2024-11-12T17:24:27-06:00 2023-12-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2023-01-01 753052953 BJC HEALTH SYSTEM GROUP RETURN BJCH 3142862057 4901 FOREST PARK AVE 1200 ST LOUIS MO 63108 CHARLES V ROBB EXEC VP AND CFO 3142862057 2024-11-12 1 1 JESSICA A WAGENER P01622613 3128792000 2023 2024-10-15 13:58:12Z CHARLES V ROBB 4901 FOREST PARK AVE ST LOUIS MO 63108 6743650720 1 1 3844 X WWW.BJC.ORG X HEALTHCARE SERVICES AND HEALTH EDUCATION TO COMMUNITIES WE SERVE. 228 155 41355 2707 6684237 0 63491664 41159926 5883184149 6550767771 2954178 5689311 114487963 140723511 6064117954 6738340519 15191354 3854875 0 0 2182546587 2346884296 0 0 0 3927511370 4229405120 6125249311 6580144291 -61131357 158196228 4093096101 4240525186 629546457 694075095 3463549644 3546450091 X THE 12 LICENSED HOSPITALS AND SERVICE ORGANIZATIONS OF BJC HEALTHCARE SERVE THE HEALTHCARE NEEDS OF THE RESIDENTS OF METROPOLITAN ST. LOUIS, MID-MISSOURI, AND SOUTHERN ILLINOIS. BASED IN URBAN, SUBURBAN, AND RURAL COMMUNITIES, BJC HOSPITALS INCLUDE ACADEMIC MEDICAL CENTERS, LARGE, AND SMALL COMMUNITY HOSPITALS. BJC'S HOSPITALS HAVE REMAINED IN COMMUNITIES THAT OTHER HEALTH SYSTEMS ABANDONED LEAVING NO PUBLIC HOSPITAL IN THE REGION; BJC'S ACADEMIC MEDICAL CENTERS SERVE AS A CRITICAL COMPONENT OF THE HEALTH SAFETY NET FOR UNINSURED AND UNDERINSURED PATIENTS. BJC ORGANIZATIONS PROVIDE INPATIENT & OUTPATIENT CARE, REHABILITATION, PRIMARY CARE, HOME CARE, HOSPICE, LONG-TERM CARE, MENTAL HEALTH, WORKPLACE HEALTH, AND COMMUNITY HEALTH/WELLNESS. BJC ORGANIZATIONS ALSO SUPPORT THE TRAINING OF FUTURE HEALTH PROFESSIONALS; ADVANCEMENT OF MEDICAL RESEARCH; REGIONAL HEALTH SAFETY NET SERVICES AND EMERGENCY PREPAREDNESS; COMMUNITY OUTREACH AND HEALTH LITERACY; AND REGIONAL ECONOMIC DEVELOPMENT. 0 0 3465542215 223249 5323385407 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 COMMUNITIES IN MISSOURI AND SOUTHERN ILLINOIS HAVE 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. 1667646848 42800 1170802882 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 $197.1 MILLION IN FINANCIAL ASSISTANCE DURING 2023 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 $299.7 MILLION DURING 2023 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 $496.8 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 $14.7 MILLION DURING 2023 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 AND, IN FACT, RECEIVED THE EQUIVALENT OF FINANCIAL ASSISTANCE BUT WERE NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE. 381974148 3525488 117408532 HEALTH PROFESSIONS EDUCATION & RESEARCH: BJC HELPS BUILD THE FUTURE OF HEALTH CARE BY EDUCATING HEALTH PROFESSIONALS & ADVANCING MEDICAL RESEARCH INNOVATIONS. THROUGH OUR ACADEMIC AFFILIATION WITH WASHINGTON UNIVERSITY SCHOOL OF MEDICINE, 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 DELIVERY. DURING 2023, BJC CONTRIBUTED $265 MILLION (NET) TOWARDS PROGRAMS THAT PROVIDE TRAINING AND EDUCATION TO 7,608 INDIVIDUALS INCLUDING MEDICAL STUDENTS, NURSING STUDENTS, RESIDENTS, FELLOWS AND PERSONS IN THE COMMUNITIES SERVED BY BJC AFFILIATE HOSPITALS INTERESTED IN THE HEALTH PROFESSIONS. ADDITIONALLY, BJC IS COMMITTED TO BIOMEDICAL HEALTH RESEARCH EFFORTS THAT WILL CONTRIBUTE TO THE PREVENTION, DIAGNOSIS & TREATMENT OF DISEASE & DISABILITY. 35204506 63338 16656949 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 2023, BJC CONTRIBUTED $4.3 MILLION TO COMMUNITY GROUPS FOR COMMUNITY BENEFIT PURPOSES AND EXPENDED $14.3 MILLION TO CONDUCT PROGRAMS TO BENEFIT THE COMMUNITIES SERVED BY BJC HOSPITALS & HEALTH SERVICES ORGANIZATIONS. 35204506 63338 16656949 5550367717 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 1 1779 2 1 41355 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 228 155 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X LORI SCHREINER 3142862057 4901 FOREST PARK AVE ST 1200 ST LOUIS MO 63108 X BJC LIEKWEG RICHARD PRESIDENT, DIRECTOR 40.00 X X 3642692 0 484872 BJC BARTO NICK SR. VP,CFO, TREASURER 40.00 X 2090557 0 213003 BJH CANNON ROBERT W DIRECTOR 40.00 X 1818864 0 296865 AMH MAGRUDER JOAN DIRECTOR 40.00 X 1737791 0 294279 BJH LYNCH JOHN MD PRESIDENT, DIRECTOR 40.00 X X 1344919 0 0 BJC KRAINIK ANDREW J MD PHYSICIAN 40.00 X 1100394 0 65616 BJSPH FOX JERRY DIRECTOR 40.00 X 1073062 0 167794 BJCCHS TISCHLER JACKIE PRESIDENT, DIRECTOR 40.00 X X 1070872 0 136832 BJC THOMAS JOSEPH VP/CHIEF INVEST OFFICER 40.00 X 1027807 0 152945 BJC TERRACE SARAH E SR. VP,GENERAL COUNSEL,SEC'Y 40.00 X 1023863 0 206905 BJC THEODOS GUS MD PHYSICIAN 40.00 X 1018322 0 9959 BJC GRIMSHAW CHARLES MD PHYSICIAN 40.00 X 1011235 0 43761 BJC SEWALL DAVID J MD PHYSICIAN 40.00 X 937308 0 12257 BJC O'BERT ROBERT J MD PHYSICIAN 40.00 X 932676 0 60047 PWHC KHAN CHAUDHARY MD DIRECTOR 40.00 X 886082 0 82280 SLCH LOLLO TRISH PRESIDENT, DIRECTOR 40.00 X X 859880 0 106068 PMMCI MOOSA HANS MD DIRECTOR 1.00 40.00 X 53210 754535 12627 PGLC POGUE DOUGLAS MD PRESIDENT & MANAGER 40.00 X 797075 0 179373 BJSPH WATTS CHRIS FORMER PRES,DIR TERM 2/21 40.00 X 722733 0 108401 PHC KIRKLEY SCOTT D MD DIRECTOR 40.00 X 683713 0 62705 BJCHOME PETERS LEWIS ANGELLEEN DIRECTOR 40.00 X 678335 0 99306 PWHC HINDUPUR SANDEEP MD DIRECTOR 40.00 X 592926 0 29828 PMMCI MCMANUS MICHAEL PRESIDENT, DIRECTOR 40.00 X X 582051 0 48495 PHC BORCHERS KIMERLY MD DIRECTOR 40.00 X 580593 0 41315 CH STEVENS RICK L PRESIDENT, DIRECTOR 40.00 X X 554254 0 98029 BJSPH CALDER GINA PRESIDENT, DIRECTOR 40.00 X X 553280 0 69196 MBMC ABAD ANN PRESIDENT, DIRECTOR 40.00 X X 552285 0 173820 MBHS JACKSON THOMAS MD DIRECTOR 40.00 X 544466 0 49267 AMH BRAASCH DAVID ALAN PRESIDENT, DIRECTOR 40.00 X X 531377 0 47570 SLCH MCKEE MICHELE VICE PRESIDENT, FINANCE 40.00 X 497987 0 118013 MBMC COLLINS CHERESE MD DIRECTOR 40.00 X 461945 0 56958 BJWCH PATTERSON GREG PRESIDENT, DIRECTOR 40.00 X X 459867 0 125060 PWHC LAWSON ELIZABETH FORMER VP, FINANCE TERM 6/21 40.00 X 441227 0 142612 CHC ENGSTROM CHAD SECRETARY, TREASURER BEG 1/23 40.00 X 424237 0 78426 CII LABLANCE GARY DIRECTOR 40.00 X 413944 0 67929 CHC THOMAS MICHELE MD DIRECTOR 40.00 X 412182 0 99045 BJC APLINGTON DAVID FORMER SRVP GEN COL,SEC TERM 8/22 0.00 X 409554 0 24920 BJH IROVIC PAUL VICE PRES FINANCE, TREASURER 40.00 X 409335 0 150267 BJH REID SARA SECRETARY 40.00 X 401012 0 112614 MBHS ABDULLAH AMIRAH TAN MD DIRECTOR 40.00 X 399212 0 32676 PHC SCHNABEL ANNETTE PRESIDENT, DIRECTOR 40.00 X X 397186 0 43397 BJCHOME HALLORAN TERESA DIRECTOR 40.00 X 384698 0 120765 PMMCI RAMOS-PARDO BEATRIZ MD DIRECTOR 1.00 40.00 X 0 368233 5966 BJH KRIEGER MARK FORMER VP, CFO, TREAS TERM 6/21 40.00 X 365359 0 29899 BJCBH DAVIS ANGELA-MARTIN PRESIDENT, DIRECTOR 40.00 X X 361883 0 53918 AMH KOESTERER SUSAN VICE PRESIDENT, FINANCE 40.00 X 356290 0 136990 MBMC DESART AMY VICE PRESIDENT, FINANCE TERM 2/23 40.00 X 349578 0 140221 MBHS LOCHNER LISA PRESIDENT 40.00 X 333413 0 203294 BJCHOME KADLEC-PATTERSON NANCY DIRECTOR 40.00 X 329329 0 154922 BJCCHS TERVEER NANCY VICE PRESIDENT, DIRECTOR 40.00 X X 326583 0 128386 BJWCH OLINGER STACY DIRECTOR 40.00 X 246860 0 55204 PEHC REICHLEY BRYAN FORMER SECRETARY TERM 12/22 40.00 X 217622 0 28636 CHC WARD CHRIS FORMER SEC/TREASURER TERM 12/22 40.00 X 211384 0 42836 BJCCHS SCHAPER STEVEN EXECUTIVE DIRECTOR, SECRETARY 40.00 X X 205821 0 39680 PHC COUNTS REBECCA SECRETARY 40.00 X 47111 0 20762 AMH TURNER GEOFFREY MD DIRECTOR 1.00 X 18150 0 0 AMH BALSTERS KEN DIRECTOR 1.00 X 0 0 0 AMH CHILDERS TIMOTHY DIRECTOR 1.00 X 0 0 0 AMH ERKER MELISSA DIRECTOR 1.00 X 0 0 0 AMH HUDDLESTON EBONY DIRECTOR 1.00 X 0 0 0 AMH LOY KENNETH DIRECTOR 1.00 X 0 0 0 AMH PATTON TANYA MD DIRECTOR 1.00 X 0 0 0 AMH RYRIE EDWARD DIRECTOR 1.00 X 0 0 0 AMH TCHOUKALEFF MICHEAL P DIRECTOR 1.00 X 0 0 0 BJC BAXTER WARNER DIRECTOR 1.00 X 0 0 0 BJC FLAVIN LISA DIRECTOR 1.00 X 0 0 0 BJC GANIM RANDY DIRECTOR 1.00 X 0 0 0 BJC GUPTA AJAY DIRECTOR 1.00 X 0 0 0 BJC HARRIS STEVEN DIRECTOR 1.00 X 0 0 0 BJC HOLMES MICHAEL DIRECTOR 1.00 X 0 0 0 BJC JAIN SANJAY DIRECTOR 1.00 X 0 0 0 BJC MANNING ANNA DIRECTOR 1.00 X 0 0 0 BJC MARTIN ANDREW DIRECTOR 1.00 X 0 0 0 BJC PERLMUTTER DAVID MD DIRECTOR 1.00 X 0 0 0 BJC SAMUELS THEODORE DIRECTOR 1.00 X 0 0 0 BJC SITHERWOOD SUZANNE DIRECTOR 1.00 X 0 0 0 BJC TUCKER MICHELLE DIRECTOR 1.00 X 0 0 0 BJCHOME LOLLO TRISHA DIRECTOR 1.00 X 0 0 0 BJCHOME OLINGER STACY DIRECTOR 1.00 X 0 0 0 BJCHOME SCHNABEL ANNETTE DIRECTOR 1.00 X 0 0 0 BJCHOME WHITE PATRICK MD DIRECTOR 1.00 X 0 0 0 BJH CLARK MAXINE DIRECTOR 1.00 X 0 0 0 BJH DELANEY JENNIFER MD DIRECTOR 1.00 X 0 0 0 BJH DUBINSKY ROBERT DIRECTOR 1.00 X 0 0 0 BJH GOLDBERG SUSAN DIRECTOR 1.00 X 0 0 0 BJH GORMAN MARY JO DIRECTOR 1.00 X 0 0 0 BJH GRIFFIN JOANNE DIRECTOR 1.00 X 0 0 0 BJH HARRIS STEVEN DIRECTOR 1.00 X 0 0 0 BJH KAHN EUGENE DIRECTOR 1.00 X 0 0 0 BJH LEFTON MICHAEL DIRECTOR 1.00 X 0 0 0 BJH LEMKEMEIER JOHN DIRECTOR 1.00 X 0 0 0 BJH LOVE KATHRYN ELLIOTT DIRECTOR 1.00 X 0 0 0 BJH MANNEN ELIZABETH DIRECTOR 1.00 X 0 0 0 BJH MILES RICHARD DIRECTOR 1.00 X 0 0 0 BJH PATTERSON DEBORAH J DIRECTOR 1.00 X 0 0 0 BJH PERLMUTTER DAVID H MD DIRECTOR 1.00 X 0 0 0 BJH SCHEEL PAUL MD DIRECTOR 1.00 X 0 0 0 BJH SCHNUCK CRAIG DIRECTOR 1.00 X 0 0 0 BJH SMITH PETER DIRECTOR 1.00 X 0 0 0 BJH THORNTON RESHAUNDA DIRECTOR 1.00 X 0 0 0 BJH WARSHAW HENRY DIRECTOR 1.00 X 0 0 0 BJH WENDLAND BEVERLY ROGERS DIRECTOR 1.00 X 0 0 0 BJSPH CANNON ROBERT DIRECTOR 1.00 X 0 0 0 BJSPH MILLER JERAD MD DIRECTOR 1.00 X 0 0 0 BJSPH TERRANCE SARAH DIRECTOR 1.00 X 0 0 0 BJWCH BOSWELL CB MD DIRECTOR 1.00 X 0 0 0 BJWCH SALTMAN ROBERT MD DIRECTOR 1.00 X 0 0 0 BJWCH SCHEEL PAUL MD DIRECTOR 1.00 X 0 0 0 BJWCH TAO RICHARD SZE-YIH DIRECTOR 1.00 X 0 0 0 BJWCH TISCHLER JACKIE DIRECTOR 1.00 X 0 0 0 CH CANNON ROBERT DIRECTOR 1.00 X 0 0 0 CH COLLINS-HART NETTIE PHD DIRECTOR 1.00 X 0 0 0 CH DAVIS JOSEPH DIRECTOR 1.00 X 0 0 0 CH FORCK MATTHEW DIRECTOR 1.00 X 0 0 0 CH HAMMOND CHARLOTTE DIRECTOR 1.00 X 0 0 0 CH HENDERSON ERICA DIRECTOR 1.00 X 0 0 0 CH MALONE DAVID C DIRECTOR 1.00 X 0 0 0 CH MOTEN JOHNE DIRECTOR 1.00 X 0 0 0 CH OTTO DAVID W DIRECTOR 1.00 X 0 0 0 CH PITTMAN JEFF L PHD DIRECTOR 1.00 X 0 0 0 CH PLUMMER ROBERT DIRECTOR 1.00 X 0 0 0 CH SOBOLIK KRISTIN DIRECTOR 1.00 X 0 0 0 CH TOOHEY ROSS DIRECTOR 1.00 X 0 0 0 CH WILLIAMS STANLEY DIRECTOR 1.00 X 0 0 0 CH-ADAMS CARLTON DIRECTOR 1.00 X 0 0 0 CHC FOX JERRY DIRECTOR 1.00 X 0 0 0 CHIL KENNEDY MICHAEL DIRECTOR 1.00 X 0 0 0 CHSDC BALSTERS KENNETH DIRECTOR 1.00 X 0 0 0 CHSDC LIEKWEG RICH DIRECTOR 1.00 X 0 0 0 CHSDC OTTO DAVE DIRECTOR 1.00 X 0 0 0 CHSDC STEVENS RICK L DIRECTOR 1.00 X 0 0 0 CHSDC TOOHEY ROSS DIRECTOR 1.00 X 0 0 0 MBHS DACE SHARON DIRECTOR 1.00 X 0 0 0 MBHS DIXON DEBBIE DIRECTOR 1.00 X 0 0 0 MBHS MAGRUDER JOAN DIRECTOR 1.00 X 0 0 0 MBHS MASTIN JAYNE DIRECTOR 1.00 X 0 0 0 MBHS MIZELL LESA DIRECTOR 1.00 X 0 0 0 MBHS VOSS TANYA DIRECTOR 1.00 X 0 0 0 MBMC BLAIR JIM DIRECTOR 1.00 X 0 0 0 MBMC CAHILL JACK L DIRECTOR 1.00 X 0 0 0 MBMC DOLLAR GARY CORBITT DIRECTOR 1.00 X 0 0 0 MBMC EASON CLIFF DIRECTOR 1.00 X 0 0 0 MBMC FERGUSON TRICIA ZIMMER DIRECTOR 1.00 X 0 0 0 MBMC FIELDS HARVEY JR DIRECTOR 1.00 X 0 0 0 MBMC HABERSTROH LINDA DIRECTOR 1.00 X 0 0 0 MBMC HARRIS ARICA DIRECTOR 1.00 X 0 0 0 MBMC KOSTECKI FRED DIRECTOR 1.00 X 0 0 0 MBMC LACEY ALTON DIRECTOR 1.00 X 0 0 0 MBMC LAKEY NATHAN DIRECTOR 1.00 X 0 0 0 MBMC MAGRUDER JOAN DIRECTOR 1.00 X 0 0 0 MBMC MCKEE CHRIS DIRECTOR 1.00 X 0 0 0 MBMC MUNDEN DARRYL R DIRECTOR 1.00 X 0 0 0 MBMC PETERSON DEBORAH DIRECTOR 1.00 X 0 0 0 MBMC PLANTS EDWARD DIRECTOR 1.00 X 0 0 0 MBMC PRIVOTTW JOSEPH PHD DIRECTOR 1.00 X 0 0 0 MBMC REEG KURTIS B DIRECTOR 1.00 X 0 0 0 MBMC STOKES DAVID M DIRECTOR 1.00 X 0 0 0 PHC BOYER BRIAN DIRECTOR 1.00 X 0 0 0 PHC BUCHANAN ANDY DIRECTOR 1.00 X 0 0 0 PHC COTTON WILLIAM DIRECTOR 1.00 X 0 0 0 PHC FOLLIS STACEY DIRECTOR 1.00 X 0 0 0 PHC GILGOUR JOSEPH DIRECTOR 1.00 X 0 0 0 PHC GRIX GARY MD DIRECTOR 1.00 X 0 0 0 PHC MAGRUDER JOAN DIRECTOR 1.00 X 0 0 0 PHC MCNAIL SAMANTHA DIRECTOR 1.00 X 0 0 0 PHC RHODES CATHERINE DIRECTOR 1.00 X 0 0 0 PHC ROARK MICHAEL KENT DIRECTOR 1.00 X 0 0 0 PHC SILVEY MICHAEL DIRECTOR 1.00 X 0 0 0 PHC TROKEY VANESSA DIRECTOR 1.00 X 0 0 0 PHC UMFLEET LISA K DIRECTOR 1.00 X 0 0 0 PMMCI COOK KEITH DIRECTOR 1.00 X 0 0 0 PMMCI DYER ROB REV DIRECTOR 1.00 X 0 0 0 PMMCI GANIM RANDALL DIRECTOR 1.00 X 0 0 0 PMMCI HOERING EDWARD DIRECTOR 1.00 X 0 0 0 PMMCI JACKSON RACHEL DIRECTOR 1.00 X 0 0 0 PMMCI OLIVER STACI DIRECTOR 1.00 X 0 0 0 PMMCI PORTER ANN DIRECTOR 1.00 X 0 0 0 PMMCI SCHROEDER KURT DIRECTOR 1.00 X 0 0 0 PMMCI STEPHENS RONALD DIRECTOR 1.00 X 0 0 0 PWHC CANNON ROBERT DIRECTOR 1.00 X 0 0 0 PWHC FOX JERRY DIRECTOR 1.00 X 0 0 0 PWHC TERRACE SARAH DIRECTOR 1.00 X 0 0 0 SLCH AEGERTER TRACEY DIRECTOR 1.00 X 0 0 0 SLCH AMIRTHALINGAM BHAVANI DIRECTOR 1.00 X 0 0 0 SLCH BARNES LASHANDA DIRECTOR 1.00 X 0 0 0 SLCH CLAYBORNE JAMES F DIRECTOR 1.00 X 0 0 0 SLCH CRIM RONDEY DIRECTOR 1.00 X 0 0 0 SLCH CUMMINGS SIMONE MARIE DIRECTOR 1.00 X 0 0 0 SLCH DIEMER NANCY DIRECTOR 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 LINDSEY STEVE DIRECTOR 1.00 X 0 0 0 SLCH MAGRUDER JOAN DIRECTOR 1.00 X 0 0 