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Bjc Health System Group Return

4901 Forest Park Ave No 1200
St Louis, MO 63108
EIN: 753052953
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: Missouri Baptist Hospital Sullivan
751 Sappington Bridge Rd
Sullivan, MO 63080
16 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count75Medicare provider number260115Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Bjc Health System Group ReturnDisplay data for year:

Community Benefit Spending- 2011
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
13.32%
Spending by Community Benefit Category- 2011
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2011
Additional data

Community Benefit Expenditures: 2011

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 3,485,031,938
      Total amount spent on community benefits
      as % of operating expenses
      		$ 464,052,711
      13.32 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        		$ 88,623,162
        2.54 %
        Medicaid
        as % of operating expenses
        		$ 115,704,320
        3.32 %
        Costs of other means-tested government programs
        as % of operating expenses
        		$ 0
        0 %
        Health professions education
        as % of operating expenses
        		$ 123,887,347
        3.55 %
        Subsidized health services
        as % of operating expenses
        		$ 84,663,911
        2.43 %
        Research
        as % of operating expenses
        		$ 25,291,798
        0.73 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        		$ 22,712,917
        0.65 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        		$ 3,169,256
        0.09 %
        Community building*
        as % of operating expenses        		$ 3,702,480
        0.11 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)24
          Physical improvements and housing1
          Economic development4
          Community support16
          Environmental improvements1
          Leadership development and training for community members0
          Coalition building2
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)1,547
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building1,547
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses          		$ 3,702,480
          0.11 %
          Physical improvements and housing
          as % of community building expenses
          		$ 53,000
          1.43 %
          Economic development
          as % of community building expenses
          		$ 1,893,289
          51.14 %
          Community support
          as % of community building expenses
          		$ 1,548,333
          41.82 %
          Environmental improvements
          as % of community building expenses
          		$ 190,000
          5.13 %
          Leadership development and training for community members
          as % of community building expenses
          		$ 0
          0 %
          Coalition building
          as % of community building expenses
          		$ 17,858
          0.48 %
          Community health improvement advocacy
          as % of community building expenses
          		$ 0
          0 %
          Workforce development
          as % of community building expenses
          		$ 0
          0 %
          Other
          as % of community building expenses
          		$ 0
          0 %
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2011

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses        		$ 81,850,980
        2.35 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses        		$ 76,111,189
        92.99 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
        Filed lawsuitNot available
        Placed liens on residenceNot available
        Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court)Not available

    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?NO

    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?YES

    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2011

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?Not available
        Did the CHNA define the community served by the tax-exempt hospital?Not available
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?Not available
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?Not available
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?Not available
        Did the tax-exempt hospital execute the implementation strategy?Not available
        Did the tax-exempt hospital participate in the development of a community-wide plan?Not available

