Civic Intelligence

Bjc Health System

EIN 43-1617558 • 501(c)3 • St Louis, MO

Profile

Bjc health system (bjc) is the parent corporation of a nonprofit health care organization serving primarily the residents of metropolitan st. Louis, kansas city, mid-missouri, eastern kansas and southern illinois (see schedule o for remainder of mission statement) in urban, suburban and rural communities. Bjc operates 24 licensed hospitals and multiple community health locations which provide inpatient and outpatient care, rehabilitation, primary care, home care, hospice, long-term care, community mental health, workplace health and community health and wellness. Bjc also supports the training of future health professionals; advancement of medical research; regional health safety net services and emergency preparedness; community outreach and health literacy; and regional economic development

4901 Forest Park Ave MS 90-75-570St Louis, MO 63108

www.bjc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

72nd percentile

0.50x

Higher debt load relative to assets than 72% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

85th percentile

1.90x

Higher debt load relative to revenue than 85% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

77th percentile

18%

Higher net margin than 77% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

100th percentile

$28,652,435

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 1.4% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

56th percentile

8.5%

Faster asset growth than 56% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

83rd percentile

29%

Faster revenue growth than 83% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$7,792,451,740

Up $1,146,118,445 (+17%) from 2022

Liabilities

Up

$3,885,366,418

Up $580,922,385 (+18%) from 2022

Net Assets

Up

$3,907,085,322

Up $565,196,060 (+17%) from 2022

Revenue

Up

$2,042,365,571

Up $700,153,793 (+52%) from 2022

Expenses

Up

$1,675,676,110

Up $462,721,514 (+38%) from 2022

Net Income

Up

$366,689,461

Up $237,432,279 (+184%) from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$8.0B$6.0B$4.0B$2.0B$0-$2.0BAssets 2010: $1,595,112,221Liabilities 2010: $1,357,104,740Net Assets 2010: $238,007,4812010Assets 2011: $1,865,069,992Liabilities 2011: $1,874,207,568Net Assets 2011: -$9,137,5762011Assets 2012: $3,555,668,900Liabilities 2012: $1,972,186,558Net Assets 2012: $1,583,482,3422012Assets 2013: $4,236,274,445Liabilities 2013: $2,093,167,355Net Assets 2013: $2,143,107,0902013Assets 2014: $4,686,670,793Liabilities 2014: $2,808,181,271Net Assets 2014: $1,878,489,5222014Assets 2015: $4,553,298,726Liabilities 2015: $2,730,631,673Net Assets 2015: $1,822,667,0532015Assets 2016: $4,504,621,451Liabilities 2016: $2,766,858,615Net Assets 2016: $1,737,762,8362016Assets 2017: $4,868,820,405Liabilities 2017: $3,222,046,307Net Assets 2017: $1,646,774,0982017Assets 2018: $4,803,404,644Liabilities 2018: $2,994,203,344Net Assets 2018: $1,809,201,3002018Assets 2019: $5,456,592,622Liabilities 2019: $3,615,607,828Net Assets 2019: $1,840,984,7942019Assets 2020: $6,877,116,273Liabilities 2020: $4,449,142,911Net Assets 2020: $2,427,973,3622020Assets 2021: $7,224,690,829Liabilities 2021: $3,709,924,131Net Assets 2021: $3,514,766,6982021Assets 2022: $6,646,333,295Liabilities 2022: $3,304,444,033Net Assets 2022: $3,341,889,2622022Assets 2024: $7,792,451,740Liabilities 2024: $3,885,366,418Net Assets 2024: $3,907,085,3222024

