101 ST LOUIS MO 63141 RADIATION ONCOLOGY 114 - BJWC LABORATORY 10 BARNES WEST DRIVE STE 102 ST LOUIS MO 63141 OUTPATIENT LABORATORY 115 - BJWC RADIOLOGY 10 BARNES WEST DRIVE STE 202 ST LOUIS MO 63141 OUTPATIENT RADIOLOGY 116 - BJWC OUTPATIENT SVCS 10 BARNES WEST DRIVE STE 201 ST LOUIS MO 63141 OUTPATIENT SVCS 117 - PROGRESS WEST HOSP OUTPATIENT CTR 2630 HIGHWAY K OFALLON MO 63366 OP RAD, PT, WOUND CARE 118 - ST LOUIS UROLOG AT PROG WEST HOSP 20 PROGRESS POINT PKWY STE 108 OFALLON MO 63366 PHYSICIAN SERVICES 119 - MO BAP SULLIVAN SPORTS FIT REHAB 216 W MAIN SULLIVAN MO 63080 PT, OT & ST 120 - MO BAP SULL SPORTS FIT REHAB CUBA 314 E WASHINGTON CUBA MO 65453 PT & OT 121 - MO BAPTIST BOURBON MEDICAL OFFICE 240 COLLEGE BOURBON MO 65441 RURAL HEALTH CLINIC 122 - MO BAPTIST BOURBON MEDICAL OFFICE 240 COLLEGE BOURBON MO 65441 NON-RURAL HEALTH CLINIC 123 - MO BAPTIST CUBA MEDICAL OFFICE 102 OZARK STREET STE B CUBA MO 65453 RURAL HEALTH CLINIC 124 - MO BAPTIST CUBA MEDICAL OFFICE 102 OZARK STREET STE B CUBA MO 65453 NON-RURAL HEALTH CLINIC 125 - MO BAPTIST STEELEVILLE MED OFFICE 510 W MAIN STREET STEELEVILLE MO 65565 RURAL HEALTH CLINIC 126 - MO BAPTIST STEELEVILLE MED OFFICE 510 W MAIN STREET STEELEVILLE MO 65565 NON-RURAL HEALTH CLINIC 127 - MO BAPTIST SULLIVAN MED OFFICE 965 MATTOX DR SULLIVAN MO 63080 RURAL HEALTH CLINIC 128 - MO BAPTIST SULLIVAN MED OFFICE 965 MATTOX DR SULLIVAN MO 63080 NON-RURAL HEALTH CLINIC 129 - MO BAPTIST SULLIVAN EMS 1230 N CHURCH SULLIVAN MO 63080 TRAUMA AND AMBULANCE SERVICES 130 - BJC HOME CARE SVCS - ALTON 3535 COLLEGE AVE ALTON IL 62002 HOME HEALTH 131 - BJC HOME CARE SVCS - PARKLAND 757 WEBER RD FARMINGTON MO 63640 HOME HEALTH & HOSPICE 132 - BJC HOME CARE SERVICES-ST LOUIS 1935 BELTWAY DRIVE ST LOUIS MO 63114 HOME HEALTH 133 - BJC HOME CARE SERVICES-SULLIVAN 113 PROGRESS PARKWAY SULLIVAN MO 63080 HOME HEALTH & HOSPICE 134 - BJC HOME CARE SERVICES 4353 CLAYTON AVE ST LOUIS MO 63110 HOME CARE SERVICES 135 - BJC HOME CARE SERVICES 4249 CLAYTON AVE ST LOUIS MO 63110 HOME CARE SERVICES 136 - BJC HOME CARE SERVICES 1000 N MASON ROAD ST LOUIS MO 63141 HOSPICE SVCS 137 - BJC HOME CARE SERVICES 330A 5TH STREET CARROLLTON IL 62016 HOSPICE SVCS 138 - BJC HOME MEDICAL EQUIP 1935 BELTWAY DRIVE ST LOUIS MO 63114 DURABLE MEDICAL EQUIP; SUPPLIES 139 - BJC HOME MED EQUIP - FARMINGTON 301 N WASHINGTON STREET FARMINGTON MO 63640 DURABLE MEDICAL EQUIP; SUPPLIES 140 - BJC HOME CARE SVCS - PHARMACY 1935 BELTWAY DRIVE ST LOUIS MO 63114 HOME INFUSION 141 - BJC HOSPICE ST LOUIS 1935 BELTWAY DRIVE ST LOUIS MO 63114 HOSPICE SVCS 142 - BJC HOSPICE SULLIVAN 113 PROGRESS PARKWAY SULLIVAN MO 63080 HOME HEALTH & HOSPICE 143 - BJC HOSPICE - FARMINGTON 757 WEBER RD FARMINGTON MO 63640 DURABLE MEDICAL EQUIP; SUPPLIES 144 - BJC HOSPICE - ALTON ONE PROFESSIONAL DR STE 180 ALTON IL 62002 HOSPICE SVCS 145 - BJC BEHAVIORAL HEALTH CENTRAL 11133 DUNN ROAD STE 400 ST LOUIS MO 63136 MENTAL HEALTH & PHARMACY SVCS 146 - BJC BEHAVIORAL HEALTH CENTRAL 