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Bjc Health System Group Return

4901 Forest Park Ave 1200
St Louis, MO 63108
EIN: 753052953
16 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Individual Facility Details: Alton Memorial Hospital
One Memorial Drive
Alton, IL 62002
Bed count222Medicare provider number140002Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Community Health Needs Assessment Activities: 2022

  • 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

Other Useful Tax-exempt Hospital Information: 2022

  • 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
      $ 104,604,395
      1.71 %
      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 2023 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
      $ 36,596,996
      34.99 %
  • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
    • Reported to credit agencyNot available
  • 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?YES
  • 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?Not available
  • 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
Associations between individual facilities and tax-reporting organizations can change over time. Year selections update this page view based upon the selected facility.Display data for year:

Bjc Health System Group Return

Community Benefit Spending- 2022
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
13.94%
Spending by Community Benefit Category- 2022
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2022
Additional data

Community Benefit Expenditures: 2022

  • 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$ 6,125,249,311
      Total amount spent on community benefits
      as % of operating expenses
      $ 853,687,755
      13.94 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 168,857,230
        2.76 %
        Medicaid
        as % of operating expenses
        $ 321,510,955
        5.25 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 168,843,315
        2.76 %
        Subsidized health services
        as % of operating expenses
        $ 177,597,922
        2.90 %
        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.
        $ 13,492,490
        0.22 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 3,385,843
        0.06 %
        Community building*
        as % of operating expenses
        $ 372,733
        0.01 %
    • * = CBI denoted preventative categories
    • Financial Assistance and Certain Other Community Benefits at Cost:
      Note: this information is reported on Schedule H (Form 990), part I, question 7.
        • Financial Assistance at cost0
          Medicaid0
          Costs of other means-tested government programs0
          Community health improvement services and community benefit operations186
          Health professions education29
          Subsidized health services1
          Research5
          Cash and in-kind contributions for community benefit33
          Financial Assistance at cost205,189
          Medicaid506,511
          Costs of other means-tested government programs0
          Community health improvement services and community benefit operations333,324
          Health professions education11,256
          Subsidized health services1,676,048
          Research0
          Cash and in-kind contributions for community benefit0
          Financial Assistance at cost$ 269,231,102
          Medicaid$ 1,292,138,452
          Costs of other means-tested government programs$ 0
          Community health improvement services and community benefit operations$ 22,854,068
          Health professions education$ 295,296,173
          Subsidized health services$ 1,246,493,138
          Research$ 240,847
          Cash and in-kind contributions for community benefit$ 3,465,218
          Financial Assistance at cost$ 100,373,872
          Medicaid$ 970,627,497
          Costs of other means-tested government programs$ 0
          Community health improvement services and community benefit operations$ 9,361,578
          Health professions education$ 126,452,858
          Subsidized health services$ 1,068,895,216
          Research$ 240,847
          Cash and in-kind contributions for community benefit$ 79,375
          Financial Assistance at cost$ 168,857,230
          0.03 %
          Medicaid$ 321,510,955
          0.05 %
          Costs of other means-tested government programs$ 0
          0 %
          Community health improvement services and community benefit operations$ 13,492,490
          0.00 %
          Health professions education$ 168,843,315
          0.03 %
          Subsidized health services$ 177,597,922
          0.03 %
          Research$ 0
          0 %
          Cash and in-kind contributions for community benefit$ 3,385,843
          0.00 %
    • Community building activities details:
      Note: this information is reported on Schedule H (Form 990), part II.
        • Did tax-exempt hospital report community building activities?YES
          Physical improvements and housing1
          Economic development4
          Community support9
          Environmental improvements1
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Physical improvements and housing0
          Economic development0
          Community support8
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Physical improvements and housing
          as % of community building expenses
          $ 2,500
          0.67 %
          Economic development
          as % of community building expenses
          $ 147,122
          39.47 %
          Community support
          as % of community building expenses
          $ 75,001
          20.12 %
          Environmental improvements
          as % of community building expenses
          $ 148,110
          39.74 %
          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
          $ 0
          0 %
          Other
          as % of community building expenses
          $ 0
          0 %
          Physical improvements and housing$ 0
          Economic development$ 553
          Community support$ 2,080
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Supplemental Information: 2022

    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 $ 3292717817 including grants of $ 12090667) (Revenue $ 4676048122)
      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 $ 1561369554 including grants of $ 48700) (Revenue $ 1071001369)
      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 $168.9 MILLION IN FINANCIAL ASSISTANCE DURING 2022 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 $321.5 MILLION DURING 2022 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 $490.4 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 $36.6 MILLION DURING 2022 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 $ 295537020 including grants of $ 2971779) (Revenue $ 126693705)
      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 2022, BJC CONTRIBUTED $295 MILLION TOWARDS PROGRAMS THAT PROVIDE TRAINING AND EDUCATION TO 11,248 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 $ 26319286 including grants of $ 80208) (Revenue $ 70759030)
      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 2022, BJC CONTRIBUTED $3.4 MILLION TO COMMUNITY GROUPS FOR COMMUNITY BENEFIT PURPOSES AND EXPENDED $13.5 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.
      PROTESTANT MEMORIAL MEDICAL CENTER, INC.
      PART V, SECTION B, LINE 5: PROTESTANT MEMORIAL MEDICAL CENTER, INC. DBA MEMORIAL HOSPITAL BELLEVILLE AND MEMORIAL HOSPITAL SHILOH (HOSPITAL), BEGAN OPERATING UNDER A SINGLE LICENSE IN 2021 TO PROVIDE GREATER EFFICIENCIES AND CONVENIENCE FOR PATIENTS. HOSPITAL CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. EMAIL INVITATIONS WERE SENT OUT BY CHAPLAIN DOUGLAS STEWART, BEGINNING ON JUNE 7, 2021, TO 52 ST. CLAIR COUNTY COMMUNITY STAKEHOLDERS. THE FOCUS GROUP PARTICIPANTS SERVED IN ROLES IN WHICH THEY WORKED CLOSELY WITH HOSPITAL'S PATIENT POPULATION. THE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE COUNTY OR CITY HEALTH DEPARTMENTS. FOLLOWING 33 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY. - O'FALLON-SHILOH CHAMBER OF COMMERCE (EXECUTIVE DIRECTOR) IN O'FALLON, IL- COMMUNITY VOLUNTEER (VOLUNTEER) IN BELLEVILLE- 375TH MDG (HEALTH PROMOTION COORDINATOR) U.S. SCOTT AFB- FAMILY HOSPICE OF BELLEVILLE (EXECUTIVE DIRECTOR) IN BELLVILLE- HARMONY-EMGE SD 175 (SUPERINTENDENT) IN BELLEVILLE- CITY OF O'FALLON (CITY ADMINISTRATOR) IN O'FALLON- ST. CLAIR COUNTY REGIONAL OFFICE OF EDUCATION #50 (REG SUPERINTENDENT) IN BELLEVILLE- TOUCHETTE AND SIHF HEALTHCARE (VP OF MEDICAL AFFAIRS) IN CENTREVILLE- DOWNTOWN BELLEVILLE YMCA (EXECUTIVE DIRECTOR) IN BELLEVILLE- UNIVERSITY OF ILLINOIS EXTENSION (SNAP EDUCATION EDUCATOR) IN SWANSEA- ST. CLAIR COUNTY ILLINOIS (STATE'S ATTORNEY) IN BELLEVILLE- CITY OF BELLEVILLE (MAYOR ) IN BELLEVILLE- ST. CLAIR COUNTY HEALTH DEPARTMENT (ADMINISTRATIVE ADVISOR) IN SWANSEA- PROJECT COMPASSION, NFP (EXECUTIVE DIRECTOR) IN BELLEVILLE- ST. CLAIR COUNTY (BOARD CHAIRMAN) IN BELLEVILLE- ST. CLAIR COUNTY HEALTH DEPARTMENT (VICE PRES OF BOARD OF DIRECTORS) IN BELLEVILLE- HSHS ST. ELIZABETH'S HOSPITAL DIVISION (DIR OF COMMUNITY OUTREACH) IN O'FALLON- FIRST UNITED PRESBYTERIAN CHURCH (REVEREND) IN BELLEVILLE- CHESTNUT HEALTH SYSTEMS (VP STRATEGY AND INNOVATION) IN TROY- CITY OF BELLEVILLE (CITY CLERK) IN BELLEVILLE- ST. CLAIR COUNTY HEALTH DEPARTMENT (SYSTEMS QUALITY MANAGER) IN BELLEVILLE - MEDSTAR AMBULANCE INC. (GENERAL MANAGER OF OPERATIONS) IN BELLEVILLE- AGESMART COMMUNITY RESOURCES (CHIEF EXECUTIVE OFFICER) IN O'FALLON- HEALTHIER TOGETHER (EXECUTIVE DIRECTOR) IN BELLEVILLE- GREATER BELLEVILLE CHAMBER OF COMMERCE (PRESIDENT/CEO) IN BELLEVILLE- ST. CLAIR COUNTY HEALTH DEPARTMENT (DIR OF INFECT DISEASE PREV) IN BELLEVILLE,- PROFESSIONAL THERAPY SERVICES, INC. (PRESIDENT) IN BELLEVILLE- MTC COMMUNITY OUTREACH CORP. (PRESIDENT) IN WASHINGTON PARK- ST. CLAIR COUNTY MENTAL HEALTH BOARD (EXECUTIVE DIRECTOR) IN BELLEVILLE- GREATER BELLEVILLE CHAMBER OF COMMERCE (MEMBERS EVENT MGR) IN BELLEVILLE- BEACON MINISTRY (DIRECTOR) IN BELLEVILLE- OFFICE ON AGING (DIRECTOR) IN BELLEVILLE- ST. CLAIR COUNTY HEALTH DEPARTMENT (DEPUTY EXECUTIVE DIR) IN BELLEVILLE- HEALTHVISIONS MIDWEST (PROGRAM DIRECTOR) IN EAST ST. LOUIS- SAINT HENRY CATHOLIC CHURCH (PASTOR) IN BELLEVILLEDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. CLAIR COUNTY WHEN COMPARED TO THE STATE. AFTER COMPLETION OF THE COMPREHENSIVE ASSESSMENT PROCESS, THE HOSPITAL WILL FOCUS ON THREE PRIORITIES: MENTAL HEALTH, MATERNAL/INFANT HEALTH, AND SUBSTANCE ABUSE.
