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Ascension Health

Also known as See Schedule O

St Louis, MO · EIN 31-1662309 · 501(c)(3) · Supporting organization (509(a)(3))
Latest filing: Form 990 for the fiscal year ending June 30, 2025 (tax year 2024) · View the filing · Correct or respond

Ascension Health reported $383.1 million in revenue and $236.6 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $82.12 went to program services, $17.88 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 57.0% of the total. Government grants made up 10.0%. The highest compensation it reported for one person was $14,086,474 (CHAIR & CEO). 280 people received more than $100,000 in reportable compensation. Revenue rose 172% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $237M

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $383M

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
MeasureFY2025Median
Program services
Part IX 25(B) ÷ 25(A)
82.1%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
17.9%13.7%
Fundraising
Part IX 25(D) ÷ 25(A)
0.0%0.0%
Fundraising cost per $1 of contributions
Part IX 25(D) ÷ Part VIII 1h
$0.00$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
10.8%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
10.0%0.1%
Program service revenue share
Part VIII 2g ÷ 12
57.0%93.7%
Highest reported compensation
Part VII-A, columns D–F
$14,086,474$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
5.95%1.34%
People paid over $100,000
Part VII, line 2
28027
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
79.96.6
Independent voting board members
Part VI 1a–1b
0 of 388.9%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

FY2025 · Form 990, Part III · the three largest programs by expense
$194M expenses · 100.0% of program spending · grants $2.7M · revenue $229M

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. Ascension Health is a mission-focused organization transforming health care by providing the highest quality care to all, with special attention to those who are poor and vulnerable. In fiscal year 2025, the Ascension Health system employed 99,000 associates serving in 1,924 locations in 16 states and the district of columbia. However, in comparison to many other…

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
CHAIR & CEO
Director/trustee, officer, 0.0 hrs/week
$0$14,013,862$72,612$14,086,474
PRESIDENT
Officer, 0.0 hrs/week
$0$10,184,916$734,713$10,919,629
SECRETARY
Director/trustee, officer, 0.0 hrs/week
$0$4,901,128$385,984$5,287,112
CFO (END 11/2024)
Officer, 0.0 hrs/week
$0$4,931,407$47,133$4,978,540
TREASURER
Director/trustee, officer, 0.0 hrs/week
$0$935,448$61,452$996,900
CFO
Officer, 0.0 hrs/week
$0$888,362$41,575$929,937
VP, CHIEF PHARMACY OFFICER
Highest compensated employee, 50.0 hrs/week
$727,337$0$49,607$776,944
VP, OPERATIONS, ASCENSION CONNECT
Highest compensated employee, 50.0 hrs/week
$717,596$0$51,540$769,136

280 people received more than $100,000 in reportable compensation from Ascension Health (Part VII, line 2).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$100M$200M$300M$400MFY2020FY2021FY2022FY2023FY2024FY2025$383M$237M
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$383M$237M82.1%$1.58B$14,086,474
FY2024 ⓘ$233M$228M82.0%$141M$12,281,151
FY2023 ⓘ$228M$211M81.6%$90M$9,118,708
FY2022 ⓘ$182M$164M81.5%$42M$13,707,694
FY2021 ⓘ$149M$141M81.9%$53M$13,018,632
FY2020 ⓘ$141M$152M82.9%$57M$16,377,863

Governance answers, as filed

FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means
  • Voting board members, and how many are independent Part VI, lines 1a–1b3 · 0 independent
  • Audited financial statements Part XII 2bYes
  • Conflict-of-interest policy Part VI 12aYes
  • Whistleblower policy Part VI 13Yes
  • Document retention policy Part VI 14Yes
  • Independent process for top executive pay Part VI 15aNo
  • Board given the 990 before filing Part VI 11aNo
  • Family or business ties among insiders Part VI 2No
  • Aware of a significant diversion of assets Part VI 5No
  • Excess benefit transaction with an insider Part IV 25aNo
  • Loans to or from insiders outstanding Part IV 26No
  • Lobbying, or a 501(h) election in effect Part IV 4No
  • Over $15,000 of professional fundraising services Part IV 18No
  • Over $10,000 of activity outside the U.S. Part IV 14bNo
  • Employees Part I, line 52,514

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only
DELOITTE CONSULTING LLP
Consulting services
$35,095,680
RXSENSE GROUP LLC
Technology services
$4,520,815
PARATA SYSTEMS LLC
Pharmacy technology services
$407,307
Qualtrics LLC
Technology services
$330,412
HEALTHSCAN IMAGING LLC
Imaging services
$246,936

Individuals listed as contractors are left out. 9 contractors were paid more than $100,000 in all.

Correct a figure or respond

Every number above is copied from Ascension Health's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Ascension Health, you can publish a response that is linked from this page.

Similar-sized charities in this cause

All health care charities · Largest charities in Missouri

Questions people ask

How much of Ascension Health's spending goes to programs?

In the fiscal year ending June 30, 2025, Ascension Health reported that 82.1% of its $236.6 million in expenses went to program services, 17.9% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Ascension Health pay its top executive?

The largest total compensation Ascension Health reported for one person in the fiscal year ending June 30, 2025 was $14,086,474, for the role of CHAIR & CEO (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Ascension Health get its money?

Of $383.1 million in revenue in the fiscal year ending June 30, 2025, 10.8% came from contributions and grants (including 10.0% from government grants) and 57.0% from program service revenue (Form 990, Part VIII).

Is Ascension Health a registered charity?

The IRS lists EIN 31-1662309 as a 501(c)(3) organization (supporting organization (509(a)(3))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

  • FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202631359349313718 · read the filing
  • FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202531359349310558 · read the filing
  • FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202401369349308790 · read the filing
  • FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202301359349306065 · read the filing
  • FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202241369349312564 · read the filing
  • FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202131379349304678 · read the filing

All filings for EIN 31-1662309: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.