Healthcare services and Health education to communities we serve.

501(c)(3) charity; gifts are tax-deductible.
86¢ of each $1 spent went to programs.
Run by 1,517 volunteers and 39,877 employees.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · People: Part I, lines 5–6

Before you give

FY2024 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
4 of 5
filings with a surplus
Average surplus $213.2M a year · 3% of revenue · last 5 filings
Fine: a surplus in 4 of the last 5 filings.
Pt I · Ln 19 · 5 filings
Spent on programs
86%
of spending
Looks good: 86% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$89.8M
to officers and key staff · 0.8% of spending
Looks good: pay to officers and key staff is 1% of spending; 15% or less.
Pt VII · Sec A
<1 mo
of spending, in cash
Plus $1.24B in investments, Pt X · Ln 11–13
Fine: 0.2 months of spending in cash, plus $1.24B in investments.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
1
named funder · $19K
Fine: 1 funder names it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$2.2B
28% of total assets
Looks good: liabilities are 28% of assets; 50% or less.
Pt X · Ln 26
Independent board members
266
of 418 voting members
Looks good: 266 of 418 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$11.3B
+67% vs prior year
Spent
$10.6B
To programs
86%
Net assets
$5.7B
By yearFY2020–FY2024
Revenue
$11.3B
FY2024▲ +67%
Tap a bar for its year
Revenue by fiscal year
FY2020$5.7B
FY2021$5.8B
FY2022$6.1B
FY2023$6.7B
FY2024$11.3B
Expenses
$10.6B
FY2024▲ +61%
Tap a bar for its year
Expenses by fiscal year
FY2020$5.6B
FY2021$5.6B
FY2022$6.1B
FY2023$6.6B
FY2024$10.6B
Net assets
$5.7B
FY2024▲ +62%
Tap a bar for its year
Net assets by fiscal year
FY2020$2.9B
FY2021$3.1B
FY2022$3.5B
FY2023$3.5B
FY2024$5.7B

From the FY2024 Form 990 · see the original

Give Claim

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2024. IRS ruling in Mar 2002.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

86 cents of each dollar spent went to programs.

Program services 86% · $9.1B Management & general 14% · $1.5B

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

518 people listed on the 990; $89.8M paid to officers and key staff.

Part VII, Section A · reportable compensation
President, Director
$4,840,488Pt VII · Sec A
President & Treasurer
$3,017,412Pt VII · Sec A
Former President, CEO
$2,861,408Pt VII · Sec A
Exec VP, Chief Financial Officer
$2,371,297Pt VII · Sec A
West Region President
$2,205,625Pt VII · Sec A
Group President
$2,175,749Pt VII · Sec A
Group President
$2,015,751Pt VII · Sec A
SR. VP, General Counsel,sec'y
$1,932,878Pt VII · Sec A

Bjc Liekweg Richard’s $4.8M as President, Director is at the 96th percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2024FY2023FY2022FY2021FY2020
Bjc Liekweg Richard$4,840,488$3,642,692$3,309,861$3,334,874$2,583,086
Bjc Barto Nick$3,017,412$2,090,557$2,030,111$2,061,724$1,582,674
Slhs Estes Melinda$2,861,408————
Bjc Robb Charles$2,371,297————
Bjc Quirin Julie$2,205,625————
Bjc Cannon Robert W$2,175,749————
Bjh Cannon Robert W—$1,818,864$2,017,825$1,666,504$1,428,926
Bjc Magruder Joan$2,015,751————

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

See Bjc Health System Group Return executive salaries →

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2Yes
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes
  • Loans to or from officersSch L · Pt II1 listed

Programs and updates

Provides comprehensive healthcare services, funds medical research, and trains thousands of health professionals through academic partnerships to improve community health.

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Provided by the organization

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3 programs · $9.1B · in their own filed words · FY2024
01

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…

$6.7Bprogram expense
02

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 $112.8 million in financial assistance during 2024 to patients who were unable to pay for any or all of the care they needed.

