St Vincent's Health System

Nonprofit profile at a glance

EIN
630931008
IRS 990 coverage
2009–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Birmingham, AL, USA
Phone
2059347659
Rating
81
Verdict
STRONG
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$43,846,169
Expenses
$42,064,691
Assets
$77,413,143
Liabilities
$37,359,465

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

Leadership & pay

14 people listed

Executive titles in this filing

  • JASON P ALEXANDER FACHE (EX-OFFICIO/CEO, MINISTRY MARKET EXECUTIVE)

People named in this filing

  • DAVID SILVERSTEIN (VICE CHAIR)
  • JASON P ALEXANDER FACHE (EX-OFFICIO/CEO, MINISTRY MARKET EXECUTIVE)
  • MATT CARRINGTON (SECRETARY/TREASURER)

Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.

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. Our catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.

What it reported doing in 2024

During the period covered by the return, the filing organization was 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. Vincent's Health System is a 66-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. From July 1, 2024 to October 31, 2024, St. Vincent's Health System treated 1,057 adults and children for a total of 3,871 patient days of service. The hospital also provided services for 28,110 outpatient visits, which included 1,649 outpatient surgeries and 15,517 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.

Operating model

Revenue model
Other-operating. 99% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 99% 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. Program spending has declined or grown slowly and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 75
  • Transparency & Controls: 95
  • Accountability: 90
  • Sustainability: 56
  • Growth: 40

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 83.2%; rating input score 83
  • Program expense ratio: 86.7%; rating input score 87
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 8th percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 99.4%; rating input score 99; 33rd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 92.3%; rating input score 92; 25th percentile among comparable filings
  • Governance controls: 6 of 7 controls in place; rating input score 86
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: NotApplicable
    • 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: 4.1%; rating input score 50; 50th percentile among comparable filings
  • Total-asset coverage ratio: 1.84; rating input score 59; 59th percentile among comparable filings
  • Liabilities to assets ratio: 0.48; rating input score 30; 30th percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 96; 96th percentile among comparable filings

Growth

  • Program expense growth: -3.4% per year; rating input score 0; 5th percentile among comparable filings
  • Revenue growth: 1.1% per year; rating input score 100; 12th percentile among comparable filings
  • Asset growth: -0.5% per year; rating input score 0; 9th percentile among comparable filings

Details

  • Where the money goes: 83.2% of revenue deployed · 86.7% of spending went to programs
  • Governance: 12 of 13 board members independent · 6 of 7 filing controls reported
  • Programs: 1 filed program accomplishment · $36.5M in reported program spending
  • Leadership: top reported pay $0 · 14 people listed
  • Consistency: 34 of 35 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes major donors, grants, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Related organizations: 378 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 — Growth: Program expense growth scored 0/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • Review — Sustainability: Operating margin scored 50/100.
  • High — Growth: Asset growth scored 0/100.
  • Review — Sustainability: Total-asset coverage ratio scored 59/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Moderate — Sustainability: Liabilities to assets ratio scored 30/100.