2023-11-13T16:06:17-06:00 2022-12-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2022-01-01 431626863 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION STLO 3142860988 1001 HIGHLANDS PLAZA DR WEST 160 ST LOUIS MO 631101337 TANYA WASKIEWICZ CHIEF DEVELOPMENT OFFICER 3142860971 2023-11-09 1 TANYA WASKIEWICZ 999009999 0 JESSICA A WAGENER P01622613 3128792000 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z TANYA WASKIEWICZ 1001 HIGHLANDS PLAZA DR WEST 160 ST LOUIS MO 631101337 210080943 0 X WWW.STLOUISCHILDRENS.ORG X 1993 MO TO SUPPORT AND ENCOURAGE CHILDREN'S HEALTH CARE AND RELATED SERVICES THROUGH (SEE SCHEDULE O) FINANCIAL AND FUND-RAISING ASSISTANCE FOR ST. LOUIS CHILDREN'S HOSPITAL AND PEDIATRIC RELATED RESEARCH. 35 35 0 140 0 0 55107890 27069165 0 0 51824803 -3034042 2996160 3683472 109928853 27718595 24105820 36229533 0 0 0 0 33942 14310 4997248 7314311 7162532 31454073 43406375 78474780 -15687780 519869527 489668487 107591592 116476256 412277935 373192231 X TO SUPPORT AND ENCOURAGE CHILDREN'S HEALTH CARE AND RELATED SERVICES THROUGH PROVIDING FINANCIAL AND FUND-RAISING ASSISTANCE FOR ST. LOUIS CHILDREN'S HOSPITAL, PEDIATRIC RELATED RESEARCH AND SUPPORT FOR OTHER PURPOSES CONNECTED TO CHILDREN'S HEALTH AND WELL-BEING. 0 0 14211327 14211327 RESEARCH: THE ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION SUPPORTED WASHINGTON UNIVERSITY PHYSICIANS AND THE CHILDREN'S DISCOVERY INSTITUTE RESEARCH THROUGH VARIOUS FUNDRAISING INITIATIVES. 9770404 9770404 COMMUNITY SERVICE/OUTREACH: THE ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION SUPPORTED COMMUNITY PROGRAMS SUCH AS CHILD ADVOCACY AND OUTREACH PROGRAM (CHAO) AND THE HEALTHY KIDS EXPRESS PROGRAMS (ASTHMA, DENTAL, HEALTH SCREENINGS). THE CHAO PROGRAM ENCOMPASSES VARIOUS INJURY PREVENTION, HEALTH, WELLNESS, AND FITNESS PROGRAMS INCLUDING THE TEEN OUTREACH PROGRAM, HEAD TO TOE, CAR SEAT SAFETY CHECKS, BIKE HELMET SAFETY CHECKS, BURN PREVENTION, SAFETY AT HOME AND CHILDPROOFING. THE HEALTHY KIDS EXPRESS MOBILE VAN PROGRAM INCLUDES THE ONLY PEDIATRIC MOBILE HEALTH VAN PROGRAM IN THE ST. LOUIS METROPOLITAN AREA THAT OFFERS ACCESS TO HEALTH CARE FOR THOUSANDS OF CHILDREN IN OUR COMMUNITY BY PROVIDING HEARING, VISION, ASTHMA, DENTAL, LEAD EXPOSURE AND DEVELOPMENT SCREENS FOR ELEMENTARY AND PRE-SCHOOL AGED CHILDREN. 5519319 5519319 CAPITAL: THE ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION PROVIDED FUNDS FOR CAPITAL EQUIPMENT AND CONSTRUCTION/RENOVATIONS SUCH AS REPLACING OUTDATED AMBULANCES, PURCHASING MOBILE ICU SPECIALTY VEHICLES, AND COMMUNITY SERVICE VEHICLES SUCH AS DENTAL VANS. THE FOUNDATION ALSO PROVIDED FUNDING FOR ACQUIRING NEW CLINICAL EQUIPMENT SUCH AS SCANNING MACHINES AND PHYSICAL REHABILITATION EQUIPMENT. 