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Bjc Health System Group Return

4901 Forest Park Ave 1200
St Louis, MO 63108
EIN: 753052953
Individual Facility Details: Parkland Hlth Ctr - Bonne Terre
7245 Raider Road
Bonne Terre, MO 63628
Bed count3Medicare provider number261315Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Bjc Health System Group ReturnDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
14.15%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • 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$ 5,620,852,980
      Total amount spent on community benefits
      as % of operating expenses
      $ 795,320,923
      14.15 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 123,571,102
        2.20 %
        Medicaid
        as % of operating expenses
        $ 268,673,611
        4.78 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 226,121,661
        4.02 %
        Subsidized health services
        as % of operating expenses
        $ 152,990,271
        2.72 %
        Research
        as % of operating expenses
        $ 0
        0 %
        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.
        $ 19,041,162
        0.34 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 4,923,116
        0.09 %
        Community building*
        as % of operating expenses
        $ 237,313
        0.00 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)14
          Physical improvements and housing1
          Economic development3
          Community support8
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development2
          Other0
          Persons served (optional)260
          Physical improvements and housing0
          Economic development260
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 237,313
          0.00 %
          Physical improvements and housing
          as % of community building expenses
          $ 3,888
          1.64 %
          Economic development
          as % of community building expenses
          $ 10,979
          4.63 %
          Community support
          as % of community building expenses
          $ 213,514
          89.97 %
          Environmental improvements
          as % of community building expenses
          $ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          0 %
          Coalition building
          as % of community building expenses
          $ 0
          0 %
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          0 %
          Workforce development
          as % of community building expenses
          $ 8,932
          3.76 %
          Other
          as % of community building expenses
          $ 0
          0 %
          Direct offsetting revenue$ 875
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 875
          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: 2021

    • 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
        $ 129,601,626
        2.31 %
        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
        $ 64,093,047
        49.45 %
    • 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: 2021

    • 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?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    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 $ 3010363808 including grants of $ 2691715) (Revenue $ 4491407688)
      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 $ 1378518952 including grants of $ 160667) (Revenue $ 986274239)
      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 $123.6 MILLION IN FINANCIAL ASSISTANCE DURING 2021 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 $268.7 MILLION DURING 2021 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 $392.2 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 $64.1 MILLION DURING 2021 IN CARE TO PATIENTS WHO, BASED UPON AN EXTENSIVE ANALYSIS OF ZIP CODE & OTHER INFORMATION, WERE PRESUMED TO HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE BJC POLICY, HAD FINANCIAL INFORMATION BEEN PROVIDED TO THE ORGANIZATION. THESE PATIENTS RECEIVED NEEDED MEDICAL SERVICES AND, IN FACT, RECEIVED THE EQUIVALENT OF FINANCIAL ASSISTANCE BUT WERE NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE.
      4C (Expenses $ 318038543 including grants of $ 836148) (Revenue $ 91916882)
      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 2021, BJC CONTRIBUTED $318 MILLION TOWARDS PROGRAMS THAT PROVIDE TRAINING AND EDUCATION TO 9,744 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.
      4D (Expenses $ 34907576 including grants of $ 158300) (Revenue $ 10943299)
      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 2021, BJC CONTRIBUTED $4.9 MILLION TO COMMUNITY GROUPS FOR COMMUNITY BENEFIT PURPOSES AND EXPENDED $18.6 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: BARNES-JEWISH HOSPITAL (HOSPITAL) CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR BARNES-JEWISH TO COLLABORATE WITH IN ADDRESSING NEEDS. INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OUR POPULATION. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE COUNTY OR CITY HEALTH DEPARTMENTS AND MET AT VARIOUS TIMES TO DISCUSS THE RESULTS OF PRIOR CHNA AND REVIEWED THE CURRENT IMPLEMENTATION PLAN (IP). FOCUS GROUP PARTICIPANTS GAVE COMMENTARY ON THE PRIOR CHNA AND PROVIDED SUGGESTIONS FOR ADDRESSING THE NEEDS OF RESIDENTS IN THE CITY OF ST. LOUIS. THE DATA GATHERING PROCESS WAS CONDUCTED IN TWO PHASES WHICH INCLUDED A DISCUSSION OF 2016 CHNA RESULTS, GAPS IN PRIOR IMPLEMENTATION STRATEGIES AND WAYS TO IMPROVE ACCESS TO COVERAGE USING TECHNOLOGY. HOSPITAL AND SSM ST. LOUIS UNIVERSITY HOSPITAL CONDUCTED A SINGLE FOCUS GROUP WITH PUBLIC HEALTH EXPERTS AND THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF ST. LOUIS CITY RESIDENTS. FIFTEEN OF 18 INVITED INDIVIDUALS REPRESENTING VARIOUS ST. LOUIS CITY ORGANIZATIONS PARTICIPATED IN THE FOCUS GROUP. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: MENTAL HEALTH AND SUBSTANCE ABUSE. THE FOCUS GROUP INCLUDED PARTICIPANTS REPRESENTING:NATIONAL COUNCIL ON ALCOHOL AND DRUG ABUSE (NCADA)COMMUNITY HEALTH IN PARTNERSHIP SERVICES (CHIPS)URBAN LEAGUE OF GREATER ST. LOUISINTEGRATED HEALTH NETWORKINTERNATIONAL INSTITUTEGATEWAY 180GENERATE HEALTHST. LOUIS CITY ALDERWOMAN, WARD 19REGIONAL HEALTH COMMISSIONMENTAL HEALTH AMERICA OF EASTERN MOMISSOURI FOUNDATION FOR HEALTHRISE COMMUNITY DEVELOPMENTST. LOUIS CITY POLICEHABITAT FOR HUMANITYST. LOUIS CITY FIRE DEPT/EMSCASA DE SALUDCITY OF ST. LOUIS HEALTH DEPARTMENT
      ST LOUIS CHILDREN'S HOSPITAL
      PART V, SECTION B, LINE 5: ST. LOUIS CHILDREN'S HOSPITAL (HOSPITAL) CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEEDS FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR THE HOSPITAL TO COLLABORATE WITH IN ADDRESSING NEEDS. A PARENT HEALTH CONCERNS SURVEY WAS ALSO ADMINISTERED TO 1,003 PARENTS LIVING WITHIN THE ST. LOUIS METROPOLITAN REGION. THIS SURVEY IDENTIFIED PRIMARY DATA ON HEALTH NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY A HOSPITAL INTERNAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND PRIORITIES MISSOURI INFORMATION FOR COMMUNITY ASSESSMENTS (MICA) FOR INFANTS, CHILDREN AND ADOLESCENTS, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED 15 HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. FOR ITS 2019 CHNA PLAN, THE HOSPITAL FOCUSED ON: ASTHMA; DENTAL HEALTH; MATERNAL/CHILD HEALTH; HEALTH LITERACY; HEALTHY LIFESTYLES; OBESITY; MENTAL/BEHAVIORAL HEALTH; ALLERGY (FOOD); DIABETES; PUBLIC SAFETY; ACCESS TO HEALTHCARE; BLOOD DISEASES; CANCER; INFECTIOUS DISEASES; AND SEXUALLY TRANSMITTED INFECTIONS. USING THE INPUT RECEIVED FROM COMMUNITY STAKEHOLDERS, ST. LOUIS CHILDREN'S HOSPITAL, SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL AND SHRINERS HOSPITALS ST. LOUIS CONSULTED WITH THEIR INTERNAL WORKGROUPS TO EVALUATE FEEDBACK. THEY CONSIDERED IT WITH OTHER SECONDARY DATA THEY MAY REVIEW, AND DETERMINE WHETHER/HOW THEIR PRIORITIES SHOULD CHANGE. ST. LOUIS CHILDREN'S HOSPITAL COMPLETED ITS ASSESSMENT BY DECEMBER 31, 2019. FOURTEEN OF 15 INVITED INDIVIDUALS REPRESENTING VARIOUS ST. LOUIS CITY ORGANIZATIONS PARTICIPATED IN THE FOCUS GROUP. THE FOCUS GROUP INCLUDED PARTICIPANTS REPRESENTING:GENERATE HEALTHAFFINIA HEALTHCAREMO STATE REPRESENTATIVESMO DEPARTMENT OF HEALTH & SENIOR SERVICESCENTRAL REFORM CONGREGATIONPEOPLE'S HEALTH CENTERSVISION FOR CHILDREN AT RISKCITY OF ST. LOUIS DEPARTMENT OF HEALTH ASTHMA AND ALLERGY FOUNDATIONNURSES FOR NEWBORNSVOICES FOR CHILDRENCASA DE SALUDST. LOUIS POLICE DEPARTMENTABBOTT EMS
      MISSOURI BAPTIST MEDICAL CENTER
      PART V, SECTION B, LINE 5: MISSOURI BAPTIST MEDICAL CENTER CHOSE TO COLLABORATE WITH BARNES-JEWISH WEST COUNTY HOSPITAL, MERCY HOSPITAL ST. LOUIS, MERCY HOSPITAL SOUTH (FORMERLY ST. ANTHONY'S MEDICAL CENTER), ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES TO COMPLETE A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THE FOCUS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR THE HOSPITALS TO COLLABORATE WITH IN ADDRESSING NEEDS. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN HEART ASSOCIATIONINTEGRATED HEALTH NETWORKINTERNATIONAL INSTITUTE OF ST. LOUISNATIONAL COUNCIL ON ALCOHOL AND DRUG ABUSE (NCADA)GATEWAY REGION YMCAST. LOUIS COUNSELINGBETTY JEAN KERR PEOPLE HEALTH CENTER/HOPEWELL COMMUNITY MENTAL HEALTHAMERICAN DIABETES ASSOCIATIONAMERICAN CANCER SOCIETYALIVEST. LOUIS SUBURBAN SCHOOL NURSES ASSOCIATIONBEHAVIORAL HEALTH NETWORKST. LOUIS PUBLIC HEALTH DEPARTMENT KIRKWOOD FIRE DEPARTMENTLIUNACITY OF OLIVETTEJEWISH FEDERATION OF ST. LOUISUNITED WAY 211
      PROTESTANT MEMORIAL MEDICAL CENTER, INC.
