2015-11-13T14:51:32-06:00 2014-12-31 346565596 ERNST & YOUNG 190 CARONDELET PLAZA STE 1300 CLAYTON MO 63105 990 2014-01-01 431648435 THE FOUNDATION FOR BARNES-JEWISH HOSPITAL FOUN 3142860600 1001 HIGHLANDS PLZ DR WEST NO 140 ST LOUIS MO 631101339 SUSAN ELL EXEC DIR/VICE PRES 3142860580 2015-11-12 1 JENNIFER RICHTER P00366526 3142901000 2014 2016-02-25 16:41:14Z SUSAN ELL 1 BJ HOSPITAL PLAZA ST LOUIS MO 63110 111104127 0 X N/A X 1996 MO THE FOUNDATION FOR BARNES-JEWISH HOSPITAL HELPS DONORS ENRICH LIVES, SAVE LIVES, AND TRANSFORM PATIENT CARE THROUGH CHARITABLE GIFTS. 27 26 0 65 0 0 34716984 79332670 0 0 35010887 28265175 3269234 1380612 72997105 108978457 17287152 60289351 0 0 0 0 53611 48198 2665021 4787781 4662665 22128544 65000214 50868561 43978243 539544414 578553522 115296713 117297480 424247701 461256042 X THE FOUNDATION FOR BARNES-JEWISH HOSPITAL GENERATES RESOURCES TO SUPPORT BARNES-JEWISH HOSPITAL, A NATIONAL LEADER, IN ITS QUEST TO PROVIDE EXCELLENT PATIENT CARE, ADVANCE CLINICAL RESEARCH, AND SUPPORT THE EDUCATION OF HEALTHCARE PROFESSIONALS. 0 0 23278971 23278971 RESEARCH: THE FOUNDATION SUPPORTS BIOMEDICAL AND CLINICAL-TRANSLATIONAL RESEARCH TO ENHANCE PATIENT SAFETY, ELEVATE THE STANDARDS OF CARE, IMPROVE QUALITY OF LIFE, MAKE BREAKTHROUGHS IN TREATMENT/RECOVERY AND WIN THE FIGHT AGAINST DEVASTATING DISEASES. THESE DISCOVERIES WILL CHANGE HEALTHCARE REGIONALLY, NATIONALLY, AND INTERNATIONALLY. WE DISBURSE RESEARCH FUNDING SOLELY TO PHYSICIANS AND RESEARCHERS AFFILIATED WITH BARNES-JEWISH HOSPITAL AND/OR WASHINGTON UNIVERSITY, OR TO FACULTY OF GOLDFARB SCHOOL OF NURSING AT BARNES-JEWISH COLLEGE. ALTHOUGH WE FUND A VARIETY OF HEALTHCARE AREAS PER DONOR WISHES, A MAJORITY OF OUR RESEARCH FUNDING IS FOR PROJECTS IN HEART AND VASCULAR CARE, CANCER,THE NEUROSCIENCES (STROKE, BRAIN TUMOR, AND EPILEPSY), AND ORGAN TRANSPLANT. 15735690 15735690 RECRUITMENT: THE FOUNDATION SUPPORTS THE RECRUITMENT OF TOP PHYSICIANS AND RESEARCHERS TO BARNES JEWISH HOSPITAL AND WASHINGTON UNIVERSITY FACULTY POSITIONS AND SUPPORTS THE EXCEPTIONAL WORK OF NATIONAL LEADERS IN MEDICINE ON THE WASHINGTON UNIVERSITY CAMPUS. FUNDS FROM THE FOUNDATION SUPPORTED BOARD CHAIRS IN OPTHALMOLOGY, ANATOMY/NEUROBIOLOGY AND INTERNAL MEDICINE. 14332942 14332942 GENERAL OPERATIONS: AMOUNTS REPRESENT FUNDS ALLOCATED TO BARNES-JEWISH HOSPITAL (BJH) AND WASHINGTON UNIVERSTIY (WU) PROGRAMS INCLUDING SITEMAN CANCER CENTER OPERATIONAL SUPPORT, BJH HISTORY BOOK, MEDICAL EDUCATION AND RESEARCH, SUPPORT FOR THE BJH CENTER FOR REGENERATIVE MEDICINE AND OTHER JOINT INITITATIVES OF BJH AND WU. 6941748 6941748 OTHER:THE FOUNDATION PROVIDES FUNDING TO BARNES-JEWISH HOSPITAL AND WASHINGTON UNIVERSITY TO SUPPORT THE HOSPITAL'S MISSION THROUGH DEVELOPING AND MAINTAINING RELATED PROGRAMS AND SERVICES THAT OFFER SUPPLEMENTAL APPROACHES TO CLINIC CARE,ADVANCE EDUCATION AND RESEARCH PRIORITIES,AND ENHANCE THE PATIENT ENVIRONMENT.THIS INCLUDES SCHOLARSHIPS,COPHER DIETETIC AWARD PROGRAM,THE FRONT DOOR PROGRAM,EDUCATIONAL RESEARCH INITIATIVES,COMMUNITY-OUTREACH SERVICES AND VARIOUS EXTERNAL COMMUNITY GRANTS. 