Is it real?
Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Mar 1946.
IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File
Where the money goes
81 cents of each dollar spent went to programs.
Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.
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Who runs it and what they're paid
42 people listed on the 990; $64.5M paid to officers and key staff.
Part VII, Section A · reportable compensation · most recent filed roster (FY2024); the FY2025 filing did not itemize Part VII
Sevp, Chief Operating Officer
$7,764,970Pt VII · Sec A
President, Northwest Region
$5,665,901Pt VII · Sec A
Sevp, Chief Physician Executive Officer
$5,200,696Pt VII · Sec A
Sevp, Chief Legal Officer/Secretary
$4,621,788Pt VII · Sec A
Sevp, Chief Information Officer
$4,514,498Pt VII · Sec A
President, South Region (through 2/21/25)
$3,774,957Pt VII · Sec A
Sevp, Chief Strategy Officer
$3,470,987Pt VII · Sec A
Sevp, Chief Administrative Officer
$3,465,242Pt VII · Sec A
Sevp, Chief People Officer
$3,070,139Pt VII · Sec A
Sevp, Chief Nursing Officer
$2,984,531Pt VII · Sec A
Sevp, Chief Mission Officer
$2,776,232Pt VII · Sec A
System SVP, Diversity and Inclusion (through 2/1/2
$2,515,500Pt VII · Sec A
Executive Consultant
$2,504,033Pt VII · Sec A
System SVP, Revenue Cycle
$2,416,672Pt VII · Sec A
System SVP Mission Innovation Ethics Theology
$1,839,984Pt VII · Sec A
Interim President, South Region (effective 2/21/25
$1,825,312Pt VII · Sec A
President, Mountain Region (effective 5/27/24)
$1,748,245Pt VII · Sec A
System SVP, Physician Enterprise Operations - Sout
$1,699,076Pt VII · Sec A
Market President Arizona
$1,345,172Pt VII · Sec A
Board of Stewardship Trustees Vice Chair
$151,000Pt VII · Sec A
Board of Stewardship Trustees Chair
$150,500Pt VII · Sec A
Trustee
$136,875Pt VII · Sec A
$130,625Pt VII · Sec A
Trustee
$121,250Pt VII · Sec A
Trustee
$121,250Pt VII · Sec A
Trustee
$121,250Pt VII · Sec A
Trustee
$115,000Pt VII · Sec A
Trustee
$115,000Pt VII · Sec A
$115,000Pt VII · Sec A
EVP, Chief Advocacy Officer
$0Pt VII · Sec A
System SVP, Payer Strategy & Relationships (throug
$0Pt VII · Sec A
President, Califonia Region
$0Pt VII · Sec A
System SVP, Operational Finance
$0Pt VII · Sec A
Sevp, Chief Financial Officer/Treasurer
$0Pt VII · Sec A
EVP, Chief Medical Officer (through 1/10/25)
$0Pt VII · Sec A
President, Mountain Region (through 2/17/24)
$0Pt VII · Sec A
System SVP, Treasury and Strategic Investments
$0Pt VII · Sec A
President, Central Region
$0Pt VII · Sec A
System SVP, Finance and Corporate Controller
$0Pt VII · Sec A
Chief Executive Officer and Corporate President
$0Pt VII · Sec A
Trustee
$0Pt VII · Sec A
Trustee
$0Pt VII · Sec A
Terika Richardson Mph Fache’s $7.8M as Sevp, Chief Operating Officer is at the 99th percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.
Compensation history total reportable pay by year · 8 named individuals · Part VII
| Name | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | FY2020 |
|---|---|---|---|---|---|---|
| Kevin Lofton Fache | — | — | — | — | $17,340,420 | $5,572,945 |
| Terika Richardson Mph Fache | $7,764,970 | $584,663 | — | — | — | — |
| Ketul Patel | $5,665,901 | $2,613,387 | $3,067,968 | $3,565,171 | $2,315,223 | $2,449,983 |
| Thomas McGinn MD Mph | $5,200,696 | $3,108,412 | $2,547,753 | $2,378,657 | — | — |
| Mitch Melfi ESQ Jd | $4,621,788 | $3,241,982 | $2,668,867 | $3,083,634 | $2,118,426 | — |
| Daniel Barchi Mem | $4,514,498 | $3,841,007 | — | — | — | — |
| Paul Edgett III | — | — | — | $1,194,947 | $4,422,569 | $1,631,607 |
| Patricia Webb Fache | — | — | — | $977,470 | $4,231,873 | $1,700,640 |
Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.
