Sacred Heart Health System

Also known as See Schedule O

St Louis, MO · EIN 59-0634434 · 501(c)(3) · Hospital or medical research organization
Latest filing: Form 990 for the fiscal year ending June 30, 2025 (tax year 2024) · View the filing · Correct or respond

Sacred Heart Health System reported $1.85 billion in revenue and $1.74 billion in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $79.40 went to program services, $20.60 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: 98.6% of the total. The highest compensation it reported for one person was $2,226,391 (CEO, MINISTRY MARKET). 949 people received more than $100,000 in reportable compensation. Revenue rose 64% 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 $1.74B

Program services$79.40 $1.38B
Management & general$20.60 $357M
Fundraising$0.00 $0

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 $1.85B

Contributions & grants (non-government)$0.51 $9.4M
Government grants$0.37 $6.9M
Program service revenue$98.64 $1.82B
Investment income$0.06 $1.1M
Other revenue$0.42 $7.7M

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.
Measure	FY2025	Median
Program services Part IX 25(B) ÷ 25(A)	79.4%	85.6%
Management & general Part IX 25(C) ÷ 25(A)	20.6%	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	0.9%	1.3%
Government grants share of revenue Part VIII 1e ÷ 12	0.4%	0.1%
Program service revenue share Part VIII 2g ÷ 12	98.6%	93.7%
Highest reported compensation Part VII-A, columns D–F	$2,226,391	$975,831
Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A)	0.13%	1.34%
People paid over $100,000 Part VII, line 2	949	27
Net assets, in months of expenses Part X 33(B) ÷ monthly expenses	2.9	6.6
Independent voting board members Part VI 1a–1b	0 of 3	88.9%

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

$1.38B expenses · 100.0% of program spending · grants $3.1M · revenue $1.82B

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. Sacred Heart Health System, Inc. has 866 available beds on 4 campuses that provide services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2025, Sacred Heart Health System, Inc. treated 44,331 adults and children for a total of 207,811 patient days of service. The hospital also provided services for 1,642,854…

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here

Role	From this org	From related orgs	Other	Total
CEO, MINISTRY MARKET Director/trustee, officer, 0.0 hrs/week	$0	$2,175,488	$50,903	$2,226,391
PHYSICIAN Highest compensated employee, 50.0 hrs/week	$2,128,920	$0	$57,672	$2,186,592
PHYSICIAN (END 10/2024) Highest compensated employee, 50.0 hrs/week	$1,712,636	$0	$7,507	$1,720,143
PHYSICIAN Highest compensated employee, 50.0 hrs/week	$1,604,301	$0	$43,272	$1,647,573
PHYSICIAN Highest compensated employee, 50.0 hrs/week	$1,400,674	$0	$45,752	$1,446,426
EX-OFFICIO/COO, MINISTRY MARKET Director/trustee, officer, 0.0 hrs/week	$0	$1,369,888	$63,669	$1,433,557
PHYSICIAN Highest compensated employee, 50.0 hrs/week	$1,286,557	$0	$65,393	$1,351,950
CFO, MINISTRY MARKET Director/trustee, officer, 0.0 hrs/week	$0	$974,871	$28,859	$1,003,730

949 people received more than $100,000 in reportable compensation from Sacred Heart Health System (Part VII, line 2). Compensation of current officers, directors and key employees totaled $6.3M (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

Filing	Revenue	Expenses	Programs	Net assets	Top pay
FY2025 ⓘ	$1.85B	$1.74B	79.4%	$420M	$2,226,391
FY2024 ⓘ	$1.66B	$1.62B	78.0%	$488M	$2,780,323
FY2023 ⓘ	$1.50B	$1.53B	78.4%	$429M	$2,030,462
FY2022 ⓘ	$1.36B	$1.48B	79.5%	$437M	$2,031,407
FY2021 ⓘ	$1.26B	$1.28B	74.0%	$263M	$2,069,644
FY2020 ⓘ	$1.12B	$1.16B	73.0%	$296M	$1,536,598

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 4Yes
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 58,081
Volunteers Part I, line 6483

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only

AMS SACRED HEART LLC Anesthesia services	$18,752,727
GALEN INPATIENT PHYSICIANS PC Medical services	$6,990,799
UNIVERSAL PROTECTION SERVICE LP Security services	$5,936,380
PENSACOLA LUNG GROUP MDS PA Medical services	$4,663,754
GULF COAST HEALTH SYSTEM IMAGING LLC Medical services	$4,166,889

Individuals listed as contractors are left out. 55 contractors were paid more than $100,000 in all.

Private foundation grants it received

1 private foundation reported grants to Sacred Heart Health System totaling $16 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.

Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.

Correct a figure or respond

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

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Similar-sized charities in this cause

Fallon Community Health Plan
Worcester, MA · revenue $1.84B · programs 97.5% · 2024
Avera McKennan
Sioux Falls, SD · revenue $1.86B · programs 91.9% · FY2025
Lancaster General Hospital
Lancaster, PA · revenue $1.84B · programs 83.9% · FY2025
The Queen's Medical Center
Honolulu, HI · revenue $1.86B · programs 96.0% · FY2025
Chg Foundation
Chula Vista, CA · revenue $1.84B · programs 95.5% · 2024

All health care charities · Largest charities in Missouri

Questions people ask

How much of Sacred Heart Health System's spending goes to programs?

In the fiscal year ending June 30, 2025, Sacred Heart Health System reported that 79.4% of its $1.74 billion in expenses went to program services, 20.6% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Sacred Heart Health System pay its top executive?

The largest total compensation Sacred Heart Health System reported for one person in the fiscal year ending June 30, 2025 was $2,226,391, for the role of CEO, MINISTRY MARKET (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Sacred Heart Health System get its money?

Of $1.85 billion in revenue in the fiscal year ending June 30, 2025, 0.9% came from contributions and grants (including 0.4% from government grants) and 98.6% from program service revenue (Form 990, Part VIII).

Is Sacred Heart Health System a registered charity?

The IRS lists EIN 59-0634434 as a 501(c)(3) organization (hospital or medical research organization), 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 202641329349307109 · read the filing
FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202531359349308313 · read the filing
FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202401369349312250 · read the filing
FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202311319349300011 · read the filing
FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202231349349301963 · read the filing
FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202131339349301003 · read the filing

All filings for EIN 59-0634434: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.