$1.9Bprogram expense
03

Health Professions Education & Research

BJC helps build the future of health care by educating health professionals & advancing medical research innovations. Through our academic affiliation with washington university school of medicine, BJC helps ensure the ongoing training & development of health care professionals, which are critical to the health of the community & the…

$443.1Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2025
Ases FoundationFY2025$19K
Total grants receivedfrom 1 funder$19K
Grants paid · 142 grants · $45.7M · 2020–2024
Washington University School of MedicineFY2024$5,000,000
Unitemized GrantFY2024$2,814,277
City of Kansas City MissouriFY2024$175,532
Saint Luke's FoundationMO · FY2024$79,500
Rockhurst UniversityMO · FY2024$40,000
Gilda's Club Kansas CityMO · FY2024$30,000
Unitemized GrantFY2024$26,000
Alton Athletic AssociationIL · FY2024$22,000
Bethalto Community Unit School DistrictFY2024$22,000
Monroe County Health DepartmentFY2024$21,962
Jersey Community Unit School Dist 100FY2024$16,000
Northland Health Care AccessMO · FY2024$15,000
See all 142 grants →

By the numbers

The FY2024 990, line by line.

1The main four
Money inPt VIII
$11.3B
Ln 12
Fees for servicesLn 2g$10.4B
Other incomeLn 4–11$445.3M
Investment incomeLn 3$332.8M
Money outPt IX
$10.6B
Ln 25
Programscol B$9.1B
Managementcol C$1.5B
Owns and owesPt X
$5.7B
net assets · Ln 32
Cash and savingsLn 1–2$189.4M
Total assetsLn 16$8.0B
LiabilitiesLn 26$2.2B
PeoplePt VI, VII
518
listed · VII A
PaidVII A128
Voting boardVI 1a418
IndependentVI 1b266
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$108.1M
Government grantsLn 1e$59.9M
Noncash giftsLn 1g$45K
Fundraising eventsLn 1c$24K
Fees for servicesLn 2g$10.4B
Investment incomeLn 3$332.8M
Other incomeLn 4–11$445.3M
Gains on assetsLn 7$273.0M
Total revenueLn 12$11.3B
Assets in detailPt X, end of year
CashLn 1$147.3M
SavingsLn 2$42.1M
Cash and savings togetherLn 1–2$189.4M
InvestmentsLn 11–13$1.24B
Land, buildings, equipmentLn 10c$4.16B
Other assetsLn 15$742.6M
Total assetsLn 16$8.0B
LiabilitiesLn 26$2.2B
Net assetsLn 32$5.7B
OperationsPt I, VI
EmployeesI 539,877
VolunteersI 61,517
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY24End FY24
Cash and savingsLn 1–2−$692K$189.4M
InvestmentsLn 11–13$11.4M$1.24B
Land, buildings, equipmentLn 10c$2.81B$4.16B
Total assetsLn 16$4.24B$7.98B
LiabilitiesLn 26$694.1M$2.25B
Net assetsLn 32$3.55B$5.73B
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$6.7M$6.7M
Grants to domestic individualsLn 2$2.9M$2.9M
Pay of current officers, directors and key staffLn 5$68.3M$40.6M$27.7M
Pay of disqualified personsLn 6$442K$442K
Other salaries and wagesLn 7$3.20B$3.12B$83.9M
Pension plan contributionsLn 8$160.4M$156.0M$4.4M
Other employee benefitsLn 9$405.2M$394.6M$10.6M
Payroll taxesLn 10$227.8M$221.0M$6.9M
Management feesLn 11a$7.2M$6.8M$336K
Legal feesLn 11b$3.0M$3.0M
Accounting feesLn 11c$902K$902K
Lobbying feesLn 11d$1.4M$1.4M
Investment management feesLn 11f$1.9M$1.9M
Other fees for servicesLn 11g$1.27B$1.23B$40.8M
Advertising and promotionLn 12$7.6M$7.5M$51K
Office expensesLn 13$131.9M$123.0M$8.9M
Information technologyLn 14$93.9M$78.4M$15.5M
RoyaltiesLn 15$848K$848K
OccupancyLn 16$184.4M$171.9M$12.5M
TravelLn 17$10.0M$9.3M$711K
Conferences, conventions and meetingsLn 19$7.1M$6.5M$577K
InterestLn 20$59.3M$59.3M
Depreciation, depletion and amortizationLn 22$457.1M$324.7M$132.4M
InsuranceLn 23$66.2M$63.5M$2.7M
Other expenses (24a–d)Ln 24$3.80B$2.94B$856.7M
All other expensesLn 24e$446.4M$246.6M$199.8M
Total functional expensesLn 25$10.62B$9.15B$1.47B$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2024 Latest Viewing $11.3B$10.6B$630.5M$5.7B 990 PDF
FY2023 $6.7B$6.6B$158.2M$3.5B 990 PDF
FY2022 $6.1B$6.1B−$61.1M$3.5B 990 PDF
FY2021 $5.8B$5.6B$175.9M$3.1B 990 PDF
FY2020 $5.7B$5.6B$162.5M$2.9B 990 PDF