    Supplemental Information: 2011

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
      • 4A (Expenses $ 2032305226 including grants of $ 69723214) (Revenue $ 2808052088)
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 THE COMMUNITY HAS 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 (Expenses $ 787199662 including grants of $ 0) (Revenue $ 583567259)
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 $87.9 MILLION IN FINANCIAL ASSISTANCE IN 2011 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 $115.7 MILLION DURING 2011 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 $203.6 MILLION.BJC ALSO ABSORBS THE COST OF CARING FOR PATIENTS WHO ARE UNABLE TO PAY THEIR CO-PAYS, DEDUCTIBLES OR OTHER HEALTH CARE COSTS FOR A WIDE RANGE OF REASONS THAT THEY MAY OR MAY NOT SHARE WITH BJC. BJC PROVIDED $76.1 MILLION DURING 2011 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 &, IN FACT, RECEIVED THE EQUIVALENT OF FINANCIAL ASSISTANCE BUT WERE NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE.
      4C (Expenses $ 218901784 including grants of $ 0) (Revenue $ 69629652)
HEALTH PROFESSIONS EDUCATION & RESEARCH: BJC HELPS BUILD THE FUTURE OF HEALTH CARE BY EDUCATING HEALTH PROFESSIONALS & ADVANCING MEDICAL RESEARCH INNOVATIONS. THROUGH ACADEMIC AFFILIATIONS WITH WASHINGTON UNIVERSITY SCHOOL OF MEDICINE TO TRAIN FUTURE PHYSICIANS, 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. DURING 2011, BJC CONTRIBUTED $124.0 MILLION TOWARDS THE TRAINING OF HEALTH CARE PROFESSIONALS INCLUDING 1,183 MEDICAL RESIDENTS & ADVANCED FELLOWS FROM WASHINGTON UNIVERSITY; 803 NURSING STUDENTS AT THE GOLDFARB SCHOOL OF NURSING; & 618 STUDENTS AT THE MISSOURI BAPTIST MEDICAL CENTER CLINICAL NURSING INSTITUTE. ADDITIONALLY, BJC IS COMMITTED TO BIOMEDICAL HEALTH RESEARCH EFFORTS THAT WILL CONTRIBUTE TO THE PREVENTION, DIAGNOSIS & TREATMENT OF DISEASE & DISABILITY. DURING 2011, BJC CONTRIBUTED $25.3 MILLION TO ENABLE RESEARCHERS TO COLLABORATE IN KEY THERAPEUTIC AREAS SUCH AS CANCER GENOMICS, DIABETIC CARDIOVASCULAR DISEASE & WOMEN'S INFECTIOUS DISEASES. THE RESULTS OF THIS MULTI-DISCIPLINARY EFFORT ARE EXPECTED TO ADVANCE MEDICAL SCIENCE, TECHNOLOGY & PATIENT CARE PRACTICES.
      4D (Expenses $ 24685068 including grants of $ 0) (Revenue $ 312482)
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 3C: BJC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES FREE OF CHARGE TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL CRITERIA BASED UPON INCOME, ASSETS AND FAMILY SIZE. THESE SERVICES ARE PROVIDED TO ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, GENDER OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. PURSUANT TO ITS FINANCIAL ASSISTANCE POLICY, BJC WILL PROVIDE FINANCIAL ASSISTANCE OF 100% OF THE PATIENT'S RESPONSIBILITY WHEN INCOME IS LESS THAN 200% OF THE ANNUAL POVERTY GUIDELINES. A REDUCED FEE SCHEDULE IS AVAILABLE FROM 200% TO 400% OF THE ANNUAL POVERTY GUIDELINE. PATIENT'S RESPONSIBILITY MAY NOT EXCEED THE MEDICARE REIMBURSEMENT AMOUNT FOR A SIMILAR SERVICE OR ENCOUNTER. ALTHOUGH THE ANNUAL POVERTY GUIDELINES ARE THE PRIMARY DETERMINANT OF ELIGIBILITY, FINANCIAL ASSISTANCE MAY INCLUDE EVALUATION OF ASSETS AS WELL. THE CATASTROPHIC PROVISION OF THE BJC FINANCIAL ASSISTANCE POLICY PROVIDES THAT A PATIENT'S ANNUAL OUT-OF-POCKET LIABILITY SHALL NOT EXCEED 30% OF THE PATIENT'S ANNUAL GROSS INCOME. A SIMILAR FINANCIAL ASSISTANCE POLICY APPLIES TO MEDICALLY NECESSARY HEALTHCARE SERVICES RENDERED BY BJC EMPLOYED PHYSICIANS.
