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Bjc Health System Group Return

4901 Forest Park Ave No 1200
St Louis, MO 63108
EIN: 753052953
Individual Facility Details: Parkland Health Center - Weber Road
1212 Weber Rd
Farmington, MO 63640
Bed count127Medicare provider number260116Member of the Council of Teaching HospitalsYESChildren's hospitalNO

Bjc Health System Group ReturnDisplay data for year:

Community Benefit Spending- 2016
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
15.05%
Spending by Community Benefit Category- 2016
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2015-2016
Additional data

Community Benefit Expenditures: 2016

  • 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$ 4,450,607,395
      Total amount spent on community benefits
      as % of operating expenses
      $ 669,984,932
      15.05 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 114,284,563
        2.57 %
        Medicaid
        as % of operating expenses
        $ 175,699,432
        3.95 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 181,703,963
        4.08 %
        Subsidized health services
        as % of operating expenses
        $ 132,640,806
        2.98 %
        Research
        as % of operating expenses
        $ 449,276
        0.01 %
        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.
        $ 13,215,179
        0.30 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 51,991,713
        1.17 %
        Community building*
        as % of operating expenses
        $ 4,237,615
        0.10 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)34
          Physical improvements and housing1
          Economic development4
          Community support22
          Environmental improvements2
          Leadership development and training for community members1
          Coalition building2
          Community health improvement advocacy0
          Workforce development2
          Other0
          Persons served (optional)64,705
          Physical improvements and housing0
          Economic development0
          Community support63,755
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building259
          Community health improvement advocacy0
          Workforce development691
          Other0
          Community building expense
          as % of operating expenses
          $ 4,237,615
          0.10 %
          Physical improvements and housing
          as % of community building expenses
          $ 24,850
          0.59 %
          Economic development
          as % of community building expenses
          $ 1,944,715
          45.89 %
          Community support
          as % of community building expenses
          $ 2,153,416
          50.82 %
          Environmental improvements
          as % of community building expenses
          $ 30,435
          0.72 %
          Leadership development and training for community members
          as % of community building expenses
          $ 4,250
          0.10 %
          Coalition building
          as % of community building expenses
          $ 77,268
          1.82 %
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          0 %
          Workforce development
          as % of community building expenses
          $ 2,681
          0.06 %
          Other
          as % of community building expenses
          $ 0
          0 %
          Direct offsetting revenue$ 1,256
          Physical improvements and housing$ 150
          Economic development$ 876
          Community support$ 115
          Environmental improvements$ 115
          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: 2016

    • 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
        $ 119,387,024
        2.68 %
        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
        $ 70,155,811
        58.76 %
    • 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
    • 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: 2016

    • 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?NO
        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

    Supplemental Information: 2016

    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 $ 2064206916 including grants of $ 3443784) (Revenue $ 3609965705)
      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 (Expenses $ 1042003937 including grants of $ 0) (Revenue $ 752019942)
      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 $114.3 MILLION IN FINANCIAL ASSISTANCE DURING 2016 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 $175.7 MILLION DURING 2016 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 $290.0 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 2016 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 $ 275890187 including grants of $ 50339012) (Revenue $ 93736948)
      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 2016, BJC CONTRIBUTED $181.7 MILLION TOWARDS PROGRAMS THAT PROVIDE TRAINING AND EDUCATION TO 16,613 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. DURING 2016, BJC CONTRIBUTED $.5 MILLION TO ENABLE RESEARCHERS TO COLLABORATE IN KEY THERAPEUTIC AREAS SUCH AS CANCER, GENOMICS, DIABETES,CARDIOVASCULAR & INFECTIOUS DISEASES, AND WOMEN'S HEALTH. THE RESULTS OF THIS MULTI-DISCIPLINARY EFFORT ARE EXPECTED TO ADVANCE MEDICAL SCIENCE, TECHNOLOGY & PATIENT CARE PRACTICES.
      4D (Expenses $ 75828261 including grants of $ 0) (Revenue $ 10672509)
      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 2016, BJC CONTRIBUTED MORE THAN $51.5 MILLION TO COMMUNITY GROUPS FOR COMMUNITY BENEFIT PURPOSES AND EXPENDED $11.9 MILLION TO CONDUCT PROGRAMS TO BENEFIT THE COMMUNITIES SERVED BY BJC HOSPITALS & HEALTH SERVICES ORGANIZATIONS.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      BARNES-JEWISH HOSPITAL NORTH/SOUTH
      PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), BARNES-JEWISH HOSPITAL (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY EACH OF BJC HOSPITAL SERVES. HOSPITAL IDENTIFIED ITS COMMUNITY AS THE CITY OF ST. LOUIS WHICH COMPRISES 5% OF MISSOURI'S POPULATION. POPULATION OF THE CITY WAS APPROXIMATELY 52% FEMALE/48% MALE; 46% WHITE, 47% AFRICAN AMERICAN, 4% HISPANIC OR LATINO AND 3% ASIAN. MEDIAN HOUSEHOLD INCOME FOR CITY WAS 27% LOWER THAN THE STATE OVERALL. HOSPITAL FURTHER IDENTIFIED THE HOMELESS POPULATION IN THE CITY TO REQUIRE ADDITIONAL CONSIDERATION (ESPECIALLY UPON DISCHARGE FROM THE HOSPITAL) AND NOTED NEEDS OF INCREASING IMPORTANCE TO BE SAFETY FROM VIOLENCE, ACCESS TO COVERAGE DUE TO NO MEDICAID EXPANSION IN MISSOURI AND BEHAVIORAL HEALTH ISSUES REGARDING OPIOID ABUSE. INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OUR POPULATION. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE COUNTY OR CITY HEALTH DEPARTMENTS AND MET AT VARIOUS TIMES TO DISCUSS THE RESULTS OF PRIOR CHNA AND REVIEWED THE CURRENT IMPLEMENTATION PLAN (IP). FOCUS GROUP PARTICIPANTS GAVE COMMENTARY ON THE PRIOR CHNA AND PROVIDED SUGGESTIONS FOR ADDRESSING THE NEEDS OF RESIDENTS IN THE CITY OF ST. LOUIS. THE DATA GATHERING PROCESS WAS CONDUCTED IN TWO PHASES WHICH INCLUDED A DISCUSSION OF 2013 CHNA RESULTS, GAPS IN PRIOR IMPLEMENTATION STRATEGIES AND WAYS TO IMPROVE ACCESS TO COVERAGE USING TECHNOLOGY. THE FOCUS GROUP INCLUDED PARTICIPANTS REPRESENTING:COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)URBAN LEAGUE OF GREATER ST. LOUISMISSOURI FOUNDATION FOR HEALTHPARAQUADINTERNATIONAL INSTITUTEALDERWOMAN, WARD 19REGIONAL HEALTH COMMISSIONAFFINIA HEALTHCARE, FORMERLY GRACE HILL HEALTH CENTERSST. LOUIS AREA FOOD BANKGATEWAY REGION YMCAST. LOUIS COUNTY HEALTH DEPARTMENTCASA DE SALUDCITY OF ST. LOUIS HEALTH COMMISSIONERST. LOUIS INTEGRATED HEALTH NETWORKPATIENT ADVOCATES
      MISSOURI BAPTIST MEDICAL CENTER
      PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), MISSOURI BAPTIST MEDICAL CENTER (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY WHICH INCLUDES AREAS OF SOUTH AND WEST ST. LOUIS COUNTY. THE POPULATION OF THIS COMMUNITY IS 67% WHITE; 24% AFRICAN AMERICAN; 4% ASIAN; AND 3% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 52% MALE AND 48% FEMALE. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN WEST COUNTY AND SOUTH COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN HEART ASSOCIATIONST. LOUIS SUBURBAN SCHOOL NURSESMISSOURI HOUSE OF REPRESENTATIVESCATHOLIC FAMILY SERVICESNATIONAL COUNCIL ON ALCOHOLISM & DRUG ABUSEMANCHESTER UNITED METHODIST CHURCHSOUTH COUNTY HEALTH CENTERALIVELEMAY FIRE PROTECTION DISTRICTOFFICE OF THE COUNTY EXECUTIVEST. LOUIS CRISIS NURSERYBEHAVIORAL HEALTH NETWORKMID-EAST AREA ON AGINGST. LOUIS COUNTY DEPARTMENT OF HEALTHHOPE LODGEREGIONAL HEALTH COMMISSIONUNITED WAYPEOPLE'S HEALTH CENTERSFEED MY PEOPLECRISIS NURSERYAMERICAN CANCER SOCIETYJEWISH COMMUNITY CENTER
      CHRISTIAN HOSPITAL NE-NW
      PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), CHRISTIAN HOSPITAL (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY WHICH INCLUDES AREAS OF NORTH ST. LOUIS COUNTY. THE POPULATION OF THIS COMMUNITY IS 64% AFRICAN AMERICAN; 31% WHITE; AND 2% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 54% FEMALE AND 46% MALE. HOSPITAL CONDUCTED ITS 2016 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WHICH REVIEWED THE 2013 CHNA AND FINDINGS THEN DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013. THIS GROUP THEN REVIEWED GAPS IN MEETING NEEDS AND IDENTIFIED OTHER COMMUNITY ORGANIZATIONS TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, THIS GROUP IDENTIFIED INTERNAL WORK GROUP AT HOSPITAL WHICH FURTHER IDENTIFIED HEALTH DISPARITIES AND TRENDS EVIDENT IN NORTH ST. LOUIS COUNTY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN NORTH ST. LOUIS COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:FAMILY RESOURCE CENTERST. LOUIS UNIVERSITY EDUCATION AND PUBLIC SERVICESST. LOUIS COUNTY POLICE DEPARTMENTWARD 1 - FLORISSANTGREATER NORTH COUNTY CHAMBER OF COMMERCEHOLY NAME OF JESUS CATHOLIC CHURCHEDWARD JONES YMCAHAZELWOOD SCHOOL DISTRICTREDDY HEALTH AND PERFORMANCEMID-EAST AREA ON AGINGST. LOUIS COUNTY DEPARTMENT OF HEALTHNORTH COUNTY CHURCHES UNITINGUNIVERSITY OF MISSOURI - ST. LOUISUNITED WAYPEOPLE'S HEALTH CENTERSCRISIS NURSERY
      PROTESTANT MEMORIAL MEDICAL CENTER INC
      PART V, SECTION B, LINE 5: SINCE 1991, THE COLLABORATIVE PARTNERSHIP KNOWN AS THE ST. CLAIR COUNTY HEALTHCARE COMMISSION (COMMISSION) HAS CONDUCTED NUMEROUS COMMUNITY HEALTH ASSESSMENTS, PLANNING PROJECTS AND ANNUAL FORUMS. PROTESTANT MEMORIAL MEDICAL CENTER, INC. (HOSPITAL) HAS BEEN AND CONTINUES TO BE AN ACTIVE MEMBER OF THE COMMISSION IN WORKING TO EXPAND SERVICES TO MEET THE IDENTIFIED NEEDS OF THE COMMUNITY. THE HOSPITAL COMMUNITY IS A MIXED PERCENTAGE OF WHITES, AFRICAN AMERICAN, NATIVE AMERICAN, HISPANIC OR LATINO AND ASIAN. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 52% FEMALE AND 48% MALE. THE PERCENTAGE OF PERSONS LIVING IN POVERTY IN ST. CLAIR COUNTY HAS STEADILY INCREASED IN RECENT YEARS. VARIOUS FOCUS TEAMS CONDUCTED A COMPREHENSIVE ASSESSMENT OF THE ENTIRE POPULATION THROUGH THE USE OF COMMUNITY SURVEYS, A REVIEW OF POPULATION TRENDS, HEALTH OUTCOMES AND BEHAVIORS OVER THE LAST FIVE YEARS. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN HEART ASSOCIATION AMERICAN LUNG ASSOCIATION AGE SMART ASTHMA COALITION FOR THE GREATER ST. LOUIS METRO EAST AREA EAST SIDE HEALTH DISTRICT MARCH OF DIMES MCKENDREE UNIVERSITY PIONEERING HEALTHIER COMMUNITIES PROGRAMS AND SERVICES PERSONS REGIONAL OFFICE OF EDUCATION SCOTT AIR FORCE BASE HEALTH AND WELLNESS CENTER ST. CLAIR COUNTY HEALTH DEPARTMENT ST. CLAIR COUNTY MEDICAL SOCIETY ST. CLAIR COUNTY MENTAL HEALTH BOARD ST. CLAIR COUNTY OFFICE ON AGING ST. CLAIR COUNTY YOUTH COALITION ST. ELIZABETH'S HOSPITAL SOUTHWESTERN ILLINOIS COALITION AGAINST TOBACCO SOUTHERN IL HEALTHCARE FOUNDATION SOUTHERN ILLINOIS UNIVERSITY, SCHOOL OF NURSING SOUTHWEST ILLINOIS HIV/AIDS COALITION TOUCHETTE REGIONAL HOSPITAL WILLARD C. SCRIVNER, MD PUBLIC HEALTH FOUNDATION YMCA OF SOUTHWEST ILLINOIS
      ST LOUIS CHILDREN'S HOSPITAL
      PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), ST. LOUIS CHILDREN'S HOSPITAL (HOSPITAL) AND SSM HEALTH CARDINAL GLENNON CHILDREN'S MEDICAL CENTER CONDUCTED A FOCUS GROUP TO OBTAIN INPUT FROM PEDIATRIC AND PUBLIC HEALTH EXPERTS ON THE HEALTH CONCERNS OF ST. LOUIS CITY CHILDREN AGES 0-18. HOSPITAL COMMUNITY INCLUDES ST. LOUIS CI41. THE POPULATION OF THIS COMMUNITY IS 47% AFRICAN AMERICAN; 31% WHITE; AND 4% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 52% FEMALE AND 48% MALE WITH ALMOST 10% OF THE POPULATION WHERE LANGUAGE OTHER THAN ENGLISH IS SPOKEN AT HOME AND ALMOST 7% ARE FOREIGN BORN PERSONS. TRANSIENT FAMILIES WERE IDENTIFIED AS A SPECIAL CONCERN FOR TRACKING THOSE PERSONS WHO HAVE BEEN ENROLLED IN PILOT PROGRAMS. HOSPITAL CONDUCTED ITS 2016 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WHICH REVIEWED THE 2013 CHNA AND FINDINGS THEN DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013. THIS GROUP THEN REVIEWED GAPS IN MEETING NEEDS AND IDENTIFIED OTHER COMMUNITY ORGANIZATIONS TO COLLABORATE WITH IN ADDRESSING NEEDS. A PATIENT HEALTH CONCERNS SURVEY WAS ADMINISTERED TO MORE THAN 1,000 PARENTS LIVING WITHIN THE ST. LOUIS METROPOLITAN AREA WHICH IDENTIFIED PRIMARY DATA ON HEALTH NEEDS. DURING PHASE TWO, THIS GROUP IDENTIFIED INTERNAL WORK GROUP AT HOSPITAL WHICH FURTHER IDENTIFIED HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. LOUIS METROPOLITAN AREA. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS AND INCLUDED PARTICIPANTS REPRESENTING:WOMAN'S PLACE (STS. JOACHIM & ANN)CITY OF O'FALLONFORT ZUMWALT SCHOOL DISTRICTUNITED WAY OF GREATER ST. LOUISST. CHARLES CITY-COUNTY LIBRARY DISTRICTCRIDER HEALTH CENTERYOUTH IN NEEDMID-EAST AREA ON AGINGVOLUNTEERS IN MEDICINECOMMUNITY COUNCILRENARULD SPIRIT CENTERUNITED SERVICESFIRST STEPS BACK HOMEST. LOUIS CHARLES COUNTY AMBULANCE DISTRICTALDERWOMAN, CITY OF O'FALLONSTS. JOACHIM & ANN CARE SERVICEVOLUNTEERS IN MEDICINECAVALRY CHURCHCENTRAL COUNTY FIRE & RESCUECRISIS NURSERYST. CHARLES CHAMBER OF COMMERCEST. CHARLES COUNTY DRUG TASK FORCEST. CHARLES COUNTY DEPARTMENT OF HEALTH
      BOONE HOSPITAL CENTER
      PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), BOONE HOSPITAL CENTER (HOSPITAL) FORMED AN INTERNAL WORKGROUP OF CLINICAL AND NON-CLINICAL STAFF WITH KNOWLEDGE OF THE COMMUNITY AND PATIENTS TO REVIEW THE FOCUS GROUP RESULTS AND THE SECONDARY DATA IN ORDER TO PROVIDE INPUT INTO THE PRIORITY NEEDS OF THE COUNTY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY WHICH WAS IDENTIFIED AS BOONE COUNTY. THE POPULATION OF THIS COMMUNITY IS 80% WHITE; 10% AFRICAN AMERICAN; 5% ASIAN; AND 3% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 52% FEMALE AND 48% MALE AND FOREIGN BORN PERSONS COMPRISE 6% OF THIS COMMUNITY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN BOONE COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:COLUMBIA-BOONE COUNTY DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES (DHHS)FAMILY HEALTH CENTERCOLUMBIA HOUSING AUTHORITYFORMER BHC TRUSTEECENTRAL MO COMMUNITY ACTION
      ALTON MEMORIAL HOSPITAL
      PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), ALTON MEMORIAL HOSPITAL (HOSPITAL) CONDUCTED A FOCUS GROUP TO SOLICIT FEEDBACK FROM COMMUNITY STAKEHOLDERS, PUBLIC HEALTH EXPERTS AND THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN MADISON COUNTY. THE POPULATION OF THIS COMMUNITY IS 85% WHITE; 10% AFRICAN AMERICAN; AND 3% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 51% FEMALE AND 49% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 3% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN MADISON COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. THE PURPOSE OF THE FOCUS GROUPS WAS TO GAIN INPUT FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITALS, AS WELL AS THOSE FROM MADISON COUNTY HEALTH DEPARTMENT WITH SPECIAL KNOWLEDGE AND EXPERTISE IN THE AREA OF PUBLIC HEALTH.AN INTERNAL COMMUNITY BENEFIT COMMITTEE WAS FORMED AT AMH MADE UP OF COMMUNITY OUTREACH HEALTH PERSONNEL, NURSES, CHAPLAIN, PHYSICIANS AND OTHER SPECIALTY CLINICIANS. THE GROUP REVIEWED THE EXTERNAL FOCUS GROUP RESULTS AND THE SECONDARY DATA BASED ON THE FOCUS GROUP RESULTS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN MADISON COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SALVATION ARMYALTON DEPARTMENT OF HOUSINGNOWUPPER ALTON BAPTIST CHURCHSOUTHERN ILLINOIS HEALTHCARE FOUNDATIONSIERRA CLUBROXANA CHURCH OF THE NAZARENEALTON FIRE DEPARTMENTRIVERBEND FAMILY MINISTRIESOASIS WOMEN'S CENTERST. AMBROSE CHURCH AND SCHOOLEAST ALTON UNITED METHODIST CHURCHALTON FIRE DEPARTMENTNAUTILAUSALTON GIRLS AND BOYS CLUBSIERRA CLUBMADISON COUNTY HEALTH DEPARTMENTGIFT OF VOICE.COMALTON MISSION CHURCH/RIVERBEND MINISTERIAL ALLIANCELEWIS AND CLARK FAMILY HEALTH CLINICILLINOIS DEPARTMENT OF MENTAL HEALTH
      BARNES-JEWISH WEST COUNTY HOSPITAL
      PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), BARNES-JEWISH WEST COUNTY HOSPITAL (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL WHICH IS DEFINED AS WEST ST. LOUIS COUNTY AREA. THE POPULATION OF THIS COMMUNITY IS 67% WHITE; 24% AFRICAN AMERICAN; 4%% ASIAN 3ND 3% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 51% FEMALE AND 47% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 7% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN WEST ST. LOUIS COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN HEART ASSOCIATIONST. LOUIS SUBURBAN SCHOOL NURSESMISSOURI HOUSE OF REPRESENTATIVESCATHOLIC FAMILY SERVICESNATIONAL COUNCIL ON ALCOHOLISM & DRUG ABUSEMANCHESTER UNITED METHODIST CHURCHSOUTH COUNTY HEALTH CENTERALIVELEMAY FIRE PROTECTION DISTRICTOFFICE OF THE COUNTY EXECUTIVEST. LOUIS CRISIS NURSERYBEHAVIORAL HEALTH NETWORKMID-EAST AREA ON AGINGST. LOUIS COUNTY DOHHOPE LODGEREGIONAL HEALTH COMMISSIONUNITED WAYPEOPLE'S HEALTH CENTERSFEED MY PEOPLECRISIS NURSERYAMERICAN CANCER SOCIETYJEWISH COMMUNITY CENTER
      BARNES-JEWISH ST PETERS HOSPITAL, INC
      PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), BARNES-JEWISH ST. PETERS HOSPITAL (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. THE POPULATION OF THIS COMMUNITY IS 88% WHITE; 5% AFRICAN AMERICAN; 3% HISPANIC OR LATINO AND 2% ASIAN. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 51% FEMALE AND 49% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 4% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. CHARLES COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. CHARLES COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:WOMAN'S PLACE (STS. JOACHIM & ANN) CITY OF O'FALLONECONOMIC DEVELOPMENT CENTERFORT ZUMWALT SCHOOL DISTRICT UNITED WAY OF GREATER ST. LOUIS ST. CHARLES CITY-COUNTY LIBRARY DISTRICTCRIDER HEALTH CENTER YOUTH IN NEEDMID-EAST AREA ON AGINGVOLUNTEERS IN MEDICINECOMMUNITY COUNCIL RENAULD SPIRIT CENTER UNITED SERVICESFIRST STEPS BACK HOMEST. LOUIS CHARLES COUNTY AMBULANCE DISTRICTST. CHARLES COUNTY GOVERNMENT ALDERWOMAN, CITY OF O'FALLONSTS. JOACHIM & ANN CARE SERVICE VOLUNTEERS IN MEDICINELINDENWOOD UNIVERSITYCAVALRY CHURCHCITY OF WENTZVILLECENTRAL COUNTY FIRE & RESCUECRISIS NURSERYST. CHARLES CHAMBER OF COMMERCEWENTZVILLE SCHOOL DISTRICTST. CHARLES COUNTY DRUG TASK FORCEST. CHARLES COUNTY DEPARTMENT OF HEALTH
