BJC HealthCare told the Boone Hospital Center Board of Trustees last year that BJC is no longer the best option for managing the hospital and that trustees should pursue a partnership with MU Health Care.
The news came as a surprise to the trustees, who had issued a request for proposals for management of the hospital after its current lease with BJC expires in 2020. The trustees fully expected BJC to respond with a proposal. Instead, it sent a short letter on June 29, 2016, according to a draft progress report compiled by Verité Healthcare Consulting in December.
kAm“%96 4FCC6?E q@@?6 w@DA:E2= r6?E6C @A6C2E:?8 =62D6[ :ED D9@CE =62D6 E6C> W2? 6I:E @AE:@? 6G6CJ d J62CDX[ :ED C6?E 2=8@C:E9> WG2C:23=6 H:E9 9@DA:E2= 42D9 7=@HDX[ 2?5 :ED 8@G6C?2?46 >@56= W2 4@F?EJ\6=64E65 3@2C5 @7 ECFDE66DX[ :D ?@ =@?86C C6DA@?D:G6 E@ H92E E96 9@DA:E2= H:== ?665 E@ DF44665[ :?5665[ E@ E9C:G6 :? E96 J62CD 29625[” E96 =6EE6C D2:5]k^Am
kAmqyr 2=D@ D2:5 E92E :E’D H:==:?8 E@ 4@?D:56C 62C=J E6C>:?2E:@? @7 :ED b_\J62C\@=5 =62D6 H:E9 q@@?6 F?56C E96 4@?5:E:@? E92E :E ;@:?D H:E9 |& w62=E9 r2C6 2?5 E92E q@@?6 DFDE2:? 2?J A@DD:3=6 4@DED 2DD@4:2E65 H:E9 62C=J D6G6C2?46] qyr 2?5 E96 ECFDE66D 92G6 F?E:= s646>36C a_`g E@ ?@E:7J @?6 2?@E96C H96E96C E96J :?E6?5 E@ 6?5 E96:C =62D6 2CC2?86>6?E] k^Am
kAm%96 =6EE6C C64@>>6?565 E96 ECFDE66D “>66E H:E9 E96 =6256CD @7 E96 &?:G6CD:EJ @7 |:DD@FC: :? r@=F>3:2” E@ “6IA=@C6 2 >@56= @7 ;@:?:?8 E@86E96C E96 EH@ 9@DA:E2=D :? 2 H2J E92E 4@F=5 244@>A=:D9 D6G6C2= :>A@CE2?E @3;64E:G6D[” 244@C5:?8 E@ E96 C6A@CE] %9@D6 :?4=F56 “249:6G:?8 DJ?6C8J 2?5 677:4:6?4:6D” 2?5 “36EE6C :?E68C2E:?8 2?5 4@@C5:?2E:?8 E96 C68:@?’D 962=E9 42C6 D6CG:46D W:?4=F5:?8 A9JD:4:2?DX]” k^Am
kAmqyr 7FCE96C C64@>>6?565 2 ?6H @A6C2E:?8 >@56= 7@C q@@?6[ D2J:?8 E96 “8C@H:?8 EC6?5 :D 7@C 9@DA:E2=D E@ ;@:? E@86E96C H:E9 @E96C 9@DA:E2=D =@42E65 :? E96 D2>6 C68:@? E@ 36EE6C D6CG6 E96:C 4@>>F?:E:6D]” k^Am