      PART V, SECTION B, LINE 5: PROTESTANT MEMORIAL MEDICAL CENTER DBA MEMORIAL HOSPITAL (HOSPITAL), METRO-EAST SERVICES DBA MEMORIAL HOSPITAL EAST AND HSHS ST. ELIZABETH'S HOSPITAL CONDUCTED STAKEHOLDER ASSESSMENT TOGETHER IN 2018. MEMORIAL HOSPITAL BELLEVILLE AND MEMORIAL HOSPITAL EAST BECAME MEMBERS OF BJC HEALTHCARE IN 2016 AND DECIDED TO UPDATE THEIR CHNAS IN 2019 TO BRING THEM ON THE SAME TIMELINE AS OTHER BJC HOSPITALS. EFFECTIVE JANUARY 1, 2021, MEMORIAL HOSPITAL EAST MERGED WITH MEMORIAL HOSPITAL BELLEVILLE. PRIOR TO THE MERGER, BOTH HOSPITALS CONDUCTED AN ONLINE SURVEY OF COMMUNITY STAKEHOLDERS TO SOLICIT THEIR INPUT ABOUT CREATION OF THE 2019 CHNA AND THE PROPOSED IMPLEMENTATION STRATEGY THEN WORKED TOGETHER TO COMPLETE THE SECOND PHASE OF THE CHNA PROCESS. THE HOSPITALS ASSEMBLED AN INTERNAL WORKGROUP OF CLINICAL AND NONCLINICAL STAFF AND ONE BOARD MEMBER. THIS GROUP REVIEWED FOCUS GROUP RESULTS AS WELL AS FINDINGS FROM A SECONDARY DATA ANALYSIS TO FURTHER ASSESS IDENTIFIED NEEDS. AFTER COMPLETION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL WILL FOCUS ON: SUBSTANCE ABUSE; NUTRITION EDUCATION; AND HEART & VASCULAR HEART.INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. THIRTEEN OF 37 INVITED PARTICIPANTS REPRESENTING VARIOUS ST. CLAIR COUNTY ORGANIZATIONS PARTICIPATED IN THE FOCUS GROUP. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OUR POPULATION. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE COUNTY OR CITY HEALTH DEPARTMENTS AND MET AT VARIOUS TIMES TO DISCUSS THE RESULTS OF PRIOR CHNA AND REVIEWED THE CURRENT IMPLEMENTATION PLAN (IP). FOCUS GROUP PARTICIPANTS GAVE COMMENTARY ON THE PRIOR CHNA AND PROVIDED SUGGESTIONS FOR ADDRESSING THE NEEDS OF RESIDENTS IN ST. CLAIR COUNTY. THE DATA GATHERING PROCESS WAS CONDUCTED IN TWO PHASES WHICH INCLUDED A DISCUSSION OF 2018 CHNA RESULTS, GAPS IN PRIOR IMPLEMENTATION STRATEGIES AND WAYS TO IMPROVE ACCESS TO COVERAGE USING TECHNOLOGY. THE FOCUS GROUP INVITED PARTICIPANTS REPRESENTING:EASTSIDE ALIGNEDPROGRAMS AND SERVICES FOR OLDER PEOPLEYMCACITY OF O'FALLONCITY OF BELLEVILLEINTERFAITH FOOD PANTRYST. CLAIR COUNTY HEALTH DEPARTMENTESTL ST. VINCENT DE PAUL SOCIETYO'FALLON CHAMBER OF COMMERCEST. CLAIR COUNTYMCKENDREE UNIVERSITYABBOT EMSTOUCHETTE REGIONAL HOSPITALAGE SMARTST. CLAIR COUNTY AGENCY ON AGINGBELLEVILLE CHAMBER OF COMMERCEKARLA SMITH FOUNDATIONSCOTT AIR FORCE BASEBEACON MINISTRIESHEALTHIER TOGETHERSIU SCHOOL OF NURSINGEASTSIDE ALIGNED PROGRAMS AND SERVICES FOR OLDER PEOPLE (PSOP)SCHOOL DISTRICT 175PRESBYTERIAN MINSTERAMERICAN CANCER SOCIETYST. CLAIR COUNTY 708 MENTAL HEALTH BOARDSOUTHERN IL HEALTH FOUNDATIONSOUTHWEST ILLINOIS COLLEGEFIRST BAPTIST CHURCH, O'FALLON ILMEDSTAR HEALTH EAST SIDE HEALTH DISTRICTHOSPICE OF SOUTHERN ILLINOISREGIONAL SUPERINTENDENT OF SCHOOLSVILLAGE OF SHILOHINDEPENDENT CHURCHST. HENRY'S CATHOLIC CHURCH
      CHRISTIAN HOSPITAL NE-NW
      PART V, SECTION B, LINE 5: CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST (HOSPITAL) AND SSM HEALTH DEPAUL HOSPITAL AGREED TO WORK TOGETHER TO COMPLETE THE 2016 AND 2019 COMMUNITY HEALTH NEEDS ASSESSMENTS. FIRST, A FOCUS GROUP DISCUSSION WAS HELD WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THE GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR THE HOSPITALS TO COLLABORATE WITH IN ADDRESSING NEEDS. THIS GROUP THEN REVIEWED GAPS IN MEETING NEEDS AND IDENTIFIED OTHER COMMUNITY ORGANIZATIONS TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, THIS GROUP IDENTIFIED INTERNAL WORK GROUP AT HOSPITAL WHICH FURTHER IDENTIFIED HEALTH DISPARITIES AND TRENDS EVIDENT IN NORTH ST. LOUIS COUNTY. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH OTHER COMMUNITY STAKEHOLDERS. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN NORTH ST. LOUIS COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AFRICAN DIASPORA COUNCILNATIONAL COUNCIL ON ALCOHOL AND DRUG ABUSE (NCADA)HAZELWOOD SCHOOL DISTRICTINTEGRATED HEALTH NETWORKST. LOUIS COUNTY DEPARTMENT OF HEALTHPATTONVILLE FIRE PROTECTION DISTRICTCRISIS NURSERYST. LOUIS UNIVERSITY EDUCATION AND PUBLIC SERVICESST. LOUIS COUNTY POLICE DEPARTMENTRITENOUR SCHOOL DISTRICTSALVATION ARMYBEHAVIORAL HEALTH NETWORKFERGUSON CITY COUNCILMAN (FORMER)GREATER NORTH COUNTY CHAMBER OF COMMERCETHIRD PRESBYTERIAN CHURCHNORTH COUNTY CHURCHES UNITINGUNIVERSITY OF MISSOURI ST. LOUIS PUBLIC POLICY RESEARCH CENTERPEOPLE'S HEALTH CENTERSCRISIS NURSERY
      BARNES-JEWISH WEST COUNTY HOSPITAL
      PART V, SECTION B, LINE 5: BARNES-JEWISH WEST COUNTY HOSPITAL (HOSPITAL) COLLABORATED WITH MISSOURI BAPTIST MEDICAL CENTER, MERCY HOSPITAL ST. LOUIS, MERCY HOSPITAL SOUTH (FORMERLY ST. ANTHONY'S MEDICAL CENTER), ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES TO COMPLETE A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. MANY OF THESE HOSPITALS HAVE BEEN WORKING TOGETHER SINCE THE INITIAL STAKEHOLDER ASSESSMENT CONDUCTED IN 2013, FOLLOWED BY A SECOND IN 2016. HOSPITAL THEN ASSEMBLED AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL STAFF. THIS GROUP REVIEWED FOCUS GROUP RESULTS AS WELL AS FINDINGS FROM A SECONDARY DATA ANALYSIS TO FURTHER ASSESS IDENTIFIED NEEDS. THIS ANALYSIS USED DATA FROM MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE AND TRUVEN HEALTH ANALYTICS. THE ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. LOUIS COUNTY WHEN COMPARED AGAINST STATE AND U.S. DATA. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED ONE HEALTH NEED WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: DIABETES. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:AMERICAN HEART ASSOCIATIONINTEGRATED HEALTH NETWORKINTERNATIONAL INSTITUTE OF ST. LOUISST. LOUIS SUBURBAN SCHOOL NURSES ASSNNATIONAL COUNCIL ON ALCOHOLISM & DRUG ABUSEBETTY JEAN KERR PEOPLE HEALTH CENTER/HOPEWELL COMMUNITY MENTAL HEALTHALIVEBEHAVIORAL HEALTH NETWORKST. LOUIS COUNTY DEPARTMENT OF HEALTHUNITED WAY 211JEWISH FEDERATION OF ST. LOUISAMERICAN CANCER SOCIETYAMERICAN DIABETES ASSOCIATIONKIRKWOOD FIRE DEPARTMENTLIUNACITY OF OLIVETTEGATEWAY REGION YMCAST. LOUIS COUNSELING
      ALTON MEMORIAL HOSPITAL
      PART V, SECTION B, LINE 5: AMH CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR AMH TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY A HOSPITAL INTERNAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND THE CDC CANCER PROFILE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN MADISON COUNTY WHEN COMPARED AGAINST DATA FOR THE STATE AND COUNTRY. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, AMH IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: OBESITY AND DIABETES. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:ALTON DEPARTMENT OF HOUSINGALTON SCHOOL DISTRICTMADISON COUNTY DEVELOPMENT OFFICETHRIVEALTON POLICE DEPARTMENTOASIS WOMEN'S CENTERCALVARY BAPTIST CHURCHSOUTHERN ILLINOIS HEALTHCARE FOUNDATIONALTON BOYS AND GIRLS CLUBUNITED WAYMADISON COUNTY HEALTH DEPARTMENT
      BARNES-JEWISH ST PETERS HOSPITAL, INC.
