Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
BJC HEALTH SYSTEM GROUP RETURN
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
4444 FOREST PARK AVE MS 90-66-500
 
Room/suite
City or town, state or country, and ZIP + 4
ST LOUIS, MO63108
D Employer identification number

75-3052953
E Telephone number

G Gross receipts $ 3,607,389,639
F Name and address of principal officer:
KEVIN V ROBERTS
4444 FOREST PARK AVE
ST LOUIS,MO63108
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.BJC.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet3844
K Form of organization:
 
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: HEALTHCARE SERVICES AND HEALTH EDUCATION TO COMMUNITIES WE SERVE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 208
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 124
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 28,300
6 Total number of volunteers (estimate if necessary) .... 6 3,452
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 21,776,663
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 23,010,299 15,185,563
9 Program service revenue (Part VIII, line 2g) ......... 3,265,888,471 3,418,931,202
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 64,766,232 112,747,115
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 54,146,753 59,875,766
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 3,407,811,755 3,606,739,646
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 25,471,399 59,857,724
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,368,819,957 1,373,282,506
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 1,797,412,231 1,904,151,604
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,191,703,587 3,337,291,834
19 Revenue less expenses. Subtract line 18 from line 12...... 216,108,168 269,447,812
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 4,544,046,464 4,916,283,155
21 Total liabilities (Part X, line 26)............ 1,845,695,669 1,766,130,689
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 2,698,350,795 3,150,152,466
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: THE 13 HOSPITALS & MULTIPLE SERVICE ORGS OF BJC HEALTHCARE SERVE THE HEALTHCARE NEEDS OF THE RESIDENTS OF METROPOLITAN ST. LOUIS, MID-MISSOURI & SOUTHERN ILLINOIS. BASED IN URBAN, SUBURBAN & RURAL COMMUNITIES, BJC HOSPITALS INCLUDE ACADEMIC MEDICAL CENTERS & LARGE & SMALL COMMUNITY HOSPITALS. BJC'S HOSPITALS HAVE REMAINED IN COMMUNITIES THAT OTHER HEALTH SYSTEMS ABANDONED & WITH NO PUBLIC HOSPITAL IN THE REGION; BJC'S ACADEMIC MEDICAL CENTERS SERVE AS A CRITICAL COMPONENT OF THE HEALTH SAFETY NET FOR UNINSURED & UNDERINSURED PATIENTS. BJC ORGANIZATIONS PROVIDE INPATIENT & OUTPATIENT CARE, REHABILITATION, PRIMARY CARE, HOME CARE, HOSPICE, LONG-TERM CARE, COMMUNITY MENTAL HEALTH, WORKPLACE HEALTH & COMMUNITY HEALTH & WELLNESS. BJC HOSPITALS & SERVICE ORGANIZATIONS ALSO SUPPORT THE TRAINING OF FUTURE HEALTH PROFESSIONALS; ADVANCEMENT OF MEDICAL RESEARCH; REGIONAL HEALTH SAFETY NET SERVICES & EMERGENCY PREPAREDNESS; COMMUNITY OUTREACH & HEALTH LITERACY; & REGIONAL ECONOMIC DEVELOPMENT.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,936,644,238 including grants of $ 59,857,724 ) (Revenue $ 2,300,145,772 )
HEALTH CARE SERVICES: BJC HOSPITALS & SERVICE ORGANIZATIONS PROVIDE FULL, COMPREHENSIVE MEDICAL CARE FOR PATIENTS OF ALL AGES, REGARDLESS OF ABILITY TO PAY, THROUGH AN INTEGRATED NETWORK OF HOSPITALS, OUTPATIENT CENTERS, PRIMARY CARE PROVIDERS, HOME CARE SERVICES, REHABILITATION FACILITIES, LONG-TERM CARE FACILITIES, CORPORATE HEALTH SERVICES, COMMUNITY MENTAL HEALTH SERVICES & COMMUNITY OUTREACH PROGRAMS IN BUSINESSES, SCHOOLS & PLACES OF WORSHIP. BJC ENSURES THAT THE COMMUNITY HAS ACCESS TO THE HIGHEST LEVEL OF SPECIALIZED SERVICES AVAILABLE, INCLUDING, THE FOLLOWING MAJOR PROGRAMS: SITEMAN CANCER CENTER, THE REGION'S ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER; LEVEL I ADULT & PEDIATRIC TRAUMA CENTERS; ADULT & PEDIATRIC ORGAN & BONE MARROW TRANSPLANT SERVICES; LEVEL III NEONATAL INTENSIVE CARE; & NATIONALLY RECOGNIZED PROGRAMS IN CRITICAL CARE, INFECTIOUS DISEASES, NEUROLOGY, NEUROSURGERY, HEART & HEART SURGERY, RESPIRATORY & KIDNEY DISEASES. BJC ALSO IS COMMITTED TO UNDER-SERVED COMMUNITIES & PROVIDES THE ONLY OBSTETRICS SERVICE IN THE CITY OF ST. LOUIS. BJC'S URBAN ACADEMIC MEDICAL CENTERS SERVE AS A CRITICAL COMPONENT OF THE HEALTH SAFETY NET FOR UNINSURED & UNDER-INSURED PATIENTS THROUGHOUT THE REGION.
4b (Code:   ) (Expenses $ 733,803,904 including grants of $ 0 ) (Revenue $ 564,186,991 )
FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID & MEANS-TESTED UNCOMPENSATED CARE: BJC HEALTHCARE HOSPITALS & SERVICE ORGANIZATIONS (BJC) CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. BJC PROVIDED $77.9 MILLION IN FINANCIAL ASSISTANCE IN 2010 TO PATIENTS WHO WERE UNABLE TO PAY FOR ANY OR ALL OF THE CARE THEY NEEDED. FINANCIAL ASSISTANCE CONSISTS OF MEDICAL SERVICES GIVEN FREE OF CHARGE TO THOSE WITHOUT INSURANCE OR WITH INADEQUATE INSURANCE WHO HAVE DEMONSTRATED THEY ARE UNABLE TO PAY FOR THEIR CARE. ADDITIONALLY, BJC HOSPITALS PROVIDED $91.7 MILLION DURING 2010 IN UNREIMBURSED CARE TO MEDICAID PATIENTS, ABSORBING THE SHORTFALL BETWEEN THE COST OF NEEDED MEDICAL SERVICES & THE REIMBURSEMENT RECEIVED FROM STATE PROGRAMS FOR QUALIFYING LOW-INCOME PATIENTS. THE COST OF CARE FOR CHARITY & UNREIMBURSED MEDICAID PATIENTS TOTALED $169.6 MILLION.BJC ALSO ABSORBS THE COST OF CARING FOR PATIENTS WHO ARE UNABLE TO PAY THEIR CO-PAYS, DEDUCTIBLES OR OTHER HEALTH CARE COSTS FOR A WIDE RANGE OF REASONS THAT THEY MAY OR MAY NOT SHARE WITH BJC. BJC PROVIDED $82.7 MILLION DURING 2010 IN CARE TO PATIENTS WHO, BASED UPON AN EXTENSIVE ANALYSIS OF ZIP CODE & OTHER INFORMATION, WERE PRESUMED TO HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE BJC POLICY, HAD FINANCIAL INFORMATION BEEN PROVIDED TO THE ORGANIZATION. THESE PATIENTS RECEIVED NEEDED MEDICAL SERVICES &, IN FACT, RECEIVED THE EQUIVALENT OF FINANCIAL ASSISTANCE BUT WERE NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE.
4c (Code:   ) (Expenses $ 217,584,769 including grants of $ 0 ) (Revenue $ 70,423,346 )
HEALTH PROFESSIONS EDUCATION & RESEARCH: BJC HELPS BUILD THE FUTURE OF HEALTH CARE BY EDUCATING HEALTH PROFESSIONALS & ADVANCING MEDICAL RESEARCH INNOVATIONS. THROUGH ACADEMIC AFFILIATIONS WITH WASHINGTON UNIVERSITY SCHOOL OF MEDICINE TO TRAIN FUTURE PHYSICIANS, BJC HELPS ENSURE THE ONGOING TRAINING & DEVELOPMENT OF HEALTH CARE PROFESSIONALS, WHICH ARE CRITICAL TO THE HEALTH OF THE COMMUNITY & THE FUTURE OF HEALTH CARE. DURING 2010, BJC CONTRIBUTED $120.5 MILLION TOWARDS THE TRAINING OF HEALTH CARE PROFESSIONALS INCLUDING 1,183 MEDICAL RESIDENTS & ADVANCED FELLOWS FROM WASHINGTON UNIVERSITY; 803 NURSING STUDENTS AT THE GOLDFARB SCHOOL OF NURSING; & 618 STUDENTS AT THE MISSOURI BAPTIST MEDICAL CENTER CLINICAL NURSING INSTITUTE. ADDITIONALLY, BJC IS COMMITTED TO BIOMEDICAL HEALTH RESEARCH EFFORTS THAT WILL CONTRIBUTE TO THE PREVENTION, DIAGNOSIS & TREATMENT OF DISEASE & DISABILITY. DURING 2010, BJC CONTRIBUTED $26.7 MILLION TO ENABLE RESEARCHERS TO COLLABORATE IN KEY THERAPEUTIC AREAS SUCH AS CANCER GENOMICS, DIABETIC CARDIOVASCULAR DISEASE & WOMEN'S INFECTIOUS DISEASES. THE RESULTS OF THIS MULTI-DISCIPLINARY EFFORT ARE EXPECTED TO ADVANCE MEDICAL SCIENCE, TECHNOLOGY & PATIENT CARE PRACTICES.
(Code:   ) (Expenses $ 23,039,707 including grants of $ 0 ) (Revenue $ 308,383 )
OTHER HEALTHCARE SERVICES PROVIDED TO IMPROVE THE HEALTH OF PEOPLE IN THE COMMUNITIES WE SERVE. THE AMOUNTS REPORTED FOR THESE PROGAM SERVICES AND COMMUNITY OUTREACH PROGRAMS ARE NET OF DIRECT OFFSETTING PROGRAM FEES.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 23,039,707 including grants of $   ) (Revenue $ 308,383 )
4e Total program service expensesMediumBullet$ 2,911,072,618
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
2,640
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
11
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
28,300
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
208
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
124
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
IL
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
LARRY KAYSER
4444 FOREST PARK AVE MS 90-66-500
ST LOUIS,MO631081621
(314) 362-0638
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) AMH-AYRES GARY
DIRECTOR
 1.00 X           0 0 0
(2) AMH-ERKER MELISSA
DIRECTOR
 1.00 X           0 0 0
(3) AMH-HARTRICH BRUCE A
DIRECTOR
 1.00 X           0 0 0
(4) AMH-HUTCHINSON SAMUEL
DIRECTOR
 1.00 X           0 0 0
(5) AMH-LAUSCHKE SANDRA
DIRECTOR
 1.00 X           0 0 0
(6) AMH-LOY KENNETH
DIRECTOR
 1.00 X           0 0 0
(7) AMH-MILNOR GEORGE
DIRECTOR
 1.00 X           0 0 0
(8) AMH-RICCI JAMES
DIRECTOR
 1.00 X           0 279,766 43,901
(9) AMH-RIEDEL DAVID MD
DIRECTOR
 1.00 X           394,001 0 14,124
(10) AMH-THOMPSON STEVE
DIRECTOR
 1.00 X           0 0 0
(11) AMH-VAN TREASE SANDRA
DIRECTOR
 1.00 X           0 0 0
(12) BHHC HURST ROBERT MD
DIRECTOR
 1.00 X           0 0 0
(13) BHHC SZEWCZYK MICHEAL MD
DIRECTOR
 1.00 X           0 0 0
(14) BJC-BADER KATHRYN
DIRECTOR
 1.00 X           0 0 0
(15) BJC-DANIELS JERRY
DIRECTOR
 1.00 X           0 0 0
(16) BJC-DONALD ARNOLD
DIRECTOR
 1.00 X           0 0 0
(17) BJC-EASON CLIFFORD J
DIRECTOR
 1.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) BJC-FOX GREGORY
DIRECTOR
 1.00 X           0 0 0
(19) BJC-HARBISON KEITH
DIRECTOR
 1.00 X           0 0 0
(20) BJCHOME-GEE WILLIAM MD
DIRECTOR
 1.00 X           10,391 0 0
(21) BJCHOME-KATSIANIS JOHN
DIRECTOR
 1.00 X           0 0 0
(22) BJCHOME-KRETTEKJOHN MD PHD
DIRECTOR
 1.00 X           464,447 0 53,951
(23) BJCHOME-MUETH MELANIE MD
DIRECTOR
 1.00 X           305,586 0 41,662
(24) BJCHOME-VAN TREASESANDRA
DIRECTOR
 1.00 X           0 0 0
(25) BJCHOME-VLODARCHYKCOREEN
DIRECTOR
 5.00 X           578,689 0 51,072
(26) BJCHOME-WEISS DAVID
DIRECTOR
 5.00 X           889,463 0 89,042
(27) BJC-MCCARTHY THOMAS
DIRECTOR
 1.00 X           0 0 0
(28) BJC-MCDAVID ROBERT
DIRECTOR
 1.00 X           0 0 0
(29) BJC-PLUMMER ROBERT
DIRECTOR
 1.00 X           0 0 0
(30) BJC-SCHNUCK CRAIG
DIRECTOR
 1.00 X           0 0 0
(31) BJC-SHAPIRO LARRY MD
DIRECTOR EX OFFICIO
 1.00 X           0 0 0
(32) BJC-STUPP JOHN JR
DIRECTOR
 1.00 X           0 0 0
(33) BJC-WRIGHTON MARK MD
DIRECTOR-EX OFFICIO
 1.00 X           0 0 0
(34) BJH-BADER KATHRYN
DIRECTOR
 1.00 X           0 0 0
(35) BJH-CLARK MAXINE
DIRECTOR
 1.00 X           0 0 0
(36) BJH-DONALD ARNOLD
DIRECTOR
 1.00 X           0 0 0
(37) BJH-DUBINSKY JOHN
DIRECTOR
 1.00 X           0 0 0
(38) BJH-EDISON PETER
DIRECTOR
 1.00 X           0 0 0
(39) BJH-GRIFFIN JOANNE
DIRECTOR
 1.00 X           0 0 0
(40) BJH-KAHN EUGENE
DIRECTOR
 1.00 X           0 0 0
(41) BJH-KNIGHT CHARLES F
DIRECTOR, EMERITUS MEMBER
 1.00 X           0 0 0
(42) BJH-KRUSZEWSKI RON
DIRECTOR
 1.00 X           0 0 0
(43) BJH-LIPSTEIN STEVEN
DIRECTOR - EX-OFFICIO
 1.00 X           0 0 0
(44) BJH-MCDONNELL JOHN F
DIRECTOR
 1.00 X           0 0 0
(45) BJH-PARKS DEBORAH MD
DIRECTOR
 1.00 X           0 0 0
(46) BJH-SHAPIROLARRY MD
DIRECTOR EX-OFFICIO
 1.00 X           0 0 0
(47) BJH-STEINBACK KENNETH
DIRECTOR
 1.00 X           0 0 0
(48) BJH-STEWARD DAVID
DIRECTOR
 1.00 X           0 0 0
(49) BJH-SULLIVAN DIANE
DIRECTOR
 1.00 X           0 0 0
(50) BJH-THOMPSON ANTHONY
DIRECTOR
 1.00 X           0 0 0
(51) BJH-WRIGHTON MARK PHD
DIRECTOR
 1.00 X           0 0 0
(52) BJH-YAEGER DOUGLAS
DIRECTOR
 1.00 X           0 0 0
(53) BJSPH-DEHAVEN MICHAEL
DIRECTOR
 1.00 X           0 0 0
(54) BJSPH-VAN TREASE SANDRA
DIRECTOR
 1.00 X           0 0 0
(55) BJWCH-CANNON ROBERT
DIRECTOR
 1.00 X           0 0 0
(56) BJWCH-CRANE JAMES MD
DIRECTOR
 1.00 X           0 0 0
(57) BJWCH-KLUTKE CARL MD
DIRECTOR EX OFFICIO
 1.00 X           0 0 0
(58) BJWCH-LONDEALAN MD
DIRECTOR EX OFFICIO
 1.00 X           0 0 0
(59) BJWCH-MARTIN JEFFERY MD
DIRECTOR
 1.00 X           0 0 0
(60) CHAS-APLINGTON DAVID
DIRECTOR
 1.00 X           0 0 0
(61) CHAS-VAN TREASE SANDRA
DIRECTOR
 1.00 X           0 0 0
(62) CH-CLARKREV F JAMES MD
DIRECTOR
 1.00 X           0 0 0
(63) CH-DAZEY ANDREW
DIRECTOR
 1.00 X           0 0 0
(64) CH-GEORGE THOMAS F PHD
DIRECTOR
 1.00 X           0 0 0
(65) CH-GLOTZBACH EDWARD L
DIRECTOR
 1.00 X           0 0 0
(66) CHIL -MCKEE PAUL J
DIRECTOR
 1.00 X           0 0 0
(67) CH-JENSEN JOSHUA II MD
DIRECTOR
 1.00 X           32,112 0 0
(68) CH-LIPSTEIN STEVEN
DIRECTOR - EX-OFFICIO
 1.00 X           0 0 0
(69) CH-MARGOLIS ROBERT MD
DIRECTOR
 1.00 X           82,600 0 0
(70) CH-MCKEE PAUL JR
DIRECTOR
 1.00 X           0 0 0
(71) CH-MILLIGAN RONALD
DIRECTOR
 1.00 X           0 0 0
(72) CH-MORITZ GERALD MD
DIRECTOR
 1.00 X           146,046 0 15,156
(73) CHN-IMBS CHRISTOPHER
DIRECTOR
 1.00 X           0 0 0
(74) CH-OTTO DAVID
DIRECTOR
 1.00 X           0 0 0
(75) CH-PENILLA ANTONIA R MD
DIRECTOR
 5.00 X           0 578,199 41,338
(76) CH-RATLIFF HARRY
DIRECTOR
 1.00 X           0 0 0
(77) CH-REARDEN TIM MD
DIRECTOR
 1.00 X           0 0 0
(78) CH-SCHERER GEORGE
DIRECTOR
 1.00 X           0 0 0
(79) CH-SCHNETTGOECKEWILLIAM JR
DIRECTOR
 1.00 X           0 0 0
(80) CHSDC-BALSTERS KENNETH
DIRECTOR
 1.00 X           0 0 0
(81) CHSDC-LIPSTEIN STEVEN
DIRECTOR EX OFFICIO
 1.00 X           0 0 0
(82) CHSDC-MCKEEPAUL JR
DIRECTOR
 1.00 X           0 0 0
(83) CHSDC-MILLIGAN RONALD
DIRECTOR
 1.00 X           0 0 0
(84) CHSDC-MORITZ GERALD
DIRECTOR
 1.00 X           0 0 0
(85) CHSDC-SCHERER GEORGE
DIRECTOR
 1.00 X           0 0 0
(86) CHSDC-ZYKAN DONALD
DIRECTOR
 1.00 X           0 0 0
(87) CH-SHAW DAVID MD
DIRECTOR
 1.00 X           0 0 0
(88) CH-VAN TREASE SANDRA
DIRECTOR
 1.00 X           0 0 0
(89) CH-ZWEIG WILLIAM MD
DIRECTOR
 1.00 X           0 0 0
(90) MBHS-DACE SHARON
DIRECTOR
 1.00 X           0 0 0
(91) MBHS-DIXON DEBBIE
DIRECTOR
 1.00 X           0 0 0
(92) MBHS-GILES RAYMOND
DIRECTOR
 1.00 X           0 0 0
(93) MBHS-HOFFMAN MIKE
DIRECTOR
 1.00 X           0 0 0
(94) MBHS-KING MELVIN
DIRECTOR
 1.00 X           0 0 0
(95) MBHS-MARQUINO MARLON MD
DIRECTOR
 1.00 X           289,935 0 17,693
(96) MBHS-MATTHEWSDEBBIE
DIRECTOR
 1.00 X           0 0 0
(97) MBHS-MICHALIK JAROSLAW MD
DIRECTOR
 1.00 X           397,943 0 32,121
(98) MBHS-VAN TREASE SANDRA
DIRECTOR
 1.00 X           0 0 0
(99) MBHS-YOEST CHRIS
DIRECTOR
 1.00 X           0 0 0
(100) MBMC-BACHMANN JOHN
DIRECTOR
 1.00 X           0 0 0
(101) MBMC-BOTNEY MITCHELL
DIRECTOR
 1.00 X           78,418 0 0
(102) MBMC-COPELAND DOUGLAS
DIRECTOR
 1.00 X           0 0 0
(103) MBMC-DUNNE THOMAS P SR
DIRECTOR
 1.00 X           0 0 0
(104) MBMC-EASON CLIFF
DIRECTOR
 1.00 X           0 0 0
(105) MBMC-FIELDS HARVEY JR
DIRECTOR
 1.00 X           0 0 0
(106) MBMC-FULLERTON RANDALL
DIRECTOR
 1.00 X           0 0 0
(107) MBMC-GILES RAYMOND
DIRECTOR
 1.00 X           0 0 0
(108) MBMC-HARMON ROBERT
DIRECTOR
 1.00 X           0 0 0
(109) MBMC-HOLMES MICHAEL
DIRECTOR
 1.00 X           0 0 0
(110) MBMC-KIM CHARLES G
DIRECTOR
 1.00 X           0 0 0
(111) MBMC-KOPITSKY ROBERT MD
DIRECTOR
 1.00 X           393,700 0 12,546
(112) MBMC-LIPSTEIN STEVEN
DIRECTOR - EX-OFFICIO
 1.00 X           0 0 0
(113) MBMC-MCCLURE RICHARD
DIRECTOR
 1.00 X           0 0 0
(114) MBMC-PETTY CARL JR
DIRECTOR
 1.00 X           0 0 0
(115) MBMC-REYNOLDS PALMER
DIRECTOR
 1.00 X           0 0 0
(116) MBMC-SCHICK PETER
DIRECTOR
 1.00 X           0 0 0
(117) MBMC-VAN TREASE SANDRA
DIRECTOR (NON VOTING)
 1.00 X           0 0 0
(118) MBMC-WOOD JOYCE
DIRECTOR
 1.00 X           0 0 0
(119) PHC-CROUCH JOHN
DIRECTOR
 1.00 X           0 0 0
(120) PHC-DICKINSON BETTY M MD
DIRECTOR
 1.00 X           0 0 0
(121) PHC-DUMONTIER EDWARD MD
DIRECTOR
 5.00 X           12,740 0 865
(122) PHC-GRIX GARY MD
DIRECTOR
 5.00 X           231,805 0 19,861
(123) PHC-JONES STEVEN R
DIRECTOR
 1.00 X           0 0 0
(124) PHC-KURTZ STEVEN J
DIRECTOR
 1.00 X           0 0 0
(125) PHC-MACKAY JILL
DIRECTOR
 1.00 X           0 0 0
(126) PHC-RHODES CATHERINE
DIRECTOR
 1.00 X           0 0 0
(127) PHC-SKAGGS LARRY
DIRECTOR
 1.00 X           0 0 0
(128) PHC-VAN TREASE SANDRA
DIRECTOR
 1.00 X           0 0 0
(129) PHC-VIBULAKAOPUN PAIRAT MD
DIRECTOR
 1.00 X           0 0 0
(130) PWHC-DEHAVEN MICHAEL
DIRECTOR
 1.00 X           0 0 0
(131) PWHC-HACKER KENNETH MD
DIRECTOR, EX-OFFICIO
 1.00 X           0 0 0
(132) PWHC-VAN TREASE SANDRA
DIRECTOR
 1.00 X           0 0 0
(133) PWHC-WEISS DAVID
DIRECTOR
 1.00 X           0 0 0
(134) SLCH WAGNER ANN L
DIRECTOR
 1.00 X           0 0 0
(135) SLCH-BOYCE GREGORY H
DIRECTOR
 1.00 X           0 0 0
(136) SLCH-COLE F SESSIONS MD
DIRECTOR EX-OFF NON VOT
 1.00 X           0 0 0
(137) SLCH-DANFORTH DONALD III
DIRECTOR
 1.00 X           0 0 0
(138) SLCH-DIEMER NANCY
DIRECTOR
 1.00 X           0 0 0
(139) SLCH-FRANKLIN CLIFFORD