Highlighted filing

2024

Assets$7,792,451,740
Liabilities$3,885,366,418
Net Assets$3,907,085,322

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$3.0B$2.0B$1.0B$0Expenses 2010: $313,359,0452010Expenses 2011: $375,006,5642011Expenses 2012: $441,515,4352012Revenue 2013: $734,943,604Expenses 2013: $458,212,004Net Income 2013: $276,731,6002013Revenue 2014: $634,964,030Expenses 2014: $508,172,363Net Income 2014: $126,791,6672014Revenue 2015: $702,794,774Expenses 2015: $554,093,135Net Income 2015: $148,701,6392015Revenue 2016: $673,277,629Expenses 2016: $614,715,512Net Income 2016: $58,562,1172016Revenue 2017: $1,054,808,269Expenses 2017: $881,516,857Net Income 2017: $173,291,4122017Revenue 2018: $1,080,307,641Expenses 2018: $892,238,998Net Income 2018: $188,068,6432018Revenue 2019: $1,155,105,032Expenses 2019: $865,869,475Net Income 2019: $289,235,5572019Revenue 2020: $1,227,770,112Expenses 2020: $960,438,056Net Income 2020: $267,332,0562020Revenue 2021: $1,601,631,049Expenses 2021: $1,115,429,002Net Income 2021: $486,202,0472021Revenue 2022: $1,342,211,778Expenses 2022: $1,212,954,596Net Income 2022: $129,257,1822022Revenue 2024: $2,042,365,571Expenses 2024: $1,675,676,110Net Income 2024: $366,689,4612024

Highlighted filing

2024

Revenue$2,042,365,571
Expenses$1,675,676,110
Net Income$366,689,461

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$7,792$3,885$3,907$2,042$1,676$367
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$6,646$3,304$3,342$1,342$1,213$129
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7,225$3,710$3,515$1,602$1,115$486
2020Summary only. Only limited summary data is available for this year.$6,877$4,449$2,428$1,228$960$267
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5,457$3,616$1,841$1,155$866$289
2018Summary only. Only limited summary data is available for this year.$4,803$2,994$1,809$1,080$892$188
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4,869$3,222$1,647$1,055$882$173
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4,505$2,767$1,738$673$615$58.6
2015Facts available. Structured filing facts are available, but richer extracted sections are limited.$4,553$2,731$1,823$703$554$149
2014Facts available. Structured filing facts are available, but richer extracted sections are limited.$4,687$2,808$1,878$635$508$127
2013XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4,236$2,093$2,143$735$458$277
2012XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,556$1,972$1,583$442
2011XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,865$1,874$9.14$375
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,595$1,357$238$313
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.2
Gross Receipts
$6,532,879,899
Mission and Program Overview

Mission

Bjc health system (bjc) is the parent corporation of a nonprofit health care organization serving primarily the residents of metropolitan st. Louis, mid-missouri and southern illinois in urban, suburban and rural communities. (see schedule o for remainder of mission statement.) bjc operates 14 licensed hospitals and multiple community health locations which provide inpatient and outpatient care, rehabilitation, primary care, home care, hospice, long-term care, community mental health, workplace health and community health and wellness. Bjc also supports the training of future health professionals; advancement of medical research; regional health safety net services and emergency preparedness; community outreach and health literacy; and regional economic development.

Healthcare services and health education to communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$3,939,287,238$4,379,734,299▲ $440,447,061
Investments in Publicly Traded Securities$2,418,935,473$2,331,346,263▼ $87,589,210
Land, Buildings, and Equipment, Net$256,404,299$359,328,600▲ $102,924,301
Savings and Temporary Cash Investments$119,699,991$215,599,536▲ $95,899,545
Prepaid Expenses and Deferred Charges$73,287,239$90,525,784▲ $17,238,545
Investments Program Related$67,422,157$86,677,400▲ $19,255,243
Inventories for Sale or Use$50,519,028$50,029,474▼ $489,554
Accounts Receivable$9,916,737$10,966,909▲ $1,050,172
Other Notes and Loans Receivable, Net$6,440,534$8,973,416▲ $2,532,882
Receivables From Officers Etc$2,647,062$2,724,401▲ $77,339
Cash and Non-Interest-Bearing Accounts$-2,706$-13,659▼ $10,953
Total Assets$7,180,662,304$7,792,451,740▲ $611,789,436
Other Assets Total$236,105,252$256,559,317▲ $20,454,065
Liabilities
Tax Exempt Bond Liabilities$2,158,604,534$2,119,679,289▼ $38,925,245
Other Liabilities$861,278,440$1,217,777,433▲ $356,498,993
Accounts Payable and Accrued Expenses$441,329,652$547,395,016▲ $106,065,364
Deferred Revenue$1,379,746$514,680▼ $865,066
Total Liabilities$3,462,592,372$3,885,366,418▲ $422,774,046
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,717,827,884$3,906,737,977▲ $188,910,093
Net Assets With Donor Restrictions$242,048$347,345▲ $105,297
Total Net Assets Fund Balance$3,718,069,932$3,907,085,322▲ $189,015,390
Total Liabilities and Net Assets / Fund Balance$7,180,662,304$7,792,451,740▲ $611,789,436

