Notes to SEFA
The schedule of expenditures of federal awards (Schedule), by grantor agency, presents the program expenditures for all federal award programs of BJC Health System (BJC) that had expenditures for the year ended December 31, 2025. For purposes of this report, federal awards are those received directly from a federal agency and those awards received from other agencies, the original source of which was a federal agency. The expenditures reported in the Schedule have been presented on the accrual basis of accounting, in conformity with accounting principles generally accepted in the United States of America. The information in the Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (the Uniform Guidance). Accordingly, some amounts presented in the Schedule may differ from amounts presented in or used in the preparation of the consolidated financial statements.
Indirect cost rates for BJC were based on applicable U.S. Department of Health and Human Services (HHS) negotiated rates, the 10% or 15% de minimis indirect cost rate allowed by the Uniform Guidance, or sponsor-specific rates.
Expenditures for disaster grants from the U.S. Department of Homeland Security are recorded on the Schedule when the funds are obligated by the federal agency through the approval of the Project Worksheets and eligible expenditures have been incurred, and are presented net of estimated insurance recoveries, if any. Disaster grant expenditures included in the Schedule for the year ended December 31, 2025, that were incurred in prior fiscal years were $2,442,483.
BJC participates in the Federal Direct Student Loans (Assistance Listing No. 84.268) program, which includes Federal Stafford Loans and Federal Parent Loans for Undergraduate Students. During the year ended December 31, 2025, new loans made under the Federal Direct Student Loans program totaled $7,186,785. Since these loans are made directly by the federal government to students, new loans made during the year ended December 31, 2025, relating to the program are considered current-year federal expenditures, whereas the outstanding loan balances are not.