St John Medical Center

Also known as Ascension St John Medical Center Ascension St John Hospital Ascension RX 16

St Louis, MO · EIN 73-0579286 · 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 John Medical Center reported $640.7 million in revenue and $662.7 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $78.94 went to program services, $21.06 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: 96.6% of the total. The highest compensation it reported for one person was $1,146,026 (FORMER OFFICER (END 11/2020)). 428 people received more than $100,000 in reportable compensation. Revenue rose 15% 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 $663M

Program services$78.94 $523M
Management & general$21.06 $140M
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 $641M

Contributions & grants (non-government)$2.27 $15M
Government grants$0.18 $1.2M
Program service revenue$96.62 $619M
Other revenue$0.93 $6.0M

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)	78.9%	85.6%
Management & general Part IX 25(C) ÷ 25(A)	21.1%	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	2.4%	1.3%
Government grants share of revenue Part VIII 1e ÷ 12	0.2%	0.1%
Program service revenue share Part VIII 2g ÷ 12	96.6%	93.7%
Highest reported compensation Part VII-A, columns D–F	$1,146,026	$975,831
Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A)	0.17%	1.34%
People paid over $100,000 Part VII, line 2	428	27
Net assets, in months of expenses Part X 33(B) ÷ monthly expenses	3.2	6.6
Independent voting board members Part VI 1a–1b	4 of 6	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

$523M expenses · 100.0% of program spending · grants $12M · revenue $620M

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. John Medical Center, Inc. is a 477-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2025, St. John Medical Center, Inc. treated 24,914 adults and children for a total of 138,362 patient days of service. The hospital also provided services for 195,096 outpatient visits…

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
FORMER OFFICER (END 11/2020) Former, 0.0 hrs/week	$0	$1,099,580	$46,446	$1,146,026
EX-OFFICIO/CEO, MINISTRY MARKET Director/trustee, officer, 0.0 hrs/week	$0	$893,185	$60,683	$953,868
CHIEF MEDICAL OFFICER Key employee, 50.0 hrs/week	$621,257	$0	$53,028	$674,285
FORMER OFFICER (END 2/2024) Former, 0.0 hrs/week	$0	$615,508	$3,826	$619,334
FORMER OFFICER (END 10/2019) Former, 0.0 hrs/week	$0	$619,310	$0	$619,310
SJMC COO Officer, 0.0 hrs/week	$0	$448,696	$44,626	$493,322
VP, PATIENT SAFETY & QUALITY (END 11/2024) Highest compensated employee, 50.0 hrs/week	$447,962	$0	$34,797	$482,759
CHIEF NURSING OFFICER (END 4/2025) Key employee, 50.0 hrs/week	$341,866	$102,024	$37,663	$481,553

428 people received more than $100,000 in reportable compensation from St John Medical Center (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.9M (Part IX, line 5).

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 ⓘ	$641M	$663M	78.9%	$178M	$1,146,026
FY2024 ⓘ	$600M	$616M	80.5%	$270M	$1,345,886
FY2023 ⓘ	$575M	$559M	79.6%	$183M	$1,340,091
FY2022 ⓘ	$584M	$575M	80.5%	$150M	$1,369,747
FY2021 ⓘ	$598M	$550M	81.1%	−$42M	$1,059,665
FY2020 ⓘ	$557M	$525M	78.2%	$41M	$1,028,896

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–1b6 · 4 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 2Yes
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 54,130
Volunteers Part I, line 6248

Largest outside contractors

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

NORTHSTAR ANESTHESIA OF OKLAHOMA PLLC Medical services	$14,953,653
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS Medical services	$8,911,132
LINEN KING LLC Laundry services	$1,933,683
OBHG OKLAHOMA PC Medical services	$1,574,324
ORTHOPEDIC & TRAUMA SERVICE OF OK PC Medical services	$1,248,630

Individuals listed as contractors are left out. 19 contractors were paid more than $100,000 in all.

Correct a figure or respond

Every number above is copied from St John 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 John Medical Center, you can publish a response that is linked from this page.

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

Similar-sized charities in this cause

Connecticut Children's Medical Center
Hartford, CT · revenue $640M · programs 71.5% · FY2025
Advocate Condell Medical Center
Oak Brook, IL · revenue $643M · programs 81.9% · 2024
Reid Hospital & Health CARE Services
Richmond, IN · revenue $638M · programs 84.9% · 2025
Meriter Hospital
Madison, WI · revenue $643M · programs 86.2% · 2024
Princeton Healthcare System a New Jersey Nonprofit Corporation
Plainsboro, NJ · revenue $638M · programs 91.8% · FY2025

All health care charities · Largest charities in Missouri

Questions people ask

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

In the fiscal year ending June 30, 2025, St John Medical Center reported that 78.9% of its $662.7 million in expenses went to program services, 21.1% to management and general and 0.0% to fundraising (Form 990, Part IX).

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

The largest total compensation St John Medical Center reported for one person in the fiscal year ending June 30, 2025 was $1,146,026, for the role of FORMER OFFICER (END 11/2020) (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does St John Medical Center get its money?

Of $640.7 million in revenue in the fiscal year ending June 30, 2025, 2.4% came from contributions and grants (including 0.2% from government grants) and 96.6% from program service revenue (Form 990, Part VIII).

Is St John Medical Center a registered charity?

The IRS lists EIN 73-0579286 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 202621329349307357 · read the filing
FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202541349349300224 · read the filing
FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202431339349301133 · read the filing
FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202331309349303788 · read the filing
FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202201369349307175 · read the filing
FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202121379349307347 · read the filing

All filings for EIN 73-0579286: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.