Civic Intelligence

Seton Family of Hospitals

990 • Fiscal year 2024 • EIN 74-1109643

Jul 01, 2023 to Jun 30, 2024 • Filed on May 15, 2025

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

(314) 733-8000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

68th percentile

0.46x

Higher debt load relative to assets than 68% of similar nonprofits.

2024 filings • 501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

38th percentile

0.44x

Higher debt load relative to revenue than 38% of similar nonprofits.

2024 filings • 501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

61st percentile

9.8%

Higher net margin than 61% of similar nonprofits.

2024 filings • 501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

88th percentile

$6,382,672

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2024 filings • 501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

77th percentile

13%

Faster asset growth than 77% of similar nonprofits.

2024 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

48th percentile

10%

Faster revenue growth than 48% of similar nonprofits.

2024 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$3,170,376,623

Up $374,128,220 (+13%) from 2023

Net Assets

Up

$1,714,940,331

Up $334,861,496 (+24%) from 2023

Liabilities

Up

$1,455,436,292

Up $39,266,724 (+2.8%) from 2023

Revenue

Up

$3,309,540,569

Up $303,137,532 (+10%) from 2023

Expenses

Up

$2,984,433,243

Up $352,434,441 (+13%) from 2023

Net Income

Down

$325,107,326

Down $49,296,909 (-13%) from 2023

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$4.0B$3.0B$2.0B$1.0B$0Assets 2010: $1,709,319,025Liabilities 2010: $693,404,554Net Assets 2010: $1,015,914,4712010Assets 2011: $1,928,505,638Liabilities 2011: $695,108,327Net Assets 2011: $1,233,397,3112011Assets 2012: $2,379,095,600Liabilities 2012: $740,881,266Net Assets 2012: $1,638,214,3342012Assets 2013: $2,681,384,363Liabilities 2013: $767,791,950Net Assets 2013: $1,913,592,4132013Assets 2014: $2,875,604,866Liabilities 2014: $703,601,338Net Assets 2014: $2,172,003,5282014Assets 2015: $3,131,871,173Liabilities 2015: $727,179,060Net Assets 2015: $2,404,692,1132015Assets 2016: $3,306,001,380Liabilities 2016: $708,931,624Net Assets 2016: $2,597,069,7562016Assets 2017: $1,883,821,080Liabilities 2017: $917,085,727Net Assets 2017: $966,735,3532017Assets 2019: $2,569,745,423Liabilities 2019: $1,354,952,326Net Assets 2019: $1,214,793,0972019Assets 2020: $2,805,515,675Liabilities 2020: $1,693,679,300Net Assets 2020: $1,111,836,3752020Assets 2021: $2,888,805,593Liabilities 2021: $1,580,964,986Net Assets 2021: $1,307,840,6072021Assets 2022: $3,075,424,412Liabilities 2022: $1,533,628,087Net Assets 2022: $1,541,796,3252022Assets 2023: $2,796,248,403Liabilities 2023: $1,416,169,568Net Assets 2023: $1,380,078,8352023Assets 2024: $3,170,376,623Liabilities 2024: $1,455,436,292Net Assets 2024: $1,714,940,3312024

Highlighted filing

2024

Assets$3,170,376,623
Liabilities$1,455,436,292
Net Assets$1,714,940,331

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$4.0B$3.0B$2.0B$1.0B$0Expenses 2010: $1,460,289,0162010Revenue 2011: $1,748,434,077Expenses 2011: $1,520,134,146Net Income 2011: $228,299,9312011Expenses 2012: $1,631,981,6002012Expenses 2013: $1,471,499,8402013Revenue 2014: $1,841,317,399Expenses 2014: $1,560,253,251Net Income 2014: $281,064,1482014Revenue 2015: $2,003,161,469Expenses 2015: $1,666,869,560Net Income 2015: $336,291,9092015Revenue 2016: $2,021,895,478Expenses 2016: $1,752,477,823Net Income 2016: $269,417,6552016Revenue 2017: $1,824,419,944Expenses 2017: $1,702,161,611Net Income 2017: $122,258,3332017Revenue 2019: $2,147,691,937Expenses 2019: $1,749,935,966Net Income 2019: $397,755,9712019Revenue 2020: $2,188,803,059Expenses 2020: $1,917,884,784Net Income 2020: $270,918,2752020Revenue 2021: $2,366,830,818Expenses 2021: $2,040,944,277Net Income 2021: $325,886,5412021Revenue 2022: $2,846,977,586Expenses 2022: $2,379,013,884Net Income 2022: $467,963,7022022Revenue 2023: $3,006,403,037Expenses 2023: $2,631,998,802Net Income 2023: $374,404,2352023Revenue 2024: $3,309,540,569Expenses 2024: $2,984,433,243Net Income 2024: $325,107,3262024

