2024-11-15T13:38:20-06:00 2023-12-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2023-01-01 431617558 BJC HEALTH SYSTEM DBA BJC HEALTHCARE BJCH 3142862057 4901 FOREST PARK AVE MS 90-75-570 ST LOUIS MO 63108 CHARLES V ROBB EXEC VICE PRESIDENT & CFO 3142862057 2024-11-15 1 1 JESSICA A WAGENER P01622613 3128792000 2023 2024-10-15 13:58:12Z BJC HEALTHCARE CHARLES V ROBB 4901 FOREST PARK AVE ST LOUIS MO 63108 3834250337 0 3844 X WWW.BJC.ORG X 1993 MO HEALTHCARE SERVICES AND HEALTH EDUCATION TO COMMUNITIES WE SERVE. 18 17 5618 64 -4901583 0 615039 1114416 1085794614 1133704981 56010113 256117528 199792012 187699960 1342211778 1578636885 5472314 3927415 0 0 610664594 658314191 0 0 0 596817688 612716844 1212954596 1274958450 129257182 303678435 6646333295 7180662304 3304444033 3462592372 3341889262 3718069932 X BJC HEALTH SYSTEM (BJC) IS THE PARENT CORPORATION OF A NONPROFIT HEALTH CARE ORGANIZATION SERVING PRIMARILY THE RESIDENTS OF METROPOLITAN ST. LOUIS, MID-MISSOURI AND SOUTHERN ILLINOIS IN URBAN, SUBURBAN AND RURAL COMMUNITIES. (SEE SCHEDULE O FOR REMAINDER OF MISSION STATEMENT.) BJC OPERATES 14 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 267174253 267174253 2023 BJC MEDICAL GROUP - BJC MEDICAL GROUP EMPLOYS 218 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 799,744 VISITS. 172263130 172263130 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. 80022497 80022497 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 14 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. 410589762 3927415 614245101 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. 410589762 3927415 614245101 930049642 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 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 1779 2 1 5618 1 1 1 1 CJ CA JE 0 0 0 0 0 0 0 0 1 0 X 18 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LORI SCHREINER 3142862057 4901 FOREST PARK AVE STE 1200 ST LOUIS MO 63108 X BJC HEALTH SYS GROUP RETURN SEE SCHEDULE 0 40.00 X X 20593851 0 3350272 BJC HEALTH SYS GROUP RETURN SEE SCHEDULE 0 40.00 X 1027807 0 152945 BJC HEALTH SYS GROUP RETURN SEE SCHEDULE 0 40.00 X 4999935 0 191639 BJC HEALTH SYS GROUP RETURN FORMER SCHEDULE 0 0.00 X 877246 0 251013 27498839 0 3945869 1409 1 1 0 0 492034 612382 10000 1114416 SVCS TO AFFILIATES 561000 973600475 973600475 PROGRAM SVC REVENUE 621110 150197184 150197184 WASHINGTON UNIV OTHER 531190 8793974 8793974 PROGRAM RENTAL SERVICE 531190 815888 815888 BILLING REVENUE 541900 183684 183684 113776 113776 1133704981 113248865 -9981151 123230016 89180 0 89180 89180 89180 2398480854 1261 2255393150 220302 143087704 -219041 142868663 142868663 5262 0 5262 5262 EMPLOYEE PHARMACY 456110 79729627 79729627 ADMIN PURCH SERV 561000 14849213 14849213 CLIN ENG & TRAIN REV 