The Ascension St John Foundation is almost exclusively focused on supporting Ascension-affiliated hospitals and health-care services, providing operating and capital funding to sustain clinical operations across the Ascension system. Its grants primarily underwrite hospital stability, facility upgrades, and community health programs within the Ascension network—with a clear regional emphasis on St. Louis and Michigan-area facilities. Giving is mission-driven toward Catholic health institutions rather than general community charities.
Highly concentrated, repeat funding to a small set of related grantees within the Ascension health system; predominantly multi-year or recurring operating and capital grants rather than small, one-off awards.
Ascension St John Foundation’s recent giving is centered on one network: Ascension-affiliated hospitals and health-care services. The largest grant in the file was $14,403,221 to Ascension St John Hospital for general and capital support, followed by $5,314,785 in 2024 and $4,494,944 in 2023 for the same hospital’s operating and capital needs. That pattern shows a funder that backs ongoing clinical operations as well as facility and infrastructure costs, rather than one-time project grants. The foundation’s support reaches multiple parts of the Ascension system. Ascension Macomb Oakland Hospital received $1,599,142 in 2025 and $584,342 in 2024, while Ascension Providence Foundation received $814,402 in 2024 and $616,110 in 2025. Other sizable grants went to Ascension Borgess Foundation, Ascension Providence Hospital, St John Providence, and Ascension St Mary’s Foundation. Across the recent grants list, the same institutional family appears repeatedly, indicating a grantmaker organized around health-system stability and support for affiliated facilities, physician groups, and community health operations.
Operating and capital support is the clearest thread in the foundation’s grantmaking. Ascension St John Hospital received $5,314,785 in 2024 for operating and capital support, and Ascension Macomb Oakland Hospital received $733,267 in 2023 for the same purpose. Those grants point to a preference for funding that can be used to sustain core hospital functions and physical assets. The foundation also supports regional hospital foundations inside the Ascension network. Ascension Providence Foundation received $814,402 in 2024 for operating support, while Ascension Genesys Foundation received $70,668 in 2024 for operating support and $123,321 in 2025 for general support. Beyond hospitals, the foundation gave $91,603 in 2024 to Ascension Medical Group Michigan for operating support and $70,723 in 2023 to Ascension Southeast Michigan Community Health for operating support.
Typical grants cluster in the six-figure range, with a p25 of $46,466, a median of $132,757, and a p75 of $579,367. The recent record also includes several seven-figure awards, showing a mix of large capital-style grants and smaller operating awards. The same recipients recur across multiple years, including Ascension St John Hospital, Ascension Macomb Oakland Hospital, Ascension Providence Foundation, Ascension Borgess Foundation, and Ascension St Mary’s Foundation. The foundation is not making grants to individuals and is not using program-related investments. The pattern is best described as flexible operating-or-capital support within a connected institutional network.
$3.4M
$80.9M
$9.7M
$7.4M
Most grants fall between $46K and $579K, with a median of $133K.
25th Percentile
$46K
Median
$133K
75th Percentile
$579K
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Notable grantees: Ascension St John Hospital, Ascension Macomb Oakland Hospital, Ascension Providence Foundation, Ascension Borgess Foundation, Ascension St Mary's Foundation
Grantmaking is entirely U.S.-based, and every grant in the recent list goes to recipients in Missouri. The recent grants are concentrated in St. Louis–named health entities such as Ascension St John Hospital, Ascension Providence Foundation, Ascension Borgess Foundation, and Ascension St Mary’s Foundation. A smaller set of recipients sits in Michigan-linked operations, including Ascension Macomb Oakland Hospital, Ascension Providence Rochester Foundation, Ascension Genesys Foundation, and Ascension Southeast Michigan Community Health. The geography reflects a local, system-based portfolio rather than broad national giving.
It supports Ascension-affiliated hospitals, hospital foundations, physician group infrastructure, and community health operations. Recent grants went to entities such as Ascension St John Hospital, Ascension Providence Foundation, Ascension Medical Group Michigan, and Ascension Southeast Michigan Community Health.
The grant-size distribution is p25 $46,466, median $132,757, and p75 $579,367. The recent list also includes much larger awards, including a $14,403,221 grant for general and capital support.
No. The recipient country distribution shows 39 grants, all of them in the US.
It mainly uses operating support, capital support, and general support. Recent awards include operating/capital support, operating support, general support, and general/capital support across hospitals and hospital foundations in the Ascension system.
The recent record shows repeated support to the same organizations across multiple years. Ascension St John Hospital, Ascension Macomb Oakland Hospital, Ascension Providence Foundation, and Ascension Borgess Foundation all appear more than once.
2026
Source: IRS Form 990-PF, fiscal year 2026.
