BJC reports $335.5M operating gain, 3.8% margin through Q3: 5 things to know

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St. Louis-based BJC Health System reported a $335.5 million operating gain (3.8% margin) for the nine months ended Sept. 30, up from a $136.1 million operating gain (1.8% margin) in the same period last year, according to financial documents released published Nov. 14

Five things to know:

1. Total operating revenue rose to $8.9 billion for the nine-month period, up from $7.8 billion in the same period last year. Net patient revenue accounted for $8.1 billion, while other operating revenue reached $737 million.

2. Operating expenses increased to $8.6 billion, up from $7.6 billion year over year. The largest costs were salaries and benefits ($4.1 billion), supplies ($2.2 billion), and affiliation agreements and purchased services with Washington University School of Medicine ($599 million combined).

3. After accounting for nonoperating items, such as investment returns, BJC reported a net income of $1.1 billion, down from $2.5 billion in the same period in 2024. 

4. Cash and investments reached $9.2 billion as of Sept. 30, up from $8.3 billion at the same point last year. Total liquidity was $12 billion and long-term debt was $273.3 million.

5. BJC merged with Kansas City, Mo.-based Saint Luke’s Health System in January 2024. The transaction created a 28-hospital system that provides care to to more than 6 million patients across Missouri, Illinois and Kansas.

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