Ascension

Legal name: St Vincent Health Inc

Nonprofit profile at a glance

EIN
352052591
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
St. Louis, MO, US
Phone
314-733-8000
Rating
62
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospitals and Related Primary Medical Care Facilities

Official website

Reported finances

Revenue
$131,426,723
Expenses
$121,765,520
Assets
$93,209,806
Liabilities
$143,835,348

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

13 people listed

Executive titles in this filing

  • KEVIN SPEER JD (EX-OFFICIO/CEO, MINISTRY MARKET)

Highest reported compensation

  • KEVIN SPEER JD (EX-OFFICIO/CEO, MINISTRY MARKET): $3,058,601 total reported compensation
  • JONATHAN SAMUEL NALLI FACHE (FORMER OFFICER (END 4/2023)): $949,654 total reported compensation
  • SHALIN SHAH (FORMER OFFICER (END 1/2024)): $838,275 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

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.

What it reported doing in 2024

The filing organization is a part of the ascension catholic health ministry. Ascension is a faith-based healthcare organization that delivers personalized, compassionate care to all, especially to those who need it the most. St. Vincent health, inc. (svh) is the parent entity of a non-profit healthcare system consisting of 20 locally-sponsored ministries (ranging from several rural, 25-bed hospitals to its flagship, quaternary-level, indianapolis-based hospital) serving over 57 counties throughout central Indiana. Svh's sponsored ministries employ approximately 17,000 associates, making st. Vincent health one of the largest healthcare employers in the state. This filing includes svh corporate-level activities only.

Operating model

Revenue model
Other-operating. 90% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 99% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - The filed numbers largely add up and most voting board members are independent. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 59
  • Transparency & Controls: 72
  • Accountability: 69
  • Sustainability: 50
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 64.8%; rating input score 65
  • Program expense ratio: 70%; rating input score 70
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 95.1%; rating input score 95; 27th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 70%; rating input score 70; 21st percentile among comparable filings
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 7.4%; rating input score 65; 65th percentile among comparable filings
  • Total-asset coverage ratio: 0.77; rating input score 30; 30th percentile among comparable filings
  • Liabilities to assets ratio: 1.54; rating input score 2; 2nd percentile among comparable filings
  • Officer compensation ratio: 0.1%; rating input score 92; 92nd percentile among comparable filings

Growth

  • Program expense growth: -3.1% per year; rating input score 0; 3rd percentile among comparable filings
  • Revenue growth: -1.7% per year; rating input score 0; 3rd percentile among comparable filings
  • Asset growth: -7.4% per year; rating input score 0; 1st percentile among comparable filings

Details

  • What they do: 3 programs and campaigns described on the official site · 9 operating locations identified
  • Where the money goes: 64.8% of revenue deployed · 70% of spending went to programs
  • Governance: 7 of 10 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $85.2M in reported program spending
  • Leadership: top reported pay $3.1M · 13 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $7.1M reported
  • Consistency: 29 of 30 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 10 filed money-flow records
  • Related organizations: 388 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 30/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Liabilities to assets ratio scored 2/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.