2016-11-15T13:53:36-06:00 2015-12-31 346565596 ERNST & YOUNG US LLP 190 CARONDELET PLAZA STE 1300 CLAYTON MO 63105 990 2015-01-01 753052953 BJC HEALTH SYSTEM GROUP RETURN BJCH 3142862057 4901 FOREST PARK AVE NO 1200 ST LOUIS MO 63108 KEVIN V ROBERTS SENIOR VICE PRES & CFO 3142862002 2016-11-15 0 JENNIFER RICHTER P00366526 3142901000 2015 2017-02-10 21:41:12Z KEVIN V ROBERTS 4901 FOREST PARK AVE ST LOUIS MO 63108 4109423745 1 0 3844 X WWW.BJC.ORG X HEALTHCARE SERVICES AND HEALTH EDUCATION TO COMMUNITIES WE SERVE. 233 139 30173 3309 13355069 0 20086343 17715835 3839073858 3995914789 -1635533 2403319 90074856 89991535 3947599524 4106025478 154835819 94875817 0 0 1486858567 1589956235 0 0 0 2199383163 2288503259 3841077549 3973335311 106521975 132690167 2702942212 2908843634 370675060 373456849 2332267152 2535386785 X THE 14 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 1863719611 24196110 3181526521 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 THE COMMUNITY HAS 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. 927832380 707812056 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 $103.8 MILLION IN FINANCIAL ASSISTANCE DURING 2015 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 $116.2 MILLION DURING 2015 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 $220.0 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 $64.8 MILLION DURING 2015 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 &, IN FACT, RECEIVED THE EQUIVALENT OF FINANCIAL ASSISTANCE BUT WERE NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE. 311423500 70679707 92038625 HEALTH PROFESSIONS EDUCATION & RESEARCH: BJC HELPS BUILD THE FUTURE OF HEALTH CARE BY EDUCATING HEALTH PROFESSIONALS & ADVANCING MEDICAL RESEARCH INNOVATIONS. THROUGH ACADEMIC AFFILIATIONS WITH WASHINGTON UNIVERSITY SCHOOL OF MEDICINE TO TRAIN FUTURE PHYSICIANS, 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. DURING 2015, BJC CONTRIBUTED $158.9 MILLION TOWARDS THE TRAINING OF 18,565 HEALTH CARE PROFESSIONALS INCLUDING MEDICAL RESIDENTS & ADVANCED FELLOWS FROM WASHINGTON UNIVERSITY & NURSING STUDENTS AT THE GOLDFARB SCHOOL OF NURSING. ADDITIONALLY, BJC IS COMMITTED TO BIOMEDICAL HEALTH RESEARCH EFFORTS THAT WILL CONTRIBUTE TO THE PREVENTION, DIAGNOSIS & TREATMENT OF DISEASE & DISABILITY. DURING 2015, BJC CONTRIBUTED $60.5 MILLION TO ENABLE RESEARCHERS TO COLLABORATE IN KEY THERAPEUTIC AREAS SUCH AS CANCER GENOMICS, DIABETIC CARDIOVASCULAR DISEASE & WOMEN'S INFECTIOUS DISEASES. THE RESULTS OF THIS MULTI-DISCIPLINARY EFFORT ARE EXPECTED TO ADVANCE MEDICAL SCIENCE, TECHNOLOGY & PATIENT CARE PRACTICES. 51122323 0 14537587 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 2015, BJC CONTRIBUTED MORE THAN $23.7 MILLION TO COMMUNITY GROUPS FOR COMMUNITY BENEFIT PURPOSES AND EXPENDED $12.9M TO CONDUCT PROGRAMS TO BENEFIT THE COMMUNITIES SERVED BY BJC HOSPITALS & HEALTH SERVICES ORGANIZATIONS. 51122323 0 14537587 3154097814 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 0 1 3846 2 1 30173 1 1 1 0 0 0 0 1 1 0 0 0 0 X 233 139 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X LARRY KAYSER 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 1.00 X 0 0 0 AMH-HARTRICH BRUCE A DIRECTOR 1.00 X 0 0 0 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-MILNOR GEORGE DIRECTOR 1.00 X 0 0 0 AMH-RIEDEL DAVID MD DIRECTOR 1.00 39.00 X 29025 320380 52506 AMH-RYRIE EDWARD DIRECTOR 1.00 X 0 0 0 AMH-STABELL ERIK MD DIRECTOR, TERM 4/2015 1.00 X 0 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1.00 X 0 0 0 MBMC-WEINSTEIN DAVID L MD DIRECTOR 40.00 X 230605 0 54280 MBMC-ZIMMER FERGUSON TRICIA 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 21918 0 0 PHC-DUMONTIER EDWARD MD DIRECTOR 40.00 X 371764 0 40724 PHC-GRIX GARY MD DIRECTOR 40.00 X 209371 0 50352 PHC-JONES STEVEN R DIRECTOR 1.00 X 0 0 0 PHC-KENNON JOHN GILBERT DIRECTOR 1.00 X 0 0 0 PHC-KIRKLEY SCOTT D MD DIRECTOR 40.00 X 437328 0 36892 PHC-KURTZ STEVEN J DIRECTOR 1.00 X 0 0 0 PHC-PETERSON DEBORAH S DIRECTOR 1.00 X 0 0 0 PHC-ROARK MICHAEL KENT DIRECTOR 1.00 X 0 0 0 PHC-SKAGGS LARRY DIRECTOR 1.00 X 0 0 0 PHC-SMITH JAMESY C DO DIRECTOR 40.00 X 282475 0 40366 PHC-VAN TREASE SANDRA DIRECTOR 1.00 X 0 0 0 PHCWR-BUNCH WILLIAM W DIRECTOR 1.00 X 0 0 0 PHCWR-COLSON JILL DIRECTOR 1.00 X 0 0 0 PHCWR-CONKLIN RICHARD DIRECTOR 1.00 X 0 0 0 PHCWR-DUMONTIER EDWARD MD DIRECTOR 1.00 X 0 0 0 PHCWR-GRIX GARY MD DIRECTOR 1.00 X 0 0 0 PHCWR-JONES STEVEN R DIRECTOR 1.00 X 0 0 0 PHCWR-KENNON JOHN GILBERT DIRECTOR 1.00 X 0 0 0 PHCWR-KIRKLEY SCOTT D MD DIRECTOR 1.00 X 0 0 0 PHCWR-KURTZ STEVEN J DIRECTOR 1.00 X 0 0 0 PHCWR-PETERSON DEBORAH S DIRECTOR 1.00 X 0 0 0 PHCWR-ROARK MICHAEL KENT DIRECTOR 1.00 X 0 0 0 PHCWR-SKAGGS LARRY DIRECTOR 1.00 X 0 0 0 PHCWR-SMITH JAMESY C DO DIRECTOR 1.00 X 0 0 0 PHCWR-VAN TREASE SANDRA DIRECTOR 1.00 X 0 0 0 PWHC-AGEE CARSON MD DIRECTOR 40.00 X 229612 0 46251 PWHC-DEHAVEN MICHAEL DIRECTOR 1.00 X 0 0 0 PWHC-FETTER LEE DIRECTOR 1.00 X 0 0 0 PWHC-WEISS DAVID DIRECTOR 1.00 X 0 0 0 SLCH-BAUR TODD DIRECTOR 1.00 X 0 0 0 SLCH-DIEMER NANCY DIRECTOR 1.00 X 0 0 0 SLCH-FUSZ LOUIS JR DIRECTOR 1.00 X 0 0 0 SLCH-GALGANI JOHN MD DIRECTOR START 9/2015 1.00 X 0 0 0 SLCH-GOULD JAMES DIRECTOR TERM 6/2015 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-JAY SANJAY 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-MCCLURE RICH DIRECTOR 1.00 X 0 0 0 SLCH-MCDONNELLJAMES III DIRECTOR 1.00 X 0 0 0 SLCH-MCMILLAN MIKE DIRECTOR 1.00 X 0 0 0 SLCH-MILLER STEVEN B MD DIRECTOR 1.00 X 0 0 0 SLCH-MUELLER CHARLES JR DIRECTOR 1.00 X 0 0 0 SLCH-MULLINS BIRCH DIRECTOR 1.00 X 0 0 0 SLCH-O'CONNELL JOHN DIRECTOR 1.00 X 0 0 0 SLCH-QUALYE KIM MD DIRECTOR 1.00 X 0 0 0 SLCH-RHONE ERIC DIRECTOR 1.00 X 0 0 0 SLCH-SHAPIRO LARRY MD DIRECTOR 1.00 X 0 0 0 SLCH-SMITH-THURMAN PATRICK A DIRECTOR 1.00 X 0 0 0 SLCH-WHITAKER PATRICA DIRECTOR 1.00 X 0 0 0 AMH-AYRES GARY VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 AMH-BRAASCH DAVID ALAN PRESIDENT, DIRECTOR 40.00 X X 325247 0 42324 AMH-MILLIGAN RONALD VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 AMH-THOMPSON STEVE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 BHHC BECK MARY VICE PRESIDENT, DIRECTOR 40.00 X X 244458 0 69155 BHHC EIKEL LIZ SECRETARY, DIRECTOR 40.00 X X 90724 0 28584 BHHC ROTHERY DAN CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 BHHC SINEK JIM PRESIDENT, DIRECTOR 1.00 X X 0 0 0 BJC BH-APLINGTON 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ALLOCATION 381343131 381343131 TEACHING SERVICES 102832755 102832755 0 REPAIRS AND MAINTENANCE 54102865 38938133 15164732 63403087 58175556 5227531 3973335311 3154097814 819237497 0 1505954 313880 8285308 6179237 559638953 598789050 80389284 89753318 9419053 8209127 5324819419 3313978566 1870830597 2010840853 58844854 58429057 571822 505010 12755384 15426936 100701003 120397166 2702942212 2908843634 327223349 309733117 709291 650483 14639394 14639394 28103026 48433855 370675060 373456849 X 2327037958 2530137190 5229194 5249595 2332267152 2535386785 2702942212 2908843634 X 132690167 70429466 X 0 1 X 1 1 1 X SCHEDULE A, PART I, LINE 3, 11 CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION EIN 43-1230583 (ORGANIZATION) IS A SUBORDINATE MEMBER OF THE BJC HEALTH SYSTEM GROUP RULING. THE ORGANIZATION'S PUBLIC CHARITY STATUS IS SECTION 509(A)(3)TYPE III FI. DURING 2015: 11F- NUMBER OF SUPPORTED ORGANIZATIONS AT DECEMBER 31, 2015 = 2 11G - INFORMATION REGARDING SUPPORTED ORGANIZATIONS: CHRISTIAN HOSPITAL NE-NW (CHNE) EIN 43-6057893 - BOX 3 $34,834,309 CH ALLIED SERVICES, INC. (CHAS) EIN 43-1279063 - BOX 3 $10,587,559 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 2015 99.70% PUBLIC SUPPORT PERCENTAGE FOR 2014 99.58% INVESTMENT INCOME PERCENTAGE FOR 2015 0.07% INVESTMENT INCOME PERCENTAGE FOR 2014 0.08% SCHEDULE A, PART IV - SECTION A, LINES 1, 3A, 4A, AND 5A. LI DURING 2015, CHRISTIAN HEALTH SREVICES DEVELOPMENT CORPORATION (CHSDC) WAS THE SUPPORTING ORGANIZATION TO THE FOLLOWING SUPPORTED ORGANIZATIONS: -CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST (EIN 43-6057893) -CH ALLIED SERVICES, INC. DBA BOONE HOSPITAL (43-1279063) THESE SUPPORTED ORGANIZATIONS WERE LISTED BY NAME IN THE ORGANIZING DOCUMENTS FOR CHSDC. LINE 5A: EFFECTIVE JANUARY 1, 2015, CHSDC TRANSFERRED 50% INTEREST IN VILLAGE NORTH, INC. TO BETHESDA HEALTH GROUP, INC., AN UNRELATED CHARITABLE NONPROFIT ORGANIZATION. FOR 2015, VILAGE NORTH, INC. DID NOT CONSENT TO BE INCLUDED IN THE BJC GROUP RETURN AND HAS FILED SEPARATE FORM 990. THE TRANSFER WAS APPROVED BY RESOLUTION OF THE CHSDC BOARD OF DIRECTORS UPON EXECUTION OF AMENDED ARTICLES OF INCORPORATION AND OTHER ORGANIZING DOCUMENTS. LINES 6-11: CHSDC RESPONDS "NO" TO SECTION A, LINES 6-11 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 1 753050 1 35707 0 1 52419 841176 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. 82644684 82644684 1356838130 874593243 482244887 292923139 180443650 112479489 2902510883 2202246427 700264456 689902583 56695246 633207337 2010840853 DUE TO RELATED PARTY LIABILITIES 20042559 LONG TERM PENSION LIABILITIES 1813927 SELF-FUNDED INSURANCE LIABLITIES 388615 OTHER LONG TERM LIABILITIES 4379276 DUE TO THIRD PARTY PAYORS 16829549 OTHER CURRENT LIABILITIES 1537659 ACCRUED ENVIRONMENTAL LIABILITIES 3442270 48433855 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 2015, 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. 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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 1 X 0 X X X X 1 X 0 0 PARKLAND HEALTH CENTER-WEBER ROAD 14 1 1 0 0 1 X 100.000000000000 300.000000000000 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 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), THE HOSPITAL CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF EACH 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 DEPARTMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SITEMAN PATIENT & FAMILY ADVISORY COUNCIL (PFAC)COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)PATIENT ADVOCATEURBAN LEAGUE OF GREATER ST. LOUISMISSOURI FOUNDATION FOR HEALTHPARAQUAD, INC.INTERNATIONAL INSTITUTEALDERWOMAN OF CITY OF ST. LOUISST. LOUIS CONNECT CAREGRACE HILL CHURCHREGIONAL HEALTH COMMISSIONFAITH LEADER OF JEWISH COMMUNITYST. LOUIS INTEGRATED HEALTH NETWORKFAITH LEADER OF CHRISTIAN COMMUNITYPEOPLE'S HEALTH CENTERSUMSL SCHOOL OF NURSINGCASA DE SALUDCITY OF ST. LOUIS DEPARTMENT OF HEALTHWOMEN & INFANTS CENTERMATERNAL CHILD FAMILY HEALTH COALITIONWASHINGTON UNIVERSITY SCHOOL OF MEDICINE MISSOURI BAPTIST MEDICAL CENTER PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), THE HOSPITAL CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF EACH 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 DEPARTMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SITEMAN PATIENT & FAMILY ADVISORY COUNCIL (PFAC)COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)PATIENT ADVOCATEURBAN LEAGUE OF GREATER ST. LOUISMISSOURI FOUNDATION FOR HEALTHPARAQUAD, INC.INTERNATIONAL INSTITUTEALDERWOMAN OF CITY OF ST. LOUISST. LOUIS CONNECT CAREGRACE HILL CHURCHREGIONAL HEALTH COMMISSIONFAITH LEADER OF JEWISH COMMUNITYST. LOUIS INTEGRATED HEALTH NETWORKFAITH LEADER OF CHRISTIAN COMMUNITYPEOPLE'S HEALTH CENTERSUMSL SCHOOL OF NURSINGCASA DE SALUDCITY OF ST. LOUIS DEPARTMENT OF HEALTHWOMEN & INFANTS CENTERMATERNAL CHILD FAMILY HEALTH COALITIONWASHINGTON UNIVERSITY SCHOOL OF MEDICINE:AMERICAN HEART ASSOCIATION ST. LOUIS SUBURBAN SCHOOL NURSESFIRE PROTECTION DISTRICTSCATHOLIC FAMILY SERVICES MANCHESTER UNITED METHODIST CHURCHCHESTERFIELD YMCA JEWISH COMMUNITY CENTERALDERWOMAN, CITY OF GLENDALE UNITED WAYAMERICAN CANCER SOCIETYMID EAST AREA ON AGINGSOUTH ST. LOUIS COUNTY HEALTH CENTER NATIONAL COUNCIL ON ALCOHOL AND DRUG ABUSECITY