Civic Intelligence

Ascension Health Senior Care

EIN 43-1227406 • 501(c)3 • St Louis, MO

Profile

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.

C/O Tax Department PO Box 45998St Louis, MO 63145-5998

ascension.org/our-work/ascension-living

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

99th percentile

2.67x

Higher debt load relative to assets than 99% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

95th percentile

6.58x

Higher debt load relative to revenue than 95% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

26th percentile

-2.4%

Higher net margin than 26% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

99th percentile

$4,298,869

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 14.8% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

6th percentile

-13%

Faster asset growth than 6% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

20th percentile

-5.3%

Faster revenue growth than 20% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Down

$71,786,514

Down $10,772,007 (-13%) from 2023

Liabilities

Up

$191,813,767

Up $60,021,769 (+46%) from 2023

Net Assets

Down

-$120,027,253

Down $70,793,776 (-144%) from 2023

Revenue

Down

$29,137,952

Down $1,629,249 (-5.3%) from 2023

Expenses

Up

$29,839,644

Up $700,965 (+2.4%) from 2023

Net Income

Down

-$701,692

Down $2,330,214 (-143%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200M$100M$0-$100M-$200MAssets 2015: $1,804,023Liabilities 2015: $5,833,618Net Assets 2015: -$4,029,5952015Assets 2016: $68,435,199Liabilities 2016: $24,048,954Net Assets 2016: $44,386,2452016Assets 2017: $91,397,223Liabilities 2017: $14,197,563Net Assets 2017: $77,199,6602017Assets 2018: $97,368,011Liabilities 2018: $35,638,177Net Assets 2018: $61,729,8342018Assets 2019: $87,654,541Liabilities 2019: $30,939,783Net Assets 2019: $56,714,7582019Assets 2020: $180,208,879Liabilities 2020: $130,288,551Net Assets 2020: $49,920,3282020Assets 2021: $102,929,303Liabilities 2021: $119,775,985Net Assets 2021: -$16,846,6822021Assets 2022: $62,464,548Liabilities 2022: $63,912,249Net Assets 2022: -$1,447,7012022Assets 2023: $82,558,521Liabilities 2023: $131,791,998Net Assets 2023: -$49,233,4772023Assets 2024: $71,786,514Liabilities 2024: $191,813,767Net Assets 2024: -$120,027,2532024

Highlighted filing

2024

Assets$71,786,514
Liabilities$191,813,767
Net Assets-$120,027,253

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MRevenue 2015: $0Expenses 2015: $3,880,804Net Income 2015: -$3,880,8042015Revenue 2016: $31,480,564Expenses 2016: $26,550,620Net Income 2016: $4,929,9442016Revenue 2017: $36,341,914Expenses 2017: $36,327,818Net Income 2017: $14,0962017Revenue 2018: $33,733,375Expenses 2018: $43,562,864Net Income 2018: -$9,829,4892018Revenue 2019: $24,388,733Expenses 2019: $20,465,588Net Income 2019: $3,923,1452019Revenue 2020: $38,489,681Expenses 2020: $35,874,917Net Income 2020: $2,614,7642020Revenue 2021: $37,706,553Expenses 2021: $43,363,777Net Income 2021: -$5,657,2242021Revenue 2022: $34,804,494Expenses 2022: $29,943,776Net Income 2022: $4,860,7182022Revenue 2023: $30,767,201Expenses 2023: $29,138,679Net Income 2023: $1,628,5222023Revenue 2024: $29,137,952Expenses 2024: $29,839,644Net Income 2024: -$701,6922024

Highlighted filing

2024

Revenue$29,137,952
Expenses$29,839,644
Net Income-$701,692

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 13, 2025
Return Version
2023v6.0
Gross Receipts
$29,137,952
Mission and Program Overview

Mission

Our Mission calls for us to provide spiritually centered, holistic care which sustains and improves the health of individuals and communities, of all faiths, races, and socio-economic backgrounds, particularly those most in need. We commit ourselves to identifying and developing effective responses to the health and housing needs of all persons we are called to serve with special attention to those who are poor and vulnerable.

To provide spiritually centered, holistic, compassionate skilled nursing services to those in our community for the short term or long term.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$12,474,308$5,055,128▼ $7,419,180
Intangible Assets$849,730$259,306▼ $590,424
Land, Buildings, and Equipment, Net$60,565$24,095▼ $36,470
Prepaid Expenses and Deferred Charges$3,251$3,250▼ $1
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$82,558,521$71,786,514▼ $10,772,007
Other Assets Total$69,170,667$66,444,735▼ $2,725,932
Liabilities
Other Liabilities$121,009,879$179,049,141▲ $58,039,262
Accounts Payable and Accrued Expenses$10,782,119$12,555,111▲ $1,772,992
Deferred Revenue$0$209,515▲ $209,515
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$131,791,998$191,813,767▲ $60,021,769
Net Assets / Fund Balance
Net Assets With Donor Restrictions$18,882,588$18,221,492▼ $661,096
Net Assets Without Donor Restrictions$-68,116,065$-138,248,745▼ $70,132,680
Total Net Assets Fund Balance$-49,233,477$-120,027,253▼ $70,793,776
Total Liabilities and Net Assets / Fund Balance$82,558,521$71,786,514▼ $10,772,007

