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Nonprofiteer
← BJC HEALTH SYSTEM

Form 990 for tax year 2022

Filed by BJC HEALTH SYSTEM.

Totals

Total revenue
$1,342,211,778
Total expenses
$1,212,954,596
Contributions and grants received
$615,039
Grants paid
$5,472,314
Program service revenue
$1,085,794,614
Investment income
$56,010,113
Other revenue
$199,792,012
Total assets, end of year
$6,646,333,295
Total liabilities, end of year
$3,304,444,033
Net assets or fund balances, end of year
$3,341,889,262
Program services expenses (Part IX)
$894,608,535
Management and general expenses
$318,346,061
Fundraising expenses
$0
Program service expenses (Part III)
$894,608,535

Program services were 73.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $577,223

  • 1e · Government grants (contributions)

    $37,816

  • 2a · Program service revenue: SVCS TO AFFILIATES

    total $921,705,470 · related or exempt $921,705,470

  • 2b · Program service revenue: PROGRAM SVC REVENUE

    total $155,964,136 · related or exempt $155,964,136

  • 2c · Program service revenue: WASHINGTON UNIV OTHER

    total $7,412,277 · related or exempt $7,412,277

  • 2d · Program service revenue: PROGRAM RENTAL SERVICE

    total $487,023 · related or exempt $487,023

  • 2e · Program service revenue: BILLING REVENUE

    total $225,708 · related or exempt $225,708

  • 3 · Investment income

    total $59,817,372 · unrelated business $7,041,528 · excluded $52,775,844

  • 6a · Gross rents

    real property $93,187

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $93,187

  • 6d · Net rental income or loss

    total $93,187 · excluded $93,187

  • 7a · Gross sales of assets other than inventory

    securities $456,855,452 · other assets $3,056,284

  • 7b · Less cost or other basis and sales expenses

    securities $463,164,947 · other assets $554,048

  • 7c · Gain or loss

    securities -$6,309,495 · other assets $2,502,236

  • 7d · Net gain or loss

    total -$3,807,259 · excluded -$3,807,259

  • 11a · Other revenue: EMPLOYEE PHARMACY

    total $77,668,701 · excluded $77,668,701

  • 11b · Other revenue: ADMIN PURCH SERV

    total $14,849,213 · excluded $14,849,213

  • 11c · Other revenue: CLIN ENG & TRAIN REV

    total $5,871,416 · unrelated business $5,871,416

  • 11d · All other revenue

    total $101,309,495 · unrelated business -$294,372 · excluded $101,603,867

  • 11e · Other revenue, total

    $199,698,825

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $5,378,740 · program services $5,378,740

  • 2 · Grants to domestic individuals

    total $93,574 · program services $93,574

  • 5 · Compensation of officers, directors and key employees

    total $31,534,029 · management and general $31,534,029

  • 6 · Compensation of disqualified persons

    total $209,047 · management and general $209,047

  • 7 · Other salaries and wages

    total $457,874,125 · program services $368,294,221 · management and general $89,579,904

  • 8 · Pension plan contributions

    total $35,520,149 · program services $28,834,489 · management and general $6,685,660

  • 9 · Other employee benefits

    total $53,880,045 · program services $43,506,356 · management and general $10,373,689

  • 10 · Payroll taxes

    total $31,647,199 · program services $24,295,965 · management and general $7,351,234

  • 11a · Fees: management

    total $319,849 · program services $105,240 · management and general $214,609

  • 11b · Fees: legal

    total $2,154,677 · management and general $2,154,677

  • 11c · Fees: accounting

    total $607,077 · management and general $607,077

  • 11d · Fees: lobbying

    total $374,131 · management and general $374,131

  • 11f · Fees: investment management

    total $3,487,316 · management and general $3,487,316

  • 11g · Fees: other

    total $178,397,846 · program services $126,108,859 · management and general $52,288,987

  • 12 · Advertising and promotion

    total $10,889,627 · program services $636,022 · management and general $10,253,605

  • 13 · Office expenses

    total $7,049,876 · program services $5,528,073 · management and general $1,521,803

  • 14 · Information technology

    total $98,484,605 · program services $54,125,544 · management and general $44,359,061

  • 16 · Occupancy

    total $50,254,618 · program services $39,439,721 · management and general $10,814,897

  • 17 · Travel

    total $1,008,726 · program services $706,837 · management and general $301,889

  • 19 · Conferences, conventions and meetings

    total $954,302 · program services $652,728 · management and general $301,574

  • 20 · Interest

    total $10,568,664 · management and general $10,568,664

  • 22 · Depreciation, depletion and amortization

    total $16,182,117 · program services $16,170,775 · management and general $11,342

  • 23 · Insurance

    total $8,555,685 · program services $8,555,685

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $83,692,431 · program services $83,692,431

  • 24b · Other expenses: REPAIRS AND MAINTENANCE

    total $69,262,232 · program services $68,178,878 · management and general $1,083,354

  • 24c · Other expenses: BANK FEES

    total $4,843,894 · program services $4,723,657 · management and general $120,237

  • 24d · Other expenses: RECRUITMENT

    total $4,721,420 · program services $148,527 · management and general $4,572,893

  • 24e · All other expenses

    total $45,008,595 · program services $15,432,213 · management and general $29,576,382

