2025-11-17T18:25:05-06:00 2024-12-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2024-01-01 431617558 BJC HEALTH SYSTEM DBA BJC HEALTHCARE BJCH 3142862057 4901 FOREST PARK AVE MS 90-75-570 ST LOUIS MO 63108 SCOTT HAWIG EXEC VICE PRESIDENT & CFO 3142862057 2025-11-17 1 1 JESSICA A WAGENER P01622613 3128792000 2024 2025-03-06 01:10:19Z BJC HEALTHCARE SCOTT HAWIG 4901 FOREST PARK AVE ST LOUIS MO 63108 6532879899 0 3844 X WWW.BJC.ORG X 1993 MO HEALTHCARE SERVICES AND HEALTH EDUCATION TO COMMUNITIES WE SERVE. 22 21 5860 102 -34264115 0 1114416 4673899 1133704981 1199024044 256117528 642726345 187699960 195941283 1578636885 2042365571 3927415 7729173 0 0 658314191 758735353 0 0 0 612716844 909211584 1274958450 1675676110 303678435 366689461 7180662304 7792451740 3462592372 3885366418 3718069932 3907085322 X BJC HEALTH SYSTEM (BJC) IS THE PARENT CORPORATION OF A NONPROFIT HEALTH CARE ORGANIZATION SERVING PRIMARILY THE RESIDENTS OF METROPOLITAN ST. LOUIS, KANSAS CITY, MID-MISSOURI, EASTERN KANSAS AND SOUTHERN ILLINOIS (SEE SCHEDULE O FOR REMAINDER OF MISSION STATEMENT) IN URBAN, SUBURBAN AND RURAL COMMUNITIES. BJC OPERATES 24 LICENSED HOSPITALS AND MULTIPLE COMMUNITY HEALTH LOCATIONS WHICH PROVIDE INPATIENT AND OUTPATIENT CARE, REHABILITATION, PRIMARY CARE, HOME CARE, HOSPICE, LONG-TERM CARE, COMMUNITY MENTAL HEALTH, WORKPLACE HEALTH AND COMMUNITY HEALTH AND WELLNESS. BJC ALSO SUPPORTS 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 1 0 309618685 3500 309618685 BJC MEDICAL GROUP EMPLOYS 255 PHYSICIANS WITH A RANGE OF MEDICAL AND SURGICAL SPECIALTIES. THE PHYSICIANS SERVE PATIENTS IN ST. LOUIS, MO; FARMINGTON, MO; SULLIVAN, MO; AND SOUTHERN ILLINOIS. BJC MEDICAL GROUP EMPLOYS PROVIDERS ASSOCIATED WITH BJC HEALTHCARE HOSPITALS. THE MEDICAL GROUP ALSO PARTNERS WITH PRIVATE PHYSICIANS AND BJC HOSPITALS TO RECRUIT PHYSICIANS TO GROWING MARKETS. PHYSICIAN RECRUITS INCLUDE BOTH PRIMARY AND SPECIALTY PHYSICIANS. THE ORGANIZATION HAD 877,890 VISITS. 171798531 171798531 BJC INFORMATION SERVICES AND TECHNOLOGY SERVICES DEPARTMENT PLANS, DEVELOPS AND SUPPORTS INFORMATION TECHNOLOGY AND TELECOMMUNICATIONS INITIATIVES THROUGHOUT BJC. THE 400-PERSON DEPARTMENT MAINTAINS THE ORGANIZATION'S TECHNOLOGY INFRASTRUCTURE AND ACHIEVES SPECIFIC STRATEGIC GOALS RELATED TO CLINICAL CARE, PATIENT SAFETY AND EVIDENCE-BASED MEDICINE, PROCESS SIMPLIFICATION AND STANDARDIZATION, AUTOMATION, EDUCATION, WORKFORCE DEVELOPMENT, FINANCIAL MANAGEMENT AND PATIENT SATISFACTION. BJC HOSPITALS BENEFIT FROM THE CENTRALIZED DEPTH OF INFORMATION SERVICES KNOWLEDGE AND THE COMMITMENT TO INNOVATIVE TECHNOLOGY SOLUTIONS. 87600538 87600538 BJC CLINICAL ENGINEERING MANAGES CLINICAL ASSETS ACROSS BJC, INCLUDING OPERATIONAL SUPPORT AND MAINTENANCE MANAGEMENT OF DIAGNOSTIC, TREATMENT AND PATIENT SUPPORT MEDICAL EQUIPMENT SUCH AS BIOMEDICAL EQUIPMENT, CLINICAL LABORATORY EQUIPMENT AND DIAGNOSTIC IMAGING TECHNOLOGY. SERVICE ENGINEERS ARE DEPLOYED ACROSS THE 24 LICENSED HOSPITALS AND OTHER HEALTH SERVICE ORGANIZATIONS AS REQUIRED TO MEET DEMAND. BJC CLINICAL ENGINEERING WORKS IN COLLABORATION WITH OTHER BJC DEPARTMENTS CONCERNING PATIENT SAFETY FOR MAINTENANCE AND PRODUCT RECALLS; PRE-PURCHASE EVALUATION AND SUPPORT COST ANALYSIS; ASSET MANAGEMENT PLANNING FROM ACQUISITION THROUGH DISPOSAL; PROJECT PLANNING AND MANAGEMENT; AND ENVIRONMENTAL ROUNDS. 708968056 7725673 630006290 BJC IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES IT SERVES THROUGH LEADERSHIP, EDUCATION, INNOVATION AND EXCELLENCE IN MEDICINE. OTHER PROGRAMS AND SUPPORT SERVICES INCLUDE: MATERIAL SERVICES, QUALITY MANAGEMENT, FINANCE, LEGAL, AND COMMUNICATIONS. 708968056 7725673 630006290 1277985810 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 1 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 2290 3 1 5860 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 22 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X BJC HEALTH SYSTEM SHARED SERVICES FINANCE 3142862057 4901 FOREST PARK AVE STE 1200 ST LOUIS MO 63108 X BJC HEALTH SYS GROUP RETURN SEE SCHEDULE 0 40.00 X X 25772118 0 2880317 BJC HEALTH SYS GROUP RETURN SEE SCHEDULE 0 40.00 X 1391327 0 120990 BJC HEALTH SYS GROUP RETURN SEE SCHEDULE 0 40.00 X 2819108 0 43624 BJC HEALTH SYS GROUP RETURN FORMER SCHEDULE 0 0.00 X 1827516 0 194886 31810069 0 3239817 1692 1 1 0 0 346809 4327090 4673899 SVCS TO AFFILIATES 561000 1018098357 1018098357 PROGRAM SVC REVENUE 621110 174444992 174444992 WASHINGTON UNIV OTHER 531190 10361776 10361776 PROGRAM RENTAL SERVICE 531190 1394360 1394360 BILLING REVENUE 541900 169128 169128 -5444569 -5444569 1199024044 159841424 -38987891 198829315 265963 0 265963 265963 265963 4973396434 2815 4490490358 23970 482906076 -21155 482884921 482884921 EMPLOYEE PHARMACY 456110 85333936 85333936 ADMIN PURCH SERV 561000 16253161 16253161 CLIN ENG & TRAIN REV 611430 6252277 6252277 87835946 -1528501 89364447 195675320 2042365571 1199024044 -34264115 872931743 X 7670973 7670973 58200 58200 37481803 1658527 35823276 578597432 454705756 123891676 30458665 24416230 6042435 72727262 57595096 15132166 39470191 30037573 9432618 393234 105413 287821 3570926 3570926 1128256 1128256 432766 432766 50237000 50237000 407537034 374523301 33013733 7072281 548543 6523738 8966020 7798935 1167085 94599051 56598523 38000528 50167677 43217844 6949833 2841424 2282240 559184 1746847 1142267 604580 5448096 5448096 17575112 17490357 84755 10118357 10118357 MEDICAL SUPPLIES 95026117 95026117 0 REPAIRS AND MAINTENANCE 91440629 73832771 17607858 BANK FEES 6067544 5935152 132392 RECRUITMENT 4349185 897216 3451969 50494028 12326419 38167609 1675676110 1277985810 397690300 0 -2706 -13659 