      ALTON MEMORIAL HOSPITAL
      PART V, SECTION B, LINE 5: ALTON MEMORIAL HOSPITAL (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. DUE TO COVID-19, HOSPITAL CONDUCTED ONLINE SURVEYS FOR THE SAFETY OF OUR EMPLOYEES AND OF OUR COMMUNITY STAKEHOLDERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY EACH HOSPITAL AND THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. ON JUNE 7, 2021 AN EMAIL WAS SENT BY DAVE BRAASCH, PRESIDENT OF ALTON MEMORIAL HOSPITAL, TO 11 MADISON COUNTY COMMUNITY STAKEHOLDERS, INVITING THEM TO PARTICIPATE IN THE SURVEY. BECAUSE SOME STAKEHOLDERS FORWARDED THE SURVEY LINK TO OTHERS WITHIN THEIR ORGANIZATIONS, 12 COMMUNITY MEMBERS PROVIDED US WITH FEEDBACK.- VILLAGE OF BETHALTO (MAYOR) IN BETHALTO- ALTON SCHOOL DISTRICT (SUPERINTENDENT) IN ALTON- CALVARY BAPTIST CHURCH (SENIOR PASTOR) IN ALTON- RIVERBEND HEAD START & FAMILY SERVICES (PRESIDENT / CEO) IN ALTON- OASIS WOMEN CENTER (CLIENT SERVICES COORDINATOR) IN ALTON- ALTON SCHOOL DISTRICT (ASSISTANT SUPERINTENDENT) IN ALTON- MADISON COUNTY URBAN LEAGUE INC. (PRESIDENT / CEO) IN ALTON- AMERICAN CANCER SOCIETY (SENIOR DEVELOPMENT MANAGER) IN EDWARDSVILLE- BOYS & GIRLS CLUB OF BETHALTO (EXECUTIVE DIRECTOR) IN BETHALTO- BOYS & GIRLS CLUB OF ALTON (EXECUTIVE DIRECTOR) IN ALTON- UNITED WAY (DIRECTOR) IN EAST ALTON- MADISON COUNTY HEALTH DEPARTMENT (DIR OF COMM HEALTH) IN WOOD RIVERAT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: MENTAL HEALTH AND DRUG/ALCOHOL ABUSE.
      REHABILITATION INST OF ST. LOUIS (THE)
      PART V, SECTION B, LINE 5: THE REHABILITATION INSTITUTE OF ST. LOUIS, LLC (TRISL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, BJC HEALTHCARE, ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS BEGINNING ON JUNE 7, 2022. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. DURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, 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 OF MISSOURI. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:- GATEWAY APOTHECARY (PIC) IN ST. LOUIS- ABC BRIGATE (PRESIDENT) IN ST. LOUIS- VOCATIONAL REHABILITATION (COUNSELOR II) IN ST. LOUIS- SOUTHERN BUS AND MOBILITY (MOBILITY SYSTEM SPECIALIST) IN ST. LOUIS- ST. PATRICK'S CENTER (SENIOR DIR OF PROGRAMS) IN ST. LOUIS- NATIONAL MULTIPLE SCLEROSIS SOCIETY (DIRECTOR) IN ST. LOUIS- PARAQUAD (SENIOR DIRECTOR) IN ST. LOUIS - ORTHWEIN CENTER AT PARQUAD (DIRECTOR) IN ST. LOUIS
      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.
      PROTESTANT MEMORIAL MEDICAL CENTER, INC.
      PART V, SECTION B, LINE 7D: SEE WWW.MEMHOSP.COM/COMMUNITY-NEEDS-ASSESSMENT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THIS HOSPITAL.
      ALTON MEMORIAL HOSPITAL
      PART V, SECTION B, LINE 7D: SEE WWW.ALTONMEMORIALHOSPITAL.ORG/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: HTTPS://ENCOMPASSHEALTH.COM/-/MEDIA/HEALTHSOUTH/PROJECT/HEALTHSOUTH/LOCATIONS/REHABINSTITUTESTL-03015900/2022-TRISL-CHNA--IMPLEMENTATION-STRATEGY---FINAL.PDF?LA=EN&HASH=6BECC031438114127881792B34D864D61209610C
      PROTESTANT MEMORIAL MEDICAL CENTER, INC.
      PART V, SECTION B, LINE 11: HOSPITAL ASSEMBLED AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL STAFF. THIS GROUP REVIEWED FOCUS GROUP RESULTS AS WELL AS FINDINGS FROM A SECONDARY DATA ANALYSIS TO FURTHER ASSESS IDENTIFIED NEEDS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED BY SETTING GOALS AND MEASURING THE RESULTS OF HOSPITAL EFFORTS: MENTAL HEALTH, MATERNAL/INFANT HEALTH, AND SUBSTANCE ABUSE. GOALS WERE SET AND OBJECTIVES WERE DRAFTED WITH ACTION PLANS PUT INTO PLACE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITALS 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: ACCIDENTS/INJURIES; ALCOHOL USE; CANCER RESEARCH AND SUPPORT; DENTAL CARE; DIABETES RESEARCH AND SUPPORT; HEART HEALTH; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; OBESITY; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; TOBACCO USE; VAPING.
      ALTON MEMORIAL HOSPITAL
      PART V, SECTION B, LINE 11: HOSPITAL DECIDED TO ADDRESS MENTAL HEALTH AND DRUG/ALCOHOL ABUSE COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS. 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 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: ACCIDENTS/INJURIES; CANCER; DENTAL CARE; DIABETES; HEART HEALTH; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASES; MATERNAL/INFANT HEALTH; OBESITY; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; TOBACCO USE & VAPING.
      REHABILITATION INST OF ST. LOUIS (THE)
      PART V, SECTION B, LINE 11: AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, TRISL IDENTIFIED ONE HEALTH NEED WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: 1) STROKE 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. TRISL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS: ACCIDENTS/INJURIES; COGNITIVE DECLINE/DEMENTIA; MENTAL HEALTH; OBESITY; DIABETES; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; OBESITY; RESPIRATORY DIAGNOSIS. TRISL WILL NOT PLAN TO ADDRESS OTHER COMMUNITY NEEDS SUCH AS VAPING; TOBACCO ABUSE; ALCOHOL ABUSE; AND DRUG ABUSE.
      PROTESTANT MEMORIAL MEDICAL CENTER, INC.
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. THE FINANCIAL RESPONSIBILITY OF AN INSURED PATIENT QUALIFYING FOR FINANCIAL ASSISTANCE WILL BE LIMITED TO 10 PERCENT OF ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD. THE FINANCIAL RESPONSIBILITY OF ANY UNINSURED PATIENT WILL BE LIIMITED TO 25 PERCENT OF ANNUAL FAMILY INCOME FOR ANY 12-MONTH PERIOD.
