Ascension Providence FY2021 filing

Tax-deductible

Saint Louis, MO501(c)(3)Since 1908HospitalsEIN 74-1109636Revenue $310.8M in FY2021

On file with the IRShealthcare.ascension.org/locations/texas/txwac/waco-ascension-providencePo Box 45998, 63145-5998 · Saint Louis, MOTax-exempt since Mar 1946Hospital or medical research org — 170(b)(1)(A)(iii)

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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.

501(c)(3) charity; gifts are tax-deductible.
71¢ of each $1 spent went to programs.
$2.8M paid to officers and key staff.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · Pay: Part VII

Before you give

FY2021 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2025
latest Form 990
Looks good: the latest return is for FY2025, 1 tax year back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
4 of 6
filings with a surplus
Average surplus $12.8M a year · 4% of revenue · last 6 filings
Fine: a surplus in 4 of the last 6 filings.
Pt I · Ln 19 · 6 filings
Spent on programs
71%
of spending
Fine: 71% of spending went to programs; 65% to 75%.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$2.8M
to officers and key staff · 1% of spending
Looks good: pay to officers and key staff is 1% of spending; 15% or less.
Pt VII · Sec A
Cash reserves
<1 mo
of spending, in cash
Concern: 0.0 months of spending in cash; under 2 weeks.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
2
named funders · $7.1M
Fine: 2 funders name it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$153.9M
88% of total assets
Concern: liabilities are 88% of assets; over 80%.
Pt X · Ln 26
Independent board members
4
of 7 voting members
Looks good: 4 of 7 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$310.8M
+18% vs prior year
Spent
$272.9M
To programs
71%
Net assets
$20.3M
By yearFY2020–FY2025
Revenue
$310.8M
FY2021▲ +18%
Tap a bar for its year
Revenue by fiscal year
FY2020$263.9M
FY2021$310.8M
FY2022$311.4M
FY2023$320.1M
FY2024$301.7M
FY2025$357.5M
Expenses
$272.9M
FY2021▲ +9%
Tap a bar for its year
Expenses by fiscal year
FY2020$249.7M
FY2021$272.9M
FY2022$306.6M
FY2023$322.9M
FY2024$313.9M
FY2025$322.7M
Net assets
$20.3M
FY2021▲ +117%
Tap a bar for its year
Net assets by fiscal year
FY2020$9.4M
FY2021$20.3M
FY2022$30.5M
FY2023$68.9M
FY2024$68.0M
FY2025$88.4M

From the FY2021 Form 990 (year ending June 2021) · figures checked against the IRS filing · see the original

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You’re viewing the FY2021 filing — not the latest on file. See the latest (FY2025) →

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Mar 1946.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

71 cents of each dollar spent went to programs.

Program services 71% · $194.1M Management & general 29% · $78.8M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

18 people listed on the 990; $2.8M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2020); the FY2021 filing did not itemize Part VII
$611,045Pt VII · Sec A
$446,899Pt VII · Sec A
Vice President, Providence
$438,884Pt VII · Sec A
$269,088Pt VII · Sec A
Director, Pharmacy
$192,020Pt VII · Sec A
$169,673Pt VII · Sec A
Director, Nursing
$166,086Pt VII · Sec A
Pharmacist
$165,610Pt VII · Sec A

Philip Alexander Patterson’s $700K as President is at the 35th percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2025FY2024FY2023FY2022FY2021FY2020
Philip Alexander Patterson$700,038$613,246$615,723$619,026——
Philip a Patterson————$611,045$626,624
Brian K Becker MD$500,223$464,737$467,662$469,489$446,899$434,503
William R Haskett MD$196,516$457,256$457,103$455,104$438,884$446,037
Shane Lee Crisp$337,156$304,822————
Vicky Jenson Campbell—$315,658$152,562$135,898——
Austin Lemaster PA$299,892—————
Rhonda O'Pry Stelter——$277,296$220,787——

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aNo

Programs and updates

Provides compassionate inpatient and outpatient hospital care to all community members, regardless of their ability to pay, through a faith-based healthcare ministry.

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Provided by the organization

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1 program · $194.1M · in their own filed words · FY2020
01

Ascension Providence is a 280-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2021, Ascension Providence treated 15,555 adults and children for a total of 70,954 patient days of service.

$194.1Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2024
Total grants receivedfrom 2 funders$7.1M
Grants paid · 68 grants · $5.5M · 2019–2024
American Cancer Society INCGA · FY2024$46,250
Waco Habitat for HumanityTX · FY2024$19,500
Unitemized GrantFY2024$15,000
Caritas of WacoTX · FY2024$5,500
American Cancer Society INCGA · FY2023$46,250
Unitemized GrantFY2023$15,000
Waco Habitat for HumanityTX · FY2023$14,600
See all 68 grants →

By the numbers

The FY2021 990, line by line.

