Charity Impact Media

Home › Health care

Ascension Seton

Also known as See Schedule O

St Louis, MO · EIN 74-1109643 · 501(c)(3) · Hospital or medical research organization
Latest filing: Form 990 for the fiscal year ending June 30, 2025 (tax year 2024) · View the filing · Correct or respond

Ascension Seton reported $3.32 billion in revenue and $2.97 billion in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $82.87 went to program services, $17.13 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 97.4% of the total. The highest compensation it reported for one person was $2,454,410 (EX-OFFICIO/CEO, MINISTRY MARKET (END 5/2025)). 2,956 people received more than $100,000 in reportable compensation. Revenue rose 52% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $2.97B

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $3.32B

Investment income was negative: −$2.0M. The bar shows the positive sources only.

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
MeasureFY2025Median
Program services
Part IX 25(B) ÷ 25(A)
82.9%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
17.1%13.7%
Fundraising
Part IX 25(D) ÷ 25(A)
0.0%0.0%
Fundraising cost per $1 of contributions
Part IX 25(D) ÷ Part VIII 1h
$0.00$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
1.3%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
0.3%0.1%
Program service revenue share
Part VIII 2g ÷ 12
97.4%93.7%
Highest reported compensation
Part VII-A, columns D–F
$2,454,410$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
0.08%1.34%
People paid over $100,000
Part VII, line 2
2,95627
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
8.06.6
Independent voting board members
Part VI 1a–1b
12 of 1388.9%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

FY2025 · Form 990, Part III · the three largest programs by expense
$2.46B expenses · 100.0% of program spending · grants $8.1M · revenue $3.26B

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. As the leading provider of health services in Central Texas (an 11-county region), Ascension Seton (Seton) also provides a number of distinctive services to the community: the only Level I trauma facilities; the only free-standing children's hospital; the only free-standing inpatient behavioral health hospital; the only heart transplant center; and the only University of…

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
EX-OFFICIO/CEO, MINISTRY MARKET (END 5/2025)
Director/trustee, officer, 0.0 hrs/week
$0$2,389,914$64,496$2,454,410
PHYSICIAN
Highest compensated employee, 50.0 hrs/week
$2,208,699$0$75,027$2,283,726
PHYSICIAN
Highest compensated employee, 50.0 hrs/week
$2,050,404$0$69,715$2,120,119
PHYSICIAN
Highest compensated employee, 50.0 hrs/week
$1,884,089$0$70,263$1,954,352
FORMER OFFICER (END 8/2022)
Former, 0.0 hrs/week
$0$1,785,152$60,464$1,845,616
PHYSICIAN
Highest compensated employee, 50.0 hrs/week
$1,722,909$0$68,590$1,791,499
PHYSICIAN
Highest compensated employee, 50.0 hrs/week
$1,500,029$0$51,023$1,551,052
INTERIM CEO (START 4/2025 - END 6/2025)/COO
Director/trustee, officer, 0.0 hrs/week
$0$1,078,716$54,203$1,132,919

2,956 people received more than $100,000 in reportable compensation from Ascension Seton (Part VII, line 2). Compensation of current officers, directors and key employees totaled $5.3M (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$1.00B$2.00B$3.00B$4.00BFY2020FY2021FY2022FY2023FY2024FY2025$3.32B$2.97B
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$3.32B$2.97B82.9%$1.98B$2,454,410
FY2024 ⓘ$3.31B$2.98B80.7%$1.71B$6,382,672
FY2023 ⓘ$3.01B$2.63B77.9%$1.38B$5,304,408
FY2022 ⓘ$2.85B$2.38B78.1%$1.54B$5,686,074
FY2021 ⓘ$2.37B$2.04B74.4%$1.31B$4,191,213
FY2020 ⓘ$2.19B$1.92B70.7%$1.11B$2,251,454

Governance answers, as filed

FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means
  • Voting board members, and how many are independent Part VI, lines 1a–1b13 · 12 independent
  • Audited financial statements Part XII 2bYes
  • Conflict-of-interest policy Part VI 12aYes
  • Whistleblower policy Part VI 13Yes
  • Document retention policy Part VI 14Yes
  • Independent process for top executive pay Part VI 15aNo
  • Board given the 990 before filing Part VI 11aNo
  • Family or business ties among insiders Part VI 2No
  • Aware of a significant diversion of assets Part VI 5Yes
  • Excess benefit transaction with an insider Part IV 25aNo
  • Loans to or from insiders outstanding Part IV 26No
  • Lobbying, or a 501(h) election in effect Part IV 4Yes
  • Over $15,000 of professional fundraising services Part IV 18No
  • Over $10,000 of activity outside the U.S. Part IV 14bNo
  • Employees Part I, line 516,711
  • Volunteers Part I, line 61,438

Largest outside contractors

FY2025 · Form 990, Part VII, Section B · businesses only
HCBECK LTD
Property development services
$126,859,844
HOAR CONSTRUCTION LLC
Construction services
$73,538,418
US ANESTHESIA PARTNERS OF TEXAS PA
Medical services
$40,869,370
CHAPMAN MCDONALD CONSTRUCTORS LLC
Construction services
$13,410,267
WE ARE BLOOD
Medical services
$12,370,088

Individuals listed as contractors are left out. 89 contractors were paid more than $100,000 in all.

Correct a figure or respond

Every number above is copied from Ascension Seton's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Ascension Seton, you can publish a response that is linked from this page.

Similar-sized charities in this cause

All health care charities · Largest charities in Missouri

Questions people ask

How much of Ascension Seton's spending goes to programs?

In the fiscal year ending June 30, 2025, Ascension Seton reported that 82.9% of its $2.97 billion in expenses went to program services, 17.1% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Ascension Seton pay its top executive?

The largest total compensation Ascension Seton reported for one person in the fiscal year ending June 30, 2025 was $2,454,410, for the role of EX-OFFICIO/CEO, MINISTRY MARKET (END 5/2025) (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Ascension Seton get its money?

Of $3.32 billion in revenue in the fiscal year ending June 30, 2025, 1.3% came from contributions and grants (including 0.3% from government grants) and 97.4% from program service revenue (Form 990, Part VIII).

Is Ascension Seton a registered charity?

The IRS lists EIN 74-1109643 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

  • FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202641329349307619 · read the filing
  • FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202521359349309302 · read the filing
  • FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202431319349305283 · read the filing
  • FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321329349305992 · read the filing
  • FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202211349349300231 · read the filing
  • FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202141669349301584 · read the filing

All filings for EIN 74-1109643: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.