      PART V, SECTION B, LINE 5: BARNES-JEWISH ST. PETERS HOSPITAL (HOSPITAL), PROGRESS WEST HOSPITAL AND THE SSM HEALTH ST. JOSEPH HOSPITALS IN ST. CHARLES, LAKE ST. LOUIS AND WENTZVILLE FIRST PARTNERED TO CONDUCT A STAKEHOLDER ASSESSMENT IN 2016 AND AGREED TO WORK TOGETHER AGAIN. HOSPITAL CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR HOSPITAL TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL HOSPITAL STAFF. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)/STATE CANCER PROFILES, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. CHARLES COUNTY WHEN COMPARED AGAINST DATA FOR THE STATE AND COUNTRY. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL WILL FOCUS ITS EFFORTS ON TWO HEALTH NEEDS TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: OBESITY AND DIABETES MANAGEMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:FORT ZUMWALT SCHOOL DISTRICT UNITED WAY OF GREATER ST. LOUIS ST. CHARLES CITY-COUNTY LIBRARY DISTRICTCRIDER HEALTH CENTER YOUTH IN NEEDMID-EAST AREA ON AGINGCRUSHST. CHARLES COUNTY AMBULANCE DISTRICT (SCCAD)VOLUNTEERS IN MEDICINECOMMUNITY COUNCIL UNITED SERVICESFELLOWSHIP OF CHRISTIAN ATHLETESSTS. JOACHIM & ANN CARE SERVICE LINDENWOOD UNIVERSITYCAVALRY CHURCHORCHARD FARM SCHOOL DISTRICTCRISIS NURSERYST. CHARLES CHAMBER OF COMMERCEST. CHARLES SCHOOL DISTRICTFRANCIS HOWELL SCHOOL DISTRICTFORT ZUMWALT SCHOOL DISTRICTST. CHARLES COUNTY DEPARTMENT OF HEALTH
      PROGRESS WEST HEALTHCARE CENTER
      PART V, SECTION B, LINE 5: PROGRESS WEST HEALTHCARE CENTER (HOSPITAL), BARNES-JEWISH ST. PETERS HOSPITAL AND THE SSM HEALTH ST. JOSEPH HOSPITALS IN ST. CHARLES, LAKE ST. LOUIS AND WENTZVILLE FIRST PARTNERED TO CONDUCT A STAKEHOLDER ASSESSMENT IN 2015 AND AGREED TO WORK TOGETHER AGAIN. HOSPITAL CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR HOSPITAL TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL HOSPITAL STAFF. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)/STATE CANCER PROFILES, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. CHARLES COUNTY WHEN COMPARED AGAINST DATA FOR THE STATE AND COUNTRY. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL WILL CONTINUE TO ADDRESS THE TWO HEALTH NEEDS FROM ITS 2016 PLAN WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: OBESITY AND DIABETES MANAGEMENT. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:FORT ZUMWALT SCHOOL DISTRICT UNITED WAY OF GREATER ST. LOUIS ST. CHARLES CITY-COUNTY LIBRARY DISTRICTCRIDER HEALTH CENTER YOUTH IN NEEDMID-EAST AREA ON AGINGCRUSHST. CHARLES COUNTY AMBULANCE DISTRICT (SCCAD)VOLUNTEERS IN MEDICINECOMMUNITY COUNCIL UNITED SERVICESFELLOWSHIP OF CHRISTIAN ATHLETESSTS. JOACHIM & ANN CARE SERVICE LINDENWOOD UNIVERSITYCAVALRY CHURCHORCHARD FARM SCHOOL DISTRICTST. CHARLES SCHOOL DISTRICTFRANCIS HOWELL SCHOOL DISTRICTFORT ZUMWALT SCHOOL DISTRICTST. CHARLES COUNTY DEPARTMENT OF HEALTHWENTZVILLE SCHOOL DISTRICT
      PARKLAND HEALTH CENTER-FARMINGTON
      PART V, SECTION B, LINE 5: PARKLAND HEALTH CENTER OF FARMINGTON AND BONNE TERRE (HOSPITAL) CONDUCTED ITS 2019 ASSESSMENT IN COLLABORATION WITH THE ST. FRANCOIS COUNTY HEALTH DEPARTMENT. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR THE HOSPITAL AND HEALTH DEPARTMENT TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY A WORK GROUP OF CLINICAL AND NONCLINICAL STAFF FROM THE HOSPITAL AND THE HEALTH DEPARTMENT. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND TRUVEN HEALTH ANALYTICS, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. FRANCOIS COUNTY WHEN COMPARED AGAINST DATA FOR THE STATE AND COUNTRY. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE HOSPITAL AND HEALTH DEPARTMENT IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: SUBSTANCE ABUSE (OPIOID) AND DIABETES. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SOUTHEAST MISSOURI BEHAVIORAL HEALTHST. FRANCOIS COUNTY HEALTH DEPARTMENTPARKLAND PREGNANCY RESOURCE CENTERFARMINGTON SCHOOL DISTRICTST. FRANCOIS COUNTY COMMUNITY PARTNERSHIPST. FRANCOIS COUNTY AMBULANCE DISTRICTUNITED WAY OF ST. FRANCOIS COUNTYFARMINGTON SENIOR CENTER
      MISSOURI BAPTIST HOSPITAL OF SULLIVAN
      PART V, SECTION B, LINE 5: MISSOURI BAPTIST SULLIVAN HOSPITAL (HOSPITAL) CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR HOSPITAL TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY A HOSPITAL INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE AND TRUVEN HEALTH ANALYTICS, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN CRAWFORD COUNTY WHEN COMPARED AGAINST DATA FOR THE STATE AND COUNTRY. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: HEART & VASCULAR/HEART HEALTH AND MENTAL HEALTH/SUBSTANCE ABUSE. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:MERAMEC COMMUNITY MISSIONSULLIVAN SCHOOL DISTRICTDSFC/ABILITYDEVELOPMENTAL SERVICES OF FRANKLIN COUNTYSULLIVAN AREA CHAMBERS OF COMMERCECRAWFORD COUNTY R-1 AND R-2 SCHOOL DISTRICTSSTEELVILLE AMBULANCE DISTRICTCRAWFORD COUNTY HEALTH DEPARTMENTSULLIVAN SCHOOL DISTRICT
      PARKLAND HEALTH CENTER-BONNE TERRE
