ALEXIAN BROTHERS MEDICAL CENTER
PO BOX 45998, SAINT LOUIS, MO · IRS data through FY2025
Revenue, expenses and net assets
Revenue Expenses Net assets
| Tax year | Revenue | Expenses | Net assets |
|---|---|---|---|
| FY2025 | $475,061,260 | $515,438,937 | $199,830,091 |
| FY2024 | $482,008,501 | $595,067,684 | $183,743,533 |
| FY2023 | $485,414,131 | $496,872,668 | $262,610,032 |
| FY2022 | $500,088,554 | $503,180,397 | $202,876,548 |
| FY2021 | $514,260,264 | $480,146,828 | $199,719,088 |
| FY2020 | $468,159,377 | $452,734,056 | $184,300,953 |
| FY2019 | $490,211,822 | $479,297,395 | $190,896,046 |
| FY2018 | $492,441,076 | $457,419,871 | $245,602,251 |
| FY2017 | $488,206,120 | $451,290,768 | $111,534,920 |
| FY2016 | $472,298,268 | $413,365,732 | $161,195,006 |
| FY2015 | $461,893,713 | $413,900,106 | $174,465,432 |
| FY2014 | $450,569,084 | $420,849,019 | $196,418,200 |
| FY2013 | $439,557,595 | $410,650,283 | $178,283,209 |
| FY2012 | $235,921,925 | $222,779,613 | $251,272,842 |
Where the revenue came from
| Source | Amount | % of revenue |
|---|---|---|
| Contributions & grants | $1,298,829 | 0% |
| Program service revenue | $470,891,886 | 100% |
Where the money was spent
| Category | Amount | % of expenses |
|---|---|---|
| Program services | $385,086,109 | 75% |
| Management & general | $130,352,828 | 25% |
| Fundraising | $0 | 0% |
What the numbers show
- Program service revenue made up 100% of total revenue in FY2025.
- Program services accounted for 75% of functional expenses, management & general 25%, and fundraising 0%.
- 75% of functional expenses went to program services in FY2025. That is higher than 15.3% of 176 Health Care organizations in MO.
- Net assets covered about 4.7 months of expenses at the end of the reporting year. That puts it in the 33rd percentile among 503 Health Care organizations in MO.
- Total revenue was higher than 94.8% of 522 Health Care organizations in MO.
- Total revenue rose from $235,921,925 in FY2012 to $475,061,260 in FY2025, Revenue increased in 7 and decreased in 6 of 13 year-over-year comparisons.
- Expenses exceeded revenue in 4 of 14 reported years (FY2022, FY2023, FY2024, FY2025).
- The highest revenue on record here is $514,260,264 in FY2021.
- Net assets declined from $251,272,842 to $199,830,091 between FY2012 and FY2025.
Figures compared against other organizations of the same NTEE program area in the same state. See the methodology page for how these are calculated and the guide to reading nonprofit financials for their limits.
About this organization
To improve the health and well-being of all people in the communities we serve.
IRS status
| Ruling year | 1946 |
| Subsection | 501(c)(3) |
| Classification | Public charity |
| Program area (NTEE) | E220 — Health Care (in MO) |
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Source: Internal Revenue Service — Exempt Organizations Business Master File (downloaded September 20, 2026), Statistics of Income extracts, Form 990 e-file data, Publication 78 and the Automatic Revocation list. Figures are as reported by the organization; IRS processing may adjust them. This is not a charity rating and not tax advice. Confirm deductibility in IRS Tax Exempt Organization Search.
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