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$264,929,203$19,448,833$284,378,036
Equipment$33,060,748$134,388,842$167,449,590
Buildings$30,285,312$21,306,387$51,591,699
Leasehold Improvements$5,708,332$20,970,121$26,678,453
Land$25,345,005-$25,345,005
Other Securities$756,305,480--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Bjc Health Sys Group ReturnFormer Schedule 0-$1,301,829$720,573$2,022,402
Bjc Health Sys Group ReturnSee Schedule 0FT$579,103$933,214$1,512,317
Revenue and Support

Revenue Composition

Contributions and Grants
$4,673,899
Program Service Revenue
$1,199,024,044
Investment Income
$642,726,345
Other Revenue
$195,941,283
Change in Net Assets
$366,689,461
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$909,211,584
Salaries, Compensation, and Employee Benefits$758,735,353
Grants and Similar Amounts Paid$7,729,173
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$454,705,756$123,891,676-$578,597,432
Fees for Services Other$374,523,301$33,013,733-$407,537,034
Information Technology$56,598,523$38,000,528-$94,599,051
Other Employee Benefits$57,595,096$15,132,166-$72,727,262
All Other Expenses$12,326,419$38,167,609-$50,494,028
Fees for Service Investment Mgmnt Fees-$50,237,000-$50,237,000
Occupancy$43,217,844$6,949,833-$50,167,677
Payroll Taxes$30,037,573$9,432,618-$39,470,191
Current Officers, Directors, Trustees, and Key Employees$1,658,527$35,823,276-$37,481,803
Pension Plan Contributions$24,416,230$6,042,435-$30,458,665
Depreciation Depletion$17,490,357$84,755-$17,575,112
Insurance$10,118,357--$10,118,357
Office Expenses$7,798,935$1,167,085-$8,966,020
Grants to Domestic Orgs$7,670,973--$7,670,973
Advertising$548,543$6,523,738-$7,072,281
Interest-$5,448,096-$5,448,096
Other Expenses$897,216$3,451,969-$4,349,185
Fees for Services Legal-$3,570,926-$3,570,926
Travel$2,282,240$559,184-$2,841,424
Conferences and Meetings$1,142,267$604,580-$1,746,847
Fees for Services Accounting-$1,128,256-$1,128,256
Fees for Services Lobbying-$432,766-$432,766
Fees for Services Management$105,413$287,821-$393,234
Grants to Domestic Individuals$58,200--$58,200
Total Functional Expenses$1,277,985,810$397,690,300$0$1,675,676,110
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Forest Park ForeverSt Louis, MO501c3Support to Restore, Maintain & Substain Forest Park.$2,505,000
BiostlSt Louis, MO501c3Support of Advanced Research in Biomedical Sciences.$2,250,000
The Scholarship Foundation of St LouisSt Louis, MO501c3Support the Community Who Would Not Have Financial Means to Fulfill Their Educational Goals.$856,040
Oasis InstituteSt Ann, MO501c3Support Healthy Aging by Providing Lifelong Education and Programs.$455,000
Washington UniversitySt Louis, MO501c3Support Medical Education, Research, & Patient Care Needs in the Communities.$416,977
Sheldon Arts FoundationSt Louis, MO501c3Support the Community Through the Power of Music and Art to Change Lives and the Community.$350,000
United Way of Greater St Louis IncSt Louis, MO501c3Support the Community With Shelter, Food & Emergency Disasters.$132,927
American Heart Association IncDallas, TX501c3SUPPORT HEART HEALTH FOR ALL: BREAK BARRIERS TO HEALTH CARE ACCESS & QUALITY.$92,765
St Louis Doula Project IncSt Louis, MO501c3Support the Community Based Childbirth Education and Other Doula Services.$40,000
Jamaa Birth VillageSt Louis, MO501c3Support Families Through Accessible & Affordable Black Led Midwifery & Doula Care, Holis.$25,000
Urban League Metropolitan St LouisSt Louis, MO501c3Support Neighborhood Engagement and Community Outreach.$25,000
Economic Development Council of St Charles CountySt Peters, MO501c4Support Building a Stronger, Thriving, and Self-supporting Economy for St. Charles County.$20,000
Girls on the RunRaleigh, NC501c3Support Girls Navagate Social, Emotional, Physical & Behavioral Skills to Help in Life.$20,000
Hawthorn FoundationJefferson City, MO501c6Support Programs That Are Focused on Expanding Economic Opportunities for Missouri.$20,000
National Multiple Sclerosis SocietyNew York, NY501c3Support Research for Ms and Help People Affect by Ms to Live Their Best Lives.$20,000
Boys & Girls Clubs of Greater St LouisSt Louis, MO501c3Support Youth Reach Their Full Potential as Productive, Responsible & Caring Citizens.$15,000