      PARKLAND HEALTH CENTER-FARMINGTON
      PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), PARKLAND HEALTH CENTER - BONNE TERRE (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL WHICH WAS IDENTIFIED AS ST. FRANCOIS COUNTY. THE POPULATION OF THIS COMMUNITY IS 92% WHITE; 5% AFRICAN AMERICAN; AND 2% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 53% MALE AND 47% FEMALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 2% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. FRANCOIS COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. FRANCOIS COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:EAST MISSOURI ACTION AGENCYMINERAL AREA COLLEGESOUTHEAST MISSOURI BEHAVIORAL HEALTHMINERAL AREA COLLEGEST. FRANCOIS COUNTY HEALTH DEPARTMENTFARMINGTON CHAMBER OF COMMERCEST. FRANCOIS COUNTY COMMUNITY PARTNERSHIPST. FRANCOIS COUNTY AMBULANCE DISTRICTFARMINGTON OAKS SENIOR CENTER
      BJC/HEALTHSOUTH REHABIL CENTER LLC
      PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), THE BJC/HEALTHSOUTH REHABILITATION CENTER, LLC (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. LOUIS CITY'S CENTRAL WEST END. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN PARKINSON DISEASE ASSOCIATIONABC BRIGADE NATIONAL MULTIPLE SCLEROSIS SOCIETY, GATEWAY CHAPTER BJC HOME CARE SERVICES MO DEPT. OF ELEMENTARY & SECONDARY EDUCATION, DEPT. OF VOCATIONAL REHABILITATION GATEWAY APOTHECARY WUSM OCCUPATIONAL PERFORMANCE LAB PARAQUAD MO DEPT. OF HEALTH & SENIOR SERVICES, ADULT BRAIN INJURY PROGRAM BRAIN INJURY ASSOCIATION OF MISSOURI BJC HOSPICE
      PROGRESS WEST HEALTHCARE CENTER
      PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), PROGRESS WEST HEALTHCARE CENTER (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY DEFINED AS ST. CHARLES COUNTY. THE POPULATION OF THIS COMMUNITY IS 88% WHITE; 5% AFRICAN AMERICAN; 3% HISPANIC OR LATINO AND 2% ASIAN. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 51% FEMALE AND 49% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 4% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. CHARLES COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. CHARLES COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:WOMAN'S PLACE (STS. JOACHIM & ANN) CITY OF O'FALLONECONOMIC DEVELOPMENT CENTERFORT ZUMWALT SCHOOL DISTRICT UNITED WAY OF GREATER ST. LOUIS ST. CHARLES CITY-COUNTY LIBRARY DISTRICTCRIDER HEALTH CENTER YOUTH IN NEEDMID-EAST AREA ON AGINGVOLUNTEERS IN MEDICINECOMMUNITY COUNCIL RENAULD SPIRIT CENTER UNITED SERVICESFIRST STEPS BACK HOMEST. LOUIS CHARLES COUNTY AMBULANCE DISTRICTST. CHARLES COUNTY GOVERNMENT ALDERWOMAN, CITY OF O'FALLONSTS. JOACHIM & ANN CARE SERVICE VOLUNTEERS IN MEDICINELINDENWOOD UNIVERSITYCAVALRY CHURCHCITY OF WENTZVILLECENTRAL COUNTY FIRE & RESCUECRISIS NURSERYST. CHARLES CHAMBER OF COMMERCEWENTZVILLE SCHOOL DISTRICTST. CHARLES COUNTY DRUG TASK FORCEST. CHARLES COUNTY DEPARTMENT OF HEALTH
      MISSOURI BAPTIST HOSPITAL OF SULLIVAN
      PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), MISSOURI BAPTIST HOSPITAL OF SULLIVAN (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL DEFINED AS CRAWFORD COUNTY. THE POPULATION OF THIS COMMUNITY IS 96% WHITE; 2% HISPANIC OR LATINO AND 1% AFRICAN AMERICAN. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 50% FEMALE AND 50% MALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 1% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN CRAWFORD COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN CRAWFORD COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:CUBA SCHOOL DISTRICTN. CRAWFORD COUNTY/AMBULANCE DISTRICTMERAMEC COMMUNITY MISSIONCUBA SCHOOL DISTRICTCITY OF SULLIVANSULLIVAN POLICE DEPARTMENTSULLIVAN SCHOOL DISTRICTPATTONVILLE FIRE DEPARTMENTFRANKLIN COUNTY UNITED WAYCRAWFORD COUNTY SHERRIFF'S DEPARTMENTPARENTS AS TEACHERSSULLIVAN AREA CHAMBERS OF COMMERCESTEELVILLE R-3 SCHOOL DISTRICTSTEELVILLE AMBULANCE DISTRICTPARENTS AS TEACHERSCRAWFORD COUNTY HEALTH DEPARTMENTPARENTS AS TEACHERSBOURBON SCHOOL DISTRICTCUBA SCHOOL DISTRICTCRAWFORD COUNTYSULLIVAN SCHOOL DISTRICT
      PARKLAND HEALTH CENTER-BONNE TERRE
      PART V, SECTION B, LINE 5: IN KEEPING WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), PARKLAND HEALTH CENTER - BONNE TERRE (HOSPITAL) CONDUCTED EXTERNAL FOCUS GROUPS IN ORDER TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THIS BJC HOSPITAL WHICH WAS IDENTIFIED AS ST. FRANCOIS COUNTY. THE POPULATION OF THIS COMMUNITY IS 92% WHITE; 5% AFRICAN AMERICAN; AND 2% HISPANIC OR LATINO. THE GENDER OF THIS COMMUNITY IS APPROXIMATELY 53% MALE AND 47% FEMALE AND FOREIGN BORN PERSONS MAKE UP LESS THAN 2% OF THE POPULATION. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. FRANCOIS COUNTY. THE CHNA PROCESS WAS CONDUCTED IN TWO PHASES. DURING THE INITIAL PHASE, PARTICIPANTS DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2013 AND GAPS IN MEETING COMMUNITY NEEDS. THE SECOND PHASE INCLUDED REVIEW OF FINDINGS FROM THE INITIAL PHASE ON PRIOR CHNA AND IMPLEMENTATION PLAN AND PROVIDED SUGGESTIONS FOR ADDRESSING THE HEALTH NEEDS OF THE HOSPITAL COMMUNITY. INDIVIDUALS ACROSS MULTIPLE SECTORS REPRESENTED THE BROAD INTERESTS OF THE HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN ST. FRANCOIS COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:EAST MISSOURI ACTION AGENCYMINERAL AREA COLLEGESOUTHEAST MISSOURI BEHAVIORAL HEALTHMINERAL AREA COLLEGEST. FRANCOIS COUNTY HEALTH DEPARTMENTFARMINGTON CHAMBER OF COMMERCEST. FRANCOIS COUNTY COMMUNITY PARTNERSHIPST. FRANCOIS COUNTY AMBULANCE DISTRICTFARMINGTON OAKS SENIOR CENTER
      MISSOURI BAPTIST MEDICAL CENTER
      PART V, SECTION B, LINE 6A: BARNES-JEWISH WEST COUNTY HOSPITAL, ST. ANTHONY'S MEDICAL CENTER, ST. LUKE'S HOSPITAL AND MERCY ST. LOUIS.
