TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)
(1) AMH-BALSTERS KEN...................................................................... DIRECTOR	1.00 .................	X	0	0	0
(2) AMH-ERKER MELISSA...................................................................... DIRECTOR	1.00 .................	X	0	0	0
(3) AMH-FETTER LEE...................................................................... DIRECTOR	40.00 .................	X	1,214,804	0	76,729
(4) AMH-GOINS SHEILA E...................................................................... DIRECTOR	1.00 .................	X	0	0	0
(5) AMH-HARTRICH BRUCE A...................................................................... DIRECTOR	1.00 .................	X	0	0	0
(6) AMH-HOELSCHER DR JOHN...................................................................... DIRECTOR	1.00 ................. 40.00	X	48,000	598,051	57,544
(7) AMH-JULIAN GAYE F...................................................................... DIRECTOR	1.00 .................	X	0	0	0
(8) AMH-LAUSCHKE SANDRA...................................................................... DIRECTOR	1.00 .................	X	0	0	0
(9) AMH-LOY KENNETH...................................................................... DIRECTOR	1.00 .................	X	0	0	0
(10) AMH-RIEDEL DAVID MD...................................................................... DIRECTOR	1.00 ................. 40.00	X	21,450	248,877	38,900
(11) AMH-RYRIE EDWARD...................................................................... DIRECTOR	1.00 .................	X	0	0	0
(12) BHHC-JAMES DAVID TREY MD...................................................................... DIRECTOR	40.00 .................	X	293,553	0	22,862
(13) BHHC-OLINGER STACY...................................................................... DIRECTOR	1.00 .................	X	0	0	0
(14) BJC-BECKETT JANET...................................................................... DIRECTOR	1.00 .................	X	0	0	0
(15) BJC-DONALD ARNOLD...................................................................... DIRECTOR	1.00 .................	X	0	0	0
(16) BJC-FLAVIN LISA...................................................................... DIRECTOR	1.00 .................	X	0	0	0
(17) BJC-GANIM RANDY...................................................................... DIRECTOR	1.00 .................	X	0	0	0

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)					(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) BJC-HARBISON KEITH........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(19) BJC-HOLMES MICHAEL........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(20) BJC-KLEIN WARD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(21) BJC-MANNING ANNA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(22) BJC-PERLMUTTER DAVID........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(23) BJC-SULLIVAN DIANE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(24) BJC-WRIGHTON MARK MD........................................................................ DIRECTOR EX-OFFICIO	1.00 .......................	X					0	0	0
(25) BJCHOME-GEE WILLIAM MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(26) BJCHOME-HALLORAN TERESA........................................................................ DIRECTOR	40.00 .......................	X					212,192	0	19,265
(27) BJCHOME-PATTERSON NANCY........................................................................ DIRECTOR	40.00 .......................	X					269,390	0	35,207
(28) BJCHOME-LOLLO TRISHA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(29) BJCHOME-OLINGER STACY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(30) BJCHOME-PETERS LEWIS ANGELLEEN........................................................................ DIRECTOR	40.00 .......................	X					409,128	0	36,597
(31) BJCHOME-SCHREINER LORI........................................................................ DIRECTOR	40.00 .......................	X					317,562	0	36,261
(32) BJCHOME-VAN TREASESANDRA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(33) BJH-AWADALLA MD SYLVIA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(34) BJH-BAXTER WARNER........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(35) BJH-CLARK MAXINE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(36) BJH-EDISON PETER........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(37) BJH-GOLDBERG SUSAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(38) BJH-GRIFFIN JOANNE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(39) BJH-GROESCH SCOTT........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(40) BJH-HENLEY GARY DDS........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(41) BJH-HILLMAN TOM........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(42) BJH-KAHN EUGENE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(43) BJH-LEFTON MICHAEL........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(44) BJH-LIEKWEG RICHARD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(45) BJH-LOVE KATHRYN ELLIOTT........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(46) BJH-MILES RICHARD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(47) BJH-PATTERSON DEBORAH J........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(48) BJH-PERLMUTTER DAVID H MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(49) BJH-SCHEEL PAUL MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(50) BJH-SCHNUCK CRAIG........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(51) BJH-SMITH PETER........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(52) BJH-THORP HOLDEN PHD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(53) BJH-YAEGER DOUGLAS........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(54) BJSPH-APLINGTON DAVID........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(55) BJSPH-AST MARTIN MD........................................................................ DIRECTOR	40.00 .......................	X					483,420	0	54,854
(56) BJSPH-FETTER LEE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(57) BJSPH-FOX JERRY........................................................................ DIRECTOR	40.00 .......................	X					714,139	0	121,636
(58) BJWCH-BOSWELL CB MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(59) BJWCH-CANNON ROBERT........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(60) BJWCH-EAGON CHRIS MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(61) BJWCH-LONDEALAN MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(62) BJWCH-OLINGER STACY........................................................................ DIRECTOR	40.00 .......................	X					241,690	0	46,279
(63) BJWCH-SCHEEL PAUL MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(64) CH-AKINTOLA-OGUNREMI OLARONKE MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(65) CH-BROWN DAVID........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(66) CH-CLARKREV F JAMES MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(67) CH-COLLINS-HART PHD NETTIE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(68) CH-FETTER LEE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(69) CH-GEORGE THOMAS F PHD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(70) CH-JENSEN JOSHUA II MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(71) CH-LIEKWEG RICH........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(72) CH-MALONE DAVID C........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(73) CH-MOEHN MICHAEL L........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(74) CH-OTTO DAVID W........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(75) CH-PACE PAULA D........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(76) CH-RATLIFF HARRY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(77) CH-REARDEN TIM MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(78) CH-SHAW DAVID MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(79) CH-SIDDIQUI ADNAN Y MD........................................................................ DIRECTOR	1.00 .......................	X					36,333	0	0
(80) CH-STAFFORD ERIC........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(81) CH-TUCKER MICHELLE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(82) CHAS-APLINGTON DAVID........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(83) CHAS-VAN TREASE SANDRA........................................................................ DIRECTOR	40.00 .......................	X					1,399,425	0	106,940
(84) CHC-FOX JERRY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(85) CHC-THOMAS MICHELE MD........................................................................ DIRECTOR	40.00 .......................	X					251,832	0	35,685
(86) CHIL-ZYKAN DONALD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(87) CHSDC-BALSTERS KENNETH........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(88) CHSDC-LIEKWEG RICH........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(89) CHSDC-STEVENS RICK L........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(90) CHSDC-ZYKAN DONALD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(91) MBHS-BAKER ALISON MD........................................................................ DIRECTOR	40.00 .......................	X					297,534	0	33,651
(92) MBHS-DACE SHARON........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(93) MBHS-DIXON DEBBIE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(94) MBHS-JACKSON THOMAS MD........................................................................ DIRECTOR	40.00 .......................	X					396,450	0	25,946
(95) MBHS-MASTIN JAYNE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(96) MBHS-MACE RANDY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(97) MBHS-MIZELL LESA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(98) MBHS-OBERLE JOYCE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(99) MBHS-VAN TREASE SANDRA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(100) MBMC-CAHILL JACK L........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(101) MBMC-DUNNE THOMAS P SR........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(102) MBMC-FERGUSON TRICIA ZIMMER........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(103) MBMC-FETTER LEE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(104) MBMC-FIELDS HARVEY JR........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(105) MBMC-KIM CHARLES G........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(106) MBMC-LAKEY NATHAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(107) MBMC-LIEKWEG RICHARD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(108) MBMC-MARTIN R SCOTT MD........................................................................ DIRECTOR	40.00 .......................	X					580,795	0	17,549
(109) MBMC-MASTIN LETA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(110) MBMC-MATHEWS KORY G........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(111) MBMC-MCDONNELL VERONICA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(112) MBMC-MCKEE CHRIS........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(113) MBMC-MUNDEN DARRYL R........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(114) MBMC-OBERLE JOYCE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(115) MBMC-PETERSON JAMES B........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(116) MBMC-PLANTS EDWARD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(117) MBMC-PRIVOTTW JOSEPH PHD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(118) MBMC-REEG KURTIS B........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(119) MBMC-RHODES CATHERINE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(120) MBMC-STOKES DAVID M........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(121) MBMC-WEINSTEIN DAVID L MD........................................................................ DIRECTOR	40.00 .......................	X					287,596	0	60,450
(122) MESI-BARNETT KEVIN MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(123) MESI-BAUMER KEVIN MD........................................................................ DIRECTOR	1.00 .......................40.00	X					0	545,227	23,947
(124) MESI-CLAYBORNE STACI........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(125) MESI-COOK KEITH........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(126) MESI-CUNDIFF GREG........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(127) MESI-GASSER SUSAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(128) MESI-HOLLOWAY THOMAS E........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(129) MESI-JOHNSON KENNETH V........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(130) MESI-MEHRTENS LESLIE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(131) MESI-MOOSA HANS MD........................................................................ DIRECTOR	1.00 .......................40.00	X					0	1,001,130	22,109
(132) MESI-MUNTON DOUG........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(133) MESI-OLROYD BECKY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(134) MMG-CASPERSON WILLIAM MD........................................................................ DIRECTOR	40.00 .......................	X					361,316	0	38,933
(135) MMG-MOOSA HANS MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(136) MRHS-APLINGTON DAVID........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(137) MRHS-GANIM RANDY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(138) MRHS-THOUVENOT ROLLIE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(139) PHC-BUNCH WILLIAM W........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(140) PHC-CONKLIN RICHARD........................................................................ DIRECTOR	1.00 .......................	X					28,813	0	0
(141) PHC-DUMONTIER EDWARD MD........................................................................ DIRECTOR	1.00 .......................	X					6,016	0	0
(142) PHC-GRIX GARY MD........................................................................ DIRECTOR	40.00 .......................	X					280,357	0	-8,410
(143) PHC-JONES STEVEN R........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(144) PHC-KENNON JOHN GILBERT........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(145) PHC-KIRKLEY SCOTT D MD........................................................................ DIRECTOR	40.00 .......................	X					543,621	0	15,612
(146) PHC-KURTZ STEVEN J........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(147) PHC-PETERSON DEBORAH S........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(148) PHC-ROARK MICHAEL KENT........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(149) PHC-SKAGGS LARRY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(150) PHC-VAN TREASE SANDRA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(151) PMMCI-BEATTY ADRIENA........................................................................ DIRECTOR	1.00 .......................40.00	X					0	394,612	34,928
(152) PMMCI-BOYER GERI........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(153) PMMCI-DOTHAGER DOUG MD........................................................................ DIRECTOR	1.00 .......................40.00	X					5,063	611,020	27,959
(154) PMMCI-HOERING EDWARD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(155) PMMCI-KLOSTERMAN MATT........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(156) PMMCI-LEOPOLD CLAIRE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(157) PMMCI-OLROYD BECKY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(158) PMMCI-RAMOS-PARDO BEATRIZ MD........................................................................ DIRECTOR	1.00 .......................40.00	X					0	290,455	28,016
(159) PMMCI-ROBERTS OTTO........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(160) PMMCI-SAVAGE CHAIRMAINE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(161) PMMCI-THOUVENOT ROLAND........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(162) PWHC-APLINGTON DAVID........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(163) PWHC-FETTER LEE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(164) PWHC-FOX JERRY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(165) PWHC-MISSLER MICHAEL DO........................................................................ DIRECTOR	40.00 .......................	X					507,543	0	29,927
(166) SLCH-DESILVA MICHELLE C........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(167) SLCH-DIEMER NANCY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(168) SLCH-HAGEDORN CHRIS........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(169) SLCH-HARTTRACY E........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(170) SLCH-KENNEDY MICHAEL B........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(171) SLCH-LIEKWEG RICH........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(172) SLCH-LINDSEY STEVE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(173) SLCH-MAHER KEVIN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(174) SLCH-MCDONNELLJAMES III........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(175) SLCH-MCMILLAN MIKE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(176) SLCH-MUELLER CHARLES JR........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(177) SLCH-MULLINS BIRCH........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(178) SLCH-O'CONNELL JOHN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(179) SLCH-PERLMUTTER DAVID........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(180) SLCH-RAMIREZ KARLOS........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(181) SLCH-RHONE ERIC........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(182) SLCH-WHITAKER PATRICA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(183) SLCH-SMITH-THURMAN PATRICIA A........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(184) AMH-AYRES GARY........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(185) AMH-BRAASCH DAVID ALAN........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				335,036	0	43,424
(186) AMH-MILNOR GEORGE........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(187) AMH-THOMPSON STEVE........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(188) BHHC-EIKEL LIZ........................................................................ SECRETARY, DIRECTOR	40.00 .......................	X	X				93,256	0	2,473
(189) BHHC-ROTHERY DAN........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(190) BHHC-SINEK JIM........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(191) BHHC-SMITH MONICA RN........................................................................ VICE PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(192) BHHC-SZEWCZYK MICHAEL MD........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				48,340	0	0
(193) BJC BH-KARL BARBARA........................................................................ VICE PRESIDENT & EXEC DIR	40.00 .......................	X	X				249,650	0	78,333
(194) BJC BH-ROTHERY DAN........................................................................ PRESIDENT, CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(195) BJC BH-TERRACE SARAH........................................................................ SECRETARY, DIRECTOR	40.00 .......................	X	X				445,352	0	63,590
(196) BJC CHS-ROTHERY DAN........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(197) BJC CHS-TERRACE SARAH........................................................................ VICE PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(198) BJC CHS-VENDITTI PATRICK........................................................................ VICE PRESIDENT & SECRETARY, DIRECTOR	40.00 .......................	X	X				157,852	0	19,645
(199) BJC-EASON CLIFFORD J........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(200) BJC-LIEKWEG RICHARD........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				1,898,100	0	193,455
(201) BJC-MCCLURE RICHARD........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(202) BJC-PLUMMER ROBERT........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(203) BJC-SCHNUCK CRAIG........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(204) BJC-WEDDLE JAMES........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(205) BJC-WESTBROOK KELVIN........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(206) BJCHOME-KARL TOM........................................................................ SECRETARY, TREASURER, DIRECTOR	1.00 .......................	X	X				0	0	0
(207) BJCHOME-ROTHERY DAN........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				539,723	0	74,237
(208) BJH-CANNON ROBERT W........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				1,102,615	0	97,682
(209) BJH-WEDDLE JAMES........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(210) BJSPH-WATTS CHRIS........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				481,569	0	23,024
(211) BJWCH-APLINGTON DAVID........................................................................ SECRETARY/TREASURER, DIRECTOR	1.00 .......................	X	X				0	0	0
(212) BJWCH-LOLLO TRISH........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				461,925	0	38,182
(213) BJWCH-ROBERTS KEVIN........................................................................ TREASURER, DIRECTOR TERM 3/18	1.00 .......................	X	X				0	0	0
(214) CH-PLUMMER ROBERT........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(215) CH-STEVENS RICK L........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				489,203	0	63,531
(216) CH-ZYKAN DON........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(217) CHC-POUGE DOUGLAS MD........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(218) CHC-VAN TREASE SANDRA........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(219) CHAS-BECKETT JAN........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(220) CHAS-BLOUNT ROBIN........................................................................ SECRETARY, DIRECTOR	40.00 .......................	X	X				334,013	0	68,196
(221) CHAS-SINEK JIM........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				437,939	0	83,905
(222) CHAS-SMITH MONICA RN........................................................................ VICE CHAIRMAN, DIRECTOR	40.00 .......................	X	X				256,343	0	59,632
(223) CHIL -PLUMMER ROBERT........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(224) CHIL-STEVENS RICK L........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(225) CHSDC-FETTER LEE........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(226) CHSDC-PLUMMER ROBERT........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(227) CHSDC-RATLIFF HARRY........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(228) MBHS-HOFFMAN MIKE........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(229) MBHS-RUBLE IRENE........................................................................ SECRETARY, DIRECTOR	1.00 .......................	X	X				0	0	0
(230) MBMC-ANTES JOHN........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				566,346	0	39,799
(231) MBMC-COPELAND DOUGLAS........................................................................ CHAIR ELECT, DIRECTOR	1.00 .......................	X	X				0	0	0
(232) MBMC-EASON CLIFF........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(233) MBMC-MCCARTHY THOMAS........................................................................ SECRETARY, DIRECTOR	1.00 .......................	X	X				0	0	0
(234) MBMC-ROSS DONALD........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(235) MESI-DISTLER DOUG........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(236) MESI-ECKERT CHRIS........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(237) MESI-SCHROEDER KURT........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(238) MESI-THAXTON VALERIE........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(239) MESI-TURNER MARK........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(240) MMG-DAVIS JAMES B........................................................................ EXECUTIVE DIRECTOR, SECRETARY	40.00 .......................	X	X				191,859	0	22,244
(241) MMG-TURNER MARK J........................................................................ PRESIDENT, CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(242) MRHS-LIEKWEG RICHARD........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(243) MRHS-TURNER MARK J........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				954,207	0	50,716
(244) PEHC-APLINGTON DAVID........................................................................ SECRETARY, DIRECTOR	1.00 .......................	X	X				0	0	0
(245) PEHC-FETTER LEE........................................................................ TREASURER, DIRECTOR	1.00 .......................	X	X				0	0	0
(246) PEHC-LIEKWEG RICHARD........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(247) PHC-BAKER MARY........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(248) PHC-COOK KEVIN........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(249) PHC-KARL THOMAS........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				305,791	0	58,313
(250) PHC-RHODES CATHERINE........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(251) PMMCI-DYER ROB REV........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(252) PMMCI-GIVENS SCOTT........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(253) PMMCI-GRAEBE ROBERT W........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(254) PMMCI-MUELLER ROBERT C........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(255) PMMCI-TURNER MARK........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(256) PWHC-WATTS CHRISTOPER........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(257) SLCH-HERMANN ROBERT JR........................................................................ ASST TREASURER, DIRECTOR	1.00 .......................	X	X				0	0	0
(258) SLCH-IMBS CHRISTOPHER........................................................................ SECRETARY, DIRECTOR	1.00 .......................	X	X				0	0	0
(259) SLCH-JAIN SANJAY........................................................................ TREASURER, DIRECTOR	1.00 .......................	X	X				0	0	0
(260) SLCH-MAGRUDER JOAN........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				880,059	0	75,298
(261) SLCH-MCCLURE RICH........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(262) SLCH-SHEN MARK MD........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				219,318	0	11,883
(263) SLCH-SHORT RICK S........................................................................ TREASURER, DIRECTOR	1.00 .......................	X	X				0	0	0
(264) SLCH-STUPP JOHN JR........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(265) SLCH-SUGGS DONALD........................................................................ ASST TREASURER, DIRECTOR	1.00 .......................	X	X				0	0	0
(266) AMH-KOESTERER SUSAN........................................................................ VICE PRESIDENT, FINANCE	1.00 .......................		X				0	0	0
(267) BJC-APLINGTON DAVID........................................................................ SR. VP,GENERAL COUNSEL,SEC'Y	40.00 .......................		X				795,402	0	73,762
(268) BJC-BARTO NICK........................................................................ SR VP, CFO, TREASURER BEG 11/18	40.00 .......................		X				47,527	0	22,757
(269) BJC-ROBERTS KEVIN........................................................................ SR VP, CFO, TREASURER TERM 4/18	40.00 .......................		X				644,926	0	28,015
(270) BJH-KRIEGER MARK........................................................................ VP, CFO, TREASURER	40.00 .......................		X				589,324	0	76,412
(271) BJH-PATTERSON GREG........................................................................ SECRETARY TERM 3/18	40.00 .......................		X				407,788	0	55,359
(272) BJH-REID SARA........................................................................ SECRETARY START 3/18	40.00 .......................		X				249,012	0	31,741
(273) BJSPH-LAWSON ELIZABETH........................................................................ VICE PRESIDENT, FINANCE	1.00 .......................		X				0	0	0
(274) CH-KOESTERER SUSAN........................................................................ VICE PRESIDENT, FINANCE	40.00 .......................		X				276,146	0	50,471
(275) CHC-WARD CHRIS........................................................................ SECRETARY, TREASURER	40.00 .......................		X				195,421	0	43,645
(276) CHSDC-KOESTERER SUSAN........................................................................ VICE PRESIDENT, FINANCE	1.00 .......................		X				0	0	0
(277) MBMC-DESART AMY........................................................................ VICE PRESIDENT, FINANCE	40.00 .......................		X				284,679	0	48,199
(278) MBHS-DESART AMY........................................................................ VICE PRESIDENT, FINANCE	1.00 .......................		X				0	0	0
(279) MBHS-SCHWARM TONY........................................................................ PRESIDENT	40.00 .......................		X				264,388	0	65,340
(280) MESI-GUSMANO JANE........................................................................ SECRETARY, VP FINANCE	1.00 .......................		X				0	0	0
(281) MMG-GUSMANO JANE........................................................................ VICE PRESIDENT, TREASURER	1.00 .......................		X				0	0	0
(282) MRHS-GUSMANO JANE........................................................................ SECRETARY, TREASURER	1.00 .......................		X				0	0	0
(283) MRHS-ROBERTS KEVIN........................................................................ TREASURER TERM 4/18	1.00 .......................		X				0	0	0
(284) PGLC-POGUE DOUGLAS MD........................................................................ PRESIDENT & MANAGER	40.00 .......................		X				605,091	0	33,579
(285) PHC-DESART AMY........................................................................ VICE PRESIDENT, FINANCE	1.00 .......................		X				0	0	0
(286) PMMCI-GUSMANO JANE........................................................................ VP FINANCE, SECRETARY	40.00 .......................		X				371,550	0	47,398
(287) PWHC-LAWSON ELIZABETH........................................................................ VICE PRESIDENT, FINANCE	40.00 .......................		X				229,644	0	39,411
(288) SLCH-MCKEE MICHELE........................................................................ VICE PRESIDENT, FINANCE	40.00 .......................		X				406,093	0	36,109
(289) BJC-BEATTY JOHN........................................................................ SVP/CHIEF HR OFFICER	40.00 .......................			X			691,241	0	85,742
(290) BJC-SCHULER GREG........................................................................ VP/CHIEF INVEST OFFICER TERM 7/18	40.00 .......................			X			531,176	0	37,670
(291) BJC-THOMAS JOSEPH........................................................................ VP/CHIEF INVEST OFFICER EFF 8/18	40.00 .......................			X			423,107	0	42,432
(292) BJC-GRIMSHAW CHARLES........................................................................ PHYSICIAN	40.00 .......................				X		1,138,070	0	36,504
(293) BJC-O'BERT ROBERT J........................................................................ PHYSICIAN	40.00 .......................				X		1,003,044	0	14,882
(294) BJC-HALL LANNIS E........................................................................ PHYSICIAN	40.00 .......................				X		955,062	0	26,465
(295) BJC-KRAINIK ANDREW J........................................................................ PHYSICIAN	40.00 .......................				X		885,638	0	28,942
(296) BJC-SEWALL DAVID J........................................................................ PHYSICIAN	40.00 .......................				X		853,822	0	49,692
(297) BJC-DEHAVEN MICHAEL........................................................................ FORMER SR VP,GEN COUN,SEC TERM 12/16	0.00 .......................					X	108,909	0	0
(298) BJC-LIPSTEIN STEVEN........................................................................ FORMER CEO, DIRECTOR TERM 12/17	0.00 .......................					X	2,442,760	0	95,595
(299) BJWCH-BLACK CHARLES DOUGLAS........................................................................ FORMER PRES/DIR TERM 1/2016	40.00 .......................					X	332,062	0	33,710
(300) CHAS-FOWLER ROSELLA........................................................................ FORMER VICE CHAIRMAN TERM 4/17	40.00 .......................					X	242,671	0	34,858
(301) MESI-HOLMES RUTH........................................................................ FORMER SECRETARY TERM 6/2016	40.00 .......................					X	167,376	0	1,619
(302) MRHS-LANIUS JOE........................................................................ FORMER SECRETARY, TERM 6/2016	0.00 .......................					X	257,469	0	0
(303) MRHS-MCMANUS MICHAEL........................................................................ FORMER SEC, DIRECTOR TERM 6/17	40.00 .......................					X	307,940	0	37,807