GATEWAY REGION YOUNG MEN'SCHRISTIAN ASSOCIATIONSt Louis, MO501c3Support Programs That Build Healthy Spirit, Mind and Body for All.$15,000
Generate Health StlSt Louis, MO501c3Support Advance Racial Equity in Pregnancy Outcomes, Family Well-being, & Health.$15,000
Healthcare Anchor Network IncWashington, DC501c3Support Community & Economic Development in Low Income People.$15,000
Jewish Community CenterSt Louis, MO501c3Support St Louis Jewish Community to Enrich Lives, Build Community and Promote Inclusivity.$15,000
March of DimesHarlan, IA501c3Support for Services on Pregnancy, Prematurity and Birth Defects.$15,000
Boys and Girls Clubs of St CharlesSt Charles, MO501c3Support Youth Reach Their Full Potential as Productive, Responsible and Caring Citizens.$12,500
St Louis Public Schools FoundationSt Louis, MO501c3Support St. Louis Public School & Invests in Solutions That Drive Equitable Outcomes.$12,500
Mighty Oakes Heart FoundationSt Louis, MO501c3Support Families With Traumatic Reality of Congenital Heart Defects.$12,000
Annie Malone Children & Family ServicesSt Louis, MO501c3Support the Community to Provide Education Programs, Advocacy and Enterpreneurship.$10,000
Casa De SaludSt Louis, MO501c3Support Better Healthcare Services for the Under/uninsured Community.$10,000
Community Council of St Charles CountyCottleville, MO501c3Support the Community to Build a Stronger, Healthier and More Compassionate Community.$10,000
Michael Brown Sr Chosen for ChangeFerguson, MO501c3Support Grief Counceling & Support Families Who Are Processing the Unthinkable.$10,000
Mo Kan Construction Contractors Association Assistance CenterSt Louis, MO501c3Support Technical and Education Assistance to Miniority and Female Contractors.$10,000
Pink Ribbon GoodDayton, OH501c3Support Families Affected by Breast or Gynecological Cancer.$10,000
Promo FundSt Louis, MO501c3SUPPORT CHANGE IN SYSTEMIC INEQUITIES WITHIN THE LGBTQ+ COMMUNITY.$10,000
Regional Union Construction CenterSt Louis, MO501c3Support of Emerging Minority and Women Owning Union Construction Firms.$10,000
Ronald Mcdonald HouseChicago, IL501c3Support Families With Services With Barrier-free Healthcare Support for Children.$10,000
St Louis Integrated Health NetworkSt Louis, MO501c3Support the Community With Accessible, Affordable, & High-quality Healthcare.$10,000
Autism SpeaksWashington, DC501c3Support & Advocate for Families With Individuals With Autism.$8,500
St Charles City County Library FoundationSt Peters, MO501c3Support to Build a Stronger Library in Service to Our Community.$8,500
Duo Dogs IncSt Louis, MO501c3Support Connecting Service Dogs With People to Cultivate Positive Change.$7,500
Independence CenterSt Louis, MO501c3Support Mental Illness by Providing Help With Independence & Meaningful Work.$7,500
Nurses for NewbornsSt Louis, MO501c3Support Newborns With Home-based Services to Promote Health, Safety and Wellbeing.$7,500
Susan G KomenDallas, TX501c3Support Breast Cancer Research.$7,500
The Marfan FoundationPort Washington, NY501c3Support Others With Kidney Disease, Improving the Health & Well-being of Those Affected.$7,500
Boone Center IncSt Peters, MO501c3Support Community and Economic Development Through Employment & Job Training.$7,000
Hope Ranch of MissouriUnion, MO501c3Support a Safe Place for Emotional & Developmental for Children With Special Needs.$7,000
Youth in Need IncSt Charles, MO501c3Support Community Programs Addressing Needs Like Housing, Foster Care & Life Skills.$6,600
Information Technology Senior Management Forum IncAtlanta, GA501c3Support the Development & Nurturing Leaders Through Technology, Innovation & Growth.$6,500
Community Living IncSt Peters, MO501c3Support Innovative Services & Opportunities for People With Disabilities.$6,250
Child Advocacy Ctr of Northeast Mo Inc-Wentzville, MO501c3Support Healing & Education for Child Abuse in the Community.$6,000
Marian Middle SchoolSt Louis, MO501c3Support and Empower Girls in the Community.$6,000
National Kidney FoundationNew York, NY501c3Support Research in Innovation & Dismantling Inequities in Care & Dialysis.$6,000
National Black Nurses Association IncFlorissant, MO501c3Support Advocacy, Scholarship, Networking, and Education.$5,500
St Louis Area Diaper BankSt Louis, MO501c3Support Gateway Arch Areas for the Community.$5,500
The Haven of GraceSt Louis, MO501c3Support Women Who Are Young, Pregnant and Homeless,$5,015