611430 6000666 6000666 87026012 -921098 87947110 187605518 1578636885 1133704981 -4901583 448719071 X 3773633 3773633 153782 153782 32064273 32064273 231444 231444 501598777 394587196 107011581 27359126 21986378 5372748 62356163 49968175 12387988 34704408 26340700 8363708 307287 61886 245401 5679585 5679585 1215322 1215322 407382 407382 5150941 5150941 162421487 116201202 46220285 9260778 930866 8329912 7178972 5521727 1657245 89967143 58032923 31934220 47247626 40039386 7208240 2176071 1787774 388297 1748757 1228560 520197 10405295 10405295 17825026 17746314 78712 9136744 9136744 REPAIRS AND MAINTENANCE 88851335 71298394 17552941 MEDICAL SUPPLIES 86756518 86756518 RECRUITMENT 5837989 196006 5641983 BANK FEES 5657553 5508854 148699 55485033 18792624 36692409 1274958450 930049642 344908808 0 -9978 -2706 148000931 119699991 4983176 9916737 2987964 6440534 49836917 50519028 73149645 73287239 443377636 186973337 211184193 256404299 1847059564 2418935473 4034443767 3939287238 31956231 67422157 242740885 238752314 6646333295 7180662304 390939691 441329652 41604967 1379746 2035388994 2158604534 836510381 861278440 3304444033 3462592372 X 3341824262 3717827884 65000 242048 3341889262 3718069932 6646333295 7180662304 X 303678435 218781178 -146278943 X 0 1 X 1 1 1 X X 3 BARNES-JEWISH HOSPITAL 237309937 3 1 505509160 0 MISSOURI BAPTIST MEDICAL CENTER 430652656 3 1 154311976 0 ST LOUIS CHILDREN'S HOSPITAL 430654870 3 1 161790346 0 3 821611482 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 2023, 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 407382 0 0 407382 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. 22922258 22922258 42406497 19516669 22889828 22998252 18883339 4114913 165189377 130479157 34710220 189861252 18094172 171767080 256404299 PRIVATE EQUITY FUNDS 1165623291 F HEDGE FUNDS 959097468 F REAL ESTATE FUNDS 847345208 F OTHER 967221271 F 3939287238 INTEREST RATE SWAPS 24121298 PENSION LIABILITY 390815543 OTHER CURRENT LIAB 39450960 OTHER LONG TERM LIABILITIES 15905477 SELF FUNDED MALPR 148830414 INTEREST PAYABLE 23252170 DEFERRED COMPENSATION PAYABLE 68539847 RELATED PARTY LIABILITY 37972094 AFFLILATION PAYMENT 55439280 LONG TERM OPERATING LEASE 53951357 PAYABLE SECURITY LENDING PROGRAM 3000000 861278440 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 0 0 INVESTMENTS 2011135826 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. 2930187 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 82712 EUROPE 0 0 INVESTMENTS 551671484 EUROPE 0 0 PROGRAM EXPENDITURES PROGRAM SERVICES EXPENSES INCLUDING CLINICAL EXCELLENCE, HEALTHCARE EQUIPMENT AND SUPPLY PURCHASES. 258977 NORTH AMERICA 0 0 INVESTMENTS 310281540 NORTH AMERICA 0 0 PROGRAM EXPENDITURES PROGRAM SERVICES EXPENSES INCLUDING HEALTHCARE CLINICAL EQUIPMENT AND SUPPLY PURCHASES. 