      PART V, SECTION B, LINE 5: PARKLAND HEALTH CENTER OF FARMINGTON AND BONNE TERRE (HOSPITAL) CONDUCTED ITS 2019 ASSESSMENT IN COLLABORATION WITH THE ST. FRANCOIS COUNTY HEALTH DEPARTMENT. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR THE HOSPITAL AND HEALTH DEPARTMENT TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY A WORK GROUP OF CLINICAL AND NONCLINICAL STAFF FROM THE HOSPITAL AND THE HEALTH DEPARTMENT. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND TRUVEN HEALTH ANALYTICS, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. FRANCOIS COUNTY WHEN COMPARED AGAINST DATA FOR THE STATE AND COUNTRY. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE HOSPITAL AND HEALTH DEPARTMENT IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: SUBSTANCE ABUSE (OPIOID) AND DIABETES. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:SOUTHEAST MISSOURI BEHAVIORAL HEALTHST. FRANCOIS COUNTY HEALTH DEPARTMENTPARKLAND PREGNANCY RESOURCE CENTERFARMINGTON SCHOOL DISTRICTST. FRANCOIS COUNTY COMMUNITY PARTNERSHIPST. FRANCOIS COUNTY AMBULANCE DISTRICTUNITED WAY OF ST. FRANCOIS COUNTYFARMINGTON SENIOR CENTER
      REHABILITATION INST OF ST. LOUIS (THE)
      PART V, SECTION B, LINE 5: THE REHABILITATION INSTITUTE OF ST. LOUIS, LLC (TRISL) CONDUCTED ITS 2019 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITIES. THIS GROUP REVIEWED THE PRIMARY DATA AND COMMUNITY HEALTH NEED FINDINGS FROM 2016 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE 2016. ADDITIONALLY, THE FOCUS GROUP REVIEWED GAPS IN MEETING NEEDS, AS WELL AS IDENTIFIED POTENTIAL COMMUNITY ORGANIZATIONS FOR TRISL TO COLLABORATE WITH IN ADDRESSING NEEDS. DURING PHASE TWO, FINDINGS FROM THE FOCUS GROUP MEETING WERE REVIEWED AND ANALYZED BY AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL HOSPITAL STAFF. USING MULTIPLE SOURCES, INCLUDING HEALTHY COMMUNITIES INSTITUTE AND MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS DATA ANALYSIS IDENTIFIED SOME UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. LOUIS CITY, ST. LOUIS COUNTY AND ST. CHARLES COUNTY WHEN COMPARED AGAINST DATA FROM THE STATE. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, TRISL WILL FOCUS ITS EFFORTS ON TWO HEALTH NEEDS TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: STROKE EDUCATION AND PREVENTION AND BRAIN INJURY EDUCATION AND PREVENTION. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:ABC BRIGADE NATIONAL MULTIPLE SCLEROSIS SOCIETY, GATEWAY CHAPTER MEDXCHANGEGATEWAY APOTHECARY WUSM OCCUPATIONAL PERFORMANCE LAB PARAQUAD MENTAL HEALTH SERVICESST. CHARLES COUNTY DEPARTMENT OF PUBLIC HEALTH
      BARNES-JEWISH HOSPITAL NORTH/SOUTH
      PART V, SECTION B, LINE 6A: SSM ST. LOUIS UNIVERSITY HOSPITAL
      ST LOUIS CHILDREN'S HOSPITAL
      PART V, SECTION B, LINE 6A: SSM CARDINAL GLENNON CHILDREN'S HOSPITALSHRINERS HOSPITALS
      MISSOURI BAPTIST MEDICAL CENTER
      PART V, SECTION B, LINE 6A: BARNES-JEWISH WEST COUNTY HOSPITAL, MERCY HOSPITAL ST. LOUIS, MERCY HOSPITAL SOUTH, ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES.
      PROTESTANT MEMORIAL MEDICAL CENTER, INC.
      PART V, SECTION B, LINE 6A: PROTESTANT MEMORIAL MEDICAL CENTER, INC. CONDUCTED ITS CHNA WITH METRO-EAST SERVICES, INC. EFFECTIVE JANUARY 1, 2021, METRO-EAST SERVICES, INC. MERGED WITH PROTESTANT MEMORIAL MEDICAL CENTER, INC.
      BARNES-JEWISH WEST COUNTY HOSPITAL
      PART V, SECTION B, LINE 6A: MISSOURI BAPTIST MEDICAL CENTERMERCY HOSPITAL ST. LOUIS,MERCY HOSPITAL SOUTH ST. LUKE'S HOSPITAL ST. LUKE'S DES PERES
      BARNES-JEWISH ST PETERS HOSPITAL, INC.
      PART V, SECTION B, LINE 6A: PROGRESS WEST HEALTHCARE CENTER DBA PROGRESS WEST HOSPITAL SSM HEALTH ST. JOSEPH HOSPITALS
      PROGRESS WEST HEALTHCARE CENTER
      PART V, SECTION B, LINE 6A: BARNES-JEWISH ST. PETERS HOSPITAL, INC.
      PARKLAND HEALTH CENTER-FARMINGTON
      PART V, SECTION B, LINE 6A: PARKLAND HEALTH CENTER BONNE TERRE
      PARKLAND HEALTH CENTER-BONNE TERRE
      PART V, SECTION B, LINE 6A: PARKLAND HEALTH CENTER FARMINGTON
      PARKLAND HEALTH CENTER-FARMINGTON
      PART V, SECTION B, LINE 6B: ST. FRANCOIS COUNTY HEALTH DEPARTMENT
      PARKLAND HEALTH CENTER-BONNE TERRE
      PART V, SECTION B, LINE 6B: ST. FRANCOIS COUNTY HEALTH DEPARTMENT
      BARNES-JEWISH HOSPITAL NORTH/SOUTH
      PART V, SECTION B, LINE 7D: SEE BARNESJEWISH.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
      ST LOUIS CHILDREN'S HOSPITAL
      PART V, SECTION B, LINE 7D: SEE STLOUISCHILDRENS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
      MISSOURI BAPTIST MEDICAL CENTER
      PART V, SECTION B, LINE 7D: SEE WWW.MISSOURIBAPTIST.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
      PROTESTANT MEMORIAL MEDICAL CENTER, INC.
      PART V, SECTION B, LINE 7D: SEE WWW.MEMHOSP.COM/COMMUNITY-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
      CHRISTIAN HOSPITAL NE-NW
      PART V, SECTION B, LINE 7D: SEE WWW.CHRISTIANHOSPITAL.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
      BARNES-JEWISH WEST COUNTY HOSPITAL
      PART V, SECTION B, LINE 7D: SEE WWW.BARNESJEWISHWESTCOUNTY.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
      ALTON MEMORIAL HOSPITAL
      PART V, SECTION B, LINE 7D: SEE WWW.ALTONMEMORIALHOSPITAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
      BARNES-JEWISH ST PETERS HOSPITAL, INC.