International Summary

Offices
2
Employees
0
Spending
$3,400,298,024

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America/caribbeanInvestmentsProgram Admin Expenses Related to Atg Assurance Company Ltd. Includes Expenses Incurred While Conducting Activities of This Wholly Owned Captive Insurance Company. Also Includes Other Program Services Expenses.10$2,531,304,684
EuropeInvestmentsProgram Services Expenses Including Customer Technology Support Center00$769,998,726
North AmericaInvestments-00$76,240,709
South AsiaProgram Expenditures-00$18,530,191
Central America/caribbeanProgram ExpendituresProgram Services Expenses Including Clinical Excellence, Healthcare Equipment and Supply Purchases.10$2,576,682
North AmericaProgram Expenditures-00$1,369,296
EuropeProgram ExpendituresProgram Services Expenses for Healthcare Supplies00$198,873
East Asia and the PacificInvestmentsProgram Services Expenses Including Healthcare Clinical Equipment and Supply Purchases.00$58,309
East Asia and the PacificProgram Expenditures-00$10,750
EuropeInvestment Expenditures-00$9,804
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$2,647,062$2,724,401▲ $77,339
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Pension Liability$441,033,735
Afflilation Payment$284,410,675
Self Funded Malpr$141,709,497
Deferred Compensation Payable$79,712,716
Other Long Term Liabilities$79,150,086
Related Party Liability$67,694,386
Long Term Operating Lease$50,340,655
Other Current Liab$43,185,536
Interest Payable$22,539,895
Interest Rate Swaps$5,000,252
Payable Security Lending Program$3,000,000

Bond Issues

BondIssuerIssuedIssue PricePurpose
DHealth & Educ Facilities Authority State of Missouri2021-04-01$942,002,641Refund prior bonds & finance - see part iv
AHealth & Educ Facilities Authority State of Missouri2008-04-22$368,575,000Refund prior bonds & capital exp-see part vi
DHealth & Educ Facilities Authority State of Missouri2016-05-19$303,495,001Refund prior bonds - see part vi
DHealth & Educ Facilities Authority State of Missouri2014-03-13$209,195,546Fund capital expenditures-see part vi
CHealth & Educ Facilities Authority State of Missouri2020-05-06$200,000,000Fund capital expenditures-see part vi
AHealth & Educ Facilities Authority State of Missouri2023-05-01$161,960,520Fund capital expenditures-see part vi
BHealth & Educ Facilities Authority State of Missouri2015-04-30$150,000,000Fund capital expenditures-see part vi
BHealth & Educ Facilities Authority State of Missouri2020-10-14$107,655,465Refund prior bonds - see part vi
CHealth & Educ Facilities Authority State of Missouri2018-05-23$100,000,872Refund prior bonds & capital exp - see part vi
BHealth & Educ Facilities Authority State of Missouri2013-09-20$100,000,000Fund capital expenditures-see part vi
CHealth & Educ Facilities Authority State of Missouri2013-10-31$100,000,000Fund capital expenditures-see part vi
AHealth & Educ Facilities Authority State of Missouri2016-07-01$90,000,000Refund prior bonds - see part vi
AHealth & Educ Facilities Authority State of Missouri2018-05-01$75,000,682Refund prior bonds & capital exp-see part vi
CHealth & Educ Facilities Authority State of Missouri2012-12-13$50,000,000Fund capital expenditures - see part vi
BHealth & Educ Facilities Authority State of Missouri2016-12-21$23,280,000Refund prior bonds - see part vi