DIRECTOR
 1.00 X           0 0 0
(140) SLCH-HARTTRACY E
DIRECTOR
 1.00 X           0 0 0
(141) SLCH-HERMANN ROBERT
DIRECTOR
 1.00 X           0 0 0
(142) SLCH-LIPSTEIN STEVEN
DIRECTOR - EX-OFFICIO
 1.00 X           0 0 0
(143) SLCH-MARK RICHARD
DIRECTOR
 1.00 X           0 0 0
(144) SLCH-MCDONNELLJAMES III
DIRECTOR
 1.00 X           0 0 0
(145) SLCH-MUELLER CHARLES JR
DIRECTOR
 1.00 X           0 0 0
(146) SLCH-MULLINS BIRCH
DIRECTOR
 1.00 X           0 0 0
(147) SLCH-NASHALLISON C MD
DIRECTOR EX-OFF NON VOT
 1.00 X           0 0 0
(148) SLCH-O'CONNELL JOHN
DIRECTOR
 1.00 X           0 0 0
(149) SLCH-RHONE ERIC
DIRECTOR
 1.00 X           0 0 0
(150) SLCH-SCHWARTZ ALAN MD
DIRECTOR EX-OFF NON VOT
 1.00 X           0 0 0
(151) SLCH-SELDIN GLENDA
DIRECTOR EX-OFF NON VOT
 1.00 X           0 0 0
(152) SLCH-SHAPIRO LARRY MD
DIRECTOR
 1.00 X           0 0 0
(153) SLCH-SHERMAN DAVID III
DIRECTOR
 1.00 X           0 0 0
(154) SLCH-WARNERBRAD W MD
DIRECTOR EX-OFF NON VOT
 1.00 X           0 0 0
(155) SLCH-WESTBROOK KELVIN
DIRECTOR
 1.00 X           0 0 0
(156) SLCH-WHITAKER PATRICA
DIRECTOR
 1.00 X           0 0 0
(157) VNI-BRINK RUTH
DIRECTOR
 1.00 X           0 0 0
(158) VNI-VAN TREASE SANDRA
DIRECTOR
 1.00 X           0 0 0
(159) AMH-BALSTERS KEN
VICE CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(160) AMH-BRAASCH DAVID ALAN
PRESIDENT, DIRECTOR
 40.00 X   X       285,782 0 49,272
(161) AMH-BRYANT GAY
VICE CHARIMAN, DIRECTOR
 1.00 X   X       0 0 0
(162) AMH-MILLIGAN RONALD
VICE CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(163) BHHC BECK MARY
VICE PRESIDENT, DIRECTOR
 40.00 X   X       212,465 0 35,990
(164) BHHC MORROW RANDY M
PRESIDENT, DIRECTOR EX-OFFICIO
 5.00 X   X       0 0 0
(165) BHHC ROTHERY DAN
CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(166) BJC BH-APLINGTON DAVID
SECRETARY, DIRECTOR
 5.00 X   X       396,777 0 71,996
(167) BJC BH-CANNON ROBERT
CHAIRMAN, DIRECTOR
 5.00 X   X       560,917 0 74,751
(168) BJC BH-STANSBERRY MARK
PRES, EXEC DIRECTOR
 40.00 X   X       183,819 0 23,550
(169) BJC CHS-APLINGTON DAVID
VICE PRESIDENT, DIRECTOR
 1.00 X   X       0 0 0
(170) BJC CHS-CANNON ROBERT
PRESIDENT, DIRECTOR
 1.00 X   X       0 0 0
(171) BJC CHS-GLADSTONE KIM
VICE PRESIDENT, DIRECTOR
 40.00 X   X       180,689 0 52,496
(172) BJC-DUBINSKY JOHN
VICE CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(173) BJCHOME-CANNON ROBERT
VICE PRESIDENT, DIRECTOR
 1.00 X   X       0 0 0
(174) BJCHOME-CASTELLANORUTH
VICE PRESIDENT, DIRECTOR
 40.00 X   X       205,212 0 59,580
(175) BJCHOME-KARL TOM
SECRETARY, TREASURER
 1.00 X   X       0 0 0
(176) BJC-LIPSTEIN STEVEN
PRES, CEO, DIR-EX OFF
 40.00 X   X       2,206,346 0 129,536
(177) BJC-MCKEE PAUL JR
CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(178) BJC-ROSS DONALD
CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(179) BJC-STOKES PATRICK
VICE CHARIMAN, DIRECTOR
 1.00 X   X       0 0 0
(180) BJC-WESTBROOK KELVIN
VICE CHARIMAN, DIRECTOR
 1.00 X   X       0 0 0
(181) BJH-FOX GREGORY
VICE CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(182) BJH-JOST GILBERT
VICE CHARIMAN, DIRECTOR
 1.00 X   X       0 0 0
(183) BJH-LYNCH JOHN
VICE PRESIDENT, DIRECTOR
 40.00 X   X       0 0 0
(184) BJH-SCHNUCK CRAIG
VICE CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(185) BJH-STOKES PATRICK
CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(186) BJSPH-ANTES JOHN
PRESIDENT, DIRECTOR
 40.00 X   X       0 0 0
(187) BJSPH-AST MARTIN
COS, DIRECTOR EX-OFFICIO
 40.00 X   X       164,410 0 5,289
(188) BJWCH-DEHAVEN MICHAEL
SECRETARY, DIRECTOR
 1.00 X   X       0 0 0
(189) BJWCH-LIEKWEG RICHARD
PRESIDENT, DIRECTOR
 1.00 X   X       0 0 0
(190) BJWCH-ROBERTS KEVIN
TREASURER/DIRECTOR/EX-OFFICIO
 1.00 X   X       0 0 0
(191) BJWCH-TRACY LARRY
VICE PRES/COO/DIRECTOR
 40.00 X   X       260,128 0 40,885
(192) CHAS-MCDAVID ROBERT MD
CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(193) CHAS-MURRELL JERRY MD
CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(194) CHAS-ROTHERY DANIEL
PRESIDENT, DIRECTOR
 40.00 X   X       448,764 0 67,402
(195) CH-DANIELS JERRY
CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(196) CHIL -MCMULLEN RONALD
PRESIDENT, DIRECTOR
 1.00 X   X       0 0 0
(197) CHIL -PLUMMER ROBERT
CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(198) CH-MCMULLEN RONALD
PRESIDENT, DIRECTOR
 40.00 X   X       499,991 0 65,504
(199) CHN-FETTER LEE
PRESIDENT, DIRECTOR
 1.00 X   X       0 0 0
(200) CHN-FUSZ LOUIS JR
SECRETARY, DIRECTOR
 1.00 X   X       0 0 0
(201) CHN-HARBISON KEITH
TREASURER/ DIRECTOR
 1.00 X   X       0 0 0
(202) CHN-MULLINS BIRCH
CHAIRMAN/DIRECTOR
 1.00 X   X       0 0 0
(203) CH-PLUMMER ROBERT
CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(204) CHSDC-DANIELS JERRY
CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(205) CHSDC-PLUMMER ROBERT
VICE CHAIR, DIRECTOR
 1.00 X   X       0 0 0
(206) CHSDC-VAN TREASE SANDRA
PRES, DIRECTOR
 5.00 X   X       1,183,803 0 91,593
(207) CH-ZYKAN DON
VICE CHAIR, DIRECTOR
 1.00 X   X       0 0 0
(208) MBHS-OWENS JOSEPH
VICE PRESIDENT, DIRECTOR
 1.00 X   X       0 0 0
(209) MBHS-RUBLE IRENE
SECRETARY, DIRECTOR
 1.00 X   X       0 0 0
(210) MBMC-BEAVER LEE JR
VICE CHAIR EMER, DIRECTOR
 1.00 X   X       0 0 0
(211) MBMC-MAGRUDER JOAN
PRESIDENT, DIRECTOR
 40.00 X   X       627,488 0 78,710
(212) MBMC-MCCARTHY THOMAS
SECRETARY, DIRECTOR
 1.00 X   X       0 0 0
(213) MBMC-PRIVOTTW JOSEPH PHD
CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(214) MBMC-ROSS DAVID
VICE CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(215) PEHC-APLINGTON DAVID
SECRETARY, DIRECTOR
 1.00 X   X       0 0 0
(216) PEHC-CANNON ROBERT
PRESIDENT, DIRECTOR
 1.00 X   X       0 0 0
(217) PEHC-DEHAVEN MICHAEL
VICE PRESIDENT, DIRECTOR
 1.00 X   X       0 0 0
(218) PHC-BAKER MARY
VICE-CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(219) PHC-CONKLIN RICHARD
DIRECTOR
 1.00 X           64,246 0 34,697
(220) PHC-COOK KEVIN
VICE-CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(221) PHC-KARL THOMAS
PRESIDENT, DIRECTOR
 40.00 X   X       229,766 0 53,373
(222) PHC-WOOD JOYCE
CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(223) PWHC-ANTES JOHN
PRESIDENT, DIRECTOR
 40.00 X   X       409,473 0 46,105
(224) SLCH-COUSINS STEVEN
VICE CHAIRMAN DIRECTOR
 1.00 X   X       0 0 0
(225) SLCH-FERRING JOHN IV
ASST TREAS, DIRECTOR
 1.00 X   X       0 0 0
(226) SLCH-FETTER LEE
PRES SEO, DIRECTOR-EX-OFFICIO
 40.00 X   X       792,732 0 92,470
(227) SLCH-FUSZ LOUIS JR
SECRETARY, DIRECTOR
 1.00 X   X       0 0 0
(228) SLCH-GOULD JAMES
VICE CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(229) SLCH-HARBISON KEITH
TREASURER, DIRECTOR
 1.00 X   X       0 0 0
(230) SLCH-IMBS CHRISTOPHER
VICE CHAIR, DIRECTOR
 1.00 X   X       0 0 0
(231) SLCH-METCALFE WALTER JR
ASST TREAS, DIRECTOR
 1.00 X   X       0 0 0
(232) SLCH-STUPP JOHN JR
VICE CHAIRMAN, DIRECTOR
 1.00 X   X       0 0 0
(233) SLCH-SUGGS DONALD
ASST TREAS, DIRECTOR
 1.00 X   X       0 0 0
(234) VNI-GLOSS JOHN
CHAIRMAN, DIRECTOR
 5.00 X   X       259,560 0 54,512
(235) VNI-MCMULLEN RONALD
PRESIDENT, DIRECTOR
 1.00 X   X       0 0 0
(236) BJC-DEHAVEN MICHAEL
SR VP, GENL COUN, SECY
 40.00     X       1,873,114 0 54,234
(237) BJC-ROBERTS KEVIN
SR VP, CFO, TREASURER
 40.00     X       1,105,586 0 121,338
(238) BJH-KRIEGER MARK
VICE PRES, CFO, TREAS
 40.00     X       428,316 0 62,116
(239) BJH-LIEKWEG RICHARD
PRESIDENT
 40.00     X       815,144 0 108,975
(240) BJH-O'KEEFE SHARON
VICE PRESIDENT & COO
 40.00     X       0 0 0
(241) BJSPH-SCHWAEGEL GLEN J
CHIEF FINACIAL OFFICER
 40.00     X       0 0 0
(242) BJSPH-SKYLES JILL
VICE PRES/ TREASURER
 40.00     X       205,827 0 55,781
(243) CHAS-MORROW RANDY
VICE PRESIDENT - FINANCE
 40.00     X       295,103 0 69,214
(244) CH-KATSIANIS JOHN
VICE PRESIDENT, FINANCE
 40.00     X       388,053 0 55,137
(245) CHSDC-KATSIANIS JOHN
VICE PRESIDENT
 1.00     X       0 0 0
(246) MBHS-SCHWARM TONY
PRESIDENT
 1.00     X       246,470 0 48,861
(247) MBMC-NORONHA AUGUSTO II
VICE PRESIDENT, FINANCE
 40.00     X       403,431 0 60,325
(248) PGLC-DAVIDSON RAYMOND MD
PRESIDENT
 5.00     X       0 0 0
(249) PGLC-KNOCKE DAVID
MANAGER
 1.00     X       435,327 0 46,615
(250) PWHC-SCHWAEGEL GLEN
VICE PRESIDENT FINANCE
 40.00     X       249,959 0 84,355
(251) SLCH-VANDERSLICE DOUG
VICE PRESIDENT CFO
 40.00     X       398,876 0 52,860
(252) VNI-KATSIANIS JOHN
VICE PRESIDENT, FINANCE
 1.00     X       0 0 0
(253) BJC-HALL LANNIS E
PHYSICIAN
 40.00         X   893,601 0 33,409
(254) BJH-JAQUES DAVID MD
VICE PRESIDENT
 40.00         X   617,302 0 51,367
(255) BJC-PEREA CARLOS
SVP/CHIEF HR OFFICER
 40.00         X   583,145 0 75,458
(256) BJC-ROSENBLUM BARRY
PHYSICIAN
 40.00         X   562,552 0 32,165
(257) BJC-GALLAGHER BRIAN
PHYSICIAN
 40.00         X   541,869 0 39,650
(258) AMH - SCHRANCK CHARLES MD
FORMER DIRECTOR
 0.00           X 100,663 0 0
(259) BJCHOME-SKLAMBERG TODD
FORMER DIRECTOR
 0.00           X 18,863 0 0
(260) BJH-ZISKIND ANDREW MD
FORMER PRES, DIR EX-OFFICIO
 0.00           X 1,227,459 0 39,771
(261) BJSPH-ROSS DAVID
FORMER PRES, DIRECTOR
 0.00           X 101,912 0 0
(262) MBHS-REMO JOSE MD
FORMER DIRECTOR
 0.00           X 0 0 0
(263) MBMC-ROBSON DAVID MD
FORMER DIRECTOR
 0.00           X 12,000 0 0
(264) MBMS-ELJAIEK FELIPE MD
FORMER DIRECTOR
 0.00           X 13,095 0 0
(265) MBMS-TIEFENBRUNN MATT MD
FORMER DIRECTOR
 0.00           X 19,000 0 0
(266) PHC-O'HARA PATRICK W MD
FORMER DIRECTOR
 0.00           X 166,554 0 22,689
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 25,183,465 857,965 2,675,363
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet1,227
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
WASHINGTON UNIV SCHOOL OF MEDICINE
660 S EUCLID
ST LOUIS,MO63110 		MEDICAL SERVICES 174,544,529
MORRISON HEALTH CARE INC
5801 PEACHTREE DUNWDY
ALTANTA,GA30342 		FOOD SERVICES 30,005,945
MID AMERICAN TRANSPLANT SERV
1110 HIGHLAND PL DR E 100
ST LOUIS,MO63110 		PROCUREMENT OF TRANSPLANTS 14,717,443
ANESTHESIA ASSOC OF ST LOUIS
3455 MILL RUN DR STE 450
HILLIARD,OH43026 		MEDICAL SERVICES 5,563,580
MAYO COLLABORATIVE SRVS INC
200 1ST ST SOUTHWEST
MINNEAPOLIS,MN55905 		MEDICAL SERVICES 4,879,709
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet213
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 376,012
d Related organizations...1d 5,036,692
e Government grants (contributions)1e 4,800,400
f All other contributions, gifts, grants, and
similar amounts not included above1f 		4,972,459
g Noncash contributions included in lines 1a-1f:$ 246,309
h Total. Add lines 1a-1f.......MediumBullet 15,185,563
Program Service Revenue Business Code
2a PROGRAM SERVICE REVENU 621,990 3,295,462,572 2,839,814,976 222,669 455,424,927
b OTHER PROGRAM SERVICES 900,099 83,875,894 83,875,894 0 0
c PROGRAM RENTAL INCOME 531,190 17,674,426 13,143,470 0 4,530,956
d REFERENCE LABORATORY 621,400 15,049,830 0 15,049,830 0
e RETAIL PHARMACY 621,400 14,537,021 0 4,735,818 9,801,203
f All other program service revenue . -7,668,541 -8,164,141 430,000 65,600
g Total. Add lines 2a–2f........MediumBullet 3,418,931,202
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 112,747,115     112,747,115
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 114,111  
b Less: rental expenses    
c Rental income or (loss) 114,111  
d Net rental income or (loss).......MediumBullet 114,111     114,111
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet        
8a Gross income from fundraising events (not including
$ 376,012
of contributions reported on line 1c). See Part IV, line 18 ...
a 331,811
b Less: direct expenses ...b 243,095
c Net income or (loss) from fundraising events..MediumBullet 88,716   88,716
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 11,500
b Less: direct expenses ...b 10,000
c Net income or (loss) from gaming activities...MediumBullet 1,500     1,500
10a Gross sales of inventory, less
returns and allowances .
a 705,589
b Less: cost of goods sold ..b 396,898
c Net income or (loss) from sales of inventory..MediumBullet 308,691     308,691
Miscellaneous Revenue Business Code
11a CAFETERIA SALES 722,210 20,277,894 2,236,838 126,526 17,914,530
b OTHER OPERATING 900,099 15,152,157 309,181 0 14,842,976
c EMPLOYEE SWIPE REV 453,000 6,859,113 1,230,062 0 5,629,051
d All other revenue .... 17,073,584 2,618,212 1,211,820 13,243,552
e Total. Add lines 11a–11d ......MediumBullet 59,362,748
12 Total revenue. See Instructions....MediumBullet 3,606,739,646 2,935,064,492 21,776,663 634,712,928
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 58,883,412 58,883,412
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 974,312 974,312
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 12,361,036   12,361,036  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 1,080,495,082 1,011,188,106 69,306,976  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 62,211,167 48,575,705 13,635,462  
9 Other employee benefits ....... 138,065,805 108,270,428 29,795,377  
10 Payroll taxes ........... 80,149,416 73,412,086 6,737,330  
11 Fees for services (non-employees):        
a Management ...... 9,188,985 1,786,640 7,402,345  
b Legal ......... 358,346 107,117 251,229  
c Accounting ........... 140,300 18,700 121,600  
d Lobbying ........... 348,389   348,389  
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 235,590,995 214,630,626 20,960,369  
12 Advertising and promotion .... 9,862,283 7,050,217 2,812,066  
13 Office expenses ....... 770,891,172 746,640,229 24,250,943  
14 Information technology ...... 87,521,769 42,071,092 45,450,677  
15 Royalties .. 20,149 20,149    
16 Occupancy ........... 76,735,135 48,054,459 28,680,676  
17 Travel ............ 3,763,281 3,476,994 286,287  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 4,965,717 3,749,765 1,215,952  
20 Interest ........... 18,530,095 12,868,761 5,661,334  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 220,248,279 175,356,178 44,892,101  
23 Insurance .............. 30,008,401 21,022,533 8,985,868  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a BAD DEBT 121,730,608 90,185,681 31,544,927  
b TEACHING SERVICES 86,275,592 86,275,592    
c REPAIRS AND MAINTENANCE 48,984,846 44,410,050 4,574,796  
d SERVICE CONTRACT FEES 16,533,384 16,070,998 462,386  
e RECRUITMENT 5,085,017 4,035,522 1,049,495  
f All other expenses 157,368,861 91,937,266 65,431,595  
25 Total functional expenses. Add lines 1 through 24f 3,337,291,834 2,911,072,618 426,219,216 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 2,381,033 1 2,711,278
2 Savings and temporary cash investments ....... 24,445,114 2 20,064,491
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 424,668,553 4 446,156,809
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 20,823,177 7 18,953,567
8 Inventories for sale or use .............. 73,362,017 8 76,526,119
9 Prepaid expenses and deferred charges ............ 12,001,622 9 13,591,983
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,953,850,785
b Less: accumulated depreciation. ..... 10b 2,239,549,729 1,635,281,187 10c 1,714,301,056
11 Investments—publicly traded securities .......... 1,951,996,935 11 2,210,058,499
12 Investments—other securities. See Part IV, line 11 ...... 309,642,864 12 315,662,666
13 Investments—program-related. See Part IV, line 11 .. 10,956,132 13 12,246,493
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 78,487,830 15 86,010,194
16 Total assets. Add lines 1 through 15 (must equal line 34)... 4,544,046,464 16 4,916,283,155
Liabilities 17 Accounts payable and accrued expenses . 266,370,937 17 274,535,329
18 Grants payable ..........   18  
19 Deferred revenue .......... 521,707 19 592,957
20 Tax-exempt bond liabilities .......... 253,165,871 20 220,007,946
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 20,622,553 23 19,355,565
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 1,305,014,601 25 1,251,638,892
26 Total liabilities. Add lines 17 through 25..... 1,845,695,669 26 1,766,130,689
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 2,689,726,684 27 3,145,240,498
28 Temporarily restricted net assets ..... 8,624,111 28 4,911,968
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 2,698,350,795 33 3,150,152,466
34 Total liabilities and net assets/fund balances ..... 4,544,046,464 34 4,916,283,155
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
3,606,739,646
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
3,337,291,834
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
269,447,812
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
2,698,350,795
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
182,353,858
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
3,150,152,466
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BJC HEALTH SYSTEM GROUP RETURN
 
