Bjc Health System Group Return

“Certain officers, directors or key employees of bjc health system (bjc) may also serve on the boards of other related or unrelated organizations. Additionally, certain family members of officers, directors or key employees may, during the normal course of business yet consistent with the stated exempt purpose of bjc, engage in transactions in which potential conflicts of interest could exist. These officers, directors, key employees and related persons disclose these potential conflicts to bjc health system annually and do not participate in decisions in which they have such conflicts. Such conflicts and relationships are reviewed to ensure that any payments received or amounts paid do not exceed the fair market value of the goods and services received by the reporting organization.”

“Bjc health system is the sole corporate member of barnes-jewish hospital, st. Louis children's hospital, christian health services development corporation, missouri baptist medical center, and saint luke's health system, inc. These affiliates also serve as the sole member of one or more subordinate organizations included in the bjc health system group return.”

“The governance and nominating committee(s) of bjc health system, the sole corporate member of the subordinate organizations, have the power to elect or appoint members of the governing bodies of subordinate organizations included in the bjc health system group return.”

“Changes to bylaws or governing documents of subordinate organizations are subject to the approval of bjc health system, the sole corporate member.”

“Form 990 and all supporting schedules and workpapers are prepared by organization finance, tax and legal departments and are submitted for review by an independent accounting firm. The organization then prepares draft copies of form 990 and attachments for review by members of management. 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.”

“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.”

“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.”

“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.”

“The organization used the following acronyms throughout form 990 part vii. Listed below are the definitions of each: amh - alton memorial hospital aua - advanced urologic associates bjc - bjc health system (dba bjc healthcare) bjcbh - bjc behavioral health bjcchs - bjc corporate health services bjchome - bjc home care services bjh - barnes-jewish hospital bjsph - barnes-jewish st. Peters hospital bjwch - barnes-jewish west county hospital bsp - bishop spencer place inc. Cmca - cardiometabolic center alliance ch - christian hospital northeast/northwest chc - community health connection chil - christian hospital-illinois services chsdc - christian health services development corporation hskc - heart surgeons of kansas city, inc. Mbhs - missouri baptist hospital - sullivan mbmc - missouri baptist medical center mmg - memorial medical group inc. Mpia - medical plaza imaging associates llc mrhs - memorial regional health services inc. Pehc - progress east healthcare center pglc - physician groups, lc (dba bjc medical group) phc - parkland health center pmmci - protestant memorial medical center, inc. Pwhc - progress west healthcare center ros - rockhill orthopaedic specialist inc. Slc - saint luke's care slch - st louis children's hospital sleh - saint luke's east hospital acrh - saint luke's hospital of allen county, inc. Hmc - saint luke's hospital of chillicothe ach - saint luke's hospital of garnett, inc. Slhkc - saint luke's hospital of kansas city slhs - saint luke's health system hosp - saint luke's health system home care & hospice wmh - saint luke's hospital of trenton slnh - saint luke's north hospital slpg - saint luke's physician group inc. Slsh - saint luke's south hospital, inc. Some of the individuals listed as directors or officers of the above corporations serve as full time employees of related organizations. Each receive compensation for an average of 40 hours per week without regard to their position as director or officer for the related organization"”

“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.”

“Organ acquisition-ext svc: program service expenses 32,222,823. Management and general expenses 1,358,902. Total expenses 33,581,725. Other purchased services: program service expenses 603,399,202. Management and general expenses 27,124,031. Total expenses 630,523,233. Purchased professional & physician fees: program service expenses 194,852,706. Management and general expenses 2,686,239. Total expenses 197,538,945. Temp agency purchase service: program service expenses 276,595,794. Management and general expenses 73,732. Total expenses 276,669,526. Washington university purch serv and professional fees: program service expenses 122,737,922. Management and general expenses 9,544,833. Total expenses 132,282,755.”

“The amount reported as tax-exempt bonds for saint luke's health system, inc. Is the portion of bjc health system bonds allocated to saint luke's health system, inc. Required information for the bonds, including schedule k, is reported in the bjc health system (43-1617558) parent irs form 990.”

“Equity transfers from affiliates -62,162,864. Net assets released from restrictions 11,581,676. Change in foundation fund balance -205,630,063. Change in temp restricted -4,972,580. Fmv adjustment 50,295,582. Rrg ssa dividend -1,243,004. Rollforward adjustment 1,989,314,096. Medical staff activity recorded in net assets per books -104,555. Close out of inactive single member llc (sl18) -34,893. Adjustment for acquisition of slrtl 3,393,951.”