COUNCILWOMAN, TOWN AND COUNTY CITY OF CHESTERFIELDST. LOUIS COUNTY DEPARTMENT OF HEALTH CHRISTIAN HOSPITAL NE-NW PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), THE HOSPITAL CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF EACH 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 DEPARTMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SITEMAN PATIENT & FAMILY ADVISORY COUNCIL (PFAC)COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)PATIENT ADVOCATEURBAN LEAGUE OF GREATER ST. LOUISMISSOURI FOUNDATION FOR HEALTHPARAQUAD, INC.INTERNATIONAL INSTITUTEALDERWOMAN OF CITY OF ST. LOUISST. LOUIS CONNECT CAREGRACE HILL CHURCHREGIONAL HEALTH COMMISSIONFAITH LEADER OF JEWISH COMMUNITYST. LOUIS INTEGRATED HEALTH NETWORKFAITH LEADER OF CHRISTIAN COMMUNITYPEOPLE'S HEALTH CENTERSUMSL SCHOOL OF NURSINGCASA DE SALUDCITY OF ST. LOUIS DEPARTMENT OF HEALTHWOMEN & INFANTS CENTERMATERNAL CHILD FAMILY HEALTH COALITIONWASHINGTON UNIVERSITY SCHOOL OF MEDICINE:COMMUNITY AND ORGANIZATIONAL CHANGE CONSULTANTEMERSON FAMILY YMCAPRECINCT COMMANDER, ST. LOUIS COUNTY POLICE DEPARTMENTSPANISH LAKE COMMUNITY ASSOCIATIONALDERMAN, CITY OF FERGUSONCITY OF MARYLAND HEIGHTSST. LOUIS COUNTY DEPARTMENT OF HEALTHSERENITY WOMEN'S HEALTHCARE, INC.JOHN KNOX PRESBYTERIAN CHURCHSPANISH LAKE COMMUNITY ASSOCIATIONPEOPLE'S HEALTH CENTER BOONE HOSPITAL CENTER PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), THE HOSPITAL CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF EACH 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 DEPARTMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SITEMAN PATIENT & FAMILY ADVISORY COUNCIL (PFAC)COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)PATIENT ADVOCATEURBAN LEAGUE OF GREATER ST. LOUISMISSOURI FOUNDATION FOR HEALTHPARAQUAD, INC.INTERNATIONAL INSTITUTEALDERWOMAN OF CITY OF ST. LOUISST. LOUIS CONNECT CAREGRACE HILL CHURCHREGIONAL HEALTH COMMISSIONFAITH LEADER OF JEWISH COMMUNITYST. LOUIS INTEGRATED HEALTH NETWORKFAITH LEADER OF CHRISTIAN COMMUNITYPEOPLE'S HEALTH CENTERSUMSL SCHOOL OF NURSINGCASA DE SALUDCITY OF ST. LOUIS DEPARTMENT OF HEALTHWOMEN & INFANTS CENTERMATERNAL CHILD FAMILY HEALTH COALITIONWASHINGTON UNIVERSITY SCHOOL OF MEDICINE:COLUMBIA PUBLIC SCHOOLS, HEALTH SERVICESBOONE COUNTY SHERIFF'S DEPARTMENTFAMILY HEALTH CENTERCOLUMBIA PUBLIC HEALTH AND HUMAN SERVICECENTRAL MISSOURI COMMUNITY ACTIONYOUTH EMPOWERMENT ZONECOLUMBIA PUBLIC SCHOOLS, HEALTH SERVICESCOLUMBIA PUBLIC HEALTH AND HUMAN SERVICESCOLUMBIA HOUSING AUTHORITY 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), THE HOSPITAL CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF EACH 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 DEPARTMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SITEMAN PATIENT & FAMILY ADVISORY COUNCIL (PFAC)COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)PATIENT ADVOCATEURBAN LEAGUE OF GREATER ST. LOUISMISSOURI FOUNDATION FOR HEALTHPARAQUAD, INC.INTERNATIONAL INSTITUTEALDERWOMAN OF CITY OF ST. LOUISST. LOUIS CONNECT CAREGRACE HILL CHURCHREGIONAL HEALTH COMMISSIONFAITH LEADER OF JEWISH COMMUNITYST. LOUIS INTEGRATED HEALTH NETWORKFAITH LEADER OF CHRISTIAN COMMUNITYPEOPLE'S HEALTH CENTERSUMSL SCHOOL OF NURSINGCASA DE SALUDCITY OF ST. LOUIS DEPARTMENT OF HEALTHWOMEN & INFANTS CENTERMATERNAL CHILD FAMILY HEALTH COALITIONWASHINGTON UNIVERSITY SCHOOL OF MEDICINE:ST. LOUIS SCHOOL NURSE ASSOCIATION URBAN LEAGUE LOCAL CHURCH CONGREGATIONINTERNATIONAL INSTITUTE VISION FOR CHILDREN AT RISK HEALTH AND DENTAL CARE FOR KIDS MCFHC ST. LOUIS POLICE DEPARTMENT HERBERT HOOVER BOY'S AND GIRL'S CLUBUNITED WAY STL REGIONAL ASTHMA CONSORTIUM DEPUTY DIRECTOR, MO HEALTHNET STL HEALTH COMMISSIONER STL MENTAL HEALTH BOARD STL ALDERMAN, WARD 20 PARENTS FROM CGCMC/EMS PROFESSIONAL PHYSICIANS FOR CRISIS NURSERY YOUTH IN NEED ALTON MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), THE HOSPITAL CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF EACH 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 DEPARTMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SITEMAN PATIENT & FAMILY ADVISORY COUNCIL (PFAC)COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)PATIENT ADVOCATEURBAN LEAGUE OF GREATER ST. LOUISMISSOURI FOUNDATION FOR HEALTHPARAQUAD, INC.INTERNATIONAL INSTITUTEALDERWOMAN OF CITY OF ST. LOUISST. LOUIS CONNECT CAREGRACE HILL CHURCHREGIONAL HEALTH COMMISSIONFAITH LEADER OF JEWISH COMMUNITYST. LOUIS INTEGRATED HEALTH NETWORKFAITH LEADER OF CHRISTIAN COMMUNITYPEOPLE'S HEALTH CENTERSUMSL SCHOOL OF NURSINGCASA DE SALUDCITY OF ST. LOUIS DEPARTMENT OF HEALTHWOMEN & INFANTS CENTERMATERNAL CHILD FAMILY HEALTH COALITIONWASHINGTON UNIVERSITY SCHOOL OF MEDICINE:EPISCOPAL PARISH ALTONMADISON COUNTY HEALTH ADVISORY BOARD MEMBERFREER AUTO BODYSHELL CREDIT UNIONRIVER BEND GROWTH ASSOCIATIONMAYOR OF ALTON, ILCOMMUNITY ACTIVISTSMAYOR OF GODFREY, ILDICK'S FLOWERSNAUTILUSROTARY AND ALTON SCHOOL BOARDCOMMUNITY HOPE CENTERYWCA BOARD MEMBERSTATE FARM INSURANCEMADISON COUNTY HEALTH DEPARTMENT PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), THE HOSPITAL CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF EACH 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 DEPARTMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SITEMAN PATIENT & FAMILY ADVISORY COUNCIL (PFAC)COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)PATIENT ADVOCATEURBAN LEAGUE OF GREATER ST. LOUISMISSOURI FOUNDATION FOR HEALTHPARAQUAD, INC.INTERNATIONAL INSTITUTEALDERWOMAN OF CITY OF ST. LOUISST. LOUIS CONNECT CAREGRACE HILL CHURCHREGIONAL HEALTH COMMISSIONFAITH LEADER OF JEWISH COMMUNITYST. LOUIS INTEGRATED HEALTH NETWORKFAITH LEADER OF CHRISTIAN COMMUNITYPEOPLE'S HEALTH CENTERSUMSL SCHOOL OF NURSINGCASA DE SALUDCITY OF ST. LOUIS DEPARTMENT OF HEALTHWOMEN & INFANTS CENTERMATERNAL CHILD FAMILY HEALTH COALITIONWASHINGTON UNIVERSITY SCHOOL OF MEDICINE:PARK HILLS/LEADINGTON CHAMBER OF COMMERCEST. FRANCOIS COUNTY AMBULANCE DISTRICTFARMINGTON SCHOOL DISTRICTUNITED WAY OF ST. FRANCOIS COUNTYST. FRANCOIS COUNTY HEALTH CENTERMINISTERIAL ALLIANCEFARMINGTON CHAMBER OF COMMERCEMINERAL AREA COLLEGEDES LOGES CHAMBER OF COMMERCEFARMINGTON SCHOOL DISTRICTFARMINGTON SENIOR CENTERST. FRANCOIS COUNTY HEALTH DEPARTMENTST. FRANCOIS COUNTY AMBULANCE DISTRICT 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), THE HOSPITAL CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF EACH 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 DEPARTMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SITEMAN PATIENT & FAMILY ADVISORY COUNCIL (PFAC)COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)PATIENT ADVOCATEURBAN LEAGUE OF GREATER ST. LOUISMISSOURI FOUNDATION FOR HEALTHPARAQUAD, INC.INTERNATIONAL INSTITUTEALDERWOMAN OF CITY OF ST. LOUISST. LOUIS CONNECT CAREGRACE HILL CHURCHREGIONAL HEALTH COMMISSIONFAITH LEADER OF JEWISH COMMUNITYST. LOUIS INTEGRATED HEALTH NETWORKFAITH LEADER OF CHRISTIAN COMMUNITYPEOPLE'S HEALTH CENTERSUMSL SCHOOL OF NURSINGCASA DE SALUDCITY OF ST. LOUIS DEPARTMENT OF HEALTHWOMEN & INFANTS CENTERMATERNAL CHILD FAMILY HEALTH COALITIONWASHINGTON UNIVERSITY SCHOOL OF MEDICINE:FORT ZUMWALT SCHOOL DISTRICTST. CHARLES DEPARTMENT OF COMMUNITY HEALTH UNITED WAYST. CHARLES COUNTY GOVERNMENTCRIDER HEALTH CENTERMID EAST AREA AGENCY ON AGINGST. CHARLES CITY COUNTY LIBRARY DISTRICTYOUTH IN NEEDRENAUD SPIRIT CENTERUNITED SERVICESCALVARY CHURCHVOLUNTEERS IN MEDICINEWENTZVILLE SCHOOL DISTRICTST. CHARLES CITY COUNTY LIBRARY DISTRICTADVANCED INTERNAL MEDICINE 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), THE HOSPITAL CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF EACH 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 DEPARTMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SITEMAN PATIENT & FAMILY ADVISORY COUNCIL (PFAC)COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)PATIENT ADVOCATEURBAN LEAGUE OF GREATER ST. LOUISMISSOURI FOUNDATION FOR HEALTHPARAQUAD, INC.INTERNATIONAL INSTITUTEALDERWOMAN OF CITY OF ST. LOUISST. LOUIS CONNECT CAREGRACE HILL CHURCHREGIONAL HEALTH COMMISSIONFAITH LEADER OF JEWISH COMMUNITYST. LOUIS INTEGRATED HEALTH NETWORKFAITH LEADER OF CHRISTIAN COMMUNITYPEOPLE'S HEALTH CENTERSUMSL SCHOOL OF NURSINGCASA DE SALUDCITY OF ST. LOUIS DEPARTMENT OF HEALTHWOMEN & INFANTS CENTERMATERNAL CHILD FAMILY HEALTH COALITIONWASHINGTON UNIVERSITY SCHOOL OF MEDICINE:VOLUNTEERS IN MEDICINEAMERICAN HEART ASSOCIATION ST. LOUIS SUBURBAN SCHOOL NURSESEMS, FIRE PROTECTION DISTRICTCATHOLIC FAMILY SERVICES MANCHESTER UNITED METHODIST CHURCHCHESTERFIELD YMCA JEWISH COMMUNITY CENTERCITY OF GLENDALE UNITED WAYAMERICAN CANCER SOCIETYMID EAST AREA ON AGINGSOUTH ST. LOUIS COUNTY HEALTH CENTER NATIONAL COUNCIL ON ALCOHOL AND DRUG ABUSECITY OF TOWN AND COUNTRY CITY OF CHESTERFIELDST. LOUIS COUNTY DEPARTMENT OF HEALTH BJC/HEALTHSOUTH REHABIL CENTER LLC PART V, SECTION B, LINE 5: TO FULFILL THE PPACA REQUIREMENTS, TRISL OBTAINED INPUT FROM REHABILITATION AND PUBLIC HEALTH EXPERTS. ELEVEN INDIVIDUALS FROM VARIOUS ST. LOUIS METROPOLITAN AREA ORGANIZATIONS WERE INTERVIEWED. EACH INDIVIDUAL WAS SENT A WORKSHEET TO COMPLETE PRIOR TO THE INTERVIEW TO IDENTIFY THEIR PERCEPTIONS OF THE GREATEST HEALTH NEEDS RELATED TO REHABILITATION IN ST. LOUIS CITY, THEIR KNOWLEDGE OF AVAILABLE RESOURCES TO ADDRESS THESE NEEDS, AND THE GREATEST GAP THAT EXISTS BETWEEN NEED AND AVAILABLE RESOURCES. INTERVIEW GROUP PARTICIPANTS FOR THE BJC/HEALTHSOUTH REHABILITATION INSTITUTE OF ST. LOUIS LLC INCLUDED PARTICIPANTS REPRESENTING:AMERICAN PARKINSON DISEASE ASSOCIATIONNATIONAL MS SOCIETY, GATEWAY CHAPTERBRAIN INJURY ASSOCIATION OF MISSOURICENTER FOR HEAD INJURY SERVICESAMERICAN HEART ASSOCIATIONABC BRIGADESTROKE VISITATION PROGRAMJEFFERSON COUNTY DEPARTMENT OF HEALTH AND SR. SERVICESMO DIVISION OF VOCATIONAL REHABILITATION SERVICESOCCUPATIONAL THERAPY PERFORMANCE LAB (WUSM) HOME CARE ASSISTANCE PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), THE HOSPITAL CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF EACH 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 DEPARTMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SITEMAN PATIENT & FAMILY ADVISORY COUNCIL (PFAC)COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)PATIENT ADVOCATEURBAN LEAGUE OF GREATER ST. LOUISMISSOURI FOUNDATION FOR HEALTHPARAQUAD, INC.INTERNATIONAL INSTITUTEALDERWOMAN OF CITY OF ST. LOUISST. LOUIS CONNECT CAREGRACE HILL CHURCHREGIONAL HEALTH COMMISSIONFAITH LEADER OF JEWISH COMMUNITYST. LOUIS INTEGRATED HEALTH NETWORKFAITH LEADER OF CHRISTIAN COMMUNITYPEOPLE'S HEALTH CENTERSUMSL SCHOOL OF NURSINGCASA DE SALUDCITY OF ST. LOUIS DEPARTMENT OF HEALTHWOMEN & INFANTS CENTERMATERNAL CHILD FAMILY HEALTH COALITIONWASHINGTON UNIVERSITY SCHOOL OF MEDICINE:FORT ZUMWALT SCHOOL DISTRICTST. CHARLES DEPARTMENT OF COMMUNITY HEALTH UNITED WAYST. CHARLES COUNTY GOVERNMENTCRIDER HEALTH CENTERMID EAST AREA AGENCY ON AGINGST. CHARLES CITY COUNTY LIBRARY DISTRICTYOUTH IN NEEDRENAUD SPIRIT CENTERUNITED SERVICESCALVARY CHURCHVOLUNTEERS IN MEDICINEWENTZVILLE SCHOOL DISTRICTST. CHARLES CITY COUNTY LIBRARY DISTRICTADVANCED INTERNAL MEDICINE 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), THE HOSPITAL CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF EACH 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 DEPARTMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SITEMAN PATIENT & FAMILY ADVISORY COUNCIL (PFAC)COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)PATIENT ADVOCATEURBAN LEAGUE OF GREATER ST. LOUISMISSOURI FOUNDATION FOR HEALTHPARAQUAD, INC.INTERNATIONAL INSTITUTEALDERWOMAN OF CITY OF ST. LOUISST. LOUIS CONNECT CAREGRACE HILL CHURCHREGIONAL HEALTH COMMISSIONFAITH LEADER OF JEWISH COMMUNITYST. LOUIS INTEGRATED HEALTH NETWORKFAITH LEADER OF CHRISTIAN COMMUNITYPEOPLE'S