Ascension Health Alliance is a 501(c)(3) organization based in Saint Louis, Missouri, registered in 1946, with $2,404,854,217 in FY2023 revenue. CharityIndex grades it A, and it directs about 82% of spending to programs.
Revenue (FY2023)
$2.4B
▲ 10.6% vs prior year
Expenses (FY2023)
$2.1B
Net assets
$13.2B
Employees
9,093
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Ascension Health Alliance: 82% to programs · $0 to raise $100 earns a A on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Ascension Health Alliance: 75 mo reserves · +13% margin earns a B+ on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Ascension Health Alliance: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Ascension Health Alliance: 4 of 5 disclosure signals earns a A on this criterion. See the exact thresholds →
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Catholic health ministry dedicated to service, healing, and transformational solutions.
Revenue grew from $660.8M (FY2013) to $2.4B (FY2023) across 11 reported years.
Financial snapshot
Operating margin
12.7%
Revenue exceeded expenses in the latest fiscal year.
Total assets
$24.0B
Total liabilities
$10.8B
Net assets
$13.2B
Salaries & benefits
$1.2B
56% of expenses
Board members
9
8 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2023 | $2,404,854,217▲10.6% | $2,099,265,875▲1.7% | $13,205,289,991▼12.9% | $23,967,171,477▼6.0% | 990 |
| 2022 | $2,174,612,908▼41.3% | $2,064,013,290▲4.9% | $15,153,130,776▼16.5% | $25,494,056,258▼11.3% | 990 |
| 2021 | $3,703,980,191▼12.1% | $1,968,165,408▲7.6% | $18,141,341,727▼18.7% | $28,730,729,640▼16.3% | 990 |
| 2020 | $4,211,917,238▲76.2% | $1,829,620,172▲8.2% | $22,304,351,387▲41.8% | $34,321,139,954▲21.8% | 990 |
| 2019 | $2,389,900,816▲4.9% | $1,691,422,542▼1.3% | $15,724,888,413▲8.4% | $28,177,995,461▲8.1% | 990 |
| 2018 | $2,277,700,801▼2.9% | $1,713,205,150▲49.2% | $14,509,258,012▼6.9% | $26,075,544,022▼0.8% | 990 |
| 2017 | $2,344,976,505▲24.9% | $1,148,109,428▼8.5% | $15,587,478,004▲17.7% | $26,292,960,490▲22.0% | 990 |
| 2016 | $1,876,744,413▲41.1% | $1,255,376,895▼2.8% | $13,240,740,832▲1211% | $21,553,378,086▲152% | 990 |
| 2015 | $1,329,806,506▲12.9% | $1,292,120,838▲24.0% | $1,010,201,433▲14.2% | $8,541,521,970▲25.5% | 990 |
| 2014 | $1,177,685,659▲78.2% | $1,041,655,807▲64.0% | $884,548,684▲16.8% | $6,805,723,942▲5.4% | 990 |
| 2013 | $660,801,887 | $635,164,186 | $757,335,045 | $6,458,025,195 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Joseph R Impicciche Jd Mha — $9,963,725 (0.47% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Joseph R Impicciche Jd Mha | Ceo | 50 | $9,963,725 |
| Eduardo F Conrado | President | 50 | $6,487,337 |
| Craig A Cordola Fache | Evp & Coo | 50 | $6,325,258 |
| Elizabeth C Foshage CPA | Evp & Cfo | 50 | $4,523,198 |
| Herbert J Vallier | Evp & Chro | 50 | $4,280,198 |
| Sally Anne Hurt-deitch | Evp, Nursing & Operations Infrastructure | 50 | $3,840,948 |
| Anthony J Speranzo | President & Ceo, Ascension Capital | 50 | $3,535,375 |
| Christine K Mccoy Jd | Evp & General Counsel | 50 | $3,364,088 |
| Anthony R Tersigni Edd Fache | Former Officer (end 6/2019) | 50 | $1,711,905 |
| W Stancil Starnes Jd | Chair | 4 | $166,625 |
| Michael E Zychinski CPA | Director | 4 | $117,025 |
| Kristi A Savacool | Treasurer | 4 | $114,275 |
| Sheila P Burke Mpa Rn Faan | Vice Chair | 4 | $114,025 |
| Eve J Higginbotham Sm Md | Secretary | 4 | $111,025 |
| Stephen M Dufilho CPA | Director | 4 | $73,500 |
| Regina M Benjamin Md Mba | Former Director (end 6/2023) | 4 | $22,500 |
| Benny Larussa Jr | Director (start 3/2024) | 4 | — |
| Naveen Agarwal | Director (start 3/2024) | 4 | — |
| Saurabh Tripathi | Evp & Cfo (start 4/2024) | 50 | — |
| Contractor | Services | Paid |
|---|---|---|
| Ernst & Young LLP | Audit & Professional Services | $19,596,707 |
| Crowe LLP | Consulting & Tax Services | $7,054,517 |
| Deloitte and Touche LLP | Internal Audit Services | $3,949,939 |
| Rqi Partners LLC | Clinical Education & Quality Services | $2,165,792 |
| Winston & Strawn LLP | Legal Services | $2,074,307 |
10 grants totaling $5.0M in FY2023. All grants made by Ascension Health Alliance →
| Recipient | Purpose | Amount |
|---|---|---|
| Ascension Health | General support | $2,447,187 |
| Cross Catholic Outreach Inc | To support the health and well-being of impoverished children and families | $618,792 |
| Healthy Woman Womens Clinics of | General support | $500,000 |
| Dynamic Catholic Institute | To support reenergizingthecatholicchurchinamerica | $500,000 |
| Catholic Bishop of Chicago | General support | $408,000 |
| Archdiocese of St Louis | General support | $250,000 |
| Ascension Foundation | General support | $199,400 |
| Npower Inc | Support community organization | $50,000 |
| Ozzie Smith Charitable Foundation Inc | General support | $10,000 |
| Providence Foundation | General support | $10,000 |
Explore more
Data for Ascension Health Alliance (EIN 45-3358926) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.