1430 OLIVE ST STE 500 ST LOUIS MO 63103 MENTAL HEALTH & PHARMACY SVCS 147 - BJC BEHAVIORAL HEALTH NORTH 3165 MCKELVEY ROAD STE 200 BRIDGETON MO 63044 MENTAL HEALTH SUBS ABUSE COUNSEL 148 - BJC BEHAVIORAL HEALTH SOUTH 11102 LINDBERGH BUS COURT ST LOUIS MO 63123 MENTAL HEALTH EMPL ASSIST COUNSEL 149 - BJC BEHAVIORAL HEALTH SOUTHEAST 1085 MAPLE FARMINGTON MO 63640 MENTAL HEALTH AND PHARMACY SVCS 150 - BJC BEHAVIORAL HEALTH PARKLAND 1101 W LIBERTY STREET FARMINGTON MO 63640 MENTAL HEALTH SUBS ABUSE SVCS 151 - BARNESCARE 11501 PAGE SERVICE DR ST LOUIS MO 63146 OCC MED & AMBULATORY CARE CTR 152 - BARNESCARE 1901 TRADE CENTER DR ST PETERS MO 63376 OCC MED & AMBULATORY CARE CTR 153 - BJC CORP HEALTH SERVICES 5000 MANCHESTER AVENUE ST LOUIS MO 63110 OCC MED & AMBULATORY CARE CTR 154 - BARNESCARE CORP HEALTH SERVICES 1391 SMIZER MILL RD FENTON MO 63026 OCC MED & AMBULATORY CARE CTR 155 - BARNESCARE CORP HEALTH SVCS 909 N 14TH STREET ST LOUIS MO 63106 OCC MED & AMBULATORY CARE CTR 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 = $4,772,910,510 WHICH EXCLUDES THE ALLOCABLE SHARE OF JOINT VENTURE BAD DEBT EXPENSES OF $604,876 FOR 2017. 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 2017, SUBSIDIZED HEALTH SERVICES PROVIDED THROUGH THESE PHYSICIAN PRACTICES GENERATED LOSSES OF $45,053,610. 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 8 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: ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED BEFORE PRIOR TO ANY WRITE OFF TO BAD DEBT AND ARE THUS, NOT INCLUDED IN BAD DEBT EXPENSE REPORTED ON PART III, LINE 2. 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. 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 QUALIFY FOR FINANCIAL ASSISTANCE, YET HAVE BEEN UNWILLING TO COMPLETE THE APPLICATION PROCESS. IN THESE CASES, THE AMOUNTS ARE MOVED TO CHARITY CARE AND NOT REFLECTED IN BAD DEBT EXPENSE NOTED ABOVE. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT OF THE REGISTRATION, BILLING OR COLLECTION PROCESSES. PART III, LINE 4: BJC HEALTHCARE (BJC) BAD DEBT EXPENSE IS INCLUDED IN THE NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE FOOTNOTE TO ITS CONSOLIDATED FINANCIAL STATEMENTS WHICH IS FOUND ON PAGE 12 OF THE BJC AUDITED FINANCIAL STATEMENTS ATTACHED HERETO. SEE ALSO FOOTNOTE 3 RELATED TO UNCOMPENSATED CARE ON PAGES 20, 21 AND 22 OF THE AUDITED FINANCIAL STATEMENTS. 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 = 3.69M. 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 = 17.2M. 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 (2 FARMINGTON LOCATIONS AND BONNE TERRE). 