      CHRISTIAN HOSPITAL NE-NW
      PART V, SECTION B, LINE 6A: SSM DEPAUL HOSPITAL
      PROTESTANT MEMORIAL MEDICAL CENTER INC
      PART V, SECTION B, LINE 6A: ST. ELIZABETH'S HOSPITAL
      ST LOUIS CHILDREN'S HOSPITAL
      PART V, SECTION B, LINE 6A: SSM HEALTH CARDINAL GLENNON CHILDREN'S MEDICAL CENTER
      BARNES-JEWISH WEST COUNTY HOSPITAL
      PART V, SECTION B, LINE 6A: MISSOURI BAPTIST MEDICAL CENTER
      BARNES-JEWISH ST PETERS HOSPITAL, INC
      PART V, SECTION B, LINE 6A: PROGRESS WEST HEALTHCARE CENTER, SSM ST. JOSEPH HEALTH CENTER, SSM ST. JOSEPH WEST
      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 HEATLH CENTER - FARMINGTON
      PROTESTANT MEMORIAL MEDICAL CENTER INC
      PART V, SECTION B, LINE 2: EFFECTIVE JANUARY 1, 2016 BJC HEALTH SYSTEM (BJC) ADDED PROTESTANT MEMORIAL MEDICAL CENTER, INC. (HOSPITAL) TO THE BJC GROUP EXEMPTION (NUMBER 3844) AS A SUBORDINATE MEMBER OF THE GROUP.
      METRO-EAST SERVICES, INC.
      PART V, SECTION B, LINE 2: EFFECTIVE JANUARY 1, 2016 BJC HEALTH SYSTEM (BJC) ADDED METRO-EAST SERVICES, INC. (HOSPITAL) TO THE BJC GROUP EXEMPTION (NUMBER 3844) AS A SUBORDINATE MEMBER OF THE GROUP.
      PARKLAND HEALTH CENTER-WEBER ROAD AS OF JAN 2016
      PART V, SECTION B, LINE 2: PARKLAND HEALTH CENTER - WEBER ROAD (HOSPITAL) WAS PURCHASED AND BEGAN OPERATIONS IN MAY, 2015. HOSPITAL SUBSEQUENTLY CEASED OPERATIONS ON JANUARY 16, 2016 AND NO LONGER OPERATES AS A MISSOURI LICENSED HOSPITAL.
      BARNES-JEWISH HOSPITAL NORTH/SOUTH
      PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE BARNES-JEWISH HOSPITAL (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 DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:ACCESS TO SERVICESHEALTHY LIFESTYLESMENTAL & BEHAVIORAL HEALTH/SUBSTANCE ABUSEPUBLIC SAFETY/VIOLENCEWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO COVERAGEACCESS TO TRANSPORTATIONCANCER RESEARCH AND SUPPORTDIABETES RESEARCH AND SUPPORTHEALTH LITERACYHEART DISEASE AND STROKE RESEARCH AND SUPPORTIMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMSMATERNAL & CHILD HEALTHMENTAL HEALTH & DISORDERSNUTRITIONOBESITY RESEARCH AND PROGRAMSORAL HEALTH RESEARCH AND PROGRAMSPUBLIC SAFETY: FATAL INJURIESREPRODUCTIVE & SEXUAL HEALTH PROGRAMSRESPIRATORY DISEASES RESEARCH AND PROGRAMSSMOKING & TOBACCO EDUCATION
      MISSOURI BAPTIST MEDICAL CENTER
      PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:DIABETES (TYPE 2)HEART AND VASCULAR DISEASEWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO COVERAGEACCESS TO SERVICESBEHAVIORAL/MENTAL HEALTH BEHAVIORAL/ALCOHOL/SUBSTANCE ABUSECANCER (BREAST)CANCER (LUNG)CANCER (COLON)CANCER (SKIN)MATERNAL AND INFANT HEALTH CULTURAL LITERACYHEALTH LITERACYTOBACCO USEVIOLENCESENIOR SERVICES/SUPPORT
      CHRISTIAN HOSPITAL NE-NW
      PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:HEART AND VASCULAR DISEASEACCESS TO CARE AND CARE COORDINATIONDIABETES WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:MENTAL HEALTH INFECTIOUS DISEASEREPRODUCTIVE HEALTH CANCERCHILD WELFARESOCIO-ECONOMIC FACTORSSENIOR HEALTH CAREDENTAL HEALTHASTHMA
      PROTESTANT MEMORIAL MEDICAL CENTER INC
      PART V, SECTION B, LINE 11: THE HOSPITAL WORKS IN CONJUNCTION WITH THE ST. CLAIR COUNTY HEALTHCARE COMMISSION TO ADDRESS THE NEEDS IDENTIFIED IN THE COMMUNITY. TEAMS MEET REGULARLY TO MONITOR OBJECTIVES AND SUB-OBJECTIVES FOR OUTCOME AND IMPACT. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THE HOSPITAL WILL ADDRESS THESE COMMUNITY HEALTH NEEDS IN THE CURRENT TAX YEAR:LUNG CANCER AND COPDDIABETESCARDIOVASCULAR DISEASEALL IDENTIFIED NEEDS OF THE HOSPITAL ARE CURRENTLY BEING ADDRESSED.