1022079 SOUTH ASIA 0 0 PROGRAM EXPENDITURES PROGRAM SERVICES EXPENSES INCLUDING CUSTOMER TECHNOLOGY SUPPORT CENTER 21686158 EAST ASIA AND THE PACIFIC 0 0 PROGRAM EXPENDITURES PROGRAM SERVICES EXPENSES FOR HEALTHCARE SUPPLIES 4480 EUROPE 0 0 INVESTMENT EXPENDITURES 17976 1 0 0 0 1 0 2899068963 22456 2899091419 1 0 1 1 1 0 1 1 X 1 X 1 X 1 1 1 0 1 1 4 13151 0 13151 0.00000 645 13056314 9559262 3497052 0.00270 649 13069465 9559262 3510203 0.00270 649 13069465 9559262 3510203 0.00270 1 2041669 0 32623092 26642638 5980454 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 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 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://ENCOMPASSHEALTH.COM/-/MEDIA/HEALTHSOUTH/PROJECT/HEALTHSOUTH/LOCATIONS/REHABINSTITUTESTL-03015900/FILES/2022-TRISL-CHNA--IMPLEMENTATION-STRATEGY---FINAL.PDF?LA=EN&HASH=6EF12C37637D3EBBF5ADE6C0A921C4C1797A4F38 REHABILITATION INST OF SO ILLINOIS LLC PART V, SECTION B, LINE 7D: (THE) REHABILITATION INSTITUTE OF SOUTHERN ILLINOIS IL LICENSE NO. 0006270HTTPS://ENCOMPASSHEALTH.COM/-/MEDIA/HEALTHSOUTH/PROJECT/HEALTHSOUTH/LOCATIONS/SHILOHREHAB-03025200/FILES/2023-REHAB-INSTITUTE-SIL-CHNA--IMPLEMENTATION-STRATEGY-PDF.PDF?LA=EN&HASH=46A7753366A46A17063AC7D2EBC8657CF3955C43 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 WWW.ENCOMPASSHEALTH.COM/LOCATIONS/REHABINSTITUTESTL/FINANCIAL-ASSISTANCE FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY. REHABILITATION INST OF SO ILLINOIS LLC PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.ENCOMPASSHEALTH.COM/LOCATIONS/SHILOHREHAB/FOR-PATIENTS/FINANCIAL-ASSISTANCE FOR FAP, FAP APPLICATION, AND FAP PLAIN LANGUAGE SUMMARY. 1 1 - BJC HEALTH SYSTEM 4901 FOREST PARK AVE ST LOUIS MO 63108 ADMINISTRATIVE OFFICES 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 AND 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 = $ 1,311,179,546 WHICH EXCLUDES THE ALLOCABLE SHARE OF JOINT VENTURE BAD DEBT EXPENSES OF $1,089,364 FOR 2023. 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 ON 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 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 (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 $7.0 BILLION, BJC SERVES URBAN, SUBURBAN AND RURAL COMMUNITIES THROUGH 12 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 1 WASHINGTON UNIVERSITY ONE BROOKINGS DRIVE ST LOUIS MO 63130 430653611 501(C)(3) 2333026 0 SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE COMMUNITIES. OASIS INSTITUTE 11780 BORMAN DRIVE SUITE 400 ST LOUIS MO 63146 431830354 501(C)(3) 450000 0 SUPPORT HEALTHY AGING BY PROVIDING LIFELONG EDUCATION AND PROGRAMS THE SCHOLARSHIP FOUNDATION OF ST LOUIS 6825 CLAYTON AVE SUITE 100 ST LOUIS MO 63139 436031234 501(C)(3) 319190 0 SUPPORT THE COMMUNITY WHO WOULD NOT HAVE FINANCIAL MEANS TO FULFILL THEIR EDUCATIONAL GOALS. THE YOUTH AND FAMILY CENTER 818 CASS AVE ST LOUIS MO 63106 430652663 501(C)(3) 65000 0 SUPPORT FAMILIES AND OLDER ADULTS WITH PROGRAMS OF EDUCATION AND RESOURCES UNITED WAY OF GREATER ST LOUIS INC 910 N 11TH ST ST LOUIS MO 63101 430714167 501(C)(3) 30950 0 SUPPORT THE COMMUNITY WITH SHELTER, FOOD AND EMERGENCY DISASTERS RX OUTREACH 3171 RIVERPORT TECH CENTER DRIVE ST LOUIS MO 63043 352378788 501(C)(3) 25000 0 SUPPORT COMMUNITY BY PROVIDING AFFORDABLE MEDICATION TO AN INDIGENT POPULATION BE WELL CAFE CORP 2027 SALISBURY ST ST LOUIS MO 63107 843733533 501(C)(3) 25000 0 SUPPORT COMMUNITY BY PROVIDING OPPORTUNITIES, EMPOWER AND CREATE SUSTAINABLE ECOSYSTEMS A RED CIRCLE 6439 PLYMOUTH SUITE W130 ST LOUIS MO 63133 820850327 501(C)(3) 25000 0 SUPPORT COMMUNITY BETTERMENT IN NORTH ST. LOUIS COUNTY, THROUGH A RACIAL EQUALITY LENS. BIOSTL 4340 DUNCAN AVE 100 ST LOUIS MO 63110 452137574 501(C)(3) 24448 0 SUPPORT OF ADVANCED RESEARCH IN BIOMEDICAL SCIENCES HAWTHORN FOUNDATION PO BOX 93 JEFFERSON CITY MO 65102 431231419 501(C)(6) 20000 0 SUPPORT CUTTING-EDGE INITIATIVES THAT ARE FOCUSED ON EXPANDING ECONOMIC OPPORTUNITIES ST LOUIS INTEGRATED HEALTH NETWORK 30 MARYLAND PLAZA SUITE 300C ST LOUIS MO 63108 203288245 501(C)(3) 16642 0 SUPPORT THE COMMUNITY WITH ACCESSIBLE, AFFORDABLE, & HIGH-QUALITY HEALTHCARE SERVICES MARCH OF DIMES 1550 CRYSTAL DR STE 1300 ARLINGTON VA 22202 131846366 501(C)(3) 11250 0 SUPPORT FOR SERVICES ON PREGNANCY, PREMATURITY AND BIRTH DEFECTS ST LOUIS BLACK AUTHORS OF CHILDREN'S LITERATURE 3934 HARTFORD ST ST LOUIS MO 63116 301094310 501(C)(3) 10500 0 SUPPORT THOSE AFFECTED WITH MENTAL HEALTH THROUGH ADVOCACY, EDUCATION AND SERVICE. REGIONAL UNION CONSTRUCTION CENTER PO BOX 771091 ST LOUIS MO 63177 205160448 501(C)(3) 10000 0 SUPPORT OF EMERGING MINORITY AND WOMEN OWNING UNION CONSTRUCTION FIRMS. GIRLS ON THE RUN ST LOUIS 3155 SUTTON BLVD STE 101 ST LOUIS MO 63143 260059677 501(C)(3) 10000 0 SUPPORT AND EMPOWER GIRLS FOR A LIFETIME OF HEALTHY LIVING. BAILEY FOUNDATION 4625 LINDELL BLVD SUITE 200 ST LOUIS MO 63108 832830977 501(C)(3) 10000 0 SUPPORT THE COMMUNITY-CENTRIC INITIATIVES WITH PROGRAMS, SERVICES & EDUCATION FAIRGROUND NEIGHBORHOOD REVITALIZATION ORGANIZATION 4321 DE SOTO AVE ST LOUIS MO 63107 465302773 501(C)(3) 9765 0 SUPPORT EQUALITY AND ALL-INCLUSIVE COMMUNITY AND ENVIROMENT INTERNATIONAL INSTITUTE OF METRO ST LOUIS 3401 ARSENAL ST ST LOUIS MO 63118 430652640 501(C)(3) 8000 0 SUPPORT COMMUNITY'S IMMIGRANTS SERVICE AND INFORMATION HUB ST LOUIS REGIONAL PUBLIC MEDIA INC (DBA NINE PBS) 3655 OLIVE STREET ST LOUIS MO 63108 430685345 501(C)(3) 8000 0 SUPPORT MENTAL HEALTH INITIATIVE MO KAN