Presence Central and Suburban Hospitals Network

Nonprofit profile at a glance

EIN
364195126
IRS 990 coverage
2010–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
St Louis, MO, USA
Phone
3147338000
Rating
68
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospitals and Related Primary Medical Care Facilities

Reported finances

Revenue
$255,990,346
Expenses
$619,879,111
Assets
$161,157,752
Liabilities
$191,796,855

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

Leadership & pay

15 people listed

Executive titles in this filing

  • POLLY DAVENPORT (Director/President & CEO, ASCENSION ILLINOIS)
  • DANA L GILBERT (PRESIDENT (END 4/2025))

Highest reported compensation

  • POLLY DAVENPORT (Director/President & CEO, ASCENSION ILLINOIS): $2,317,987 total reported compensation
  • RICHARD DOUGLAS CARTER (FORMER OFFICER (END 6/2024)): $1,772,591 total reported compensation
  • DANA L GILBERT (PRESIDENT (END 4/2025)): $659,339 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. Presence central and suburban hospitals network operated 4 acute care hospitals. St. Mary's hospital is a 178-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fy25, st. Mary's hospital treated 3,140 adults and children for a total of 13,090 patient days of service. The hospital also provided services for 20,065 outpatient visits, which included 2,001 outpatient surgeries and 18,064 emergency room visits. St. Joseph medical center is a 478-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fy25, st. Joseph medical center treated 9,310 adults and children for a total of 50,685 patient days of service. The hospital also provided services for 32,932 outpatient visits, which included 2,782 outpatient surgeries and 30,150 emergency room visits. St. Joseph hospital - elgin is a 184-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fy25, st. Joseph hospital - elgin treated 2,898 adults and children for a total of 18,199 patient days of service. The hospital also provided services for 16,876 outpatient visits, which included 1,322 outpatient surgeries and 15,554 emergency room visits. Mercy medical center is a 267-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fy25, mercy medical center treated 4,405 adults and children for a total of 21,399 patient days of service. The hospital also provided services for 23,176 outpatient visits, which included 1,044 outpatient surgeries and 22,132 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 91% 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: 76
  • Transparency & Controls: 76
  • Accountability: 72
  • Sustainability: 14
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 90.4%; rating input score 90
  • Program expense ratio: 76.6%; rating input score 77
  • 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: 99.5%; rating input score 100; 41st percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 75%; rating input score 75; 24th 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: -142.1%; rating input score 0; 0th percentile among comparable filings
  • Total-asset coverage ratio: 0.26; rating input score 8; 8th percentile among comparable filings
  • Liabilities to assets ratio: 1.19; rating input score 4; 4th percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 94; 94th percentile among comparable filings

Growth

  • Program expense growth: -2.6% per year; rating input score 0; 3rd percentile among comparable filings
  • Revenue growth: -4.3% per year; rating input score 0; 1st percentile among comparable filings
  • Asset growth: -6.2% per year; rating input score 0; 2nd percentile among comparable filings

Details

  • Where the money goes: 90.4% of revenue deployed · 76.6% of spending went to programs
  • Governance: 6 of 8 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $475M in reported program spending
  • Leadership: top reported pay $2.3M · 15 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $23.4M reported
  • Consistency: 29 of 29 current checks pass
  • Schedules: 9 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 15 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 10 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.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Sustainability: Operating margin scored 0/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 8/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Liabilities to assets ratio scored 4/100.