Seton Family of Doctors
Nonprofit profile at a glance
- EIN
- 264562522
- IRS 990 coverage
- 2009–2024
- Forms available
- Form 990 2024
- Location
- St Louis, MO, USA
- Phone
- 3147338000
- Rating
- 67
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Health Treatment Facilities, Primarily Outpatient
Reported finances
- Revenue
- $284,323,550
- Expenses
- $394,308,193
- Assets
- $207,279,412
- Liabilities
- $127,499,977
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
10 people listed
Executive titles in this filing
- JOHN HARKINS MD (CHAIR & PRESIDENT)
- MARK J PIRWITZ MD (VICE CHAIR & VICE PRESIDENT)
Highest reported compensation
- SCOTT HERNDON (FORMER OFFICER (END 8/2022)): $1,845,616 total reported compensation
- EERIC TRUUMEES MD (SECRETARY): $1,551,052 total reported compensation
- MARK J PIRWITZ MD (VICE CHAIR & VICE PRESIDENT): $1,346,016 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. Seton Family of Doctors ("SFOD"), is a 501(c)(3) charitable organization that provides patient care and educational programs and organizes and directs clinical and basic science research programs. SFOD serves the patient populations of Dell Seton Medical Center UT ("DSMCUT"), Seton Medical Center Austin, Seton Northwest, Seton Southwest, Seton Medical Center Williamson and Seton Medical Center Hays. Many SFOD patients are covered by government insurance programs, including Medicare, Medicaid and managed Medicaid or were self-pay or charity. Faculty members hold leadership positions in a variety of local, regional and national professional organizations. The physician specialists employed by SFOD are experts in many different areas of adult medicine and provide comprehensive, high quality clinical care for Central Texas. The group has consolidated various specialties into 1 multi-disciplinary group with a variety of specialties including but not limited to: * Primary Care * Express Care * Cardiology * Neurology * Physical Medicine & Rehabilitation * Sports Medicine * Women's Health * Spine * Plastic Surgery * Orthopedic Surgery * General Surgery * Urology * Neurosurgery * Radiology/Imaging. Some of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. SFOD furthers its charitable purposes by providing a broad array of services to the community. Its investment in research also provides access to state-of-the-art technology, medications and treatment protocols. This allows SFOD healthcare practitioners to experience and share new and emerging evidence-based treatment options. This relationship between research and practice, combined with SFOD's collaborative and interdisciplinary care model, leads to more advances and exceptional outcomes for Central Texas patients. In addition, we have expanded our presence to integrate practices from Comal County (San Marcos) as well as Bell County (Temple) and Georgetown. Accomplishments: 1. Actively involved in resident, medical student and allied health education. 2. An integral part of DSMCUT acquiring and maintaining Level I Trauma Center status. 3. An integral part of Seton Medical Center Williamson and Seton Medical Center Hays acquiring and maintaining Level II Trauma Center status. 4. Provided leadership and direction for development of the following multi-disciplinary programs at DSMCUT: Hand Center, Breast Center, Craniofacial Center, Wound Care and Plastic Surgery. ** A. Established clinical relationships through affiliation with Dell Medical School to advance knowledge and treatment options for patients throughout Central Texas. ** B. Establish clinical and administrative relationships in the Austin community to enhance the transitions to care from inpatient to outpatient. ** C. Provided physician support to the Seton Family of Hospitals network stroke program.
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. 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: 85
- Transparency & Controls: 71
- Accountability: 28
- Sustainability: 21
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 89.1%; rating input score 89
- 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: Limited
- 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; 4th 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: -38.7%; rating input score 2; 2nd percentile among comparable filings
- Total-asset coverage ratio: 0.53; rating input score 19; 19th percentile among comparable filings
- Liabilities to assets ratio: 0.62; rating input score 27; 27th percentile among comparable filings
- Officer compensation ratio: 0.1%; rating input score 92; 92nd percentile among comparable filings
Growth
- Program expense growth: 18.2% per year; rating input score 100; 91st percentile among comparable filings
- Revenue growth: 17.9% per year; rating input score 100; 92nd percentile among comparable filings
- Asset growth: 21.7% per year; rating input score 100; 94th percentile among comparable filings
Details
- Where the money goes: 100% of revenue deployed · 89.1% of spending went to programs
- Governance: 0 of 7 board members independent · 6 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $351.5M in reported program spending
- Leadership: top reported pay $1.8M · 10 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $6.4M reported
- Consistency: 28 of 28 current checks pass
- Schedules: 7 filed schedules · includes major donors, executive pay, and related organizations
- Filing history: 13 filing years from 2009 to 2024
- Contacts: How to reach this organization
- 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 2/100.
- High — Sustainability: Total-asset coverage ratio scored 19/100.
- High — Sustainability: Liabilities to assets ratio scored 27/100.