(A) Name and business address	(B) Description of services	(C) Compensation
WASHINGTON UNIV SCHOOL OF MEDICINE 660 S EUCLID ST SAINT LOUIS,MO63110	MEDICAL SERVICES	248,549,622
THE HCI GROUP 6440 SOUTHPOINT PARKWAY STE 300 JACKSONVILLE,FL32216	HEALTHCARE IT CONSULTING	55,200,273
MID AMERICA TRANSPLANT SERV 1110 HIGHLAND PL DR E 100 SAINT LOUIS,MO63110	PROCUREMENT OF TRANSPLANTS	20,600,538
MISSOURI CARDIOVASCULAR SPECIALISTS LLP 1065 EAST BROADWAY STE 300 COLUMBIA,MO65205	MEDICAL SERVICES	20,065,802
MORRISONS HEALTH CARE INC 5801 PEACHTREE DUNWDY ALTANTA,GA30342	FOOD SERVICES	17,300,613
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 341

Section D - Distributions	Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Return Reference	Explanation
SCHEDULE A, PART I, LINE 3, 12	CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION EIN 43-1230583 (ORGANIZATION) IS A SUBORDINATE MEMBER OF THE BJC HEALTH SYSTEM GROUP RULING. THE ORGANIZATION'S PUBLIC CHARITY STATUS IS SECTION 509(A)(3)TYPE III FI. DURING 2018: 12F- NUMBER OF SUPPORTED ORGANIZATIONS AT DECEMBER 31, 2018 = 2 12G - INFORMATION REGARDING SUPPORTED ORGANIZATIONS: CHRISTIAN HOSPITAL NE-NW (CHNE) EIN 43-6057893 - BOX 3 $56,900,430 CH ALLIED SERVICES, INC. (CHAS) EIN 43-1279063 - BOX 3 $23,200,406 THE ABOVE SUPPORTED ORGANIZATIONS ARE U.S. CORPORATIONS AND ARE LISTED IN THE GOVERNING DOCUMENTS FOR CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION. PART III PUBLIC SUPPORT FOR ORGANIZATIONS DESCRIBED IN SEC 509(A)(2): THE FOLLOWING SUBORDINATES OF THE BJC GROUP RULING MAINTAIN PUBLIC CHARITY STATUS AS SEC 509(A)(2) ORGANIZATIONS: BOONE HOSP VISITING NURSES INC (DBA BOONE HOSPITAL HOME CARE) BJC HOME CARE SERVICES CHILDREN'S HEALTH NETWORK THE COMMUNITY HEALTH CONNECTION THE MAJORITY OF THE GROUP MEMBERS MAINTAIN PUBLIC CHARITY STATUS AS HOSPITAL ORGANIZATIONS DESCRIBED IN SEC 170(B)(1)(A)(III), THE SOFTWARE USED TO PREPARE THE BJC GROUP RETURN DOES NOT ALLOW FOR MULTIPLE PUBLIC CHARITY STATUS. ACCORDINGLY, THE ABOVE ORGANIZATIONS HAVE SEPARATELY DOCUMENTED THEIR PUBLIC SUPPORT AND INVESTMENT INCOME PERCENTAGES AGGREGATED AS FOLLOWS: PUBLIC SUPPORT PERCENTAGE FOR 2018 99.73% PUBLIC SUPPORT PERCENTAGE FOR 2017 99.74% INVESTMENT INCOME PERCENTAGE FOR 2018 0.12% INVESTMENT INCOME PERCENTAGE FOR 2017 0.10% _
SCHEDULE A, PART IV - SECTION A	1. YES, DURING 2018, CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION (CHSDC) WAS THE SUPPORTING ORGANIZATION TO THE FOLLOWING SUPPORTED ORGANIZATIONS: -CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST (EIN 43-6057893) 501(C)(3), BOX 3 -CH ALLIED SERVICES, INC. DBA BOONE HOSPITAL (43-1279063) 501(C)(3), BOX 3 THESE SUPPORTED ORGANIZATIONS WERE LISTED BY NAME IN THE ORGANIZING DOCUMENTS FOR CHSDC. CHSDC RESPONDS "NO" TO SECTION A, LINES 2-11. _
PART IV - SECTION D LINES 1-3	CHSDC RESPONDS "YES" TO QUESTIONS 1-3. CHSDC MAINTAINS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATIONS AND APPOINTS THE MAJORITY OF OFFICERS AND DIRECTORS SERVING ON THE BOARDS OF THESE SUPPORTED ORGANIZATIONS. BECAUSE AND AS A RESULT OF THIS CLOSE WORKING RELATIONSHIP, THE SUPPORTED ORGANIZATIONS PROVIDE INPUT ON MONTHLY FINANCIAL OPERATIONS, ANNUAL BUDGET PROCESS INCLUDING ALLOCATIONS FOR CAPITAL PROJECTS, USE OF HEALTH INFORMATION SYSTEMS AND OTHER MATTERS CONCERNING HOSPITAL OPERATIONS. _
PART IV - SECTION E LINES 1-3	LINE 1B: CHSDC IS THE PARENT OF EACH OF ITS SUPPORTED ORGANIZATIONS. LINE 3A: AS SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS, CHSDC HAS RESERVED POWERS TO APPOINT A MAJORITY OF THE OFFICERS AND DIRECTORS OF ITS SUPPORTED ORGANIZATIONS. CERTAIN OF THOSE DIRECTORS IN TURN SERVE ON THE GOVERNING BOARD OF CHSDC. LINE 3B: CHSDC EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS. BJC AND CHSDC REQUIRE THAT EACH SUPPORTED ORGANIZATION ADOPT ITS POLICIES. BJC AND CHSDC APPROVES THE OPERATIONAL AND FISCAL BUDGET FOR EACH OF ITS SUPPORTED ORGANIZATIONS AND PROVIDES ADMINISTRATIVE OVERSIGHT FOR HOSPITAL PROGRAMS AND CAPITAL PROJECTS.


Name of organization BJC HEALTH SYSTEM GROUP RETURN	Employer identification number 75-3052953
Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)


Name of organization BJC HEALTH SYSTEM GROUP RETURN	Employer identification number 75-3052953
Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Return Reference	Explanation
PART II-B, LINE 1:	GOVERNMENT RELATIONS DEPARTMENT EXPENSES INCLUDE RESOURCES DEDICATED TO TRACKING LEGISLATION THAT MAY ADVERSELY IMPACT THE FILING ORGANIZATION. INDIRECT ALLOCATION OF EXPENSES INCLUDE RELEVANT PORTION OF LOBBYING ACTIVITIES THAT ARE SEPARATELY STATED IN DUES PAID TO VARIOUS HOSPITAL AND OTHER MEDICAL ASSOCIATIONS.

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

BJC HEALTH SYSTEM GROUP RETURN

Employer identification number

75-3052953

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .		185,785	241,561,250	90,668,470	150,892,780	3.050 %
b	Medicaid (from Worksheet 3, column a) . . . . .		383,034	909,052,199	697,370,356	211,681,843	4.290 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		568,819	1,150,613,449	788,038,826	362,574,623	7.340 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	276	571,938	21,842,669	9,884,969	11,957,700	0.240 %
f	Health professions education (from Worksheet 5) . . .	58	14,033	277,139,079	80,531,481	196,607,598	3.980 %
g	Subsidized health services (from Worksheet 6) . . . .	14	1,494,230	1,090,713,388	948,277,330	142,436,058	2.890 %
h	Research (from Worksheet 7) .	4	0	14,254,127	14,254,127		0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	52	35,558	10,581,498	1,733,045	8,848,453	0.180 %
j	Total. Other Benefits . .	404	2,115,759	1,414,530,761	1,054,680,952	359,849,809	7.290 %
k	Total. Add lines 7d and 7j .	404	2,684,578	2,565,144,210	1,842,719,778	722,424,432	14.630 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	1	0	4,019	0	4,019	0 %
2	Economic development	10	0	3,923,731	2,450	3,921,281	0.080 %
3	Community support	25	247	862,237	6,171	856,066	0.020 %
4	Environmental improvements	4	0	683,489	0	683,489	0.010 %
5	Leadership development and training for community members	0	0	0	0		0 %
6	Coalition building	1	0	37,966	0	37,966	0 %
7	Community health improvement advocacy	0	0	0	0		0 %
8	Workforce development	1	0	2,500	0	2,500	0 %
9	Other	0	0	0	0		0 %
10	Total	42	247	5,513,942	8,621	5,505,321	0.110 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

151,166,862

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

77,826,757

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

846,147,105

Enter Medicare allowable costs of care relating to payments on line 5.....

807,025,833

Subtract line 6 from line 5. This is the surplus (or shortfall)........

39,121,272

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?15Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)								Other (describe)
1	BARNES-JEWISH HOSPITAL NORTHSOUTH ONE BARNES-JEWISH HOSP PLZ SAINT LOUIS,MO63110 WWW.BARNESJEWISH.ORG MO 421 BARNES-JEWISH HOSPITAL 237309937	X	X		X		X
2	ST LOUIS CHILDREN'S HOSPITAL ONE CHILDRENS PLACE SAINT LOUIS,MO63110 WWW.STLOUISCHILDRENS.ORG MO 324 ST LOUIS CHILDREN'S HOSPITAL 430654870	X	X	X	X		X
3	MISSOURI BAPTIST MEDICAL CENTER 3015 NORTH BALLAS ROAD TOWN COUNTRY,MO63131 WWW.MISSOURIBAPTIST.ORG MO 234 MISSOURI BAPTIST MEDICAL CENTER 430652656	X	X				X
4	CHRISTIAN HOSPITAL NE-NW 11133 DUNN ROAD SAINT LOUIS,MO63136 WWW.CHRISTIANHOSPITAL.ORG MO 425 CHRISTIAN HOSPITAL NE-NW 436057893	X	X				X
5	BOONE HOSPITAL CENTER 1600 EAST BROADWAY COLUMBIA,MO65201 WWW.BOONE.ORG MO 361 CH ALLIED SERVICES INC 431279063	X	X				X	OPER VIA LEASE W/ BOONE COUNTY HOSP TRUSTEES
6	PROTESTANT MEMORIAL MEDICAL CENTER INC 4500 MEMORIAL DRIVE BELLEVILLE,IL62226 WWW.MEMHOSP.COM IL 0001461 PROTESTANT MEMORIAL MEDICAL CTR INC 370635502	X	X				X
7	ALTON MEMORIAL HOSPITAL ONE MEMORIAL DRIVE ALTON,IL62002 WWW.ALTONMEMORIAL.ORG IL 0000026 ALTON MEMORIAL HOSPITAL 370661172	X	X				X
8	BARNES-JEWISH WEST COUNTY HOSPITAL 12634 OLIVE BOULEVARD CREVE COEUR,MO63141 WWW.BARNESJEWISHWESTCOUNTY.ORG MO 368 BARNES-JEWISH WEST COUNTY HOSPITAL 431527130	X	X				X
9	BARNES-JEWISH ST PETERS HOSPITAL INC 10 HOSPITAL DRIVE SAINT PETERS,MO63376 WWW.BJSPH.ORG MO 357 BARNES-JEWISH ST PETERS HOSPITAL INC 431452426	X	X				X
10	METRO-EAST SERVICES INC 1404 CROSS STREET SHILOH,IL62269 WWW.MEMHOSPEAST.COM IL 0006049 METRO-EAST SERVICES INC 460838901	X	X				X
11	PROGRESS WEST HEALTHCARE CENTER 2 PROGRESS POINT PKWY OFALLON,MO63366 WWW.PROGRESSWEST.ORG MO 502 PROGRESS WEST HEALTHCARE CENTER 412140764	X	X				X
12	MISSOURI BAPTIST HOSPITAL OF SULLIVAN 751 SAPPINGTON BRIDGE ROAD SULLIVAN,MO63080 WWW.MISSOURIBAPTISTSULLIVAN.ORG MO 355 MISSOURI BAPTIST HOSPITAL OF SULLIVAN 431459495	X	X			X	X
13	PARKLAND HEALTH CENTER-FARMINGTON 1101 WEST LIBERTY STREET FARMINGTON,MO63640 WWW.PARKLANDHEALTHCENTER.ORG MO 379 PARKLAND HEALTH CENTER 431332368	X	X				X
14	BJCHEALTHSOUTH REHABIL CENTER LLC 4455 DUNCAN AVENUE SAINT LOUIS,MO63110 WWW.REHABINSTITUTESTL.COM MO 467 BARNES-JEWISH HOSPITAL (PARTNER) 237309937	X						50% OWNERSHIP
15	PARKLAND HEALTH CENTER-BONNE TERRE 7245 RAIDER ROAD BONNE TERRE,MO63628 WWW.PARKLANDHEALTHCENTER.ORG MO 474 PARKLAND HEALTH CENTER 431332368	X	X			X	X