6728483 6728483 PATIENT SUPPORT, CHAIRHOLDERS, GENERAL OPERATIONS, EXTERNAL COMMUNITY GRANTS, FACULTY DEVELOPMENT/EDUCATION, SCHOLARSHIPS, WORKFORCE EDUCATION AND PATIENT EDUCATION: THE ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION SUPPORTED PATIENTS AND THEIR FAMILIES WHO ARE IN FINANCIAL NEED WITH MEALS FOR PARENTS OF PATIENTS, BABY FORMULA, LODGING, TRANSPORTATION, AND ASSISTANCE WITH UTILITY BILLS, BURIAL AND FUNERAL EXPENSES, AND PRESCRIPTION MEDICINES. THE FOUNDATION ALSO SUPPORTED ST. LOUIS CHILDREN'S HOSPITAL'S CHILD LIFE SERVICES DEPARTMENT WHICH WORKS WITH PATIENTS AND FAMILIES TO DEVELOP WAYS TO COPE WITH FEAR, ANXIETY AND SEPARATION FROM FRIENDS AND FAMILY BY USING PLAY, MUSIC, ART, RECREATION AND EDUCATION TECHNIQUES. ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION SUPPORTED EDUCATION FOR PHYSICIANS, R.N.S, TECHNICIANS, AND HEALTHCARE ADMINISTRATORS THROUGH FELLOWSHIPS, AWARDS, LECTURES, AND CONFERENCES. BY PROVIDING CONTINUING EDUCATION, THE FOUNDATION ASSISTS ST. LOUIS CHILDREN'S HOSPITAL AND WASHINGTON UNIVERSITY SCHOOL OF MEDICINE WITH MAINTAINING IT'S PROFESSIONAL AND QUALITY STANDARDS. THE FOUNDATION ADDITIONALLY SUPPORTED MULTIPLE ENDOWED CHAIRS AT WASHINGTON UNIVERSITY SCHOOL OF MEDICINE. 6728483 6728483 36229533 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 35 35 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 AL AR CA FL HI ME KS KY MA MD MI MN NC NH NJ ND NY OR PA RI SC TN UT VA WV WI X SARAH FREDERICK 3142862057 4249 CLAYTON AVENUE SUITE 316 ST LOUIS MO 63110 LOLLO TRISHA PRESIDENT, DIRECTOR 1.00 39.00 X X 0 827547 63805 BAUR RICHARD D DIRECTOR 1.00 X 0 0 0 BAXTER CINDY DIRECTOR 1.00 X 0 0 0 BUCK JOSEPH F DIRECTOR 1.00 X 0 0 0 BUTTON BELL KATHERINE DIRECTOR 1.00 X 0 0 0 CAMMON DALE L DIRECTOR 1.00 X 0 0 0 DIMARTINI JOE DIRECTOR 1.00 X 0 0 0 HARBISON KEITH S DIRECTOR 1.00 X 0 0 0 HERMANN ROBERT JR DIRECTOR 1.00 X 0 0 0 HOGAN BRIAN J DIRECTOR 1.00 X 0 0 0 HOPKINS KATIE DIRECTOR 1.00 X 0 0 0 JOHNSON III JAMES L DIRECTOR 1.00 X 0 0 0 KREIENKAMP RAY DIRECTOR 1.00 X 0 0 0 KRUEGER NINA LEIGH DIRECTOR 1.00 X 0 0 0 LEDBETTER RICH DIRECTOR 1.00 X 0 0 0 LEWIS CHRISTOPHER N DIRECTOR 1.00 X 0 0 0 LILLY JULIE J DIRECTOR 1.00 X 0 0 0 MACARI MICHAEL DIRECTOR 1.00 X 0 0 0 MAHER KEVIN A DIRECTOR 1.00 X 0 0 0 MCCLURE RICHARD DIRECTOR 1.00 X 0 0 0 MYERS KAREN D DIRECTOR 1.00 