Most recent grants reported to the IRS.
| Recipient | Location | Amount | Year | Purpose |
|---|---|---|---|---|
| HENRY FORD HEALTH PROVIDENCE HOSPITAL | DETROIT, MI | $1,972,239 | 2026 | GENERAL SUPPORT |
| HENRY FORD HEALTH ST JOHN HOSPITAL | DETROIT, MI | $802,204 | 2026 | GENERAL SUPPORT |
| ASCENSION BORGESS FOUNDATION | SOUTH BEND, IN | $180,277 | 2026 | GENERAL SUPPORT |
| HENRY FORD HEALTH PROVIDENCE FOUNDATION | DETROIT, MI | $128,311 | 2026 | GENERAL SUPPORT |
| HENRY FORD HEALTH RIVER DISTRICT HOSPITAL | DETROIT, MI | $124,437 | 2026 | GENERAL SUPPORT |
| HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL | DETROIT, MI | $61,609 | 2026 | GENERAL SUPPORT |
| HENRY FORD HEALTH ROCHESTER FOUNDATION | DETROIT, MI | $32,078 | 2026 | GENERAL SUPPORT |
| HENRY FORD HEALTH GENESYS FOUNDATION | DETROIT, MI | $32,078 | 2026 | GENERAL SUPPORT |
| AFFILIATED HEALTH SERVICES INC | DETROIT, MI | $10,006 | 2026 | GENERAL SUPPORT |
| HENRY FORD SEMI MEDICAL GROUP | DETROIT, MI | $9,775 | 2026 | GENERAL SUPPORT |
| ASCENSION ST JOHN HOSPITAL | ST LOUIS, MO | $14,403,221 | 2025 | General/Capital Support |
| ASCENSION MACOMB OAKLAND HOSPITAL | ST LOUIS, MO | $1,599,142 | 2025 | General/Capital Support |
| ASCENSION BORGESS FOUNDATION | ST LOUIS, MO | $659,963 | 2025 | General Support |
| ASCENSION PROVIDENCE FOUNDATION | ST LOUIS, MO | $616,110 | 2025 | General Support |
| ASCENSION PROVIDENCE HOSPITAL | ST LOUIS, MO | $574,392 | 2025 | General/Capital Support |
| ASCENSION ST MARY'S FOUNDATION | ST LOUIS, MO | $351,909 | 2025 | General Support |
| ASCENSION ST JOSEPH FOUNDATION | ST LOUIS, MO | $132,757 | 2025 | General Support |
| ASCENSION PROVIDENCE ROCHESTER FOUNDATION | ST LOUIS, MO | $123,321 | 2025 | General Support |
| ASCENSION GENESYS FOUNDATION | ST LOUIS, MO | $123,321 | 2025 | General Support |
| ASCENSION MEDICAL GROUP MICHIGAN | ST LOUIS, MO | $23,681 | 2025 | General Support |
| AFFILIATED HEALTH SERVICES INC | ST LOUIS, MO | $16,509 | 2025 | General Support |
| ASCENSION RIVER DISTRICT HOSPITAL | ST LOUIS, MO | $13,905 | 2025 | General/Capital Support |
| ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH | ST LOUIS, MO | $8,907 | 2025 | General Support |
| ASCENSION ST JOHN HOSPITAL | St Louis, MO | $5,314,785 | 2024 | Operating/Capital Support |
| ASCENSION PROVIDENCE FOUNDATION | — | $814,402 | 2024 | Operating Support |
| ASCENSION MACOMB OAKLAND HOSPITAL | — | $584,342 | 2024 | Operating/Capital Support |
| ST JOHN PROVIDENCE | — | $473,786 | 2024 | Operating/Capital Support |
| ASCENSION BORGESS FOUNDATION | St Louis, MO | $306,363 | 2024 | Operating Support |
| ASCENSION ST MARY'S FOUNDATION | — | $228,831 | 2024 | Operating Support |
| ASCENSION PROVIDENCE ROCHESTER FOUNDATION | — | $203,624 | 2024 | Operating Support |
| ASCENSION MEDICAL GROUP MICHIGAN | — | $91,603 | 2024 | Operating Support |
| ASCENSION PROVIDENCE HOSPITAL | — | $70,698 | 2024 | Operating Support |
| ASCENSION GENESYS FOUNDATION | — | $70,668 | 2024 | Operating Support |
| ASCENSION RIVER DISTRICT HOSPITAL | — | $59,034 | 2024 | Operating/Capital Support |
| ASCENSION ST JOSEPH FOUNDATION | — | $47,144 | 2024 | Operating Support |
| ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH | — | $38,268 | 2024 | Operating Support |
| ASCENSION ST JOHN HOSPITAL | St Louis, MO | $4,494,944 | 2023 | Operating/Capital Support |