Highlighted filing

2024

Revenue$3,309,540,569
Expenses$2,984,433,243
Net Income$325,107,326
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 15, 2025
Return Version
2023v6.0
Gross Receipts
$3,309,737,418
Mission and Program 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 advocates for a compassionate and just society through our actions and our words.

To improve the health and well-being of all people in the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,608,660,437$1,746,269,448▲ $137,609,011
Accounts Receivable$529,564,370$755,355,176▲ $225,790,806
Inventories for Sale or Use$46,534,538$51,365,578▲ $4,831,040
Intangible Assets$21,624,298$20,300,780▼ $1,323,518
Savings and Temporary Cash Investments$12,550,925$14,786,327▲ $2,235,402
Investments Program Related$6,038,391$5,914,497▼ $123,894
Pledges and Grants Receivable$5,595,627$5,009,184▼ $586,443
Prepaid Expenses and Deferred Charges$1,306,255$1,830,678▲ $524,423
Other Notes and Loans Receivable, Net$1,287,223$1,188,328▼ $98,895
Cash and Non-Interest-Bearing Accounts$68,563$76,001▲ $7,438
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments in Publicly Traded Securities$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$2,796,248,403$3,170,376,623▲ $374,128,220
Other Assets Total$563,017,776$568,280,626▲ $5,262,850
Liabilities
Other Liabilities$1,285,389,582$1,285,182,782▼ $206,800
Accounts Payable and Accrued Expenses$127,252,289$166,871,767▲ $39,619,478
Deferred Revenue$3,527,697$3,381,743▼ $145,954
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$1,416,169,568$1,455,436,292▲ $39,266,724
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,380,078,835$1,714,925,281▲ $334,846,446
Net Assets With Donor Restrictions$0$15,050▲ $15,050
Total Net Assets Fund Balance$1,380,078,835$1,714,940,331▲ $334,861,496
Total Liabilities and Net Assets / Fund Balance$2,796,248,403$3,170,376,623▲ $374,128,220

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,158,684,662$622,090,157$1,780,774,819
Equipment$205,603,198$556,902,890$762,506,088
Other Land Buildings$236,497,738$33,224,161$269,721,899
Land$143,633,221-$143,633,221
Leasehold Improvements$1,850,629$14,135,537$15,986,166
Other Assets Org$24,649--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$129,390,802$2,479,573▲ $20,931,142$4,962,692$147,838,825
2022$122,868,322$9,828,812▲ $1,127,168$4,433,500$129,390,802
2021$132,456,848$1,295,278▼ $6,493,671$4,390,133$122,868,322
2020$101,639,148$643,298▲ $34,624,116$4,449,714$132,456,848
2019$103,917,652$765,475▼ $135,949$0$101,639,148
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
S Tyler Hollmig MdPhysicianFT$1,121,515$1,018,867$2,140,382
Matthew Geck MdPhysicianFT$1,858,514$76,910$1,935,424
John K Stokes MdPhysicianFT$1,809,167$97,007$1,906,174
Sachin Mehta MdPhysicianFT$1,472,400$239,942$1,712,342
Vincent Yat-chung Wang MdPhysicianFT$1,259,572$296,793$1,556,365
Adam MesserPRESIDENT, DELL CHILDREN'S MEDICAL CENTERFT$502,560$239,280$741,840
Katherine C HendersonPresident, Suburban Hospitals (end 1/2023)FT$21,518$677,416$698,934
Steven J Brockman-weber RnPresident, Rural HospitalsFT$449,610$248,692$698,302
Wesley K TidwellPresident, Ascension Seton Medical Center AustinFT$476,247$218,703$694,950
Michael WigginsPRESIDENT, DELL CHILDREN'S MEDICAL CENTER (END 6/2024)FT$352,700$182,029$534,729
Joan K RossPresident, Ascension Seton Hays/bastropFT$345,347$120,227$465,574
Andrew John GnannPresident, Ascension Seton WilliamsonFT$152,438$83,073$235,511
Timothy Michael BriertyFormer Key Employee (end 4/2022)FT$159,042$159,042$159,042

