2014-11-17T15:16:43-06:00 2013-12-31 346565596 ERNST & YOUNG 190 CARONDELET PLAZA STE 1300 CLAYTON MO 63105 990 2013-01-01 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 2014-11-17 1 JENNIFER RICHTER P00366526 3142901000 2013 2015-11-30 17:44:51Z SUSAN ELL 1 BJ HOSPITAL PLAZA ST LOUIS MO 63110 75006762 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. 32 31 0 52 0 0 35899494 34716984 0 0 32613441 35010887 1879587 3269234 70392522 72997105 113063622 17287152 0 0 0 0 33546 53611 2298967 4278062 4787781 117375230 22128544 -46982708 50868561 481376758 539544414 112332804 115296713 369043954 424247701 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 8962360 8962360 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 AND 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 THE 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. 3199399 3199399 EDUCATION/SCHOLARSHIP PROGRAM SUPPORT: THE FOUNDATION SUPPORTS THE EDUCATION OF PHYSICIANS, RN'S WITHIN GOLDFARB SCHOOL OF NURSING, PHARMACISTS,TECHNICIANS,AND HEALTHCARE ADMINISTRATORS THROUGH FELLOWSHIPS, SCHOLARSHIPS, AWARDS, LECTURES AND CONFERENCES. 1933015 1933015 PATIENT SUPPORT SERVICES: THE FOUNDATION FUNDS TECHNOLOGY, EQUIPMENT, AND PROGRAMS THAT ENABLE BARNES-JEWISH HOSPITAL TO GIVE EVERY PATIENT SERVED THE BEST EXPERIENCE AND OUTCOME POSSIBLE. THIS INCLUDES SUPPORTING THE HOSPITAL IN BRINGING TO OUR COMMUNITY THE LATEST ADVANCES IN SURGICAL AND CANCER TREATMENT, PROVIDING HEALTH SCREENINGS IN UNDERSERVED COMMUNITIES, OFFERING FACE-TO-FACE INTERPRETER SERVICES TO OVERCOME LANGUAGE BARRIERS, AND MEETING FOR UNISURED OR UNEMPLOYED PATIENTS NEEDS THAT ARE UNREIMBURSABLE YET ESSENTIAL TO RECOVERY, SUCH AS MEDICATION, LODGING, FOOD, HOME CARE, EQUIPMENT, AND TRANSPORTATION. 3192378 3192378 OTHER PROGRAM SERVICES, CAPITAL,COMMMUNITY SUPPORT/OUTREACH SERVICES, RECRUITMENT PROGRAM, EXTERNAL COMMUNITY GRANTS,CHAIRHOLDERS AND OTHERS. 3192378 3192378 17287152 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 49 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 X 32 31 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X VALERIE GRAY 3142860572 4249 CLAYTON AVE SUITE 316 ST LOUIS MO 63110 BASLER WILLIAM L DIRECTOR 0.10 X 0 0 0 BLAIR JAMES T DIRECTOR 0.10 X 0 0 0 COOK S BRYAN DIRECTOR 0.00 X 0 0 0 CORBETT THOMAS R DIRECTOR 0.00 X 0 0 0 DUBINSKY JOHN P DIRECTOR 0.00 X 0 0 0 GLASSMAN RICHARD 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 HARBISON JR EARLE H DIRECTOR 0.00 X 0 0 0 HILLMAN THOMAS J DIRECTOR 0.10 X 0 0 0 HOOD MARK E DIRECTOR 0.10 X 0 0 0 KIRBERGDOUGLAS DIRECTOR 0.00 X 0 0 0 KLING LEE C DIRECTOR 0.20 X 0 0 0 KOMAN WILLIAM J DIRECTOR 0.10 X 0 0 0 KOPLAR EDWARD J DIRECTOR 0.10 X 0 0 0 MILES RICHARD H DIRECTOR 0.10 X 0 0 0 MILLSTONE ROBERT D DIRECTOR 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 SCHNUCK CRAIG 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 0.20 X 0 0 0 SUELTHAUS KENNETH H DIRECTOR 0.30 X 0 0 0 THOMAS LAWRENCE E DIRECTOR 0.10 