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Alexian Brothers Health System

Also known as See Schedule O

St Louis, MO · EIN 36-3260495 · 501(c)(3) · Hospital or medical research organization
Latest filing: Form 990 for the fiscal year ending June 30, 2025 (tax year 2024) · View the filing · Correct or respond

Alexian Brothers Health System reported $130.2 million in revenue and $155.4 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $96.35 went to program services, $0.33 to management and general costs and $3.32 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 81.9% of the total. The highest compensation it reported for one person was $10,919,629 (CHAIR (END 3/2025)). 1,205 people received more than $100,000 in reportable compensation. Revenue fell 56% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $155M

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $130M

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
MeasureFY2025Median
Program services
Part IX 25(B) ÷ 25(A)
96.4%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
0.3%13.7%
Fundraising
Part IX 25(D) ÷ 25(A)
3.3%0.0%
Fundraising cost per $1 of contributions
Part IX 25(D) ÷ Part VIII 1h
$0.80$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
4.9%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
0.7%0.1%
Program service revenue share
Part VIII 2g ÷ 12
81.9%93.7%
Highest reported compensation
Part VII-A, columns D–F
$10,919,629$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
7.03%1.34%
People paid over $100,000
Part VII, line 2
1,20527
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
-30.46.6
Independent voting board members
Part VI 1a–1b
1 of 588.9%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

FY2025 · Form 990, Part III · the three largest programs by expense
$150M expenses · 100.0% of program spending · grants $18M · revenue $107M

The filing organization is a part of the ascension catholic health ministry. Ascension is a faith-based healthcare organization that delivers personalized, compassionate care to all, especially to those who need it the most. Through partnerships with our associates, physicians and the community, we identify and develop effective responses to the health and housing needs of those we are called to serve. Alexian Brothers Health System (alexian) is a ministry organization of ascension health. The Alexian Brothers Health System provides the community with a full range of comprehensive healthcare…

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
CHAIR (END 3/2025)
Director/trustee, officer, 0.0 hrs/week
$0$10,184,916$734,713$10,919,629
VICE CHAIR (END 3/2025)
Director/trustee, officer, 0.0 hrs/week
$0$4,901,128$385,984$5,287,112
TREASURER (END 9/2024)
Director/trustee, officer, 0.0 hrs/week
$0$4,931,407$47,133$4,978,540
FORMER BOARD OFFICER (END 2/2023)
Former, 0.0 hrs/week
$0$4,823,160$0$4,823,160
SECRETARY (END 9/2024)
Director/trustee, officer, 0.0 hrs/week
$0$3,461,761$52,008$3,513,769
Director/President & CEO, ASCENSION ILLINOIS
Director/trustee, officer, 0.0 hrs/week
$0$2,266,027$51,960$2,317,987
PHYSICIAN
Highest compensated employee, 50.0 hrs/week
$1,797,912$0$68,013$1,865,925
FORMER OFFICER (END 4/2022)
Former, 0.0 hrs/week
$0$1,741,630$30,961$1,772,591

1,205 people received more than $100,000 in reportable compensation from Alexian Brothers Health System (Part VII, line 2).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$200M$400M$600M$800MFY2020FY2021FY2022FY2023FY2024FY2025$130M$155M
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$130M$155M96.4%−$394M$10,919,629
FY2024 ⓘ$158M$170M97.1%−$300M$6,571,852
FY2023 ⓘ$201M$193M97.2%−$347M$5,304,408
FY2022 ⓘ$500M$575M86.2%−$469M$5,702,000
FY2021 ⓘ$531M$542M81.6%−$565M$7,668,108
FY2020 ⓘ$293M$621M98.6%−$465M$16,377,863

Governance answers, as filed

FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means
  • Voting board members, and how many are independent Part VI, lines 1a–1b5 · 1 independent
  • Audited financial statements Part XII 2bYes
  • Conflict-of-interest policy Part VI 12aYes
  • Whistleblower policy Part VI 13Yes
  • Document retention policy Part VI 14Yes
  • Independent process for top executive pay Part VI 15aNo
  • Board given the 990 before filing Part VI 11aNo
  • Family or business ties among insiders Part VI 2No
  • Aware of a significant diversion of assets Part VI 5No
  • Excess benefit transaction with an insider Part IV 25aNo
  • Loans to or from insiders outstanding Part IV 26No
  • Lobbying, or a 501(h) election in effect Part IV 4Yes
  • Over $15,000 of professional fundraising services Part IV 18No
  • Over $10,000 of activity outside the U.S. Part IV 14bNo
  • Employees Part I, line 56,930
  • Volunteers Part I, line 62

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only
CHICAGO PHYSICIAN SERVICES PC
Physician services
$4,498,171
EIGHT ELEVEN GROUP LLC
Consulting services
$2,825,485
DES PLAINES PHYSICIAN SERVICES PC
Physician services
$2,138,886
WORLD WIDE TECHNOLOGY LLC
Technology services
$1,776,297
KANE PHYSICIAN SERVICES PC
Physician services
$713,173

Individuals listed as contractors are left out. 13 contractors were paid more than $100,000 in all.

Private foundation grants it received

4 private foundations reported grants to Alexian Brothers Health System totaling $62,575 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.

Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.

Correct a figure or respond

Every number above is copied from Alexian Brothers Health System's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Alexian Brothers Health System, you can publish a response that is linked from this page.

Similar-sized charities in this cause

All health care charities · Largest charities in Missouri

Questions people ask

How much of Alexian Brothers Health System's spending goes to programs?

In the fiscal year ending June 30, 2025, Alexian Brothers Health System reported that 96.4% of its $155.4 million in expenses went to program services, 0.3% to management and general and 3.3% to fundraising (Form 990, Part IX).

How much does Alexian Brothers Health System pay its top executive?

The largest total compensation Alexian Brothers Health System reported for one person in the fiscal year ending June 30, 2025 was $10,919,629, for the role of CHAIR (END 3/2025) (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Alexian Brothers Health System get its money?

Of $130.2 million in revenue in the fiscal year ending June 30, 2025, 4.9% came from contributions and grants (including 0.7% from government grants) and 81.9% from program service revenue (Form 990, Part VIII).

Is Alexian Brothers Health System a registered charity?

The IRS lists EIN 36-3260495 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

  • FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202611359349304521 · read the filing · XML
  • FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202511359349307071 · read the filing
  • FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202421369349304817 · read the filing
  • FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321339349300537 · read the filing
  • FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202231349349301958 · read the filing
  • FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202111339349305531 · read the filing

All filings for EIN 36-3260495: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.