Ascension Living-lakeshore at Siena Inc
Nonprofit profile at a glance
- EIN
- 824710412
- IRS 990 coverage
- 2018–2024
- Forms available
- Form 990 2024, Form 990-EZ 2017
- Location
- St Louis, MO, USA
- Phone
- 3147338000
- Rating
- 61
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
Reported finances
- Revenue
- $10,624,901
- Expenses
- $11,495,978
- Assets
- $4,605,313
- Liabilities
- $1,941,951
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
9 people listed
Executive titles in this filing
- ERIN SHADBOLT (VP POST ACUTE & AT-HOME SERVICES & CEO/SECRETARY)
- MICHAEL PHILLIPS (EXECUTIVE DIRECTOR)
Highest reported compensation
- LISA ANN MUSGRAVE MHA BSN RN (SENIOR VP, POST-ACUTE AND AT-HOME SERVICES/CHAIR): $1,599,602 total reported compensation
- RYAN BREEDLOVE (DIRECTOR/VP POST ACUTE CONTINUING CARE & AT HOME SERVICES): $636,783 total reported compensation
- ERIN SHADBOLT (VP POST ACUTE & AT-HOME SERVICES & CEO/SECRETARY): $622,399 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. Ascension living lakeshore at siena ("lakeshore") includes skilled nursing (snf) and memory care (mc). Lakeshore, inspired by the healing mission of the catholic church to the elderly, maximizes dignity and independence. Rooted in the catholic tradition of caring, as a corporate member of ascension living, our community is continually developing and adopting new best practices in care that enhance the experience of our residents, program participants and patients. The staff is committed to promoting the well-being of those we serve through the delivery of quality care. The facility has 96 beds with an average occupancy of 83 or 86.5%. In 2025, 5,072 days of care were provided to medicaid recipients; 3,713 days of care were provided to medicare recipients. Although reimbursement for services rendered is critical to the operations and stability of the organization, as a charitable organization, it is recognized that not all persons possess the ability to purchase essential services needed for care and our mission is to serve the community with respect to providing health care services. For medicaid residents, lakeshore was reimbursed -$352,991 less than our costs. As part of the ascension catholic health ministry, the filing organization served in support of ascension's commitment to both care for patients and communities and support caregivers and other associates.
Operating model
- Revenue model
- Other-operating. 100% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% 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 - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.
Rating breakdown
- Financial Efficiency: 76
- Transparency & Controls: 67
- Accountability: 28
- Sustainability: 19
- Growth: 80
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 88%; rating input score 88
- Program expense ratio: 81.4%; rating input score 81
- 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: Limited
- Major donor itemization: Limited
- 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: -8.2%; rating input score 12; 12th percentile among comparable filings
- Total-asset coverage ratio: 0.4; rating input score 11; 11th percentile among comparable filings
- Liabilities to assets ratio: 0.42; rating input score 35; 35th percentile among comparable filings
- Officer compensation ratio: 4.5%; rating input score 55; 55th percentile among comparable filings
Growth
- Program expense growth: 8.2% per year; rating input score 100; 62nd percentile among comparable filings
- Revenue growth: 14.7% per year; rating input score 100; 86th percentile among comparable filings
- Asset growth: -5.7% per year; rating input score 0; 2nd percentile among comparable filings
Details
- Where the money goes: 88% of revenue deployed · 81.4% of spending went to programs
- Governance: 0 of 5 board members independent · 6 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $9.4M in reported program spending
- Leadership: top reported pay $1.6M · 9 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $1.8M reported
- Consistency: 30 of 30 current checks pass
- Schedules: 5 filed schedules · includes executive pay and related organizations
- Filing history: 7 filing years from 2018 to 2024
- Contacts: How to reach this organization
- Money network: 2 filed money-flow records
- Related organizations: 377 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 — 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 12/100.
- High — Sustainability: Total-asset coverage ratio scored 11/100.
- High — Growth: Asset growth scored 0/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 35/100.
- Review — Sustainability: Officer compensation ratio scored 55/100.