      ALTON MEMORIAL HOSPITAL
      PART V, SECTION B, LINE 13H: IN THE CASE OF A CATASTROPHIC MEDICAL EVENT, PATIENTS WHO MAY NOT ORDINARILY QUALIFY FOR FINANCIAL ASSISTANCE WILL BE GRANTED AID. UNDER THESE SPECIAL CIRCUMSTANCES, PATIENT PAYMENT RESPONSIBILITIES IN A 12-MONTH PERIOD WILL NOT BE MORE THAN 25 PERCENT OF ANNUAL FAMILY INCOME.
      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.
      REHABILITATION INST OF SO ILLINOIS (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.
      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.
      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.
      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.
      REHABILITATION INST OF SO ILLINOIS (THE)
      PART V, SECTION B, LINE 16J: LINES 16 A-C SEE WWW.ENCOMPASSHEALTH.COM/LOCATIONS/SHILOHREHAB/FOR-PATIENTS/FINANCIAL-ASSISTANCE FOR FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY.
      PART V, SECTION B
      FACILITY REPORTING GROUP A
      FACILITY REPORTING GROUP A CONSISTS OF:
      - FACILITY 1: BARNES-JEWISH HOSPITAL NORTH/SOUTH, - FACILITY 2: ST LOUIS CHILDREN'S HOSPITAL, - FACILITY 3: MISSOURI BAPTIST MEDICAL CENTER, - FACILITY 5: CHRISTIAN HOSPITAL NE-NW, - FACILITY 6: BARNES-JEWISH WEST COUNTY HOSPITAL, - FACILITY 8: BARNES-JEWISH ST PETERS HOSPITAL, INC, - FACILITY 9: PROGRESS WEST HEALTHCARE CENTER, - FACILITY 10: PARKLAND HEALTH CENTER-FARMINGTON, - FACILITY 11: MISSOURI BAPTIST HOSPITAL OF SULLIVAN, - FACILITY 12: PARKLAND HEALTH CENTER-BONNE TERRE
      GROUP A-FACILITY 1 -- BARNES-JEWISH HOSPITAL NORTH/SOUTH PART V, SECTION B, LINE 5:
      BARNES-JEWISH HOSPITAL (HOSPITAL) CONDUCTED ITS 2022 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 2019 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE PRIOR ASSESSMENTS WERE CONDUCTED. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, HOSPITAL COLLABORATED WITH PARTNERS SSM HEALTH; MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL SOUTH; AND THE ST. LUKE'S NETWORK OF CARE, WHICH INCLUDES ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES HOSPITAL. HOSPITAL CONDUCTED ONLINE SURVEYS FOR THE SAFETY OF OUR EMPLOYEES AND OF OUR COMMUNITY STAKEHOLDERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY EACH HOSPITAL AND THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. BETWEEN JUNE 7 AND JUNE 9, 2021, EMAIL INVITATIONS WERE SENT OUT TO 33 STAKEHOLDERS IN ST. LOUIS CITY FROM HOSPITAL AND 26 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY. INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. THESE PARTICIPANTS HAD SPECIAL KNOWLEDGE IN THE AREA OF PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE COUNTY OR CITY HEALTH DEPARTMENTS WHO PROVIDED INPUT ON THE RESULTS OF PRIOR CHNA AND REVIEWED THE CURRENT IMPLEMENTATION PLAN (IP). - CASA DE SALUD (PRESIDENT & CEO) IN ST. LOUIS- COMMUNITY HEALTH-IN-PARTNERSHIP SERVICES (CHIPS PRES & CEO) IN ST. LOUIS- HAZELWOOD SCHOOL DISTRICT (HEALTH COORDINATOR) IN FLORISSANT- ST. LOUIS INTEGRATED HEALTH NETWORK (DIRECTOR, CARE TRANSITIONS INIT) IN ST. LOUIS- ALIVE AND WELL COMMUNITIES (PRESIDENT) IN ST. LOUIS- AFFINIA HEALTHCARE (VP DEVELOPMENT AND COMMUNITY RELATIONS) IN ST. LOUIS- BJK PEOPLES HEALTH CENTERS (CHIEF EXECUTIVE OFFICER) IN ST. LOUIS- MO DHSS (STATE SCHOOL NURSE CONSULTANT) IN ST. LOUIS CITY- PREVENTED (EXECUTIVE DIRECTOR) IN ST. LOUIS- BJC HEALTHCARE (ASSOCIATE DIRECTOR) IN SAINT LOUIS CITY- BEHAVIORAL HEALTH NETWORK OF GREATER ST. LOUIS (SR. DIR., STRATEGIC INITIATIVES) IN ST. LOUIS- GATEWAY REGION YMCA (PRESIDENT & CEO) IN ST. LOUIS- RISE COMMUNITY DEVELOPMENT, INC. (TECHNICAL ASSISTANCE PROGRAM MANAGER) IN ST. LOUIS- SVDP (DIRECTOR, PROGRAMS & PARTNERSHIPS) IN ST. LOUIS- PLACES FOR PEOPLE (CEO) IN ST LOUIS- SAINT LOUIS CRISIS NURSERY (CEO) IN ST LOUIS- IFM COMMUNITY MEDICINE (CHIEF PROGRAM OFFICER) IN ST. LOUIS- HEALTH LITERACY MEDIA (PRESIDENT & CEO) IN ST LOUIS- BJC BEHAVIORAL HEALTH (DIRECTOR, CLINICAL OPERATIONS) IN ST LOUIS- MISSOURI FOUNDATION FOR HEALTH (SENIOR STRATEGIST) IN ST LOUIS- CITY OF ST. LOUIS DEPARTMENT OF HEALTH (GOVT SERVICES ANALYST) IN ST. LOUIS- STATE FARM (AGENT) IN KIRKWOOD- OPERATION FOOD SEARCH (PRESIDENT & CEO) IN ST. LOUIS- YOUTH IN NEED HEALTH (MANAGER) IN ST. LOUIS- MARCH OF DIMES (ASSOC. DIRECTOR OF DONOR DEVELOPMENT) IN ST. LOUIS - PLACES FOR PEOPLE (VP OF CLINICAL SERVICES) IN ST. LOUISDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. LOUIS CITY WHEN COMPARED TO THE STATE. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED MENTAL HEALTH AS THE ISSUE WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES.
      GROUP A-FACILITY 1 -- BARNES-JEWISH HOSPITAL NORTH/SOUTH PART V, SECTION B, LINE 6A:
      SSM HEALTH IN ST. LOUIS
      GROUP A-FACILITY 1 -- 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.
      GROUP A-FACILITY 1 -- BARNES-JEWISH HOSPITAL NORTH/SOUTH PART V, SECTION B, LINE 11:
      HOSPITAL ASSEMBLED AN INTERNAL WORK GROUP OF CLINICAL AND NONCLINICAL STAFF. THIS GROUP REVIEWED FOCUS GROUP RESULTS AS WELL AS FINDINGS FROM A SECONDARY DATA ANALYSIS TO FURTHER ASSESS IDENTIFIED NEEDS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED BY HOSPITAL FOCUS GROUP MEMBERS WILL BE ADDRESSED BY SETTING GOALS AND MEASURING THE RESULTS OF HOSPITAL EFFORTS: MENTAL HEALTH. GOALS WERE SET AND OBJECTIVES WERE DRAFTED WITH ACTION PLANS PUT INTO PLACE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREA. THESE NEEDS ARE ALREADY BEING ADDRESSED BY HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS. HOSPITAL PERSONNEL WILL CONTINUE TO PARTNER WITH COMMUNITY GROUPS LISTED IN THE IMPLEMENTATION PLAN FOR MEETING THE FOLLOWING COMMUNITY NEEDS:ACCIDENTS/INJURIES; ALCOHOL USE; CANCER RESEARCH AND SUPPORT; DENTAL CARE; DIABETES RESEARCH AND SUPPORT; HEART DISEASE/STROKE RESEARCH AND SUPPORT; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; MATERNAL & CHILD HEALTH; RESPIRATORY DISEASES RESEARCH AND PROGRAMS; SMOKING & TOBACCO EDUCATION.
      GROUP A-FACILITY 1 -- 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.
      GROUP A-FACILITY 1 -- 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.
      GROUP A-FACILITY 1 -- 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.