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 2017, APPROXIMATELY 7,000 PHYSICIANS WERE ACTIVE MEMBERS OF THE MEDICAL STAFFS OF ALL BJC HOSPITALS. OF THE TOTAL PHYSICIANS, 2,200 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 $5.0 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 1 THE FOUNDATION FOR BARNES-JEWISH HOSPITAL 1001 HIGHLANDS PLAZA DRIVE WEST SUITE 140 ST LOUIS MO 63110 431648435 501(C)(3) 109411000 SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE BJH COMMUNITIES WASHINGTON UNIVERSITY SCHOOL OF MEDICINE HEALTH ADMIN PROGRAM 660 S EUCLID AVENUE CAMPUS BOX 8092 8092 ST LOUIS MO 63110 431519670 501(C)(3) 5000000 SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE BJH COMMUNITIES BOONE COUNTY TREASURER 801 E WALNUT ST COLUMBIA MO 65201 436000349 2423854 SUPPORT COMMUNITY PROGRAMS WITHIN BOONE COUNTY WASHINGTON UNIVERSITY CAMPUS BOX 1082 ONE BROOKINGS DRIVE DRIVE ST LOUIS MO 63110 430653611 501(C)(3) 1086949 SUPPORT RESEARCH OF WUSM PROGRAMS AMERICAN HEART ASSOCIATION INC 460 N LINDBERGH BLVD ST LOUIS MO 63141 135613797 501(C)(3) 144600 SPONSOR RESEARCH OF HEART DISEASES JEWISH COMMUNITY CENTERS ASSOCIATION 2 MILLSTONE CAMPUS DRIVE ST LOUIS MO 63146 430681477 501(C)(3) 46000 SUPPORT OF JEWISH COMMUNITY EVENTS FOR MEN AND WOMEN MARCH OF DIMES FOUNDATION 11829 DORSETT ROAD MARYLAND HEIGHTS MO 63043 131846366 501(C)(3) 40250 SUPPORT FOR SERVICES ON PREGNANCY, PREMATURITY AND BIRTH DEFECTS FAMILY HEALTH CENTER OF BOONE COUNTY 1001 EAST WORLEY COLUMBIA MO 65203 431709422 501(C)(3) 30000 SUPPORT COMMUNITY PROGRAMS WITHIN BOONE COUNTY COLUMBIA PUBLIC SCHOOL DISTRICT 1818 W WORLEY ST COLUMBIA MO 65203 436000318 501(C)(3) 25000 SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE ASTHMA & ALLERGY FOUNDATION OF AMERICA 1500 SOUTH BIG BEND SUITE 1 SOUTH ST LOUIS MO 63117 431484316 501(C)(3) 20000 SUPPORT THOSE AFFECTED BY ASTHMA & ALLERGIES THROUGH EDUCATION, SUPPORT, AND RESOURCES NATIONAL MULTIPLE SCLEROSIS SOCIETY 12125 WOODCREST EXECUTIVE DR STE 320 ST LOUIS MO 63141 430718808 501(C)(3) 18100 SUPPORT FOR SERVICES FOR MULTIPLE SCLEROSIS ST LOUIS PUBLIC SCHOOLS FOUNDATION 801 NORTH 11TH STREET 3RD FLOOR ST LOUIS MO 63101 431813849 501(C)(3) 17000 SUPPORT PROMOTING EDUCATIONAL SUCCESS FOR SAINT LOUIS PUBLIC SCHOOLS DISTRICT STUDENTS ST LOUIS CRISIS NURSERY 11710 ADMINISTRATION DRIVE SUITE 18 ST LOUIS MO 63146 431410297 501(C)(3) 15500 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) 15000 SUPPORT PROGRAMS AND RESEARCH FOR BREAST CANCER AMERICAN CANCER SOCIETY INC 4207 LINDELL BLVD ST LOUIS MO 63108 131788491 501(C)(3) 14100 SUPPORT PROGRAMS FOR PEOPLE AFFECTED BY CANCER SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE FOUNDATION 30 NORTH CIRCLE DRIVE CAMPUS BX1082 BX1082 EDWARDSVILLE IL 62026 371019805 501(C)(3) 11458 SUPPORT THE PROFESSIONAL DEVELOPMENT AND COMMUNITY SERVICE OPPORTUNITIES. FARMINGTON CHAMBER OF COMMERCE PO BOX 191 FARMINGTON MO 63640 431028820 501(C)(3) 10085 SUPPORT COMMUNITY PROGRAMS WITHIN FARMINGTON AREA CROHN'S & COLITIS FOUNDATION INC 1034 S BRENTWOOD SUITE 1510 ST LOUIS MO 63117 136193105 501(C)(3) 10000 SUPPORT PEOPLE AFFECTED BY CROHN'S AND COLITIS GENERATE HEALTH STL 1300 HAMPTON AVENUE STE 111 ST LOUIS MO 63139 412139772 501(C)(3) 10000 SUPPORT IMPROVING BIRTH OUTCOMES, PROMOTE HEALTHY FAMILIES, AND BUILD HEALTHY COMMUNITIES ST