Board Members and Trustees

NameTitle
Erik Pronske MdChair
Alexa Stuifbergen Phd RnDirector
Chris WheelerDirector
Dave Clarke MdDirector
George Macones MdDirector
Jeffrey Manning MdDirector
Terry MattsonDirector
Daniel W HuffineAssistant Treasurer/CFO, Ministry Market
William a DavisEx-officio/CEO, Ministry Market
Ashley Marie DickinsonEx-officio/COO (start 8/2023)
Christann Marie VasquezFormer Key Employee (end 12/2018)
Craig a Cordola FacheFormer Officer (end 6/2019)
Scott HerndonFormer Officer (end 8/2022)
Pat AtkinsSecretary
Johnette Mckown EddTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Hcbeck LtdProperty Development Services1807 ROSS AVE STE 500, Dallas, TX 75201$54,026,428
Je Dunn Construction CoConstruction Services1001 LOCUST ST, Kansas City, MO 64106$25,550,170
US Anesthesia Partners Of Texas PaMedical Services3705 Medical Pkwy 570, Austin, TX 78705$22,531,049
Chapman Mcdonald Constructors LLCConstruction Services2006 WINDY TERRACE SUITE A, Cedar Park, TX 78613$17,914,602
Hoar Construction LLCConstruction Services2 METROPLEX DR STE 400, Birmingham, AL 35209-6877$16,286,480
Revenue and Support