HEALTH CENTERSUMSL SCHOOL OF NURSINGCASA DE SALUDCITY OF ST. LOUIS DEPARTMENT OF HEALTHWOMEN & INFANTS CENTERMATERNAL CHILD FAMILY HEALTH COALITIONWASHINGTON UNIVERSITY SCHOOL OF MEDICINE:LIFESPAN COUNSELING CENTER (SULLIVAN)PARENTS AS TEACHERS, SULLIVANSTEELVILLE AMBULANCE DISTRICT SULLIVAN AREA CHAMBER OF COMMERCEMERAMEC COMMUNITY MISSION (SULLIVAN)CRAWFORD COUNTY HEALTH DEPARTMENTPUBLIC ADMINISTRATOR, CRAWFORD COUNTYSULLIVAN SCHOOL DISTRICT PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 5: SEE PARKLAND HEALTH CENTER - FARMINGTON MISSOURI BAPTIST MEDICAL CENTER PART V, SECTION B, LINE 6A: BARNES-JEWISH WEST COUNTY HOSPITAL, ST LUKE'S EPISCOPAL HOSPITAL IN CHESTERFIELD, MO AND ST ANTHONY'S MEDICAL CENTER IN SOUTH ST. LOUIS COUNTY CHRISTIAN HOSPITAL NE-NW PART V, SECTION B, LINE 6A: DEPAUL MEDICAL CENTER ST LOUIS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A: CARDINAL GLENNON ALTON MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: ST ANTHONY'S HEALTH CENTER IN ALTON IL PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 6A: PARKLAND HEALTH CENTER - BONNE TERRE BARNES-JEWISH ST PETERS HOSPITAL, INC. PART V, SECTION B, LINE 6A: PROGRESS WEST HEALTHCARE CENTER (DBA PROGRESS WEST HOSPITAL) BARNES-JEWISH WEST COUNTY HOSPITAL PART V, SECTION B, LINE 6A: MISSOURI BAPTIST MEDICAL CENTER, ST LUKE'S EPISCOPAL HOSPITAL IN CHESTERFIELD, MO AND ST ANTHONY'S MEDICAL CENTER IN SOUTH ST. LOUIS COUNTY PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 6A: BARNES-JEWISH ST. PETER'S HOSPITAL, INC. PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 6A: PARKLAND HEALTH CENTER - FARMINGTON PARKLAND HEALTH CENTER-WEBER ROAD PART V, SECTION B, LINE 2: EFFECTIVE FEBRUARY, 2015, BJC HEALTH SYSTEM FORMED PARKLAND HEALTH CENTER - WEBER ROAD (HOSPITAL), AN ORGANIZATION EXEMPT FROM TAX PURSUANT TO INTERNAL REVENUE CODE (CODE) SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN CODE SECTION 501(C)(3). SUBSEQUENTLY, THE HOSPITAL PURCHASED THE ASSETS AND OPERATIONS OF FARMINGTON MISSOURI HOSPITAL COMPANY, LLC (DBA MINERAL AREA REGIONAL MEDICAL CENTER), AN AFFILIATE OF CAPELLA HEALTHCARE, INC., A DELAWARE FOR PROFIT CORPORATION. THE ASSETS WERE PLACED INTO SERVICE IN FEBRUARY, 2015 AND OPERATED THE HOSPITAL UNTIL THE FACILITY WAS CLOSED ON JANUARY 19, 2016. BARNES-JEWISH HOSPITAL NORTH/SOUTH PART V, SECTION B, LINE 11: BARNES-JEWISH HOSPITAL IS ADDRESSING ALL THE NEEDS THAT WERE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS CONDUCTED IN 2013. HOSPITAL PERSONNEL ARE PARTNERING WITH COMMUNITY GROUPS AS DETAILED IN THE IMPLEMENTATION STRATEGY FOR MEETING THE COMMUNITY NEEDS. MISSOURI BAPTIST MEDICAL CENTER PART V, SECTION B, LINE 11: 1) MENTAL HEALTH: AT PRESENT, MISSOURI BAPTIST MEDICAL CENTER (MBMC) DOES NOT HAVE AN INPATIENT MENTAL HEALTH UNIT AND IS NOT DIRECTLY INVOLVED WITH COMMUNITY EDUCATION FOCUSING ON MENTAL HEALTH AND DEPRESSION. ALTHOUGH MBMC DOES NOT HAVE THE RESOURCES TO PROVIDE THIS SERVICE, SEVERAL AREA HOSPITALS INCLUDING MERCY HOSPITAL, ST. MARY'S HEALTH CENTER AND ST. CLAIR HEALTH CENTER OFFER THESE SERVICES.2) SOCIAL SUPPORT SERVICES FOR SENIORS: AT PRESENT, MBMC PARTNERS WITH OASIS TO PROVIDE COMMUNITY EDUCATION PROGRAMS FOCUSING ON SENIORS. AS A MEMBER OF BJC HEALTHCARE, WE HAVE ACCESS TO BJC HOME CARE SERVICES, WHICH PROVIDES IN-HOME SERVICES FOR SENIORS. MBMC DOES NOT HAVE THE FINANCIAL RESOURCES TO PROVIDE ANY ADDITIONAL SUPPORT SERVICES FOR SENIORS OR THE DISABLED.3) MATERNAL/NEWBORNS/PEDIATRICS: OVERALL, MBMC EXPERIENCES A LOW INFANT MORTALITY RATE, AS WELL AS A LOW PERCENTAGE OF BABIES BORN WITH A LOW BIRTH WEIGHT. BECAUSE MERCY, A NEIGHBORING HOSPITAL, PROVIDES A CLINIC FOR TEEN MOTHERS, MBMC DOES NOT SERVE MANY TEEN MOTHERS. MOST MOTHERS WHO DELIVER AT MBMC ARE SEEN REGULARLY BY THEIR OB/GYN AND RECEIVE EXCELLENT PRENATAL CARE BY THEIR STAFF. CHRISTIAN HOSPITAL NE-NW PART V, SECTION B, LINE 11: 1) MENTAL HEALTH THE HOSPITAL DOES NOT CURRENTLY HAVE THE FINANCIAL ABILITY TO ACTIVELY EDUCATE AND SCREEN THE COMMUNITY. WE OFFER SUPPORT GROUPS FOR SUBSTANCE ABUSE AND OTHER MENTAL DIAGNOSIS THROUGH OUR OUTPATIENT MENTAL HEALTH CENTER.2) INFECTIOUS DISEASE THE HOSPITAL DOES NOT CURRENTLY HAVE THE FINANCIAL ABILITY TO ACTIVELY EDUCATE AND SCREEN THE COMMUNITY FOR INFECTIOUS DISEASE. WE DO HOWEVER; PROVIDE FUNDS FOR FREE FLU SHOTS GIVEN IN THE COMMUNITY.3) REPRODUCTIVE HEALTH THE HOSPITAL DOES NOT CURRENTLY OFFER CLINICAL SUPPORT FOR OBSTETRICS, THUS A FOCUS ON REPRODUCTIVE HEALTH IS MINIMAL.4) CANCER COMMUNITY BENEFIT PROGRAMS ARE CURRENTLY FUNDED THAT ALLOW US TO ADDRESS CANCER EDUCATION AND PREVENTION SUCH AS THE MEN'S HEALTHY HAPPY HOUR WHERE WE CONDUCT PSA SCREENINGS AND THE MAMMO-THON, PROVIDING MAMMOGRAMS FOR UNDERINSURED WOMEN IN THE COMMUNITY. HOWEVER, WE DO NOT ACTIVELY COORDINATE A PROGRAM OUTSIDE OF OUR KOMEN GRANT. THE GREATER COMMUNITY IS ACTIVELY INVOLVED WITH EVENTS THROUGH THE AMERICAN CANCER SOCIETY.5) CHILD WELFARE THE HOSPITAL DOES NOT CURRENTLY HAVE A PEDIATRIC UNIT AND OUTSIDE OF SEEING CHILDREN IN THE ED, THEY ARE TRANSFERRED TO A FACILITY THAT CAN ACCOMMODATE THEM. OUR HOSPITAL AND EMS TRUCKS ARE CONSIDERED A "SAFE PLACE AND WE PARTNER WITH YOUTH IN NEED TO ENSURE OUR YOUTH HAVE ACCESS TO BASIC NEEDS OUTSIDE OF MEDICAL TREATMENT.6) SOCIO-ECONOMIC FACTORS THE HOSPITAL PARTNERS WITH ORGANIZATIONS WITHIN THE COMMUNITY TO POSITIVELY IMPACT THE GROWTH OF THIS AREA. WE ARE A LEADING EMPLOYER IN THE COUNTY AND PARTNER WITH VARIOUS COMMUNITY DEVELOPMENT CORPORATIONS AND COMMUNITY DEVELOPMENT ORGANIZATIONS IN AN EFFORT TO IMPROVE THE NEIGHBORING COMMUNITIES.7) SENIOR CARE THE HOSPITAL DOES NOT CURRENTLY OFFER SENIOR CARE OUTSIDE OF THE MANAGEMENT OF VILLAGE NORTH RETIREMENT HOME.8) DENTAL HEALTH THE HOSPITAL DOES NOT CURRENTLY HAVE THE CLINICAL OPPORTUNITIES TO PROVIDE DENTAL CARE TO OUR COMMUNITY MEMBERS. BOONE HOSPITAL CENTER PART V, SECTION B, LINE 11: 1) MENTAL HEALTH: BOONE HOSPITAL CENTER (BHC) DOES NOT PROVIDE INPATIENT MENTAL HEALTH SERVICES, BUT DOES OFFER AN OUTPATIENT COGNITIVE BEHAVIORAL THERAPY PROGRAM AND CONTRACTS WITH LOCAL EMPLOYERS TO PROVIDE EMPLOYEE ASSISTANCE PROGRAM SERVICES TO THEIR STAFF. BHC CURRENTLY SUPPORTS COMMUNITY PROGRAMS AND INITIATIVES TO EXPAND ACCESS TO MENTAL HEALTH SERVICES IN BOONE COUNTY. 2) REPRODUCTIVE HEALTH: WHILE BHC SPECIALIZES IN OBSTETRICS, WITH A LEVEL-III INTENSIVE CARE NURSERY, THE HOSPITAL LACKS THE RESOURCES TO PROVIDE A COMMUNITY PROGRAM TO IMPROVE MATERNAL AND CHILD HEALTH. THERE ARE NO RESOURCES AT THIS TIME FOR PREVENTION, DETECTION OR TREATMENT OF SEXUALLY TRANSMITTED INFECTIONS. COLUMBIA/BOONE COUNTY PUBLIC HEALTH DEPARTMENT OFFERS FREE OR LOW-COST STD SCREENINGS, PREGNANCY TESTS AND SEXUAL EDUCATION FOR TEENAGERS. SEVERAL ORGANIZATIONS IN BOONE COUNTY, INCLUDING PLANNED PARENTHOOD IN COLUMBIA, PROVIDE BIRTH CONTROL, FAMILY PLANNING AND SEXUAL HEALTH EDUCATION, AND RESOURCES FOR PREGNANCY. ST LOUIS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: 1) MATERNAL CHILD HEALTH: AT THIS TIME, ST. LOUIS CHILDREN'S HOSPITAL (HOSPITAL) DOES NOT ADDRESS MATERNAL CHILD HEALTH IN THE COMMUNITY BUT WILL RECONSIDER THIS ENDEAVOR DURING THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT. CURRENTLY, HOSPITAL RESOURCES ARE LIMITED AND THERE ARE NOT ADEQUATE RESOURCES TO ADDRESS THIS ISSUE IN THE COMMUNITY. ST. LOUIS CHILDREN'S HOSPITAL STAFFS ARE REPRESENTED ON MULTIPLE LOCAL COALITIONS FOCUSED ON MATERNAL CHILD HEALTH.2) CANCER: THE HOSPITAL DOES NOT CURRENTLY FOCUS ANY COMMUNITY BENEFIT PROGRAMS ON THE HEALTH TOPIC OF CANCER. THE HEALTH TOPIC OF CANCER ONLY RECEIVED ONE MENTION; THEREFORE THE INTERNAL FOCUS GROUP DID NOT CREATE AN IMPLEMENTATION STRATEGY FOR THIS HEALTH TOPIC. IN ADDITION, THERE ARE NOT RESOURCES TO ADDRESS THIS ISSUE IN THE COMMUNITY. ALTON MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: ALTHOUGH THE HOSPITAL HAS FOCUSED ON MOST NEEDS IDENTIFIED WITHIN THE ALTON COMMUNITY, AMH HAS CHOSEN NOT TO FOCUS ON THE FOLLOWING NEEDS THAT WERE IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZATION PROCESS: 1) MENTAL HEALTH: ALTHOUGH AMH HAS AN INPATIENT AND OUTPATIENT PSYCHIATRIC DEPARTMENT, IT CAN ONLY TREAT PATIENTS WHO ARE 65 YEARS OF AGE AND OLDER. MENTAL HEALTH ISSUES IN MADISON COUNTY ARE BEING ADDRESS BY THE ALTON MENTAL HEALTH DEPARTMENT AND WELLSPRING RESOURCES. WE WILL CONTINUE TO WORK CLOSELY WITH THOSE TWO ORGANIZATIONS.2) REPRODUCTIVE HEALTH: THE MADISON COUNTY HEALTH DEPARTMENT AS WELL AS LOCAL CONVENIENT AND URGENT CARE CENTERS OFFERS TESTING FOR STI'S AND HIV. SOUTHERN ILLINOIS HEALTHCARE FOUNDATION OFFERS NUMEROUS OB/GYN SPECIALISTS WHO WILL SEE AND TREAT UNDERSERVED PATIENTS. WE WILL CONTINUE TO MAKE SEX EDUCATION AN OFFERING DELIVERED THROUGH OUR HEALTH LITERACY PROGRAM AND PARTNER WITH THOSE LOCAL AGENCIES. 3) SUBSTANCE ABUSE: THE NEED IS BEING ADDRESSED BY DRUG FREE ALTON, A GRASS ROOTS COMMUNITY PROGRAM IN MADISON COUNTY. WELLSPRING RESOURCES ALSO OFFERS DEPENDENCY CLASSES TO ASSIST. WE WILL CONTINUE TO PARTNER WITH THESE AGENCIES THAT CAN BETTER ASSIST PATIENTS. WE WILL ALSO ASSIST OUR LOCAL LAW ENFORCEMENT AGENCIES TO REPORT INSTANCES OF SUBSTANCE ABUSE.4) DENTAL CARE: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF DENTISTRY AND LEWIS AND CLARK COMMUNITY COLLEGE BOTH OFFER SLIDING SCALE OR FREE CARE TO THOSE NEEDING DENTAL CARE. THERE ARE ALSO A NUMBER OF DENTISTS IN MADISON COUNTY TO OVERSEE THE DENTAL HEALTH. IN 2007, MADISON COUNTY RANKED AHEAD OF THE ILLINOIS AND US AVERAGE FOR DENTISTS PER 100,000 POPULATION.5) HOUSING/HOMELESSNESS: THE MADISON COUNTY HOUSING AUTHORITY IS ADDRESSING THIS COMMUNITY HEALTH NEED. AMH HAS INSUFFICIENT RESOURCES, BOTH FINANCIAL AND PERSONNEL, TO ADDRESS THIS NEED.6) AIR QUALITY: AMH WILL CONTINUE TO OFFER FREE LUNG SCREENINGS TO RESIDENTS OF MADISON COUNTY. GOVERNMENT BODIES (EPA, COUNTY AND CITY MUNICIPALITIES) ARE CURRENTLY ADDRESSING THE NEED TO IMPROVE AIR QUALITY. ORDINANCES MAKING BURNING ILLEGAL ARE BEING CONSIDERED BUT MUST BE PASSED IN GENERAL ELECTIONS. PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 11: 1) MENTAL HEALTH: PARKLAND HEALTH CENTER DOES NOT HAVE THE RESOURCES TO SIGNIFICANTLY IMPACT THE MENTAL HEALTH NEEDS WITHIN THE COMMUNITY ALONE AT THIS TIME. THE HOSPITAL DOES HAVE A GERIATRIC PSYCHIATRY DEPARTMENT, BUT DOES NOT PROVIDE INPATIENT OR OUTPATIENT SERVICES FOR OTHER PATIENTS IN NEED OF PSYCHIATRIC CARE. BJC BEHAVIORAL HEALTH, ALSO A PART OF BJC HEALTHCARE, WORKS CLOSELY WITH PARKLAND HEALTH CENTER TO BRING EDUCATION AND AWARENESS TO THE COMMUNITY AT LARGE WHILE PROVIDING CARE FOR THOSE IN NEED2) REPRODUCTIVE HEALTH: TEEN PREGNANCY, PRE-TERM BIRTH AND LOW BIRTH WEIGHTS ARE SIGNIFICANT ISSUES WITHIN ST. FRANCOIS COUNTY. PARKLAND HEALTH CENTER WILL CONTINUE ITS SUPPORT AND COLLABORATION WITH THE MARCH OF DIMES AND THE PARKLAND PREGNANCY RESOURCE CENTER. BOTH OF THESE ORGANIZATIONS ARE WORKING DILIGENTLY WITHIN THE COUNTY ON THESE ISSUES.3) SUBSTANCE ABUSE: SERVICES AT PARKLAND HEALTH CENTER DO NOT AT THIS TIME INCLUDE DRUG AND ALCOHOL TREATMENT, REHABILITATION AND EDUCATION. PARKLAND SUPPORTS LOCAL PROGRAMS THAT ARE ADMINISTERED BY OTHER AGENCIES AND ARE AIMED AT EDUCATING THE PUBLIC ON THE DANGERS OF SUBSTANCE ABUSE. ANOTHER HOSPITAL IN THE AREA, MINERAL AREA REGIONAL MEDICAL CENTER, CURRENTLY PROVIDES TREATMENT FOR SUBSTANCE ABUSE.4) SENIORS: HEALTH ISSUES AS THEY RELATE TO SENIORS ARE MANY AND VARIED. MANY OF THE ISSUES IDENTIFIED IN SENIORS CAN BE ADDRESSED UNDER THE PRIORITIES IDENTIFIED BY THE HOSPITAL IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT. WHILE A VARIETY OF PROGRAMS ARE AVAILABLE FOR SENIORS THROUGH PARKLAND HEALTH CENTER, ONLY A SMALL SELECTION OF THEM WILL BE FORMALLY ADDRESSED IN THIS IMPLEMENTATION PLAN.5) CANCER: THE DATA INDICATES THAT ST. FRANCOIS COUNTY HAS A HIGHER RATE OF INSTANCES OF CERTAIN TYPES OF CANCER, BUT NOT ALL TYPES OF CANCER. THE HIGHEST RATE IS THAT OF LUNG CANCER, WHICH IS BEING FORMALLY, ADDRESSED THROUGH SMOKING CESSATION AND ABSTINENCE PROGRAMS UNDER CHRONIC CONDITIONS INCLUDING HEART DISEASE. THE HOSPITAL WILL CONTINUE ITS ONGOING SUPPORT OF OTHER ORGANIZATIONS THAT ARE ADDRESSING CANCER LOCALLY, REGIONALLY AND NATIONALLY, INCLUDING THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE. 6) HOMELESS: THE HOSPITAL DOES NOT AT THIS TIME HAVE THE RESOURCES OR EXPERTISE TO SIGNIFICANTLY IMPACT THE ISSUE OF HOMELESSNESS IN ST. FRANCOIS COUNTY. WE WILL CONTINUE OUR SUPPORT OF SHARED BLESSINGS HOMELESS SHELTER AND THE UNITED WAY OF ST. FRANCOIS COUNTY.7) LACK OF LOCAL CAPABILITY: THE HOSPITAL WILL CONTINUE ITS EFFORTS TO RECRUIT THE HIGHEST QUALITY PHYSICIANS, INCLUDING SPECIALISTS, TO THE AREA. THE RESOURCES AVAILABLE THROUGH THE BJC HEALTHCARE NETWORK PROVIDE EXCELLENT PHYSICIANS, MANY OF WHOM VISIT OUR TWO FACILITIES ON A REGULAR BASIS. 