2017-11-15T13:28:13-06:00 2016-12-31 346565596 ERNST & YOUNG US LLP 190 CARONDELET PLAZA STE 1300 CLAYTON MO 63105 990 2016-01-01 431617558 BJC HEALTH SYSTEM BJCH 3142862057 4901 FOREST PARK AVE MS 90-75-570 ST LOUIS MO 63108 KEVIN ROBERTS SENIOR VP/CFO 3142862057 2017-11-15 0 JENNIFER RICHTER P00366526 3142901000 159.251.7.3 2017-11-15 12:39:52 CS P 12ED6BE048817B336648D782EB7A6C98FF0FAF74 6D002A5DB424D8E23D8749209D763C9AE0ADB18E 2016 2017-02-10 21:41:12Z BJC HEALTHCARE KEVIN V ROBERTS 4901 FOREST PARK AVE ST LOUIS MO 63108 4677420653 0 3844 X WWW.BJC.ORG X 1993 MO HEALTHCARE SERVICES AND HEALTH EDUCATION TO COMMUNITIES WE SERVE. 17 15 3101 92 10144624 0 465982 979120 538519228 597278879 154131024 66566530 9678540 8453100 702794774 673277629 1673961 1824232 0 0 313832853 337839350 0 0 0 238586321 275051930 554093135 614715512 148701639 58562117 4553298726 4504621451 2730631673 2766858615 1822667053 1737762836 X 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 15 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. 0 0 165743677 165755965 BJC MEDICAL GROUP - BJC MEDICAL GROUP EMPLOYS 200 PHYSICIANS WITH A RANGE OF MEDICAL AND SURGICAL SPECIALTIES. THE PHYSICIANS SERVE PATIENTS IN ST. LOUIS, MO; FARMINGTON, MO; SULLIVAN, MO.; MID-MISSOURI AND SOUTHERN ILLINOIS. BJC MEDICAL GROUP SUPPORTS PHYSICIAN PRACTICES ASSOCIATED WITH BJC HEALTHCARE HOSPITALS AND HELPS THEM GROW. 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 721,217 VISITS. 151197236 151197236 BJC INFORMATION SERVICES AND TECHNOLOGY SERVICES DEPARTMENT PLANS, DEVELOPS AND SUPPORTS INFORMATION TECHNOLOGY AND TELECOMMUNICATIONS INITIATIVES THROUGHOUT BJC. THE 700-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. 44446894 44446894 BJC CLINICAL ENGINEERING MANAGES CLINICAL ASSETS ACROSS BJC, INCLUDING OPERATIONAL SUPPORT AND MAINTENANCE MANAGEMENT OF DIAGNOSTIC, TREATMENT AND PATIENT SUPPORT MEDICAL EQUIPMENT SUCH AS BIOMEDICAL EQUIPMENT, CLINICAL LABORATORY EQUIPMENT AND DIAGNOSTIC IMAGING TECHNOLOGY. SERVICE ENGINEERS ARE DEPLOYED ACROSS THE 16 HOSPITALS AND OTHER HEALTH SERVICE ORGANIZATIONS AS REQUIRED TO MEET DEMAND. BJC CLINICAL ENGINEERING WORKS IN COLLABORATION WITH OTHER BJC DEPARTMENTS CONCERNING PATIENT SAFETY FOR MAINTENANCE AND PRODUCT RECALLS; PRE-PURCHASE EVALUATION AND SUPPORT COST ANALYSIS; ASSET MANAGEMENT PLANNING FROM ACQUISITION THROUGH DISPOSAL; PROJECT PLANNING AND MANAGEMENT; AND ENVIRONMENTAL ROUNDS. 50120414 1824232 235878784 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 50120414 1824232 235878784 411508221 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 3971 0 1 3101 1 1 1 1 CJ CA HU MY 0 0 0 0 0 0 0 0 X 17 15 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X LORI SCHREINER 3142862057 4901 FOREST PARK AV STE 1200 ST LOUIS MO 63108 X BJC HEALTH SYS GROUP RETURN SEE SCHEDULE O 40.00 X X 15594444 0 2088439 BJC HEALTH SYS GROUP RETURN SEE SCHEDULE O 40.00 X 1536355 0 0 BJC HEALTH SYS GROUP RETURN SEE SCHEDULE O 40.00 X 4456960 0 322402 21587759 0 2410841 386 0 1 0 0 498423 115667 365030 65 979120 SVCS TO AFFILIATES 561000 496205640 496205640 PROGRAM SVC