0 SLCH MCCOY ART PHD DIRECTOR 1.00 X 0 0 0 SLCH MCDONNELLJAMES III DIRECTOR 1.00 X 0 0 0 SLCH MEANES PAMELA JEAN DIRECTOR 1.00 X 0 0 0 SLCH MUELLER ROBERT C DIRECTOR 1.00 X 0 0 0 SLCH MULLINS BIRCH DIRECTOR 1.00 X 0 0 0 SLCH PERLMUTTER DAVID MD DIRECTOR 1.00 X 0 0 0 SLCH RAMIREZ KARLOS DIRECTOR 1.00 X 0 0 0 SLCH RAMIREZ-ARELLANO GABRIELA DIRECTOR 1.00 X 0 0 0 SLCH RHONE ERIC C DIRECTOR 1.00 X 0 0 0 SLCH SHORT RICK A DIRECTOR 1.00 X 0 0 0 SLCH WILLIAMS JAMES E JR DIRECTOR 1.00 X 0 0 0 SLCH WINDSOR CHARLES DIRECTOR 1.00 X 0 0 0 AMH AYRES GARY CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 AMH GOINS SHEILA E VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 AMH THOMPSON STEVE VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 BJC COPELAND DOUG VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 BJC HAMM-NIEBRUEGGE RHONDA VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 BJC HILLMAN TOM VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 BJC KLEIN WARD CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 BJC MCCLURE RICHARD VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 BJCBH MAGRUDER JOAN CHARIMAN, DIRECTOR 1.00 X X 0 0 0 BJCBH TERRACE SARAH SECRETARY, DIRECTOR 1.00 X X 0 0 0 BJCCHS TERRACE SARAH VICE PRESIDENT, DIRECTOR 1.00 X X 0 0 0 BJCHOME BRAASCH DAVID ALAN SECRETARY, TREASURER, DIR 1.00 X X 0 0 0 BJCHOME MAGRUDER JOAN PRESIDENT, DIRECTOR 1.00 X X 0 0 0 BJH HILLMAN TOM CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 BJWCH CANNON ROBERT CHARIMAN, DIRECTOR 1.00 X X 0 0 0 CH HAMM-NIEBRUEGGE RHONDA K CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 CH KENNEDY MICHAEL B VICE PRESIDENT, DIRECTOR 1.00 X X 0 0 0 CHC KADLEC-PATTERSON NANCY PRESIDENT, DIRECTOR 1.00 X X 0 0 0 CHC POUGE DOUGLAS MD PRESIDENT, DIRECTOR 1.00 X X 0 0 0 CHIL HAMM-NIEBRUEGGE RHONDA CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 CHIL STEVENS RICK L PRESIDENT, DIRECTOR 1.00 X X 0 0 0 CHSDC CANNON ROBERT PRESIDENT, DIRECTOR 1.00 X X 0 0 0 CHSDC HAMM-NIEBRUEGGE RHONDA CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 CHSDC KENNEDY MICHAEL VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 CII LOLLO TRISH PRESIDENT, DIRECTOR 1.00 X X 0 0 0 CII MAGRUDER JOAN GROUP PRESIDENT, DIRECTOR 1.00 X X 0 0 0 CII MCKEE MICHELE VICE PRESIDENT, DIRECTOR 1.00 X X 0 0 0 MBHS HOFFMAN MIKE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 MBHS RUBLE IRENE SECRETARY, DIRECTOR 1.00 X X 0 0 0 MBMC COPELAND DOUGLAS CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 MBMC KIM CHARLES G SECRETARY, DIRECTOR 1.00 X X 0 0 0 MBMC ROSS DONALD VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 PEHC MAGRUDER JOAN TREASURER, DIRECTOR 1.00 X X 0 0 0 PEHC TERRACE SALLY SECRETARY, DIRECTOR 1.00 X X 0 0 0 PHC COOK KEVIN VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 PHC MORRISON CHRISTOPER VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 PHC PETERSON DEBORAH S CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 PMMCI BOYER GERI VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 PMMCI ECKERT CHRIS VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 PMMCI GASSER SUSAN VICE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 PMMCI THAXTON VALERIE CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 PWHC CALDER GINA PRESIDENT, DIRECTOR 1.00 X X 0 0 0 SLCH HERMANN ROBERT JR ASST TREASURER, DIRECTOR 1.00 X X 0 0 0 SLCH IMBS CHRISTOPHER SECRETARY, DIRECTOR 1.00 X X 0 0 0 SLCH MCCLURE RICH CHAIRMAN, DIRECTOR 1.00 X X 0 0 0 SLCH SMITH-THURMAN PATRICIA A TREASURER, DIRECTOR 1.00 X X 0 0 0 SLCH SUGGS DONALD ASST TREASURER, DIRECTOR 1.00 X X 0 0 0 AMH BARTO NICK SR VICE PRESIDENT & CFO 1.00 X 0 0 0 BJCHOME BARTO NICK SR VICE PRESIDENT & CFO 1.00 X 0 0 0 BJH BARTO NICK SR VICE PRESIDENT & CFO 1.00 X 0 0 0 BJSPH BARTO NICK SR VICE PRESIDENT & CFO 1.00 X 0 0 0 BJSPH IROVIC PAUL VICE PRESIDENT, FINANCE 1.00 X 0 0 0 BJWCH BARTO NICK SR VICE PRESIDENT & CFO 1.00 X 0 0 0 BJWCH IROVIC PAUL VICE PRESIDENT, FINANCE 1.00 X 0 0 0 CH BARTO NICK SR VICE PRESIDENT & CFO 1.00 X 0 0 0 CH IROVIC PAUL VICE PRESIDENT, FINANCE BEG 6/23 1.00 X 0 0 0 CH KOESTERER SUSAN VICE PRESIDENT, FINANCE TERM 6/23 1.00 X 0 0 0 CHSDC BARTO NICK SR VICE PRESIDENT & CFO 1.00 X 0 0 0 CHSDC IROVIC PAUL VICE PRESIDENT, FINANCE BEG 6/23 1.00 X 0 0 0 CHSDC KOESTERER SUSAN VICE PRESIDENT, FINANCE TERM 6/23 1.00 X 0 0 0 CII REID SARA SECRETARY 1.00 X 0 0 0 MBHS BARTO NICK SR VICE PRESIDENT & CFO 1.00 X 0 0 0 MBHS DESART AMY VICE PRESIDENT, FINANCE TERM 7/23 1.00 X 0 0 0 MBHS KOESTERER SUSAN VICE PRESIDENT, FINANCE BEG 7/23 1.00 X 0 0 0 MBMC BARTO NICK SR VICE PRESIDENT & CFO 1.00 X 0 0 0 MBMC KOESTERER SUSAN VICE PRESIDENT, FINANCE BEG 2/23 1.00 X 0 0 0 PHC BARTO NICK SR VICE PRESIDENT & CFO 1.00 X 0 0 0 PHC DESART AMY VICE PRESIDENT, FINANCE TERM 2/23 1.00 X 0 0 0 PHC KOESTERER SUSAN VICE PRESIDENT, FINANCE BEG 2/23 1.00 X 0 0 0 PMMCI BARTONICK SR VICE PRESIDENT & CFO 1.00 X 0 0 0 PMMCI KOESTERER SUSAN VP FINANCE, SECRETARY 1.00 X 0 0 0 PWHC BARTO NICK SR VICE PRESIDENT & CFO 1.00 X 0 0 0 PWHC IROVIC PAUL VICE PRESIDENT, FINANCE BEG 4/23 1.00 X 0 0 0 SLCH BARTO NICK SR VICE PRESIDENT & CFO 1.00 X 0 0 0 37884391 1122768 5566811 6170 1 1 0 WASHINGTON UNIV SCHOOL OF MEDICINE 660 S EUCLID ST SAINT LOUIS MO 63110 MEDICAL SERVICES 364190483 CARDINAL HEALTH 105 INC 7000 CARDINAL PLACE DUBLIN OH 43017 MEDICAL SERVICES 48736080 MID AMERICA TRANSPLANT SERVICES 1110 HIGHLAND PL DR E 100 SAINT LOUIS MO 63110 PROCUREMENT OF TRANSPLANTS 33469895 SOUTHEASTERN PHYSICIAN ASSOCIATES INC DB 265 BROOKVIEW CTR WY STE 203 KNOXVILLE TN 37919 MEDICAL SERVICES 24554981 MORRISONS HEALTH CARE INC 5801 PEACHTREE DUNWDY ALTANTA GA 30342 FOOD SERVICES 20249051 371 16080 24589561 15041310 1512975 42800 41159926 PATIENT SERVICE REV 621990 6420001980 6420001980 PHYSICIAN PRACTICE OPE 621500 60352983 60352983 PROGRAM RENTAL INCOME 531190 44460648 44460648 WASH UNIV - OTHER REV 621990 17200693 16580113 620580 PROG INVESTMENT REVENU 900099 6195793 6195793 2555674 82232 2473442 6550767771 6433931 6433931 259442 259442 1645649 0 1645649 1645649 1645649 1360715 2105335 -744620 -744620 -744620 98402 16080 20943 77459 77459 38215 5696 32519 32519 4624532 3178227 1446305 1446305 PHARMACY REVENUE 456110 72930630 72480073 450557 CAFETERIA SALES 722514 19300874 20457 19280417 OTHER OPERATING 900099 6001770 5005926 995844 39028863 2123357 36905506 137262137 6738340519 6625159748 6684237 65336608 X 1161978 1161978 2692897 2692897 12113416 12113416 64311 64311 1859197821 1818320867 40876954 108286175 106146964 2139211 230575604 225914019 4661585 136646969 133392518 3254451 5648201 5355708 292493 70137 70137 10324 10324 615391 615391 1018081093 997061081 21020012 2574877 2563262 11615 80808365 79402423 1405942 26402996 7822449 18580547 678581 678581 91859881 81297585 10562296 5549101 5209717 339384 1811061 1635862 175199 40933832 40933832 331507563 328494092 3013471 35125965 35125965 MEDICAL SUPPLIES 1251202821 1251202821 OVERHEAD ALLOCATION 830739752 830739752 TEACHING SERVICES 178890667 178890667 MED GRP PRACTICE SUPP 156801315 156801315 0 170093197 131132635 38960562 6580144291 5550367717 1029776574 0 330233 198475 2047851 -890015 985152548 992920034 54000 7528 108492222 117511500 10597404 9593540 7238481828 4426278734 2686584849 2812203094 47917 40509 33665740 11408960 266123337 297531561 4093096101 4240525186 427760625 530198606 2399502 1489284 199386330 162387205 629546457 694075095 X 3436587753 3516253510 26961891 30196581 3463549644 3546450091 4093096101 4240525186 X 158196228 -75295781 X 0 1 X 1 1 1 X SCHEDULE A, PART I, LINE 3, 12 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 2023: 12F- NUMBER OF SUPPORTED ORGANIZATIONS AT DECEMBER 31, 2023 = 2 12G - INFORMATION REGARDING SUPPORTED ORGANIZATIONS: CHRISTIAN HOSPITAL NE-NW (CHNE) (EIN 43-6057893) - BOX 3 $72,142,554 ALTON MEMORIAL HOSPITAL (AMH) (EIN 37-0661172) BOX 3 $36,295,606 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: BJC HOME CARE SERVICES (EIN 43-1450457) THE COMMUNITY HEALTH CONNECTION (EIN 46-0819384) 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 2023 99.99% PUBLIC SUPPORT PERCENTAGE FOR 2022 99.91% INVESTMENT INCOME PERCENTAGE FOR 2023 0.11% INVESTMENT INCOME PERCENTAGE FOR 2022 0.14% SCHEDULE A, PART IV - SECTION A 1. YES, DURING 2023, CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION (CHSDC) WAS THE SUPPORTING ORGANIZATION TO THE FOLLOWING SUPPORTED ORGANIZATIONS: -CHRISTIAN HOSP NORTHEAST-NORTHWEST (EIN 43-6057893) 501(C)(3), BOX 3 -ALTON MEMORIAL HOSPTIAL (EIN 37-0661172) 501(C)(3), BOX 3 THESE SUPPORTED ORGANIZATIONS WERE LISTED BY NAME IN THE ORGANIZING DOCUMENTS FOR CHSDC. CHSDC RESPONDS "NO" TO SECTION A, LINES 2-11. 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 509843 1 105548 0 0 615391 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. 95260977 95260977 1638968166 1135815654 503152512 832270412 423246804 409023608 4044275238 2843742932 1200532306 627707035 23473344 604233691 2812203094 PROPERTY FOR FUTURE DEVELOPMENT 13700135 OTHER RECEIVABLES 41813828 DUE FROM THIRD PARTY 58166487 DUE FROM AFFILIATES 32840844 OTHER ASSETS 12463531 RIGHT OF USE ASSETS 130355861 PERPETUAL TRUST 8190875 297531561 OTHER LONG TERM LIABILITIES 155719 DUE TO THIRD PARTY PAYORS 10730844 OTHER CURRENT LIABILITIES 10346727 SELF-FUNDED INSURANCE LIABLITIES 5861389 ACCRUED ENVIRONMENTAL LIABILITIES 4112000 LONG TERM OTHER OPER LEASES 131180526 162387205 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 2023, 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. DINNER (MBS) 60837 0 60837 0 0 200 8500 0 3900 GIRLS ON GRAPES, BOYS ON BREWS 25981 16080 9901 155 1282 0 0 1710 5 27664 0 27664 2250 298 298 870 1480 114482 16080 98402 2405 298 1780 9370 7090 20943 77459 38215 5463 233 0 38215 5463 233 5696 32519 MO IL 1 0 0 0 0.00000 1.00000 VARIOUS NAMES SEE SCHEDULE G SUPPL 4901 FOREST PARK ST LOUIS MO 63108 0 VARIOUS NAMES SEE SCHEDULE G SUPPL 0 SEE SCHEDULE G SUPPLEMENTAL SECTION X 0 SCHEDULE G, PART III LINE 14 ENTER THE NAME AND ADDRESS OF THE PERSON(S) WHO PREPARED THE ORGANIZATION'S GAMING/SPECIAL EVENTS BOOKS AND RECORDS: NAME: STACEY TYREE C/O MBHS ADDRESS: 751 SAPPINGTON BRIDGE ROAD, SULLIVAN, MO 63080 NAME: MARY NORMAN C/O AMH ADDRESS: ONE MEMORIAL DRIVE G-199, ALTON, IL 62002 SCHEDULE G, PART III, LINE 16 GAMING MANAGER INFORMATION: NAME: STACEY TYREE C/O MBHS GAMING MANAGER COMPENSATION: $0 EMPLOYEE NAME: MARY NORMAN C/O AMH GAMING MANAGER COMPENSATION: $0 EMPLOYEE DESCRIPTION OF SERVICES PROVIDED: MISSOURI BAPTIST HOSPITAL OF SULLIVAN (MBHS) AND ALTON MEMORIAL HOSPITAL (AMH) CONDUCTED FUND RAISING EVENTS USING A VARIETY OF VOLUNTEERS AND CERTAIN ADMINISTRATIVE PERSONS TO OVERSEE EVENT ACTIVITIES. WHILE THE EVENT MANAGERS ARE EMPLOYEES OF MBHS AND AMH, THEY RECEIVED NO ADDITIONAL COMPENSATION RELATED TO CONDUCTING THE GAMING AT THE EVENTS. GAMING MANAGER INFORMATION IS PROVIDED FOR COMPLETENESS PURPOSES. 1 1 X 1 X 1 X 1 1 1 0 1 1 161044 306618431 109514699 197103732 0.02990 568955 1361028417 1061288183 299740234 0.04550 729999 1667646848 1170802882 496843966 0.07540 179 337265 30787801 16508847 14278954 0.00220 40 7608 381950430 117384814 264565616 0.04020 68 1583914 1430376401 1242540971 187835430 0.02850 2 0 23718 23718 0.00000 33 16906 4416705 148102 4268603 0.00060 322 1945693 1847555055 1376606452 470948603 0.07150 322 2675692 3515201903 2547409334 967792569 0.14690 0 0 0 0.00000 4 15190 0 15190 0.00000 11 25 95854 0 95854 0.00000 1 75796 0 75796 0.00000 0 0.00000 0 0.00000 0 0.00000 1 13775 13775 0.00000 17 25 200615 200615 0.00000 1 85397697 14650930 682983583 766725067 -83741484 X 1 1 12 1 BARNES-JEWISH HOSPITAL NORTHSOUTH ONE BARNES-JEWISH HOSP PLZ SAINT LOUIS MO 63110 WWW.BARNESJEWISH.ORG 421 BARNES-JEWISH HOSPITAL 237309937 X X X X A 2 MISSOURI BAPTIST MEDICAL CENTER 3015 NORTH BALLAS ROAD TOWN COUNTRY MO 63131 WWW.MISSOURIBAPTIST.ORG 234 MISSOURI BAPTIST MEDICAL CENTER 430652656 X X X A 3 ST LOUIS CHILDREN'S HOSPITAL ONE CHILDRENS PLACE SAINT LOUIS MO 63110 WWW.STLOUISCHILDRENS.ORG 324 ST LOUIS CHILDREN'S HOSPITAL 430654870 X X X X X A 4 PROTESTANT MEMORIAL MEDICAL CENTER INC 4500 MEMORIAL DRIVE BELLEVILLE IL 62226 WWW.MEMHOSP.COM 0001461 PROTESTANT MEMORIAL MEDICAL CTR INC 370635502 X X X 5 CHRISTIAN HOSPITAL NE-NW 11133 DUNN ROAD SAINT LOUIS MO 63136 WWW.CHRISTIANHOSPITAL.ORG 425 CHRISTIAN HOSPITAL NE-NW 436057893 X X X A 6 BARNES-JEWISH WEST COUNTY HOSPITAL 12634 OLIVE BOULEVARD CREVE COEUR MO 63141 WWW.BARNESJEWISHWESTCOUNTY.ORG 368 BARNES-JEWISH WEST COUNTY HOSPITAL 431527130 X X X A 7 BARNES-JEWISH ST PETERS HOSPITAL INC 10 HOSPITAL DRIVE SAINT PETERS MO 63376 WWW.BJSPH.ORG 357 BARNES-JEWISH ST PETERS HOSPITAL INC 431452426 X X X A 8 ALTON MEMORIAL HOSPITAL ONE MEMORIAL DRIVE ALTON IL 62002 WWW.ALTONMEMORIAL.ORG 0000026 ALTON MEMORIAL HOSPITAL 370661172 X X X 9 PARKLAND HEALTH CENTER-FARMINGTON 1101 WEST LIBERTY STREET FARMINGTON MO 63640 WWW.PARKLANDHEALTHCENTER.ORG 379 PARKLAND HEALTH CENTER 431332368 X X X A 10 PROGRESS WEST HEALTHCARE CENTER 2 PROGRESS POINT PKWY OFALLON MO 63366 WWW.PROGRESSWEST.ORG 502 PROGRESS WEST HEALTHCARE CENTER 412140764 X X X A 11 MISSOURI BAPTIST HOSPITAL OF SULLIVAN 751 SAPPINGTON BRIDGE ROAD SULLIVAN MO 63080 WWW.MISSOURIBAPTISTSULLIVAN.ORG 355 MISSOURI BAPTIST HOSPITAL OF SULLIVAN 431459495 X X X X A 12 PARKLAND HEALTH CENTER-BONNE TERRE 7245 RAIDER ROAD BONNE TERRE MO 63628 WWW.PARKLANDHEALTHCENTER.ORG 474 PARKLAND HEALTH CENTER 431332368 X X X X A PROTESTANT MEMORIAL MEDICAL CENTER INC 4 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE LINE 7D X X 1 22 1 SEE LINE 7D 0 1 X 200.000000000000 600.000000000000 X X X 1 1 X X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X X 1 X 0 X X X 1 X 0 0 ALTON MEMORIAL HOSPITAL 8 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE LINE 7D X X 1 22 1 SEE LINE 7D 0 1 X 200.000000000000 600.000000000000 X X X 1 1 X X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X X 1 X 0 X X X 1 X 0 0 FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 22 1 1 0 1 X SEE LINE 7D X X 1 22 1 SEE LINE 7D 0 1 X 100.000000000000 300.000000000000 X X X X 1 1 X X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 PROTESTANT MEMORIAL MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: PROTESTANT MEMORIAL MEDICAL CENTER, INC. DBA MEMORIAL HOSPITAL BELLEVILLE AND MEMORIAL HOSPITAL SHILOH (HOSPITAL), BEGAN OPERATING UNDER A SINGLE LICENSE IN 2021 TO PROVIDE GREATER EFFICIENCIES AND CONVENIENCE FOR PATIENTS. HOSPITAL CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. EMAIL INVITATIONS WERE SENT OUT BY CHAPLAIN DOUGLAS STEWART, BEGINNING ON JUNE 7, 2021, TO 52 ST. CLAIR COUNTY COMMUNITY STAKEHOLDERS. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH HOSPITAL'S PATIENT POPULATION. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE COUNTY OR CITY HEALTH DEPARTMENTS. FOLLOWING 33 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY. - O'FALLON-SHILOH CHAMBER OF COMMERCE (EXECUTIVE DIRECTOR) IN O'FALLON, IL- COMMUNITY VOLUNTEER (VOLUNTEER) IN BELLEVILLE- 375TH MDG (HEALTH PROMOTION COORDINATOR) U.S. SCOTT AFB- FAMILY HOSPICE OF BELLEVILLE (EXECUTIVE DIRECTOR) IN BELLVILLE- HARMONY-EMGE SD 175 (SUPERINTENDENT) IN BELLEVILLE- CITY OF O'FALLON (CITY ADMINISTRATOR) IN O'FALLON- ST. CLAIR COUNTY REGIONAL OFFICE OF EDUCATION #50 (REG SUPERINTENDENT) IN BELLEVILLE- TOUCHETTE AND SIHF HEALTHCARE (VP OF MEDICAL AFFAIRS) IN CENTREVILLE- DOWNTOWN BELLEVILLE YMCA (EXECUTIVE DIRECTOR) IN BELLEVILLE- UNIVERSITY OF ILLINOIS EXTENSION (SNAP EDUCATION EDUCATOR) IN SWANSEA- ST. CLAIR COUNTY ILLINOIS (STATE'S ATTORNEY) IN BELLEVILLE- CITY OF BELLEVILLE (MAYOR ) IN BELLEVILLE- ST. CLAIR COUNTY HEALTH DEPARTMENT (ADMINISTRATIVE ADVISOR) IN SWANSEA- PROJECT COMPASSION, NFP (EXECUTIVE DIRECTOR) IN BELLEVILLE- ST. CLAIR COUNTY (BOARD CHAIRMAN) IN BELLEVILLE- ST. CLAIR COUNTY HEALTH DEPARTMENT (VICE PRES OF BOARD OF DIRECTORS) IN BELLEVILLE- HSHS ST. ELIZABETH'S HOSPITAL DIVISION (DIR OF COMMUNITY OUTREACH) IN O'FALLON- FIRST UNITED PRESBYTERIAN CHURCH (REVEREND) IN BELLEVILLE- CHESTNUT HEALTH SYSTEMS (VP STRATEGY AND INNOVATION) IN TROY- CITY OF BELLEVILLE (CITY CLERK) IN BELLEVILLE- ST. CLAIR COUNTY HEALTH DEPARTMENT (SYSTEMS QUALITY MANAGER) IN BELLEVILLE - MEDSTAR AMBULANCE INC. (GENERAL MANAGER OF OPERATIONS) IN BELLEVILLE- AGESMART COMMUNITY RESOURCES (CHIEF EXECUTIVE OFFICER) IN O'FALLON- HEALTHIER TOGETHER (EXECUTIVE DIRECTOR) IN BELLEVILLE- GREATER BELLEVILLE CHAMBER OF COMMERCE (PRESIDENT/CEO) IN BELLEVILLE- ST. CLAIR COUNTY HEALTH DEPARTMENT (DIR OF INFECT DISEASE PREV) IN BELLEVILLE,- PROFESSIONAL THERAPY SERVICES, INC. (PRESIDENT) IN BELLEVILLE- MTC COMMUNITY OUTREACH CORP. (PRESIDENT) IN WASHINGTON PARK- ST. CLAIR COUNTY MENTAL HEALTH BOARD (EXECUTIVE DIRECTOR) IN BELLEVILLE- GREATER BELLEVILLE CHAMBER OF COMMERCE (MEMBERS EVENT MGR) IN BELLEVILLE- BEACON MINISTRY (DIRECTOR) IN BELLEVILLE- OFFICE ON AGING (DIRECTOR) IN BELLEVILLE- ST. CLAIR COUNTY HEALTH DEPARTMENT (DEPUTY EXECUTIVE DIR) IN BELLEVILLE- HEALTHVISIONS MIDWEST (PROGRAM DIRECTOR) IN EAST ST. LOUIS- SAINT HENRY CATHOLIC CHURCH (PASTOR) IN BELLEVILLEDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. CLAIR COUNTY WHEN COMPARED TO THE STATE. AFTER COMPLETION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE HOSPITAL WILL FOCUS ON THREE PRIORITIES: MENTAL HEALTH, MATERNAL/INFANT HEALTH, AND SUBSTANCE ABUSE. ALTON MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: ALTON MEMORIAL HOSPITAL (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. DUE TO COVID-19, HOSPITAL CONDUCTED ONLINE SURVEYS FOR THE SAFETY OF OUR EMPLOYEES AND OF OUR COMMUNITY STAKEHOLDERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY EACH HOSPITAL AND THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. ON JUNE 7, 2021 AN EMAIL WAS SENT BY DAVE BRAASCH, PRESIDENT OF ALTON MEMORIAL HOSPITAL, TO 11 MADISON COUNTY COMMUNITY STAKEHOLDERS, INVITING THEM TO PARTICIPATE IN THE SURVEY. BECAUSE SOME STAKEHOLDERS FORWARDED THE SURVEY LINK TO OTHERS WITHIN THEIR ORGANIZATIONS, 12 COMMUNITY MEMBERS PROVIDED US WITH FEEDBACK.- VILLAGE OF BETHALTO (MAYOR) IN BETHALTO- ALTON SCHOOL DISTRICT (SUPERINTENDENT) IN ALTON- CALVARY BAPTIST CHURCH (SENIOR PASTOR) IN ALTON- RIVERBEND HEAD START & FAMILY SERVICES (PRESIDENT / CEO) IN ALTON- OASIS WOMEN CENTER (CLIENT SERVICES COORDINATOR) IN ALTON- ALTON SCHOOL DISTRICT (ASSISTANT SUPERINTENDENT) IN ALTON- MADISON COUNTY URBAN LEAGUE INC. (PRESIDENT / CEO) IN ALTON- AMERICAN CANCER SOCIETY (SENIOR DEVELOPMENT MANAGER) IN EDWARDSVILLE- BOYS & GIRLS CLUB OF BETHALTO (EXECUTIVE DIRECTOR) IN BETHALTO- BOYS & GIRLS CLUB OF ALTON (EXECUTIVE DIRECTOR) IN ALTON- UNITED WAY (DIRECTOR) IN EAST ALTON- MADISON COUNTY HEALTH DEPARTMENT (DIR OF COMM HEALTH) IN WOOD RIVERAT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: MENTAL HEALTH AND DRUG/ALCOHOL ABUSE. PROTESTANT MEMORIAL MEDICAL CENTER, INC. PART V, SECTION B, LINE 7D: SEE WWW.MEMHOSP.COM/COMMUNITY-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL. ALTON MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: SEE WWW.ALTONMEMORIALHOSPITAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL. PROTESTANT MEMORIAL MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: HOSPITAL ASSEMBLED AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL STAFF. THIS GROUP REVIEWED FOCUS GROUP RESULTS AS WELL AS FINDINGS FROM A SECONDARY DATA ANALYSIS TO FURTHER ASSESS IDENTIFIED NEEDS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED BY SETTING GOALS AND MEASURING THE RESULTS OF HOSPITAL EFFORTS: MENTAL HEALTH, MATERNAL/INFANT HEALTH, AND SUBSTANCE ABUSE. GOALS WERE SET AND OBJECTIVES WERE DRAFTED WITH ACTION PLANS PUT INTO PLACE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITALS AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS: ACCIDENTS/INJURIES; ALCOHOL USE; CANCER RESEARCH AND SUPPORT; DENTAL CARE; DIABETES RESEARCH AND SUPPORT; HEART HEALTH; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; OBESITY; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; TOBACCO USE; VAPING. ALTON MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: HOSPITAL DECIDED TO ADDRESS MENTAL HEALTH AND DRUG/ALCOHOL ABUSE COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS. GOALS WERE SET AND OBJECTIVES WERE DRAFTED WITH ACTION PLANS PUT INTO PLACE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR. WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS: ACCIDENTS/INJURIES; CANCER; DENTAL CARE; DIABETES; HEART HEALTH; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASES; MATERNAL/INFANT HEALTH; OBESITY; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; TOBACCO USE & VAPING. PROTESTANT MEMORIAL MEDICAL CENTER, INC. PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. THE FINANCIAL RESPONSIBILITY OF AN INSURED PATIENT QUALIFYING FOR FINANCIAL ASSISTANCE WILL BE LIMITED TO 10 PERCENT OF ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD. THE FINANCIAL RESPONSIBILITY OF ANY UNINSURED PATIENT WILL BE LIIMITED TO 25 PERCENT OF ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD. ALTON MEMORIAL HOSPITAL PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME. PROTESTANT MEMORIAL MEDICAL CENTER, INC. PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY. ALTON MEMORIAL HOSPITAL PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: BARNES-JEWISH HOSPITAL NORTH/SOUTH, - FACILITY 2: MISSOURI BAPTIST MEDICAL CENTER, - FACILITY 3: ST LOUIS CHILDREN'S HOSPITAL, - FACILITY 5: CHRISTIAN HOSPITAL NE-NW, - FACILITY 6: BARNES-JEWISH WEST COUNTY HOSPITAL, - FACILITY 7: BARNES-JEWISH ST PETERS HOSPITAL, INC, - FACILITY 9: PARKLAND HEALTH CENTER-FARMINGTON, - FACILITY 10: PROGRESS WEST HEALTHCARE CENTER, - FACILITY 11: MISSOURI BAPTIST HOSPITAL OF SULLIVAN, - FACILITY 12: PARKLAND HEALTH CENTER-BONNE TERRE GROUP A-FACILITY 1 -- BARNES-JEWISH HOSPITAL NORTH/SOUTH PART V, SECTION B, LINE 5: BARNES-JEWISH HOSPITAL (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2019 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE PRIOR ASSESSMENTS WERE CONDUCTED. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, HOSPITAL COLLABORATED WITH PARTNERS SSM HEALTH; MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL SOUTH; AND THE ST. LUKE'S NETWORK OF CARE, WHICH INCLUDES ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES HOSPITAL. HOSPITAL CONDUCTED ONLINE SURVEYS FOR THE SAFETY OF OUR EMPLOYEES AND OF OUR COMMUNITY STAKEHOLDERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY EACH HOSPITAL AND THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. BETWEEN JUNE 7 AND JUNE 9, 2021, EMAIL INVITATIONS WERE SENT OUT TO 33 STAKEHOLDERS IN ST. LOUIS CITY FROM HOSPITAL AND 26 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY. INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. THESE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE COUNTY OR CITY HEALTH DEPARTMENTS WHO PROVIDED INPUT ON THE RESULTS OF PRIOR CHNA AND REVIEWED THE CURRENT IMPLEMENTATION PLAN (IP). - CASA DE SALUD (PRESIDENT & CEO) IN ST. LOUIS- COMMUNITY HEALTH-IN-PARTNERSHIP SERVICES (CHIPS PRES & CEO) IN ST. LOUIS- HAZELWOOD SCHOOL DISTRICT (HEALTH COORDINATOR) IN FLORISSANT- ST. LOUIS INTEGRATED HEALTH NETWORK (DIRECTOR, CARE TRANSITIONS INIT) IN ST. LOUIS- ALIVE AND WELL COMMUNITIES (PRESIDENT) IN ST. LOUIS- AFFINIA HEALTHCARE (VP DEVELOPMENT AND COMMUNITY RELATIONS) IN ST. LOUIS- BJK PEOPLES HEALTH CENTERS (CHIEF EXECUTIVE OFFICER) IN ST. LOUIS- MO DHSS (STATE SCHOOL NURSE CONSULTANT) IN ST. LOUIS CITY- PREVENTED (EXECUTIVE DIRECTOR) IN ST. LOUIS- BJC HEALTHCARE (ASSOCIATE DIRECTOR) IN SAINT LOUIS CITY- BEHAVIORAL HEALTH NETWORK OF GREATER ST. LOUIS (SR. DIR., STRATEGIC INITIATIVES) IN ST. LOUIS- GATEWAY REGION YMCA (PRESIDENT & CEO) IN ST. LOUIS- RISE COMMUNITY DEVELOPMENT, INC. (TECHNICAL ASSISTANCE PROGRAM MANAGER) IN ST. LOUIS- SVDP (DIRECTOR, PROGRAMS & PARTNERSHIPS) IN ST. LOUIS- PLACES FOR PEOPLE (CEO) IN ST LOUIS- SAINT LOUIS CRISIS NURSERY (CEO) IN ST LOUIS- IFM COMMUNITY MEDICINE (CHIEF PROGRAM OFFICER) IN ST. LOUIS- HEALTH LITERACY MEDIA (PRESIDENT & CEO) IN ST LOUIS- BJC BEHAVIORAL HEALTH (DIRECTOR, CLINICAL OPERATIONS) IN ST LOUIS- MISSOURI FOUNDATION FOR HEALTH (SENIOR STRATEGIST) IN ST LOUIS- CITY OF ST. LOUIS DEPARTMENT OF HEALTH (GOVT SERVICES ANALYST) IN ST. LOUIS- STATE FARM (AGENT) IN KIRKWOOD- OPERATION FOOD SEARCH (PRESIDENT & CEO) IN ST. LOUIS- YOUTH IN NEED HEALTH (MANAGER) IN ST. LOUIS- MARCH OF DIMES (ASSOC. DIRECTOR OF DONOR DEVELOPMENT) IN ST. LOUIS - PLACES FOR PEOPLE (VP OF CLINICAL SERVICES) IN ST. LOUISDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. LOUIS CITY WHEN COMPARED TO THE STATE. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED MENTAL HEALTH AS THE ISSUE WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. GROUP A-FACILITY 1 -- BARNES-JEWISH HOSPITAL NORTH/SOUTH PART V, SECTION B, LINE 6A: SSM HEALTH IN ST. LOUIS GROUP A-FACILITY 1 -- BARNES-JEWISH HOSPITAL NORTH/SOUTH PART V, SECTION B, LINE 7D: SEE BARNESJEWISH.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL. GROUP A-FACILITY 1 -- BARNES-JEWISH HOSPITAL NORTH/SOUTH PART V, SECTION B, LINE 11: HOSPITAL ASSEMBLED AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL STAFF. THIS GROUP REVIEWED FOCUS GROUP RESULTS AS WELL AS FINDINGS FROM A SECONDARY DATA ANALYSIS TO FURTHER ASSESS IDENTIFIED NEEDS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED BY SETTING GOALS AND MEASURING THE RESULTS OF HOSPITAL EFFORTS: MENTAL HEALTH. GOALS WERE SET AND OBJECTIVES WERE DRAFTED WITH ACTION PLANS PUT INTO PLACE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREA. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCIDENTS/INJURIES; ALCOHOL USE; CANCER RESEARCH AND SUPPORT; DENTAL CARE; DIABETES RESEARCH AND SUPPORT; HEART DISEASE/STROKE RESEARCH AND SUPPORT; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; MATERNAL & CHILD HEALTH; RESPIRATORY DISEASES RESEARCH AND PROGRAMS; SMOKING & TOBACCO EDUCATION. GROUP A-FACILITY 1 -- BARNES-JEWISH HOSPITAL NORTH/SOUTH PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE. GROUP A-FACILITY 1 -- BARNES-JEWISH HOSPITAL NORTH/SOUTH PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME. GROUP A-FACILITY 1 -- BARNES-JEWISH HOSPITAL NORTH/SOUTH PART V, SECTION B, LINE 16J: LINES 16 A-C SEE HTTPS://WWW.BJC.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY. GROUP A-FACILITY 2 -- MISSOURI BAPTIST MEDICAL CENTER PART V, SECTION B, LINE 5: MISSOURI BAPTIST MEDICAL CENTER (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, HOSPITAL ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. AROUND JUNE 7,2021 EMAIL INVITATIONS WENT OUT TO 56 COMMUNITY STAKEHOLDERS BY PRESIDENTS/REPRESENTATIVES OF MERCY ST. LOUIS, ST. LUKE'S HOSPITAL, BARNES-JEWISH WEST COUNTY HOSPITAL AND MISSOURI BAPTIST MEDICAL CENTER. 29 COMMUNITY MEMBERS PROVIDED US WITH FEEDBACK. INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. - PREVENTED (FORMERLY NCADA) (DEPUTY EXECUTIVE DIRECTOR) IN ST. LOUIS- EUREKA FIRE PROTECTION DISTRICT (FIRE CHIEF) IN EUREKA- HANCOCK PLACE SCHOOL DISTRICT (SUPERINTENDENT) IN ST. LOUIS- TOWN AND COUNTRY, MISSOURI POLICE DEPARTMENT (CHIEF OF POLICE) IN TOWN AND COUNTRY- ST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH (DIRECTOR, OFFICE OF STRATEGY & PLANNING) IN BERKELEY- CITY OF DES PERES (CITY ADMINISTRATOR) IN DES PERES- MARYVILLE UNIVERSITY (DIRECTOR OF HEALTH AND WELLNESS) IN ST. LOUIS- LINDBERGH SCHOOLS (CHIEF COMMUNICATIONS OFFICER) IN ST. LOUIS- DES PERES ST. LUKE'S ADVISORY BOARD MEMBER (BOARD MEMBER) IN DES PERES- THE LINDBERGH SCHOOLS FOUNDATION (DIRECTOR) IN ST. LOUIS- ADVISORY BOARD DES PERES (SECRETARY) IN KIRKWOOD- MARYVILLE UNIVERSITY (MANAGER, HR OPERATIONS) IN ST. LOUIS- LEMAY CHILD AND FAMILY CENTER (EXECUTIVE DIRECTOR) IN ST. LOUIS- METROWEST ANESTHESIA GROUP (ANESTHESIA DEPARTMENT CHAIRMAN) IN ST. LOUIS - ST. LOUIS COUNTY POLICE (PRECINCT COMMANDER) IN WILDWOOD- ST. LOUIS SUBURBAN SCHOOL NURSES ASSOCIATION (PAST PRESIDENT) IN ST. LOUIS- MISSOURI BAPTIST UNIVERSITY (DEAN OF NURSING) IN ST. LOUIS- CREVE COEUR POLICE DEPARTMENT (CAPTAIN) IN CREVE COEUR- COMTREA (RESIDENT ASSISTANT) IN ST. LOUIS- PREVENTED (DIRECTOR OF PREVENTION EDUCATION) IN ST. LOUIS- KIRKWOOD FIRE DEPARTMENT (DEPUTY CHIEF/CMO) IN KIRKWOOD- EVENT EXHIBITS, INC. (OWNER/CEO) IN KIRKWOOD- SAINT LOUIS COUNTY DEPARTMENT OF HEALTH (COMMUNITY HEALTH MANAGER) IN BERKELEY- CIRCLE OF CONCERN (DIRECTOR OF CLIENT SERVICES) IN VALLEY PARK- ROCKWOOD SCHOOL DISTRICT (SUPERVISOR, WELLNESS & HEALTH SERVICES) IN EUREKA- EUREKA POLICE DEPT (POLICE CHIEF) IN EUREKA- JEWISH COMMUNITY CENTER (PRESIDENT & CEO) IN ST. LOUISDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS TO DETERMINE THE MOST CRITICAL NEEDS IN WEST AND SOUTH ST. LOUIS COUNTY, THE WORK GROUP PRESENTED PROPOSALS TO THE EXECUTIVE TEAM FOR THE HOSPITAL'S IMPLEMENTATION PLAN AND, AFTER THOROUGH DISCUSSION WITH THE EXECUTIVE TEAM AROUND RESOURCES, THE EXECUTIVE TEAM DECIDED TO ADDRESS THE NEED FOR CANCER PREVENTION. GROUP A-FACILITY 2 -- MISSOURI BAPTIST MEDICAL CENTER PART V, SECTION B, LINE 6A: BARNES-JEWISH WEST COUNTY HOSPITAL, MERCY HOSPITAL ST. LOUIS, MERCY HOSPITAL SOUTH, ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES. GROUP A-FACILITY 2 -- MISSOURI BAPTIST MEDICAL CENTER PART V, SECTION B, LINE 7D: SEE WWW.MISSOURIBAPTIST.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL. GROUP A-FACILITY 2 -- MISSOURI BAPTIST MEDICAL CENTER PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS TO DETERMINE THE MOST CRITICAL NEEDS IN WEST AND SOUTH ST. LOUIS COUNTY, THE WORK GROUP PRESENTED TWO PROPOSALS TO THE EXECUTIVE TEAM FOR THE HOSPITAL'S IMPLEMENTATION PLAN AND IT WAS DECIDED THAT HOSPITAL WILL FOCUS ON THE PREVENTION OF CANCER. HOSPITAL WILL PROMOTE EVIDENCE-BASED CANCER SCREENINGS FOR LUNG, BREAST, CERVICAL, AND COLORECTAL CANCER TO HELP REDUCE CANCER DEATHS. HOSPITAL WILL FOCUS THEIR SCREENING AND PREVENTION STRATEGY IN ST. LOUIS COUNTY, WHERE WITH THE NEW RISK ASSESSMENT TOOLS, PATIENTS CAN IDENTIFY WHETHER THEY ARE HIGH RISK AND FOLLOW UP WITH APPROPRIATE ENHANCED SCREENINGS.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE INCLUDE ACCIDENTS/INJURIES; ALCOHOL USE; DENTAL CARE; DIABETES RESEARCH AND SUPPORT; HEART HEALTH; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; OBESITY, REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; VAPING; BEHAVIORAL/MENTAL HEALTH; MATERNAL & INFANT HEALTH; TOBACCO USE. GROUP A-FACILITY 2 -- MISSOURI BAPTIST MEDICAL CENTER PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE. GROUP A-FACILITY 2 -- MISSOURI BAPTIST MEDICAL CENTER PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME. GROUP A-FACILITY 2 -- MISSOURI BAPTIST MEDICAL CENTER PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY. GROUP A-FACILITY 3 -- ST LOUIS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: ST. LOUIS CHILDREN'S HOSPITAL (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, BJC HEALTHCARE, ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. BETWEEN JUNE 7 AND JUNE 9, 2021, EMAIL INVITATIONS WERE SENT OUT TO 33 STAKEHOLDERS IN ST. LOUIS CITY FROM HOSPITAL LEADERS. 26 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. A PARENT HEALTH CONCERNS SURVEY WAS ALSO ADMINISTERED IN AUGUST 2021 TO 660 PARENTS LIVING WITHIN THE ST. LOUIS METROPOLITAN REGION. THIS SURVEY IDENTIFIED PRIMARY DATA ON HEALTH NEEDS THAT CONCERN PARENTS IN THE COMMUNITY. - CASA DE SALUD (PRESIDENT & CEO) IN ST. LOUIS- COMMUNITY HEALTH-IN-PARTNERSHIP SERVICES (CHIPS PRES & CEO) IN ST. LOUIS- HAZELWOOD SCHOOL DISTRICT (HEALTH COORDINATOR) IN FLORISSANT- ST. LOUIS INTEGRATED HEALTH NETWORK (DIR, CARE TRANSITIONS INIT) IN ST. LOUIS- ALIVE AND WELL COMMUNITIES (PRESIDENT) IN ST. LOUIS- AFFINIA HEALTHCARE (VP DEVELOPMENT AND COMMUNITY RELATIONS) IN ST. LOUIS- BJK PEOPLES HEALTH CENTERS (CHIEF EXECUTIVE OFFICER) IN ST. LOUIS- MO DHSS (STATE SCHOOL NURSE CONSULTANT) IN ST. LOUIS CITY- PREVENTED (EXECUTIVE DIRECTOR) IN ST. LOUIS- BJC HEALTHCARE (ASSOCIATE DIRECTOR) IN SAINT LOUIS CITY- BEHAVIORAL HEALTH NETWORK OF GR STL (SR. DIR., STRATEGIC INIT) IN ST. LOUIS- GATEWAY REGION YMCA (PRESIDENT & CEO) IN ST. LOUIS- RISE COMMUNITY DEV, INC. (TECHNICAL ASSIST PROG MGR) IN ST. LOUIS- SVDP (DIRECTOR, PROGRAMS & PARTNERSHIPS) IN ST. LOUIS- PLACES FOR PEOPLE (CEO) IN ST LOUIS- SAINT LOUIS CRISIS NURSERY (CEO) IN ST LOUIS- IFM COMMUNITY MEDICINE (CHIEF PROGRAM OFFICER) IN ST. LOUIS- HEALTH LITERACY MEDIA (PRESIDENT & CEO) IN ST LOUIS- BJC BEHAVIORAL HEALTH (DIRECTOR, CLINICAL OPERATIONS) IN ST LOUIS- MISSOURI FOUNDATION FOR HEALTH (SENIOR STRATEGIST) IN ST LOUIS- CITY OF ST. LOUIS DEPT OF HEALTH (GOVT SERVICES ANALYST) IN ST. LOUIS- STATE FARM (AGENT) IN KIRKWOOD- OPERATION FOOD SEARCH (PRESIDENT & CEO) IN ST. LOUIS- YOUTH IN NEED HEALTH (MANAGER) IN ST. LOUIS- MARCH OF DIMES (ASSOC. DIR OF DONOR DEVELOPMENT) IN ST. LOUIS - PLACES FOR PEOPLE (VP OF CLINICAL SERVICES) IN ST. LOUISDURING PHASE TWO, AN INTERNAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF REVIEWED AND ANALYZED SIMILAR HEALTH FINDINGS FROM THOSE IN PHASE ONE. USING COMMUNITY PRIORITIES MISSOURI INFORMATION FOR COMMUNITY ASSESSMENTS (MICA) FOR INFANTS, CHILDREN AND ADOLESCENTS, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED THREE HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. FOR ITS 2022 CHNA PLAN, THE HOSPITAL WILL FOCUS ON: OBESITY; MATERNAL/CHILD HEALTH; AND MENTAL/BEHAVIORAL HEALTH. GROUP A-FACILITY 3 -- ST LOUIS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A: SSM HEALTH IN ST. LOUIS GROUP A-FACILITY 3 -- ST LOUIS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 7D: SEE STLOUISCHILDRENS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL. GROUP A-FACILITY 3 -- ST LOUIS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS TO DETERMINE THE MOST CRITICAL NEEDS IN HOSPITAL'S COMMUNITY THE HOSPITAL DECIDED TO ADDRESS OBESITY, MATERNAL/CHILD HEALTH, AND MENTAL/BEHAVIORAL HEALTH NEEDS IN THE COMMUNITY. GOALS WERE SET AND OBJECTIVES WERE DRAFTED WITH ACTION PLANS PUT INTO PLACE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN BECAUSE THE HOSPITAL IS EITHER CURRENTLY ADDRESSING THESE NEEDS OR MAY DEDICATE NECESSARY RESOURCES TO THESE NEEDS IN THE FUTURE. THESE INCLUDE ACCESS TO HEALTHCARE; ASTHMA/ALLERGIES; BLOOD DISEASE; DENTAL HEALTH; DIABETES; HEALTHY LIFESTYLE; INFECTIOUS DISEASE; PUBLIC SAFETY; SEXUALLY TRANSMITTED DISEASES; CANCER AND HEALTH LITERACY. GROUP A-FACILITY 3 -- ST LOUIS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE. GROUP A-FACILITY 3 -- ST LOUIS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME. GROUP A-FACILITY 3 -- ST LOUIS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 16J: LINES 16 A-C, SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY. GROUP A-FACILITY 5 -- CHRISTIAN HOSPITAL NE-NW PART V, SECTION B, LINE 5: CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEEDS FINDINGS FROM 2019 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE PRIOR ASSESSMENTS WERE CONDUCTED. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, HOSPITAL ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. AROUND JUNE 7, 2021, AN EMAIL INVITATION WAS SENT OUT FROM REPRESENTATIVES OF HOSPITAL AND SSM HEALTH TO 22 NORTH ST. LOUIS COUNTY COMMUNITY STAKEHOLDERS, INVITING THEM TO PARTICIPATE IN THE SURVEY. 12 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. - ST. LUKE'S HOSPITAL (MEDICAL DOCTOR) IN ST. LOUIS- PREVENT + ED (COMMUNITY ENGAGEMENT MANAGER) IN ST. LOUIS- ASTHMA & ALLERGY FOUNDATION-ST. LOUIS (SENIOR PROGRAM MANAGER) IN ST. LOUIS- REFUGE & RESTORATION (DIRECTOR OF DEVELOPMENT) IN ST. LOUIS- JEWISH FAMILY SERVICES OF ST. LOUIS (CHIEF EXECUTIVE OFFICER) IN ST. LOUIS- ALIVE & WELL COMMUNITIES (CO-DIRECTOR OF COMMUNITY ACTIVATION) IN JENNINGS- ST. LOUIS AREA DIAPER BANK (EXECUTIVE DIRECTOR) IN ST. LOUIS- OUR FAMILY'S DOING YOGA (FOUNDER) IN ST. LOUIS- ST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH (ASST ENVIRON DIR) IN BERKELEY- CORNERSTONE REALTY (COMMUNITY ENGAGEMENT COORDINATOR) IN ST. LOUIS- AGING AHEAD (COMMUNITY OPTIONS SPECIALIST) IN ST. LOUISDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, CH IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: HEART HEALTH AND DIABETES. GROUP A-FACILITY 5 -- CHRISTIAN HOSPITAL NE-NW PART V, SECTION B, LINE 7D: SEE WWW.CHRISTIANHOSPITAL.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL. GROUP A-FACILITY 5 -- CHRISTIAN HOSPITAL NE-NW PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: HEART HEALTH AND DIABETES. GOALS WERE SET AND OBJECTIVES WERE DRAFTED WITH ACTION PLANS PUT INTO PLACE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS: ACCIDENTS/INJURIES; CANCER; DENTAL CARE; DRUG/ALCOHOL ABUSE; HEART DISEASE/STROKE; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; MATERNAL/INFANT HEALTH; MENTAL/BEHAVIORAL HEALTH; OBESITY; REPRODUCTIVE HEALTH; RESPIRATORY DISEASES; SMOKING & TOBACCO USE; VAPING. GROUP A-FACILITY 5 -- CHRISTIAN HOSPITAL NE-NW PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE. GROUP A-FACILITY 5 -- CHRISTIAN HOSPITAL NE-NW PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME. GROUP A-FACILITY 5 -- CHRISTIAN HOSPITAL NE-NW PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY. GROUP A-FACILITY 6 -- BARNES-JEWISH WEST COUNTY HOSPITAL PART V, SECTION B, LINE 5: BARNES-JEWISH WEST COUNTY HOSPITAL (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, HOSPITAL ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. AROUND JUNE 7,2021 EMAIL INVITATIONS WENT OUT TO 56 COMMUNITY STAKEHOLDERS BY PRESIDENTS/REPRESENTATIVES OF MERCY ST. LOUIS, ST. LUKE'S HOSPITAL, BARNES-JEWISH WEST COUNTY HOSPITAL AND MISSOURI BAPTIST MEDICAL CENTER. 29 COMMUNITY MEMBERS PROVIDED FEEDBACK. FOLLOWING PARTICIPANTS IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY.- PREVENTED (FORMERLY NCADA) (DEPUTY EXECUTIVE DIRECTOR) IN ST. LOUIS- EUREKA FIRE PROTECTION DISTRICT (FIRE CHIEF) IN EUREKA- HANCOCK PLACE SCHOOL DISTRICT (SUPERINTENDENT) IN ST. LOUIS- TOWN AND COUNTRY, MISSOURI POLICE DEPARTMENT (CHIEF OF POLICE) IN TOWN AND COUNTRY- ST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH (DIRECTOR, OFFICE OF STRATEGY & PLANNING) IN BERKELEY- CITY OF DES PERES (CITY ADMINISTRATOR) IN DES PERES- MARYVILLE UNIVERSITY (DIRECTOR OF HEALTH AND WELLNESS) IN ST. LOUIS- LINDBERGH SCHOOLS (CHIEF COMMUNICATIONS OFFICER) IN ST. LOUIS- DES PERES ST. LUKE'S ADVISORY BOARD MEMBER (BOARD MEMBER) IN DES PERES- THE LINDBERGH SCHOOLS FOUNDATION (DIRECTOR) IN ST. LOUIS- ADVISORY BOARD DES PERES (SECRETARY) IN KIRKWOOD- MARYVILLE UNIVERSITY (MANAGER, HR OPERATIONS) IN ST. LOUIS- LEMAY CHILD AND FAMILY CENTER (EXECUTIVE DIRECTOR) IN ST. LOUIS- METROWEST ANESTHESIA GROUP (ANESTHESIA DEPARTMENT CHAIRMAN) IN ST. LOUIS - ST. LOUIS COUNTY POLICE (PRECINCT COMMANDER) IN WILDWOOD- ST. LOUIS SUBURBAN SCHOOL NURSES ASSOCIATION (PAST PRESIDENT) IN ST. LOUIS- MISSOURI BAPTIST UNIVERSITY (DEAN OF NURSING) IN ST. LOUIS- CREVE COEUR POLICE DEPARTMENT (CAPTAIN) IN CREVE COEUR- COMTREA (RESIDENT ASSISTANT) IN ST. LOUIS- PREVENTED (DIRECTOR OF PREVENTION EDUCATION) IN ST. LOUIS- KIRKWOOD FIRE DEPARTMENT (DEPUTY CHIEF/CMO) IN KIRKWOOD- EVENT EXHIBITS, INC. (OWNER/CEO) IN KIRKWOOD- SAINT LOUIS COUNTY DEPARTMENT OF HEALTH (COMMUNITY HEALTH MANAGER) IN BERKELEY- CIRCLE OF CONCERN (DIRECTOR OF CLIENT SERVICES) IN VALLEY PARK- ROCKWOOD SCHOOL DISTRICT (SUPERVISOR, WELLNESS & HEALTH SERVICES) IN EUREKA- EUREKA POLICE DEPT (POLICE CHIEF) IN EUREKA- JEWISH COMMUNITY CENTER (PRESIDENT & CEO) IN ST. LOUISDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS TO DETERMINE THE MOST CRITICAL NEEDS IN WEST AND SOUTH ST. LOUIS COUNTY, IT WAS DECIDED THAT HOSPITAL WOULD FOCUS ON OBESITY AS A COMMUNITY HEALTH NEED. GROUP A-FACILITY 6 -- BARNES-JEWISH WEST COUNTY HOSPITAL PART V, SECTION B, LINE 6A: MISSOURI BAPTIST MEDICAL CENTERMERCY HOSPITAL ST. LOUIS,MERCY HOSPITAL SOUTH ST. LUKE'S HOSPITAL ST. LUKE'S DES PERES GROUP A-FACILITY 6 -- BARNES-JEWISH WEST COUNTY HOSPITAL PART V, SECTION B, LINE 7D: SEE WWW.BARNESJEWISHWESTCOUNTY.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL. GROUP A-FACILITY 6 -- BARNES-JEWISH WEST COUNTY HOSPITAL PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS TO DETERMINE THE MOST CRITICAL NEEDS IN WEST AND SOUTH ST. LOUIS COUNTY, IT WAS DECIDED THAT HOSPITAL WILL FOCUS ON THE PREVENTION OF OBESITY TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY. HOSPITAL WILL ENGAGE THE ST. LOUIS COUNTY COMMUNITY TO ENROLL COMMUNITY MEMBER IN HEALTHY WEIGHT PROGRAMS AND TRACK RELEVANT STATS. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR. WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE INCLUDE ACCIDENTS/INJURIES; ALCOHOL ABUSE; CANCER; DENTAL CARE; DIABETES; DRUG ABUSE; HEART AND VASCULAR DISEASE; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; VAPING; BEHAVIORAL/MENTAL HEALTH; MATERNAL & INFANT HEALTH; TOBACCO USE. GROUP A-FACILITY 6 -- BARNES-JEWISH WEST COUNTY HOSPITAL PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE. GROUP A-FACILITY 6 -- BARNES-JEWISH WEST COUNTY HOSPITAL PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME GROUP A-FACILITY 6 -- BARNES-JEWISH WEST COUNTY HOSPITAL PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY. GROUP A-FACILITY 7 -- BARNES-JEWISH ST PETERS HOSPITAL, INC. PART V, SECTION B, LINE 5: BARNES JEWISH ST. PETERS HOSPITAL (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, BJC HEALTHCARE, ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. ON JUNE 7, 2021, AN EMAIL INVITATION WAS SENT BY GINA CALDER, PRESIDENT OF BARNES-JEWISH ST. PETERS HOSPITAL AND PROGRESS WEST HEALTHCARE CENTER, TO 24 ST. CHARLES COUNTY COMMUNITY STAKEHOLDERS, INVITING THEM TO PARTICIPATE IN THE SURVEY. 19 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY.- COMMUNITY COUNCIL (EXECUTIVE DIRECTOR) IN ST. PETERS- EDC OF ST. CHARLES (PRESIDENT & CEO) IN ST. PETERS- FORT ZUMWALT SCHOOL DISTRICT (SUPERINTENDENT) IN ST. PETERS-- ST. CHARLES COUNTY DEPT OF PUBLIC HEALTH (EMERG PLANNER) IN ST. CHARLES- UNITED SERVICES FOR CHILDREN (CEO) IN ST. PETERS- UNITED WAY OF GREATER ST. LOUIS (DIR, WEST REGION) IN ST. CHARLES- LUTHERAN HIGH SCHOOL-ST. CHARLES (DIR OF COMM RELATIONS) IN ST. PETERS- ST. LOUIS CRISIS NURSERY (SR. REGIONAL PROGRAM MANAGER) IN ST. CHARLES- CALVARY CHURCH COMMUNITY MINISTRY (PASTOR) IN ST. PETERS- CROSSROADS CLINIC VOLUNTEERS IN MEDICINE (CLINICAL DIR) IN LAKE ST. LOUIS- US HOUSE OF REPRESENTATIVES (DISTRICT DIRECTOR) IN WENTZVILLE- ST. CHARLES CITY-COUNTY PUBLIC LIBRARY (DIR OF ADULT SVCS) IN ST. PETERS- ORCHARD FARM SCHOOL DISTRICT (SUPERINTENDENT) IN ST. CHARLES- AGING AHEAD (COMMUNITY OPTION SPECIALIST) IN 'FALLON- ST. JOACHIM AND ANN CARE SERVICES (EXECUTIVE DIRECTOR) IN ST. CHARLES- LINDENWOOD ATHLETICS (ASST ATHLETIC DIR-SPORTS MEDICINE) IN ST. CHARLES- O'FALLON FIRE PROTECTION DISTRICT (FIRE CHIEF) IN O'FALLON- PREVENTED (COMMUNITY STRATEGIST) IN ST. LOUIS- YOUTH IN NEED (HEALTH MANAGER) IN ST. LOUISDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. GROUP A-FACILITY 7 -- BARNES-JEWISH ST PETERS HOSPITAL, INC. PART V, SECTION B, LINE 6A: SSM HEALTH GROUP A-FACILITY 7 -- BARNES-JEWISH ST PETERS HOSPITAL, INC. PART V, SECTION B, LINE 7D: SEE WWW.BJSPH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL. GROUP A-FACILITY 7 -- BARNES-JEWISH ST PETERS HOSPITAL, INC. PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL WILL FOCUS ITS EFFORTS ON TWO HEALTH NEEDS TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: MENTAL HEALTH AND HEART HEALTH. TO ADDRESS MENTAL HEALTH IN THE COMMUNITY, HOSPITAL PLANS TO WORK MORE CLOSELY WITH AREA RESOURCES TO ALLOW RESIDENTS TO HAVE ACCESS TO MENTAL HEALTH RESOURCES CLOSER TO THEIR HOME. TO ADDRESS BARRIERS TO GOOD HEART HEALTH, HOSPITAL PROVIDES EDUCATION, SCREENINGS FOR MODIFIABLE RISK FACTORS INCLUDING BLOOD PRESSURE AND CHOLESTEROL, AND ACCESS TO HEART HEALTH PROGRAMS IN THE COMMUNITY. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE INCLUDE ACCIDENTS/INJURIES; ALCOHOL/DRUG ABUSE; CANCER; DENTAL CARE; DIABETES; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; OBESITY; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; VAPING; BEHAVIORAL/MENTAL HEALTH; MATERNAL & INFANT HEALTH; TOBACCO USE. GROUP A-FACILITY 7 -- BARNES-JEWISH ST PETERS HOSPITAL, INC. PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE. GROUP A-FACILITY 7 -- BARNES-JEWISH ST PETERS HOSPITAL, INC. PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME. GROUP A-FACILITY 7 -- BARNES-JEWISH ST PETERS HOSPITAL, INC. PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY. GROUP A-FACILITY 9 -- PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 5: PARKLAND HEALTH CENTER OF FARMINGTON AND BONNE TERRE (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN COLLABORATION WITH THE ST. FRANCOIS COUNTY HEALTH DEPARTMENT. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, BJC HEALTHCARE, ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. AN EMAIL INVITATION WAS SENT OUT BY PARKLAND HEALTH CENTER PRESIDENT ANNETTE SCHNABEL BEGINNING ON JUNE 7, 2021, TO 21 ST. FRANCOIS COUNTY COMMUNITY STAKEHOLDERS. 13 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:CITY OF FARMINGTON (CITY ADMINISTRATOR) IN FARMINGTONST. FRANCOIS COUNTY COMMUNITY PARTNERSHIP (EXEC DIR) IN BONNE TERRECOMMUNITY VOLUNTEER RETIRED IN BONNE TERREBISMARK R-5 SCHOOL DISTRICT (SCHOOL COUNSELOR) IN BISMARCKEAST MISSOURI ACTION AGENCY (COMMUNITY SVCS PROG DIR) IN PARK HILLSFARMINGTON R7 SCHOOL DISTRICT (ASSOC SUPERINTENDENT) IN FARMINGTONPRESBYTERIAN CHILDREN'S HOMES & SERVICES (PCHAS) RESOURCE COORD/THERAPIST IN FARMINGTONFARMINGTON FIRE DEPARTMENT (FIRE CAPTAIN) IN FARMINGTONMY TURNING POINT COUNSELING, LLC (LICENSED PROF COUNSELOR) IN FARMINGTONCENTRAL R3 SCHOOL DISTRICT (SCHOOL-BASED SERVICE WORKER) IN FARMINGTONST. FRANCOIS COUNTY HEALTH CENTER (DIRECTOR) IN PARK HILLSST. FRANCOIS COUNTY AMBULANCE DISTRICT (ADMIN/CEO) IN PARK HILLSFARMINGTON SENIOR NUTRITION CENTER (ADMINISTRATOR IN FARMINGTONDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL WORK GROUP FROM PHC AND THE ST. FRANCOIS COUNTY HEALTH DEPARTMENT. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. FRANCOIS COUNTY WHEN COMPARED TO THE STATE. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, IT WAS CONCLUDED THAT HOSPITAL WILL FOCUS ON MENTAL HEALTH/DRUG ABUSE AND THE HEALTH DEPARTMENT WILL PRIMARILY FOCUS ON DIABETES. GROUP A-FACILITY 9 -- PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 6A: PARKLAND HEALTH CENTER BONNE TERRE GROUP A-FACILITY 9 -- PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 6B: ST. FRANCOIS COUNTY HEALTH DEPARTMENT GROUP A-FACILITY 9 -- PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 7D: SEE WWW.PARKLANDHEALTHCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL. GROUP A-FACILITY 9 -- PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, IT WAS DECIDED THAT HOSPITAL WILL FOCUS ON MENTAL HEALTH/DRUG ABUSE BY INCREASING TREATMENT SERVICES FOR MENTAL HEALTH AND SUBSTANCE ABUSE. FOR THOSE WHO RECEIVE MEDICATION ASSISTED TREATMENT FOR SUBSTANCE ABUSE, INCLUDING MOTHERS RECEIVING PRENATAL CARE, INCREASE EDUCATION PROGRAMS AND CHECK IN SESSIONS FOR THOSE IN TREATMENT PLANS. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR. WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE INCLUDE ACCIDENTS/INJURIES; ALCOHOL/DRUG ABUSE; CANCER; DENTAL CARE; DIABETES; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; OBESITY; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; VAPING; BEHAVIORAL/MENTAL HEALTH; MATERNAL & INFANT HEALTH; TOBACCO USE. GROUP A-FACILITY 9 -- PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE. GROUP A-FACILITY 9 -- PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME. GROUP A-FACILITY 9 -- PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY. GROUP A-FACILITY 10 -- PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 5: PROGRESS WEST HEALTHCARE CENTER (HOSPITAL), CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, HOSPITAL, ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. ON JUNE 7, 2021, AN EMAIL INVITATION WAS SENT BY GINA CALDER, PRESIDENT OF BARNES-JEWISH ST. PETERS HOSPITAL AND HOSPITAL, TO 24 ST. CHARLES COUNTY COMMUNITY STAKEHOLDERS, INVITING THEM TO PARTICIPATE IN THE SURVEY. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. SEE LIST OF 19 COMMUNITY STAKEHOLDERS WHO COMPLETED THE SURVEY. - COMMUNITY COUNCIL (EXECUTIVE DIRECTOR) IN ST. PETERSE- DC OF ST. CHARLES (PRESIDENT & CEO) IN ST. PETERS- FORT ZUMWALT SCHOOL DISTRICT (SUPERINTENDENT) IN ST. PETERS- ST. CHARLES COUNTY DEPT OF PUBLIC HEALTH (EMERG PLANNER) IN ST. CHARLES- UNITED SERVICES FOR CHILDREN (CEO) IN ST. PETERS- UNITED WAY OF GREATER ST. LOUIS (DIRECTOR, WEST REGION) IN ST. CHARLES- LUTHERAN HIGH SCHOOL-ST. CHARLES (DIR OF COMM RELATIONS) IN ST. PETERS- ST. LOUIS CRISIS NURSERY (SR. REGIONAL PROGRAM MANAGER) IN ST. CHARLES- CALVARY CHURCH COMMUNITY MINISTRY (PASTOR) IN ST. PETERS- CROSSROADS CLINIC VOLUNTEERS IN MEDICINE (CLIN DIR) IN LAKE ST. LOUIS- US HOUSE OF REPRESENTATIVES (DISTRICT DIRECTOR) IN WENTZVILLE- ST. CHARLES CITY-COUNTY PUBLIC LIBRARY (DIR OF ADULT SVCS) IN ST. PETERS- ORCHARD FARM SCHOOL DISTRICT (SUPERINTENDENT) IN ST. CHARLES- AGING AHEAD (COMMUNITY OPTION SPECIALIST) IN 'FALLON-ST. JOACHIM AND ANN CARE SERVICES (EXECUTIVE DIRECTOR) IN ST. CHARLES- LINDENWOOD ATHLETICS (ASST ATHLETIC DIR-SPORTS MED) IN ST. CHARLES- O'FALLON FIRE PROTECTION DISTRICT (FIRE CHIEF) IN O'FALLON- PREVENTED (COMMUNITY STRATEGIST) IN ST. LOUIS- YOUTH IN NEED (HEALTH MANAGER) IN ST. LOUISDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. CHARLES COUNTY WHEN COMPARED TO THE STATE. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL WILL FOCUS ITS EFFORTS ON TWO HEALTH NEEDS TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: MENTAL HEALTH AND HEART HEALTH. GROUP A-FACILITY 10 -- PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 6A: BARNES-JEWISH ST. PETERS HOSPITAL, INC.; SSM HEALTH GROUP A-FACILITY 10 -- PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 7D: SEE WWW.PROGRESSWEST.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL. GROUP A-FACILITY 10 -- PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL WILL FOCUS ITS EFFORTS ON TWO HEALTH NEEDS TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: MENTAL HEALTH AND HEART HEALTH. TO ADDRESS MENTAL HEALTH IN THE COMMUNITY, HOSPITAL PLANS TO WORK MORE CLOSELY WITH AREA RESOURCES TO ALLOW RESIDENTS TO HAVE ACCESS TO MENTAL HEALTH RESOURCES CLOSER TO THEIR HOME. TO ADDRESS BARRIERS TO GOOD HEART HEALTH, HOSPITAL PROVIDES EDUCATION, SCREENINGS FOR MODIFIABLE RISK FACTORS INCLUDING BLOOD PRESSURE AND CHOLESTEROL, AND ACCESS TO HEART HEALTH PROGRAMS IN THE COMMUNITY. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE INCLUDE ACCIDENTS/INJURIES; ALCOHOL/DRUG ABUSE; CANCER; DENTAL CARE; DIABETES; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; MATERNAL & INFANT HEALTH; OBESITY; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; TOBACCO USE; VAPING. GROUP A-FACILITY 10 -- PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE. GROUP A-FACILITY 10 -- PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME. GROUP A-FACILITY 10 -- PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY. GROUP A-FACILITY 11 -- MISSOURI BAPTIST HOSPITAL OF SULLIVAN PART V, SECTION B, LINE 5: MISSOURI BAPTIST SULLIVAN HOSPITAL (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, HOSPITAL, ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. ON JUNE 7, 2021, AN EMAIL INVITATION WAS SENT BY NATALIE COUNTS ON BEHALF OF TONY SCHWARM, PRESIDENT OF MISSOURI BAPTIST HOSPITAL OF SULLIVAN, TO 24 CRAWFORD COUNTY COMMUNITY STAKEHOLDERS, INVITING THEM TO PARTICIPATE IN THE SURVEY. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. FOLLOWING LIST 11 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY, A MAJORITY OF WHICH WERE AFFILIATED WITH A SCHOOL SYSTEM. - STEELVILLE AMBULANCE DISTRICT (ADMINISTRATOR) IN STEELVILLE- MERAMEC COMMUNITY MISSION (DIRECTOR) IN SULLIVAN- CRAWFORD COUNTY HEALTH DEPT (ADMINISTRATOR) IN STEELVILLE- SPRING BLUFF R-XV (SUPERINTENDENT) IN SULLIVAN- LIFE HOUSE CENTER (EXECUTIVE DIRECTOR) IN SULLIVAN- SULLIVAN HIGH CRAWFORD (PRINCIPAL) IN SULLIVAN- CRAWFORD CO R-1 SCHOOL DISTRICT (LEAD DISTRICT RN) IN BOURBON- BOURBON HIGH SCHOOL (PRINCIPAL) IN BOURBON- CRAWFORD CO R-2 SCHOOL DISTRICT (PRINCIPAL) IN CUBA- SULLIVAN SCHOOL DISTRICT (SUPERINTENDENT) IN SULLIVAN- COMMUNITY VOLUNTEER IN FENTONDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY ANINTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, MBSH IDENTIFIED TWO NEEDS WHERE EFFORTS ARE MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: HEART HEALTH AND DIABETES. GROUP A-FACILITY 11 -- MISSOURI BAPTIST HOSPITAL OF SULLIVAN PART V, SECTION B, LINE 6A: SSM HEALTH IN ST. LOUIS GROUP A-FACILITY 11 -- MISSOURI BAPTIST HOSPITAL OF SULLIVAN PART V, SECTION B, LINE 7D: SEE WWW.MISSOURIBAPTISTSULLIVAN.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CHNA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL. GROUP A-FACILITY 11 -- MISSOURI BAPTIST HOSPITAL OF SULLIVAN PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: HEART HEALTH AND DIABETES. TO ADDRESS BARRIERS TO GOOD HEART HEALTH AND CONTROL OF DIABETES, HOSPITAL PROVIDES EDUCATION, SCREENINGS FOR MODIFIABLE RISK FACTORS INCLUDING BLOOD PRESSURE AND CHOLESTEROL, AND ACCESS TO HEART HEALTH PROGRAMS IN THE COMMUNITY. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE INCLUDE ACCIDENTS/INJURIES; ALCOHOL/DRUG ABUSE; CANCER (BREAST); CANCER (PROSTATE); DENTAL CARE; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; MATERNAL & INFANT HEALTH; MENTAL HEALTH; OBESITY; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; TOBACCO USE/VAPING. GROUP A-FACILITY 11 -- MISSOURI BAPTIST HOSPITAL OF SULLIVAN PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE. GROUP A-FACILITY 11 -- MISSOURI BAPTIST HOSPITAL OF SULLIVAN PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME. GROUP A-FACILITY 11 -- MISSOURI BAPTIST HOSPITAL OF SULLIVAN PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY. GROUP A-FACILITY 12 -- PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 5: PARKLAND HEALTH CENTER OF FARMINGTON AND BONNE TERRE (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN COLLABORATION WITH THE ST. FRANCOIS COUNTY HEALTH DEPARTMENT. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, BJC HEALTHCARE, ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. AN EMAIL INVITATION WAS SENT OUT BY PARKLAND HEALTH CENTER PRESIDENT ANNETTE SCHNABEL BEGINNING ON JUNE 7, 2021, TO 21 ST. FRANCOIS COUNTY COMMUNITY STAKEHOLDERS. 13 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:- CITY OF FARMINGTON (CITY ADMINISTRATOR) IN FARMINGTON- ST. FRANCOIS COUNTY COMMUNITY PARTNERSHIP (EXEC DIR) IN BONNE TERRE- COMMUNITY VOLUNTEER RETIRED IN BONNE TERRE- BISMARK R-5 SCHOOL DISTRICT (SCHOOL COUNSELOR) IN BISMARCK- EAST MISSOURI ACTION AGENCY (COMMUNITY SERVICES PROG DIR) IN PARK HILLS- FARMINGTON R7 SCHOOL DISTRICT (ASSOC SUPERINTENDENT) IN FARMINGTON- PRESBYTERIAN CHILDREN'S HOMES & SERVICES (PCHAS) (RESOURCE COORD/THERAPIST) IN FARMINGTON- FARMINGTON FIRE DEPARTMENT (FIRE CAPTAIN) IN FARMINGTON- MY TURNING POINT COUNSELING, LLC (LICENSED PROF COUNSELOR) IN FARMINGTON- CENTRAL R3 SCHOOL DISTRICT (SCHOOL-BASED SERVICE WORKER) IN FARMINGTON- ST. FRANCOIS COUNTY HEALTH CENTER (DIRECTOR) IN PARK HILLS- ST. FRANCOIS COUNTY AMBULANCE DISTRICT (ADMIN/CEO) IN PARK HILLS- FARMINGTON SENIOR NUTRITION CENTER (ADMINISTRATOR IN FARMINGTON)DURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL WORK GROUP FROM PHC AND THE ST. FRANCOIS COUNTY HEALTH DEPARTMENT. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. FRANCOIS COUNTY WHEN COMPARED TO THE STATE. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, IT WAS CONCLUDED THAT HOSPITAL WILL FOCUS ON MENTAL HEALTH/DRUG ABUSE AND THE HEALTH DEPARTMENT WILL PRIMARILY FOCUS ON DIABETES. GROUP A-FACILITY 12 -- PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 6A: PARKLAND HEALTH CENTER FARMINGTON AND SSM HEALTH IN ST. LOUIS GROUP A-FACILITY 12 -- PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 7D: SEE WWW.PARKLANDHEALTHCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL. GROUP A-FACILITY 12 -- PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, IT WAS DECIDED THAT HOSPITAL WILL FOCUS ON MENTAL HEALTH/DRUG ABUSE BY INCREASING TREATMENT SERVICES FOR MENTAL HEALTH AND SUBSTANCE ABUSE. FOR THOSE WHO RECEIVE MEDICATION ASSISTED TREATMENT FOR SUBSTANCE ABUSE, INCLUDING MOTHERS RECEIVING PRENATAL CARE, INCREASE EDUCATION PROGRAMS AND CHECK IN SESSIONS FOR THOSE IN TREATMENT PLANS. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR. WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE INCLUDE ACCIDENTS/INJURIES; ALCOHOL/DRUG ABUSE; CANCER; DENTAL CARE; DIABETES; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; OBESITY; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; VAPING; BEHAVIORAL/MENTAL HEALTH; MATERNAL & INFANT HEALTH; TOBACCO USE. GROUP A-FACILITY 12 -- PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE. GROUP A-FACILITY 12 -- PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME. GROUP A-FACILITY 12 -- PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY. 169 1 - BJH SITEMAN CANCER CENTER (CAM) 4921 PARKVIEW PLACE ST LOUIS MO 63110 OUTPATIENT CANCER CENTER 2 - BJH SITEMAN CANCER CENTER (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 FAC/PROF SVCS 4 - BJH CENTER FOR OUTPATIENT HEALTH 4901 FOREST PARK AVE VAR SUITES ST LOUIS MO 63108 OUTPATIENT CLINICS 5 - BJH CENTER FOR ADVANCED MED (CAM) 4921 PARKVIEW PLACE ST LOUIS MO 63110 OUTPATIENT CLINICS 6 - BJH CENTER FOR ADVANCED MED (SOUTH) 5201 MIDAMERICA PLAZA VAR SUITES ST LOUIS MO 63129 OP CLINIC, PET & PROF SVCS 7 - BJH ORTHOPEDIC CENTER (OC) 14532 SO OUTER FORTY RD 100 CHESTERFIELD MO 63017 ORTHOPED SURGERY CTR & PROF SVCS 8 - BJH GOLDFARB SCHOOL OF NURSING 4483 DUNCAN AVE ST LOUIS MO 63110 CLINICAL INSTRUCTION 9 - BJH PSYCHIATRIC SUPPORT CTR (PSC) 5355 DELMAR BLVD ST LOUIS MO 63112 IP/OP PSYCH SVCS & SUPPORT CTR 10 - BJH RADIOLOGYLAB AT HIGHLANDS 1110 HIGHLANDS PLZ EAST STE 325 ST LOUIS MO 63110 RADIOLOGY/LAB SVCS OFF SITE 11 - BARNES-JEWISH HOSP INPATOUTPAT 1 PARKVIEW PLACE ST LOUIS MO 63110 IP/OP SERVICES 12 - ADVANCED FAMILY CARE PHARMACY 1234 S KINGSHIGHWAY STE 1900 ST LOUIS MO 63110 PHARMACY SERVICES 13 - THE REHABILITATION INST OF ST LOUIS LLC 4455 DUNCAN AVE ST LOUIS MO 63110 REHABILITATION HOSPITAL SVCS 14 - BJH INVITRO FERTILITY CLIN (IFC) 4444 FOREST PARK BLVD STE 3100 ST LOUIS MO 63108 INFERTILITY OP PROCEDURES; PHYS GROUP 15 - THE HEART CARE INSTITUTE LLC 1020 NORTH MASON ROAD ST LOUIS MO 63141 DIAGNOSTIC CARDIOLOGY 16 - BREAST HEALTH CENTER AT MBMC 3023 N BALLAS ROAD 630 ST LOUIS MO 63131 RADIOLOGY SERVICES 17 - THE CHILD BIRTH CENTER AT MBMC 3023 N BALLAS ROAD 300 ST LOUIS MO 63131 WOMEN'S REPRODUCTIVE HEALTH SVCS 18 - MBMC GIENDOSCOPY 3023 N BALLAS ROAD 550 ST LOUIS MO 63131 GI/ENDOSCOPY SERVICES 19 - MBMC ULTRASOUND 3023 N BALLAS ROAD 450 ST LOUIS MO 63131 ULTRASOUND SERVICES 20 - MBMC FAMILY CARE PHARMACY 3023 N BALLAS ROAD 100 ST LOUIS MO 63131 OP PHARMACY SERVICES 21 - MBMC FAMILY CARE CENTRAL PHARMACY 1234 S KINGSHIGHWAY STE 1500 ST LOUIS MO 63110 OP PHARMACY & IMMUNIZATION SERVICES 22 - MBMC CARDIOVASCULAR DIAGNOSTICS 3023 N BALLAS ROAD 220 ST LOUIS MO 63131 CARDIAC DIAGNOSTIC SERVICES 23 - MBMC SURGICAL PRE TEST LAB & RAD 3009 N BALLAS ROAD 112 115 353 ST LOUIS MO 63131 OUTPATIENT SERVICES 24 - MBMC OUTPATIENT CTR AT SUNSET HILLS 3844 S LINDBERGH BLVD STE 100 130 140 ST LOUIS MO 63127 OP, RAD, CANCER, INFUSION SVCS 25 - MBMC OUTPATIENT LAB 3844 S LINDBERGH BLVD STE 110 ST LOUIS MO 63127 OP, RAD, CANCER, INFUSION SVCS 26 - MBMC EMPLOYED PHYS GROUP - NUTRITION COU 3844 S LINDBERGH BLVD STE 115 ST LOUIS MO 63127 PROFESSIONAL SERVICES 27 - MBMC EMPLOYED PHYS MIDWEST HEMATOLOGYON 3844 S LINDBERGH BLVD STE 130 ST LOUIS MO 63127 PROFESSIONAL SERVICES 28 - MBMC EMPLOYED PHYS MIDWEST HEMATOLOGYON 1103 W LIBERTY STE 4020 FARMINGTON MO 63640 PROFESSIONAL SERVICES 29 - MBMC EMPLOYED PHYS MIDWEST HEMATOLOGYON 800 STE GENEVIEVE DR STE GENEVIEVE MO 63670 PROFESSIONAL SERVICES 30 - MBMC EMPLOYED PHYS MIDWEST HEMATOLOGYON 965 MATTOX DR SULLIVAN MO 63080 PROFESSIONAL SERVICES 31 - MBMC PHYS SVCS MIDWEST HEMATOLOGYON 3844 S LINDBERGH BLVD STE 130 ST LOUIS MO 63127 OP, RAD, CANCER, INFUSION SVCS 32 - MBMC PHYS SVCS SUBURBAN CHEST & SLEEP SP 3009 N BALLAS ROAD STE 315A ST LOUIS MO 63131 PROFESSIONAL SERVICES 33 - MBMC PHYS SVCS GASTROEN CONSULT (CL 823) 3009 N BALLAS ROAD STE 359C ST LOUIS MO 63131 PROFESSIONAL SERVICES 34 - MBMC PHYS SVCS ADVANCED SPINE INST 15838 FOUNTAIN PLAZA DR STE A CHESTERFIELD MO 63017 PROFESSIONAL SERVICES 35 - MBMC PHYS SVCS CARDIOTHORACIC & VASC SUR 3023 N BALLAS ROAD STE 150D ST LOUIS MO 63131 PROFESSIONAL SERVICES 36 - MBMC PHYS SVCS ADV SPINE INST 3009 N BALLAS ROAD STE 320A ST LOUIS MO 63131 PROFESSIONAL SERVICES 37 - MBMC PROF BILL SVCS W COUNTY VASC ASSOC (C 3009 N BALLAS ROAD STE 269C ST LOUIS MO 63131 PROFESSIONAL SERVICES 38 - MBMC PHYS SVCS WEST COUNTY VASCULAR ASSOC 3009 N BALLAS RD STE 269C ST LOUIS MO 63131 PROFESSIONAL SERVICES 39 - MBMC PHYS SVCS WEST COUNTY GEN & LAPAROSCO 3009 N BALLAS RD STE ST LOUIS MO 63131 PROFESSIONAL SERVICES 40 - MBMC PROF BILL SVCS STL ORTHOSP MED 20 PROGRESS POINT PKWY STE 106 ST LOUIS MO 63131 PROFESSIONAL SERVICES 41 - MBMC PROF BILL SVCS STL ORTHOSP MED 3844 S LINDBERGH BLVD STE 125 ST LOUIS MO 63127 PROFESSIONAL SERVICES 42 - MBMC PROF BILL SVCS STL ORTHOSP MED (CL 3 3844 S LINDBERGH BLVD STE 125 ST LOUIS MO 63127 PROFESSIONAL SERVICES 43 - MBMC PROF BILL SVCS STL ORTHOSP MED 965 MATTOX DR SULLIVAN MO 63080 ORTHOPEDIC SERVICES 44 - MBMC PROF BILL SVCS STL ORTHOSP MED 15838 FOUNTAIN PLAZA DR STE A CHESTERFIELD MO 63017 PRPFESSIONAL SERVICES 45 - MBMC PROF BILL SVCS STL ORTHOSP MED 675 OLD BALLAS ROAD STE 100 ST LOUIS MO 63141 PROFESSIONAL SERVICES INCL OP SURG 46 - MBMC PHYS SVCS SUBURBAN SURGICAL ASSOC (CL 555 N NEW BALLAS RD STE 265 ST LOUIS MO 63141 PROFESSIONAL SERVICES INCL OP SURG 47 - MBMC PHYS SVCS STL ORTHOSP MED 15838 FOUNTAIN PLAZA DR STE A CHESTERFIELD MO 63017 PROFESSIONAL SERVICES INCL OP SURG 48 - MBMC PHYS SVCS OP LAB RADIOLOGY 15838 FOUNTAIN PLAZA DR CHESTERFIELD MO 63017 OP LAB, RADIOLOGY AND MAMMOGRAPHY 49 - BREAST HEALTHCARE CENTER MBMC 9450 MANCHESTER RD STE 206 ST LOUIS MO 63119 MAMMOGRAPHY AND LAB SERVICES 50 - MO BAP CANCER & INFUSION CENTER 11652 STUDT AVENUE ST LOUIS MO 63141 OUTPATIENT RADIATION & INFUSION CTR 51 - MO BAP PHYS SVCS STL GYNECOLOGY & ONCOLO 11652 STUDT AVENUE ST LOUIS MO 63141 PHYSICIAN SERVICES 52 - NORTHWEST HEALTHCARE (CHNENW) 1225 GRAHAM ROAD FLORISSANT MO 63031 IP/OP,PROF SVCS 53 - CHNENW OUTPATIENT (VAR SUITES) 1255 GRAHAM ROAD FLORISSANT MO 63031 IP/OP LAB AND PHYSICIAN SERVICES 54 - GRAHAM MED CENTER I-(VAR) 1150 GRAHAM ROAD FLORISSANT MO 63031 OUTPATIENT THERAPY 55 - PAUL F DIETRICH BLDG - VAR 11125 DUNN ROAD ST LOUIS MO 63136 OP SENIOR PSYCHIATRIC SERVICES 56 - CH POB #2 - VAR SUITES 11125 DUNN ROAD ST LOUIS MO 63136 OP CANCER, WOUND CARE, RETAIL PHARM 57 - CH POB #1 - VAR SUITES 11155 DUNN ROAD ST LOUIS MO 63136 OP PAIN MGMT, RAD ONC, DIABETES CTR 58 - FAMILY CARE PHARMACY AT CHRISTIAN HOSP 11125 DUNN ROAD ST LOUIS MO 63136 OP PHARMACY SERVICES 59 - ST LOUIS CARDIOLOGY CONSULTANTS 11125 DUNN ROAD STE 204 ST LOUIS MO 63136 OP PHARMACY SERVICES 60 - CH OUTPATIENT LAB 201 BJC SAINT PETERS DR STE 120 ST PETERS MO 63376 OUTPATIENT LABORATORY 61 - CHRISTIAN EXTENDED CARE & REHAB 11160 VILLAGE NORTH DRIVE ST LOUIS MO 63136 SKILLED NURSING FACILITY 62 - PROTESTANT MEMORIAL MED CENTER 310 N SEVEN HILLS ROAD OFALLON IL 62269 OP SLEEP & LAB 63 - PROTESTANT MEMORIAL MED CENTER 200 ADMIRAL TROST ROAD STE 1B COLUMBIA IL 62236 OP LAB / RADIOLOGY 64 - PROTESTANT MEMORIAL MED CENTER MEM CARE CE 4315 MEMORIAL DRIVE BELLEVILLE IL 62226 SKILLED NURSING FACILITY 65 - PROTESTANT MEMORIAL MED CENTER 4700 MEMORIAL DRIVE STE 150 BELLEVILLE IL 62226 OP SPEECH & OCC THERAPY 66 - PROTESTANT MEMORIAL MED CENTER 4319 MEMORIAL DRIVE BELLEVILLE IL 62226 OP BEHAV HEALTH 67 - PROTESTANT MEMORIAL MED CENTER 4600 MEMORIAL DRIRVE STE 160 BELLEVILLE IL 62226 OP WOUND CARE 68 - PROTESTANT MEMORIAL MED CENTER 4600 MEMORIAL DRIRVE STE 180 BELLEVILLE IL 62226 OP VASCULAR SVCS 69 - PROTESTANT MEMORIAL MED CENTER 4600 MEMORIAL DRIRVE STE W2 BELLEVILLE IL 62226 OP CARDIAC TESTING 70 - PROTESTANT MEMORIAL MED CENTER 4700 MEMORIAL DRIRVE STE 230 BELLEVILLE IL 62226 OP PAIN MGMT 71 - PROTESTANT MEMORIAL MED CENTER 4700 MEMORIAL DRIRVE STE 100 BELLEVILLE IL 62226 OP IMAGING 72 - PROTESTANT MEMORIAL MED CENTER 4700 MEMORIAL DRIRVE STE 330 BELLEVILLE IL 62226 OP PHYSICAL THERAPY 73 - PROTESTANT MEMORIAL MED CENTER 4700 MEMORIAL DRIRVE STE 335 BELLEVILLE IL 62226 OP IMAGING 74 - PROTESTANT MEMORIAL MED CENTER 4 MEMORIAL DRIVE SUITE 132 ALTON IL 62002 OP INFUSION 75 - PMMCI MEMORIAL SHILOH DIAG IMAGING 1414 CROSS STREET STE 130 SHILOH IL 62269 DIAGNOSTIC IMAGING 76 - PMMCI MEMORIAL SHILOH OP LAB 1414 CROSS STREET STE 120 SHILOH IL 62269 LABORATORY TESTING SVCS 77 - PMMCI MEMORIAL SHILOH OP REHAB 1414 CROSS STREET STE 310 SHILOH IL 62269 REHABILITATION SERVICES 78 - PMMCI MEMORIAL SHILOH RAD ONC 1418 CROSS STREET STE 160 SHILOH IL 62269 RADIATION ONCOLOGY 79 - PMMCI MEMORIAL SHILOH OP LAB 1418 CROSS STREET STE 170 SHILOH IL 62269 LABORATORY TESTING SVCS 80 - PMMCI MEMORIAL SHILOH OP BREAST HEALTH 1418 CROSS STREET STE 220 SHILOH IL 62269 BREAST HEALTH SERVICES 81 - THE REHAB INST OF SO ILLINOIS LLC 2351 FRANK SCOTT PKWY E SHILOH IL 62269 REHABILITATION HOSPITAL SVCS 82 - ST LOUIS CHILD HOSP AFTER HOURS 12436 TESSON FERRY RD ST LOUIS MO 63128 OP SERVICES, LAB & RADIOLOGY 83 - ST LOUIS CHILD HOSP AFTER HOURS 12436 TESSON FERRY RD ST LOUIS MO 63128 PHYSICIAN SERVICES 84 - ST LOUIS CHILD HOSP PSYCHOL SVCS 13001 N OUTER FORTY RD STE 2B CHESTERFIELD MO 63017 PEDIATRIC MENTAL HEALTH 85 - ST LOUIS CHILD SPEC CARE CENTER 13001 N OUTER FORTY RD STE 2D CHESTERFIELD MO 63017 MEDICAL,AUDIOLOGY,OP SVCS 86 - ST LOUIS CHILDRENS HOSP OUTPATIENT 1 PROGRESS POINT PKWY STE 120 OFALLON MO 63368 OUTPATIENT THERAPY 87 - ST LOUIS CHILD SPEC CARE PHARMACY 13001 NORTH OUTER FORTY RD CHESTERFIELD MO 63017 OUTPATIENT PHARMACY 88 - ST LOUIS CHILD SPEC CARE CENTER SOUTH 5114 MID AMERICA PLAZA STE 1A ST LOUIS MO 63129 AMBULATORY SURG/OP INFUSION 89 - ST LOUIS CHILD SPEC CARE CENTER SOUTH 5114 MID AMERICA PLAZA STE 2A ST LOUIS MO 63129 OP LAB DRAWS AND TESTING 90 - ST LOUIS CHILD SPEC CARE CENTER SOUTH 5114 MID AMERICA PLAZA STE 3C ST LOUIS MO 63129 PEDIATRIC PSYCH HEALTH 91 - ST LOUIS CHILD SPEC CARE CENTER SOUTH 5114 MID AMERICA PLAZA STE 1C ST LOUIS MO 63129 OP IMAGING, MRI,IMAGING 92 - ST LOUIS CHILD SPEC CARE CENTER SOUTH 5114 MID AMERICA PLAZA STE 1B ST LOUIS MO 63129 SPECIALTY CARE PHARMACY 93 - ST LOUIS CHILD SPEC CARE CENTER SOUTH 5114 MID AMERICA PLAZA STE 3B ST LOUIS MO 63129 OP EEG, AUDIOLOGY 94 - ST LOUIS CHILD SPEC CARE CENTER SOUTH 5114 MID AMERICA PLAZA STE 2B ST LOUIS MO 63129 OP PT/OT/SPEECH THERAPY 95 - ST LOUIS CHILD OP THERAPY 1224 GRAHAM RD STE 2006 FLORISSANT MO 63031 OUTPATIENT THERAPY 96 - ST LOUIS CHILD SPEC CARE DENTAL 13001 NORTH OUTER FORTY RD CHESTERFIELD MO 63017 DENTAL SERVICES 97 - CHILDREN'S ILLINOIS INC 2122 TROY ROAD STE 120 EDWARDSVILLE IL 62025 OUTPATIENT THERAPY 98 - ALTON MEMORIAL REHAB & THERAPY 1251 COLLEGE AVE ALTON IL 62002 SKILLED NURSING FACILITY 99 - ALTON NORTH REHABILITATION 226 REGIONAL DRIVE ALTON IL 62002 ORTHO/SPORTS REHAB 100 - BETHALTO REHABILITATION 155 E BETHALTO DRIVE BETHALTO IL 62010 OP REHAB 101 - ALTON MEMORIAL HOSPITAL OP DRAW SITE 163 E BETHALTO DRIVE BETHALTO IL 62010 OP LAB DRAW SITE 102 - ALTON MEMORIAL HOSP OP CANCER FOUR MEMORIAL DRIVE SUITE 132 ALTON IL 62002 RADIATION ONCOLOGY SVCS 103 - ALTON MEMORIAL HOSP OP RAD SIX MEMORIAL DRIVE ALTON IL 62002 OUTPATIENT RADIATION ONC 104 - ALTON MEMORIAL OP PAIN MGMT TWO MEMORIAL DRIVE STE 103 ALTON IL 62002 OUTPATIENT PAIN MGMT 105 - ST LOUIS CARDIOLOGY CONSULTANTS 2 MEMORIAL DRIVE STE 122 ALTON IL 62002 PROFESSIONAL PRACTICE 106 - ST LOUIS CARDIOLOGY CONSULTANTS 4500 MEMORIAL DR BELLEVILLE IL 62226 PROFESSIONAL PRACTICE 107 - ALTON MEMORIAL HOSPITAL OP NEURO FOUR MEMORIAL DRIVE SUITE 230 ALTON IL 62002 OUTPATIENT NEURODIAGNOSTICS 108 - ALTON PHYSICIAN MULTISPECIALISTS ONE PROFESSIONAL DR VAR SUITES ALTON IL 62002 PROFESSIONAL PRACTICE GROUP SVCS 109 - PARKLAND THERAPY SERVICES 1280 DOCTORS DRIVE FARMINGTON MO 63640 PHY, OCC AND SPEECH THERAPY 110 - FAMILY CARE PHARM AT PARKLAND HEALTH CTR 1101 W LIBERTY STREET STE 1001 FARMINGTON MO 63640 PHARMACY, MASS IMMUNIZATION SVCS 111 - PARKLAND HEALTH CENTER RURAL HEALTH 1103 W LIBERTY ST FARMINGTON MO 63640 RURAL HEALTH CLINIC & PHYS SERVICES 112 - PARKLAND CONVENIENT CARE 534 MAPLE VALLEY DRIVE FARMINGTON MO 63640 COMMUNITY CARE CLINIC 113 - PARKLAND HEALTH CENTER OP ONCOLOGY 1103 W LIBERTY ST SUITE 4020 FARMINGTON MO 63640 OUTPATIENT ONCOLOGY SERVICES 114 - BJSPH OP THERAPY 70 JUNGERMAN CIR SUITE 304 ST PETERS MO 63376 OUTPATIENT THERAPY 115 - BJSPH SLEEP LAB 70 JUNGERMAN CIR SUITE 303 ST PETERS MO 63376 SLEEP LAB 116 - BJSPH INFUSION 70 JUNGERMAN CIR SUITE 102 ST PETERS MO 63376 SLEEP LAB 117 - BJSPH OP PERIOPERATIVE SVCS 6 JUNGERMAN CIR SUITE 107 ST PETERS MO 63376 OP PERIOPERATIVE SVCS 118 - BJSPH OP NEUROSURGERY 100 ENTRANCE WAY ST PETERS MO 63376 OP SURGERY 119 - SITEMAN CANCER CENTER AT BJSPH 150 ENTRANCE WAY ST PETERS MO 63376 OUTPAT RADIATION & ONCOL 120 - BENRUS SURGICAL AT BJSPH 70 JUNGERMANN CIRCLE STE 405 ST PETERS MO 63376 OP SERVICES 121 - BENRUS SURGICAL AT BJSPH 20 PROGRESS POINT PKWY STE 106 OFALLON MO 63368 OUTPATIENT SERVICES 122 - BJWCH SPORTS THERAPY & REHAB (STAR) 1044 N MASON STE 220 ST LOUIS MO 63141 PHYSICAL THERAPY 123 - SPORTS THERAPY & REHAB (STAR) 14532 S OUTER FORTY SUITE 120 CHESTERFIELD MO 63017 PHYSICAL THERAPY 124 - SPORTS THERAPY & REHAB (STAR) 5201 MIDAMERICA PLAZA SUITE 2100 ST LOUIS MO 63129 PHYSICAL THERAPY 125 - BJWC OP RADIOLOGY 969 N MASON STE 100 ST LOUIS MO 63141 OP RADIOLOGY 126 - BJWC SLEEP DISORDERS LAB 969 N MASON STE 260 ST LOUIS MO 63141 SLEEP LAB 127 - BJWC PAIN MANAGEMENT CENTER 1044 N MASON RD STE L30 ST LOUIS MO 63141 PAIN MANAGEMENT 128 - BJWC OUTPATIENT RAD THERAPY 1044 N MASON RD STE 120 220 ST LOUIS MO 63141 OUTPATIENT RADIOLOGY 129 - BJWC NUTRITION COUNSELING 1040 N MASON STE 212 ST LOUIS MO 63141 NUTRITION COUNSELING 130 - BJWC OP LAB VASCULAR LAB 1020 N MASON STE 120 220 ST LOUIS MO 63141 OUTPATIENT LAB & VASCULAR SVCS 131 - BJWC RAD ONCOLOGY (SITEMAN) 10 BARNES WEST DRIVE STE 101 ST LOUIS MO 63141 RADIATION ONCOLOGY 132 - BJWC RADIOLOGY 10 BARNES WEST DRIVE STE 202 ST LOUIS MO 63141 OUTPATIENT RADIOLOGY 133 - BJWC OUTPATIENT SVCS 10 BARNES WEST DRIVE STE 201 ST LOUIS MO 63141 OUTPATIENT SVCS 134 - BJWC AMBULATORY SURG CENTER 450 N NEW BALLAS RD STE 130 ST LOUIS MO 63141 SURGICAL SERVICES 135 - PROGRESS WEST HOSP OUTPATIENT CTR 2630 HIGHWAY K OFALLON MO 63366 OP RAD, PT, WOUND CARE 136 - PROGRESS WEST HOSP OUTPATIENT CTR 20 PROGRESS POINT PKWY STE 108 OFALLON MO 63366 OP RADIOLOGY 137 - PROGRESS WEST HOSP OUTPATIENT CTR 1520 WENTZVILLE PKWY STE 200 WENTZVILLE MO 63385 OP DIAGNOSTICS 138 - MO BAPTIST BOURBON MEDICAL OFFICE 240 COLLEGE SUITE 100 BOURBON MO 65441 RURAL HEALTH CLINIC 139 - MO BAPTIST BOURBON MEDICAL OFFICE 240 COLLEGE SUITE 100 BOURBON MO 65441 NON-RURAL HEALTH CLINIC 140 - MO BAPTIST CUBA MEDICAL OFFICE 102 OZARK STREET STE B CUBA MO 65453 RURAL HEALTH CLINIC 141 - MO BAPTIST CUBA MEDICAL OFFICE 102 OZARK STREET STE B CUBA MO 65453 PHYS PRACTICE HEALTH CLINIC 142 - MO BAPTIST STEELEVILLE MED OFFICE 510 W MAIN STREET STEELEVILLE MO 65565 RURAL HEALTH CLINIC 143 - MO BAPTIST SULLIVAN MED OFFICE 965 MATTOX DR SULLIVAN MO 63080 RURAL HEALTH CLINIC 144 - MO BAPTIST SULLIVAN MED OFFICE 965 MATTOX DR SULLIVAN MO 63080 NON-RURAL HEALTH CLINIC 145 - MO BAPTIST SULLIVAN THERAPY & WELLNESS 975 MATTOX DR SULLIVAN MO 63080 OUTPATIENT THERAPY SERVICES 146 - BJC HOME CARE SERVICES 670 MASON RIDGE CENTER DR STE 300 ST LOUIS MO 63141 HOME HEALTH, DME & HOSPICE SVCS 147 - BJC HOME CARE SERVICES 4600 MEMORIAL DR SUITE B310 BELLEVILLE IL 62226 HOME MED EQUIP & RESP THER 148 - BJC HOME CARE SERVICES 1000 N MASON ROAD ST LOUIS MO 63141 HOSPICE SVCS 149 - BJC HOME CARE SERVICES 301 N WASHINGTON ST FARMINGTON MO 63640 HOME MEDICAL EQUIPMENT 150 - BJC HOME CARE SERVICES 2220 S STATE ROUTE 157 STE 300 GLEN CARBON IL 62034 HOSPICE SVCS 151 - BJC HOME CARE SERVICES 2220 S STATE ROUTE 157 STE 300 GLEN CARBON IL 62034 HOME HEALTH 152 - BJC HOME CARE PHARMACY 1935 BELTWAY DRIVE ST LOUIS MO 63114 DURABLE MEDICAL EQUIP; SUPPLIES 153 - BJC HOME CARE SULLIVAN 113 PROGRESS PARKWAY SULLIVAN MO 63080 HOME HEALTH 154 - BJC HOSPICE SULLIVAN 113 PROGRESS PARKWAY SULLIVAN MO 63080 HOSPICE 155 - BJC HOME CARE - FARMINGTON 757 WEBER RD FARMINGTON MO 63640 HOME HEALTH,DME 156 - BJC HOSPICE - FARMINGTON 757 WEBER RD FARMINGTON MO 63640 HOSPICE 157 - BJC BEHAVIORAL HEALTH 3309 S KINGSHIGHWAY ST LOUIS MO 63139 CERTIFIED COMMUNITY BEH HLTH ORG 158 - BJC BEHAVIORAL HEALTH STL 6763 PAGE AVE ST LOUIS MO 63133 MENTAL HEALTH SUBS ABUSE COUNSEL 159 - BJC BEHAVIORAL HEALTH CENTRAL 3309 S KINGSHIGHWAY ST LOUIS MO 63139 MENTAL HEALTH & PHARMACY SVCS 160 - BJC BEHAVIORAL HEALTH NORTH 1150 GRAHAM ROAD STES 101 102 ST LOUIS MO 63031 MENTAL HEALTH SUBS ABUSE COUNSEL 161 - BJC BEHAVIORAL HEALTH NORTH 1150 GRAHAM ROAD STES 101 ST LOUIS MO 63031 PHARMACY SERVICES 162 - BJC BEHAVIORAL HEALTH SOUTH 11102 LINDBERGH BUS COURT ST LOUIS MO 63123 MENTAL HEALTH EMPL ASSIST COUNSEL 163 - BJC BEHAVIORAL HEALTH SOUTH 11102 LINDBERGH BUS COURT ST LOUIS MO 63123 CERTIFIED COMMUNITY BEH HLTH ORG 164 - BJC BEHAVIORAL HEALTH SOUTHEAST & PHARM 1085 MAPLE FARMINGTON MO 63640 MENTAL HEALTH AND PHARMACY SVCS 165 - BJC BEHAVIORAL HEALTH SOUTHEAST FRIENDS 657 WALTON DRIVE FARMINGTON MO 63640 MENTAL HEALTH-FRIENDS IN ACTION 166 - BJC BEHAVIORAL HEALTH PARKLAND PHARMACY 1101 W LIBERTY STREET STE 1001 FARMINGTON MO 63640 MENTAL HEALTH SUBS ABUSE SVCS 167 - BARNESCARE (WESTPORT) 11501 PAGE SERVICE DR ST LOUIS MO 63146 OCC MED & AMBULATORY CARE CTR 168 - BARNESCARE (ST PETERS) 4601 EXECUTIVE CENTRE PKWY ST PETERS MO 63376 OCC MED & AMBULATORY CARE CTR 169 - BJC CORP HEALTH SERVICES 5000 MANCHESTER AVENUE ST LOUIS MO 63110 OCC MED & AMBULATORY CARE CTR 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 AND PROTESTANT MEMORIAL MEDICAL CENTER, INC. (DBA MEMORIAL HOSPITAL BELLEVILLE AND MEMORIAL HOSPITAL EAST IN SHILOH) 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 20% OF THE PATIENT'S ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD. A SIMILAR FINANCIAL ASSISTANCE POLICY APPLIES TO MEDICALLY NECESSARY HEALTHCARE SERVICES RENDERED BY BJC EMPLOYED PHYSICIANS AND QUALIFYING HOME CARE SERVICES. PART I, LINE 6A: BJC HEALTH SYSTEM (EIN 43-1617558) PREPARES A WRITTEN ANNUAL COMMUNITY BENEFIT REPORT ON BEHALF OF ALL HOSPITALS WHICH DESCRIBES PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY BJC HOSPITALS AND HOSPITAL SERVICES 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 3C 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.CALCULATONS FOR OTHER COMMUNITY BENEFITS REPORTED ON SCHEDULE H, PART I, LINES 7E-7I VARY BY LINE ITEM AND ARE GENERALLY CONSISTENT WITH THE WORKSHEETS PROVIDED IN IRS INSTRUCTIONS. DATA IS GATHERED BY BJC COMMUNITY BENEFITS LIASONS AND ENTERED INTO CBISA SOFTWARE. LINE ITEM DOCUMENTATION OF OTHER COMMUNITY BENEFITS IS SUBJECT TO BJC INTERNAL AUDIT PROCEDURES AND BACK UP FILES ARE RETAINED AT EACH HOSPITAL SITE. ONCE REVIEWED AND APPROVED BY THE COMMUNITY BENEFITS MANAGER, THE AMOUNTS ARE ADDED TO IRS FORM 990, SCHEDULE H. 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 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 = $ 6,585,528,471 WHICH EXCLUDES THE ALLOCABLE SHARE OF JOINT VENTURE BAD DEBT EXPENSES OF $148,494 FOR 2023. 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 2023, SUBSIDIZED HEALTH SERVICES PROVIDED THROUGH THESE PHYSICIAN PRACTICES GENERATED LOSSES OF $72,580,640. 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 10 YEARS, BJC HAS CHANNELED RESOURCES AND OUTREACH HEALTH SERVICES TO RESIDENTS IN THE ZIP CODES IN THE REGION THAT HAVE THE POOREST HEALTH STATISTICS AND OUTCOMES. PART III, LINE 2: NET PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, AND NET PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED PRIMARILY ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, ALONG WITH THE AGING STATUS FOR EACH MAJOR PAYOR SOURCE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF BJC'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED, THUS, A PROVISION IS RECORDED FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO THESE PATIENTS. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH BJC'S POLICIES, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS. BJC RECORDS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. BAD DEBTS REPRESENT THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS REPORTED IN BJC'S AUDITED FINANCIAL STATEMENTS FOR 2023. SEE ALSO FOOTNOTE TO THE AUDITED FINANICAL STATEMENTS. 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. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT OF THE REGISTRATION, BILLING OR COLLECTION PROCESSES. 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 HAVE QUALIFIED FOR FINANCIAL ASSISTANCE, YET WERE UNWILLING TO COMPLETE THE APPLICATION PROCESS. PART III, LINE 4: BJC HEALTHCARE (BJC) BAD DEBT EXPENSE IS INCLUDED IN THE PATIENT SERVICE REVENUE, OTHER OPERATING REVENUE AND UNCOMPENSATED CARE FOOTNOTE 2 TO ITS CONSOLIDATED FINANCIAL STATEMENTS WHICH BEGINS ON PAGE 15 OF THE CONSOLIDATED FINANCIAL STATEMENTS ATTACHED HERETO. 