Ascension

Legal name: Alexian Brothers Ambulatory Group

Nonprofit profile at a glance

EIN
364336931
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
St Louis, MO, USA
Phone
3147338000
Rating
67
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Treatment Facilities, Primarily Outpatient
Affiliation
Christianity

Official website

Reported finances

Revenue
$79,967,373
Expenses
$110,327,901
Assets
$625,873,832
Liabilities
$32,432,752

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

6 people listed

Executive titles in this filing

  • REINHOLD H LLERENA MD (PRESIDENT)

Highest reported compensation

  • RICHARD DOUGLAS CARTER (FORMER OFFICER (END 6/2024)): $1,772,591 total reported compensation
  • REINHOLD H LLERENA MD (PRESIDENT): $851,413 total reported compensation
  • KEITH A PARROTT (FORMER BOARD OFFICER (END 9/2022)): $821,945 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

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.

What it reported doing in 2024

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. Alexian Brothers Ambulatory Group, d/b/a Alexian Brothers Medical Group (ABMG) is a multi-specialty employed physician group of Alexian Brothers Health System comprised of Primary Care, OBGYN and Specialty Care Health Services at select sites throughout the Alexian Brothers Health System service area. There are approximately 140 physicians and advance practice providers in ABMG. Our clinicians are patient-centered, compassionate and expertly trained. Our goal is to be the professionals entrusted with a lifetime of care and collaborate with our patients to offer the most effective and clinically proven strategies for their healthcare needs. Dozens of convenient locations for ABMG offer flexible access, prompt treatment for seasonal infections, preventive focus through annual physicals, treatment for minor injuries and illnesses, routine health screenings, management of chronic conditions like diabetes or hypertension and coordination of care with specialists. About Alexian Brothers Health System: Alexian Brothers Medical Group is a member of Alexian Brothers Health System, a comprehensive and diversified healthcare organization headquartered in the city of Chicago. Alexian Brothers Health System is a Ministry Organization of Ascension Health. Alexian Brothers Health System provides the community with a full range of comprehensive healthcare services and access to the most advanced medical technology. We are passionate about delivering exceptional health care and are proud of the powerful, cutting-edge technology our skilled professionals are able to access. In addition, we offer a wide range of community health services, corporate wellness programs, preventive care and education. Our ministries exist to continue the Alexian Brothers mission of caring for the sick, the poor and the dying and promoting the physical, mental, spiritual and social health and well-being of all individuals we serve.

Operating model

Revenue model
Other-operating. 100% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% 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. A relatively small share of voting board members are independent and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.

Rating breakdown

  • Financial Efficiency: 84
  • Transparency & Controls: 67
  • Accountability: 28
  • Sustainability: 47
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 86%; rating input score 86
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 0%; rating input score 0; 4th percentile among comparable filings
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -38%; rating input score 2; 2nd percentile among comparable filings
  • Total-asset coverage ratio: 5.67; rating input score 86; 86th percentile among comparable filings
  • Liabilities to assets ratio: 0.05; rating input score 89; 89th percentile among comparable filings
  • Officer compensation ratio: 0.2%; rating input score 91; 91st percentile among comparable filings

Growth

  • Program expense growth: 4.8% per year; rating input score 100; 38th percentile among comparable filings
  • Revenue growth: 3.9% per year; rating input score 100; 32nd percentile among comparable filings
  • Asset growth: 23.2% per year; rating input score 100; 95th percentile among comparable filings

Details

  • What they do: Mission, programs, and operating context captured from the official website.
  • Where the money goes: 100% of revenue deployed · 86% of spending went to programs
  • Governance: 0 of 1 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $94.9M in reported program spending
  • Leadership: top reported pay $1.8M · 6 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $20.1M reported
  • Consistency: 25 of 25 current checks pass
  • Schedules: 5 filed schedules · includes executive pay and related organizations
  • Filing history: 15 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Related organizations: 377 filed related-organization links
  • 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: Independent voting board scored 0/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Sustainability: Operating margin scored 2/100.