Civic Intelligence

Ascension Health Alliance

EIN 45-3358926 • 501(c)3 • St Louis, MO

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Profile

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.

CO Tax Department PO Box 45998St Louis, MO 63145-5998

www.ascension.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

67th percentile

0.45x

Higher debt load relative to assets than 67% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

92nd percentile

4.48x

Higher debt load relative to revenue than 92% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

68th percentile

13%

Higher net margin than 68% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

96th percentile

$12,281,151

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

6th percentile

-6.0%

Faster asset growth than 6% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

50th percentile

11%

Faster revenue growth than 50% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets67th percentile

Assets

Down

$23,967,171,477

Down $1,526,884,781 (-6.0%) from 2023

Liabilities

Up

$10,761,881,486

Up $420,956,004 (+4.1%) from 2023

Net Assets

Down

$13,205,289,991

Down $1,947,840,785 (-13%) from 2023

Operations
Liabilities / Revenue92nd percentileNet Margin68th percentile

Revenue

Up

$2,404,854,217

Up $230,241,309 (+11%) from 2023

Expenses

Up

$2,099,265,875

Up $35,252,585 (+1.7%) from 2023

Net Income

Up

$305,588,342

Up $194,988,724 (+176%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth6th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40B$30B$20B$10B$0Assets 2013: $6,158,202,342Liabilities 2013: $5,727,546,389Net Assets 2013: $430,655,9532013Assets 2014: $6,458,025,195Liabilities 2014: $5,700,690,150Net Assets 2014: $757,335,0452014Assets 2015: $6,805,723,942Liabilities 2015: $5,921,175,258Net Assets 2015: $884,548,6842015Assets 2016: $8,541,521,970Liabilities 2016: $7,531,320,537Net Assets 2016: $1,010,201,4332016Assets 2017: $21,553,378,086Liabilities 2017: $8,312,637,254Net Assets 2017: $13,240,740,8322017Assets 2018: $26,292,960,490Liabilities 2018: $10,705,482,486Net Assets 2018: $15,587,478,0042018Assets 2019: $26,075,544,022Liabilities 2019: $11,566,286,010Net Assets 2019: $14,509,258,0122019Assets 2020: $28,177,995,461Liabilities 2020: $12,453,107,048Net Assets 2020: $15,724,888,4132020Assets 2021: $34,321,139,954Liabilities 2021: $12,016,788,567Net Assets 2021: $22,304,351,3872021Assets 2022: $28,730,729,640Liabilities 2022: $10,589,387,913Net Assets 2022: $18,141,341,7272022Assets 2023: $25,494,056,258Liabilities 2023: $10,340,925,482Net Assets 2023: $15,153,130,7762023Assets 2024: $23,967,171,477Liabilities 2024: $10,761,881,486Net Assets 2024: $13,205,289,9912024

Highlighted filing

2024

Assets$23,967,171,477
Liabilities$10,761,881,486
Net Assets$13,205,289,991
Open 2024 Filing

Operations Trend

Revenue Growth50th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$6.0B$4.0B$2.0B$0-$2.0BRevenue 2013: $449,501,807Expenses 2013: $476,011,310Net Income 2013: -$26,509,5032013Revenue 2014: $660,801,887Expenses 2014: $635,164,186Net Income 2014: $25,637,7012014Revenue 2015: $1,177,685,659Expenses 2015: $1,041,655,807Net Income 2015: $136,029,8522015Revenue 2016: $1,329,806,506Expenses 2016: $1,292,120,838Net Income 2016: $37,685,6682016Revenue 2017: $1,876,744,413Expenses 2017: $1,255,376,895Net Income 2017: $621,367,5182017Revenue 2018: $2,344,976,505Expenses 2018: $1,148,109,428Net Income 2018: $1,196,867,0772018Revenue 2019: $2,277,700,801Expenses 2019: $1,713,205,150Net Income 2019: $564,495,6512019Revenue 2020: $2,389,900,816Expenses 2020: $1,691,422,542Net Income 2020: $698,478,2742020Revenue 2021: $4,211,917,238Expenses 2021: $1,829,620,172Net Income 2021: $2,382,297,0662021Revenue 2022: $3,703,980,191Expenses 2022: $1,968,165,408Net Income 2022: $1,735,814,7832022Revenue 2023: $2,174,612,908Expenses 2023: $2,064,013,290Net Income 2023: $110,599,6182023Revenue 2024: $2,404,854,217Expenses 2024: $2,099,265,875Net Income 2024: $305,588,3422024