X 0 0 0 VIRANT JOHN A DIRECTOR 0.10 X 0 0 0 WALLACE HARVERY N DIRECTOR 0.30 X 0 0 0 YAWITZ DAVID DIRECTOR 0.10 X 0 0 0 ZORENSKY MARK H DIRECTOR 0.10 X 0 0 0 LIEKWEG RICHARD J EXEC VICE PRES, DIRECTOR 3.70 50.00 X X 0 1196297 224694 RUVELSON JULIA VICE PRESIDENT, DIRECTOR 52.00 0.00 X X 0 274459 51202 STEINBACK KENNETH B CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 KRIEGER MARK ASST SECY/TREASURER 0.50 50.00 X 0 489219 74494 0 1959975 350390 0 0 1 0 CREATIVE PRODUCER'S GROUP 4818 WASHINGTON BLVD ST LOUIS ST LOUIS MO 63108 PRODUCTION SERVICES & ENTERTAINMENT 239032 CAMPBELL & COMPANY ONE EAST WACKER DRIVE SUITE 3350 CHICAGO IL 60601 PROFESSIONAL FUND RAISING SERVICES 166914 2 944087 26360000 7412897 956770 34716984 11415245 11415245 193119 193119 25365622 1769980 23595642 23595642 23595642 744668 944087 239677 504991 504991 RECOVERY PY GRANTS 900099 1123209 1123209 CHG IN BENEF INT-CRT 900099 795203 795203 FORGIVENESS OF WUSM DE 561499 418574 418574 234138 234138 2571124 72997105 0 0 38280121 17287152 17287152 86490 86490 53611 53611 1834920 1834920 2036578 172809 1863769 292638 23620 269018 298984 298984 3929 3929 5034 5034 120000 120000 CATERING AND MEALS 75280 75280 MISC EXPENSES 15327 5602 9725 DONOR CULTIVATION 14258 14258 PROFESSIONAL DUES 4343 4343 22128544 17287152 2542425 2298967 4382808 3106446 15633762 18014584 25500000 26350000 30467 66353 294649394 323852759 136134908 162520874 5045419 5633398 481376758 539544414 579005 426978 100292571 102560963 11461228 12308772 112332804 115296713 X 90838301 101005200 125480054 167856804 152725599 155385697 369043954 424247701 481376758 539544414 X 50868561 4332086 3100 X 0 1 X 1 0 X 13420798 47992913 47141013 35899494 34716984 179171202 13420798 47992913 47141013 35899494 34716984 179171202 179171202 4184226 4378617 5176495 9815491 11608364 35163193 418574 418574 214752969 3086958 0.83430 0.83230 X SCHEDULE A, PART II, SEC B, LINE 10 INCLUDES FORGIVENESS OF INDEBTEDNESS INCOME OF $418,574 FOR 2013. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 269677301 2065798 28133720 -6606471 -1979612 291290736 244001329 3756681 34170294 -10124110 -2126893 269677301 256144032 2114161 -3651117 -8695853 -1909894 244001329 231841082 2369196 31241126 -7486185 -1821206 256144032 183913060 6386429 49067704 -5770532 -1755579 231841082 0.21500 0.47400 0.31100 0 0 0 HEDGE FUNDS 58420373 F PRIVATE EQUITY 37010002 F ILLIQUID REAL ASSETS 14553044 F GSO BANK LOANS 22562319 F LOW VOL HEDGE FUNDS 18215371 F GLOBAL BONDS 9156251 F VECTIS LIFE SCIENCES FUND 2526879 F OTHER MISC 76635 F 162520874 FUNDS HELD FOR WASHINGTON UNIVERSITY 2752150 RELATED PARTY LIABILITY 3378704 ANNUITY OBLIGATIONS 721930 LIABILITY UNDER TRUST AGREEMENTS 2735318 BJC HEALTH SYSTEM AFFILIATES 2720670 12308772 75494271 4332086 4332086 71162185 1834920 1834920 72997105 20293624 0 20293624 1834920 1834920 22128544 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. X X X X 1 WORDSDATA & IMAGING LLC AKA GABRIEL GROUP 3190 