CHARLES CITY COUNTY LIBRARY FOUNDATION 77 BOONE HILLS DR ST PETERS MO 63376 431860793 501(C)(3) 10000 SUPPORT PROGRAMS WITH COUNTY LIBRARY ST CHARLES COMMUNITY COLLEGE 4601 MID RIVERS MALL DRIVE COTTLEVILLE MO 63376 431408103 501(C)(3) 10000 SUPPORT PROMOTING EDUCATIONAL SUCCESS FOR COLUMBIA PUBLIC SCHOOLS STUDENTS THE LEUKEMIA & LYMPHOMA SOCIETY 1972 INNERBELT BUSINESS CENTER DR ST LOUIS MO 63114 135644916 501(C)(3) 8000 SUPPORT COMMUNITY PROGRAMS ON EDUCATION OF LEUKEMIA AND LYMPHOMA. GIRL SCOUTS OF EASTERN MISSOURI 2300 BALL DRIVE ST LOUIS MO 63146 430662471 501(C)(3) 7500 SUPPORT GIRL SCOUTING BUILDING GIRLS OF COURAGE, CONFIDENCE, AND CHARACTER NURSES FOR NEWBORNS 7259 LANSDOWNE SUITE 100 ST LOUIS MO 63119 431601329 501(C)(3) 7500 SUPPORT KEEPING KIDS SAFE AND BUILDING STRONG FAMILIES LEWIS & CLARK COMMUNITY COLLEGE FOUNDATION 5800 GODFREY RD GODFREY IL 62035 371000402 501(C)(3) 7000 SUPPORT COMMUNITY COLLEGE PROGRAMS MISSOURI STATE MEDICAL ASSOCIATION PHYSICIANS HEALTH FOUNDATION 680 CRAIG ROAD SUITE 308 ST LOUIS MO 631417165 431572458 501(C)(3) 6500 SUPPORT PROGRAM FOR MENTAL ILLNESS, SUBSTANCE ABUSE, SUICIDE, ETC. DIVERSITY AWARENESS PARTNERSHIP 40 N ROCK HILL ROAD WEBSTER GROVES MO 63119 311787746 501(C)(3) 6000 SUPPORT COMMUNITY PROGRAMS FOR DIVERSITY HAVENHOUSE ST LOUIS 12685 OLIVE BOULEVARD ST LOUIS MO 63141 201876315 501(C)(3) 6000 SUPPORT FOR HOPEFEST PROGRAM LINDENWOOD COLLEGE 209 S KINGSHIGHWAY ST CHARLES MO 63301 430652649 501(C)(3) 6000 SUPPORT COMMUNITY COLLEGE PROGRAMS ST CHARLES COUNTY PARAMEDIC ASSOCIATION COMMUNITY OUTREACH 235 JUNGERMANN RD SUITE 103 ST PETERS MO 63376 274013735 501(C)(3) 6000 SUPPORT SCCAD OUTREACH DIAMOND PARTNERSHIP URBAN LEAGUE METROPOLITAN SAINT LOUIS 3701 GRANDEL SQUARE ST LOUIS MO 63108 430653605 501(C)(3) 6000 SUPPORT EQUALIZING LIFE CHANCES FOR ALL PEOPLE ST FRANCOIS COUNTY 200 W FIRST ST SUITE 182 FARMINGTON MO 63640 431892443 501(C)(3) 660000 APPRAISAL PROPERTY LOCATED AT 1101 WEBER RD., FARMINGTON, MO DONATION OF PROPERTY CITY OF FARMINGTON 110 W COLUMBIA ST FARMINGTON MO 63640 436001227 501(C)(3) 260000 APPRAISAL PROPERTY LOCATED 607 WALLACE RD, FARMINGTON, MO DONATION OF PROPERTY HABITAT FOR HUMANITY PO BOX 743 FARMINGTON MO 63640 431808778 501(C)(3) 8500 APPRAISAL PROPERTY THE MAP HOUSE LOCATED AT 1101 WEBER RD DONATION OF PROPERTY FARMINGTON, MO HABITAT FOR HUMANITY PO BOX 743 FARMINGTON MO 63640 431808778 501(C)(3) 7500 APPRAISAL PROPERTY THE ALEXANDER HOUSE AT 11013 WEBER RD DONATION OF PROPERTY FARMINGTON, MO 33 1 FEDERAL GRANTS - PELL GRANTS & FSEOG & SCHOLARSHIPS 310 1292686 MEDICAL TRANSPORTATION-SW AIRLINES 309 61800 FMV AIRLINE TICKET VOUCHERS FOR PATIENT TRANSPORTATION PART I, LINE 2: DURING 2017, 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. X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 AMH-FETTER LEE DIRECTOR 670807 0 987102 0 14944 0 180571 0 23070 0 1876494 0 469780 0 AMH-HOELSCHER DR JOHN DIRECTOR 41250 500233 0 79800 3438 3564 0 106133 182 23849 