2013-11-15T10:28:12-06:00 2012-12-31 346565596 ERNST & YOUNG 190 CARONDELET PLAZA STE 1300 CLAYTON MO 63105 990 2012-01-01 431648435 THE FOUNDATION FOR BARNES-JEWISH HOSPITAL FOUN 3142860600 1001 HIGHLANDS PLZ DR WEST NO 140 ST LOUIS MO 631101339 MARK KRIEGER 3142860580 2013-11-15 1 P00366526 3142901000 2012 2016-03-07 17:11:31Z MARK KRIEGER 1 BARNES JEWISH HOSP PLAZA ST LOUIS MO 63110 71236771 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. 39 36 0 36 0 0 47141013 35899494 0 0 28503915 32613441 2581112 1879587 78226040 70392522 18348627 113063622 0 0 0 0 21530 33546 2749350 4093312 4278062 22463469 117375230 55762571 -46982708 414723436 481376758 16930634 112332804 397792802 369043954 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. 1 0 93923744 93923744 RECRUITMENT - REPRESENTS SUPPORT FOR SELECTED RECRUITMENT OF WASHINGTON UNIVERSITY SCHOOL OF MEDICINE FACULTY WHO ALSO SERVE CONCURRENTLY AS DEPARTMENT OR DIVISIONS CHIEFS AT BARNES-JEWISH HOSPITAL OR AS CHAIRPERSONS OF BASIC SCIENCE DEPARTMENTS AT THE SCHOOL OF MEDICINE 9436620 9436620 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, DIABETES, THE NEUROSCIENCES (STROKE, BRAIN TUMOR, AND EPILEPSY), AND ORGAN TRANSPLANT. 3166847 3166847 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. BY PROVIDING CONTINUING EDUCATION, THE FOUNDATION ATTAINS PROFESSIONAL AND QUALITY STANDARDS. 6536411 6536411 OTHER PROGRAM SERVICES PATIENT CARE, CAPITAL,COMMMUNITY SUPPORT/OUTREACH SERVICES,EXTERNAL COMMUNITY GRANTS,CHAIRHOLDERS AND OTHERS. 6536411 6536411 113063622 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 26 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 39 36 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 1001 HIGHLANDS PLZ DR WEST ST LOUIS MO 631101339 JAMES T BLAIR 0.00 X 0 0 0 WILLIAM L BASLER 0.20 X 0 0 0 S BRYAN COOK 0.10 X 0 0 0 THOMAS R CORBETT 0.00 X 0 0 0 JOHN P DUBINSKY 0.00 X 0 0 0 LEON A FELMAN 0.20 X 0 0 0 RICHARD S GLASSMAN 0.20 X 0 0 0 KEITH B GULLER 0.30 X 0 0 0 EARLE H HARBISON JR 0.00 X 0 0 0 THOMAS J HILLMAN 0.30 X 0 0 0 MARK E HOOD 0.20 X 0 0 0 DOUGLAS O KIRBERG 0.00 X 0 0 0 LEE C KLING 0.20 X 0 0 0 WILLIAM J KOMAN 0.20 X 0 0 0 EDWARD J KOPLAR 0.10 X 0 0 0 RICHARD H MILES 0.20 X 0 0 0 ROBERT D MILLSTONE 0.20 X 0 0 0 SANDRA M MOORE 0.10 X 0 0 0 FREDERICK J OERTLI 0.10 X 0 0 0 JOSEPH E RECHTER 0.20 X 0 0 0 JUDITH RUBIN 0.20 X 0 0 0 RON RUBIN 0.20 X 0 0 0 STEVEN F SCHANKMAN 0.20 X 0 0 0 CRAIG SCHNUCK 0.00 X 0 0 0 DAVID SHERMAN III 0.10 X 0 0 0 THOMAS A STERN 0.20 X 0 0 0 JOSEPH A STIEVEN 0.20 X 0 0 0 PATRICK STOKES 0.00 X 0 0 0 LAWRENCE E THOMAS 0.20 X 0 0 0 JOHN A VIRANT 0.20 X 0 0 0 DAVID A YAWITZ 0.20 X 0 0 0 MARK H ZORENSKY 0.20 X 0 0 0 SUSAN K GOLDBERG 0.30 X X 0 0 0 RICHARD J LIEKWEG 3.70 X X 0 1253505 112323 SALLY H ROTH 0.30 X X 0 0 0 JULIA S RUVELSON 52.00 X X 0 340001 60727 PETER A SMITH 0.30 X X 0 0 0 KENNETH B STEINBACK 1.00 X X 0 0 0 KENNETH H SUELTHAUS 0.30 X X 0 0 0 HARVEY N WALLACE 0.30 X X 0 0 0 MARK KRIEGER 0.50 X 0 463263 72607 0 2056769 245657 0 0 1 0 CREATIVE PRODUCERS GROUP 4818 WASHINGTON BLVD ST LOUIS MO 63108 