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	BARNES-JEWISH HOSPITAL NORTHSOUTH
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	BARNES-JEWISH HOSPITAL NORTHSOUTH
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

BARNESJEWISH.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

BARNESJEWISH.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
BARNESJEWISH.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	BARNES-JEWISH HOSPITAL NORTHSOUTH
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	BARNES-JEWISH HOSPITAL NORTHSOUTH
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ST LOUIS CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ST LOUIS CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	ST LOUIS CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	ST LOUIS CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MISSOURI BAPTIST MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	MISSOURI BAPTIST MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	MISSOURI BAPTIST MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	MISSOURI BAPTIST MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CHRISTIAN HOSPITAL NE-NW
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CHRISTIAN HOSPITAL NE-NW
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	CHRISTIAN HOSPITAL NE-NW
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	CHRISTIAN HOSPITAL NE-NW
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	BOONE HOSPITAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	BOONE HOSPITAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	BOONE HOSPITAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	BOONE HOSPITAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PROTESTANT MEMORIAL MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PROTESTANT MEMORIAL MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	PROTESTANT MEMORIAL MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PROTESTANT MEMORIAL MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ALTON MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ALTON MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	ALTON MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	ALTON MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	BARNES-JEWISH WEST COUNTY HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	BARNES-JEWISH WEST COUNTY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	BARNES-JEWISH WEST COUNTY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	BARNES-JEWISH WEST COUNTY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	BARNES-JEWISH ST PETERS HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	BARNES-JEWISH ST PETERS HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	BARNES-JEWISH ST PETERS HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	BARNES-JEWISH ST PETERS HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	METRO-EAST SERVICES INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	METRO-EAST SERVICES INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.MEMHOSPEAST.COM/FINANCIAL

The FAP application form was widely available on a website (list url):

WWW.MEMHOSPEAST.COM/FINANCIAL

A plain language summary of the FAP was widely available on a website (list url):
WWW.MEMHOSPEAST.COM/FINANCIAL

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	METRO-EAST SERVICES INC
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	METRO-EAST SERVICES INC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PROGRESS WEST HEALTHCARE CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PROGRESS WEST HEALTHCARE CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	PROGRESS WEST HEALTHCARE CENTER
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PROGRESS WEST HEALTHCARE CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	MISSOURI BAPTIST HOSPITAL OF SULLIVAN
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PARKLAND HEALTH CENTER-FARMINGTON
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PARKLAND HEALTH CENTER-FARMINGTON
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	PARKLAND HEALTH CENTER-FARMINGTON
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PARKLAND HEALTH CENTER-FARMINGTON
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	BJCHEALTHSOUTH REHABIL CENTER LLC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	BJCHEALTHSOUTH REHABIL CENTER LLC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.ENCOMPASSHEALTH.COM/LOCATIONS/REHABINSTITUTESTL/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.ENCOMPASSHEALTH.COM/LOCATIONS/REHABINSTITUTESTL/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.ENCOMPASSHEALTH.COM/LOCATIONS/REHABINSTITUTESTL/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	BJCHEALTHSOUTH REHABIL CENTER LLC
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	BJCHEALTHSOUTH REHABIL CENTER LLC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PARKLAND HEALTH CENTER-BONNE TERRE
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PARKLAND HEALTH CENTER-BONNE TERRE
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url):

BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	PARKLAND HEALTH CENTER-BONNE TERRE
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PARKLAND HEALTH CENTER-BONNE TERRE
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
BARNES-JEWISH HOSPITAL NORTH/SOUTH	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), BARNES-JEWISH HOSPITAL (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH OF BJC HOSPITAL SERVES. HOSPITAL IDENTIFIED ITS COMMUNITY AS THE CITY OF ST. LOUIS WHICH COMPRISES 5% OF MISSOURI'S POPULATION. POPULATION OF THE CITY WAS APPROXIMATELY 52% FEMALE/48% MALE; 46% WHITE, 47% AFRICAN AMERICAN, 4% HISPANIC OR LATINO AND 3% ASIAN. MEDIAN HOUSEHOLD INCOME FOR CITY WAS 27% LOWER THAN THE STATE OVERALL. HOSPITAL FURTHER IDENTIFIED THE HOMELESS POPULATION IN THE CITY TO REQUIRE ADDITIONAL CONSIDERATION (ESPECIALLY UPON DISCHARGE FROM THE HOSPITAL) AND NOTED NEEDS OF INCREASING IMPORTANCE TO BE SAFETY FROM VIOLENCE, ACCESS TO COVERAGE DUE TO NO MEDICAID EXPANSION IN MISSOURI AND BEHAVIORAL HEALTH ISSUES REGARDING OPIOID ABUSE. INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OUR POPULATION. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE COUNTY OR CITY HEALTH DEPARTMENTS AND MET AT VARIOUS TIMES TO DISCUSS THE RESULTS OF PRIOR CHNA AND REVIEWED THE CURRENT IMPLEMENTATION PLAN (IP). FOCUS GROUP PARTICIPANTS GAVE COMMENTARY ON THE PRIOR CHNA AND PROVIDED SUGGESTIONS FOR ADDRESSING THE NEEDS OF RESIDENTS IN THE CITY OF ST. LOUIS. THE DATA GATHERING PROCESS WAS CONDUCTED IN TWO PHASES WHICH INCLUDED A DISCUSSION OF 2013 CHNA RESULTS, GAPS IN PRIOR IMPLEMENTATION STRATEGIES AND WAYS TO IMPROVE ACCESS TO COVERAGE USING TECHNOLOGY. THE FOCUS GROUP INCLUDED PARTICIPANTS REPRESENTING:COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)URBAN LEAGUE OF GREATER ST. LOUISMISSOURI FOUNDATION FOR HEALTHPARAQUADINTERNATIONAL INSTITUTEALDERWOMAN, WARD 19REGIONAL HEALTH COMMISSIONAFFINIA HEALTHCARE, FORMERLY GRACE HILL HEALTH CENTERSST. LOUIS AREA FOOD BANKGATEWAY REGION YMCAST. LOUIS COUNTY HEALTH DEPARTMENTCASA DE SALUDCITY OF ST. LOUIS HEALTH COMMISSIONERST. LOUIS INTEGRATED HEALTH NETWORKPATIENT ADVOCATES
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), ST. LOUIS CHILDREN'S HOSPITAL (HOSPITAL) AND SSM HEALTH CARDINAL GLENNON CHILDREN'S MEDICAL CENTER CONDUCTED A FOCUS GROUP TO OBTAIN INPUT FROM PEDIATRIC AND PUBLIC HEALTH EXPERTS ON THE HEALTH CONCERNS OF ST. LOUIS CITY CHILDREN AGES 0-18. HOSPITAL COMMUNITY INCLUDES ST. LOUIS CITY. THE POPULATION OF THIS COMMUNITY IS 47% AFRICAN AMERICAN; 31% WHITE; AND 4% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 52% FEMALE AND 48% MALE WITH ALMOST 10% OF THE POPULATION WHERE LANGUAGE OTHER THAN ENGLISH IS SPOKEN AT HOME AND ALMOST 7% ARE FOREIGN BORN PERSONS. TRANSIENT FAMILIES WERE IDENTIFIED AS A SPECIAL CONCERN FOR TRACKING THOSE PERSONS WHO HAVE BEEN ENROLLED IN PILOT PROGRAMS. HOSPITAL CONDUCTED ITS 2016 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WHICH REVIEWED THE 2013 CHNA AND FINDINGS THEN DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013. THIS GROUP THEN REVIEWED GAPS IN MEETING NEEDS AND IDENTIFIED OTHER COMMUNITY ORGANIZATIONS TO COLLABORATE WITH IN ADDRESSING NEEDS. A PATIENT HEALTH CONCERNS SURVEY WAS ADMINISTERED TO MORE THAN 1,000 PARENTS LIVING WITHIN THE ST. LOUIS METROPOLITAN AREA WHICH IDENTIFIED PRIMARY DATA ON HEALTH NEEDS. DURING PHASE TWO, THIS GROUP IDENTIFIED INTERNAL WORK GROUP AT HOSPITAL WHICH FURTHER IDENTIFIED HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. LOUIS METROPOLITAN AREA. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS AND INCLUDED PARTICIPANTS REPRESENTING:WOMAN'S PLACE (STS. JOACHIM & ANN)CITY OF O'FALLONFORT ZUMWALT SCHOOL DISTRICTUNITED WAY OF GREATER ST. LOUISST. CHARLES CITY-COUNTY LIBRARY DISTRICTCRIDER HEALTH CENTERYOUTH IN NEEDMID-EAST AREA ON AGINGVOLUNTEERS IN MEDICINECOMMUNITY COUNCILRENARULD SPIRIT CENTERUNITED SERVICESFIRST STEPS BACK HOMEST. LOUIS CHARLES COUNTY AMBULANCE DISTRICTALDERWOMAN, CITY OF O'FALLONSTS. JOACHIM & ANN CARE SERVICEVOLUNTEERS IN MEDICINECAVALRY CHURCHCENTRAL COUNTY FIRE & RESCUECRISIS NURSERYST. CHARLES CHAMBER OF COMMERCEST. CHARLES COUNTY DRUG TASK FORCEST. CHARLES COUNTY DEPARTMENT OF HEALTH
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), MISSOURI BAPTIST MEDICAL CENTER (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY WHICH INCLUDES AREAS OF SOUTH AND WEST ST. LOUIS COUNTY. THE POPULATION OF THIS COMMUNITY IS 67% WHITE; 24% AFRICAN AMERICAN; 4% ASIAN; AND 3% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 52% MALE AND 48% FEMALE. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN WEST COUNTY AND SOUTH COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN HEART ASSOCIATIONST. LOUIS SUBURBAN SCHOOL NURSESMISSOURI HOUSE OF REPRESENTATIVESCATHOLIC FAMILY SERVICESNATIONAL COUNCIL ON ALCOHOLISM & DRUG ABUSEMANCHESTER UNITED METHODIST CHURCHSOUTH COUNTY HEALTH CENTERALIVELEMAY FIRE PROTECTION DISTRICTOFFICE OF THE COUNTY EXECUTIVEST. LOUIS CRISIS NURSERYBEHAVIORAL HEALTH NETWORKMID-EAST AREA ON AGINGST. LOUIS COUNTY DEPARTMENT OF HEALTHHOPE LODGEREGIONAL HEALTH COMMISSIONUNITED WAYPEOPLE'S HEALTH CENTERSFEED MY PEOPLECRISIS NURSERYAMERICAN CANCER SOCIETYJEWISH COMMUNITY CENTER
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), CHRISTIAN HOSPITAL (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY WHICH INCLUDES AREAS OF NORTH ST. LOUIS COUNTY. THE POPULATION OF THIS COMMUNITY IS 64% AFRICAN AMERICAN; 31% WHITE; AND 2% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 54% FEMALE AND 46% MALE. HOSPITAL CONDUCTED ITS 2016 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WHICH REVIEWED THE 2013 CHNA AND FINDINGS THEN DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013. THIS GROUP THEN REVIEWED GAPS IN MEETING NEEDS AND IDENTIFIED OTHER COMMUNITY ORGANIZATIONS TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, THIS GROUP IDENTIFIED INTERNAL WORK GROUP AT HOSPITAL WHICH FURTHER IDENTIFIED HEALTH DISPARITIES AND TRENDS EVIDENT IN NORTH ST. LOUIS COUNTY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN NORTH ST. LOUIS COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:FAMILY RESOURCE CENTERST. LOUIS UNIVERSITY EDUCATION AND PUBLIC SERVICESST. LOUIS COUNTY POLICE DEPARTMENTWARD 1 - FLORISSANTGREATER NORTH COUNTY CHAMBER OF COMMERCEHOLY NAME OF JESUS CATHOLIC CHURCHEDWARD JONES YMCAHAZELWOOD SCHOOL DISTRICTREDDY HEALTH AND PERFORMANCEMID-EAST AREA ON AGINGST. LOUIS COUNTY DEPARTMENT OF HEALTHNORTH COUNTY CHURCHES UNITINGUNIVERSITY OF MISSOURI - ST. LOUISUNITED WAYPEOPLE'S HEALTH CENTERSCRISIS NURSERY
BOONE HOSPITAL CENTER	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), BOONE HOSPITAL CENTER (HOSPITAL) FORMED AN INTERNAL WORKGROUP OF CLINICAL AND NON-CLINICAL STAFF WITH KNOWLEDGE OF THE COMMUNITY AND PATIENTS TO REVIEW THE FOCUS GROUP RESULTS AND THE SECONDARY DATA IN ORDER TO PROVIDE INPUT INTO THE PRIORITY NEEDS OF THE COUNTY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY WHICH WAS IDENTIFIED AS BOONE COUNTY. THE POPULATION OF THIS COMMUNITY IS 80% WHITE; 10% AFRICAN AMERICAN; 5% ASIAN; AND 3% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 52% FEMALE AND 48% MALE AND FOREIGN BORN PERSONS COMPRISE 6% OF THIS COMMUNITY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN BOONE COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:COLUMBIA-BOONE COUNTY DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES (DHHS)FAMILY HEALTH CENTERCOLUMBIA HOUSING AUTHORITYFORMER BHC TRUSTEECENTRAL MO COMMUNITY ACTION
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), PROTESTANT MEMORIAL MEDICAL CENTER, INC. (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. HOSPITAL IDENTIFIED ITS COMMUNITY AS ST. CLAIR COUNTY (COUNTY) WHICH COMPRISES 2% OF ILLINOIS' TOTAL POPULATION. POPULATION OF THE COUNTY WAS APPROXIMATELY 52% FEMALE/48% MALE; 65% WHITE, 30% AFRICAN AMERICAN, 4% HISPANIC OR LATINO AND 1% ASIAN. MEDIAN HOUSEHOLD INCOME FOR COUNTY WAS 14% LOWER THAN THE STATE OVERALL. PERSONS LIVING BELOW THE POVERTY LEVEL IN THE COUNTY TOTALED 16.4 PERCENT COMPARED TO 13.0 PERCENT IN THE STATE. INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. NINETEEN OF 21 INVITED PARTICIPANTS REPRESENTING VARIOUS ST. CLAIR COUNTY ORGANIZATIONS PARTICIPATED IN THE FOCUS GROUP. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OUR POPULATION. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE COUNTY OR CITY HEALTH DEPARTMENTS AND MET AT VARIOUS TIMES TO DISCUSS THE RESULTS OF PRIOR CHNA AND REVIEWED THE CURRENT IMPLEMENTATION PLAN (IP). FOCUS GROUP PARTICIPANTS GAVE COMMENTARY ON THE PRIOR CHNA AND PROVIDED SUGGESTIONS FOR ADDRESSING THE NEEDS OF RESIDENTS IN ST. CLAIR COUNTY. THE DATA GATHERING PROCESS WAS CONDUCTED IN TWO PHASES WHICH INCLUDED A DISCUSSION OF 2015 CHNA RESULTS, GAPS IN PRIOR IMPLEMENTATION STRATEGIES AND WAYS TO IMPROVE ACCESS TO COVERAGE USING TECHNOLOGY. THE FOCUS GROUP INCLUDED PARTICIPANTS REPRESENTING:EASTSIDE ALIGNEDPROGRAMS AND SERVICES FOR OLDER PEOPLEYMCACITY OF O'FALLONCITY OF BELLEVILLEINTERFAITH FOOD PANTRYST. CLAIR COUNTY HEALTH DEPARTMENTESTL ST. VINCENT DE PAUL SOCIETYO'FALLON CHAMBER OF COMMERCEST. CLAIR COUNTY STATE'S ATTORNEYMCKENDREE UNIVERSITYABBOT EMSTOUCHETTE REGIONAL HOSPITALAGE SMARTST. CLAIR REGIONAL OFFICE OF EDUCATIONBELLEVILLE CHAMBER OF COMMERCEKARLA SMITH FOUNDATIONSCOTT AIR FORCE BASEBEACON MINISTRIES
ALTON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), ALTON MEMORIAL HOSPITAL (HOSPITAL) CONDUCTED A FOCUS GROUP TO SOLICIT FEEDBACK FROM COMMUNITY STAKEHOLDERS, PUBLIC HEALTH EXPERTS AND THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN MADISON COUNTY. THE POPULATION OF THIS COMMUNITY IS 85% WHITE; 10% AFRICAN AMERICAN; AND 3% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 51% FEMALE AND 49% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 3% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN MADISON COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. THE PURPOSE OF THE FOCUS GROUPS WAS TO GAIN INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITALS, AS WELL AS THOSE FROM MADISON COUNTY HEALTH DEPARTMENT WITH SPECIAL KNOWLEDGE AND EXPERTISE IN THE AREA OF PUBLIC HEALTH.AN INTERNAL COMMUNITY BENEFIT COMMITTEE WAS FORMED AT AMH MADE UP OF COMMUNITY OUTREACH HEALTH PERSONNEL, NURSES, CHAPLAIN, PHYSICIANS AND OTHER SPECIALTY CLINICIANS. THE GROUP REVIEWED THE EXTERNAL FOCUS GROUP RESULTS AND THE SECONDARY DATA BASED ON THE FOCUS GROUP RESULTS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN MADISON COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SALVATION ARMYALTON DEPARTMENT OF HOUSINGNOWUPPER ALTON BAPTIST CHURCHSOUTHERN ILLINOIS HEALTHCARE FOUNDATIONSIERRA CLUBROXANA CHURCH OF THE NAZARENEALTON FIRE DEPARTMENTRIVERBEND FAMILY MINISTRIESOASIS WOMEN'S CENTERST. AMBROSE CHURCH AND SCHOOLEAST ALTON UNITED METHODIST CHURCHALTON FIRE DEPARTMENTNAUTILAUSALTON GIRLS AND BOYS CLUBSIERRA CLUBMADISON COUNTY HEALTH DEPARTMENTGIFT OF VOICE.COMALTON MISSION CHURCH/RIVERBEND MINISTERIAL ALLIANCELEWIS AND CLARK FAMILY HEALTH CLINICILLINOIS DEPARTMENT OF MENTAL HEALTH
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), BARNES-JEWISH WEST COUNTY HOSPITAL (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL WHICH IS DEFINED AS WEST ST. LOUIS COUNTY AREA. THE POPULATION OF THIS COMMUNITY IS 67% WHITE; 24% AFRICAN AMERICAN; 4%% ASIAN 3ND 3% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 51% FEMALE AND 47% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 7% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN WEST ST. LOUIS COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN HEART ASSOCIATIONST. LOUIS SUBURBAN SCHOOL NURSESMISSOURI HOUSE OF REPRESENTATIVESCATHOLIC FAMILY SERVICESNATIONAL COUNCIL ON ALCOHOLISM & DRUG ABUSEMANCHESTER UNITED METHODIST CHURCHSOUTH COUNTY HEALTH CENTERALIVELEMAY FIRE PROTECTION DISTRICTOFFICE OF THE COUNTY EXECUTIVEST. LOUIS CRISIS NURSERYBEHAVIORAL HEALTH NETWORKMID-EAST AREA ON AGINGST. LOUIS COUNTY DOHHOPE LODGEREGIONAL HEALTH COMMISSIONUNITED WAYPEOPLE'S HEALTH CENTERSFEED MY PEOPLECRISIS NURSERYAMERICAN CANCER SOCIETYJEWISH COMMUNITY CENTER
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), BARNES-JEWISH ST. PETERS HOSPITAL (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. THE POPULATION OF THIS COMMUNITY IS 88% WHITE; 5% AFRICAN AMERICAN; 3% HISPANIC OR LATINO AND 2% ASIAN. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 51% FEMALE AND 49% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 4% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. CHARLES COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. CHARLES COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:WOMAN'S PLACE (STS. JOACHIM & ANN) CITY OF O'FALLONECONOMIC DEVELOPMENT CENTERFORT ZUMWALT SCHOOL DISTRICT UNITED WAY OF GREATER ST. LOUIS ST. CHARLES CITY-COUNTY LIBRARY DISTRICTCRIDER HEALTH CENTER YOUTH IN NEEDMID-EAST AREA ON AGINGVOLUNTEERS IN MEDICINECOMMUNITY COUNCIL RENAULD SPIRIT CENTER UNITED SERVICESFIRST STEPS BACK HOMEST. LOUIS CHARLES COUNTY AMBULANCE DISTRICTST. CHARLES COUNTY GOVERNMENT ALDERWOMAN, CITY OF O'FALLONSTS. JOACHIM & ANN CARE SERVICE VOLUNTEERS IN MEDICINELINDENWOOD UNIVERSITYCAVALRY CHURCHCITY OF WENTZVILLECENTRAL COUNTY FIRE & RESCUECRISIS NURSERYST. CHARLES CHAMBER OF COMMERCEWENTZVILLE SCHOOL DISTRICTST. CHARLES COUNTY DRUG TASK FORCEST. CHARLES COUNTY DEPARTMENT OF HEALTH
METRO-EAST SERVICES, INC.	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), METRO EAST SERVICES, INC. (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH BJC HOSPITAL SERVES. HOSPITAL IDENTIFIED ITS COMMUNITY AS ST. CLAIR COUNTY (COUNTY) WHICH COMPRISES 2% OF ILLINOIS' TOTAL POPULATION. POPULATION OF THE COUNTY WAS APPROXIMATELY 52% FEMALE/48% MALE; 65% WHITE, 30% AFRICAN AMERICAN, 4% HISPANIC OR LATINO AND 1% ASIAN. MEDIAN HOUSEHOLD INCOME FOR COUNTY WAS 14% LOWER THAN THE STATE OVERALL. PERSONS LIVING BELOW THE POVERTY LEVEL IN THE COUNTY TOTALED 16.4 PERCENT COMPARED TO 13.0 PERCENT IN THE STATE. INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. NINETEEN OF 21 INVITED PARTICIPANTS REPRESENTING VARIOUS ST. CLAIR COUNTY ORGANIZATIONS PARTICIPATED IN THE FOCUS GROUP. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OUR POPULATION. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE COUNTY OR CITY HEALTH DEPARTMENTS AND MET AT VARIOUS TIMES TO FORMULATE THE NEEDS OF THE COMMUNITY SERVED. FOCUS GROUP PARTICIPANTS PROVIDED SUGGESTIONS FOR ADDRESSING THE NEEDS OF RESIDENTS IN ST. CLAIR COUNTY. THE DATA GATHERING PROCESS WAS CONDUCTED IN TWO PHASES WHICH INCLUDED A DISCUSSION OF CHNA RESULTS FOR OTHER AREA HOSPITALS, GAPS IN PRIOR IMPLEMENTATION STRATEGIES FOR OTHER HOSPITALS, AND WAYS TO IMPROVE ACCESS TO COVERAGE USING TECHNOLOGY. THE FOCUS GROUP INCLUDED PARTICIPANTS REPRESENTING:EASTSIDE ALIGNEDPROGRAMS AND SERVICES FOR OLDER PEOPLEYMCACITY OF O'FALLONCITY OF BELLEVILLEINTERFAITH FOOD PANTRYST. CLAIR COUNTY HEALTH DEPARTMENTESTL ST. VINCENT DE PAUL SOCIETYO'FALLON CHAMBER OF COMMERCEST. CLAIR COUNTY STATE'S ATTORNEYMCKENDREE UNIVERSITYABBOT EMSTOUCHETTE REGIONAL HOSPITALAGE SMARTST. CLAIR REGIONAL OFFICE OF EDUCATIONBELLEVILLE CHAMBER OF COMMERCEKARLA SMITH FOUNDATIONSCOTT AIR FORCE BASEBEACON MINISTRIES
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), PROGRESS WEST HEALTHCARE CENTER (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY DEFINED AS ST. CHARLES COUNTY. THE POPULATION OF THIS COMMUNITY IS 88% WHITE; 5% AFRICAN AMERICAN; 3% HISPANIC OR LATINO AND 2% ASIAN. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 51% FEMALE AND 49% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 4% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. CHARLES COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. CHARLES COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:WOMAN'S PLACE (STS. JOACHIM & ANN) CITY OF O'FALLONECONOMIC DEVELOPMENT CENTERFORT ZUMWALT SCHOOL DISTRICT UNITED WAY OF GREATER ST. LOUIS ST. CHARLES CITY-COUNTY LIBRARY DISTRICTCRIDER HEALTH CENTER YOUTH IN NEEDMID-EAST AREA ON AGINGVOLUNTEERS IN MEDICINECOMMUNITY COUNCIL RENAULD SPIRIT CENTER UNITED SERVICESFIRST STEPS BACK HOMEST. LOUIS CHARLES COUNTY AMBULANCE DISTRICTST. CHARLES COUNTY GOVERNMENT ALDERWOMAN, CITY OF O'FALLONSTS. JOACHIM & ANN CARE SERVICE VOLUNTEERS IN MEDICINELINDENWOOD UNIVERSITYCAVALRY CHURCHCITY OF WENTZVILLECENTRAL COUNTY FIRE & RESCUECRISIS NURSERYST. CHARLES CHAMBER OF COMMERCEWENTZVILLE SCHOOL DISTRICTST. CHARLES COUNTY DRUG TASK FORCEST. CHARLES COUNTY DEPARTMENT OF HEALTH
MISSOURI BAPTIST HOSPITAL OF SULLIVAN	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), MISSOURI BAPTIST HOSPITAL OF SULLIVAN (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL DEFINED AS CRAWFORD COUNTY. THE POPULATION OF THIS COMMUNITY IS 96% WHITE; 2% HISPANIC OR LATINO AND 1% AFRICAN AMERICAN. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 50% FEMALE AND 50% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 1% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN CRAWFORD COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN CRAWFORD COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:CUBA SCHOOL DISTRICTN. CRAWFORD COUNTY/AMBULANCE DISTRICTMERAMEC COMMUNITY MISSIONCUBA SCHOOL DISTRICTCITY OF SULLIVANSULLIVAN POLICE DEPARTMENTSULLIVAN SCHOOL DISTRICTPATTONVILLE FIRE DEPARTMENTFRANKLIN COUNTY UNITED WAYCRAWFORD COUNTY SHERRIFF'S DEPARTMENTPARENTS AS TEACHERSSULLIVAN AREA CHAMBERS OF COMMERCESTEELVILLE R-3 SCHOOL DISTRICTSTEELVILLE AMBULANCE DISTRICTPARENTS AS TEACHERSCRAWFORD COUNTY HEALTH DEPARTMENTPARENTS AS TEACHERSBOURBON SCHOOL DISTRICTCUBA SCHOOL DISTRICTCRAWFORD COUNTYSULLIVAN SCHOOL DISTRICT
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), PARKLAND HEALTH CENTER (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL WHICH WAS IDENTIFIED AS ST. FRANCOIS COUNTY. THE POPULATION OF THIS COMMUNITY IS 92% WHITE; 5% AFRICAN AMERICAN; AND 2% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 53% MALE AND 47% FEMALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 2% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. FRANCOIS COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. FRANCOIS COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:EAST MISSOURI ACTION AGENCYMINERAL AREA COLLEGESOUTHEAST MISSOURI BEHAVIORAL HEALTHMINERAL AREA COLLEGEST. FRANCOIS COUNTY HEALTH DEPARTMENTFARMINGTON CHAMBER OF COMMERCEST. FRANCOIS COUNTY COMMUNITY PARTNERSHIPST. FRANCOIS COUNTY AMBULANCE DISTRICTFARMINGTON OAKS SENIOR CENTER
BJC/HEALTHSOUTH REHABIL CENTER LLC	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), THE BJC/HEALTHSOUTH REHABILITATION CENTER, LLC (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. LOUIS CITY'S CENTRAL WEST END. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN PARKINSON DISEASE ASSOCIATIONABC BRIGADE NATIONAL MULTIPLE SCLEROSIS SOCIETY, GATEWAY CHAPTER BJC HOME CARE SERVICES MO DEPT. OF ELEMENTARY & SECONDARY EDUCATION, DEPT. OF VOCATIONAL REHABILITATION GATEWAY APOTHECARY WUSM OCCUPATIONAL PERFORMANCE LAB PARAQUAD MO DEPT. OF HEALTH & SENIOR SERVICES, ADULT BRAIN INJURY PROGRAM BRAIN INJURY ASSOCIATION OF MISSOURI BJC HOSPICE
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), PARKLAND HEALTH CENTER - BONNE TERRE (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL WHICH WAS IDENTIFIED AS ST. FRANCOIS COUNTY. THE POPULATION OF THIS COMMUNITY IS 92% WHITE; 5% AFRICAN AMERICAN; AND 2% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 53% MALE AND 47% FEMALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 2% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. FRANCOIS COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. FRANCOIS COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:EAST MISSOURI ACTION AGENCYMINERAL AREA COLLEGESOUTHEAST MISSOURI BEHAVIORAL HEALTHMINERAL AREA COLLEGEST. FRANCOIS COUNTY HEALTH DEPARTMENTFARMINGTON CHAMBER OF COMMERCEST. FRANCOIS COUNTY COMMUNITY PARTNERSHIPST. FRANCOIS COUNTY AMBULANCE DISTRICTFARMINGTON OAKS SENIOR CENTER
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 6A: SSM HEALTH CARDINAL GLENNON CHILDREN'S MEDICAL CENTER
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 6A: BARNES-JEWISH WEST COUNTY HOSPITAL, MERCY SOUTH (FKA ST. ANTHONY'S MEDICAL CENTER), ST. LUKE'S HOSPITAL AND MERCY ST. LOUIS.
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 6A: SSM DEPAUL HOSPITAL
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 6A: METRO-EAST SERVICES, INC. AND HSHS ST. ELIZABETH'S HOSPITAL
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 6A: PROGRESS WEST HEALTHCARE CENTER, SSM ST. JOSEPH HEALTH CENTER, SSM ST. JOSEPH WEST
METRO-EAST SERVICES, INC.	PART V, SECTION B, LINE 6A: PROTESTANT MEMORIAL MEDICAL CENTER, INC. AND HSHS ST. ELIZABETH HOSPITAL
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 6A: BARNES-JEWISH ST. PETERS HOSPITAL
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 6A: PARKLAND HEALTH CENTER - BONNE TERRE
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 6A: PARKLAND HEALTH CENTER - FARMINGTON
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 6B: MISSOURI BAPTIST MEDICAL CENTER
BARNES-JEWISH HOSPITAL NORTH/SOUTH	PART V, SECTION B, LINE 7D: SEE WWW.BARNESJEWISH.ORG/CHNA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 7D: SEE STLOUISCHILDRENS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 7D: SEE WWW.MISSOURIBAPTIST.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 7D: SEE CHRISTIANHOSPITAL.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
BOONE HOSPITAL CENTER	PART V, SECTION B, LINE 7D: SEE BOONE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 7D: SEE WWW.MEMHOSP.COM/COMMUNITY-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
ALTON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: SEE ALTONMEMORIALHOSPITAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 7D: SEE BARNESJEWISHWESTCOUNTY.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 7D: SEE WWW.BJSPH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
METRO-EAST SERVICES, INC.	PART V, SECTION B, LINE 7D: SEE WWW.MEMHOSPEAST.COM/COMMUNITY-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 7D: SEE PROGRESSWEST.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
MISSOURI BAPTIST HOSPITAL OF SULLIVAN	PART V, SECTION B, LINE 7D: SEE MISSOURIBAPTISTSULLIVAN.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CHNA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 7D: SEE PARKLANDHEALTHCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
BJC/HEALTHSOUTH REHABIL CENTER LLC	PART V, SECTION B, LINE 7D: SEE HTTPS://WWW.ENCOMPASSHEALTH.COM/-/MEDIA/HEALTHSOUTH/PROJECT/HEALTHSOUTH/LOC FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 7D: SEE PARKLANDHEALTHCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
BARNES-JEWISH HOSPITAL NORTH/SOUTH	PART V, SECTION B, LINE 11: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS UPDATED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY SERVED BY THE BARNES-JEWISH HOSPITAL (HOSPITAL). THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:ACCESS TO SERVICESHEALTHY LIFESTYLESMENTAL & BEHAVIORAL HEALTH/SUBSTANCE ABUSEPUBLIC SAFETY/VIOLENCEWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO COVERAGEACCESS TO TRANSPORTATIONCANCER RESEARCH AND SUPPORTDIABETES RESEARCH AND SUPPORTHEALTH LITERACYHEART DISEASE AND STROKE RESEARCH AND SUPPORTIMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMSMATERNAL & CHILD HEALTHMENTAL HEALTH & DISORDERSNUTRITIONOBESITY RESEARCH AND PROGRAMSORAL HEALTH RESEARCH AND PROGRAMSPUBLIC SAFETY: FATAL INJURIESREPRODUCTIVE & SEXUAL HEALTH PROGRAMSRESPIRATORY DISEASES RESEARCH AND PROGRAMSSMOKING & TOBACCO EDUCATION
