Ascension Health Alliance

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2011

Legal Domicile

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

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 Service Accomplishments

Program 1

Expenses: $1,711,318,989 Revenue: $2,004,236,672

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 2023, THE ASCENSION SYSTEM EMPLOYED 134,000 ASSOCIATES SERVING IN 2,600+ LOCATIONS IN MORE THAN 19 STATES AND THE DISTRICT OF COLUMBIA. HOWEVER, IN COMPARISON TO MANY OTHER ORGANIZATIONS OF SIMILAR SCOPE AND COMPLEXITY, AS A NONPROFIT, SPIRITUALLY-CENTERED HEALTHCARE SYSTEM, ASCENSION DIFFERENTIATES ITSELF IN TERMS OF MISSION, PRIORITIES AND CHALLENGES. IN FISCAL YEAR 2023 ALONE, ASCENSION HEALTH PROVIDED $2.2 BILLION IN CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS, 3,074,545 EMERGENCY ROOM VISITS, 716,273 DISCHARGES, 599,458 SURGERY VISITS, 78,845 BIRTHS, 26,117 AVAILABLE BEDS, 35,000 AFFILIATED PROVIDERS, AND 140 HOSPITALS.

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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%)

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

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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

Governance

Voting Members

Independent Members

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

$18,386,531

Total Directors

$9,447,458

Key Employees

Highest Compensated

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