      ST LOUIS CHILDREN'S HOSPITAL
      PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:OBESITYDENTAL HEALTHALLERGIES (FOOD)HEALTHY LIFESTYLESRESPIRATORY DISEASE - ASTHMAMATERNAL, CHILD HEALTHMENTAL/BEHAVIORAL HEALTH & MATERNAL, CHILD HEALTHMENTAL/BEHAVIORAL HEALTHACCESS: BLOOD DISEASESPUBLIC SAFETYACCESS: SERVICES & INFECTIOUS DISEASESSEXUALLY TRANSMITTED DISEASES: HEALTH EDUCATION WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:CANCERDIABETES
      BOONE HOSPITAL CENTER
      PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:OBESITYWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREA. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:CANCER (LUNG, SKIN, PROSTATE/COLORECTAL, BREAST)HEALTH LITERACYHEALTHY LIFESTYLESCOORDINATION OF CAREACCESS TO COVERAGEDIABETESHEART & VASCULARCULTURAL LITERACYASTHMA/COPDREPRODUCTIVE AND SEXUAL HEALTHINJURY AND VIOLENCEMENTAL HEALTH/SUBSTANCE ABUSEDENTAL HEALTH CARE
      ALTON MEMORIAL HOSPITAL
      PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:OBESITYDIABETESWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:MENTAL/BEHAVIORAL HEALTH ACCESS TO CARESEXUALLY TRANSMITTED DISEASESDENTAL CAREHOUSING/HOMELESSNESSAIR QUALITYHEART AND VASCULAR HEALTHCANCER (BREAST, LUNG, SKIN, PROSTATE)HEALTH EDUCATION
      BARNES-JEWISH WEST COUNTY HOSPITAL
      PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:CANCER (HEAD AND NECK)BEHAVIORAL/MENTAL HEALTH ALCOHOL AND SUBSTANCE ABUSEWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS: HEALTH INSURANCE COVERAGEACCESS: SERVICES BEHAVIORAL/MENTAL HEALTHSEXUALLY TRANSMITTED DISEASESDENTAL CAREHOUSING/HOMELESSNESSAIR QUALITYHEART AND VASCULAR HEALTHCANCER (BREAST, LUNG, SKIN, PROSTATE)HEALTH EDUCATION
      BARNES-JEWISH ST PETERS HOSPITAL, INC
      PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:LUNG CANCERBREAST CANCEROBESITYWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH & SUBSTANCE ABUSEDENTAL HEALTHPEDIATRIC HEALTHACCESS: COVERAGEACCESS: TRANSPORTATIONASTHMAHEALTH LITERACYCANCER: COLORECTAL
      PARKLAND HEALTH CENTER-FARMINGTON
      PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:DIABETESOBESITYWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH REPRODUCTIVE HEALTHSUBSTANCE ABUSECANCER (BREAST, COLORECTAL, LUNG)SMOKINGHEART HEALTH & VASCULAR DISEASESACCESS: SERVICESSENIOR HEALTHHEALTH LITERACYACCESS: TRANSPORTATION
      BJC/HEALTHSOUTH REHABIL CENTER LLC
      PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE:BRAIN INJURY PREVENTION AND CAREGIVER EDUCATIONSTROKE EDUCATION/PREVENTIONWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO RESOURCES/INADEQUATE INSURANCETRANSPORTATIONEXERCISE/PHYSICAL ACTIVITY
      PROGRESS WEST HEALTHCARE CENTER
      PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:OBESITYADULTS WITH TYPE 2 DIABETESWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH ALCOHOL AND SUBSTANCE ABUSEDENTAL HEALTH PEDIATRIC HEALTH ACCESS: COVERAGEACCESS: TRANSPORTATIONASTHMAHEALTH LITERACYCANCER: COLORECTAL
      MISSOURI BAPTIST HOSPITAL OF SULLIVAN
      PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:MENTAL/BEHAVIORAL HEALTH: SUBSTANCE ABUSEMENTAL/BEHAVIORAL HEALTHHEART & VASCULAR: HEART HEALTHWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:MENTAL/BEHAVIORAL HEALTH: PEDIATRICINFANT/MATERNAL HEALTHDENTAL CAREPEDIATRIC CAREHEALTH LITERACYINFECTIOUS DISEASEHEALTH EDUCATIONPHYSICAL ACTIVITY/OUTREACHACCESS: COVERAGEACCESS: SERVICESACCESS: TRANSPORTATIONCANCER: BREASTCANCER: PROSTATE
      PARKLAND HEALTH CENTER-BONNE TERRE
      PART V, SECTION B, LINE 11: FOLLOWING THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:DIABETESOBESITYWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH REPRODUCTIVE HEALTHSUBSTANCE ABUSECANCER (BREAST, COLORECTAL, LUNG)SMOKINGHEART HEALTH & VASCULAR DISEASESACCESS: SERVICESSENIOR HEALTHHEALTH LITERACYACCESS: TRANSPORTATION
      PARKLAND HEALTH CENTER-WEBER ROAD AS OF JAN 2016
      PART V, SECTION B, LINE 11: PARKLAND HEALTH CENTER - WEBER ROAD (HOSPITAL) CEASED OPERATIONS ON JANUARY 16, 2016 AND NO LONGER OPERATES AS A MISSOURI LICENSED HOSPITAL. THUS, HOSPITAL DID NOT PARTICIPATE IN THE CHNA PROCESS BECAUSE OF ITS CLOSURE WHICH TOOK PLACE EARLY IN THE REPORTING PERIOD.
      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.
      MISSOURI BAPTIST MEDICAL CENTER
      PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
      CHRISTIAN HOSPITAL NE-NW
      PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
      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.
      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.
      ALTON MEMORIAL 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 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.
      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.
      PROGRESS WEST HEALTHCARE CENTER
      PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
      MISSOURI BAPTIST HOSPITAL OF SULLIVAN
      PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
      PARKLAND HEALTH CENTER-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.
      PARKLAND HEALTH CENTER-WEBER ROAD AS OF JAN 2016
      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.
      MISSOURI BAPTIST MEDICAL CENTER
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      CHRISTIAN HOSPITAL NE-NW
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      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.
      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.
      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.
      ALTON MEMORIAL HOSPITAL
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      BARNES-JEWISH WEST COUNTY HOSPITAL
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      BARNES-JEWISH ST PETERS HOSPITAL, INC
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      PARKLAND HEALTH CENTER-FARMINGTON
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      BJC/HEALTHSOUTH REHABIL CENTER LLC
      PART V, SECTION B, LINE 13H: WHEN A PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THIS POLICY BUT HAS SPECIAL CIRCUMSTANCES, OTHER DISCOUNTS MAY BE AVAILABLE THAT ARE NOT PART OF THIS FINANCIAL ASSISTANCE POLICY. IN THESE SITUATIONS, HOSPITAL STAFF WILL REVIEW ALL AVAILABLE INFORMATION (INCLUDING DOCUMENTATION OF INCOME, LIQUID AND ILLIQUID ASSETS, AND OTHER RESOURCES, AMOUNT OF OUTSTANDING MEDICAL BILLS AND OTHER FINANCIAL OBLIGATIONS) AND MAKE A CASE-BY-CASE DETERMINATION OF THE PATIENT'S ELIGIBILITY FOR OTHER POTENTIAL DISCOUNTS.
      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.
      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.
      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.
      PARKLAND HEALTH CENTER-WEBER ROAD AS OF JAN 2016
      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.
