Alexian Brothers Community Services

Nonprofit profile at a glance

EIN
364344423
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
St Louis, MO, USA
Phone
3147338000
Rating
60
Verdict
SUPPORTED
Rating confidence
Moderate

Reported finances

Revenue
$36,918,306
Expenses
$32,134,161
Assets
$50,109,435
Liabilities
$7,855,802

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

Leadership & pay

15 people listed

Executive titles in this filing

  • ERIN SHADBOLT (VP POST ACUTE & AT-HOME SERVICES & CEO)
  • VICKI E GUERTIN (EXECUTIVE DIRECTOR)

Highest reported compensation

  • PETER M LEIBOLD (FORMER BOARD OFFICER (END 6/2024)): $2,693,006 total reported compensation
  • AARON G SHOEMAKER MD (DIRECTOR): $1,651,561 total reported compensation
  • LISA ANN MUSGRAVE MHA BSN RN (SECRETARY/SENIOR VP, POST-ACUTE AND AT-HOME SERVICES): $1,599,602 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 community services (abcs) operates a program of all-inclusive care for the elderly ("pace"). Pace is a community-based program whose purpose is to serve the frail elderly. The pace program enables its participants to remain independent in their own homes and communities through a unique system of managed care. Pace combines medicare and medicaid funds to provide comprehensive health and social services in the home, in the community and in the hospital or nursing facility. In fiscal year 2025 an average of 276.4 participants were provided care and services through pace. Live at home served an average of 96 members. Home care provided over 7,267 hours of service to individuals.

Operating model

Revenue model
Other-operating. 96% 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. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.

Rating breakdown

  • Financial Efficiency: 60
  • Transparency & Controls: 67
  • Accountability: 57
  • Sustainability: 63
  • Growth: 20

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 63.7%; rating input score 64
  • Program expense ratio: 72.6%; rating input score 73
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd 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: 50%; rating input score 50; 8th 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: 13%; rating input score 73; 73rd percentile among comparable filings
  • Total-asset coverage ratio: 1.56; rating input score 52; 52nd percentile among comparable filings
  • Liabilities to assets ratio: 0.16; rating input score 64; 64th percentile among comparable filings
  • Officer compensation ratio: 4.8%; rating input score 52; 52nd percentile among comparable filings

Growth

  • Program expense growth: -3.1% per year; rating input score 0; 5th percentile among comparable filings
  • Revenue growth: -1.2% per year; rating input score 0; 5th percentile among comparable filings
  • Asset growth: 0.2% per year; rating input score 100; 11th percentile among comparable filings

Details

  • Where the money goes: 63.7% of revenue deployed · 72.6% of spending went to programs
  • Governance: 2 of 4 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $23.3M in reported program spending
  • Leadership: top reported pay $2.7M · 15 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $10.3M reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 6 filed schedules · includes executive pay and related organizations
  • Filing history: 15 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 6 filed money-flow records
  • 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 — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Independent voting board scored 50/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • Review — Sustainability: Total-asset coverage ratio scored 52/100.
  • Review — Sustainability: Officer compensation ratio scored 52/100.