| ASCENSION MACOMB OAKLAND HOSPITAL | St Louis, MO | $733,267 | 2023 | Operating/Capital Support |
| ASCENSION PROVIDENCE FOUNDATION | St Louis, MO | $595,770 | 2023 | Operating/Capital Support |
| ST JOHN PROVIDENCE | St Louis, MO | $487,870 | 2023 | Operating Support |
| ASCENSION RIVER DISTRICT HOSPITAL | St Louis, MO | $263,502 | 2023 | Operating/Capital Support |
| ASCENSION BORGESS FOUNDATION | St Louis, MO | $134,949 | 2023 | Operating Support |
| ASCENSION ST MARY'S FOUNDATION | St Louis, MO | $96,432 | 2023 | Operating Support |
| ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH | St Louis, MO | $70,723 | 2023 | Operating Support |
| ASCENSION PROVIDENCE ROCHESTER FOUNDATION | St Louis, MO | $45,787 | 2023 | Operating Support |
| ASCENSION PROVIDENCE HOSPITAL | St Louis, MO | $45,219 | 2023 | Operating/Capital Support |
| ASCENSION GENESYS FOUNDATION | St Louis, MO | $38,609 | 2023 | Operating Support |
| ASCENSION MEDICAL GROUP MICHIGAN | St Louis, MO | $32,756 | 2023 | Operating Support |
| ASCENSION ST JOSEPH FOUNDATION | St Louis, MO | $19,305 | 2023 | Operating Support |
HENRY FORD HEALTH PROVIDENCE HOSPITAL
$1,972,239GENERAL SUPPORT
ASCENSION BORGESS FOUNDATION
$180,277GENERAL SUPPORT
HENRY FORD HEALTH RIVER DISTRICT HOSPITAL
$124,437GENERAL SUPPORT
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL
$61,609GENERAL SUPPORT
HENRY FORD HEALTH ROCHESTER FOUNDATION
$32,078GENERAL SUPPORT
HENRY FORD HEALTH GENESYS FOUNDATION
$32,078GENERAL SUPPORT
AFFILIATED HEALTH SERVICES INC
$10,006GENERAL SUPPORT
HENRY FORD SEMI MEDICAL GROUP
$9,775GENERAL SUPPORT
ASCENSION MACOMB OAKLAND HOSPITAL
$1,599,142General/Capital Support
ASCENSION BORGESS FOUNDATION
$659,963General Support
ASCENSION PROVIDENCE HOSPITAL
$574,392General/Capital Support
ASCENSION ST MARY'S FOUNDATION
$351,909General Support
ASCENSION ST JOSEPH FOUNDATION
$132,757General Support
ASCENSION PROVIDENCE ROCHESTER FOUNDATION
$123,321General Support
ASCENSION GENESYS FOUNDATION
$123,321General Support
ASCENSION MEDICAL GROUP MICHIGAN
$23,681General Support
AFFILIATED HEALTH SERVICES INC
$16,509General Support
ASCENSION RIVER DISTRICT HOSPITAL
$13,905General/Capital Support
ASCENSION MACOMB OAKLAND HOSPITAL
$584,342Operating/Capital Support
ST JOHN PROVIDENCE
$473,786Operating/Capital Support
ASCENSION BORGESS FOUNDATION
$306,363Operating Support
ASCENSION ST MARY'S FOUNDATION
$228,831Operating Support
ASCENSION PROVIDENCE ROCHESTER FOUNDATION
$203,624Operating Support
ASCENSION MEDICAL GROUP MICHIGAN
$91,603Operating Support
ASCENSION PROVIDENCE HOSPITAL
$70,698Operating Support
ASCENSION GENESYS FOUNDATION
$70,668Operating Support
ASCENSION RIVER DISTRICT HOSPITAL
$59,034Operating/Capital Support
ASCENSION ST JOSEPH FOUNDATION
$47,144Operating Support
ASCENSION MACOMB OAKLAND HOSPITAL
$733,267Operating/Capital Support
ST JOHN PROVIDENCE
$487,870Operating Support
ASCENSION RIVER DISTRICT HOSPITAL
$263,502Operating/Capital Support
ASCENSION BORGESS FOUNDATION
$134,949Operating Support
ASCENSION ST MARY'S FOUNDATION
$96,432Operating Support
ASCENSION PROVIDENCE ROCHESTER FOUNDATION
$45,787Operating Support
ASCENSION PROVIDENCE HOSPITAL
$45,219Operating/Capital Support
ASCENSION GENESYS FOUNDATION
$38,609Operating Support
ASCENSION MEDICAL GROUP MICHIGAN
$32,756Operating Support
ASCENSION ST JOSEPH FOUNDATION
$19,305Operating Support