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 11: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS UPDATED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. 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:OBESITYDENTAL HEALTHALLERGIES (FOOD)HEALTHY LIFESTYLESRESPIRATORY DISEASE - ASTHMAMATERNAL, CHILD HEALTHMENTAL/BEHAVIORAL HEALTH & MATERNAL, CHILD HEALTHMENTAL/BEHAVIORAL HEALTHACCESS: BLOOD DISEASESPUBLIC SAFETYACCESS: SERVICES & INFECTIOUS DISEASESSEXUALLY TRANSMITTED DISEASES: HEALTH EDUCATION WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:CANCERDIABETES
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 11: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS UPDATED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:DIABETES (TYPE 2)HEART AND VASCULAR DISEASEWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO COVERAGEACCESS TO SERVICESBEHAVIORAL/MENTAL HEALTH BEHAVIORAL/ALCOHOL/SUBSTANCE ABUSECANCER (BREAST)CANCER (LUNG)CANCER (COLON)CANCER (SKIN)MATERNAL AND INFANT HEALTH CULTURAL LITERACYHEALTH LITERACYTOBACCO USEVIOLENCESENIOR SERVICES/SUPPORT
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 11: FOR THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. 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:HEART AND VASCULAR DISEASEACCESS TO CARE AND CARE COORDINATIONDIABETES WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:MENTAL HEALTH INFECTIOUS DISEASEREPRODUCTIVE HEALTH CANCERCHILD WELFARESOCIO-ECONOMIC FACTORSSENIOR HEALTH CAREDENTAL HEALTHASTHMA
BOONE HOSPITAL CENTER	PART V, SECTION B, LINE 11: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS UPDATED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. 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:OBESITYWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREA. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:CANCER (LUNG, SKIN, PROSTATE/COLORECTAL, BREAST)HEALTH LITERACYHEALTHY LIFESTYLESCOORDINATION OF CAREACCESS TO COVERAGEDIABETESHEART & VASCULARCULTURAL LITERACYASTHMA/COPDREPRODUCTIVE AND SEXUAL HEALTHINJURY AND VIOLENCEMENTAL HEALTH/SUBSTANCE ABUSEDENTAL HEALTH CARE
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 11: FOR THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, PROTESTANT MEMORIAL MEDICAL CENTER, INC. (HOSPITAL), THE HOSPITAL ASSEMBLED AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL STAFF. THIS GROUP REVIEWED FOCUS GROUP RESULTS AS WELL AS FINDINGS FROM A SECONDARY DATA ANALYSIS TO FURTHER ASSESS IDENTIFIED NEEDS. THE SECONDARY ANALYSIS USED DATA FROM MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)/STATE CANCER PROFILES. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. CLAIR COUNTY WHEN COMPARED AGAINST STATE AND U.S. DATA. THE WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED BY SETTING GOALS AND MEASURING THE RESULTS OF HOSPITAL EFFORTS. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:HEART AND VASCULAR STROKEMENTAL/BEHAVIORAL HEALTH SUBSTANCE ABUSENUTRITION EDUCATIONWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO COVERAGECOPDDIABETESFOOD AVAILABILITYINFANT MORTALITYLUNG CANCER RESEARCH AND SUPPORTOBESITY RESEARCH AND PROGRAMSPOVERTYTEEN PREGNANCYTOBACCO ACCESS TO TRANSPORTATIONSEXUALLY TRANSMITTED INFECTIONSVIOLENT CRIME MENTAL HEALTH
ALTON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS UPDATED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. 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:OBESITYDIABETESWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:MENTAL/BEHAVIORAL HEALTH ACCESS TO CARESEXUALLY TRANSMITTED DISEASESDENTAL CAREHOUSING/HOMELESSNESSAIR QUALITYHEART AND VASCULAR HEALTHCANCER (BREAST, LUNG, SKIN, PROSTATE)HEALTH EDUCATION
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 11: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS UPDATED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. 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:CANCER (HEAD AND NECK)BEHAVIORAL/MENTAL HEALTH ALCOHOL AND SUBSTANCE ABUSEWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS: HEALTH INSURANCE COVERAGEACCESS: SERVICES BEHAVIORAL/MENTAL HEALTHSEXUALLY TRANSMITTED DISEASESDENTAL CAREHOUSING/HOMELESSNESSAIR QUALITYHEART AND VASCULAR HEALTHCANCER (BREAST, LUNG, SKIN, PROSTATE)HEALTH EDUCATION
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. 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:LUNG CANCERBREAST CANCEROBESITYWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH & SUBSTANCE ABUSEDENTAL HEALTHPEDIATRIC HEALTHACCESS: COVERAGEACCESS: TRANSPORTATIONASTHMAHEALTH LITERACYCANCER: COLORECTAL
METRO-EAST SERVICES, INC.	PART V, SECTION B, LINE 11: FOR THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, METRO-EAST SERVICES, INC. (HOSPITAL), ASSEMBLED AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL STAFF. THIS GROUP REVIEWED FOCUS GROUP RESULTS AS WELL AS FINDINGS FROM A SECONDARY DATA ANALYSIS TO FURTHER ASSESS IDENTIFIED NEEDS. THE SECONDARY ANALYSIS USED DATA FROM MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)/STATE CANCER PROFILES. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. CLAIR COUNTY WHEN COMPARED AGAINST STATE AND U.S. DATA. THE WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED BY SETTING GOALS AND MEASURING THE RESULTS OF HOSPITAL EFFORTS. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:HEART AND VASCULAR STROKENUTRITION EDUCATIONWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO COVERAGECOPDDIABETESFOOD AVAILABILITYINFANT MORTALITYLUNG CANCER RESEARCH AND SUPPORTOBESITY RESEARCH AND PROGRAMSPOVERTYTEEN PREGNANCYTOBACCO ACCESS TO TRANSPORTATIONSEXUALLY TRANSMITTED INFECTIONSVIOLENT CRIME MENTAL HEALTH
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 11: FOR THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. 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:OBESITYADULTS WITH TYPE 2 DIABETESWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH ALCOHOL AND SUBSTANCE ABUSEDENTAL HEALTH PEDIATRIC HEALTH ACCESS: COVERAGEACCESS: TRANSPORTATIONASTHMAHEALTH LITERACYCANCER: COLORECTAL
MISSOURI BAPTIST HOSPITAL OF SULLIVAN	PART V, SECTION B, LINE 11: FOR THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. 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:MENTAL/BEHAVIORAL HEALTH: SUBSTANCE ABUSEMENTAL/BEHAVIORAL HEALTHHEART & VASCULAR: HEART HEALTHWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:MENTAL/BEHAVIORAL HEALTH: PEDIATRICINFANT/MATERNAL HEALTHDENTAL CAREPEDIATRIC CAREHEALTH LITERACYINFECTIOUS DISEASEHEALTH EDUCATIONPHYSICAL ACTIVITY/OUTREACHACCESS: COVERAGEACCESS: SERVICESACCESS: TRANSPORTATIONCANCER: BREASTCANCER: PROSTATE
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 11: FOR THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. 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:DIABETESOBESITYWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH REPRODUCTIVE HEALTHSUBSTANCE ABUSECANCER (BREAST, COLORECTAL, LUNG)SMOKINGHEART HEALTH & VASCULAR DISEASESACCESS: SERVICESSENIOR HEALTHHEALTH LITERACYACCESS: TRANSPORTATION
BJC/HEALTHSOUTH REHABIL CENTER LLC	PART V, SECTION B, LINE 11: FOR THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE:BRAIN INJURY PREVENTION AND CAREGIVER EDUCATIONSTROKE EDUCATION/PREVENTIONWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO RESOURCES/INADEQUATE INSURANCETRANSPORTATIONEXERCISE/PHYSICAL ACTIVITY
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 11: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WAS UPDATED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. 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:DIABETESOBESITYWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH REPRODUCTIVE HEALTHSUBSTANCE ABUSECANCER (BREAST, COLORECTAL, LUNG)SMOKINGHEART HEALTH & VASCULAR DISEASESACCESS: SERVICESSENIOR HEALTHHEALTH LITERACYACCESS: TRANSPORTATION
BARNES-JEWISH HOSPITAL NORTH/SOUTH	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
BOONE HOSPITAL CENTER	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
MISSOURI BAPTIST HOSPITAL OF SULLIVAN	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
BARNES-JEWISH HOSPITAL NORTH/SOUTH	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
BOONE HOSPITAL CENTER	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. THE FINANCIAL RESPONSIBILITY OF AN INSURED PATIENT QUALIFYING FOR FINANCIAL ASSISTANCE WILL BE LIMITED TO 10 PERCENT OF ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD. THE FINANCIAL RESPONSIBILITY OF ANY UNINSURED PATIENT WILL BE LIIMITED TO 25 PERCENT OF ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD.
ALTON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
METRO-EAST SERVICES, INC.	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. THE FINANCIAL RESPONSIBILITY OF AN INSURED PATIENT QUALIFYING FOR FINANCIAL ASSISTANCE WILL BE LIMITED TO 10 PERCENT OF ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD. THE FINANCIAL RESPONSIBILITY OF ANY UNINSURED PATIENT WILL BE LIIMITED TO 25 PERCENT OF ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD.
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
MISSOURI BAPTIST HOSPITAL OF SULLIVAN	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
BJC/HEALTHSOUTH REHABIL CENTER 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.
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?147
Name and address		Type of Facility (describe)
1	1 - BJH SITEMAN CANCER CENTER (CAM) 4921 PARKVIEW PLACE ST LOUIS,MO63110	OUTPATIENT CANCER CENTER
2	2 - BJH SITEMAN CANCER CENER (SCSC) 5225 MIDAMERICA PLAZA ST LOUIS,MO63129	OUTPATIENT CANCER CENTER
3	3 - BARNES-JEWISH EXTENDED CARE (BJEC) 401 CORPORATE PARK DRIVE ST LOUIS,MO63105	SKILLED NURSING FACILITY
4	4 - BJH CENTER FOR OUTPATIENT HEALTH 4901 FOREST PARK AVE ST LOUIS,MO63108	OUTPATIENT CLINICS
5	5 - BJH CENTER FOR ADVANCED MED (CAM) 4921 PARKVIEW PLACE ST LOUIS,MO63110	OUTPATIENT CLINICS
6	6 - BJH CENTER FOR ADVANCED MED (SOUTH) 5201 MIDAMERICA PLAZA ST LOUIS,MO63129	OUTPATIENT CLINIC & PROF SVCS
7	7 - BJH ORTHOPEDIC CENTER (OC) 14532 SO OUTER FORTY RD 100 CHESTERFIELD,MO63017	ORTHOPED SURGERY CTR & PROF SVCS
8	8 - BJH GOLDFARB SCHOOL OF NURSING 4483 DUNCAN AVE ST LOUIS,MO63110	CLINICAL INSTRUCTION
9	9 - BJH PSYCHIATRIC SUPPORT CTR (PSC) 5355 DELMAR BLVD ST LOUIS,MO63112	IP / OP PSYCH SERVICES & SUPPORT CENTER
10	10 - BJH RADIOLOGYLAB AT HIGHLANDS 1110 HIGHLANDS PLZ EAST RM325 ST LOUIS,MO63110	RADIOLOGY AND LAB SERVICES OFF SITE
11	11 - BARNES-JEWISH HOSP INPATOUTPAT 1 PARKVIEW PLACE ST LOUIS,MO63110	IP/OP SERVICES
12	12 - FOREST PARK KIDNEY CENTER 4205 FOREST PARK AVE ST LOUIS,MO63108	BJH/WU OP KIDNEY SERVICES
13	13 - THE REHABILITATION INST OF ST LOUIS LLC 4455 DUNCAN AVE ST LOUIS,MO63110	REHABILITATION HOSPITAL SVCS
14	14 - BJH INVITRO FERTILITY CLIN (IFC) 4444 FOREST PARK BLVD ST LOUIS,MO63108	INFERTILITY OUTPATIENT PROCEDURES
15	15 - THE HEART CARE INSTITUTE LLC 1020 NORTH MASON ROAD ST LOUIS,MO63141	DIAGNOSTIC CARDIOLOGY
16	16 - BREAST HEALTH CENTER AT MBMC 3023 N BALLAS ROAD STE 630 ST LOUIS,MO63131	RADIOLOGY SERVICES
17	17 - THE CHILD BIRTH CENTER AT MBMC 3023 N BALLAS ROAD STE 300 ST LOUIS,MO63131	WOMEN'S REPRODUCTIVE HEALTH SVCS
18	18 - MBMC GIENDOSCOPY 3023 N BALLAS ROAD 550 ST LOUIS,MO63131	GI/ENDOSCOPY SERVICES
19	19 - MBMC ULTRASOUND 3023 N BALLAS ROAD 450 ST LOUIS,MO63131	ULTRASOUND SERVICES
20	20 - MBMC FAMILY CARE PHARMACY 3023 N BALLAS ROAD 100 ST LOUIS,MO63131	PHARMACY SERVICES
21	21 - MBMC MRI 3023 N BALLAS ROAD 150 ST LOUIS,MO63131	MRI/RADIOLOGY SERVICES
22	22 - MBMC CARDIOVASCULAR DIAGNOSTICS 3023 N BALLAS ROAD 220 ST LOUIS,MO63131	CARDIAC DIAGNOSTIC SERVICES
23	23 - MBMC SURGICAL PRE TEST LAB & RAD 3009 N BALLAS ROAD 112 ST LOUIS,MO63131	OUTPATIENT SERVICES
24	24 - MBMC OUTPATIENT CARDIAC TESTING 3009 N BALLAS ROAD 262 ST LOUIS,MO63131	OUTPATIENT CARDIAC TESTING
25	25 - MBMC OUTPATIENT CTR AT SUNSET HILLS 3844 LINDBERGH BLVD STE 100 130 140 ST LOUIS,MO63127	OP, RADIOLOGY, CANCER, INFUSION SVCS
26	26 - MBMC OUTPATIENT LAB 3844 LINDBERGH BLVD STE 110 ST LOUIS,MO63127	OP, RADIOLOGY, CANCER, INFUSION SVCS
27	27 - MBMC EMPLOYED PHYS GROUP PRACTICE 3844 LINDBERGH BLVD ST LOUIS,MO63127	PROFESSIONAL SERVICES
28	28 - MBMC EMPLOYED PHYS GROUP PRACTICE 7245 RAIDER ROAD BONNE TERRE,MO63628	PROFESSIONAL SERVICES
29	29 - MBMC CANCER & INFUSION CENTER 800 ST GENEVIEVE DRIVE ST GENEVIEVE,MO63670	PROFESSIONAL SERVICES, ONCOLOGY
30	30 - MBMC PHYS SERVICES LLC GROUP PRAC 3009 N BALLAS ROAD STE 359 C ST LOUIS,MO63131	PROFESSIONAL SERVICES
31	31 - MBMC PHYS SERVICES LLC GROUP PRAC 3009 N BALLAS ROAD STE 315A 323A ST LOUIS,MO63131	PROFESSIONAL SERVICES
32	32 - MBMC PHYS SERVICES LLC GROUP PRAC 3009 N BALLAS RD 315A ST LOUIS,MO63131	PROFESSIONAL SERVICES
33	33 - MBMC PHYS SERVICES LLC GROUP PRAC 3023 N BALLAS ROAD STE 150 D ST LOUIS,MO63131	PROFESSIONAL SERVICES
34	34 - MBMC PROF BILL SERVICES ADV SPINE INST 3009 N BALLAS ROAD STE 320A 269C ST LOUIS,MO63131	PROFESSIONAL SERVICES
35	35 - MBMC PHYS SERVICES LLC GROUP PRAC 555 N NEW BALLAS ROAD STE 265 ST LOUIS,MO63141	PROFESSIONAL SERVICES
36	36 - MBMC PHYS SERVICES LLC STL ORTHO & SPORTS 675 N NEW BALLAS ROAD STE 100 ST LOUIS,MO63141	PROFESSIONAL SERVICES
37	37 - MBMC SUBURBAN SURGICAL 555 N NEW BALLAS RD ST LOUIS,MO63131	OP SURGICAL SERVICES
38	38 - BREAST HEALTHCARE CENTER MBMC 9450 MANCHESTER RD STE 206 ST LOUIS,MO63119	MAMMOGRAPHY AND LAB SERVICES
39	39 - BJC EMPLOYEE PHARMACY AT MBMC 3844 LINDBERGH BLVD STE 150 ST LOUIS,MO63127	PHARMACY SERVICES
40	40 - MO BAP CANCER & INFUSION CENTER 11652 STUDT AVENUE ST LOUIS,MO63141	OUTPATIENT RADIATION & INFUSION CENTER
41	41 - NORTHWEST HEALTHCARE (CHNENW) 1225 GRAHAM ROAD FLORISSANT,MO63031	PROF SVCS, HOME CARE PHARMACY
42	42 - GRAHAM MED CENTER I-(VAR) 1150 GRAHAM ROAD FLORISSANT,MO63031	PT,OT & ST, SLEEP STUDY
43	43 - PAUL F DIETRICH BLDG - VAR 11125 DUNN ROAD ST LOUIS,MO63136	OP SENIOR PSYCHIATRIC SERVICES
44	44 - CH POB #2 - VAR SUITES 11125 DUNN ROAD ST LOUIS,MO63136	OP CANCER, WOUND CARE, RETAIL PHARMACY
45	45 - CH POB #1 - VAR SUITES 11155 DUNN ROAD ST LOUIS,MO63136	OP PAIN MGMT, RAD ONC, DIABETES CENTER
46	46 - CHRISTIAN EXTENDED CARE & REHAB 11160 VILLAGE NORTH DRIVE ST LOUIS,MO63136	SKILLED NURSING FACILITY
47	47 - BELLEVILLE HEALTH & SPORTS CTR 1001 SOUTH 74TH STREET BELLEVILLE,IL62223	SPORTS FITNESS FACILITY
48	48 - PROTESTANT MEMORIAL MED CENTER 310 SEVEN HILLS ROAD OFALLON,IL62269	OP THERAPY
49	49 - PROTESTANT MEMORIAL MED CENTER 200 ADMIRAL TROST ROAD COLUMBIA,IL62236	OP LAB / RADIOLOGY
50	50 - MEMORIAL CARE CENTER 4315 MEMORIAL DRIVE BELLEVILLE,IL62226	SKILLED NURSING FACILITY
51	51 - METRO-EAST SERVICES INC BREAST HEALTH CTR 1414 CROSS STREET STE 220 SHILOH,IL62269	BREAST HEALTH SERVICES
52	52 - METRO-EAST SERVICES INC DIAG IMAGING 1414 CROSS STREET STE 130 SHILOH,IL62269	DIAGNOSTIC IMAGING
53	53 - METRO-EAST SERVICES INC OP LAB 1414 CROSS STREET STE 120 SHILOH,IL62269	LABORATORY TESTING SVCS
54	54 - METRO-EAST SERVICES INC OP REHAB 1414 CROSS STREET STE 310 SHILOH,IL62269	REHABILITATION SERVICES
55	55 - SOUTHWEST ILL HEALTH SVCS LLP SITEMAN 4000 N ILLINOIS LN STE B SHILOH,IL62269	CANCER TREATMENT SERVICES
56	56 - SOUTHWEST ILL HEALTH SVCS LLP SITEMAN 4000 N ILLINOIS LN STE A SHILOH,IL62269	PET, CT IMAGING SERVICES
57	57 - BOONE HOSP CARDIAC DIAGNOSTIC 1605 E BROADWAY STE 400 COLUMBIA,MO65201	OP DIAGNOSTIC CARDIOLOGY
58	58 - BOONE HOSP OUTPATIENT THERAPIES 1601 E BROADWAY STE LL1 COLUMBIA,MO65201	OUTPATIENT CLINIC
59	59 - BOONE HOSP OUTPATIENT CLINICS 1701 E BROADWAY LL101102 COLUMBIA,MO65201	CARD REHAB, WOUND CARE, DIABETES
60	60 - BOONE HOSPITAL RADIOLOGY 303 N KEENE ST STE 302 COLUMBIA,MO65201	OUTPATIENT RADIOLOGY SVCS
61	61 - BOONE HOSPITAL OUTPATIENT 900 W NIFONG BLVD COLUMBIA,MO65203	PHARMACY & OUTPATIENT SVCS
62	62 - BOONE HOSP CTR'S VISIT NURSES INC 1605 E BROADWAY STE 250 COLUMBIA,MO65201	HOME HEALTH & HOSPICE
63	63 - BOONE PHYSICIAN SERVICES LLC 1705 E BROADWAY STE 280 COLUMBIA,MO65201	PULMONARY DIAGNOSTIC TESTING
64	64 - CHAS PHYSICIAN SERVICES LLC 1241 W STADIUM BLVD JEFFERSON CITY,MO65109	PROFESSIONAL PRACTICE GROUP SERVICES
65	65 - CHAS PHYSICIAN SERVICES LLC 1605 E BROADWAY STE 100 COLUMBIA,MO65201	PROFESSIONAL PRACTICE GROUP - NEUROLOGY
66	66 - CHAS PHYSICIAN SERVICES LLC 1605 E BROADWAY STE 300 COLUMBIA,MO65201	PROFESSIONAL PRACTICE GROUP SERVICES
67	67 - CHAS PHYSICIAN SERVICES LLC 2305 S HIGHWAY 65 MARSHALL,MO65340	PROFESSIONAL PRACTICE GROUP SERVICES
68	68 - CHAS PHYSICIAN SERVICES LLC 300 N MORLEY STREET MOBERLY,MO65270	PROFESSIONAL PRACTICE GROUP SERVICES
69	69 - CHAS PHYSICIAN SERVICES LLC 404 PROVIDENCE ROAD MACON,MO63552	PROFESSIONAL PRACTICE GROUP SERVICES
70	70 - CHAS PHYSICIAN SERVICES LLC 509 W 18TH STREET HERMAN,MO65041	PROFESSIONAL PRACTICE GROUP SERVICES
71	71 - CHAS PHYSICIAN SERVICES LLC 606 E SPRING ST BOONEVILLE,MO65233	PROFESSIONAL PRACTICE GROUP SERVICES
72	72 - ST LOUIS CHILD HOSP AFTER HOURS 12436 TESSON FERRY RD ST LOUIS,MO63128	OP SERVICES, LAB & RADIOLOGY
73	73 - ST LOUIS CHILD HOSP PSYCHOL SVCS 13001 NORTH OUTER FORTY RD CHESTERFIELD,MO63017	PEDIATRIC MENTAL HEALTH
74	74 - ST LOUIS CHILD SPEC CARE CENTER 13001 NORTH OUTER FORTY RD CHESTERFIELD,MO63017	MULTIPLE OUTPATIENT SVCS
75	75 - ST LOUIS CHILD PHARMACY 13001 NORTH OUTER FORTY RD CHESTERFIELD,MO63017	OUTPATIENT PHARMACY
76	76 - ST LOUIS CHILD DENTAL CENTER 13001 NORTH OUTER FORTY RD CHESTERFIELD,MO63017	DENTAL SERVICES
77	77 - EUNICE SMITH 1251 COLLEGE AVE ALTON,IL62002	SKILLED NURSING FACILITY
78	78 - ALTON NORTH REHABILITATION 226 REGIONAL DRIVE ALTON,IL62002	ORTHO/SPORTS REHAB
79	79 - ALTON MEMORIAL HOSP OP CANCER FOUR MEMORIAL DRIVE SUITE 132 ALTON,IL62002	ONCOLOLGY/RADIATION ONCOLOGY SVCS
80	80 - ALTON MEMORIAL CONVENIENT CARE 5520 GODFREY RD STE B ALTON,IL62035	URGENT CARE SERVICES
81	81 - ALTON MEMORIAL HOSP OP RAD SIX MEMORIAL DRIVE ALTON,IL62002	OUTPATIENT RADIATION ONC
82	82 - ALTON MEMORIAL OP PAIN MGMT TWO MEMORIAL DRIVE ALTON,IL62002	OUTPATIENT PAIN MGMT
83	83 - ALTON MEMORIAL HOSPITAL FOUR MEMORIAL DRIVE ALTON,IL62002	PROFESSIONAL PRACTICE GROUP SERVICES
84	84 - ALTON MEMORIAL HOSPITAL FOUR MEMORIAL DRIVE SUITE 230 ALTON,IL62002	OUTPATIENT NEURODIAGNOSTICS
85	85 - ALTON MEMORIAL HOSPITAL ONE PROFESSIONAL DR VAR SUITES ALTON,IL62002	PROFESSIONAL PRACTICE GROUP SERVICES
86	86 - PARKLAND THERAPY SERVICES 1280 DOCTORS DRIVE FARMINGTON,MO63640	PHY, OCC AND SPEECH THERAPY
87	87 - PARKLAND BONNE TERRE WELL LIFE CTR 118 EAST SCHOOL RD BONNE TERRE,MO63628	PHYSICAL THERAPY SERVICES
88	88 - BJSPH OP THERAPY 70 JUNGERMAN CIR SUITE 304 ST PETERS,MO63376	OUTPATIENT THERAPY
89	89 - BJSPH SLEEP LAB 70 JUNGERMAN CIR SUITE 303 ST PETERS,MO63376	SLEEP LAB
90	90 - BJSPH INFUSION 70 JUNGERMAN CIR SUITE 102 ST PETERS,MO63376	SLEEP LAB
91	91 - BJSPH ST LOUIS UROLOGICAL 2 PROGRESS POINT PKWY ST PETERS,MO63376	PROFESSIONAL SERVICES - UROLOGY
92	92 - BJSPH ST LOUIS UROLOGICAL 20 PROGRESS POINT PKWY SUITE 108 ST PETERS,MO63376	PROFESSIONAL SERVICES - UROLOGY
93	93 - SITEMAN CANCER CENTER AT BJSPH 150 ENTRANCE WAY ST PETERS,MO63376	OUTPAT RADIATION & ONCOL
94	94 - BENRUS SURGICAL AT BJSPH 6 JUNGERMANN CIRCLE STE 205 ST PETERS,MO63376	OP SERVICES
95	95 - SPORTS THERAPY & REHAB (STAR) 1020 N MASON STE 220 ST LOUIS,MO63141	PHYSICAL THERAPY
96	96 - SPORTS THERAPY & REHAB (STAR) 14532 S OUTER FORTY SUITE 120 CHESTERFIELD,MO63017	PHYSICAL THERAPY
97	97 - SPORTS THERAPY & REHAB (STAR) 5201 MIDAMERICA PLAZA SUITE 2100 ST LOUIS,MO63129	PHYSICAL THERAPY
98	98 - BJWC SLEEP DISORDERS LAB 969 N MASON STE 260 ST LOUIS,MO63141	SLEEP LAB
99	99 - BJWC PROFESSIONAL GRP PRAC 12634 OLIVE BLVD CREVE COEUR,MO63141	PROFESSIONAL PRACTICE GROUP SERVICES
100	100 - BJWC PAIN MANAGEMENT CENTER 969 N MASON STE 240 ST LOUIS,MO63141	PAIN MANAGEMENT
101	101 - BJWC OUTPATIENT RADIOLOGY 969 N MASON STE 110 AND 235 ST LOUIS,MO63141	OUTPATIENT RADIOLOGY
102	102 - BJWC RADIOLOGY 1040 N MASON STE G-02 ST LOUIS,MO63141	OUTPATIENT RADIOLOGY
103	103 - BJWC NUTRITION COUNSELING 1040 N MASON STE 212 ST LOUIS,MO63141	NUTRITION COUNSELING
104	104 - BJWC LABORATORY 1020 N MASON STE 120 ST LOUIS,MO63141	OUTPATIENT LABORATORY
105	105 - BJWC RAD ONCOLOGY (SITEMAN) 10 BARNES WEST DRIVE STE 101 ST LOUIS,MO63141	RADIATION ONCOLOGY
106	106 - BJWC LABORATORY 10 BARNES WEST DRIVE STE 102 ST LOUIS,MO63141	OUTPATIENT LABORATORY
107	107 - BJWC RADIOLOGY 10 BARNES WEST DRIVE STE 202 ST LOUIS,MO63141	OUTPATIENT RADIOLOGY
108	108 - BJWC OUTPATIENT SVCS 10 BARNES WEST DRIVE STE 201 ST LOUIS,MO63141	OUTPATIENT SVCS
109	109 - PROGRESS WEST HOSP OUTPATIENT CTR 2630 HIGHWAY K OFALLON,MO63366	OP RAD, PT, WOUND CARE
110	110 - PROGRESS WEST HOSP OUTPATIENT CTR 20 PROGRESS POINT PKWY STE 108 OFALLON,MO63366	PHYSICIAN SERVICES
111	111 - MO BAP SULLIVAN SPORTS FIT REHAB 216 W MAIN SULLIVAN,MO63080	PT, OT & ST
112	112 - MO BAP SULL SPORTS FIT REHAB CUBA 314 E WASHINGTON CUBA,MO65453	PT & OT
113	113 - MO BAPTIST BOURBON MEDICAL OFFICE 240 COLLEGE BOURBON,MO65441	RURAL HEALTH CLINIC
114	114 - MO BAPTIST BOURBON MEDICAL OFFICE 240 COLLEGE BOURBON,MO65441	NON-RURAL HEALTH CLINIC
115	115 - MO BAPTIST CUBA MEDICAL OFFICE 102 OZARK STREET STE B CUBA,MO65453	RURAL HEALTH CLINIC
116	116 - MO BAPTIST CUBA MEDICAL OFFICE 102 OZARK STREET STE B CUBA,MO65453	NON-RURAL HEALTH CLINIC
117	117 - MO BAPTIST STEELEVILLE MED OFFICE 510 W MAIN STREET STEELEVILLE,MO65565	RURAL HEALTH CLINIC
118	118 - MO BAPTIST STEELEVILLE MED OFFICE 510 W MAIN STREET STEELEVILLE,MO65565	NON-RURAL HEALTH CLINIC
119	119 - MO BAPTIST SULLIVAN MED OFFICE 965 MATTOX DR SULLIVAN,MO63080	RURAL HEALTH CLINIC
120	120 - MO BAPTIST SULLIVAN MED OFFICE 965 MATTOX DR SULLIVAN,MO63080	NON-RURAL HEALTH CLINIC
121	121 - MO BAPTIST SULLIVAN EMS 1230 N CHURCH SULLIVAN,MO63080	TRAUMA AND AMBULANCE SERVICES
122	122 - BJC HOME CARE SVCS - ALTON 3535 COLLEGE AVE ALTON,IL62002	HOME HEALTH
123	123 - BJC HOME CARE SERVICES-ST LOUIS 1935 BELTWAY DRIVE ST LOUIS,MO63114	HOME HEALTH
124	124 - BJC HOME CARE SERVICES 4249 CLAYTON AVE ST LOUIS,MO63110	HOME CARE SERVICES
125	125 - BJC HOME CARE SERVICES 1000 N MASON ROAD ST LOUIS,MO63141	HOSPICE SVCS
126	126 - BJC HOME CARE SERVICES 330A 5TH STREET CARROLLTON,IL62016	HOSPICE SVCS
127	127 - BJC HOME MEDICAL EQUIP 1935 BELTWAY DRIVE ST LOUIS,MO63114	DURABLE MEDICAL EQUIP; SUPPLIES
128	128 - BJC HOME MED EQUIP - FARMINGTON 301 N WASHINGTON STREET FARMINGTON,MO63640	DURABLE MEDICAL EQUIP; SUPPLIES
129	129 - BJC HOME CARE SVCS - PHARMACY 1935 BELTWAY DRIVE ST LOUIS,MO63114	HOME INFUSION
130	130 - BJC HOSPICE ST LOUIS 1935 BELTWAY DRIVE ST LOUIS,MO63114	HOSPICE SVCS
131	131 - BJC HOSPICE SULLIVAN 113 PROGRESS PARKWAY SULLIVAN,MO63080	HOME HEALTH & HOSPICE
132	132 - BJC HOSPICE - FARMINGTON 757 WEBER RD FARMINGTON,MO63640	DURABLE MEDICAL EQUIP, HOSPICE
133	133 - BJC HOSPICE - ALTON ONE PROFESSIONAL DR STE 180 ALTON,IL62002	HOSPICE SVCS
134	134 - BJC BEHAVIORAL HEALTH STL 6763 PAGE AVE ST LOUIS,MO63133	MENTAL HEALTH SUBS ABUSE COUNSEL
135	135 - BJC BEHAVIORAL HEALTH CENTRAL 11133 DUNN ROAD STE 400 ST LOUIS,MO63136	MENTAL HEALTH & PHARMACY SVCS
136	136 - BJC BEHAVIORAL HEALTH CENTRAL 1430 OLIVE ST STE 500 ST LOUIS,MO63103	MENTAL HEALTH & PHARMACY SVCS
137	137 - BJC BEHAVIORAL HEALTH NORTH 3165 MCKELVEY ROAD STE 200 BRIDGETON,MO63044	MENTAL HEALTH SUBS ABUSE COUNSEL
138	138 - BJC BEHAVIORAL HEALTH NORTH 1150 GRAHAM ROAD ST LOUIS,MO63031	MENTAL HEALTH SUBS ABUSE COUNSEL
139	139 - BJC BEHAVIORAL HEALTH SOUTH 11102 LINDBERGH BUS COURT ST LOUIS,MO63123	MENTAL HEALTH EMPL ASSIST COUNSEL
140	140 - BJC BEHAVIORAL HEALTH SOUTHEAST 1085 MAPLE FARMINGTON,MO63640	MENTAL HEALTH AND PHARMACY SVCS
141	141 - BJC BEHAVIORAL HEALTH SOUTHEAST 109 NORTH MAIN IRONTON,MO63650	MENTAL HEALTH SUBS ABUSE SVCS
142	142 - BJC BEHAVIORAL HEALTH SOUTHEAST 326 EAST HIGH STREET POTOSI,MO63664	MENTAL HEALTH SUBS ABUSE SVCS
143	143 - BJC BEHAVIORAL HEALTH SOUTHEAST 657 WALTON DRIVE FARMINGTON,MO63640	MENTAL HEALTH SVCS FRIENDS IN ACTION
144	144 - BJC BEHAVIORAL HEALTH PARKLAND 1101 W LIBERTY STREET FARMINGTON,MO63640	MENTAL HEALTH SUBS ABUSE SVCS
145	145 - BARNESCARE 11501 PAGE SERVICE DR ST LOUIS,MO63146	OCC MED & AMBULATORY CARE CTR
146	146 - BARNESCARE 1901 TRADE CENTER DR ST PETERS,MO63376	OCC MED & AMBULATORY CARE CTR
147	147 - BJC CORP HEALTH SERVICES 5000 MANCHESTER AVENUE ST LOUIS,MO63110	OCC MED & AMBULATORY CARE CTR

