Ascension
Legal name: Ascension Seton
Nonprofit profile at a glance
- EIN
- 741109643
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- St Louis, MO, USA
- Phone
- 3147338000
- Rating
- 75
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
Reported finances
- Revenue
- $3,320,092,864
- Expenses
- $2,972,054,425
- Assets
- $3,388,055,515
- Liabilities
- $1,403,252,611
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
36 people listed
Executive titles in this filing
- ASHLEY MARIE DICKINSON (INTERIM CEO (START 4/2025 - END 6/2025)/COO)
- JAMIE YOUSSEF (EX-OFFICIO/CEO, MINISTRY MARKET (START 6/2025))
- WILLIAM A DAVIS (EX-OFFICIO/CEO, MINISTRY MARKET (END 5/2025))
- ADAM MESSER (PRESIDENT, DELL CHILDREN'S MEDICAL CENTER)
- ANDREW JOHN GNANN (PRESIDENT, ASCENSION SETON WILLIAMSON)
- JOAN K ROSS (PRESIDENT, ASCENSION SETON HAYS/BASTROP)
Highest reported compensation
- WILLIAM A DAVIS (EX-OFFICIO/CEO, MINISTRY MARKET (END 5/2025)): $2,454,410 total reported compensation
- S TYLER HOLLMIG MD (PHYSICIAN): $2,283,726 total reported compensation
- JOHN K STOKES MD (PHYSICIAN): $2,120,119 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
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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. As the leading provider of health services in Central Texas (an 11-county region), Ascension Seton (Seton) also provides a number of distinctive services to the community: the only Level I trauma facilities; the only free-standing children's hospital; the only free-standing inpatient behavioral health hospital; the only heart transplant center; and the only University of Texas medical residency programs. Seton contributes to the positive health status of the communities it serves and continues to build and strengthen sustainable collaborative efforts to benefit the health of individuals, families and society as a whole. Seton has a mission to care for the community it serves with a special concern for the poor and the vulnerable. Ascension Seton is a 1,653-bed hospital system providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2025, Ascension Seton treated 69,198 adults and children for a total of 392,933 patient days of service. The hospital also provided services for 836,605 outpatient visits, which included 35,408 outpatient surgeries and 347,614 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.
Operating model
- Revenue model
- Other-operating. 99% 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. 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: 69
- Transparency & Controls: 76
- Accountability: 82
- Sustainability: 63
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 74.1%; rating input score 74
- Program expense ratio: 82.9%; rating input score 83
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th 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: 99.9%; rating input score 100; 46th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 92.3%; rating input score 92; 41st 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: 10.5%; rating input score 74; 74th percentile among comparable filings
- Total-asset coverage ratio: 1.14; rating input score 44; 44th percentile among comparable filings
- Liabilities to assets ratio: 0.41; rating input score 43; 43rd percentile among comparable filings
- Officer compensation ratio: 0.5%; rating input score 84; 84th percentile among comparable filings
Growth
- Program expense growth: 5.4% per year; rating input score 100; 44th percentile among comparable filings
- Revenue growth: 4.8% per year; rating input score 100; 41st percentile among comparable filings
- Asset growth: 2.2% per year; rating input score 100; 16th percentile among comparable filings
Details
- What they do: 3 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 74.1% of revenue deployed · 82.9% of spending went to programs
- Governance: 12 of 13 board members independent · 6 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $2.5B in reported program spending
- Leadership: top reported pay $2.5M · 36 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $267M reported
- Consistency: 37 of 37 current checks pass
- Schedules: 9 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 14 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 52 filed money-flow records
- Related organizations: 417 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 — Transparency & Controls: Pay-setting controls scored 0/100.
- Review — Accountability: Governance controls: 3 of 9 not reported.
- Moderate — Sustainability: Total-asset coverage ratio scored 44/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 43/100.