44870 713579 0 0 AMH-RIEDEL DAVID MD DIRECTOR 30750 215708 0 26472 0 5562 0 71501 0 0 30750 319243 0 0 AMH-WUELLNER JOHN MD DIRECTOR 0 380581 0 68194 0 6858 0 98221 0 0 0 553854 0 0 BJCHOME-SCHREINER LORI DIRECTOR 236783 0 36669 0 1146 0 149941 0 32228 0 456767 0 0 0 BJCHOME-VLODARCHYKCOREEN DIRECTOR 335271 0 136963 0 8644 0 98990 0 23710 0 603578 0 21280 0 BJHSP-AST MARTIN MD DIRECTOR 420862 0 50953 0 2322 0 66456 0 33159 0 573752 0 0 0 CHAS-VAN TREASE SANDRA DIRECTOR 654344 0 673119 0 10892 0 176782 0 24206 0 1539343 0 165710 0 CHC-ELLENA JOHN DIRECTOR 448625 0 64273 0 3999 0 186982 0 27565 0 731444 0 0 0 MBHS-BAKER ALISON MD DIRECTOR 284864 0 26247 0 660 0 30869 0 30206 0 372846 0 0 0 MBHS-ZIMMERMAN MATTHEW DIRECTOR 262953 0 10420 0 20311 0 0 0 29294 0 322978 0 0 0 MBMC-MARTIN R SCOTT MD DIRECTOR 539421 0 25332 0 2725 0 163346 0 30467 0 761291 0 0 0 MBMC-WEINSTEIN DAVID L MD DIRECTOR 188399 0 5602 0 11800 0 59763 0 28575 0 294139 0 0 0 MESI-BAUMER KEVIN MD DIRECTOR 495514 0 4663 0 1323 0 0 0 20539 0 522039 0 0 0 MESI-MOOSA HANS MD DIRECTOR 561692 0 383245 0 3564 0 0 0 19306 0 967807 0 0 0 MMG-CASPERSON WILLIAM MD DIRECTOR 329919 0 0 0 21214 0 15157 0 20645 0 386935 0 0 0 MMG-KANDULA PRASAD V MD DIRECTOR 693844 0 242979 0 14428 0 0 0 18148 0 969399 0 0 0 PHC-GRIX GARY MD DIRECTOR 218833 0 20626 0 6910 0 68096 0 23071 0 337536 0 0 0 PHC-KIRKLEY SCOTT D MD DIRECTOR 481065 0 68353 0 486 0 55382 0 24263 0 629549 0 0 0 PMMCI-DOTHAGER DOUG MD DIRECTOR 504748 0 15660 0 2322 0 0 0 25666 0 548396 0 0 0 PWHC-MISSLER MICHAEL DO DIRECTOR 429595 0 50953 0 540 0 46832 0 26834 0 554754 0 0 0 PWHC-WEISS DAVID DIRECTOR 247984 0 287362 0 4437 0 216235 0 13816 0 769834 0 75843 0 AMH-BRAASCH DAVID ALAN PRESIDENT, DIRECTOR 246846 0 73954 0 3515 0 19863 0 31801 0 375979 0 15590 0 BHHC EIKEL LIZ SECRETARY, DIRECTOR 86373 0 2261 0 4395 0 60501 0 17285 0 170815 0 0 0 BHHC SMITH MONICA RN VICE PRESIDENT, DIRECTOR 188892 0 60047 0 2475 0 79921 0 30231 0 361566 0 6235 0 BJC BH-KARL BARBARA VICE PRESIDENT & EXEC DIR 177274 0 29970 0 2520 0 120962 0 13531 0 344257 0 0 0 BJC BH-TERRACE SARAH SECRETARY, DIRECTOR 314111 0 104135 0 2670 0 85017 0 22418 0 528351 0 15474 0 BJC CHS-VENDITTI PATRICK VICE PRESIDENT & SECRETARY, DIRECTOR 131630 0 29992 0 6791 0 51639 0 23029 0 243081 0 0 0 BJC-LIEKWEG RICHARD PRESIDENT, DIRECTOR 815205 0 944775 0 13155 0 160355 0 40059 0 1973549 0 89111 0 BJC-LIPSTEIN STEVEN CEO, DIRECTOR 1055629 0 1426413 0 55943 0 115718 0 23022 0 2676725 0 119074 0 BJCHOME-ROTHERY DAN PRESIDENT, DIRECTOR 341224 0 179906 0 13095 0 108324 0 26266 0 668815 0 18655 0 BJH-CANNON ROBERT W PRESIDENT, DIRECTOR 564104 0 499255 0 58950 0 188210 0 31201 0 1341720 0 61264 0 BJSPH-WATTS CHRIS PRESIDENT, DIRECTOR 302225 0 160115 0 1150 0 86966 0 14691 0 565147 0 13789 0 BJWCH-LOLLO TRISH PRESIDENT, DIRECTOR 324775 0 133005 0 1303 0 59041 0 15664 0 533788 0 19814 0 CH-STEVENS RICK L PRESIDENT, DIRECTOR 319850 0 74361 0 1266 0 48929 0 22084 0 466490 0 0 0 CHAS-SINEK