      GROUP A-FACILITY 2 -- ST LOUIS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5:
      ST. LOUIS CHILDREN'S HOSPITAL (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, BJC HEALTHCARE, ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. BETWEEN JUNE 7 AND JUNE 9, 2021, EMAIL INVITATIONS WERE SENT OUT TO 33 STAKEHOLDERS IN ST. LOUIS CITY FROM HOSPITAL LEADERS. 26 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. A PARENT HEALTH CONCERNS SURVEY WAS ALSO ADMINISTERED IN AUGUST 2021 TO 660 PARENTS LIVING WITHIN THE ST. LOUIS METROPOLITAN REGION. THIS SURVEY IDENTIFIED PRIMARY DATA ON HEALTH NEEDS THAT CONCERN PARENTS IN THE COMMUNITY. - CASA DE SALUD (PRESIDENT & CEO) IN ST. LOUIS- COMMUNITY HEALTH-IN-PARTNERSHIP SERVICES (CHIPS PRES & CEO) IN ST. LOUIS- HAZELWOOD SCHOOL DISTRICT (HEALTH COORDINATOR) IN FLORISSANT- ST. LOUIS INTEGRATED HEALTH NETWORK (DIR, CARE TRANSITIONS INIT) IN ST. LOUIS- ALIVE AND WELL COMMUNITIES (PRESIDENT) IN ST. LOUIS- AFFINIA HEALTHCARE (VP DEVELOPMENT AND COMMUNITY RELATIONS) IN ST. LOUIS- BJK PEOPLES HEALTH CENTERS (CHIEF EXECUTIVE OFFICER) IN ST. LOUIS- MO DHSS (STATE SCHOOL NURSE CONSULTANT) IN ST. LOUIS CITY- PREVENTED (EXECUTIVE DIRECTOR) IN ST. LOUIS- BJC HEALTHCARE (ASSOCIATE DIRECTOR) IN SAINT LOUIS CITY- BEHAVIORAL HEALTH NETWORK OF GR STL (SR. DIR., STRATEGIC INIT) IN ST. LOUIS- GATEWAY REGION YMCA (PRESIDENT & CEO) IN ST. LOUIS- RISE COMMUNITY DEV, INC. (TECHNICAL ASSIST PROG MGR) IN ST. LOUIS- SVDP (DIRECTOR, PROGRAMS & PARTNERSHIPS) IN ST. LOUIS- PLACES FOR PEOPLE (CEO) IN ST LOUIS- SAINT LOUIS CRISIS NURSERY (CEO) IN ST LOUIS- IFM COMMUNITY MEDICINE (CHIEF PROGRAM OFFICER) IN ST. LOUIS- HEALTH LITERACY MEDIA (PRESIDENT & CEO) IN ST LOUIS- BJC BEHAVIORAL HEALTH (DIRECTOR, CLINICAL OPERATIONS) IN ST LOUIS- MISSOURI FOUNDATION FOR HEALTH (SENIOR STRATEGIST) IN ST LOUIS- CITY OF ST. LOUIS DEPT OF HEALTH (GOVT SERVICES ANALYST) IN ST. LOUIS- STATE FARM (AGENT) IN KIRKWOOD- OPERATION FOOD SEARCH (PRESIDENT & CEO) IN ST. LOUIS- YOUTH IN NEED HEALTH (MANAGER) IN ST. LOUIS- MARCH OF DIMES (ASSOC. DIR OF DONOR DEVELOPMENT) IN ST. LOUIS - PLACES FOR PEOPLE (VP OF CLINICAL SERVICES) IN ST. LOUISDURING PHASE TWO, AN INTERNAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF REVIEWED AND ANALYZED SIMILAR HEALTH FINDINGS FROM THOSE IN PHASE ONE. USING COMMUNITY 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 THREE HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. FOR ITS 2022 CHNA PLAN, THE HOSPITAL WILL FOCUS ON: OBESITY; MATERNAL/CHILD HEALTH; AND MENTAL/BEHAVIORAL HEALTH.
      GROUP A-FACILITY 2 -- ST LOUIS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A:
      SSM HEALTH IN ST. LOUIS
      GROUP A-FACILITY 2 -- 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.
      GROUP A-FACILITY 2 -- ST LOUIS CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11:
      AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS TO DETERMINE THE MOST CRITICAL NEEDS IN HOSPITAL'S COMMUNITY THE HOSPITAL DECIDED TO ADDRESS OBESITY, MATERNAL/CHILD HEALTH, AND MENTAL/BEHAVIORAL HEALTH NEEDS IN THE COMMUNITY. 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 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 BECAUSE THE HOSPITAL IS EITHER CURRENTLY ADDRESSING THESE NEEDS OR MAY DEDICATE NECESSARY RESOURCES TO THESE NEEDS IN THE FUTURE. THESE INCLUDE ACCESS TO HEALTHCARE; ASTHMA/ALLERGIES; BLOOD DISEASE; DENTAL HEALTH; DIABETES; HEALTHY LIFESTYLE; INFECTIOUS DISEASE; PUBLIC SAFETY; SEXUALLY TRANSMITTED DISEASES; CANCER AND HEALTH LITERACY.
      GROUP A-FACILITY 2 -- 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.
      GROUP A-FACILITY 2 -- 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.
      GROUP A-FACILITY 2 -- 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.
      GROUP A-FACILITY 3 -- MISSOURI BAPTIST MEDICAL CENTER PART V, SECTION B, LINE 5:
      MISSOURI BAPTIST MEDICAL CENTER (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, HOSPITAL ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. AROUND JUNE 7,2021 EMAIL INVITATIONS WENT OUT TO 56 COMMUNITY STAKEHOLDERS BY PRESIDENTS/REPRESENTATIVES OF MERCY ST. LOUIS, ST. LUKE'S HOSPITAL, BARNES-JEWISH WEST COUNTY HOSPITAL AND MISSOURI BAPTIST MEDICAL CENTER. 29 COMMUNITY MEMBERS PROVIDED US WITH FEEDBACK. INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. - PREVENTED (FORMERLY NCADA) (DEPUTY EXECUTIVE DIRECTOR) IN ST. LOUIS- EUREKA FIRE PROTECTION DISTRICT (FIRE CHIEF) IN EUREKA- HANCOCK PLACE SCHOOL DISTRICT (SUPERINTENDENT) IN ST. LOUIS- TOWN AND COUNTRY, MISSOURI POLICE DEPARTMENT (CHIEF OF POLICE) IN TOWN AND COUNTRY- ST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH (DIRECTOR, OFFICE OF STRATEGY & PLANNING) IN BERKELEY- CITY OF DES PERES (CITY ADMINISTRATOR) IN DES PERES- MARYVILLE UNIVERSITY (DIRECTOR OF HEALTH AND WELLNESS) IN ST. LOUIS- LINDBERGH SCHOOLS (CHIEF COMMUNICATIONS OFFICER) IN ST. LOUIS- DES PERES ST. LUKE'S ADVISORY BOARD MEMBER (BOARD MEMBER) IN DES PERES- THE LINDBERGH SCHOOLS FOUNDATION (DIRECTOR) IN ST. LOUIS- ADVISORY BOARD DES PERES (SECRETARY) IN KIRKWOOD- MARYVILLE UNIVERSITY (MANAGER, HR OPERATIONS) IN ST. LOUIS- LEMAY CHILD AND FAMILY CENTER (EXECUTIVE DIRECTOR) IN ST. LOUIS- METROWEST ANESTHESIA GROUP (ANESTHESIA DEPARTMENT CHAIRMAN) IN ST. LOUIS - ST. LOUIS COUNTY POLICE (PRECINCT COMMANDER) IN WILDWOOD- ST. LOUIS SUBURBAN SCHOOL NURSES ASSOCIATION (PAST PRESIDENT) IN ST. LOUIS- MISSOURI BAPTIST UNIVERSITY (DEAN OF NURSING) IN ST. LOUIS- CREVE COEUR POLICE DEPARTMENT (CAPTAIN) IN CREVE COEUR- COMTREA (RESIDENT ASSISTANT) IN ST. LOUIS- PREVENTED (DIRECTOR OF PREVENTION EDUCATION) IN ST. LOUIS- KIRKWOOD FIRE DEPARTMENT (DEPUTY CHIEF/CMO) IN KIRKWOOD- EVENT EXHIBITS, INC. (OWNER/CEO) IN KIRKWOOD- SAINT LOUIS COUNTY DEPARTMENT OF HEALTH (COMMUNITY HEALTH MANAGER) IN BERKELEY- CIRCLE OF CONCERN (DIRECTOR OF CLIENT SERVICES) IN VALLEY PARK- ROCKWOOD SCHOOL DISTRICT (SUPERVISOR, WELLNESS & HEALTH SERVICES) IN EUREKA- EUREKA POLICE DEPT (POLICE CHIEF) IN EUREKA- JEWISH COMMUNITY CENTER (PRESIDENT & CEO) IN ST. LOUISDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS TO DETERMINE THE MOST CRITICAL NEEDS IN WEST AND SOUTH ST. LOUIS COUNTY, THE WORK GROUP PRESENTED PROPOSALS TO THE EXECUTIVE TEAM FOR THE HOSPITAL'S IMPLEMENTATION PLAN AND, AFTER THOROUGH DISCUSSION WITH THE EXECUTIVE TEAM AROUND RESOURCES, THE EXECUTIVE TEAM DECIDED TO ADDRESS THE NEED FOR CANCER PREVENTION.