      PART I, LINE 6A: BJC PREPARES AN ANNUAL WRITTEN REPORT THAT DESCRIBES PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY BJC AND AFFILIATE 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 ANNUAL COMMUNITY BENEFIT REPORT AVAILABLE TO THE GENERAL PUBLIC VIA ITS WEBSITE AT WWW.BJC.ORG. 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. PATIENT LEVEL DETAIL DATA IS USED TO CALCULATE THE UNCOMPENSATED COST OF FINANCIAL ASSISTANCE. 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.
      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 2011, SUBSIDIZED HEALTH SERVICES PROVIDED THROUGH THESE PHYSICIAN PRACTICES GENERATED LOSSES OF $27,305,517.
      PART I, L7 COL(F): TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25, COLUMN (A) INCLUDE BAD DEBT EXPENSE OF $126,257,027 FOR BJC HEALTH SYSTEM GROUP RETURN (BJC). THIS EXPENSE HAS BEEN REMOVED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE CONSIDERED THE NET COMMUNITY BENEFIT EXPENSE AND REPORTED IN PART I, LINE 7, COLUMN (F). ALSO, THE ALLOCABLE SHARE OF EXPENSES FROM A 50% OWNED JOINT VENTURE HOSPITAL AND OTHER JOINT VENTURES, LESS THE ALLOCABLE SHARE OF BAD DEBT EXPENSE FOR THE JOINT VENTURES HAVE BEEN ADDED TO THE TOTAL EXPENSES AS THE DENOMINATOR OF THE CALCULATION. THUS, THE TOTAL AMOUNT OF BAD DEBT EXPENSE EXCLUDED FROM THIS PERCENTAGE CALCULATION IS $127,088,835. TOTAL EXPENSES USED WHEN CALCULATING LINE 7 COLUMN (F) PERCENTAGES = $3,379,364,988 FOR 2011.THE CALCULATED PERCENT OF TOTAL EXPENSES RELATED TO FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT COSTS PROVIDED BY BJC ON SCHEDULE H, PART I (13.67%) EXCLUDES AN ESTIMATED $76.1 MILLION IN MEDICAL CARE TO PATIENTS WHO, BASED UPON AN EXTENSIVE ANALYSIS OF ZIP CODES AND OTHER INFORMATION, WERE PRESUMED TO HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER BJC'S CHARITY POLICY. IF THE AMOUNTS FOR PRESUMED FINANCIAL ASSISTANCE INCLUDED IN BAD DEBT EXPENSE WERE INCLUDED IN FINANCIAL ASSISTANCE EXPENSES, THE REVISED PERCENTAGE WOULD BE 15.92%.
      PART II: 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 5 YEARS, BJC HAS CHANNELED RESOURCES AND OUTREACH HEALTH SERVICES TO RESIDENTS IN THE SIX ZIP CODES IN THE REGION THAT HAVE THE POOREST HEALTH STATISTICS AND OUTCOMES.
      PART III, LINE 4: THE COST OF BAD DEBT AS REFLECTED IN PART III, LINE 2 WAS CALCULATED USING A COST TO CHARGE RATIO. DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE OFF AND ARE, THEREFORE, NOT INCLUDED IN BAD DEBT EXPENSE.BJC HEALTHCARE (BJC) BAD DEBT AND UNCOMPENSATED CARE FOOTNOTE TO ITS CONSOLIDATED FINANCIAL STATEMENTS READS AS FOLLOWS:BJC'S ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR SELF-PAY PATIENTS WAS 74.0% AND 70.4% OF SELF-PAY ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2011 AND 2010. THE SYSTEM HAS NOT EXPERIENCED SIGNIFICANT CHANGES IN WRITE-OFF TRENDS AND HAS NOT CHANGED ITS UNINSURED DISCOUNT OF CHARITY CARE POLICIES FOR THE YEAR ENDED DECEMBER 31, 2011.IN SUPPORT OF ITS MISSION, BJC PROVIDES CHARITY CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. POLICIES HAVE BEEN ESTABLISHED THAT DEFINE CHARITY CARE AND PROVIDE GUIDELINES FOR ASSESSING A PATIENT'S ABILITY TO PAY. EVALUATION PROCEDURES FOR CHARITY CARE QUALIFICATION HAVE BEEN ESTABLISHED FOR THOSE SITUATIONS WHEN PREVIOUSLY UNKNOWN FINANCIAL CIRCUMSTANCES ARE REVEALED OR WHEN INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO THE INDIVIDUAL PATIENT'S INCOME AND/OR NET ASSETS. BECAUSE BJC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. IN