Alexian Brothers Health System is a 501(c)(3) organization based in Saint Louis, Missouri, registered in 1946, with $157,711,244 in FY2023 revenue. CharityIndex grades it C, and it directs about 97% of spending to programs.
Revenue (FY2023)
$157.7M
▼ 21.6% vs prior year
Health median: $840K
Expenses (FY2023)
$169.8M
Net assets
-$300.1M
Employees
7,542
Rated on 4 of 4 criteria.
Held down by its weakest criterion — a strong score on one criterion can't hide a weak one.
How the rating works →Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Alexian Brothers Health System: 97% to programs · $45 to raise $100 earns a C on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Alexian Brothers Health System: 0 mo reserves · -8% margin earns a F on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Alexian Brothers Health System: 5 of 6 checks met earns a A on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Alexian Brothers Health System: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
Show this grade on your website
A live seal — it updates automatically when the grade changes and links donors to this verified profile.
To improve the health and well-being of all people in the communities we serve.
(continued from part iii, line 4a) charity care and community benefits: the amounts and types of charity care and community benefits provided in the entire alexian brothers health system are as follows:charity care at cost - $21,397,164language assistant services - $638,260excess of government sponsored health care cost over reimbursement - medicaid - $44,099,925 donations - $145,028education - $2,546,552subsidized health services - $2,225,984other community benefits - $7,490,327 total charity care and community benefits - $78,543,240excess of government sponsored health care cost over reimbursement - medicare - $51,883,429 bad debt expense at cost - $10,141,843
Revenue grew from $99.7M (FY2013) to $157.7M (FY2023) across 11 reported years.
Financial snapshot
Operating margin
-7.6%
Spent more than it raised in the latest fiscal year.
Total assets
$262.4M
Total liabilities
$562.5M
Net assets
-$300.1M
Salaries & benefits
$71.0M
42% of expenses
Board members
5
0 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2023 | $157,711,244▼21.6% | $169,760,565▼11.9% | -$300,079,588▲13.5% | $262,430,377▼0.9% | 990 |
| 2022 | $201,162,834▼59.8% | $192,625,266▼66.5% | -$346,926,919▲26.0% | $264,757,573▲9.2% | 990 |
| 2021 | $499,819,712▼5.9% | $574,718,655▲6.1% | -$468,546,518▲17.1% | $242,498,204▼39.0% | 990 |
| 2020 | $531,298,685▲81.2% | $541,730,282▼12.7% | -$565,226,438▼21.5% | $397,387,025▲56.9% | 990 |
| 2019 | $293,145,007▲7.2% | $620,633,975▲78.0% | -$465,258,765▼9.9% | $253,325,976▲39.7% | 990 |
| 2018 | $273,350,062▲79.9% | $348,626,960▲67.4% | -$423,515,841▲14.0% | $181,374,692▼18.3% | 990 |
| 2017 | $151,960,012▲53.5% | $208,310,869▲112% | -$492,652,412▼3428% | $222,005,512▼50.2% | 990 |
| 2016 | $98,998,194▲7.3% | $98,316,965▼27.1% | -$13,962,513▲82.7% | $446,076,577▲7.1% | 990 |
| 2015 | $92,241,731▼12.3% | $134,832,307▲27.8% | -$80,874,068▼263% | $416,499,067▲22.3% | 990 |
| 2014 | $105,204,434▲5.5% | $105,490,691▲15.0% | $49,629,819▲179% | $340,627,882▼35.2% | 990 |
| 2013 | $99,704,416 | $91,749,781▲67.8% | -$63,213,594▲34.0% | $525,686,857▲5.9% | 990 |
| 2012 | — | $54,664,239▲9.1% | -$95,810,847▲30.9% | $496,559,975▼28.1% | 990 |
| 2011 | — | $50,118,295▲15.7% | -$138,728,873▼48.5% | $690,705,024▲53.7% | 990 |
