Ascension Texas

Nonprofit profile at a glance

EIN
454364243
IRS 990 coverage
2014–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
St Louis, MO, USA
Phone
3147338000
Rating
70
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Reported finances

Revenue
$202,761,921
Expenses
$106,483,384
Assets
$110,052,001
Liabilities
$56,303,427

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

Leadership & pay

17 people listed

Executive titles in this filing

  • JAMIE YOUSSEF (EX-OFFICIO/CEO, MINISTRY MARKET (START 6/2025))
  • WILLIAM A DAVIS (EX-OFFICIO/PRESIDENT/CEO, MINISTRY MARKET (END 5/2025))

Highest reported compensation

  • WILLIAM A DAVIS (EX-OFFICIO/PRESIDENT/CEO, MINISTRY MARKET (END 5/2025)): $2,454,410 total reported compensation
  • SCOTT HERNDON (FORMER OFFICER (END 8/2022)): $1,845,616 total reported compensation
  • DANIEL W HUFFINE (CFO, MINISTRY MARKET (END 1/2025)): $968,125 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 Texas serves as an integral part of the roman catholic church to carry out its mission in support of or in furtherance of its charitable purposes. It also serves as the parent corporation for an integrated healthcare delivery and financing network. Our mission includes the following: - further the philosophy and mission of ascension health of healing and service to the sick and poor, and promote, support and engage in any of the religious, charitable, educational and scientific ministries established by ascension health. - provide medically necessary services to patients who are financially or medically indigent regardless of the person's race, creed, color, religion, sex, national origin, age or ability to pay. Based on an established eligibility system, medical services will be provided to the extent the corporation's financial resources permit. - raise funds from the public and from all other sources available, receive and maintain such funds and expend principal and income there from in support of or in furtherance of the charitable purposes. - acquire, own, use, lease as lessor or lessee, convey and otherwise deal in and with real and personal property and any interest therein, all in support of or in furtherance of the charitable purposes. - contract with other for profit and nonprofit organizations, individuals and governmental agencies in support of or in furtherance of the charitable purposes. - engage in any lawful activities within the purposes for which a nonprofit corporation may be organized under the Texas business organizations codes which are in furtherance of or in support of the charitable purposes. - promote cooperation and exchange of knowledge and experience among the various apostolate within the health care mission.

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 total spending goes to programs and the filed numbers largely add up. A relatively small share of available resources goes toward mission work and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.

Rating breakdown

  • Financial Efficiency: 62
  • Transparency & Controls: 69
  • Accountability: 82
  • Sustainability: 72
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 52.4%; rating input score 52
  • Program expense ratio: 99.7%; rating input score 100
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 91.7%; rating input score 92; 8th 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: 98.2%; rating input score 98; 34th percentile among comparable filings
  • Major donor itemization: Limited
  • 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: 47.5%; rating input score 96; 96th percentile among comparable filings
  • Total-asset coverage ratio: 1.03; rating input score 41; 41st percentile among comparable filings
  • Liabilities to assets ratio: 0.51; rating input score 35; 35th percentile among comparable filings
  • Officer compensation ratio: 0.2%; rating input score 91; 91st percentile among comparable filings

Growth

  • Program expense growth: 7.4% per year; rating input score 100; 60th percentile among comparable filings
  • Revenue growth: 10% per year; rating input score 100; 77th percentile among comparable filings
  • Asset growth: 12.5% per year; rating input score 100; 80th percentile among comparable filings

Details

  • Where the money goes: 52.4% of revenue deployed · 99.7% of spending went to programs
  • Governance: 12 of 13 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $106.2M in reported program spending
  • Leadership: top reported pay $2.5M · 17 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 18 of 19 current checks pass · 1 finding to review
  • Schedules: 7 filed schedules · includes grants, executive pay, and related organizations
  • Filing history: 11 filing years from 2014 to 2024
  • Contacts: How to reach this organization
  • Money network: 9 filed money-flow records
  • Related organizations: 386 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.

  • Review — Financial Efficiency: Mission deployment rate scored 52/100.
  • 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 41/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Moderate — Sustainability: Liabilities to assets ratio scored 35/100.