Revenue Composition

Contributions and Grants
$27,005,286
Program Service Revenue
$3,255,607,207
Investment Income
$37,771
Other Revenue
$26,890,305
All Other Contributions
$530,000
Change in Net Assets
$325,107,326
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,943,978,845
Salaries, Compensation, and Employee Benefits$1,030,850,538
Grants and Similar Amounts Paid$9,603,860
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$737,792,933$110,516,317-$848,309,250
Other Expenses$243,481,221$187,510,685-$243,481,221
All Other Expenses$41,488,352$173,264,932$0$214,753,284
Fees for Services Other$144,998,381$14,225,145$0$159,223,526
Depreciation Depletion$105,344,679$16,247,462-$121,592,141
Other Employee Benefits$78,668,494$11,784,000-$90,452,494
Payroll Taxes$52,821,341$8,145,958-$60,967,299
Occupancy$38,600,032$5,953,339-$44,553,371
Pension Plan Contributions$23,527,410$3,524,245-$27,051,655
Insurance-$18,295,677-$18,295,677
Interest-$13,224,934-$13,224,934
Grants to Domestic Orgs$9,118,660--$9,118,660
Travel$6,196,463$660,215-$6,856,678
Office Expenses$2,327,961$2,940,293-$5,268,254
Information Technology$3,180,091$1,673,725-$4,853,816
Current Officers, Directors, Trustees, and Key Employees$534,729$3,535,111$0$4,069,840
Advertising$2,169,761$1,463,624-$3,633,385
Conferences and Meetings$1,416,467$497,868-$1,914,335
Fees for Services Management$19,853$609,539-$629,392
Grants to Domestic Individuals$485,200--$485,200
Fees for Services Lobbying-$90,473-$90,473
Fees for Services Legal-$-6,468-$-6,468
Total Functional Expenses$2,409,550,487$574,882,756$0$2,984,433,243
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Ascension Seton FoundationSt Louis, MO501(c)(3)General Operational Support$2,896,035
Medical Bridges IncHouston, TX501(c)(3)Donation of supplies inventory$1,638,441
Austin Community FoundationAustin, TX501(c)(3)Donation to Austin Community Foundation to support investments according to the Ascension Texas' 2021 CHNAs priorities; also in support of Austin Community Foundation for Austin in Common$1,009,600
The University of Texas at AustinAustin, TX501(c)(3)Donations to support the Ascension Seton Chair in Clinical Nursing Research in the School of Nursing.$800,000
DELL CHILDREN'S FOUNDATIONSt Louis, MO501(c)(3)General Operational Support$615,057
Ascension Seton Williamson FoundationSt Louis, MO501(c)(3)General Operational Support$318,969
Health Alliance for Austin MusiciansAustin, TX501(c)(3)Donation in support Health Alliance for Austin Musicians for Access to care$250,000
Roman Catholic Diocese of AustinAustin, TX501(c)(3)Donation in support of the Diocese of Austin Encountering Christ Capital Campaign and Diocese of Austin Cath Schools and Youth Conference$244,350
San Juan Diego Catholic High SchoolAustin, TX501(c)(3)Donation in support of educational programming$125,000
Trail of Lights FoundationAustin, TX501(c)(3)Donation in Support of the Trail of Lights Fund$121,500
Lone Star Circle of CareGeorgetown, TX501(c)(3)Pink Bus Support Grant to assist Lone Star Circle of Care in enabling the appropriate level of services required for the operation of the Pink Bus. Payment 3 of 3$100,000
Capital IdeaAustin, TX501(c)(3)Donation in Support of Capital IDEA$90,000
Seton Heritage Ministries IncEmmitsburg, MD501(c)(3)Charitable donation in support of the Seton Shrine to honor Sister Gertrude Levy, D.C., in the Daughters of Charity Gallery/Seton Shrine Museum$80,000
The John Paul Ii Life CenterAustin, TX501(c)(3)Community Grant$75,000
Leadership AustinAustin, TX501(c)(3)Donation in support of Leadership Austin for the Essential Program and for Courageous Conversation$60,000
American GatewaysAustin, TX501(c)(3)Donation in support of American Gateways for legal support for immigrants$50,000
Champions Off the FieldAustin, TX501(c)(3)Donation in support of the MJ&M Gala$27,720
Austin Black Physicians AssociationAustin, TX501(c)(3)Donation in support of ABPA for Healty Equity Program$25,000
Hand to HoldAustin, TX501(c)(3)2023 NICU Champion of Central TX - Premiere Sponsorship, also to support Hand to Hold 2024 Nicu Graduate Reunion$25,000
The Austin Symphony Orchestra Society inAustin, TX501(c)(3)Sponsorship: Friends of the Symphony - July 4 Concert & Fireworks$25,000
Travis County Parks FoundationAustin, TX501(c)(3)Donation in support of Travis Co Park Fdt for 2024 For the Love of parks event, presenting Sponsorship$25,000
The Lyndon Baines FoundationAustin, TX501(c)(3)Donation in support LBJ Foundation for Friends of the LBJ Library Sponsorship 2024-2025$22,440
Travis County Medical Society FoundationAustin, TX501(c)(3)Donation in support of TCMS Foundation Physician Wellness Program$20,000
American Heart Association IncAustin, TX501(c)(3)Donation in support of the 2024 Go Red for Women$16,625
West Austin Youth AssociationAustin, TX501(c)(3)Donation in support of WAYA's 2024 Family Day$15,165
Austin Travis County Integral CareAustin, TX501(c)(3)Ascension Seton donation for Community Advancement Network 2023; also support for Integral Care for Central Texas African American Family Support Conference$15,000
Championship Hearts FoundationAustin, TX501(c)(3)Donation in support of the Heartbeats & Heroes Gala Champion Level$14,400
Central Texas Community FoundationRound Rock, TX501(c)(3)Donation in support of the 2023 Legacy Luncheon$14,250
Austin Area Research Organization IncAustin, TX501(c)(3)2024 AARO Tier A Membership$14,000
City of Cedar ParkCedar Park, TX170(b)(1)(a)(v)Donation in support of the 2024 Cedar Park July 4 Celebration special event$11,650
Any Baby Can of Austin IncAustin, TX501(c)(3)Donation supports Any Baby Can's Nurse-Family Partnership Program$10,000
Austin Childrens Museum IncAustin, TX501(c)(3)Donation in support of Thinkery for Open Door Initiative$10,000
Rosedale Foundation IncAustin, TX501(c)(3)Donation in support The Rosedale School & Fdt for the Rosedale Ride #30$10,000
Anti-defamation LeagueAustin, TX501(c)(3)Donation in support of ADL for 2023 Golden Door Awards Dinner$9,250
Rock Ride on Ctr for KidsGeorgetown, TX501(c)(3)Support of Eclipse Magnitude Event$9,250
Ann Richards School FoundationAustin, TX501(c)(3)Donation in support of The Ann Richards School Foundation for Reach for the Stars$9,110
Wonders and WorriesAustin, TX501(c)(3)Donation in support Wonders & Worries for Envision$9,000
Round Rock Isd Education FoundationRound Rock, TX501(c)(3)Gala 2024 Sponsorship- Teacher of the Year Secondary$8,800
The Sergio and Angela Garcia FoundationAustin, TX501(c)(3)12/1/2023 PAR-Tee Eagle Sponsorship$7,570
City of Dripping SpringsDripping Springs, TX170(b)(1)(a)(v)Founders Day Festival 2024 Main Stage Sponsorship$7,500
March of Dimes IncAtlanta, GA501(c)(3)2023 Signature Chefs Austin Silver Sponsor$7,000
Austin Area Heritage CouncilAustin, TX501(c)(3)2022 Ascension Seton MLK Scholarships$6,000
Ascension Seton Hays FoundationSt Louis, MO501(c)(3)General Operational Support-
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$21,010
Fundraising Gross Income$15,600
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Colt McCoy Performance Camp$23,578$15,600$21,010$-5,410
Event 2-$0-$0
Total Events$23,578$15,600$21,010$-5,410
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
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
Due to Affiliates$615,989,201
Recovery Tail Liability$311,884,198
Other Liabilities$129,104,209
Estimated 3rd Party Payor Settlement$124,858,055
Medicare Advanced Payments$54,900,000
Physician Guarantee Liability$20,676,460
Accrued Real Estate Tax Liability$17,563,974
Lease Liability$5,523,628
Asset Retirement Obligations$4,602,124
Valuation Allowance$45,662
Debt with Ascension Health Alliance$35,271
Insurance Advanced Payments-
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
No
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 6 Classes of members or stockholders