Highlighted filing

2024

Revenue$2,404,854,217
Expenses$2,099,265,875
Net Income$305,588,342
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$23,967,171,477
Liabilities
$10,761,881,486
Net assets
$13,205,289,991
Revenue
$2,404,854,217
Expenses
$2,099,265,875
Net income
$305,588,342
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$23,967$10,762$13,205$2,405$2,099$306
2023Summary only. Only limited summary data is available for this year.$25,494$10,341$15,153$2,175$2,064$111
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$28,731$10,589$18,141$3,704$1,968$1,736
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$34,321$12,017$22,304$4,212$1,830$2,382
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$28,178$12,453$15,725$2,390$1,691$698
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$26,076$11,566$14,509$2,278$1,713$564
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$26,293$10,705$15,587$2,345$1,148$1,197
2017Summary only. Only limited summary data is available for this year.$21,553$8,313$13,241$1,877$1,255$621
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8,542$7,531$1,010$1,330$1,292$37.7
2015Summary only. Only limited summary data is available for this year.$6,806$5,921$885$1,178$1,042$136
2014Detailed filing. Detailed filing data is available for this year.$6,458$5,701$757$661$635$25.6
2013Summary only. Only limited summary data is available for this year.$6,158$5,728$431$450$476$26.5
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 15, 2025
Return Version
2023v6.0
Gross Receipts
$2,430,854,703
Mission and Program Overview

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.

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Other Notes and Loans Receivable, Net$6,749,053,501$6,452,590,789▼ $296,462,712
Investments Program Related$2,274,700,141$2,075,224,848▼ $199,475,293
Investments Other Securities$188,156,615$234,231,795▲ $46,075,180
Accounts Receivable$76,813,361$178,382,853▲ $101,569,492
Prepaid Expenses and Deferred Charges$28,246,706$37,508,183▲ $9,261,477
Cash and Non-Interest-Bearing Accounts$32,710,333$23,394,882▼ $9,315,451
Inventories for Sale or Use$26,344,444$22,626,554▼ $3,717,890
Intangible Assets$11,340,742$20,601,016▲ $9,260,274
Land, Buildings, and Equipment, Net$10,437,361$11,209,772▲ $772,411
Pledges and Grants Receivable$495$0▼ $495
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$25,494,056,258$23,967,171,477▼ $1,526,884,781
Other Assets Total$16,096,252,559$14,911,400,785▼ $1,184,851,774
Liabilities
Tax Exempt Bond Liabilities$6,614,920,013$6,699,565,013▲ $84,645,000
Other Liabilities$2,580,047,825$2,465,653,076▼ $114,394,749
Accounts Payable and Accrued Expenses$1,145,718,596$1,596,424,349▲ $450,705,753
Deferred Revenue$239,048$239,048→ $0
Total Liabilities$10,340,925,482$10,761,881,486▲ $420,956,004
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$15,153,130,776$13,205,289,991▼ $1,947,840,785
Total Net Assets Fund Balance$15,153,130,776$13,205,289,991▼ $1,947,840,785
Total Liabilities and Net Assets / Fund Balance$25,494,056,258$23,967,171,477▼ $1,526,884,781

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$589,693$21,413,293$22,002,986
Buildings$4,842,166$4,323,920$9,166,086
Leasehold Improvements$136,645$4,967,164$5,103,809
Other Land Buildings$4,541,268$36,425$4,577,693
Land$1,100,000-$1,100,000
Investment Program Related Org$1,232,122,897--
Other Assets Org$15,583,919--
Compensation and Service Providers
Top Officer Pay96th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Joseph R Impicciche Jd MhaCEOFT$1,730,785$10,550,366$12,281,151
Eduardo F ConradoPresidentFT$1,335,576$5,236,276$6,571,852
Craig a Cordola FacheEvp & COOFT$1,185,846$5,196,826$6,382,672
Elizabeth C Foshage CPAEvp & CFOFT$1,185,354$3,952,298$5,137,652
Herbert J VallierEvp & ChroFT$985,990$3,357,494$4,343,484
Christine K Mccoy JdEvp & General CounselFT$879,030$3,419,839$4,298,869
Sally Anne Hurt-deitchEvp, Nursing & Operations InfrastructureFT$983,800$2,919,992$3,903,792
Anthony J SperanzoPresident & CEO, Ascension CapitalFT$1,164,045$2,429,169$3,593,214
Anthony R Tersigni Edd FacheFormer Officer (end 6/2019)FT$1,164,460$605,487$1,769,947
W Stancil Starnes JdChair-$166,625-$166,625
Michael E Zychinski CPADirector-$117,025-$117,025
Kristi a SavacoolTreasurer-$114,275-$114,275
Sheila P Burke Mpa Rn FaanVice Chair-$114,025-$114,025
Eve J Higginbotham Sm MdSecretary-$111,025-$111,025
Stephen M Dufilho CPADirector-$73,500-$73,500
Regina M Benjamin Md MbaFormer Director (end 6/2023)-$22,500-$22,500