CONSTRUCTION CONTRACTORS ASSOCIATION ASSISTANCE CENTER 4666 NATURAL BRIDGE AVE ST LOUIS MO 63115 431124501 501(C)(3) 8000 0 SUPPORT TECHNICAL AND EDUCATION ASSISTANCE TO MINIORITY AND FEMALE CONTRACTORS FAVORED FOUNDATION FOR STRENGTHENING FAMILIES 5990 PAGE BLVD ST LOUIS MO 63112 463901875 501(C)(3) 7500 0 SUPPORT STRENGTHEN THE FAMILY UNIT THROUGH PARTICIPATION IN ACTIVITIES INTERFAITH RESIDENCE DBA DOORWAYS 4385 MARYLAND AVENUE ST LOUIS MO 63108 431484279 501(C)(3) 7500 0 SUPPORT REHABILATION AND HOUSING SERVICES TO MEET THE NEEDS OF ST. LOUIS AREA FIT AND FOOD CONNECTION 8816 MANCHESTER ROAD 203 ST LOUIS MO 63144 474102880 501(C)(3) 7500 0 SUPPORT THE COMMUNITY TO IMPROVE HEALTH AND THE QUALITY AND AFFORDABILITY OF HEALTH CARE URBAN LEAGUE OF METROPOLITAN SAINT LOUIS 1408 NORTH KINGSHIGHWAY BOULEVARD ST LOUIS MO 63113 430653605 501(C)(3) 7250 0 SUPPORT NEIGHBORHOOD ENGAGEMENT AND COMMUNITY OUTREACH ST LOUIS AREA DIAPER BANK 6141 ETZEL AVE ST LOUIS MO 63133 371787940 501(C)(3) 6015 0 SUPPORT GATEWAY ARCH AREAS FOR THE COMMUNITY MARIAN MIDDLE SCHOOL 4130 WYOMING ST LOUIS MO 63116 431873629 501(C)(3) 6000 0 SUPPORT AND EMPOWER GIRLS IN THE COMMUNITY DEPT OF THE UNITED STATES AIR FORCE BUILDING P-10 215 HERITAGE DR SCOTT AFB IL 62225 530228403 6000 0 SUPPORT COMMUNITY SPONSORSHIP SCOTT AFB AIR SHOW DA HOOD CONNECT 911 WASHINGTON AVE SUITE 501 ST LOUIS MO 63101 920443179 501(C)(3) 6000 0 SUPPORT COMMUNITY ENGAGEMENT WITHIN BLACK & UNDER RESOURCED COMMUNITIES ST LOUIS CRISIS NURSERY 11710 ADMINISTRATIVE DR STE 18 ST LOUIS MO 63146 431410297 501(C)(3) 5500 0 SUPPORT NEGLECTED CHILDREN IN THE COMMUNITY 28 1 BOOK BRIGADE PROGRAM, PUBLIC GRADE SCHOOL READING PROGRAM 22008 94635 FMV 2ND GRADE READING BOOKS FOR STUDENTS IN THE ST LOUIS AREA IN PUBLIC SCHOOLS. 'NO QUESTIONS ASKED' GUN LOCK PROGRAM 28300 59147 FMV GUN LOCKS 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. DURING 2023, BJC AND ITS EMPLOYEES DONATED SUMMER READING BOOKS TO AREA GRADE SCHOOLS TO PROMOTE SUMMER READING AND TO HELP STUDENTS IMPROVE OR MAINTAIN READING SKILLS. 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 13148661 0 7160675 0 284515 0 1650878 0 1699394 0 23944123 0 425975 0 BJC HEALTH SYS GROUP RETURN SEE SCHEDULE 0 4617417 0 372658 0 9860 0 118847 0 72792 0 5191574 0 0 0 BJC HEALTH SYS GROUP RETURN SEE SCHEDULE 0 541824 0 481363 0 4620 0 83128 0 69817 0 1180752 0 0 0 BJC HEALTH SYS GROUP RETURN FORMER SCHEDULE 0 604643 0 266611 0 5992 0 138600 0 112413 0 1128259 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 52635000 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 27975000 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 30.200000000000 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 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 