TY 2020 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)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) BJC LIEKWEG RICHARD...................................................................... PRESIDENT, DIRECTOR	40.00 .................	X	X	2,583,086	0	347,105
(2) CHAS VAN TREASE SANDRA...................................................................... DIRECTOR	40.00 .................	X		1,562,510	0	226,277
(3) BJH CANNON ROBERT W...................................................................... PRESIDENT, DIRECTOR TERM 8/20	40.00 .................	X	X	1,428,926	0	309,754
(4) AMH MAGRUDER JOAN...................................................................... DIRECTOR	40.00 .................	X		1,302,370	0	317,172
(5) BJSPH FOX JERRY...................................................................... DIRECTOR	40.00 .................	X		1,009,861	0	146,627
(6) MESI MOOSA HANS MD...................................................................... DIRECTOR	1.00 ................. 40.00	X		64,000	793,393	24,287
(7) MRHS TURNER MARK J...................................................................... PRESIDENT, DIRECTOR TERM 2/20	40.00 .................	X	X	775,739	0	19,928
(8) MBMC SPEIDEL DAVID MD...................................................................... DIRECTOR	40.00 .................	X		717,542	0	131,384
(9) PMMCI DOTHAGER DOUG MD...................................................................... DIRECTOR	1.00 ................. 40.00	X		7,536	705,447	24,647
(10) SLCH LOLLO TRISH...................................................................... PRESIDENT, DIRECTOR	40.00 .................	X	X	710,388	0	146,404
(11) MBMC ANTES JOHN...................................................................... PRESIDENT, DIRECTOR	40.00 .................	X	X	665,156	0	202,747
(12) MMG CASPERSON WILLIAM MD...................................................................... DIRECTOR	40.00 .................	X		647,713	0	25,121
(13) PHC KIRKLEY SCOTT D MD...................................................................... DIRECTOR	40.00 .................	X		633,832	0	147,720
(14) PHC BORCHERS KIMERLY MD...................................................................... DIRECTOR	40.00 .................	X		604,826	0	85,743
(15) BJCHOME ROTHERY DAN...................................................................... PRESIDENT, DIRECTOR	40.00 .................	X	X	601,586	0	152,641
(16) BJSPH WATTS CHRIS...................................................................... PRESIDENT, DIRECTOR	40.00 .................	X	X	600,861	0	183,429
(17) MESI BAUMER KEVIN MD...................................................................... DIRECTOR	1.00 ................. 40.00	X		0	573,028	25,223

