Civic Intelligence

Alexian Brothers Community Services

EIN 36-4344423 • 501(c)3 • St Louis, MO

Profile

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.

C/O Tax Department PO Box 45998St Louis, MO 63145-5998

see schedule o

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

46th percentile

0.18x

Higher debt load relative to assets than 46% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2022

Liabilities / Revenue

46th percentile

0.25x

Higher debt load relative to revenue than 46% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2022

Net Margin

71st percentile

16%

Higher net margin than 71% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2022

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

14th percentile

-5.3%

Faster asset growth than 14% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2021 to 2022

Revenue Growth

43rd percentile

4.5%

Faster revenue growth than 43% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2021 to 2022

Assets

Up

$47,181,839

Up $6,426,885 (+16%) from 2023

Liabilities

Down

$7,859,471

Down $3,585,464 (-31%) from 2023

Net Assets

Up

$39,322,368

Up $10,012,349 (+34%) from 2023

Revenue

Up

$36,662,563

Up $8,091,599 (+28%) from 2023

Expenses

Up

$29,307,902

Up $837,055 (+2.9%) from 2023

Net Income

Up

$7,354,661

Up $7,254,544 (+7246%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2010: $48,886,837Liabilities 2010: $8,158,912Net Assets 2010: $40,727,9252010Assets 2011: $50,502,928Liabilities 2011: $7,537,593Net Assets 2011: $42,965,3352011Assets 2013: $55,237,382Liabilities 2013: $9,894,043Net Assets 2013: $45,343,3392013Assets 2014: $40,148,198Liabilities 2014: $11,253,050Net Assets 2014: $28,895,1482014Assets 2015: $28,030,128Liabilities 2015: $7,389,891Net Assets 2015: $20,640,2372015Assets 2016: $32,508,476Liabilities 2016: $7,808,088Net Assets 2016: $24,700,3882016Assets 2017: $35,585,118Liabilities 2017: $8,508,627Net Assets 2017: $27,076,4912017Assets 2018: $42,564,481Liabilities 2018: $9,566,250Net Assets 2018: $32,998,2312018Assets 2019: $42,770,622Liabilities 2019: $8,788,556Net Assets 2019: $33,982,0662019Assets 2020: $41,786,585Liabilities 2020: $8,326,109Net Assets 2020: $33,460,4762020Assets 2021: $48,381,445Liabilities 2021: $8,383,658Net Assets 2021: $39,997,7872021Assets 2022: $45,840,981Liabilities 2022: $8,201,480Net Assets 2022: $37,639,5012022Assets 2023: $40,754,954Liabilities 2023: $11,444,935Net Assets 2023: $29,310,0192023Assets 2024: $47,181,839Liabilities 2024: $7,859,471Net Assets 2024: $39,322,3682024

Highlighted filing

2024

Assets$47,181,839
Liabilities$7,859,471
Net Assets$39,322,368

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0Expenses 2010: $33,536,8832010Expenses 2011: $35,199,7322011Expenses 2013: $36,572,8242013Revenue 2014: $39,026,922Expenses 2014: $36,151,482Net Income 2014: $2,875,4402014Revenue 2015: $39,267,814Expenses 2015: $35,883,069Net Income 2015: $3,384,7452015Revenue 2016: $39,905,027Expenses 2016: $37,920,647Net Income 2016: $1,984,3802016Revenue 2017: $30,120,130Expenses 2017: $26,470,368Net Income 2017: $3,649,7622017Revenue 2018: $30,039,626Expenses 2018: $26,153,924Net Income 2018: $3,885,7022018Revenue 2019: $29,438,936Expenses 2019: $26,630,232Net Income 2019: $2,808,7042019Revenue 2020: $28,238,318Expenses 2020: $26,754,996Net Income 2020: $1,483,3222020Revenue 2021: $31,662,164Expenses 2021: $27,211,017Net Income 2021: $4,451,1472021Revenue 2022: $33,080,736Expenses 2022: $27,781,358Net Income 2022: $5,299,3782022Revenue 2023: $28,570,964Expenses 2023: $28,470,847Net Income 2023: $100,1172023Revenue 2024: $36,662,563Expenses 2024: $29,307,902Net Income 2024: $7,354,6612024

