HSHS St. Elizabeth's Foundation / St. Elizabeth's Hospital

Legal name: St Elizabeth's Hospital of the Hospital Sisters of the Third Order of St Fr Ancis

Nonprofit profile at a glance

EIN
370663567
IRS 990 coverage
2009–2024
Official website data refreshed
Jul 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
O'Fallon, IL, United States
Phone
618-234-2120
Rating
79
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General
Affiliation
Christianity

Official website

Reported finances

Revenue
$337,103,552
Expenses
$314,150,521
Assets
$300,271,861
Liabilities
$688,630,619

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

Leadership & pay

20 people listed

Executive titles in this filing

  • CHRIS KLAY (PRESIDENT/CEO)

Highest reported compensation

  • Michael Scialdone (Treasurer / HSHS SVP & CFO): $912,947 total reported compensation
  • PATRICIA ALLEN (CFO - CARE DELIVERY (until 4/30/25)): $649,158 total reported compensation
  • CHRIS KLAY (PRESIDENT/CEO): $566,691 total reported compensation

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

Overview

Mission

To reveal and embody Christ’s healing love for all people through our high-quality Franciscan health care ministry. Provided doctors, nurses, medical staff, volunteers and family caregivers with the tools necessary to provide healing, hope, and joy to people who live in areas where poverty and disease are rampant. Equipped 530 medical mission organizations with medical supplies and equipment. Saved and redistributed 10 million pounds of surplus medical equipment and supplies valued at over $85 million that would have otherwise ended up in landfills. Since our founding in 2002, Mission Outreach has: Improved healthcare quality and saved lives in more than 95 low-resource countries around the world. Provided doctors, nurses, medical staff, volunteers and family caregivers with the tools necessary to provide healing, hope, and joy to people who live in areas where poverty and disease...

What it reported doing in 2024

Cardiac Services Program Description HSHS St. Elizabeth's Hospital provides a comprehensive continuum of cardiovascular services, encompassing diagnostic evaluation, interventional and surgical treatment, rehabilitation, and wellness management. Services are delivered in compliance with applicable federal, state, and accrediting body standards. Accreditation and Certification: HSHS St. Elizabeth's Hospital maintains accreditation through the Society of Chest Pain Centers, an organization that establishes and monitors adherence to evidence-based protocols for the care of patients presenting with acute coronary syndromes. Accreditation affirms organizational compliance with national standards related to early identification, intervention, and patient education regarding myocardial infarction. Partnerships and Advanced Procedures: In collaboration with the Prairie Heart and Vascular Institute, HSHS St. Elizabeth's Hospital provides advanced structural heart and device-based therapies. Electrophysiology Services: The hospital operates an Electrophysiology (EP) Laboratory. The EP program provides diagnostic evaluation, therapeutic intervention for complex arrhythmias, and device implantation (including pacemakers and implantable cardioverter-defibrillators). Cardiac Catheterization and Interventional Cardiology: Comprehensive cardiac catheterization services are provided, including diagnostic angiography, percutaneous coronary intervention (PCI), and stent placement. Vascular Services: HSHS St. Elizabeth's Hospital provides comprehensive vascular diagnostic and interventional services in alignment with Intersocietal Accreditation Commission (IAC) Vascular Testing standards and other regulatory requirements. HSHS St. Elizabeth's provides coronary artery bypass grafting (CABG) and other open-heart surgical interventions in accordance with accepted surgical standards of care. Cardiac Rehabilitation: The hospital maintains a structured, multi-phase cardiac rehabilitation program. Services include monitored exercise therapy, patient education, and long-term wellness support, in compliance with American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) guidelines. Program Commitment: HSHS St. Elizabeth's Hospital is committed to maintaining compliance with all regulatory standards, to continuous quality improvement, and to the provision of safe, effective, and evidence-based cardiovascular care for the regional patient population.

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. Total assets are small relative to annual expenses; liquid coverage is unknown and liabilities are high compared with assets.

Rating breakdown

  • Financial Efficiency: 67
  • Transparency & Controls: 87
  • Accountability: 95
  • Sustainability: 50
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 73.2%; rating input score 73
  • Program expense ratio: 79.2%; rating input score 79
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 84.6%; rating input score 85; 1st 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: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 92%; rating input score 92; 24th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 90.9%; rating input score 91; 39th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 6.8%; rating input score 63; 63rd percentile among comparable filings
  • Total-asset coverage ratio: 0.96; rating input score 38; 38th percentile among comparable filings
  • Liabilities to assets ratio: 2.29; rating input score 1; 1st percentile among comparable filings
  • Officer compensation ratio: 0.6%; rating input score 81; 81st percentile among comparable filings

Growth

  • Program expense growth: 5.3% per year; rating input score 100; 43rd percentile among comparable filings
  • Revenue growth: 5.1% per year; rating input score 100; 44th percentile among comparable filings
  • Asset growth: 7.2% per year; rating input score 100; 53rd percentile among comparable filings

Details

  • What they do: 2 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 73.2% of revenue deployed · 79.2% of spending went to programs
  • Governance: 10 of 11 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $248.7M in reported program spending
  • Leadership: top reported pay $913K · 20 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $26.7M reported
  • Consistency: 31 of 33 current checks pass · 2 findings to review
  • Schedules: 8 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 8 filed money-flow records
  • Related organizations: 34 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.

  • Moderate — Sustainability: Total-asset coverage ratio scored 38/100.
  • High — Sustainability: Liabilities to assets ratio scored 1/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.