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) CHAS SINEK JIM........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				557,793	0	137,671
(19) BJCBH TERRACE SARAH........................................................................ SECRETARY, DIRECTOR	40.00 .......................	X	X				544,839	0	168,262
(20) BJWCH BEATTY JOHN........................................................................ TREASURER, DIRECTOR	40.00 .......................	X	X				531,697	0	85,739
(21) CH STEVENS RICK L........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				527,850	0	90,288
(22) BJCHOME PETERS LEWIS ANGELLEEN........................................................................ DIRECTOR	40.00 .......................	X					527,055	0	90,687
(23) BJCHOME SCHREINER LORI........................................................................ DIRECTOR	40.00 .......................	X					476,392	0	295,111
(24) PMMCI BEATTY ADRIENA DO........................................................................ DIRECTOR	1.00 .......................40.00	X	X				0	453,371	32,532
(25) CHAS BLOUNT ROBIN........................................................................ SECRETARY, DIRECTOR	40.00 .......................	X	X				446,428	0	113,725
(26) AMH BRAASCH DAVID ALAN........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				442,316	0	55,420
(27) MRHS MCMANUS MICHAEL........................................................................ PRESIDENT, DIRECTOR BEG 2/20	40.00 .......................	X	X				439,310	0	44,755
(28) PHC GRIX GARY MD........................................................................ DIRECTOR	40.00 .......................	X					402,195	0	168,326
(29) BJWCH ABAD ANN........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				381,554	0	209,768
(30) CH VAN RYN JACQUES MD........................................................................ DIRECTOR	40.00 .......................	X					380,552	0	91,413
(31) CHAS SMITH MONICA RN........................................................................ VICE CHAIRMAN, DIRECTOR	40.00 .......................	X	X				355,292	0	213,349
(32) BHHC YUEN ANGELA MD........................................................................ DIRECTOR	40.00 .......................	X					332,887	0	75,750
(33) PWHC SANDBERG STEPHANIE MD........................................................................ DIRECTOR	40.00 .......................	X					330,012	0	149,772
(34) BJCHOME MATE CHRISTIAN........................................................................ DIRECTOR	40.00 .......................	X					327,250	0	81,276
(35) MBHS BAKER ALISON MD........................................................................ DIRECTOR	40.00 .......................	X					325,786	0	117,305
(36) CHC THOMAS MICHELE MD........................................................................ DIRECTOR	40.00 .......................	X					311,614	0	178,697
(37) BJCHOME KADLEC-PATTERSON NANCY........................................................................ DIRECTOR	40.00 .......................	X					310,361	0	327,780
(38) MBHS GOYAL SAHIL MD........................................................................ DIRECTOR	40.00 .......................	X					299,835	0	17,970
(39) BJCHOME HALLORAN TERESA........................................................................ DIRECTOR	40.00 .......................	X					299,410	0	162,607
(40) BJWCH OLINGER STACY........................................................................ DIRECTOR	40.00 .......................	X					288,284	0	81,016
(41) PMMCI RAMOS-PARDO BEATRIZ MD........................................................................ DIRECTOR	1.00 .......................40.00	X					0	283,310	15,441
(42) BJCBH KARL BARBARA........................................................................ PRESIDENT, DIRECTOR	40.00 .......................	X	X				248,738	0	218,400
(43) MBMC WEINSTEIN DAVID L MD........................................................................ DIRECTOR	40.00 .......................	X					245,996	0	119,834
(44) PHC SCHNABEL ANNETTE........................................................................ PRESIDENT, DIRECTOR BEG 5/20	40.00 .......................	X	X				219,678	0	20,050
(45) PHC KARL THOMAS........................................................................ PRESIDENT, DIRECTOR TERM 5/20	40.00 .......................	X	X				200,678	0	219,057
(46) BJCCHS SCHAPER STEVEN........................................................................ EXECUTIVE DIRECTOR, SECRETARY	40.00 .......................	X	X				137,095	0	40,356
(47) BHHC EIKEL LIZ........................................................................ SECRETARY, DIRECTOR	40.00 .......................	X	X				94,466	0	115,843
(48) BJCCHS VENDITTI PATRICK........................................................................ VICE PRESIDENT & SECRETARY, DIRECTOR	40.00 .......................	X	X				68,842	0	30,141
(49) BHHC SZEWCZYK MICHAEL MD........................................................................ DIRECTOR	1.00 .......................	X					43,608	0	0
(50) PHC CONKLIN RICHARD........................................................................ DIRECTOR	1.00 .......................	X					33,025	0	0
(51) CH AKINTOLA-OGUNREMIOLARONKE MD........................................................................ DIRECTOR	1.00 .......................	X					27,000	0	0
(52) BJSPH HACKER KENNETH MD........................................................................ DIRECTOR	1.00 .......................	X					15,000	0	0
(53) AMH TURNER GEOFFREY MD........................................................................ DIRECTOR	1.00 .......................	X					9,750	0	0
(54) MESI BARNETT KEVIN MD........................................................................ DIRECTOR	1.00 .......................	X					2,175	0	0
(55) AMH BALSTERS KEN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(56) AMH ERKER MELISSA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(57) AMH GOINS SHEILA E........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(58) AMH HARTRICH BRUCE A........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(59) AMH JULIAN GAYE F........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(60) AMH LAUSCHKE SANDRA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(61) AMH LOY KENNETH........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(62) AMH RYRIE EDWARD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(63) BHHC OLINGER STACY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(64) BJC BAXER WARNER........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(65) BJC FLAVIN LISA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(66) BJC GANIM RANDY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(67) BJC HILLMAN TOM........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(68) BJC HOLMES MICHAEL........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(69) BJC JAIN SANJAY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(70) BJC MANNING ANNA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(71) BJC MARTIN ANDREW........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(72) BJC PERLMUTTER DAVID........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(73) BJC SAMUELS THEODORE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(74) BJC SITHERWOOD SUZANNE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(75) BJCHOME GEE WILLIAM MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(76) BJCHOME LOLLO TRISHA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(77) BJCHOME OLINGER STACY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(78) BJCHOME VAN TREASESANDRA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(79) BJCHOME WHITE PATRICK MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(80) BJH BURKHART MARK........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(81) BJH CLARK MAXINE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(82) BJH CRAIN MARION........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(83) BJH EDISON PETER........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(84) BJH GOLDBERG SUSAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(85) BJH GRIFFIN JOANNE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(86) BJH HARRIS STEVEN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(87) BJH HILLMAN TOM........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(88) BJH JOTTE RANDALL MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(89) BJH KAHN EUGENE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(90) BJH LEFTON MICHAEL........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(91) BJH LIEKWEG RICHARD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(92) BJH LOVE KATHRYN ELLIOTT........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(93) BJH MANNEN ELIZABETH........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(94) BJH MILES RICHARD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(95) BJH PATTERSON DEBORAH J........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(96) BJH PERLMUTTER DAVID H MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(97) BJH SCHEEL PAUL MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(98) BJH SCHNUCK CRAIG........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(99) BJH SMITH PETER........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(100) BJH THORNTON RESHAUNDA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(101) BJH WENDLAND BEVERLY ROGERS........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(102) BJSPH APLINGTON DAVID........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(103) BJSPH CANNON ROBERT........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(104) BJSPH MAGRUDER JOAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(105) BJWCH BOSWELL CB MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(106) BJWCH EAGON CHRIS MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(107) BJWCH SALTMAN ROBERT MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(108) BJWCH SCHEEL PAUL MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(109) CH BROWN DAVID........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(110) CH CANNON ROBERT........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(111) CH COLLINS-HART NETTIE PHD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(112) CH HENDERSON ERICA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(113) CH JENSEN JOSHUA II MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(114) CH KENNEDY MICHAEL B........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(115) CH LIEKWEG RICHARD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(116) CH MAGRUDER JOAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(117) CH MALONE DAVID C........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(118) CH MOEHN MICHAEL L........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(119) CH OTTO DAVID W........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(120) CH PITTMAN JEFF L PHD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(121) CH PLUMMER ROBERT........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(122) CH RATLIFF HARRY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(123) CH REARDEN TIM MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(124) CH SHAW DAVID MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(125) CH STAFFORD ERIC........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(126) CH TUCKER MICHELLE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(127) CHAS APLINGTON DAVID........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(128) CHAS MAGRUDER JOAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(129) CHC FOX JERRY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(130) CHIL PACE PAULA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(131) CHSDC BALSTERS KENNETH........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(132) CHSDC LIEKWEG RICH........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(133) CHSDC PACE PAULA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(134) CHSDC STEVENS RICK L........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(135) MBHS ANTES JOHN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(136) MBHS DACE SHARON........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(137) MBHS DIXON DEBBIE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(138) MBHS MACE RANDY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(139) MBHS MASTIN JAYNE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(140) MBHS MIZELL LESA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(141) MBHS OBERLE JOYCE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(142) MBHS VAN TREASE SANDRA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(143) MBMC BLAIR JIM........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(144) MBMC CAHILL JACK L........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(145) MBMC EASON CLIFF........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(146) MBMC FERGUSON TRICIA ZIMMER........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(147) MBMC FIELDS HARVEY JR........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(148) MBMC KIM CHARLES G........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(149) MBMC LACEY ALTON........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(150) MBMC LAKEY NATHAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(151) MBMC MAGRUDER JOAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(152) MBMC MASTIN JAYNE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(153) MBMC MATHEWS KORY G........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(154) MBMC MCDONNELL VERONICA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(155) MBMC MCKEE CHRIS........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(156) MBMC MUNDEN DARRYL R........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(157) MBMC PLANTS EDWARD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(158) MBMC PRIVOTTW JOSEPH PHD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(159) MBMC REEG KURTIS B........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(160) MBMC RHODES CATHERINE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(161) MBMC STOKES DAVID M........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(162) MESI BOWERS SUSAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(163) MESI COOK KEITH........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(164) MESI GASSER SUSAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(165) MESI HOLLOWAY THOMAS E........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(166) MESI JOHNSON KENNETH V........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(167) MESI MUNTON DOUG........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(168) MESI OLIVER STACI........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(169) MESI WELD MARTHA PHD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(170) MMG MOOSA HANS MD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(171) MRHS APLINGTON DAVID........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(172) MRHS GANIM RANDY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(173) MRHS THOUVENOT ROLLIE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(174) PHC BUCHANAN ANDY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(175) PHC BUNCH WILLIAM W........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(176) PHC JONES STEVEN R........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(177) PHC KENNON JOHN GILBERT........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(178) PHC MAGRUDER JOAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(179) PHC MYERS ANTHONY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(180) PHC PETERSON DEBORAH S........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(181) PHC ROARK MICHAEL KENT........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(182) PHC UMFLEET LISA K........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(183) PHC VAN TREASE SANDRA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(184) PMMCI BOWERS SUSAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(185) PMMCI GIVENS SCOTT........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(186) PMMCI HOERING EDWARD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(187) PMMCI JACKSON RACHEL........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(188) PMMCI LEOPOLD CLAIRE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(189) PMMCI MCCOLLUM TRACY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(190) PMMCI ROBERTS OTTO........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(191) PMMCI THOUVENOT ROLAND........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(192) PWHC APLINGTON DAVID........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(193) PWHC CANNON ROBERT........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(194) PWHC FOX JERRY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(195) PWHC MAGRUDER JOAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(196) SLCH BARNES LASHANDA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(197) SLCH CRIM RONDEY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(198) SLCH DESILVA MICHELLE C........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(199) SLCH DIEMER NANCY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(200) SLCH HAGEDORN CHRIS........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(201) SLCH HARTTRACY E........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(202) SLCH LINDSEY STEVE........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(203) SLCH MAGRUDER JOAN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(204) SLCH MCCOY ART PHD........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(205) SLCH MCDONNELLJAMES III........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(206) SLCH MUELLER CHARLES JR........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(207) SLCH MUELLER ROBERT C........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(208) SLCH MULLINS BIRCH........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(209) SLCH O'CONNELL JOHN........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(210) SLCH OLIVER TIM........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(211) SLCH PERLMUTTER DAVID........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(212) SLCH RAMIREZ KARLOS........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(213) SLCH RHONE ERIC........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(214) SLCH SHORT RICK S........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(215) SLCH WHITAKER PATRICA........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(216) SLCH WILLIAMS JAMES E JR........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(217) SLCH WILSON REVEREND STARSKY........................................................................ DIRECTOR	1.00 .......................	X					0	0	0
(218) AMH AYRES GARY........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(219) AMH MILNOR GEORGE........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(220) AMH THOMPSON STEVE........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(221) BHHC ROTHERY DAN........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(222) BHHC SINEK JIM........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(223) BHHC SMITH MONICA RN........................................................................ VICE PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(224) BJC COPELAND DOUG........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(225) BJC HAMM-NIEBRUEGGE RHONDA........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(226) BJC KLEIN WARD........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(227) BJC MCCLURE RICHARD........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(228) BJC WEDDLE JAMES........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(229) BJCBH ROTHERY DAN........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(230) BJCCHS ROTHERY DAN........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(231) BJCCHS TERRACE SARAH........................................................................ VICE PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(232) BJCHOME BRAASCH DAVID ALAN........................................................................ SECRETARY, TREASURER, DIR (BEG 5/20)	1.00 .......................	X	X				0	0	0
(233) BJCHOME KARL THOMAS........................................................................ SECRETARY, TREASURER, DIR (TERM 5/20)	1.00 .......................	X	X				0	0	0
(234) BJH LYNCH JOHN MD........................................................................ PRESIDENT, DIRECTOR BEG 8/20	40.00 .......................	X	X				974,697	0	0
(235) BJH WEDDLE JAMES........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(236) BJWCH APLINGTON DAVID........................................................................ SECRETARY, DIRECTOR	1.00 .......................	X	X				0	0	0
(237) BJWCH CANNON ROBERT........................................................................ CHARIMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(238) CH HAMM-NIEBRUEGGE RHONDA K........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(239) CH PACE PAULA D........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(240) CH ZYKAN DON........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(241) CHAS BECKETT JAN........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(242) CHC KADLEC-PATTERSON NANCY........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(243) CHC POUGE DOUGLAS MD........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(244) CHC VAN TREASE SANDRA........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(245) CHIL HAMM-NIEBRUEGGE RHONDA........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(246) CHIL STEVENS RICK L........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(247) CHSDC CANNON ROBERT........................................................................ PRESIDENT, DIRECTOR BEG 8/20	1.00 .......................	X	X				0	0	0
(248) CHSDC HAMM-NIEBRUEGGE RHONDA........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(249) CHSDC MAGRUDER JOAN........................................................................ PRESIDENT, DIRECTOR TERM 7/20	1.00 .......................	X	X				0	0	0
(250) CHSDC RATLIFF HARRY........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(251) MBHS HOFFMAN MIKE........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(252) MBHS RUBLE IRENE........................................................................ SECRETARY, DIRECTOR	1.00 .......................	X	X				0	0	0
(253) MBMC COPELAND DOUGLAS........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(254) MBMC MCCARTHY THOMAS........................................................................ SECRETARY, DIRECTOR	1.00 .......................	X	X				0	0	0
(255) MBMC ROSS DONALD........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(256) MESI CUNDIFF GREG........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(257) MESI ECKERT CHRIS........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(258) MESI MCMANUS MICHAEL........................................................................ PRESIDENT, DIRECTOR BEG 2/20	1.00 .......................	X	X				0	0	0
(259) MESI SCHROEDER KURT........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(260) MESI THAXTON VALERIE........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(261) MESI TURNER MARK........................................................................ PRESIDENT, DIRECTOR TERM 2/20	1.00 .......................	X	X				0	0	0
(262) MMG MCMANUS MICHAEL........................................................................ PRESIDENT, DIRECTOR BEG 2/20	1.00 .......................	X	X				0	0	0
(263) MMG TURNER MARK J........................................................................ PRES,CHAIRMAN,DIR TERM 2/20	1.00 .......................	X	X				0	0	0
(264) MRHS LIEKWEG RICHARD........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(265) PEHC APLINGTON DAVID........................................................................ SECRETARY, DIRECTOR	1.00 .......................	X	X				0	0	0
(266) PEHC LIEKWEG RICHARD........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(267) PEHC MAGRUDER JOAN........................................................................ TREASURER, DIRECTOR	1.00 .......................	X	X				0	0	0
(268) PHC COOK KEVIN........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(269) PHC RHODES CATHERINE........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(270) PMMCI BOYER GERI........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(271) PMMCI DYER ROB REV........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(272) PMMCI KLOSTERMAN MATTHEW........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(273) PMMCI MCMANUS MICHAEL........................................................................ PRESIDENT, DIRECTOR BEG 2/20	1.00 .......................	X	X				0	0	0
(274) PMMCI MUELLER ROBERT C........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(275) PMMCI TURNER MARK........................................................................ PRESIDENT, DIRECTOR TERM 2/20	1.00 .......................	X	X				0	0	0
(276) PWHC WATTS CHRISTOPER........................................................................ PRESIDENT, DIRECTOR	1.00 .......................	X	X				0	0	0
(277) SLCH HERMANN ROBERT JR........................................................................ ASST TREASURER, DIRECTOR	1.00 .......................	X	X				0	0	0
(278) SLCH IMBS CHRISTOPHER........................................................................ SECRETARY, DIRECTOR	1.00 .......................	X	X				0	0	0
(279) SLCH MCCLURE RICH........................................................................ CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(280) SLCH SMITH-THURMAN PATRICIA A........................................................................ TREASURER, DIRECTOR	1.00 .......................	X	X				0	0	0
(281) SLCH STUPP JOHN JR........................................................................ VICE CHAIRMAN, DIRECTOR	1.00 .......................	X	X				0	0	0
(282) SLCH SUGGS DONALD........................................................................ ASST TREASURER, DIRECTOR	1.00 .......................	X	X				0	0	0
(283) BJC BARTO NICK........................................................................ SR. VP,CFO, TREASURER	40.00 .......................		X				1,582,674	0	135,961
(284) BJC APLINGTON DAVID........................................................................ SR. VP,GENERAL COUNSEL,SEC'Y	40.00 .......................		X				928,864	0	209,062
(285) PGLC POGUE DOUGLAS MD........................................................................ PRESIDENT & MANAGER	40.00 .......................		X				754,478	0	261,775
(286) BJH KRIEGER MARK........................................................................ VP, CFO, TREASURER	40.00 .......................		X				597,441	0	146,074
(287) SLCH MCKEE MICHELE........................................................................ VICE PRESIDENT, FINANCE	40.00 .......................		X				459,078	0	185,030
(288) PMMCI GUSMANO JANE........................................................................ VP FINANCE, SECRETARY	40.00 .......................		X				356,804	0	240,419
(289) MBMC DESART AMY........................................................................ VICE PRESIDENT, FINANCE	40.00 .......................		X				346,165	0	239,264
(290) CH KOESTERER SUSAN........................................................................ VICE PRESIDENT, FINANCE	40.00 .......................		X				328,004	0	221,327
(291) PWHC LAWSON ELIZABETH........................................................................ VICE PRESIDENT, FINANCE	40.00 .......................		X				287,885	0	57,441
(292) MBHS SCHWARM TONY........................................................................ PRESIDENT	40.00 .......................		X				276,017	0	181,576
(293) BJH REID SARA........................................................................ SECRETARY	40.00 .......................		X				266,392	0	184,818
(294) CHC WARD CHRIS........................................................................ SECRETARY, TREASURER	40.00 .......................		X				191,877	0	179,316
(295) AMH BARTO NICK........................................................................ SR VICE PRESIDENT & CFO	1.00 .......................		X				0	0	0
(296) AMH KOESTERER SUSAN........................................................................ VICE PRESIDENT, FINANCE	1.00 .......................		X				0	0	0
(297) BJCHOME BARTO NICK........................................................................ SR VICE PRESIDENT & CFO	1.00 .......................		X				0	0	0
(298) BJH BARTO NICK........................................................................ SR VICE PRESIDENT & CFO	1.00 .......................		X				0	0	0
(299) BJSPH BARTO NICK........................................................................ SR VICE PRESIDENT & CFO	1.00 .......................		X				0	0	0
(300) BJSPH LAWSON ELIZABETH........................................................................ VICE PRESIDENT, FINANCE	1.00 .......................		X				0	0	0
(301) BJWCH BARTO NICK........................................................................ SR VICE PRESIDENT & CFO	1.00 .......................		X				0	0	0
(302) CH BARTO NICK........................................................................ SR VICE PRESIDENT & CFO	1.00 .......................		X				0	0	0
(303) CHSDC KOESTERER SUSAN........................................................................ VICE PRESIDENT, FINANCE	1.00 .......................		X				0	0	0
(304) MBHS BARTO NICK........................................................................ SR VICE PRESIDENT & CFO	1.00 .......................		X				0	0	0
(305) MBHS DESART AMY........................................................................ VICE PRESIDENT, FINANCE	1.00 .......................		X				0	0	0
(306) MBMC BARTO NICK........................................................................ SR VICE PRESIDENT & CFO	1.00 .......................		X				0	0	0
(307) MESI BARTO NICK........................................................................ SR VICE PRESIDENT & CFO	1.00 .......................		X				0	0	0
(308) MESI GUSMANO JANE........................................................................ SECRETARY, VP FINANCE	1.00 .......................		X				0	0	0
(309) MMG GUSMANO JANE........................................................................ VICE PRESIDENT, TREASURER	1.00 .......................		X				0	0	0
(310) MRHS GUSMANO JANE........................................................................ SECRETARY, TREASURER	1.00 .......................		X				0	0	0
(311) PHC BARTO NICK........................................................................ SR VICE PRESIDENT & CFO	1.00 .......................		X				0	0	0
(312) PHC DESART AMY........................................................................ VICE PRESIDENT, FINANCE	1.00 .......................		X				0	0	0
(313) PMMCI BARTONICK........................................................................ SR VICE PRESIDENT & CFO	1.00 .......................		X				0	0	0
(314) PWHC BARTO NICK........................................................................ SR VICE PRESIDENT & CFO	1.00 .......................		X				0	0	0
(315) SLCH BARTO NICK........................................................................ SR VICE PRESIDENT & CFO	1.00 .......................		X				0	0	0
(316) BJC THOMAS JOSEPH........................................................................ VP/CHIEF INVEST OFFICER	40.00 .......................			X			820,921	0	197,197
(317) BJC TISCHLER JACKIE........................................................................ SVP/CHIEF PEOPLE OFFICER	40.00 .......................			X			623,944	0	49,659
(318) BJC GRIMSHAW CHARLES MD........................................................................ PHYSICIAN	40.00 .......................				X		1,063,521	0	93,424
(319) BJC OCHIENG MILTON O MD........................................................................ PHYSICIAN	40.00 .......................				X		982,136	0	97,907
(320) BJC HALL LANNIS E MD........................................................................ PHYSICIAN	40.00 .......................				X		953,106	0	187,384
(321) BJC KRAINIK ANDREW J MD........................................................................ PHYSICIAN	40.00 .......................				X		923,235	0	139,720
(322) BJC PAUL MICHAEL J MD........................................................................ PHYSICIAN	40.00 .......................				X		903,961	0	138,675
(323) BJC LIPSTEIN STEVEN........................................................................ FORMER CEO TERM 12/17	0.00 .......................					X	583,879	0	0
(324) BJWCH BLACK CHARLES DOUGLAS........................................................................ FORMER PRES/DIR TERM 1/16	40.00 .......................					X	555,426	0	176,103
(325) BJH PATTERSON GREG........................................................................ FORMER SECR, DIR TERM 3/18	40.00 .......................					X	414,319	0	171,445

(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	323,517,602
MID AMERICAN TRANSPLANT SERVICES 1110 HIGHLAND PL DR E 100 SAINT LOUIS,MO63110	PROCUREMENT OF TRANSPLANTS	25,126,447
TECH MAHINDRA LIMITED UNIT 1 4TH AND 5TH FLOOR TELANGANA IN	INFORMATION TECHNOLOGY SERVICES	23,762,145
MISSOURI CARDIOVASCULAR SPECIALISTS LLP 1065 EAST BROADWAY STE 300 COLUMBIA,MO65205	MEDICAL SERVICES	21,182,349
MORRISONS HEALTH CARE INC 5801 PEACHTREE DUNWDY ALTANTA,GA30342	FOOD SERVICES	16,697,035
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 368

Section D - Distributions	Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

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 2020: 12F- NUMBER OF SUPPORTED ORGANIZATIONS AT DECEMBER 31, 2020 = 2 12G - INFORMATION REGARDING SUPPORTED ORGANIZATIONS: CHRISTIAN HOSPITAL NE-NW (CHNE) EIN 43-6057893 - BOX 3 $59,551,558 CH ALLIED SERVICES, INC. (CHAS) EIN 43-1279063 - BOX 3 $19,443,111 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 2020 99.84% PUBLIC SUPPORT PERCENTAGE FOR 2019 99.79% INVESTMENT INCOME PERCENTAGE FOR 2020 0.13% INVESTMENT INCOME PERCENTAGE FOR 2019 0.13% _
SCHEDULE A, PART IV - SECTION A	1. YES, DURING 2020, 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	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) (2020)


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) (2020)

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

2020

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) . . .		145,609	263,285,522	151,548,308	111,737,214	1.990 %
b	Medicaid (from Worksheet 3, column a) . . . . .		350,069	989,982,244	781,966,661	208,015,583	3.710 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		495,678	1,253,267,766	933,514,969	319,752,797	5.700 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	196	348,921	21,518,417	10,381,858	11,136,559	0.190 %
f	Health professions education (from Worksheet 5) . . .	37	9,929	318,456,519	88,738,694	229,717,825	4.090 %
g	Subsidized health services (from Worksheet 6) . . . .	1	1,618,965	1,049,450,422	896,044,594	153,405,828	2.730 %
h	Research (from Worksheet 7) .	1	0	80,716	80,716		0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	36	15,898	19,199,983	75,456	19,124,527	0.340 %
j	Total. Other Benefits . .	271	1,993,713	1,408,706,057	995,321,318	413,384,739	7.350 %
k	Total. Add lines 7d and 7j .	271	2,489,391	2,661,973,823	1,928,836,287	733,137,536	13.050 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

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	5,010	0	5,010	0 %
2	Economic development	9	520	2,200,259	100	2,200,159	0.040 %
3	Community support	10	28	20,837	152	20,685	0.010 %
4	Environmental improvements	0	0	0	0		0 %
5	Leadership development and training for community members	0	0	0	0		0 %
6	Coalition building	0	0	0	0		0 %
7	Community health improvement advocacy	0	0	0	0		0 %
8	Workforce development	2	28	4,885	150	4,735	0 %
9	Other	0	0	0	0		0 %
10	Total	22	576	2,230,991	402	2,230,589	0.050 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

140,080,676

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. ......