Employer identification number

75-3052953
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION EIN 43-1230583 (ORGANIZATION) IS A SUBORDINATE MEMBER OF THE BJC HEALTH SYSTEM GROUP RULING. THE ORGANIZATION'S PUBLIC CHARITY STATUS IS SECTION 509(A)(3). FOLLOWING INFORMATION RELATES TO THIS ORGANIZATION FOR 2010: 11E - THE ORGANIZATION CERTIFIES THAT IT WAS NOT CONTROLLED DIRECTLY OR INDIRECTLY BY ONE OR MORE DISQUALIFIED PERSONS OTHER THAN FOUNDATION MANAGERS AND OTHER THAN ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR SECTION 509(A)(2). 11F - THE ORGANIZATION HAS NOT RECEIVED WRITTEN DETERMINATION FROM THE IRS THAT IT IS A TYPE I, TYPE II, OR TYPE III SUPPORTING ORGANIZATION. 11G - SINCE AUGUST 17, 2006, THE ORGANIZATION HAS NOT ACCEPTED ANY GIFT OR CONTRIBUTION FROM ANY PERSONS LISTED ON LINE 11G (I), (II), (III) 11H - INFORMATION REGARDING SUPPORTED ORGANIZATIONS: CHRISTIAN HOSPITAL NE-NW (CHNE) EIN 43-6057893 SEC. 170(B)(1)(A)(III) CH ALLIED SERVICES, INC.(CHAS) EIN 43-1279063 SEC. 170(B)(1)(A)(III) VILLAGE NORTH, INC. (VNI) EIN 43-1207154 SEC. 509(A)(2) ALL OF THE ABOVE SUPPORTED ORGANIZATIONS ARE U.S. CORPORATIONS AND ARE LISTED IN THE GOVERNING DOCUMENTS FOR CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION. SUPPORTED ORGANIZATIONS WERE NOTIFIED OF SUPPORT FOR VARIOUS PROGRAM EXPENSES REPORTED ON FORM 990, SCHEDULE R, PART V. PART III PUBLIC SUPPORT FOR ORGANIZATIONS DESCRIBED IN SEC 509(A)(2): THE FOLLOWING SUBORDINATES OF THE BJC GROUP RULING MAINTAIN PUBLIC CHARITY STATUS AS SEC 509(A)(2) ORGANIZATIONS: BOONE HOSPTIAL HOME CARE BJC HOME CARE SERVICES CHILDREN'S HEALTH NETWORK VILLAGE NORTH, INC. BECAUSE THE MAJORITY OF THE GROUP MEMBERS MAINTAIN PUBLIC CHARITY STATUS AS HOSPITAL ORGANIZATIONS DESCRIBED IN SEC 170(B)(1)(A)(III), THE SOFTWARE USED TO PREPARE THE BJC GROUP RETURN DOES NOT ALLOW FOR MULTIPLE PUBLIC CHARITY STATUSES. ACCORDINGLY, THE ABOVE ORGANIZATIONS HAVE SEPARATELY DOCUMENTED THEIR PUBLIC SUPPORT AND INVESTMENT INCOME PERCENTAGES AGGREGATED AS FOLLOWS: PUBLIC SUPPORT PERCENTAGE FOR 2010 97.89% INVESTMENT INCOME PERCENTAGE FOR 2010 0.91% PUBLIC SUPPORT PERCENTAGE FOR 2009 97.12%
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
BJC HEALTH SYSTEM GROUP RETURN
 
Employer identification number

75-3052953
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
BJC HEALTH SYSTEM GROUP RETURN
  		Employer identification number

75-3052953
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
BJC HEALTH SYSTEM GROUP RETURN
  		Employer identification number

75-3052953
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
BJC HEALTH SYSTEM GROUP RETURN
  		Employer identification number

75-3052953
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
BJC HEALTH SYSTEM GROUP RETURN
 
Employer identification number

75-3052953
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
1,050
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
285,419
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
61,920
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
348,389
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BJC HEALTH SYSTEM GROUP RETURN
 
Employer identification number

75-3052953
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   77,443,103 77,443,103
b Buildings ................   1,133,227,141 638,854,224 494,372,917
c Leasehold improvements ............   206,819,857 131,682,232 75,137,625
d Equipment ................   2,013,707,271 1,457,465,175 556,242,096
e Other .................   522,653,413 11,548,098 511,105,315
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 1,714,301,056
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) OTHER SECURITIES 		315,662,666 F








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 315,662,666
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
DUE TO RELATED PARTY LIABILITIES 1,183,746,599
LONG TERM PENSION LIABILITIES 2,192,203
SELF- FUNDED INSURANCE LIABLITIES 354,158
OTHER LONG TERM LIABILITIES 31,866,091
DUE TO THIRD PARTY PAYORS 21,411,359
OTHER CURRENT LIABILITIES 4,528,868
ACCRUE ENVIRONMENTAL LIABILITIES 6,283,928
INTEREST PAYABLE TOTAL 1,255,686

Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,251,638,892
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
    FOR 2010, THE NET ASSETS AND ACTIVITIES OF THE REPORTING ORGANIZATION ARE INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF BJC HEALTH SYSTEM AND AFFILIATES (BJC). THE AUDIT IS CONDUCTED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. NO SEPARATE AUDITED FINANCIAL STATEMENTS ARE PREPARED FOR THE REPORTING ORGANIZATION. ACCORDINGLY, FORM 990, SCHEDULE D, PART(S) XI, XII, AND XIII RECONCILIATION OF CHANGE IN NET ASSETS, REVENUE AND EXPENSES FROM FORM 990 TO AUDITED FINANCIAL STATEMENTS ARE NOT REQUIRED TO BE COMPLETED. IN ACCORDANCE WITH IRS INSTRUCTIONS, FOLLOWING IS THE NARRATIVE TEXT FOOTNOTE FROM THE 2010 AUDITED FINANCIAL STATEMENTS RELATED TO ASC TOPIC 740 - ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES: UNCERTAINTY IN INCOME TAXES THE AUTHORITATIVE GUIDANCE IN ASC TOPIC 740, INCOME TAXES (FORMERLY FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXESAN INTERPRETATION OF FASB STATEMENT NO. 109), 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 NOW BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. PRIOR TO THE ADOPTION OF THIS GUIDANCE, TAX LIABILITIES WERE RECORDED AS INCURRED. THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF DECEMBER 31, 2010 AND 2009.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BJC HEALTH SYSTEM GROUP RETURN
 
