St. Luke's Health
Legal name: St Luke's Health System Corporation
Nonprofit profile at a glance
- EIN
- 760536232
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Aug 2026
- Forms available
- Form 990 2024, Form 990-T 2021
- Location
- Chicago, IL, US
- Phone
- 8323555120
- Rating
- 74
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Health Support Services
- Affiliation
- Christianity
Reported finances
- Revenue
- $116,047,438
- Expenses
- $224,957,009
- Assets
- $3,300,926,735
- Liabilities
- $2,593,480,410
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
30 people listed
Executive titles in this filing
- T DOUGLAS LAWSON PHD (PRESIDENT, SOUTH REGION (THRU 02/25))
- MATTHEW BROWN (INTERIM HOUSTON MARKET PRESIDENT)
- BRADLEY LEMBCKE MD (DIVISION SVP CMO/ PRESIDENT BSLMC)
- JAMES PARISI (PRESIDENT-MULTI FACILITY)
- MONTE BOSTWICK (PRESIDENT OF EAST TEXAS AND BRAZOS VALLEY MARKETS)
- STEVEN FOSTER (PRESIDENT-MULTI FACILITY)
Highest reported compensation
- T DOUGLAS LAWSON PHD (PRESIDENT, SOUTH REGION (THRU 02/25)): $3,876,407 total reported compensation
- MATTHEW BROWN (INTERIM HOUSTON MARKET PRESIDENT): $2,001,720 total reported compensation
- BRADLEY LEMBCKE MD (DIVISION SVP CMO/ PRESIDENT BSLMC): $1,645,701 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
We, CommonSpirit Health, are a nonprofit, Catholic health system dedicated to advancing health for all people, especially those who are poor, vulnerable, and underserved.
What it reported doing in 2024
See schedule h and schedule o
Operating model
- Revenue model
- Earned-program. 91% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 98% 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. A relatively small share of total spending goes to programs and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.
Rating breakdown
- Financial Efficiency: 72
- Transparency & Controls: 76
- Accountability: 87
- Sustainability: 33
- Growth: 60
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 99.1%; rating input score 99
- Program expense ratio: 51.1%; rating input score 51
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th 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: 100%; rating input score 100; 77th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 93.8%; rating input score 94; 44th percentile among comparable filings
- Governance controls: 7 of 9 controls in place; rating input score 78
- 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: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -93.8%; rating input score 0; 0th percentile among comparable filings
- Total-asset coverage ratio: 14.67; rating input score 94; 94th percentile among comparable filings
- Liabilities to assets ratio: 0.79; rating input score 18; 18th percentile among comparable filings
- Officer compensation ratio: 3.8%; rating input score 28; 28th percentile among comparable filings
Growth
- Program expense growth: 5.8% per year; rating input score 100; 47th percentile among comparable filings
- Revenue growth: -0% per year; rating input score 0; 5th percentile among comparable filings
- Asset growth: 9.7% per year; rating input score 100; 69th percentile among comparable filings
Details
- What they do: 1 programs and campaigns described on the official site · 15 operating locations identified
- Where the money goes: 99.1% of revenue deployed · 51.1% of spending went to programs
- Governance: 15 of 16 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $115M in reported program spending
- Leadership: top reported pay $3.9M · 30 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $132.8M reported
- Consistency: 35 of 35 current checks pass
- Schedules: 9 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: 13 filed money-flow records
- Related organizations: 331 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.
- Review — Financial Efficiency: Program expense ratio scored 51/100.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- High — Sustainability: Operating margin scored 0/100.
- High — Growth: Revenue growth scored 0/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- High — Sustainability: Liabilities to assets ratio scored 18/100.
- High — Sustainability: Officer compensation ratio scored 28/100.