St Alexius Medical Center

Also known as See Schedule O

St Louis, MO · EIN 36-4251846 · 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

St Alexius Medical Center reported $389.3 million in revenue and $420.0 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $74.40 went to program services, $25.60 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 99.4% of the total. The highest compensation it reported for one person was $2,317,987 (Director/President & CEO, ASCENSION ILLINOIS). Revenue rose 19% 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 $420M

Program services$74.40 $312M
Management & general$25.60 $108M
Fundraising$0.00 $0

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 $389M

Contributions & grants (non-government)$0.08 $310K
Government grants$0.02 $88,221
Program service revenue$99.37 $387M
Investment income$0.01 $27,633
Other revenue$0.52 $2.0M

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.
Measure	FY2025	Median
Program services Part IX 25(B) ÷ 25(A)	74.4%	85.6%
Management & general Part IX 25(C) ÷ 25(A)	25.6%	13.7%
Fundraising Part IX 25(D) ÷ 25(A)	0.0%	0.0%
Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h	$0.00	$0.00
Contributions & grants share of revenue Part VIII 1h ÷ 12	0.1%	1.3%
Government grants share of revenue Part VIII 1e ÷ 12	0.0%	0.1%
Program service revenue share Part VIII 2g ÷ 12	99.4%	93.7%
Highest reported compensation Part VII-A, columns D–F	$2,317,987	$975,831
Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A)	0.55%	1.34%
People paid over $100,000 Part VII, line 2	0	27
Net assets, in months of expenses Part X 33(B) ÷ monthly expenses	4.6	6.6
Independent voting board members Part VI 1a–1b	7 of 10	88.9%

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

$312M expenses · 100.0% of program spending · grants $115K · revenue $387M

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. St. Alexius Medical Center is a 318-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2025, St. Alexius Medical Center treated 14,805 adults and children for a total of 66,060 patient days of service. The hospital also provided services for 61,180 outpatient visits, which…

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here

Role	From this org	From related orgs	Other	Total
Director/President & CEO, ASCENSION ILLINOIS Director/trustee, 0.0 hrs/week	$0	$2,266,027	$51,960	$2,317,987
FORMER OFFICER (END 6/2024) Former, 0.0 hrs/week	$0	$1,741,630	$30,961	$1,772,591
FORMER OFFICER (END 9/2022) Former, 0.0 hrs/week	$0	$821,945	$0	$821,945
DIRECTOR Director/trustee, 0.0 hrs/week	$0	$593,286	$59,770	$653,056
PRESIDENT, ST. ALEXIUS MEDICAL CENTER Director/trustee, officer, 0.0 hrs/week	$0	$507,605	$36,046	$543,651
SECRETARY Officer, 0.0 hrs/week	$0	$393,155	$38,100	$431,255
TREASURER/CFO, NW REGION ASCENSION ILLINOIS Officer, 0.0 hrs/week	$0	$375,016	$26,492	$401,508
ASSISTANT SECRETARY Officer, 0.0 hrs/week	$0	$89,961	$20,819	$110,780

0 people received more than $100,000 in reportable compensation from St Alexius Medical Center (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

Filing	Revenue	Expenses	Programs	Net assets	Top pay
FY2025 ⓘ	$389M	$420M	74.4%	$159M	$2,317,987
FY2024 ⓘ	$377M	$499M	77.7%	$162M	$2,135,803
FY2023 ⓘ	$383M	$386M	71.8%	$234M	$2,367,708
FY2022 ⓘ	$358M	$356M	71.2%	$242M	$2,054,866
FY2021 ⓘ	$375M	$338M	70.3%	$233M	$1,716,797
FY2020 ⓘ	$328M	$315M	64.8%	$247M	$2,216,400

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–1b10 · 7 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 4No
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 50
Volunteers Part I, line 6307

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only

MIDWEST ANESTHESIA PARTNERS LLC Medical services	$6,698,259
OBHG ILLINOIS SC Medical services	$2,145,125
MIDWEST DIGESTIVE HEALTH & NUTRITION PLLC Health & nutrition services	$2,102,283
MARBERRY LAUNDRY LLC Laundry services	$842,464
SUBURBAN SURGICAL CARE SPECIALISTS SC Medical services	$506,624

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

Correct a figure or respond

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

Report a correction Respond as St Alexius Medical Center How this works

Similar-sized charities in this cause

Henry Ford Health Genesys Hospital
Detroit, MI · revenue $388M · programs 81.0% · FY2025
Rutland Hospital
Rutland, VT · revenue $389M · programs 78.0% · FY2025
Trinity Health & Affiliates
Minot, ND · revenue $386M · programs 87.2% · FY2025
Texas Essential Healthcare Partnerships Foundation
Austin, TX · revenue $391M · programs 100.0% · 2024
Canton-Potsdam Hospital
Potsdam, NY · revenue $386M · programs 90.0% · 2024

All health care charities · Largest charities in Missouri

Questions people ask

How much of St Alexius Medical Center's spending goes to programs?

In the fiscal year ending June 30, 2025, St Alexius Medical Center reported that 74.4% of its $420.0 million in expenses went to program services, 25.6% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does St Alexius Medical Center pay its top executive?

The largest total compensation St Alexius Medical Center reported for one person in the fiscal year ending June 30, 2025 was $2,317,987, for the role of Director/President & CEO, ASCENSION ILLINOIS (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does St Alexius Medical Center get its money?

Of $389.3 million in revenue in the fiscal year ending June 30, 2025, 0.1% came from contributions and grants (including 0.0% from government grants) and 99.4% from program service revenue (Form 990, Part VIII).

Is St Alexius Medical Center a registered charity?

The IRS lists EIN 36-4251846 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 202611339349304206 · read the filing · XML
FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202541349349312859 · read the filing
FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202411349349308546 · read the filing
FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321339349300037 · read the filing
FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202201339349310490 · read the filing
FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202131339349305633 · read the filing

All filings for EIN 36-4251846: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.