      PART V, SECTION B, LINE 7D: SEE WWW.BJSPH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
      PROGRESS WEST HEALTHCARE CENTER
      PART V, SECTION B, LINE 7D: SEE WWW.PROGRESSWEST.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
      PARKLAND HEALTH CENTER-FARMINGTON
      PART V, SECTION B, LINE 7D: SEE WWW.PARKLANDHEALTHCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
      MISSOURI BAPTIST HOSPITAL OF SULLIVAN
      PART V, SECTION B, LINE 7D: SEE WWW.MISSOURIBAPTISTSULLIVAN.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CHNA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
      PARKLAND HEALTH CENTER-BONNE TERRE
      PART V, SECTION B, LINE 7D: SEE WWW.PARKLANDHEALTHCENTER.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
      REHABILITATION INST OF ST. LOUIS (THE)
      PART V, SECTION B, LINE 7D: SEE ENCOMPASSHEALTH.COM/-/MEDIA/HEALTHSOUTH/PROJECT/HEALTHSOUTH/LOCATIONS/REHABINSTITUTESTL-03015900/2019_TRISL_CHNA_IMPLEMENTATION_STRATEGY_FINAL.PDF?LA=EN&HASH=BB7E2062F4203753A6E152242CCC3267ED73AEF3 FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
      BARNES-JEWISH HOSPITAL NORTH/SOUTH
      PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, BARNES-JEWISH HOSPITAL (HOSPITAL) IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: 1) MENTAL HEALTH AND 2)SUBSTANCE ABUSE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO COVERAGEACCESS END STAGE RENAL DISEASE ACCESS SERVICES/CARE COORDINATION ACCESS TO TRANSPORTATIONCANCER RESEARCH AND SUPPORTDENTAL CAREDIABETES RESEARCH AND SUPPORTHEALTH LITERACYHEALTHY LIFESTYLESHEART DISEASE AND STROKE RESEARCH AND SUPPORTIMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMSMATERNAL & CHILD HEALTHPUBLIC SAFETY: FATAL INJURIESREPRODUCTIVE & SEXUAL HEALTH PROGRAMSRESPIRATORY DISEASES RESEARCH AND PROGRAMSSMOKING & TOBACCO EDUCATIONVIOLENCE
      ST LOUIS CHILDREN'S HOSPITAL
      PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE HOSPITAL ASSEMBLED AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL STAFF. THIS GROUP REVIEWED FOCUS GROUP RESULTS AS WELL AS FINDINGS FROM A SECONDARY DATA ANALYSIS TO FURTHER ASSESS IDENTIFIED NEEDS. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. LOUIS CITY WHEN COMPARED AGAINST STATE AND U.S. DATA. THE WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED BY SETTING GOALS AND MEASURING THE RESULTS OF HOSPITAL EFFORTS. GOALS WERE SET AND OBJECTIVES WERE DRAFTED WITH ACTION PLANS PUT INTO PLACE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THE FOLLOWING NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:ASTHMADENTAL HEALTHMATERNAL/CHILD HEALTHHEALTH LITERACYHEALTHY LIFESTYLESOBESITYMENTAL/BEHAVIORAL HEALTHALLERGY (FOOD)DIABETESPUBLIC SAFETYACCESS TO HEALTHCAREBLOOD DISEASESCANCERINFECTIOUS DISEASESSEXUALLY TRANSMITTED INFECTIONSWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:CANCER
      MISSOURI BAPTIST MEDICAL CENTER
      PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, MISSOURI BAPTIST MEDICAL CENTER IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: 1) HEART HEALTH/STROKE AND 2) DIABETES. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO COVERAGEACCESS TO SERVICESBEHAVIORAL/MENTAL HEALTH BEHAVIORAL/ALCOHOL/SUBSTANCE ABUSECANCER (BREAST)CANCER (LUNG)CANCER (COLON)CANCER (SKIN)MATERNAL AND INFANT HEALTH CULTURAL LITERACYHEALTH LITERACYTOBACCO USEVIOLENCESENIOR SERVICES/SUPPORT
      PROTESTANT MEMORIAL MEDICAL CENTER, INC.
      PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, PROTESTANT MEMORIAL MEDICAL CENTER, INC. (HOSPITAL), ASSEMBLED AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL STAFF. THIS GROUP REVIEWED FOCUS GROUP RESULTS AS WELL AS FINDINGS FROM A SECONDARY DATA ANALYSIS TO FURTHER ASSESS IDENTIFIED NEEDS. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. CLAIR COUNTY WHEN COMPARED AGAINST STATE AND U.S. DATA. THE WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED BY SETTING GOALS AND MEASURING THE RESULTS OF HOSPITAL EFFORTS. GOALS WERE SET AND OBJECTIVES WERE DRAFTED WITH ACTION PLANS PUT INTO PLACE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THE FOLLOWING NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:MENTAL/BEHAVIORAL HEALTH SUBSTANCE ABUSENUTRITION EDUCATIONHEART AND VASCULAR STROKEWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO COVERAGECOPDDIABETESFOOD AVAILABILITYINFANT MORTALITYLUNG CANCER RESEARCH AND SUPPORTOBESITY RESEARCH AND PROGRAMSPOVERTYTEEN PREGNANCYTOBACCO ACCESS TO TRANSPORTATIONSEXUALLY TRANSMITTED INFECTIONSVIOLENT CRIME MENTAL HEALTH
      CHRISTIAN HOSPITAL NE-NW
      PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED FOUR HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: HEART HEALTH, DIABETES, ACCESS TO CARE/CARE COORDINATION , AND SUBSTANCE ABUSE AND OPIOID USAGE DISORDER (OUD). SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:CANCERCHILD WELFAREDENTAL HEALTHHEART & VASCULAR (HEART)HEART & VASCULAR (STROKE)INFECTIOUS DISEASEMENTAL/BEHAVIORAL HEALTH REPRODUCTIVE HEALTH OBESITYSOCIO-ECONOMIC FACTORSSMOKING/TOBACCO USESENIOR HEALTH CAREVIOLENCE
      BARNES-JEWISH WEST COUNTY HOSPITAL
      PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED: DIABETES. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS: HEALTH INSURANCE COVERAGEACCESS: SERVICES BEHAVIORAL/MENTAL HEALTH AND DISORDERSCULTURAL LITERACYHEALTH LITERACYHEART AND VASCULAR DISEASEMATERNAL/CHILD HEALTH OBESITYSENIOR HEALTH CARESEXUALLY TRANSMITTED INFECTIONSOBESITYHEART AND VASCULAR HEALTHCANCER (BREAST, LUNG, SKIN, COLON AND RECTAL, HEAD AND NECK)VIOLENCE
      ALTON MEMORIAL HOSPITAL
      PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THE FOLLOWING NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR:OBESITYDIABETESWHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO CAREAIR QUALITYSEXUALLY TRANSMITTED DISEASESDENTAL CAREHOUSING/HOMELESSNESSHEART AND VASCULAR HEALTH (HEART)HEART AND VASCULAR HEALTH (STROKE)CANCER (BREAST, LUNG, SKIN)HEALTH EDUCATIONMENTAL/BEHAVIORAL HEALTH (MENTAL HEALTH)MENTAL/BEHAVIORAL HEALTH (SUBSTANCE ABUSE)
      BARNES-JEWISH ST PETERS HOSPITAL, INC.
      PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED: OBESITY AND DIABETES MANAGEMENT. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH & SUBSTANCE ABUSEDENTAL HEALTHPEDIATRIC HEALTHACCESS: COVERAGEACCESS: TRANSPORTATIONASTHMAHEALTH LITERACYCANCER (BREAST, COLORECTAL AND LUNG)
      PROGRESS WEST HEALTHCARE CENTER
      PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED: OBESITY AND DIABETES. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH ALCOHOL AND SUBSTANCE ABUSEDENTAL HEALTH PEDIATRIC HEALTH ACCESS: COVERAGEACCESS: TRANSPORTATIONASTHMAHEALTH LITERACYCANCER (BREAST, COLORECTAL, AND LUNG)
      PARKLAND HEALTH CENTER-FARMINGTON
      PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED: SUBSTANCE ABUSE (OPIOID) AND DIABETES. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH REPRODUCTIVE HEALTHOBESITYCANCER (BREAST, COLORECTAL, LUNG)SMOKINGHEART HEALTH & VASCULAR DISEASESACCESS: SERVICESSENIOR HEALTHHEALTH LITERACYACCESS: TRANSPORTATION
      MISSOURI BAPTIST HOSPITAL OF SULLIVAN
      PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED: HEART & VASCULAR/HEART HEALTH AND MENTAL HEALTH/SUBSTANCE ABUSE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR. WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:MENTAL/BEHAVIORAL HEALTH: MENTAL HEALTHMENTAL/BEHAVIORAL HEALTH: PEDIATRICINFANT/MATERNAL HEALTHPEDIATRIC CAREHEALTH LITERACYHEALTH EDUCATIONPHYSICAL ACTIVITY/OUTREACHACCESS: COVERAGEACCESS: SERVICESACCESS: TRANSPORTATIONCANCER: BREASTCANCER: PROSTATE
      PARKLAND HEALTH CENTER-BONNE TERRE
      PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE HOSPITAL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED: SUBSTANCE ABUSE (OPIOID) AND DIABETES. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:BEHAVIORAL/MENTAL HEALTH REPRODUCTIVE HEALTHOBESITYCANCER (BREAST, COLORECTAL, LUNG)SMOKINGHEART HEALTH & VASCULAR DISEASESACCESS: SERVICESSENIOR HEALTHHEALTH LITERACYACCESS: TRANSPORTATION
      REHABILITATION INST OF ST. LOUIS (THE)
      PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE TRISL WORK GROUP DECIDED TO LIMIT THE AREAS OF FOCUS IN AN EFFORT TO MAXIMIZE IMPACT ON THE NEEDS OF THE COMMUNITY. THUS, THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED: STROKE EDUCATION AND PREVENTION AND BRAIN INJURY EDUCATION AND PREVENTION. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBE HOW THESE HEALTH NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCESS TO HEALTH CAREACCESS TO HEALTH CARE: TRANSPORTATIONEXERCISE/PHYSICAL ACTIVITY
      BARNES-JEWISH HOSPITAL NORTH/SOUTH
      PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
      ST LOUIS CHILDREN'S HOSPITAL
      PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
      MISSOURI BAPTIST MEDICAL CENTER
      PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
      CHRISTIAN HOSPITAL NE-NW
      PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
      BARNES-JEWISH WEST COUNTY HOSPITAL
      PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
      BARNES-JEWISH ST PETERS HOSPITAL, INC.
      PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
      PROGRESS WEST HEALTHCARE CENTER
      PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
      PARKLAND HEALTH CENTER-FARMINGTON
      PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
      MISSOURI BAPTIST HOSPITAL OF SULLIVAN
      PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
      PARKLAND HEALTH CENTER-BONNE TERRE
      PART V, SECTION B, LINE 13B: PATIENTS WITH FAMILY INCOME OVER $100,000 ANNUALLY ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE REGARDLESS OF FAMILY SIZE.
      BARNES-JEWISH HOSPITAL NORTH/SOUTH
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      ST LOUIS CHILDREN'S HOSPITAL
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      MISSOURI BAPTIST MEDICAL CENTER
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      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.
      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.
      BARNES-JEWISH WEST COUNTY HOSPITAL
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME
      ALTON MEMORIAL HOSPITAL
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      BARNES-JEWISH ST PETERS HOSPITAL, INC.
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      PROGRESS WEST HEALTHCARE CENTER
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      PARKLAND HEALTH CENTER-FARMINGTON
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      MISSOURI BAPTIST HOSPITAL OF SULLIVAN
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      PARKLAND HEALTH CENTER-BONNE TERRE
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      REHABILITATION INST OF ST. LOUIS (THE)
      PART V, SECTION B, LINE 13H: WHEN A PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THIS POLICY BUT HAS SPECIAL CIRCUMSTANCES, OTHER DISCOUNTS MAY BE AVAILABLE THAT ARE NOT PART OF THIS FINANCIAL ASSISTANCE POLICY. IN THESE SITUATIONS, HOSPITAL STAFF WILL REVIEW ALL AVAILABLE INFORMATION (INCLUDING DOCUMENTATION OF INCOME, LIQUID AND ILLIQUID ASSETS, AND OTHER RESOURCES, AMOUNT OF OUTSTANDING MEDICAL BILLS AND OTHER FINANCIAL OBLIGATIONS) AND MAKE A CASE-BY-CASE DETERMINATION OF THE PATIENT'S ELIGIBILITY FOR OTHER POTENTIAL DISCOUNTS.
      BARNES-JEWISH HOSPITAL NORTH/SOUTH
      PART V, SECTION B, LINE 16J: LINES 16 A-C SEE BARNESJEWISH.ORG/PATIENTS-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
      ST LOUIS CHILDREN'S HOSPITAL
      PART V, SECTION B, LINE 16J: LINES 16 A-C, SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
      MISSOURI BAPTIST MEDICAL CENTER
      PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
      PROTESTANT MEMORIAL MEDICAL CENTER, INC.
      PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
      CHRISTIAN HOSPITAL NE-NW
      PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
      BARNES-JEWISH WEST COUNTY HOSPITAL
      PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
      ALTON MEMORIAL HOSPITAL
      PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
      BARNES-JEWISH ST PETERS HOSPITAL, INC.
      PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
      PROGRESS WEST HEALTHCARE CENTER
      PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
      PARKLAND HEALTH CENTER-FARMINGTON
      PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
      MISSOURI BAPTIST HOSPITAL OF SULLIVAN
      PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
      PARKLAND HEALTH CENTER-BONNE TERRE
      PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.BJC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-BILLING-RESOURCES FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
      REHABILITATION INST OF ST. LOUIS (THE)
      PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.ENCOMPASSHEALTH.COM/LOCATIONS/REHABINSTITUTESTL/FINANCIAL-ASSISTANCE FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
      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, PROTESTANT MEMORIAL MEDICAL CENTER, INC. (DBA MEMORIAL HOSPITAL BELLEVILLE) AND METRO EAST SERVICES, INC. (DBA MEMORIAL HOSPITAL EAST) MAY BE ELIGIBLE FOR ADDITIONAL DISCOUNTS UNDER THE ILLINOIS HOSPITAL UNINSURED PATIENT DISCOUNT ACT. PATIENTS WHO HAVE BEEN ENROLLED IN MEDICAID IN THE LAST SIX MONTHS MAY AUTOMATICALLY QUALIFY FOR FINANCIAL ASSISTANCE FOR MEDICAL SERVICES THAT ARE NOT COVERED BY MEDICAID. THE CATASTROPHIC PROVISION OF THE BJC FINANCIAL ASSISTANCE POLICY PROVIDES THAT A PATIENT'S ANNUAL OUT-OF-POCKET LIABILITY SHALL NOT EXCEED 25% OF THE PATIENT'S ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD. A SIMILAR FINANCIAL ASSISTANCE POLICY APPLIES TO MEDICALLY NECESSARY HEALTHCARE SERVICES RENDERED BY BJC EMPLOYED PHYSICIANS AND QUALIFYING HOME CARE SERVICES.
      PART I, LINE 6A:
      BJC HEALTH SYSTEM (EIN 43-1617558) PREPARES A WRITTEN ANNUAL COMMUNITY BENEFIT REPORT ON BEHALF OF ALL HOSPITALS WHICH DESCRIBES PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY BJC HOSPITALS AND HOSPITAL SERVICES ORGANIZATIONS. THE COMMUNITY BENEFIT REPORT (REPORT) FOR BJC PROVIDES VALUABLE INFORMATION ON PROGRAMS AND SERVICES PROVIDED BY THE MEMBER HOSPITALS INCLUDED IN THE BJC HEALTH SYSTEM GROUP RETURN FORM 990. BJC MAKES THE REPORT AVAILABLE TO THE GENERAL PUBLIC VIA ITS WEBSITE AT WWW.BJC.ORG AND VIA A LINK ON ALL BJC HOSPITAL WEBSITES. THE REPORT IS ALSO DISTRIBUTED VIA MAILINGS TO COMMUNITY MEMBERS IN MISSOURI AND ILLINOIS, CIVIC LEADERS AND VARIOUS OTHER INTEREST GROUPS. UPDATES ARE POSTED ON THE BJC WEBSITE AS INFORMATION BECOMES AVAILABLE.
      PART I, LINE 7:
      THE COST OF FINANCIAL ASSISTANCE INCLUDES FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PERSONS WHO MEET THE CRITERIA DESCRIBED IN THE FINANCIAL ASSISTANCE POLICY (SEE SCHEDULE H, PART I, LINE 3 ABOVE). FINANCIAL ASSISTANCE IS DEFINED AS THE COSTS IN EXCESS OF PAYMENTS (UNCOMPENSATED COSTS) ON ACCOUNTS WRITTEN OFF AS FINANCIAL ASSISTANCE IN THE CURRENT YEAR. ONCE A PATIENT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE ENTIRE COST (OR A PORTION OF THE QUALIFYING AMOUNT) OF THE ACCOUNT IS CLASSIFIED AS FINANCIAL ASSISTANCE. BJC UTILIZED A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 TO DETERMINE THE COSTS OF THE FINANCIAL ASSISTANCE ACCOUNTS. ANY PAYMENTS RECEIVED ARE THEN NETTED AGAINST THE COST OF THE ACCOUNT AS DIRECT OFFSETTING REVENUE TO DETERMINE THE UNCOMPENSATED COSTS.CALCULATONS FOR OTHER COMMUNITY BENEFITS REPORTED ON SCHEDULE H, PART I, LINES 7E-7I VARY BY LINE ITEM AND ARE GENERALLY CONSISTENT WITH THE WORKSHEETS PROVIDED IN IRS INSTRUCTIONS. DATA IS GATHERED BY BJC COMMUNITY BENEFITS LIASONS AND ENTERED INTO CBISA SOFTWARE. LINE ITEM DOCUMENTATION OF OTHER COMMUNITY BENEFITS IS SUBJECT TO BJC INTERNAL AUDIT PROCEDURES AND BACK UP FILES ARE RETAINED AT EACH HOSPITAL SITE. ONCE REVIEWED AND APPROVED BY THE COMMUNITY BENEFITS MANAGER, THE AMOUNTS ARE ADDED TO IRS FORM 990, SCHEDULE H. IN ADDITION TO TOTAL FUNCTIONAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25, COLUMN (A), THE ALLOCABLE SHARE OF EXPENSES (LESS THE ALLOCABLE SHARE OF BAD DEBTS) FROM A 50% OWNED JOINT VENTURE HOSPITAL AND OTHER JOINT VENTURES HAVE BEEN ADDED TO THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE CONSIDERED THE NET COMMUNITY BENEFIT EXPENSE AND REPORTED IN PART I, LINE 7, COLUMN (F). TOTAL EXPENSES USED WHEN CALCULATING LINE 7, COL (F) PERCENTAGES = $ 5,650,231,537 WHICH EXCLUDES THE ALLOCABLE SHARE OF JOINT VENTURE BAD DEBT EXPENSES OF $1,092,460 FOR 2021.