REVENUE 621110 93384039 93384039 PROGRAM OTHER OPER INC 900099 4703373 4703373 PROGRAM RENTAL INCOME 531190 209899 209899 BILLING REVENUE 541900 155246 106719 48527 2620682 2620682 597278879 62301962 6762822 55539140 11109263 11109263 729971 0 729971 729971 729971 3997295570 2759 4004128948 14076 -6833378 -11317 -6844695 -6844695 OTHER OPERATING INCOME 900099 3593397 3593397 CLIN ENG & TRAIN REV 611600 3333275 3333275 EMPLOYEE SWIPE REVENUE 900099 224705 224705 571752 571752 7723129 673277629 597230352 10144624 64923533 1824232 1824232 25651722 25651722 252646856 197068362 55578494 19028854 14474968 4553886 21155952 15259645 5896307 19355966 14075154 5280812 243059 243059 6081071 6081071 1550449 1550449 681139 681139 25666019 25666019 49845414 39069046 10776368 2322701 490936 1831765 6065213 3868299 2196914 58212683 42738737 15473946 29492681 19282607 10210074 2899459 2154417 745042 1998396 1386726 611670 4286116 4286116 12264123 12245633 18490 4559061 2525963 2033098 REPAIRS AND MAINTENANCE 40439987 32179256 8260731 MEDICAL SUPPLIES 8238108 8238108 RECRUITMENT 4136367 4043464 92903 DUES AND SUBSCRIPTIONS 1277142 553589 723553 14792742 29079 14763663 614715512 411508221 203207291 0 8955 301274 62169695 31440216 6163358 6446292 10550894 10550894 4811998 4553476 39940957 39445968 552536099 186491576 212837560 366044523 2193123293 2234560894 1913169644 1689854774 23312524 22800402 87209848 98622738 4553298726 4504621451 198102047 277999021 181350 8000032 1559145000 1644810000 973203276 836049562 2730631673 2766858615 X 1822636517 1737728020 30536 34816 1822667053 1737762836 4553298726 4504621451 X 58562117 117914133 -261380465 X 0 1 X 1 1 1 X X 3 BARNES-JEWISH HOSPITAL 237309937 3 1 221226621 0 MISSOURI BAPTIST MEDICAL CENTER 430652656 3 1 76314669 0 ST LOUIS CHILDREN'S HOSPITAL 430654870 3 1 60188629 0 3 357729919 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SECTION A, LINE 6 DURING 2016, 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. SECTION D, LINE 3 BJC 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. SECTION E, LINE 3A AS 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. SECTION E, LINE 3B BJC 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 681139 0 0 681139 0 PART II-B, LINE 1: BJC GOVERNMENT RELATIONS DEPARTMENT EXPENSES INCLUDE RESOURCES DEDICATED TO TRACKING LEGISLATION THAT MAY ADVERSELY IMPACT THE FILING ORGANIZATION. INDIRECT ALLOCATION OF EXPENSES INCLUDE RELEVANT PORTION OF LOBBYING ACTIVITIES WITH DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS OR A LEGISLATIVE BODY. EXPENSES ALSO INCLUDE EDUCATIONAL SEMINARS FOR BJC EMPLOYEES REGARDING IMPORTANT HEALTHCARE LEGISLATIVE MATTERS. 11485859 11485859 55647687 47151248 8496439 17384217 13712112 3672105 150290417 113399174 36891243 317727919 12229042 305498877 366044523 PRIVATE EQUITY FUNDS 650795392 F HEDGE FUNDS 525293156 F REAL ESTATE FUNDS 349062366 F OTHER 164703860 F 1689854774 INTEREST RATE SWAPS 97700353 PENSION LIABILITY 466106544 OTHER CURRENT LIAB 8928892 OTHER LONG TERM LIABILITIES 28269878 SELF FUNDED MALPR 148803534 INTEREST PAYABLE 18507557 DEFERRED COMPENSATION PAYABLE 32172550 RELATED PARTY LIABILITY 35560254 836049562 X 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. NORTH AMERICA INVESTMENTS 22379224 NORTH AMERICA 1 INVESTMENT EXPENDITURES 1919833 CENTRAL AMERICA/CARIBBEAN INVESTMENTS 963650985 CENTRAL AMERICA/CARIBBEAN 1 PROGRAM SERVICES PROGRAM ADMINISTRATIVE 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. 