Ascension Seton EIN 74-1109643

Ascension Seton

EIN  74-1109643 Hospital St Louis, MO Founded 1900
Form 990 (PDF) Compare with another nonprofit →
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Size
$100M+
What they do
Provides compassionate, personalized healthcare and specialized medical services, including trauma care and organ transplants, to communities and vulnerable populations across Central Texas.
Leadership
S Tyler Hollmig MD · Physician · $2.2M
Money in and out
$3.3B revenue, $3.0B expenses
Bottom line
+10% operating surplus

Provides compassionate, personalized healthcare and specialized medical services, including trauma care and organ transplants, to communities and vulnerable populations across Central Texas. For fiscal year 2024 it reported $3.3B in revenue, $3.0B in expenses, and $2.0B in net assets.Pt I

Financial scale & money flow · FY2024
Total revenue
$3.3B
Pt VIII · Ln 12
Total expenses
$3.0B
Pt IX · Ln 25
Net assets
$2.0B
Pt X · Ln 32
Revenue less expenses (Pt I · Ln 19): $348.0M
Where spending went · Part IX cols B–D
Program services $0.83 Management & general $0.17
Operating surplus
+10%
revenue over expenses, this legal entity▲ +7% vs prior filing year
Payroll share
36%
of this entity's spending is salaries & benefits▲ +3% vs prior filing year
Program spending
83%
of expenses reach program services▲ +3% vs prior filing year

Summary of the Filing

Part I · fiscal year 2024 · Form 990
Revenue
$3.3B
FY20240%
Expenses
$3.0B
FY20240%
Total assets
$3.4B
FY2024▲ +7%
Total liabilities
$1.4B
FY2024▼ -4%
Total revenue
$3.3B
Pt VIII · Ln 12
Total expenses
$3.0B
Pt IX · Ln 25
Net assets
$2.0B
Pt X · Ln 32
Revenue less expensesPt I · Ln 19$348.0M
Total assetsPt X · Ln 16$3.4B
Program-expense ratioPt IX · col B83%
Voting members of governing bodyPt I · Ln 313
Independent voting membersPt I · Ln 412
Mission & Programs · Part III

Where the work happens

1 program service account for $2.5B of program spending, described in the organization's own filed words · FY2024.
01

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.

$2.5Bprogram expense

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Identity & Classification

Form 990 Header · IRS Business Master File
Legal nameHdr · item CAscension Seton
EINHdr · item D74-1109643
Principal addressHdr · item CSt Louis, MO
WebsiteHdr · item Jnone reported
Year of formationHdr · item L1900
State of legal domicileHdr · item MMO
Exempt statusHdr · item I501(c)(3) · active
NTEE classificationIRS BMFNonprofit
Ruling yearIRS BMFAug 2009

Governance & Policies

Part VI
Voting members of the governing bodyPt VI · Ln 1a13
Independent voting membersPt VI · Ln 1b12
Conflict-of-interest policyPt VI · Ln 12aYes
Whistleblower policyPt VI · Ln 13Yes
Document retention policyPt VI · Ln 14Yes
CEO/top-official compensation independently reviewedPt VI · Ln 15aNo
Family or business relationships among officers/directorsPt VI · Ln 2No

Officers, Directors & Key Employees

Part VII, Section A · reportable compensation
$2,208,699Pt VII · Sec A
$2,050,404Pt VII · Sec A
$1,884,089Pt VII · Sec A
$1,722,909Pt VII · Sec A
$1,500,029Pt VII · Sec A
President, Dell Children's Medical Center (end 6/2024)
$1,066,008Pt VII · Sec A
President, Dell Children's Medical Center
$878,732Pt VII · Sec A
President, Ascension Seton Medical Center Austin (end 11/2024)
$776,659Pt VII · Sec A

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

NameFY2024FY2024FY2023FY2022FY2021FY2020
S Tyler Hollmig MD$2,208,699$2,070,391$1,900,020$1,630,782$1,267,172
John K Stokes MD$2,050,404$1,842,724$1,906,085$1,604,722$1,555,089$1,497,295
Matthew Geck MD$1,884,089$1,872,369$1,860,983$1,597,811$1,559,283$1,500,459
Sachin Mehta MD$1,722,909$1,646,805$1,533,958
Brian Patrick Kelley MD$1,524,103$1,396,952
Eeric Truumees MD$1,500,029
Vincent Yat-Chung Wang MD$1,494,892$1,287,918$1,195,633
Timothy M George MD$1,457,170

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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Statement of Revenue

Part VIII
Program service revenue$3.2B · 97%
Contributions & grants$41.8M · 1%
Other revenue$43.3M · 1%
Program service revenue97%$3.2B
Contributions & grants1%$41.8M
Other revenue1%$43.3M
— government grantsLn 1e$10.0M
Total revenueLn 12$3.3B

Statement of Functional Expenses

Part IX · allocated across program, management, and fundraising
Allocation · columns B–D
Program services $0.83 Management & general $0.17
Program services83%$2.5B
Management & general17%$509.2M
Total functional expensesLn 25$3.0B

Balance Sheet

Part X · end of year
CashLn 1$13.1M
Total assetsLn 16$3.4B
Total liabilitiesLn 26$1.4B
Total net assetsLn 32$2.0B
Months of cash on handcomputed0.1

Financial Metrics

Form 990 · FY2024 · each ratio shown with the dollars behind it
Liquidity & Payout
Operating runway
Highly liquid reserves $13.1M · Operating expenses/yr $3.0B
0.1 months
Where the money goes
Program services
Program services $2.5B · Total expenses $3.0B
83%
Management & General
Management & general $509.2M · Total expenses $3.0B
17%
Fundraising
Fundraising $0 · Total expenses $3.0B
0%
Cost to raise $1
Fundraising expense (3-yr avg) $0 · Solicited contributions (3-yr avg) $19.4M
Solicited contributions below reporting floor
Where the money comes from
Contribution dependence
Contributions & grants $41.8M · Total revenue $3.3B
1%
Government reliance
Government grants $10.0M · Total revenue $3.3B
0%
Earned-income share
Program service revenue $3.2B · Total revenue $3.3B
97%
Investment reliance
Investment income $-2.0M · Total revenue $3.3B
0%
Program self-sufficiency
Program service revenue $3.2B · Total expenses $3.0B
109%
Growth & trend
Revenue growth (YoY)
This year $3.3B · Prior year $3.3B
0%
Revenue CAGR
FY2019 $2.2B · FY2024 $3.3B
+9%
Net-asset trend (YoY)
End of year $2.0B · Beginning of year —
Beginning net assets not meaningfully positive — showing dollar change
Balance sheet
Surplus Margin
Revenue $3.3B · Expenses $3.0B
+10%
Liabilities-to-Assets
Total liabilities — · Total assets $3.4B
Net-asset ratio
Net assets $2.0B · Total assets $3.4B
59%
Marketable Investment Share
Publicly traded securities (Pt X, ln 11) $0 · Other securities (Pt X, ln 12) — · Total assets (Pt X, ln 16) $3.4B
0%
People & payroll
Highest Reported Total Compensation
Individual S Tyler Hollmig MD · Reported title PHYSICIAN · Highest reported compensation $2.2M · Total expenses $3.0B
0%
Personnel share
Salaries, benefits & payroll (Pt IX 5-10) $1.1B · Total expenses $3.0B
36%
Peer comparison

Same NTEE category, revenue band, and state where available. Descriptive — not a grade.

MetricThis orgPeer medianPercentile
Program ratio 83%
Overhead ratio 17%
Revenue growth 0%

Straight from the Form 990 — descriptive, not an evaluation. A ratio is hidden when its base is zero or too small to be meaningful; the dollars are always shown.

Grants

Schedule I · received and paid
Grants received · FY2025
Total grants receivedfrom 1 funder$10K
Grants paid · 220 grants · $73.9M · 2019–2024
Dell Children's FoundationMO · FY2024$2,962,768
Ascension Seton FoundationMO · FY2024$1,597,472
Unitemized GrantFY2024$390,000
Integrated Care CollaborationTX · FY2024$250,000
St John Paul II Life CenterTX · FY2024$150,000
Trail of Lights FoundationTX · FY2024$121,500
American GatewaysTX · FY2024$75,000
Catholic Diocese of AustinTX · FY2024$74,350
Champions Off the FieldTX · FY2024$65,289
Austin PBSTX · FY2024$30,000
See all 220 grants →

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Filings & Schedule Manifest

Part IV
III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
FY2024$3.3B revenue · ⤓ 990 PDF
FY2023$3.0B revenue · ⤓ 990 PDF
FY2022$2.8B revenue · ⤓ 990 PDF
FY2021$2.4B revenue · ⤓ 990 PDF
FY2020$2.2B revenue · ⤓ 990 PDF

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Sources

Every figure above is drawn from these filings
Form 990 e-file (XML) · FY2024IRS
Classification, formation year, addressIRS Business Master File
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