JIM PRESIDENT, DIRECTOR 341051 0 112937 0 4547 0 71343 0 30946 0 560824 0 19503 0 MBMC-ANTES JOHN PRESIDENT, DIRECTOR 369028 0 250525 0 1671 0 107088 0 22940 0 751252 0 21620 0 MMG-DAVIS JAMES B EXECUTIVE DIRECTOR, SECRETARY 181282 0 0 0 21138 0 0 0 18654 0 221074 0 0 0 MRHS-MCMANUS MICHAEL SECRETARY, DIRECTOR 279621 0 34280 0 34246 0 12855 0 24405 0 385407 0 0 0 PHC-KARL THOMAS PRESIDENT, DIRECTOR 238418 0 74395 0 3051 0 194157 0 13965 0 523986 0 11479 0 PMMCI-THOMAS AMY VP FINANCE, SECRETARY 219356 0 0 0 38970 0 0 0 1849 0 260175 0 43432 0 SLCH-MAGRUDER JOAN PRESIDENT, DIRECTOR 481521 0 455217 0 41638 0 178453 0 21940 0 1178769 0 58059 0 BJC-APLINGTON DAVID SR. VP,GENERAL COUNSEL,SEC'Y 447369 0 167054 0 15455 0 203477 0 30776 0 864131 0 19563 0 BJC-ROBERTS KEVIN SR VP, CFO, TREASURER 724084 0 432728 0 9135 0 170294 0 23962 0 1360203 0 76079 0 BJH-KRIEGER MARK VP, CFO, TREASURER 403321 0 161717 0 7036 0 138369 0 14770 0 725213 0 23720 0 BJH-PATTERSON GREG SECRETARY (NO VOTE) 279896 0 112712 0 3607 0 94041 0 19415 0 509671 0 15680 0 CH-KOESTERER SUSAN VICE PRESIDENT, FINANCE 213750 0 66889 0 1068 0 115268 0 21462 0 418437 0 12540 0 CHAS-FOWLER ROSELLA VICE CHAIRMAN 229093 0 68098 0 11092 0 51915 0 16517 0 376715 0 14044 0 CHC-WARD CHRIS SECRETARY, TREASURER 148371 0 33628 0 3951 0 111986 0 21690 0 319626 0 0 0 MBHS-SCHWARM TONY PRESIDENT 197436 0 47736 0 3008 0 110021 0 22719 0 380920 0 0 0 MBMC-DESART AMY VP, FINANCE 201149 0 86910 0 1178 0 118587 0 15766 0 423590 0 4027 0 MESI-GUSMANO JANE CHAIRMAN, VP FINANCE 249885 0 94649 0 166757 0 129670 0 20026 0 660987 0 0 0 MESI-HOLMES RUTH SECRETARY 217010 0 26806 0 13265 0 8377 0 24598 0 290056 0 0 0 MRHS-TURNER MARK J PRESIDENT 568651 0 250000 0 73180 0 25804 0 18181 0 935816 0 0 0 PGLC-POGUE DOUGLAS MD MANAGER & PRESIDENT, DIRECTOR 440410 0 124301 0 2162 0 143277 0 21069 0 731219 0 8684 0 PWHC-LAWSON ELIZABETH VICE PRESIDENT, FINANCE 185367 0 28817 0 1021 0 40347 0 30870 0 286422 0 0 0 PWHC-SCHWAEGEL GLEN VICE PRESIDENT FINANCE 64093 0 78769 0 2622 0 89073 0 8228 0 242785 0 22368 0 SLCH-MCKEE MICHELE VICE PRESIDENT FINANCE 252535 0 108508 0 994 0 100281 0 17170 0 479488 0 14387 0 BJC-SCHULER GREGORY VP/CHIEF INVESTMENT OFFICER 376152 0 278932 0 2091 0 77672 0 32310 0 767157 0 23803 0 BJC-BEATTY JOHN SVP/CHIEF HR OFFICER 398667 0 368546 0 21251 0 119599 0 28291 0 936354 0 125446 0 BJC-HALL LANNIS E PHYSICIAN 830681 0 141206 0 5502 0 86981 0 22969 0 1087339 0 0 0 BJC-O'BERT ROBERT J PHYSICIAN 944918 0 0 0 523 0 60261 0 30391 0 1036093 0 0 0 BJC-GRIMSHAW CHARLES PHYSICIAN 838289 0 76819 0 20871 0 21088 0 30157 0 987224 0 0 0 BJC-KRAINIK ANDREW J PHYSICIAN 795859 0 114900 0 540 0 49672 0 30487 0 991458 0 0 0 BJC-SEWALL DAVID J PHYSICIAN 786999 0 107805 0 3403 0 57670 0 36179 0 992056 0 0 0 BJWCH-BLACK CHARLES DOUGLAS FORMER PRES/DIR TERM 1/2016 250347 0 95473 0 1668 0 106592 0 15331 0 469411 0 16355 0 CH-MCMULLEN RONALD FORMER PRES/DIR TERM 6/2016 0 0 82998 0 0 0 0 0 0 0 82998 0 53100 0 BJC-DEHAVEN MICHAEL FORMER SR VP,GEN COUN,SEC TERM 12/17 11313 0 302066 0 1012309 0 0 0 34 0 1325722 0 88065 0 MRHS-LANIUS JOE FORMER SECRETARY, TERM 6/2016 359902 0 0 0 0 0 0 0 0 0 359902 0 24344 0 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 2017, 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 APRIL 2017 WERE: $20,580. 