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	BJC HOSPITALS PROVIDE EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL PATIENTS SEEKING SUCH CARE, REGARDLESS OF ABILITY TO PAY OR TO QUALIFY FOR FINANCIAL ASSISTANCE, IN ACCORDANCE WITH THE REQUIREMENTS OF THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA). THESE SERVICES ARE PROVIDED TO PATIENTS WHO LIVE IN MISSOURI AND ILLINOIS REGARDLESS OF RACE, COLOR, CREED OR GENDER AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. PATIENTS WHO MEET CERTAIN FINANCIAL CRITERIA BASED UPON INCOME AND FAMILY SIZE MAY QUALIFY FOR BJC FINANCIAL ASSISTANCE, INCLUDING REDUCED HOSPITAL CHARGES AND LONG-TERM, INTEREST FREE PAYMENT PLANS. PURSUANT TO ITS FINANCIAL ASSISTANCE POLICY, BJC WILL PROVIDE FINANCIAL ASSISTANCE OF 100% OF THE PATIENT'S RESPONSIBILITY WHEN FAMILY INCOME IS AT OR BELOW 100% OF THE YEARLY FEDERAL POVERTY LEVEL (FPL). A DISCOUNTED FEE SCHEDULE IS AVAILABLE FROM 101% TO 300% OF THE FPL FOR PATIENTS WITH FAMILY INCOME LESS THAN $100,000. ILLINOIS RESIDENTS RECEIVING SERVICES AT ALTON MEMORIAL HOSPITAL, PROTESTANT MEMORIAL MEDICAL CENTER, INC. (DBA MEMORIAL HOSPITAL BELLEVILLE) AND METRO EAST SERVICES, INC. (DBA MEMORIAL HOSPITAL EAST) MAY BE ELIGIBLE FOR ADDITIONAL DISCOUNTS UNDER THE ILLINOIS HOSPITAL UNINSURED PATIENT DISCOUNT ACT. PATIENTS WHO HAVE BEEN ENROLLED IN MEDICAID IN THE LAST SIX MONTHS MAY AUTOMATICALLY QUALIFY FOR FINANCIAL ASSISTANCE FOR MEDICAL SERVICES THAT ARE NOT COVERED BY MEDICAID. THE CATASTROPHIC PROVISION OF THE BJC FINANCIAL ASSISTANCE POLICY PROVIDES THAT A PATIENT'S ANNUAL OUT-OF-POCKET LIABILITY SHALL NOT EXCEED 25% OF THE PATIENT'S ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD. A SIMILAR FINANCIAL ASSISTANCE POLICY APPLIES TO MEDICALLY NECESSARY HEALTHCARE SERVICES RENDERED BY BJC EMPLOYED PHYSICIANS AND QUALIFYING HOME CARE SERVICES.
PART I, LINE 6A:	BJC HEALTH SYSTEM (EIN 43-1617558) PREPARES A WRITTEN ANNUAL COMMUNITY BENEFIT REPORT ON BEHALF OF ALL HOSPITALS WHICH DESCRIBES PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY BJC HOSPITALS AND HOSPITAL SERVICES ORGANIZATIONS. THE COMMUNITY BENEFIT REPORT (REPORT) FOR BJC PROVIDES VALUABLE INFORMATION ON PROGRAMS AND SERVICES PROVIDED BY THE MEMBER HOSPITALS INCLUDED IN THE BJC HEALTH SYSTEM GROUP RETURN FORM 990. BJC MAKES THE REPORT AVAILABLE TO THE GENERAL PUBLIC VIA ITS WEBSITE AT WWW.BJC.ORG AND VIA A LINK ON ALL BJC HOSPITAL WEBSITES. THE REPORT IS ALSO DISTRIBUTED VIA MAILINGS TO COMMUNITY MEMBERS IN MISSOURI AND ILLINOIS, CIVIC LEADERS AND VARIOUS OTHER INTEREST GROUPS. UPDATES ARE POSTED ON THE BJC WEBSITE AS INFORMATION BECOMES AVAILABLE.
PART I, LINE 7:	THE COST OF FINANCIAL ASSISTANCE INCLUDES FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PERSONS WHO MEET THE CRITERIA DESCRIBED IN THE FINANCIAL ASSISTANCE POLICY (SEE SCHEDULE H, PART I, LINE 3 ABOVE). FINANCIAL ASSISTANCE IS DEFINED AS THE COSTS IN EXCESS OF PAYMENTS (UNCOMPENSATED COSTS) ON ACCOUNTS WRITTEN OFF AS FINANCIAL ASSISTANCE IN THE CURRENT YEAR. ONCE A PATIENT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE ENTIRE COST (OR A PORTION OF THE QUALIFYING AMOUNT) OF THE ACCOUNT IS CLASSIFIED AS FINANCIAL ASSISTANCE. BJC UTILIZED A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 TO DETERMINE THE COSTS OF THE FINANCIAL ASSISTANCE ACCOUNTS. ANY PAYMENTS RECEIVED ARE THEN NETTED AGAINST THE COST OF THE ACCOUNT AS DIRECT OFFSETTING REVENUE TO DETERMINE THE UNCOMPENSATED COSTS.CALCULATONS FOR OTHER COMMUNITY BENEFITS REPORTED ON SCHEDULE H, PART I, LINES 7E-7I VARY BY LINE ITEM AND ARE GENERALLY CONSISTENT WITH THE WORKSHEETS PROVIDED IN IRS INSTRUCTIONS. DATA IS GATHERED BY BJC COMMUNITY BENEFITS LIASONS AND ENTERED INTO CBISA SOFTWARE. LINE ITEM DOCUMENTATION OF OTHER COMMUNITY BENEFITS IS SUBJECT TO BJC INTERNAL AUDIT PROCEDURES AND BACK UP FILES ARE RETAINED AT EACH HOSPITAL SITE. ONCE REVIEWED AND APPROVED BY THE COMMUNITY BENEFITS MANAGER, THE AMOUNTS ARE ADDED TO IRS FORM 990, SCHEDULE H. IN ADDITION TO TOTAL FUNCTIONAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25, COLUMN (A), THE ALLOCABLE SHARE OF EXPENSES (LESS THE ALLOCABLE SHARE OF BAD DEBTS) FROM A 50% OWNED JOINT VENTURE HOSPITAL AND OTHER JOINT VENTURES HAVE BEEN ADDED TO THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE CONSIDERED THE NET COMMUNITY BENEFIT EXPENSE AND REPORTED IN PART I, LINE 7, COLUMN (F). TOTAL EXPENSES USED WHEN CALCULATING LINE 7, COL (F) PERCENTAGES = $4,936,881,453 WHICH EXCLUDES THE ALLOCABLE SHARE OF JOINT VENTURE BAD DEBT EXPENSES OF $860,594 FOR 2018.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES ARE CLINICAL SERVICES PROVIDED TO BOTH INPATIENTS AND OUTPATIENTS DESPITE A FINANCIAL LOSS TO BJC. EACH LOSS HAS BEEN CALCULATED AFTER REMOVING LOSSES ASSOCIATED WITH BAD DEBTS, FINANCIAL ASSISTANCE, MEDICAID AND OTHER COSTS. ALTHOUGH THESE SERVICES GENERATE OVERALL LOSSES TO BJC, THEY CONTINUE TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. THE SUBSIDIZED HEALTH SERVICES AMOUNTS INCLUDE ADDITIONAL SERVICES THAT GENERATED LOSSES PROVIDED BY BJC THROUGH PHYSICIAN PRACTICES. FOR 2018, SUBSIDIZED HEALTH SERVICES PROVIDED THROUGH THESE PHYSICIAN PRACTICES GENERATED LOSSES OF $60,920,550.
PART II, COMMUNITY BUILDING ACTIVITIES:	BELIEVING THAT HEALTH PROMOTION BEGINS WITH EDUCATION AND ACCESS TO SERVICES, BJC PROVIDES A NUMBER OF HEALTH OUTREACH PROGRAMS FOR CHILDREN AND ADULTS IN UNDERSERVED COMMUNITIES. BJC'S SCHOOL OUTREACH AND YOUTH DEVELOPMENT PROGRAM IS ONE OF THE MOST EXTENSIVE IN THE EASTERN MISSOURI AND SOUTHERN ILLINOIS REGIONS. WORKING IN PARTNERSHIP WITH SCHOOL FACULTY AND ADMINISTRATORS, BJC DEVELOPS AND DELIVERS HEALTH EDUCATION CURRICULA, JOB SHADOWING OPPORTUNITIES, AND HEALTH FAIRS. THE PROGRAMS ALSO FOCUS ON HEALTH ISSUES AND BEHAVIORS INCLUDING DRUG, ALCOHOL AND TOBACCO USE; NUTRITION AND FITNESS; SEXUALLY TRANSMITTED DISEASE, INCLUDING HIV/AIDS; SAFETY, AND VIOLENCE PREVENTION. FOR ADULTS 50+ YEARS OF AGE, BJC CO-SPONSORS OASIS, AN EDUCATION AND VOLUNTEER SERVICE ORGANIZATION PROMOTING HEALTHY LIFESTYLES AND BEHAVIORS FOR SENIOR CITIZENS.IN LOW-INCOME COMMUNITIES, BJC PARTNERS WITH FAITH-BASED ORGANIZATIONS TO PROVIDE FREE MEDICAL SCREENINGS, EDUCATION AND OTHER NEEDED HEALTH SERVICES. ADDITIONALLY, FOR THE PAST 9 YEARS, BJC HAS CHANNELED RESOURCES AND OUTREACH HEALTH SERVICES TO RESIDENTS IN THE SEVEN ZIP CODES IN THE REGION THAT HAVE THE POOREST HEALTH STATISTICS AND OUTCOMES.
PART III, LINE 2:	NET PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, AND NET PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED PRIMARILY ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, ALONG WITH THE AGING STATUS FOR EACH MAJOR PAYOR SOURCE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF BJC'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED, THUS, A PROVISION IS RECORDED FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO THESE PATIENTS. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH BJC'S POLICIES, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS. BJC RECORDS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. BAD DEBTS REPRESENT THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS REPORTED IN BJC'S AUDITED FINANCIAL STATEMENTS FOR 2018. SEE ALSO FOOTNOTE TO THE AUDITED FINANICAL STATEMENTS.
PART III, LINE 3:	IF A PATIENT OR RESPONSIBLE PARTY IS CONCERNED ABOUT THEIR ABILITY TO PAY, IS PROVIDED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY OR OTHERWISE REQUESTS FINANCIAL ASSISTANCE, THE HOSPITAL STAFF PROVIDES INFORMATION AND GUIDANCE TO ASSIST THE PATIENT IN APPLYING FOR FINANCIAL ASSISTANCE. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT OF THE REGISTRATION, BILLING OR COLLECTION PROCESSES. IN CERTAIN SITUATIONS, THE PATIENT FAILS TO COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE AND THE ACCOUNT PROGRESSES THROUGH THE REVENUE CYCLE TO BAD DEBTS. BJC USES EXTERNAL FINANCIAL DATA SOURCES TO IDENTIFY THOSE INDIVIDUALS WHO MAY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE, YET WERE UNWILLING TO COMPLETE THE APPLICATION PROCESS.
PART III, LINE 4:	BJC HEALTHCARE (BJC) BAD DEBT EXPENSE IS INCLUDED IN THE PATIENT SERVICE REVENUE, OTHER OPERATING REVENUE AND UNCOMPENSATED CARE FOOTNOTE 2 TO ITS CONSOLIDATED FINANCIAL STATEMENTS WHICH BEGINS ON PAGE 16 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 SURPLUS (SHORTFALL) IS REDUCED BY THE COST OF BAD DEBT AND FINANCIAL ASSISTANCE FOR MEDICARE PATIENTS.
PART III, LINE 9B:	BJC UNDERSTANDS THAT HEALTH CARE EXPENSES ARE OFTEN UNEXPECTED AND PAYING FOR SUCH SERVICES CAN BE OVERWHELMING. WE ARE COMMITTED TO IDENTIFYING PATIENTS WHO QUALIFY FOR ASSISTANCE AT THE EARLIEST OPPORTUNITY, TO HELPING THEM APPLY FOR PROGRAMS AND OTHER ASSISTANCE AND TO WORKING OUT A FAIR WAY FOR PATIENTS TO PAY THEIR BILLS. BJC HAS ADOPTED A FINANCIAL ASSISTANCE POLICY THAT IS APPLIED UNIFORMLY TO MOST AFFILIATED HOSPITAL OPERATIONS. INTERNAL DUE DILIGENCE PROCEDURES INCLUDE DETERMINING WHETHER THE RESPONSIBLE PARTY IS FINANCIALLY ABLE TO PAY FOR ALL OR A PORTION OF UNPAID BALANCES IN THE PATIENT ACCOUNT, OFFERING REPAYMENT UNDER NO INTEREST TERMS AND CONSIDERATION FOR FINANCIAL ASSISTANCE WHEN THE PATIENT DEMONSTRATES INABILITY TO PAY AMOUNTS DUE. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON INCOME AND FAMILY SIZE UTILIZING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUAL POVERTY GUIDELINES PUBLISHED IN THE FEDERAL REGISTER. BJC UTILIZES A PROCESS WHICH COMBINES DATA, TECHNOLOGY AND ANALYTICAL FUNCTIONALITY TO IDENTIFY PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE AT ANY POINT IN THE BILLING PROCESS. THIS RESULTS IN EARLIER IDENTIFICATION OF PATIENTS MERITING FINANCIAL ASSISTANCE AND RECLASSIFICATION FROM BAD DEBTS.BJC HAS ADOPTED A WRITTEN DEBT COLLECTION POLICY THAT IS APPLIED UNIFORMLY TO ALL AFFILIATE HOSPITAL OPERATIONS. INTERNAL COLLECTION EFFORTS INCLUDE HOSPITAL MAILING OF ROUTINE BILLING STATEMENTS WHICH INCLUDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. COLLECTION PROCEDURES INCLUDE IDENTIFYING INDIVIDUALS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE, OFFERING SUCH INDIVIDUALS THE OPPORTUNITY TO COMPLETE APPLICATIONS FOR FINANCIAL ASSISTANCE AND HELPING THE INDIVIDUALS COMPLETE THE APPLICATION FORMS. ONCE AN INDIVIDUAL OR RESPONSIBLE PARTY IS DEEMED FINANCIALLY UNABLE TO PAY SOME OR ALL OF THE OPEN BALANCE ON A PATIENT ACCOUNT, THE REMAINING BALANCE IS WRITTEN OFF AS UNCOLLECTIBLE.
PART VI, LINE 2:	BJC USES RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED AND INCLUDE BUT ARE NOT LIMITED TO REPORTS FROM:- LOCAL AND STATE DEPARTMENTS OF HEALTH- ST. LOUIS REGIONAL HEALTH COMMISSION- MISSOURI FOUNDATION FOR HEALTH- LOCAL GOVERNMENT PLANNING DEPARTMENTS- THE COMMONWEALTH FUND- U.S. CENSUS BUREAU- ECONOMIC IMPACT STUDIES- EAST WEST GATEWAY COUNCIL OF GOVERNMENTS (A RECOGNIZED METROPOLITAN PLANNING ORGANIZATION - MPO) BJC USES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE SERVICES THROUGHOUT THE REGION. IN ADDITION, BJC CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. FOR EXAMPLE, BJC CONTINUES TO OPERATE FULL SERVICE HOSPITAL(S) AT A FINANCIAL LOSS IN CERTAIN GEOGRAPHIES BECAUSE THE IMPACT OF CLOSING THE HOSPITALS WOULD BE DETRIMENTAL TO THE COMMUNITY. BJC ALSO CONTINUES TO PROVIDE CERTAIN CLINICAL SERVICES, INCLUDING TRAUMA AND OBSTETRICS, IN GEOGRAPHIES AT A FINANCIAL LOSS FOR THE SAME REASON.
PART VI, LINE 3:	BJC EMPLOYS A VARIETY OF METHODS TO REACH PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING:-BJC AND ALL HOSPITAL WEB SITES POST INFORMATION ABOUT FINANCIAL ASSISTANCE AND PROVIDE INFORMATION ON HOW TO CONTACT A FINANCIAL ASSISTANCE REPRESENTATIVE-BJC HOSPITALS DISPLAY PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE ON POSTERS IN ALL EMERGENCY, ADMITTING, OUTPATIENT AND CLINIC AREAS THAT INCLUDE A PHONE NUMBER TO CALL FOR FINANCIAL ASSISTANCE COUNSELING-BJC HOSPITAL DEPARTMENTS THAT HAVE INITIAL CONTACT WITH INCOMING INPATIENTS AND OUTPATIENTS ARE SUPPLIED WITH BROCHURES ABOUT FINANCIAL ASSISTANCE FOR DISTRIBUTION TO PATIENTS AND FAMILY MEMBERS-ALL BJC HOSPITALS EMPLOY TRAINED FINANCIAL ASSISTANCE COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE SUCH AS APPLICATION FOR FEDERAL AND/OR STATE PROGRAMS; QUALIFICATION FOR FINANCIAL ASSISTANCE; DETERMINATION OF AUTOMATIC DISCOUNTS AND/OR FURTHER REDUCTIONS IN CHARGES; AND SETTING UP LONG-TERM FINANCIAL ARRANGEMENTS.
PART VI, LINE 4:	BJC HAS THREE PRIMARY SERVICE AREAS. FIRST AND LARGEST IS THE ST. LOUIS METROPOLITAN STATISTICAL AREA, CONSISTING OF THE FOLLOWING COUNTIES: ST. LOUIS CITY, ST. LOUIS, ST. CHARLES, FRANKLIN, JEFFERSON, WARREN, AND LINCOLN IN MISSOURI, AND MADISON, ST. CLAIR, MONROE, JERSEY AND CLINTON IN ILLINOIS; POPULATION OF BJC'S PRIMARY SERVICE AREA = 4.3M. BJC'S SECONDARY SERVICE AREA INCLUDES BOONE COUNTY IN MID-MISSOURI AND ST. FRANCOIS COUNTY IN SOUTHEAST MISSOURI. BECAUSE OF BJC'S TEACHING HOSPITALS AND THEIR STATUS AS ACADEMIC MEDICAL CENTERS, ITS SECONDARY SERVICE AREAS INCLUDE THE REMAINING COUNTIES IN MISSOURI, AND COUNTIES IN ILLINOIS SOUTH OF PEORIA. POPULATION OF BJC'S SECONDARY SERVICE AREA = 16.6M. BJC HOSPITALS LOCATED WITHIN ALL SERVICE AREAS INCLUDE ALTON MEMORIAL HOSPITAL, BARNES-JEWISH HOSPITAL, ST. LOUIS CHILDREN'S HOSPITAL, PROTESTANT MEMORIAL MEDICAL CENTER (MEMORIAL HOSPITAL BELLEVILLE), BJC/HEALTHSOUTH REHABILITATION CENTER, CHRISTIAN HOSPITAL NE/NW (CHRISTIAN HOSPITAL), MISSOURI BAPTIST MEDICAL CENTER, PROGRESS WEST HEALTHCARE CENTER, BARNES JEWISH ST. PETERS HOSPITAL, INC., MISSOURI BAPTIST HOSPITAL OF SULLIVAN, BARNES-JEWISH WEST COUNTY HOSPITAL, BOONE HOSPITAL CENTER, METRO EAST SERVICES (MEMORIAL HOSPITAL EAST) AND PARKLAND HEALTH CENTER (FARMINGTON AND BONNE TERRE LOCATIONS). AGED (65 YEARS AND OVER) POPULATION IN BOTH PRIMARY AND SECONDARY SERVICE AREAS CONTINUE TO GROW AT A STEADY RATE.
PART VI, LINE 5:	SERVICES. BJC PROVIDES A FULL RANGE OF PRIMARY AND TERTIARY PATIENT CARE SERVICES AND PROVIDES EXTENSIVE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY PRACTICE, INTERNAL MEDICINE, SURGICAL AND EMERGENCY CARE SERVICES. ADDITIONALLY, BJC PROVIDES COMPREHENSIVE MEDICAL CARE IN ORTHOPEDICS, NEUROLOGY, DIAGNOSTIC IMAGING, CARDIOLOGY, GASTROENTEROLOGY, ONCOLOGY, OBSTETRICS AND GYNECOLOGY, PEDIATRICS, IMMUNOLOGY, PSYCHIATRY, DERMATOLOGY, GERIATRICS, PATHOLOGY AND PHYSICAL REHABILITATION. BJC ALSO PROVIDES PREVENTIVE MEDICAL CARE.MEDICAL STAFF. BJC HOSPITALS MAINTAIN OPEN MEDICAL STAFFS AND MAKE APPOINTMENTS IN ACCORDANCE WITH MEDICAL STAFF BYLAWS APPROVED BY THEIR RESPECTIVE BOARDS. THE MEMBERS OF THE BARNES-JEWISH HOSPITAL MEDICAL STAFF ARE EITHER FULL-TIME OR PART-TIME FACULTY MEMBERS OF THE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE (WUSM). IN ADDITION, SUBSTANTIALLY ALL OF THE MEMBERS OF THE ST. LOUIS CHILDREN'S HOSPITAL MEDICAL STAFF ARE ALSO MEMBERS OF WUSM FACULTY. AT THE END OF 2018, APPROXIMATELY 7,000 PHYSICIANS WERE ACTIVE MEMBERS OF THE MEDICAL STAFFS OF ALL BJC HOSPITALS. OF THE TOTAL PHYSICIANS, 2,600 ARE FACULTY MEMBERS OF THE WUSM.GOVERNING BODY. BJC IS GOVERNED BY A BOARD OF DIRECTORS (BOARD) WITH 19 VOTING MEMBERS COMPRISED PRIMARILY OF COMMUNITY LEADERS. MEMBERS ARE APPOINTED BY BOARDS OF ITS SUPPORTED ORGANIZATIONS INCLUDING BARNES-JEWISH HOSPITAL, CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION, MISSOURI BAPTIST MEDICAL CENTER AND ST. LOUIS CHILDREN'S HOSPITAL. OTHER MEMBERS OF THE BOARD INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BJC, THE CHANCELLOR AND EXECUTIVE VICE CHANCELLOR OF WASHINGTON UNIVERSITY, AND THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL. THE BOARD HAS ADOPTED A CODE OF CONDUCT AND CONFLICT OF INTEREST POLICY THAT GOVERN TRANSACTIONS BETWEEN MEMBERS OF THE BOARD AND BJC TO ENSURE THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED BY BJC. THE BOARD HAS DELEGATED AUTHORITY FOR THE MANAGEMENT AND DAILY OPERATIONS OF BJC TO ITS PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE EXECUTIVE MANAGEMENT STAFF. THE BOARD HAS ESTABLISHED VARIOUS COMMITTEES INCLUDING THE FOLLOWING: AUDIT, COMMUNITY BENEFIT, EXECUTIVE, FINANCE, GOVERNANCE, AND PATIENT CARE.AFFILIATION AGREEMENTS. BJC THROUGH ITS AFFILIATE, BARNES-JEWISH HOSPITAL (BJH) HAS MAINTAINED A LONG STANDING CLOSE RELATIONSHIP WITH WUSM. BJH AND WUSM ARE PARTIES TO AN AFFILIATION AGREEMENT TO PROVIDE PROFESSIONAL MEDICAL STAFF AND ALLOCATION OF RESPONSIBILITY FOR HOSPITAL AND HEALTH CARE DELIVERY FACILITIES FOR BJH AND WUSM. ST. LOUIS CHILDREN'S HOSPITAL (CHILDREN'S) IS ALSO AFFILIATED WITH AND IS THE PEDIATRIC TEACHING HOSPITAL FOR WUSM. THE CHILDREN'S/UNIVERSITY AGREEMENT SETS FORTH THE RESPONSIBILITIES OF WUSM TO PROVIDE MEDICAL PROFESSIONALS TO SUPPORT THE HOSPITAL'S PROGRAMS AND TO PROVIDE ACADEMIC SUPPORT. WUSM PROVIDES LEADERSHIP AND DIRECTION FOR THE RESIDENCY PROGRAMS AT BOTH BJH AND CHILDREN'S. ALLOCATION OF SURPLUS FUNDS. UNRESTRICTED ASSETS AND SURPLUS FUNDS HELD BY BJC ARE USED IN FURTHERANCE OF THE MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES IT SERVES THROUGH LEADERSHIP, EDUCATION, INNOVATION AND EXCELLENCE IN MEDICINE. EXAMPLES INCLUDE:-BJH IN CONJUNCTION WITH WUSM FORMED THE BJC INSTITUTE OF HEALTH AT WASHINGTON UNIVERSITY (INSTITUTE). THE INSTITUTE ALLOWS TEAMS OF RESEARCHERS TO COLLABORATE IN KEY THERAPEUTIC AREAS SUCH AS CANCER GENOMICS, DIABETIC CARDIOVASCULAR DISEASE, WOMEN'S INFECTIOUS DISEASES, MEMBRANE EXCITABILITY DISORDERS AND NEURODEGENERATIVE CONDITIONS. THE RESULTS OF THIS MULTI-DISCIPLINARY EFFORT ARE EXPECTED TO ADVANCE MEDICAL SCIENCE, TECHNOLOGY, AND PATIENT CARE PRACTICES. -BJH SUPPORTS THE OPERATIONS OF THE GOLDFARB SCHOOL OF NURSING (SCHOOL) WHICH FOCUSES ON THE EDUCATION OF BACCALAUREATE AND MASTERS PREPARED NURSES. THE SCHOOL ADDRESSES THE NEED FOR MORE NURSING PROFESSIONALS TO SERVE BJC PRIMARY AND SECONDARY SERVICE AREAS.-BJC SUPPORTS BIOSCIENCE AND TECHNOLOGY RESEARCH, DEVELOPMENT AND COMMERCIALIZATION THROUGH ITS SUPPORT OF CORTEX, A TAX EXEMPT 501(C)(3) ORGANIZATION FORMED TO FACILITATE AN ECOSYSTEM FOR BIOMEDICAL RESEARCH AND INNOVATION.
PART VI, LINE 6:	BJC HEALTH SYSTEM IS ONE OF THE LARGEST NONPROFIT HEALTH CARE ORGANIZATIONS IN THE UNITED STATES, DELIVERING SERVICES TO RESIDENTS PRIMARILY IN THE GREATER ST. LOUIS, SOUTHERN ILLINOIS AND MID-MISSOURI REGIONS. WITH NET REVENUE OF $5.3 BILLION, BJC SERVES URBAN, SUBURBAN AND RURAL COMMUNITIES THROUGH 15 HOSPITAL FACILITIES AND MULTIPLE COMMUNITY HEALTH LOCATIONS. SERVICES INCLUDE INPATIENT AND OUTPATIENT CARE, PRIMARY CARE, COMMUNITY HEALTH AND WELLNESS, WORKPLACE HEALTH, HOME HEALTH, COMMUNITY MENTAL HEALTH, REHABILITATION, LONG-TERM CARE, AND HOSPICE.AS ONE OF THE LARGEST NONPROFIT HEALTH CARE DELIVERY ORGANIZATIONS IN THE COUNTRY, WE ARE COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE THROUGH LEADERSHIP, EDUCATION, INNOVATION AND EXCELLENCE IN MEDICINE.BJC STRIVES TO BE THE NATIONAL MODEL AMONG HEALTH CARE DELIVERY ORGANIZATIONS AS MEASURED BY:-OUTSTANDING PATIENT ADVOCACY AND LOYALTY -UNSURPASSED CLINICAL QUALITY AND PATIENT SAFETY -SIGNIFICANT CONTRIBUTIONS TO MEDICAL EDUCATION AND RESEARCH -EXCEPTIONAL EMPLOYEE WORKFORCE DEVELOPMENT -EXCELLENT FINANCIAL AND OPERATIONAL MANAGEMENT
PART VI, LINE 7, REPORTS FILED WITH STATES	MO,IL