6941748 6941748 60289351 1 1 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 X 29 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 27 26 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL FL GA KY OK TN AL CA CO MD MA MI MN NJ NY NC OH PA WI AK DC ME MS NM NV NH ND OR SC UT X VALERIE GRAY 3142860572 4249 CLAYTON AVE SUITE 316 ST LOUIS MO 63110 BASLER WILLIAM L DIRECTOR THRU 8/14 NO VOTE 0.10 X 0 0 0 BLAIR JAMES T DIRECTOR 0.10 X 0 0 0 GOLDBERG SUSAN K DIRECTOR 0.30 X 0 0 0 GULLER KEITH B DIRECTOR 0.20 X 0 0 0 HILLMAN THOMAS J DIRECTOR 0.10 X 0 0 0 HOOD MARK E DIRECTOR 0.10 X 0 0 0 KLING LEE C DIRECTOR 0.00 X 0 0 0 KOMAN WILLIAM J DIRECTOR 0.10 X 0 0 0 KOPLAR EDWARD J DIRECTOR 0.10 X 0 0 0 LIPSTEIN STEVEN DIRECTOR 0.20 50.00 X 0 3108218 124593 MILES RICHARD H DIRECTOR 0.10 X 0 0 0 MILLSTONE ROBERT D DIRECTOR THRU 11/14 NO VOTE 0.10 X 0 0 0 MOORE SANDRA M DIRECTOR 0.10 X 0 0 0 OERTLI FREDERICK J DIRECTOR 0.10 X 0 0 0 RECHTER JOSEPH E DIRECTOR 0.20 X 0 0 0 ROTH SALLY H DIRECTOR 0.30 X 0 0 0 RUBIN JUDITH DIRECTOR 0.10 X 0 0 0 RUBIN RON DIRECTOR 0.10 X 0 0 0 SHANKMAN STEVEN F DIRECTOR 0.10 X 0 0 0 SHERMAN III DAVID DIRECTOR 0.10 X 0 0 0 SMITH PETER A DIRECTOR 0.30 X 0 0 0 STERN THOMAS A DIRECTOR 0.10 X 0 0 0 STIEVEN JOSEPH A DIRECTOR 0.00 X 0 0 0 SUELTHAUS KENNETH H DIRECTOR 5.00 X 0 0 0 THOMAS LAWRENCE E DIRECTOR 0.30 X 0 0 0 VIRANT JOHN A DIRECTOR 0.10 X 0 0 0 WALLACE HARVERY N DIRECTOR 0.30 X 0 0 0 ZORENSKY MARK H DIRECTOR 0.10 X 0 0 0 LIEKWEG RICHARD J DIRECTOR/EXEC VP THRU 11/14 3.70 50.00 X X 0 1388484 332250 STEINBACK KENNETH S DIRECTOR, CHAIRMAN 1.00 X X 0 0 0 ELL SUSAN J VP & EXEC DIR NO VOTE 0.00 40.00 X 0 208996 18104 KRIEGER MARK TREASURER NO VOTE 0.50 50.00 X 0 532889 73694 0 5238587 548641 0 0 1 0 CREATIVE PRODUCER'S GROUP 4818 WASHINGTON BLVD ST LOUIS MO 63108 PRODUCTION SERVICES & ENTERTAINMENT 151080 1 1036058 69565620 8730992 947746 79332670 9268784 9268784 286665 286665 20938649 1942258 18996391 18996391 18996391 744406 1036058 183412 560994 560994 RECOV PY GRANTS 900099 436612 436612 CHG SPLI-INT AGRMT 900099 72687 72687 ADJ ALLOW UNCOLL PLEDG 900099 25000 25000 -1346 -1346 532953 108978457 0 0 29645787 60289351 60289351 62000 62000 48198 48198 1405843 1405843 2296678 168509 2128169 342482 34203 308279 253646 253646 4757 4757 16671 16671 120000 120000 CATERING AND MEALS 85829 85829 MISC EXPENSES 44322 1591 42731 DONOR CULTIVATION 22276 22276 PROFESSIONAL DUES 8161 50 8111 65000214 60289351 2045842 2665021 3106446 3593832 18014584 16229653 26350000 69550000 66353 4382 323852759 300862060 162520874 182025004 5633398 6288591 539544414 578553522 426978 550695 102560963 107074828 12308772 9671957 115296713 