Employer identification number

75-3052953
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

WINGS IN THE CITY
(event type) 		(b) Event #2

CHARITY BALL
(event type) 		(c) Other Events

8
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 467,483 51,801 188,539 707,823
2 Less: Charitable
contributions . . . 		264,862 26,211 84,939 376,012
3 Gross income (line 1
minus line 2) . . . 		202,621 25,590 103,600 331,811
VerticalDirectExpenses 4 Cash prizes . . .     2,090 2,090
5 Non-cash prizes . .     2,964 2,964
6 Rent/facility costs . . 22,902   17,892 40,794
7 Food and beverages . . 1,814   17,885 19,699
8 Entertainment . . . 0   11,434 11,434
9 Other direct expenses . 134,177 27,258 4,679 166,114
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 243,095
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow 88,716
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BJC HEALTH SYSTEM GROUP RETURN
 
Employer identification number

75-3052953
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		  109,436 129,368,120 51,461,541 77,906,579 2.410 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		  353,578 604,435,784 512,725,450 91,710,334 2.840 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....   0       0 %
dTotal Charity Care and
Means-Tested Government Programs ..... 		  463,014 733,803,904 564,186,991 169,616,913 5.250 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		339 449,376 18,876,494 174,259 18,702,235 0.580 %
f Health professions education
(from Worksheet 5) .. 		54 10,924 190,885,384 70,423,346 120,462,038 3.730 %
g Subsidized health services
(from Worksheet 6) .. 		69 171,695 569,225,689 497,662,702 71,562,987 2.220 %
h Research (from Worksheet 7) 5 0 26,699,385 0 26,699,385 0.830 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		48 30,340 4,163,213 134,124 4,029,089 0.120 %
jTotal Other Benefits ... 515 662,335 809,850,165 568,394,431 241,455,734 7.480 %
kTotal. Add lines 7d and 7j. .. 515 1,125,349 1,543,654,069 1,132,581,422 411,072,647 12.730 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 1 0 38,343 0 38,343 0 %
2 Economic development 4 64 1,801,195 410 1,800,785 0.060 %
3 Community support 18 254 1,325,574 0 1,325,574 0.040 %
4 Environmental improvements 1 0 180,320 0 180,320 0 %
5 Leadership development and training for community members 1 30 80 0 80 0 %
6 Coalition building 1 113 19,623 20 19,603 0 %
7 Community health improvement advocacy 0 0 0 0   0 %
8 Workforce development 0 0 0 0   0 %
9 Other 0 0 0 0   0 %
10 Total 26 461 3,365,135 430 3,364,705 0.100 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
88,141,361
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
82,691,056
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
713,568,262
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
666,877,065
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
46,691,197
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
11 THE REHABILITATION INSTITUTE OF ST LOUIS LLC
  		OPERATION OF REHABILITATION HOSPITAL 50.000 % 0 % 0 %
22 GAMMA KNIFE CENTER AT BARNES-JEWISH HOSPITAL LLC
  		OPERATION OF RADIATION GAMMA BEAM 50.000 % 0 % 0 %
33 THE HEART CARE INSTITUTE LLC
  		PROVIDE OUTPATIENT CARDIAC CARE SVCS 50.000 % 0 % 0 %
44 SURGERY CENTER OF FARMINGTON LLC
  		PROVIDE OUTPATIENT SURGERY SERVICES 50.000 % 2.000 % 48.000 %
55 TWIN RIVERS MRI LLC
  		PROVIDE DIAGNOSTIC IMAGING SERVICES 75.000 % 0 % 25.000 %
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?14
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 BARNES-JEWISH HOSPITAL NORTHSOUTH
216 SOUTH KINGSHIGHWAY
SAINT LOUIS,MO63110 		X X   X     X    
2 MISSOURI BAPTIST MEDICAL CENTER
3015 NORTH BALLAS ROAD
TOWN COUNTRY,MO63131 		X X         X    
3 CHRISTIAN HOSPITAL NE-NW
11133 DUNN ROAD
SAINT LOUIS,MO63136 		X X         X    
4 NORTHWEST HEALTHCARE
1225 GRAHAM ROAD
SAINT LOUIS,MO63031 		X           X   PROF SERVICES, HOME CARE PHARMACY
5 BOONE HOSPITAL CENTER
1600 EAST BROADWAY
COLUMBIA,MO65201 		X X         X   OPER VIA LEASE W/ BOONE COUNTY HOSP TRUST
6 ST LOUIS CHILDREN'S HOSPITAL
ONE CHILDRENS PLACE
SAINT LOUIS,MO63110 		X X X X     X    
7 ALTON MEMORIAL HOSPITAL
ONE MEMORIAL DRIVE
ALTON,IL62002 		X X         X    
8 BARNES-JEWISH ST PETERS HOSPITAL INC
10 HOSPITAL DRIVE
SAINT PETERS,MO63376 		X X         X    
9 BARNES-JEWISH WEST COUNTY HOSPITAL
12634 OLIVE BOULEVARD
CREVE COEUR,MO63141 		X X         X    
10 MISSOURI BAPTIST HOSPITAL OF SULLIVAN
751 SAPPINGTON BRIDGE ROAD
SULLIVAN,MO63080 		X X         X    
11 PROGRESS WEST HEALTHCARE
2 PROGRESS POINT PKWY
OFALLON,MO63366 		X X         X    
12 PARKLAND HEALTH CENTER-FARMINGTON
1101 WEST LIBERTY STREET
FARMINGTON,MO63640 		X X         X    
13 PARKLAND HEALTH CENTER-BONNE TERRE
7245 RAIDER ROAD
BONNE TERRE,MO63628 		X X     X   X    
14 BJCHEALTHSOUTH REHABIL CENTER LLC
4455 DUNCAN AVENUE
SAINT LOUIS,MO63110 		X               50% OWNERSHIP
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:NA
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8   No
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9   No
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10   No
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11   No
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12   No
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13   No
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14   No
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16   No
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18   No
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?22
Name and address Type of Facility (Describe)
1 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
2 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
3 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
4 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
5 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
6 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
7 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
8 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
9 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
10 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
11 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
12 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
13 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
14 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
15 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
16 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
17 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
18 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
19 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
20 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
21 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
22 BJC HOME CARE SVCS
9890 CLAYTON ROAD 200
ST LOUIS,MO63124 		HOME HEALTH AGENCY; HOSPICE CARE
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 3C: BJC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES FREE OF CHARGE TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL CRITERIA BASED UPON INCOME, ASSETS AND FAMILY SIZE. THESE SERVICES ARE PROVIDED TO ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, GENDER OR COUNTRY OF NATIONAL ORIGIN AND WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. PURSUANT TO ITS FINANCIAL ASSISTANCE POLICY, BJC WILL PROVIDE FINANCIAL ASSISTANCE OF 100% OF THE PATIENT'S RESPONSIBILITY WHEN INCOME IS LESS THAN 200% OF THE ANNUAL POVERTY GUIDELINES. A REDUCED FEE SCHEDULE IS AVAILABLE FROM 200% TO 400% OF THE ANNUAL POVERTY GUIDELINE. PATIENT'S RESPONSIBILITY MAY NOT EXCEED THE MEDICARE REIMBURSEMENT AMOUNT FOR A SIMILAR SERVICE OR ENCOUNTER. ALTHOUGH THE ANNUAL POVERTY GUIDELINES ARE THE PRIMARY DETERMINANT OF ELIGIBILITY, FINANCIAL ASSISTANCE MAY INCLUDE EVALUATION OF ASSETS AS WELL. THE CATASTROPHIC PROVISION OF THE BJC FINANCIAL ASSISTANCE POLICY PROVIDES THAT A PATIENT'S ANNUAL OUT-OF-POCKET LIABILITY SHALL NOT EXCEED 30% OF THE PATIENT'S ANNUAL GROSS INCOME. A SIMILAR FINANCIAL ASSISTANCE POLICY APPLIES TO MEDICALLY NECESSARY HEALTHCARE SERVICES RENDERED BY BJC EMPLOYED PHYSICIANS.
    PART I, LINE 6A: BJC PREPARES AN ANNUAL WRITTEN REPORT THAT DESCRIBES PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY BJC AND AFFILIATE ORGANIZATIONS. THE COMMUNITY BENEFIT REPORT (REPORT) FOR BJC PROVIDES VALUABLE INFORMATION ON PROGRAMS AND SERVICES PROVIDED BY THE MEMBER HOSPITALS INCLUDED IN THE BJC HEALTH SYSTEM GROUP RETURN FORM 990. BJC MAKES THE ANNUAL COMMUNITY BENEFIT REPORT AVAILABLE TO THE GENERAL PUBLIC VIA ITS WEBSITE AT WWW.BJC.ORG. THE REPORT IS ALSO DISTRIBUTED VIA MAILINGS TO COMMUNITY MEMBERS IN MISSOURI AND ILLINOIS, CIVIC LEADERS AND VARIOUS OTHER INTEREST GROUPS. UPDATES ARE POSTED ON THE BJC WEBSITE AS INFORMATION BECOMES AVAILABLE.
    PART I, LINE 7: THE COST OF FINANCIAL ASSISTANCE INCLUDES FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PERSONS WHO MEET THE CRITERIA DESCRIBED IN THE FINANCIAL ASSISTANCE POLICY (SEE SCHEDULE H, PART I, LINE 3 ABOVE). FINANCIAL ASSISTANCE IS DEFINED AS THE COSTS IN EXCESS OF PAYMENTS (UNCOMPENSATED COSTS) ON ACCOUNTS WRITTEN OFF AS FINANCIAL ASSISTANCE IN THE CURRENT YEAR. PATIENT LEVEL DETAIL DATA IS USED TO CALCULATE THE UNCOMPENSATED COST OF FINANCIAL ASSISTANCE. ONCE A PATIENT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE ENTIRE COST (OR A PORTION OF THE QUALIFYING AMOUNT) OF THE ACCOUNT IS CLASSIFIED AS FINANCIAL ASSISTANCE. BJC UTILIZED A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 TO DETERMINE THE COSTS OF THE FINANCIAL ASSISTANCE ACCOUNTS. ANY PAYMENTS RECEIVED ARE THEN NETTED AGAINST THE COST OF THE ACCOUNT AS DIRECT OFFSETTING REVENUE TO DETERMINE THE UNCOMPENSATED COSTS.
    PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES ARE CLINICAL SERVICES PROVIDED TO BOTH INPATIENTS AND OUTPATIENTS DESPITE A FINANCIAL LOSS TO BJC. EACH LOSS HAS BEEN CALCULATED AFTER REMOVING LOSSES ASSOCIATED WITH BAD DEBTS, FINANCIAL ASSISTANCE, MEDICAID AND OTHER COSTS. ALTHOUGH THESE SERVICES GENERATE OVERALL LOSSES TO BJC, THEY CONTINUE TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. ADDITIONAL SERVICES THAT GENERATE LOSSES ARE PROVIDED BY BJC THROUGH PHYSICIAN PRACTICES. FOR 2010, SUBSIDIZED HEALTH SERVICES PROVIDED THROUGH THESE PHYSICIAN PRACTICES GENERATED LOSSES OF $20,123,824.
    PART I, L7 COL(F): TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25, COLUMN (A) INCLUDE BAD DEBT EXPENSE OF $121,730,608 FOR BJC HEALTH SYSTEM GROUP RETURN (BJC). THIS EXPENSE HAS BEEN REMOVED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE CONSIDERED THE NET COMMUNITY BENEFIT EXPENSE AND REPORTED IN PART I, LINE 7, COLUMN (F). ALSO, THE ALLOCABLE SHARE OF EXPENSES FROM A 50% OWNED JOINT VENTURE HOSPITAL, LESS THE ALLOCABLE SHARE OF BAD DEBT EXPENSE FOR THE JOINT VENTURE HAS BEEN ADDED TO THE TOTAL EXPENSES AS THE DENOMINATOR OF THE CALCULATION. THE AMOUNT OF BAD DEBT EXPENSE EXCLUDED FROM THIS PERCENTAGE CALCULATION IS $121,730,608 AND THE EXPENSES, NET OF BAD DEBT EXPENSE, ADDED FOR THE JOINT VENTURE HOSPITAL IS $14,348,299. THUS, TOTAL EXPENSES USED WHEN CALCULATING LINE 7 COLUMN (F) PERCENTAGES = $3,229,909,526 FOR 2010.THE CALCULATED PERCENT OF TOTAL EXPENSES RELATED TO FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT COSTS PROVIDED BY BJC ON SCHEDULE H, PART I (12.73%) EXCLUDES AN ESTIMATED $82.7 MILLION IN MEDICAL CARE TO PATIENTS WHO, BASED UPON AN EXTENSIVE ANALYSIS OF ZIP CODES AND OTHER INFORMATION, WERE PRESUMED TO HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER BJC'S CHARITY POLICY. IF THE AMOUNTS FOR PRESUMED FINANCIAL ASSISTANCE INCLUDED IN BAD DEBT EXPENSE WERE INCLUDED IN FINANCIAL ASSISTANCE EXPENSES, THE REVISED PERCENTAGE WOULD BE 15.27%.
    PART II: BELIEVING THAT HEALTH PROMOTION BEGINS WITH EDUCATION AND ACCESS TO SERVICES, BJC PROVIDES A NUMBER OF HEALTH OUTREACH PROGRAMS FOR CHILDREN AND ADULTS IN UNDERSERVED COMMUNITIES. BJC'S SCHOOL OUTREACH AND YOUTH DEVELOPMENT PROGRAM IS ONE OF THE MOST EXTENSIVE IN THE EASTERN MISSOURI AND SOUTHERN ILLINOIS REGIONS. WORKING IN PARTNERSHIP WITH SCHOOL FACULTY AND ADMINISTRATORS, BJC DEVELOPS AND DELIVERS HEALTH EDUCATION CURRICULA, JOB SHADOWING OPPORTUNITIES, AND HEALTH FAIRS. THE PROGRAMS ALSO FOCUS ON HEALTH ISSUES AND BEHAVIORS INCLUDING DRUG, ALCOHOL AND TOBACCO USE; NUTRITION AND FITNESS; SEXUALLY TRANSMITTED DISEASE, INCLUDING HIV/AIDS; SAFETY, AND VIOLENCE PREVENTION. FOR ADULTS 50+ YEARS OF AGE, BJC CO-SPONSORS OASIS, AN EDUCATION AND VOLUNTEER SERVICE ORGANIZATION PROMOTING HEALTHY LIFESTYLES AND BEHAVIORS FOR SENIOR CITIZENS.IN LOW-INCOME COMMUNITIES, BJC PARTNERS WITH FAITH-BASED ORGANIZATIONS TO PROVIDE FREE MEDICAL SCREENINGS, EDUCATION AND OTHER NEEDED HEALTH SERVICES. ADDITIONALLY, FOR THE PAST 5 YEARS, BJC HAS CHANNELED RESOURCES AND OUTREACH HEALTH SERVICES TO RESIDENTS IN THE SIX ZIP CODES IN THE REGION THAT HAVE THE POOREST HEALTH STATISTICS AND OUTCOMES.