Schedule H (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: HEALTHCARE SERVICES AND HEALTH EDUCATION TO COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	261
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	179
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	35,243
6	Total number of volunteers (estimate if necessary) .............	6	3,997
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	10,262,771
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	23,173,927	18,116,830
9	Program service revenue (Part VIII, line 2g) .........	4,686,884,192	4,816,344,139
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	9,177,189	16,493,974
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	91,522,461	124,171,335
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	4,810,757,769	4,975,126,278
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	121,155,490	11,965,122
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,881,572,923	1,949,297,106
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	2,748,214,847	2,945,343,320
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	4,750,943,260	4,906,605,548
19	Revenue less expenses. Subtract line 18 from line 12.......	59,814,509	68,520,730
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,852,789,749	3,922,161,481
21	Total liabilities (Part X, line 26).............	649,126,806	674,619,629
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,203,662,943	3,247,541,852

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,682,805,170 including grants of $ 5,857,316 ) (Revenue $ 3,921,901,691 )
	HEALTH CARE SERVICES: BJC HOSPITALS & SERVICE ORGANIZATIONS PROVIDE FULL, COMPREHENSIVE MEDICAL CARE FOR PATIENTS OF ALL AGES, REGARDLESS OF ABILITY TO PAY, THROUGH AN INTEGRATED NETWORK OF HOSPITALS, OUTPATIENT CENTERS, PRIMARY CARE PROVIDERS, HOME CARE SERVICES, REHABILITATION FACILITIES, LONG-TERM CARE FACILITIES, CORPORATE HEALTH SERVICES, COMMUNITY MENTAL HEALTH SERVICES & COMMUNITY OUTREACH PROGRAMS IN BUSINESSES, SCHOOLS & PLACES OF WORSHIP. BJC ENSURES THAT COMMUNITIES IN MISSOURI AND SOUTHERN ILLINOIS HAVE ACCESS TO THE HIGHEST LEVEL OF SPECIALIZED SERVICES AVAILABLE, INCLUDING THE FOLLOWING MAJOR PROGRAMS: SITEMAN CANCER CENTER, THE REGION'S ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER; LEVEL I ADULT & PEDIATRIC TRAUMA CENTERS; ADULT & PEDIATRIC ORGAN & BONE MARROW TRANSPLANT SERVICES; LEVEL III NEONATAL INTENSIVE CARE; & NATIONALLY RECOGNIZED PROGRAMS IN CRITICAL CARE, INFECTIOUS DISEASES, NEUROLOGY, NEUROSURGERY, HEART & HEART SURGERY, RESPIRATORY & KIDNEY DISEASES. BJC ALSO IS COMMITTED TO UNDER-SERVED COMMUNITIES & PROVIDES THE ONLY OBSTETRICS SERVICE IN THE CITY OF ST. LOUIS. BJC'S URBAN ACADEMIC MEDICAL CENTERS SERVE AS A CRITICAL COMPONENT OF THE HEALTH SAFETY NET FOR UNINSURED & UNDER-INSURED PATIENTS THROUGHOUT THE REGION.

