Nonprofit · EIN 45-3358926
ASCENSION HEALTH ALLIANCE
Tax-exempt · SAINT LOUIS, MO 63145
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| June 30, 2025 | 990 | $3,284,806,032 | $2,096,639,578 | $1,188,166,454 | $22,161,926,422 | $9,728,766,153 | $12,433,160,269 |
| June 30, 2024 | 990 | $2,404,854,217 | $2,099,265,875 | $305,588,342 | $23,967,171,477 | $10,761,881,486 | $13,205,289,991 |
| June 30, 2023 | 990 | $2,174,612,908 | $2,064,013,290 | $110,599,618 | $25,494,056,258 | $10,340,925,482 | $15,153,130,776 |
Financial details: 990 for the year ended June 30, 2025
Revenue
- Contributions, gifts and grants
- $2,788,998
- of which government grants
- $2,778,701
- Program service revenue
- $1,812,039,352
- Investment income
- $1,208,742,947
- Net gain from sales of assets
- $541,060,738
- Other revenue
- $261,234,735
Expenses
- Grants and similar amounts paid
- $8,626,616
- Compensation of officers, directors and key employees
- $32,136,318
- Other salaries and wages
- $877,468,941
- Salaries, compensation and benefits (total)
- $1,138,523,460
- Professional fundraising fees
- $0
- Legal fees
- $69,476,423
- Accounting fees
- $7,018,050
- Occupancy
- $8,851,974
- Travel
- $27,832,577
- Depreciation
- $32,387,274
- Program services (functional)
- $1,716,981,336
- Management and general (functional)
- $379,658,241
Balance sheet and other
- Total assets, start of year
- $23,967,171,477
- Total assets, end of year
- $22,161,926,422
- Total liabilities, end of year
- $9,728,766,153
- Net assets, end of year
- $12,433,160,269
- Land, buildings and equipment
- $13,964,049
- Net assets without donor restrictions
- $12,433,160,269
- Gross unrelated business income
- $79,948,885
- Gross receipts
- $3,284,834,858
- Employees
- 8,778
- Volunteers
- 0
- Year formed
- 2011
- State of legal domicile
- MO
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended June 30, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| JOSEPH R IMPICCICHE JD MHA | CEO Trustee or director, Officer | 50 | $14,013,862 | $72,612 |
| EDUARDO F CONRADO | PRESIDENT Officer | 50 | $10,184,916 | $734,713 |
| CHRISTINE K MCCOY JD | EVP & GENERAL COUNSEL Highest-paid employee | 50 | $4,901,128 | $385,984 |
| ELIZABETH C FOSHAGE CPA | EVP & CFO (END 11/2024) Officer | 50 | $4,931,407 | $47,133 |
| CRAIG A CORDOLA FACHE | FORMER HIGHEST COMPENSATED EMPLOYEE (END 12/2023) Former | 0 | $4,823,160 | $0 |
| SALLY ANNE HURT-DEITCH | EVP, NURSING AND OPERATIONS INFRASTRUCTURE Highest-paid employee | 50 | $4,433,898 | $65,133 |
| HERBERT J VALLIER | EVP & CHRO Highest-paid employee | 50 | $4,143,213 | $42,398 |
| TIMOTHY PAUL ADAMS | SVP, REGIONAL OPERATIONS OFFICER Highest-paid employee | 50 | $3,481,746 | $69,093 |
| RICHARD I FOGEL MD | EVP & CCO Highest-paid employee | 50 | $3,461,761 | $52,008 |
| SAURABH TRIPATHI | EVP & CFO Officer | 50 | $888,362 | $41,575 |
| W STANCIL STARNES JD | CHAIR Trustee or director, Officer | 4 | $235,000 | $0 |
| EVE J HIGGINBOTHAM SM MD ML | SECRETARY Trustee or director, Officer | 4 | $169,050 | $0 |
| SHEILA P BURKE MPA RN FAAN | VICE CHAIR Trustee or director, Officer | 4 | $169,050 | $0 |
| MICHAEL E ZYCHINSKI CPA | DIRECTOR Trustee or director | 4 | $169,050 | $0 |
| STEPHEN M DUFILHO CPA | DIRECTOR Trustee or director | 4 | $163,538 | $0 |