X 0 0 0 O'CONNELL JOHN T DIRECTOR 1.00 X 0 0 0 OLIVER TIMOTHY C DIRECTOR 1.00 X 0 0 0 PACKNETT GWENDOLYN DIRECTOR 1.00 X 0 0 0 PARKER CRAIG M DIRECTOR 1.00 X 0 0 0 SCHLAFLY TED DIRECTOR 1.00 X 0 0 0 SHARON BARRY DIRECTOR 1.00 X 0 0 0 SILVERMAN GARY DIRECTOR 1.00 X 0 0 0 STAPLETON JOHN L DIRECTOR 1.00 X 0 0 0 STEWARD MARY DIRECTOR 1.00 X 0 0 0 THEISS JAMES M DIRECTOR 1.00 X 0 0 0 VAN DE RIET JR RAYMOND R DIRECTOR 1.00 X 0 0 0 LINTZ KATHERINE TREASURER/DIRECTOR 1.00 X X 0 0 0 MCDONNELL III JAMES S VICE CHAIR, DIRECTOR 1.00 X X 0 0 0 POPE KATHY SECRETARY, DIRECTOR 1.00 X X 0 0 0 WINDSOR JRCHARLES E CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 WASKIEWICZ TANYA VP, CHEIF DEVELOPMENT OFFICER 1.00 39.00 X 0 355201 47713 GORDIN MARGARET FORMER PRESIDENT, TERM 9/19 0.00 40.00 X 0 358097 5403 0 1540845 116921 0 1 1 0 BLUEPRINT 314 10016 OFFICE CENTER AVENUE SUITE 1 ST LOUIS MO 63128 ADVERTISING 407363 ATLUS HIGHLANDS LLC 231 S BEMISTON AVE SUITE 650 ST LOUIS MO 63105 COMMERCIAL OFFICE RENTAL 367897 THE BIG TREE LLC 7 CLERBROOK LANE ST LOUIS MO 63124 BROADCAST MEDIA PRODUCTIONS 147831 EVNTIV LLC 200 N BROADWAY UNIT 1400 ST LOUIS MO 63102 SOUND PRODUCTION/EVENT DESIGN 129306 4 6317 1209951 25852897 3436752 27069165 4561320 4561320 17871 17871 174203771 181799133 -7595362 -7595362 -7595362 910000 1209951 542665 367335 367335 15275 20550 -5275 -5275 REC PRIOR YEAR GRANTS 900001 3303541 3303541 3303541 27718595 0 0 649430 36215633 36215633 13900 13900 14310 14310 708370 701044 7326 553014 57020 495994 696079 3210 692869 173927 75658 98269 84634 44102 40532 350462 350452 10 7979 3309 4670 3443 892 2551 86742 86742 2912 2912 PURCH. SVCS - SAL-BENEF 4249678 709346 3540332 ADMINISTRATIVE/OVERHEAD 120000 120000 DONOR CULTIVATION 79799 79799 CATERING - BOARD AND EM 19526 19526 25967 8293 17674 43406375 36229533 2179594 4997248 92470 214559 5290 19910483 17292809 45279 30811 593228 339412 266461 253816 110047102 99158433 349595889 339697601 39789754 33137257 519869527 489668487 355718 83843 31417177 36153672 175 10000 75818522 80228741 107591592 116476256 X 118093939 101657392 294183996 271534839 412277935 373192231 519869527 489668487 X -15687780 -15972370 -7425554 X 0 1 X 1 0 X 20935787 22207187 13682412 55107890 27069165 139002441 20935787 22207187 13682412 55107890 27069165 139002441 43201967 95800474 8996680 7955197 6633661 5540930 4579191 33705659 1169483 1603162 2045103 2488423 3303541 10609712 183317812 2737777 0.52260 0.48310 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: RECOVERY OF PRIOR YEAR GRANTS - 2018 AMOUNT: $ 1,169,483. 