Board Members and Trustees

NameTitle
Benny Larussa JrDirector (start 3/2024)
Naveen AgarwalDirector (start 3/2024)
Saurabh TripathiEvp & CFO (start 4/2024)

Highest Paid Contractors

ContractorServicesLocationCompensation
Ernst & Young LLPAudit & Professional Services1201 MAIN STREET, SUITE 2000, Dallas, TX 75202$19,596,707
Crowe LLPConsulting & Tax ServicesPO BOX 71570, SUITE P2020, Chicago, IL 60694-1570$7,054,517
Deloitte And Touche LLPInternal Audit Services4022 SELLS DRIVE, Hermitage, TN 37076-2903$3,949,939
Rqi Partners LLCClinical Education & Quality Services7272 GREENVILLE AVENUE, Dallas, TX 75231$2,165,792
Winston & Strawn LLPLegal Services35 W WACKER DRIVE, Chicago, IL 60601-1723$2,074,307
Revenue and Support

Revenue Composition

Contributions and Grants
$569,491
Program Service Revenue
$1,743,464,218
Investment Income
$490,195,061
Other Revenue
$170,625,447
Change in Net Assets
$305,588,342
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,172,863,951
Other Expenses$921,408,545
Grants and Similar Amounts Paid$4,993,379
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$677,478,253$225,826,084-$903,304,337
Fees for Services Other$282,232,510$0$0$282,232,510
Interest$261,440,932--$261,440,932
Other Employee Benefits$131,273,723$43,757,908-$175,031,631
Information Technology$56,778,090$19,491,310-$76,269,400
Payroll Taxes$40,630,100$13,543,367-$54,173,467
Insurance$44,750,222$1,384,027-$46,134,249
Depreciation Depletion$28,582,778$8,537,713-$37,120,491
Advertising$32,303,533$3,589,281-$35,892,814
Fees for Services Legal$6,596,559$26,386,236-$32,982,795
All Other Expenses$27,819,236$3,088,545$0$30,907,781
Travel$23,139,570$2,571,063-$25,710,633
Current Officers, Directors, Trustees, and Key Employees$18,515,348$6,171,783$0$24,687,130
Fees for Service Investment Mgmnt Fees$10,325,499--$10,325,499
Occupancy$8,046,133$2,269,422-$10,315,555
Pension Plan Contributions$7,728,169$2,576,056-$10,304,225
Fees for Services Accounting-$9,698,639-$9,698,639
Conferences and Meetings$8,780,082$462,110-$9,242,192
Comp Disqual Persons$4,022,371$1,340,790-$5,363,161
Grants to Domestic Orgs$4,993,379--$4,993,379
Other Expenses$3,990,439$443,382-$4,433,821
Office Expenses$3,330,104$370,012-$3,700,116
Fees for Services Lobbying-$1,693,000-$1,693,000
Fees for Services Management-$213,268-$213,268
Total Functional Expenses$1,721,542,395$377,723,481$0$2,099,265,875
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Ascension Health (Dispensary of Hope)St Louis, MO501(c)(3)General Support$2,447,187
Cross Catholic Outreach IncBoca Raton, FL501(c)(3)To support the health and well-being of impoverished children and families$618,792
Healthy Woman Womens Clinics of FloridaTallahassee, FL501(c)(3)General Support$500,000
The Dynamic Catholic InstituteCincinnati, OH501(c)(3)To Support Reenergizingthecatholicchurchinamerica$500,000
Catholic Bishop of ChicagoChicago, IL501(c)(3)General Support$408,000
Archdiocese of St LouisSt Louis, MO501(c)(3)General Support$250,000
Ascension FoundationSt Louis, MO501(c)(3)General Support$199,400
Npower IncBrooklyn, NY501(c)(3)Support community organization$50,000
Ozzie Smith Charitable Foundation IncWebster Groves, MO501(c)(3)General Support$10,000
Providence Foundation (AL)St Louis, MO501(c)(3)General Support$10,000