3 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| BENNY LARUSSA JR | TREASURER Trustee or director, Officer | 4 | $158,025 |
| NAVEEN AGARWAL | DIRECTOR Trustee or director | 4 | $158,025 |
| KRISTI A SAVACOOL | FORMER BOARD OFFICER (END 6/2024) Former | 0 | $84,525 |
990 for the year ended June 30, 2024: 19 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| JOSEPH R IMPICCICHE JD MHA | CEO Trustee or director, Officer | 50 | $9,963,725 | $2,317,426 |
| EDUARDO F CONRADO | PRESIDENT Officer | 50 | $6,487,337 | $84,515 |
| CRAIG A CORDOLA FACHE | EVP & COO Highest-paid employee | 50 | $6,325,258 | $57,414 |
| ELIZABETH C FOSHAGE CPA | EVP & CFO Officer | 50 | $4,523,198 | $614,454 |
| HERBERT J VALLIER | EVP & CHRO Highest-paid employee | 50 | $4,280,198 | $63,286 |
| CHRISTINE K MCCOY JD | EVP & GENERAL COUNSEL Highest-paid employee | 50 | $3,364,088 | $934,781 |
| SALLY ANNE HURT-DEITCH | EVP, NURSING & OPERATIONS INFRASTRUCTURE Highest-paid employee | 50 | $3,840,948 | $62,844 |
| ANTHONY J SPERANZO | PRESIDENT & CEO, ASCENSION CAPITAL Highest-paid employee | 50 | $3,535,375 | $57,839 |
| ANTHONY R TERSIGNI EDD FACHE | FORMER OFFICER (END 6/2019) Former | 50 | $1,711,905 | $58,042 |
| W STANCIL STARNES JD | CHAIR Trustee or director, Officer | 4 | $166,625 | $0 |
| MICHAEL E ZYCHINSKI CPA | DIRECTOR Trustee or director | 4 | $117,025 | $0 |
| KRISTI A SAVACOOL | TREASURER Trustee or director, Officer | 4 | $114,275 | $0 |
| SHEILA P BURKE MPA RN FAAN | VICE CHAIR Trustee or director, Officer | 4 | $114,025 | $0 |
| EVE J HIGGINBOTHAM SM MD | SECRETARY Trustee or director, Officer | 4 | $111,025 | $0 |
| STEPHEN M DUFILHO CPA | DIRECTOR Trustee or director | 4 | $73,500 | $0 |
| REGINA M BENJAMIN MD MBA | FORMER DIRECTOR (END 6/2023) Former | 4 | $22,500 | $0 |
| BENNY LARUSSA JR | DIRECTOR (START 3/2024) Trustee or director | 4 | $0 | $0 |
| NAVEEN AGARWAL | DIRECTOR (START 3/2024) Trustee or director | 4 | $0 | $0 |
| SAURABH TRIPATHI | EVP & CFO (START 4/2024) Officer | 50 | $0 | $0 |
990 for the year ended June 30, 2023: 16 people
| Name | Title | Hours / week | Compensation | Other / benefits |
|---|---|---|---|---|
| JOSEPH R IMPICCICHE JD MHA | PRESIDENT & CEO (END 2/2023)/CEO (START 2/2023) Trustee or director, Officer | 50 | $9,057,632 | $61,076 |
| CRAIG A CORDOLA FACHE | EVP & COO Highest-paid employee | 50 | $3,985,303 | $1,319,105 |
| EDUARDO F CONRADO | PRESIDENT (START 2/2023) Officer | 50 | $3,922,016 | $1,151,336 |
| ELIZABETH C FOSHAGE CPA | EVP & CFO Officer | 50 | $3,923,793 | $57,928 |
| KAREN L SPRINGER | EVP & CNE (END 6/2022) Highest-paid employee | 50 | $3,894,215 | $27,068 |
| JOSEPH G CACCHIONE MD FACC | EVP, CLINICAL & NETWORK SERVICES (END 8/2022) Highest-paid employee | 50 | $3,809,601 | $47,680 |
| HERBERT J VALLIER | EVP & CHRO Highest-paid employee | 50 | $3,301,984 | $58,680 |
| ANTHONY J SPERANZO | PRESIDENT & CEO, ASCENSION CAPITAL Highest-paid employee | 50 | $3,241,817 | $54,685 |
| ANTHONY R TERSIGNI EDD FACHE | FORMER OFFICER (END 6/2019) Former | 50 | $1,478,679 | $55,508 |
| W STANCIL STARNES JD | CHAIR Trustee or director, Officer | 4 | $79,250 | $0 |
| MICHAEL E ZYCHINSKI CPA | DIRECTOR Trustee or director | 4 | $65,000 | $0 |
| EVE J HIGGINBOTHAM SM MD | SECRETARY Trustee or director, Officer | 4 | $57,000 | $0 |
