Ascension Saint Alexius

Legal name: St Alexius Medical Center

Nonprofit profile at a glance

EIN
364251846
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
St. Louis, MO, US
Phone
(847) 843-2000
Rating
67
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$389,316,421
Expenses
$419,963,851
Assets
$244,255,383
Liabilities
$84,889,016

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

Leadership & pay

16 people listed

Executive titles in this filing

  • ROXANN E BARBER (PRESIDENT, ST. ALEXIUS MEDICAL CENTER)
  • POLLY DAVENPORT (Director/President & CEO, ASCENSION ILLINOIS)

Highest reported compensation

  • POLLY DAVENPORT (Director/President & CEO, ASCENSION ILLINOIS): $2,317,987 total reported compensation
  • RICHARD DOUGLAS CARTER (FORMER OFFICER (END 6/2024)): $1,772,591 total reported compensation
  • KEITH A PARROTT (FORMER 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.

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. 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.

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. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 69
  • Transparency & Controls: 65
  • Accountability: 69
  • Sustainability: 28
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 80.3%; rating input score 80
  • Program expense ratio: 74.4%; rating input score 74
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th 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: 58.8%; rating input score 59; 12th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 70%; rating input score 70; 21st 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: -7.9%; rating input score 10; 10th percentile among comparable filings
  • Total-asset coverage ratio: 0.58; rating input score 22; 22nd percentile among comparable filings
  • Liabilities to assets ratio: 0.35; rating input score 51; 51st percentile among comparable filings
  • Officer compensation ratio: 0.1%; rating input score 94; 94th percentile among comparable filings

Growth

  • Program expense growth: 0.6% per year; rating input score 100; 9th percentile among comparable filings
  • Revenue growth: 1.2% per year; rating input score 100; 9th percentile among comparable filings
  • Asset growth: 0.2% per year; rating input score 100; 8th percentile among comparable filings

Details

  • What they do: 1 operating location identified
  • Where the money goes: 80.3% of revenue deployed · 74.4% of spending went to programs
  • Governance: 7 of 10 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $312.4M in reported program spending
  • Leadership: top reported pay $2.3M · 16 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $12.3M reported
  • Consistency: 29 of 30 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 15 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 2 filed money-flow records
  • Related organizations: 379 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: Governance controls: 3 of 9 not reported.
  • Review — Transparency & Controls: Grant itemization coverage scored 59/100.
  • High — Sustainability: Operating margin scored 10/100.
  • High — Sustainability: Total-asset coverage ratio scored 22/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Sustainability: Liabilities to assets ratio scored 51/100.