Ascension

Legal name: St Vincent's Health System Inc

Nonprofit profile at a glance

EIN
593650609
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
St. Louis, MO, US
Phone
314-733-8000
Rating
78
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Community Health Systems

Official website

Reported finances

Revenue
$168,691,325
Expenses
$165,354,014
Assets
$231,848,243
Liabilities
$39,422,583

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

Leadership & pay

25 people listed

Executive titles in this filing

  • DON E KING (CEO, MINISTRY MARKET)

Highest reported compensation

  • DON E KING (CEO, MINISTRY MARKET): $2,226,391 total reported compensation
  • COBA SUSAN CORNEJO (FORMER OFFICER (END 6/2020)): $1,433,557 total reported compensation
  • JALIMA TRANK (CFO, MINISTRY MARKET): $1,003,730 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 an expression of the healing ministry of Jesus Christ, providing compassionate, personalized care to all, with special attention to those most vulnerable.

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. St. Vincent's Health System, Inc. operates a licensed hospital facility with 56 beds, named Ascension St. Vincent's St. Johns County. Additionally, ST. VINCENT'S HEALTH SYSTEM, INC. PROVIDES ADMINISTRATIVE AND MANAGERIAL SERVICES FOR ST. VINCENT'S MEDICAL CENTER, A 284 BED NONPROFIT ACUTE CARE HOSPITAL; ST. LUKE'S-ST. VINCENT'S HEALTHCARE, A 249 BED NONPROFIT ACUTE CARE HOSPITAL; ST. VINCENT'S MEDICAL CENTER - CLAY COUNTY, A 134 BED NONPROFIT ACUTE CARE HOSPITAL; ST. VINCENT'S AMBULATORY CARE, INC. NEUROSURGERY, NEUROLOGY, AND CARDIOLOGY SPECIALTY PRACTICES; SACRED HEART HEALTH SYSTEM, INC., CONSISTING OF 4 NONPROFIT ACUTE CARE HOSPITALS WITH A TOTAL OF 866 BEDS. THE ENTITIES OF ST. VINCENT'S HEALTH SYSTEM, INC. PROVIDE HEALTH CARE SERVICES FOR THE RESIDENTS OF NORTHEAST FLORIDA AND THE GULF COAST REGION. ST. VINCENT'S HEALTH SYSTEM, INC. SEEKS TO IMPROVE THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL HEALTH STATUS OF ITS SURROUNDING COMMUNITIES.

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 99% 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: 79
  • Transparency & Controls: 72
  • Accountability: 86
  • Sustainability: 50
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 88%; rating input score 88
  • Program expense ratio: 89.7%; rating input score 90
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th 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: 98.4%; rating input score 98; 35th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 90.9%; rating input score 91; 39th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • 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: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 2%; rating input score 42; 42nd percentile among comparable filings
  • Total-asset coverage ratio: 1.4; rating input score 51; 51st percentile among comparable filings
  • Liabilities to assets ratio: 0.17; rating input score 73; 73rd percentile among comparable filings
  • Officer compensation ratio: 1.8%; rating input score 59; 59th percentile among comparable filings

Growth

  • Program expense growth: 4.5% per year; rating input score 100; 35th percentile among comparable filings
  • Revenue growth: 7.2% per year; rating input score 100; 62nd percentile among comparable filings
  • Asset growth: 7.7% per year; rating input score 100; 56th percentile among comparable filings

Details

  • What they do: 3 programs and campaigns described on the official site · 9 operating locations identified
  • Where the money goes: 88% of revenue deployed · 89.7% of spending went to programs
  • Governance: 10 of 11 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $148.3M in reported program spending
  • Leadership: top reported pay $2.2M · 25 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $8M reported
  • Consistency: 34 of 35 current checks pass · 1 finding to review
  • Schedules: 9 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 13 filed money-flow records
  • Related organizations: 383 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: 2 of 9 not reported.
  • Moderate — Sustainability: Operating margin scored 42/100.
  • Review — Sustainability: Total-asset coverage ratio scored 51/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Review — Sustainability: Officer compensation ratio scored 59/100.