Highlighted filing

2024

Revenue$36,662,563
Expenses$29,307,902
Net Income$7,354,661

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$47.2$7.86$39.3$36.7$29.3$7.35
2023Detailed filing. Detailed filing data is available for this year.$40.8$11.4$29.3$28.6$28.5$0.10
2022Detailed filing. Detailed filing data is available for this year.$45.8$8.20$37.6$33.1$27.8$5.30
2021Detailed filing. Detailed filing data is available for this year.$48.4$8.38$40.0$31.7$27.2$4.45
2020Detailed filing. Detailed filing data is available for this year.$41.8$8.33$33.5$28.2$26.8$1.48
2019Detailed filing. Detailed filing data is available for this year.$42.8$8.79$34.0$29.4$26.6$2.81
2018Detailed filing. Detailed filing data is available for this year.$42.6$9.57$33.0$30.0$26.2$3.89
2017Detailed filing. Detailed filing data is available for this year.$35.6$8.51$27.1$30.1$26.5$3.65
2016Detailed filing. Detailed filing data is available for this year.$32.5$7.81$24.7$39.9$37.9$1.98
2015Detailed filing. Detailed filing data is available for this year.$28.0$7.39$20.6$39.3$35.9$3.38
2014Detailed filing. Detailed filing data is available for this year.$40.1$11.3$28.9$39.0$36.2$2.88
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$55.2$9.89$45.3$36.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$50.5$7.54$43.0$35.2
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$48.9$8.16$40.7$33.5
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 15, 2025
Return Version
2023v6.0
Gross Receipts
$36,662,563
Mission and Program 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.

Program for all inclusive care for the elderly

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,708,347$3,873,181▲ $164,834
Accounts Receivable$615,009$716,580▲ $101,571
Inventories for Sale or Use$200,786$0▼ $200,786
Prepaid Expenses and Deferred Charges$55,762$58,008▲ $2,246
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$40,754,954$47,181,839▲ $6,426,885
Other Assets Total$36,175,050$42,534,070▲ $6,359,020
Liabilities
Other Liabilities$4,422,240$3,172,496▼ $1,249,744
Accounts Payable and Accrued Expenses$4,870,142$2,723,236▼ $2,146,906
Deferred Revenue$2,152,553$1,963,739▼ $188,814
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$11,444,935$7,859,471▼ $3,585,464
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$29,310,019$39,322,368▲ $10,012,349
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$29,310,019$39,322,368▲ $10,012,349
Total Liabilities and Net Assets / Fund Balance$40,754,954$47,181,839▲ $6,426,885

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,884,617$1,802,957$3,687,574
Equipment$754,557$1,938,067$2,692,624
Land$1,120,000-$1,120,000
Other Land Buildings$114,007$222,975$336,982
Leasehold Improvements$0$0$0
Other Assets Org$22,491,550--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Lorna M Birch MdMedical DirectorFT$232,358$39,220$271,578
Rohini R Alay MdPhysicianFT$216,753$46,746$263,499
Vicki E GuertinExecutive DirectorFT$173,305$44,681$217,986
Leah E McdonoughDirector of PharmacyFT$157,964$29,657$187,621
Melissa Beth RiefExecutive DirectorFT$134,023$46,983$181,006
Sherry M HankinsPharmacistFT$148,832$24,132$172,964

Board Members and Trustees

NameTitle
Patrick LampeChair
Aaron G Shoemaker MdDirector
Lisa Ann Musgrave Mha Bsn RnDirector/senior VP, Post-acute and At-home Services
Robin T BinekAvp of Finance, Ascension Living (start 9/2023)
Michael Robert GordonCFO, Ascension Living (end 8/2023)
Daniel StrickerFormer Officer (end 8/2022)
Peter M LeiboldSecretary
Thomas E Stitt CPATreasurer
Erin ShadboltVP Post Acute & At-home Services & CEO (start 5/2024)

Highest Paid Contractors

ContractorServicesLocationCompensation
Memorial HospitalMedical ServicesPO BOX 644497, Pittsburgh, PA 15264-4497$1,404,072
Alexian Village Of TennesseMedical Services437 ALEXIAN WAY, Signal Mountain, TN 37377$1,214,073
Trhc Tpa LLCPharmacy Services228 STRAWBRIDGE DRIVE, Moorestown, NJ 08057$641,717
Fresenius Medical Care Chattanooga LLCMedical ServicesPO BOX 843032, Dallas, TX 75284-3032$548,425
Alexian Brothers Valley ResidenceMedical Services1164 MOUNTAIN CREEK ROAD, Chattanooga, TN 37405$475,607
Revenue and Support

Revenue Composition

Contributions and Grants
$90,771
Program Service Revenue
$36,166,781
Investment Income
$385,193
Other Revenue
$19,818
All Other Contributions
$1,500
Change in Net Assets
$7,354,661
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$15,717,442
Salaries, Compensation, and Employee Benefits$13,590,460
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,224,610$3,729,081-$8,953,691
Other Employee Benefits$2,028,077$1,503,618-$3,531,695
Payroll Taxes$385,398$274,505-$659,903
Other Expenses$585,884$1,397-$587,281
Depreciation Depletion$269,299$26,634-$295,933
Occupancy$251,975$24,921-$276,896
Travel$15,501$251,638-$267,139
Insurance-$263,680-$263,680
Pension Plan Contributions-$227,185-$227,185
Current Officers, Directors, Trustees, and Key Employees-$217,986-$217,986
Fees for Services Other$13,636$185,635$0$199,271
Advertising-$66,354-$66,354
Information Technology$33,750$2,098-$35,848
Office Expenses$6,735$14,252-$20,987
Conferences and Meetings$8,809$8,162-$16,971
Fees for Services Legal-$15,173-$15,173
Fees for Services Lobbying-$3,263-$3,263
All Other Expenses$-105,559$43,648$0$-61,911
Total Functional Expenses$20,534,228$8,773,674$0$29,307,902
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$2,298,384
Other Miscellaneous Liabilities$559,074
Savings Plan Liability$215,729
Estimated 3rd Party Payor Settlements$96,000
Accrued Real Estate Tax Liability$3,309
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A & 15B PROCESS FOR DETERMINING COMPENSATION

The process for determining compensation of the organization's ceo, executive director, or top management official, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.