70,085,695

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).....

830,285,988

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

899,652,768

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

-69,366,780

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) 2020

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	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
5	CHRISTIAN HOSPITAL NE-NW 11133 DUNN ROAD SAINT LOUIS,MO63136 WWW.CHRISTIANHOSPITAL.ORG MO 425 CHRISTIAN HOSPITAL NE-NW 436057893	X	X				X
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	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
8	ALTON MEMORIAL HOSPITAL ONE MEMORIAL DRIVE ALTON,IL62002 WWW.ALTONMEMORIAL.ORG IL 0000026 ALTON MEMORIAL HOSPITAL 370661172	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	PARKLAND HEALTH CENTER-FARMINGTON 1101 WEST LIBERTY STREET FARMINGTON,MO63640 WWW.PARKLANDHEALTHCENTER.ORG MO 379 PARKLAND HEALTH CENTER 431332368	X	X				X
13	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
14	PARKLAND HEALTH CENTER-BONNE TERRE 7245 RAIDER ROAD BONNE TERRE,MO63628 WWW.PARKLANDHEALTHCENTER.ORG MO 474 PARKLAND HEALTH CENTER 431332368	X	X			X	X
15	REHABILITATION INST OF ST LOUIS (THE) 4455 DUNCAN AVENUE SAINT LOUIS,MO63110 WWW.REHABINSTITUTESTL.COM MO 467 BARNES-JEWISH HOSPITAL (PARTNER) 237309937	X						50% OWNERSHIP

Schedule H (Form 990) 2020

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 19

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..................................

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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 19

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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 19

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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 19

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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 19

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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 19

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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 19

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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 19

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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 19

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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 19

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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 19

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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 19

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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 19

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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 19

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

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) 2020

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)

	REHABILITATION INST OF ST LOUIS (THE)
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 19

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 LINE 7D

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 19

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

Yes

If "Yes" (list url): SEE LINE 7D

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) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	REHABILITATION INST OF ST LOUIS (THE)
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):

SEE SECTION C

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

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

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) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	REHABILITATION INST OF ST LOUIS (THE)
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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2020

Page 7

Part VFacility Information (continued)

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

	REHABILITATION INST OF ST LOUIS (THE)
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) 2020

