Missouri · Nonprofit
ALEXIAN BROTHERS HEALTH SYSTEM
ALEXIAN BROTHERS HEALTH SYSTEM (Missouri) receives grants from 50 organizations whose IRS filings report $5,794,815 to it, the largest being The Boler Family Foundation ($1,435,000). 23 of them have funded it in more than one year.
- Revenue FY2025
- $130M
- Funders on record
- 50
- Grants received
- $5.8M
- Net assets
- $-394247089
What Alexian Brothers Health System does
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.
As stated on its FY2025 Form 990.
Program
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. Through partnerships with our associates, physicians and the community, we identify and develop effective responses to the health and housing needs of those we are called to serve. Alexian Brothers Health System (alexian) is a ministry organization of ascension health. The Alexian Brothers Health System provides the community with a full range of comprehensive healthcare services and access to the most advanced medical technology. We are passionate about delivering exceptional health care and are proud of the powerful, cutting-edge technology our skilled professionals are able to access. In addition, we offer a wide range of community health services, corporate wellness programs, preventive care and education. Our ministries exist to continue the alexian brothers mission of caring for the sick, the poor and the dying and promoting the physical, mental, spiritual and social health and well-being of all individuals we serve.
$149,741,650 spentof which $18,121,974 as grants$106,730,746 earned by the program100% of program spending
The program described on its FY2024 Form 990. Program spending in total: $149,741,650.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2017 to 2018, from $446M to $222M (−50%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2018 0% · 2019 0% · 2020 0% · 2021 0% · 2023 0% · 2024 0% · 2025 1%. Grants only. Government contracts and fees sit inside program revenue.
5% of ALEXIAN BROTHERS HEALTH SYSTEM’s revenue is contributions — more reliant on donations than three-quarters of its peers (1% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 7 of the last 9 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Polly Davenport
Director/President & CEO, ASCENSION ILLINOIS
As listed on its FY2025 Form 990.
Who funds it, year by year
2017 → 2023: the base broadened from 10 funders to 14 funders, grant income rose $230k → $618k.
11 of 50 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 32% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
Left out of every figure on this page: $7.7M from 3 payers (the payer shares this organization's board, largest Presence Care Transformation Corporation). These are real filings, and they are not money ALEXIAN BROTHERS HEALTH SYSTEM raised.
From the IRS filings of ALEXIAN BROTHERS HEALTH SYSTEM’s funders (the co-funder graph). Top 30 of 50 funders by total. Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
ALEXIAN BROTHERS HEALTH SYSTEM has a broad base — no single funder exceeds 25% of grant income, and it takes 4 funders to reach half.
the vertical line marks half of all grant income — 4 funders to its left
46% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund ALEXIAN BROTHERS HEALTH SYSTEM.
Largest funder’s share by year: 2017 54% · 2018 41% · 2019 58% · 2020 41% · 2021 26% · 2022 36% · 2023 25% — diversifying over time.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How long its funders stay
30% of ALEXIAN BROTHERS HEALTH SYSTEM's funders are still giving 3 years after their first grant; 46% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
ALEXIAN BROTHERS HEALTH SYSTEM draws 97% of its grant income from funders outside Missouri, across 12 states in all.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $1.9M arriving through sponsors registered in 10 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
ALEXIAN BROTHERS HEALTH SYSTEM's funding base is broadening — from 10 funders to 14 as grant income climbed.
this organization peer median middle 50% of peers· 1,241 health nonprofits over $100M, FY2025
Government funding ALEXIAN BROTHERS HEALTH SYSTEM receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $481k on record.
- Department of Health and Human Services$481k
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like ALEXIAN BROTHERS HEALTH SYSTEM
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In Missouri
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
96% of spending goes to programs.
Governance
Footprint & structure
Files a return copy in 1 state
Part of a family of 379 related entities
- Affinity Health System · exempt
- Alabama Providence Healthcare Services · exempt
- Alexian Brothers Ambulatory Group · exempt
- Alexian Brothers Behavioral Health Hospital · exempt
- Alexian Brothers Bonaventure House · exempt
Screen this organization
A dated, signed PDF of the compliance screen for ALEXIAN BROTHERS HEALTH SYSTEM: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds ALEXIAN BROTHERS HEALTH SYSTEM?
- ALEXIAN BROTHERS HEALTH SYSTEM (Missouri) receives grants from 50 organizations whose IRS filings report $5,794,815 to it, the largest being The Boler Family Foundation ($1,435,000). 23 of them have funded it in more than one year.
- How many funders does ALEXIAN BROTHERS HEALTH SYSTEM have?
- IRS filings report 50 organizations giving $5,794,815 in grants to ALEXIAN BROTHERS HEALTH SYSTEM, 23 of which have funded it in more than one year.
- Who is the largest funder of ALEXIAN BROTHERS HEALTH SYSTEM?
- The Boler Family Foundation is the largest funder on record, with $1,435,000 in grants. The full list of funders is on this page.
- How can an organization like ALEXIAN BROTHERS HEALTH SYSTEM find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in Missouri. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 50 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing