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← ST ALEXIUS MEDICAL CENTER

Form 990 for tax year 2024

Filed by ST ALEXIUS MEDICAL CENTER.

Totals

Total revenue
$389,316,421
Total expenses
$419,963,851
Contributions and grants received
$397,835
Grants paid
$115,259
Program service revenue
$386,884,024
Investment income
$27,633
Other revenue
$2,006,929
Total assets, end of year
$244,255,383
Total liabilities, end of year
$84,889,016
Net assets or fund balances, end of year
$159,366,367
Program services expenses (Part IX)
$312,436,805
Management and general expenses
$107,527,046
Fundraising expenses
$0
Program service expenses (Part III)
$312,436,805

Program services were 74.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $305,782

  • 1e · Government grants (contributions)

    $88,221

  • 1f · All other contributions, gifts and grants

    $3,832

  • 2a · Program service revenue: Net Patient Service Revenue

    total $374,002,334 · related or exempt $374,002,334

  • 2b · Program service revenue: Pharmacy Revenue

    total $9,287,604 · related or exempt $9,272,000 · unrelated business $15,604

  • 2c · Program service revenue: Services to Affiliates

    total $1,521,462 · related or exempt $1,521,462

  • 2d · Program service revenue: Rental Income from Affiliates

    total $1,096,695 · related or exempt $1,096,695

  • 2e · Program service revenue: Value Based Revenue

    total $903,107 · related or exempt $903,107

  • 2f · All other program service revenue

    total $72,822 · related or exempt $72,822 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property $1,022,667

  • 6b · Less rental expenses

    real property $586,182

  • 6c · Rental income or loss

    real property $436,485 · personal property $0

  • 6d · Net rental income or loss

    total $436,485 · unrelated business $7,563 · excluded $428,922

  • 7a · Gross sales of assets other than inventory

    other assets $27,633

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    securities $0 · other assets $27,633

  • 7d · Net gain or loss

    total $27,633 · excluded $27,633

  • 10a · Gross sales of inventory

    $45,337

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $45,337 · excluded $45,337

  • 11a · Other revenue: Cafeteria/Vending Revenue

    total $1,445,649 · excluded $1,445,649

  • 11b · Other revenue: Escheatment Revenue

    total $27,812 · related or exempt $27,812

  • 11c · Other revenue: Research Revenues

    total $17,644 · excluded $17,644

  • 11d · All other revenue

    total $34,002 · related or exempt $1,140 · unrelated business $0 · excluded $32,862

  • 11e · Other revenue, total

    $1,525,107

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $115,259 · program services $115,259

  • 11a · Fees: management

    total $110,400 · management and general $110,400

  • 11b · Fees: legal

    total $10,200 · management and general $10,200

  • 11c · Fees: accounting

    total $4,082 · management and general $4,082

  • 11g · Fees: other

    total $20,386,563 · program services $16,393,202 · management and general $3,993,361 · fundraising $0

  • 12 · Advertising and promotion

    total $134,994 · program services $131,739 · management and general $3,255

  • 13 · Office expenses

    total $2,693,592 · program services $348,363 · management and general $2,345,229

  • 14 · Information technology

    total $303,623 · program services $265,062 · management and general $38,561

  • 16 · Occupancy

    total $5,846,196 · program services $5,475,189 · management and general $371,007

  • 17 · Travel

    total $131,680 · program services $126,627 · management and general $5,053

  • 19 · Conferences, conventions and meetings

    total $82,820 · program services $65,064 · management and general $17,756

  • 20 · Interest

    total $7,584,734 · management and general $7,584,734

  • 22 · Depreciation, depletion and amortization

    total $11,283,184 · program services $10,567,139 · management and general $716,045

  • 23 · Insurance

    total $13,378,387 · management and general $13,378,387

  • 24a · Other expenses: Wage & Benefit Allocation

    total $141,047,454 · program services $132,096,403 · management and general $8,951,051

  • 24b · Other expenses: Medical Supplies

    total $60,923,261 · program services $60,754,393 · management and general $168,868

  • 24c · Other expenses: Purchased Services

    total $60,786,664 · program services $32,899,489 · management and general $27,887,175

  • 24d · Other expenses: Management Fee to Affiliate

    total $38,156,168 · management and general $38,156,168

  • 24e · All other expenses

    total $56,984,590 · program services $53,198,876 · management and general $3,785,714 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,202 · end of year $4,202

  • 3 · Pledges and grants receivable

    beginning of year $44,753 · end of year $20,707

  • 4 · Accounts receivable

    beginning of year $64,079,851 · end of year $56,695,702

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $6,017,280 · end of year $6,713,403

  • 9 · Prepaid expenses and deferred charges

    beginning of year $86,055 · end of year $224,635

  • 10a · Land, buildings and equipment: cost or other basis

    $329,185,823

  • 10b · Land, buildings and equipment: accumulated depreciation

    $194,322,678

  • 10c · Land, buildings and equipment, net

    beginning of year $138,659,579 · end of year $134,863,145

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $10,032,343 · end of year $10,014,714

  • 15 · Other assets

    beginning of year $38,652,718 · end of year $35,718,875

  • 17 · Accounts payable and accrued expenses

    beginning of year $14,921,721 · end of year $13,846,146

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $80,214,320 · end of year $71,042,870

  • 27 · Net assets without donor restrictions

    beginning of year $162,440,740 · end of year $159,366,367

Mission and programs · 2024

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.