1The main four
Money inPt VIII
$310.8M
Ln 12
Fees for servicesLn 2g$293.5M
Gifts and grantsLn 1h$15.4M
Other incomeLn 4–11$1.9M
Money outPt IX
$272.9M
Ln 25
Programscol B$194.1M
Managementcol C$78.8M
Owns and owesPt X
$20.3M
net assets · Ln 32
Cash and savingsLn 1–2$238K
Total assetsLn 16$174.2M
LiabilitiesLn 26$153.9M
PeoplePt VI, VII
18
listed · VII A
PaidVII A11
Voting boardVI 1a7
IndependentVI 1b4
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$15.4M
Government grantsLn 1e$15.1M
Fees for servicesLn 2g$293.5M
Investment incomeLn 3$28K
Other incomeLn 4–11$1.9M
Gains on assetsLn 7−$32K
Total revenueLn 12$310.8M
Assets in detailPt X, end of year
CashLn 1$27K
SavingsLn 2$211K
Cash and savings togetherLn 1–2$238K
InvestmentsLn 11–13$15.7M
Land, buildings, equipmentLn 10c$89.4M
Other assetsLn 15$22.6M
Total assetsLn 16$174.2M
LiabilitiesLn 26$153.9M
Net assetsLn 32$20.3M
OperationsPt I, VI
EmployeesI 51,554
VolunteersI 6317
Fiscal year endsHeaderJune
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY21End FY21
Cash and savingsLn 1–2$476K$238K
InvestmentsLn 11–13$14.2M$15.7M
Land, buildings, equipmentLn 10c$91.1M$89.4M
Total assetsLn 16$160.1M$174.2M
LiabilitiesLn 26$150.8M$153.9M
Net assetsLn 32$9.4M$20.3M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$165K$165K
Pay of current officers, directors and key staffLn 5$1.9M$18K$1.9M
Other salaries and wagesLn 7$74.1M$65.3M$8.8M
Pension plan contributionsLn 8$3.2M$2.8M$376K
Other employee benefitsLn 9$10.9M$9.7M$1.3M
Payroll taxesLn 10$5.6M$4.9M$783K
Management feesLn 11a$1.3M$1.3M
Legal feesLn 11b$495$495
Accounting feesLn 11c$312$312
Lobbying feesLn 11d$8K$8K
Other fees for servicesLn 11g$17.0M$12.7M$4.3M$0
Advertising and promotionLn 12$77K$76K$1K
Office expensesLn 13$592K$269K$323K
Information technologyLn 14$162K$80K$82K
OccupancyLn 16$4.0M$3.5M$556K
TravelLn 17$107K$75K$32K
Conferences, conventions and meetingsLn 19$105K$96K$9K
Depreciation, depletion and amortizationLn 22$14.0M$12.0M$1.9M
InsuranceLn 23$44K$200$44K
Other expenses (24a–d)Ln 24$126.9M$75.9M$51.0M
All other expensesLn 24e$12.6M$5.2M$7.4M$0
Total functional expensesLn 25$272.9M$194.1M$78.8M$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 Latest $357.5M$322.7M$34.8M$88.4M 990 PDF
FY2024 $301.7M$313.9M−$12.1M$68.0M 990 PDF
FY2023 $320.1M$322.9M−$2.8M$68.9M 990 PDF
FY2022 $311.4M$306.6M$4.8M$30.5M 990 PDF
FY2021 Viewing $310.8M$272.9M$37.9M$20.3M 990 PDF
FY2020 $263.9M$249.7M$14.3M$9.4M 990 PDF