ADDITION, BJC PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER VARIOUS STATE MEDICAID PROGRAMS, WHICH PAY PROVIDERS AMOUNTS THAT ARE LESS THAN THE COSTS INCURRED FOR THE SERVICES PROVIDED TO THE RECIPIENTS. THE ESTIMATED COSTS OF CHARITY CARE ARE AS FOLLOWS. COSTS ARE ESTIMATED USING THE RATIO OF EACH FACILITY'S COSTS TO ITS CHARGES AT A DEPARTMENT LEVEL AND APPLYING TO GROSS CHARITY CHARGES. THESE RATIOS ARE THEN USED TO DETERMINE THE COST OF EACH ACCOUNT THAT QUALIFIES FOR CHARITY CARE. ANY REIMBURSEMENTS ARE THEN DEDUCTED FROM THAT COST TO ARRIVE AT THE ESTIMATED COST OF CHARITY CARE. COST OF CHARITY CARE WAS $103.9M AND $92.5M FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010, RESPECTIVELY.THE SYSTEM PARTICIPATES IN THE MISSOURI MEDICAID FEDERAL REIMBURSEMENT ALLOWANCE PROGRAM AND, UNDER THE PROGRAM, RECEIVED $62.5M AND $51.5M IN 2011 AND 2010, RESPECTIVELY, FOR CHARITY CARE COSTS INCURRED.
      PART III, LINE 8: PATIENT LEVEL DETAIL DATA IS USED TO CALCULATE THE UNCOMPENSATED COST OF BAD DEBT AND FINANCIAL ASSISTANCE. ONCE AN ACCOUNT IS WRITTEN OFF TO BAD DEBT AND/OR FINANCIAL ASSISTANCE, THE ENTIRE COST OF THE ACCOUNT IS CLASSIFIED AS BAD DEBT AND ANY PAYMENTS RECEIVED ARE NETTED AGAINST THE COST OF THE ACCOUNT TO DETERMINE THE UNCOMPENSATED COSTS. UNCOMPENSATED COSTS PATIENT DETAIL CALCULATION: (GROSS CHARGES X COST TO CHARGE RATIO) LESS PAYMENTS RECEIVEDONLY THOSE PATIENT ACCOUNTS WITH UNCOMPENSATED COSTS (THOSE IN EXCESS OF PAYMENTS) ARE INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE ON SCHEDULE H. PATIENT ACCOUNTS WITH PAYMENTS IN EXCESS OF COSTS ARE NOT INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE. THE COST OF BAD DEBT AND FINANCIAL ASSISTANCE ON MEDICARE PATIENT ACCOUNTS IS INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE. MEDICARE SURPLUS (SHORTFALL) IS REPORTED SEPARATELY ON SCHEDULE H, HOWEVER, THE MEDICARE SURPLUS (SHORTFALL) IS REDUCED BY THE COST OF BAD DEBT AND FINANCIAL ASSISTANCE FOR MEDICARE PATIENTS.
      PART III, LINE 9B: BJC UNDERSTANDS THAT HEALTH CARE EXPENSES ARE OFTEN UNEXPECTED AND PAYING FOR SUCH SERVICES CAN BE OVERWHELMING. WE ARE COMMITTED TO IDENTIFYING PATIENTS WHO QUALIFY FOR ASSISTANCE AT THE EARLIEST OPPORTUNITY, TO HELPING THEM APPLY FOR PROGRAMS AND OTHER ASSISTANCE AND TO WORKING OUT A FAIR WAY FOR PATIENTS TO PAY THEIR BILLS. BJC HAS ADOPTED A FINANCIAL ASSISTANCE POLICY THAT IS APPLIED UNIFORMLY TO ALL AFFILIATE 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, ASSETS AND FAMILY SIZE UTILIZING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUAL POVERTY GUIDELINES PUBLISHED IN THE FEDERAL REGISTER.
      PART IV MANAGEMENT COMPANIES & JOINT VENTURES (TWIN RIVERS):
AS OF JANUARY 1, 2011, ALTON MEMORIAL HOSPITAL (AMH) HELD 75% INTEREST IN TWIN RIVERS MRI, LLC (TWIN RIVERS), A DIAGNOSTIC IMAGING CENTER. THE REMAINING 25% INTERESTS WERE HELD BY FIVE INDEPENDENT PHYSICIANS. EFFECTIVE NOVEMBER 1, 2011, AMH PURCHASED THE REMAINING 25% INTERESTS IN TWIN RIVERS BASED ON THE FAIR MARKET VALUE OF EACH OWNER'S INTEREST. PURCHASE PRICE WAS DETERMINED BASED UPON AN INDEPENDENT APPRAISAL OF THE VALUE FOR EACH OWNERSHIP INTEREST. AT DECEMBER 31, 2011, TWIN RIVERS MRI, LLC WAS A DISREGARDED ENTITY OF ALTON MEMORIAL HOSPITAL. 2011 SCHEDULE H INCLUDES 75% OF EXPENSES FOR TWIN RIVERS FOR 10 MONTHS AND 100% OF THE EXPENSES FOR THE FINAL 2 MONTHS OF 2011.
      BARNES-JEWISH HOSPITAL NORTH/SOUTH