117297480 X 101005200 104942123 167856804 199657758 155385697 156656161 424247701 461256042 539544414 578553522 43978243 -6969902 0 X 0 1 X 1 0 X 47992913 47141013 35899494 34716984 79332670 245083074 47992913 47141013 35899494 34716984 79332670 245083074 245083074 4378617 5176495 9815491 11608364 9555450 40534417 418574 418574 286036065 3441899 0.85680 0.83430 X SCHEDULE A, PART II, SEC B, LINE 10 INCLUDES FORGIVENESS OF INDEBTEDNESS OF $418,574 FOR 2013. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 291290736 1850412 13799782 -9801922 -2319394 294819614 269677301 2065798 28133720 -6606471 -1979612 291290736 244001329 3756681 34170294 -10124110 -2126893 269677301 256144032 2114161 -3651117 -8695853 -1909894 244001329 231841082 2369196 31241126 -7486185 -1821206 256144032 0.22000 0.47000 0.31000 0 0 0 HEDGE FUNDS 68128863 F PRIVATE EQUITY 54970582 F ILLIQUID REAL ASSETS 26193619 F LOW VOL HEDGE FUNDS 18477456 F VECTIS LIFE SCIENCES FUND 2144489 F SHORT TERM STOCK 33397 F SHORT HIGH YIELD 10085817 F GLOBAL HIGH YIELD 1990781 F 182025004 FUNDS HELD FOR WASHINGTON UNIVERSITY 2770150 RELATED PARTY LIABILITY 2518627 ANNUITY OBLIGATIONS 684155 LIABILITY UNDER TRUST AGREEMENTS 2614270 BJC HEALTH SYSTEM AFFILIATES 1084755 9671957 100315000 -6969903 -287711 -7257614 107572614 1405843 1405843 108978457 63594371 0 63594371 1405843 1405843 65000214 PART V, LINE 4: THE FOUNDATION ALLOCATES AND ADMINISTERS ENDOWMENT EARNINGS TO ADVANCE PROJECTS AND PROGRAMS IN HEALTHCARE BEYOND STANDARD OPERATING NEEDS, AND WHICH FURTHER THE MISSIONS OF BARNES-JEWISH HOSPITAL, WASHINGTON UNIVERSITY SCHOOL OF MEDICINE, AND PARTNERING HEALTHCARE ORGANIZATIONS IN THE COMMUNITY. THIS INCLUDES HOSPITAL CENTERS, NURSING SCHOOL PROFESSORSHIPS AND DEANSHIPS, RESEARCH, FELLOWSHIPS, SCHOLARSHIPS, AWARDS, PATIENT CARE, HEALTH-RELATED SOCIAL SERVICES AND PATIENT SERVICES, COMMUNITY OUTREACH AND EDUCATION PROGRAMS. PART XI, LINE 2D - OTHER ADJUSTMENTS: ROYATLY INCOME X X X X X X 1 CAMPBELL & COMPANY ONE EAST WACKER DRIVE SUITE 3350 CHICAGO IL 60602 FUNDRAISING 1 552828 7828 545000 WORDSDATA & IMAGING LLC AKA GABRIEL GROUP 3190 RIDER TRAIL EARTH CITY MO 63045 DIRECT MAIL 1 424287 7331 416956 ALPAUGH ASSOCIATES 6266 NORTH CAMPBELL AVENUE TUCSON AZ 85718 FUNDRAISING 1 117138 33038 84100 HARRIS CONNECT 1511 ROUTE 22 SUITE C-25 BREWSTER NY 10509 ONLINE SOLICITATIONS 1 1275 0 1275 1095528 48197 1047331 MO FL IL GA KY OK TN AL CA CO MD MA MI MN NJ NY NC OH PA WA WI AR CT KS RI VA WV DE ID IN IA LA MT NE TX SD VT WY ILLUMINATIONS GALA-2014 1780464 1036058 744406 104801 71326 7285 1780464 1036058 744406 104801 71326 7285 183412 560994 1 BARNES - JEWISH HOSPITAL 216 SOUTH KINGSHIGHWAY STLOUIS MO 63110 237309937 501(C)(3) 3081611 RESEARCH, PATIENT SUPPORT, EDUCATION, CAPITAL, COMMUNITY SERVICES WASHINGTON UNIVERSITY SCHOOL OF MEDICINE CAMPUS BOX 8018 660 SOUTH EUCLID AVE STLOUIS MO 