      GROUP A-FACILITY 3 -- 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.
      GROUP A-FACILITY 3 -- 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.
      GROUP A-FACILITY 3 -- MISSOURI BAPTIST MEDICAL CENTER PART V, SECTION B, LINE 11:
      AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS TO DETERMINE THE MOST CRITICAL NEEDS IN WEST AND SOUTH ST. LOUIS COUNTY, THE WORK GROUP PRESENTED TWO PROPOSALS TO THE EXECUTIVE TEAM FOR THE HOSPITAL'S IMPLEMENTATION PLAN AND IT WAS DECIDED THAT HOSPITAL WILL FOCUS ON THE PREVENTION OF CANCER. HOSPITAL WILL PROMOTE EVIDENCE-BASED CANCER SCREENINGS FOR LUNG, BREAST, CERVICAL, AND COLORECTAL CANCER TO HELP REDUCE CANCER DEATHS. HOSPITAL WILL FOCUS THEIR SCREENING AND PREVENTION STRATEGY IN ST. LOUIS COUNTY, WHERE WITH THE NEW RISK ASSESSMENT TOOLS, PATIENTS CAN IDENTIFY WHETHER THEY ARE HIGH RISK AND FOLLOW UP WITH APPROPRIATE ENHANCED SCREENINGS.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 INCLUDE ACCIDENTS/INJURIES; ALCOHOL USE; DENTAL CARE; DIABETES RESEARCH AND SUPPORT; HEART HEALTH; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; OBESITY, REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; VAPING; BEHAVIORAL/MENTAL HEALTH; MATERNAL & INFANT HEALTH; TOBACCO USE.
      GROUP A-FACILITY 3 -- 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.
      GROUP A-FACILITY 3 -- 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.
      GROUP A-FACILITY 3 -- 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.
      GROUP A-FACILITY 5 -- CHRISTIAN HOSPITAL NE-NW PART V, SECTION B, LINE 5:
      CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST (HOSPITAL) CONDUCTED ITS 2022 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 2019 AND DISCUSSED CHANGES THAT HAD OCCURRED SINCE PRIOR ASSESSMENTS WERE CONDUCTED. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, HOSPITAL ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. AROUND JUNE 7, 2021, AN EMAIL INVITATION WAS SENT OUT FROM REPRESENTATIVES OF HOSPITAL AND SSM HEALTH TO 22 NORTH ST. LOUIS COUNTY COMMUNITY STAKEHOLDERS, INVITING THEM TO PARTICIPATE IN THE SURVEY. 12 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. INDIVIDUALS WHO PARTICIPATED IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY. - ST. LUKE'S HOSPITAL (MEDICAL DOCTOR) IN ST. LOUIS- PREVENT + ED (COMMUNITY ENGAGEMENT MANAGER) IN ST. LOUIS- ASTHMA & ALLERGY FOUNDATION-ST. LOUIS (SENIOR PROGRAM MANAGER) IN ST. LOUIS- REFUGE & RESTORATION (DIRECTOR OF DEVELOPMENT) IN ST. LOUIS- JEWISH FAMILY SERVICES OF ST. LOUIS (CHIEF EXECUTIVE OFFICER) IN ST. LOUIS- ALIVE & WELL COMMUNITIES (CO-DIRECTOR OF COMMUNITY ACTIVATION) IN JENNINGS- ST. LOUIS AREA DIAPER BANK (EXECUTIVE DIRECTOR) IN ST. LOUIS- OUR FAMILY'S DOING YOGA (FOUNDER) IN ST. LOUIS- ST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH (ASST ENVIRON DIR) IN BERKELEY- CORNERSTONE REALTY (COMMUNITY ENGAGEMENT COORDINATOR) IN ST. LOUIS- AGING AHEAD (COMMUNITY OPTIONS SPECIALIST) IN ST. LOUISDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, CH IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: HEART HEALTH AND DIABETES.
      GROUP A-FACILITY 5 -- 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.
      GROUP A-FACILITY 5 -- CHRISTIAN HOSPITAL NE-NW PART V, SECTION B, LINE 11:
      AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS MOST NEEDED TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY IT SERVES: HEART HEALTH AND DIABETES. GOALS WERE SET AND OBJECTIVES WERE DRAFTED WITH ACTION PLANS PUT INTO PLACE. SEE LINK TO THE CHNA AND IMPLEMENTATION PLAN ON HOSPITAL'S WEBSITE WHICH MORE ACCURATELY DESCRIBES HOW THESE NEEDS ARE BEING ADDRESSED IN THE CURRENT TAX YEAR.WHILE THE FOLLOWING NEEDS ARE IMPORTANT TO THE HOSPITAL AND ITS COMMUNITY, THEY ARE NOT INCLUDED IN THE IMPLEMENTATION PLAN SO THAT HOSPITAL MAY DEDICATE NECESSARY RESOURCES TO THE ABOVE PRIMARY FOCUS AREAS: ACCIDENTS/INJURIES; CANCER; DENTAL CARE; DRUG/ALCOHOL ABUSE; HEART DISEASE/STROKE; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; MATERNAL/INFANT HEALTH; MENTAL/BEHAVIORAL HEALTH; OBESITY; REPRODUCTIVE HEALTH; RESPIRATORY DISEASES; SMOKING & TOBACCO USE; VAPING.
      GROUP A-FACILITY 5 -- 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.
      GROUP A-FACILITY 5 -- 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.
      GROUP A-FACILITY 5 -- 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.
      GROUP A-FACILITY 6 -- BARNES-JEWISH WEST COUNTY HOSPITAL PART V, SECTION B, LINE 5:
      BARNES-JEWISH WEST COUNTY HOSPITAL (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, HOSPITAL ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. AROUND JUNE 7,2021 EMAIL INVITATIONS WENT OUT TO 56 COMMUNITY STAKEHOLDERS BY PRESIDENTS/REPRESENTATIVES OF MERCY ST. LOUIS, ST. LUKE'S HOSPITAL, BARNES-JEWISH WEST COUNTY HOSPITAL AND MISSOURI BAPTIST MEDICAL CENTER. 29 COMMUNITY MEMBERS PROVIDED FEEDBACK. FOLLOWING PARTICIPANTS IN THE CHNA PROCESS WERE CHOSEN FROM MULTIPLE SECTORS AND REPRESENTED THE BROAD INTERESTS OF HOSPITAL COMMUNITY.- PREVENTED (FORMERLY NCADA) (DEPUTY EXECUTIVE DIRECTOR) IN ST. LOUIS- EUREKA FIRE PROTECTION DISTRICT (FIRE CHIEF) IN EUREKA- HANCOCK PLACE SCHOOL DISTRICT (SUPERINTENDENT) IN ST. LOUIS- TOWN AND COUNTRY, MISSOURI POLICE DEPARTMENT (CHIEF OF POLICE) IN TOWN AND COUNTRY- ST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH (DIRECTOR, OFFICE OF STRATEGY & PLANNING) IN BERKELEY- CITY OF DES PERES (CITY ADMINISTRATOR) IN DES PERES- MARYVILLE UNIVERSITY (DIRECTOR OF HEALTH AND WELLNESS) IN ST. LOUIS- LINDBERGH SCHOOLS (CHIEF COMMUNICATIONS OFFICER) IN ST. LOUIS- DES PERES ST. LUKE'S ADVISORY BOARD MEMBER (BOARD MEMBER) IN DES PERES- THE LINDBERGH SCHOOLS FOUNDATION (DIRECTOR) IN ST. LOUIS- ADVISORY BOARD DES PERES (SECRETARY) IN KIRKWOOD- MARYVILLE UNIVERSITY (MANAGER, HR OPERATIONS) IN ST. LOUIS- LEMAY CHILD AND FAMILY CENTER (EXECUTIVE DIRECTOR) IN ST. LOUIS- METROWEST ANESTHESIA GROUP (ANESTHESIA DEPARTMENT CHAIRMAN) IN ST. LOUIS - ST. LOUIS COUNTY POLICE (PRECINCT COMMANDER) IN WILDWOOD- ST. LOUIS SUBURBAN SCHOOL NURSES ASSOCIATION (PAST PRESIDENT) IN ST. LOUIS- MISSOURI BAPTIST UNIVERSITY (DEAN OF NURSING) IN ST. LOUIS- CREVE COEUR POLICE DEPARTMENT (CAPTAIN) IN CREVE COEUR- COMTREA (RESIDENT ASSISTANT) IN ST. LOUIS- PREVENTED (DIRECTOR OF PREVENTION EDUCATION) IN ST. LOUIS- KIRKWOOD FIRE DEPARTMENT (DEPUTY CHIEF/CMO) IN KIRKWOOD- EVENT EXHIBITS, INC. (OWNER/CEO) IN KIRKWOOD- SAINT LOUIS COUNTY DEPARTMENT OF HEALTH (COMMUNITY HEALTH MANAGER) IN BERKELEY- CIRCLE OF CONCERN (DIRECTOR OF CLIENT SERVICES) IN VALLEY PARK- ROCKWOOD SCHOOL DISTRICT (SUPERVISOR, WELLNESS & HEALTH SERVICES) IN EUREKA- EUREKA POLICE DEPT (POLICE CHIEF) IN EUREKA- JEWISH COMMUNITY CENTER (PRESIDENT & CEO) IN ST. LOUISDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS TO DETERMINE THE MOST CRITICAL NEEDS IN WEST AND SOUTH ST. LOUIS COUNTY, IT WAS DECIDED THAT HOSPITAL WOULD FOCUS ON OBESITY AS A COMMUNITY HEALTH NEED.
