ST ALEXIUS MEDICAL CENTER

EIN: 364251846 501(c)(3) Health Care

ST LOUIS, MO

Total Revenue
$389,316,421
Total Expenses
$419,963,851
Total Assets
$244,255,383
Net Assets
$159,366,367
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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year
1998
Legal Domicile
IL
Phone
3147338000
Tax Period
2024-07-01 to 2025-06-30

St Alexius Medical Center, founded in 1998, is a major nonprofit in the Health Care sector that reported $352.2M in total revenue in fiscal year 2017. Expenses of $315.2M left a modest 10% surplus.

Mission

TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $397,835
Program Service Revenue $386,884,024
Investment Income $27,633
Other Revenue $2,006,929
TOTAL REVENUE $389,316,421

Expense Breakdown

Grants Paid $115,259
Salaries & Benefits $0
Fundraising Expenses $0
Program Expenses $312,436,805
Other Expenses $419,848,592
TOTAL EXPENSES $419,963,851

Year-over-Year Comparison

2024 2023 Change
Revenue $389,316,421 $377,416,549 +0.0%
Expenses $419,963,851 $499,404,106 -0.2%
Net Income $-30,647,430 $-121,987,557 -0.7%
Key Indicators
Grants to Organizations Grants to Individuals Lobbying Political Activity Foreign Activities Donor Advised Fund Schedule B Required
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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

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Governance

Voting Members
10
Independent Members
7
Employees
N/A
Volunteers
307

Governance Policies

Conflict of Interest Policy
Whistleblower Policy
Document Retention Policy

Special Practices & Reported Activities

Operated a School
Operated a Hospital
Provided First Class Travel
Reported Conflict of Interest
Reported Asset Diversion
Excess Benefit Transaction
Made Political Expenditures
Engaged in Lobbying
Operated Donor Advised Fund
Maintained Art Collections
Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
6
$1,487,194
Total Directors
11
$3,514,694
Key Employees
0
$0
Highest Compensated
0
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
GARY R LIPINSKI MD CHAIR 1.0
Officer Director
$0 $0 $0
JUDGE JOHN D TOURTELOT VICE CHAIR 1.0
Officer Director
$0 $0 $0
ROXANN E BARBER PRESIDENT, ST. ALEXIUS MEDICAL CENTER 0.0
Officer Director
$0 $36,046 $543,651
CHRISTOPHER A D'AGOSTINO DO DIRECTOR 0.0
Director
$0 $59,770 $653,056
JAY BERGMAN DIRECTOR 1.0
Director
$0 $0 $0
MARGARET WADE MD DIRECTOR 1.0
Director
$0 $0 $0
MARK HANSON ESQ DIRECTOR 1.0
Director
$0 $0 $0
MICHELLE JOHNSTON RN DIRECTOR 1.0
Director
$0 $0 $0
PATRICIA SZPESKOWSKI APRN DIRECTOR (END 3/2025) 1.0
Director
$0 $0 $0
POLLY DAVENPORT Director/President & CEO, ASCENSION ILLINOIS 0.0
Director
$0 $51,960 $2,317,987
THOMAS PALMER DIRECTOR 1.0
Director
$0 $0 $0
CARMEN L PHILLIPS ASSISTANT SECRETARY 0.0
Officer
$0 $20,819 $110,780
JULIE P ROKNICH SECRETARY 0.0
Officer
$0 $38,100 $431,255
KEVIN W LARKIN TREASURER/CFO, NW REGION ASCENSION ILLINOIS 0.0
Officer
$0 $26,492 $401,508
KEITH A PARROTT FORMER OFFICER (END 9/2022) 0.0
$0 $0 $821,945
RICHARD DOUGLAS CARTER FORMER OFFICER (END 6/2024) 0.0
$0 $30,961 $1,772,591
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2025 $389,316,421 $419,963,851 $244,255,383 $-30,647,430
2024 No data No data No data No data
2023 $383,355,883 $386,330,917 $340,409,372 $-2,975,034
2022 $357,690,166 $356,243,300 $356,085,915 $1,446,866
2021 $374,921,846 $337,985,402 $349,962,266 $36,936,444
2020 $328,343,866 $315,058,566 $342,175,263 $13,285,300
2019 $354,505,955 $335,898,709 $341,550,685 $18,607,246
2018 $352,152,862 $315,195,147 $394,453,094 $36,957,715
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