63110 430653611 501(C)(3) 56426835 RESEARCH, PATIENT SUPPORT, EDUCATION, MD RECRUITMENT BARNES-JEWISH WEST COUNTY HOSPITAL 12634 OLIVE STREET ROAD STLOUIS MO 63141 431527130 501(C)(3) 25450 OWEN KANTER LECTURE AND HEALING GARDEN MAINTENANCE BJC HOME CARE SERVICES 1935 BELTWAY DRIVE STLOUIS MO 63114 431450457 501(C)(3) 21579 HOSPICE, HME, HOME CARE OASIS INSTITUTE 7710 CARONDELET AVE STLOUIS MO 63105 431830354 501(C)(3) 125000 OASIS HEALTHY AGING INITIATIVE - COMMUNITY OUTREACH PEDAL THE CAUSE 900 SPRUCE STREET STLOUIS MO 63102 272233336 501(C)(3) 100000 ANNUAL FUNDRAISING BIKE CHALLENGE FOR CANCER RESEARCH ST LOUIS EFFORT FOR AIDS 1027 SVANDEVENTER AVE STLOUIS MO 63110 431395179 501(C)(3) 25000 BRING UNDERSERVED HIV/AIDS PATIENTS INTO MEDICAL TREATMENT. YOUTH AND FAMILY CENTER 818 CASS AVENUE STLOUIS MO 63107 430652663 501(C)(3) 22382 SICKLE CELL DISEASE EDUCATION AND SUPPORT GROUP ST LOUIS FIRE DEPARTMENT LIFESAVING FOUNDATION 1421 NORTH JEFFERSON STLOUIS MO 63106 200512259 501(C)(3) 50000 EMS SIMULATION TRAINING CENTER FOR BJH TRAUMA AND ER SERVICES. YMCA OF GREATER ST LOUIS 326 SOUTH 21ST STREET 4TH FLOOR STLOUIS MO 63103 430653616 501(C)(3) 30000 DIABETES PREVENTION PROGRAM DOORWAYS 4385 MARYLAND AVENUE STLOUIS MO 63108 431484279 501(C)(3) 30000 PROVIDE SUPPORT FOR INTERFAITH HIV/AIDS HOUSING AND SERVICES ST LOUIS CHILDRENS HOSPITAL ONE CHILDRENS PLACE STLOUIS MO 63110 430654870 501(C)(3) 19714 BEST PHARMACY SUMMER PROGRAM MATERNAL CHILD & FAMILY 539 NORTH GRAND BLVD SUITE 403 STLOUIS MO 63110 412139772 501(C)(3) 50642 SUPPORT PRENATAL CARE URBAN STRATEGIESINC 720 OLIVE STREET SUITE 2600 STLOUIS MO 63101 431141027 501(C)(3) 40500 COMMUNITY SUPPORT TO URBAN STRATEGY EARLY LEARNING CENTER VOYCE 8702 MANCHESTER RD STLOUIS MO 63144 431480438 501(C)(3) 50000 RESIDENCE OF SKILLED FACILITIES-ST. LOUIS & NORTH COUNTY BEHAVIOR HEALTH NETWORK OF GREATER ST LOUIS 12647 OLIVE BLVD STLOUIS MO 63141 900656137 501(C)(3) 24638 BRIDGES TO CARE BI-LINGUAL-INTERNATIONAL ASSISTANT SERVICE 1329 MACKLAND AVE SUITE 200 STLOUIS MO 63110 562376877 501(C)(3) 25000 INTERPRETING SERVICES ANSWERING SERVICES COMMUNITY HEALTH IN PARTNERSHIP 2431 NORTH GRAND BLVD STLOUIS MO 63106 431589851 1501(C)(3) 15000 TO HELP ESTABLISH MOBILE DIABETES CENTER INDEPENDENCE CENTER 4245 FOREST PARK AVE STLOUIS MO 63108 431195240 501(C)(3) 10000 HOSPITAL COMMUNITY PROJECT NORTH COUNTY REGIONAL DEVELOPMENT ASSOC 3508 VILLAGE SQUARE DR HAZELWOOD MO 63042 431815260 501(C)(3) 10000 COMMUNITY GRANT TO FERGUSON UNREST SALOM HOUSE 1040 S TAYLOR AVE STLOUIS MO 63110 430915808 501(C)(3) 6000 SUPPORT PARTIAL COSTS OF PART-TIME PSYCH FOR NURSE MENTAL CLIENTS FOOD OUTREACH INC 3117 OLIVE STREET STLOUIS MO 63103 431492878 501(C)(3) 50000 PROVIDE DIETETIC & NUTRITIONAL SERVICES CASA DE SALUD 3200 CHOUTEAU AVENUE STLOUIS MO 63103 270732049 501(C)(3) 50000 MEDICARE TO UNDERINSURED & UNINSURED WORKING