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$24,095$362,302$386,397
Other Assets Org$114,092--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$1,110,120$868,474▲ $387,762-$2,366,356
2022$0$916,005▲ $194,115-$1,110,120
2021$0---$0
2020$0---$0
2019$0---$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ryan EndsleyChief Operating Officer (end 1/2023)FT$29,200$224,679$253,879
Rafael Bloise MdMedical DirectorFT$112,989$121,062$234,051
Carla L BrownSenior Director, OperationsFT$182,171$50,712$232,883
Arjun PurvisSenior Director, OperationsFT$173,567$52,918$226,485
David L KarlinSenior Director, Operations (end 7/2023)FT$101,192$125,223$226,415
Karly Lewis MucksChief Operating Officer (end 5/2024)FT$198,423$24,350$222,773
Brian D CooperSenior Director, Operations (end 11/2023)FT$176,011$27,765$203,776
Debra Valkenberg RnChief Nursing Officer (end 1/2023)FT$19,338$167,656$186,994

Board Members and Trustees

NameTitle
Christine K Mccoy JdChair (end 12/2023)
Lisa Ann Musgrave Mha Bsn RnSenior VP, Post-acute and At-home Services/chair (start 1/2024)
Kenneth R SmootDirector/chief Mission Integration Officer (start 1/2024)
Ryan BreedloveDirector/VP Post Acute Continuing Care & at Home Services (start 1/2024)
Robin T BinekAvp of Finance, Ascension Living/treasurer (start 9/2023)
Michael Robert GordonCFO, Ascension Living (end 8/2023)
Daniel StrickerFormer Officer (end 8/2022)
Jenna Courtney MihmSecretary (end 12/2023)
Matthew a JaggerTreasurer (end 12/2023)
Erin ShadboltVP Post Acute & At-home Services & CEO (start 5/2024)/secretary (start 1/2024)

Highest Paid Contractors

ContractorServicesLocationCompensation
Striv TechnologiesConsulting Services400 BLVD OF AMERICAS, SUITE 105, Lakewood, NJ 08701$136,333
Revenue and Support

Revenue Composition

Contributions and Grants
$646,725
Program Service Revenue
$27,491,594
Investment Income
$911,721
Other Revenue
$87,912
All Other Contributions
$405,230
Change in Net Assets
$-701,692
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$18,825,998
Salaries, Compensation, and Employee Benefits$9,466,961
Grants and Similar Amounts Paid$1,546,685
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Insurance-$10,927,921-$10,927,921
Other Salaries and Wages$6,913,847--$6,913,847
Interest-$2,642,539-$2,642,539
Occupancy$1,602,641--$1,602,641
Grants to Domestic Orgs$1,546,685--$1,546,685
Advertising$901,684--$901,684
Other Employee Benefits$887,316--$887,316
Payroll Taxes$805,193--$805,193
Travel$711,593--$711,593
Current Officers, Directors, Trustees, and Key Employees$663,646--$663,646
Office Expenses$360,295--$360,295
Other Expenses$305,280--$305,280
Pension Plan Contributions$196,959--$196,959
Depreciation Depletion$155,200--$155,200
Fees for Services Other$89,715$0$0$89,715
Conferences and Meetings$73,617--$73,617
Information Technology$38,565--$38,565
All Other Expenses$-673,039$0$0$-673,039
Total Functional Expenses$16,269,184$13,570,460$0$29,839,644
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Presence Life ConnectionsSt Louis, MO501(c)(3)General Support$447,695
Presence Senior Services - ChicagolandSt Louis, MO501(c)(3)General Support$271,392
St Catherine Laboure Manor IncSt Louis, MO501(c)(3)General Support$184,065
Alexian Village of Milwaukee IncSt Louis, MO501(c)(3)General Support$148,961
Presence Chicago Hosptials NetworkSt Louis, MO501(c)(3)General Support$120,703
Alexian Village of TennesseeSt Louis, MO501(c)(3)General Support$79,359
Via Christi Village Ponca City IncSt Louis, MO501(c)(3)General Support$63,098
Borges Nursing HomeSt Louis, MO501(c)(3)General Support$60,795
Via Christi Village Georgetown IncSt Louis, MO501(c)(3)General Support$56,094
Providence Park IncSt Louis, MO501(c)(3)General Support$32,726
Alexian Brothers Sherbrook VillageSt Louis, MO501(c)(3)General Support$26,475
Via Christi Village Manhattan IncSt Louis, MO501(c)(3)General Support$17,700
Cornerstone Assisted Living IncSt Louis, MO501(c)(3)General Support$13,122
Via Christi Village Mclean IncSt Louis, MO501(c)(3)General Support$12,300
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated 3rd Party Payor Settlement$88,184,971
Due to Affiliates$48,620,908
Debt With Ascension Health Alliance$41,386,166
Accrued Tax/fees/penalites Liabilities$400,000
Savings Plan Liability$168,429
Valuation Allowance Liability$100,000
Deferred Compensation/retirement/pension Liability$95,726
Other Miscellaneous Liabilities$52,941
General Reserve Liability$40,000
Intercompany Debt-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A & 15B PROCESS FOR DETERMINING COMPENSATION

The process for determining compensation of the organization's ceo, executive director, or top management official, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.