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Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support M · Noncash J · Pay O · Explanations
See the full FY2024 990 (6 parts)
Part I · Summary $11,251,316,536 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $41,159,926$108,104,682
I-9 Program service revenuePrior year $6,550,767,771$10,365,175,024
I-10 Investment incomePrior year $5,689,311$332,770,833
I-11 Other revenuePrior year $140,723,511$445,265,997
I-12 Total revenuePrior year $6,738,340,519$11,251,316,536
I-13 Grants and similar amounts paidPrior year $3,854,875$9,566,256
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $2,346,884,296$4,063,051,041
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $4,229,405,120$6,548,207,171
I-18 Total expensesPrior year $6,580,144,291$10,620,824,468
I-19 Revenue less expensesPrior year $158,196,228$630,492,068
Part VI · Governance 266 of 418 board members independent, 1 to look at
VI-1a Voting members of the governing body418
VI-1b Independent voting members266
VI-2 Family or business relationship among officers or directorsYes
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $11,251,316,536 across 14 lines filed
Lines not itemized here account for $202,465,023 of total revenue; see the IRS return.
VIII-1c Fundraising events$24,235
VIII-1d Related organizations$44,530,891
VIII-1e Government grants$59,872,926
VIII-1f All other contributions, gifts and grants$3,676,630
VIII-1g Noncash contributions (included above)$44,800
VIII-1h Total contributions, gifts and grants$108,104,682
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $10,196,384,725 · Unrelated business $25,771$10,196,410,496
VIII-3 Investment incomeExcluded from tax $59,647,254$59,647,254
VIII-5 RoyaltiesExcluded from tax $433,176$433,176
VIII-6 Net rental income or lossExcluded from tax $1,971,959$1,971,959
VIII-7 Net gain or loss on sales of assetsExcluded from tax $272,974,910$272,974,910
VIII-8 Net income from fundraising eventsExcluded from tax $70,742$70,742
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Related to mission $381,777,883 · Unrelated business $6,595,004 · Excluded from tax $20,865,407$409,238,294
VIII-12 Total revenueRelated to mission $10,731,323,963 · Unrelated business $12,517,472 · Excluded from tax $399,370,419$11,251,316,536
Part IX · Statement of functional expenses $10,620,824,468 across 26 lines filed
IX-1 Grants to domestic organizationsPrograms $6,681,179$6,681,179
IX-2 Grants to domestic individualsPrograms $2,885,077$2,885,077
IX-5 Pay of current officers, directors and key staffPrograms $40,570,726 · Management $27,698,743$68,269,469
IX-6 Pay of disqualified personsPrograms $441,977$441,977
IX-7 Other salaries and wagesPrograms $3,117,024,534 · Management $83,859,277$3,200,883,811
IX-8 Pension plan contributionsPrograms $156,029,676 · Management $4,383,817$160,413,493
IX-9 Other employee benefitsPrograms $394,626,786 · Management $10,597,575$405,224,361
IX-10 Payroll taxesPrograms $220,958,923 · Management $6,859,007$227,817,930
IX-11a Management feesPrograms $6,828,248 · Management $336,288$7,164,536
IX-11b Legal feesManagement $3,033,916$3,033,916
IX-11c Accounting feesManagement $902,488$902,488
IX-11d Lobbying feesManagement $1,448,916$1,448,916
