Ascension

Legal name: Ascension Health Senior Care

Nonprofit profile at a glance

EIN
431227406
IRS 990 coverage
2015–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
St. Louis, MO, US
Phone
314-733-8000
Rating
35
Verdict
REVIEW
Rating confidence
Moderate
Sector
Community Health Systems

Official website

Reported finances

Revenue
$26,296,434
Expenses
$32,426,137
Assets
$61,732,503
Liabilities
$185,001,956

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

Leadership & pay

19 people listed

Executive titles in this filing

  • ERIN SHADBOLT (VP POST ACUTE & AT-HOME SERVICES & CEO/SECRETARY)

Highest reported compensation

  • CHRISTINE K MCCOY JD (FORMER BOARD OFFICER (END 12/2023)): $5,287,112 total reported compensation
  • LISA ANN MUSGRAVE MHA BSN RN (SENIOR VP, POST-ACUTE AND AT-HOME SERVICES/CHAIR): $1,599,602 total reported compensation
  • JENNA COURTNEY MIHM (FORMER BOARD OFFICER (END 12/2023)): $1,320,182 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 to: Serve 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. Ascension health senior care (ascension living) provides holistic, person-centered care and support rooted in our catholic beliefs to meet the physical, mental and spiritual needs of the seniors we serve. The person-centered care philosophy is woven into every aspect of living and working in our ministries. Ascension living offers a wide range of care options for seniors across the continuum of care to give seniors the best care available as they move through life and transition from one level of care required to the next. We provide for the body, mind and spirit of seniors as they stay as healthy and active as possible. In the year ended june 30, 2025, ascension living cared for seniors at over 40 locations across the us.

Operating model

Revenue model
Other-operating. 97% of the money available for current operations came from other operating revenue.
Distribution model
Hybrid. The nonprofit split its reported program spending across 49% for direct work, and 51% for grants.

The verdict

REVIEW - The filed numbers largely add up. A relatively small share of available resources goes toward mission work and a relatively small share of total spending goes to programs.

Rating breakdown

  • Financial Efficiency: 14
  • Transparency & Controls: 76
  • Accountability: 28
  • Sustainability: 22
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 17.7%; rating input score 18
  • Program expense ratio: 12.6%; rating input score 13
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd 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: 100%; rating input score 100; 72nd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 0%; rating input score 0; 3rd 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: -23.3%; rating input score 4; 4th percentile among comparable filings
  • Total-asset coverage ratio: 1.9; rating input score 60; 60th percentile among comparable filings
  • Liabilities to assets ratio: 3; rating input score 1; 1st percentile among comparable filings
  • Officer compensation ratio: 9%; rating input score 24; 24th percentile among comparable filings

Growth

  • Program expense growth: -12% per year; rating input score 0; 2nd percentile among comparable filings
  • Revenue growth: -1.5% per year; rating input score 0; 5th percentile among comparable filings
  • Asset growth: -2.8% per year; rating input score 0; 4th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 17.7% of revenue deployed · 12.6% of spending went to programs
  • Governance: 0 of 5 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $4.1M in reported program spending
  • Leadership: top reported pay $5.3M · 19 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 4 contractors listed · $811K reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 7 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 10 filing years from 2015 to 2024
  • Contacts: How to reach this organization
  • Money network: 19 filed money-flow records
  • Related organizations: 387 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.

  • High — Financial Efficiency: Mission deployment rate scored 18/100.
  • High — Financial Efficiency: Program expense ratio scored 13/100.
  • High — Accountability: Independent voting board scored 0/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Sustainability: Operating margin scored 4/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Liabilities to assets ratio scored 1/100.
  • High — Sustainability: Officer compensation ratio scored 24/100.