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 2017, 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 2017, THE ORGANIZATION PROVIDED TOTAL REIMBURSEMENTS OF $6,424 INCLUDING $2,149 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 $27,425 FOR 2017. 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 2017, 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): FETTER,LEE $543,804 LIPSTEIN,STEVEN $272,898 VAN TREASE,SANDRA $237,741 LIEKWEG,RICHARD $180,217 GUSMANO,JANE $174,278 BEATTY,JOHN $169,349 ROBERTS,KEVIN $155,585 CANNON,ROBERT $123,900 MAGRUDER,JOAN $111,311 WEISS,DAVID $99,284 APLINGTON,DAVID $62,439 ROTHERY,DANIEL $56,765 KRIEGER,MARK $47,971 SCHULER,GREGORY $46,834 ANTES,JOHN $44,045 THOMAS,AMY $43,432 VLODARCHYK,COREEN $40,865 SINEK,JIM $40,329 LOLLO,TRISHA $39,428 TERRACE,SARAH $33,771 POGUE,DOUGLAS $33,754 PATTERSON,GREGORY $32,354 BLACK, CHARLES $31,892 WATTS,CHRISTOPHER $31,075 BRAASCH,DAVID $30,777 MCKEE,MICHELE $29,690 CONKLIN,RICHARD $26,849 KARL,THOMAS $25,920 TURNER,MARK $25,804 KOESTERER,SUSAN $25,518 FOWLER,ROSELLA $24,646 LANIUS, JOE $24,344 STEVENS,RICK $19,488 SMITH,MONICA $17,320 DESART,AMY $16,252 SCHWAEGEL,GLEN $25,175 CASPERSON,WILLIAM $15,157 MCMANUS,MICHAEL $12,855 SCHWARM,TONY $12,046 SCHREINER,LORI $11,250 LAWSON,ELIZABETH $9,000 HOLMES,RUTH $8,377 KARL,BARBARA $8,100 DURING 2017, 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): FETTER,LEE $543,804 LIPSTEIN,STEVEN $272,898 VAN TREASE,SANDRA $237,741 LIEKWEG,RICHARD $180,217 GUSMANO,JANE $174,278 BEATTY,JOHN $169,349 ROBERTS,KEVIN $155,585 CANNON,ROBERT $123,900 MAGRUDER,JOAN $111,311 WEISS,DAVID $99,284 APLINGTON,DAVID $62,439 ROTHERY,DANIEL $56,765 KRIEGER,MARK $47,971 SCHULER,GREGORY $46,834 ANTES,JOHN $44,045 THOMAS,AMY $43,432 VLODARCHYK,COREEN $40,865 SINEK,JIM $40,329 LOLLO,TRISHA $39,428 TERRACE,SARAH $33,771 POGUE,DOUGLAS $33,754 PATTERSON,GREGORY $32,354 BLACK, CHARLES $31,892 WATTS,CHRISTOPHER $31,075 BRAASCH,DAVID $30,777 MCKEE,MICHELE $29,690 CONKLIN,RICHARD $26,849 KARL,THOMAS $25,920 TURNER,MARK $25,804 KOESTERER,SUSAN $25,518 FOWLER,ROSELLA $24,646 STEVENS,RICK $19,488 SMITH,MONICA $17,320 DESART,AMY $16,252 SCHWAEGEL,GLEN $25,175 CASPERSON,WILLIAM $15,157 MCMANUS,MICHAEL $12,855 SCHWARM,TONY $12,046 SCHREINER,LORI $11,250 LAWSON,ELIZABETH $9,000 HOLMES,RUTH $8,377 KARL,BARBARA $8,100 DURING 2017, 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): FETTER,LEE $543,804 LIPSTEIN,STEVEN $272,898 VAN TREASE,SANDRA $237,741 LIEKWEG,RICHARD $180,217 GUSMANO,JANE $174,278 BEATTY,JOHN $169,349 ROBERTS,KEVIN $155,585 CANNON,ROBERT $123,900 MAGRUDER,JOAN $111,311 WEISS,DAVID $99,284 