IX-11f Investment management feesManagement $1,933,232$1,933,232
IX-11g Other fees for servicesPrograms $1,229,808,447 · Management $40,787,737$1,270,596,184
IX-12 Advertising and promotionPrograms $7,547,085 · Management $50,720$7,597,805
IX-13 Office expensesPrograms $123,011,212 · Management $8,865,046$131,876,258
IX-14 Information technologyPrograms $78,416,038 · Management $15,499,588$93,915,626
IX-15 RoyaltiesPrograms $847,647$847,647
IX-16 OccupancyPrograms $171,936,083 · Management $12,458,929$184,395,012
IX-17 TravelPrograms $9,271,785 · Management $710,583$9,982,368
IX-19 Conferences, conventions and meetingsPrograms $6,519,142 · Management $576,673$7,095,815
IX-20 InterestManagement $59,342,613$59,342,613
IX-22 Depreciation, depletion and amortizationPrograms $324,737,696 · Management $132,390,491$457,128,187
IX-23 InsurancePrograms $63,523,075 · Management $2,723,345$66,246,420
IX-24 Other expenses (24a–d)Programs $2,941,676,252 · Management $856,667,273$3,798,343,525
IX-24e All other expensesPrograms $246,551,059 · Management $199,805,564$446,356,623
IX-25 Total functional expensesPrograms $9,149,892,647 · Management $1,470,931,821 · Fundraising $0$10,620,824,468
Part X · Balance sheet $7,979,787,501 assets, 21 lines filed
Asset lines not itemized here account for $108,151; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $198,475$147,334,590
X-2 Savings and temporary cash investmentsStart of year −$890,015$42,108,341
X-4 Accounts receivableStart of year $992,920,034$1,396,770,416
X-8 Inventories for sale or useStart of year $117,511,500$205,689,107
X-9 Prepaid expenses and deferred chargesStart of year $9,593,540$48,524,189
X-10c Land, buildings and equipment, netStart of year $2,812,203,094$4,155,425,574
X-11 Publicly traded securitiesStart of year $40,509$472,963,715
X-12 Other securities$750,789,291
X-13 Program-related investmentsStart of year $11,408,960$14,902,857
X-14 Intangible assets$2,607,742
X-15 Other assetsStart of year $297,531,561$742,563,528
X-16 Total assetsStart of year $4,240,525,186$7,979,787,501
X-17 Accounts payable and accrued expensesStart of year $530,198,606$1,007,729,774
X-19 Deferred revenueStart of year $1,489,284$17,512,616
X-20 Tax-exempt bond liabilities$552,195,195
X-25 Other liabilitiesStart of year $162,387,205$669,806,416
X-26 Total liabilitiesStart of year $694,075,095$2,247,244,001
X-27 Net assets without donor restrictionsStart of year $3,516,253,510$5,676,311,105
X-28 Net assets with donor restrictionsStart of year $30,196,581$56,232,395
X-32 Total net assets or fund balancesStart of year $3,546,450,091$5,732,543,500
X-33 Total liabilities and net assetsStart of year $4,240,525,186$7,979,787,501
Part XI · Reconciliation of net assets $5,732,543,500 net assets at year end
XI-1 Total revenue$11,251,316,536
XI-2 Total expenses$10,620,824,468
XI-3 Revenue less expenses$630,492,068
XI-4 Net assets at start of year$3,546,450,091
XI-5 Net unrealized gains (losses) on investments−$224,836,005
XI-9 Other changes in net assets$1,780,437,346
XI-10 Net assets at end of year$5,732,543,500

Form 990 e-file (XML) FY2024 from the IRS · Classification, formation year and address from the IRS Business Master File

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