8) URGENT CARE: PARKLAND HEALTH CENTER CONTINUES TO ADDRESS THE ISSUE OF URGENT CARE THROUGH THE CONTINUOUS IMPROVEMENT OF THE EMERGENCY DEPARTMENTS AT BOTH THE FARMINGTON AND THE BONNE TERRE FACILITIES. 9) SERVICES FOR MEN: MANY OF THE PROGRAMS LISTED IN OUR IMPLEMENTATION PLAN WILL APPLY TO MEN. HOWEVER, THE HOSPITAL DOES NOT AT THIS TIME HAVE THE RESOURCES TO EXPAND ITS HEALTHCARE PROGRAMS TO AIM SPECIFICALLY AT MEN.10) UTILITY BILL ASSISTANCE: THIS NEED WITHIN THE COMMUNITY IS BEING ADDRESSED BY A VARIETY OF AGENCIES INCLUDING THE EAST MISSOURI ACTION AGENCY, THE UNITED WAY OF ST. FRANCOIS COUNTY, THE MINISTERIAL ALLIANCE AND OTHERS. THE HOSPITAL WILL CONTINUE ITS ONGOING SUPPORT OF THOSE AGENCIES, INCLUDING SIGNIFICANT FUNDRAISING ACTIVITIES AIMED AT HELPING MEET THESE TYPES OF NEEDS WITHIN THE COMMUNITY. BARNES-JEWISH ST PETERS HOSPITAL, INC. PART V, SECTION B, LINE 11: 1) MENTAL HEALTH AND SUBSTANCE ABUSE: BARNES-JEWISH ST. PETERS HOSPITAL DOES NOT OFFER A BEHAVIORAL HEALTH PROGRAM. ORGANIZATIONS ARE IN PLACE TO ADDRESS MENTAL HEALTH AND/OR SUBSTANCE ABUSE ISSUES INCLUDING BRIDGEWAY BEHAVIORAL HEALTH CRIDER HEALTH CENTERCOUNTY HEALTH DEPARTMENT - ST. CHARLES COUNTY DRUG TASK FORCE PREFERRED FAMILY CARE2) DENTAL HEALTH: BARNES-JEWISH ST. PETERS HOSPITAL DOES NOT PROVIDE PREVENTIVE DENTAL SERVICES. PATIENTS THAT ARE SEEN IN THE EMERGENCY DEPARTMENT ARE REFERRED TO A DENTIST BUT THIS IS OFTEN A DIFFICULT PROCESS AS THE COUNTY LACKS PROVIDERS WILLING TO CARE FOR THE UNDERINSURED OR UNINSURED. 3) CHILDREN: BARNES-JEWISH ST. PETERS HOSPITAL'S PARTNER HOSPITAL, PROGRESS WEST HOSPITAL WILL BE ADDRESSING PEDIATRIC SERVICES AND PROGRAMS. BARNES-JEWISH WEST COUNTY HOSPITAL PART V, SECTION B, LINE 11: SEE MISSOURI BAPTIST MEDICAL CENTER BJC/HEALTHSOUTH REHABIL CENTER LLC PART V, SECTION B, LINE 11: 1) ACCESS TO RESOURCES/INADEQUATE INSURANCE: BEING AN ENTITY THAT IS HALF FOR-PROFIT AND HALF NON-PROFIT AND HAVING LIMITED RESOURCES, WE CHOSE NOT TO ADDRESS THIS COMMUNITY NEED. WE DO HOWEVER OFFER A REDUCED FEE FOR OUTPATIENT SERVICES FOR THOSE WITHOUT INSURANCE ON A SELF-PAY BASIS. WE ALSO OFFER CHARITY COGNITIVE THERAPY VISITS FOR BRAIN INJURY PATIENTS FOR THOSE THAT ARE 21 YEARS OF AGE AND UNDER AS REFERRED TO US BY BJH. WE ALSO HAVE RESOURCES SUCH AS PARAQUAD VISIT WITH OUR SPINAL CORD INJURY INPATIENTS BEFORE DISCHARGE TO AID WITH ADDITIONAL COMMUNITY RESOURCES THAT ARE AVAILABLE TO THEM. WE ALSO HAVE A PARTNERS IN STROKE SUPPORT GROUP THAT IS AVAILABLE FOR BOTH INPATIENT AND OUTPATIENT STROKE PATIENTS.2) TRANSPORTATION: BEING AN ENTITY THAT IS HALF FOR- PROFIT AND HALF NON-PROFIT AND HAVING LIMITED RESOURCES TO SERVICE OUR INPATIENT CLIENTS WE DECIDED WE ALREADY PROVIDE WHAT WE CAN TO ADDRESS APPROPRIATE TRANSPORTATION NEEDS FOR OUR TARGETED AREA. WE PROVIDE TRANSPORTATION FOR INPATIENT NEEDS TO GO OUT TO PHYSICIAN APPOINTMENTS AS WELL AS HAVE DEVELOPED A COMPREHENSIVE LIST OF TRANSPORTATION ALTERNATIVES FOR DISABLED AND REHABILITATING PATIENTS FOR PATIENTS AND CAREGIVERS WHO NEED TO SEEK ALTERNATE TRANSPORTATION.3) EXERCISE/PHYSICAL ACTIVITY: BEING AN ENTITY THAT IS HALF FOR -PROFIT AND HALF NON-PROFIT AND HAVING LIMITED RESOURCES TO SERVICE OUR INPATIENT CLIENTS, WE DECIDED WE ALREADY PROVIDE WHAT WE CAN TO ADDRESS AFFORDABLE, SAFE, EXERCISE CLASSES THAT CAN CONTINUE BEYOND REGULAR THERAPY VISITS OR IF RECOMMENDED BY PHYSICIAN AND/OR THERAPIST. WE HAVE LIMITED SPACE TO OFFER COMMUNITY PROGRAMMING AND CURRENTLY OFFER A LOW-COST ALTERNATIVE FOR REHABILITATING PATIENTS AND WORK WITH THE ABC BRIGADE TO OFFER SCHOLARSHIPS FOR THOSE NOT BEING ABLE TO AFFORD THE CLASS SESSIONS. WE OFFER AQUATICS AND MUSCLE IN MOTIONS CLASSES THAT HAVE A SMALL FEE TO COVER SOME OF OUR EXPENSES BUT THE CHARGE IS LOW AND DOES NOT COVER FULLY OUR COSTS TO PROVIDE THE SERVICE. PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 11: 1) MENTAL HEALTH AND SUBSTANCE ABUSE: BARNES-JEWISH ST. PETERS HOSPITAL DOES NOT OFFER A BEHAVIORAL HEALTH PROGRAM. ORGANIZATIONS ARE IN PLACE TO ADDRESS MENTAL HEALTH AND/OR SUBSTANCE ABUSE ISSUES INCLUDING BRIDGEWAY BEHAVIORAL HEALTH CRIDER HEALTH CENTERCOUNTY HEALTH DEPARTMENT - ST. CHARLES COUNTY DRUG TASK FORCE PREFERRED FAMILY CARE2) DENTAL HEALTH: BARNES-JEWISH ST. PETERS HOSPITAL DOES NOT PROVIDE PREVENTIVE DENTAL SERVICES. PATIENTS THAT ARE SEEN IN THE EMERGENCY DEPARTMENT ARE REFERRED TO A DENTIST BUT THIS IS OFTEN A DIFFICULT PROCESS AS THE COUNTY LACKS PROVIDERS WILLING TO CARE FOR THE UNDERINSURED OR UNINSURED. MISSOURI BAPTIST HOSPITAL OF SULLIVAN PART V, SECTION B, LINE 11: 1) SUBSTANCE ABUSE: MISSOURI BAPTIST SULLIVAN HOSPITAL OPERATES AN ADULT MEDICAL STABILIZATION PROGRAM CALLED NEW VISION FOR ALCOHOL AND OPIATE ADDICTION BILLED THROUGH INSURANCE. AT THE CURRENT TIME, THE HOSPITAL DOES NOT POSSESS THE STAFF AND RESOURCES NEEDED TO OFFER BEHAVIORAL HEALTH SERVICES TO THE COMMUNITY. THE HOSPITAL IS EXPLORING OPPORTUNITIES TO PARTNER WITH OTHER ORGANIZATIONS TO EXPAND THE RESOURCES AVAILABLE IN THE FUTURE BECAUSE OF THE GREAT NEED FOR THESE SERVICES IN CRAWFORD COUNTY.2) PEDIATRIC PSYCHIATRY: MISSOURI BAPTIST SULLIVAN HOSPITAL CURRENTLY HAS INSUFFICIENT RESOURCES AND FACILITIES TO ADDRESS THIS NEED. THERE ARE A LIMITED NUMBER OF PRACTICING PSYCHIATRISTS IN THE AREA, WHICH MAKES ADDRESSING THIS NEED ESPECIALLY CHALLENGING. ORGANIZATIONS ARE IN PLACE TO ADDRESS MENTAL HEALTH ISSUES IN CHILDREN, ALTHOUGH SOME OF THESE ORGANIZATIONS ARE IN NEIGHBORING COMMUNITIES: -CHILD ADVOCACY CENTER (CAC)-COURT APPOINTED SPECIAL ADVOCATES (CASA)-CRIDER CENTER-ST. LOUIS CHILDREN'S HOSPITAL3) CHRONIC DISEASE: MISSOURI BAPTIST SULLIVAN HOSPITAL WILL ADDRESS OBESITY RELATED ILLNESS, DIABETES AND CARDIOVASCULAR DISEASE THROUGH ITS HEALTHY LIFESTYLES EDUCATION, SCREENINGS AND OUTREACH. FOR CHNA PURPOSES, THESE DISEASES WERE CATEGORIZED UNDER HEALTHY LIFESTYLES DURING THE CHNA PRIORITY RANKING PROCESS BECAUSE THEY CAN BE IMPACTED THROUGH PROPER NUTRITION AND REGULAR PHYSICAL ACTIVITY. ALL OTHER CHRONIC CONDITIONS ARE CATEGORIZED UNDER CHRONIC DISEASE. THE HOSPITAL ALSO OFFERS MONTHLY LECTURES ON A VARIETY OF TOPICS, WHICH SOMETIMES INCLUDE OTHER CHRONIC DISEASE.4) INFANT AND MATERNAL HEALTH: MISSOURI BAPTIST SULLIVAN HOSPITAL CURRENTLY HAS INSUFFICIENT RESOURCES TO ADDRESS THE SOCIOECONOMIC FACTORS AND OTHER RISK FACTORS THAT CONTRIBUTE TO POOR INFANT AND MATERNAL HEALTH OUTCOMES. HOWEVER, THE HOSPITAL IS CURRENTLY EXPLORING THE POSSIBILITY OF PROVIDING FREE CHILDBIRTH EDUCATION CLASSES IN THE FUTURE. 5) DENTAL HEALTH: UNFORTUNATELY, MISSOURI BAPTIST SULLIVAN HOSPITAL DOES NOT HAVE THE RESOURCES, STAFFING OR COMMUNITY SUPPORT TO ADDRESS THIS NEED AT THE PRESENT TIME.6) PEDIATRICS: WHILE MISSOURI BAPTIST SULLIVAN HOSPITAL RECENTLY HIRED A STAFF PEDIATRICIAN WHO ACCEPTS MEDICAID PATIENTS, THERE ARE FEW OTHER PEDIATRICIANS IN THE AREA. THE HOSPITAL DOES NOT HAVE SUFFICIENT RESOURCES TO EXPAND ITS PEDIATRIC PROGRAM AT THIS TIME. PATIENTS IN NEED OF SERVICES UNAVAILABLE IN SULLIVAN CAN BE REFERRED TO ST. LOUIS CHILDREN'S HOSPITAL. 7) HEALTH LITERACY: WHILE MISSOURI BAPTIST SULLIVAN HOSPITAL DOES NOT HAVE SUFFICIENT RESOURCES FOR A FORMAL HEALTH LITERACY PROGRAM FOR PATIENTS, THE HOSPITAL IS CURRENTLY LOOKING INTO WAYS IT CAN INCREASE AWARENESS ABOUT HEALTH LITERACY ISSUES AMONG ITS PHYSICIANS AND STAFF. 8) INFECTIOUS DISEASES: MISSOURI BAPTIST SULLIVAN HOSPITAL DOES ADDRESS INFECTIOUS DISEASE EACH YEAR AT ITS COMMUNITY HEALTH AND WELLNESS FAIR BY GIVING ADMINISTERING FREE FLU SHOTS. HOWEVER, THE HOSPITAL LACKS SUFFICIENT RESOURCES AND COMMUNITY PARTNERSHIPS AT THIS TIME TO CREATE AN OUTREACH PROGRAM TO ADDRESS THIS NEED IN A COMMUNITY SETTING. PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 11: 1) MENTAL HEALTH: PARKLAND HEALTH CENTER DOES NOT HAVE THE RESOURCES TO SIGNIFICANTLY IMPACT THE MENTAL HEALTH NEEDS WITHIN THE COMMUNITY ALONE AT THIS TIME. THE HOSPITAL DOES HAVE A GERIATRIC PSYCHIATRY DEPARTMENT, BUT DOES NOT PROVIDE INPATIENT OR OUTPATIENT SERVICES FOR OTHER PATIENTS IN NEED OF PSYCHIATRIC CARE. BJC BEHAVIORAL HEALTH, ALSO A PART OF BJC HEALTHCARE, WORKS CLOSELY WITH PARKLAND HEALTH CENTER TO BRING EDUCATION AND AWARENESS TO THE COMMUNITY AT LARGE WHILE PROVIDING CARE FOR THOSE IN NEED2) REPRODUCTIVE HEALTH: TEEN PREGNANCY, PRE-TERM BIRTH AND LOW BIRTH WEIGHTS ARE SIGNIFICANT ISSUES WITHIN ST. FRANCOIS COUNTY. PARKLAND HEALTH CENTER WILL CONTINUE ITS SUPPORT AND COLLABORATION WITH THE MARCH OF DIMES AND THE PARKLAND PREGNANCY RESOURCE CENTER. BOTH OF THESE ORGANIZATIONS ARE WORKING DILIGENTLY WITHIN THE COUNTY ON THESE ISSUES.3) SUBSTANCE ABUSE: SERVICES AT PARKLAND HEALTH CENTER DO NOT AT THIS TIME INCLUDE DRUG AND ALCOHOL TREATMENT, REHABILITATION AND EDUCATION. PARKLAND SUPPORTS LOCAL PROGRAMS THAT ARE ADMINISTERED BY OTHER AGENCIES AND ARE AIMED AT EDUCATING THE PUBLIC ON THE DANGERS OF SUBSTANCE ABUSE. ANOTHER HOSPITAL IN THE AREA, MINERAL AREA REGIONAL MEDICAL CENTER, CURRENTLY PROVIDES TREATMENT FOR SUBSTANCE ABUSE.4) SENIORS: HEALTH ISSUES AS THEY RELATE TO SENIORS ARE MANY AND VARIED. MANY OF THE ISSUES IDENTIFIED IN SENIORS CAN BE ADDRESSED UNDER THE PRIORITIES IDENTIFIED BY THE HOSPITAL IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT. WHILE A VARIETY OF PROGRAMS ARE AVAILABLE FOR SENIORS THROUGH PARKLAND HEALTH CENTER, ONLY A SMALL SELECTION OF THEM WILL BE FORMALLY ADDRESSED IN THIS IMPLEMENTATION PLAN.5) CANCER: THE DATA INDICATES THAT ST. FRANCOIS COUNTY HAS A HIGHER RATE OF INSTANCES OF CERTAIN TYPES OF CANCER, BUT NOT ALL TYPES OF CANCER. THE HIGHEST RATE IS THAT OF LUNG CANCER, WHICH IS BEING FORMALLY, ADDRESSED THROUGH SMOKING CESSATION AND ABSTINENCE PROGRAMS UNDER CHRONIC CONDITIONS INCLUDING HEART DISEASE. THE HOSPITAL WILL CONTINUE ITS ONGOING SUPPORT OF OTHER ORGANIZATIONS THAT ARE ADDRESSING CANCER LOCALLY, REGIONALLY AND NATIONALLY, INCLUDING THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE. 6) HOMELESS: THE HOSPITAL DOES NOT AT THIS TIME HAVE THE RESOURCES OR EXPERTISE TO SIGNIFICANTLY IMPACT THE ISSUE OF HOMELESSNESS IN ST. FRANCOIS COUNTY. WE WILL CONTINUE OUR SUPPORT OF SHARED BLESSINGS HOMELESS SHELTER AND THE UNITED WAY OF ST. FRANCOIS COUNTY.7) LACK OF LOCAL CAPABILITY: THE HOSPITAL WILL CONTINUE ITS EFFORTS TO RECRUIT THE HIGHEST QUALITY PHYSICIANS, INCLUDING SPECIALISTS, TO THE AREA. THE RESOURCES AVAILABLE THROUGH THE BJC HEALTHCARE NETWORK PROVIDE EXCELLENT PHYSICIANS, MANY OF WHOM VISIT OUR TWO FACILITIES ON A REGULAR BASIS. 8) URGENT CARE: PARKLAND HEALTH CENTER CONTINUES TO ADDRESS THE ISSUE OF URGENT CARE THROUGH THE CONTINUOUS IMPROVEMENT OF THE EMERGENCY DEPARTMENTS AT BOTH THE FARMINGTON AND THE BONNE TERRE FACILITIES. 