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
D$942,002,641$301,052,773--
A$369,074,888$243,575,000$66,335,000$711,712
D$303,495,001---
D$213,573,719$148,532,124$20,000,000$2,442,228
C$200,000,000$71,500,306$7,185,000-
A$161,960,520$90,000,000--
B$148,532,124$782,000,000$1,150,000$1,224,102
B$107,655,955$23,229,000--
C$101,059,509$75,000,000$15,745,000$1,155,159
C$100,723,523---
B$100,000,000$19$31,810,000$682
A$90,000,000---
A$75,000,682$200,000,000$41,985,000$51,000
C$50,000,000$20,243,408--
B$23,280,000---

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

The organization prepares draft copies of form 990 and attachments for review by members of management. These draft copies have been reviewed by a independent accounting firm. After resolving any open items, the final draft returns are made available to the board and to two board committees for their review. Questions and comments that arise from the committees or individual board member reviews are addressed in advance of submission to the appropriate taxing authorities.

Form 990, Part VI, Section B, Line 12C

The organization regularly and consistently monitors compliance with the policy by issuing annually a conflict of interest questionnaire reminding covered individuals of their obligations to disclose potential conflicts and requesting that they complete a conflicts of interest questionnaire. The questionnaire requires the disclosure of conflicts and an attestation to their continuing obligation to disclose said conflicts should the need arise. The results of the conflict of interest questionnaire are reviewed by a centralized compliance department and appropriate action taken as necessary. Should the organization become aware of a conflict not previously reported, its general counsel would investigate the issue and respond in accordance with the policy.

Form 990, Part VI, Section B, Line 15

The compensation and benefit amounts of the organization's officers and top management officials are determined by an independent committee of the board of directors of bjc health system. This committee is comprised of independent persons and uses compensation consulting studies and benchmarking data provided by an independent management consultant to establish compensation amounts and guidelines. The process includes a validation of job descriptions as well as reporting all forms of compensation. The consultant uses survey data to determine market rates of base salary and other short and long term incentives for: the bjc health system ceo and other senior executives. The committee reviews, approves, and subsequently reconciles executive compensation as well as deliberates on the reasonableness of the data. This review is documented in the minutes of the board committee meetings.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, financial statements and conflict of interest policy available for inspection by the general public upon request at the administrative offices.

From 990, Part VII

Pursuant to treasury reg section 1.6033-2(d)(5), bjc health system has elected to report information about compensation & other information about officers, directors, trustees, key employees, former employees, certain other highly paid employees, certain professional contractors & certain other contractors on a consolidated basis for all of the members of the group, including the parent organization, on the bjc health system group return ein 75-3052953.

Filing and Contact Details

Filer

Filer Name
Bjc Health System
EIN
43-1617558
Phone
3142862057
Address
4901 FOREST PARK AVE MS 90-75-570, ST LOUIS, MO 63108
Doing Business As
Bjc Healthcare

Signing Officer

Name
Scott Hawig
Title
Exec Vice President & CFO
Phone
3142862057
Signed
2025-11-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Scott Hawig
Formed
1993
Legal Domicile
Mo
Voting Board Members
22
Independent Board Members
21
Employees
5,860
Volunteers
102

Preparer

Firm
Ernst & Young US Llp
Address
155 N WACKER DRIVE, CHICAGO, IL 60606
Preparer
Jessica a Wagener
Phone
3128792000
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 2

In 2024, bjc health system and saint luke's health system completed a merger, resulting in the formation of a unified healthcare organization. With the merger, the integrated system initiated a range of new patient-focused programs designed to enhance healthcare delivery across missouri, southern illinois, and eastern kansas.

