Alexandras House

Nonprofit profile at a glance

EIN
431781842
IRS 990 coverage
2016–2025
Forms available
Form 990 2025
Location
Kansas City, MO, USA
Phone
8169312539
Rating
77
Verdict
SUPPORTED
Rating confidence
Standard
Sector
Reproductive Health Care Facilities and Allied Services

Reported finances

Revenue
$78,692
Expenses
$97,960
Assets
$666,759
Liabilities
$615

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

5 people listed

Executive titles in this filing

  • Patti Lewis (Executive Director)

People named in this filing

  • William Schwartz (Director)
  • Johnny Hart (Board Member)
  • Jeff Wall (Medical Director)

Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Perinatal-infant hospice providing spiritual, grief and practical support to families pregnant with terminally ill babies and for families whose babies are diagnosed later with terminal illness.

What it reported doing in 2025

Maintain home with house live-in staff. The family can come to alexandras house for support before birth and through babys life. The family may stay in house if housing is needed. We have two monthly meetings: second saturday is for families with an expected loss (diagnosis of a fatal anomaly during pregnancy) and the fourth saturday is for families with an unexpected loss such as stillbirth, sids, miscarriage, etc. These meetings are held at alexandras house. Average attendance is eight to twelve in both of these groups and some overlap as they are welcom to attend any group setting regardless of loss. We have an annual retreet each october and usually attended by 20 to 25 participants.

Operating model

Revenue model
Donor-supported. 95% of the money available for current operations came from contributions and gifts.
Distribution model
Direct operator. The filing allocates 96% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and program spending has declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 84
  • Transparency & Controls: 100
  • Accountability: 50
  • Sustainability: 43
  • Growth: 20

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 95.2%; rating input score 95
  • Program expense ratio: 76.3%; rating input score 76
  • Fundraising efficiency: $11.91 raised per $1 spent on fundraising; rating input score 56; 56th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 75%; rating input score 75; 25th percentile among comparable filings
  • Governance controls: 1 of 7 controls in place; rating input score 14
    • Conflict-of-interest policy: Fail
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: NotApplicable
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: -24.5%; rating input score 33; 33rd percentile among comparable filings
  • Total-asset coverage ratio: 6.81; rating input score 58; 58th percentile among comparable filings
  • Liabilities to assets ratio: 0; rating input score 28; 28th percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 58; 58th percentile among comparable filings

Growth

  • Program expense growth: -0.2% per year; rating input score 0; 47th percentile among comparable filings
  • Revenue growth: -4.5% per year; rating input score 0; 42nd percentile among comparable filings
  • Asset growth: 0.8% per year; rating input score 100; 41st percentile among comparable filings

Details

  • Where the money goes: 95.2% of revenue deployed · 76.3% of spending went to programs
  • Governance: 3 of 4 board members independent · 1 of 7 filing controls reported
  • Programs: 3 filed program accomplishments · $75K in reported program spending
  • Leadership: top reported pay $0 · 5 people listed
  • Consistency: 19 of 19 current checks pass
  • Schedules: 3 filed schedules
  • Filing history: 10 filing years from 2016 to 2025
  • Contacts: How to reach this organization
  • Money network: Resolved incoming and outgoing counterparties from filed money flows.
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Accountability: Governance controls: 5 of 6 not reported.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • Review — Financial Efficiency: Fundraising efficiency scored 56/100.
  • Moderate — Sustainability: Operating margin scored 33/100.
  • Review — Sustainability: Total-asset coverage ratio scored 58/100.
  • High — Sustainability: Liabilities to assets ratio scored 28/100.
  • Review — Sustainability: Officer compensation ratio scored 58/100.