119699991 215599536 9916737 10966909 2647062 2724401 6440534 8973416 50519028 50029474 73287239 90525784 555442783 196114183 256404299 359328600 2418935473 2331346263 3939287238 4379734299 67422157 86677400 236105252 256559317 7180662304 7792451740 441329652 547395016 1379746 514680 2158604534 2119679289 861278440 1217777433 3462592372 3885366418 X 3717827884 3906737977 242048 347345 3718069932 3907085322 7180662304 7792451740 X 366689461 -105788691 -71885380 X 0 1 X 1 1 1 X X 3 BARNES-JEWISH HOSPITAL 237309937 3 1 536506833 0 MISSOURI BAPTIST MEDICAL CENTER 430652656 3 1 159819485 0 ST LOUIS CHILDREN'S HOSPITAL 430654870 3 1 178763418 0 3 875089736 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SECTION A, LINE 6 DURING 2024, BJC HEALTH SYSTEM (BJC) PROVIDED GRANTS OR ALLOCATIONS TO OTHER ORGANIZATIONS AND COMMUNITY GROUPS ON BEHALF OF ITS SUPPORTED ORGANIZATIONS. THE PURPOSE OF THESE GRANTS WERE TO FURTHER THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE SUPPORTED ORGANIZATIONS AND TO PROMOTE AND SUPPORT THE INTERESTS AND PURPOSES OF THOSE SUPPORTED ORGANIZATIONS SPECIFIED IN BJC'S ORGANIZING DOCUMENTS. THESE GRANTS AND ALLOCATIONS WERE INSIGNIFICANT IN RELATION TO BJC HEALTH SYSTEM'S OVERALL ACTIVITIES. SECTION D, LINE 3 BJC MAINTAINS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH ITS SPECIFIED 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 SPECIFIED 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 SUBORDINATE HOSPITAL OPERATIONS. SECTION E, LINE 3A AS SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS, BJC HEALTH SYSTEM 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 BJC HEALTH SYSTEM. SECTION E, LINE 3B BJC HEALTH SYSTEM (BJC) EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS. BJC REQUIRES THAT EACH SUPPORTED ORGANIZATION ADOPT ITS STANDARD CONFLICT OF INTEREST, WHISTLEBLOWER, DOCUMENT RETENTION, INVESTMENT AND OTHER POLICIES. BJC 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 0 1 0 0 0 0 1 432766 0 0 432766 0 PART II-B, LINE 1: BJC 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 WITH DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS OR A LEGISLATIVE BODY. EXPENSES ALSO INCLUDE EDUCATIONAL SEMINARS FOR BJC EMPLOYEES REGARDING IMPORTANT HEALTHCARE LEGISLATIVE MATTERS. 25345005 25345005 51591699 21306387 30285312 26678453 20970121 5708332 167449590 134388842 33060748 284378036 19448833 264929203 359328600 PRIVATE EQUITY FUNDS 1392347273 F HEDGE FUNDS 1388423473 F REAL ESTATE FUNDS 842658073 F OTHER 756305480 F 4379734299 INTEREST RATE SWAPS 5000252 PENSION LIABILITY 441033735 OTHER CURRENT LIAB 43185536 OTHER LONG TERM LIABILITIES 79150086 SELF FUNDED MALPR 141709497 INTEREST PAYABLE 22539895 DEFERRED COMPENSATION PAYABLE 79712716 RELATED PARTY LIABILITY 67694386 AFFLILATION PAYMENT 284410675 LONG TERM OPERATING LEASE 50340655 PAYABLE SECURITY LENDING PROGRAM 3000000 1217777433 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. CENTRAL AMERICA/CARIBBEAN 1 0 INVESTMENTS 2531304684 CENTRAL AMERICA/CARIBBEAN 1 0 PROGRAM EXPENDITURES PROGRAM ADMIN EXPENSES RELATED TO ATG ASSURANCE COMPANY LTD. INCLUDES EXPENSES INCURRED WHILE CONDUCTING ACTIVITIES OF THIS WHOLLY OWNED CAPTIVE INSURANCE COMPANY. ALSO INCLUDES OTHER PROGRAM SERVICES EXPENSES. 2576682 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 58309 EUROPE 0 0 INVESTMENTS 769998726 EUROPE 0 0 PROGRAM EXPENDITURES PROGRAM SERVICES EXPENSES INCLUDING CLINICAL EXCELLENCE, HEALTHCARE EQUIPMENT AND SUPPLY PURCHASES. 198873 NORTH AMERICA 0 0 INVESTMENTS 76240709 NORTH AMERICA 0 0 PROGRAM EXPENDITURES PROGRAM SERVICES EXPENSES INCLUDING HEALTHCARE CLINICAL EQUIPMENT AND SUPPLY PURCHASES. 1369296 SOUTH ASIA 0 0 PROGRAM EXPENDITURES PROGRAM SERVICES EXPENSES INCLUDING CUSTOMER TECHNOLOGY SUPPORT CENTER 18530191 EAST ASIA AND THE PACIFIC 0 0 PROGRAM EXPENDITURES PROGRAM SERVICES EXPENSES FOR HEALTHCARE SUPPLIES 10750 EUROPE 0 0 INVESTMENT EXPENDITURES 9804 2 0 0 0 2 0 3400277470 20554 3400298024 1 0 1 1 1 0 METHOD OF ACCOUNTING USED BY REGION CENTRAL AMERICA & THE CARIBBEAN - ACCRUAL METHOD OF ACCOUNTING EUROPE - ACCRUAL METHOD OF ACCOUNTING NORTH AMERICA - ACCRUAL METHOD OF ACOUNTING EAST ASIA & THE PACIFIC - ACCRUAL METHOD OF ACOUNTING SOUTH ASIA - ACCRUAL METHOD OF ACOUNTING 1 1 X 1 X 1 X 1 1 1 0 1 1 6 8795 0 8795 0.00000 623 13016764 10419938 2596826 0.00150 629 13025559 10419938 2605621 0.00150 629 13025559 10419938 2605621 0.00150 1 1708775 0 35490998 29208997 6282001 X 1 1 2 1 REHABILITATION INST OF ST LOUIS 4455 DUNCAN AVENUE SAINT LOUIS MO 63110 ENCOMPASSHEALTH.COM/REHABINSTITUTESTL 467 BJC HEALTH SYSTEM (PARTNER) 431617558 X 50% OWNERSHIP 2 REHABILITATION INST OF SO ILLINOIS FRANK SCOTT PKWY EAST SHILOH IL 62269 ENCOMPASSHEALTH.COM/LOCATIONS/SHILOHRE 0006270 BJC HEALTH SYSTEM (PARTNER) 431617558 X 50% OWNERSHIP REHABILITATION INST OF ST LOUIS LLC 1 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 400.000000000000 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 REHABILITATION INST OF SO ILLINOIS LLC 2 0 0 1 X X X X X X X X X 23 1 0 0 1 X SEE LINE 7D X X 1 23 1 SEE LINE 7D 0 1 X 200.000000000000 400.000000000000 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 REHABILITATION INST OF ST. LOUIS LLC PART V, SECTION B, LINE 5: THE REHABILITATION INSTITUTE OF ST. LOUIS, LLC (TRISL) 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 BEGINNING ON JUNE 7, 2022. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. DURING 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 DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. LOUIS CITY, ST. LOUIS COUNTY AND ST. CHARLES COUNTY WHEN COMPARED AGAINST DATA FROM THE STATE OF MISSOURI. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:- GATEWAY APOTHECARY (PIC) IN ST. LOUIS- ABC BRIGATE (PRESIDENT) IN ST. LOUIS- VOCATIONAL REHABILITATION (COUNSELOR II) IN ST. LOUIS- SOUTHERN BUS AND MOBILITY (MOBILITY SYSTEM SPECIALIST) IN ST. LOUIS- ST. PATRICK'S CENTER (SENIOR DIR OF PROGRAMS) IN ST. LOUIS- NATIONAL MULTIPLE SCLEROSIS SOCIETY (DIRECTOR) IN ST. LOUIS- PARAQUAD (SENIOR DIRECTOR) IN ST. LOUIS - ORTHWEIN CENTER AT PARQUAD (DIRECTOR) IN ST. LOUIS REHABILITATION INST OF SO ILLINOIS LLC PART V, SECTION B, LINE 5: THE REHABILITATION INSTITUTE OF SOUTHERN ILLINOIS TRISI) COMPLETED ITS FIRST CHNA IN 2023. PLANS CALL FOR ITS SECOND CHNA TO BE COMPLETED IN DECEMBER 2025 TO ALIGN WITH THE SCHEDULE OF THE OTHER ILLINOIS BJC HEALTHCARE HOSPITALS. AS PART OF THIS ASSESSMENT, EACH HOSPITAL IS REQUIRED TO DEFINE ITS COMMUNITY. ONCE THE COMMUNITY IS DEFINED, INPUT MUST BE SOLICITED FROM THOSE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, AS WELL AS THOSE WHO HAVE SPECIAL KNOWLEDGE AND EXPERTISE IN THE AREA OF PUBLIC HEALTH. THIS PROCESS OCCURRED 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. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. DURING 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 OF ILLINOIS. STAKEHOLDER GROUP PARTICIPANTS INCLUDED INDIVIDUALS REPRESENTING: - O'FALLON-SHILOH CHAMBER OF COMMERCE (PRESIDENT/CEO) IN SHILOH, IL - COMMUNITY VOLUNTEER IN BELLEVILLE, IL - RED BUD REGIONAL HOME CARE (ACCT EXEC) IN RED BUD, IL - SOUTHWESTERN IL COLLEGE #522 PROGRAMS AND SERVICES FOR OLDER PERSONS (MANAGER) IN BELLEVILLE, IL - FAMILY HOSPICE OF BELLEVILLE (EXEC DIR) IN BELLEVILLE, IL - MEMORIAL CARE CENTER (ADMINISTRATOR) IN BELLEVILLE, IL - CITY OF O'FALLON (CITY ADMINISTRATOR) IN O'FALLON, IL - ST. CLAIR COUNTY REGIONAL OFFICE OF ED #50 (REG SUPERINTENDENT) IN BELLEVILLE, IL - CARITAS FAMILY SOLUTIONS (DIRECTOR OF PHILANTHROPY) IN SHILOH, IL - ST CLAIR DRUG PREVENTION ALLIANCE (ALLIANCE LEAD) IN BELLEVILLE, IL - AGESMART COMMUNITY RESOURCES (CEO) IN O'FALLON, IL - HEALTHIER TOGETHER (EXEC DIR) IN BELLEVILLE, IL - HOSPICE OF SOUTHERN ILLINOIS (COMMUNITY ED DIR) IN BELLEVILLE, IL - ST. CLAIR COUNTY MENTAL HEALTH BOARD (EXEC DIR) IN BELLEVILLE, IL - GREATER BELLEVILLE CHAMBER OF COMMERCE (MANAGER) IN BELLEVILLE, IL - ABBOTT EMS( ACCOUNT EXEC) IN BELLEVILLE, IL - MEMORIAL HOSPITAL - BELLEVILLE (MGR SPIRITUAL CARE) IN BELLEVILLE, IL - BEACON MINISTRY (PROG DIR) IN BELLEVILLE, IL - ADAPT HEALTH (ACCT REP) IN BELLEVILLE, IL - SIHF HEALTHCARE (GRANTS DIRECTOR) IN SAUGET, IL - SSM HEALTH DAY INSTITUTE IN (CASE MGR) O'FALLON, IL REHABILITATION INST OF ST. LOUIS LLC PART V, SECTION B, LINE 7D: (THE) REHABILITATION INSTITUTE OF ST. LOUIS MO LICENSE NO. 467HTTPS://EDGE.SITECORECLOUD.IO/ENCOMPASSHEE178-ENCOMPASSHED9DB-PRODB258-07DA/MEDIA/PROJECT/ENCOMPASSHEALTH/ENCOMPASSHEALTH/LOCATIONS/REHABINSTITUTESTL-03015900/FILES/2022-TRISL-CHNA--IMPLEMENTATION-STRATEGY---FINAL.PDF REHABILITATION INST OF SO ILLINOIS LLC PART V, SECTION B, LINE 7D: (THE) REHABILITATION INSTITUTE OF SOUTHERN ILLINOIS IL LICENSE NO. 0006270HTTPS://EDGE.SITECORECLOUD.IO/ENCOMPASSHEE178-ENCOMPASSHED9DB-PRODB258-07DA/MEDIA/PROJECT/ENCOMPASSHEALTH/ENCOMPASSHEALTH/LOCATIONS/SHILOHREHAB-03025200/FILES/2023-REHAB-INSTITUTE-SIL-CHNA--IMPLEMENTATION-STRATEGY-PDF.PDF REHABILITATION INST OF ST. LOUIS LLC PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, TRISL IDENTIFIED ONE HEALTH NEED WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: 1) STROKE EDUCATION AND PREVENTION. 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. TRISL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS: ACCIDENTS/INJURIES; COGNITIVE DECLINE/DEMENTIA; MENTAL HEALTH; OBESITY; DIABETES; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; OBESITY; RESPIRATORY DIAGNOSIS. TRISL WILL NOT PLAN TO ADDRESS OTHER COMMUNITY NEEDS SUCH AS VAPING; TOBACCO ABUSE; ALCOHOL ABUSE; AND DRUG ABUSE. REHABILITATION INST OF SO ILLINOIS LLC PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, TRISI IDENTIFIED ONE HEALTH NEED WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: 1) STROKE EDUCATION AND PREVENTION. 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. TRISI PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS: ACCIDENTS/INJURIES; COGNITIVE DECLINE/DEMENTIA; MENTAL HEALTH; OBESITY; DIABETES; HEART HEALTH; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; OBESITY; RESPIRATORY DIAGNOSIS. TRISI WILL NOT PLAN TO ADDRESS OTHER COMMUNITY NEEDS SUCH AS VAPING; TOBACCO ABUSE; ALCOHOL ABUSE; AND DRUG ABUSE. REHABILITATION INST OF ST. LOUIS LLC PART V, SECTION B, LINE 13H: WHEN A PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THIS POLICY BUT HAS SPECIAL CIRCUMSTANCES, OTHER DISCOUNTS MAY BE AVAILABLE THAT ARE NOT PART OF THIS FINANCIAL ASSISTANCE POLICY. IN THESE SITUATIONS, HOSPITAL STAFF WILL REVIEW ALL AVAILABLE INFORMATION (INCLUDING DOCUMENTATION OF INCOME, LIQUID AND ILLIQUID ASSETS, AND OTHER RESOURCES, AMOUNT OF OUTSTANDING MEDICAL BILLS AND OTHER FINANCIAL OBLIGATIONS) AND MAKE A CASE-BY-CASE DETERMINATION OF THE PATIENT'S ELIGIBILITY FOR OTHER POTENTIAL DISCOUNTS. REHABILITATION INST OF SO ILLINOIS LLC PART V, SECTION B, LINE 13H: WHEN A PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THIS POLICY BUT HAS SPECIAL CIRCUMSTANCES, OTHER DISCOUNTS MAY BE AVAILABLE THAT ARE NOT PART OF THIS FINANCIAL ASSISTANCE POLICY. IN THESE SITUATIONS, HOSPITAL STAFF WILL REVIEW ALL AVAILABLE INFORMATION (INCLUDING DOCUMENTATION OF INCOME, LIQUID AND ILLIQUID ASSETS, AND OTHER RESOURCES, AMOUNT OF OUTSTANDING MEDICAL BILLS AND OTHER FINANCIAL OBLIGATIONS) AND MAKE