Activities or mission (Part I)

TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE.

  • THE FILING ORGANIZATION IS 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. Alexius Medical Center is a 318-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2025, St. Alexius Medical Center treated 14,805 adults and children for a total of 66,060 patient days of service. The hospital also provided services for 61,180 outpatient visits, which included 6,834 outpatient surgeries and 68,014 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.

    Expenses $312,436,805 · Grants $115,259 · Revenue $386,912,976

As filed on the 2024 return.

Listed in Part VII

  • GARY R LIPINSKI MD

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • JUDGE JOHN D TOURTELOT

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • ROXANN E BARBER

    PRESIDENT, ST. ALEXIUS MEDICAL CENTER

    Total calculated
    $543,651
    From this org
    $0
    From related orgs
    $507,605
    Other
    $36,046
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $324,113 related
    Bonus
    $0 + $146,250 related
    Other
    $0 + $37,242 related
    Deferred
    $0 + $20,700 related
    Nontaxable benefits
    $0 + $15,346 related
    Filer's total
    $0 + $543,651 related
  • CHRISTOPHER A D'AGOSTINO DO

    DIRECTOR

    Total calculated
    $653,056
    From this org
    $0
    From related orgs
    $593,286
    Other
    $59,770
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $522,124 related
    Bonus
    $0 + $65,730 related
    Other
    $0 + $5,432 related
    Deferred
    $0 + $22,425 related
    Nontaxable benefits
    $0 + $37,345 related
    Filer's total
    $0 + $653,056 related
  • JAY BERGMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • MARGARET WADE MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • MARK HANSON ESQ

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • MICHELLE JOHNSTON RN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • PATRICIA SZPESKOWSKI APRN

    DIRECTOR (END 3/2025)

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • POLLY DAVENPORT

    Director/President & CEO, ASCENSION ILLINOIS

    Total calculated
    $2,317,987
    From this org
    $0
    From related orgs
    $2,266,027
    Other
    $51,960
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $738,203 related
    Bonus
    $0 + $1,350,000 related
    Other
    $0 + $177,824 related
    Deferred
    $0 + $18,975 related
    Nontaxable benefits
    $0 + $32,985 related
    Filer's total
    $0 + $2,317,987 related
  • THOMAS PALMER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • CARMEN L PHILLIPS

    ASSISTANT SECRETARY

    Total calculated
    $110,780
    From this org
    $0
    From related orgs
    $89,961
    Other
    $20,819
    Hours/week
    0 + 50 related
  • JULIE P ROKNICH

    SECRETARY

    Total calculated
    $431,255
    From this org
    $0
    From related orgs
    $393,155
    Other
    $38,100
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $264,112 related
    Bonus
    $0 + $118,996 related
    Other
    $0 + $10,047 related
    Deferred
    $0 + $15,973 related
    Nontaxable benefits
    $0 + $22,127 related
    Filer's total
    $0 + $431,255 related
  • KEVIN W LARKIN

    TREASURER/CFO, NW REGION ASCENSION ILLINOIS

    Total calculated
    $401,508
    From this org
    $0
    From related orgs
    $375,016
    Other
    $26,492
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $179,099 related
    Bonus
    $0 + $85,413 related
    Other
    $0 + $110,504 related
    Deferred
    $0 + $13,929 related
    Nontaxable benefits
    $0 + $12,563 related
    Filer's total
    $0 + $401,508 related
  • KEITH A PARROTT

    FORMER OFFICER (END 9/2022)

    Total calculated
    $821,945
    From this org
    $0
    From related orgs
    $821,945
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $821,945 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $821,945 related
  • RICHARD DOUGLAS CARTER

    FORMER OFFICER (END 6/2024)

    Total calculated
    $1,772,591
    From this org
    $0
    From related orgs
    $1,741,630
    Other
    $30,961
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $368,044 related
    Bonus
    $0 + $657,000 related
    Other
    $0 + $716,586 related
    Deferred
    $0 + $8,625 related
    Nontaxable benefits
    $0 + $22,336 related
    Filer's total
    $0 + $1,772,591 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4a Severance or change-of-control payment
THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING CALENDAR YEAR 2024: RICHARD DOUGLAS CARTER - $617,692 KEITH A. PARROTT - $810,000
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2024
Filed
13 May 2026
IRS schema version
2024v5.1
Source object
202611339349304206

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