PART V, SECTION B, LINE 11H: (RESPONSE FOR ALL BJC AFFILIATE HOSPITALS) VERIFICATION OF INCOME INCLUDES: - MOST RECENT FEDERAL INCOME TAX RETURN OR FORM 1722 FROM THE INTERNAL REVENUE SERVICE CONFIRMING NO TAX RETURN WAS FILED - CHECK STUBS FROM MOST RECENT MONTH OF EMPLOYMENT OR A LETTER FROM THE EMPLOYER CONFIRMING INCOME - INFORMATION ON DEPENDENTS, EXPENSES AND ASSETS
      MISSOURI BAPTIST MEDICAL CENTER
PART V, SECTION B, LINE 11H: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      CHRISTIAN HOSPITAL NE-NW
PART V, SECTION B, LINE 11H: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      BOONE HOSPITAL CENTER
PART V, SECTION B, LINE 11H: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      ST LOUIS CHILDREN'S HOSPITAL
PART V, SECTION B, LINE 11H: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      ALTON MEMORIAL HOSPITAL
PART V, SECTION B, LINE 11H: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      PARKLAND HEALTH CENTER-FARMINGTON
PART V, SECTION B, LINE 11H: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      BARNES-JEWISH ST PETERS HOSPITAL, INC
PART V, SECTION B, LINE 11H: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      BARNES-JEWISH WEST COUNTY HOSPITAL
PART V, SECTION B, LINE 11H: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      BJC/HEALTHSOUTH REHABIL CENTER LLC
PART V, SECTION B, LINE 11H: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      PROGRESS WEST HEALTHCARE
PART V, SECTION B, LINE 11H: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      MISSOURI BAPTIST HOSPITAL OF SULLIVAN
PART V, SECTION B, LINE 11H: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      PARKLAND HEALTH CENTER-BONNE TERRE
PART V, SECTION B, LINE 11H: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      NORTHWEST HEALTHCARE
PART V, SECTION B, LINE 11H: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTHM
      BARNES-JEWISH HOSPITAL NORTH/SOUTH
PART V, SECTION B, LINE 13G: (RESPONSE FOR ALL BJC AFFILIATE HOSPITALS)BJC'S FINANCIAL ASSISTANCE POLICY IS WIDELY PUBLICIZED WITHIN THE HOSPITAL COMMUNITIES, INCLUDING, BUT NOT LIMITED TO, POSTING ON EACH HOSPITAL WEBSITE; MAKING BROCHURES AND POSTERS AVAILABLE AT PATIENT REGISTRATION; REMINDING PATIENTS OF THE POLICY WITH EACH STATEMENT; REFERENCING THE AVAILABILITY OF FINANCIAL ASSISTANCE IN BJC'S COMMUNITY BENEFIT REPORT; AND INFORMING STAFF AT COMMUNITY HEALTH SITES SUCH AS ST. LOUIS CONNECT CARE, FEDERALLY QUALIFIED HEALTH AGENCIES AND OTHER SOCIAL SERVICE AGENCIES. ALL HOSPITALS TAKE SUCH FURTHER MEASURES TO PUBLICIZE THE POLICY AS DEEMED NECESSARY AND WHERE REQUIRED BY APPLICABLE LAW AND REGULATIONS.
      MISSOURI BAPTIST MEDICAL CENTER
PART V, SECTION B, LINE 13G: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      CHRISTIAN HOSPITAL NE-NW
PART V, SECTION B, LINE 13G: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      BOONE HOSPITAL CENTER
PART V, SECTION B, LINE 13G: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      ST LOUIS CHILDREN'S HOSPITAL
PART V, SECTION B, LINE 13G: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      ALTON MEMORIAL HOSPITAL
PART V, SECTION B, LINE 13G: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      PARKLAND HEALTH CENTER-FARMINGTON
PART V, SECTION B, LINE 13G: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      BARNES-JEWISH ST PETERS HOSPITAL, INC
PART V, SECTION B, LINE 13G: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      BARNES-JEWISH WEST COUNTY HOSPITAL
PART V, SECTION B, LINE 13G: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      BJC/HEALTHSOUTH REHABIL CENTER LLC