2019 AMOUNT: $ 1,603,162. 2020 AMOUNT: $ 2,045,103. 2021 AMOUNT: $ 2,488,423. 2022 AMOUNT: $ 3,303,541. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 127953979 5541884 -7183924 4334166 121977773 110893343 2216201 18802086 3957651 127953979 103516641 3039667 8674508 4337473 110893343 92291079 1149647 14008120 3932205 103516641 93487808 3375065 -563185 4008609 92291079 0.59350 0.40650 0 0 541874 302831 239043 51354 36581 14773 253816 HEDGE FUNDS 92967322 F PRIVATE EQUITY 97372346 F REAL ASSETS 70716896 F OTHER 78641037 F 339697601 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 28777045 CASH SURRENDER VALUE-LIFE INSURANCE 34624 ASSETS HELD UNDER CHARITABLE REMAINDER TRUST 933510 OPERATING LEASE - BUILDING 552037 MINERAL RIGHTS 97210 DUE FROM AFFILIATES 2742831 33137257 LIABILITY UNDER TRUST AGREEMENT 579106 AGENCY FUNDS 52092942 ANNUITY OBLIGATIONS 1650258 DUE TO AFFILIATES 25311918 OPERATING LEASE 594517 80228741 PART V, LINE 4: THE FOUNDATION'S ENDOWMENT FUNDS ARE INTENDED TO PROVIDE A PERMANENT AND ONGOING SOURCE OF FUNDING TO SUPPORT VARIOUS PROGRAMS AND SERVICES AT ST. LOUIS CHILDREN'S HOSPITAL AND WASHINGTON UNIVERSITY SCHOOL OF MEDICINE INCLUDING (AS EXAMPLES): CHARITY CARE, ART AND MUSIC THERAPY, THE PEDIATRIC HOSPICE PROGRAM, ENDOWED CHAIRS, SUPPORT FOR VARIOUS CLINICAL AREAS, AND PEDIATRIC RESEARCH EFFORTS. X X X X X X 1 THUMBS UP TELEMARKETING INC 11861 WESTLINE INDUSTRIAL DRIVE SU ST LOUIS MO 63146 TELEMARKETING 0 0 16325 -16325 16325 -16325 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY GOLF 702456 169306 533150 60315 54187 29369 SIX FLAGS 657659 432419 225240 17022 24218 42966 3300 3 759836 608226 151610 49094 205203 55915 1076 0 2119951 1209951 910000 126431 283608 128250 4376 542665 367335 15275 20550 0 15275 20550 20550 -5275 MO 1 0 0 0 1.00000 KATELYN CHURCHILL 1001 HIGHLANDS PLAZA DRIVE WEST ST LOUIS MO 63110 0 KATELYN CHURCHILL 0 THE ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION'S EVENTS MANAGER OVERSEES GAMING ACTIVITY AT SPECIAL EVENTS. X 0 1 WASHINGTON UNIVERSITY SCHOOL OF MEDICINE 660 S EUCLID AVE ST LOUIS MO 63110 430653611 501(C)(3) 16581510 0 PEDIATRIC RESEARCH EFFORTS AND SUPPORT FOR OTHER CLINICAL EFFORTS AND PROGRAM SERVICES ST LOUIS CHILDREN'S HOSPITAL ONE CHILDRENS PLACE ST LOUIS MO 63110 430654870 501(C)(3) 19497623 0 PROGRAM SERVICES, FACILITIES, EQUIPMENT & CLINICAL EFFORTS PEDAL THE CAUSE 900 SPRUCE STREET ST LOUIS MO 63102 272233336 501(C)(3) 100000 0 2022 SUPPORT FOR PEDAL THE CAUSE THE CLARK-FOX FAMILY FOUNDATION 