Ascension Seton has a single corporate member, Ascension Texas.

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

Ascension Seton has a single corporate member, Ascension Texas, who has the ability to elect members to the governing body of Ascension Seton.

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

All decisions that have a material impact to Ascension Seton financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Texas.

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 VII, Section A HOURS REPORTED

Andrew john gnann and ashley marie dickinson worked for multiple organizations during the year and devoted 50 hours per week to each during the portions of the year that they worked for each organization.

Form 990, Part VIII, Line 2F Other Program Service Revenue

Income from Joint Ventures - Total Revenue: 3401500, Related or Exempt Function Revenue: 3375188, Unrelated Business Revenue: 26312, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Interest Income from Patient Accounts - Total Revenue: 2920071, Related or Exempt Function Revenue: 2920071, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Lab Services - Total Revenue: 1564015, Related or Exempt Function Revenue: , Unrelated Business Revenue: 1564015, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Management Fees - Total Revenue: 35715, Related or Exempt Function Revenue: 35715, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Program Revenue - Total Revenue: -2381438, Related or Exempt Function Revenue: -2381438, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Services to Affiliates - Total Revenue: 848634, Related or Exempt Function Revenue: 848634, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Sports Medicine Revenue - Total Revenue: 2025, Related or Exempt Function Revenue: 2025, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Value Based Revenue - Total Revenue: -1734760, Related or Exempt Function Revenue: -1734760, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Miscellaneous Revenue - Total Revenue: 682571, Related or Exempt Function Revenue: 682571, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Clinic Revenue - Total Revenue: -2, Related or Exempt Function Revenue: -2, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

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

Escheatment Revenue - Total Revenue: 642199, Related or Exempt Function Revenue: 642199, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Education Revenue - Total Revenue: 44132, Related or Exempt Function Revenue: 44132, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Records Fees - Total Revenue: 22043, Related or Exempt Function Revenue: 22043, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Fitness Club Revenue - Total Revenue: 6981, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 6981; Late Penalty Fees - Total Revenue: 3909, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 3909; Other Miscellaneous Revenue - Total Revenue: 9297398, Related or Exempt Function Revenue: 2986944, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 6310454; Vendor Rebates - Total Revenue: -4, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -4;

Filing and Contact Details

Filer

Filer Name
Ascension Seton
EIN
74-1109643
Phone
3147338000
Address
C/O TAX DEPARTMENT PO BOX 45998, ST LOUIS, MO 63145-5998
Doing Business As
See Schedule 0

Signing Officer

Name
Tonya Mershon
Title
Vice President, Tax
Signed
2025-05-15

Organization Details

Formed
1900
Legal Domicile
TX
Voting Board Members
11
Independent Board Members
9
Employees
16,392
Volunteers
1,388
Supplemental Narrative

Additional Explanations

Form 990, Part IV, Line 20B 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 attached audited financial statements are of ascension health alliance and affiliates, which include the activity of the filing organization.