0 0 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 A 161960520 161960520 2023 0 0 1 1 A 0 1 1 0 1 0 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 FORM 990, PART III, LINE 2 DURING 2023 OWNERSHIP INTERESTS IN TWO REHABILITATION JOINT VENTURE HOSPITALS WERE TRANSFERRED TO BJC HEALTH SYSTEM (BJC). THROUGH THESE TWO PARTNERSHIPS, BJC PROVIDES THERAPY AND OTHER HEALTH CARE SERVICES. SEE ADDITIONAL INFORMATION ON SCHEDULE H. 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 49,090,369. MANAGEMENT AND GENERAL EXPENSES 28,055,681. TOTAL EXPENSES 77,146,050. PURCHASED SERVICES - INFO TECH: PROGRAM SERVICE EXPENSES 37,034,143. MANAGEMENT AND GENERAL EXPENSES 5,565,281. TOTAL EXPENSES 42,599,424. PURCHASED SERVICES - TEMP AGENCY: PROGRAM SERVICE EXPENSES 12,269,660. MANAGEMENT AND GENERAL EXPENSES 4,314,522. TOTAL EXPENSES 16,584,182. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 10,510,834. MANAGEMENT AND GENERAL EXPENSES 8,284,801. TOTAL EXPENSES 18,795,635. COLLECTION AGENCY SERVICE: PROGRAM SERVICE EXPENSES 7,296,196. TOTAL EXPENSES 7,296,196. FORM 990, PART XI, LINE 9: TRANSFERS TO/FROM BJC ENTITIES 81,404,450. ASSET RELEASED FROM RESTRICTIONS -230,786,773. INTEREST RATE SWAP GAIN/LOSS 3,103,380. 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MISSOURI BAPTIST MEDICAL CENTER A 18097631 MISSOURI BAPTIST MEDICAL CENTER B 458801 MISSOURI BAPTIST MEDICAL CENTER C 213213 MISSOURI BAPTIST MEDICAL CENTER I 108326 MISSOURI BAPTIST MEDICAL CENTER J 36940859 MISSOURI BAPTIST MEDICAL CENTER K 265379 MISSOURI BAPTIST MEDICAL CENTER L 15716687 MISSOURI BAPTIST MEDICAL CENTER M 24920995 MISSOURI BAPTIST MEDICAL CENTER O 143855812 MISSOURI BAPTIST MEDICAL CENTER P 1659843457 MISSOURI BAPTIST MEDICAL CENTER Q 1012023850 MISSOURI BAPTIST MEDICAL CENTER R 910957299 MISSOURI BAPTIST MEDICAL CENTER S 83180498 PARKLAND HEALTH CENTER A 34909053 PARKLAND HEALTH CENTER B 288520 PARKLAND HEALTH CENTER C 160053 PARKLAND HEALTH CENTER I 45694777 PARKLAND HEALTH CENTER J 232500 PARKLAND HEALTH CENTER K 54212132 PARKLAND HEALTH CENTER L 4757771 PARKLAND HEALTH CENTER M 15598791 PARKLAND HEALTH CENTER O 215662132 PARKLAND HEALTH CENTER P 756497254 PARKLAND HEALTH CENTER Q 225838497 PARKLAND HEALTH CENTER R 234756959 PARKLAND HEALTH CENTER S 2604966 PARKLAND HEALTH CENTER FOUNDATION B 61315 PARKLAND HEALTH CENTER FOUNDATION P 2932946 PARKLAND HEALTH CENTER FOUNDATION Q 740336 PARKLAND HEALTH CENTER FOUNDATION R 56001920 PROGRESS EAST HEALTHCARE CENTER L 56403 PROGRESS EAST HEALTHCARE CENTER P 12902715 PROGRESS EAST HEALTHCARE CENTER Q 13391109 PROGRESS EAST HEALTHCARE CENTER R 11516164 PROGRESS EAST HEALTHCARE CENTER S 400000 PROGRESS WEST HEALTHCARE CENTER A 12572176 PROGRESS WEST HEALTHCARE CENTER