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Passes our checks

Ascension Health Alliance

EIN 45-3358926 · Saint Louis, MO

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthStrong90 out of 100GovernanceStrong100 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

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.

Income
$3.3 billion
Spending
$2.1 billion
Spent on programs
82%
Reserves
71.1 months of spending
Largest source of income
fees for its services, 55%
Employees
8,778
Volunteers
0
Highest pay
$14.1 million, ceo

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Strong: 90 out of 100.

  • Reserves

    35 of 35

    Spendable reserves would cover 71.1 months of spending.

  • Debt

    10 of 20

    It owes 44% of what it owns.

  • Living within its means

    15 of 15

    Income exceeded spending by 36% of income.

  • Income trend

    15 of 15

    Income rose 37% on the year before.

  • Spending floor

    15 of 15

    82% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 100 out of 100.

  • Independent board

    25 of 25

    7 of 8 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (1)
  1. $1.7 billion spent. 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 system employed 99,000 associates serving in 1,924 locations in more than 16 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, priority and challenges. In fiscal year 2025 alone, Ascension Health provided $1.7 billion in care of persons living in poverty and other community benefit programs, 21,083,414 physician office and clinic visits, 2,484,054 emergency room visits, 564,953 discharges, 467,315 surgery visits, 62,632 births, 17,629 available beds, 22,300 affiliated providers, and 95 hospitals. Financial assistance and community benefit totaled more than $3.5 billion with the inclusion of $1.8 billion of unpaid costs of Medicare.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.

  3. Are donations tax-deductible? Worth knowing.

    Not individually listed by the IRS as eligible, which is usual for churches. The master file records contributions to it as deductible.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending June 2025.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since March 1946.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.