kAm%96 |:DD@FC:2? C624965 @FE E@ E96 7:G6 ECFDE66D 7@C E9:D DE@CJ 3FE H2D @?=J 23=6 E@ 4@?E24E %CFDE66 y2? q64<6EE] $96 564=:?65 :? 2 3C:67 A9@?6 4@?G6CD2E:@? E@ 4@>>6?E]k^Am
k9bm%96 '6C:Eé C6A@CEk^9bm
kAm%96 '6C:Eé 5@4F>6?E — AC6A2C65 7@C E96 ECFDE66D 2?5 @3E2:?65 3J E96 |:DD@FC:2? — :?4=F56D 2 E:>6=:?6 @7 6G6?ED =625:?8 FA E@ E96 C6BF6DE 7@C AC@A@D2=D] xE 2=D@ 4@?E2:?D :?7@C>2E:@? 23@FE q@@?6 w@DA:E2= r6?E6C’D 7:?2?4:2= 4@?5:E:@? E9C@F89 a_`d[ 2? 233C6G:2E65 G6CD:@? @7 |& w62=E9 r2C6’D AC@A@D2= 2?5 2? 2?2=JD:D @7 E96 AC@D 2?5 4@?D @7 7@C>:?8 2 A2CE?6CD9:A H:E9 |& 2?5 @E96CD H9@ C6DA@?565 E@ E96 C6BF6DE]k^Am
kAm%96 C6A@CE D2JD E92E q64<6EE[ E96 ECFDE66D’ D64C6E2CJ 2?5 2 >6>36C @7 E96 qyr 3@2C5[ DA@<6 H:E9 @E96C qyr 3@2C5 >6>36CD 27E6C C646:G:?8 E96 =6EE6C C64@>>6?5:?8 2 A2CE?6CD9:A H:E9 |&] $96 @FE=:?65 H92E :E H@F=5 E2<6 7@C E96 ECFDE66D E@ 4@?D:56C 2 ?6H =62D6 H:E9 qyr] qyr C6DA@?565 3J D6?5:?8 2 7@==@H\FA =6EE6C @? $6AE af[ a_`e] k^Am
kAm“(6 2C6 ?@E AC6A2C65 E@ C6?68@E:2E6 E96 E6C>D @7 E96 4FCC6?E =62D6 >@C6 E92? 7@FC J62CD AC:@C E@ :ED 6IA:C2E:@?[” E96 =6EE6C D2:5] “~FC 4FCC6?E =62D6 28C66>6?E DE2E6D E92E 2?J ?@E:46 @7 :?E6?E E@ E6C>:?2E6 E96 {62D6 >2J @?=J 36 8:G6? 36EH66? s646>36C ` 2?5 s646>36C b`[ a_`g] … ?@?6 @7 @FC 4@>>F?:42E:@?D ,2C6. :?E6?565 E@ AC@G:56 DF49 2 ?@E:46]” k^Am
kAmqyr :D 2 ?@?AC@7:E 962=E9 42C6 @C82?:K2E:@? 32D65 :? $E] {@F:D 2?5 :D @?6 @7 E96 3:886DE 6>A=@J6CD :? |:DD@FC:] $E] {@F:D r9:=5C6?’D w@DA:E2= 2?5 q2C?6D\y6H:D9 w@DA:E2= 2C6 A2CE @7 :ED ?6EH@C<] k^Am
kAmqyr H2D @?6 @7 23@FE a_ 6?E:E:6D[ :?4=F5:?8 |& w62=E9 r2C6[ E92E H6C6 D6?E C6BF6DED 7@C AC@A@D2=D =2DE J62C] %96 ECFDE66D 2??@F?465 :? pF8FDE E92E E96J H@F=5 368:? ?68@E:2E:?8 6I4=FD:G6=J H:E9 |& w62=E9 r2C6 7@C 2 ?6H A2CE?6CD9:A[ 2?5 E96J’G6 366? 5@:?8 D@ :? 2 D6C:6D @7 4=@D65 >66E:?8D D:?46] k^Am