      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 2021, SUBSIDIZED HEALTH SERVICES PROVIDED THROUGH THESE PHYSICIAN PRACTICES GENERATED LOSSES OF $66,764,312.
      PART III, LINE 3:
      IF A PATIENT OR RESPONSIBLE PARTY IS CONCERNED ABOUT THEIR ABILITY TO PAY, IS PROVIDED INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY OR OTHERWISE REQUESTS FINANCIAL ASSISTANCE, THE HOSPITAL STAFF PROVIDES INFORMATION AND GUIDANCE TO ASSIST THE PATIENT IN APPLYING FOR FINANCIAL ASSISTANCE. PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT OF THE REGISTRATION, BILLING OR COLLECTION PROCESSES. IN CERTAIN SITUATIONS, THE PATIENT FAILS TO COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE AND THE ACCOUNT PROGRESSES THROUGH THE REVENUE CYCLE TO BAD DEBTS. BJC USES EXTERNAL FINANCIAL DATA SOURCES TO IDENTIFY THOSE INDIVIDUALS WHO MAY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE, YET WERE UNWILLING TO COMPLETE THE APPLICATION PROCESS.
      PART III, LINE 4:
      BJC HEALTHCARE (BJC) BAD DEBT EXPENSE IS INCLUDED IN THE PATIENT SERVICE REVENUE, OTHER OPERATING REVENUE AND UNCOMPENSATED CARE FOOTNOTE 2 TO ITS CONSOLIDATED FINANCIAL STATEMENTS WHICH BEGINS ON PAGE 15 OF THE CONSOLIDATED FINANCIAL STATEMENTS ATTACHED HERETO.
      PART 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 10 YEARS, BJC HAS CHANNELED RESOURCES AND OUTREACH HEALTH SERVICES TO RESIDENTS IN THE ZIP CODES IN THE REGION THAT HAVE THE POOREST HEALTH STATISTICS AND OUTCOMES.
      PART III, LINE 2:
      NET PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS, AND NET PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED PRIMARILY ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED WRITE-OFFS AND NET COLLECTIONS, ALONG WITH THE AGING STATUS FOR EACH MAJOR PAYOR SOURCE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BASED ON HISTORICAL EXPERIENCE, A PORTION OF BJC'S SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED, THUS, A PROVISION IS RECORDED FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO THESE PATIENTS. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH BJC'S POLICIES, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS. BJC RECORDS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE ADJUSTED AS NEEDED IN FUTURE PERIODS. BAD DEBTS REPRESENT THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS REPORTED IN BJC'S AUDITED FINANCIAL STATEMENTS FOR 2021. SEE ALSO FOOTNOTE TO THE AUDITED FINANICAL STATEMENTS.
      PART III, LINE 8:
      PATIENT LEVEL DETAIL DATA IS USED TO CALCULATE THE UNCOMPENSATED COST OF BAD DEBT AND FINANCIAL ASSISTANCE. ONCE AN ACCOUNT IS WRITTEN OFF TO BAD DEBT AND/OR FINANCIAL ASSISTANCE, THE ENTIRE COST OF THE ACCOUNT IS CLASSIFIED AS BAD DEBT AND ANY PAYMENTS RECEIVED ARE NETTED AGAINST THE COST OF THE ACCOUNT TO DETERMINE THE UNCOMPENSATED COSTS. UNCOMPENSATED COSTS PATIENT DETAIL CALCULATION: (GROSS CHARGES X COST TO CHARGE RATIO) LESS PAYMENTS RECEIVEDONLY THOSE PATIENT ACCOUNTS WITH UNCOMPENSATED COSTS (THOSE IN EXCESS OF PAYMENTS) ARE INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE ON SCHEDULE H. PATIENT ACCOUNTS WITH PAYMENTS IN EXCESS OF COSTS ARE NOT INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE. THE COST OF BAD DEBT AND FINANCIAL ASSISTANCE ON MEDICARE PATIENT ACCOUNTS IS INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE. MEDICARE SURPLUS (SHORTFALL) IS REPORTED SEPARATELY ON SCHEDULE H, HOWEVER, THE MEDICARE SHORTFALL IS CONSIDERED ADDITIONAL BENEFIT TO THE COMMUNITIES SERVED.
      PART III, LINE 9B:
      BJC UNDERSTANDS THAT HEALTH CARE EXPENSES ARE OFTEN UNEXPECTED AND PAYING FOR SUCH SERVICES CAN BE OVERWHELMING. WE ARE COMMITTED TO IDENTIFYING PATIENTS WHO QUALIFY FOR ASSISTANCE AT THE EARLIEST OPPORTUNITY, TO HELPING THEM APPLY FOR PROGRAMS AND OTHER ASSISTANCE AND TO WORKING OUT A FAIR WAY FOR PATIENTS TO PAY THEIR BILLS. BJC HAS ADOPTED A FINANCIAL ASSISTANCE POLICY THAT IS APPLIED UNIFORMLY TO MOST AFFILIATED HOSPITAL OPERATIONS. INTERNAL DUE DILIGENCE PROCEDURES INCLUDE DETERMINING WHETHER THE RESPONSIBLE PARTY IS FINANCIALLY ABLE TO PAY FOR ALL OR A PORTION OF UNPAID BALANCES IN THE PATIENT ACCOUNT, OFFERING REPAYMENT UNDER NO INTEREST TERMS AND CONSIDERATION FOR FINANCIAL ASSISTANCE WHEN THE PATIENT DEMONSTRATES INABILITY TO PAY AMOUNTS DUE. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON INCOME AND FAMILY SIZE UTILIZING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUAL POVERTY GUIDELINES PUBLISHED IN THE FEDERAL REGISTER. BJC UTILIZES A PROCESS WHICH COMBINES DATA, TECHNOLOGY AND ANALYTICAL FUNCTIONALITY TO IDENTIFY PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE AT ANY POINT IN THE BILLING PROCESS. THIS RESULTS IN EARLIER IDENTIFICATION OF PATIENTS MERITING FINANCIAL ASSISTANCE AND RECLASSIFICATION FROM BAD DEBTS.BJC HAS ADOPTED A WRITTEN DEBT COLLECTION POLICY THAT IS APPLIED UNIFORMLY TO ALL AFFILIATE HOSPITAL OPERATIONS. INTERNAL COLLECTION EFFORTS INCLUDE HOSPITAL MAILING OF ROUTINE BILLING STATEMENTS WHICH INCLUDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. COLLECTION PROCEDURES INCLUDE IDENTIFYING INDIVIDUALS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE, OFFERING SUCH INDIVIDUALS THE OPPORTUNITY TO COMPLETE APPLICATIONS FOR FINANCIAL ASSISTANCE AND HELPING THE INDIVIDUALS COMPLETE THE APPLICATION FORMS. ONCE AN INDIVIDUAL OR RESPONSIBLE PARTY IS DEEMED FINANCIALLY UNABLE TO PAY SOME OR ALL OF THE OPEN BALANCE ON A PATIENT ACCOUNT, THE REMAINING BALANCE IS WRITTEN OFF AS UNCOLLECTIBLE.
      PART VI, LINE 2:
      BJC USES RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED AND INCLUDE BUT ARE NOT LIMITED TO REPORTS FROM:- LOCAL AND STATE DEPARTMENTS OF HEALTH- ST. LOUIS REGIONAL HEALTH COMMISSION- MISSOURI FOUNDATION FOR HEALTH- LOCAL GOVERNMENT PLANNING DEPARTMENTS- THE COMMONWEALTH FUND- U.S. CENSUS BUREAU- ECONOMIC IMPACT STUDIES- EAST WEST GATEWAY COUNCIL OF GOVERNMENTS (A RECOGNIZED METROPOLITAN PLANNING ORGANIZATION - MPO) BJC USES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE SERVICES THROUGHOUT THE REGION. IN ADDITION, BJC CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. FOR EXAMPLE, BJC CONTINUES TO OPERATE FULL SERVICE HOSPITAL(S) AT A FINANCIAL LOSS IN CERTAIN GEOGRAPHIES BECAUSE THE IMPACT OF CLOSING THE HOSPITALS WOULD BE DETRIMENTAL TO THE COMMUNITY. BJC ALSO CONTINUES TO PROVIDE CERTAIN CLINICAL SERVICES, INCLUDING TRAUMA AND OBSTETRICS, IN GEOGRAPHIES AT A FINANCIAL LOSS FOR THE SAME REASON.