    PART III, LINE 4: THE COST OF BAD DEBT AS REFLECTED IN PART III, LINE 2 WAS CALCULATED USING A COST TO CHARGE RATIO. DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE OFF AND ARE, THEREFORE, NOT INCLUDED IN BAD DEBT EXPENSE.BJC HEALTHCARE (BJC) UNCOMPENSATED CARE FOOTNOTE TO ITS CONSOLIDATED FINANCIAL STATEMENTS READS AS FOLLOWS:IN SUPPORT OF ITS MISSION, BJC PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. POLICIES HAVE BEEN ESTABLISHED THAT DEFINE CHARITY CARE AND PROVIDE GUIDELINES FOR ASSESSING A PATIENT'S ABILITY TO PAY. EVALUATION PROCEDURES FOR CHARITY CARE QUALIFICATION HAVE BEEN ESTABLISHED FOR THOSE SITUATIONS WHEN PREVIOUSLY UNKNOWN FINANCIAL CIRCUMSTANCES ARE REVEALED OR WHEN INCURRED CHARGES ARE SIGNIFICANT WHEN COMPARED TO THE INDIVIDUAL PATIENT'S INCOME AND/OR NET ASSETS. BECAUSE BJC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS FINANCIAL ASSISTANCE, SUCH AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. IN ADDITION, BJC PROVIDES SERVICES TO OTHER MEDICALLY INDIGENT PATIENTS UNDER VARIOUS STATE MEDICAID PROGRAMS, WHICH PAY PROVIDERS AMOUNTS THAT ARE LESS THAN THE COSTS INCURRED FOR THE SERVICES PROVIDED TO THE RECIPIENTS. THE AMOUNT OF CHARITY CARE AND SERVICES PROVIDED TO THE OTHER MEDICALLY INDIGENT PATIENTS, DETERMINED ON THE BASIS OF GROSS CHARGES, WAS 8.4% AND 7.4% OF GROSS PATIENT SERVICE REVENUE FOR THE YEARS ENDED DECEMBER 31, 2010 AND 2009, RESPECTIVELY.
    PART III, LINE 8: PATIENT LEVEL DETAIL DATA IS USED TO CALCULATE THE UNCOMPENSATED COST OF BAD DEBT AND FINANCIAL ASSISTANCE. ONCE AN ACCOUNT IS WRITTEN OFF TO BAD DEBT AND/OR FINANCIAL ASSISTANCE, THE ENTIRE COST OF THE ACCOUNT IS CLASSIFIED AS BAD DEBT AND ANY PAYMENTS RECEIVED ARE NETTED AGAINST THE COST OF THE ACCOUNT TO DETERMINE THE UNCOMPENSATED COSTS. UNCOMPENSATED COSTS PATIENT DETAIL CALCULATION: (GROSS CHARGES X COST TO CHARGE RATIO) LESS PAYMENTS RECEIVEDONLY THOSE PATIENT ACCOUNTS WITH UNCOMPENSATED COSTS (COSTS IN EXCESS OF PAYMENTS) ARE INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE ON SCHEDULE H. PATIENT ACCOUNTS WITH PAYMENTS IN EXCESS OF COSTS ARE NOT INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE. THE COST OF BAD DEBT AND FINANCIAL ASSISTANCE ON MEDICARE PATIENT ACCOUNTS IS INCLUDED IN THE TOTAL COST OF BAD DEBT AND FINANCIAL ASSISTANCE. MEDICARE SURPLUS (SHORTFALL)IS REPORTED SEPARATELY ON SCHEDULE H, HOWEVER, THE MEDICARE SURPLUS (SHORTFALL) IS REDUCED BY THE COST OF BAD DEBT AND FINANCIAL ASSISTANCE FOR MEDICARE PATIENTS.
    PART III, LINE 9B: BJC UNDERSTANDS THAT HEALTH CARE EXPENSES ARE OFTEN UNEXPECTED AND PAYING FOR SUCH SERVICES CAN BE OVERWHELMING. WE ARE COMMITTED TO IDENTIFYING PATIENTS WHO QUALIFY FOR ASSISTANCE AT THE EARLIEST OPPORTUNITY, TO HELPING THEM APPLY FOR PROGRAMS AND OTHER ASSISTANCE AND TO WORKING OUT A FAIR WAY FOR PATIENTS TO PAY THEIR BILLS. BJC HAS ADOPTED A FINANCIAL ASSISTANCE POLICY THAT IS APPLIED UNIFORMLY TO ALL AFFILIATE HOSPITAL OPERATIONS. INTERNAL DUE DILIGENCE PROCEDURES INCLUDE DETERMINING WHETHER THE RESPONSIBLE PARTY IS FINANCIALLY ABLE TO PAY FOR ALL OR A PORTION OF UNPAID BALANCES IN THE PATIENT ACCOUNT, OFFERING REPAYMENT UNDER NO INTEREST TERMS AND CONSIDERATION FOR FINANCIAL ASSISTANCE WHEN THE PATIENT DEMONSTRATES INABILITY TO PAY AMOUNTS DUE. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON INCOME, ASSETS AND FAMILY SIZE UTILIZING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ANNUAL POVERTY GUIDELINES PUBLISHED IN THE FEDERAL REGISTER. BJC HAS ADOPTED A WRITTEN DEBT COLLECTION POLICY THAT IS APPLIED UNIFORMLY TO ALL AFFILIATE HOSPITAL OPERATIONS. INTERNAL COLLECTION EFFORTS INCLUDE HOSPITAL MAILING OF ROUTINE BILLING STATEMENTS WHICH INCLUDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. COLLECTION PROCEDURES INCLUDE IDENTIFYING INDIVIDUALS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE, OFFERING SUCH INDIVIDUALS THE OPPORTUNITY TO COMPLETE APPLICATIONS FOR FINANCIAL ASSISTANCE AND HELPING THE INDIVIDUALS COMPLETE THE APPLICATION FORMS. ONCE AN INDIVIDUAL OR RESPONSIBLE PARTY IS DEEMED FINANCIALLY UNABLE TO PAY SOME OR ALL OF THE OPEN BALANCE ON A PATIENT ACCOUNT, THE REMAINING BALANCE IS WRITTEN OFF AS UNCOLLECTIBLE.
    SCHEDULE H, PART I, LINE 7, COLUMN (F) REQUIRES THE PERCENT OF TOTAL EXPENSES BE CALCULATED USING THE NET COMMUNITY BENEFIT EXPENSE RATHER THAN THE TOTAL COMMUNITY BENEFIT EXPENSE. THE PERCENTAGES OF TOTAL EXPENSE CALCULATED USING PART I, LINE 7, COLUMN (C) TOTAL COMMUNITY BENEFIT EXPENSE BEFORE DIRECT OFFSETTING REVENUE WOULD BE AS FOLLOWS:FINANCIAL ASSISTANCE AT COST = $129,368,120 OR 4.00%UNREIMBURSED MEDICAID & OTHER MEANS-TESTED PROG = $604,435,784 OR 18.71%COMMUNITY HEALTH IMPROVEMENT = $18,876,494 OR 0.58%HEALTH PROFESSIONS EDUCATION = $190,885,384 OR 5.91%SUBSIDIZED HEALTH SERVICES = $569,225,689 OR 17.62%RESEARCH = $26,699,385 OR 0.83%CASH & IN-KIND CONTRIBUTIONS = $4,163,213 OR 0.13%TOTAL = $1,543,654,069 OR 47.79%
    PART VI, LINE 2: BJC USES RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED AND INCLUDE BUT ARE NOT LIMITED TO REPORTS FROM:- LOCAL AND STATE DEPARTMENTS OF HEALTH- ST. LOUIS REGIONAL HEALTH COMMISSION- MISSOURI FOUNDATION FOR HEALTH- LOCAL GOVERNMENT PLANNING DEPARTMENTS- THE COMMONWEALTH FUND- U.S. CENSUS BUREAU- ECONOMIC IMPACT STUDIES- EAST WEST GATEWAY COUNCIL OF GOVERNMENTS (A RECOGNIZED METROPOLITAN PLANNING ORGANIZATION - MPO) BJC USES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE SERVICES THROUGHOUT THE REGION. IN ADDITION, BJC CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. FOR EXAMPLE, BJC CONTINUES TO OPERATE FULL SERVICE HOSPITAL(S) AT A FINANCIAL LOSS IN CERTAIN GEOGRAPHIES BECAUSE THE IMPACT OF CLOSING THE HOSPITALS WOULD BE DETRIMENTAL TO THE COMMUNITY. BJC ALSO CONTINUES TO PROVIDE CERTAIN CLINICAL SERVICES, INCLUDING TRAUMA AND OBSTETRICS, IN GEOGRAPHIES AT A FINANCIAL LOSS FOR THE SAME REASON.
    PART VI, LINE 3: BJC EMPLOYS A VARIETY OF METHODS TO REACH PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING:-BJC AND ALL HOSPITAL WEB SITES POST INFORMATION ABOUT FINANCIAL ASSISTANCE AND PROVIDE INFORMATION ON HOW TO CONTACT A FINANCIAL ASSISTANCE REPRESENTATIVE-BJC HOSPITALS DISPLAY FINANCIAL ASSISTANCE POSTERS IN ALL EMERGENCY, ADMITTING, OUTPATIENT AND CLINIC AREAS THAT INCLUDE A PHONE NUMBER TO CALL FOR FINANCIAL ASSISTANCE COUNSELING-BJC HOSPITAL DEPARTMENTS THAT HAVE INITIAL CONTACT WITH INCOMING INPATIENTS AND OUTPATIENTS ARE SUPPLIED WITH BROCHURES ABOUT FINANCIAL ASSISTANCE FOR DISTRIBUTION TO PATIENTS AND FAMILY MEMBERS-ALL BJC HOSPITALS EMPLOY TRAINED FINANCIAL ASSISTANCE COUNSELORS WHO WORK INDIVIDUALLY WITH PATIENTS TO ASSESS FINANCIAL NEED AND RECOMMEND APPROPRIATE ASSISTANCE SUCH AS APPLICATION FOR FEDERAL AND/OR STATE PROGRAMS; QUALIFICATION FOR FINANCIAL ASSISTANCE; DETERMINATION OF AUTOMATIC DISCOUNTS AND/OR FURTHER REDUCTIONS IN CHARGES; AND SETTING UP LONG-TERM FINANCIAL ARRANGEMENTS.
    PART VI, LINE 4: BJC HAS THREE PRIMARY SERVICE AREAS. FIRST AND LARGEST IS THE ST. LOUIS METROPOLITAN STATISTICAL AREA, CONSISTING OF THE FOLLOWING COUNTIES: ST. LOUIS CITY, ST. LOUIS, ST. CHARLES, FRANKLIN, JEFFERSON, WARREN, AND LINCOLN IN MISSOURI, AND MADISON, ST. CLAIR, MONROE, JERSEY AND CLINTON IN ILLINOIS; POPULATION OF BJC'S PRIMARY SERVICE AREA = 2.7M. BJC'S SECONDARY SERVICE AREA INCLUDES BOONE COUNTY IN MID-MISSOURI, AND ST. FRANCOIS COUNTY IN SOUTHEAST MISSOURI. BECAUSE OF BJC'S TEACHING HOSPITALS AND THEIR STATUS AS AN ACADEMIC MEDICAL CENTER, ITS SECONDARY SERVICE AREAS INCLUDE THE REMAINING COUNTIES IN MISSOURI, AND COUNTIES IN ILLINOIS SOUTH OF PEORIA. POPULATION OF BJC'S SECONDARY SERVICE AREA = 16.2M. BJC HOSPITALS LOCATED WITHIN ALL SERVICE AREAS INCLUDE ALTON MEMORIAL HOSPITAL, BARNES-JEWISH HOSPITAL, ST. LOUIS CHILDREN'S HOSPITAL, CHRISTIAN HOSPITAL NE/NW (CHRISTIAN HOSPITAL), MISSOURI BAPTIST MEDICAL CENTER, PROGRESS WEST HEALTHCARE CENTER, BARNES JEWISH ST. PETERS HOSPITAL, INC., MISSOURI BAPTIST HOSPITAL OF SULLIVAN, BARNES-JEWISH WEST COUNTY HOSPITAL, BOONE HOSPITAL CENTER AND PARKLAND HEALTH CENTER. AGED (65 YEARS AND OVER) POPULATION IN BOTH PRIMARY AND SECONDARY SERVICE AREAS CONTINUE TO GROW AT A STEADY RATE.
    PART VI, LINE 6: SERVICES. BJC PROVIDES A FULL RANGE OF PRIMARY AND TERTIARY PATIENT CARE SERVICES AND PROVIDES EXTENSIVE SERVICES TO THE COMMUNITY THROUGH ITS FAMILY PRACTICE, INTERNAL MEDICINE, SURGICAL AND EMERGENCY CARE SERVICES. ADDITIONALLY, BJC PROVIDES COMPREHENSIVE MEDICAL CARE IN ORTHOPEDICS, NEUROLOGY, DIAGNOSTIC IMAGING, CARDIOLOGY, GASTROENTEROLOGY, ONCOLOGY, OBSTETRICS AND GYNECOLOGY, PEDIATRICS, IMMUNOLOGY, PSYCHIATRY, DERMATOLOGY, GERIATRICS, PATHOLOGY AND PHYSICAL REHABILITATION. BJC ALSO PROVIDES PREVENTIVE MEDICAL CARE.MEDICAL STAFF. BJC HOSPITALS MAINTAIN OPEN MEDICAL STAFFS AND MAKE APPOINTMENTS IN ACCORDANCE WITH MEDICAL STAFF BYLAWS APPROVED BY THEIR RESPECTIVE BOARDS. THE MEMBERS OF THE BARNES-JEWISH HOSPITAL MEDICAL STAFF ARE EITHER FULL-TIME OR PART-TIME FACULTY MEMBERS OF THE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE (WUSM). IN ADDITION, SUBSTANTIALLY ALL OF THE MEMBERS OF THE ST. LOUIS CHILDREN'S HOSPITAL MEDICAL STAFF ARE ALSO MEMBERS OF WUSM FACULTY. AT THE END OF 2010, APPROXIMATELY 4,200 PHYSICIANS WERE ACTIVE MEMBERS OF THE MEDICAL STAFFS OF ALL BJC HOSPITALS OF WHICH APPROXIMATELY 3,700 OR 88% ARE BOARD-CERTIFIED. OF THE TOTAL PHYSICIANS, 2,678 ARE FACULTY MEMBERS OF THE WUSM AND APPROXIMATELY 225 ARE EMPLOYED BY BJC THROUGH THE BJC MEDICAL GROUP, AN AFFILIATE.GOVERNING BODY. BJC IS GOVERNED BY A BOARD OF DIRECTORS (BOARD) WITH A 19 VOTING MEMBERS COMPRISED PRIMARILY OF COMMUNITY LEADERS. MEMBERS ARE APPOINTED BY BOARDS OF ITS SUPPORTED ORGANIZATIONS INCLUDING BARNES-JEWISH HOSPITAL, CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION, MISSOURI BAPTIST MEDICAL CENTER AND ST. LOUIS CHILDREN'S HOSPITAL. OTHER MEMBERS OF THE BOARD INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BJC, THE CHANCELLOR AND EXECUTIVE VICE CHANCELLOR OF WASHINGTON UNIVERSITY, AND THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL. THE BOARD HAS ADOPTED A CODE OF CONDUCT AND CONFLICT OF INTEREST POLICY THAT GOVERN TRANSACTIONS BETWEEN MEMBERS OF THE BOARD AND BJC TO ENSURE THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED BY BJC. THE BOARD HAS DELEGATED AUTHORITY FOR THE MANAGEMENT AND DAILY OPERATIONS OF BJC TO ITS PRESIDENT ANT CHIEF EXECUTIVE OFFICER AND THE EXECUTIVE MANAGEMENT STAFF. THE BOARD HAS ESTABLISHED VARIOUS COMMITTEES INCLUDING THE FOLLOWING FOR 2010: EXECUTIVE, COMMUNITY BENEFIT, GOVERNANCE, AUDIT, FINANCE, AND PATIENT CARE.AFFILIATION AGREEMENTS. BJC THROUGH ITS AFFILIATE, BARNES-JEWISH HOSPITAL (BJH) HAS MAINTAINED A LONG STANDING CLOSE RELATIONSHIP WITH WUSM. BJH AND WUSM ARE PARTIES TO AN AFFILIATION AGREEMENT TO PROVIDE PROFESSIONAL MEDICAL STAFF AND ALLOCATION OF RESPONSIBILITY FOR HOSPITAL AND HEALTH CARE DELIVERY FACILITIES FOR BJH AND WUSM. ST. LOUIS CHILDREN'S HOSPITAL (CHILDREN'S) IS ALSO AFFILIATED WITH AND IS THE PEDIATRIC TEACHING HOSPITAL FOR WUSM. THE CHILDREN'S/UNIVERSITY AGREEMENT SETS FORTH THE RESPONSIBILITIES OF WUSM AND CHILDREN'S TO PROVIDE MEDICAL PROFESSIONALS TO SUPPORT THE HOSPITAL'S PROGRAMS AND TO PROVIDE ACADEMIC SUPPORT, WUSM PROVIDES LEADERSHIP AND DIRECTION FOR THE RESIDENCY PROGRAMS AT BOTH BJH AND CHILDREN'S. ALLOCATION OF SURPLUS FUNDS. UNRESTRICTED ASSETS AND SURPLUS FUNDS HELD BY BJC ARE USED IN FURTHERANCE OF THE MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES IT SERVES THROUGH LEADERSHIP, EDUCATION, INNOVATION AND EXCELLENCE IN MEDICINE. EXAMPLES INCLUDE:-BJH IN CONJUNCTION WITH WUSM RECENTLY COMPLETED THE BJC INSTITUTE OF HEALTH AT WASHINGTON UNIVERSITY (INSTITUTE). THE INSTITUTE WILL ALLOW TEAMS OF RESEARCHERS TO COLLABORATE IN KEY THERAPEUTIC AREAS SUCH AS CANCER GENOMICS, DIABETIC CARDIOVASCULAR DISEASE, WOMEN'S INFECTIOUS DISEASES, MEMBRANE EXCITABILITY DISORDERS AND NEURODEGENERATIVE CONDITIONS. THE RESULTS OF THIS MULTI-DISCIPLINARY EFFORT ARE EXPECTED TO ADVANCE MEDICAL SCIENCE, TECHNOLOGY, AND PATIENT CARE PRACTICES. -BJH COMMENCED OPERATIONS OF THE NEWLY CONSTRUCTED GOLDFARB SCHOOL OF NURSING (SCHOOL) WHICH FOCUSES ON THE EDUCATION OF BACCALAUREATE AND MASTERS PREPARED NURSES. THE SCHOOL ADDRESSES THE NEED FOR MORE NURSING PROFESSIONALS TO SERVE BJC PRIMARY AND SECONDARY SERVICE AREAS.
    PART VI, LINE 7: BJC HEALTH SYSTEM IS ONE OF THE LARGEST NONPROFIT HEALTH CARE ORGANIZATIONS IN THE UNITED STATES, DELIVERING SERVICES TO RESIDENTS PRIMARILY IN THE GREATER ST. LOUIS, SOUTHERN ILLINOIS AND MID-MISSOURI REGIONS. WITH NET REVENUE OF $3.6 BILLION, BJC SERVES URBAN, SUBURBAN AND RURAL COMMUNITIES THROUGH 13 HOSPITALS AND MULTIPLE COMMUNITY HEALTH LOCATIONS. SERVICES INCLUDE INPATIENT AND OUTPATIENT CARE, PRIMARY CARE, COMMUNITY HEALTH AND WELLNESS, WORKPLACE HEALTH, HOME HEALTH, COMMUNITY MENTAL HEALTH, REHABILITATION, LONG-TERM CARE, AND HOSPICE.AS ONE OF THE LARGEST NONPROFIT HEALTH CARE DELIVERY ORGANIZATIONS IN THE COUNTRY, WE ARE COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE THROUGH LEADERSHIP, EDUCATION, INNOVATION AND EXCELLENCE IN MEDICINE.BJC STRIVES TO BE THE NATIONAL MODEL AMONG HEALTH CARE DELIVERY ORGANIZATIONS AS MEASURED BY:-OUTSTANDING PATIENT ADVOCACY AND LOYALTY -UNSURPASSED CLINICAL QUALITY AND PATIENT SAFETY -SIGNIFICANT CONTRIBUTION TO MEDICAL EDUCATION AND RESEARCH -EXCEPTIONAL EMPLOYEE SATISFACTION AND WORKFORCE DEVELOPMENT -EXCELLENT FINANCIAL AND OPERATIONAL MANAGEMENT
REPORTS FILED WITH STATES PART VI, LINE 7 MO,IL
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BJC HEALTH SYSTEM GROUP RETURN
 