PART V, SECTION B, LINE 13G: PROVIDED SUMMARY BROCHURES TO PATIENTS UPON ADMISSION TO THE FACILITY. SEE ALSO THE INFORMATION FOR BARNES-JEWISH HOSPITAL.
      PROGRESS WEST HEALTHCARE
PART V, SECTION B, LINE 13G: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      MISSOURI BAPTIST HOSPITAL OF SULLIVAN
PART V, SECTION B, LINE 13G: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      PARKLAND HEALTH CENTER-BONNE TERRE
PART V, SECTION B, LINE 13G: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      NORTHWEST HEALTHCARE
PART V, SECTION B, LINE 13G: SEE BARNES-JEWISH HOSPITAL NORTH/SOUTH
      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 FINANCIAL ASSISTANCE 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 = 2.9M. BJC'S SECONDARY SERVICE AREA INCLUDES BOONE COUNTY IN MID-MISSOURI AND ST. FRANCOIS COUNTY IN SOUTHEAST MISSOURI. BECAUSE OF BJC'S TEACHING HOSPITALS AND THEIR STATUS AS ACADEMIC MEDICAL CENTERS, ITS SECONDARY SERVICE AREAS INCLUDE THE REMAINING COUNTIES IN MISSOURI, AND COUNTIES IN ILLINOIS SOUTH OF PEORIA. POPULATION OF BJC'S SECONDARY SERVICE AREA = 16.4M. BJC HOSPITALS LOCATED WITHIN ALL SERVICE AREAS INCLUDE ALTON MEMORIAL HOSPITAL, BARNES-JEWISH HOSPITAL, ST. LOUIS CHILDREN'S HOSPITAL, 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 AND PARKLAND HEALTH CENTER. 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 2011, APPROXIMATELY 3,800 PHYSICIANS WERE ACTIVE MEMBERS OF THE MEDICAL STAFFS OF ALL BJC HOSPITALS OF WHICH APPROXIMATELY 3,300 OR 86% ARE BOARD-CERTIFIED. OF THE TOTAL PHYSICIANS, 2,031 ARE FACULTY MEMBERS OF THE WUSM AND APPROXIMATELY 280 ARE EMPLOYED BY BJC THROUGH THE BJC MEDICAL GROUP, AN AFFILIATE.GOVERNING BODY. BJC IS GOVERNED BY A BOARD OF DIRECTORS (BOARD) WITH 19 VOTING MEMBERS COMPRISED PRIMARILY OF COMMUNITY LEADERS. MEMBERS ARE APPOINTED BY BOARDS OF ITS SUPPORTED ORGANIZATIONS INCLUDING BARNES-JEWISH HOSPITAL, CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION, MISSOURI BAPTIST MEDICAL CENTER AND ST. LOUIS CHILDREN'S HOSPITAL. OTHER MEMBERS OF THE BOARD INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BJC, THE CHANCELLOR AND EXECUTIVE VICE CHANCELLOR OF WASHINGTON UNIVERSITY, AND THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL. THE BOARD HAS ADOPTED A CODE OF CONDUCT AND CONFLICT OF INTEREST POLICY THAT GOVERN TRANSACTIONS BETWEEN MEMBERS OF THE BOARD AND BJC TO ENSURE THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED BY BJC. THE BOARD HAS DELEGATED AUTHORITY FOR THE MANAGEMENT AND DAILY OPERATIONS OF BJC TO ITS PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE EXECUTIVE MANAGEMENT STAFF. THE BOARD HAS ESTABLISHED VARIOUS COMMITTEES INCLUDING THE FOLLOWING: EXECUTIVE, COMMUNITY BENEFIT, GOVERNANCE, AUDIT, FINANCE, 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 AND CHILDREN'S 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 RECENTLY COMPLETED 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 COMMENCED OPERATIONS OF THE NEWLY CONSTRUCTED 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.
      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 $3.6 BILLION, BJC SERVES URBAN, SUBURBAN AND RURAL COMMUNITIES THROUGH 13 HOSPITALS 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 CONTRIBUTION TO MEDICAL EDUCATION AND RESEARCH -EXCEPTIONAL EMPLOYEE SATISFACTION AND WORKFORCE DEVELOPMENT -EXCELLENT FINANCIAL AND OPERATIONAL MANAGEMENT
      REPORTS FILED WITH STATES PART VI, LINE 7
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