130 S BEMISTON AVENUE ST LOUIS MO 63105 811608523 501(C)(3) 10000 0 2022 BLUEPRINT4SUMMER BUILD A BEAR FOUNDATION 1954 INNERBELT BUSINESS DR ST LOUIS MO 63114 204961009 501(C)(3) 7500 0 BUILD-A-BEAR GALA SILVER SPONSORSHIP WYMAN CENTER 600 KIWANIS DRIVE EUREKA MO 63025 430653263 501(C)(3) 12500 0 CAPITAL CAMPAIGN SUPPORT 6 0 EDUCATIONAL POST-SECONDARY SCHOLARSHIPS 3 13900 PART I, LINE 2: EACH GRANT RECIPIENT IS REQUIRED TO SUBMIT A USE OF FUNDS REPORT, ANNUALLY (OR MORE FREQUENTY, AS SPECIFIED IN THE FUNDING AGREEMENT). 0 1 0 0 0 0 0 LOLLO TRISHA PRESIDENT, DIRECTOR 0 544515 0 279415 0 3617 0 0 0 63805 0 891352 0 30311 WASKIEWICZ TANYA VP, CHEIF DEVELOPMENT OFFICER 0 319700 0 33653 0 1848 0 0 0 47713 0 402914 0 0 GORDIN MARGARET FORMER PRESIDENT, TERM 9/19 0 230172 0 119689 0 8236 0 0 0 5403 0 363500 0 23401 PART I, LINE 3 THE COMPENSATION AND BENEFIT AMOUNTS OF THE ORGANIZATION'S OFFICERS AND TOP MANAGEMENT OFFICIALS ARE DETERMINED BY AN INDEPENDENT COMMITTEE OF BJC HEALTH SYSTEM, AN AFFILIATE OF THE ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION. 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 2022, THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS/ACCRUALS FROM RELATED ORGANIZATIONS AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS (SEE FORM 990, PART VII AND SCHEDULE J, PART II): LOLLO, TRISHA $85,968 WASKIEWICZ, TANYA $32,960 GORDIN, MARGARET $23,401 X 23 44800 FMV X 58 3300539 AVG HIGH/LOW X AUCTION ITEMS 25 50450 FMV X RAFFLE ITEMS 17 20550 FMV X CONSUMABLES 21 15367 FMV X CRYPTO CURRENCY 3 5046 FMV 0 1 1 PART I, COLUMN (B): CONSUMABLES ARE COMPRISED OF ALCOHLIC BEVERAGES (SUCH AS BEER, LIQUOR AND WINE) AND NON-ALCOHOLIC BEVERAGES (SUCH AS SODA AND BOTTLED WATER), GIVEAWAYS AND ATTENDANCE PRIZES AND DECORATIONS DONATED FOR SPECIAL EVENTS. AUCTION AND RAFFLE ITEMS INCLUDE A WIDE VARIETY OF DONATED MIXED LIQUORS, GIFT CARDS AND CERTIFICATES, SPORTS MEMORABILIA AND LUXURY EXPERIENCES INCLUDING VACATION STAYS AT RESORTS. COLUMN B REPRESENTS THE TOTAL NUMBER OF DONATED GIFTS. PART I, LINE 32B: ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION HAS AN AUTOMATIC SELL POLICY WHEN SECURITIES ARE GIFTED, UNLESS OTHERWISE DIRECTED BY THE VICE PRESIDENT OR EXECUTIVE DIRECTOR OF OPERATIONS. THE MAJORITY OF SECURITIES ARE SOLD IMMEDIATELY UPON RECEIPT INTO A BROKERAGE ACCOUNT. FORM 990, PART V, LINE 1 NUMBER REPORTED IN BOX 3 FORM 1096 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 PAYER ON FORM(S) 1099, 1098, 5498, AND W-2G. W2-G FORMS ARE PREPARED AND ISSUED BY BJC ON BEHALF OF THE FOUNDATIONS. BJC HEALTH SYSTEM ALSO ASSUMES RESPONSIBILITY FOR WITHHOLDING AND REMITTING ANY TAXES REQUIRED AND WILL PREPARE THE TAX FORMS TO REPORT ANY TAX WITHHOLDINGS. 