Form 990, Part IX, Line 11G

Purchased services - other: program service expenses 7,351,415. Management and general expenses 20,476,020. Total expenses 27,827,435. Purchased services - info tech: program service expenses 36,384,015. Management and general expenses 4,032,618. Total expenses 40,416,633. Purchased services - temp agency: program service expenses 10,494,141. Management and general expenses 1,612,779. Total expenses 12,106,920. General consulting fees: program service expenses 18,815,430. Management and general expenses 6,892,316. Total expenses 25,707,746. Collection agency service: program service expenses 4,679,993. Total expenses 4,679,993. Teaching services: program service expenses 296,798,307. Total expenses 296,798,307.

FORM 990, PART XI, LINE 9:

Transfers to/from bjc entities 61,465,882. Asset released from restrictions -99,065. Interest rate swap gain/loss 28,203,917. Penison liab per actuarial report -161,456,114.

Financial Statement Notes

PART X, LINE 2:

The authoritative guidance in asc 740, income taxes, creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of this guidance, tax-exempt organizations could be required to record an obligation as the result of a tax position they have historically taken on various tax exposure items. Bjc has not recognized a liability for uncertain tax positions.

Raw XML AppendixShowing 400 of 3,473 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/RegularMonitoringEnfrcInd01
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0DURING 2024, BJC HEALTH SYSTEM (BJC) PROVIDED GRANTS OR ALLOCATIONS TO OTHER ORGANIZATIONS AND COMMUNITY GROUPS ON BEHALF OF ITS SUPPORTED ORGANIZATIONS. THE PURPOSE OF THESE GRANTS WERE TO FURTHER THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE SUPPORTED ORGANIZATIONS AND TO PROMOTE AND SUPPORT THE INTERESTS AND PURPOSES OF THOSE SUPPORTED ORGANIZATIONS SPECIFIED IN BJC'S ORGANIZING DOCUMENTS. THESE GRANTS AND ALLOCATIONS WERE INSIGNIFICANT IN RELATION TO BJC HEALTH SYSTEM'S OVERALL ACTIVITIES.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1BJC MAINTAINS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH ITS SPECIFIED SUPPORTED ORGANIZATIONS AND APPOINTS THE MAJORITY OF OFFICERS AND DIRECTORS SERVING ON THE BOARDS OF THESE SUPPORTED ORGANIZATIONS. BECAUSE AND AS A RESULT OF THIS CLOSE WORKING RELATIONSHIP, THE SPECIFIED SUPPORTED ORGANIZATIONS PROVIDE INPUT ON MONTHLY FINANCIAL OPERATIONS, ANNUAL BUDGET PROCESS INCLUDING ALLOCATIONS FOR CAPITAL PROJECTS, USE OF HEALTH INFORMATION SYSTEMS AND OTHER MATTERS CONCERNING SUBORDINATE HOSPITAL OPERATIONS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2AS SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS, BJC HEALTH SYSTEM HAS RESERVED POWERS TO APPOINT A MAJORITY OF THE OFFICERS AND DIRECTORS OF ITS SUPPORTED ORGANIZATIONS. CERTAIN OF THOSE DIRECTORS IN TURN SERVE ON THE GOVERNING BOARD OF BJC HEALTH SYSTEM.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt3BJC HEALTH SYSTEM (BJC) EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS. BJC REQUIRES THAT EACH SUPPORTED ORGANIZATION ADOPT ITS STANDARD CONFLICT OF INTEREST, WHISTLEBLOWER, DOCUMENT RETENTION, INVESTMENT AND OTHER POLICIES. BJC APPROVES THE OPERATIONAL AND FISCAL BUDGET FOR EACH OF ITS SUPPORTED ORGANIZATIONS AND PROVIDES ADMINISTRATIVE OVERSIGHT FOR HOSPITAL PROGRAMS AND CAPITAL PROJECTS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SECTION A, LINE 6
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1SECTION D, LINE 3
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2SECTION E, LINE 3A
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc3SECTION E, LINE 3B
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IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt0536506833
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0BARNES-JEWISH HOSPITAL
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1MISSOURI BAPTIST MEDICAL CENTER

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