4b	(Code: ) (Expenses $ 1,150,613,449 including grants of $ 0 ) (Revenue $ 788,038,826 )
	FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID & MEANS-TESTED UNCOMPENSATED CARE: BJC HEALTHCARE HOSPITALS & SERVICE ORGANIZATIONS (BJC) CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. BJC PROVIDED $150.9 MILLION IN FINANCIAL ASSISTANCE DURING 2018 TO PATIENTS WHO WERE UNABLE TO PAY FOR ANY OR ALL OF THE CARE THEY NEEDED. FINANCIAL ASSISTANCE CONSISTS OF MEDICAL SERVICES GIVEN FREE OF CHARGE TO THOSE WITHOUT INSURANCE OR WITH INADEQUATE INSURANCE WHO HAVE DEMONSTRATED THEY ARE UNABLE TO PAY FOR THEIR CARE. ADDITIONALLY, BJC HOSPITALS PROVIDED $211.7 MILLION DURING 2018 IN UNREIMBURSED CARE TO MEDICAID PATIENTS, ABSORBING THE SHORTFALL BETWEEN THE COST OF NEEDED MEDICAL SERVICES & THE REIMBURSEMENT RECEIVED FROM STATE PROGRAMS FOR QUALIFYING LOW-INCOME PATIENTS. THE COST OF CARE FOR CHARITY & UNREIMBURSED MEDICAID PATIENTS TOTALED $362.6 MILLION.BJC ALSO ABSORBS THE COST OF CARING FOR PATIENTS WHO ARE UNABLE TO PAY THEIR CO-PAYS, DEDUCTIBLES OR OTHER HEALTH CARE COSTS FOR A WIDE RANGE OF REASONS THAT THEY MAY OR MAY NOT SHARE WITH BJC. BJC PROVIDED AN ESTIMATED $77.8 MILLION DURING 2018 IN CARE TO PATIENTS WHO, BASED UPON AN EXTENSIVE ANALYSIS OF ZIP CODE & OTHER INFORMATION, WERE PRESUMED TO HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE BJC POLICY, HAD FINANCIAL INFORMATION BEEN PROVIDED TO THE ORGANIZATION. THESE PATIENTS RECEIVED NEEDED MEDICAL SERVICES AND, IN FACT, RECEIVED THE EQUIVALENT OF FINANCIAL ASSISTANCE BUT WERE NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE.

4c	(Code: ) (Expenses $ 291,393,206 including grants of $ 6,107,806 ) (Revenue $ 94,785,608 )
	HEALTH PROFESSIONS EDUCATION & RESEARCH: BJC HELPS BUILD THE FUTURE OF HEALTH CARE BY EDUCATING HEALTH PROFESSIONALS & ADVANCING MEDICAL RESEARCH INNOVATIONS. THROUGH OUR ACADEMIC AFFILIATION WITH WASHINGTON UNIVERSITY SCHOOL OF MEDICINE, BJC HELPS ENSURE THE ONGOING TRAINING & DEVELOPMENT OF HEALTH CARE PROFESSIONALS, WHICH ARE CRITICAL TO THE HEALTH OF THE COMMUNITY & THE FUTURE OF HEALTH CARE DELIVERY. DURING 2018, BJC CONTRIBUTED $196.6 MILLION TOWARDS PROGRAMS THAT PROVIDE TRAINING AND EDUCATION TO 18,790 INDIVIDUALS INCLUDING MEDICAL STUDENTS, NURSING STUDENTS, RESIDENTS, FELLOWS AND PERSONS IN THE COMMUNITIES SERVED BY BJC AFFILIATE HOSPITALS INTERESTED IN THE HEALTH PROFESSIONS. ADDITIONALLY, BJC IS COMMITTED TO BIOMEDICAL HEALTH RESEARCH EFFORTS THAT WILL CONTRIBUTE TO THE PREVENTION, DIAGNOSIS & TREATMENT OF DISEASE & DISABILITY.

	(Code: ) (Expenses $ 32,424,167 including grants of $ 0 ) (Revenue $ 11,618,014 )
	COMMUNITY HEALTH IMPROVEMENT PROGRAMS & CONTRIBUTIONS TO COMMUNITY GROUPS: BJC PROMOTES HEALTH AWARENESS AND SUPPORTS HEALTH LITERACY PROGRAMS TO THE COMMUNITIES WHERE CHILDREN AND ADULTS LIVE AND WORK. DURING 2018, BJC CONTRIBUTED MORE THAN $8.8 MILLION TO COMMUNITY GROUPS FOR COMMUNITY BENEFIT PURPOSES AND EXPENDED $12.0 MILLION TO CONDUCT PROGRAMS TO BENEFIT THE COMMUNITIES SERVED BY BJC HOSPITALS & HEALTH SERVICES ORGANIZATIONS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 32,424,167 including grants of $ 0 ) (Revenue $ 11,618,014 )
4e	Total program service expenses4,157,235,992

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	35,363,856	3,689,372	3,385,054

1a	Federated campaigns..		1a	76,649
b	Membership dues..		1b
c	Fundraising events..		1c	105,494
d	Related organizations		1d	13,659,222
e	Government grants (contributions)		1e	3,148,662

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,126,803

g	Noncash contributions included in lines 1a - 1f:$ 86,668
h Total. Add lines 1a-1f.......		18,116,830

		Business Code
2a	PROGRAM SVC REVENUE	621990	4,767,254,758	4,767,254,758
b	PROGRAM RENTAL INCOME	531190	35,327,242	35,327,242
c	PROGRAM INVESTMENT REV	621400	4,857,110	4,857,110	0
d	WASHINGTON UNIV -OTHER	621400	4,623,071	4,420,755	202,316
e	REFERENCE LABORATORY	621400	3,429,838		3,429,838
f	All other program service revenue.		852,120	378,336	473,784
g	Total. Add lines 2a–2f ....		4,816,344,139

3 Investment income (including dividends, interest, and othersimilar amounts) ......			16,742,082			16,742,082
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			1,659			1,659
		(ii) Personal	(i) Real
6a	Gross rents		2,083,779
b	Less: rental expenses		0
c	Rental income or (loss)		2,083,779
d	Net rental income or (loss)......			2,083,779			2,083,779
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	395,965
b	Less: cost or other basis and sales expenses	644,073
c	Gain or (loss)	-248,108
d	Net gain or (loss).....			-248,108			-248,108
8a	Gross income from fundraising events (not including $ 105,494of contributions reported on line 1c). See Part IV, line 18 ....
	a		41,436
b	Less: direct expenses ...b		27,053
c	Net income or (loss) from fundraising events..			14,383			14,383
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		4,715
b	Less: direct expenses ...b		7,640
c	Net income or (loss) from gaming activities..			-2,925			-2,925
10a	Gross sales of inventory, less returns and allowances ..
	a		5,574,833
b	Less: cost of goods sold ..b		2,361,542
c	Net income or (loss) from sales of inventory..			3,213,291			3,213,291
Business Code			Miscellaneous Revenue
11a	RETAIL PHARMACY		441600	32,896,797		2,511,653	30,385,144
b	CAFETERIA SALES		722210	20,386,098	0	201,731	20,184,367
c	OTHER OPERATING		900099	17,884,406	0	340,876	17,543,530
d	All other revenue ....			47,693,847		3,102,573	44,591,274
e	Total. Add lines 11a–11d ......			118,861,148
12	Total revenue. See Instructions......			4,975,126,278	4,812,238,201	10,262,771	134,508,476

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	9,561,775	9,561,775
2	Grants and other assistance to domestic individuals. See Part IV, line 22	2,403,347	2,403,347
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	24,990,615		24,990,615
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	1,506,881,520	1,465,270,820	41,610,700
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	116,682,667	114,654,647	2,028,020
9	Other employee benefits .......	190,736,103	187,422,034	3,314,069
10	Payroll taxes ...........	110,006,201	105,761,807	4,244,394
11	Fees for services (non-employees):
a	Management ......	2,531,022	2,250,623	280,399
b	Legal .........	144,555		144,555
c	Accounting ...........	614,915		614,915
d	Lobbying ...........	526,880		526,880
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	497,028,698	475,866,426	21,162,272
12	Advertising and promotion ....	10,212,470	6,607,452	3,605,018
13	Office expenses .......	68,749,587	64,653,488	4,096,099
14	Information technology ......	7,206,958	6,269,477	937,481
15	Royalties ..	22,266	22,266
16	Occupancy ...........	85,762,612	66,782,342	18,980,270
17	Travel ............	5,256,301	4,842,039	414,262
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	3,154,504	2,494,323	660,181
20	Interest ...........	39,904,806		39,904,806
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	345,078,525	332,782,632	12,295,893
23	Insurance ...	30,126,501	30,124,382	2,119
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	961,067,200	961,067,200	0
b	OVERHEAD ALLOCATION	556,043,306	0	556,043,306
c	OTHER MISCELLANEOUS	127,927,180	122,203,225	5,723,955
d	TEACHING SERVICES	115,940,822	115,940,822	0
e	All other expenses	88,044,212	80,254,865	7,789,347
25	Total functional expenses. Add lines 1 through 24e	4,906,605,548	4,157,235,992	749,369,556	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			143,218	1	181,301
2	Savings and temporary cash investments .........			12,162,073	2	14,957,620
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			713,325,727	4	773,803,368
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....				7	32,000
8	Inventories for sale or use ........			100,834,674	8	101,823,058
9	Prepaid expenses and deferred charges ......			9,102,421	9	11,578,136
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	6,428,124,814
b	Less: accumulated depreciation	10b	3,612,341,235	2,767,481,212	10c	2,815,783,579
11	Investments—publicly traded securities .			53,134,561	11	53,123,794
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			49,998,280	13	23,814,717
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			146,607,583	15	127,063,908
16	Total assets. Add lines 1 through 15 (must equal line 34)...			3,852,789,749	16	3,922,161,481

17	Accounts payable and accrued expenses .....	340,496,660	17	374,451,251
18	Grants payable ...		18
19	Deferred revenue .........	688,625	19	929,542
20	Tax-exempt bond liabilities .........	198,000,000	20	198,000,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	14,639,394	23	14,639,394
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	95,302,127	25	86,599,442
26	Total liabilities. Add lines 17 through 25..	649,126,806	26	674,619,629

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	3,197,489,005	27	3,239,245,352
28	Temporarily restricted net assets ...........	6,173,938	28	8,296,500
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	3,203,662,943	33	3,247,541,852
34	Total liabilities and net assets/fund balances ........	3,852,789,749	34	3,922,161,481

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....


Name of organization BJC HEALTH SYSTEM GROUP RETURN			Employer identification number 75-3052953
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

1a	Land .....	97,413,276		97,413,276
b	Buildings ....	1,472,423,979	984,413,404	488,010,575
c	Leasehold improvements	332,579,144	213,567,446	119,011,698
d	Equipment ....	2,954,175,267	2,236,974,386	717,200,881
e	Other .....	1,571,533,148	177,385,999	1,394,147,149
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				2,815,783,579

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
OTHER LONG TERM LIABILITIES	7,323,820
DUE TO THIRD PARTY PAYORS	32,130,008
OTHER CURRENT LIABILITIES	28,982,314
SELF-FUNDED INSURANCE LIABLITIES	7,140,292
ACCRUED ENVIRONMENTAL LIABILITIES	9,271,000
LONG TERM PENSION LIABILITIES	1,752,008
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	86,599,442
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	1		PROGRAM SERVICES	OPERATIONS OF MEMORIAL CAPTIVE INS CO, A WHOLLY OWNED SUBSIDIARY OF MEMORIAL REG HEALTH SVCS INC.	5,276,212
	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	1		NET INVESTMENT IN MEMORIAL CAPTIVE INS CO, A WHOLLY OWNED SUBSIDIARY OF MEMORIAL REG HEALTH SVCS INC		39,667,421















3a	Sub-total .....	2	0			44,943,633
b	Total from continuation sheets to Part I ...					0
c	Totals (add lines 3a and 3b)	2	0			44,943,633