9) SERVICES FOR MEN: MANY OF THE PROGRAMS LISTED IN OUR IMPLEMENTATION PLAN WILL APPLY TO MEN. HOWEVER, THE HOSPITAL DOES NOT AT THIS TIME HAVE THE RESOURCES TO EXPAND ITS HEALTHCARE PROGRAMS TO AIM SPECIFICALLY AT MEN.10) UTILITY BILL ASSISTANCE: THIS NEED WITHIN THE COMMUNITY IS BEING ADDRESSED BY A VARIETY OF AGENCIES INCLUDING THE EAST MISSOURI ACTION AGENCY, THE UNITED WAY OF ST. FRANCOIS COUNTY, THE MINISTERIAL ALLIANCE AND OTHERS. THE HOSPITAL WILL CONTINUE ITS ONGOING SUPPORT OF THOSE AGENCIES, INCLUDING SIGNIFICANT FUNDRAISING ACTIVITIES AIMED AT HELPING MEET THESE TYPES OF NEEDS WITHIN THE COMMUNITY. BJC/HEALTHSOUTH REHABIL CENTER LLC PART V, SECTION B, LINE 13B: IN ADDITION TO FAMILY INCOME AND ASSET LEVEL CRITERIA, THE HOAPITAL CONSIDERS THE DISABILITY/INCAPACITY STATUS OF THE PATIENT AS CRITERIA WHEN DETERMINING WHETHER AN INDIVIDUAL QUALIFIES FOR FINANCIAL ASSISTANCE. BJC/HEALTHSOUTH REHABIL CENTER LLC PART V, SECTION B, LINE 13H: PATIENTS WHO QUALIFY FOR BARNES-JEWISH HOSPITAL'S 100% FINANCIAL ASSISTANCE LEVEL WILL ALSO QUALIFY FOR FINANCIAL ASSISTANCE AT THE BJC/HEALTHSOUTH REHABILITATION CENTER, LLC. BARNES-JEWISH HOSPITAL NORTH/SOUTH PART V, SECTION B, LINE 22D: AGB PERCENTAGE IS CALCULATED ANNUALLY BY DIVIDING THE FULL AMOUNT OF ALL OF THE HOSPITAL'S CLAIMS THAT HAVE BEEN ALLOWED BY HEALTH INSURERS DURING THE PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. FOR THESE PURPOSES, THE FULL AMOUNT ALLOWED BY A HEALTH INSURER INCLUDES BOTH THE AMOUNT TO BE REIMBURSED BY THE INSURER AND THE AMOUNT (IF ANY) THE INDIVIDUAL IS PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES. THE AGB CALCULATION IS PERFORMED ANNUALLY BY THIS HOSPITAL. MISSOURI BAPTIST MEDICAL CENTER PART V, SECTION B, LINE 22D: AGB PERCENTAGE IS CALCULATED ANNUALLY BY DIVIDING THE FULL AMOUNT OF ALL OF THE HOSPITAL'S CLAIMS THAT HAVE BEEN ALLOWED BY HEALTH INSURERS DURING THE PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. FOR THESE PURPOSES, THE FULL AMOUNT ALLOWED BY A HEALTH INSURER INCLUDES BOTH THE AMOUNT TO BE REIMBURSED BY THE INSURER AND THE AMOUNT (IF ANY) THE INDIVIDUAL IS PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES. THE AGB CALCULATION IS PERFORMED ANNUALLY BY THIS HOSPITAL. CHRISTIAN HOSPITAL NE-NW PART V, SECTION B, LINE 22D: AGB PERCENTAGE IS CALCULATED ANNUALLY BY DIVIDING THE FULL AMOUNT OF ALL OF THE HOSPITAL'S CLAIMS THAT HAVE BEEN ALLOWED BY HEALTH INSURERS DURING THE PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. FOR THESE PURPOSES, THE FULL AMOUNT ALLOWED BY A HEALTH INSURER INCLUDES BOTH THE AMOUNT TO BE REIMBURSED BY THE INSURER AND THE AMOUNT (IF ANY) THE INDIVIDUAL IS PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES. THE AGB CALCULATION IS PERFORMED ANNUALLY BY THIS HOSPITAL. BOONE HOSPITAL CENTER PART V, SECTION B, LINE 22D: AGB PERCENTAGE IS CALCULATED ANNUALLY BY DIVIDING THE FULL AMOUNT OF ALL OF THE HOSPITAL'S CLAIMS THAT HAVE BEEN ALLOWED BY HEALTH INSURERS DURING THE PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. FOR THESE PURPOSES, THE FULL AMOUNT ALLOWED BY A HEALTH INSURER INCLUDES BOTH THE AMOUNT TO BE REIMBURSED BY THE INSURER AND THE AMOUNT (IF ANY) THE INDIVIDUAL IS PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES. THE AGB CALCULATION IS PERFORMED ANNUALLY BY THIS HOSPITAL. ST LOUIS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 22D: AGB PERCENTAGE IS CALCULATED ANNUALLY BY DIVIDING THE FULL AMOUNT OF ALL OF THE HOSPITAL'S CLAIMS THAT HAVE BEEN ALLOWED BY HEALTH INSURERS DURING THE PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. FOR THESE PURPOSES, THE FULL AMOUNT ALLOWED BY A HEALTH INSURER INCLUDES BOTH THE AMOUNT TO BE REIMBURSED BY THE INSURER AND THE AMOUNT (IF ANY) THE INDIVIDUAL IS PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES. THE AGB CALCULATION IS PERFORMED ANNUALLY BY THIS HOSPITAL. ALTON MEMORIAL HOSPITAL PART V, SECTION B, LINE 22D: AGB PERCENTAGE IS CALCULATED ANNUALLY BY DIVIDING THE FULL AMOUNT OF ALL OF THE HOSPITAL'S CLAIMS THAT HAVE BEEN ALLOWED BY HEALTH INSURERS DURING THE PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. FOR THESE PURPOSES, THE FULL AMOUNT ALLOWED BY A HEALTH INSURER INCLUDES BOTH THE AMOUNT TO BE REIMBURSED BY THE INSURER AND THE AMOUNT (IF ANY) THE INDIVIDUAL IS PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES. THE AGB CALCULATION IS PERFORMED ANNUALLY BY THIS HOSPITAL. PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 22D: AGB PERCENTAGE IS CALCULATED ANNUALLY BY DIVIDING THE FULL AMOUNT OF ALL OF THE HOSPITAL'S CLAIMS THAT HAVE BEEN ALLOWED BY HEALTH INSURERS DURING THE PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. FOR THESE PURPOSES, THE FULL AMOUNT ALLOWED BY A HEALTH INSURER INCLUDES BOTH THE AMOUNT TO BE REIMBURSED BY THE INSURER AND THE AMOUNT (IF ANY) THE INDIVIDUAL IS PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES. THE AGB CALCULATION IS PERFORMED ANNUALLY BY THIS HOSPITAL. BARNES-JEWISH ST PETERS HOSPITAL, INC. PART V, SECTION B, LINE 22D: AGB PERCENTAGE IS CALCULATED ANNUALLY BY DIVIDING THE FULL AMOUNT OF ALL OF THE HOSPITAL'S CLAIMS THAT HAVE BEEN ALLOWED BY HEALTH INSURERS DURING THE PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. FOR THESE PURPOSES, THE FULL AMOUNT ALLOWED BY A HEALTH INSURER INCLUDES BOTH THE AMOUNT TO BE REIMBURSED BY THE INSURER AND THE AMOUNT (IF ANY) THE INDIVIDUAL IS PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES. THE AGB CALCULATION IS PERFORMED ANNUALLY BY THIS HOSPITAL. BARNES-JEWISH WEST COUNTY HOSPITAL PART V, SECTION B, LINE 22D: AGB PERCENTAGE IS CALCULATED ANNUALLY BY DIVIDING THE FULL AMOUNT OF ALL OF THE HOSPITAL'S CLAIMS THAT HAVE BEEN ALLOWED BY HEALTH INSURERS DURING THE PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. FOR THESE PURPOSES, THE FULL AMOUNT ALLOWED BY A HEALTH INSURER INCLUDES BOTH THE AMOUNT TO BE REIMBURSED BY THE INSURER AND THE AMOUNT (IF ANY) THE INDIVIDUAL IS PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES. THE AGB CALCULATION IS PERFORMED ANNUALLY BY THIS HOSPITAL. PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 22D: AGB PERCENTAGE IS CALCULATED ANNUALLY BY DIVIDING THE FULL AMOUNT OF ALL OF THE HOSPITAL'S CLAIMS THAT HAVE BEEN ALLOWED BY HEALTH INSURERS DURING THE PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. FOR THESE PURPOSES, THE FULL AMOUNT ALLOWED BY A HEALTH INSURER INCLUDES BOTH THE AMOUNT TO BE REIMBURSED BY THE INSURER AND THE AMOUNT (IF ANY) THE INDIVIDUAL IS PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES. THE AGB CALCULATION IS PERFORMED ANNUALLY BY THIS HOSPITAL. MISSOURI BAPTIST HOSPITAL OF SULLIVAN PART V, SECTION B, LINE 22D: AGB PERCENTAGE IS CALCULATED ANNUALLY BY DIVIDING THE FULL AMOUNT OF ALL OF THE HOSPITAL'S CLAIMS THAT HAVE BEEN ALLOWED BY HEALTH INSURERS DURING THE PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. FOR THESE PURPOSES, THE FULL AMOUNT ALLOWED BY A HEALTH INSURER INCLUDES BOTH THE AMOUNT TO BE REIMBURSED BY THE INSURER AND THE AMOUNT (IF ANY) THE INDIVIDUAL IS PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES. THE AGB CALCULATION IS PERFORMED ANNUALLY BY THIS HOSPITAL. PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 22D: AGB PERCENTAGE IS CALCULATED ANNUALLY BY DIVIDING THE FULL AMOUNT OF ALL OF THE HOSPITAL'S CLAIMS THAT HAVE BEEN ALLOWED BY HEALTH INSURERS DURING THE PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. FOR THESE PURPOSES, THE FULL AMOUNT ALLOWED BY A HEALTH INSURER INCLUDES BOTH THE AMOUNT TO BE REIMBURSED BY THE INSURER AND THE AMOUNT (IF ANY) THE INDIVIDUAL IS PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES. THE AGB CALCULATION IS PERFORMED ANNUALLY BY THIS HOSPITAL. PARKLAND HEALTH CENTER-WEBER ROAD PART V, SECTION B, LINE 22D: AGB PERCENTAGE IS CALCULATED ANNUALLY BY DIVIDING THE FULL AMOUNT OF ALL OF THE HOSPITAL'S CLAIMS THAT HAVE BEEN ALLOWED BY HEALTH INSURERS DURING THE PRIOR 12-MONTH PERIOD BY THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS. FOR THESE PURPOSES, THE FULL AMOUNT ALLOWED BY A HEALTH INSURER INCLUDES BOTH THE AMOUNT TO BE REIMBURSED BY THE INSURER AND THE AMOUNT (IF ANY) THE INDIVIDUAL IS PERSONALLY RESPONSIBLE FOR PAYING IN THE FORM OF CO-PAYMENTS, CO-INSURANCE OR DEDUCTIBLES. THE AGB CALCULATION IS PERFORMED ANNUALLY BY THIS HOSPITAL. 114 1 - SITEMAN CANCER CENTER AT BJH (CAM) 4921 PARKVIEW PLACE ST LOUIS MO 63110 OUTPATIENT CANCER CENTER 2 - SITEMAN CANCER CENTER SOUTH COUNTY (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 - CENTER FOR OUTPATIENT HEALTH (COH) 4901 FOREST PARK AVE ST LOUIS MO 63108 OUTPATIENT CLINICS 5 - CENTER FOR ADVANCED MEDICINE (CAM) 4921 PARKVIEW PLACE ST LOUIS MO 63110 OUTPATIENT CLINICS 6 - CENTER FOR ADVANCED MEDICINE (SOUTH) 5201 MIDAMERICA PLAZA ST LOUIS MO 63129 OUTPATIENT CLINIC & PROF SVCS 7 - BJH ORTHOPEDIC CENTER (OC) 14532 SO OUTER FORTY RD STE 100 CHESTERFIELD MO 63017 ORTHOPED SURGERY CTR & PROF SVCS 8 - GOLDFARB SCHOOL OF NURSING AT BJ COLLEGE 4483 DUNCAN AVE ST LOUIS MO 63110 CLINICAL INSTRUCTION 9 - PSYCHIATRIC SUPPORT CENTER (PSC) 5355 DELMAR BLVD ST LOUIS MO 63112 PSYCHIATRIC UNIT 10 - RADIOLOGYLAB AT HIGHLANDS (HIGH) 1110 HIGHLANDS PLAZA EAST STE 325 ST LOUIS MO 63110 RADIOLOGY AND LAB SERVICES OFF SITE 11 - BJH CLINIC GROUP PRACTICE 620 S TAYLOR STE 100 ST LOUIS MO 63110 LAB & OUTPATIENT SERVICES 12 - BJC BRAIN INJURY DAY TREATMENT 4477 FOREST PARK AVE ST LOUIS MO 63108 OUTPATIENT SERVICES 13 - FOREST PARK KIDNEY CENTER 4205 FOREST PARK AVE ST LOUIS MO 63108 BJH/WU OP KIDNEY SERVICES 14 - BJC REHABILITATION CENTER 4435 DUNCAN AVE ST LOUIS MO 63110 REHABILITATION HOSPITAL SVCS 15 - BJH INVITRO FERTILITY CLINIC (IFC) 4444 FOREST PARK BLVD ST LOUIS MO 63108 INFERTILITY OUTPATIENT PROCEDURES 16 - THE HEART CARE INSTITUTE LLC 1020 NORTH MASON ROAD ST LOUIS MO 63141 DIAGNOSTIC CARDIOLOGY 17 - BREAST HEALTH CENTER AT MBMC 3023 N BALLAS ROAD STE 630 ST LOUIS MO 63131 RADIOLOGY SERVICES 18 - THE CHILD BIRTH CENTER AT MBMC 3023 N BALLAS ROAD STE 300 ST LOUIS MO 63131 WOMEN'S REPRODUCTIVE HEALTH SVCS 19 - MBMC GIENDOSCOPY 3023 N BALLAS ROAD 550 ST LOUIS MO 63131 GI/ENDOSCOPY SERVICES 20 - MBMC ULTRASOUND 3023 N BALLAS ROAD 450 ST LOUIS MO 63131 ULTRASOUND SERVICES 21 - MBMC CT PETCT 3023 N BALLAS ROAD 200 ST LOUIS MO 63131 DIAGNOSTIC SERVICES 22 - MBMC FAMILY CARE PHARMACY 3023 N BALLAS ROAD 100 ST LOUIS MO 63131 PHARMACY SERVICES 23 - MBMC MRI 3023 N BALLAS ROAD 150 ST LOUIS MO 63131 MRI/RADIOLOGY SERVICES 24 - MBMC CARDIOVASCULAR DIAGNOSTICS 3023 N BALLAS ROAD 220 ST LOUIS MO 63131 CARDIAC DIAGNOSTIC SERVICES 25 - MBMC DIABETES MGMT & NUTRITION 3009 N BALLAS ROAD 228 ST LOUIS MO 63131 OUTPATIENT DIABETES TREATMENT 26 - MBMC CARDIAC REHAB 3009 N BALLAS ROAD 110 ST LOUIS MO 63131 OUTPATIENT CARDIAC REHAB 27 - MBMC SURGICAL PRE TEST LAB & RADIOL 3009 N BALLAS ROAD 112 ST LOUIS MO 63131 OUTPATIENT SURGERY 28 - MBMC OUTPATIENT CARDIAC TESTING 3009 N BALLAS ROAD 262 ST LOUIS MO 63131 OUTPATIENT CARDIAC TESTING 29 - MBMC OUTPATIENT CENTER AT SUNSET HILLS 3844 LINDBERGH BLVD 100 ST LOUIS MO 63127 OP, RADIOLOGY, CANCER, INFUSION SVCS 30 - BREAST HEALTHCARE CENTER MBMC 9450 MANCHESTER RD STE 206 ST LOUIS MO 63119 MAMMOGRAPHY AND LAB SERVICES 31 - BJC EMPLOYEE PHARMACY 3844 LINDBERGH BLVD STE 150 ST LOUIS MO 63127 PHARMACY SERVICES 32 - MISSOURI BAPTIST GYNECOLOGY & ONCOLOGY 11652 STUDT AVENUE ST LOUIS MO 63141 OUTPATIENT CANCER CENTER 33 - NORTHWEST HEALTHCARE 1225 GRAHAM ROAD FLORISSANT MO 63031 PROF SVCS, HOME CARE PHARMACY 34 - GRAHAM MED CENTER I - VARIOUS 1150 GRAHAM ROAD FLORISSANT MO 63031 PT,OT & ST, SLEEP STUDY 35 - GRAHAM MED CENTER II - VARIOUS 1224 GRAHAM ROAD FLORISSANT MO 63031 OP RETAIL PHARMACY 36 - PAUL F DIETRICH BLDG - VARIOUS 11125 DUNN ROAD ST LOUIS MO 