kAm%96 '6C:Eé C6A@CE 56E2:=D q@@?6 w@DA:E2=’D 7:?2?4:2=D[ :?5:42E:?8 E92E 2D @7 s64] b`[ a_`d[ E96 ECFDE66D 925 2C@F?5 Sg_ >:==:@? :? 42D9 C6D6CG6D H9:=6 q@@?6 w@DA:E2= r6?E6C 925 2446DD E@ 92=7 @7 2 Sdg >:==:@? 7F?5 D92C65 H:E9 qyr] %96 9@DA:E2=’D @A6C2E:?8 6IA6?D6D :?4C62D65 3J 2C@F?5 Shb >:==:@? 36EH66? a__e 2?5 a_`d[ 9@H6G6C] ~A6C2E:?8 AC@7:ED H6C6 Saa]b >:==:@? :? a__e[ 3FE E96 9@DA:E2= C6A@CE65=J =@DE Sa]ae >:==:@? :? a_`d] k^Am
kAm%96 =@DD @7 C6G6?F6 4@:?4:56D H:E9 564=:?:?8 25>:DD:@?D 2?5 A2E:6?E ?F>36CD 2E E96 9@DA:E2=] %96 5C@A :? A2E:6?E G@=F>6D H2D 2 4@?EC:3FE:?8 724E@C :? E96 =2J@77D @7 d_ 6>A=@J66D @? |@?52J[ 244@C5:?8 E@ k2 9C67lQ9EEADi^^HHH]4@=F>3:2>:DD@FC:2?]4@>^?6HD^=@42=^3@@?6\9@DA:E2=\46?E6C\=2JD\@77\E@\4=@D6\:?A2E:6?E\A65:2EC:4D\?FCD:?8^2CE:4=6043gb`gd6\2f2c\``6f\2bfd\bf6_7d5fh4`_]9E>=Qm2 DE2E6>6?E 7C@> q@@?6 w@DA:E2= DA@<6D>2? q6? r@C?6=:FD @? |@?52J]k^2m k^Am
kAmk^Am
k9bm~E96C @AE:@?Dk^9bm
kAmx? 255:E:@? E@ 2 4@==23@C2E:@? H:E9 |& w62=E9 r2C6[ q@@?6 w@DA:E2= D:K65 FA @E96C @AE:@?D[ :?4=F5:?8 2 A2CE?6CD9:A H:E9 %6??6DD66\32D65 sF<6 {:76!@:?E 2?5 z2?D2D r:EJ\32D65 $2:?E {F<6’D w62=E9 $JDE6>[ 2D H6== 2D E96 @AE:@? @7 DE2?5:?8 2=@?6] k^Am
kAmv@:?8 :?56A6?56?E @776CD q@@?6 w@DA:E2= E96 >@DE 7=6I:3:=:EJ :? E96 7FEFC6[ 244@C5:?8 E@ E96 '6C:Eé C6A@CE[ 2?5 2 A2CE?6CD9:A H:E9 sF<6 {:76!@:?E H@F=5 J:6=5 E96 9:896DE C6EFC?[ E96 C6A@CE D2:5] $2:?E {F<6’D w62=E9 $JDE6> 4@>6D :? D64@?5] k^Am
kAm|& w62=E9 r2C6[ @? E96 @E96C 92?5[ H@F=5 J:6=5 ;FDE E96 E9:C5\9:896DE A@E6?E:2= C6EFC?] x? E96 42D6 @7 2 4@==23@C2E:@? H:E9 |& w62=E9 r2C6[ q@@?6 r@F?EJ 2?5 E96 ECFDE66D 6249 H@F=5 C646:G6 2 D6C:6D @7 7:I65 A2J>6?ED E:65 E@ E96 2G6C286 2>@F?ED A2:5 3J qyr F?56C E96 4FCC6?E =62D6] k^Am
kAm|& w62=E9 r2C6 :D 2=D@ 4@?D:56C:?8 AC@G:5:?8 2? 255:E:@?2= 2??F2= A2J>6?E E@ E96 ECFDE66D 7@C “DA64:7:4 :?:E:2E:G6D :? 7FCE96C2?46 @7 E96 962=E9 @7 q@@?6 r@F?EJ C6D:56?ED” :7 E96 EH@ 9@DA:E2=D 4@==23@C2E6[ E96 C6A@CE D9@H65] k^Am