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Questions the 990 asks
The form asks each of these directly. These are the filed answers.
- Family or business ties among officersPt VI · Ln 2Yes
- Top official's pay set by an independent reviewPt VI · Ln 15aNo
Programs and updates
Operates a national, faith-based healthcare system of hospitals and providers dedicated to delivering clinical care and essential health services to communities across the country.
Questions for Commonspirit Health
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Provided by the organization
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1 program · $3.1B · in their own filed words · FY2024
01
See schedule o
$3.1Bprogram expense
Funders
Who pays for it.
From grant filings on record. Receipts are incomplete: individual donors are never listed.
Grants
Schedule I · received and paid
Grants received · FY2025
Davos Alzheimer's Collaborative INCFY2025$82K
Total grants receivedfrom 1 funder$82K
Grants paid · 228 grants · $45.2M · 2019–2024
Alegent Creighton HealthAZ · FY2024$1,200,627
Catholic Health Initiatives Colorado FoundationAZ · FY2024$937,292
Franciscan Foundation WashingtonAZ · FY2024$849,370
Dignity HealthAZ · FY2024$820,134
Mercy Medical CenterAZ · FY2024$620,231
St Joseph Hospital Foundation INCAZ · FY2024$568,400
Dignity Community CareAZ · FY2024$520,785
Saint Elizabeth Regional Medical CenterAZ · FY2024$380,644
St Anthony HospitalAZ · FY2024$308,915
Dominican Sisters of Peace INCOH · FY2024$303,000
St Vincent Infirmary Development FoundationAZ · FY2024$288,950
Samaritan Behavioral Health INCOH · FY2024$264,985
Saint Joseph London Foundation INCAZ · FY2024$207,703
Sisters of St FrancisFY2024$200,000
St Alexius Medical CenterND · FY2024$199,304
Alegent Health-Immanuel Medical CenterAZ · FY2024$194,812
St Alexius Medical CenterND · FY2024$193,589
Flaget Memorial Hospital Foundation INCAZ · FY2024$189,206
By the numbers
The FY2025 990, line by line.
Download 990
1The main four
Money inPt VIII
$3.8B
Ln 12
Fees for servicesLn 2g$3.5B
Other incomeLn 4–11$161.0M
Investment incomeLn 3$150.2M
Money outPt IX
$3.9B
Ln 25
Programscol B$3.1B
Managementcol C$736.2M
Owns and owesPt X
−$5.4B
net assets · Ln 32
Cash and savingsLn 1–2$3.7B
Total assetsLn 16$12.1B
LiabilitiesLn 26$17.5B
PeoplePt VI, VII
42
listed · VII A
PaidVII A29
Voting boardVI 1a13
IndependentVI 1b12
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$299K
Government grantsLn 1e$231K
Fees for servicesLn 2g$3.5B
Investment incomeLn 3$150.2M
Other incomeLn 4–11$161.0M
Gains on assetsLn 7$88.9M
Total revenueLn 12$3.8B
Assets in detailPt X, end of year
CashLn 1$69.9M
SavingsLn 2$3.67B
Cash and savings togetherLn 1–2$3.7B
InvestmentsLn 11–13$2.26B
Land, buildings, equipmentLn 10c$790.2M
Other assetsLn 15$2.08B
Total assetsLn 16$12.1B
LiabilitiesLn 26$17.5B
Net assetsLn 32−$5.4B
OperationsPt I, VI
EmployeesI 55,462
VolunteersI 60
Fiscal year endsHeaderJune
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
| Line | Start FY25 | End FY25 |
|---|---|---|
| Cash and savingsLn 1–2 | $2.38B | $3.74B |
| InvestmentsLn 11–13 | $2.16B | $2.26B |
| Land, buildings, equipmentLn 10c | $530.9M | $790.2M |
| Total assetsLn 16 | $9.90B | $12.14B |
| LiabilitiesLn 26 | $15.55B | $17.54B |
| Net assetsLn 32 | −$5.66B | −$5.40B |
4Every line