      GROUP A-FACILITY 6 -- 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
      GROUP A-FACILITY 6 -- 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.
      GROUP A-FACILITY 6 -- BARNES-JEWISH WEST COUNTY HOSPITAL PART V, SECTION B, LINE 11:
      AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS TO DETERMINE THE MOST CRITICAL NEEDS IN WEST AND SOUTH ST. LOUIS COUNTY, IT WAS DECIDED THAT HOSPITAL WILL FOCUS ON THE PREVENTION OF OBESITY TO IMPROVE THE FUTURE HEALTH OF THE COMMUNITY. HOSPITAL WILL ENGAGE THE ST. LOUIS COUNTY COMMUNITY TO ENROLL COMMUNITY MEMBER IN HEALTHY WEIGHT PROGRAMS AND TRACK RELEVANT STATS. 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 INCLUDE ACCIDENTS/INJURIES; ALCOHOL ABUSE; CANCER; DENTAL CARE; DIABETES; DRUG ABUSE; HEART AND VASCULAR DISEASE; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; VAPING; BEHAVIORAL/MENTAL HEALTH; MATERNAL & INFANT HEALTH; TOBACCO USE.
      GROUP A-FACILITY 6 -- 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.
      GROUP A-FACILITY 6 -- 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
      GROUP A-FACILITY 6 -- 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.
      GROUP A-FACILITY 8 -- BARNES-JEWISH ST PETERS HOSPITAL, INC. PART V, SECTION B, LINE 5:
      BARNES JEWISH ST. PETERS HOSPITAL (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, BJC HEALTHCARE, ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. ON JUNE 7, 2021, AN EMAIL INVITATION WAS SENT BY GINA CALDER, PRESIDENT OF BARNES-JEWISH ST. PETERS HOSPITAL AND PROGRESS WEST HEALTHCARE CENTER, TO 24 ST. CHARLES COUNTY COMMUNITY STAKEHOLDERS, INVITING THEM TO PARTICIPATE IN THE SURVEY. 19 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY.- COMMUNITY COUNCIL (EXECUTIVE DIRECTOR) IN ST. PETERS- EDC OF ST. CHARLES (PRESIDENT & CEO) IN ST. PETERS- FORT ZUMWALT SCHOOL DISTRICT (SUPERINTENDENT) IN ST. PETERS-- ST. CHARLES COUNTY DEPT OF PUBLIC HEALTH (EMERG PLANNER) IN ST. CHARLES- UNITED SERVICES FOR CHILDREN (CEO) IN ST. PETERS- UNITED WAY OF GREATER ST. LOUIS (DIR, WEST REGION) IN ST. CHARLES- LUTHERAN HIGH SCHOOL-ST. CHARLES (DIR OF COMM RELATIONS) IN ST. PETERS- ST. LOUIS CRISIS NURSERY (SR. REGIONAL PROGRAM MANAGER) IN ST. CHARLES- CALVARY CHURCH COMMUNITY MINISTRY (PASTOR) IN ST. PETERS- CROSSROADS CLINIC VOLUNTEERS IN MEDICINE (CLINICAL DIR) IN LAKE ST. LOUIS- US HOUSE OF REPRESENTATIVES (DISTRICT DIRECTOR) IN WENTZVILLE- ST. CHARLES CITY-COUNTY PUBLIC LIBRARY (DIR OF ADULT SVCS) IN ST. PETERS- ORCHARD FARM SCHOOL DISTRICT (SUPERINTENDENT) IN ST. CHARLES- AGING AHEAD (COMMUNITY OPTION SPECIALIST) IN 'FALLON- ST. JOACHIM AND ANN CARE SERVICES (EXECUTIVE DIRECTOR) IN ST. CHARLES- LINDENWOOD ATHLETICS (ASST ATHLETIC DIR-SPORTS MEDICINE) IN ST. CHARLES- O'FALLON FIRE PROTECTION DISTRICT (FIRE CHIEF) IN O'FALLON- PREVENTED (COMMUNITY STRATEGIST) IN ST. LOUIS- YOUTH IN NEED (HEALTH MANAGER) IN ST. LOUISDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS.
      GROUP A-FACILITY 8 -- BARNES-JEWISH ST PETERS HOSPITAL, INC. PART V, SECTION B, LINE 6A:
      SSM HEALTH
      GROUP A-FACILITY 8 -- 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.
      GROUP A-FACILITY 8 -- BARNES-JEWISH ST PETERS HOSPITAL, INC. PART V, SECTION B, LINE 11:
      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: MENTAL HEALTH AND HEART HEALTH. TO ADDRESS MENTAL HEALTH IN THE COMMUNITY, HOSPITAL PLANS TO WORK MORE CLOSELY WITH AREA RESOURCES TO ALLOW RESIDENTS TO HAVE ACCESS TO MENTAL HEALTH RESOURCES CLOSER TO THEIR HOME. TO ADDRESS BARRIERS TO GOOD HEART HEALTH, HOSPITAL PROVIDES EDUCATION, SCREENINGS FOR MODIFIABLE RISK FACTORS INCLUDING BLOOD PRESSURE AND CHOLESTEROL, AND ACCESS TO HEART HEALTH PROGRAMS IN THE COMMUNITY. 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 INCLUDE ACCIDENTS/INJURIES; ALCOHOL/DRUG ABUSE; CANCER; DENTAL CARE; DIABETES; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; OBESITY; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; VAPING; BEHAVIORAL/MENTAL HEALTH; MATERNAL & INFANT HEALTH; TOBACCO USE.
      GROUP A-FACILITY 8 -- 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.
      GROUP A-FACILITY 8 -- 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.
      GROUP A-FACILITY 8 -- 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.
      GROUP A-FACILITY 9 -- PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 5:
      PROGRESS WEST HEALTHCARE CENTER (HOSPITAL), CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, HOSPITAL, ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. ON JUNE 7, 2021, AN EMAIL INVITATION WAS SENT BY GINA CALDER, PRESIDENT OF BARNES-JEWISH ST. PETERS HOSPITAL AND HOSPITAL, TO 24 ST. CHARLES COUNTY COMMUNITY STAKEHOLDERS, INVITING THEM TO PARTICIPATE IN THE SURVEY. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. SEE LIST OF 19 COMMUNITY STAKEHOLDERS WHO COMPLETED THE SURVEY. - COMMUNITY COUNCIL (EXECUTIVE DIRECTOR) IN ST. PETERSE- DC OF ST. CHARLES (PRESIDENT & CEO) IN ST. PETERS- FORT ZUMWALT SCHOOL DISTRICT (SUPERINTENDENT) IN ST. PETERS- ST. CHARLES COUNTY DEPT OF PUBLIC HEALTH (EMERG PLANNER) IN ST. CHARLES- UNITED SERVICES FOR CHILDREN (CEO) IN ST. PETERS- UNITED WAY OF GREATER ST. LOUIS (DIRECTOR, WEST REGION) IN ST. CHARLES- LUTHERAN HIGH SCHOOL-ST. CHARLES (DIR OF COMM RELATIONS) IN ST. PETERS- ST. LOUIS CRISIS NURSERY (SR. REGIONAL PROGRAM MANAGER) IN ST. CHARLES- CALVARY CHURCH COMMUNITY MINISTRY (PASTOR) IN ST. PETERS- CROSSROADS CLINIC VOLUNTEERS IN MEDICINE (CLIN DIR) IN LAKE ST. LOUIS- US HOUSE OF REPRESENTATIVES (DISTRICT DIRECTOR) IN WENTZVILLE- ST. CHARLES CITY-COUNTY PUBLIC LIBRARY (DIR OF ADULT SVCS) IN ST. PETERS- ORCHARD FARM SCHOOL DISTRICT (SUPERINTENDENT) IN ST. CHARLES- AGING AHEAD (COMMUNITY OPTION SPECIALIST) IN 'FALLON-ST. JOACHIM AND ANN CARE SERVICES (EXECUTIVE DIRECTOR) IN ST. CHARLES- LINDENWOOD ATHLETICS (ASST ATHLETIC DIR-SPORTS MED) IN ST. CHARLES- O'FALLON FIRE PROTECTION DISTRICT (FIRE CHIEF) IN O'FALLON- PREVENTED (COMMUNITY STRATEGIST) IN ST. LOUIS- YOUTH IN NEED (HEALTH MANAGER) IN ST. LOUISDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. CHARLES COUNTY WHEN COMPARED TO THE STATE. 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: MENTAL HEALTH AND HEART HEALTH.