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Schedules filed Part IV

III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
See the full FY2021 990 (6 parts)
Part I · Summary $310,806,925 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $7,107,325$15,405,255
I-9 Program service revenuePrior year $254,427,082$293,490,593
I-10 Investment incomePrior year $13,521−$4,603
I-11 Other revenuePrior year $2,383,101$1,915,680
I-12 Total revenuePrior year $263,931,029$310,806,925
I-13 Grants and similar amounts paidPrior year $1,992,981$165,096
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $91,268,834$95,798,807
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $156,391,231$176,939,229
I-18 Total expensesPrior year $249,653,046$272,903,132
I-19 Revenue less expensesPrior year $14,277,983$37,903,793
Part VI · Governance 4 of 7 board members independent, 1 to look at
VI-1a Voting members of the governing body7
VI-1b Independent voting members4
VI-15a Process for setting top official's payNo
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
Part VIII · Statement of revenue $310,806,925 across 10 lines filed
Lines not itemized here account for $1,254,455 of total revenue; see the IRS return.
VIII-1d Related organizations$326,993
VIII-1e Government grants$15,076,258
VIII-1f All other contributions, gifts and grants$2,004
VIII-1h Total contributions, gifts and grants$15,405,255
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $292,255,073 · Unrelated business $20,250$292,275,323
VIII-3 Investment incomeExcluded from tax $27,671$27,671
VIII-6 Net rental income or lossExcluded from tax $241,830$241,830
VIII-7 Net gain or loss on sales of assetsExcluded from tax −$32,274−$32,274
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Related to mission $198,190 · Excluded from tax $1,436,475$1,634,665
VIII-12 Total revenueRelated to mission $293,668,533 · Unrelated business $20,250 · Excluded from tax $1,712,887$310,806,925
Part IX · Statement of functional expenses $272,903,132 across 21 lines filed
IX-1 Grants to domestic organizationsPrograms $165,096$165,096
IX-5 Pay of current officers, directors and key staffPrograms $18,000 · Management $1,921,413$1,939,413
IX-7 Other salaries and wagesPrograms $65,336,307 · Management $8,757,220$74,093,527
IX-8 Pension plan contributionsPrograms $2,803,215 · Management $375,723$3,178,938
IX-9 Other employee benefitsPrograms $9,650,975 · Management $1,293,549$10,944,524
IX-10 Payroll taxesPrograms $4,859,883 · Management $782,522$5,642,405
IX-11a Management feesPrograms $1,324,694$1,324,694
IX-11b Legal feesManagement $495$495
IX-11c Accounting feesManagement $312$312
IX-11d Lobbying feesManagement $8,388$8,388
IX-11g Other fees for servicesPrograms $12,731,634 · Management $4,287,485 · Fundraising $0$17,019,119
IX-12 Advertising and promotionPrograms $76,323 · Management $1,045$77,368
IX-13 Office expensesPrograms $268,690 · Management $323,401$592,091
IX-14 Information technologyPrograms $79,910 · Management $81,797$161,707
IX-16 OccupancyPrograms $3,451,267 · Management $556,117$4,007,384
IX-17 TravelPrograms $74,654 · Management $32,068$106,722
IX-19 Conferences, conventions and meetingsPrograms $96,196 · Management $9,135$105,331
IX-22 Depreciation, depletion and amortizationPrograms $12,046,571 · Management $1,941,113$13,987,684
IX-23 InsurancePrograms $200 · Management $43,862$44,062
IX-24 Other expenses (24a–d)Programs $75,905,294 · Management $51,008,426$126,913,720
IX-24e All other expensesPrograms $5,207,663 · Management $7,382,489 · Fundraising $0$12,590,152
IX-25 Total functional expensesPrograms $194,096,572 · Management $78,806,560 · Fundraising $0$272,903,132
Part X · Balance sheet $174,226,434 assets, 23 lines filed
Asset lines not itemized here account for $60,416; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $7,645$27,123
X-2 Savings and temporary cash investmentsStart of year $468,571$210,963
X-3 Pledges and grants receivableStart of year $134$1,580
X-4 Accounts receivableStart of year $25,265,763$35,439,703
X-8 Inventories for sale or useStart of year $5,760,769$5,902,092
X-9 Prepaid expenses and deferred chargesStart of year $0$319,407
X-10c Land, buildings and equipment, netStart of year $91,057,416$89,432,969
X-11 Publicly traded securitiesStart of year $0$0
X-13 Program-related investmentsStart of year $14,151,098$15,713,279
X-14 Intangible assetsStart of year $5,286,661$4,516,720
X-15 Other assetsStart of year $17,954,059$22,602,182
X-16 Total assetsStart of year $160,135,554$174,226,434
X-17 Accounts payable and accrued expensesStart of year $17,723,830$18,994,197
X-18 Grants payableStart of year $0$0
X-19 Deferred revenueStart of year $4,057,613$0
X-20 Tax-exempt bond liabilitiesStart of year $0$0
X-24 Unsecured notes and loans payableStart of year $0$0
X-25 Other liabilitiesStart of year $128,979,035$134,924,016
X-26 Total liabilitiesStart of year $150,760,478$153,918,213
X-27 Net assets without donor restrictionsStart of year $9,160,393$20,308,221
X-28 Net assets with donor restrictionsStart of year $214,683$0
X-32 Total net assets or fund balancesStart of year $9,375,076$20,308,221
X-33 Total liabilities and net assetsStart of year $160,135,554$174,226,434
Part XI · Reconciliation of net assets $20,308,221 net assets at year end
XI-1 Total revenue$310,806,925
XI-2 Total expenses$272,903,132
XI-3 Revenue less expenses$37,903,793
XI-4 Net assets at start of year$9,375,076
XI-5 Net unrealized gains (losses) on investments$17,768
XI-9 Other changes in net assets−$26,988,416
XI-10 Net assets at end of year$20,308,221

Form 990 e-file (XML) FY2021 from the IRS · Classification, formation year and address from the IRS Business Master File

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