POOR 23 PART I, LINE 2: THE FOUNDATION FOR BARNES-JEWISH HOSPITAL (FOUNDATION) PROVIDES GRANT SUPPORT TO BARNES-JEWISH HOSPITAL (HOSPITAL), WASHINGTON UNIVERSITY SCHOOL OF MEDICINE, AND A LIMITED NUMBER OF COMMUNITY ORGANIZATIONS WHOSE MISSIONS ARE CONSISTENT WITH THE WORK OF THE HOSPITAL. FOR THE HOSPITAL AND UNIVERSITY: GRANT APPLICATIONS ARE SUBMITTED WHICH INCLUDE A BUDGET AND A NARRATIVE. THE APPLICATIONS FOR SPECIFIC PROJECT GRANTS MUST BE REVIEWED AND APPROVED BY AN INSTITUTIONAL OFFICIAL PRIOR TO SUBMISSION. IN SOME CASES, APPLICATIONS ARE RECEIVED IN RESPONSE TO A SPECIFIC CALL FOR PROPOSALS, WHICH ARE REVIEWED FOR MERIT BY A SPECIAL ADVISORY COMMITTEE. GRANTS ARE AWARDED TYPICALLY FOR A 12-MONTH PERIOD, WITH A NOTICE OF GRANT AWARD ISSUED WHICH INCLUDES THE TERMS AND CONDITIONS. ALL GRANT EXPENSES INCURRED BY THE HOSPITAL ARE REVIEWED FOR COMPLIANCE BY HOSPITAL ACCOUNTING STAFF. HOSPITAL ACCOUNTING STAFF RECEIVE ONGOING TRAINING ON THE TERMS AND CONDITIONS OF FOUNDATION GRANTS. A REVIEW OF WU SCHOOL OF MEDICINE EXPENSES RELATED TO SPECIFIC PROJECT GRANTS ARE PERFORMED BY UNIVERSITY STAFF AS THE EXPENSES ARE INCURRED. THE UNIVERSITY SUBMITS QUARTERLY EXPENSE REPORTS TO THE FOUNDATION FOR REVIEW. HOSPITAL ACCOUNTING STAFF RECEIVES INVOICES SUBMITTED BY THE UNIVERSITY AND APPROVES THEM ON THE FOUNDATION'S BEHALF. FOR ALL HOSPITAL AND UNIVERSITY GRANTS, A PROGRESS REPORT, INCLUDING NARRATIVE AND EXPENSE RECAP, IS REQUIRED UPON EXPIRATION OF A BUDGET PERIOD. FOUNDATION STAFF VERIFY THE COMPLETENESS OF THE REPORT. FOR COMMUNITY GRANTS: SELECTED SUPPORT IS PROVIDED TO LOCAL NONPROFITS FOR HEALTH-RELATED PROGRAMS TO BENEFIT COMMUNITY RESIDENTS, WITH EMPHASIS ON PROGRAM INNOVATION AND SERVICE DELIVERY TO TRADITIONALLY UNDERSERVED POPULATIONS. COMMUNITY GRANT MATERIALS WERE ADAPTED CLOSELY FROM THE HOSPITAL AND WU SCHOOL OF MEDICINE GRANTEE DOCUMENTS. SUPPORT PARAMETERS WERE DEVELOPED BY FOUNDATION STAFF AND THE STEWARDSHIP COMMITTEE OF THE FOUNDATION BOARD, WHICH IS CHARGED TO REVIEW AND RECOMMEND APPLICATIONS FOR FUNDING TO THE BOARD. TYPICALLY, SUPPORT IS GRANTED FOR 12 MONTHS, WITH SOME GRANTEES AWARDED MULTI-YEAR FUNDING CONDITIONED ON SUCCESSFUL FULFILLMENT OF OBJECTIVES. ANNUAL AWARDS ARE PAID AT THE START OF THE GRANT PERIOD. COMMUNITY GRANTEES SUBMIT ANNUAL AND/ORFINAL PROGRESS REPORTS. FOUNDATION STAFF REVIEW THESE FOR COMPLIANCE AND SUCCESS IN MEETING OBJECTIVES AND REPORT FINDINGS TO THE STEWARDSHIP COMMITTEE. TOTAL GRANTS FOR 2014 $60,289,351. X X 1 1 0 1 0 0 0 0 0 1 0 LIPSTEIN STEVEN DIRECTOR 0 966602 0 2131770 0 9846 0 104940 0 19653 0 3232811 0 842980 LIEKWEG RICHARD J DIRECTOR/EXEC VP THRU 11/14 0 693306 0 687635 0 7543 0 299683 0 32567 0 1720734 0 86447 ELL SUSAN J VP & EXEC DIR NO VOTE 0 206155 0 0 0 2841 0 16118 0 1986 0 227100 0 0 KRIEGER MARK TREASURER NO VOTE 0 377396 0 150874 0 4619 0 56857 0 16837 0 606583 0 21654 PART