Employer identification number
75-3052953
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) BARNES-JEWISH HOSPITAL FOUNDATION1001 HIGHLANDS PLAZA DRIVE WEST
SUITE 140
ST LOUIS,MO63110 		43-1648435 501C(3) 40,145,973       PLEDGE TO GENERAL FUNDS
(2) ST LOUIS CHILDRENS HOSPITAL FOUNDATIONONE CHILDRENS PLACE
ST LOUIS,MO63110 		43-1626863 501C(3) 14,423,257       SUPPORT FOR HEALTHCARE NEEDS FOR ST LOUIS CHILDREN'S HOSPITAL
(3) BOONE COUNTY TREASURER801 E WALNUT ST
COLUMBIA,MO65201 		43-6000349 170(B)(1)(A)(V) 2,178,028       SUPPORT COMMUNITY PROGRAMS WITHIN BOONE COUNTY
(4) WASHINGTON UNIVERSITY SCHOOL OF MEDICINEGRANTS CONTRACTSCAMPUS BOX 8018 660
S EUCLID AVENUE
ST LOUIS,MO631101093 		43-0653611 501C(3) 1,405,454       SUPPORT RESEARCH OF WUSM PROGRAMS
(5) MOBAP FOUNDATION3015 N BALLAS ROAD
ST LOUIS,MO63131 		43-1472026 501C(3) 64,571       SUPPORT PEOPLE AFFECTED BY CANCER BY PROGRAMS
(6) AMERICAN HEART ASSOCATION460 N LINDBERGH BLVD
ST LOUIS,MO63141 		13-5613797 501C(3) 54,619       SPONSOR RESEARCH OF HEART DISEASES
(7) PEDAL THE CAUSE7733 FORSYTH BLVD STE 1375
ST LOUIS,MO63105 		27-2233336 501C(3) 50,000       SUPPORT RESEARCH AND CURES FOR CANCER
(8) SPEAKING OF WOMEN'S HEALTH709 W BROADWAY
COLUMBIA,MO65203 		30-0193562 501C(3) 47,664       SUPPORT AND EDUCATE WOMEN ABOUT THEIR HEALTH
(9) FAMILY HEALTH CENTER OF BOONE COUNTY1001 EAST WORLEY
COLUMBIA,MO65203 		43-1709422 501C(3) 40,000       SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE
(10) ALTON MEMORIAL11133 DUNN RD
ALTON,IL63136 		37-1177053 501C(3) 33,234       SUPPORT PEOPLE AFFECTED BY CANCER BY PROGRAMS
(11) SUSAN G KOMEN FOR THE CURE3301 W BROADWAY STE 107
COLUMBIA,MO65203 		56-2583638 501C(3) 26,275       SUPPORT RESEARCH FOR BREAST CANCER
(12) ILLINOIS HOSPITAL RESEARCH & EDUCATIONAL FOUNDATION1151 EAST WARRENVILLE ROAD
NAPERVILLE,IL60566 		23-7421930 501C(3) 23,817       SUPPORT HOSPITAL MUTUAL ASSISTANCE PROGRAM
(13) JUNIOR ACHIEVEMENT17339 NORTH OUTER FORTY ROAD
CHESTERFIELD,MO63005 		43-0652112 501C(3) 20,000       SUPPORT EDUCATION YOUTH IN BUSINESS
(14) COLUMBIA CHAMBER OF COMMERCE300 S PROVIDENCE ROAD
COLUMBIA,MO65205 		43-0223250 501C(3) 18,276       SUPPORT TO THE COMMUNITY TO PROVIDE ACCESS TO HEALTHCARE
(15) BOONE HOSPITAL FOUNDATION1600 E BROADWAY
COLUMBIA,MO65201 		03-0477306 501C(3) 15,047       SUPPORT FOR HEALTHCARE NEEDS BOONE HOSPITAL
(16) INSTITUTE FOR SCIENCE AND HEALTH300 HUNTER DR
ST LOUIS,MO63124 		43-1912103 501C(3) 15,000       SUPPORT RESEARCH FOR DISEASE PREVENTION AND CURES
(17) SUSAN G KOMEN RACE FOR THE CUREPO BOX 790129 DEPT SK
ST LOUIS,MO63179 		75-2844650 501C(3) 15,000       SUPPORT RESEARCH FOR BREAST CANCER
(18) AMERICAN DIABETES ASSN10280 SUNSET OFFICE DRIVE SUITE 220
ST LOUIS,MO63127 		13-1623888 501C(3) 14,150       SUPPORT RESEARCH OF DIABETES
(19) PARENTS AS TEACHERS2228 BALL DRIVE
ST LOUIS,MO63146 		43-1569124 501C(3) 10,000       SUPPORT FAMILIES IN CHILDHOOD DEVELOPMENT
(20) JUVENILE DIABETES RESEARCH FOUNDATION50 CRESTWOOD EXECUTIVE CENTER STE
401
ST LOUIS,MO63126 		23-1907729 501C(3) 8,500       SUPPORT RESEARCH OF DIABETES
(21) MARCH OF DIMES11829 DORSETT ROAD
MARYLAND HEIGHTS,MO63043 		13-1846366 501C(3) 7,120       SUPPORT RESEARCH ON PREGNANCIES AND THE HEALTH OF BABIES.
(22) NATIONAL MUSCULAR SCLEROSIS SOCIETY1867 LACKLAND HILL PKWY
ST LOUIS,MO63146 		13-5661935 501C(3) 7,000       SUPPORT RESEARCH OF MUSCULAR SCLEROSIS
(23) ASTHMA AND ALLERGY FOUNDATION1500 BIG BEND SUITE 1S
ST LOUIS,MO63117 		43-1484316 501C(3) 5,982       SUPPORT RESEARCH IN ASTHMA AND ALLERGY
(24) AMERICAN CANCER SOCIETY - MISSOURI4207 LINDELL BLVD
ST LOUIS,MO63108 		74-1185665 501C(3) 5,950       SUPPORT PEOPLE AFFECTED BY CANCER BY PROGRAMS
(25) AMERICAN CANCER SOCIETY - ILLINIOS5 SCHIBER COURT
MARYVILLE,IL62062 		13-1788491 501C(3) 5,775       SUPPORT PEOPLE AFFECTED BY CANCER BY PROGRAMS
(26) COMTREA INC227 E MAIN
FESTUS,MO63028 		36-2800788 501C(3) 5,400       SUPPORT FOR CHILDRENS ADVOCACY
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
25
3
Enter total number of other organizations ................................ . Bullet Image
1
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) FEDERAL GRANTS - PELL GRANTS & FSEOG & SCHOLARSHIPS 421 974,312      













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: DURING 2010, BJC HEALTH SYSTEM AND AFFILIATES MADE GRANTS TO OTHER SECTION 501(C)(3) PUBLIC CHARITIES FOR GENERAL OPERATIONS AND TO BE USED IN FULFILLING THE EXEMPT PURPOSE OF THE GRANTEE CHARITABLE 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. FEDERAL GRANTS AND AWARDS PROVIDED TO INDIVIDUALS ARE MONITORED TO ENSURE COMPLIANCE WITH THE FEDERAL GRANT PROCEDURES.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BJC HEALTH SYSTEM GROUP RETURN
 
Employer identification number

75-3052953
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) AMH-RICCI JAMES (i)
(ii)		 0
245,844 		0
16,180 		0
17,742 		0
19,087 		0
24,814 		0
323,667 		0
0
(2) AMH-RIEDEL DAVID MD (i)
(ii)		 390,437
0 		0
0 		3,564
0 		0
0 		14,124
0 		408,125
0 		0
0
(3) BJCHOME-KRETTEKJOHN MD PHD (i)
(ii)		 330,130
0 		129,342
0 		4,975
0 		40,634
0 		13,317
0 		518,398
0 		0
0
(4) BJCHOME-MUETH MELANIE MD (i)
(ii)		 213,983
0 		91,119
0 		484
0 		20,800
0 		20,862
0 		347,248
0 		0
0
(5) BJCHOME-VLODARCHYKCOREEN (i)
(ii)		 299,195
0 		275,787
0 		3,707
0 		37,095
0 		13,977
0 		629,761
0 		26,912
0
(6) BJCHOME-WEISS DAVID (i)
(ii)		 380,455
0 		430,770
0 		78,238
0 		68,012
0 		21,030
0 		978,505
0 		277,028
0
(7) CH-MORITZ GERALD MD (i)
(ii)		 144,046
0 		2,000
0 		0
0 		0
0 		15,156
0 		161,202
0 		0
0
(8) CH-PENILLA ANTONIA R MD (i)
(ii)		 0
508,841 		0
62,500 		0
6,858 		0
26,021 		0
15,317 		0
619,537 		0
0
(9) MBHS-MARQUINO MARLON MD (i)
(ii)		 266,150
0 		23,437
0 		348
0 		6,047
0 		11,646
0 		307,628
0 		0
0
(10) MBHS-MICHALIK JAROSLAW MD (i)
(ii)		 385,071
0 		0
0 		12,872
0 		13,179
0 		18,942
0 		430,064
0 		0
0
(11) MBMC-KOPITSKY ROBERT MD (i)
(ii)		 357,339
0 		0
0 		36,361
0 		4,288
0 		8,258
0 		406,246
0 		0
0
(12) PHC-GRIX GARY MD (i)
(ii)		 201,275
0 		22,208
0 		8,322
0 		3,992
0 		15,869
0 		251,666
0 		0
0
(13) AMH-BRAASCH DAVID ALAN (i)
(ii)		 190,626
0 		87,055
0 		8,101
0 		15,849
0 		33,423
0 		335,054
0 		12,106
0
(14) BHHC BECK MARY (i)
(ii)		 162,494
0 		47,921
0 		2,050
0 		26,408
0 		9,582
0 		248,455
0 		0
0
(15) BJC BH-APLINGTON DAVID (i)
(ii)		 270,650
0 		120,197
0 		5,930
0 		44,198
0 		27,798
0 		468,773
0 		20,997
0
(16) BJC BH-CANNON ROBERT (i)
(ii)		 343,505
0 		215,483
0 		1,929
0 		55,273
0 		19,478
0 		635,668
0 		31,136
0
(17) BJC BH-STANSBERRY MARK (i)
(ii)		 134,353
0 		47,827
0 		1,639
0 		17,420
0 		6,130
0 		207,369
0 		0
0
(18) BJC CHS-GLADSTONE KIM (i)
(ii)		 125,744
0 		53,203
0 		1,742
0 		31,066
0 		21,430
0 		233,185
0 		9,775
0
(19) BJCHOME-CASTELLANORUTH (i)
(ii)		 145,859
0 		56,764
0 		2,589
0 		33,716
0 		25,864
0 		264,792
0 		9,476
0
(20) BJC-LIPSTEIN STEVEN (i)
(ii)		 905,087
0 		1,288,723
0 		12,536
0 		98,826
0 		30,710
0 		2,335,882
0 		0
0
(21) BJSPH-AST MARTIN (i)
(ii)		 114,076
0 		50,000
0 		334
0 		0
0 		5,289
0 		169,699
0 		0
0
(22) BJWCH-TRACY LARRY (i)
(ii)		 205,011
0 		54,447
0 		670
0 		20,889
0 		19,996
0 		301,013
0 		11,082
0
(23) CHAS-ROTHERY DANIEL (i)
(ii)		 294,384
0 		137,874
0 		16,506
0 		57,742
0 		9,660
0 		516,166
0 		0
0
(24) CH-MCMULLEN RONALD (i)
(ii)		 297,642
0 		190,954
0 		11,395
0 		51,259
0 		14,245
0 		565,495
0 		21,864
0
(25) CHSDC-VAN TREASE SANDRA (i)
(ii)		 578,487
0 		600,961
0 		4,355
0 		77,664
0 		13,929
0 		1,275,396
0 		114,038
0
(26) MBMC-MAGRUDER JOAN (i)
(ii)		 345,440
0 		280,002
0 		2,046
0 		54,734
0 		23,976
0 		706,198
0 		45,897
0
(27) PHC-KARL THOMAS (i)
(ii)		 151,914
0 		73,893
0 		3,959
0 		33,381
0 		19,992
0 		283,139
0 		8,870
0
(28) PWHC-ANTES JOHN (i)
(ii)		 266,150
0 		142,692
0 		631
0 		26,226
0 		19,879
0 		455,578
0 		15,524
0
(29) SLCH-FETTER LEE (i)
(ii)		 474,393
0 		293,416
0 		24,923
0 		77,013
0 		15,457
0 		885,202
0 		0
0
(30) VNI-GLOSS JOHN (i)
(ii)		 115,948
0 		80,249
0 		63,363
0 		42,058
0 		12,454
0 		314,072
0 		23,533
0
(31) BJC-DEHAVEN MICHAEL (i)
(ii)		 507,347
0 		297,793
0 		1,067,974
0 		32,004
0 		22,230
0 		1,927,348
0 		0
0
(32) BJC-ROBERTS KEVIN (i)
(ii)		 607,716
0 		460,126
0 		37,744
0 		80,539
0 		40,799
0 		1,226,924
0 		56,783
0
(33) BJH-KRIEGER MARK (i)
(ii)		 316,686
0 		108,870
0 		2,760
0 		42,378
0 		19,738
0 		490,432
0 		0
0
(34) BJH-LIEKWEG RICHARD (i)
(ii)		 597,743
0 		206,317
0 		11,084
0 		71,388
0 		37,587
0 		924,119
0 		0
0
(35) BJSPH-SKYLES JILL (i)
(ii)		 145,801
0 		58,112
0 		1,914
0 		40,620
0 		15,161
0 		261,608
0 		6,921
0
(36) CHAS-MORROW RANDY (i)
(ii)		 216,294
0 		70,568
0 		8,241
0 		55,506
0 		13,708
0 		364,317
0 		0
0
(37) CH-KATSIANIS JOHN (i)
(ii)		 246,191
0 		133,382
0 		8,480
0 		30,107
0 		25,030
0 		443,190
0 		18,742
0
(38) MBHS-SCHWARM TONY (i)
(ii)		 159,546
0 		72,413
0 		14,511
0 		30,077
0 		18,784
0 		295,331
0 		10,559
0
(39) MBMC-NORONHA AUGUSTO II (i)
(ii)		 251,358
0 		140,442
0 		11,631
0 		39,057
0 		21,268
0 		463,756
0 		20,708
0
(40) PGLC-KNOCKE DAVID (i)
(ii)		 297,170
0 		130,464
0 		7,693
0 		24,376
0 		22,239
0 		481,942
0 		13,972
0
(41) PWHC-SCHWAEGEL GLEN (i)
(ii)		 159,246
0 		80,365
0 		10,348
0 		70,388
0 		13,967
0 		334,314
0 		10,579
0
(42) SLCH-VANDERSLICE DOUG (i)
(ii)		 266,390
0 		129,322
0 		3,164
0 		30,633
0 		22,227
0 		451,736
0 		16,187
0
(43) BJC-HALL LANNIS E (i)
(ii)		 461,524
0 		380,337
0 		51,740
0 		11,879
0 		21,530
0 		927,010
0 		0
0
(44) BJH-JAQUES DAVID MD (i)
(ii)		 362,490
0 		220,716
0 		34,096
0 		40,542
0 		10,825
0 		668,669
0 		26,660
0
(45) BJC-PEREA CARLOS (i)
(ii)		 346,068
0 		231,688
0 		5,389
0 		54,934
0 		20,524
0 		658,603
0 		46,641
0
(46) BJC-ROSENBLUM BARRY (i)
(ii)		 532,385
0 		28,146
0 		2,021
0 		11,057
0 		21,108
0 		594,717
0 		0
0
(47) BJC-GALLAGHER BRIAN (i)
(ii)		 440,893
0 		84,366
0 		16,610
0 		18,048
0 		21,602
0 		581,519
0 		0
0
(48) AMH - SCHRANCK CHARLES MD (i)
(ii)		 0
0 		0
0 		100,663
0 		0
0 		0
0 		100,663
0 		0
0
(49) BJCHOME-SKLAMBERG TODD (i)
(ii)		 0
0 		0
0 		18,863
0 		0
0 		0
0 		18,863
0 		0
0
(50) BJH-ZISKIND ANDREW MD (i)
(ii)		 287,679
0 		429,878
0 		509,902
0 		32,725
0 		7,046
0 		1,267,230
0 		218,017
0
(51) BJSPH-ROSS DAVID (i)
(ii)		 0
0 		101,850
0 		62
0 		0
0 		0
0 		101,912
0 		60,757
0
(52) MBMC-ROBSON DAVID MD (i)
(ii)		 0
0 		0
0 		12,000
0 		0
0 		0
0 		12,000
0 		0
0
(53) MBMS-ELJAIEK FELIPE MD (i)
(ii)		 0
0 		0
0 		13,095
0 		0
0 		0
0 		13,095
0 		0
0
(54) MBMS-TIEFENBRUNN MATT MD (i)
(ii)		 0
0 		0
0 		19,000
0 		0
0 		0
0 		19,000
0 		0
0
(55) PHC-O'HARA PATRICK W MD (i)
(ii)		 163,838
0 		2,094
0 		622
0 		2,992
0 		19,697
0 		189,243
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 1A SCHEDULE J, PART I, LINE 1A AND 1B DURING 2010, THE ORGANIZATION PAID DIRECTLY OR REIMBURSED EXPENSES FOR THE FOLLOWING: TAX GROSS UP PAYMENTS RELATED TO CERTAIN TAXABLE FRINGE BENEFITS; TEMPORARY HOUSING FOR CERTAIN EXECUTIVES RECRUITED TO THE ST. LOUIS AREA AND REIMBURSED EXPENSES FOR SOCIAL CLUB DUES FOR CERTAIN EXECUTIVES. THE PAYMENTS WERE MADE PURSUANT TO A WRITTEN POLICY THAT ALLOWS FOR DIRECT PAYMENTS OR REIMBURSEMENTS BASED ON ADEQUATE SUBSTANTIATION OF THE ALLOWABLE EXPENSE. DOCUMENTATION OF THESE EXPENSES IS RETAINED IN THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION AND, IF REQUIRED, INCLUDED IN THE REPORTABLE COMPENSATION OF THE INDIVIDUALS LISTED HEREIN. TAX INDEMNIFICATION AND GROSS UP PAYMENTS - CURRENT EXPENSE POLICY OF THE ORGANIZATION PROVIDES THAT CERTAIN TAXABLE FRINGE BENEFITS BE GROSSED UP TO PROVIDE RELIEF OF FEDERAL AND STATE INCOME TAXES ASSOCIATED WITH CERTAIN EXPENSES INCURRED ON BEHALF OF THE ORGANIZATION, YET NOT DEDUCTIBLE FOR PERSONAL TAX PURPOSES. HOUSING ALLOWANCE - CURRENT EXPENSE POLICY OF THE ORGANIZATION PROHIBITS PAYMENT OF (OR REIMBURSEMENT FOR) HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE UNLESS PAYMENTS ARE MADE PURSUANT TO A RELOCATION PACKAGE. PAYMENTS PURSUANT TO A RELOCATION PLAN MUST BE APPROVED BY THE SENIOR HUMAN RESOURCE OFFICER AT THE RELEVANT ORGANIZATION. DURING 2010, THE ORGANIZATION PROVIDED TEMPORARY HOUSING TO BOTH THE CHIEF FINANCIAL OFFICER OF BJC HEALTH SYSTEM (BJC) AND THE CHIEF EXECUTIVE OFFICER OF BARNES-JEWISH HOSPITAL (BJH) RECRUITED TO THE ST. LOUIS AREA. HOUSING ALLOWANCE AND OTHER PAYMENTS ASSOCIATED WITH THE RECRUITMENT OF BJC CFO WERE $33,177 AND FOR THE CEO OF BARNES-JEWISH PAYMENTS WERE $7,104 DURING 2010. THESE PAYMENTS WERE APPROVED AND INCLUDED IN THE REPORTABLE COMPENSATION OF THESE INDIVIDUALS. HEALTH OR SOCIAL CLUB DUES OR FEES - CURRENT EXPENSE POLICY OF THE ORGANIZATION ALLOWS PAYMENT OF (OR REIMBURSEMENT FOR) SOCIAL CLUB DUES OR FEES INCURRED FOR BUSINESS PURPOSES. AT TIMES AN EXECUTIVE MAY INCUR EXPENSES FOR PERSONAL USE OF THE SOCIAL CLUB AND AN ALLOCATION IS MADE BETWEEN THE BUSINESS AND PERSONAL USE OF THE CLUB DUES. THE ALLOCATION OF SOCIAL CLUB DUES CONSIDERED PERSONAL USE IS CONSIDERED TAXABLE TO THE EXECUTIVE. DURING 2010, THE ORGANIZATION PROVIDED TOTAL REIMBURSMENTS OF $8,182 INCLUDING TAX GROSS UP PAYMENTS FOR THE PERSONAL USE PORTION OF SOCIAL CLUB DUES TO SIX EXECUTIVES. DOCUMENTATION OF THESE EXPENSES IS RETAINED IN THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION AND INCLUDED IN THE REPORTABLE COMPENSATION OF THE INDIVIDUALS LISTED HEREIN.
  PART I, LINES 4A-B PART I, LINE 4A: DURING 2010, THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS (SEE FORM 990, PART VII, AND SCHEDULE J, PART II): ZISKIND, ANDREW MD $508,899 PART I, LINE 4B: DURING 2010, THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS FROM THE ORGANIZATION AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS (SEE FORM 990, PART VII AND SCHEDULE J, PART II): WEISS, DAVID A $263,108 VAN TREASE, SANDRA $175,783 ZISKIND MD, ANDREW $166,671 ROBERTS, KEVIN $124,020 LIPSTEIN, STEVEN $98,826 PEREA, CARLOS $85,183 MAGRUDER, JOAN $84,819 CANNON, ROBERT $69,177 LIEKWEG, RICHARD $67,100 FETTER, LEE $52,127 JAQUES MD, DAVID $49,514 MCMULLEN, RONALD $39,897 VLODARCHYK, COREEN $39,613 APLINGTON, DAVID $37,996 NORONHA II, AUGUSTO $36,587 KATSIANIS, JOHN $34,435 ROTHERY, DANIEL $32,739 VANDERSLICE, DOUGLAS $31,951 CARTER, DOYLE EDWARD $31,922 ANTES, JOHN $30,966 KNOCKE, DAVID LEE $30,036 RUVELSON, JULIA $24,435 TRACY JR., LARRY $23,832 BRAASCH, DAVID $23,668 VICTOR, DEBRA $21,495 SCHWARM, TONY $20,392 SCHWAEGEL, GLEN $20,347 PYTLINSKI, DOUGLASS $19,926 KRIEGER, MARK $19,247 KARL, THOMAS $18,140 GLADSTONE, KIM $17,666 CASTELLANO, RUTH $17,344 GLOSS, JOHN $16,589 KRETTEK JR, JOHN $14,120 MORROW, RANDY $13,200 SKYLES, JILL $13,000 BAILEY, JANICE $8,558 ZVANUT, MICHELLE $7,858 CONKLIN, RICHARD $7,646 SELLERS, ROBERT $7,359 BECK, MARY $6,564 ROSS, CAMERON $121 SCHEDULE J, PART II: 2010 AMOUNTS REPORTED AS COMPENSATION RECEIVED FROM THE REPORTING ORGANIZATION FOR OFFICER DEHAVEN INCLUDES A LUMP SUM PRESENT VALUE CUMMULATIVE DISTRIBUTION OF APPROXIMATELY $1.0M. THE AMOUNT WAS DISTRIBUTED FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN THAT VESTED UPON ATTAINING A CERTAIN AGE AND YEARS OF SERVICE.
  PART I, LINE 7 DURING 2010 THE ORGANIZATION PROVIDED INCENTIVE PAYMENTS THAT ARE CALCULATED USING A PERCENT OF BASE PAY AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE MET. THE AMOUNT OF INCENTIVE PAYMENTS DO NOT ACCRUE TO THE BENEFIT OF THE INDIVIDUALS UNTIL AFTER THE FINANCIAL RESULTS HAVE BEEN DETERMINED FOR THE CALENDAR YEAR.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BJC HEALTH SYSTEM GROUP RETURN
 
