Bjc Health System Group Return

What it reported doing in 2024

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. 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 $336.4 million during 2024 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 $449.2 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 an estimated $12.7 million during 2024 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 and, in fact, received the equivalent of financial assistance but were not initially identified as qualifying for financial assistance.

Financial Efficiency

• Mission deployment rate: 83.4%; rating input score 83
• Program expense ratio: 86.2%; rating input score 86
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 94.1%; rating input score 94; 28th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 98.1%; rating input score 98; 34th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 63.6%; rating input score 64; 18th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 5.6%; rating input score 59; 59th percentile among comparable filings
• Total-asset coverage ratio: 0.75; rating input score 30; 30th percentile among comparable filings
• Liabilities to assets ratio: 0.28; rating input score 58; 58th percentile among comparable filings
• Officer compensation ratio: 0.9%; rating input score 76; 76th percentile among comparable filings

Growth

• Program expense growth: 9.3% per year; rating input score 100; 71st percentile among comparable filings
• Revenue growth: 7.1% per year; rating input score 100; 61st percentile among comparable filings
• Asset growth: 3.4% per year; rating input score 100; 23rd percentile among comparable filings