Form 990, Part IV, Line 24A TAX EXEMPT BONDS

The organization is part of ascension health system. Ascension health alliance, d/b/a ascension, is a missouri nonprofit corporation. Ascension is the sole corporate member and parent organization of ascension health. Ascension health alliance is either the borrower for, or secures, tax exempt hospital revenue bonds. The organization may hold an intercompany note payable with ascension health alliance, and this information is reported on the balance sheet.

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

Change in Net Assets of Unconsolidated Subsidiaries - 7753283; Transfers with Affiliates - -5352035; Change in Share of Investees Net Assets - -163420; Contribution of Capital from JV Partner - 24041; FAS 158 Pension Adjustment - 7492016;

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 - Box C Doing Business as

* Ascension Rx * Ascension Seton * Ascension Seton Bastrop * Ascension Seton Bastrop Health Center * Ascension Seton Behavioral Health * Ascension Seton Bertram Health Center * Ascension Seton Buda Health Center * Ascension Seton Burnet Health Center * Ascension Seton Cancer Care Collaborative * Ascension Seton Cardiac Rehabilitation Services * Ascension Seton Cardio-Pulmonary Rehabilitation Services * Ascension Seton Central Outpatient Pharmacy * Ascension Seton Clinical Education Center * Ascension Seton Diagnostic Center * Ascension Seton Dripping Springs Health Center * Ascension Seton Edgar B Davis * Ascension Seton Elgin Health Center * Ascension Seton Hays * Ascension Seton health Center * Ascension Seton Heart Specialty Care and Transplant Center * Ascension Seton Highland Lakes * Ascension Seton Highland Lakes Diagnostic Center * Ascension Seton Infusion Center * Ascension Seton Kingsland Health Center * Ascension Seton Lampasas Health Center * Ascension Seton Lockhart Health Center at Church * Ascension Seton Lockhart Health Center at Colorado * Ascension Seton Lockhart Health Center at Commerce * Ascension Seton Lockhart Health Center Church * Ascension Seton Lockhart Health Center Colorado * Ascension Seton Lockhart Health Center Commerce * Ascension Seton Luling Health Center * Ascension Seton Marble Falls Health Center * Ascension Seton McCarthy Community Health Center * Ascension Seton Medical Center * Ascension Seton Medical Center Austin * Ascension Seton Northwest * Ascension Seton Occupational Health * Ascension Seton Outpatient Lab * Ascension Seton Outpatient Rehabilitation * Ascension Seton Physicial Therapy & Fitness Center * Ascension Seton Shoal Creek * Ascension Seton Smithville * Ascension Seton Smithville Health Center * Ascension Seton Southwest * Ascension Seton Specialty Care Center * Ascension Seton Sports Performance * Ascension Seton Williamson * Ascension Seton Woman's Imaging * Ascension Texas Medical Response Unit * Brackenridge Hospital * Brackenridge Professional Building * Brain and Spine Center at Brackenridge Hospitals * Childhood Cancer & Blood Disorders Centers * Children's Care-A-Van * Children's Health Express * Children's Health Express * Comprehensive Fetal Care Center at Dell Children's Medical Center * Dell Children's at Home * Dell Children's Blood and Cancer Center * Dell Children's Craniofacial and Reconstructive Surgery Center * Dell Children's Emergency Care * Dell Children's Imaging Center * Dell Children's Lab Services * Dell Children's Medical Center * Dell Children's Medical Center North Campus * Dell Children's Medical Center of Central Texas * Dell Children's Outpatient Pharmacy - North Campus * Dell Children's Rehabilitation Center * Dell Children's Rehabilitation Center at Cedar Park * Dell Seton Medical Center at The University of Texas * Insure a Kid * McCoy Wellness and Rehabilitation Center * Paul Bass Clinic * SEBD Professional Support Services * Seton * Seton Bastrop Healthcare Center * Seton Family of Hospitals * Seton Healthcare Network * Seton Heart Center * Seton Infusion Center * Seton League House * Seton Lockhart Family Medicine * Seton Lockhart Internal Medicine * Seton Medical Center * Seton Medical Center at The University of Texas * Seton Premier Staffing * Seton Psychiatric Emergency Department * Seton Smithville Healthcare Center * Seton Total Health * Shivers Center * SHL Professional Support Services * Texas Center for Pediatric and Congenital Heart Disease * Texas Child Study Center * The Clinical Education Center at Brackenridge

