Gillette Children's

What it reported doing in 2024

Patient Services: Founded in 1897, Gillette's vision is a world in which every child is able to create their own story. In collaboration with patients, families and partners, we redefine what is possible for children with brain, bone and movement conditions through clinical leadership, research and global advocacy. Gillette is dedicated to providing high quality subspecialty care to children with complex and/or disabling conditions. During 2024, Gillette served 28,749 unique patients from all 87 Minnesota counties, 41 U.S. states and territories, and 11 countries around the world.Gillette operates a 60 licensed-bed specialty hospital in St. Paul, Minnesota; clinics in Alexandria, Baxter, Bemidji, Burnsville, Duluth, Mankato, Maple Grove, St. Cloud, Willmar, and St. Paul, Minnesota, outreach collaborations across Minnesota and the Upper Midwest, and virtual telemedicine services.Gillette cares for patients who have some of the most complex, rare and traumatic conditions in pediatric medicine, including cerebral palsy, epilepsy, spina bifida, hydrocephalus, complex orthopedic conditions, craniofacial anomalies, genetic disorders, neurological conditions and brain and spinal cord injuries. Care at Gillette is clinically integrated, bringing experts together from multiple areas to coordinate and care for patients from initial diagnosis through the lifetime of their condition, with individualized care planning at the center of our work. This integrated care model has differentiated us from traditional health systems. For over 127 years, Gillette has led in the diagnosis and management of complex medical conditions through the development of innovative medical and surgical interventions, proven rehabilitative therapies and the novel application of customized services from compassionate health care professionals, Gillette's care helps ensure every child can create their own story and realize their full potential.Gillette is a regional referral center healthcare destination for people who have complex, rare and traumatic conditions that began in childhood. The diagnosis and management of these conditions requires significant clinical expertise and an integrated and proactive care planning system that support the delivery of a comprehensive treatment plan. The majority of conditions Gillette specializes in treating have courses of care that run for months, years, or an entire lifetime. Although a number of hospitals can and do provide certain pediatric specialty services, Gillette is unique in the region for specializing exclusively in the care and rehabilitation needs of individuals with medical complexity and lifelong conditions that affect the musculoskeletal and neurological systems.Gillette clinics across greater Minnesota improve access to care for families who live outside the Twin Cities metro area, and support local providers by facilitating collaboration with Gillette specialists. Gillette continues to enhance its presence around the state, aiming for a more consistent presence in key communities and providing more consistent scheduling and give families greater access to care. Gillette continues work to implement virtual care (telemedicine) services into its clinics and other care settings. Virtual care enables providers to hold consultations with patients via video conference, with 9,457 virtual appointments performed during 2024, primarily within medical clinic services and rehabilitation therapies.During 2024, Gillette served 28,749 unique patients from all 87 Minnesota counties, 41 U.S. states and territories, and 11 countries internationally. A large and geographically diverse network of referring physicians has driven growth. There were 2,126 inpatient admissions, with an average length of stay of 4.6 days, and 148,521 outpatient visits during 2024. Gillette physicians performed 3,741 inpatient and outpatient surgeries in 2024. The top conditions seen at Gillette include cerebral palsy, limb-length discrepancy, develop

Financial Efficiency

• Mission deployment rate: 77.3%; rating input score 77
• Program expense ratio: 86.5%; rating input score 87
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 37.9%; rating input score 38; 8th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 85.7%; rating input score 86; 32nd 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: 6.4%; rating input score 62; 62nd percentile among comparable filings
• Total-asset coverage ratio: 1.39; rating input score 51; 51st percentile among comparable filings
• Liabilities to assets ratio: 0.3; rating input score 56; 56th percentile among comparable filings
• Officer compensation ratio: 2.9%; rating input score 39; 39th percentile among comparable filings

Growth

• Program expense growth: 4.5% per year; rating input score 100; 35th percentile among comparable filings
• Revenue growth: 4.9% per year; rating input score 100; 41st percentile among comparable filings
• Asset growth: 6.2% per year; rating input score 100; 46th percentile among comparable filings