PRODUCTION SERVICES & ENTERTAINMENT 115242 1 864766 25528250 9506478 377650 35899494 9573148 9573148 242343 242343 23664371 624078 23040293 23040293 23040293 653170 864766 220171 432999 432999 RECOVERY PY GRANTS 900099 605935 605935 CHG IN BENEF INT-CRT 900099 514626 514626 ACT GAIN ON ANNUITY 900099 83684 83684 1204245 70392522 0 0 34493028 113063622 113063622 89641 89641 58913 58913 33546 33546 1081942 1081942 27013 26733 280 309995 20144 289851 17993 2244 15749 252167 252167 10033 10033 17673 17673 120000 120000 PURCHASED SERVICES 1899763 1899763 CATERING AND MEALS 83324 83324 DONOR CULTIVATION 13711 13711 DUES-PROFESSIONAL 5438 5438 290456 115 290341 117375230 113063622 1562258 2749350 2557526 4382808 14858670 15633762 40350000 25500000 32127 30467 257102431 294649394 94843429 136134908 4979253 5045419 414723436 481376758 611014 579005 9839415 100292571 6480205 11461228 16930634 112332804 X 76571514 90838301 170404900 125480054 150816388 152725599 397792802 369043954 414723436 481376758 X -46982708 18413497 -179637 X 0 1 X 1 0 X 12483377 13420798 47992913 47141013 35899494 156937595 12483377 13420798 47992913 47141013 35899494 156937595 156937595 8069356 4184226 4378617 5177495 9815491 31625185 188562780 2844910 0.83230 0.79770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 244001329 3756681 34170294 -10124110 -2126893 269677301 256144032 2114161 -3651117 -8695853 -1909894 244001329 231841082 2369196 31241126 -7486185 -1821206 256144032 183913060 6386429 49067704 -5770532 -1755579 231841082 259028869 11648832 -75193815 -9725489 -1845337 183913060 0.21500 0.50600 0.27900 0 0 0 PRIVATE EQUITY 24098139 F ALTERNATIVE INVESTMENT 60466664 F ILLIQUID REAL ASSETS 10997758 F COMMODITIES 5070697 F PE CO-INVESTS 3067866 F BANK LOANS-TRILOGY 4112189 F GSO BANK LOANS 25827957 F VESTIS LIFE SCIENCES FUND 2465642 F SHORT TERM INVESTMENTS 27996 F 136134908 FUNDS HELD FOR WASHINGTON UNIVERSITY 3170724 RELATED PARTY LIABILITY 1107894 ANNUITY OBLIGATIONS 855899 LIABILITY UNDER TRUST AGREEMENTS 2392165 BJC HEALTH SYSTEM AFFILIATES 3934546 11461228 87724077 18413495 18413495 69310582 1081940 1081940 70392522 116293288 0 116293288 1081942 1081942 117375230 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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 3190 RIDER TRAIL EARTH CITY MO 63045 DIRECT MAIL 0 214640 8546 206094 HARRIS CONNECT 1511 ROUTE 22 SUITE C-25 BREWSTER NY 10509 HARRIS CONNECT, LLC 0 10993 25000 -14007 225633 33546 192087 MO FL IL ILLUMINATIONS GALA 1517936 864766 653170 113965 101150 5056 3 1517936 864766 653170 113965 101150 5056 220171 432999 1 BARNES - JEWISH HOSPITAL 216 SOUTH KINGSHIGHWAY ST LOUIS MO 63110 237309937 501(C)(3) 4694052 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) 107610750 RESEARCH, PATIENT SUPPORT, EDUCATION, MD RECRUITMENT BARNES-JEWISH WEST COUNTY HOSPITAL 12634 OLIVE STREET ROAD ST LOUIS MO 63141 431527130 501(C)(3) 32745 OWEN KANTER LECTURE AND HEALING GARDEN MAINTENANCE BJC HOME CARE SERVICES 1935 BELTWAY DRIVE ST LOUIS MO 63114 431450457 501(C)(3) 192125 HOME CARE - CARING FOR PATIENTS $35,000, HOSPICE $35,500, LUMINA TRAINING $29,720. OASIS INSTITUTE 7710 CARONDELET AVE ST LOUIS MO 63105 431830354 501(C)(3) 128000 OASIS HEALTHY AGING INITIATIVE - COMMUNITY OUTREACH PEDAL THE CAUSE 7733 FORSYTH BLVD1375 ST LOUIS MO 63105 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 TO PROVIDE ASSISTANCE TO LOW-INCOME COMMUNITY RESIDENTS HAVEN HOUSE ST LOUIS 12685 OLIVE BLVD ST LOUIS MO 63141 201876315 501(C)(3) 32500 GRANT TO SUPPORT HAVEN HOUSE TO ACCOMPLISH THEIR MISSION TO ECONOMALLY DISTRESS FAMILIES. BETHANY PLACE 821 WA STREET BELLEVILLE IL 62220 371283362 501(C)(3) 10000 PROVIDE HIV PREVENTION, EDUCATION AND HOUSING ST LOUIS EFFORT FOR AIDS 627 SVANDEVENTER AVE ST LOUIS MO 63110 431395179 501(C)(3) 20000 THE BEACON PROJECT-UNDESERVED COMMUNITY RESIDENTS WITH AID/HIV. PLACES FOR PEOPLE INC 4130 LINDELL BLVD ST LOUIS MO 63108 237433924 501(C)(3) 18500 PILOT PROGRAM OF GROUP FITNESS CLASSES. HEALTH PROTECTION & EDUCATION 8147 DELMARSUITE 210 ST LOUIS MO 63130 272096715 501(C)(3) 25000 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. URBAN STRATEGIES INC 720 OLIVE STREET SUITE 2600 ST LOUIS MO 63101 431141027 501(C)(3) 100000 CONSTRUCT FACILITY FOR CHILDHOOD EDUCATION AND FAMILY LITERACY. 14 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 INTERIM (SIX MONTHS) AND FINAL PROGRESS REPORTS, INCLUDING NARRATIVE AND EXPENSE RECAP. FOUNDATION STAFF REVIEW THESE FOR COMPLIANCE AND SUCCESS IN MEETING OBJECTIVES AND REPORT FINDINGS TO THE STEWARDSHIP COMMITTEE. TOTAL GRANTS FOR 2012 $113,063,622. X 1 1 0 1 0 0 0 0 0 1 0 RICHARD J LIEKWEG 0 605776 0 644735 0 2994 0 82703 0 29620 0 1365828 0 71380 JULIA S RUVELSON 0 224559 0 111474 0 3968 0 36959 0 23768 0 400728 0 13360 MARK KRIEGER 0 354404 0 105233 0 3626 0 53227 0 19380 0 535870 0 19430 PART I, LINE 1A DURING 2012, THE ORGANIZATION REIMBURSED EXPENSES FOR SOCIAL CLUB DUES FOR ONE EXECUTIVE IN THE AMOUNT OF $4,185. 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 HERE IN. 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 2012, 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 $40,997 JULIA S. RUVELSON $25,320 RICHARD J. LIEKWEG $139,235 PART I, LINE 7 DURING 2012 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 24 377650 AVERAGE HIGH/LOW 0 1 1 THIRD PARTY USE: 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. NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 PROGRAM SUPPORT-RECRUITMENT REPRESENTS SUPPORT PROVIDED FOR SELECTED RECRUITMENT OF WASHINGTON UNIVERSITY SCHOOL OF MEDICINE FACULTY WHO ALSO SERVE CONCURRENTLY AS DEPARTMENT OR DIVISION CHIEFS OF SERVICE AT BARNES-JEWISH HOSPITAL OR AS CHAIRPERSONS OF BASIC SCIENCE DEPARTMENTS AT THE SCHOOL OF MEDICINE. NUMBER REPORTED IN BOX 3 FORM 1096 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: EQUITY TRF TO BJSPH/PROGRESS WEST FOUNDATION -376,967. EQUITY TRF FROM BARNES-JEWISH HOSPITAL 52,140. EQUITY TRF FROM BARNES-JEWISH HOSPITAL AUXILIARY 132,690. EQUITY TRF FROM BJC GIFT - CASTELLANO 12,500. 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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