Saint Francis Healthcare System
Nonprofit profile at a glance
- EIN
- 430662499
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Cape Girardeau, MO, United States
- Phone
- 573-331-5152
- Rating
- 81
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Hospitals and Related Primary Medical Care Facilities
- Affiliation
- Christianity
Reported finances
- Revenue
- $215,855,247
- Expenses
- $220,557,947
- Assets
- $871,339,252
- Liabilities
- $838,477,230
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
13 people listed
Executive titles in this filing
- JUSTIN DAVISON (PRESIDENT/CEO)
- MARYANN REESE (PRESIDENT/CEO (FORMER))
Highest reported compensation
- JUSTIN DAVISON (PRESIDENT/CEO): $1,065,787 total reported compensation
- MARYANN REESE (PRESIDENT/CEO (FORMER)): $163,652 total reported compensation
- SUSAN TOMLIN (DIRECTOR): $5,341 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
The Mission of Saint Francis Healthcare System is to provide a ministry of healing, wellness, quality and love inspired by our faith in Jesus Christ. For patients with non-valvular atrial fibrillation, the minimally invasive WATCHMAN™ procedure provides a reduced risk of stroke without the dangers associated with taking anti-coagulate medication (blood thinners). The WATCHMAN™ device is implanted in the left atrial appendage and helps reduce the formation of blood clots, ultimately lowering stroke risk. Pacemakers Pacemakers are devices that keep the heart from beating too slowly. These devices are implanted in the chest and monitor the heart’s rhythm. If the heartbeat is too slow (bradycardia), the pacemaker will send small electrical signals to the heart to make it beat at a more stable pace.
What it reported doing in 2024
Provide a ministry of healing, wellness, quality and love inspired by our faith in jesus christ. Saint francis medical center, a 306 bed acute care hospital was organized by saint francis healthcare system.
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
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and some filing-based governance responses are negative or unanswered.
Rating breakdown
- Financial Efficiency: 71
- Transparency & Controls: 94
- Accountability: 85
- Sustainability: 43
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 80.4%; rating input score 80
- Program expense ratio: 78.7%; rating input score 79
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 83.3%; rating input score 83; 31st percentile among comparable filings
- Governance controls: 7 of 8 controls in place; rating input score 88
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: NotApplicable
- Form 990 shared with the board: Fail
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -2.2%; rating input score 18; 18th percentile among comparable filings
- Total-asset coverage ratio: 3.95; rating input score 82; 82nd percentile among comparable filings
- Liabilities to assets ratio: 0.96; rating input score 8; 8th percentile among comparable filings
- Officer compensation ratio: 0.6%; rating input score 83; 83rd percentile among comparable filings
Growth
- Program expense growth: 35% per year; rating input score 100; 97th percentile among comparable filings
- Revenue growth: 26.2% per year; rating input score 100; 96th percentile among comparable filings
- Asset growth: 26.2% per year; rating input score 100; 96th percentile among comparable filings
Details
- What they do: 8 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 80.4% of revenue deployed · 78.7% of spending went to programs
- Governance: 10 of 12 board members independent · 7 of 8 filing controls reported
- Programs: 1 filed program accomplishment · $173.5M in reported program spending
- Leadership: top reported pay $1.1M · 13 people listed · 5 of 6 pay-setting controls reported
- Consistency: 18 of 18 current checks pass
- Schedules: 7 filed schedules · includes executive pay
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 2 filed money-flow records
- Related organizations: 9 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.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Sustainability: Operating margin scored 18/100.
- Review — Accountability: Governance controls: Form 990 shared with the board not reported.
- High — Sustainability: Liabilities to assets ratio scored 8/100.