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Ascension Health Alliance

Also known as See Schedule O for Complete List

St Louis, MO · EIN 45-3358926 · 501(c)(3) · Church
Latest filing: Form 990 for the fiscal year ending June 30, 2025 (tax year 2024) · View the filing · Correct or respond

Ascension Health Alliance reported $3.28 billion in revenue and $2.10 billion in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $81.89 went to program services, $18.11 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: 55.2% of the total. The highest compensation it reported for one person was $14,086,474 (CEO). 2,397 people received more than $100,000 in reportable compensation. Revenue rose 37% 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 $2.10B

For context, the median across 2,433 covered unclassified charities: $88.27 programs, $11.68 management, $0.05 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 $3.28B

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

FY2025 filing. Median across 2,433 covered charities in this category, from their latest filings.
MeasureFY2025Median
Program services
Part IX 25(B) ÷ 25(A)
81.9%86.7%
Management & general
Part IX 25(C) ÷ 25(A)
18.1%11.5%
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$0.01
Contributions & grants share of revenue
Part VIII 1h ÷ 12
0.1%29.9%
Government grants share of revenue
Part VIII 1e ÷ 12
0.1%3.8%
Program service revenue share
Part VIII 2g ÷ 12
55.2%58.9%
Highest reported compensation
Part VII-A, columns D–F
$14,086,474$301,601
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
0.67%1.38%
People paid over $100,000
Part VII, line 2
2,3976
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
71.26.8
Independent voting board members
Part VI 1a–1b
7 of 8100.0%

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
$1.72B expenses · 100.0% of program spending · grants $8.6M · revenue $2.02B

Ascension Health Alliance is a mission-focused organization guided by its religious sponsors in transforming health care by providing the highest quality care to all, with special attention to those who are poor and vulnerable, and through innovation. As the parent of the Ascension Catholic health ministry, Ascension Health Alliance supports Ascension Health Ministries ("Ascension Sponsor"), a Public Juridic Person approved by the Vatican, and the efforts of Ascension hospitals and health facilities, providing care to individuals and communities. In fiscal year 2025, the Ascension health…

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
CEO
Director/trustee, officer, 50.0 hrs/week
$14,013,862$0$72,612$14,086,474
PRESIDENT
Officer, 50.0 hrs/week
$10,184,916$0$734,713$10,919,629
EVP & GENERAL COUNSEL
Highest compensated employee, 50.0 hrs/week
$4,901,128$0$385,984$5,287,112
EVP & CFO (END 11/2024)
Officer, 50.0 hrs/week
$4,931,407$0$47,133$4,978,540
FORMER HIGHEST COMPENSATED EMPLOYEE (END 12/2023)
Former, 0.0 hrs/week
$4,823,160$0$0$4,823,160
EVP, NURSING AND OPERATIONS INFRASTRUCTURE
Highest compensated employee, 50.0 hrs/week
$4,433,898$0$65,133$4,499,031
EVP & CHRO
Highest compensated employee, 50.0 hrs/week
$4,143,213$0$42,398$4,185,611
SVP, REGIONAL OPERATIONS OFFICER
Highest compensated employee, 50.0 hrs/week
$3,481,746$0$69,093$3,550,839

2,397 people received more than $100,000 in reportable compensation from Ascension Health Alliance (Part VII, line 2). Compensation of current officers, directors and key employees totaled $32M (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$2.00B$4.00B$6.00B$8.00BFY2020FY2021FY2022FY2023FY2024FY2025$3.28B$2.10B
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$3.28B$2.10B81.9%$12.4B$14,086,474
FY2024 ⓘ$2.40B$2.10B82.0%$13.2B$12,281,151
FY2023 ⓘ$2.17B$2.06B82.9%$15.2B$9,118,708
FY2022 ⓘ$3.70B$1.97B83.5%$18.1B$13,707,694
FY2021 ⓘ$4.21B$1.83B83.5%$22.3B$13,018,632
FY2020 ⓘ$2.39B$1.69B83.9%$15.7B$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–1b8 · 7 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 15aYes
  • Board given the 990 before filing Part VI 11aYes
  • 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 4Yes
  • Over $15,000 of professional fundraising services Part IV 18No
  • Over $10,000 of activity outside the U.S. Part IV 14bYes
  • Employees Part I, line 58,778

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only
ERNST & YOUNG LLP
Audit & Professional Services
$10,189,718
PROLINK HEALTHCARE LLC
Staffing services
$7,408,882
DELOITTE AND TOUCHE LLP
Professional & Consulting Services
$4,964,533
RQI PARTNERS LLC
Clinical Education & Quality Services
$4,333,325

Individuals listed as contractors are left out. 98 contractors were paid more than $100,000 in all.

Correct a figure or respond

Every number above is copied from Ascension Health Alliance'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 Alliance, you can publish a response that is linked from this page.

Similar-sized charities in this cause

All unclassified charities · Largest charities in Missouri

Questions people ask

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

In the fiscal year ending June 30, 2025, Ascension Health Alliance reported that 81.9% of its $2.10 billion in expenses went to program services, 18.1% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Ascension Health Alliance pay its top executive?

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

Where does Ascension Health Alliance get its money?

Of $3.28 billion in revenue in the fiscal year ending June 30, 2025, 0.1% came from contributions and grants (including 0.1% from government grants) and 55.2% from program service revenue (Form 990, Part VIII).

Is Ascension Health Alliance a registered charity?

The IRS lists EIN 45-3358926 as a 501(c)(3) organization (church), 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 202641359349311999 · read the filing
  • FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202521359349310967 · read the filing
  • FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202441369349309039 · read the filing
  • FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321359349308992 · read the filing
  • FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202241369349312519 · read the filing
  • FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202121379349304862 · read the filing

All filings for EIN 45-3358926: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.