I, LINE 1A 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. DURING 2014,DUES WERE PAID FOR VP $4,400. PART I, LINE 3 FORM 990, PART VI, SECTION B, LINE 15A-B: THE COMPENSATION AND BENEFIT AMOUNTS OF THE ORGANIZATION'S OFFICERS AND TOP MANAGEMENT OFFICIALS ARE DETERMINED BY AN INDEPENDENT COMMITTEE OF BJC HEALTH SYSTEM, AN AFFILIATE OF THE FOUNDATION FOR BARNES-JEWISH HOSPITAL. THE COMMITTEE IS COMPRISED OF INDEPENDENT PERSONS AND USES INDEPENDENT COMPENSATION STUDIES AND BENCHMARKING DATA TO ESTABLISH COMPENSATION AMOUNTS AND GUIDELINES. ALL AMOUNTS ARE APPROVED BY THE COMPENSATION COMMITTEE. THE ORGANIZATION RECONCILES THE AGGREGATE AMOUNTS PAID TO THE APPROVAL AMOUNTS SHORTLY AFTER THE CLOSE OF EACH CALENDAR YEAR. PART I, LINE 4B DURING 2014, 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): STEVEN LIPSEIN $977,957 RICHARD J. LIEKWEG $364,050 MARK H. KRIEGER $44,452 SUSAN ELL $12,500 PART I, LINE 7 DURING 2014 COMPENSATION PROVIDED BY RELATED ORGANIZATIONS INCLUDED INCENTIVE PAYMENTS TO CERTAIN EXECUTIVES THAT ARE CALCULATED USING A PERCENT OF BASE PAY AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE MET. THE AMOUNT OF INCENTIVE PAYMENTS DID NOT ACCRUE TO THE BENEFIT OF THE INDIVIDUALS UNTIL AFTER THE FINANCIAL RESULTS OF THE RELATED ORGANIZATION WERE DETERMINED FOR THE CALENDAR YEAR. X 44 392746 AVERAGE HIGH/LOW X 1 555000 APPRAISAL 1 0 1 1 PART I, COLUMN (B): THE FOUNDATION USES A THIRD PARTY FINANCIAL INSTITUTION TO RECEIVE AND SELL STOCK GIFTS. PART I, LINE 32B: GIFTS OF SECURITIES ARE DELIVERED INTO ACCOUNTS ESTABLISHED UNDER THE FOUNDATION FOR BARNES-JEWISH HOSPITAL'S NAME AT VARIOUS FINANCIAL INSTITUTIONS. WHEN SECURITIES ARE RECEIVED, REPRESENTATIVES OF THESE INSTITUTIONS NOTIFY THE FOUNDATION FOR BARNES-JEWISH HOSPITAL OF THE DATE OF DELIVERY. NORMALLY THE FOUNDATION FOR BARNES-JEWISH HOSPITAL PERSONNEL INSTRUCT THESE INSTITUTIONS TO SELL THE SECURITIES IMMEDIATELY UPON RECEIPT, UNLESS OTHER DONOR STIPULATIONS EXIST OR IT IS NOT PRUDENT AND/OR POSSIBLE TO DO SO. FORM 990, PART V, LINE 1 THE ORGANIZATION IS AN AFFILIATE OF BJC HEALTH SYSTEM (BJC), A SUPPORTING ORGANIZATION DESCRIBED IN CODE SECTION 509(A)(3). BJC ASSUMES RESPONSIBILITY FOR REMITTING ALL PAYMENTS TO VENDORS THROUGH A CENTRALIZED ACCOUNTS PAYABLE SYSTEM. BJC ALSO ASSUMES RESPONSIBILITY FOR REPORTING THESE PAYMENTS TO THE IRS USING ITS EIN AS THE COMMON PAYOR ON FORM(S)1099,1098,5498, AND W-2G. THE AMOUNT REPORTED ON LINE 1,IF ANY, REFLECTS THE NUMBER OF FORMS FILED BY BJC HEALTH SYSTEM (EIN 43-1617558) ON BEHALF OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 CERTAIN OFFICERS, DIRECTORS OR KEY EMPLOYEES OF THE FOUNDATION AND 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 THE FOUNDATION, ENGAGE IN TRANSACTIONS IN WHICH POTENTIAL CONFLICTS OF INTEREST COULD EXIST. THESE OFFICERS, DIRECTORS, KEY EMPLOYEES AND RELATED PERSONS DISCLOSE