International Summary

Offices
0
Employees
0
Spending
$210,226,691

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments---$210,226,691
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Daughter of Joseph R ImpiccicheFull-time Employee CompensationNo$261,873
-Son of Anthony TersigniFull-Time Employee CompensationNo$248,663

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation$723,229,406
Pension Plans Administered by Ah$441,878,531
Intercompany Payable$306,869,797
Hra Liabilities$267,234,560
Premiums/discounts$210,282,175
Reserve for Losses-grantor Trust$170,450,168
Ah Savings Plan Liability$121,266,134
Retirement Liabilities$114,121,990
Insurance Advanced Payments$44,500,000
Other Liabilities$38,644,347
Interest Rate Swap Liability$18,688,349
Deferred Taxes Payable$4,206,465
Guarantee Liability$2,752,484
Operating Lease Liability$1,528,670

Bond Issues

BondIssuerIssuedIssue PricePurpose
AWi Health & Educational Facilities Authority2016-05-11$1,143,277,078SEE PART VI
AIllinois Finance Authority2016-08-16$1,087,180,940SEE PART VI
CMichigan State Hospital Finance Authority2010-03-25$872,106,861See Part VI
DWi Health & Educational Facilities Authority2013-06-18$570,827,513See Part VI
BIndiana Health Facility Financing Authority2003-03-13$498,475,000See Part VI
CIndiana Health Facility Financing Authority2005-02-03$480,236,983See Part VI
AHealth & Ed Fac Auth of Mo2003-03-13$295,375,000See Part VI
AIn Hlth & Ed Fac Fin Authority2006-11-16$179,400,000See Part VI
BWi Health & Educational Facilities Authority2019-10-23$167,681,921SEE PART VI
DMichigan Finance Authority2016-05-11$165,630,000SEE PART VI
DMichigan State Hospital Finance Authority2005-02-03$161,264,563See Part VI
BIndiana Finance Authority2009-05-28$118,690,000See Part VI
CAl Spl Care Fac Fin Auth of the City of Mobile2016-05-11$103,047,625SEE PART VI
BAl Spl Care Fac Fin Auth of Birmingham2016-05-11$85,770,320SEE PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$1,143,277,078$869,273,155$29,270,000$0
A$1,087,180,940$958,070,421$144,675,000$11,697,256
C$872,106,861$869,636,046$509,560,000$0
D$570,827,513$0$372,505,000$0
B$509,527,682$427,914,375$242,375,000$0
C$481,002,150$94,668,741$413,940,000$0
A$302,747,889$259,796,687$188,090,000$0
A$179,400,000$0$124,350,000$0
B$167,681,921$167,681,921$37,620,000$0
D$165,630,000$131,380,632$84,380,000$0
D$161,286,156$48,564,810$117,170,000$0
B$118,690,000$118,690,000$12,310,000$0
C$103,047,625$100,067,621$0$0
B$85,770,320$81,329,249$0$0

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6 Classes of members or stockholders

“Ascension Health Alliance (Ascension) is sponsored by Ascension Health Ministries ("Ascension Sponsor"), a Public Juridic Person ("PJP"), which is subject to those rights and obligations which pertain to Public Juridic Persons in the Catholic Church. The Participating Entities of Ascension Health Ministries are the Daughters of Charity of St. Vincent de Paul in the United States, Province of St. Louise, the Congregation of St. Joseph, the Congregation of the Sisters of St. Joseph of Carondelet, the Congregation of Alexian Brothers of the Immaculate Conception Province - American Province, and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province.”

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

“Board members shall be appointed, upon the recommendation of the Board of Directors, by Ascension Health Ministries ("Ascension Sponsor"), I.e., by the PJP members.”

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

“All decisions that have a material impact to Ascension Health Alliance's financial information or corporation as a whole are reserved to its members, the PJP members who represent the Canonical sponsor, Ascension Health Ministries ("Ascension Sponsor"). The following powers are reserved to Ascension Sponsor: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies s.”

Form 990, Part VI, Line 11B Review of form 990 by governing body

“Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Member's questions.”

Form 990, Part VI, Line 12C Conflict of interest policy

“The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. In addition, the General Counsel reviews all Conflict of Interest disclosures and makes an annual report to the Board on such disclosures.”