Statement of functional expensesPt IX · every line
| Line | Total | Programs | Management | Fundraising |
|---|---|---|---|---|
| Grants to domestic organizationsLn 1 | $10.5M | $10.5M | ||
| Grants and assistance to foreign recipientsLn 3 | $208K | $208K | ||
| Pay of current officers, directors and key staffLn 5 | $55.9M | $22.4M | $33.5M | |
| Other salaries and wagesLn 7 | $617.6M | $249.0M | $368.6M | |
| Pension plan contributionsLn 8 | $29.3M | $15.7M | $13.6M | |
| Other employee benefitsLn 9 | $63.5M | $21.3M | $42.3M | |
| Payroll taxesLn 10 | $56.3M | $34.9M | $21.4M | |
| Legal feesLn 11b | $1.2M | $1.2M | ||
| Accounting feesLn 11c | $41K | $41K | ||
| Other fees for servicesLn 11g | $701.9M | $600.3M | $101.6M | |
| Advertising and promotionLn 12 | $372K | $20K | $352K | |
| Office expensesLn 13 | $56.2M | $45.5M | $10.7M | |
| Information technologyLn 14 | $57.8M | $49.1M | $8.7M | |
| OccupancyLn 16 | $6.3M | $3.5M | $2.9M | |
| TravelLn 17 | $12.9M | $5.3M | $7.7M | |
| Conferences, conventions and meetingsLn 19 | $1.4M | $261K | $1.1M | |
| InterestLn 20 | $371.9M | $371.9M | ||
| Payments to affiliatesLn 21 | $2K | $2K | ||
| Depreciation, depletion and amortizationLn 22 | $59.7M | $34.2M | $25.5M | |
| InsuranceLn 23 | $364.1M | $363.5M | $551K | |
| Other expenses (24a–d)Ln 24 | $1.30B | $1.27B | $30.1M | |
| All other expensesLn 24e | $106.4M | $40.1M | $66.2M | |
| Total functional expensesLn 25 | $3.87B | $3.13B | $736.2M | $0 |
Filing history
| Year | Money in | Money out | In minus out | Net assets | Download |
|---|---|---|---|---|---|
| FY2025 Latest Viewing | $3.8B | $3.9B | −$77.4M | −$5.4B | 990 PDF |
| FY2024 | $3.4B | $3.7B | −$271.1M | −$5.7B | 990 PDF |
| FY2023 | $3.9B | $3.9B | −$27.2M | −$6.2B | 990 PDF |
| FY2022 | $3.4B | $3.3B | $115.3M | −$7.4B | 990 PDF |
| FY2021 | $3.3B | $3.2B | $128.2M | −$7.0B | 990 PDF |
| FY2020 | $2.4B | $3.2B | −$819.6M | −$8.2B | 990 PDF |
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Schedules filed Part IV
III · Programs
R · Related orgs
G · Fundraising
L · Interested persons
I · Grants
A · Public support
F · Foreign
J · Pay
O · Explanations
See the full FY2025 990 (6 parts)
Part I · Summary $3,792,395,078 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $1,268,030$299,193
I-9 Program service revenuePrior year $3,237,791,919$3,480,921,627
I-10 Investment incomePrior year $73,287,838$150,211,550
I-11 Other revenuePrior year $130,911,014$160,962,708
I-12 Total revenuePrior year $3,443,258,801$3,792,395,078
I-13 Grants and similar amounts paidPrior year $10,531,703$10,736,060
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $686,170,786$822,632,342
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $3,017,657,159$3,036,439,723
I-18 Total expensesPrior year $3,714,359,648$3,869,808,125
I-19 Revenue less expensesPrior year −$271,100,847−$77,413,047
Part VI · Governance 12 of 13 board members independent, 2 to look at
VI-1a Voting members of the governing body13
VI-1b Independent voting members12
VI-2 Family or business relationship among officers or directorsYes
VI-15a Process for setting top official's payNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
Part VIII · Statement of revenue $3,792,395,078 across 10 lines filed
Lines not itemized here account for $47,143,592 of total revenue; see the IRS return.