      Supplemental Information
      Schedule H (Form 990) Part VI
      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 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 (30% OF ANNUAL FAMILY INCOME FOR UNINSURED ILLINOIS RESIDENTS RECEIVING SERVICES AT PROTESTANT MEMORIAL MEDICAL CENTER, ALTON MEMORIAL HOSPITAL AND METRO EAST SERVICES). 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 PREPARES AN ANNUAL WRITTEN REPORT THAT DESCRIBES PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY BJC HOSPITAL AND HOSPITAL SERVICE ORGANIZATIONS. THE COMMUNITY BENEFIT REPORT (REPORT) FOR BJC PROVIDES VALUABLE INFORMATION ON PROGRAMS AND SERVICES PROVIDED BY THE MEMBER HOSPITALS INCLUDED IN THE BJC HEALTH SYSTEM GROUP RETURN FORM 990. BJC MAKES THE REPORT AVAILABLE TO THE GENERAL PUBLIC VIA ITS WEBSITE AT WWW.BJC.ORG AND VIA A LINK ON ALL BJC HOSPITAL WEBSITES. THE REPORT IS ALSO DISTRIBUTED VIA MAILINGS TO COMMUNITY MEMBERS IN MISSOURI AND ILLINOIS, CIVIC LEADERS AND VARIOUS OTHER INTEREST GROUPS. UPDATES ARE POSTED ON THE BJC WEBSITE AS INFORMATION BECOMES AVAILABLE.
      PART I, LINE 7:
      THE COST OF FINANCIAL ASSISTANCE INCLUDES FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PERSONS WHO MEET THE CRITERIA DESCRIBED IN THE FINANCIAL ASSISTANCE POLICY (SEE SCHEDULE H, PART I, LINE 3 ABOVE). FINANCIAL ASSISTANCE IS DEFINED AS THE COSTS IN EXCESS OF PAYMENTS (UNCOMPENSATED COSTS) ON ACCOUNTS WRITTEN OFF AS FINANCIAL ASSISTANCE IN THE CURRENT YEAR. ONCE A PATIENT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE ENTIRE COST (OR A PORTION OF THE QUALIFYING AMOUNT) OF THE ACCOUNT IS CLASSIFIED AS FINANCIAL ASSISTANCE. BJC UTILIZED A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 TO DETERMINE THE COSTS OF THE FINANCIAL ASSISTANCE ACCOUNTS. ANY PAYMENTS RECEIVED ARE THEN NETTED AGAINST THE COST OF THE ACCOUNT AS DIRECT OFFSETTING REVENUE TO DETERMINE THE UNCOMPENSATED COSTS.CALCULATONS FOR OTHER COMMUNITY BENEFITS REPORTED ON SCHEDULE H, PART I, LINES 7E-7I VARY BY LINE ITEM AND ARE GENERALLY CONSISTENT WITH THE WORKSHEETS PROVIDED IN IRS INSTRUCTIONS. DATA IS GATHERED BY BJC COMMUNITY BENEFITS LIASONS AND ENTERED INTO CBISA SOFTWARE. LINE ITEM DOCUMENTATION OF OTHER COMMUNITY BENEFITS IS SUBJECT TO BJC INTERNAL AUDIT PROCEDURES AND BACK UP FILES ARE RETAINED AT EACH HOSPITAL SITE. ONCE REVIEWED AND APPROVED BY THE COMMUNITY BENEFITS MANAGER, THE AMOUNTS ARE ADDED TO IRS FORM 990, SCHEDULE H. IN ADDITION TO TOTAL FUNCTIONAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25, COLUMN (A), THE ALLOCABLE SHARE OF EXPENSES (LESS THE ALLOCABLE SHARE OF BAD DEBTS) FROM A 50% OWNED JOINT VENTURE HOSPITAL AND OTHER JOINT VENTURES HAVE BEEN ADDED TO THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE CONSIDERED THE NET COMMUNITY BENEFIT EXPENSE AND REPORTED IN PART I, LINE 7, COLUMN (F). TOTAL EXPENSES USED WHEN CALCULATING LINE 7, COL (F) PERCENTAGES = $4,472,050,030 WHICH EXCLUDES THE ALLOCABLE SHARE OF JOINT VENTURE EXPENSES OF $519,563 FOR 2016.
      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 2016, SUBSIDIZED HEALTH SERVICES PROVIDED THROUGH THESE PHYSICIAN PRACTICES GENERATED LOSSES OF $53,184,887 .
      PART III, LINE 4:
      BJC HEALTHCARE (BJC) BAD DEBT EXPENSE IS INCLUDED IN THE NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE FOOTNOTE TO ITS CONSOLIDATED FINANCIAL STATEMENTS WHICH IS FOUND ON PAGE 11 OF THE BJC AUDITED FINANCIAL STATEMENTS ATTACHED HERETO. SEE ALSO FOOTNOTE 3 RELATED TO UNCOMPENSATED CARE ON PAGES 20, 21 AND 22 OF THE AUDITED FINANCIAL STATEMENTS.
      PART VI, LINE 7, REPORTS FILED WITH STATES
      MO,IL
      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 8 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 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. 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 QUALIFY FOR FINANCIAL ASSISTANCE, YET HAVE BEEN UNWILLING TO COMPLETE THE APPLICATION PROCESS. IN THESE CASES, THE AMOUNTS ARE MOVED TO CHARITY CARE AND NOT REFLECTED IN BAD DEBT EXPENSE NOTED ABOVE. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT OF THE REGISTRATION, BILLING OR COLLECTION PROCESSES.
      PART III, LINE 8:
      PATIENT LEVEL DETAIL DATA IS USED TO CALCULATE THE UNCOMPENSATED COST OF BAD DEBT AND FINANCIAL ASSISTANCE. ONCE AN ACCOUNT IS WRITTEN OFF TO BAD DEBT AND/OR FINANCIAL ASSISTANCE, THE ENTIRE COST OF THE ACCOUNT IS CLASSIFIED AS BAD DEBT AND ANY PAYMENTS RECEIVED ARE NETTED AGAINST THE COST OF THE ACCOUNT TO DETERMINE THE UNCOMPENSATED COSTS. UNCOMPENSATED COSTS PATIENT DETAIL CALCULATION: (GROSS CHARGES X COST TO CHARGE RATIO) LESS PAYMENTS RECEIVEDONLY THOSE PATIENT ACCOUNTS WITH UNCOMPENSATED COSTS (THOSE IN EXCESS OF PAYMENTS) ARE INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE ON SCHEDULE H. PATIENT ACCOUNTS WITH PAYMENTS IN EXCESS OF COSTS ARE NOT INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE. THE COST OF BAD DEBT AND FINANCIAL ASSISTANCE ON MEDICARE PATIENT ACCOUNTS IS INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE. MEDICARE SURPLUS (SHORTFALL) IS REPORTED SEPARATELY ON SCHEDULE H, HOWEVER, THE MEDICARE SURPLUS (SHORTFALL) IS REDUCED BY THE COST OF BAD DEBT AND FINANCIAL ASSISTANCE FOR MEDICARE PATIENTS.