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, 20a, 20b, 20c, 20d, 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: BARNES-JEWISH HOSPITAL (HOSPITAL) CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR BARNES-JEWISH TO COLLABORATE WITH IN ADDRESSING NEEDS. 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 2016 CHNA RESULTS, GAPS IN PRIOR IMPLEMENTATION STRATEGIES AND WAYS TO IMPROVE ACCESS TO COVERAGE USING TECHNOLOGY. HOSPITAL AND SSM ST. LOUIS UNIVERSITY HOSPITAL CONDUCTED A SINGLE FOCUS GROUP WITH PUBLIC HEALTH EXPERTS AND THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF ST. LOUIS CITY RESIDENTS. FIFTEEN OF 18 INVITED INDIVIDUALS REPRESENTING VARIOUS ST. LOUIS CITY ORGANIZATIONS PARTICIPATED IN THE FOCUS GROUP. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: MENTAL HEALTH AND SUBSTANCE ABUSE. THE FOCUS GROUP INCLUDED PARTICIPANTS REPRESENTING:NATIONAL COUNCIL ON ALCOHOL AND DRUG ABUSE (NCADA)COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)URBAN LEAGUE OF GREATER ST. LOUISINTEGRATED HEALTH NETWORKINTERNATIONAL INSTITUTEGATEWAY 180GENERATE HEALTHST. LOUIS CITY ALDERWOMAN, WARD 19REGIONAL HEALTH COMMISSIONMENTAL HEALTH AMERICA OF EASTERN MOMISSOURI FOUNDATION FOR HEALTHRISE COMMUNITY DEVELOPMENTST. LOUIS CITY POLICEHABITAT FOR HUMANITYST. LOUIS CITY FIRE DEPT/EMSCASA DE SALUDCITY OF ST. LOUIS HEALTH DEPARTMENT
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: ST. LOUIS CHILDREN'S HOSPITAL (HOSPITAL) CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEEDS FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR THE HOSPITAL TO COLLABORATE WITH IN ADDRESSING NEEDS. A PARENT HEALTH CONCERNS SURVEY WAS ALSO ADMINISTERED TO 1,003 PARENTS LIVING WITHIN THE ST. LOUIS METROPOLITAN REGION. THIS SURVEY IDENTIFIED PRIMARY DATA ON HEALTH NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY A HOSPITAL INTERNAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND PRIORITIES MISSOURI INFORMATION FOR COMMUNITY ASSESSMENTS (MICA) FOR INFANTS, CHILDREN AND ADOLESCENTS, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED 15 HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. FOR ITS 2019 CHNA PLAN, THE HOSPITAL FOCUSED ON: ASTHMA; DENTAL HEALTH; MATERNAL/CHILD HEALTH; HEALTH LITERACY; HEALTHY LIFESTYLES; OBESITY; MENTAL/BEHAVIORAL HEALTH; ALLERGY (FOOD); DIABETES; PUBLIC SAFETY; ACCESS TO HEALTHCARE; BLOOD DISEASES; CANCER; INFECTIOUS DISEASES; AND SEXUALLY TRANSMITTED INFECTIONS. USING THE INPUT RECEIVED FROM COMMUNITY STAKEHOLDERS, ST. LOUIS CHILDREN'S HOSPITAL, SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL AND SHRINERS HOSPITALS ST. LOUIS CONSULTED WITH THEIR INTERNAL WORKGROUPS TO EVALUATE FEEDBACK. THEY CONSIDERED IT WITH OTHER SECONDARY DATA THEY MAY REVIEW, AND DETERMINE WHETHER/HOW THEIR PRIORITIES SHOULD CHANGE. ST. LOUIS CHILDREN'S HOSPITAL COMPLETED ITS ASSESSMENT BY DECEMBER 31, 2019. FOURTEEN OF 15 INVITED INDIVIDUALS REPRESENTING VARIOUS ST. LOUIS CITY ORGANIZATIONS PARTICIPATED IN THE FOCUS GROUP. THE FOCUS GROUP INCLUDED PARTICIPANTS REPRESENTING:GENERATE HEALTHAFFINIA HEALTHCAREMO STATE REPRESENTATIVESMO DEPARTMENT OF HEALTH & SENIOR SERVICESCENTRAL REFORM CONGREGATIONPEOPLE'S HEALTH CENTERSVISION FOR CHILDREN AT RISKCITY OF ST. LOUIS DEPARTMENT OF HEALTH ASTHMA AND ALLERGY FOUNDATIONNURSES FOR NEWBORNSVOICES FOR CHILDRENCASA DE SALUDST. LOUIS POLICE DEPARTMENTABBOTT EMS
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 5: MISSOURI BAPTIST MEDICAL CENTER CHOSE TO COLLABORATE WITH BARNES-JEWISH WEST COUNTY HOSPITAL, MERCY HOSPITAL ST. LOUIS, MERCY HOSPITAL SOUTH (FORMERLY ST. ANTHONY'S MEDICAL CENTER), ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES TO COMPLETE A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THE FOCUS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR THE HOSPITALS TO COLLABORATE WITH IN ADDRESSING NEEDS. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN HEART ASSOCIATIONINTEGRATED HEALTH NETWORKINTERNATIONAL INSTITUTE OF ST. LOUISNATIONAL COUNCIL ON ALCOHOL AND DRUG ABUSE (NCADA)GATEWAY REGION YMCAST. LOUIS COUNSELINGBETTY JEAN KERR PEOPLE HEALTH CENTER/HOPEWELL COMMUNITY MENTAL HEALTHAMERICAN DIABETES ASSOCIATIONAMERICAN CANCER SOCIETYALIVEST. LOUIS SUBURBAN SCHOOL NURSES ASSOCIATIONBEHAVIORAL HEALTH NETWORKST. LOUIS PUBLIC HEALTH DEPARTMENT KIRKWOOD FIRE DEPARTMENTLIUNACITY OF OLIVETTEJEWISH FEDERATION OF ST. LOUISUNITED WAY 211
BOONE HOSPITAL CENTER	PART V, SECTION B, LINE 5: BOONE HOSPITAL CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR BOONE HOSPITAL TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY A HOSPITAL INTERNAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)/STATE CANCER, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN BOONE COUNTY WHEN COMPARED AGAINST DATA FOR THE STATE AND COUNTRY. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, BOONE HOSPITAL IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: HEART/VASCULAR DISEASE AND DIABETES. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:BOONE COUNTY DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES (DHHS)PHOENIX PROGRAMSFAMILY HEALTH CENTERCOLUMBIA PUBLIC SCHOOLSCOLUMBIA HOUSING AUTHORITYYOUTH EMPOWERMENT ZONEVETERANS UNITEDCENTRAL MO COMMUNITY ACTIONBOONE COUNTY COMMUNITY SERVICES
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 5: CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST (HOSPITAL) AND SSM HEALTH DEPAUL HOSPITAL AGREED TO WORK TOGETHER TO COMPLETE THE 2016 AND 2019 COMMUNITY HEALTH NEEDS ASSESSMENTS. FIRST, A FOCUS GROUP DISCUSSION WAS HELD WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THE GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR THE HOSPITALS TO COLLABORATE WITH IN ADDRESSING NEEDS. 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:AFRICAN DIASPORA COUNCILNATIONAL COUNCIL ON ALCOHOL AND DRUG ABUSE (NCADA)HAZELWOOD SCHOOL DISTRICTINTEGRATED HEALTH NETWORKST. LOUIS COUNTY DEPARTMENT OF HEALTHPATTONVILLE FIRE PROTECTION DISTRICTCRISIS NURSERYST. LOUIS UNIVERSITY EDUCATION AND PUBLIC SERVICESST. LOUIS COUNTY POLICE DEPARTMENTRITENOUR SCHOOL DISTRICTSALVATION ARMYBEHAVIORAL HEALTH NETWORKFERGUSON CITY COUNCILMAN (FORMER)GREATER NORTH COUNTY CHAMBER OF COMMERCETHIRD PRESBYTERIAN CHURCHNORTH COUNTY CHURCHES UNITINGUNIVERSITY OF MISSOURI ST. LOUIS PUBLIC POLICY RESEARCH CENTERPEOPLE'S HEALTH CENTERSCRISIS NURSERY
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 5: PROTESTANT MEMORIAL MEDICAL CENTER DBA MEMORIAL HOSPITAL (HOSPITAL), METRO-EAST SERVICES DBA MEMORIAL HOSPITAL EAST AND HSHS ST. ELIZABETH'S HOSPITAL CONDUCTED STAKEHOLDER ASSESSMENT TOGETHER IN 2018. MEMORIAL HOSPITAL BELLEVILLE AND MEMORIAL HOSPITAL EAST BECAME MEMBERS OF BJC HEALTHCARE IN 2016 AND DECIDED TO UPDATE THEIR CHNAS IN 2019 TO BRING THEM ON THE SAME TIMELINE AS OTHER BJC HOSPITALS. MEMORIAL HOSPITAL BELLEVILLE AND MEMORIAL HOSPITAL EAST CONDUCTED AN ONLINE SURVEY OF COMMUNITY STAKEHOLDERS TO SOLICIT THEIR INPUT ABOUT CREATION OF THE 2019 CHNA AND THE PROPOSED IMPLEMENTATION STRATEGY THEN WORKED TOGETHER TO COMPLETE THE SECOND PHASE OF THE CHNA PROCESS. THE HOSPITALS ASSEMBLED AN INTERNAL WORKGROUP OF CLINICAL AND NONCLINICAL STAFF AND ONE BOARD MEMBER. THIS GROUP REVIEWED FOCUS GROUP RESULTS AS WELL AS FINDINGS FROM A SECONDARY DATA ANALYSIS TO FURTHER ASSESS IDENTIFIED NEEDS. AFTER COMPLETION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL WILL FOCUS ON: SUBSTANCE ABUSE; NUTRITION EDUCATION; AND HEART & VASCULAR HEART.INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. THIRTEEN OF 37 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 2018 CHNA RESULTS, GAPS IN PRIOR IMPLEMENTATION STRATEGIES AND WAYS TO IMPROVE ACCESS TO COVERAGE USING TECHNOLOGY. THE FOCUS GROUP INVITED 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 COUNTYMCKENDREE UNIVERSITYABBOT EMSTOUCHETTE REGIONAL HOSPITALAGE SMARTST. CLAIR COUNTY AGENCY ON AGINGBELLEVILLE CHAMBER OF COMMERCEKARLA SMITH FOUNDATIONSCOTT AIR FORCE BASEBEACON MINISTRIESHEALTHIER TOGETHERSIU SCHOOL OF NURSINGEASTSIDE ALIGNED PROGRAMS AND SERVICES FOR OLDER PEOPLE (PSOP)SCHOOL DISTRICT 175PRESBYTERIAN MINSTERAMERICAN CANCER SOCIETYST. CLAIR COUNTY 708 MENTAL HEALTH BOARDSOUTHERN IL HEALTH FOUNDATIONSOUTHWEST ILLINOIS COLLEGEFIRST BAPTIST CHURCH, O'FALLON ILMEDSTAR HEALTH EAST SIDE HEALTH DISTRICTHOSPICE OF SOUTHERN ILLINOISREGIONAL SUPERINTENDENT OF SCHOOLSVILLAGE OF SHILOHINDEPENDENT CHURCHST. HENRY'S CATHOLIC CHURCH
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 5: BARNES-JEWISH WEST COUNTY HOSPITAL (HOSPITAL) COLLABORATED WITH MISSOURI BAPTIST MEDICAL CENTER, MERCY HOSPITAL ST. LOUIS, MERCY HOSPITAL SOUTH (FORMERLY ST. ANTHONY'S MEDICAL CENTER), ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES TO COMPLETE A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. MANY OF THESE HOSPITALS HAVE BEEN WORKING TOGETHER SINCE THE INITIAL STAKEHOLDER ASSESSMENT CONDUCTED IN 2013, FOLLOWED BY A SECOND IN 2016. HOSPITAL THEN 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. THIS ANALYSIS USED DATA FROM MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE AND TRUVEN HEALTH ANALYTICS. THE ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. LOUIS COUNTY WHEN COMPARED AGAINST STATE AND U.S. DATA. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED ONE HEALTH NEED WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: DIABETES. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN HEART ASSOCIATIONINTEGRATED HEALTH NETWORKINTERNATIONAL INSTITUTE OF ST. LOUISST. LOUIS SUBURBAN SCHOOL NURSES ASSNNATIONAL COUNCIL ON ALCOHOLISM & DRUG ABUSEBETTY JEAN KERR PEOPLE HEALTH CENTER/HOPEWELL COMMUNITY MENTAL HEALTHALIVEBEHAVIORAL HEALTH NETWORKST. LOUIS COUNTY DEPARTMENT OF HEALTHUNITED WAY 211JEWISH FEDERATION OF ST. LOUISAMERICAN CANCER SOCIETYAMERICAN DIABETES ASSOCIATIONKIRKWOOD FIRE DEPARTMENTLIUNACITY OF OLIVETTEGATEWAY REGION YMCAST. LOUIS COUNSELING
ALTON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: AMH CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR AMH TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY A HOSPITAL INTERNAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND THE CDC CANCER PROFILE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN MADISON COUNTY WHEN COMPARED AGAINST DATA FOR THE STATE AND COUNTRY. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, AMH IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: OBESITY AND DIABETES. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:ALTON DEPARTMENT OF HOUSINGALTON SCHOOL DISTRICTMADISON COUNTY DEVELOPMENT OFFICETHRIVEALTON POLICE DEPARTMENTOASIS WOMEN'S CENTERCALVARY BAPTIST CHURCHSOUTHERN ILLINOIS HEALTHCARE FOUNDATIONALTON BOYS AND GIRLS CLUBUNITED WAYMADISON COUNTY HEALTH DEPARTMENT
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 5: BARNES-JEWISH ST. PETERS HOSPITAL (HOSPITAL), PROGRESS WEST HOSPITAL AND THE SSM HEALTH ST. JOSEPH HOSPITALS IN ST. CHARLES, LAKE ST. LOUIS AND WENTZVILLE FIRST PARTNERED TO CONDUCT A STAKEHOLDER ASSESSMENT IN 2016 AND AGREED TO WORK TOGETHER AGAIN. HOSPITAL CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR HOSPITAL TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL HOSPITAL STAFF. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)/STATE CANCER PROFILES, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. CHARLES COUNTY WHEN COMPARED AGAINST DATA FOR THE STATE AND COUNTRY. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL WILL FOCUS ITS EFFORTS ON TWO HEALTH NEEDS TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: OBESITY AND DIABETES MANAGEMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:FORT ZUMWALT SCHOOL DISTRICT UNITED WAY OF GREATER ST. LOUIS ST. CHARLES CITY-COUNTY LIBRARY DISTRICTCRIDER HEALTH CENTER YOUTH IN NEEDMID-EAST AREA ON AGINGCRUSHST. CHARLES COUNTY AMBULANCE DISTRICT (SCCAD)VOLUNTEERS IN MEDICINECOMMUNITY COUNCIL UNITED SERVICESFELLOWSHIP OF CHRISTIAN ATHLETESSTS. JOACHIM & ANN CARE SERVICE LINDENWOOD UNIVERSITYCAVALRY CHURCHORCHARD FARM SCHOOL DISTRICTCRISIS NURSERYST. CHARLES CHAMBER OF COMMERCEST. CHARLES SCHOOL DISTRICTFRANCIS HOWELL SCHOOL DISTRICTFORT ZUMWALT SCHOOL DISTRICTST. CHARLES COUNTY DEPARTMENT OF HEALTH
METRO-EAST SERVICES, INC.	PART V, SECTION B, LINE 5: METRO-EAST SERVICES DBA MEMORIAL HOSPITAL EAST (HOSPITAL), PROTESTANT MEMORIAL MEDICAL CENTER DBA MEMORIAL HOSPITAL BELLEVILLE, AND HSHS ST. ELIZABETH'S HOSPITAL CONDUCTED STAKEHOLDER ASSESSMENT TOGETHER IN 2018. MEMORIAL HOSPITAL BELLEVILLE AND MEMORIAL HOSPITAL EAST (HOSPITALS) BECAME MEMBERS OF BJC HEALTHCARE IN 2016 AND DECIDED TO UPDATE THEIR CHNAS IN 2019 TO BRING THEM ON THE SAME TIMELINE AS OTHER BJC HOSPITALS. MEMORIAL HOSPITAL BELLEVILLE AND MEMORIAL HOSPITAL EAST CONDUCTED AN ONLINE SURVEY OF COMMUNITY STAKEHOLDERS TO SOLICIT THEIR INPUT ABOUT CREATION OF THE 2019 CHNA AND THE PROPOSED IMPLEMENTATION STRATEGY THEN WORKED TOGETHER TO COMPLETE THE SECOND PHASE OF THE CHNA PROCESS. THE HOSPITALS ASSEMBLED AN INTERNAL WORKGROUP OF CLINICAL AND NONCLINICAL STAFF AND ONE BOARD MEMBER. THIS GROUP REVIEWED FOCUS GROUP RESULTS AS WELL AS FINDINGS FROM A SECONDARY DATA ANALYSIS TO FURTHER ASSESS IDENTIFIED NEEDS. AFTER COMPLETION OF THE COMPREHENSIVE ASSESSMENT PROCESS, MEMORIAL HOSPITAL EAST WILL FOCUS ON: NUTRITION EDUCATION AND HEART & VASCULAR STROKE.INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. THIRTEEN OF 37 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 2018 CHNA RESULTS, GAPS IN PRIOR IMPLEMENTATION STRATEGIES AND WAYS TO IMPROVE ACCESS TO COVERAGE USING TECHNOLOGY. THE FOCUS GROUP INVITED 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 COUNTYMCKENDREE UNIVERSITYABBOT EMSTOUCHETTE REGIONAL HOSPITALAGE SMARTST. CLAIR COUNTY AGENCY ON AGINGBELLEVILLE CHAMBER OF COMMERCEKARLA SMITH FOUNDATIONSCOTT AIR FORCE BASEBEACON MINISTRIESHEALTHIER TOGETHERSIU SCHOOL OF NURSINGEASTSIDE ALIGNED PROGRAMS AND SERVICES FOR OLDER PEOPLE (PSOP)SCHOOL DISTRICT 175PRESBYTERIAN MINSTERAMERICAN CANCER SOCIETYST. CLAIR COUNTY 708 MENTAL HEALTH BOARDSOUTHERN IL HEALTH FOUNDATIONSOUTHWEST ILLINOIS COLLEGEFIRST BAPTIST CHURCH, O'FALLON ILMEDSTAR HEALTH EAST SIDE HEALTH DISTRICTHOSPICE OF SOUTHERN ILLINOISREGIONAL SUPERINTENDENT OF SCHOOLSVILLAGE OF SHILOHINDEPENDENT CHURCHST. HENRY'S CATHOLIC CHURCH
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 5: PROGRESS WEST HEALTHCARE CENTER (HOSPITAL), BARNES-JEWISH ST. PETERS HOSPITAL AND THE SSM HEALTH ST. JOSEPH HOSPITALS IN ST. CHARLES, LAKE ST. LOUIS AND WENTZVILLE FIRST PARTNERED TO CONDUCT A STAKEHOLDER ASSESSMENT IN 2015 AND AGREED TO WORK TOGETHER AGAIN. HOSPITAL CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR HOSPITAL TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL HOSPITAL STAFF. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)/STATE CANCER PROFILES, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. CHARLES COUNTY WHEN COMPARED AGAINST DATA FOR THE STATE AND COUNTRY. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL WILL CONTINUE TO ADDRESS THE TWO HEALTH NEEDS FROM ITS 2016 PLAN WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: OBESITY AND DIABETES MANAGEMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:FORT ZUMWALT SCHOOL DISTRICT UNITED WAY OF GREATER ST. LOUIS ST. CHARLES CITY-COUNTY LIBRARY DISTRICTCRIDER HEALTH CENTER YOUTH IN NEEDMID-EAST AREA ON AGINGCRUSHST. CHARLES COUNTY AMBULANCE DISTRICT (SCCAD)VOLUNTEERS IN MEDICINECOMMUNITY COUNCIL UNITED SERVICESFELLOWSHIP OF CHRISTIAN ATHLETESSTS. JOACHIM & ANN CARE SERVICE LINDENWOOD UNIVERSITYCAVALRY CHURCHORCHARD FARM SCHOOL DISTRICTST. CHARLES SCHOOL DISTRICTFRANCIS HOWELL SCHOOL DISTRICTFORT ZUMWALT SCHOOL DISTRICTST. CHARLES COUNTY DEPARTMENT OF HEALTHWENTZVILLE SCHOOL DISTRICT
