HSHS St. John's Hospital

Legal name: St John's Hospital of the Hospital Sisters of the Third Order of St Francis

Nonprofit profile at a glance

EIN
370661238
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Springfield, IL, USA
Phone
2175446464
Rating
77
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General
Affiliation
Christianity

Official website

Reported finances

Revenue
$699,142,957
Expenses
$687,482,980
Assets
$567,787,157
Liabilities
$593,022,699

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

Leadership & pay

22 people listed

Executive titles in this filing

  • Brian Brennan (President/CEO (began 5/27/25))
  • Chad Markham (Chief Operating Officer, President & CEO (3/7/25 - 5/27/25))
  • Matthew FRY (PRESIDENT/CEO (until 3/7/25))

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
  • Matthew FRY (PRESIDENT/CEO (until 3/7/25)): $582,079 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

All Other Services - St. John's other specialized services include cancer care, women's services, a neurosciences institute, emergency department where nearly 54,000 people per year seek care, and the St. John's Children's Hospital. Children's is the only comprehensive child health care facility in south central Illinois and provides vital healthcare for the region's children, from infancy through age 18. Recognized by the Children's Hospital Association and a member of the Association of Illinois Children's Hospitals, St. John's Children's offers a wide range of services for children and their families both here at our facilities and extends into the home. Services include general pediatric beds with private bath, shower, and parental sleep area, pediatric ICU, peds hematology and oncology, Level III neonatal ICU, pediatric emergency room services, neonatal and pediatric transportation, the only regional Level III perinatal care center in the area, child and family support and services through child life specialists and social/spiritual services departments, comprehensive outpatient services including home health, children's rehabilitation, and early intervention programs, and finally a Ronald McDonald house on site.

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. Expenses are high relative to revenue and assets have declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 66
  • Transparency & Controls: 86
  • Accountability: 94
  • Sustainability: 40
  • Growth: 80

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 73.7%; rating input score 74
  • Program expense ratio: 75%; rating input score 75
  • 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: 87.2%; rating input score 87; 20th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 90%; rating input score 90; 38th 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: 1.7%; rating input score 41; 41st percentile among comparable filings
  • Total-asset coverage ratio: 0.83; rating input score 33; 33rd percentile among comparable filings
  • Liabilities to assets ratio: 1.04; rating input score 5; 5th percentile among comparable filings
  • Officer compensation ratio: 0.4%; rating input score 86; 86th percentile among comparable filings

Growth

  • Program expense growth: 3.7% per year; rating input score 100; 28th percentile among comparable filings
  • Revenue growth: 2.9% per year; rating input score 100; 21st percentile among comparable filings
  • Asset growth: -2.8% per year; rating input score 0; 3rd percentile among comparable filings

Details

  • What they do: 11 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 73.7% of revenue deployed · 75% of spending went to programs
  • Governance: 9 of 10 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $515.8M in reported program spending
  • Leadership: top reported pay $913K · 22 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $111.6M reported
  • Consistency: 33 of 35 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: 11 filed money-flow records
  • Related organizations: 36 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: Operating margin scored 41/100.
  • High — Growth: Asset growth scored 0/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 33/100.
  • High — Sustainability: Liabilities to assets ratio scored 5/100.
  • 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.