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year -$10,268 · end of year -$9,978

  • 2 · Savings and temporary cash investments

    beginning of year $266,409,367 · end of year $148,000,931

  • 4 · Accounts receivable

    beginning of year $4,272,541 · end of year $4,983,176

  • 7 · Other notes and loans receivable

    beginning of year $442,100 · end of year $2,987,964

  • 8 · Inventories for sale or use

    beginning of year $36,774,136 · end of year $49,836,917

  • 9 · Prepaid expenses and deferred charges

    beginning of year $69,246,937 · end of year $73,149,645

  • 10a · Land, buildings and equipment: cost or other basis

    $384,128,275

  • 10b · Land, buildings and equipment: accumulated depreciation

    $172,944,082

  • 10c · Land, buildings and equipment, net

    beginning of year $200,391,375 · end of year $211,184,193

  • 11 · Investments: publicly traded securities

    beginning of year $2,183,918,676 · end of year $1,847,059,564

  • 12 · Investments: other securities

    beginning of year $4,138,598,403 · end of year $4,034,443,767

  • 13 · Investments: program-related

    beginning of year $29,265,022 · end of year $31,956,231

  • 15 · Other assets

    beginning of year $295,382,540 · end of year $242,740,885

  • 17 · Accounts payable and accrued expenses

    beginning of year $382,570,027 · end of year $390,939,691

  • 19 · Deferred revenue

    beginning of year $4,039,941 · end of year $41,604,967

  • 20 · Tax-exempt bond liabilities

    beginning of year $2,070,996,300 · end of year $2,035,388,994

  • 25 · Other liabilities

    beginning of year $1,252,317,863 · end of year $836,510,381

  • 27 · Net assets without donor restrictions

    beginning of year $3,514,766,698 · end of year $3,341,824,262

  • 28 · Net assets with donor restrictions

    end of year $65,000

Mission and programs · 2022

Mission

BJC HEALTHCARE 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.

Activities or mission (Part I)

HEALTHCARE SERVICES AND HEALTH EDUCATION TO COMMUNITIES WE SERVE.

  • 2022 BJC MEDICAL GROUP - BJC MEDICAL GROUP EMPLOYS 240 PHYSICIANS WITH A RANGE OF MEDICAL AND SURGICAL SPECIALTIES. THE PHYSICIANS SERVE PATIENTS IN ST. LOUIS, MO; FARMINGTON, MO; SULLIVAN, MO; AND SOUTHERN ILLINOIS. BJC MEDICAL GROUP EMPLOYS PROVIDERS ASSOCIATED WITH BJC HEALTHCARE HOSPITALS. THE MEDICAL GROUP ALSO PARTNERS WITH PRIVATE PHYSICIANS AND BJC HOSPITALS TO RECRUIT PHYSICIANS TO GROWING MARKETS. PHYSICIAN RECRUITS INCLUDE BOTH PRIMARY AND SPECIALTY PHYSICIANS. THE ORGANIZATION HAD 856,791 VISITS.

    Expenses $261,857,378 · Revenue $261,857,378

  • BJC INFORMATION SERVICES AND TECHNOLOGY SERVICES DEPARTMENT PLANS, DEVELOPS AND SUPPORTS INFORMATION TECHNOLOGY AND TELECOMMUNICATIONS INITIATIVES THROUGHOUT BJC. THE 400-PERSON DEPARTMENT MAINTAINS THE ORGANIZATION'S TECHNOLOGY INFRASTRUCTURE AND ACHIEVES SPECIFIC STRATEGIC GOALS RELATED TO CLINICAL CARE, PATIENT SAFETY AND EVIDENCE-BASED MEDICINE, PROCESS SIMPLIFICATION AND STANDARDIZATION, AUTOMATION, EDUCATION, WORKFORCE DEVELOPMENT, FINANCIAL MANAGEMENT AND PATIENT SATISFACTION. BJC HOSPITALS BENEFIT FROM THE CENTRALIZED DEPTH OF INFORMATION SERVICES KNOWLEDGE AND THE COMMITMENT TO INNOVATIVE TECHNOLOGY SOLUTIONS.

    Expenses $160,284,339 · Revenue $160,284,339

  • Withheld by Nonprofiteer: this text may name a private individual.

    Expenses $71,133,317 · Revenue $71,133,317

  • BJC IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES IT SERVES THROUGH LEADERSHIP, EDUCATION, INNOVATION AND EXCELLENCE IN MEDICINE. OTHER PROGRAMS AND SUPPORT SERVICES INCLUDE: MATERIAL SERVICES, QUALITY MANAGEMENT, FINANCE, LEGAL, AND COMMUNICATIONS.

    Expenses $401,333,501 · Grants $5,472,314 · Revenue $592,519,580

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.