      PART VI, LINE 3:
      BJC EMPLOYS A VARIETY OF METHODS TO REACH PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING:-BJC AND ALL HOSPITAL WEB SITES POST INFORMATION ABOUT FINANCIAL ASSISTANCE AND PROVIDE INFORMATION ON HOW TO CONTACT A FINANCIAL ASSISTANCE REPRESENTATIVE-BJC HOSPITALS DISPLAY PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE ON POSTERS IN ALL EMERGENCY, ADMITTING, OUTPATIENT AND CLINIC AREAS THAT INCLUDE A PHONE NUMBER TO CALL FOR FINANCIAL ASSISTANCE COUNSELING-BJC HOSPITAL DEPARTMENTS THAT HAVE INITIAL CONTACT WITH INCOMING INPATIENTS AND OUTPATIENTS ARE SUPPLIED WITH BROCHURES ABOUT FINANCIAL ASSISTANCE FOR DISTRIBUTION TO PATIENTS AND FAMILY MEMBERS-ALL BJC HOSPITALS EMPLOY TRAINED FINANCIAL ASSISTANCE COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE SUCH AS APPLICATION FOR FEDERAL AND/OR STATE PROGRAMS; QUALIFICATION FOR FINANCIAL ASSISTANCE; DETERMINATION OF AUTOMATIC DISCOUNTS AND/OR FURTHER REDUCTIONS IN CHARGES; AND SETTING UP LONG-TERM FINANCIAL ARRANGEMENTS.
      PART VI, LINE 4:
      BJC HAS THREE PRIMARY SERVICE AREAS. FIRST AND LARGEST IS THE ST. LOUIS METROPOLITAN STATISTICAL AREA, CONSISTING OF THE FOLLOWING COUNTIES: ST. LOUIS CITY, ST. LOUIS, ST. CHARLES, FRANKLIN, JEFFERSON, WARREN, AND LINCOLN IN MISSOURI, AND MADISON, ST. CLAIR, MONROE, JERSEY AND CLINTON IN ILLINOIS; POPULATION OF BJC'S PRIMARY SERVICE AREA = 4.3M. BJC'S SECONDARY SERVICE AREA INCLUDES ST. FRANCOIS COUNTY IN SOUTHEAST MISSOURI. BECAUSE OF BJC'S TEACHING HOSPITALS AND THEIR STATUS AS ACADEMIC MEDICAL CENTERS, ITS SECONDARY SERVICE AREAS INCLUDE THE REMAINING COUNTIES IN MISSOURI, AND COUNTIES IN ILLINOIS SOUTH OF PEORIA. POPULATION OF BJC'S SECONDARY SERVICE AREA = 17.9M. BJC HOSPITALS LOCATED WITHIN ALL SERVICE AREAS INCLUDE ALTON MEMORIAL HOSPITAL, BARNES-JEWISH HOSPITAL, ST. LOUIS CHILDREN'S HOSPITAL, PROTESTANT MEMORIAL MEDICAL CENTER (BELLEVILLE AND SHILOH LOCATIONS), THE REHABILITATION INSTITUTE OF ST. LOUIS, CHRISTIAN HOSPITAL NE/NW (CHRISTIAN HOSPITAL), MISSOURI BAPTIST MEDICAL CENTER, PROGRESS WEST HEALTHCARE CENTER, BARNES JEWISH ST. PETERS HOSPITAL, INC., MISSOURI BAPTIST HOSPITAL OF SULLIVAN, BARNES-JEWISH WEST COUNTY HOSPITAL, AND PARKLAND HEALTH CENTER (FARMINGTON AND BONNE TERRE LOCATIONS). AGED (65 YEARS AND OVER) POPULATION IN BOTH PRIMARY AND SECONDARY SERVICE AREAS CONTINUE TO GROW AT A STEADY RATE.
      PART VI, LINE 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 $6.0 BILLION, BJC SERVES URBAN, SUBURBAN AND RURAL COMMUNITIES THROUGH 13 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 2021, MORE THAN 7,000 PHYSICIANS WERE ACTIVE MEMBERS OF THE MEDICAL STAFFS OF ALL BJC HOSPITALS. OF THE TOTAL PHYSICIANS, APPROXIMATELY 2,700 ARE FACULTY MEMBERS OF THE WUSM.GOVERNING BODY - BJC IS GOVERNED BY A BOARD OF DIRECTORS (BOARD) WITH 19 VOTING MEMBERS COMPRISED PRIMARILY OF COMMUNITY LEADERS. MEMBERS ARE APPOINTED BY BOARDS OF ITS SUPPORTED ORGANIZATIONS INCLUDING BARNES-JEWISH HOSPITAL, CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION, MISSOURI BAPTIST MEDICAL CENTER AND ST. LOUIS CHILDREN'S HOSPITAL. OTHER MEMBERS OF THE BOARD INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BJC, AND THE CHANCELLOR AND EXECUTIVE VICE CHANCELLOR OF WASHINGTON UNIVERSITY. THE BOARD HAS ADOPTED A CODE OF CONDUCT AND CONFLICT OF INTEREST POLICY THAT GOVERN TRANSACTIONS BETWEEN MEMBERS OF THE BOARD AND BJC TO ENSURE THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED BY BJC. THE BOARD HAS DELEGATED AUTHORITY FOR THE MANAGEMENT AND DAILY OPERATIONS OF BJC TO ITS PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE EXECUTIVE MANAGEMENT STAFF. THE BOARD HAS ESTABLISHED VARIOUS COMMITTEES INCLUDING THE FOLLOWING: AUDIT, COMMUNITY BENEFIT, EXECUTIVE, FINANCE, GOVERNANCE, AND PATIENT CARE.AFFILIATION AGREEMENTS - BJC THROUGH ITS AFFILIATE, BARNES-JEWISH HOSPITAL (BJH) HAS MAINTAINED A LONG STANDING CLOSE RELATIONSHIP WITH WUSM. BJH AND WUSM ARE PARTIES TO AN AFFILIATION AGREEMENT TO PROVIDE PROFESSIONAL MEDICAL STAFF AND ALLOCATION OF RESPONSIBILITY FOR HOSPITAL AND HEALTH CARE DELIVERY FACILITIES FOR BJH AND WUSM. ST. LOUIS CHILDREN'S HOSPITAL (CHILDREN'S) IS ALSO AFFILIATED WITH AND IS THE PEDIATRIC TEACHING HOSPITAL FOR WUSM. THE CHILDREN'S/UNIVERSITY AGREEMENT SETS FORTH THE RESPONSIBILITIES OF WUSM TO PROVIDE MEDICAL PROFESSIONALS TO SUPPORT THE HOSPITAL'S PROGRAMS AND TO PROVIDE ACADEMIC SUPPORT. WUSM PROVIDES LEADERSHIP AND DIRECTION FOR THE RESIDENCY PROGRAMS AT BOTH BJH AND CHILDREN'S. ALLOCATION OF SURPLUS FUNDS - UNRESTRICTED ASSETS AND SURPLUS FUNDS HELD BY BJC ARE USED IN FURTHERANCE OF THE MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES IT SERVES THROUGH LEADERSHIP, EDUCATION, INNOVATION AND EXCELLENCE IN MEDICINE. EXAMPLES INCLUDE:-BJH IN CONJUNCTION WITH WUSM FORMED THE BJC INSTITUTE OF HEALTH AT WASHINGTON UNIVERSITY (INSTITUTE). THE INSTITUTE ALLOWS TEAMS OF RESEARCHERS TO COLLABORATE IN KEY THERAPEUTIC AREAS SUCH AS CANCER GENOMICS, DIABETIC CARDIOVASCULAR DISEASE, WOMEN'S INFECTIOUS DISEASES, MEMBRANE EXCITABILITY DISORDERS AND NEURODEGENERATIVE CONDITIONS. THE RESULTS OF THIS MULTI-DISCIPLINARY EFFORT ARE EXPECTED TO ADVANCE MEDICAL SCIENCE, TECHNOLOGY, AND PATIENT CARE PRACTICES. -BJH SUPPORTS THE OPERATIONS OF THE GOLDFARB SCHOOL OF NURSING (SCHOOL) WHICH FOCUSES ON THE EDUCATION OF BACCALAUREATE AND MASTERS PREPARED NURSES. THE SCHOOL ADDRESSES THE NEED FOR MORE NURSING PROFESSIONALS TO SERVE BJC PRIMARY AND SECONDARY SERVICE AREAS.-BJC SUPPORTS BIOSCIENCE AND TECHNOLOGY RESEARCH, DEVELOPMENT AND COMMERCIALIZATION THROUGH ITS SUPPORT OF CORTEX, A TAX EXEMPT 501(C)(3) ORGANIZATION FORMED TO FACILITATE AN ECOSYSTEM FOR BIOMEDICAL RESEARCH AND INNOVATION.