      GROUP A-FACILITY 9 -- PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 6A:
      BARNES-JEWISH ST. PETERS HOSPITAL, INC.; SSM HEALTH
      GROUP A-FACILITY 9 -- 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.
      GROUP A-FACILITY 9 -- PROGRESS WEST HEALTHCARE CENTER PART V, SECTION B, LINE 11:
      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: MENTAL HEALTH AND HEART HEALTH. TO ADDRESS MENTAL HEALTH IN THE COMMUNITY, HOSPITAL PLANS TO WORK MORE CLOSELY WITH AREA RESOURCES TO ALLOW RESIDENTS TO HAVE ACCESS TO MENTAL HEALTH RESOURCES CLOSER TO THEIR HOME. TO ADDRESS BARRIERS TO GOOD HEART HEALTH, HOSPITAL PROVIDES EDUCATION, SCREENINGS FOR MODIFIABLE RISK FACTORS INCLUDING BLOOD PRESSURE AND CHOLESTEROL, AND ACCESS TO HEART HEALTH PROGRAMS IN THE COMMUNITY. 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 INCLUDE ACCIDENTS/INJURIES; ALCOHOL/DRUG ABUSE; CANCER; DENTAL CARE; DIABETES; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; MATERNAL & INFANT HEALTH; OBESITY; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; TOBACCO USE; VAPING.
      GROUP A-FACILITY 9 -- 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.
      GROUP A-FACILITY 9 -- 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.
      GROUP A-FACILITY 9 -- 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.
      GROUP A-FACILITY 10 -- PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 5:
      PARKLAND HEALTH CENTER OF FARMINGTON AND BONNE TERRE (HOSPITAL) CONDUCTED ITS 2022 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. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, BJC HEALTHCARE, ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. AN EMAIL INVITATION WAS SENT OUT BY PARKLAND HEALTH CENTER PRESIDENT ANNETTE SCHNABEL BEGINNING ON JUNE 7, 2021, TO 21 ST. FRANCOIS COUNTY COMMUNITY STAKEHOLDERS. 13 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:CITY OF FARMINGTON (CITY ADMINISTRATOR) IN FARMINGTONST. FRANCOIS COUNTY COMMUNITY PARTNERSHIP (EXEC DIR) IN BONNE TERRECOMMUNITY VOLUNTEER RETIRED IN BONNE TERREBISMARK R-5 SCHOOL DISTRICT (SCHOOL COUNSELOR) IN BISMARCKEAST MISSOURI ACTION AGENCY (COMMUNITY SVCS PROG DIR) IN PARK HILLSFARMINGTON R7 SCHOOL DISTRICT (ASSOC SUPERINTENDENT) IN FARMINGTONPRESBYTERIAN CHILDREN'S HOMES & SERVICES (PCHAS) RESOURCE COORD/THERAPIST IN FARMINGTONFARMINGTON FIRE DEPARTMENT (FIRE CAPTAIN) IN FARMINGTONMY TURNING POINT COUNSELING, LLC (LICENSED PROF COUNSELOR) IN FARMINGTONCENTRAL R3 SCHOOL DISTRICT (SCHOOL-BASED SERVICE WORKER) IN FARMINGTONST. FRANCOIS COUNTY HEALTH CENTER (DIRECTOR) IN PARK HILLSST. FRANCOIS COUNTY AMBULANCE DISTRICT (ADMIN/CEO) IN PARK HILLSFARMINGTON SENIOR NUTRITION CENTER (ADMINISTRATOR IN FARMINGTONDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL WORK GROUP FROM PHC AND THE ST. FRANCOIS COUNTY HEALTH DEPARTMENT. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. FRANCOIS COUNTY WHEN COMPARED TO THE STATE. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, IT WAS CONCLUDED THAT HOSPITAL WILL FOCUS ON MENTAL HEALTH/DRUG ABUSE AND THE HEALTH DEPARTMENT WILL PRIMARILY FOCUS ON DIABETES.
      GROUP A-FACILITY 10 -- PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 6A:
      PARKLAND HEALTH CENTER BONNE TERRE
      GROUP A-FACILITY 10 -- PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 6B:
      ST. FRANCOIS COUNTY HEALTH DEPARTMENT
      GROUP A-FACILITY 10 -- 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.
      GROUP A-FACILITY 10 -- PARKLAND HEALTH CENTER-FARMINGTON PART V, SECTION B, LINE 11:
      AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, IT WAS DECIDED THAT HOSPITAL WILL FOCUS ON MENTAL HEALTH/DRUG ABUSE BY INCREASING TREATMENT SERVICES FOR MENTAL HEALTH AND SUBSTANCE ABUSE. FOR THOSE WHO RECEIVE MEDICATION ASSISTED TREATMENT FOR SUBSTANCE ABUSE, INCLUDING MOTHERS RECEIVING PRENATAL CARE, INCREASE EDUCATION PROGRAMS AND CHECK IN SESSIONS FOR THOSE IN TREATMENT PLANS. 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 INCLUDE ACCIDENTS/INJURIES; ALCOHOL/DRUG ABUSE; CANCER; DENTAL CARE; DIABETES; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; OBESITY; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; VAPING; BEHAVIORAL/MENTAL HEALTH; MATERNAL & INFANT HEALTH; TOBACCO USE.
      GROUP A-FACILITY 10 -- 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.
      GROUP A-FACILITY 10 -- 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.
      GROUP A-FACILITY 10 -- 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.
      GROUP A-FACILITY 11 -- MISSOURI BAPTIST HOSPITAL OF SULLIVAN PART V, SECTION B, LINE 5:
      MISSOURI BAPTIST SULLIVAN HOSPITAL (HOSPITAL) CONDUCTED ITS 2022 ASSESSMENT IN TWO PHASES. THE FIRST PHASE CONSISTED OF A FOCUS GROUP DISCUSSION WITH KEY LEADERS AND STAKEHOLDERS REPRESENTING THE COMMUNITY. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, HOSPITAL, ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. ON JUNE 7, 2021, AN EMAIL INVITATION WAS SENT BY NATALIE COUNTS ON BEHALF OF TONY SCHWARM, PRESIDENT OF MISSOURI BAPTIST HOSPITAL OF SULLIVAN, TO 24 CRAWFORD COUNTY COMMUNITY STAKEHOLDERS, INVITING THEM TO PARTICIPATE IN THE SURVEY. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. FOLLOWING LIST 11 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY, A MAJORITY OF WHICH WERE AFFILIATED WITH A SCHOOL SYSTEM. - STEELVILLE AMBULANCE DISTRICT (ADMINISTRATOR) IN STEELVILLE- MERAMEC COMMUNITY MISSION (DIRECTOR) IN SULLIVAN- CRAWFORD COUNTY HEALTH DEPT (ADMINISTRATOR) IN STEELVILLE- SPRING BLUFF R-XV (SUPERINTENDENT) IN SULLIVAN- LIFE HOUSE CENTER (EXECUTIVE DIRECTOR) IN SULLIVAN- SULLIVAN HIGH CRAWFORD (PRINCIPAL) IN SULLIVAN- CRAWFORD CO R-1 SCHOOL DISTRICT (LEAD DISTRICT RN) IN BOURBON- BOURBON HIGH SCHOOL (PRINCIPAL) IN BOURBON- CRAWFORD CO R-2 SCHOOL DISTRICT (PRINCIPAL) IN CUBA- SULLIVAN SCHOOL DISTRICT (SUPERINTENDENT) IN SULLIVAN- COMMUNITY VOLUNTEER IN FENTONDURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY ANINTERNAL HOSPITAL WORK GROUP OF CLINICAL AND NON-CLINICAL STAFF. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, MBSH IDENTIFIED TWO NEEDS WHERE EFFORTS ARE MOST NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: HEART HEALTH AND DIABETES.