kAm&?56C 2 A2CE?6CD9:A H:E9 |&[ E96 ECFDE66D H@F=5 C6BF:C6 Se >:==:@? 2 J62C E@ D6CG:46 q@@?6 w@DA:E2=’D 563E[ 2?5 5FC:?8 E96 :?:E:2= `_ J62CD @7 2 =62D6[ E96 A2J>6?ED @G6C2== 4@F=5 36 2?JH96C6 36EH66? S`b >:==:@? 2?5 S`e >:==:@?[ E96 C6A@CE D2:5] k^Am
k9bmr92?86 :? 8@G6C?2?46k^9bm
kAmx7 E96 EH@ 9@DA:E2=D 4@>6 E@ 2? 28C66>6?E[ q@@?6 w@DA:E2= r6?E6C 4@F=5 C6=J “@? |& w62=E9 r2C6 7@C 46CE2:? 25>:?:DEC2E:G6 2?5 DFAA@CE 7F?4E:@?D[” 3FE 4@>A=6E6 :?E68C2E:@? H@F=5 A2? @FE @G6C E96 4@FCD6 @7 EH@ J62CD[ E96 C6A@CE D2:5] k^Am
kAm|& w62=E9 r2C6 92D AC@A@D65 7@C>:?8 2 8@G6C?:?8 3@5J :E H@F=5 42== E96 q@@?6 w@DA:E2= r6?E6C ~A6C2E:?8 r@] xE H@F=5 36 :? 492C86 @7 86?6C2= @A6C2E:@?D 2?5 H@F=5 4@?D:DE @7 7:G6 |&\2AA@:?E65 >6>36CD[ D:I ECFDE66\2AA@:?E65 >6>36CD 2?5 EH@ >6>36CD 7C@> E96 4@>>F?:EJ 2AAC@G65 3J |& 2?5 E96 ECFDE66D] k^Am
kAm%96 @A6C2E:?8 4@>A2?J’D 5FE:6D[ 244@C5:?8 E@ '6C:Eé[ H@F=5 :?4=F56ik^Am
kF=mk=:m!C@G:5:?8 :?AFE @? >2E6C:2= 492?86D :? D6CG:46D 2E qwr]k^=:mk=:m$FAA@CE:?8 DEC2E68:4 A=2??:?8 677@CED]k^=:mk=:m!2CE:4:A2E:?8 :? 3F586E 56G6=@A>6?E 2?5 C64@>>6?5:?8 42A:E2= DA6?5:?8]k^=:mk=:m#64@>>6?5:?8[ D6=64E:?8 2?5 6G2=F2E:?8 E96 9@DA:E2= rt~]k^=:mk=:m~G6CD66:?8 BF2=:EJ DE2?52C5D]k^=:mk=:mu@DE6C:?8 4@>>F?:EJ C6=2E:@?D9:AD] k^=:mk^F=m
kAm%96 C6A@CE 56E2:=65 E96 C@=6 @7 |65:42= p==:2?46[ 2 DF3D:5:2CJ @7 |&[ “2D E96 D@=6 >6>36C WA2C6?EX @7 qwr~r[” H9:49 “H@F=5 C6E2:? 2AAC@G2= C:89ED 7@C >2;@C 564:D:@?D C64@>>6?565 3J” E96 @A6C2E:?8 4@>A2?J] %9@D6 H@F=5 :?4=F56 “7:?2= @A6C2E:?8 2?5 42A:E2= 3F586E 2AAC@G2=D[ DEC2E68:4 A=2??:?8 2?5 >2?2865\42C6 4@?EC24E:?8]” k^Am
kAm%H@ ECFDE66D H@F=5 ;@:? E96 |65:42= p==:2?46 q@2C5 H9:49 4FCC6?E=J 4@>AC:D6D E96 `` |& w62=E9 r2C6 p5G:D@CJ q@2C5 >6>36CD] k^Am
kAm%96 q@@?6 w@DA:E2= rt~[ H9@ H@F=5 36 :? 492C86 @7 86?6C2= @A6C2E:@?D[ 2D H6== 2D 2 ?6H 49:67 :?E68C2E:@? @77:46C[ “H@F=5 C6A@CE” E@ E96 @A6C2E:?8 4@>A2?J 3@2C5 2?5 E96 rt~ @7 |& w62=E9 r2C6] k^Am