VIII-1e Government grants$230,536
VIII-1f All other contributions, gifts and grants$68,657
VIII-1h Total contributions, gifts and grants$299,193
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $3,480,921,627$3,480,921,627
VIII-3 Investment incomeExcluded from tax $61,292,915$61,292,915
VIII-5 RoyaltiesExcluded from tax $5,105$5,105
VIII-6 Net rental income or lossUnrelated business $218,693$218,693
VIII-7 Net gain or loss on sales of assetsExcluded from tax $88,918,635$88,918,635
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Unrelated business $23,997,322 · Excluded from tax $89,597,996$113,595,318
VIII-12 Total revenueRelated to mission $3,480,921,627 · Unrelated business $34,292,245 · Excluded from tax $276,882,013$3,792,395,078
Part IX · Statement of functional expenses $3,869,808,125 across 22 lines filed
IX-1 Grants to domestic organizationsPrograms $10,527,580$10,527,580
IX-3 Grants and assistance to foreign recipientsPrograms $208,480$208,480
IX-5 Pay of current officers, directors and key staffPrograms $22,362,150 · Management $33,543,225$55,905,375
IX-7 Other salaries and wagesPrograms $248,954,326 · Management $368,635,383$617,589,709
IX-8 Pension plan contributionsPrograms $15,657,975 · Management $13,603,608$29,261,583
IX-9 Other employee benefitsPrograms $21,251,846 · Management $42,297,844$63,549,690
IX-10 Payroll taxesPrograms $34,907,319 · Management $21,418,666$56,325,985
IX-11b Legal feesManagement $1,238,697$1,238,697
IX-11c Accounting feesManagement $40,800$40,800
IX-11g Other fees for servicesPrograms $600,334,520 · Management $101,556,211$701,890,731
IX-12 Advertising and promotionPrograms $19,898 · Management $351,881$371,779
IX-13 Office expensesPrograms $45,500,846 · Management $10,723,036$56,223,882
IX-14 Information technologyPrograms $49,098,437 · Management $8,683,033$57,781,470
IX-16 OccupancyPrograms $3,483,161 · Management $2,858,736$6,341,897
IX-17 TravelPrograms $5,261,081 · Management $7,675,516$12,936,597
IX-19 Conferences, conventions and meetingsPrograms $261,100 · Management $1,136,432$1,397,532
IX-20 InterestPrograms $371,870,205$371,870,205
IX-21 Payments to affiliatesManagement $2,322$2,322
IX-22 Depreciation, depletion and amortizationPrograms $34,154,878 · Management $25,498,110$59,652,988
IX-23 InsurancePrograms $363,531,485 · Management $551,468$364,082,953
IX-24 Other expenses (24a–d)Programs $1,266,113,003 · Management $30,143,745$1,296,256,748
IX-24e All other expensesPrograms $40,129,102 · Management $66,222,020$106,351,122
IX-25 Total functional expensesPrograms $3,133,627,392 · Management $736,180,733 · Fundraising $0$3,869,808,125
Part X · Balance sheet $12,141,187,856 assets, 21 lines filed
Asset lines not itemized here account for $3,013,083,820; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $61,343,031$69,877,080
X-2 Savings and temporary cash investmentsStart of year $2,320,324,636$3,669,778,178
X-4 Accounts receivableStart of year $154,111,911$153,006,770
X-8 Inventories for sale or useStart of year $3,958,010$2,484,115
X-9 Prepaid expenses and deferred chargesStart of year $116,429,126$102,020,423
X-10c Land, buildings and equipment, netStart of year $530,852,712$790,193,774
X-11 Publicly traded securitiesStart of year $700,833,510$830,979,435
X-12 Other securitiesStart of year $1,414,380,764$1,416,370,639
X-13 Program-related investmentsStart of year $41,822,964$9,999,301
X-15 Other assetsStart of year $1,832,600,273$2,083,394,321
X-16 Total assetsStart of year $9,895,564,163$12,141,187,856
X-17 Accounts payable and accrued expensesStart of year $790,516,665$732,537,326
X-19 Deferred revenueStart of year $242,168,173$212,873,661
X-20 Tax-exempt bond liabilitiesStart of year $4,111,927,275$4,121,624,684
X-24 Unsecured notes and loans payableStart of year $4,352,466,000$4,982,736,000
X-25 Other liabilitiesStart of year $5,750,061,246$6,724,237,465
X-26 Total liabilitiesStart of year $15,553,696,621$17,540,569,063
X-27 Net assets without donor restrictionsStart of year −$5,658,580,219−$5,399,830,471
X-28 Net assets with donor restrictionsStart of year $447,761$449,264
X-32 Total net assets or fund balancesStart of year −$5,658,132,458−$5,399,381,207
X-33 Total liabilities and net assetsStart of year $9,895,564,163$12,141,187,856
Part XI · Reconciliation of net assets −$5,399,381,207 net assets at year end
XI-1 Total revenue$3,792,395,078
XI-2 Total expenses$3,869,808,125
XI-3 Revenue less expenses−$77,413,047
XI-4 Net assets at start of year−$5,658,132,458
XI-5 Net unrealized gains (losses) on investments$137,047,461
XI-9 Other changes in net assets$199,116,837
XI-10 Net assets at end of year−$5,399,381,207
Form 990 e-file (XML) FY2025 from the IRS · Classification, formation year and address from the IRS Business Master File
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