| REGINA M BENJAMIN MD MBA | DIRECTOR Trustee or director | 4 | $51,000 | $0 |
| SHEILA P BURKE MPA RN FAAN | VICE CHAIR Trustee or director, Officer | 4 | $50,000 | $0 |
| STEPHEN M DUFILHO CPA | FORMER DIRECTOR (END 6/2022) Former | 4 | $30,500 | $0 |
| KRISTI A SAVACOOL | TREASURER Trustee or director, Officer | 4 | $26,500 | $0 |
Address and contacts
- Address (IRS master file)
- PO BOX 45998, SAINT LOUIS, MO 63145-5998
- In care of
- % JOSEPH R IMPICCICHE
- Principal officer (990 for 2024)
- EDUARDO F CONRADO, C/O TAX DEPARTMENT PO BOX 45998, St Louis, MO 631455998
- Signed the 990
- TONYA MERSHON, VICE PRESIDENT, TAX
- Phone
- (314) 733-8000
- Return prepared by
- DELOITTE TAX LLP
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 accomplishments
- 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.Expenses $1,716,981,336 · grants $8,626,616 · revenue $2,019,334,186
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | June 30, 2026 | November 16, 2026 | Not due yet |
| 2024 | June 30, 2025 | November 17, 2025 | 990 on file |
| 2023 | June 30, 2024 | November 15, 2024 | 990 on file |
IRS record
- EIN
- 45-3358926
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Church
- Exempt since
- 1946
- Accounting year ends
- June
- Files
- Form 990 or 990-EZ
- Group exemption
- 0928: UNITED STATES CATHOLIC CONFERENCE
- Assets (IRS master file)
- $22,161,926,422
- Income (IRS master file)
- $3,284,834,858
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | June 2025 | $3,284,806,032 | $2,096,639,578 | $22,161,926,422 | IRS |
| 990-T | June 2025 | – | – | – | IRS |
| 990 | June 2024 | $2,404,854,217 | $2,099,265,875 | $23,967,171,477 | IRS |
| 990-T | June 2024 | – | – | – | IRS |
| 990 | June 2023 | $2,174,612,908 | $2,064,013,290 | $25,494,056,258 | XML |
| 990-T | June 2023 | – | – | – | IRS |
| 990 | June 2022 | $3,703,980,191 | $1,968,165,408 | $28,730,729,640 | IRS |
| 990-T | June 2022 | – | – | – | IRS |
| 990 | June 2021 | – | – | – | IRS |
| 990-T | June 2021 | – | – | – | IRS |
| 990 | June 2020 | – | – | – | IRS |
| 990 | June 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 45-3358926).
Questions about ASCENSION HEALTH ALLIANCE
- What is the EIN of ASCENSION HEALTH ALLIANCE?
- The employer identification number (EIN) of ASCENSION HEALTH ALLIANCE is 45-3358926.
- Is ASCENSION HEALTH ALLIANCE tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1946.
- Which annual return does ASCENSION HEALTH ALLIANCE file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of ASCENSION HEALTH ALLIANCE due?
- The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did ASCENSION HEALTH ALLIANCE last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended June 2025.
- Who is the principal officer of ASCENSION HEALTH ALLIANCE?
- The 990 for the year ended June 30, 2025 names EDUARDO F CONRADO.
- Who are the officers and directors of ASCENSION HEALTH ALLIANCE?
- The 990 for the year ended June 30, 2025 lists 18 people; 18 received compensation from the organization, the highest $14,013,862 (JOSEPH R IMPICCICHE JD MHA, CEO).
- How much revenue does ASCENSION HEALTH ALLIANCE have?
- On its 990 for the year ended June 30, 2025 it reported revenue of $3,284,806,032, expenses of $2,096,639,578 and total assets of $22,161,926,422 at year end.
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