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 5: PARKLAND HEALTH CENTER OF FARMINGTON AND BONNE TERRE (HOSPITAL) CONDUCTED ITS 2019 ASSESSMENT IN COLLABORATION WITH THE ST. FRANCOIS COUNTY HEALTH DEPARTMENT. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR THE HOSPITAL AND HEALTH DEPARTMENT TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY A WORK GROUP OF CLINICAL AND NONCLINICAL STAFF FROM THE HOSPITAL AND THE HEALTH DEPARTMENT. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND TRUVEN HEALTH ANALYTICS, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. FRANCOIS COUNTY WHEN COMPARED AGAINST DATA FOR THE STATE AND COUNTRY. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE HOSPITAL AND HEALTH DEPARTMENT IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: SUBSTANCE ABUSE (OPIOID) AND DIABETES. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SOUTHEAST MISSOURI BEHAVIORAL HEALTHST. FRANCOIS COUNTY HEALTH DEPARTMENTPARKLAND PREGNANCY RESOURCE CENTERFARMINGTON SCHOOL DISTRICTST. FRANCOIS COUNTY COMMUNITY PARTNERSHIPST. FRANCOIS COUNTY AMBULANCE DISTRICTUNITED WAY OF ST. FRANCOIS COUNTYFARMINGTON SENIOR CENTER
MISSOURI BAPTIST HOSPITAL OF SULLIVAN	PART V, SECTION B, LINE 5: MISSOURI BAPTIST SULLIVAN HOSPITAL (HOSPITAL) CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR HOSPITAL TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY A HOSPITAL INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE AND TRUVEN HEALTH ANALYTICS, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN CRAWFORD COUNTY WHEN COMPARED AGAINST DATA FOR THE STATE AND COUNTRY. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: HEART & VASCULAR/HEART HEALTH AND MENTAL HEALTH/SUBSTANCE ABUSE. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:MERAMEC COMMUNITY MISSIONSULLIVAN SCHOOL DISTRICTDSFC/ABILITYDEVELOPMENTAL SERVICES OF FRANKLIN COUNTYSULLIVAN AREA CHAMBERS OF COMMERCECRAWFORD COUNTY R-1 AND R-2 SCHOOL DISTRICTSSTEELVILLE AMBULANCE DISTRICTCRAWFORD COUNTY HEALTH DEPARTMENTSULLIVAN SCHOOL DISTRICT
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 5: PARKLAND HEALTH CENTER OF FARMINGTON AND BONNE TERRE (HOSPITAL) CONDUCTED ITS 2019 ASSESSMENT IN COLLABORATION WITH THE ST. FRANCOIS COUNTY HEALTH DEPARTMENT. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR THE HOSPITAL AND HEALTH DEPARTMENT TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY A WORK GROUP OF CLINICAL AND NONCLINICAL STAFF FROM THE HOSPITAL AND THE HEALTH DEPARTMENT. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND TRUVEN HEALTH ANALYTICS, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. FRANCOIS COUNTY WHEN COMPARED AGAINST DATA FOR THE STATE AND COUNTRY. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE HOSPITAL AND HEALTH DEPARTMENT IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: SUBSTANCE ABUSE (OPIOID) AND DIABETES. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SOUTHEAST MISSOURI BEHAVIORAL HEALTHST. FRANCOIS COUNTY HEALTH DEPARTMENTPARKLAND PREGNANCY RESOURCE CENTERFARMINGTON SCHOOL DISTRICTST. FRANCOIS COUNTY COMMUNITY PARTNERSHIPST. FRANCOIS COUNTY AMBULANCE DISTRICTUNITED WAY OF ST. FRANCOIS COUNTYFARMINGTON SENIOR CENTER
REHABILITATION INST OF ST. LOUIS (THE)	PART V, SECTION B, LINE 5: THE REHABILITATION INSTITUTE OF ST. LOUIS, LLC (TRISL) CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITIES. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR TRISL TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL HOSPITAL STAFF. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. LOUIS CITY, ST. LOUIS COUNTY AND ST. CHARLES COUNTY WHEN COMPARED AGAINST DATA FROM THE STATE. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, TRISL WILL FOCUS ITS EFFORTS ON TWO HEALTH NEEDS TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: STROKE EDUCATION AND PREVENTION AND BRAIN INJURY EDUCATION AND PREVENTION. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:ABC BRIGADE NATIONAL MULTIPLE SCLEROSIS SOCIETY, GATEWAY CHAPTER MEDXCHANGEGATEWAY APOTHECARY WUSM OCCUPATIONAL PERFORMANCE LAB PARAQUAD MENTAL HEALTH SERVICESST. CHARLES COUNTY DEPARTMENT OF PUBLIC HEALTH
BARNES-JEWISH HOSPITAL NORTH/SOUTH	PART V, SECTION B, LINE 6A: SSM ST. LOUIS UNIVERSITY HOSPITAL
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 6A: SSM CARDINAL GLENNON CHILDREN'S HOSPITALSHRINERS HOSPITALS
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 6A: BARNES-JEWISH WEST COUNTY HOSPITAL, MERCY HOSPITAL ST. LOUIS, MERCY HOSPITAL SOUTH, ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES.
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 6A: METRO-EAST SERVICES, INC. DBA MEMORIAL HOSPITAL EAST
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 6A: MISSOURI BAPTIST MEDICAL CENTERMERCY HOSPITAL ST. LOUIS,MERCY HOSPITAL SOUTH ST. LUKE'S HOSPITAL ST. LUKE'S DES PERES
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 6A: PROGRESS WEST HEALTHCARE CENTER DBA PROGRESS WEST HOSPITAL SSM HEALTH ST. JOSEPH HOSPITALS
METRO-EAST SERVICES, INC.	PART V, SECTION B, LINE 6A: PROTESTANT MEMORIAL MEDICAL CENTER, INC. DBA MEMORIAL HOSPITAL BELLEVILLE
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 6A: BARNES-JEWISH ST. PETERS HOSPITAL, INC.
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
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 6B: PARKLAND HEALTH CENTER - BONNE TERRE
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 6B: ST. FRANCOIS COUNTY HEALTH DEPARTMENT
BARNES-JEWISH HOSPITAL NORTH/SOUTH	PART V, SECTION B, LINE 7D: SEE BARNESJEWISH.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
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.
BOONE HOSPITAL CENTER	PART V, SECTION B, LINE 7D: SEE HTTPS://WWW.BOONEHOSPITAL.COM/ABOUT-US/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 HTTPS://WWW.CHRISTIANHOSPITAL.ORG/COMMUNITY 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.
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 7D: SEE WWW.BARNESJEWISHWESTCOUNTY.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
ALTON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: SEE WWW.ALTONMEMORIALHOSPITAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
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 WWW.PROGRESSWEST.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 7D: SEE WWW.PARKLANDHEALTHCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
MISSOURI BAPTIST HOSPITAL OF SULLIVAN	PART V, SECTION B, LINE 7D: SEE WWW.MISSOURIBAPTISTSULLIVAN.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CHNA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 7D: SEE WWW.PARKLANDHEALTHCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
REHABILITATION INST OF ST. LOUIS (THE)	PART V, SECTION B, LINE 7D: SEE ENCOMPASSHEALTH.COM/-/MEDIA/HEALTHSOUTH/PROJECT/HEALTHSOUTH/LOCATIONS/REHABINSTITUTESTL-03015900/2019_TRISL_CHNA_IMPLEMENTATION_STRATEGY_FINAL.PDF?LA=EN&HASH=BB7E2062F4203753A6E152242CCC3267ED73AEF3 FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
BARNES-JEWISH HOSPITAL NORTH/SOUTH	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, BARNES-JEWISH HOSPITAL (HOSPITAL) IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. MENTAL HEALTH AND SUBSTANCE ABUSE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. 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 END STAGE RENAL DISEASE ACCESS SERVICES/CARE COORDINATION ACCESS TO TRANSPORTATIONCANCER RESEARCH AND SUPPORTDENTAL CAREDIABETES RESEARCH AND SUPPORTHEALTH LITERACYHEALTHY LIFESTYLESHEART DISEASE AND STROKE RESEARCH AND SUPPORTIMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMSMATERNAL & CHILD HEALTHPUBLIC SAFETY: FATAL INJURIESREPRODUCTIVE & SEXUAL HEALTH PROGRAMSRESPIRATORY DISEASES RESEARCH AND PROGRAMSSMOKING & TOBACCO EDUCATIONVIOLENCE
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, 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. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. LOUIS CITY 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. GOALS WERE SET AND OBJECTIVES WERE DRAFTED WITH ACTION PLANS PUT INTO PLACE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:ASTHMADENTAL HEALTHMATERNAL/CHILD HEALTHHEALTH LITERACYHEALTHY LIFESTYLESOBESITYMENTAL/BEHAVIORAL HEALTHALLERGY (FOOD)DIABETESPUBLIC SAFETYACCESS TO HEALTHCAREBLOOD DISEASESCANCERINFECTIOUS DISEASESSEXUALLY TRANSMITTED INFECTIONSWHILE 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:CANCER
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, MISSOURI BAPTIST MEDICAL CENTER IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: 1) HEART HEALTH/STROKE AND 2) DIABETES. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. 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
BOONE HOSPITAL CENTER	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE 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/VASCULAR DISEASE AND 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:ACCESS TO COVERAGECANCER (BREAST, LUNG, SKIN, PROSTATE/COLORECTAL)COORDINATION OF CARECULTURAL LITERACYHEALTHY LIFESTYLESHEALTH LITERACYMENTAL HEALTH/SUBSTANCE ABUSEASTHMA/COPDREPRODUCTIVE AND SEXUAL HEALTHINJURY AND VIOLENCEMENTAL HEALTH/SUBSTANCE ABUSEDENTAL CARE
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED FOUR HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: HEART HEALTH, DIABETES, ACCESS TO CARE/CARE COORDINATION , AND SUBSTANCE ABUSE AND OPIOID USAGE DISORDER (OUD). SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. 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:CANCERCHILD WELFAREDENTAL HEALTHHEART & VASCULAR (HEART)HEART & VASCULAR (STROKE)INFECTIOUS DISEASEMENTAL/BEHAVIORAL HEALTH REPRODUCTIVE HEALTH OBESITYSOCIO-ECONOMIC FACTORSSMOKING/TOBACCO USESENIOR HEALTH CAREVIOLENCE
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, PROTESTANT MEMORIAL MEDICAL CENTER, 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. 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. GOALS WERE SET AND OBJECTIVES WERE DRAFTED WITH ACTION PLANS PUT INTO PLACE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:MENTAL/BEHAVIORAL HEALTH SUBSTANCE ABUSENUTRITION EDUCATIONHEART AND VASCULAR STROKEWHILE 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
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE 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: DIABETES. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE 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 HEALTH AND DISORDERSCULTURAL LITERACYHEALTH LITERACYHEART AND VASCULAR DISEASEMATERNAL/CHILD HEALTH OBESITYSENIOR HEALTH CARESEXUALLY TRANSMITTED INFECTIONSOBESITYHEART AND VASCULAR HEALTHCANCER (BREAST, LUNG, SKIN, COLON AND RECTAL, HEAD AND NECK)VIOLENCE
ALTON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE 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: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:ACCESS TO CAREAIR QUALITYSEXUALLY TRANSMITTED DISEASESDENTAL CAREHOUSING/HOMELESSNESSHEART AND VASCULAR HEALTH (HEART)HEART AND VASCULAR HEALTH (STROKE)CANCER (BREAST, LUNG, SKIN)HEALTH EDUCATIONMENTAL/BEHAVIORAL HEALTH (MENTAL HEALTH)MENTAL/BEHAVIORAL HEALTH (SUBSTANCE ABUSE)
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE 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: OBESITY AND DIABETES MANAGEMENT. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE 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 (BREAST, COLORECTAL AND LUNG)
METRO-EAST SERVICES, INC.	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE 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. 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: NUTRITION EDUCATION; HEART AND VASCULAR STROKE. GOALS WERE SET AND OBJECTIVES WERE DRAFTED WITH ACTION PLANS PUT INTO PLACE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. 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 TRANSPORTATION (ACCESS TO)SEXUALLY TRANSMITTED INFECTIONSVIOLENT CRIME MENTAL HEALTH
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE 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: OBESITY AND DIABETES. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE 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 (BREAST, COLORECTAL, AND LUNG)
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE 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: SUBSTANCE ABUSE (OPIOID) AND DIABETES. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE 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 HEALTHOBESITYCANCER (BREAST, COLORECTAL, LUNG)SMOKINGHEART HEALTH & VASCULAR DISEASESACCESS: SERVICESSENIOR HEALTHHEALTH LITERACYACCESS: TRANSPORTATION
MISSOURI BAPTIST HOSPITAL OF SULLIVAN	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE 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: HEART & VASCULAR/HEART HEALTH AND MENTAL HEALTH/SUBSTANCE ABUSE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR. WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE 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: MENTAL HEALTHMENTAL/BEHAVIORAL HEALTH: PEDIATRICINFANT/MATERNAL HEALTHPEDIATRIC CAREHEALTH LITERACYHEALTH EDUCATIONPHYSICAL ACTIVITY/OUTREACHACCESS: COVERAGEACCESS: SERVICESACCESS: TRANSPORTATIONCANCER: BREASTCANCER: PROSTATE
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE 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: SUBSTANCE ABUSE (OPIOID) AND DIABETES. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE 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 HEALTHOBESITYCANCER (BREAST, COLORECTAL, LUNG)SMOKINGHEART HEALTH & VASCULAR DISEASESACCESS: SERVICESSENIOR HEALTHHEALTH LITERACYACCESS: TRANSPORTATION
REHABILITATION INST OF ST. LOUIS (THE)	PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE TRISL 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: STROKE EDUCATION AND PREVENTION AND BRAIN INJURY EDUCATION AND PREVENTION. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN 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 HEALTH CAREACCESS TO HEALTH CARE: TRANSPORTATIONEXERCISE/PHYSICAL ACTIVITY
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.
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.
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.
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.
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.
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-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.
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.
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.
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.
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
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 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.
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.
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-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.
REHABILITATION INST OF ST. LOUIS (THE)	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.
BARNES-JEWISH HOSPITAL NORTH/SOUTH	PART V, SECTION B, LINE 16J: LINES 16 A-C SEE BARNESJEWISH.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
ST LOUIS CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 16J: LINES 16 A-C, SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
MISSOURI BAPTIST MEDICAL CENTER	PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
BOONE HOSPITAL CENTER	PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
CHRISTIAN HOSPITAL NE-NW	PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
PROTESTANT MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
BARNES-JEWISH WEST COUNTY HOSPITAL	PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
ALTON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
BARNES-JEWISH ST PETERS HOSPITAL, INC.	PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
METRO-EAST SERVICES, INC.	PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
PROGRESS WEST HEALTHCARE CENTER	PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
PARKLAND HEALTH CENTER-FARMINGTON	PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
MISSOURI BAPTIST HOSPITAL OF SULLIVAN	PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
PARKLAND HEALTH CENTER-BONNE TERRE	PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
REHABILITATION INST OF ST. LOUIS (THE)	PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.ENCOMPASSHEALTH.COM/LOCATIONS/REHABINSTITUTESTL/FINANCIAL-ASSISTANCE FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.