kAmpD 7@C ECFDE66D[ |& w62=E9 r2C6 “H@F=5 ?@E 6?G:D:@? 6IE6?5:?8 A@H6CD DF49 2D E96 C6BF:C6>6?E @7 %CFDE66 4@?D6?E 7@C >2;@C @A6C2E:@?2= 564:D:@?D :?4=F5:?8 E96 =@42E:@?D @7 D6CG:46 =:?6D]” |& 24<?@H=65865 :? :ED AC@A@D2= E92E DE2E6 =68:D=2E:@? >:89E 36 C6BF:C65 E@ 2FE9@C:K6 2?5 D@=:5:7J 2 A2CE?6CD9:A] k^Am
k9bmp5G2?E286D 2?5 5:D25G2?E286Dk^9bm
kAm%96 C6A@CE 56E2:=65 2?E:4:A2E65 25G2?E286D @7 2? |&\q@@?6 4@==23@C2E:@?[ DF49 2D 6?24E:?8 |&’D A=2? E@ “6DE23=:D9 r@=F>3:2[ |:DD@FC: 2D 2 ‘56DE:?2E:@? >65:42= 4@>>F?:EJ[’” 2?5 92G:?8 9@DA:E2= >2?286>6?E[ 4@?EC@= 2?5 C6D@FC46D 46?E6C65 :? >:5\|:DD@FC:] k^Am
kAm~E96C 25G2?E286D @FE=:?65 :? E96 C6A@CE :?4=F56 6?92?4:?8 E96 23:=:EJ E@ C6E2:? A9JD:4:2?D 2?5 E96 :?4C62D6 :? 677:4:6?4J 2?5 BF2=:EJ E92E F?:7J:?8 >65:42= C64@C5D 2?5 4@>3:?:?8 A2E:6?E G@=F>6D H@F=5 3C:?8] k^Am
kAmr@==23@C2E:@? 2=D@ H@F=5 4FE 5@H? @? “5FA=:42E:@? @7 D6CG:46D 2?5 42A:E2= DA6?5:?8” 2?5 H@F=5 92G6 2 A@D:E:G6 @G6C2== 64@?@>:4 :>A24E 3J C6EFC?:?8 @FED@FC465 ;@3D E@ r@=F>3:2[ E96 C6A@CE D2:5] k^Am
kAm%96 C6A@CE 566>65 E96 7:?2?4:2= C6EFC?D 7@C q@@?6 r@F?EJ 2?5 E96 ECFDE66D 2D “C62D@?23=6]” |& w62=E9 r2C6 2=D@ H@F=5 E2<6 42C6 @7 q@@?6 w@DA:E2= r6?E6C’D “7FEFC6 42A:E2= ?665D H:E9@FE w@DA:E2= %CFDE66D 7:?2?4:2= DFAA@CE[” E96 C6A@CE D2:5] k^Am
kAm$6G6C2= 5:D25G2?E286D 2C6 ?@E65 :? E96 C6A@CE[ :?4=F5:?8 |& w62=E9 r2C6’D 56D:C6 7@C E96 “=@?86DE A@DD:3=6 =62D6 E6C>[” 2?E:4:A2E65 324<=2D9 7C@> E96 AF3=:4 2?5 q@@?6 w@DA:E2= >65:42= DE277[ 2?5 E96 25565 @3DE24=6 A@D65 3J E96 :?6G:E23=6 492?86 :? q@@?6 w@DA:E2= 4F=EFC6] k^Am
kAmxE 2=D@ 4:E6D |& w62=E9 r2C6’D F?4=62C :?E6C6DE :? ;@:?E G6?EFC6D — 36J@?5 6>A=@J>6?E — H:E9 A9JD:4:2?D] %96 C6A@CE D9@HD E92E “|& w62=E9 r2C6 H@F=5 36 @A6? E@ 6IA=@C:?8 A2CE?6CD9:AD 2?5 @E96C 2=:8?>6?E G69:4=6D H:E9 A9JD:4:2?D @? 2 42D6 3J 42D6 32D:D]” |& H@F=5 :?E6?5 E@ C6E2:? 2== q@@?6 6>A=@J66D H9@ >66E >:?:>F> BF2=:7:42E:@?D] k^Am
kAmk6>m$FA6CG:D:?8 65:E@C :D k2 9C67lQ9EEADi^^HHH]4@=F>3:2>:DD@FC:2?]4@>^FD6CD^AC@7:=6^DH277@C5D^Q E2C86ElQ03=2?<Qm$4@EE $H277@C5k^2m]k^6>mk^Am
