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      <FactsAndCircumstancesTestTxt>Part IV Section A Line 6 - Washington University Medical Center is organized, in part, to support safe and sustainable neighborhoods surrounding the WUMC campus that will complement the long-term growth of its supported organizations, Washington University and BJC Health System. Under Treasury Regulation 1.509a-4g1ii, as a supporting organization, WUMC may be operated for the benefit of other publically supported organizations,</FactsAndCircumstancesTestTxt>
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        <FormAndLineReferenceDesc>Part IV Section A Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>- contd - as long as WUMCs supported organizations purposes are carried out by benefitting these other organizations. The organizations disclosed on Schedule I qualify as publically supported organizations under the definition of Internal Revenue Code Section 509a3A and also support the safety and development of the neighborhoods surrounding WUMC.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV Section A Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>- contd - As a result, these grants directly benefit Washington University and BJC Health System by supporting the sustainability and long-term growth initiatives of the organizations.</ExplanationTxt>
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        <Desc>Financial derivatives and other financial products</Desc>
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      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
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        <FormAndLineReferenceDesc>V 4</FormAndLineReferenceDesc>
        <ExplanationTxt>- Washington University Medical Centers endowment was provided to support the day-to-day operations of WUMC. The endowment generates income through dividends, interest and gains from investment appreciation. There is a restricted amount. The unrestricted amount is used for operations.</ExplanationTxt>
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        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>- contd - Income taxes for the for-profit subsidiary companies WUMCRC, FWP and Kingman Redevelopment Corporation are provided based on the liability method of accounting. There is no provision or benefit for income taxes, current or deferred, for the subsidiaries for the years ended June 30, 2023 and June 30, 2022.</ExplanationTxt>
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        <ExplanationTxt>- contd - The Organization continually evaluates the effects of all tax positions taken including expiring statutes of limitations, tax eliminations, unrelated business income and new authoritative rulings. The Organization files federal information returns Form 990. Management is not aware of any uncertain tax positions of the Organization. The federal information return of the Organization is subject to examination by the IRS, generally for three years after the statutory dates of the returns.</ExplanationTxt>
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        <ExplanationTxt>- The Executive Director of WUMC determines what groups are supported by their community iniative and reviews how funds provided to the groups are used. The Executive Board monitors those funds.</ExplanationTxt>
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        <ExplanationTxt>- Utility, food, rent and other assitance provided to 59 families and 70 elderly residents as part of the organizations community initiative program.</ExplanationTxt>
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        <PersonNm>Richard Stanton</PersonNm>
        <TitleTxt>Member of the Board</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>506221</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>220000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>25922</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>30500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>21039</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>803682</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christopher Watts</PersonNm>
        <TitleTxt>Member of the Board as of 4/18/23</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>536464</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>186053</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>2795</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>64054</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>789366</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>24609</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mark Krieger</PersonNm>
        <TitleTxt>Member of the Board through 4/18/23</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>439211</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>223560</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>11651</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>53833</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>728255</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>73059</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Melissa Rockwell-Hopkins</PersonNm>
        <TitleTxt>Member of the Board</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>414897</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>50000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>19289</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>21350</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>30997</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>536533</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Corcoran</PersonNm>
        <TitleTxt>Treasurer Member of the Board</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>308180</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>82000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>24805</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>28868</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18198</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>462051</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Henry Webber</PersonNm>
        <TitleTxt>Former Chairman Member of the Board</TitleTxt>
        <OtherCompensationRltdOrgsAmt>378270</OtherCompensationRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>378270</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>208054</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brian Phillips</PersonNm>
        <TitleTxt>Executive Director</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>140708</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>15000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1327</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>16337</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>14524</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>187896</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 1 through 3</FormAndLineReferenceDesc>
        <ExplanationTxt>-None of the individuals listed in Schedule J are paid employees of WUMC nor do they receive compensation directly from WUMC. The related organizations which WUMC serves compensate these individuals as their employees. All amounts of compensation shown in Section A of Part VII and in Part II of Schedule J were paid by the individuals respective employers - BJC Health System EIN 75-3052953 and Washington University 43-0653611.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 1 through 3</FormAndLineReferenceDesc>
        <ExplanationTxt>- All compensation received by Executive Director Brian Phillips is paid by Washington University.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>- The following individuals received supplemental non-qualified retirement plan accruals from related organization BJC Health System as reported on BJC Health Systems Form 990</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>- Richard Liekweg - 605,542</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>- Robert Cannon - 226,888</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>- Mark Krieger - 117,674</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>- Sarah Terrace - 82,185</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>- Christopher Watts - 78,715</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>- David Aplington - 253,526</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individual received a contribution to a 457f plan maintained by Washington University -David Perlmutter - 263,925</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O" softwareId="22015461" softwareVersionNum="22.0.1.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>contd - teaching and training of medical and auxiliary personnel, and for medical research to solicit and receive contributions from whatever sources and of whatever kind for the advancement of medical teaching, research, and care to apply its funds to the pursuit of its general purposes, whether through its own enterprises or by contributions to the general or specific support of its member organizations to support safe and sustainable neighborhoods surrounding the WUMC campus that will complement and support the long-term growth of the institution to acquire property and private facilities for the advancement of medical teaching, research, and patient care to serve as planning and advisory agency for its member organizations with respect to physical facilities both new construction and renovation of existing building and equipment and the urban design of the campus, and expansion through additional property acquisitions and development, fund raising for the needs of the member organizations in accordance with the needs and requirements of the medical center as a whole and of its member organizations and generally, to do all things necessary, incident and related to the foregoing objects and purposes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Washington University Medical Center does not have a mission statement that has been formally adopted by the governing board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Officers and Members of The Board of Directors of WUMC are related to each other as Officers or employees of related organizations Washington University or BJC Health System. WUMC Directors Richard Liekweg, Robert Cannon, David Aplington, Mark Kreiger, Sarah Terrace, and Christopher Watts are Directors and/or Officers on the BJC Health System board. WUMC Directors David Perlmutter, Mary Corcoran, Richard Stanton, Melissa Rockwell-Hopkins, officer Brian Phillips, and Former Director Henry Webber are Officers or employees of The Washington University. There are no other relationships.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>WUMC has two 2 member organizations that include The Washington University and BJC Health System.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Washington University Tax Department prepares and reviews the Form 990 and other tax forms for WUMC and its subsidiaries. Prior to filing, the Form 990 is reviewed by Washington University Medical Centers Executive Director who signs the return.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>All Officers and Directors of WUMC are Officers and/or employees of The Washington University or BJC Health System, which both have written conflict of interest policies.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 13</FormAndLineReferenceDesc>
        <ExplanationTxt>All Officers and Directors of WUMC are Officers and/or employees of The Washington University or BJC Health System, which both have written whistleblower policies.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Section B, Line 14</FormAndLineReferenceDesc>
        <ExplanationTxt>All Officers and Directors of WUMC are Officers and/or employees of The Washington University or BJC Health System, which both have written document retention and destruction policies.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>None of The Officers or Members of The Board of Directors of WUMC are compensated by WUMC. However, all of the current Officers and Directors are Officers, Directors, and/or employees of related organizations Washington University or BJC Health System and are compensated by each respective organization as such. All compensation received by Executive Director Brian Phillips is paid by Washington University.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Section B, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organizations governing documents and financial statements are available upon request via mail.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Other fees for services are Interns - 25,121, License fees - 220, Consultant Fees - 1,000 and Operation services - 495,519</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>BJC Health System</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4444 Forest Park Ave</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63108</ZIPCd>
        </USAddress>
        <EIN>753052953</EIN>
        <PrimaryActivitiesTxt>Patient care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Washington University</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>One Brookings Drive</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63130</ZIPCd>
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        <PrimaryActivitiesTxt>Education, Research and Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>2</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Forest West Properties</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>1408 Tower Grove Ave</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63110</ZIPCd>
        </USAddress>
        <EIN>431029399</EIN>
        <PrimaryActivitiesTxt>Real estate holding</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Wash Univ Med Ctr</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-153474</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>2472585</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WUMC Redevelopment Corp</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>1408 Tower Grove Ave</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63110</ZIPCd>
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        <EIN>431030515</EIN>
        <PrimaryActivitiesTxt>Real estate development</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Kingman Redevelopment Corp</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1408 Tower Grove Ave</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63110</ZIPCd>
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        <EIN>431840779</EIN>
        <PrimaryActivitiesTxt>Real estate development</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Wash Univ Med Ctr</BusinessNameLine1Txt>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Forest West Properties Inc</BusinessNameLine1Txt>
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        <TransactionTypeTxt>b</TransactionTypeTxt>
        <InvolvedAmt>70800</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash Disbursement</MethodOfAmountDeterminationTxt>
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  </ReturnData>
</Return>