Form 990, Part VI, Line 4 Significant changes to organizational documents

The number of members of the Board of Directors changed from not fewer than three (3) nor more than eleven (11) to not fewer than three (3) nor more than seven (7) in number.

Form 990, Part VI, Line 6 Classes of members or stockholders

Ascension health senior care d/b/a ascension living has a single corporate member, ascension health.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

Ascension health senior care d/b/a ascension living has a single corporate member, ascension health who has the authority to appoint and remove directors and executive officers of ascension senior living.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

Ascension health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies s. These areas are subject to certain levels of approval by ascension per the system authority matrix.

Form 990, Part VI, Line 11B Review of form 990 by governing body

During the return preparation process, the tax department works with other functional areas which may include, as needed, finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. A complete final copy of the return is provided to designated management team members with experience in tax in lieu of the full board.

Form 990, Part VI, Line 12C Conflict of interest policy

The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.

Form 990, Part VI, Line 19 Required documents available to the public

The organization will provide any documents open to public inspection upon request.

Form 990, Part VII, Section A RELATED ENTITIES

The organization utilizes an affiliate as the common pay agent. Employees reported in part vii may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

OTHER MISCELLANEOUS REVENUE - Total Revenue: 86369, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 86369;

Filing and Contact Details

Filer

Filer Name
Ascension Health Senior Care
EIN
43-1227406
Phone
3147338000
Address
C/O TAX DEPARTMENT PO BOX 45998, ST LOUIS, MO 63145-5998
Doing Business As
Ascension Living

Signing Officer

Name
Tonya Mershon
Title
Vice President, Tax
Phone
3147338000
Signed
2025-05-13
Discuss with paid preparer
Yes

Organization Details

Formed
2014
Legal Domicile
Mo
Voting Board Members
5
Independent Board Members
0
Employees
145
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
200 CLARENDON STREET, BOSTON, MA 02116
Preparer
Lindsey Pigg
Phone
6172662000
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Transfers with affiliates - -70534073;

Form 990, Part XII, Line 2B AUDITED FINANCIAL STATEMENTS

The activity of the filing organization is reported in the consolidated financial statements of ascension health alliance. No individual audit of the filing organization is completed. Therefore, the audited financial statements are of ascension health alliance and affiliates, which include the activity of the filing organization.

Form 990, Part XII, Line 2C AUDIT COMMITTEE

The filing organization is included in the consolidated financial statements of ascension health alliance. The finance and audit committee of ascension health alliance's board assumes responsibility for the consolidated organization as a whole.

Form 990, Page 1 Physical Address

The physical address for this entity is 4600 edmundson road, st. Louis, mo 63134. The address on page 1 is for mailing purposes only.

Financial Statement Notes

Schedule D, Part V, Line 4 Intended uses of endowment funds

Endowment funds were transferred during the year ended june 30, 2023 from the individual facilities to ascension health senior care. Endowment funds held on behalf of alexian village of tennessee are permanently restricted to provide financial assistance for qualified applicants pursuing a career in the health care field. A governing committee determines eligibility. Endowment funds held on behalf of via christi village georgetown are for a benevolence endowment that is self- funded through donations from residents, families and those that support the community. The goal of the endowment is to provide security, care, and services for residents of the campus whose financial resources become depleted and are no longer sufficient to defray the cost of their retirement needs. This fund will be utilized to enhance the mission of georgetown village and the lives of its residents by providing financial assistance within the capability of the fund by applying only income derived from the corpus as determined/designated by the georgetown benevolent endowment fund committee.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The system accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The system has determined that no material unrecognized tax benefits or liabilities exist as of june 30, 2024.

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IRS990/Desc0THE 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. ASCENSION HEALTH SENIOR CARE (ASCENSION LIVING) PROVIDES HOLISTIC, PERSON-CENTERED CARE AND SUPPORT ROOTED IN OUR CATHOLIC BELIEFS TO MEET THE PHYSICAL, MENTAL AND SPIRITUAL NEEDS OF THE SENIORS WE SERVE. THE PERSON-CENTERED CARE PHILOSOPHY IS WOVEN INTO EVERY ASPECT OF LIVING AND WORKING IN OUR MINISTRIES. ASCENSION LIVING OFFERS A WIDE RANGE OF CARE OPTIONS FOR SENIORS ACROSS THE CONTINUUM OF CARE TO GIVE SENIORS THE BEST CARE AVAILABLE AS THEY MOVE THROUGH LIFE AND TRANSITION FROM ONE LEVEL OF CARE REQUIRED TO THE NEXT. WE PROVIDE FOR THE BODY, MIND AND SPIRIT OF SENIORS AS THEY STAY AS HEALTHY AND ACTIVE AS POSSIBLE. IN THE YEAR ENDED JUNE 30, 2024, ASCENSION LIVING CARED FOR SENIORS AT OVER 40 LOCATIONS ACROSS THE US.
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