63136 OP SENIOR PSYCHIATRIC SERVICES 37 - CH POB #2 - VARIOUS SUITES 11125 DUNN ROAD ST LOUIS MO 63136 OP CANCER, WOUND CARE, RETAIL PHARMACY 38 - CH POB #1 - VARIOUS SUITES 11155 DUNN ROAD ST LOUIS MO 63136 PAIN MGMT, RAD ONC, DIABETES CENTER 39 - BOONE HOSPITAL CARDIAC DIAGNOSTIC 1605 E BROADWAY STE 400 COLUMBIA MO 65201 DIAGNOSTIC CARDIOLOGY 40 - BOONE HOSPITAL COGNITIVE BEHAV THERAPY 1506 E BROADWAY STE 217 COLUMBIA MO 65201 BEHAVIORAL THERAPY 41 - BOONE HOSPITAL OUTPATIENT THERAPIES 1601 E BROADWAY STE LL COLUMBIA MO 65201 OUTPATIENT CLINIC 42 - BOONE HOSPITAL OUTPATIENT CLINICS 1701 E BROADWAY LL101102204 COLUMBIA MO 65201 CARD REHAB, WOUND CARE, DIABETES, BARIATRIC 43 - BOONE HOSPITAL RADIOLOGY 303 N KEENE ST STE 034 COLUMBIA MO 65201 OUTPATIENT RADIOLOGY SVCS 44 - BOONE PULMONARY MEDICINE 1601 E BROADWAY STE 240 COLUMBIA MO 65201 OUTPATIENT PULMONARY MED 45 - BOONE HOSPITAL OUTPATIENT 900 W NIFONG BLVD COLUMBIA MO 65203 OUTPATIENT SVCS 46 - BOONE HOSPITAL NIFONG PHARMACY 900 W NIFONG BLVD COLUMBIA MO 65203 OUTPATIENT SVCS 47 - BOONE HOSP CTR VISIT NURSES HOME HEALTH 601 BUS LOOP 70 W STE 260 COLUMBIA MO 65203 HOME HEALTH SVCS 48 - BOONE HOSP CTR VISIT NURSES HOSPICE 601 BUS LOOP 70 W STE 260 COLUMBIA MO 65203 HOSPICE SVCS 49 - BOONE HOSP CENTER'S VISIT NURSES INC 3315 S BERRYWOOD DRIVE COLUMBIA MO 65201 HOME HEALTH SVCS 50 - ST LOUIS CHILDREN'S HOSP PSYCHOLOGY SVCS 13001 NORTH OUTER FORTY RD CHESTERFIELD MO 63017 PEDIATRIC MENTAL HEALTH 51 - ST LOUIS CHILDREN'S HOSP THERAPY SVCS 16216 BAXTER ROAD STE 140 CHESTERFIELD MO 63017 OP THERAPY 52 - ST LOUIS CHILDREN'S PSYCHOLOGY SVCS 8888 LADUE RD ST LOUIS MO 63124 OP PSYCH 53 - SPECIALTY CARE CENTER 13001 NORTH OUTER FORTY RD CHESTERFIELD MO 63017 MULTIPLE OUTPATIENT SVCS 54 - EUNICE SMITH 1251 COLLEGE AVE ALTON IL 62002 SKILLED NURSING FACILITY 55 - ALTON NORTH-HUMAN MOTION INST REHAB 226 REGIONAL DRIVE ALTON IL 62003 ORTHO/SPORTS REHAB 56 - AMH POB#1 FOUR MEMORIAL DRIVE ALTON IL 62002 ONCOLOLGY/RADIATION ONCOLOGY SVCS 57 - TWIN RIVERS MRI (MOVED TO AMH 82015) FIVE MEMORIAL DRIVE ALTON IL 62002 FREE STANDING MRI 58 - ALTON MEM CONVENIENT CARE (THRU 4115) 5520 GODFREY RD ALTON IL 62002 OUTPATIENT CARE 59 - PARKLAND THERAPY SERVICES 1280 DOCTORS DRIVE FARMINGTON MO 63640 PHY, OCC AND SPEECH THERAPY 60 - PARKLAND BONNE TERRE PHYSICAL THERAPY 118 EAST SCHOOL RD BONNE TERRE MO 63628 PHYSICAL THERAPY SERVICES 61 - SURGERY CENTER OF FARMINGTON LLC 400 PARKLAND DRIVE FARMINGTON MO 63640 AMBULATORY SURGERY CTR 62 - SITEMAN CANCER CENTER AT BJSPH 100 ENTRANCE WAY ST PETERS MO 63376 OUTPAT CANCER & RADIATION ONCOL 63 - BJSPH OP THERAPY MOB 2 70 JUNGERMAN CIR STE 304 ST PETERS MO 63376 OUTPATIENT THERAPY 64 - BJSPH SLEEP LAB MOB 2 70 JUNGERMAN CIR STE 303 ST PETERS MO 63376 SLEEP LAB 65 - SITEMAN CANCER CENTER AT BJSPH 150 ENTRANCE WAY ST PETERS MO 63376 OUTPATIENT SURGERGY CENTER 66 - BENRUS SURGICAL AT BJSPH 6 JUNGERMANN CIRCLE STE 205 ST PETERS MO 63376 OP SERVICES 67 - SPORTS THERAPY & REHAB (STAR) 1020 N MASON STE 220212 ST LOUIS MO 63141 PHYSICAL THERAPY 68 - SPORTS THERAPY & REHAB (STAR) 14532 S OUTER FORTY CHESTERFIELD MO 63017 PHYSICAL THERAPY 69 - SPORTS THERAPY & REHAB (STAR) 5201 MIDAMERICA PLAZA ST LOUIS MO 63129 PHYSICAL THERAPY 70 - BJWC SLEEP DISORDERS LAB 969 N MASON STE 260 ST LOUIS MO 63141 SLEEP STUDY 71 - BJWC PAIN MANAGEMENT CENTER 969 N MASON STE 240 ST LOUIS MO 63141 PAIN MANAGEMENT 72 - BJWC OUTPATIENT IMAGING CENTER 10 BARNES WEST DRIVE 1040 MASON ST LOUIS MO 63141 OUTPATIENT RADIOLOGY 73 - BJWC PULMONARY FUNCTION TESTING 1040 N MASON STE 116 ST LOUIS MO 63141 PULMONARY DIAGNOSTIC TESTING 74 - BJWC RADIOLOGY 1040 N MASON STE G-02 ST LOUIS MO 63141 OUTPATIENT RADIOLOGY 75 - BJWC LABORATORY 1020 N MASON STE 120 ST LOUIS MO 63141 OUTPATIENT LABORATORY 76 - BJWC NUTRITIONAL COUNSELING 1020 N MASON STE 200 ST LOUIS MO 63141 NUTRITIONAL COUNSELING 77 - BJWC RADIATION ONCOLOGY (SITEMAN) 10 BARNES WEST DRIVE STE 101 ST LOUIS MO 63141 RADIATION ONCOLOGY 78 - BJWC LABORATORY 10 BARNES WEST DRIVE STE 102 ST LOUIS MO 63141 OUTPATIENT LABORATORY 79 - BJWC RADIOLOGY 10 BARNES WEST DRIVE STE 202 ST LOUIS MO 63141 OUTPATIENT RADIOLOGY 80 - BJWC OUTPATIENT SERVICES 10 BARNES WEST DRIVE STE 201 ST LOUIS MO 63141 OUTPATIENT SVCS 81 - PROGRESS WEST HOSP OUTPATIENT CENTER 2630 HIGHWAY K OFALLON MO 63366 OP RAD, PT, WOUND CARE 82 - SULLIVAN SPORTS FITNESS & REHAB CTR 216 W MAIN SULLIVAN MO 63080 PT, OT & ST 83 - SULLIVAN SPORTS FITNESS & REHAB CUBA 314 E WASHINGTON CUBA MO 65453 PT & OT 84 - BOURBON MEDICAL OFFICE 240 COLLEGE BOURBON MO 65441 RURAL HEALTH CLINIC 85 - CUBA MEDICAL OFFICE 102 OZARK STREET STE B CUBA MO 65453 RURAL HEALTH CLINIC 86 - STEELEVILLE MEDICAL OFFICE 510 W MAIN STREET STEELEVILLE MO 65565 RURAL HEALTH CLINIC 87 - SULLIVAN MEDICAL OFFICE 965 MATTOX DR SULLIVAN MO 63080 RURAL HEALTH CLINIC 88 - SULLIVAN AMBULANCE 1230 N CHURCH SULLIVAN MO 63080 TRAUMA AND AMBULANCE SERVICES 89 - BJC HOME CARE SERVICES - ALTON 3535 COLLEGE AVE ALTON IL 62002 HOME HEALTH 90 - BJC HOME CARE SERVICES - PARKLAND 757 WEBER RD FARMINGTON MO 63640 HOME HEALTH 91 - BJC HOME CARE SERVICES - ST LOUIS 1935 BELTWAY DRIVE ST LOUIS MO 63114 HOME HEALTH 92 - BJC HOME CARE SERVICES - SULLIVAN 113 PROGRESS PARKWAY SULLIVAN MO 63080 HOME HEALTH 93 - BJC HOME CARE SERVICES 4353 CLAYTON AVE ST LOUIS MO 63110 HOME CARE SERVICES 94 - BJC HOME CARE SERVICES 4249 CLAYTON AVE ST LOUIS MO 63110 HOME CARE SERVICES 95 - BJC HOME MEDICAL EQUIP 1935 BELTWAY DRIVE ST LOUIS MO 63114 DURABLE MEDICAL EQUIP; SUPPLIES 96 - BJC HOME MEDICAL EQUIP - FARMINGTON 301 N WASHINGTON STREET FARMINGTON MO 63640 DURABLE MEDICAL EQUIP; SUPPLIES 97 - BJC HOME CARE SERVICES - PHARMACY 1935 BELTWAY DRIVE ST LOUIS MO 63114 HOME INFUSION 98 - BJC HOSPICE ST LOUIS 1935 BELTWAY DRIVE ST LOUIS MO 63114 HOSPICE SVCS 99 - BJC HOSPICE SULLIVAN 153 EAST SPRINGFIELD SULLIVAN MO 63080 HOSPICE SVCS 100 - BJC HOSPICE - FARMINGTON 757 WEBER RD FARMINGTON MO 63640 DURABLE MEDICAL EQUIP; SUPPLIES 101 - BJC HOSPICE - ALTON ONE PROFESSIONAL DR STE 180 ALTON IL 62002 HOSPICE SVCS 102 - BJC BEHAVIORAL HEALTH CENTRAL 1430 OLIVE STREET STE 500 ST LOUIS MO 63103 MENTAL HEALTH & PHARMACY SVCS 103 - BJC BEHAVIORAL HEALTH NORTH 3165 MCKELVEY ROAD STE 200 BRIDGETON MO 63044 MENTAL HEALTH SUBS ABUSE COUNSEL 104 - BJC BEHAVIORAL HEALTH SOUTH 343 KIRKWOOD RD STE 200 KIRKWOOD MO 63122 MENTAL HEALTH EMPL ASSIST COUNSEL 105 - BJC BEHAVIORAL HEALTH SOUTHEAST 1085 MAPLE FARMINGTON MO 63640 MENTAL HEALTH AND PHARMACY SVCS 106 - BJC BEHAVIORAL HEALTH PARKLAND 1101 W LIBERTY STREET FARMINGTON MO 63640 MENTAL HEALTH SUBS ABUSE SVCS 107 - BARNESCARE 11501 PAGE SERVICE DR ST LOUIS MO 63146 OCC MED & AMBULATORY CARE CTR 108 - BARNESCARE 1901 TRADE CENTER DR ST PETERS MO 63376 OCC MED & AMBULATORY CARE CTR 109 - BJC CORPORATE HEALTH SERVICES 5000 MANCHESTER AVENUE ST LOUIS MO 63110 OCC MED & AMBULATORY CARE CTR 110 - BARNESCARE CORPORATE HEALTH SERVICES 1391 SMIZER MILL RD FENTON MO 63026 OCC MED & AMBULATORY CARE CTR 111 - BARNESCARE CORPORATE HEALTH SERVICES 909 N 14TH STREET ST LOUIS MO 63106 OCC MED & AMBULATORY CARE CTR 112 - GASTROENTEROLOGY CONSULTANTS 3009 N BALLAS RD STE 210B ST LOUIS MO 63131 OP SERVICES 113 - SUBURBAN CHEST & SLEEP SPECIALISTS 3009 N BALLAS BLDG C 251-256 ST LOUIS MO 63131 OP SERVICES 114 - SUBURBAN SURGICAL 555 N NEW BALLAS RD ST LOUIS MO 63131 OP SURGICAL SERVICES 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 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 (30% OF ANNUAL FAMILY INCOME FOR UNINSURED ILLINOIS RESIDENTS RECEIVING SERVICES AT ALTON MEMORIAL HOSPITAL). A SIMILAR FINANCIAL ASSISTANCE POLICY APPLIES TO MEDICALLY NECESSARY HEALTHCARE SERVICES RENDERED BY BJC EMPLOYED PHYSICIANS AND QUALIYING HOME CARE SERVICES. PART I, LINE 6A: BJC PREPARES AN ANNUAL WRITTEN REPORT THAT DESCRIBES PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY BJC HOSPITAL AND HOSPITAL SERVICE 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.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 = $3,995,696,260 WHICH EXCLUDES THE ALLOCABLE SHARE OF JOINT VENTURE EXPENSES OF $596,784 FOR 2015. 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 2015, SUBSIDIZED HEALTH SERVICES PROVIDED THROUGH THESE PHYSICIAN PRACTICES GENERATED LOSSES OF $39,375,349. 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: MANAGEMENT ESTIMATED THE PROVISION FOR BAD DEBT EXPENSE BY ASSESSING THE COLLECTIBILITY, TIMING AND THE AMOUNT OF PATIENT REVENUE BY CONSIDERING HISTORICAL COLLECTION RATES FOR EACH MAJOR PAYOR SOURCE, ECONOMIC TRENDS AND OTHER ECONOMIC INDICATORS. EXPENSE AMOUNTS FOR EACH HOSPITAL FACILITY INCLUDED HEREIN ARE CALCULATED AFTER APPLYING DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT'S ACCOUNT. 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 11 OF THE BJC AUDITED FINANCIAL STATEMENTS ATTACHED HERETO. SEE ALSO FOOTNOTE 2 RELATED TO UNCOMPENSATED CARE ON PAGES 15, 16 AND 17 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 = 3.01M. BJC'S SECONDARY SERVICE AREA INCLUDES BOONE COUNTY IN MID-MISSOURI AND ST. FRANCOIS COUNTY IN SOUTHEAST MISSOURI. BECAUSE OF BJC'S TEACHING HOSPITALS AND THEIR STATUS AS ACADEMIC MEDICAL CENTERS, ITS SECONDARY SERVICE AREAS INCLUDE THE REMAINING COUNTIES IN MISSOURI, AND COUNTIES IN ILLINOIS SOUTH OF PEORIA. POPULATION OF BJC'S SECONDARY SERVICE AREA = 16.6M. BJC HOSPITALS LOCATED WITHIN ALL SERVICE AREAS INCLUDE ALTON MEMORIAL HOSPITAL, BARNES-JEWISH HOSPITAL, ST. LOUIS CHILDREN'S HOSPITAL, 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 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 2015, APPROXIMATELY 4,000 PHYSICIANS WERE ACTIVE MEMBERS OF THE MEDICAL STAFFS OF ALL BJC HOSPITALS OF WHICH APPROXIMATELY 3,450 OR 86% ARE BOARD-CERTIFIED. OF THE TOTAL PHYSICIANS, 2,391 ARE FACULTY MEMBERS OF THE WUSM AND APPROXIMATELY 290 ARE EMPLOYED BY BJC THROUGH THE BJC MEDICAL GROUP, AN AFFILIATE.GOVERNING BODY. BJC IS GOVERNED BY A BOARD OF DIRECTORS (BOARD) WITH 17 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 RECENTLY COMPLETED 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 $4.1 BILLION, BJC SERVES URBAN, SUBURBAN AND RURAL COMMUNITIES THROUGH 13 HOSPITALS 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 170B(1)A(VI) 58907600 SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE BJH COMMUNITIES ST LOUIS CHILDREN'S HOSPITAL FOUNDATION ONE CHILDRENS PLACE ST LOUIS MO 63110 431626863 501(C)(3) 19600000 SUPPORT FOR HEALTHCARE NEEDS FOR ST LOUIS CHILDREN'S HOSPITAL WASHINGTON UNIVERSITY SCHOOL OF MEDICINE 660 S EUCLID AVENUE CAMPUS BOX 8092 8092 ST LOUIS MO 63110 431519670 501(C)(3) 10000081 SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE BJH COMMUNITIES BOONE COUNTY TREASURER 801 E WALNUT ST COLUMBIA MO 65201 436000349 170(B)(1)(A)(V) 2478434 SUPPORT COMMUNITY PROGRAMS WITHIN BOONE COUNTY WASHINGTON UNIVERSITY IN ST LOUIS 700 ROSEDALE AVE ST LOUIS MO 63112 430653611 501(C)(3) 1657127 SUPPORT RESEARCH OF WUSM PROGRAMS AMERICAN HEART ASSOCIATION 460 N LINDBERGH ST LOUIS MO 63141 135613797 501(C)(3) 76850 SPONSOR RESEARCH OF HEART DISEASES FAMILY HEALTH CENTER OF BOONE COUNTY 1001 EAST WORLEY COLUMBIA MO 65203 431709422 501(C)(3) 40000 SUPPORT COMMUNITY PROGRAMS WITHIN BOONE COUNTY NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS PO BOX 79334 BALTIMORE MD 21279 582176067 501C(6) 34600 SUPPORT CHILD HEALTH THROUGH INNOVATION WITH NATIONAL CHILDREN HOSPITALS MARCH OF DIMES 11829 DORSETT ROAD MARYLAND HEIGHTS MO 63043 131846366 501(C)(3) 30000 SUPPORT FOR SERVICES ON PREGNANCY, PREMATURITY AND BIRTH DEFECTS. NATIONAL MULTIPLE SCLEROSIS SOCIETY 1867 LACKLAND HILL PARKWAY ST LOUIS MO 63146 430718808 501(C)(3) 22100 SUPPORT FOR SERVICES FOR MULTIPLE SCLEROSIS ST LOUIS CRISIS NURSERY 