      GROUP A-FACILITY 11 -- MISSOURI BAPTIST HOSPITAL OF SULLIVAN PART V, SECTION B, LINE 6A:
      SSM HEALTH IN ST. LOUIS
      GROUP A-FACILITY 11 -- 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.
      GROUP A-FACILITY 11 -- MISSOURI BAPTIST HOSPITAL OF SULLIVAN PART V, SECTION B, LINE 11:
      AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, HOSPITAL IDENTIFIED TWO HEALTH NEEDS WHERE FOCUS IS NEEDED TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES: HEART HEALTH AND DIABETES. TO ADDRESS BARRIERS TO GOOD HEART HEALTH AND CONTROL OF DIABETES, HOSPITAL PROVIDES EDUCATION, SCREENINGS FOR MODIFIABLE RISK FACTORS INCLUDING BLOOD PRESSURE AND CHOLESTEROL, AND ACCESS TO HEART HEALTH PROGRAMS IN THE COMMUNITY. 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 INCLUDE ACCIDENTS/INJURIES; ALCOHOL/DRUG ABUSE; CANCER (BREAST); CANCER (PROSTATE); DENTAL CARE; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; MATERNAL & INFANT HEALTH; MENTAL HEALTH; OBESITY; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; TOBACCO USE/VAPING.
      GROUP A-FACILITY 11 -- 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.
      GROUP A-FACILITY 11 -- 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.
      GROUP A-FACILITY 11 -- 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.
      GROUP A-FACILITY 12 -- PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 5:
      PARKLAND HEALTH CENTER OF FARMINGTON AND BONNE TERRE (HOSPITAL) CONDUCTED ITS 2022 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. IN THE PAST, COMMUNITY STAKEHOLDER HEALTH NEEDS ASSESSMENTS WERE CONDUCTED IN PERSON VIA A MODERATED DISCUSSION. DUE TO COVID-19, BJC HEALTHCARE, ALONG WITH COLLABORATIVE HEALTH SYSTEM AND HOSPITAL PARTNERS, CONDUCTED AN ONLINE SURVEY FOR THE SAFETY OF COMMUNITY STAKEHOLDERS. THE SURVEY PROVIDED STAKEHOLDERS AN OPPORTUNITY TO RANK COMMUNITY HEALTH NEEDS COMPILED BY THESE PARTNERS. AN EMAIL INVITATION WAS SENT OUT BY PARKLAND HEALTH CENTER PRESIDENT ANNETTE SCHNABEL BEGINNING ON JUNE 7, 2021, TO 21 ST. FRANCOIS COUNTY COMMUNITY STAKEHOLDERS. 13 COMMUNITY STAKEHOLDERS COMPLETED THE SURVEY. FOCUS GROUP PARTICIPANTS INCLUDED PARTICIPANTS REPRESENTING:- CITY OF FARMINGTON (CITY ADMINISTRATOR) IN FARMINGTON- ST. FRANCOIS COUNTY COMMUNITY PARTNERSHIP (EXEC DIR) IN BONNE TERRE- COMMUNITY VOLUNTEER RETIRED IN BONNE TERRE- BISMARK R-5 SCHOOL DISTRICT (SCHOOL COUNSELOR) IN BISMARCK- EAST MISSOURI ACTION AGENCY (COMMUNITY SERVICES PROG DIR) IN PARK HILLS- FARMINGTON R7 SCHOOL DISTRICT (ASSOC SUPERINTENDENT) IN FARMINGTON- PRESBYTERIAN CHILDREN'S HOMES & SERVICES (PCHAS) (RESOURCE COORD/THERAPIST) IN FARMINGTON- FARMINGTON FIRE DEPARTMENT (FIRE CAPTAIN) IN FARMINGTON- MY TURNING POINT COUNSELING, LLC (LICENSED PROF COUNSELOR) IN FARMINGTON- CENTRAL R3 SCHOOL DISTRICT (SCHOOL-BASED SERVICE WORKER) IN FARMINGTON- ST. FRANCOIS COUNTY HEALTH CENTER (DIRECTOR) IN PARK HILLS- ST. FRANCOIS COUNTY AMBULANCE DISTRICT (ADMIN/CEO) IN PARK HILLS- FARMINGTON SENIOR NUTRITION CENTER (ADMINISTRATOR IN FARMINGTON)DURING PHASE TWO, FINDINGS FROM THE STAKEHOLDER SURVEY WERE REVIEWED AND ANALYZED BY AN INTERNAL WORK GROUP FROM PHC AND THE ST. FRANCOIS COUNTY HEALTH DEPARTMENT. USING MULTIPLE SOURCES, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE, A SECONDARY DATA ANALYSIS WAS CONDUCTED TO FURTHER ASSESS THE IDENTIFIED NEEDS. THIS ANALYSIS IDENTIFIED UNIQUE HEALTH DISPARITIES AND TRENDS EVIDENT IN ST. FRANCOIS COUNTY WHEN COMPARED TO THE STATE. AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, IT WAS CONCLUDED THAT HOSPITAL WILL FOCUS ON MENTAL HEALTH/DRUG ABUSE AND THE HEALTH DEPARTMENT WILL PRIMARILY FOCUS ON DIABETES.
      GROUP A-FACILITY 12 -- PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 6A:
      PARKLAND HEALTH CENTER FARMINGTON AND SSM HEALTH IN ST. LOUIS
      GROUP A-FACILITY 12 -- 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.
      GROUP A-FACILITY 12 -- PARKLAND HEALTH CENTER-BONNE TERRE PART V, SECTION B, LINE 11:
      AT THE CONCLUSION OF THE COMPREHENSIVE ASSESSMENT PROCESS, IT WAS DECIDED THAT HOSPITAL WILL FOCUS ON MENTAL HEALTH/DRUG ABUSE BY INCREASING TREATMENT SERVICES FOR MENTAL HEALTH AND SUBSTANCE ABUSE. FOR THOSE WHO RECEIVE MEDICATION ASSISTED TREATMENT FOR SUBSTANCE ABUSE, INCLUDING MOTHERS RECEIVING PRENATAL CARE, INCREASE EDUCATION PROGRAMS AND CHECK IN SESSIONS FOR THOSE IN TREATMENT PLANS. 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 INCLUDE ACCIDENTS/INJURIES; ALCOHOL/DRUG ABUSE; CANCER; DENTAL CARE; DIABETES; HIGH BLOOD PRESSURE; IMMUNIZATIONS & INFECTIOUS DISEASE PROGRAMS; OBESITY; REPRODUCTIVE/SEXUAL HEALTH; RESPIRATORY DISEASES; STROKE; VAPING; BEHAVIORAL/MENTAL HEALTH; MATERNAL & INFANT HEALTH; TOBACCO USE.
      GROUP A-FACILITY 12 -- 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.
      GROUP A-FACILITY 12 -- 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.
      GROUP A-FACILITY 12 -- 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.
      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 MEMORIAL HOSPITAL EAST IN SHILOH) 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 3C 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 = $ 6,164,903,130 WHICH EXCLUDES THE ALLOCABLE SHARE OF JOINT VENTURE BAD DEBT EXPENSES OF $1,741,851 FOR 2022.
      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 2022, SUBSIDIZED HEALTH SERVICES PROVIDED THROUGH THESE PHYSICIAN PRACTICES GENERATED LOSSES OF $67,420,496.
      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.
      (THE) REHABILITATION INSTITUTE OF ST. LOUIS WEBSITE ADDRESS
      WWW.ENCOMPASSHEALTH.COM/REHABINSTITUTESTL
      (THE) REHABILITATION INSTITUTE OF SOUTHERN ILLINOIS WEBSITE ADDRESS
      WWW.ENCOMPASSHEALTH.COM/LOCATIONS/SHILOHREHAB
      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 = 4.7M. 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 = 17.3M. 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 $6.3 BILLION, BJC SERVES URBAN, SUBURBAN AND RURAL COMMUNITIES THROUGH 14 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 2022, MORE THAN 7,000 PHYSICIANS WERE ACTIVE MEMBERS OF THE MEDICAL STAFFS OF ALL BJC HOSPITALS. OF THE TOTAL PHYSICIANS, APPROXIMATELY 2,900 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.