101121 EUROPE INVESTMENTS 179720640 EUROPE PROGRAM SERVICES PROGRAM SERVICES EXPENSES INCLUDING CLINICAL EXCELLENCE, HEALTHCARE EQUIPMENT AND SUPPLY PURCHASES. 31373 NORTH AMERICA PROGRAM SERVICES PROGRAM SERVICES EXPENSES INCLUDING HEALTHCARE CLINICAL EQUIPMENT AND SUPPLY PURCHASES. 3146873 2 0 0 0 2 0 1170950049 0 1170950049 1 0 1 1 1 0 1 BIO STL 7515 FORSYTH BLVD SAINT LOUIS MO 63105 452137574 501(C)(3) 449000 SUPPORT OF ADVANCED RESEARCH IN BIOMEDICAL SCIENCES WASHINGTON UNIVERISTY 4169 LACLEDE AVE 1ST FLOOR SAINT LOUIS MO 63108 430653611 501(C)(3) 351000 SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE COMMUNITIES BOYS & GIRLS CLUBS OF GREATER ST LOUIS 2901 N GRAND BLVD SAINT LOUIS MO 631072608 436061693 501(C)(3) 259500 SUPPORT CHILDREN AND FAMILIES WITH VARIOUS LEVELS OF ADVERSITY CORTEX 4320 FOREST PARK AVENUE SAINT LOUIS MO 63108 300082817 501(C)(3) 212053 SUPPORT COMMUNITY DETERIORATION AND FOSTER URBAN GROWTH WITHIN STL UNITED WAY OF GREATER ST LOUIS 910 N 11TH ST SAINT LOUIS MO 631011018 430714167 501(C)(3) 150050 SUPPORT UNITED WAY COMMUNITY PROGRAMS AMERICAN RED CROSS EASTERN MISSOURI REG 10195 CORPORATE SQUARE DR CREVE COEUR MO 63132 530196605 501(C)(3) 35000 SUPPORT FOR DISASTER PREPAREDNESS ST LOUIS CRISIS NURSERY 11710 ADMINISTRATION DRIVE STE 18 SAINT LOUIS MO 631463407 431410297 501(C)(3) 33000 SUPPORT INFANT, CHILDREN AND FAMILIES WITH VARIOUS LEVELS OF ADVERSITY REGIONAL UNION CONSTRUCTION CENTER PO BOX 771091 SAINT LOUIS MO 63177 205160448 501(C)(3) 20000 SUPPORT OF EMERGING MINORITY AND WOMEN OWNING UNION CONSTRUCTION FIRMS NATIONAL MULTIPLE SCLEROSIS SOCIETY 1867 LACKLAND HILL PARKWAY SAINT LOUIS MO 63146 135661935 501(C)(3) 17161 SUPPORT FOR RESEARCH FOR MULTIPLE SCLEROSIS INDEPENDENCE CENTER 4245 FOREST PARK AVE SAINT LOUIS MO 631082810 431195240 501(C)(3) 16500 SUPPORT SERVICES FOR MENTAL ILLNESSES AND SUPPORT INDEPENDENT LIVING MOKAN ST LOUIS CONSTRUCTION CONTRACTORS ASSISTANCE CENTER 4666 NATURAL BRIDGE AVE SAINT LOUIS MO 63115 431124501 501(C)(3) 16500 SUPPORT EDUCATIONAL ASSISTONCE TO MINORITY AND DISADVANTAGE POPULATION OF THE METRO AREA FAIR ST LOUIS FOUNDATION 301 PROSPECT AVE SAINT LOUIS MO 631101215 431218720 501(C)(3) 15000 SUPPORT ANNUAL SUMMER EVENTS FOR ST LOUIS COMMUNITY FOCUS ST LOUIS 815 OLIVE ST STE 110 SAINT LOUIS MO 631011509 431750172 501(C)(3) 15000 SUPPORT CITIZENS TO PARTICIPATE IN LEADERSHIP AND POSTITVE COMMUNITY CHANGE ST LOUIS CHILDRENS HOSPITAL FOUNDATION ONE CHILDRENS PLACE SAINT LOUIS MO 631101077 431626863 501(C)(3) 15000 SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE COMMUNITIES BOONE HOSPITAL FOUNDATION 1600 E BROADWAY COLUMBIA MO 652015844 030477306 501(C)(3) 12800 SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE COMMUNITIES AMERICAN HEART ASSOCIATION PO BOX 50035 PRESCOTT AZ 863045035 135613797 501(C)(3) 10000 SUPPORT AND BUILD HEALTHIER LIVES FREE OF CARDIOVASCULAR DISEASES AND STROKE BJSP & PW FOUNDATION 10 HOSPITAL DRIVE SAINT PETERS MO 63376 454471497 501(C)(3) 10000 SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE COMMUNITIES A MILLION STARS INC 110 N JEFFERSON AVE SAINT LOUIS MO 631032207 204768985 501(C)(3) 10000 SUPPORT A CHANGE IN STUDENT'S LIFE THROUGH THE TRANFORMATIVE POWER OF HIGHER EDUCATION AND CAREER READINESS. REINVEST STL PO BOX 775252 SAINT LOUIS MO 63117 473779926 10000 SUPPORT GENERAL OPERATIONS OF REINVEST STL ST LOUIS INTERNSHIP PROGRAM 4232 FOREST PARK AVE RM 1027 SAINT LOUIS MO 63108 431741784 501(C)(3) 10000 SUPPORT HOPE AND OPPORTUNITY THROUGH PARTNERSHIPS FOR THE UNDERSERVED YOUTH AND BUSINESSES AMERICAN CANCER SOCIETY 4207 LINDELL BLVD SAINT LOUIS MO 63108 741185665 501(C)(3) 7500 SUPPORT FOR RESEARCH FOR CANCER THE FOUNDATION FOR BARNES-JEWISH HOSPITAL 1001 HIGHLANDS PLAZA DR WEST SUITE 140 SAINT LOUIS MO 63110 431648435 501(C)(3) 7500 SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE COMMUNITIES CHRISTIAN HOSPITAL NORTHEAST NORTHWEST 11133 DUNN ROAD SUITE 300N SAINT LOUIS MO 63136 436057893 501(C)(3) 7500 SUPPORT MEDICAL EDUCATION, RESEARCH, & PATIENT CARE NEEDS IN THE COMMUNITIES ST LOUIS REGIONAL CHAMBER & GROWTH ASSOCIATION PO BOX 60696 SAINT LOUIS MO 631600696 430975222 501(C)(6) 7500 SUPPORT ECOMOMIC PROSPERITY THROUGHTOUT ST LOUIS COMMUNITIES YWCA METRO ST LOUIS 3820 WEST PINE SAINT LOUIS MO 631080000 430653618 501(C)(3) 6750 SUPPORT FOR YWCA LEADER LUNCH MATHEWS DICKEY BOYS CLUB 4245 N KINGSHIGHWAY BLVD SAINT LOUIS MO 63115 436060717 501(C)(3) 6000 SUPPORT CHILDREN AND FAMILIES WITH VARIOUS LEVELS OF ADVERSITY THE MILDRED THIMES FOUNDATION P O BOX 4511 SAINT LOUIS MO 63108 461460090 501(C)(3) 6000 SUPPORT THE MILDRED THIMES FOUNDATION FOR PANCREATIC CANCER RONALD MCDONALD HOUSE 3450 PARK AVENUE SAINT LOUIS MO 63104 431160478 501(C)(3) 5800 SUPPORT CHILDREN AND FAMILIES WITH VARIOUS LEVELS OF ADVERSITY EPWORTH CHILDREN & FAMILY SERVICES 110 N ELM AVE SAINT LOUIS MO 63119 431069741 501(C)(3) 5050 SUPPORT CHILDREN AND FAMILIES WITH VARIOUS LEVELS OF ADVERSITY 27 2 PART I, LINE 2: DURING 2016, BJC HEALTH SYSTEM AND AFFILIATES MADE GRANTS TO OTHER SECTION 501(C)(3) PUBLIC CHARITIES OR OTHER ORGANIZATIONS IN SUPPORT OF THE COMMUNITIES WE SERVE AND TO BE USED IN FULFILLING THE EXEMPT PURPOSE OF THE GRANTEE ORGANIZATION. WHILE IMMEDIATE OVERSIGHT OF THE CHARITY IS NOT CONSIDERED NECESSARY, GRANT MATERIALS PROVIDE STRICT GUIDELINES FOR USE OF ALL GRANTS OR AWARDS AS WELL AS RECOVERY OF GRANT MONIES NOT USED FOR STATED PURPOSES. X X X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 BJC HEALTH SYS GROUP RETURN SEE SCHEDULE O 8247218 0 5941592 0 1405634 0 1057960 0 1030479 0 17682883 0 722640 0 BJC HEALTH SYS GROUP RETURN SEE SCHEDULE O 784892 0 613782 0 137681 0 119921 0 130504 0 1786780 0 39624 0 BJC HEALTH SYS GROUP RETURN SEE SCHEDULE O 4045595 0 395189 0 16176 0 173952 0 148450 0 4779362 0 0 0 