Schedule H (Form 990) 2020

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?142
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 CTR
10	10 - BJH RADIOLOGYLAB AT HIGHLANDS 1110 HIGHLANDS PLZ EAST RM325 ST LOUIS,MO63110	RADIOLOGY/LAB SERVICES OFF SITE
11	11 - BARNES-JEWISH HOSP INPATOUTPAT 1 PARKVIEW PLACE ST LOUIS,MO63110	IP/OP SERVICES
12	12 - THE REHABILITATION INST OF ST LOUIS LLC 4455 DUNCAN AVE ST LOUIS,MO63110	REHABILITATION HOSPITAL SVCS
13	13 - BJH INVITRO FERTILITY CLIN (IFC) 4444 FOREST PARK BLVD ST LOUIS,MO63108	INFERTILITY OUTPATIENT PROCEDURES
14	14 - THE HEART CARE INSTITUTE LLC 1020 NORTH MASON ROAD ST LOUIS,MO63141	DIAGNOSTIC CARDIOLOGY
15	15 - BREAST HEALTH CENTER AT MBMC 3023 N BALLAS ROAD STE 630 ST LOUIS,MO63131	RADIOLOGY SERVICES
16	16 - THE CHILD BIRTH CENTER AT MBMC 3023 N BALLAS ROAD STE 300 ST LOUIS,MO63131	WOMEN'S REPRODUCTIVE HEALTH SVCS
17	17 - MBMC GIENDOSCOPY 3023 N BALLAS ROAD 550 ST LOUIS,MO63131	GI/ENDOSCOPY SERVICES
18	18 - MBMC ULTRASOUND 3023 N BALLAS ROAD 450 ST LOUIS,MO63131	ULTRASOUND SERVICES
19	19 - MBMC FAMILY CARE PHARMACY 3023 N BALLAS ROAD 100 ST LOUIS,MO63131	OP PHARMACY SERVICES
20	20 - MBMC FAMILY CARE CENTRAL PHARMACY 3844 S LINDBERGH BLVD STE 150 ST LOUIS,MO63127	OP PHARMACY SERVICES
21	21 - MBMC CARDIOVASCULAR DIAGNOSTICS 3023 N BALLAS ROAD 220 ST LOUIS,MO63131	CARDIAC DIAGNOSTIC SERVICES
22	22 - MBMC SURGICAL PRE TEST LAB & RAD 3009 N BALLAS ROAD 112 ST LOUIS,MO63131	OUTPATIENT SERVICES
23	23 - MBMC OUTPATIENT CTR AT SUNSET HILLS 3844 S LINDBERGH BLVD STE 100 130 140 ST LOUIS,MO63127	OP, RAD, CANCER, INFUSION SVCS
24	24 - MBMC OUTPATIENT LAB 3844 S LINDBERGH BLVD STE 110 ST LOUIS,MO63127	OP, RAD, CANCER, INFUSION SVCS
25	25 - MBMC EMPLOYED PHYS GROUP PRACTICE 3844 S LINDBERGH BLVD ST LOUIS,MO63127	PROFESSIONAL SERVICES
26	26 - MBMC EMPLOYED PHYS GROUP PRACTICE 1103 W LIBERTY STE 4020 FARMINGTON,MO63640	PROFESSIONAL SERVICES
27	27 - MBMC PHYS SERVICES LLC GROUP PRAC 3009 N BALLAS ROAD STE 359 C ST LOUIS,MO63131	PROFESSIONAL SERVICES
28	28 - MBMC PHYS SERVICES LLC GROUP PRAC 3009 N BALLAS ROAD STE 315A ST LOUIS,MO63131	PROFESSIONAL SERVICES
29	29 - MBMC PHYS SERVICES LLC GROUP PRAC 3023 N BALLAS ROAD STE 150 D ST LOUIS,MO63131	PROFESSIONAL SERVICES
30	30 - MBMC PROF BILL SERVICES ADV SPINE INST 3009 N BALLAS ROAD STE 320A 269C ST LOUIS,MO63131	PROFESSIONAL SERVICES
31	31 - MBMC PROF BILL SERVICES STL ORTHOSP MED 20 PROGRESS POINT PKWY STE 106 ST LOUIS,MO63131	PROFESSIONAL SERVICES
32	32 - MBMC PROF BILL SERVICES STL ORTHOSP MED 3844 S LINDBERGH BLVD ST LOUIS,MO63127	PROFESSIONAL SERVICES
33	33 - MBMC PROF BILL SERVICES SUBURBAN SURGICAL 3844 S LINDBERGH BLVD STE 125 ST LOUIS,MO63127	PROFESSIONAL SERVICES
34	34 - MBMC PHYS SERVICES LLC GROUP PRAC INCL 555 N NEW BALLAS ROAD STE 265 ST LOUIS,MO63141	PROFESSIONAL SERVICES
35	35 - MBMC PHYS SERVICES LLC STL ORTHOSP MED 675 OLD BALLAS ROAD STE 100 ST LOUIS,MO63141	PROFESSIONAL SERVICES INCL OP SURG
36	36 - BREAST HEALTHCARE CENTER MBMC 9450 MANCHESTER RD STE 206 ST LOUIS,MO63119	MAMMOGRAPHY AND LAB SERVICES
37	37 - MO BAP CANCER & INFUSION CENTER 11652 STUDT AVENUE ST LOUIS,MO63141	OUTPATIENT RADIATION & INFUSION CTR
38	38 - MO BAP PHYSICIAN SERVICES 11652 STUDT AVENUE ST LOUIS,MO63141	PHYSICIAN SERVICES
39	39 - NORTHWEST HEALTHCARE (CHNENW) 1225 GRAHAM ROAD FLORISSANT,MO63031	PROF SVCS, HOME CARE PHARMACY
40	40 - CHNENW OUTPATIENT 1255 GRAHAM ROAD FLORISSANT,MO63031	IP/OP LAB AND PHYSICIAN SERVICES
41	41 - GRAHAM MED CENTER I-(VAR) 1150 GRAHAM ROAD FLORISSANT,MO63031	PT,OT & ST, SLEEP STUDY
42	42 - PAUL F DIETRICH BLDG - VAR 11125 DUNN ROAD ST LOUIS,MO63136	OP SENIOR PSYCHIATRIC SERVICES
43	43 - CH POB #2 - VAR SUITES 11125 DUNN ROAD ST LOUIS,MO63136	OP CANCER, WOUND CARE, RETAIL PHARM
44	44 - CH POB #1 - VAR SUITES 11155 DUNN ROAD ST LOUIS,MO63136	OP PAIN MGMT, RAD ONC, DIABETES CTR
45	45 - CHRISTIAN HOSPITAL OP LAB DRAW SITE 163 E BETHALTO DR BETHALTO,IL62010	LAB DRAW SITE
46	46 - CHRISTIAN EXTENDED CARE & REHAB 11160 VILLAGE NORTH DRIVE ST LOUIS,MO63136	SKILLED NURSING FACILITY
47	47 - PROTESTANT MEMORIAL MED CENTER 310 N SEVEN HILLS ROAD OFALLON,IL62269	OP SLEEP & LAB
48	48 - PROTESTANT MEMORIAL MED CENTER 200 ADMIRAL TROST ROAD STE 1B COLUMBIA,IL62236	OP LAB / RADIOLOGY
49	49 - PROTESTANT MEMORIAL MED CENTER 3701 MEMORIAL DRIVE BELLEVILLE,IL62226	OP LAB DRAW SITE
50	50 - PROTESTANT MEMORIAL MED CENTER 4017 STATE ROUTE 159 STE 103 SMITHTON,IL62285	OP LAB DRAW SITE
51	51 - PROTESTANT MEMORIAL MED CENTER 4700 MEMORIAL DRIVE STE 150 BELLEVILLE,IL62226	OP SPEECH & OCC THERAPY
52	52 - PROTESTANT MEMORIAL MED CENTER 4319 MEMORIAL DRIVE BELLEVILLE,IL62226	OP BEHAV HEALTH
53	53 - MEMORIAL CARE CENTER 4315 MEMORIAL DRIVE BELLEVILLE,IL62226	SKILLED NURSING FACILITY
54	54 - METRO-EAST SERVICES INC BREAST HEALTH CT 1414 CROSS STREET STE 220 SHILOH,IL62269	BREAST HEALTH SERVICES
55	55 - METRO-EAST SERVICES INC DIAG IMAGING 1414 CROSS STREET STE 130 SHILOH,IL62269	DIAGNOSTIC IMAGING
56	56 - METRO-EAST SERVICES INC OP LAB 1414 CROSS STREET STE 120 SHILOH,IL62269	LABORATORY TESTING SVCS
57	57 - METRO-EAST SERVICES INC OP REHAB 1414 CROSS STREET STE 310 SHILOH,IL62269	REHABILITATION SERVICES
58	58 - METRO-EAST SERVICES INC RAD ONC 1418 CROSS STREET STE 160 SHILOH,IL62269	RADIATION ONCOLOGY
59	59 - METRO-EAST SERVICES INC OP LAB 1418 CROSS STREET STE 170 SHILOH,IL62269	LABORATORY TESTING SVCS
60	60 - BOONE HOSP OUTPATIENT CLINICS 1601 E BROADWAY LL1 140 COLUMBIA,MO65201	OP THERAPY, LAB
61	61 - BOONE HOSP CARDIAC DIAGNOSTIC 1605 E BROADWAY STE 220400 COLUMBIA,MO65201	OP DIAGNOSTIC CARDIOLOGY
62	62 - BOONE HOSP OUTPATIENT CLINICS 1701 E BROADWAY LL101102 COLUMBIA,MO65201	CARD REHAB, WOUND CARE, DIABETES
63	63 - BOONE HOSPITAL RADIOLOGY 303 N KEENE ST STE 102 COLUMBIA,MO65201	OUTPATIENT RADIOLOGY SVCS
64	64 - BOONE HOSPITAL OUTPATIENT 900 W NIFONG BLVD COLUMBIA,MO65203	PHARMACY & OUTPATIENT SVCS
65	65 - BOONE HOSPITAL OUTPATIENT 1705 E BROADWAY STE 380 COLUMBIA,MO65201	OUTPATIENT SVCS
66	66 - BOONE HOSP CTR'S VISIT NURSES INC 1605 E BROADWAY STE 250 COLUMBIA,MO65201	HOME HEALTH & HOSPICE
67	67 - BOONE PHYSICIAN SERVICES LLC 1705 E BROADWAY STE 280 COLUMBIA,MO65201	PULMONARY DIAG TEST, OP LAB
68	68 - BOONE PHYSICIAN SERVICES LLC 3710 LENOIR ST COLUMBIA,MO65201	PROFESSIONAL PRACTICE GROUP SVCS
69	69 - BOONE PHYSICIAN SERVICES LLC 305 N KEENE ST STE 107 COLUMBIA,MO65201	PROFESSIONAL PRACTICE GROUP SVCS
70	70 - CHAS PHYSICIAN SERVICES LLC 1241 W STADIUM BLVD JEFFERSON CITY,MO65109	PROFESSIONAL PRACTICE GROUP SVCS
71	71 - BOONE PHYSICIAN SVCS LLC MID MO NEURO 1605 E BROADWAY STE 100 COLUMBIA,MO65201	PROFESSIONAL PRACTICE GROUP NEURO
72	72 - CHAS PHYSICIAN SERVICES LLC 1605 E BROADWAY STE 220300 COLUMBIA,MO65201	PROFESSIONAL PRACTICE GROUP SVCS
73	73 - CHAS PHYSICIAN SERVICES LLC 2305 S HIGHWAY 65 MARSHALL,MO65340	PROFESSIONAL PRACTICE GROUP SVCS
74	74 - CHAS PHYSICIAN SERVICES LLC 300 N MORLEY STREET STE A-CD-H MOBERLY,MO65270	PROFESSIONAL PRACTICE GROUP SVCS
75	75 - CHAS PHYSICIAN SERVICES LLC 404 PROVIDENCE ROAD MACON,MO63552	PROFESSIONAL PRACTICE GROUP SVCS
76	76 - CHAS PHYSICIAN SERVICES LLC 509 W 18TH STREET HERMAN,MO65041	PROFESSIONAL PRACTICE GROUP SVCS
77	77 - CHAS PHYSICIAN SERVICES LLC 606 E SPRING ST BOONEVILLE,MO65233	PROFESSIONAL PRACTICE GROUP SVCS
78	78 - CHAS PHYSICIAN SERVICES LLC 130 E LOCKLING ST BROOKFIELD,MO64628	PROFESSIONAL PRACTICE GROUP SVCS
79	79 - ST LOUIS CHILD HOSP AFTER HOURS 12436 TESSON FERRY RD ST LOUIS,MO63128	OP SERVICES, LAB & RADIOLOGY
80	80 - ST LOUIS CHILD HOSP AFTER HOURS 12436 TESSON FERRY RD ST LOUIS,MO63128	PHYSICIAN SERVICES
81	81 - ST LOUIS CHILD HOSP PSYCHOL SVCS 13001 NORTH OUTER FORTY RD CHESTERFIELD,MO63017	PEDIATRIC MENTAL HEALTH
82	82 - ST LOUIS CHILD SPEC CARE CENTER 13001 NORTH OUTER FORTY RD CHESTERFIELD,MO63017	MULTIPLE OUTPATIENT SVCS
83	83 - ST LOUIS CHILDRENS HOSP OUTPATIENT 1 PROGRESS POINT PKWY STE 120 OFALLON,MO63368	OUTPATIENT THERAPY
84	84 - ST LOUIS CHILD PHARMACY 13001 NORTH OUTER FORTY RD CHESTERFIELD,MO63017	OUTPATIENT PHARMACY
85	85 - ST LOUIS CHILD DENTAL CENTER 13001 NORTH OUTER FORTY RD CHESTERFIELD,MO63017	DENTAL SERVICES
86	86 - ALTON MEMORIAL REHAB & THERAPY 1251 COLLEGE AVE ALTON,IL62002	SKILLED NURSING FACILITY
87	87 - ALTON NORTH REHABILITATION 226 REGIONAL DRIVE ALTON,IL62002	ORTHO/SPORTS REHAB
88	88 - BETHALTO REHABILITATION 155 E BETHALTO DRIVE BETHALTO,IL62010	OP REHAB
89	89 - ALTON MEMORIAL HOSP OP CANCER FOUR MEMORIAL DRIVE SUITE 132 ALTON,IL62002	ONCOLOLGY/RADIATION ONCOLOGY SVCS
90	90 - ALTON MEMORIAL HOSP OP RAD SIX MEMORIAL DRIVE ALTON,IL62002	OUTPATIENT RADIATION ONC
91	91 - ALTON MEMORIAL OP PAIN MGMT TWO MEMORIAL DRIVE ALTON,IL62002	OUTPATIENT PAIN MGMT
92	92 - ST LOUIS CARDIOLOGY CONSULTANTS 2 MEMORIAL DRIVE ALTON,IL62002	PROFESSIONAL PRACTICE
93	93 - ALTON MEMORIAL HOSPITAL FOUR MEMORIAL DRIVE ALTON,IL62002	PROFESSIONAL PRACTICE GROUP SVCS
94	94 - ALTON MEMORIAL HOSPITAL FOUR MEMORIAL DRIVE SUITE 230 ALTON,IL62002	OUTPATIENT NEURODIAGNOSTICS
95	95 - ALTON PHYSICIAN MULTISPECIALISTS ONE PROFESSIONAL DR VAR SUITES ALTON,IL62002	PROFESSIONAL PRACTICE GROUP SVCS
96	96 - PARKLAND THERAPY SERVICES 1280 DOCTORS DRIVE FARMINGTON,MO63640	PHY, OCC AND SPEECH THERAPY
97	97 - BJSPH OP THERAPY 70 JUNGERMAN CIR SUITE 304 ST PETERS,MO63376	OUTPATIENT THERAPY
98	98 - BJSPH SLEEP LAB 70 JUNGERMAN CIR SUITE 303 ST PETERS,MO63376	SLEEP LAB
99	99 - BJSPH INFUSION 70 JUNGERMAN CIR SUITE 102 ST PETERS,MO63376	SLEEP LAB
100	100 - SITEMAN CANCER CENTER AT BJSPH 150 ENTRANCE WAY ST PETERS,MO63376	OUTPAT RADIATION & ONCOL
101	101 - BENRUS SURGICAL AT BJSPH 6 JUNGERMANN CIRCLE STE 205 ST PETERS,MO63376	OP SERVICES
102	102 - SPORTS THERAPY & REHAB (STAR) 1044 N MASON STE 220 ST LOUIS,MO63141	PHYSICAL THERAPY
103	103 - SPORTS THERAPY & REHAB (STAR) 14532 S OUTER FORTY SUITE 120 CHESTERFIELD,MO63017	PHYSICAL THERAPY
104	104 - SPORTS THERAPY & REHAB (STAR) 5201 MIDAMERICA PLAZA SUITE 2100 ST LOUIS,MO63129	PHYSICAL THERAPY
105	105 - BJWC OP RADIOLOGY 969 N MASON STE 110 ST LOUIS,MO63141	OP RADIOLOGY
106	106 - BJWC SLEEP DISORDERS LAB 969 N MASON STE 260 ST LOUIS,MO63141	SLEEP LAB
107	107 - BJWC PAIN MANAGEMENT CENTER 1044 N MASON RD STE 130 ST LOUIS,MO63141	PAIN MANAGEMENT
108	108 - BJWC OUTPATIENT RADIOLOGY 1044 N MASON RD STE 120 ST LOUIS,MO63141	OUTPATIENT RADIOLOGY
109	109 - BJWC OUTPATIENT THERAPY 1044 N MASON RD STE 220 ST LOUIS,MO63141	OUTPATIENT RADIOLOGY
110	110 - BJWC NUTRITION COUNSELING 1040 N MASON STE 212 ST LOUIS,MO63141	NUTRITION COUNSELING
111	111 - BJWC LABORATORY 1020 N MASON STE 120 ST LOUIS,MO63141	OUTPATIENT LABORATORY
112	112 - BJWC RAD ONCOLOGY (SITEMAN) 10 BARNES WEST DRIVE STE 101 ST LOUIS,MO63141	RADIATION ONCOLOGY
113	113 - BJWC LABORATORY 10 BARNES WEST DRIVE STE 102 ST LOUIS,MO63141	OUTPATIENT LABORATORY
114	114 - BJWC RADIOLOGY 10 BARNES WEST DRIVE STE 202 ST LOUIS,MO63141	OUTPATIENT RADIOLOGY
115	115 - BJWC OUTPATIENT SVCS 10 BARNES WEST DRIVE STE 201 ST LOUIS,MO63141	OUTPATIENT SVCS
116	116 - PROGRESS WEST HOSP OUTPATIENT CTR 2630 HIGHWAY K OFALLON,MO63366	OP RAD, PT, WOUND CARE
117	117 - PROGRESS WEST HOSP OUTPATIENT CTR 20 PROGRESS POINT PKWY STE 108 OFALLON,MO63366	PHYSICIAN SERVICES
118	118 - PROGRESS WEST HOSP OUTPATIENT CTR 1520 WENTZVILLE PKWY STE 200 WENTZVILLE,MO63385	OP RADIOLOGY
119	119 - MO BAPTIST BOURBON MEDICAL OFFICE 240 COLLEGE SUITE 100 BOURBON,MO65441	RURAL HEALTH CLINIC
120	120 - MO BAPTIST CUBA MEDICAL OFFICE 102 OZARK STREET STE B CUBA,MO65453	RURAL HEALTH CLINIC
121	121 - MO BAPTIST CUBA MEDICAL OFFICE 102 OZARK STREET STE B CUBA,MO65453	NON-RURAL HEALTH CLINIC
122	122 - MO BAPTIST STEELEVILLE MED OFFICE 510 W MAIN STREET STEELEVILLE,MO65565	RURAL HEALTH CLINIC
123	123 - MO BAPTIST SULLIVAN MED OFFICE 965 MATTOX DR SULLIVAN,MO63080	RURAL HEALTH CLINIC
124	124 - MO BAPTIST SULLIVAN MED OFFICE 965 MATTOX DR SULLIVAN,MO63080	NON-RURAL HEALTH CLINIC
125	125 - BJC HOME CARE SERVICES-ST LOUIS 1935 BELTWAY DRIVE ST LOUIS,MO63114	HOME HEALTH & HOSPICE SVCS
126	126 - BJC HOME CARE SERVICES 1000 N MASON ROAD ST LOUIS,MO63141	HOSPICE SVCS
127	127 - BJC HOME CARE SERVICES 2220 S STATE ROUTE 157 STE 300 GLEN CARBON,IL62034	HOSPICE SVCS
128	128 - BJC HOME CARE SERVICES 2220 S STATE ROUTE 157 STE 300 GLEN CARBON,IL62034	HOME HEALTH
129	129 - BJC HOME CARE PHARMACY 1935 BELTWAY DRIVE ST LOUIS,MO63114	DURABLE MEDICAL EQUIP; SUPPLIES
130	130 - BJC HOSPICE SULLIVAN 113 PROGRESS PARKWAY SULLIVAN,MO63080	HOME HEALTH & HOSPICE
131	131 - BJC HOSPICE - FARMINGTON 757 WEBER RD FARMINGTON,MO63640	HOME HEALTH, HOSPICE, DME
132	132 - BJC BEHAVIORAL HEALTH STL 6763 PAGE AVE ST LOUIS,MO63133	MENTAL HEALTH SUBS ABUSE COUNSEL
133	133 - BJC BEHAVIORAL HEALTH CENTRAL 1430 OLIVE ST STE 500 ST LOUIS,MO63103	MENTAL HEALTH & PHARMACY SVCS
134	134 - BJC BEHAVIORAL HEALTH NORTH 1150 GRAHAM ROAD STES 101 102 ST LOUIS,MO63031	MENTAL HEALTH SUBS ABUSE COUNSEL
135	135 - BJC BEHAVIORAL HEALTH SOUTH 11102 LINDBERGH BUS COURT ST LOUIS,MO63123	MENTAL HEALTH EMPL ASSIST COUNSEL
136	136 - BJC BEHAVIORAL HEALTH SOUTHEAST 1085 MAPLE FARMINGTON,MO63640	MENTAL HEALTH AND PHARMACY SVCS
137	137 - BJC BEHAVIORAL HEALTH SOUTHEAST 326 EAST HIGH STREET POTOSI,MO63664	MENTAL HEALTH SUBS ABUSE SVCS
138	138 - BJC BEHAVIORAL HEALTH SOUTHEAST 657 WALTON DRIVE FARMINGTON,MO63640	MENTAL HEALTH - FRIENDS IN ACTION
139	139 - BJC BEHAVIORAL HEALTH PARKLAND 1101 W LIBERTY STREET FARMINGTON,MO63640	MENTAL HEALTH SUBS ABUSE SVCS
140	140 - BARNESCARE (WESTPORT) 11501 PAGE SERVICE DR ST LOUIS,MO63146	OCC MED & AMBULATORY CARE CTR
141	141 - BARNESCARE (ST PETERS) 1901 TRADE CENTER DR ST PETERS,MO63376	OCC MED & AMBULATORY CARE CTR
142	142 - BJC CORP HEALTH SERVICES 5000 MANCHESTER AVENUE ST LOUIS,MO63110	OCC MED & AMBULATORY CARE CTR