Form 990, Part VI, Line 6 Classes of members or stockholders

Alexian brothers community services has a single corporate member, ascension health senior care (ahsc).

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

Alexian brothers community services (abcs) single corporate member, ascension health senior care, has the authority to appoint and remove directors and executive officers of alexian brothers community services.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

All decisions that have a material impact to alexian brothers community services financial information or corporation as a whole are subject to approval by its managing member, ascension health senior care.

Form 990, Part VI, Line 11B Review of form 990 by governing body

During the return preparation process, the tax department works with other functional areas which may include, as needed, finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. A complete final copy of the return is provided to designated management team members with experience in tax in lieu of the full board.

Form 990, Part VI, Line 12C Conflict of interest policy

The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.

Form 990, Part VI, Line 19 Required documents available to the public

The organization will provide any documents open to public inspection upon request.

Form 990, Part VII, Section A RELATED ENTITIES

The organization utilizes an affiliate as the common pay agent. Employees reported in part vii may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.

Form 990, Part VIII, Line 2F Other Program Service Revenue

OTHER MISCELLANEOUS REVENUE - Total Revenue: 900617, Related or Exempt Function Revenue: 900617, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

OTHER MISCELLANEOUS REVENUE - Total Revenue: 154, Related or Exempt Function Revenue: 154, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
Alexian Brothers Community Services
EIN
36-4344423
Phone
3147338000
Address
C/O TAX DEPARTMENT PO BOX 45998, ST LOUIS, MO 63145-5998
Doing Business As
See Schedule O

Signing Officer

Name
Tonya Mershon
Title
Vice President, Tax
Phone
3147338000
Signed
2025-05-15
Discuss with paid preparer
Yes

Organization Details

Formed
2000
Legal Domicile
Il
Voting Board Members
5
Independent Board Members
2
Employees
207
Volunteers
11

Preparer

Firm
Ernst & Young US Llp
Address
200 CLARENDON STREET, BOSTON, MA 02116
Preparer
Lindsey Pigg
Phone
6172662000
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Transfers with affiliates - 2384626;

Form 990, Part XII, Line 2B AUDITED FINANCIAL STATEMENTS

The activity of the filing organization is reported in the consolidated financial statements of ascension health alliance. No individual audit of the filing organization is completed. Therefore, the audited financial statements are of ascension health alliance and affiliates, which include the activity of the filing organization.

Form 990, Part XII, Line 2C AUDIT COMMITTEE

The filing organization is included in the consolidated financial statements of ascension health alliance. The finance and audit committee of ascension health alliance's board assumes responsibility for the consolidated organization as a whole.

Form 990, Page 1 Physical Address

The physical address for this entity is 425 cumberland street, chattanooga, tennessee 37404. The address on page 1 is for mailing purposes only.

Form 990, Page 1 - Box C Doing Business as

*ascension living at home chattanooga *ascension living alexian pace *alexian brothers home care *alexian brothers live at home

Form 990, Page 1 - Item J Entity Website

https://www.ascensionliving.org/find-a-community/live-at-home-chattanooga https://www.ascensionliving.org/find-a-community/ascension-living-alexian-pace

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The system accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The system has determined that no material unrecognized tax benefits or liabilities exist as of june 30, 2024.

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IRS990/Desc0THE 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. ALEXIAN BROTHERS COMMUNITY SERVICES (ABCS) OPERATES A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY ("PACE"). PACE IS A COMMUNITY-BASED PROGRAM WHOSE PURPOSE IS TO SERVE THE FRAIL ELDERLY. THE PACE PROGRAM ENABLES ITS PARTICIPANTS TO REMAIN INDEPENDENT IN THEIR OWN HOMES AND COMMUNITIES THROUGH A UNIQUE SYSTEM OF MANAGED CARE. PACE COMBINES MEDICARE AND MEDICAID FUNDS TO PROVIDE COMPREHENSIVE HEALTH AND SOCIAL SERVICES IN THE HOME, IN THE COMMUNITY AND IN THE HOSPITAL OR NURSING FACILITY. IN FISCAL YEAR 2024 AN AVERAGE OF 279.3 PARTICIPANTS WERE PROVIDED CARE AND SERVICES THROUGH PACE. LIVE AT HOME SERVED AN AVERAGE OF 107 MEMBERS. HOME CARE PROVIDED OVER 13,253 HOURS OF SERVICE TO INDIVIDUALS.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR/SENIOR VP, POST-ACUTE AND AT-HOME SERVICES
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IRS990/MissionDesc0ROOTED 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.
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