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 SHORTFALL IS CONSIDERED ADDITIONAL BENEFIT TO THE COMMUNITIES SERVED. 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 = 4.6M. BJC'S SECONDARY SERVICE AREA INCLUDES 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 = 17.5M. BJC HOSPITALS LOCATED WITHIN ALL SERVICE AREAS INCLUDE ALTON MEMORIAL HOSPITAL, BARNES-JEWISH HOSPITAL, ST. LOUIS CHILDREN'S HOSPITAL, PROTESTANT MEMORIAL MEDICAL CENTER (BELLEVILLE AND SHILOH LOCATIONS), THE REHABILITATION INSTITUTE OF ST. LOUIS, 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, AND PARKLAND HEALTH CENTER (FARMINGTON AND BONNE TERRE LOCATIONS). 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 2023, MORE THAN 7,000 PHYSICIANS WERE ACTIVE MEMBERS OF THE MEDICAL STAFFS OF ALL BJC HOSPITALS. OF THE TOTAL PHYSICIANS, APPROXIMATELY 2,700 ARE FACULTY MEMBERS OF THE WUSM.GOVERNING BODY - BJC IS GOVERNED BY A BOARD OF DIRECTORS (BOARD) WITH 19 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, AND THE CHANCELLOR AND EXECUTIVE VICE CHANCELLOR OF WASHINGTON UNIVERSITY. 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 FORMED 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 $7.0 BILLION, BJC SERVES URBAN, SUBURBAN AND RURAL COMMUNITIES THROUGH 12 HOSPITAL FACILITIES 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 WASHINGTON UNIVERSITY MEDICAL CENTER 4400 CHOUTEAU AVE ST LOUIS MO 63110 237060605 501(C)(3) 862641 0 SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE BJH COMMUNITIES MISSOURI YOUTH SOCCER ASSOCIATION 926 HEMSATH DRIVE SUITE 102 ST CHARLES MO 63303 431282394 501(C)(3) 25000 0 SUPPORT THE YOUTH OF MISSOURI WITH THE GAME OF SOCCER MONROE COUNTY HEALTH DEPARTMENT 1315 JAMIE LANE WATERLOO IL 62298 386004873 25000 0 SUPPORT IN HOSPITAL PREPAREDNESS CAPITAL REGION MEDICAL CENTER 1125 MADISON STREET JEFFERSON CITY MO 65101 440546366 501(C)(3) 14400 0 SUPPORT IN HOSPITAL PREPAREDNESS ANDERSON HOSPITAL 6800 STATE ROUTE 162 MARYVILLE IL 62062 370662561 501(C)(3) 10463 0 SUPPORT IN HOSPITAL PREPAREDNESS ST CHARLES SCHOOL DISTRICT FOUNDATION 2400 ZUMBEHL ROAD ST CHARLES MO 63301 431678771 501(C)(3) 10000 0 SUPPORT EDUCATIONAL PROGRAMS TO PROMOTE GROWTH IN HIGH SKILL AND DEMANDING JOBS. MEMORIAL HOSPITAL 1900 STATE ST CHESTER IL 62233 376020801 501(C)(3) 8200 0 SUPPORT IN HOSPITAL PREPAREDNESS THOMAS H BOYD MEMORIAL HOSPITAL 800 SCHOOL ST CARROLLTON IL 62016 370673461 501(C)(3) 8063 0 SUPPORT IN HOSPITAL PREPAREDNESS FAYETTE COUNTY HEALTH DEPARTMENT 416 WEST EDWARDS ST VANDALIA IL 62471 376000800 7675 0 SUPPORT IN HOSPITAL PREPAREDNESS CYSTIC FIBROSIS FOUNDATION 4550 MONTGOMERY AVE SUITE 1100N BETHESDA MD 20814 131930701 501(C)(3) 6500 0 SUPPORT PROGRAMS AND RESEARCH FOR CYSTIC FIBROSIS GIRLS ON THE RUN ST LOUIS 3155 SUTTON BLVD SUITE 101 MAPLEWOOD MO 63143 260059677 501(C)(3) 6250 0 SUPPORT PROGRAMS FOR GIRLS TO BE JOYFUL, HEALTHY AND CONFIDENT SAINT LOUIS ZOO ASSOCIATION ONE GOVERNMENT DRIVE ST LOUIS MO 63110 431727309 501(C)(3) 6250 0 SUPPORT THE COMMUNITY IN ANIMAL MANAGEMENT, RESEARCH, AND EDUCATIONAL PROGRAMS. VISION ST CHARLES COUNTY LEADERSHIP PROGRAM INC 3900 SHADY SPRINGS LANE ST PETERS MO 63376 431829591 501(C)(3) 6000 0 SUPPORT LEADERSHIP PROGRAMS IN THE COMMUNITY O'FALLON CHAMBER OF COMMERCE 2145 BRYAN VALLEY COMMERCIAL DR OFALLON MO 63366 431508082 501(C)(6) 5750 0 SUPPORT AREA BUSINESS AND DEVELOPMENT OF IDEAS AND ECONOMIC EXCHANGES. 13 1 FEDERAL GRANTS - PELL GRANTS & FSEOG & SCHOLARSHIPS 559 2650097 MEDICAL TRANSPORTATION-SW AIRLINES 214 42800 FMV AIRLINE TICKET VOUCHERS FOR PATIENT TRANSPORTATION PART I, LINE 2: DURING 2023, 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 0 0 BJC LIEKWEG RICHARD PRESIDENT, DIRECTOR 1342874 0 2254940 0 44878 0 94764 0 390108 0 4127564 0 292500 0 BJC BARTO NICK SR. VP,CFO, TREASURER 1204678 0 820515 0 65364 0 30270 0 182733 0 2303560 0 0 0 BJH CANNON ROBERT W DIRECTOR 995714 0 789353 0 33797 0 136728 0 160137 0 2115729 0 75380 0 AMH MAGRUDER JOAN DIRECTOR 994110 0 713697 0 29984 0 129964 0 164315 0 2032070 0 0 0 BJH LYNCH JOHN MD PRESIDENT, DIRECTOR 1206568 0 0 0 138351 0 0 0 0 0 1344919 0 0 0 BJC KRAINIK ANDREW J MD PHYSICIAN 1038181 0 61240 0 973 0 48179 0 17437 0 1166010 0 0 0 BJSPH FOX JERRY DIRECTOR 670468 0 374588 0 28006 0 52705 0 115089 0 1240856 0 0 0 BJCCHS TISCHLER JACKIE PRESIDENT, DIRECTOR 629874 0 420304 0 20694 0 31894 0 104938 0 1207704 0 0 0 BJC THOMAS JOSEPH VP/CHIEF INVEST OFFICER 541824 0 481363 0 4620 0 83128 0 69817 0 1180752 0 0 0 BJC TERRACE SARAH E SR. VP,GENERAL COUNSEL,SEC'Y 731434 0 269375 0 23054 0 92553 0 114352 0 1230768 0 27844 0 BJC THEODOS GUS MD PHYSICIAN 887256 0 130199 0 867 0 0 0 9959 0 1028281 0 0 0 BJC GRIMSHAW CHARLES MD PHYSICIAN 981829 0 27798 0 1608 0 27155 0 16606 0 1054996 0 0 0 BJC SEWALL DAVID J MD PHYSICIAN 843359 0 88097 0 5852 0 0 0 12257 0 949565 0 0 0 BJC O'BERT ROBERT J MD PHYSICIAN 866792 0 65323 0 561 0 43513 0 16534 0 992723 0 0 0 PWHC KHAN CHAUDHARY MD DIRECTOR 828831 0 54908 0 2343 0 70955 0 11325 0 968362 0 0 0 SLCH LOLLO TRISH PRESIDENT, DIRECTOR 597920 0 258193 0 3767 0 40510 0 65558 0 965948 0 0 0 PMMCI MOOSA HANS MD DIRECTOR 53210 700983 0 46368 0 7184 0 0 229 12398 53439 766933 0 0 PGLC POGUE DOUGLAS MD PRESIDENT & MANAGER 606661 0 185382 0 5032 0 103883 0 75490 0 976448 0 0 0 BJSPH WATTS CHRIS FORMER PRES,DIR TERM 2/21 552521 0 167335 0 2877 0 45270 0 63131 0 831134 0 0 0 PHC KIRKLEY SCOTT D MD DIRECTOR 596630 0 86252 0 831 0 45404 0 17301 0 746418 0 0 0 BJCHOME PETERS LEWIS ANGELLEEN DIRECTOR 525943 0 147648 0 4744 0 39449 0 59857 0 777641 0 0 0 PWHC HINDUPUR SANDEEP MD DIRECTOR 540919 0 51446 0 561 0 27615 0 2213 0 622754 0 0 0 PMMCI MCMANUS MICHAEL PRESIDENT, DIRECTOR 388244 0 188013 0 5794 0 0 0 48495 0 630546 0 9887 0 PHC BORCHERS KIMERLY MD DIRECTOR 552586 0 27446 0 561 0 26632 0 14683 0 621908 0 0 0 CH STEVENS RICK L PRESIDENT, DIRECTOR 376311 0 174636 0 3307 0 47709 0 50320 0 652283 0 0 0 BJSPH CALDER GINA PRESIDENT, DIRECTOR 423104 0 129125 0 1051 0 18303 0 50893 0 622476 0 1705 0 MBMC ABAD ANN PRESIDENT, DIRECTOR 422330 0 114836 0 15119 0 117273 0 56547 0 726105 0 0 0 MBHS JACKSON THOMAS MD DIRECTOR 468277 0 56598 0 19591 0 35438 0 13829 0 593733 0 0 0 AMH BRAASCH DAVID ALAN PRESIDENT, DIRECTOR 371616 0 150949 0 8812 0 0 0 47570 0 578947 0 37712 0 SLCH MCKEE MICHELE VICE PRESIDENT, FINANCE 365808 0 129746 0 2433 0 73397 0 44616 0 616000 0 0 0 MBMC COLLINS CHERESE MD DIRECTOR 422435 0 36919 0 2591 0 42083 0 14875 0 518903 0 0 0 BJWCH PATTERSON GREG PRESIDENT, DIRECTOR 356882 0 99930 0 3055 0 77212 0 47848 0 584927 0 0 0 PWHC LAWSON ELIZABETH FORMER VP, FINANCE TERM 6/21 338836 0 99276 0 3115 0 93330 0 49282 0 583839 0 0 0 CHC ENGSTROM CHAD SECRETARY, TREASURER BEG 1/23 351480 0 70285 0 2472 0 29704 0 48722 0 502663 0 0 0 CII LABLANCE GARY DIRECTOR 289710 0 115895 0 8339 0 28091 0 39838 0 481873 0 26357 0 CHC THOMAS MICHELE MD DIRECTOR 335114 0 75445 0 1623 0 86113 0 12932 0 511227 0 0 0 BJC APLINGTON DAVID FORMER SRVP GEN COL,SEC TERM 8/22 24197 0 383534 0 1823 0 0 0 24920 0 434474 0 24072 0 BJH IROVIC PAUL VICE PRES FINANCE, TREASURER 312301 0 92380 0 4654 0 109364 0 40903 0 559602 0 0 0 BJH REID SARA SECRETARY 324415 0 73877 0 2720 0 74790 0 37824 0 513626 0 0 0 MBHS ABDULLAH AMIRAH TAN MD DIRECTOR 367509 0 10864 0 20839 0 14887 0 17789 0 431888 0 0 0 PHC SCHNABEL ANNETTE PRESIDENT, DIRECTOR 301834 0 91982 0 3370 0 0 0 43397 0 440583 0 0 0 BJCHOME HALLORAN TERESA DIRECTOR 268792 0 109146 0 6760 0 89202 0 31563 0 505463 0 27119 0 PMMCI RAMOS-PARDO BEATRIZ MD DIRECTOR 0 298239 0 65150 0 4844 0 0 0 5966 0 374199 0 0 BJH KRIEGER MARK FORMER VP, CFO, TREAS TERM 6/21 199393 0 160288 0 5678 0 0 0 29899 0 395258 0 22307 0 BJCBH DAVIS ANGELA-MARTIN PRESIDENT, DIRECTOR 288801 0 71674 0 1408 0 21240 0 32678 0 415801 0 0 0 AMH KOESTERER SUSAN VICE PRESIDENT, FINANCE 272865 0 81361 0 2064 0 96272 0 40718 0 493280 0 0 0 MBMC DESART AMY VICE PRESIDENT, FINANCE TERM 2/23 264047 0 82814 0 2717 0 105456 0 34765 0 489799 0 0 0 MBHS LOCHNER LISA PRESIDENT 239002 0 87446 0 6965 0 167789 0 35505 0 536707 0 0 0 BJCHOME KADLEC-PATTERSON NANCY DIRECTOR 250783 0 76529 0 2017 0 121471 0 33451 0 484251 0 0 0 BJCCHS TERVEER NANCY VICE PRESIDENT, DIRECTOR 242772 0 80405 0 3406 0 90234 0 38152 0 454969 0 6180 0 BJWCH OLINGER STACY DIRECTOR 169343 0 75277 0 2240 0 25314 0 29890 0 302064 0 0 0 PEHC REICHLEY BRYAN FORMER SECRETARY TERM 12/22 185646 0 31610 0 366 0 14407 0 14229 0 246258 0 0 0 CHC WARD CHRIS FORMER SEC/TREASURER TERM 12/22 181116 0 27310 0 2958 0 37617 0 5219 0 254220 0 0 0 BJCCHS SCHAPER STEVEN EXECUTIVE DIRECTOR, SECRETARY 176956 0 28085 0 780 0 32287 0 7393 0 245501 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 2023, WHILE ATTENDING A STATE LEADERSHIP FORUM AND WORKING TO NEGOTIATE AN AFFILIATION AGREEMENT WITH SAINT LUKE'S HEALTH SYSTEM, SENIOR LEADERSHIP AND BJC'S BOARD CHAIRPERSON WERE REQUIRED TO EXPEDITE TRAVEL TO MEETINGS WHERE TIME DID NOT ALLOW FOR TRAVEL BY NORMAL MEANS. THE ORGANIZATION ENGAGED THE SERVICES OF UNRELATED AIR CHARTER COMPANIES. EXPENSES ASSOCIATED WITH AIR CHARTER TRAVEL DURING 2023 WERE: $205,095 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 2023, 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 2023, THE ORGANIZATION PROVIDED TOTAL REIMBURSEMENTS OF $5,554 INCLUDING $2,432 OF TAX GROSS UP PAYMENTS FOR THE PERSONAL USE PORTION OF SOCIAL CLUB DUES TO FOUR 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 $21,634 FOR 2023. PART I, LINE 4B DURING 2023, THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS/ACCRUALS FROM THE ORGANIZATION AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS (SEE FORM 990, PART VII AND SCHEDULE J, PART II): LIEKWEG, RICHARD $682,500 CANNON, ROBERT $226,140 BARTO, NICK $181,500 MAGRUDER, JOAN $150,760 TERRACE, SARAH $139,219 FOX, JEROME $102,262 MIDDLETON-TISCHLER, $95,745 BRAASCH, DAVID $75,791 POGUE, DOUGLAS $61,740 LOLLO, TRISHA $61,222 WATTS, CHRISTOPHER $55,729 THOMAS, JOSEPH $55,000 HALLORAN, TERESA $54,437 LABLANCE, GARY $52,682 MCMANUS, MICHAEL $49,436 PETERS LEWIS, ANGELL $49,173 CALDER, GINA $44,553 ABAD, ANN $43,500 STEVENS, RICK $38,774 MCKEE, MICHELE $37,042 PATTERSON, GREGORY $36,600 ENGSTROM, CHAD $36,400 LAWSON, ELIZABETH $35,053 KRIEGER, MARK $33,461 REID, SARA $33,000 IROVIC, PAUL $32,932 TERVEER, NANCY $30,900 SCHNABEL, ANNETTE $30,782 KOESTERER, SUSAN $27,909 DESART, AMY $26,777 PATTERSON, NANCY $25,487 LOCHNER, LISA $25,173 MARTIN DAVIS, ANGELA $24,334 APLINGTON, DAVID $24,072 OLINGER, STACY $12,535 PART II EFFECTIVE AUGUST 1, 2020, BARNES-JEWISH HOSPITAL (BJH) ENTERED INTO AN AMENDED AND RESTATED EMPLOYEE LEASING AGREEMENT WITH WASHINGTON UNIVERSITY (UNIVERSITY) WHEREBY UNIVERSITY AGREED TO LEASE THE SERVICES OF JOHN P. LYNCH, MD AND TO MAKE DR. LYNCH AVAILABLE TO SERVE AS PRESIDENT AT BJH ON A FULL-TIME BASIS. PURSUANT TO THE AGREEMENT, BJH PAID 100% OF ANNUAL COMPENSATION AND BENEFITS DUE TO DR. LYNCH. AMOUNTS PAID FOR COMPENSATION AND BENEFITS TO DR. LYNCH, A COMMON LAW EMPLOYEE, HAVE BEEN INCLUDED IN FORM 990, PART VII WITH DETAILS ON SCHEDULE J. LINDSAY SELNER FAMILY MEMBER. RELATED TO FORMER BOARD MEMBER WEDDLE OF BJC 192206 EMPLOYMENT AGREEMENT WITH BJC 0 TARLTON CORPORATION ENTITY >35% OWNED BY SLCH BOARD MEMBER HART. 123274 SERVICES - CONSTRUCTION & DESIGN 0 PAIGE PETERSON FAMILY MEMBER. RELATED TO BOARD MEMBER PETERSON OF PHC 53477 EMPLOYMENT AGREEMENT WITH PHC 0 PHOENIX TEXTILE CORP ENTITY >35% OWNED BY MBMC BOARD MEMBER HABERSTROH 492854 SUPPLIES USED IN THE ORDINARY COURSE OF BUSINESS. 0 X AIRLINE VOUCHERS 214 42800 SELLING PRICE 0 0 0 PART I, COLUMN (B): RECEIVED 214 AIRLINE VOUCHERS TOTALING A VALUE OF $42,800 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 11B 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 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 CII - CHILDREN'S ILLINIOS, INC CHIL - CHRISTIAN HOSPITAL-ILLINOIS SERVICES 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 PMMCI - PROTESTANT MEMORIAL MEDICAL CENTER, INC. 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 IX, LINE 11G ORGAN ACQUISITION-EXT SVC: PROGRAM SERVICE EXPENSES 20,081,813. MANAGEMENT AND GENERAL EXPENSES 17,341. TOTAL EXPENSES 20,099,154. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 409,734,597. MANAGEMENT AND GENERAL EXPENSES 9,932,541. TOTAL EXPENSES 419,667,138. PURCHASED PROFESSIONAL & PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 95,952,775. MANAGEMENT AND GENERAL EXPENSES 1,451,921. TOTAL EXPENSES 97,404,696. TEMP AGENCY PURCHASE SERVICE: PROGRAM SERVICE EXPENSES 364,095,889. MANAGEMENT AND GENERAL EXPENSES 2,174. TOTAL EXPENSES 364,098,063. WASHINGTON UNIVERSITY PURCH SERV AND PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 107,196,007. MANAGEMENT AND GENERAL EXPENSES 9,616,035. TOTAL EXPENSES 116,812,042. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM AFFILIATES -80,327,653. NET ASSETS RELEASED FROM RESTRICTIONS 5,031,872. 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