THESE POTENTIAL CONFLICTS TO THE FOUNDATION AND BJC 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 FOUNDATION. FORM 990, PART VI, SECTION A, LINE 6 BARNES-JEWISH HOSPITAL IS THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A BARNES-JEWISH HOSPITAL HAS THE POWER TO ELECT OR APPOINT MEMBERS OF THE FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CHANGES TO FOUNDATION BYLAWS OR GOVERNING DOCUMENTS ARE SUBJECT TO THE APPROVAL OF BARNES-JEWISH HOSPITAL, THE SOLE CORPORATE MEMBER, AND BJC HEALTH SYSTEM. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION PREPARES DRAFT COPIES OF FORM 990 AND ATTACHMENTS FOR REVIEW BY MEMBERS OF FINANCE, LEGAL AND TAX DEPARTMENTS. THE FINAL DRAFT RETURNS ARE REVIEWED BY AN INDEPENDANT ACCOUNTING FIRM AND A COMPLETE COPY IS PROVIDED FOR THE FOUNDATION BOARD OF DIRECTORS TO REVIEW. QUESTIONS AND COMMENTS THAT ARISE DURING THE INDIVIDUAL BOARD MEMBER REVIEWS OF THE FORMS 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 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. 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 ALTON MEMORIAL HOSPITAL ONE MEMORIAL HOSPITAL DRIVE ALTON IL 62002 370661172 HEALTHCARE SERVICES IL 501(C)(3) 3 CH ALLIED SERVICES INC 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 & 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 BARNES-JEWISH HOSPITAL ONE BARNES-JEWISH HOSPITAL PLAZA ST LOUIS MO 63110 237309937 HEALTHCARE SERVICES MO 501(C)(3) 3 BJC HEALTH SYSTEM 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 HOSPITAL INC 10 HOSPITAL DRIVE ST PETERS MO 63376 431452426 HEALTHCARE SERVICES MO 501(C)(3) 3 BARNES-JEWISH HOSPITAL 1 BARNES-JEWISH WEST COUNTY HOSPITAL 12634 OLIVE STREET ROAD CREVE COEUR MO 63141 431527130 HEALTHCARE SERVICES MO 501(C)(3) 3 BARNES-JEWISH HOSPITAL 1 BJC BEHAVIORAL HEALTH 1430 OLIVE STREET SUITE 400 ST LOUIS MO 63103 431610561 HEALTHCARE SERVICES MO 501(C)(3) 3 BJC HEALTH SYSTEM 1 BJC CORPORATE HEALTH SERVICES 5000 MANCHESTER AVENUE ST LOUIS MO 63110 431324103 HEALTHCARE SERVICES MO 501(C)(3) 3 BARNES-JEWISH HOSPITAL 1 BJC HEALTH SYSTEM 4901 FOREST PARK AVE STE 1200 ST LOUIS MO 63108 431617558 SUPPORTING ORG MO 501(C)(3) 11A N/A 0 BJC HOME CARE SERVICES 1935 BELTWAY DRIVE ST LOUIS MO 63114 431450457 HEALTHCARE SERVICES MO 501(C)(3) 9 BARNES-JEWISH HOSPITAL 1 BOONE HOSPITAL CENTER'S VISITING NURSES INC 601 BUSINESS LOOP 70 W SUITE 280 COLUMBIA MO 65203 430998347 HEALTHCARE SERVICES MO 501(C)(3) 9 CH ALLIED SERVICES INC 1 CH ALLIED SERVICES INC 1600 E BROADWAY COLUMBIA MO 65201 431279063 HEALTHCARE SERVICES MO 501(C)(3) 3 CH HEALTH SERVICES DEV CORP 1 CHILDREN'S HEALTH NETWORK ONE CHILDRENS PLACE ST LOUIS MO 63110 431640467 HEALTHCARE SERVICES MO 501(C)(3) 9 ST LOUIS CHILDREN'S HOSPITAL 1 CHRISTIAN HEALTH SERVICES DEV CORP 11133 DUNN ROAD ST LOUIS MO 63136 431230583 HEALTHCARE SERVICES MO 501(C)(3) 11A BJC HEALTH SYSTEM 1 