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 ST LOUIS CHILDREN'S HOSPITAL IS THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ST LOUIS CHILDREN'S HOSPITAL FOUNDATION BOARD OF TRUSTEES HAS A NOMINATING COMMITTEE THAT RECOMMENDS NEW MEMBERS TO THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B CHANGES TO BYLAWS OR GOVERNING DOCUMENTS ARE SUBJECT TO APPROVAL BY THE ST. LOUIS CHILDREN'S HOSPITAL BOARD OF TRUSTEES AND THE BJC BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B 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 INDEPENDENT ACCOUNTING FIRM AND A COMPLETE COPY IS SENT VIA EMAIL 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 QUESTIONNAIRE. THE QUESTIONNAIRE REQUIRES THE DISCLOSURE OF CONFLICTS AND AN ATTESTATION TO THEIR CONTINUING OBLIGATION TO DISCLOSE SHOULD THE NEED ARISE. THE RESULTS OF THE CONFLICTS QUESTIONNAIRE ARE REVIEWED AND APPROPRIATE ACTION TAKEN AS NECESSARY. ADDITIONALLY, SHOULD THE ORGANIZATION BECOME AWARE OF CONFLICTS NOT PREVIOUSLY REPORTED, THE GENERAL COUNSEL WOULD INVESTIGATE AND RESPOND IN ACCORDANCE WITH THE POLICY. FORM 990, PART VI, SECTION C, LINE 19 ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION'S GOVERNING DOCUMENTS AND FORM 990 ARE MADE AVAILABLE UPON REQUEST IN ACCORDANCE WITH IRS REGULATIONS. ST. LOUIS CHILDREN'S HOSPITAL FOUNDATION ABIDES BY THE CONFLICT OF INTEREST POLICY FOR BJC HEALTH SYSTEM WHERE REPORTED CONFLICTS ARE IDENTIFIED, RESOLVED AND DISCLOSED AS NECESSARY. FORM 990, PART XI, LINE 9: CHANGE IN SPLIT INTEREST AGREEMENTS 13,627. TRANSFER FROM ST. LOUIS CHILDREN'S HOSPITAL 108,691. CHANGE IN BENEFICIAL INTEREST IN TRUST -7,547,872. ALTON MEMORIAL HEALTH SERVICES FOUNDATION 1109 N OXFORDSHIRE LANE EDWARDSVILLE IL 62025 371177053 SUPPORT TO AMH IL 501(C)(3) LINE 12C, III-FI ALTON MEMORIAL HOSPITAL 1 ALTON MEMORIAL HOSPITAL ONE MEMORIAL HOSPITAL DRIVE ALTON IL 62002 370661172 HEALTHCARE SERVICES IL 501(C)(3) LINE 3 CH HEALTH SERVICES DEV CORP 1 ALTON MEMORIAL HOSPITAL CHARITABLE TRUST PO BOX 0634 MILWAUKEE WI 53201 376039185 SUPPORT TO AMH IL 501(C)(3) LINE 12D, III-O ALTON MEMORIAL HOSPITAL 1 BARNES JEWISH HOSP AUXILIARY PARKVIEW CHAPTER ONE BARNES-JEWISH HOSPITAL PLAZA ST LOUIS MO 63110 237000410 SUPPORT TO BJH MO 501(C)(3) LINE 12C, III-FI BARNES-JEWISH HOSPITAL 1 BARNES JEWISH ST PETERS & PROGRESS WEST FOUNDATION 10 HOSPITAL DRIVE ST PETERS