Schedule H (Form 990) 2020

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 = $ 5,611,182,549 WHICH EXCLUDES THE ALLOCABLE SHARE OF JOINT VENTURE BAD DEBT EXPENSES OF $688,107 FOR 2020.
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 2020, SUBSIDIZED HEALTH SERVICES PROVIDED THROUGH THESE PHYSICIAN PRACTICES GENERATED LOSSES OF $88,083,351.
PART II, COMMUNITY BUILDING ACTIVITIES:	BELIEVING THAT HEALTH PROMOTION BEGINS WITH EDUCATION AND ACCESS TO SERVICES, BJC PROVIDES A NUMBER OF HEALTH OUTREACH PROGRAMS FOR CHILDREN AND ADULTS IN UNDERSERVED COMMUNITIES. BJC'S SCHOOL OUTREACH AND YOUTH DEVELOPMENT PROGRAM IS ONE OF THE MOST EXTENSIVE IN THE EASTERN MISSOURI AND SOUTHERN ILLINOIS REGIONS. WORKING IN PARTNERSHIP WITH SCHOOL FACULTY AND ADMINISTRATORS, BJC DEVELOPS AND DELIVERS HEALTH EDUCATION CURRICULA, JOB SHADOWING OPPORTUNITIES, AND HEALTH FAIRS. THE PROGRAMS ALSO FOCUS ON HEALTH ISSUES AND BEHAVIORS INCLUDING DRUG, ALCOHOL AND TOBACCO USE; NUTRITION AND FITNESS; SEXUALLY TRANSMITTED DISEASE, INCLUDING HIV/AIDS; SAFETY, AND VIOLENCE PREVENTION. FOR ADULTS 50+ YEARS OF AGE, BJC CO-SPONSORS OASIS, AN EDUCATION AND VOLUNTEER SERVICE ORGANIZATION PROMOTING HEALTHY LIFESTYLES AND BEHAVIORS FOR SENIOR CITIZENS.IN LOW-INCOME COMMUNITIES, BJC PARTNERS WITH FAITH-BASED ORGANIZATIONS TO PROVIDE FREE MEDICAL SCREENINGS, EDUCATION AND OTHER NEEDED HEALTH SERVICES. ADDITIONALLY, FOR THE PAST 10 YEARS, BJC HAS CHANNELED RESOURCES AND OUTREACH HEALTH SERVICES TO RESIDENTS IN THE 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 2020. SEE ALSO FOOTNOTE TO THE AUDITED FINANICAL STATEMENTS.
PART III, LINE 3:	IF A PATIENT OR RESPONSIBLE PARTY IS CONCERNED ABOUT THEIR ABILITY TO PAY, IS PROVIDED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY OR OTHERWISE REQUESTS FINANCIAL ASSISTANCE, THE HOSPITAL STAFF PROVIDES INFORMATION AND GUIDANCE TO ASSIST THE PATIENT IN APPLYING FOR FINANCIAL ASSISTANCE. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT OF THE REGISTRATION, BILLING OR COLLECTION PROCESSES. IN CERTAIN SITUATIONS, THE PATIENT FAILS TO COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE AND THE ACCOUNT PROGRESSES THROUGH THE REVENUE CYCLE TO BAD DEBTS. BJC USES EXTERNAL FINANCIAL DATA SOURCES TO IDENTIFY THOSE INDIVIDUALS WHO MAY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE, YET WERE UNWILLING TO COMPLETE THE APPLICATION PROCESS.
PART III, LINE 4:	BJC HEALTHCARE (BJC) BAD DEBT EXPENSE IS INCLUDED IN THE PATIENT SERVICE REVENUE, OTHER OPERATING REVENUE AND UNCOMPENSATED CARE FOOTNOTE 2 TO ITS CONSOLIDATED FINANCIAL STATEMENTS WHICH BEGINS ON PAGE 15 OF THE CONSOLIDATED FINANCIAL STATEMENTS ATTACHED HERETO.
PART III, LINE 8:	PATIENT LEVEL DETAIL DATA IS USED TO CALCULATE THE UNCOMPENSATED COST OF BAD DEBT AND FINANCIAL ASSISTANCE. ONCE AN ACCOUNT IS WRITTEN OFF TO BAD DEBT AND/OR FINANCIAL ASSISTANCE, THE ENTIRE COST OF THE ACCOUNT IS CLASSIFIED AS BAD DEBT AND ANY PAYMENTS RECEIVED ARE NETTED AGAINST THE COST OF THE ACCOUNT TO DETERMINE THE UNCOMPENSATED COSTS. UNCOMPENSATED COSTS PATIENT DETAIL CALCULATION: (GROSS CHARGES X COST TO CHARGE RATIO) LESS PAYMENTS RECEIVEDONLY THOSE PATIENT ACCOUNTS WITH UNCOMPENSATED COSTS (THOSE IN EXCESS OF PAYMENTS) ARE INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE ON SCHEDULE H. PATIENT ACCOUNTS WITH PAYMENTS IN EXCESS OF COSTS ARE NOT INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE. THE COST OF BAD DEBT AND FINANCIAL ASSISTANCE ON MEDICARE PATIENT ACCOUNTS IS INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE. MEDICARE SURPLUS (SHORTFALL) IS REPORTED SEPARATELY ON SCHEDULE H, HOWEVER, THE MEDICARE SHORTFALL IS CONSIDERED ADDITIONAL BENEFIT TO THE COMMUNITIES SERVED.
PART III, LINE 9B:	BJC UNDERSTANDS THAT HEALTH CARE EXPENSES ARE OFTEN UNEXPECTED AND PAYING FOR SUCH SERVICES CAN BE OVERWHELMING. WE ARE COMMITTED TO IDENTIFYING PATIENTS WHO QUALIFY FOR ASSISTANCE AT THE EARLIEST OPPORTUNITY, TO HELPING THEM APPLY FOR PROGRAMS AND OTHER ASSISTANCE AND TO WORKING OUT A FAIR WAY FOR PATIENTS TO PAY THEIR BILLS. BJC HAS ADOPTED A FINANCIAL ASSISTANCE POLICY THAT IS APPLIED UNIFORMLY TO MOST AFFILIATED HOSPITAL OPERATIONS. INTERNAL DUE DILIGENCE PROCEDURES INCLUDE DETERMINING WHETHER THE RESPONSIBLE PARTY IS FINANCIALLY ABLE TO PAY FOR ALL OR A PORTION OF UNPAID BALANCES IN THE PATIENT ACCOUNT, OFFERING REPAYMENT UNDER NO INTEREST TERMS AND CONSIDERATION FOR FINANCIAL ASSISTANCE WHEN THE PATIENT DEMONSTRATES INABILITY TO PAY AMOUNTS DUE. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON INCOME AND FAMILY SIZE UTILIZING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUAL POVERTY GUIDELINES PUBLISHED IN THE FEDERAL REGISTER. BJC UTILIZES A PROCESS WHICH COMBINES DATA, TECHNOLOGY AND ANALYTICAL FUNCTIONALITY TO IDENTIFY PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE AT ANY POINT IN THE BILLING PROCESS. THIS RESULTS IN EARLIER IDENTIFICATION OF PATIENTS MERITING FINANCIAL ASSISTANCE AND RECLASSIFICATION FROM BAD DEBTS.BJC HAS ADOPTED A WRITTEN DEBT COLLECTION POLICY THAT IS APPLIED UNIFORMLY TO ALL AFFILIATE HOSPITAL OPERATIONS. INTERNAL COLLECTION EFFORTS INCLUDE HOSPITAL MAILING OF ROUTINE BILLING STATEMENTS WHICH INCLUDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. COLLECTION PROCEDURES INCLUDE IDENTIFYING INDIVIDUALS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE, OFFERING SUCH INDIVIDUALS THE OPPORTUNITY TO COMPLETE APPLICATIONS FOR FINANCIAL ASSISTANCE AND HELPING THE INDIVIDUALS COMPLETE THE APPLICATION FORMS. ONCE AN INDIVIDUAL OR RESPONSIBLE PARTY IS DEEMED FINANCIALLY UNABLE TO PAY SOME OR ALL OF THE OPEN BALANCE ON A PATIENT ACCOUNT, THE REMAINING BALANCE IS WRITTEN OFF AS UNCOLLECTIBLE.
PART VI, LINE 2:	BJC USES RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED AND INCLUDE BUT ARE NOT LIMITED TO REPORTS FROM:- LOCAL AND STATE DEPARTMENTS OF HEALTH- ST. LOUIS REGIONAL HEALTH COMMISSION- MISSOURI FOUNDATION FOR HEALTH- LOCAL GOVERNMENT PLANNING DEPARTMENTS- THE COMMONWEALTH FUND- U.S. CENSUS BUREAU- ECONOMIC IMPACT STUDIES- EAST WEST GATEWAY COUNCIL OF GOVERNMENTS (A RECOGNIZED METROPOLITAN PLANNING ORGANIZATION - MPO) BJC USES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE SERVICES THROUGHOUT THE REGION. IN ADDITION, BJC CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. FOR EXAMPLE, BJC CONTINUES TO OPERATE FULL SERVICE HOSPITAL(S) AT A FINANCIAL LOSS IN CERTAIN GEOGRAPHIES BECAUSE THE IMPACT OF CLOSING THE HOSPITALS WOULD BE DETRIMENTAL TO THE COMMUNITY. BJC ALSO CONTINUES TO PROVIDE CERTAIN CLINICAL SERVICES, INCLUDING TRAUMA AND OBSTETRICS, IN GEOGRAPHIES AT A FINANCIAL LOSS FOR THE SAME REASON.
PART VI, LINE 3:	BJC EMPLOYS A VARIETY OF METHODS TO REACH PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING:-BJC AND ALL HOSPITAL WEB SITES POST INFORMATION ABOUT FINANCIAL ASSISTANCE AND PROVIDE INFORMATION ON HOW TO CONTACT A FINANCIAL ASSISTANCE REPRESENTATIVE-BJC HOSPITALS DISPLAY PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE ON POSTERS IN ALL EMERGENCY, ADMITTING, OUTPATIENT AND CLINIC AREAS THAT INCLUDE A PHONE NUMBER TO CALL FOR FINANCIAL ASSISTANCE COUNSELING-BJC HOSPITAL DEPARTMENTS THAT HAVE INITIAL CONTACT WITH INCOMING INPATIENTS AND OUTPATIENTS ARE SUPPLIED WITH BROCHURES ABOUT FINANCIAL ASSISTANCE FOR DISTRIBUTION TO PATIENTS AND FAMILY MEMBERS-ALL BJC HOSPITALS EMPLOY TRAINED FINANCIAL ASSISTANCE COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE SUCH AS APPLICATION FOR FEDERAL AND/OR STATE PROGRAMS; QUALIFICATION FOR FINANCIAL ASSISTANCE; DETERMINATION OF AUTOMATIC DISCOUNTS AND/OR FURTHER REDUCTIONS IN CHARGES; AND SETTING UP LONG-TERM FINANCIAL ARRANGEMENTS.
PART VI, LINE 4:	BJC HAS THREE PRIMARY SERVICE AREAS. FIRST AND LARGEST IS THE ST. LOUIS METROPOLITAN STATISTICAL AREA, CONSISTING OF THE FOLLOWING COUNTIES: ST. LOUIS CITY, ST. LOUIS, ST. CHARLES, FRANKLIN, JEFFERSON, WARREN, AND LINCOLN IN MISSOURI, AND MADISON, ST. CLAIR, MONROE, JERSEY AND CLINTON IN ILLINOIS; POPULATION OF BJC'S PRIMARY SERVICE AREA = 4.4M. 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 = 17.3M. 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), THE REHABILITATION INSTITUTE OF ST. LOUIS, CHRISTIAN HOSPITAL NE/NW (CHRISTIAN HOSPITAL), MISSOURI BAPTIST MEDICAL CENTER, PROGRESS WEST HEALTHCARE CENTER, BARNES JEWISH ST. PETERS HOSPITAL, INC., MISSOURI BAPTIST HOSPITAL OF SULLIVAN, BARNES-JEWISH WEST COUNTY HOSPITAL, 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 2020, 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 17 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 $5.6 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) 2020