CHRISTIAN HOSP ILLINOIS SVCS 8 SUNSET HILLS EDWARDSVILLE IL 62025 260131339 HEALTHCARE SERVICES MO 501(C)(3) 3 CH ALLIED SERVICES INC 1 CHRISTIAN HOSPITAL FOUNDATION 11155 DUNN ROAD SUITE 300 N ST LOUIS MO 63136 431947644 SUPPORT TO CHNE MO 501(C)(3) 7 CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST 1 CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST 11133 DUNN ROAD ST LOUIS MO 63136 436057893 HEALTHCARE SERVICES MO 501(C)(3) 3 CH HEALTH SERVICES DEV CORP 1 COMMUNITY HEALTH CONNECTION 4353 CLAYTON AVE ROOM 164 ST LOUIS MO 63110 460819384 HEALTHCARE SERVICES MO 501(C)(3) 9 BJC HEALTH SYSTEM 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 SYSTEM 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 MISSOURI BAPTIST HOSPITAL OF SULLIVAN 751 SAPPINGTON BRIDGE SULLIVAN MO 63080 431459495 HEALTHCARE SERVICES MO 501(C)(3) 3 MISSOURI BAPTIST MEDICAL CENTER 1 MISSOURI BAPTIST HOSPITAL OF SULLIVAN AUXILIARY 751 SAPPINGTON BRIDGE SULLIVAN MO 63080 431349641 SUPPORT TO MBHS MO 501(C)(3) 3 MISSOURI BAPTIST HOSPITAL OF SULLIVAN 1 MISSOURI BAPTIST MEDICAL CENTER 3015 N BALLAS ROAD ST LOUIS MO 63131 430652656 HEALTHCARE SERVICES MO 501(C)(3) 3 BJC HEALTH SYSTEM 1 PARKLAND HEALTH CENTER 1101 WEST LIBERTY ST FARMINGTON MO 63640 431332368 HEALTHCARE SERVICES MO 501(C)(3) 3 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 MISSOURI BAPTIST MEDICAL CENTER 1 PROGRESS EAST HEALTHCARE CENTER 11155 DUNN ROAD SUITE 300 N ST LOUIS MO 63136 261343214 HEALTHCARE SERVICES IL 501(C)(3) 3 CH ALLIED SERVICES INC 1 PROGRESS WEST HEALTHCARE CENTER 2 PROGRESS POINT PARKWAY OFALLON MO 63368 412140764 HEALTHCARE SERVICES MO 501(C)(3) 3 BJC HEALTH SYSTEM 1 ST LOUIS CHILDREN'S HOSPITAL ONE CHILDRENS PLACE ST LOUIS MO 63110 430654870 HEALTHCARE SERVICES MO 501(C)(3) 3 BJC HEALTH SYSTEM 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 VILLAGE NORTH INC 11160 VILLAGE NORTH DRIVE ST LOUIS MO 63136 431207154 HEALTHCARE SERVICES MO 501(C)(3) 9 CH HEALTH SERVICES DEV CORP 1 THE HEART CARE INSTITUTE LLC 1020 NORTH MASON ROAD ST LOUIS MO 63141 431870517 MEDICAL SERVICES MO N/A GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC 216 SOUTH KINGSHIGHWAY ST LOUIS MO 63110 431846941 OUTPATIENT CARE SERVICES MO N/A SURGERY CENTER OF FARMINGTON LLC 400 PARKLAND DRIVE FARMINGTON MO 63640 431811835 MEDICAL SERVICES 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 N/A C 1 MB MEDICAL SERVICES INC 3015 N BALLAS ROAD ST LOUIS MO 63131 431437404 HEALTHCARE SERVICES MO N/A C 1 MISSOURI BAPTIST HOME HEALTH CARE INC 3015 N BALLAS ROAD ST LOUIS MO 63131 431460430 INACTIVE MO N/A C 1 MB PHARMACY SERVICES INC 3015 N BALLAS ROAD ST LOUIS MO 63131 431640730 INACTIVE MO N/A C 1 ST PETERS MED OFFICE BLDG A CONDO ASSN INC 1040 N MASON SUITE 109 ST LOUIS MO 63141 431472188 CONDOMINIUM ASSOCIATION MO N/A C 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 1 1 0 0 1 1 1 1 0 0