Employer identification number
75-3052953
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A HEALTH & EDUC FACILITIES AUTHORITY STATE OF MISSOURI
  		43-1178966 60635RR33 04-07-2005 161,556,888 REFUND PRIOR BONDS & CAPITAL EXP - SEE BELOW   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 165,028,282      
4 Gross proceeds in reserve funds . . 6,801,104      
5 Capitalized interest from proceeds. 1,113,773      
6 Proceeds in refunding escrow. . . . . 98,789,112      
7 Issuance costs from proceeds . . . 1,654,003      
8 Credit enhancement from proceeds. 55,000      
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 63,497,793      
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2007
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X              
15 Were the bonds issued as part of an advance refunding issue?   X            
16 Has the final allocation of proceeds been made? . . X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X              
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X              
b Are there any research agreements that may result in private business use of bond-financed property? . . X              
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X              
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0.070 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0.120 %      
6 Total of lines 4 and 5 . . .. . . . . . 0.190 %      
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X              
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . . X              
2 Is the bond issue a variable rate issue? X              
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X            
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X            
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X            
6 Did the bond issue qualify for an exception to rebate? . . .   X            
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCHEDULE K, PART I, COLUMN (F)   SERIES 2005A BONDS WERE ISSUED ON APRIL 7, 2005 AT A FIXED RATE WITH PROCEEDS OF $84.5M USED TO REFUND SERIES 1993 A & B BONDS. FOLLOWING CUSIPS WERE USED FOR THIS BOND ISSUE: 60635RR66, 60635RR74, 60635RS32, 60635RR33, 60635RR58, 60635RS24, 60635RR82. SERIES 2005B BONDS WERE ISSUED ON APRIL 7, 2005 AT A VARIABLE RATE WITH PROCEEDS OF $73.4M USED IN PART TO REFUND SERIES 1986 BONDS AND TO FINANCE, IN PART, THE CONSTRUCTION OF PROGRESS WEST HEALTHCARE CENTER, A 72 BED COMMUNITY HOSPITAL IN O'FALLON, MISSOURI. FOLLOWING CUSIP WAS USED FOR THIS BOND ISSUE: 60635RS99
PART II LINE 16   FOR EACH BOND ISSUE, THE FINAL ALLOCATION OF BOND PROCEEDS HAVE BEEN MADE BASED UPON THE ACTUAL SPENT RECORDS OF EACH PROJECT. THESE SUPPORTING RECORDS ARE MAINTAINED AT THE CORPORATE OFFICES OF THE ORGANIZATION.
PART III, LINES 2 AND 3   ALTHOUGH THE BOND-FINANCED PROPERTIES HAVE LEASE AGREEMENTS, MANAGEMENT CONTRACTS AND RESEARCH AGREEMENTS THAT MAY RESULT IN PRIVATE BUSINESS USE, THE ORGANIZATION ROUTINELY REVIEWS THESE AGREEMENTS TO ENSURE THE SAFE HARBOR RULES HAVE BEEN MET OR THE CONTRACT PERTAINS TO SPACE THAT IS NOT FINANCED WITH BOND PROCEEDS. THE ORGANIZATION ROUTINELY ENGAGES BOTH INTERNAL AND EXTERNAL LEGAL COUNSEL TO REVIEW MANAGEMENT OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATING TO BOND-FINANCED PROPERTIES TO ENSURE POST ISSUANCE COMPLIANCE OF ITS BOND LIABILITIES.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BJC HEALTH SYSTEM GROUP RETURN
 
Employer identification number

75-3052953
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) MIDWEST RADIOLOGICAL ASSOCIATES
  		FORMER BOARD MEMBER 275,837 SERVICESDURING 2010, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARMS LENGTH BASIS FOR RADIOLOGY SERVICES TO MIDWEST RADIOLOGICAL ASSOCIATES, INC.(CORPORATION). FORMER AMH BOARD MEMBER SCHRANCK SERVED AS AN OFFICER AND DIRECTOR OF THE CORPORATION DURING 2010. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE FORMER AMH BOARD MEMBER RECUSED HIMSELF FROM ANY AND ALL PRIOR DISCUSSIONS RELATED TO THESE PAYMENTS. THIS FORMER BOARD MEMBER ALSO OWNS 5% INTEREST IN A JOINT VENTURE WITH AMH WHERE AMH OWNS 75% INTEREST IN TWIN RIVERS MRI, LLC.   No
(2) PARIC CORPORATION
  		BOARD MEMBER 6,059,222 SERVICES DURING 2010, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARMS LENGTH BASIS FOR CONSTRUCTION AND DESIGN SERVICES TO THE INTERESTED PERSON (PARIC). BJC BOARD MEMBER PAUL J. MCKEE, II HAS FAMILY MEMBER, P.JOSEPH MCKEE, III, WHO OWNS MAJORITY INTEREST IN PARIC CORPORATION. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THIS BOARD MEMBER RECUSED HIMSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS. (THIS BOARD MEMBER ALSO SERVED ON OTHER BJC AFFILIATE BOARDS INCLUDING CH, CHSDC AND CHIL).   No
(3) VILLA ROSE REAL ESTATE
  		BOARD MEMBER 138,000 SERVICESDURING 2010, BJC HEALTH SYSTEM AND AFFILIATES RECEIVED PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARMS LENGTH BASIS FROM VILLA ROSE SENIOR LIVING, AN AFFILIATE OF VILLA ROSE REAL ESTATE, INC.(CORPORATION). CURRENT AMH BOARD MEMBER BALSTERS SERVED AS AN OFFICER AND MAJORITY SHAREHOLDER OF CORPORATION DURING 2010. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE BOARD MEMBER RECUSED HIMSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS INVOLVING BJC HOME CARE SERVICES.   No
(4) PULMONARY CONSULTANTS INC
  		BOARD MEMBER 146,982 SERVICESDURING 2010, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARMS LENGTH BASIS FOR SERVICES TO PULMONARY CONSULTANTS, INC.(CORPORATION). CH BOARD MEMBER ZWEIG HAD A FINANCIAL RELATIONSHIP WITH THE CORPORATION THROUGHOUT 2010. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE BOARD MEMBER RECUSED HIMSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS.   No
(5) PHOENIX TEXTILE CORP
  		BOARD MEMBER 3,083,315 SERVICESDURING 2010, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARMS LENGTH BASIS FOR SERVICES TO PHOENIX TEXTILE CORPORATION (CORPORATION). BOARD MEMBER REYNOLDS SERVED AS A DIRECTOR FOR THE CORPORATION THROUGHOUT 2010. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE BOARD MEMBER RECUSED HIMSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS.   No
(6) MIDWEST IMAGING
  		BOARD MEMBER 299,993 SERVICESDURING 2010, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARMS LENGTH BASIS FOR RADIOLOGY SERVICES TO MIDWEST IMAGING.(CORPORATION). PHC BOARD MEMBER DUMONTIER HELD A 7% INTEREST IN THIS CORPORATION DURING 2010. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE BOARD MEMBER RECUSED HIMSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS.   No
(7) TARLTON CORPORATION
  		BOARD MEMBER 24,956,900 SERVICESDURING 2010, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARMS LENGTH BASIS FOR CONSTRUCTION AND DESIGN SERVICES TO TARLTON CORPORATION. SLCH BOARD MEMBER HART SERVED AS AN OFFICER AND DIRECTOR OF THE CORPORATION DURING 2010. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE RELATED BOARD MEMBER RECUSED HERSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS.   No
(8) INTERFACE CONSTRUCTION CORP
  		BOARD MEMBER 351,817 SERVICESDURING 2010, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARMS LENGTH BASIS FOR CONSTRUCTION AND DESIGN SERVICES TO INTERFACE CONSTRUCTION CORPORATION. AMH BOARD MEMBER HUTCHINSON SERVED AS AN OFFICER AND DIRECTOR OF THE CORPORATION DURING 2010. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE BOARD MEMBER RECUSED HIMSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS.   No
(9) TARLTONINTERFACE JT VENT
  		BOARD MEMBERS 3,454,432 SERVICESDURING 2010, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARMS LENGTH BASIS FOR CONSTRUCTION AND DESIGN SERVICES TO TARLTON/INTERFACE JOINT VENTURE. THIS JOINT VENTURE IS OWNED 65% BY TARLTON CORPORATION AND 35% BY INTERFACE CONSTRUCTION CORPORATION. SLCH BOARD MEMBER HART SERVED AS AN OFFICER AND DIRECTOR OF TARLTON CORPORATION AND SAMUEL HUTCHINSON SERVED AS AN OFFICER /DIRECTOR OF INTERFACE DURING 2010. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE BOARD MEMBERS RECUSED THEMSELVES FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS.   No
(10) MIDWEST HEMATOLOGY ONCOLOGY CONSULT LTD
  		BOARD MEMBER 3,924,315 SERVICESDURING 2010, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARMS LENGTH BASIS FOR SERVICES TO MIDWEST HEMATOLOGY ONCOLOGY CONSULTANTS, LTD(CORPORATION). CH BOARD MEMBER REARDEN SERVED AS A DIRECTOR FOR THE CORPORATION THROUGHOUT 2010. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE BOARD MEMBER RECUSED HIMSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS.   No
(11) DR CHARLES R SCHRANCK JR FORMER BOARD MEMBER 100,664 SERVICESDURING 2010, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARMS LENGTH BASIS FOR MEDICAL DIRECTOR FEES AND OTHER SERVICES TO FORMER AMH BOARD MEMBER SCHRANCK. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE BOARD MEMBER RECUSED HIMSELF FROM ANY AND ALL PRIOR DISCUSSIONS RELATED TO THESE PAYMENTS.   No
(12) ST LOUIS UROLOGICAL SURGEONS INC
  		FORMER BOARD MEMBER 796,750 SERVICESDURING 2010, BJC HEALTH SYSTEM AND AFFILIATES MADE PAYMENTS DURING THE ORDINARY COURSE OF BUSINESS AND ON AN ARMS LENGTH BASIS FOR SERVICES TO ST. LOUIS UROLOGICAL SURGEONS, INC. (CORPORATION). FORMER CH BOARD MEMBER BLATH SERVED AS A DIRECTOR FOR THE CORPORATION THROUGHOUT 2010. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE BOARD MEMBER RECUSED HIMSELF FROM ALL PRIOR DISCUSSIONS RELATED TO THESE PAYMENTS.   No
(13) CARDIOLOGY DIAGNOSTICS LTD
  		BOARD MEMBER 164,235 DURING 2010, BJC MEDICAL GROUP PURCHASED ASSETS AND OPERATIONS FROM CARDIOLOGY DIAGNOSTICS LTD. BJSPH BOARD MEMBER AST ALSO SERVES AS A DIRECTOR OF THIS PROFESSIONAL CORPORATION. BJC MEDICAL GROUP ENGAGED AN INDEPENDENT APPRAISAL COMPANY TO DETERMINE THE FAIR MARKET VALUE OF THE ASSETS PURCHASED. IN ACCORDANCE WITH THE BJC CONFLICT OF INTEREST POLICY, THE BOARD MEMBER RECUSED HIMSELF FROM ANY AND ALL DISCUSSIONS RELATED TO THESE PAYMENTS.   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BJC HEALTH SYSTEM GROUP RETURN
 