MO 63376 454471497 SUPPORT TO BJSPH & PWHC MO 501(C)(3) LINE 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) LINE 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) LINE 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) LINE 3 BARNES-JEWISH HOSPITAL 0 BARNES-JEWISH WEST COUNTY HOSPITAL 12634 OLIVE STREET ROAD CREVE COEUR MO 63141 431527130 HEALTHCARE SERVICES MO 501(C)(3) LINE 3 BARNES-JEWISH HOSPITAL 1 BJC BEHAVIORAL HEALTH 1430 OLIVE STREET SUITE 400 ST LOUIS MO 63103 431610561 HEALTHCARE SERVICES MO 501(C)(3) LINE 3 BJC HEALTH SYSTEM 1 BJC CORPORATE HEALTH SERVICES 5000 MANCHESTER AVENUE ST LOUIS MO 63110 431324103 HEALTHCARE SERVICES MO 501(C)(3) LINE 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) LINE 12C, III-FI N/A 0 BJC HOME CARE SERVICES 1935 BELTWAY DRIVE ST LOUIS MO 63114 431450457 HEALTHCARE SERVICES MO 501(C)(3) LINE 10 BARNES-JEWISH HOSPITAL 1 CHILDREN'S ILLINOIS INC ONE CHILDRENS PLACE ST LOUIS MO 63110 872346178 HEALTHCARE SERVICES IL 501(C)(3) LINE 3 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) LINE 12C, III-FI BJC HEALTH SYSTEM 1 CHRISTIAN HOSP ILLINOIS SVCS 8 SUNSET HILLS EDWARDSVILLE IL 62025 260131339 HEALTHCARE SERVICES MO 501(C)(3) LINE 3 CH HEALTH SERVICES DEV CORP 1 CHRISTIAN HOSPITAL FOUNDATION 11155 DUNN ROAD SUITE 300 N ST LOUIS MO 63136 431947644 SUPPORT TO CHNE MO 501(C)(3) LINE 7 CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST 1 CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST 11133 DUNN ROAD ST LOUIS MO 63136 436057893 HEALTHCARE SERVICES MO 501(C)(3) LINE 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) LINE 10 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) LINE 3 BJC HEALTH SYSTEM 1 FOUNDATION FOR BARNES-JEWISH HOSPITAL 1001 HIGHLANDS PLAZA DR WEST SUITE ST LOUIS MO 63110 431648435 SUPPORT TO BJH MO 501(C)(3) LINE 7 BARNES-JEWISH HOSPITAL 1 MEMORIAL FOUNDATION INC 4500 MEMORIAL DRIVE BELLEVILLE IL 62226 371186034 SUPPORT TO PMMCI IL 501(C)(3) LINE 7 PROTESTANT MEMORIAL MEDICAL CENTER INC 1 MEMORIAL GROUP INC 4500 MEMORIAL DRIVE BELLEVILLE IL 62226 371186035 SUPPORT TO MFI & MRHSI IL 501(C)(3) LINE 12C, III-FI N/A 0 MISSOURI BAPTIST HEALTHCARE FOUNDATION 3015 N BALLAS ROAD ST LOUIS MO 63131 431472026 SUPPORT TO MBMC MO 501(C)(3) LINE 7 MISSOURI BAPTIST MEDICAL CENTER 1 MISSOURI BAPTIST HOSPITAL OF SULLIVAN 751 SAPPINGTON BRIDGE SULLIVAN MO 63080 431459495 HEALTHCARE SERVICES MO 501(C)(3) LINE 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) LINE 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) LINE 