Form 990, Page 1 Physical Address

The address on page 1 is for mailing purposes only.

Financial Statement Notes

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

The Daughters of Charity live in service to help the sick and the poor. In partnership with others, they have met the challenges and needs of our growing community since the Seton Infirmary opened its doors in 1902. To continue to sustain this legacy, Ascension Seton Foundation and Dell Children's Foundation created endowment funds to support the healthcare ministry of Ascension Seton. The principal of the endowment is never touched. The distributions from the endowment provide a dependable source of income each year to help Seton continue to meet the community's healthcare needs. Permanent and board-designated endowments are strategic fundraising tools to help maximize endowment growth and financial returns to benefit Seton's healthcare ministry for the long-term.

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/Form990PartVIISectionAGrp/TitleTxt0CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt1TREASURER
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IRS990/Form990PartVIISectionAGrp/TitleTxt3EX-OFFICIO/CEO, MINISTRY MARKET
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5EX-OFFICIO/COO (START 8/2023)
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt12PRESIDENT, DELL CHILDREN'S MEDICAL CENTER
IRS990/Form990PartVIISectionAGrp/TitleTxt13PRESIDENT, ASCENSION SETON WILLIAMSON
IRS990/Form990PartVIISectionAGrp/TitleTxt14PRESIDENT, ASCENSION SETON HAYS/BASTROP
IRS990/Form990PartVIISectionAGrp/TitleTxt15PRESIDENT, SUBURBAN HOSPITALS (END 1/2023)
IRS990/Form990PartVIISectionAGrp/TitleTxt16PRESIDENT, DELL CHILDREN'S MEDICAL CENTER (END 6/2024)
IRS990/Form990PartVIISectionAGrp/TitleTxt17PRESIDENT, RURAL HOSPITALS
IRS990/Form990PartVIISectionAGrp/TitleTxt18PRESIDENT, ASCENSION SETON MEDICAL CENTER AUSTIN
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IRS990/Form990PartVIISectionAGrp/TitleTxt20PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt21PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt22PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt23PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt24FORMER KEY EMPLOYEE (END 12/2018)
IRS990/Form990PartVIISectionAGrp/TitleTxt25FORMER OFFICER (END 6/2019)
IRS990/Form990PartVIISectionAGrp/TitleTxt26FORMER OFFICER (END 8/2022)
IRS990/Form990PartVIISectionAGrp/TitleTxt27FORMER KEY EMPLOYEE (END 4/2022)
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$3,170$1,455$1,715$3,310$2,984$325
2023Summary only. Only limited summary data is available for this year.$2,796$1,416$1,380$3,006$2,632$374
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,075$1,534$1,542$2,847$2,379$468
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,889$1,581$1,308$2,367$2,041$326
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,806$1,694$1,112$2,189$1,918$271
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,570$1,355$1,215$2,148$1,750$398
2017Summary only. Only limited summary data is available for this year.$1,884$917$967$1,824$1,702$122
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,306$709$2,597$2,022$1,752$269
2015Detailed filing. Detailed filing data is available for this year.$3,132$727$2,405$2,003$1,667$336
2014Detailed filing. Detailed filing data is available for this year.$2,876$704$2,172$1,841$1,560$281
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,681$768$1,914$1,471
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,379$741$1,638$1,632
2011Summary only. Only limited summary data is available for this year.$1,929$695$1,233$1,748$1,520$228
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,709$693$1,016$1,460
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2024 filings • 501(c)3 • $1B+ nonprofits