Employer identification number

75-3052953
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( FEDERAL EQUIPMENT ) X 3 189,465 SELLING PRICE
26 Other Right pointing arrow large image ( EMERGENCY PREPAREDNESS EQUIPMENTS ) X 1 56,844 SELLING PRICE
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BJC HEALTH SYSTEM GROUP RETURN
 
Employer identification number

75-3052953
Identifier Return Reference Explanation
  CHANGES TO PRIOR YEAR DURING 2010, ANOTHER BJC AFFILIATE WAS ADDED TO THE IRS GROUP EXEMPTION. THE REVENUE, EXPENSES AND NET ASSETS REPORTED ON FORM 990, PART I IN THE PRIOR YEAR COLUMN HAVE BEEN REVISED TO INCLUDE THE PRIOR YEAR AMOUNTS FOR BOONE HOSPITAL CENTER'S VISITING NURSES (DBA BOONE HOSPITAL HOME CARE - BHHC).
FORM 990, PART VI, SECTION A, LINE 2   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.
FORM 990, PART VI, SECTION B, LINE 11   THE ORGANIZATION 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.
  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 RESONABLENESS 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.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 182,753,586. EXTRAORDINARY ITEM - EARLY EXT DEBT 5,727,097. EQUITY TRANSFERS FROM AFFILIATES - BJH AUX. 255,527. NET ASSETS RELEASED FROM RESTRICTIONS -85,490. EQUITY TRANSFERS FROM CHAS - PER OPER AGREEMENT -6,296,862. TOTAL TO FORM 990, PART XI, LINE 5: 182,353,858.
  FORM 990, PART VII, SECTION A, LINE 1A: THE ORGANIZATION USED THE FOLLOWING ACRONYMS THROUGHOUT FORM 990 PART VII. LISTED BELOW ARE THE DEFINITIONS OF EACH: AMH - ALTON MEMORIAL HOSPITAL BHHC - BOONE HOSPITAL VISITING NURSES INC (DBA BOONE HOSPITAL HOME CARE) BJC - BJC HEALTH SYSTEM (DBA BJC HEALTHCARE) BJC BH - BJC BEHAVIORAL HEALTH BJC CHS - BJC CORPORATE HEALTH SERVICES BJC HOME - BJC HOME CARE SERVICES BJH - BARNES-JEWISH HOSPITAL BJSPH - BARNES-JEWISH ST. PETERS HOSPITAL BJWCH - BARNES-JEWISH WEST COUNTY CH - CHRISTIAN HOSPITAL NORTHEAST/NORTHWEST CHAS - CH ALLIED SERVICES CHIL - CHRISTIAN HOSPITAL-ILLINOIS SERVICES CHN - CHILDREN'S HEALTH NETWORK CHSDC - CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION MBHS - MISSOURI BAPTIST HOSPITAL - SULLIVAN MBMC - MISSOURI BAPTIST MEDICAL CENTER PEHC - PROGRESS EAST HEALTHCARE CENTER PGLC - PHYSICIAN GROUPS, LC (DBA BJC MEDICAL GROUP) PHC - PARKLAND HEALTH CENTER PWHC - PROGRESS WEST HEALTHCARE CENTER SLCH - ST LOUIS CHILDREN'S HOSPITAL VNI - VILLAGE NORTH 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.
  SEC 409A DOCUMENT CORRECTION ATTACHMENT TO FORM 990 BJC HEALTH SYSTEM EIN: 43-1617558 SECTION 409A DOCUMENT CORRECTION UNDER SECTION XI.A OF NOTICE 2010-6 IN ACCORDANCE WITH THE PROVISIONS OF I.R.S. NOTICE 2010-6, AS AMENDED BY I.R.S. NOTICE 2010-80, BJC HEALTH SYSTEM ("EMPLOYER") IS PROVIDING THE FOLLOWING INFORMATION IN CONNECTION WITH A DOCUMENT CORRECTION EFFECTED PURSUANT TO SECTION XI.A OF NOTICE 2010-6: (1) IDENTITY OF TAXPAYER IMPACTED BY THE DOCUMENT FAILURE RONALD G. EVENS, M.D. ("EMPLOYEE") SSN: XXX-XX-5556 (2) IDENTITY OF PLAN OR AGREEMENT DEFERRED COMPENSATION AGREEMENT BETWEEN BJC HEALTH SYSTEM, BARNES-JEWISH HOSPITAL AND RONALD G. EVENS, DATED AS OF DECEMBER 31, 2000 ("AGREEMENT"). (3) DOCUMENT FAILURES THE DOCUMENT FAILURES ARE ELIGIBLE FOR CORRECTION UNDER SECTION XI.A OF NOTICE 2010-6. THE EMPLOYER AND THE EMPLOYEE AMENDED AND RESTATED THE AGREEMENT PRIOR TO DECEMBER 31, 2010 TO CORRECT THE DOCUMENT FAILURES. PURSUANT TO SECTION XI.A OF NOTICE 2010-6, SUCH AMENDMENT AND RESTATEMENT IS EFFECTIVE AS OF JANUARY 1, 2009. THE EMPLOYER HAS TAKEN ALL OTHER ACTIONS REQUIRED AND OTHERWISE MET ALL REQUIREMENTS FOR CORRECTION UNDER SECTION XI.A OF NOTICE 2010-6 ON OR BEFORE DECEMBER 31, 2010. NO INCLUSION OF INCOME OCCURRED AS A RESULT OF THE DOCUMENT FAILURES. (4) AMOUNT INVOLVED NONE OF THE BENEFITS ACCRUED UNDER THE AGREEMENT ARE REQUIRED TO BE REPORTED IN THE INCOME OF THE EMPLOYEE AS A RESULT OF THE DOCUMENT FAILURE. BENEFITS ACCRUED UNDER THE AGREEMENT WERE INCLUDED IN THE INCOME OF THE EMPLOYEE IN 2010 DUE TO THE VESTING OF THE BENEFITS IN 2010.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BJC HEALTH SYSTEM GROUP RETURN
 
Employer identification number

75-3052953
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) MB PROFESSIONAL BILLING SERVICES LLC
3015 N BALLAS ROAD
ST LOUIS,MO63131
11-3794837 		BILLING SERVICES MO 1,347,589 563,208 MISSOURI BAPTIST MEDICAL CENTER
 
(2) MISSOURI BAPTIST PHYSICIAN SERVICES LLC
3015 N BALLAS ROAD
ST LOUIS,MO63131
34-2028972 		PHYSICIAN SERVICES MO 2,996,760 233,421 MISSOURI BAPTIST MEDICAL CENTER
 
(3) CHRISTIAN HOSPITAL PHYSICIAN BILLING SERVICES LLC
11155 DUNN ROAD
ST LOUIS,MO63136
94-3448764 		BILLING SERVICES MO 942,415 5,333 CHRISTIAN HOSPITAL NE-NW
 
(4) CHAS PHYSICIAN SERVICES LLC
1600 E BROADWAY
COLUMBIA,MO65201
32-0275207 		PHYSICIAN SERVICES MO -579,220 373,347 CH ALLIED SERVICES INC
 
(5) ALTON MEMORIAL PHYSICIAN BILLING SERVICES LLC
ONE MEMORIAL DRIVE
ALTON,IL62003
61-1628092 		ADMINISTRATIVE & BILLING SERVICES IL     ALTON MEMORIAL HOSPITAL
 


Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) ALTON MEMORIAL HEALTH SERVICES FOUNDATION

1109 N OXFORDSHIRE LANE

EDWARDSVILLE,IL62025
37-1177053 		SUPPORT TO AMH IL 501(C)(3) 11C ALTON MEMORIAL HOSPITAL
 
 
No
(2) THE FOUNDATION FOR BARNES-JEWISH HOSPITAL

1001 HIGHLANDS PLAZA DR WEST SUITE

ST LOUIS,MO63110
43-1648435 		SUPPORT TO BJH MO 501(C)(3) 7 BARNES-JEWISH HOSPITAL
 
 
No
(3) BARNES JEWISH HOSP AUXILIARY PARKVIEW CHAPTER

216 SO KINGSHIGHWAY CAB 140

ST LOUIS,MO63110
23-7000410 		SUPPORT TO BJH MO 501(C)(3) 11C BARNES-JEWISH HOSPITAL
 
 
No
(4) BARNES-JEWISH ST PETERS HOSPITAL AUXILIARY

10 HOSPITAL DRIVE

ST PETERS,MO63376
43-1232811 		SUPPORT TO BJSP HOSPITAL MO 501(C)(3) 3 BARNES-JEWISH ST PETERS HOSPITAL
 
 
No
(5) CHRISTIAN HOSPITAL FOUNDATION

11155 DUNN ROAD SUITE 300 N

ST LOUIS,MO63136
43-1947644 		SUPPORT TO CHNE MO 501(C)(3) 11A CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST
 
 
No
(6) FAIRVIEW HEIGHTS MEDICAL GROUP SC

670 MASON RIDGE CENTER DR SUITE 300

ST LOUIS,MO63141
36-4147189 		HEALTHCARE SERVICES IL 501(C)(3) 3  
 
No
(7) MISSOURI BAPTIST HEALTHCARE FOUNDATION

3015 N BALLAS ROAD

ST LOUIS,MO63131
43-1472026 		SUPPORT TO MBMC MO 501(C)(3) 7 MISSOURI BAPTIST MEDICAL CENTER
 
 
No
(8) PARKLAND HEALTH CENTER FOUNDATION

1101 WEST LIBERTY ST

FARMINGTON,MO63640
90-0424964 		SUPPORT TO PHC MO 501(C)(3) 7 PARKLAND HEALTH CENTER
 
 
No
(9) ST LOUIS CHILDREN'S HOSPITAL FOUNDATION

ONE CHILDRENS PLACE

ST LOUIS,MO63110
43-1626863 		SUPPORT TO SLCH MO 501(C)(3) 7 ST LOUIS CHILDREN'S HOSPITAL
 
 
No
(10) MISSOURI BAPTIST HOSPITAL OF SULLIVAN AUXILIARY INC

751 SAPPINGTON BRIDGE RD

SULLIVAN,MO63080
43-1349641 		SUPPORT TO MBHS MO 501(C)(3) 9 MISSOURI BAPTIST HOSPITAL OF SULLIVAN
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) TWIN RIVERS MRI LLC

ONE MEMORIAL DRIVE
ALTON,IL62002
37-1400120 		HEALTH SERVICES IL ALTON MEMORIAL HOSPITAL
  		RELATED 1,366,407 3,270,446   No   Yes    
(2) THE HEART CARE INSTITUTE LLC

1020 NORTH MASON ROAD
ST LOUIS,MO63141
43-1870517 		MEDICAL SERVICES MO BARNES-JEWISH HOSPITAL
  		RELATED 567,473 701,400   No   Yes    
(3) THE HEART CARE INSTITUTE LLC

1020 NORTH MASON ROAD
ST LOUIS,MO63141
43-1870517 		MEDICAL SERVICES MO BARNES-JEWISH WEST COUNTY HOSPITAL
  		RELATED 567,474 247,078   No   Yes    
(4) GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC

216 SOUTH KINGSHIGHWAY
ST LOUIS,MO63110
43-1846941 		OUTPATIENT CARE SERVICES MO BARNES-JEWISH HOSPITAL
  		RELATED 2,228,444 2,179,477   No   Yes    
(5) ABBOTT LIQUIDATION LLC

PO BOX 50348
ST LOUIS,MO63105
86-1108370 		LIQUIDATION MO BARNES-JEWISH HOSPITAL
  		RELATED       No   Yes    
(6) BJCHEALTHSOUTH REHABILITATION CENTER LLC

3660 GRANDVIEW PARKWAY SUITE 200
BIRMINGHAM,AL35243
63-1254288 		MEDICAL SERVICES AL BARNES-JEWISH HOSPITAL
  		RELATED 2,705,861 13,941,816   No   Yes    
(7) SURGERY CENTER OF FARMINGTON LLC

400 PARKLAND DRIVE
FARMINGTON,MO63640
43-1811835 		MEDICAL SERVICES MO PARKLAND HEALTH CENTER
  		RELATED 188,323 625,911   No   Yes    
(8) CHILDREN'S DISCOVERY INSTITUTE LLC

4444 FOREST PARK BLVD
ST LOUIS,MO63108
 SEARCH FOR CURES OF PEDIATRIC DISEASES MO ST LOUIS CHILDREN'S HOSPITAL
  		RELATED       No   Yes    
(9) CHILDREN'S DISCOVERY INSTITUTE LLC

4444 FOREST PARK BLVD
ST LOUIS,MO63108
 SEARCH FOR CURES OF PEDIATRIC DISEASES MO ST LOUIS CHILDREN'S HOSPITAL FOUND
  		RELATED       No   Yes    
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) ATG ASSURANCE COMPANY LTD
PO BOX 1109
GRAND CAYMAN    
CJ
98-0599167 		INSURANCE UK  
C 135,831 16,520,444  
(2) PF SERVICES INC
11155 DUNN ROAD
ST LOUIS,MO63136
43-1237767 		MANAGEMENT SERVICES MO CHRISTIAN HEALTH SERVICES DEV CORP
  		C 121 114,118 100.000 %
(3) MB MEDICAL SERVICES INC
3015 N BALLAS ROAD
ST LOUIS,MO63131
43-1437404 		HEALTHCARE SERVICES MO MISSOURI BAPTIST MEDICAL CENTER
  		C 32 30,744 100.000 %
(4) MISSOURI BAPTIST HOME HEALTH CARE INC
3015 N BALLAS ROAD
ST LOUIS,MO63131
43-1460430 		INACTIVE MO N/A
 C      
(5) MB PHARMACY INC
3015 N BALLAS ROAD
ST LOUIS,MO63131
43-1640730 		INACTIVE MO N/A
 C      
(6) ST PETERS MED OFFICE BLDG A CONDO ASSN INC
1040 N MASON SUITE 109
ST LOUIS,MO63141
43-1472188 		CONDOMINIUM ASSOCIATION MO BARNES-JEWISH ST PETERS HOSPITAL
  		C 178,692 106,569 95.110 %
(7) DMP MIDWEST INC
ONE METROPOLITAN SQ 2600
ST LOUIS,MO63102
27-1943910 		INACTIVE MO  
C      
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) BARNES JEWISH HOSPITAL FOUNDATION

 C 3,334,500  
(2) BARNES JEWISH HOSPITAL FOUNDATION

 L 47,992,913  
(3) BARNES JEWISH HOSPITAL FOUNDATION

 N 1,909,922  
(4) BARNES JEWISH HOSPITAL FOUNDATION

 O 22,156  
(5) BARNES JEWISH HOSPITAL FOUNDATION

 P 31,512  
(6) CHRISTIAN HOSPITAL FOUNDATION

 C 15,375  
(7) ST LOUIS CHILDREN'S HOSPITAL FOUNDATION

 C 3,144,315  
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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