Ascension Health Alliance

EIN: 453358926 501(c)(3)

St Louis, MO

Total Revenue
$2,174,612,908
Total Expenses
$2,064,013,290
Total Assets
$25,494,056,258
Net Assets
$15,153,130,776
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Financial Vulnerability Assessment (Tuckman-Chang)

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Financial Trends

Organization Details

Formation Year
2011
Legal Domicile
MO
Phone
3147338000
Tax Period
2022-07-01 to 2023-06-30

Ascension Health Alliance, founded in 2011, is a large national nonprofit that reported $2.2B in total revenue in fiscal year 2022. Revenue fell 41% from the prior year — a significant decline worth monitoring. Expenses of $2.1B left a modest 5% surplus.

Mission

Catholic health ministry dedicated to service, healing, and transformational solutions.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2022)

Revenue Breakdown

Contributions & Grants $1,537,872
Program Service Revenue $1,788,394,157
Investment Income $149,405,017
Other Revenue $235,275,862
TOTAL REVENUE $2,174,612,908

Expense Breakdown

Grants Paid $7,875,122
Salaries & Benefits $1,190,683,367
Fundraising Expenses $0
Program Expenses $1,711,318,989
Other Expenses $865,454,801
TOTAL EXPENSES $2,064,013,290

Year-over-Year Comparison

2022 2021 Change
Revenue $2,174,612,908 $3,703,980,191 -0.4%
Expenses $2,064,013,290 $1,968,165,408 +0.0%
Net Income $110,599,618 $1,735,814,783 -0.9%
Key Indicators
Grants to Organizations Grants to Individuals Lobbying Political Activity Foreign Activities Donor Advised Fund Schedule B Required
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Financial Health Indicators

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Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

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Governance

Voting Members
7
Independent Members
6
Employees
9235
Volunteers
N/A

Governance Policies

Conflict of Interest Policy
Whistleblower Policy
Document Retention Policy

Special Practices & Reported Activities

Operated a School
Operated a Hospital
Provided First Class Travel
Reported Conflict of Interest
Reported Asset Diversion
Excess Benefit Transaction
Made Political Expenditures
Engaged in Lobbying
Operated Donor Advised Fund
Maintained Art Collections
Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
7
$18,386,531
Total Directors
7
$9,447,458
Key Employees
0
$0
Highest Compensated
5
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
N/A SECRETARY 4.0
Officer Director
$57,000 $0 $57,000
N/A PRESIDENT & CEO (END 2/2023)/CEO (START 2/2023) 50.0
Officer Director
$9,057,632 $61,076 $9,118,708
N/A TREASURER 4.0
Officer Director
$26,500 $0 $26,500
N/A VICE CHAIR 4.0
Officer Director
$50,000 $0 $50,000
N/A CHAIR 4.0
Officer Director
$79,250 $0 $79,250
N/A DIRECTOR 4.0
Director
$65,000 $0 $65,000
N/A DIRECTOR 4.0
Director
$51,000 $0 $51,000
N/A PRESIDENT (START 2/2023) 50.0
Officer
$3,922,016 $1,151,336 $5,073,352
N/A EVP & CFO 50.0
Officer
$3,923,793 $57,928 $3,981,721
N/A PRESIDENT & CEO, ASCENSION CAPITAL 50.0
Highest
$3,241,817 $54,685 $3,296,502
N/A EVP & COO 50.0
Highest
$3,985,303 $1,319,105 $5,304,408
N/A EVP & CHRO 50.0
Highest
$3,301,984 $58,680 $3,360,664
N/A EVP, CLINICAL & NETWORK SERVICES (END 8/2022) 50.0
Highest
$3,809,601 $47,680 $3,857,281
N/A EVP & CNE (END 6/2022) 50.0
Highest
$3,894,215 $27,068 $3,921,283
N/A FORMER OFFICER (END 6/2019) 50.0
$1,478,679 $55,508 $1,534,187
N/A FORMER DIRECTOR (END 6/2022) 4.0
$30,500 $0 $30,500
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2025 No data No data No data No data
2024 No data No data No data No data
2023 $2,174,612,908 $2,064,013,290 $25,494,056,258 $110,599,618
2022 $3,703,980,191 $1,968,165,408 $28,730,729,640 $1,735,814,783
2021 $4,211,917,238 $1,829,620,172 $34,321,139,954 $2,382,297,066
2020 $2,389,900,816 $1,691,422,542 $28,177,995,461 $698,478,274
2019 $2,277,700,801 $1,713,205,150 $26,075,544,022 $564,495,651
2018 $2,344,976,505 $1,148,109,428 $26,292,960,490 $1,196,867,077
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