Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Missouri · Illinois · Kansas · Ranked 45 of 1033 by CEO pay.

BJC Health System

Richard Liekweg, President, Director. Fiscal year ending 2024-12.

$5.4M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.96%
of expenses spent on charity care
Schedule H Part I line 7a
4.6%
CEO pay as a share of all charity care

Also listed with a chief executive title in the same filings: Slhs Estes Melinda, Former President, CEO, $2,880,108; Hskc Davis John R MD, Chief Executive Officer, Director, $1,373,293. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$13,293,682,107
Total expenses
$12,296,500,578
Net assets
$9,639,628,822
Employees
64,837
Hospitals covered
24 facilities across 2 filings
Charity care, net
$117,814,150
Bad debt
$138,535,746
Medicare surplus (shortfall), as filed
($222,955,156)
CEO pay from the organization (Part VII col. D)
$4,840,488
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$552,413
CEO total compensation (D+E+F)
$5,392,901 to Richard Liekweg

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, BJC Health System, EIN 75-3052953, fiscal year ending 2024-12, as published by the IRS. CEO identification: manual override.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$1.2B Of which charity care to patients who could not pay (line 7a)$117.8M (9%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($138.5M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
BJC Health System Group Return75-30529532024-12$11.3B$117.8M1.10%990
BJC Health System dba BJC Healthcare43-16175582024-12$2.0B$8,7950.00%990

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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BJC Health System: CEO pay $5.4M, charity care 0.96% of expenses