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. (SEE SCHEDULE O)
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	267
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	170
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	40,049
6	Total number of volunteers (estimate if necessary) .............	6	1,684
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	7,702,704
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	35,776,723	256,556,083
9	Program service revenue (Part VIII, line 2g) .........	5,381,876,124	5,364,106,885
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,935,762	6,399,881
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	117,018,028	118,655,546
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	5,536,606,637	5,745,718,395
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	15,036,240	26,836,135
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)	2,004,599,435	2,050,207,840
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)....	3,229,122,800	3,506,146,233
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	5,248,758,475	5,583,190,208
19	Revenue less expenses. Subtract line 18 from line 12.......	287,848,162	162,528,187
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,193,562,130	4,072,370,281
21	Total liabilities (Part X, line 26).............	592,173,489	1,202,592,028
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,601,388,641	2,869,778,253

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 3,161,308,888 including grants of $ 2,892,207 ) (Revenue $ 4,331,315,192 )
	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 $ 1,253,267,766 including grants of $ 495,375 ) (Revenue $ 933,514,969 )
	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 $111.7 MILLION IN FINANCIAL ASSISTANCE DURING 2020 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 $208 MILLION DURING 2020 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 $319.8 MILLION.BJC ALSO ABSORBS THE COST OF CARING FOR PATIENTS WHO ARE UNABLE TO PAY THEIR CO-PAYS, DEDUCTIBLES OR OTHER HEALTH CARE COSTS FOR A WIDE RANGE OF REASONS THAT THEY MAY OR MAY NOT SHARE WITH BJC. BJC PROVIDED AN ESTIMATED $70.1 MILLION DURING 2020 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 $ 318,537,235 including grants of $ 23,267,160 ) (Revenue $ 88,819,410 )
	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 2020, BJC CONTRIBUTED $318.5 MILLION TOWARDS PROGRAMS THAT PROVIDE TRAINING AND EDUCATION TO 9,929 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 $ 40,718,400 including grants of $ 181,393 ) (Revenue $ 10,457,314 )
	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 2020, BJC CONTRIBUTED MORE THAN $18.5 MILLION TO COMMUNITY GROUPS FOR COMMUNITY BENEFIT PURPOSES AND EXPENDED $10.8 MILLION TO CONDUCT PROGRAMS TO BENEFIT THE COMMUNITIES SERVED BY BJC HOSPITALS & HEALTH SERVICES ORGANIZATIONS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 40,718,400 including grants of $ 181,393 ) (Revenue $ 10,457,314 )
4e	Total program service expenses4,773,832,289

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	39,275,519	2,808,549	9,778,127

1a	Federated campaigns..		1a	113,126
b	Membership dues..		1b
c	Fundraising events..		1c	66,773
d	Related organizations		1d	17,100,295
e	Government grants (contributions)		1e	229,922,675

f	All other contributions, gifts, grants, and similar amounts not included above		1f	9,353,214

g	Noncash contributions included in lines 1a - 1f:$		1g	2,070,765

h Total. Add lines 1a-1f.......		256,556,083

		Business Code
2a	PROGRAM SERVICE REVENU	621990	5,245,276,604	5,245,276,604
b	PHYSICIAN PRACTICE OPE	621500	56,622,926	56,622,926
c	PROGRAM RENTAL INCOME	531190	41,910,521	41,910,521
d	WASH UNIV -OTHER REV	621990	9,464,980	9,393,792	71,188
e	PROG INVESTMENT REVENU	900099	5,891,409	5,891,409
f	All other program service revenue.		4,940,445	282,223	4,658,222
g	Total. Add lines 2a–2f .....		5,364,106,885

3 Investment income (including dividends, interest, and othersimilar amounts) ......			6,274,422			6,274,422
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			177,534			177,534
		(ii) Personal	(i) Real
6a	Gross rents		2,459,445	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		2,459,445	6c
d	Net rental income or (loss).......			2,459,445			2,459,445
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	22,389		7a
b	Less: cost or other basis and sales expenses	-103,070		7b
c	Gain or (loss)	125,459		7c
d	Net gain or (loss).........			125,459			125,459
8a	Gross income from fundraising events (not including $ 66,773of contributions reported on line 1c). See Part IV, line 18 ....
			8a	6,175
b	Less: direct expenses ...		8b	12,041
c	Net income or (loss) from fundraising events..			-5,866			-5,866
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	15,226
b	Less: direct expenses ...		9b	1,894
c	Net income or (loss) from gaming activities..			13,332			13,332
10a	Gross sales of inventory, less returns and allowances ..
			10a	3,181,235
b	Less: cost of goods sold ..		10b	1,791,344
c	Net income or (loss) from sales of inventory..			1,389,891			1,389,891
Business Code			Miscellaneous Revenue
11a	RETAIL PHARMACY		446110	41,045,572		247,780	40,797,792
b	OTHER OPERATING		900099	13,441,302		534,152	12,907,150
c	CAFETERIA SALES		722514	13,071,403		317,325	12,754,078
d	All other revenue ....			47,062,933		1,874,037	45,188,896
e	Total. Add lines 11a–11d ......			114,621,210
12	Total revenue. See instructions.....			5,745,718,395	5,359,377,475	7,702,704	122,082,133

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	23,937,802	23,937,802
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	2,898,333	2,898,333
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	11,502,108		11,502,108
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........	1,592,226,391	1,546,157,827	46,068,564
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	129,619,897	126,174,543	3,445,354
9	Other employee benefits .......	195,314,310	190,530,804	4,783,506
10	Payroll taxes ...........	121,545,134	116,220,932	5,324,202
11	Fees for services (non-employees):
a	Management ......	4,517,460	4,233,032	284,428
b	Legal .........	306,947		306,947
c	Accounting ...........	589,978		589,978
d	Lobbying ...........	737,565		737,565
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)	624,549,757	602,065,691	22,484,066
12	Advertising and promotion ....	1,521,770	1,118,394	403,376
13	Office expenses .......	60,343,696	58,085,528	2,258,168
14	Information technology ......	7,808,903	6,956,477	852,426
15	Royalties ..	7,777	7,777
16	Occupancy ...........	105,876,628	79,160,697	26,715,931
17	Travel ............	3,429,079	3,312,093	116,986
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,873,064	1,382,458	490,606
20	Interest ...........	48,005,977		48,005,977
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	414,602,560	410,819,939	3,782,621
23	Insurance ...	40,027,237	40,022,730	4,507
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	1,062,591,043	1,062,591,043
b	OVERHEAD ALLOCATION	602,543,583		602,543,583
c	OTHER MISCELLANEOUS	293,986,600	272,529,752	21,456,848
d	TEACHING SERVICES	143,323,342	143,323,342
e	All other expenses	89,503,267	82,303,095	7,200,172
25	Total functional expenses. Add lines 1 through 24e	5,583,190,208	4,773,832,289	809,357,919	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 ........			372,286	1	51,294,715
2	Savings and temporary cash investments .........			25,233,929	2	22,785,984
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			814,493,473	4	774,809,202
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			10,000	7	28,000
8	Inventories for sale or use ............			102,208,926	8	108,723,863
9	Prepaid expenses and deferred charges ......			11,598,168	9	13,239,014
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	7,009,140,917
b	Less: accumulated depreciation	10b	4,211,564,371	2,893,164,048	10c	2,797,576,546
11	Investments—publicly traded securities .			60,526,089	11	25,814,772
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			23,807,135	13	21,339,816
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			262,148,076	15	256,758,369
16	Total assets. Add lines 1 through 15 (must equal line 33)...			4,193,562,130	16	4,072,370,281

17	Accounts payable and accrued expenses .....	403,315,715	17	502,823,373
18	Grants payable ...		18
19	Deferred revenue .........	956,979	19	711,683
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
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	187,900,795	25	699,056,972
26	Total liabilities. Add lines 17 through 25..	592,173,489	26	1,202,592,028

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	3,585,752,560	27	2,852,089,217
28	Net assets with donor restrictions ...........	15,636,081	28	17,689,036
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	3,601,388,641	32	2,869,778,253
33	Total liabilities and net assets/fund balances ........	4,193,562,130	33	4,072,370,281

(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 0.015 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 0.035	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-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....


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) 2017	(b) 2018	(c) 2019	(d) 2020	(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 .....	97,390,560		97,390,560
b	Buildings ....	1,627,032,692	1,064,516,885	562,515,807
c	Leasehold improvements	708,976,001	325,564,830	383,411,171
d	Equipment ....	3,876,294,615	2,670,148,948	1,206,145,667
e	Other .....	699,447,049	151,333,708	548,113,341
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				2,797,576,546

(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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

(a) Description				(b) Book value
(1)PROPERTY FOR FUTURE DEVELOPMENT				16,142,890
(2)OTHER RECEIVABLES				32,074,513
(3)DUE FROM THIRD PARTY				41,356,789
(4)DUE FROM AFFILIATES				16,686,177
(5)OTHER ASSETS				11,078,494
(6)RIGHT OF USE ASSETS				131,541,223
(7)PERPETUAL TRUST				7,878,283
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				256,758,369

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	699,056,972
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