RIDER TRAIL EARTH CITY MO 63045 DIRECT MAIL 0 177888 34751 143137 CAMPBELL & COMPANY ONE EAST WACKER DRIVE SUITE 3350 CHICAGO IL 60601 FUNDRAISING 0 22768 18860 3908 HARRIS CONNECT 1511 ROUTE 22 SUITE C-25 BREWSTER NY 10509 ONLINE SOLICITATIONS 0 14085 0 14085 214741 53611 161130 MO FL IL ILLUMINATIONS GALA-2013 1688755 944087 744668 8141 127361 101150 3025 3 1688755 944087 744668 8141 127361 101150 3025 239677 504991 1 BARNES - JEWISH HOSPITAL 216 SOUTH KINGSHIGHWAY ST LOUIS MO 63110 237309937 501(C)(3) 2475694 RESEARCH, PATIENT SUPPORT, EDUCATION, CAPITAL, COMMUNITY SERVICES WASHINGTON UNIVERSITY SCHOOL OF MEDICINE CAMPUS BOX 8018 660 SOUTH EUCLID AVE ST LOUIS MO 63110 430653611 501(C)(3) 13925554 RESEARCH, PATIENT SUPPORT, EDUCATION, MD RECRUITMENT BARNES-JEWISH WEST COUNTY HOSPITAL 12634 OLIVE STREET ROAD ST LOUIS MO 63141 431527130 501(C)(3) 40000 OWEN KANTER LECTURE AND HEALING GARDEN MAINTENANCE BJC HOME CARE SERVICES 1935 BELTWAY DRIVE ST LOUIS MO 63114 431450457 501(C)(3) 145316 HOME CARE - HOSPICE NEIGHBORHOOD PROGRAM $74,500, HOSPICE $58,316, LUMINA TRAINING $12,500. OASIS INSTITUTE 7710 CARONDELET AVE ST LOUIS MO 63105 431830354 501(C)(3) 125000 OASIS HEALTHY AGING INITIATIVE - COMMUNITY OUTREACH PEDAL THE CAUSE 900 SPRUCE STREET ST LOUIS MO 63102 272233336 501(C)(3) 100000 ANNUAL FUNDRAISING BIKE CHALLENGE FOR CANCER RESEARCH FOOD OUTREACHINC 3117 OLIVE STREET ST LOUIS MO 63103 431492878 501(C)(3) 50000 PROVIDE INDIVIDUALIZED DIETETIC COUNSELING AND NUTRITION SERVICES TO LOW-INCOME COMMUNITY RESIDENTS WITH HIV/AIDS OR CANCER HAVEN HOUSE ST LOUIS 12685 OLIVE BLVD ST LOUIS MO 63141 201876315 501(C)(3) 39000 PATIENT SUPPORT FOR RESIDENCE COSTS DURING TREATMENT BETHANY PLACE 821 WA STREET BELLEVILLE IL 62220 371283362 501(C)(3) 10000 HIV/AIDS CASE MANAGEMENT SERVICES IN METRO EAST ST LOUIS EFFORT FOR AIDS 1027 SVANDEVENTER AVE ST LOUIS MO 63110 431395179 501(C)(3) 25000 BRING UNDERSERVED HIV/AIDS PATIENTS INTO MEDICAL TREATMENT AT VARIOUS HEALTH CARE ORGANIZATIONS HEALTH PROTECTION & EDUCATION 8147 DELMARSUITE 210 ST LOUIS MO 63130 272096715 501(C)(3) 20230 PART-TIME PROFESSIONAL HEALTH COACHES FOR SCREENING AND HEALTH CARE REFERRAL PROGRAM. EXPLORE TRANSPLANT 3147 LOCUST STREET ST LOUIS MO 63103 272071049 501(C)(3) 49950 OUTREACH AND TRAINING PROGRAM WITH KIDNEY DIALYSIS CENTERS. CASA DE SALUD 3200 CHOUTEAU AVENUE ST LOUIS MO 63103 270732049 501(C)(3) 50000 MEDICAL CARE TO UNDERINSURED AN UNINSURED WORKING POOR, TARGETING SOUTH ST. LOUIS IMMIGRANT POPULATIONS ST LOUIS HEALTH EQUIPMENT LENDING PROGRAM INC 1640 ANDREW DRIVE ST LOUIS MO 631221706 800144355 501(C)(3) 25000 CONTINUATION OF PROGRAM TO LOAN DONATED, REFURBISHED HOME MEDICAL EQUIPMENT TO COMMUNITY RESIDENTS HELPING HAND-ME-DOWNS 1241 AMBASSADOR DRIVE ST LOUIS MO 63132 800752179 501(C)(3) 8000 SUPPORT DISTRIBUTION OF FREE DONATED INFANT CLOTHING AND SUPPLIES TO NEW MOTHERS. BEYOND HOUSING 4156 MANCHESTER ST LOUIS MO 63110 510179471 501(C)(3) 10000 PASSPORT TO HEALTH