APLINGTON,DAVID $62,439 ROTHERY,DANIEL $56,765 KRIEGER,MARK $47,971 SCHULER,GREGORY $46,834 ANTES,JOHN $44,045 THOMAS,AMY $43,432 VLODARCHYK,COREEN $40,865 SINEK,JIM $40,329 LOLLO,TRISHA $39,428 TERRACE,SARAH $33,771 POGUE,DOUGLAS $33,754 PATTERSON,GREGORY $32,354 BLACK, CHARLES $31,892 WATTS,CHRISTOPHER $31,075 BRAASCH,DAVID $30,777 MCKEE,MICHELE $29,690 CONKLIN,RICHARD $26,849 KARL,THOMAS $25,920 TURNER,MARK $25,804 KOESTERER,SUSAN $25,518 FOWLER,ROSELLA $24,646 STEVENS,RICK $19,488 SMITH,MONICA $17,320 DESART,AMY $16,252 SCHWAEGEL,GLEN $25,175 CASPERSON,WILLIAM $15,157 MCMANUS,MICHAEL $12,855 SCHWARM,TONY $12,046 SCHREINER,LORI $11,250 LAWSON,ELIZABETH $9,000 HOLMES,RUTH $8,377 KARL,BARBARA $8,100 DURING 2017, THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS: THOMAS, AMY $155,692 LANIUS, JOHN $359,902 A SOUTHWEST ILLINOIS DEVELOPMENT AUTHORITY 371234684 84553AAE2 2013-12-06 156712718 REFUND PRIOR BONDS & CAPITAL EXP - SEE BELOW 1 0 0 A 156933078 13206925 17844084 1978772 94312852 29266815 323630 2016 1 0 1 1 A 0 1 1 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 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 III, LINE 4 THE MAXIMUM AMOUNT OF PRIVATE BUSINESS USE RELATED TO THE BOND ISSUE IS LISTED. SCHEDULE K, PART IV, LINE 2 SERIES 2013 BOND IS "NO REBATE DUE." REBATE CALCULATION WAS PERFORMED ON JUNE 11, 2015. KATHY FERGUSON FAMILY MEMBER. RELATED TO BOARD MEMBER BUNCH OF PHC 107209 EMPLOYMENT AGREEMENT WITH PHC 0 X MHA PREP EQUIP 18 195084 FAIR MARKET VALUE X AIRLINE VOUCHERS 309 61800 SELLING PRICE 0 0 0 PART I, COLUMN (B): RECIEVED 18 CONTRIBUTION IN TOTAL FORM MHA PREPAREDNESS EQUIPMENT A VALUE OF $195,084. RECIEVED 309 AIRLINE VOUCHERS TOTALING A VALUE OF $61,800. 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 CHN - CHILDREN'S HEALTH NETWORK CHSDC - CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION 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 XI, LINE 9: EQUITY TRANSFERS FROM AFFILIATES 104,720,853. NET ASSETS RELEASED FROM RESTRICTIONS 1,283,800. ALTON MEMORIAL PHYSICIAN BILLING SERVICES LLC ONE MEMORIAL DR ALTON IL 62002 611628092 ADMIN & BILLING SERV IL 0 0 ALTON MEMORIAL HOSPITAL BJSPH PHYSICAN BILLING SERVICE LLC 10 HOSPITAL DR ST PETERS MO 63367 454482673 ADMIN & BILLING SERV MO 2807975 1177588 BARNES JEWISH ST PETERS HOSPITAL BOONE PHYSICIAN SERVICES LLC 1600 EAST BROADWAY COLUMBIA MO 65201 460552280 PHYSICIAN SERVICES MO 4235163 263789 CH ALLIED SERVICES INC CHAS PHYSICIAN SERVICES LLC 1600 E BROADWAY COLUMBIA MO 65201 320275207 PHYSICIAN SERVICES MO 13009462 4995930 CH ALLIED SERVICES INC CHRISTIAN HOSPITAL PHYSICIAN BILLING SERVICES LLC 11155 DUNN ROAD ST LOUIS MO 63136 943448764 BILLING SERVICES MO 0 547707 CHRISTIAN HOSPITAL NE-NW HEALTHCARE REAL ESTATE MANAGEMENT LLC 4901 FOREST PARK AVE STLOUIS MO 63108 460782034 REAL ESTATE HOLDINGS MO 3840185 35733411 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 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