ST ALEXIUS MEDICAL CENTER

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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

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 $389.3M in total revenue in fiscal year 2024.

Mission

Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.

Program Service Accomplishments

Program 1

Expenses: $312,436,805 Revenue: $386,912,976

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...

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 included 6,834 outpatient surgeries and 68,014 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.

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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%)

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

Governance

Voting Members

Independent Members

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

$1,487,194

Total Directors

$3,514,694

Key Employees

Highest Compensated

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