PROGRAM IN NORTH ST. LOUIS COUNTY CHIPS HEALTH AND WELLNESS CENTER 2431 NORTH GRAND BLVD ST LOUIS MO 63106 431589851 501(C)(3) 50000 HEALTH AND WELLNESS SERVICES IN NORTH ST. LOUIS YOUTH AND FAMILY CENTER 818 CASS AVENUE ST LOUIS MO 63107 430652663 501(C)(3) 26408 SICKLE CELL DISEASE EDUCATION AND SUPPORT GROUP WALTER'S WALK 737 DUNN ROAD HAZELWOOD MO 63042 272595936 501(C)(3) 15000 GRANTWRITER SERVICES, NORTH COUNTY MENTAL HEALTH PROVIDER RETINA RESEARCH & DEVELOPMENT FOUNDATION 1600 SOUTH BRENTWOOD BLVD SUTIE 800 800 ST LOUIS MO 63144 436067402 501(C)(3) 10000 SUPPORT FOR DR. DANIELS JOSEPH'S RESEARCH. ST LOUIS FIRE DEPARTMENT LIFESAVING FOUNDATION 1421 NORTH JEFFERSON ST LOUIS MO 63106 200512259 501(C)(3) 50000 EMS SIMULATION TRAINING CENTER FOR BARNES-JEWISH TRAUMA AND EMERGENCY SERVICES. MENTAL HEALTH AMERICA 1905 S GRAND BLVD ST LOUIS MO 63104 430685341 501(C)(3) 25000 WORKPLACE WELLNESS PROGRAMS TO UNDERSERVED NON-PROFITS AND SMALL COMPANIES 22 0 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 2013 $17,287,152.21. X X 1 1 0 1 0 0 0 0 0 1 0 LIEKWEG RICHARD J EXEC VICE PRES, DIRECTOR 0 681130 0 508299 0 6868 0 194757 0 29937 0 1420991 0 76188 RUVELSON JULIA VICE PRESIDENT, DIRECTOR 0 159141 0 103244 0 12074 0 35703 0 15499 0 325661 0 12963 KRIEGER MARK ASST SECY/TREASURER 0 366356 0 118538 0 4325 0 58945 0 15549 0 563713 0 25867 PART I, LINE 1A 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 REPORTED AS TAXABLE INCOME TO THE EXECUTIVE. DURING 2013, THE ORGANIZATION PROVIDED TOTAL REIMBURSMENTS OF $74 INCLUDING TAX GROSS UP PAYMENTS FOR THE PERSONAL USE PORTION OF SOCIAL CLUB DUES TO ONE EXECUTIVE. DOCUMENTATION OF THESE EXPENSES IS RETAINED IN THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION AND INCLUDED IN THE REPORTABLE COMPENSATION OF THE INDIVIDUAL LISTED HEREIN. TOTAL PAYMENTS RELATED TO ORDINARY AND NECESSARY EXPENSES FOR BUSINESS USE OF THE SOCIAL CLUB WAS $3,500 FOR 2013. 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 2013, THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ACCRUALS FROM THE ORGANIZATION AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS (SEE FROM 990, PART VII AND SCHEDULE J, PART II): MARK H. KRIEGER $48,000 JULIA S. RUVELSON $19,057 RICHARD J. LIEKWEG $250,965 PART I, LINE 7 DURING 2013 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 34 956770 AVERAGE HIGH/LOW 0 1 1 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. FORM 990, PART XI, LINE 9: EQUITY TRF FROM BARNES-JEWISH HOSPITAL 3,100. ALTON MEMORIAL HOSPITAL ONE MEMORIAL HOSPITAL DRIVE ALTON IL 62002 370661172 HEALTHCARE SERVICES IL 501(C)(3) 3 CH ALLIED SERVICES INC 1 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 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 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 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 ST PETERS HOSPITAL AUXILIARY 10 HOSPITAL DRIVE ST PETERS MO 63376 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