Form 990, Part VI, Line 15A Process to establish compensation of top management official

“The process for determining the compensation of the organization's CEO includes (1) the use of an independent third-party compensation firm nationally recognized as having expertise in compensation matters specific to large, nonprofit health care systems in the United States to obtain comparability data, analysis, and recommendations for setting compensation, (2) the review and approval of the independent third-party compensation firm's recommendations by the Board or its committee with authority over compensation matters, and (3) the contemporaneous substantiation of the analyses and decisions regarding compensation arrangements, with system compensation oversight and direction reviewed at least annually for approval by the Board or committee. The organization's process is designed to satisfy the conditions necessary to obtain a rebuttable presumption of reasonableness regarding the compensation arrangement (per IRC Section 4958). The process is administered to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.”

Form 990, Part VI, Line 15B Process to establish compensation of other employees

“The process for determining compensation of the other officer and senior executives is overseen by the board committee responsible for compensation. In some cases, the process may utilize comparability data and analysis from an independent third-party compensation firm nationally recognized as having expertise in compensation matters specific to large, nonprofit health care systems in the united states; or, if more appropriate for the circumstances, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.”

Form 990, Part VI, Line 19 Required documents available to the public

“The organization will provide any documents open to public inspection upon request.”

Form 990, Part VII, Section B, Line 1 Independent Contractor Reporting

“Independent contractor payment information reported by Ascension Health Alliance includes payments made on behalf of affiliates under the organization's shared services accounts payable system.”

Form 990, Part VIII, Line 2F Other Program Service Revenue

“MGMT Fee Revenue - Total Revenue: 11005687, Related or Exempt Function Revenue: 11005687, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; CVH II MGMT Fees - Total Revenue: 1313539, Related or Exempt Function Revenue: 1313539, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Program Expense - Total Revenue: 89688, Related or Exempt Function Revenue: 89688, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Vendor Offeror Fees - Total Revenue: 38264, Related or Exempt Function Revenue: 38264, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; I/C Other Revenue - Total Revenue: 6000, Related or Exempt Function Revenue: 6000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

“CDMS Activity - Total Revenue: 8887814, Related or Exempt Function Revenue: 8887814, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Trust Contribution Revenue - Total Revenue: 7293109, Related or Exempt Function Revenue: 7293109, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Miscellaneous Revenue - Total Revenue: 6674791, Related or Exempt Function Revenue: 6674791, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Gain/Loss Defeasance - Total Revenue: -231555, Related or Exempt Function Revenue: -231555, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Unclaimed Property - Total Revenue: 953960, Related or Exempt Function Revenue: 953960, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Sponsored Project Revenue - Total Revenue: 142808, Related or Exempt Function Revenue: 142808, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Research Revenue - Total Revenue: 31146, Related or Exempt Function Revenue: 31146, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Seminars/Tuition Revenue - Total Revenue: 151939, Related or Exempt Function Revenue: 151939, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

Filing and Contact Details

Filer

Filer Name
Ascension Health Alliance
EIN
45-3358926
Phone
3147338000
Address
CO TAX DEPARTMENT PO BOX 45998, St Louis, MO 63145-5998
Doing Business As
See Schedule O for Complete List

Signing Officer

Name
Tonya Mershon
Title
Vice President, Tax
Phone
3147338000
Signed
2025-05-15
Discuss with paid preparer
Yes

Organization Details

Formed
2011
Legal Domicile
Mo
Voting Board Members
9
Independent Board Members
8
Employees
9,093
Volunteers
0

Preparer

Firm
Deloitte Tax Llp
Address
1001 Woodward Ave, Detroit, MI 48226
Preparer
Kristyn Forster
Phone
3133963000
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

“CONTRACT LABOR - Total Expense: 19766407, Program Service Expense: 19766407, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 81533710, Program Service Expense: 81533710, Management and General Expenses: , Fundraising Expenses: ;”

Form 990, Part XI, Line 9 Centralized Cash Management Activity

“The organization utilizes a centralized cash management system. Therefore, certain centralized cash management activity amounts relate to liabilities of Health System affiliates.”

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

“TRANSFER TO SPONSOR - -5000000; PENSION & OTHER POST-RETIREMENT - -34700309; JOINT VENTURE CAPITAL TRANSACTIONS - 29793223; Centralized Cash Management Activity - -2420775247; CHANGE SHARE OF INVESTEES NET ASSETS - 811351; SmartHealth Health Benefit Adjustment - 1171383; Unrestricted Net Assets Controlling Interest - 1820339;”

Heading - Item C Doing Business as

“Ascension Ascension Health Alliance, INC.”

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

“The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2024.”

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