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 A HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 NONEAVAIL 2012-10-31 271000000 REFUND PRIOR BONDS & CAPITAL EXP - SEE BELOW 0 0 0 B HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60635RR33 2005-04-07 161556888 REFUND PRIOR BONDS & CAPITAL EXP - SEE BELOW 0 0 0 C HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60635R2K2 2008-04-22 368575000 REFUND PRIOR BONDS & CAPITAL EXP - SEE BELOW 0 0 0 D HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 NONEAVAIL 2011-12-13 200000000 FUND CAPITAL EXPENDITURES - SEE BELOW 0 0 0 A 12000000 271000000 50000000 221000000 2013 1 0 1 1 B 84490000 165270543 1113773 1599273 55000 63471011 99031486 2007 1 0 1 1 C 7245000 369074888 711712 124788176 243575000 2008 1 0 1 1 D 200000000 200000000 2011 0 0 1 1 A 0 1 1 0 1 0 0.03300 0.03300 0 0 1 B 0 0 0 0 0 0 1 C 0 1 1 0 1 0 0.04080 0.04080 0 0 1 D 0 1 1 0 1 0 0.00510 0.00510 0 0 1 A 0 0 1 0 1 0 0 0 1 B 1 1 0 0 0 1 C 0 0 0 1 1 1 SEE BELOW 21.400000000000 0 0 0 0 1 D 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: HEALTH & EDUC FACILITIES AUTHORITY, STATE OF MISSOURI DATE THE REBATE COMPUTATION WAS PERFORMED: 05/15/2010 SCHEDULE K, PART I, COLUMN (F) SERIES 2012A-E BONDS WERE ISSUED AT A VARIABLE RATE WITH PROCEEDS OF $271M USED IN PART TO REFUND SERIES 2003 BONDS (ISSUED ON 7/24/03) AND TO FINANCE, IN PART, CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2005A BONDS WERE ISSUED TO REFUND SERIES 1993 A & B BONDS ISSUED ON (11/18/93). SERIES 2005A BONDS WERE PAID OFF WITH CASH ON 5/15/15. SERIES 2005B BONDS WERE ISSUED IN PART TO REFUND SERIES 1985 BONDS (ISSUED ON 12/1/85) AND TO FINANCE, IN PART, THE CONSTRUCTION OF PROGRESS WEST HEALTHCARE CENTER, A 72 BED COMMUNITY HOSPITAL IN O'FALLON, MISSOURI. SERIES 2008 BONDS WERE ISSUED IN PART TO REFUND SERIES 2006 BONDS (ISSUED ON 4/4/06) AND TO FINANCE, IN PART, CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2011A BONDS WERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILITATE HOSPITALS. SERIES 2011B BONDS WERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2013A BONDS WERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2013B BONDS WERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2013C BONDS WERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2014 BONDS WERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2015 BONDS WERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2016A BONDS WERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SERIES 2016B BONDS WHERE ISSUED TO FUND CAPITAL EXPENDITURES AT VARIOUS AFFILIATE HOSPITALS. SCHEDULE K, PART II, LINE 3 ANY DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND TOTAL PROCEEDS REPORTED ON PART III, LINE 3 IS DUE TO INVESTMENT EARNINGS OR LOSS ON THE INVESTMENTS. SCHEDULE K, PART II, LINE 4 THE RESERVE FUND WITH TRANSFERRED PROCEEDS ALLOCABLE TO THE 2005 BONDS HAS BEEN SPENT. THE AMOUNT WAS USED TO PAY OFF THE REMAINING OUTSTANDING 1993A BONDS ON MAY 15, 2014. SCHEDULE K, PART II, LINE 11 SERIES 2013C RESIDUAL EARNINGS USED TO PAY INTEREST. SCHEDULE K, PART III, LINES 3B AND 3D INTERNAL LEGAL