3 BJC HEALTH SYSTEM 1 PARKLAND HEALTH CENTER 1101 WEST LIBERTY ST FARMINGTON MO 63640 431332368 HEALTHCARE SERVICES MO 501(C)(3) LINE 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) LINE 12A, I PARKLAND HEALTH CENTER 1 PROGRESS EAST HEALTHCARE CENTER 11155 DUNN ROAD SUITE 300 N ST LOUIS MO 63136 261343214 HEALTHCARE SERVICES IL 501(C)(3) LINE 3 CH HEALTH SERVICES DEV CORP 1 PROGRESS WEST HEALTHCARE CENTER 2 PROGRESS POINT PARKWAY OFALLON MO 63368 412140764 HEALTHCARE SERVICES MO 501(C)(3) LINE 3 BJC HEALTH SYSTEM 1 PROTESTANT MEMORIAL MEDICAL CENTER INC 4500 MEMORIAL DRIVE BELLEVILLE IL 62226 370635502 HEALTHCARE SERVICES IL 501(C)(3) LINE 3 BJC HEALTH SYSTEM 1 PROTESTANT MEMORIAL MEDICAL CENTER INC SELF-INSURANCE PROGRAM 4500 MEMORIAL DRIVE BELLEVILLE IL 62226 371064809 PROVIDE MED MAL INSURANCE IL 501(C)(3) LINE 12C, III-FI PROTESTANT MEMORIAL MEDICAL CENTER INC 1 ST LOUIS CHILDREN'S HOSPITAL ONE CHILDRENS PLACE ST LOUIS MO 63110 430654870 HEALTHCARE SERVICES MO 501(C)(3) LINE 3 BJC HEALTH SYSTEM 1 THE HEART CARE INSTITUTE LLC 1020 NORTH MASON ROAD ST LOUIS MO 63141 431870517 MEDICAL SERVICES MO N/A 0 0 GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC ONE BARNES-JEWISH HOSP PLAZA ST LOUIS MO 63110 431846941 OUTPATIENT CARE SERVICES MO N/A 0 0 THE REHABILITATION INSTITUE OF ST LOUIS LLC 9001 LIBERTY PARKWAY BIRMINGHAM AL 35242 631254288 MEDICAL SERVICES AL N/A 0 0 THE REHABILITATION INSTITUE OF SOUTHERN ILLINOIS LLC 9001 LIBERTY PARKWAY BIRMINGHAM AL 35242 834553991 MEDICAL SERVICES AL N/A 0 0 CHILDREN'S DISCOVERY INSTITUTE LLC 4901 FOREST PARK AVE ST LOUIS MO 63108 SEARCH FOR CURES OF PEDIATRIC DISEASES MO N/A 0 0 Y-SIHVI LLC 4500 MEMORIAL DRIVE BELLEVILLE IL 62226 371385862 PHYSICAL THERAPY & FITNESS IL N/A 0 0 SOUTHWEST ILLINOIS HEALTH SERVICES REAL ESTATE LLP 4500 MEMORIAL DRIVE BELLEVILLE IL 62226 823633320 COMMERCIAL REAL ESTATE IL N/A 0 0 ATG ASSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN GEORGETOWN GR CAYMAN CJ KY1-1002 980599167 INSURANCE CJ N/A C 0 MB MEDICAL SERVICES INC 3015 N BALLAS ROAD ST LOUIS MO 63131 431437404 HEALTHCARE SERVICES MO N/A C 0 PF SERVICES INC 11155 DUNN ROAD ST LOUIS MO 63136 431237767 MANAGEMENT SERVICES MO N/A C 0 WLA INVESTMENT LTD PO BOX 178 OKOTOKS ALBERTA CA T1S A15 INVESTMENT HOLDINGS CA N/A C 0 ACTIVUM SG FEEDER FUND VII LP ORDNANCE HOUISE 31 PIER ROAD ST. HELIER JE JE4 8PW 981641958 INVESTMENT HOLDINGS JE N/A C 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 1 BJC HOME CARE SERVICES B 71623 FMV SAINT LOUIS CHILDREN'S HOSPITAL S 108691 FMV