Listed in Part VII

  • BJC HEALTH SYS GROUP RETURN

    SEE SCHEDULE 0

    Total calculated
    $21,144,446
    From this org
    $19,623,207
    From related orgs
    $0
    Other
    $1,521,239
    Hours/week
    40

  • BJC HEALTH SYS GROUP RETURN

    SEE SCHEDULE 0

    Total calculated
    $979,757
    From this org
    $915,412
    From related orgs
    $0
    Other
    $64,345
    Hours/week
    40

  • BJC HEALTH SYS GROUP RETURN

    SEE SCHEDULE 0

    Total calculated
    $4,821,473
    From this org
    $4,755,073
    From related orgs
    $0
    Other
    $66,400
    Hours/week
    40

  • BJC HEALTH SYS GROUP RETURN

    FORMER SCHEDULE 0

    Total calculated
    $1,262,015
    From this org
    $1,152,617
    From related orgs
    $0
    Other
    $109,398
    Hours/week
    0

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Schedule J

Itemized on Schedule J with no Part VII listing of the same name on this return:

  • BJC HEALTH SYS GROUP RETURN

    SEE SCHEDULE 0

    Schedule J breakdown

    Base
    $10,960,816
    Bonus
    $8,348,377
    Other
    $314,014
    Deferred
    $5,131
    Nontaxable benefits
    $1,516,108
    Filer's total
    $21,144,446

  • BJC HEALTH SYS GROUP RETURN

    SEE SCHEDULE 0

    Schedule J breakdown

    Base
    $4,228,076
    Bonus
    $435,025
    Other
    $91,972
    Deferred
    $0
    Nontaxable benefits
    $66,400
    Filer's total
    $4,821,473

  • BJC HEALTH SYS GROUP RETURN

    FORMER SCHEDULE 0

    Schedule J breakdown

    Base
    $847,717
    Bonus
    $299,396
    Other
    $5,504
    Deferred
    $0
    Nontaxable benefits
    $109,398
    Filer's total
    $1,262,015

  • BJC HEALTH SYS GROUP RETURN

    SEE SCHEDULE 0

    Schedule J breakdown

    Base
    $500,969
    Bonus
    $410,104
    Other
    $4,339
    Deferred
    $0
    Nontaxable benefits
    $64,345
    Filer's total
    $979,757

Answered yes

  • 1a · First-class or charter travel
  • 1a · Tax indemnification and gross-up payments
  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
PURSUANT TO TREASURY REG SECTION 1.6033-2(D)(5), BJC HEALTH SYSTEM HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF BJC HEALTH SYSTEM GROUP, EIN 75-3052953.
PART I, LINE 4
PURSUANT TO TREASURY REG SECTION 1.6033-2(D)(5), BJC HEALTH SYSTEM HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF BJC HEALTH SYSTEM GROUP, EIN 75-3052953.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • PHYSICIAN GROUPS LC

    PROFESSIONAL FEES & BILLING SVCS · MO · income $261,857,378 · assets $35,028,893

    Directly controlled by BJC HEALTH SYSTEM

  • MYHEALTH FOLDERS LLC

    HEALTH AWARENESS COMMUNICATIONS · MO · income $0 · assets $0

    Directly controlled by BJC HEALTH SYSTEM

  • BJC HEALTHCARE ACO LLC

    HEALTH CARE SERVICES · MO · income $0 · assets $80,181

    Directly controlled by BJC HEALTH SYSTEM

  • BMCA PRIVATE EQUITY LLC

    INVESTMENT HOLDINGS · MO · income $0 · assets $0

    Directly controlled by BJC HEALTH SYSTEM

  • BMCA GROWTH LLC

    INVESTMENT HOLDINGS · MO · income $0 · assets $0

    Directly controlled by BJC HEALTH SYSTEM

  • BMCA INCOME LLC

    INVESTMENT HOLDINGS · MO · income $0 · assets $0

    Directly controlled by BJC HEALTH SYSTEM

  • BHS INNOVATION LLC

    INVESTMENT HOLDINGS · MO · income $0 · assets $0

    Directly controlled by BJC HEALTH SYSTEM

  • METRO-EAST DEVELOPMENT LLC

    INVESTMENT HOLDINGS · MO · income $0 · assets $0

    Directly controlled by BJC HEALTH SYSTEM

  • BJC AMICI LLC

    HEALTH CARE ADMIN SUPPORT SVCS · MO · income $0 · assets $0

    Directly controlled by BJC HEALTH SYSTEM

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ATG ASSURANCE COMPANY LTD

    C · INSURANCE · CJ · 100% owned · share of income $5,359,913 · share of assets $57,484,001

    Directly controlled by BJC HEALTH SYSTEM

  • PF SERVICES INC

    C · MANAGEMENT SERVICES · MO

  • MB MEDICAL SERVICES INC

    C · HEALTHCARE SERVICES · MO

  • WLA INVESTMENT LTD

    C · INVESTMENT HOLDINGS · CA · 100% owned · share of assets $4,156,540

    Directly controlled by BMCA PRIVATE EQUITY LLC

  • ACTIVUM SG FEEDER FUND VII LP

    C · INVESTMENT HOLDINGS · JE · 55% owned · share of assets $13,277,951

    Directly controlled by BJC HEALTH SYSTEM

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202313189349315236

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