11710 ADMINISTRATIVE DRIVE SUITE 18 ST LOUIS MO 631463407 431410297 501(C)(3) 18500 SUPPORT KEEPING KIDS SAFE AND BUILDING STRONG FAMILIES AMERICAN CANCER SOCIETY 4207 LINDELL SUITE 2 ST LOUIS MO 63108 131788491 501(C)(3) 16600 SUPPORT PROGRAMS FOR PEOPLE AFFECTED BY CANCET ASTHMA & ALLERGY FOUNDATION OF AMERICA ST LOUIS CHAPTER 1500 SOUTH BIG BEND SUITE 1S ST LOUIS MO 63117 431484316 501(C)(3) 16250 SUPPORT PROGRAMS FOR PEOPLE AFFECTED BY ASTHMA AND ALLERGY SUSAN G KOMEN 9288 DIELMAN INDUSTRIAL DRIVE ST LOUIS MO 63132 752844650 501(C)(3) 15000 SUPPORT PROGRAMS AND RESEARCH FOR BREAST CANCER MISSOURI STATE MEDICAL ASSOCIATION PHYSICIANS HEALTH FOUNDATION 680 CRAIG RD SUITE 308 ST LOUIS MO 631417165 431572458 501(C)(3) 13000 SUPPORT FOR SERVICES PROVIDED TO MO PHYSICIANS, RESIDENTS, AND STUDENTS UNIVERSITY OF CENTRAL MISSOURI FOUNDATION SMISER ALUMNI CENTER BUILDING WARRENSBURG MO 64093 431181566 501(C)(3) 12000 SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE JEWISH COMMUNITY CENTER 2 MILLSTONE CAMPUS DRIVE ST LOUIS MO 63146 430681477 501(C)(3) 11000 SUPPORT OF JEWISH COMMUNITY EVENT FOR MEN AND WOMEN MATERNAL CHILD AND FAMILY HEALTH COALITION 539 NORTH GRAND BOULEVARD 4 ST LOUIS MO 63103 412139772 501(C)(3) 10000 SUPPORT OF HEALTH OF BABIES JEWISH FEDERATION OF ST LOUIS 12 MILLSTONE CAMPUS DRIVE ST LOUIS MO 63146 430652642 501(C)(3) 10000 SUPPORT OF JEWISH COMMUNITY EVENT FOR MEN AND WOMEN WILLIAM WOODS UNIVERSITY ONE UNIVERSITY AVENUE FULTON MO 65251 430654876 501(C)(3) 10000 SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE COLUMBIA PUBLIC SCHOOLS 1818 W WORLEY ST COLUMBIA MO 65203 436000318 501(C)(3) 10000 SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE NATIONAL MARFAN FOUNDATION 22 MANHASSET AVENUE PORT WASHINGTON MO 11050 521265361 501(C)(3) 10000 SUPPORT HEART WORKS IN ST LOUIS COLLEGE BOUND 110 NORTH JEFFERSON ST LOUIS MO 63103 204768985 501(C)(3) 9000 SUPPORT ANNUAL CAP & GOWN BALL AMERICAN LIVER FOUNDATION 16 HAMPTON VILLAGE PLAZA SUITE 215 ST LOUIS MO 63109 362883000 501(C)(3) 8500 SUPPORT PEOPLE AFFECTED BY LIVER ISSUES WITH PROGRAMS AMERICAN DIABETES ASSOCIATION 425 SOUTH WOODS MILL STE 110 TOWN COUNTRY MO 63017 131623888 501(C)(3) 8383 SUPPORT FOR DIABETES RESEARCH. CYSTIC FIBROSIS FOUNDATION 8251 MARYLAND AVENUE SUITE 12 ST LOUIS MO 63105 131930701 501(C)(3) 8000 SUPPORT FOR CYSTIC FIBROSIS RESEARCH HAVEN HOUSE ST LOUIS 12685 OLIVE BOULEVARD ST LOUIS MO 63141 201876315 501(C)(3) 8000 SUPPORT THE HOPEFEST CROHN'S & COLITIS FOUNDATION OF AMERICA 1034 S BRENTWOOD SUITE 1510 ST LOUIS MO 63117 136193105 501(C)(3) 7500 SUPPORT PEOPLE AFFECTED BY CROHN'S AND COLITIS ATHENA LEADERSHIP FOUNDATION 4140 OLD MILL PARKWAY ST PETERS MO 63376 431870092 501(C)(3) 7500 SPONSER LEADERSHIP SUMMIT AND AWARDS LUNCHEON WHO'S WHO DIVERSITY IN COLOR LLC 4818 WASHINGTON AVENUE SUITE 103 ST LOUIS MO 63108 465467856 7500 REGIONAL SPONSOR-PROMOTE DIVERSITY ST LOUIS AMERICAN FOUNDATION 2315 PINE STREET ST LOUIS MO 63103 431223434 501(C)(3) 7100 SUPPORT WITH A SILVER SPONSOR JDRF GREATER MISSOURI AND SOUTHERN ILLINOIS 50 CRESTWOOD EXECUTIVE CENTER SUITE 400 CRESTWOOD MO 63126 231907729 501(C)(3) 6666 SUPPORT FOR DIABETES RESEARCH. SENIOR SERVICES PLUS INC 2603 N RODGERS AVE ALTON IL 62002 370975762 501(C)(3) 5500 SUPPORT AND EDUCATE SENIORS IN THE COMMUNITY IN NEED COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS) 2431 NORTH GRAND BLVD ST LOUIS MO 63106 431589851 501(C)(3) 5500 SUPPORT THE EAT HEALTHY! RUN/WALK MATHEWS-DICKEY'S BOYS & GIRLS CLUB 4245 N KINGSHIGHWAY BLVD ST LOUIS MO 63115 436060717 501(C)(3) 5500 SUPPORT OF KIDS IN COMMUNITY PROGRAMS 33 2 FEDERAL GRANTS - PELL GRANTS & FSEOG & SCHOLARSHIPS 336 1368018 PART I, LINE 2: DURING 2015, 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 0 1 0 0 0 0 0 1 0 AMH-RIEDEL DAVID MD DIRECTOR 29025 302880 0 10642 0 6858 31453 0 0 21053 60478 341433 0 0 AMH-WUELLNER JOHN MD DIRECTOR 0 453087 0 32474 0 3564 0 38418 0 16093 0 543636 0 0 BJCHOME-LOLLO TRISHA DIRECTOR 325332 0 121810 0 694 0 10435 0 32139 0 490410 0 19630 0 BJCHOME-MUETH MELANIE MD DIRECTOR 306889 0 0 0 540 0 17510 0 34521 0 359460 0 0 0 BJCHOME-SCHREINER LORI DIRECTOR 207773 0 37840 0 622 0 27219 0 28579 0 302033 0 0 0 BJCHOME-STOCKMANN MARILEE A DIRECTOR 146887 0 23668 0 3611 0 0 0 20943 0 195109 0 0 0 BJCHOME-VLODARCHYKCOREEN DIRECTOR 334531 0 251439 0 6631 0 27192 0 38233 0 658026 0 145534 0 BJCHOME-WEISS DAVID DIRECTOR 459628 0 270656 0 23745 0 42231 0 66387 0 862647 0 40807 0 BJH-LIEKWEG RICHARD DIRECTOR 810838 0 675643 0 8226 0 26414 0 122586 0 1643707 0 77026 0 BJWCH-WATTS CHRIS DIRECTOR 231725 0 93246 0 827 0 18838 0 27192 0 371828 0 9992 0 CHAS-VAN TREASE SANDRA DIRECTOR 650861 0 805561 0 6837 0 29628 0 88965 0 1581852 0 286475 0 CHC-ELLENA JOHN DIRECTOR 483973 0 41317 0 4152 0 39001 0 22993 0 591436 0 0 0 MBHS-BAKER ALISON MD DIRECTOR 243462 0 0 0 20497 0 8298 0 30530 0 302787 0 0 0 MBHS-JACKSON THOMAS MD DIRECTOR 319528 0 30576 0 21334 0 12859 0 25272 0 409569 0 0 0 MBMC-MORRIS DON MD DIRECTOR 233503 0 44538 0 1242 0 33493 0 24928 0 337704 0 0 0 MBMC-WEINSTEIN DAVID L MD DIRECTOR 219389 0 11216 0 0 0 28810 0 25470 0 284885 0 0 0 PHC-DUMONTIER EDWARD MD DIRECTOR 369364 0 2400 0 0 0 13457 0 27267 0 412488 0 0 0 PHC-GRIX GARY MD DIRECTOR 179821 0 25986 0 3564 0 30084 0 20268 0 259723 0 0 0 PHC-KIRKLEY SCOTT D MD DIRECTOR 367278 0 69564 0 486 0 14734 0 22158 0 474220 0 0 0 PHC-SMITH JAMESY C DO DIRECTOR 245975 0 15576 0 20924 0 13114 0 27252 0 322841 0 0 0 PWHC-AGEE CARSON MD DIRECTOR 200208 0 27197 0 2207 0 26287 0 19964 0 275863 0 0 0 AMH-BRAASCH DAVID ALAN PRESIDENT, DIRECTOR 230019 0 86501 0 8727 0 0 0 42324 0 367571 0 14415 0 BHHC BECK MARY VICE PRESIDENT, DIRECTOR 133245 0 74017 0 37196 0 48577 0 20578 0 313613 0 12742 0 BJC BH-APLINGTON DAVID SECRETARY, DIRECTOR 280648 0 134810 0 9854 0 36850 0 89066 0 551228 0 18577 0 BJC BH-GLADSTONE KIM PRESIDENT AND EXEC DIR 160129 0 42507 0 8070 0 55597 0 28091 0 294394 0 9367 0 BJC CHS-VENDITTI PATRICK VICE PRES,SECY, DIRECTOR 128084 0 21920 0 9364 0 26230 0 20741 0 206339 0 0 0 BJC-LIPSTEIN STEVEN PRES, CEO, DIR-EX OFF 1035045 0 1364329 0 14664 0 0 0 126870 0 2540908 0 109507 0 BJCHOME-ROTHERY DAN PRESIDENT, DIRECTOR 327731 0 136946 0 8541 0 38420 0 59177 0 570815 0 0 0 BJH-CANNON ROBERT W PRESIDENT, DIRECTOR 568598 0 487884 0 65041 0 29868 0 85067 0 1236458 0 45118 0 BJSPH-TRACY LARRY PRES, DIRECTOR 276450 0 105157 0 3338 0 18956 0 47447 0 451348 0 13351 0 BJWCH-BLACK CHARLES DOUGLAS PRES, DIRECTOR 276385 0 147140 0 1400 0 23669 0 30109 0 478703 0 30781 0 CH-MCMULLEN RONALD PRESIDENT, DIRECTOR 326993 0 166442 0 14753 0 51640 0 41600 0 601428 0 18929 0 CHAS-SINEK JIM PRESIDENT, DIRECTOR 324874 0 161162 0 7771 0 8823 0 49839 0 552469 0 10477 0 CHSDC-FETTER LEE PRESIDENT, DIRECTOR 667205 0 559734 0 12796 0 34124 0 91155 0 1365014 0 66672 0 MBMC-ANTES JOHN PRESIDENT, DIRECTOR 359631 0 188170 0 10789 0 19694 0 49478 0 627762 0 20528 0 PHC-KARL THOMAS PRESIDENT, DIRECTOR 206921 0 69364 0 3451 0 22619 0 37903 0 340258 0 10065 0 SLCH-MAGRUDER JOAN PRESIDENT, DIRECTOR 476464 0 354511 0 38044 0 28611 0 73007 0 970637 0 50509 0 BJC-DEHAVEN MICHAEL SR VP, GENL COUN, SECY 572553 0 329635 0 193701 0 165257 0 30172 0 1291318 0 0 0 BJC-ROBERTS KEVIN SR VP, CFO, TREASURER 701265 0 441076 0 25709 0 34865 0 96823 0 1299738 0 72079 0 BJH-KRIEGER MARK VICE PRES, CFO, TREAS 402001 0 148637 0 5415 0 38258 0 38435 0 632746 0 22305 0 CHAS-FOWLER ROSELLA VICE CHAIRMAN 235606 0 22387 0 1648 0 0 0 38275 0 297916 0 0 0 CH-KOESTERER SUSAN VICE PRESIDENT, FINANCE 208857 0 30869 0 710 0 21347 0 30464 0 292247 0 0 0 CHC-WARD CHRIS SECRETARY/TREASURER 147889 0 23387 0 5842 0 23809 0 19173 0 220100 0 0 0 MBHS-SCHWARM TONY PRESIDENT 180138 0 60452 0 16390 0 25217 0 32362 0 314559 0 10300 0 MBMC-DESART AMY VP, FINANCE START 11/2015 183062 0 33782 0 1006 0 19736 0 13540 0 251126 0 0 0 MBMC-NORONHA AUGUSTO II VP, FINANCE TERM 8/2015 180956 0 175603 0 61756 0 24932 0 25691 0 468938 0 94792 0 PGLC-KNOCKE DAVID MANAGER TERM 4/2015 180710 0 123732 0 64297 0 20872 0 12917 0 402528 0 18955 0 PWHC-SCHWAEGEL GLEN VICE PRESIDENT FINANCE 185164 0 71495 0 9909 0 48846 0 32375 0 347789 0 10581 0 SLCH-MCKEE MICHELE VICE PRESIDENT FINANCE 239690 0 107080 0 740 0 24397 0 28184 0 400091 0 12502 0 BJC-BRANDON RHONDA SVP/CHIEF HR OFFICER 382364 0 228963 0 21473 0 27703 0 77676 0 738179 0 36645 0 BJC-SCHULER GREGORY VP/CHIEF INVESTMENT OFFICER 363256 0 251372 0 1553 0 19434 0 51176 0 686791 0 19388 0 BJC-HALL LANNIS E PHYSICIAN 822507 0 134309 0 2541 0 22544 0 21158 0 1003059 0 0 0 BJC-PAUL MICHAEL J PHYSICIAN 785445 0 105860 0 6486 0 25698 0 26355 0 949844 0 0 0 BJC-O'BERT ROBERT J PHYSICIAN 901461 0 0 0 486 0 10802 0 27351 0 940100 0 0 0 BJC-KOPITSKY ROBERT G PHYSICIAN 726008 0 0 0 2322 0 31210 0 21252 0 780792 0 0 0 BJC-SEWALL DAVID J PHYSICIAN 737646 0 75645 0 3030 0 21700 0 31018 0 869039 0 0 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 2015, WHILE WORKING ON URGENT BUSINESS MATTERS RELATED TO THE BJC COLLABORATIVE LIMITED LIABILITY COMPANY, 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 2015 WERE: $ 21,910. 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 2015, 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 2015, THE ORGANIZATION PROVIDED TOTAL REIMBURSEMENTS OF $5,073 INCLUDING 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 $38,949 FOR 2015. PART I, LINE 4B DURING 2015, THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ACCRUALS FROM THE ORGANIZATION AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS (SEE FORM 990, PART VII AND SCHEDULE J, PART II): CANNON, ROBERT $98,256 WEISS, DAVID $83,729 BRANDON, RHONDA $76,877 BLACK, CHARLES $46,773 KRIEGER, MARK $45,500 ANTES, JOHN $41,564 SCHULER, GREGORY $40,087 LOLLO, TRISHA $38,390 MCMULLEN, RONALD $38,327 APLINGTON, DAVID $37,660 ROTHERY, DANIEL $35,148 TRACY, LARRY $29,774 SINEK, JIM $29,019 BRAASCH, DAVID $27,930 MCKEE, MICHELE $25,931 KNOCKE, DAVID $23,250 WATTS, CHRISTOPHER $22,442 CONKLIN, RICHARD $21,918 SCHWAEGEL, GLEN $21,478 KARL, THOMAS $20,404 BECK, MARY $19,402 GLADSTONE, KIM $18,918 FOWLER, ROSELLA $11,500 KOESTERER, SUSAN $10,000 AGEE, CARSON $1,347 PART I, LINE 7 DURING 2015 THE ORGANIZATION PROVIDED INCENTIVE PAYMENTS THAT ARE CALCULATED USING A PERCENT OF BASE PAY AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE MET. THE AMOUNT OF INCENTIVE PAYMENTS DO NOT ACCRUE TO THE BENEFIT OF THE INDIVIDUALS UNTIL AFTER THE FINANCIAL RESULTS HAVE BEEN DETERMINED FOR THE CALENDAR YEAR. VILLA ROSE SENIOR LIVING ENTITY >35% OWNED BY BOARD MEMBER BALSTERS 162000 SERVICES. DURING 2015, BJC HEALTH SYSTEM AND AFFILIATES RECEIVED PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARM'S LENGTH BASIS FROM VILLA ROSE SENIOR LIVING, AN AFFILIATE OF VILLA ROSE REAL ESTATE, INC. (VILLA ROSE). CURRENT AMH BOARD MEMBER BALSTERS SERVED AS AN OFFICER AND MAJORITY SHAREHOLDER OF VILLA ROSE DURING 2015. THIS BOARD MEMBER ALSO SERVED ON THE BOARD FOR CHSDC. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE RELATED BOARD MEMBER RECUSED HIMSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS. 0 TARLTONINTERFACE JOINT VENTURE ENTITY >35% OWNED BY BOARD MEMBER HART 2803756 SERVICES. DURING 2015, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARM'S LENGTH BASIS FOR CONSTRUCTION AND DESIGN SERVICES TO TARLTON/INTERFACE JOINT VENTURE. CURRENT SLCH BOARD MEMBER HART OWNED 50% INTEREST IN THE JOINT VENTURE DURING 2015. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE RELATED BOARD MEMBER RECUSED HERSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS. 0 PARIC CORPORATION ENTITY >35% OWNED BY BOARD MEMBERS MCKEE/BROWN 18628119 SERVICES. DURING 2015, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARM'S LENGTH BASIS FOR CONSTRUCTION AND DESIGN SERVICES TO THE INTERESTED PERSON (PARIC). BJC BOARD MEMBER PAUL J. MCKEE, JR HAS FAMILY MEMBER, P.JOSEPH MCKEE, III, WHO OWNS MAJORITY INTEREST IN PARIC CORPORATION. OTHER FAMILY MEMBERS, CHRIS MCKEE SERVED ON THE MBMC BOARD AND DAVID BROWN SERVED ON THE CH BOARD. BOARD MEMBER PAUL J. MCKEE, JR ALSO SERVED ON OTHER BJC AFFILIATE BOARDS INCLUDING CH, CHSDC AND CHIL. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THESE RELATED BOARD MEMBERS RECUSED THEMSELVES FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS. 0 PARIC KAI JOINT VENTURE ENTITY >35% OWNED BY BOARD MEMBERS MCKEE/BROWN 17755058 SERVICES. DURING 2015, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARM'S LENGTH BASIS FOR CONSTRUCTION AND DESIGN SERVICES TO THE INTERESTED PERSON (PARIC KAI JOINT VENTURE). BJC BOARD MEMBER PAUL J. MCKEE, JR HAS FAMILY MEMBER, P.JOSEPH MCKEE, III, WHO OWNS MAJORITY INTEREST IN PARIC CORPORATION. OTHER FAMILY MEMBERS, CHRIS MCKEE SERVED ON THE MBMC BOARD AND DAVID BROWN SERVED ON THE CH BOARD. BOARD MEMBER PAUL J. MCKEE, JR ALSO SERVED ON OTHER BJC AFFILIATE BOARDS INCLUDING CH, CHSDC AND CHIL. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THESE RELATED BOARD MEMBERS RECUSED THEMSELVES FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS. 0 COHEN EYE ASSOCIATES ENTITY >35% OWNED BY FORMER BOARD MEMBER COHEN 135513 RENTAL PAYMENTS. DURING 2015, BJH RECEIVED LEASE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS FOR LEASED SPACE IN THE CENTER FOR ADVANCED MEDICINE FROM COHEN EYE ASSOCIATES. TERMS OF THE LEASE WERE NEGOTIATED AT FAIR LEASE VALUE. FORMER BJH BOARD MEMBER COHEN WAS THE SOLE OWNER OF THE COHEN EYE ASSOC. DURING 2015. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE FORMER BOARD MEMBER RECUSED HIMSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS AND WAS NOT IN A POSITION TO INFLUENCE OTHER BOARD MEMBER'S DECISIONS REGARDING THESE PAYMENTS. 0 MAPLE VALLEY OFFICE BUILDING LLC ENTITY >35% OWNED BY BOARD MEMBER PETERSON 694000 PURCHASE REAL PROPERTY. DURING 2015, BJC HEALTH SYSTEM AND AFFILIATES SOLD TWO BUILDINGS LOCATED IN FARMINGTON, MO TO MAPLE VALLEY OFFICE BUILDING LLC (CORPORATION). HUSBAND OF PHC-WR BOARD MEMBER PETERSON WAS 50% OWNER IN CORPORATION DURING 2015. SELLING PRICE REFLECTED FMV OF BUILDINGS AS DETAILED IN INDEPENDENT APPRAISALS THEN ADJUSTED FOR CARRYING COSTS OF THE PROPERTIES. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE RELATED BOARD MEMBER RECUSED HERSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THE TRANSACTIONS. 0 PHOENIX TEXTILE CORP ENTITY >35% OWNED BY BOARD MEMBER REYNOLDS 3132662 SERVICES. DURING 2015, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARM'S LENGTH BASIS FOR SERVICES TO PHOENIX TEXTILE CORPORATION. MBMC BOARD MEMBER REYNOLDS SERVED AS PRESIDENT, DIRECTOR AND MAJORITY (51%) SHAREHOLDER FOR THE PHOENIX TEXTILE CORPORATION. DURING 2015. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE RELATED BOARD MEMBER RECUSED HERSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS. 0 TARLTON CORPORATION ENTITY >35% OWNED BY BOARD MEMBER HART 17429996 SERVICES. DURING 2015, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARM'S LENGTH BASIS FOR CONSTRUCTION AND DESIGN SERVICES TO TARLTON CORPORATION. SLCH BOARD MEMBER HART HAD FINANCIAL INTEREST AND SERVED AS OFFICER/DIRECTOR OF TARLTON CORPORATION DURING 2015. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE RELATED BOARD MEMBER RECUSED HERSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS. 0 MBMC EMPLOYEE H BOTNEY FAMILY MEMBER OF BOARD MEMBER BOTNEY 40395 EMPLOYMENT. PAYMENTS MADE BY MBMC DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARM'S LENGTH BASIS FOR SERVICES TO DAUGHTER OF MBMC BOARD MEMBER BOTNEY. 0 X AIRLINE VOUCHERS 81 32400 SELLING PRICE X MANUALS PREPAREDNESS 14 1104 FAIR MARKET VALUE 0 0 0 PART I, COLUMN (B): NUMBER OF ITEMS RECEIVED 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 11 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 PEHC - PROGRESS EAST HEALTHCARE CENTER PGLC - PHYSICIAN GROUPS, LC (DBA BJC MEDICAL GROUP) PHC - PARKLAND HEALTH CENTER PHCWR - PARKLAND HEALTH CENTER WEBER ROAD 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 65,044,787. NET ASSETS RELEASED FROM RESTRICTIONS 5,384,679. MB PROFESSIONAL BILLING SERVICES LLC 3015 N BALLAS ROAD ST LOUIS MO 63131 113794837 BILLING SERVICES MO 0 0 MISSOURI BAPTIST MEDICAL CENTER MISSOURI BAPTIST PHYSICIAN SERVICES LLC 3015 N BALLAS ROAD ST LOUIS MO 63131 342028972 PHYSICIAN SERVICES MO 3153776 12534902 MISSOURI BAPTIST MEDICAL CENTER CHRISTIAN HOSPITAL PHYSICIAN BILLING SERVICES LLC 11155 DUNN ROAD ST LOUIS MO 63136 943448764 BILLING SERVICES MO 0 547151 CHRISTIAN HOSPITAL NE-NW TWIN RIVERS MRI LLC ONE MEMORIAL DRIVE ALTON IL 62002 371400120 HEALTH SERVICES IL 1550049 0 CH ALLIED SERVICES INC CHAS PHYSICIAN SERVICES LLC 1600 E BROADWAY COLUMBIA MO 65201 320275207 PHYSICIAN SERVICES MO 12410112 1338161 ALTON MEMORIAL HOSPITAL ALTON MEMORIAL PHYSICIAN BILLING SERVICES LLC ONE MEMORIAL DR ALTON IL 62003 611628092 ADMINISTRATIVE & BILLING SERV MO 0 0 BARNES JEWISH ST PETERS HOSPITAL BJSPH PHYSICAN BILLING SERVICE LLC 10 HOSPITAL DR ST PETERS MO 63367 454482673 ADMINISTRATIVE & BILLING SERV MO 2823516 1132051 ALTON MEMORIAL HOSPITAL BOONE PHYSICIAN SERVICES LLC (FKA CHAS CARDIOLOGY SERVICES LLC) 1600 EAST BROADWAY COLUMBIA MO 65201 460552280 PHYSICIAN SERVICES MO 10671810 427615 CH ALLIED SERVICES INC HEALTHCARE REAL ESTATE MANAGEMENT LLC 4901 FOREST PARK AVE STLOUIS MO 63108 460782034 REAL ESTATE HOLDINGS MO 3587971 39870960 CH ALLIED SERVICES INC ALTON MEMORIAL HEALTH SERVICES FOUNDATION 1109 N OXFORDSHIRE LANE EDWARDSVILLE IL 62025 371177053 SUPPORT TO AMH IL 501(C)(3) 11C ALTON MEMORIAL HOSPITAL 1 THE FOUNDATION FOR BARNES-JEWISH HOSPITAL 1001 HIGHLANDS PLAZA DR WEST SUITE ST LOUIS MO 63110 431648435 SUPPORT TO BJH MO 501(C)(3) 7 BARNES-JEWISH HOSPITAL 1 BARNES JEWISH HOSP AUXILIARY PARKVIEW CHAPTER 216 SO KINGSHIGHWAY CAB 140 ST LOUIS MO 63110 237000410 SUPPORT TO BJH MO 501(C)(3) 11C BARNES-JEWISH HOSPITAL 1 BARNES-JEWISH ST PETERS HOSPITAL AUXILIARY 10 HOSPITAL DRIVE ST PETERS MO 63376 431232811 SUPPORT TO BJSP HOSPITAL MO 501(C)(3) 3 BARNES-JEWISH ST PETERS HOSPITAL 1 BARNES JEWISH ST PETERS & PROGRESS WEST FOUNDATION 10 HOSPITAL DRIVE ST PETERS MO 63376 454471497 SUPPORT TO BJSPH & PROGRESS WEST MO 501(C)(3) 7 BJSP HOSPITAL & PROGRESS WEST 1 CHRISTIAN HOSPITAL FOUNDATION 11155 DUNN ROAD SUITE 300 N ST LOUIS MO 63136 431947644 SUPPORT TO CHNE MO 501(C)(3) 11A CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST 1 FAIRVIEW HEIGHTS MEDICAL GROUP SC 670 MASON RIDGE CENTER DR SUITE 300 ST LOUIS MO 63141 364147189 HEALTHCARE SERVICES IL 501(C)(3) 3 BJC HEALTH CARE 1 MISSOURI BAPTIST HEALTHCARE FOUNDATION 3015 N BALLAS ROAD ST LOUIS MO 63131 431472026 SUPPORT TO MBMC MO 501(C)(3) 7 MISSOURI BAPTIST MEDICAL CENTER 1 PARKLAND HEALTH CENTER FOUNDATION 1101 WEST LIBERTY ST FARMINGTON MO 63640 900424964 SUPPORT TO PHC MO 501(C)(3) 7 PARKLAND HEALTH CENTER 1 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION ONE CHILDRENS PLACE ST LOUIS MO 63110 431626863 SUPPORT TO SLCH MO 501(C)(3) 7 ST LOUIS CHILDREN'S HOSPITAL 1 MISSOURI BAPTIST HOSPITAL OF SULLIVAN AUXILIARY INC 751 SAPPINGTON BRIDGE RD SULLIVAN MO 63080 431349641 SUPPORT TO MBHS MO 501(C)(3) 9 MISSOURI BAPTIST HOSPITAL OF SULLIVAN 1 THE HEART CARE INSTITUTE LLC 1020 NORTH MASON ROAD ST LOUIS MO 63141 431870517 MEDICAL SERVICES MO BARNES-JEWISH HOSPITAL RELATED 0 1 0.25000 THE HEART CARE INSTITUTE LLC 1020 NORTH MASON ROAD ST LOUIS MO 63141 431870517 MEDICAL SERVICES MO BARNES-JEWISH WEST COUNTY HOSPITAL RELATED 0 1 0.25000 GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC 216 S KINGSHIGHWAY ST LOUIS MO 63110 431846941 OUTPATIENT CARE SERVICES MO BARNES-JEWISH HOSPITAL RELATED 0 1 0.50000 BJCHEALTHSOUTH REHABILITATION CENTER LLC 3660 GRANDVIEW PKWY BIRMINGHAM AL 35243 631254288 MEDICAL SERVICES AL BARNES-JEWISH HOSPITAL RELATED 0 0 0.50000 SURGERY CENTER OF FARMINGTON LLC 400 PARKLAND DRIVE FARMINGTON MO 63640 431811835 MEDICAL SERVICES MO PARKLAND HEALTH CENTER RELATED 202943 505010 0 1 0.50000 CHILDREN'S DISCOVERY INSTITUTE LLC 4901 FOREST PARK AVE ST LOUIS MO 63108 SEARCH FOR CURES OF PEDIATRIC DISEASES MO N/A CHILDREN'S DISCOVERY INSTITUTE LLC 4901 FOREST PARK AVE ST LOUIS MO 63108 SEARCH FOR CURES OF PEDIATRIC DISEASES MO N/A ATG ASSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN CJ 980599167 INSURANCE CJ N/A C 1 PF SERVICES INC 11155 DUNN ROAD ST LOUIS MO 63136 431237767 MANAGEMENT SERVICES MO CHRISTIAN HEALTH SERVICES DEV CORP C -500 76557 1.00000 1 MB MEDICAL SERVICES INC 3015 N BALLAS ROAD ST LOUIS MO 63131 431437404 HEALTHCARE SERVICES MO MISSOURI BAPTIST MEDICAL CENTER C 1.00000 1 ST PETERS MED OFFICE BLDG A CONDO ASSN INC 1040 N MASON SUITE 109 ST LOUIS MO 63141 431472188 CONDOMINIUM ASSOCIATION MO BARNES-JEWISH ST PETERS HOSPITAL C 0.95110 1 DMP MIDWEST INC ONE METROPOLITAN SQ 2600 ST LOUIS MO 63102 271943910 INACTIVE MO N/A C 1 WLA INVESTMENT LTD PO BOX 178 OKOTOKS ALBERTA CA INVESTMENT HOLDINGS CA N/A C 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 ALTON MEMORIAL HEALTH SERVICES FOUNDATION B 691192 BARNES JEWISH HOSPITAL FOUNDATION B 64250000 BARNES JEWISH HOSPITAL FOUNDATION C 2585242 BARNES JEWISH HOSPITAL FOUNDATION O 1015012 CHRISTIAN HOSPITAL FOUNDATION C 371532 CHRISTIAN HOSPITAL FOUNDATION O 99754 MISSOURI BAPTIST FOUNDATION B 1525925 MISSOURI BAPTIST FOUNDATION C 1393327 MISSOURI BAPTIST FOUNDATION O 124340 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION B 14250000 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION C 9105166 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION O 1242682 ALTON MEMORIAL HOSPITAL ONE MEMORIAL DRIVE ALTON IL 62002 370661172 ALTO BARNES-JEWISH HOSPITAL 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 237309937 BARN BARNES-JEWISH ST PETERS HOSPITAL INC 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 431452426 BARN BARNES-JEWISH WEST COUNTY HOSPITAL 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 431527130 BARN BJC CORPORATE HEALTH SERVICES 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 431324103 BJCC BJC HOME CARE SERVICES 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 431450457 BJCH CH ALLIED SERVICES INC 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 431279063 CHAL CHILDRENS HEALTH NETWORK 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 431640467 CHIL CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 431230583 CHRI CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 436057893 CHRI BJC BEHAVIORAL HEALTH 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 431610561 BJCB MISSOURI BAPTIST HOSPITAL OF SULLIVAN 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 431459495 MISS MISSOURI BAPTIST MEDICAL CENTER 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 430652656 MISS PARKLAND HEALTH CENTER 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 431332368 PARK PROGRESS WEST HEALTHCARE CENTER 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 412140764 PROG ST LOUIS CHILDRENS HOSPITAL 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 430654870 STLO CHRISTIAN HOSPITAL-ILLINOIS SERVICES 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 260131339 CHRI PROGRESS EAST HEALTHCARE CENTER 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 261343214 PROG BOONE HOSPITAL CENTERS VISITING NURSES INC 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 430998347 BOON COMMUNITY HEALTH CONNECTION 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 460819384 COMM PARKLAND HEALTH CENTER -WEBER ROAD 4901 FOREST PARK AVE STE 1200 SAINT LOUIS MO 63108 473251218 PARK