A CASE-BY-CASE DETERMINATION OF THE PATIENT'S ELIGIBILITY FOR OTHER POTENTIAL DISCOUNTS. REHABILITATION INST OF ST. LOUIS LLC PART V, SECTION B, LINE 16J: LINES 16 A-C SEE HTTPS://WWW.ENCOMPASSHEALTH.COM/LOCATIONS/REHAB-INSTITUTE-STL/FINANCIAL-INFORMATION REHABILITATION INST OF SO ILLINOIS LLC PART V, SECTION B, LINE 16J: LINES 16 A-C SEE HTTPS://WWW.ENCOMPASSHEALTH.COM/LOCATIONS/SHILOH-REHAB/FINANCIAL-INFORMATION 2 1 - BJC HEALTH SYSTEM 4901 FOREST PARK AVE ST LOUIS MO 63108 ADMINISTRATIVE OFFICES 2 - THE REHAB INST OF ST LOUIS - WEST COUNTY 998 WOODS MILL ROAD BALLWIN MO 63011 MEDICAL REHABILITATION SERVICES PART I, LINE 3C: BJC JOINT VENTURE REHABILITATION HOSPITALS (HOSPITALS) PROVIDE EMERGENCY AND OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL PATIENTS SEEKING SUCH CARE, REGARDLESS OF ABILITY TO PAY OR TO QUALIFY FOR FINANCIAL ASSISTANCE. 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 FINANCIAL ASSISTANCE, INCLUDING REDUCED HOSPITAL CHARGES AND LONG-TERM, INTEREST FREE PAYMENT PLANS. PURSUANT TO ITS FINANCIAL ASSISTANCE POLICY (FAP), BJC JOINT VENTURE HOSPITALS WILL PROVIDE FINANCIAL ASSISTANCE OF 100% OF THE PATIENT'S RESPONSIBILITY WHEN FAMILY INCOME IS AT OR BELOW 200% OF THE YEARLY FEDERAL POVERTY LEVEL (FPL). A DISCOUNTED FEE SCHEDULE IS AVAILABLE FROM 201% TO 400% OF THE FPL. FINANCIAL ASSISTANCE DOES NOT APPLY TO AMOUNTS THAT ARE COVERED BY INSURANCE, GOVERNMENT PROGRAMS, OR OTHER FUNDING SOURCES AS DETAILED IN THE FINANCIAL ASSISTANCE POLICY. A PATIENT WHO MAY NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FAP BUT HAS SPECIAL CIRCUMSTANCES, MAY QUALIFY FOR OTHER DISCOUNTS. IN THESE SITUATIONS, HOSPITAL STAFF WILL REVIEW AVAILABLE INFORMATION (DOCUMENTATION OF INCOME, LIQUID AND ILLIQUID ASSETS, OTHER RESOURCES, AMOUNT OF OUTSTANDING MEDICAL BILLS AND OTHER FINANCIAL OBLIGATIONS) AND MAKE A CASE-BY-CASE DETERMINATION OF THE PATIENT'S ELIGIBILITY FOR OTHER POTENTIAL DISCOUNTS. 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 AND ALSO JOINT VENTURE HOSPITALS INCLUDED IN BJC HEALTH SYSTEM 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. HOSPITALS 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.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 50% OWNED JOINT VENTURE HOSPITALS 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 = $ 1,722,347,754 WHICH EXCLUDES THE ALLOCABLE SHARE OF JOINT VENTURE BAD DEBT EXPENSES OF $ 777,138 FOR 2024. PART II, COMMUNITY BUILDING ACTIVITIES: N/A 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 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, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS RECORDED 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. SEE ALSO BJC GROUP FORM 990 FOR ADDITIONAL COMMUNITY BENEFIT INFORMATION INCLUDING DISCUSSION OF BAD DEBTS. PART III, LINE 3: UNABLE TO ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR THE TAX YEAR BECAUSE DETAILED PATIENT APPLICATIONS WERE NOT AVAILABLE FOR REVIEW. PART III, LINE 4: BJC HEALTHCARE (BJC) BAD DEBT EXPENSE IS INCLUDED IN THE PATIENT SERVICE REVENUE, OTHER OPERATING REVENUE AND UNCOMPENSATED CARE FOOTNOTE 3 TO ITS CONSOLIDATED FINANCIAL STATEMENTS WHICH BEGINS ON PAGE 18 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 (IF ANY) MAY BE 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 JOINT VENTURE HOSPITALS HAVE ADOPTED FINANCIAL ASSISTANCE POLICY THAT IS APPLIED UNIFORMLY TO BOTH HOSPITALS IN WHICH BJC PARTICIPATES AS 50% JOINT VENTURE PARTNER. 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 JOINT VENTURE HOSPITALS HAVE ADOPTED A WRITTEN DEBT COLLECTION POLICY THAT IS APPLIED UNIFORMLY TO ALL 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. ONCE A FINAL DETERMINATION OF PATIENT'S BALANCE HAS BEEN MADE, A PATIENT'S STATEMENT WILL BE MAILED. HOSPITALS AND ANY THIRD PARTIES ACTING ON THEIR BEHALF WILL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS (ECA) TO COLLECT PAYMENT FROM PATIENTS. (THE) REHABILITATION INSTITUTE OF ST. LOUIS WEBSITE ADDRESS WWW.ENCOMPASSHEALTH.COM/REHABINSTITUTESTL (THE) REHABILITATION INSTITUTE OF SOUTHERN ILLINOIS WEBSITE ADDRESS WWW.ENCOMPASSHEALTH.COM/LOCATIONS/SHILOHREHAB PART VI, LINE 2: BJC JOINT VENTURE HOSPITALS USE 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) PART VI, LINE 3: THROUGH ITS JOINT VENTURE HOSPITALS, BJC EMPLOYS A VARIETY OF METHODS TO REACH PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING:- HOSPITAL WEB SITES POST INFORMATION ABOUT FINANCIAL ASSISTANCE AND PROVIDE INFORMATION ON HOW TO CONTACT A FINANCIAL ASSISTANCE REPRESENTATIVE- 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- 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- 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: HOSPITALS HAVE 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 HOSPITAL'S PRIMARY SERVICE AREA = 4.5MHOSPITAL'S SECONDARY SERVICE AREA INCLUDE THE REMAINING COUNTIES IN MISSOURI, AND COUNTIES IN ILLINOIS SOUTH OF PEORIA. POPULATION OF HOSPITAL'S SECONDARY SERVICE AREA = 9.3M. PART VI, LINE 5: BJC REHABILITATION HOSPITALS PROVIDE A FULL RANGE OF PRIMARY AND TERTIARY PATIENT CARE SERVICES AND PROVIDE EXTENSIVE SERVICES TO THE COMMUNITY THROUGH ITS INPATIENT REHABILITATION FACILITY SERVING ADULT AND GERIATRIC PATIENTS. HOSPITALS PROVIDE PHYSICIAN SERVICES, PHYSICIAL THERAPY, OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY, NURSING, RESPIRATORY CARE, PHARMACY, NUTRITION SERVICES, DIALYSIS SERVICES AND CASE MANAGEMENT. INDIVIDUALS ARE TREATED BY A PHYSICIAN-LED INTERDISCIPLINARY TEAM TO ACHIEVE THE GREATEST POTENTIAL FOR INDEPENDENCE AND RETURN HOME. PART VI, LINE 6: BJC 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 $10.7 BILLION, BJC SERVES URBAN, SUBURBAN AND RURAL COMMUNITIES THROUGH 22 HOSPITAL FACILITIES, 2 JOINT VENTURE REHABILITATION 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 700 ROSEDALE AVE ST LOUIS MO 63112 430653611 501C3 416977 0 SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE COMMUNITIES. FOREST PARK FOREVER 5595 GRAND DRIVE ST LOUIS MO 63112 431427062 501C3 2505000 0 SUPPORT TO RESTORE, MAINTAIN & SUBSTAIN FOREST PARK. BIOSTL 4340 DUNCAN AVE 100 ST LOUIS MO 63110 452137574 501C3 2250000 0 SUPPORT OF ADVANCED RESEARCH IN BIOMEDICAL SCIENCES. THE SCHOLARSHIP FOUNDATION OF ST LOUIS 6825 CLAYTON AVE SUITE100 ST LOUIS MO 63139 436031234 501C3 856040 0 SUPPORT THE COMMUNITY WHO WOULD NOT HAVE FINANCIAL MEANS TO FULFILL THEIR EDUCATIONAL GOALS. OASIS INSTITUTE 500 NORTHWEST PLAZA STE 425 ST ANN MO 63074 431830354 501C3 455000 0 SUPPORT HEALTHY AGING BY PROVIDING LIFELONG EDUCATION AND PROGRAMS. SHELDON ARTS FOUNDATION 3648 WASHNGTON AVE ST LOUIS MO 63108 431489756 501C3 350000 0 SUPPORT THE COMMUNITY THROUGH THE POWER OF MUSIC AND ART TO CHANGE LIVES AND THE COMMUNITY. UNITED WAY OF GREATER ST LOUIS INC 910 N 11TH ST ST LOUIS MO 63150 430714167 501C3 132927 0 SUPPORT THE COMMUNITY WITH SHELTER, FOOD & EMERGENCY DISASTERS. AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501C3 92765 0 SUPPORT HEART HEALTH FOR ALL: BREAK BARRIERS TO HEALTH CARE ACCESS & QUALITY. ST LOUIS DOULA PROJECT INC 10922 SCHUETZ RD ST LOUIS MO 63146 611932547 501C3 40000 0 SUPPORT THE COMMUNITY BASED CHILDBIRTH EDUCATION AND OTHER DOULA SERVICES. JAMAA BIRTH VILLAGE 40 N FLORISSANT RD ST LOUIS MO 63135 475592021 501C3 25000 0 SUPPORT FAMILIES THROUGH ACCESSIBLE & AFFORDABLE BLACK LED MIDWIFERY & DOULA CARE, HOLIS. URBAN LEAGUE METROPOLITAN ST LOUIS 1408 NORTH KINGSHIGHWAY BOULEVARD ST LOUIS MO 63113 430653605 501C3 25000 0 SUPPORT NEIGHBORHOOD ENGAGEMENT AND COMMUNITY OUTREACH. NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVENUE NEW YORK NY 10017 135661935 501C3 20000 0 SUPPORT RESEARCH FOR MS AND HELP PEOPLE AFFECT BY MS TO LIVE THEIR BEST LIVES. HAWTHORN FOUNDATION PO BOX 93 JEFFERSON CITY MO 65102 431231419 501C6 20000 0 SUPPORT PROGRAMS THAT ARE FOCUSED ON EXPANDING ECONOMIC OPPORTUNITIES FOR MISSOURI. ECONOMIC DEVELOPMENT COUNCIL OF ST CHARLES COUNTY 5988 MID RIVERS MALL DR STE 100 ST PETERS MO 63304 431545618 501C4 20000 0 SUPPORT BUILDING A STRONGER, THRIVING, AND SELF-SUPPORTING ECONOMY FOR ST. CHARLES COUNTY. GIRLS ON THE RUN 5540 CENTERVIEW DR STE 204 RALEIGH NC 27606 562201835 501C3 20000 0 SUPPORT GIRLS NAVAGATE SOCIAL, EMOTIONAL, PHYSICAL & BEHAVIORAL SKILLS TO HELP IN LIFE. MARCH OF DIMES PO BOX 3155 HARLAN IA 51593 131846366 501C3 15000 0 SUPPORT FOR SERVICES ON PREGNANCY, PREMATURITY AND BIRTH DEFECTS. BOYS & GIRLS CLUBS OF GREATER ST LOUIS 2901 NORTH GRAND AVE ST LOUIS MO 63107 436061693 501C3 15000 0 SUPPORT YOUTH REACH THEIR FULL POTENTIAL AS PRODUCTIVE, RESPONSIBLE & CARING CITIZENS. GENERATE HEALTH STL 5501 DELMAR BLVD SUITE B240 ST LOUIS MO 63112 412139772 501C3 15000 0 SUPPORT ADVANCE RACIAL EQUITY IN PREGNANCY OUTCOMES, FAMILY WELL-BEING, & HEALTH. HEALTHCARE ANCHOR NETWORK INC 2202 18TH STR NW SUITE 317 WASHINGTON DC 20009 862147253 501C3 15000 0 SUPPORT COMMUNITY & ECONOMIC DEVELOPMENT IN LOW INCOME PEOPLE. GATEWAY REGION YOUNG MEN'SCHRISTIAN ASSOCIATION 1155 OLIVETTE EXECUTIVE PARKWAY ST LOUIS MO 63132 430653618 501C3 15000 0 SUPPORT PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL. JEWISH COMMUNITY CENTER 2 MILLSTONE CAMPUS DR ST LOUIS MO 63146 430681477 501C3 15000 0 SUPPORT ST LOUIS JEWISH COMMUNITY TO ENRICH LIVES, BUILD COMMUNITY AND PROMOTE INCLUSIVITY. ST LOUIS PUBLIC SCHOOLS FOUNDATION 801 NORTH 11TH ST 3RD FLR ST LOUIS MO 63101 431813849 501C3 12500 0 SUPPORT ST. LOUIS PUBLIC SCHOOL & INVESTS IN SOLUTIONS THAT DRIVE EQUITABLE OUTCOMES. BOYS AND GIRLS CLUBS OF ST CHARLES 1211 LINDENWOOD AVE ST CHARLES MO 63301 430714369 501C3 12500 0 SUPPORT YOUTH REACH THEIR FULL POTENTIAL AS PRODUCTIVE, RESPONSIBLE AND CARING CITIZENS. MIGHTY OAKES HEART FOUNDATION 122 W LOCKWOOD AVE ST LOUIS MO 63119 452915073 501C3 12000 0 SUPPORT FAMILIES WITH TRAUMATIC REALITY OF CONGENITAL HEART DEFECTS. MO KAN CONSTRUCTION CONTRACTORS ASSOCIATION ASSISTANCE CENTER 4666 NATURAL BRIDGE ST LOUIS MO 63115 431124501 501C3 10000 0 SUPPORT TECHNICAL AND EDUCATION ASSISTANCE TO MINIORITY AND FEMALE CONTRACTORS. ST LOUIS INTEGRATED HEALTH NETWORK 30 MARYLAND PLAZA SUITE 300C ST LOUIS MO 63108 203288245 501C3 10000 0 SUPPORT THE COMMUNITY WITH ACCESSIBLE, AFFORDABLE, & HIGH-QUALITY HEALTHCARE. ANNIE MALONE CHILDREN & FAMILY SERVICES 2612 ANNIE MALONE DR ST LOUIS MO 63113 430652652 501C3 10000 0 SUPPORT THE COMMUNITY TO PROVIDE EDUCATION PROGRAMS, ADVOCACY AND ENTERPRENEURSHIP. CASA DE SALUD 3200 CHOUTEAU AVE ST LOUIS MO 63103 270732049 501C3 10000 0 SUPPORT BETTER HEALTHCARE SERVICES FOR THE UNDER/UNINSURED COMMUNITY. MICHAEL BROWN SR CHOSEN FOR CHANGE 9420 WEST FLORISSANT AVE FERGUSON MO 63136 920586551 501C3 10000 0 SUPPORT GRIEF COUNCELING & SUPPORT FAMILIES WHO ARE PROCESSING THE UNTHINKABLE. COMMUNITY COUNCIL OF ST CHARLES COUNTY PO BOX 219 COTTLEVILLE MO 63338 436051722 501C3 10000 0 SUPPORT THE COMMUNITY TO BUILD A STRONGER, HEALTHIER AND MORE COMPASSIONATE COMMUNITY. PROMO FUND 2200 GRAVOIS AVE STE 201 ST LOUIS MO 63104 431661280 501C3 10000 0 SUPPORT CHANGE IN SYSTEMIC INEQUITIES WITHIN THE LGBTQ+ COMMUNITY. PINK RIBBON GOOD 350 HULS DRIVE DAYTON OH 45315 320020270 501C3 10000 0 SUPPORT FAMILIES AFFECTED BY BREAST OR GYNECOLOGICAL CANCER. RONALD MCDONALD HOUSE 110 N CARPENTER ST CHICAGO IL 60607 362934689 501C3 10000 0 SUPPORT FAMILIES WITH SERVICES WITH BARRIER-FREE HEALTHCARE SUPPORT FOR CHILDREN. REGIONAL UNION CONSTRUCTION CENTER PO BOX 771091 ST LOUIS MO 63177 205160448 501C3 10000 0 SUPPORT OF EMERGING MINORITY AND WOMEN OWNING UNION CONSTRUCTION FIRMS. ST CHARLES CITY COUNTY LIBRARY FOUNDATION C/O JENNIFER COMPTON77 BOONE HILLS DRIVE ST PETERS MO 63376 431860793 501C3 8500 0 SUPPORT TO BUILD A STRONGER LIBRARY IN SERVICE TO OUR COMMUNITY. AUTISM SPEAKS 50 F ST NW STE 360 WASHINGTON DC 20001 202329938 501C3 8500 0 SUPPORT & ADVOCATE FOR FAMILIES WITH INDIVIDUALS WITH AUTISM. SUSAN G KOMEN 13770 NOEL RD UNIT 801889 DALLAS TX 75380 751835298 501C3 7500 0 SUPPORT BREAST CANCER RESEARCH. DUO DOGS INC 10955 LINPAGE PLACE ST LOUIS MO 63132 431379801 501C3 7500 0 SUPPORT CONNECTING SERVICE DOGS WITH PEOPLE TO CULTIVATE POSITIVE CHANGE. INDEPENDENCE CENTER 4245 FOREST PARK AVE ST LOUIS MO 63108 431195240 501C3 7500 0 SUPPORT MENTAL ILLNESS BY PROVIDING HELP WITH INDEPENDENCE & MEANINGFUL WORK. NURSES FOR NEWBORNS 3 SUNNEN DRIVE ST LOUIS MO 63143 431601329 501C3 7500 0 SUPPORT NEWBORNS WITH HOME-BASED SERVICES TO PROMOTE HEALTH, SAFETY AND WELLBEING. THE MARFAN FOUNDATION 22 MANHASSET AVENUE PORT WASHINGTON NY 11050 521265361 501C3 7500 0 SUPPORT OTHERS WITH KIDNEY DISEASE, IMPROVING THE HEALTH & WELL-BEING OF THOSE AFFECTED. BOONE CENTER INC 200 TRADE CENTER DR W ST PETERS MO 63376 430764144 501C3 7000 0 SUPPORT COMMUNITY AND ECONOMIC DEVELOPMENT THROUGH EMPLOYMENT & JOB TRAINING. HOPE RANCH OF MISSOURI PO BOX 963 UNION MO 63084 472328446 501C3 7000 0 SUPPORT A SAFE PLACE FOR EMOTIONAL & DEVELOPMENTAL FOR CHILDREN WITH SPECIAL NEEDS. YOUTH IN NEED INC 1815 BOONESLICK ROAD ST CHARLES MO 63301 431033862 501C3 6600 0 SUPPORT COMMUNITY PROGRAMS ADDRESSING NEEDS LIKE HOUSING, FOSTER CARE & LIFE SKILLS. INFORMATION TECHNOLOGY SENIOR MANAGEMENT FORUM INC 2020 HOWELL MILL ROAD SUITE D356 ATLANTA GA 30318 364252672 501C3 6500 0 SUPPORT THE DEVELOPMENT & NURTURING LEADERS THROUGH TECHNOLOGY, INNOVATION & GROWTH. COMMUNITY LIVING INC 1040 ST PETERS HOWELL RD ST PETERS MO 63376 431129770 501C3 6250 0 SUPPORT INNOVATIVE SERVICES & OPPORTUNITIES FOR PEOPLE WITH DISABILITIES. CHILD ADVOCACY CTR OF NORTHEAST MO INC- 989 HERITAGE PARKWAY WENTZVILLE MO 63385 431856223 501C3 6000 0 SUPPORT HEALING & EDUCATION FOR CHILD ABUSE IN THE COMMUNITY. MARIAN MIDDLE SCHOOL 4130 WYOMING ST LOUIS MO 63116 431873629 501C3 6000 0 SUPPORT AND EMPOWER GIRLS IN THE COMMUNITY. NATIONAL KIDNEY FOUNDATION 30 E 33RD ST NEW YORK NY 10016 131673104 501C3 6000 0 SUPPORT RESEARCH IN INNOVATION & DISMANTLING INEQUITIES IN CARE & DIALYSIS. NATIONAL BLACK NURSES ASSOCIATION INC 3880 AFFIRMED DR FLORISSANT MO 63034 364799641 501C3 5500 0 SUPPORT ADVOCACY, SCHOLARSHIP, NETWORKING, AND EDUCATION. ST LOUIS AREA DIAPER BANK 6141 ETZEL AVE ST LOUIS MO 63133 371787940 501C3 5500 0 SUPPORT GATEWAY ARCH AREAS FOR THE COMMUNITY. THE HAVEN OF GRACE 1225 WARREN STREET ST LOUIS MO 63106 431611181 501C3 5015 0 SUPPORT WOMEN WHO ARE YOUNG, PREGNANT AND HOMELESS, 50 2 'NO QUESTIONS ASKED' GUN LOCK PROGRAM 30000 58200 FMV GUN LOCKS PART I, LINE 2: DURING 2024, 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. DURING 2024, BJC OFFERS FREE GUN LOCK DISTRIBUTION WITH INFORMATIONAL HANDOUTS AT ITS HOSPITAL EMERGENCY ROOMS AND SPECIALTY CARE CENTERS ACROSS MISSOURI AND ILLINOIS. X X X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 BJC HEALTH SYS GROUP RETURN SEE SCHEDULE 0 14012775 0 11174114 0 585229 0 807693 0 2072624 0 28652435 0 93740 0 BJC HEALTH SYS GROUP RETURN SEE SCHEDULE 0 1871950 0 917002 0 30156 0 16592 0 27032 0 2862732 0 0 0 BJC HEALTH SYS GROUP RETURN FORMER SCHEDULE 0 1301829 0 509663 0 16024 0 114220 0 80666 0 2022402 0 0 0 BJC HEALTH SYS GROUP RETURN SEE SCHEDULE 0 579103 0 807625 0 4599 0 46738 0 74252 0 1512317 0 0 0 PART I, LINE 1A PURSUANT TO TREASURY REG SECTION 1.6033-2(D)(5), BJC HEALTH SYSTEM HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF BJC HEALTH SYSTEM GROUP, EIN 75-3052953. PART I, LINE 4 PURSUANT TO TREASURY REG SECTION 1.6033-2(D)(5), BJC HEALTH SYSTEM HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF BJC HEALTH SYSTEM GROUP, EIN 75-3052953. A HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60635R2K2 2008-04-22 368575000 REFUND PRIOR BONDS & CAPITAL EXP-SEE PART VI 0 0 0 B HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 000000000 2013-09-20 100000000 FUND CAPITAL EXPENDITURES-SEE PART VI 0 0 0 C HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60637AEH1 2013-10-31 100000000 FUND CAPITAL EXPENDITURES-SEE PART VI 0 0 0 D HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60637AFE7 2014-03-13 209195546 FUND CAPITAL EXPENDITURES-SEE PART VI 0 0 0 A 66335000 369074888 711712 124788176 243575000 2008 1 0 1 1 B 100000000 100000000 2013 0 0 1 1 C 101059509 101059490 19 2016 0 0 1 1 D 31810000 213573719 213573719 2016 0 0 1 1 A 0 1 1 0 1 0 0.00250 0.00250 0 0 1 B 0 1 1 0 1 0 0.00000 0.00000 0 0 1 C 0 1 1 0 1 0 0.00000 0.00000 0 0 1 D 0 0 1 0 1 0 0.00000 0.00000 0 0 1 A 0 0 0 1 1 1 JPM MORGAN CHASE 31.400000000000 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, PART I, COLUMN (F) SERIES 2008 BONDS WERE ISSUED IN PART TO REFUND SERIES 2006 BONDS (ISSUED ON 4/4/06) AND TO FINANCE, IN PART, CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2013A BONDS WERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2013C BONDS WERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2014 BONDS WERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2017DEFGHI $75,000,000 WAS REISSUED AND TREATED AS A REFUNDING OF SERIES 2017D BONDS. SERIES 2015 BONDS WERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2020AB BONDS WERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2023 BONDS WERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. THE SERIES 2021ABC BONDS WERE ISSUED FOR THE FOLLOWING PURPOSES: (1) REFUND THE SERIES 2011AB BONDS ISSUED ON DECEMBER 13, 2011 AND REISSUED ON SEPTEMBER 3, 2015, (2) REFUND THE SERIES 2012E BONDS ISSUED ON OCTOBER 31, 2012, (3) REFUND THE SERIES 2013B BONDS ISSUED ON OCTOBER 10, 2013, (4) REFUND THE SERIES 2016A BONDS ISSUED ON SEPTEMBER 26, 2016, (5) REFUND THE SERIES 2016B BONDS ISSUED ON DECEMBER 21, 2016, (6) REFUND THE SERIES 2017EFGHI BONDS ISSUED ON DECEMBER 21, 2017 AND (7) FINANCE CAPITAL EXPENDITURES FOR THE HEALTH SYSTEM. SCHEDULE K, PART I AND II ISSUER NAME: HEALTH&EDUC FACILITIES AUTHORITY OF THE STATE OF MO: SERIES 2018A THE TOTAL AMOUNT OF PROCEEDS OF THE BONO ISSUE IS NOT IDENTICAL TO THE ISSUANCE PRICE LISTED IN PART I DUE TO INVESTMENT EARNINGS. SCHEDULE K, PART II, LINE 3 ANY DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND TOTAL PROCEEDS REPORTED ON PART III, LINE 3 IS DUE TO INVESTMENT EARNINGS OR LOSS ON THE INVESTMENTS. SCHEDULE K, PART II, LINE 11 SERIES 2013C RESIDUAL EARNINGS USED TO PAY INTEREST. SCHEDULE K, PART III, LINES 3B AND 3D INTERNAL LEGAL COUNSEL IS FAMILIAR WITH TAX LAWS AND ROUTINELY REVIEWS THESE AGREEMENTS. SCHEDULE K, PART III, PAGE 2, COLUMN D AND PAGE 3 COLUMN A RESPONSES APPLY TO THOSE PROJECTS THAT HAVE BEEN COMPLETED FOR SERIES 2014, SERIES 2015, AND SERIES 2017DEFGHI. SCHEDULE K, PART IV, LINE 2 SERIES 2008 BONDS IS "NO REBATE DUE." REBATE CALCULATION WAS PERFORMED ON 5/15/10. SERIES 2014 BOND IS "NO REBATE DUE." REBATE CALCULATION WAS PERFORMED ON 03/15/16. SERIES 2015 BOND IS "NO REBATE DUE." REBATE CALCULATION WAS PERFORMED ON 04/30/17. SCHEDULE K, PART IV, LINES 3A-E THE ORGANIZATION ENTERED INTO A QUALIFIED HEDGE RELATED TO SERIES 2008 A-E BONDS. THE SERIES A-C HEDGES MATURE ON 5/15/2038 AT JP MORGAN. THESE CARRY A FLOATING/FIXED RATE WHERE BJC PAYS 3.551% AND RECEIVES 68% OF ONE MONTH LIBOR. THE HEDGE RELATED TO THE SERIES D-E PORTIONS OF THE 2008 BOND ISSUE ARE HELD AT BANK OF AMERICA AND MERRILL LYNCH. EACH OF THESE MATURE ON 5/15/2038 AND CARRY VARIOUS FLOATING/FIXED RATES: FOR 2008D SERIES HEDGE, BJC PAYS 3.482% AND RECEIVES 68% OF ONE MONTH LIBOR; AND FOR 2008E SERIES HEDGE, BJC PAYS 3.497% AND RECEIVES 68% OF THREE MONTH LIBOR A HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60637AMN9 2018-05-01 75000682 REFUND PRIOR BONDS & CAPITAL EXP-SEE PART VI 0 0 0 B HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60637AHZ8 2015-04-30 150000000 FUND CAPITAL EXPENDITURES-SEE PART VI 0 0 0 C HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 000000000 2020-05-06 200000000 FUND CAPITAL EXPENDITURES-SEE PART VI 0 0 0 D HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60637ATR3 2021-04-01 942002641 REFUND PRIOR BONDS & FINANCE - SEE PART IV 0 0 0 A 75000682 682 75000000 2017 1 0 1 1 B 148532124 148532124 2015 0 0 1 1 C 200000000 200000000 2020 0 0 1 1 D 942002641 160002641 782000000 2021 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0 0 1 D 0 1 1 0 1 0 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60637AVY5 2023-05-01 161960520 FUND CAPITAL EXPENDITURES-SEE PART VI 0 0 0 B HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60637ASF0 2020-10-14 107655465 REFUND PRIOR BONDS - SEE PART VI 0 0 0 C HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 000000000 2012-12-13 50000000 FUND CAPITAL EXPENDITURES - SEE PART VI 0 0 0 D HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60637ALA8 2016-05-19 303495001 REFUND PRIOR BONDS - SEE PART VI 0 0 0 A 161960520 161960520 2023 0 0 1 1 B 15745000 107655955 1155159 35000000 71500306 2021 1 0 1 1 C 20000000 50000000 50000000 2012 0 0 1 1 D 41985000 303495001 2442228 301052773 2016 1 1 1 1 A 0 0 0 0 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0 0 1 C 0 0 1 1 0 0 0 1 D 0 0 1 1 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 000000000 2016-07-01 90000000 REFUND PRIOR BONDS - SEE PART VI 0 0 0 B HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 000000000 2016-12-21 23280000 REFUND PRIOR BONDS - SEE PART VI 0 0 0 C HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60637AMW9 2018-05-23 100000872 REFUND PRIOR BONDS & CAPITAL EXP - SEE PART VI 0 0 0 A 1150000 90000000 90000000 2016 1 0 1 1 B 7185000 23280000 51000 23229000 2016 1 0 1 1 C 100723523 1224102 79256013 20243408 2019 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0 0 1 A 0 0 1 0 1 1 USB 19.200000000000 0 1 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 FORM 990, PART III, LINE 2 IN 2024, BJC HEALTH SYSTEM AND SAINT LUKE'S HEALTH SYSTEM COMPLETED A MERGER, RESULTING IN THE FORMATION OF A UNIFIED HEALTHCARE ORGANIZATION. WITH THE MERGER, THE INTEGRATED SYSTEM INITIATED A RANGE OF NEW PATIENT-FOCUSED PROGRAMS DESIGNED TO ENHANCE HEALTHCARE DELIVERY ACROSS MISSOURI, SOUTHERN ILLINOIS, AND EASTERN KANSAS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PREPARES DRAFT COPIES OF FORM 990 AND ATTACHMENTS FOR REVIEW BY MEMBERS OF MANAGEMENT. THESE DRAFT COPIES HAVE BEEN REVIEWED BY A INDEPENDENT ACCOUNTING FIRM. 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. FROM 990, PART VII PURSUANT TO TREASURY REG SECTION 1.6033-2(D)(5), BJC HEALTH SYSTEM HAS ELECTED TO REPORT INFORMATION ABOUT COMPENSATION & OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS & CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE BJC HEALTH SYSTEM GROUP RETURN EIN 75-3052953. FORM 990, PART IX, LINE 11G PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 7,351,415. MANAGEMENT AND GENERAL EXPENSES 20,476,020. TOTAL EXPENSES 27,827,435. PURCHASED SERVICES - INFO TECH: PROGRAM SERVICE EXPENSES 36,384,015. MANAGEMENT AND GENERAL EXPENSES 4,032,618. TOTAL EXPENSES 40,416,633. PURCHASED SERVICES - TEMP AGENCY: PROGRAM SERVICE EXPENSES 10,494,141. MANAGEMENT AND GENERAL EXPENSES 1,612,779. TOTAL EXPENSES 12,106,920. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 18,815,430. MANAGEMENT AND GENERAL EXPENSES 6,892,316. TOTAL EXPENSES 25,707,746. COLLECTION AGENCY SERVICE: PROGRAM SERVICE EXPENSES 4,679,993. TOTAL EXPENSES 4,679,993. TEACHING SERVICES: PROGRAM SERVICE EXPENSES 296,798,307. TOTAL EXPENSES 296,798,307. FORM 990, PART XI, LINE 9: TRANSFERS TO/FROM BJC ENTITIES 61,465,882. ASSET RELEASED FROM RESTRICTIONS -99,065. INTEREST RATE SWAP GAIN/LOSS 28,203,917. PENISON LIAB PER ACTUARIAL REPORT -161,456,114. PHYSICIAN GROUPS LC 670 MASON RIDGE CTR DR ST LOUIS MO 63141 431681957 PROFESSIONAL FEES & BILLING SVCS MO 309618685 37320288 BJC HEALTH SYSTEM BJC HEALTHCARE ACO LLC 670 MASON RIDGE CTR DR ST LOUIS MO 63141 454480491 HEALTH CARE SERVICES MO 12329619 61111 BJC HEALTH SYSTEM BMCA PRIVATE EQUITY LLC 4901 FOREST PARK AVE ST LOUIS MO 63108 454578054 INVESTMENT HOLDINGS MO 0 0 BJC HEALTH SYSTEM BMCA GROWTH LLC 4901 FOREST PARK AVE ST LOUIS MO 63108 454577941 INVESTMENT HOLDINGS MO 0 0 BJC HEALTH SYSTEM BMCA INCOME LLC 4901 FOREST PARK AVE ST LOUIS MO 63108 454578306 INVESTMENT HOLDINGS MO 0 0 BJC HEALTH SYSTEM BHS INNOVATION LLC ONE US BANK PLAZA ST LOUIS MO 63101 833648115 INVESTMENT HOLDINGS MO 0 0 BJC HEALTH SYSTEM METRO-EAST DEVELOPMENT LLC 7700 FORSYTH BLVD ST LOUIS MO 63105 INVESTMENT HOLDINGS MO 0 0 BJC HEALTH SYSTEM BJC AMICI LLC 4901 FOREST PARK AVE ST LOUIS MO 63108 301254011 HEALTH CARE ADMIN SUPPORT SVCS MO 0 0 BJC HEALTH SYSTEM SOULARD SECOND STREET LLC 4901 FOREST PARK AVE ST LOUIS MO 63108 990914202 INVESTMENT HOLDINGS MO 0 0 BJC HEALTH SYSTEM ALTON MEMORIAL HEALTH SERVICES FOUNDATION 1109 N OXFORDSHIRE LANE EDWARDSVILLE IL 62025 371177053 SUPPORT TO AMH IL 501(C)(3) LINE 12C, III-FI ALTON MEMORIAL HOSPITAL 1 ALTON MEMORIAL HOSPITAL CHARITABLE TRUST PO BOX 0634 MILWAUKEE WI 53201 376039185 SUPPORT TO AMH IL 501(C)(3) LINE 12D, III-O ALTON MEMORIAL HOSPITAL 1 BARNES JEWISH ST PETERS & PROGRESS WEST FOUNDATION 10 HOSPITAL DRIVE ST PETERS MO 63376 454471497 SUPPORT TO BJSPH & PWHC MO 501(C)(3) LINE 7 BJSPH & PWHC 1 CHRISTIAN HOSPITAL FOUNDATION 11155 DUNN ROAD SUITE 300 N ST LOUIS MO 63136 431947644 SUPPORT TO CHNE MO 501(C)(3) LINE 7 CHRISTIAN HOSPITAL NENW 1 FAIRVIEW HEIGHTS MEDICAL GROUP SC 670 MASON RIDGE CENTER DR SUITE 300 ST LOUIS MO 63141 364147189 HEALTHCARE SERVICES IL 501(C)(3) LINE 3 BJC HEALTH SYSTEM 1 FOUNDATION FOR BARNES-JEWISH HOSPITAL 1001 HIGHLANDS PLAZA DR WEST SUITE ST LOUIS MO 63110 431648435 SUPPORT TO BJH MO 501(C)(3) LINE 7 BARNES-JEWISH HOSPITAL 1 MEMORIAL FOUNDATION INC 4500 MEMORIAL DRIVE BELLEVILLE IL 62226 371186034 SUPPORT TO PMMCI IL 501(C)(3) LINE 7 PROTESTANT MEMORIAL MEDICAL CENTER INC 1 MEMORIAL GROUP INC 4500 MEMORIAL DRIVE BELLEVILLE IL 62226 371186035 SUPPORT TO MFI & PMMCI IL 501(C)(3) LINE 12C, III-FI N/A 0 MISSOURI BAPTIST HEALTHCARE FOUNDATION 3015 N BALLAS ROAD ST LOUIS MO 63131 431472026 SUPPORT TO MBMC MO 501(C)(3) LINE 7 MISSOURI BAPTIST MEDICAL CENTER 1 MISSOURI BAPTIST HOSPITAL OF SULLIVAN AUXILIARY INC 751 SAPPINGTON BRIDGE RD SULLIVAN MO 63080 431349641 SUPPORT TO MBHS MO 501(C)(3) LINE 10 MISSOURI BAPTIST HOSP OF SULLIVAN 1 PARKLAND HEALTH CENTER FOUNDATION 1101 WEST LIBERTY ST FARMINGTON MO 63640 900424964 SUPPORT TO PHC MO 501(C)(3) LINE 12A, I PARKLAND HEALTH CENTER 1 SAINT LUKE'S CUSHING HOSPITAL INC 5830 NW BARRY ROAD KANSAS CITY MO 64154 480543792 HEALTHCARE SERVICES MO 501(C)(3) LINE 3 SAINT LUKES HEALTH SYSTEM 1 SAINT LUKE'S FOUNDATION 901 E 104TH STREET KANSAS CITY MO 64131 446014699 SUPPORT TO SLHS MO 501(C)(3) LINE 7 SAINT LUKES HEALTH SYSTEM 1 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION ONE CHILDRENS PLACE ST LOUIS MO 63110 431626863 SUPPORT TO SLCH MO 501(C)(3) LINE 7 ST LOUIS CHILDREN'S HOSPITAL 1 WINDSOR CARE INCORPORATED 4301 MADISON AVENUE KANSAS CITY MO 64111 205284328 HEALTHCARE SERVICES MO 501(C)(3) LINE 10 SAINT LUKES HEALTH SYSTEM 1 THE HEART CARE INSTITUTE LLC 1020 NORTH MASON ROAD ST LOUIS MO 63141 431870517 MEDICAL SERVICES MO N/A 0 0 GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC ONE BARNES-JEWISH HOSP PLZ ST LOUIS MO 63110 431846941 OUTPATIENT CARE SERVICES MO N/A 0 0 THE REHABILITATION INSTITUTE OF ST LOUIS LLC 9001 LIBERTY PARKWAY BIRMINGHAM AL 35242 631254288 MEDICAL SERVICES AL BJC HEALTH SYSTEM RELATED -748896 39209997 1 1 0.50000 THE REHABILITATION INSTITUTE OF SOUTHERN ILLINOIS LLC 9001 LIBERTY PARKWAY BIRMINGHAM AL 35242 834553991 MEDICAL SERVICES AL BJC HEALTH SYSTEM RELATED 910715 13035170 1 1 0.50000 CHILDREN'S DISCOVERY INSTITUTE LLC 4901 FOREST PARK AVE ST LOUIS MO 63108 SEARCH FOR CURES OF PEDIATRIC DISEASES MO N/A 0 0 Y-SIHVI LLC 4500 MEMORIAL DRIVE BELLEVILLE IL 62226 371385862 PHYSICAL THERAPY & FITNESS IL N/A 0 0 SOUTHWEST ILLINOIS HEALTH SERVICES REAL ESTATE LLP 4500 MEMORIAL DRIVE BELLEVILLE IL 62226 823633320 COMMERCIAL REAL ESTATE IL N/A 0 0 ST LOUIS HEALTHCARE SUPPORT SERVICES LLC 4901 FOREST PARK AVE ST LOUIS MO 63108 372121486 SUPPORT SERVICES MO BJC HEALTH SYSTEM RELATED -218714 8770893 1 1 0.50000 SAINT LUKE'S SURGICENTER-LEE'S SUMMIT LLC PO BOX 7010 OVERLAND PARK KS 66207 470853481 MEDICAL SERVICES KS N/A 0 0 MEDICAL PLAZA PARTNERS LP 901 E 104TH KANSAS CITY MO 64131 431357824 OWN & OPERATE MEDICAL OFFICE BUILDING MO N/A 0 0 SAINT LUKE'S - 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