      PART III, LINE 9B:
      BJC UNDERSTANDS THAT HEALTH CARE EXPENSES ARE OFTEN UNEXPECTED AND PAYING FOR SUCH SERVICES CAN BE OVERWHELMING. WE ARE COMMITTED TO IDENTIFYING PATIENTS WHO QUALIFY FOR ASSISTANCE AT THE EARLIEST OPPORTUNITY, TO HELPING THEM APPLY FOR PROGRAMS AND OTHER ASSISTANCE AND TO WORKING OUT A FAIR WAY FOR PATIENTS TO PAY THEIR BILLS. BJC HAS ADOPTED A FINANCIAL ASSISTANCE POLICY THAT IS APPLIED UNIFORMLY TO MOST AFFILIATED HOSPITAL OPERATIONS. INTERNAL DUE DILIGENCE PROCEDURES INCLUDE DETERMINING WHETHER THE RESPONSIBLE PARTY IS FINANCIALLY ABLE TO PAY FOR ALL OR A PORTION OF UNPAID BALANCES IN THE PATIENT ACCOUNT, OFFERING REPAYMENT UNDER NO INTEREST TERMS AND CONSIDERATION FOR FINANCIAL ASSISTANCE WHEN THE PATIENT DEMONSTRATES INABILITY TO PAY AMOUNTS DUE. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON INCOME AND FAMILY SIZE UTILIZING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUAL POVERTY GUIDELINES PUBLISHED IN THE FEDERAL REGISTER. BJC UTILIZES A PROCESS WHICH COMBINES DATA, TECHNOLOGY AND ANALYTICAL FUNCTIONALITY TO IDENTIFY PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE AT ANY POINT IN THE BILLING PROCESS. THIS RESULTS IN EARLIER IDENTIFICATION OF PATIENTS MERITING FINANCIAL ASSISTANCE AND RECLASSIFICATION FROM BAD DEBTS.BJC HAS ADOPTED A WRITTEN DEBT COLLECTION POLICY THAT IS APPLIED UNIFORMLY TO ALL AFFILIATE HOSPITAL OPERATIONS. INTERNAL COLLECTION EFFORTS INCLUDE HOSPITAL MAILING OF ROUTINE BILLING STATEMENTS WHICH INCLUDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. COLLECTION PROCEDURES INCLUDE IDENTIFYING INDIVIDUALS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE, OFFERING SUCH INDIVIDUALS THE OPPORTUNITY TO COMPLETE APPLICATIONS FOR FINANCIAL ASSISTANCE AND HELPING THE INDIVIDUALS COMPLETE THE APPLICATION FORMS. ONCE AN INDIVIDUAL OR RESPONSIBLE PARTY IS DEEMED FINANCIALLY UNABLE TO PAY SOME OR ALL OF THE OPEN BALANCE ON A PATIENT ACCOUNT, THE REMAINING BALANCE IS WRITTEN OFF AS UNCOLLECTIBLE.
      PART VI, LINE 2:
      BJC USES RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED AND INCLUDE BUT ARE NOT LIMITED TO REPORTS FROM:- LOCAL AND STATE DEPARTMENTS OF HEALTH- ST. LOUIS REGIONAL HEALTH COMMISSION- MISSOURI FOUNDATION FOR HEALTH- LOCAL GOVERNMENT PLANNING DEPARTMENTS- THE COMMONWEALTH FUND- U.S. CENSUS BUREAU- ECONOMIC IMPACT STUDIES- EAST WEST GATEWAY COUNCIL OF GOVERNMENTS (A RECOGNIZED METROPOLITAN PLANNING ORGANIZATION - MPO) BJC USES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE SERVICES THROUGHOUT THE REGION. IN ADDITION, BJC CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. FOR EXAMPLE, BJC CONTINUES TO OPERATE FULL SERVICE HOSPITAL(S) AT A FINANCIAL LOSS IN CERTAIN GEOGRAPHIES BECAUSE THE IMPACT OF CLOSING THE HOSPITALS WOULD BE DETRIMENTAL TO THE COMMUNITY. BJC ALSO CONTINUES TO PROVIDE CERTAIN CLINICAL SERVICES, INCLUDING TRAUMA AND OBSTETRICS, IN GEOGRAPHIES AT A FINANCIAL LOSS FOR THE SAME REASON.
      PART VI, LINE 3:
      BJC EMPLOYS A VARIETY OF METHODS TO REACH PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING:-BJC AND ALL HOSPITAL WEB SITES POST INFORMATION ABOUT FINANCIAL ASSISTANCE AND PROVIDE INFORMATION ON HOW TO CONTACT A FINANCIAL ASSISTANCE REPRESENTATIVE-BJC HOSPITALS DISPLAY PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE ON POSTERS IN ALL EMERGENCY, ADMITTING, OUTPATIENT AND CLINIC AREAS THAT INCLUDE A PHONE NUMBER TO CALL FOR FINANCIAL ASSISTANCE COUNSELING-BJC HOSPITAL DEPARTMENTS THAT HAVE INITIAL CONTACT WITH INCOMING INPATIENTS AND OUTPATIENTS ARE SUPPLIED WITH BROCHURES ABOUT FINANCIAL ASSISTANCE FOR DISTRIBUTION TO PATIENTS AND FAMILY MEMBERS-ALL BJC HOSPITALS EMPLOY TRAINED FINANCIAL ASSISTANCE COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE SUCH AS APPLICATION FOR FEDERAL AND/OR STATE PROGRAMS; QUALIFICATION FOR FINANCIAL ASSISTANCE; DETERMINATION OF AUTOMATIC DISCOUNTS AND/OR FURTHER REDUCTIONS IN CHARGES; AND SETTING UP LONG-TERM FINANCIAL ARRANGEMENTS.
      PART VI, LINE 4:
      BJC HAS THREE PRIMARY SERVICE AREAS. FIRST AND LARGEST IS THE ST. LOUIS METROPOLITAN STATISTICAL AREA, CONSISTING OF THE FOLLOWING COUNTIES: ST. LOUIS CITY, ST. LOUIS, ST. CHARLES, FRANKLIN, JEFFERSON, WARREN, AND LINCOLN IN MISSOURI, AND MADISON, ST. CLAIR, MONROE, JERSEY AND CLINTON IN ILLINOIS; POPULATION OF BJC'S PRIMARY SERVICE AREA = 3.07M. 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 = 16.9M. BJC HOSPITALS LOCATED WITHIN ALL SERVICE AREAS INCLUDE ALTON MEMORIAL HOSPITAL, BARNES-JEWISH HOSPITAL, ST. LOUIS CHILDREN'S HOSPITAL, PROTESTANT MEMORIAL MEDICAL CENTER (MEMORIAL HOSPITAL BELLEVILLE), BJC/HEALTHSOUTH REHABILITATION CENTER, CHRISTIAN HOSPITAL NE/NW (CHRISTIAN HOSPITAL), MISSOURI BAPTIST MEDICAL CENTER, PROGRESS WEST HEALTHCARE CENTER, BARNES JEWISH ST. PETERS HOSPITAL, INC., MISSOURI BAPTIST HOSPITAL OF SULLIVAN, BARNES-JEWISH WEST COUNTY HOSPITAL, BOONE HOSPITAL CENTER, METRO EAST SERVICES (MEMORIAL HOSPITAL EAST) AND PARKLAND HEALTH CENTER (2 FARMINGTON LOCATIONS AND BONNE TERRE). AGED (65 YEARS AND OVER) POPULATION IN BOTH PRIMARY AND SECONDARY SERVICE AREAS CONTINUE TO GROW AT A STEADY RATE.
      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 $4.8 BILLION, BJC SERVES URBAN, SUBURBAN AND RURAL COMMUNITIES THROUGH 16 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 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 2016, APPROXIMATELY 7,000 PHYSICIANS WERE ACTIVE MEMBERS OF THE MEDICAL STAFFS OF ALL BJC HOSPITALS. OF THE TOTAL PHYSICIANS, 2,200 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 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 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.