| 2010 | — | $43,299,807 | -$93,449,681 | $449,506,571 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Bryan Bertoglio Md — $1,768,359 (1.04% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Bryan Bertoglio Md | Physician | 50 | $1,768,359 |
| Daniel Sauri Md | Physician | 50 | $1,459,399 |
| Mohammed Khan Md | Physician | 50 | $1,456,770 |
| Anshul Aggarwal Md | Physician | 50 | $1,312,622 |
| Andrew Paul Russeau Md | Physician | 50 | $1,294,008 |
| Christine K Mccoy Jd | Vice Chair | 0 | — |
| Craig A Cordola Fache | Former Board Officer (end 2/2023) | 0 | — |
| Eduardo F Conrado | Chair | 0 | — |
| Elizabeth C Foshage CPA | Treasurer | 0 | — |
| Keith A Parrott | Former Officer (end 9/2022) | 0 | — |
| Polly Davenport | President/ceo, Ascension Illinois | 0 | — |
| Richard Douglas Carter | Former Officer (end 4/2022) | 0 | — |
| Richard I Fogel Md | Secretary | 0 | — |
| Sarah Herzog | Assistant Secretary | 0 | — |
| Contractor | Services | Paid |
|---|---|---|
| World Wide Technology LLC | Technology Services | $14,439,345 |
| Eight Eleven Group LLC | Consulting Services | $2,001,130 |
| Virtual Medical Staff LLC | Consulting Services | $960,801 |
| Change Healthcare LLC | Data Services | $779,974 |
| Medspeed LLC | Courier Services | $465,131 |
58 grants to Alexian Brothers Health System totaling $9.8M, reported by foundations on their Schedule I filings — showing the 15 most recent.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| National Philanthropic Tr | Health | 2023 | $106,000 |
| Ascension Foundation | General support | 2023 | $50,000 |
| Fidelity Investments Charitable Gift Fund | For grant recipient's exempt purposes | 2023 | $40,700 |
| Vanderbilt University Medical Center | Research | 2023 | $32,422 |
| Northwestern Memorial Healthcare | Access to healthcare services | 2023 | $25,000 |
| The Chicago Community Trust | General support for programs, operations and other charitable purposes | 2023 | $25,000 |
| Community Foundation For Southeast Michigan | Health care | 2023 | $10,000 |
| Morgan Stanley Global Impact Funding Trust Inc | Unrestricted general support | 2023 | $10,000 |
| Vanguard Charitable Endowment Program | For recipient's exempt purpose | 2023 | $10,000 |
| Donor Advised Charitable Giving | Health | 2023 | $9,100 |
| American Online Giving Foundation Inc | General support | 2023 | $5,081 |
| Rehabilitation Institute of Chicago | Operational support | 2023 | $5,000 |
| Alexian Brothers Medical Center | General support | 2022 | $1,403,800 |
| National Philanthropic Tr | Health | 2022 | $155,000 |
| Donor Advised Charitable Giving | Health | 2022 | $115,000 |
11 grants totaling $10.0M in FY2023. All grants made by Alexian Brothers Health System →
| Recipient | Purpose | Amount |
|---|---|---|
| Alexian Brothers Hospital Network | General support | $4,513,487 |
| Presence Behavioral Health | General support | $1,246,466 |
| Alexian Brothers Center For Mental Health | General support | $943,016 |
| Presence Chicago Hospitals Network | General support | $810,146 |
| Presence St Marys Hospital Presence Central and Suburban Hospitals Net | General support | $677,951 |
| Alexian Brothers Bonaventure House | General support | $626,040 |
| Alexian Brothers Behavioral Health Hospital | General support | $584,898 |
| Alexian Brothers Medical Center | General support | $274,098 |
| Rainbow Hospice and Palliative Care | General support | $172,918 |
| Alexian Brothers Specialty Group | General support | $117,873 |
| St Alexius Medical Center | General support | $53,752 |
Explore more
Data for Alexian Brothers Health System (EIN 36-3260495) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.