B 153790 PROGRESS WEST HEALTHCARE CENTER C 450000 PROGRESS WEST HEALTHCARE CENTER J 3928848 PROGRESS WEST HEALTHCARE CENTER K 152927 PROGRESS WEST HEALTHCARE CENTER L 47705357 PROGRESS WEST HEALTHCARE CENTER M 29190527 PROGRESS WEST HEALTHCARE CENTER N 953100 PROGRESS WEST HEALTHCARE CENTER O 142219789 PROGRESS WEST HEALTHCARE CENTER P 275315549 PROGRESS WEST HEALTHCARE CENTER Q 196730456 PROGRESS WEST HEALTHCARE CENTER R 112670637 PROGRESS WEST HEALTHCARE CENTER S 2452713 PROTESTANT MEMORIAL MEDICAL CENTER INC A 26169669 PROTESTANT MEMORIAL MEDICAL CENTER INC B 13687947 PROTESTANT MEMORIAL MEDICAL CENTER INC C 765232 PROTESTANT MEMORIAL MEDICAL CENTER INC H 16957511 PROTESTANT MEMORIAL MEDICAL CENTER INC J 32839880 PROTESTANT MEMORIAL MEDICAL CENTER INC K 64633 PROTESTANT MEMORIAL MEDICAL CENTER INC L 5885236 PROTESTANT MEMORIAL MEDICAL CENTER INC M 16075048 PROTESTANT MEMORIAL MEDICAL CENTER INC N 996000 PROTESTANT MEMORIAL MEDICAL CENTER INC O 152138911 PROTESTANT MEMORIAL MEDICAL CENTER INC P 995917225 PROTESTANT MEMORIAL MEDICAL CENTER INC Q 644392425 PROTESTANT MEMORIAL MEDICAL CENTER INC R 955816083 PROTESTANT MEMORIAL MEDICAL CENTER INC S 278164341 ST LOUIS CHILDREN'S HOSPITAL A 18230806 ST LOUIS CHILDREN'S HOSPITAL B 44983363 ST LOUIS CHILDREN'S HOSPITAL C 1171811 ST LOUIS CHILDREN'S HOSPITAL H 24876203 ST LOUIS CHILDREN'S HOSPITAL I 152288 ST LOUIS CHILDREN'S HOSPITAL J 12131898 ST LOUIS CHILDREN'S HOSPITAL K 8729162 ST LOUIS CHILDREN'S HOSPITAL L 86316287 ST LOUIS CHILDREN'S HOSPITAL M 34349875 ST LOUIS CHILDREN'S HOSPITAL N 1990864 ST LOUIS CHILDREN'S HOSPITAL O 544248943 ST LOUIS CHILDREN'S HOSPITAL P 1856751413 ST LOUIS CHILDREN'S HOSPITAL Q 1546257335 ST LOUIS CHILDREN'S HOSPITAL R 2838352723 ST LOUIS CHILDREN'S HOSPITAL S 462064271 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION B 303700 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION H 7491032 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION J 152411 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION L 562001 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION O 1513128 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION P 64281087 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION Q 39434172 ST LOUIS CHILDREN'S HOSPITAL FOUNDATION R 461874075 THE FOUNDATION FOR BARNES JEWISH HOSPITAL B 3999717 THE FOUNDATION FOR BARNES JEWISH HOSPITAL C 1140098 THE FOUNDATION FOR BARNES JEWISH HOSPITAL H 6958496 THE FOUNDATION FOR BARNES JEWISH HOSPITAL J 162192 THE FOUNDATION FOR BARNES JEWISH HOSPITAL O 7753410 THE FOUNDATION FOR BARNES JEWISH HOSPITAL P 94941056 THE FOUNDATION FOR BARNES JEWISH HOSPITAL Q 47538457 THE FOUNDATION FOR BARNES JEWISH HOSPITAL R 12647420 THE FOUNDATION FOR BARNES JEWISH HOSPITAL S 246421358