COUNSEL IS FAMILIAR WITH TAX LAWS AND ROUTINELY REVIEWS THESE AGREEMENTS. SCHEDULE K, PART III, LINE 4 THE MAXIMUM AMOUNT OF PRIVATE BUSINESS USE RELATED TO THE BOND ISSUE IS LISTED. SCHEDULE K, PART III, PAGE2, COLUMN D AND PAGE 3 COLUMN A RESPONSES APPLY TO THOSE PROJECTS THAT HAVE BEEN COMPLETED FOR SERIES 2014, SERIES 2015, SERIES 2016A, AND SERIES 2016B. SCHEDULE K, PART IV, LINE 2 SERIES 2005 BONDS - FORM 8038-T WAS FILED AND IS "NO REBATE DUE." AS OF THE SECOND INSTALLMENT CALCULATION DATE NO REBATE DUE, DATE OF COMPUTATION IS MAY 15, 2014. SERIES 2008 BONDS IS "NO REBATE DUE." REBATE CALCULATION WAS PERFORMED ON MAY 15,2010. SERIES 2014 BOND IS "NO REBATE DUE." REBATE CALCULATION WAS PERFORMED ON MARCH 15, 2016. SERIES 2015 BOND IS "REBATE NOT DUE YET AND IS WITHIN THE 5 YEAR ARBITRAGE REBATE DUE DATE. SCHEDULE K, PART IV, LINES 3A-E THE ORGANIZATION ENTERED INTO A QUALIFIED HEDGE RELATED TO SERIES 2008 A-E BONDS. THE SERIES A-C HEDGES MATURE ON 5/15/2038 AT JP MORGAN. THESE CARRY A FLOATING/FIXED RATE WHERE BJC PAYS 3.551% AND RECIEVES 68% OF ONE MONTH LIBOR. THE HEDGE RELATED TO THE SERIES D-E PORTIONS OF THE 2008 BOND ISSUE ARE HELD AT BANK OF AMERICA AND MERRILL LYNCH. EACH OF THESE MATURE ON 5/15/2038 AND CARRY VARIOUS FLOATING/FIXED RATES: FOR 2008D SERIES HEDGE, BJC PAYS 3.482% AND RECEIVES 68% OF ONE MONTH LIBOR; AND FOR 2008E SERIES HEDGE, BJC PAYS 3.497% AND RECEIVES 68% OF THREE MONTH LIBOR. A HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 NONEAVAIL 2013-09-20 100000000 FUND CAPITAL EXPENDITURES - SEE BELOW 0 0 0 B HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60637AEG3 2013-10-10 100000000 FUND CAPITAL EXPENDITURES - SEE BELOW 0 0 0 C HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60637AEH1 2013-10-31 100000000 FUND CAPITAL EXPENDITURES - SEE BELOW 0 0 0 D HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60637AFE7 2014-03-13 209195546 FUND CAPITAL EXPENDITURES - SEE BELOW 0 0 0 A 100000000 100000000 2013 0 0 1 1 B 100949143 100949143 2016 0 0 1 1 C 101059509 101059490 19 2016 0 0 1 1 D 213573719 213573719 2016 0 0 1 1 A 0 1 1 0 1 0 0 0 1 B 0 1 1 0 1 0 0 0 1 C 0 1 1 0 1 0 0 0 1 D 0 0 1 0 1 0 0.00500 0.00500 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 A HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 60637AHZ8 2015-04-30 150000000 FUND CAPITAL EXPENDITURES - SEE BELOW 0 0 0 B HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 NONEAVAIL 2016-09-26 75000000 FUND CAPITAL EXPENDITURES - SEE BELOW 0 0 0 C HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI 431178966 NONEAVAIL 2016-12-21 32000000 FUND CAPITAL EXPENDITURES - SEE BELOW 0 0 0 A 148532124 148532124 0 0 0 1 B 75000000 75000000 0 0 1 1 C 32000000 32000000 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 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. FORM 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. FORM 990, PART XI, LINE 9: TRANSFERS TO/FROM BJC ENTITIES -252,358,942. INCREASE PENSION LIAB PER ACTURIAL REPORT -9,025,802. ASSET RELEASED FROM RESTRICTIONS 4,279. 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