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Nonprofiteer
← ASCENSION ST FRANCIS HOSPITAL INC

Form 990 for tax year 2022

Filed by ASCENSION ST FRANCIS HOSPITAL INC.

Totals

Total revenue
$129,560,979
Total expenses
$156,635,594
Contributions and grants received
$25,956
Grants paid
$296,019
Program service revenue
$128,035,774
Investment income
$15,286
Other revenue
$1,483,963
Total assets, end of year
$62,754,677
Total liabilities, end of year
$24,477,796
Net assets or fund balances, end of year
$38,276,881
Program services expenses (Part IX)
$115,657,100
Management and general expenses
$40,978,494
Fundraising expenses
$0
Program service expenses (Part III)
$115,657,100

Program services were 73.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $10,444

  • 1e · Government grants (contributions)

    $15,512

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $114,975,370 · related or exempt $114,975,370

  • 2b · Program service revenue: PHARMACY REVENUE

    total $12,698,100 · related or exempt $12,698,100

  • 2c · Program service revenue: CONTRACTED SERVICES REVENUE

    total $362,304 · related or exempt $362,304

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property $1,029,654

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $1,029,654 · personal property $0

  • 6d · Net rental income or loss

    total $1,029,654 · excluded $1,029,654

  • 7a · Gross sales of assets other than inventory

    other assets $15,286

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    securities $0 · other assets $15,286

  • 7d · Net gain or loss

    total $15,286 · excluded $15,286

  • 10a · Gross sales of inventory

    $43,219

  • 10b · Cost of goods sold

    $12,622

  • 10c · Net income from sales of inventory

    total $30,597 · excluded $30,597

  • 11a · Other revenue: CAFETERIA/VENDING REVENUE

    total $407,697 · excluded $407,697

  • 11b · Other revenue: MEDICAL RECORDS FEES

    total $32,495 · related or exempt $32,495

  • 11c · Other revenue: ESCHEATMENT REVENUE

    total $22,661 · related or exempt $22,661

  • 11d · All other revenue

    total -$39,141 · related or exempt $0 · unrelated business $0 · excluded -$39,141

  • 11e · Other revenue, total

    $423,712

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $296,019 · program services $296,019

  • 5 · Compensation of officers, directors and key employees

    total $297,984 · management and general $297,984

  • 7 · Other salaries and wages

    total $31,776,675 · program services $29,971,184 · management and general $1,805,491

  • 8 · Pension plan contributions

    total $613,259 · program services $578,415 · management and general $34,844

  • 9 · Other employee benefits

    total $4,965,812 · program services $4,683,664 · management and general $282,148

  • 10 · Payroll taxes

    total $2,254,618 · program services $2,108,996 · management and general $145,622

  • 11c · Fees: accounting

    total $2,388 · management and general $2,388

  • 11d · Fees: lobbying

    total $10,274 · management and general $10,274

  • 11g · Fees: other

    total $5,754,997 · program services $4,657,726 · management and general $1,097,271 · fundraising $0

  • 12 · Advertising and promotion

    total $11,604 · program services $2,496 · management and general $9,108

  • 13 · Office expenses

    total $96,812 · program services $79,033 · management and general $17,779

  • 14 · Information technology

    total $87,768 · program services $87,768

  • 16 · Occupancy

    total $2,645,473 · program services $2,474,607 · management and general $170,866

  • 17 · Travel

    total $78,956 · program services $78,476 · management and general $480

  • 19 · Conferences, conventions and meetings

    total $38,474 · program services $38,474

  • 22 · Depreciation, depletion and amortization

    total $4,723,740 · program services $4,418,642 · management and general $305,098

  • 23 · Insurance

    total $1,332 · management and general $1,332

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $32,544,382 · program services $32,430,750 · management and general $113,632

  • 24b · Other expenses: MANAGEMENT FEE TO AFFILIATE

    total $22,444,598 · management and general $22,444,598

  • 24c · Other expenses: PURCHASED SERVICES

    total $20,911,598 · program services $13,288,652 · management and general $7,622,946

  • 24d · Other expenses: IMPAIRMENT

    total $16,772,695 · program services $15,766,333 · management and general $1,006,362

  • 24e · All other expenses

    total $10,306,136 · program services $4,695,865 · management and general $5,610,271 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $6,665 · end of year $3,500

  • 2 · Savings and temporary cash investments

    beginning of year $245,077 · end of year $214,782

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $15,401,659 · end of year $12,694,376

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $3,733,648 · end of year $3,668,183

  • 9 · Prepaid expenses and deferred charges

    beginning of year $44,930 · end of year $46,277

  • 10a · Land, buildings and equipment: cost or other basis

    $71,930,064

  • 10b · Land, buildings and equipment: accumulated depreciation

    $34,705,297

  • 10c · Land, buildings and equipment, net

    beginning of year $58,288,313 · end of year $37,224,767

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $66,390 · end of year $80,713

  • 15 · Other assets

    beginning of year $11,308,595 · end of year $8,822,079

  • 17 · Accounts payable and accrued expenses

    beginning of year $9,413,457 · end of year $6,012,131

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $28,145,219 · end of year $18,465,665

  • 27 · Net assets without donor restrictions

    beginning of year $51,536,601 · end of year $38,276,881

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year $0

Mission and programs · 2022

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.

Activities or mission (Part I)

TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE.

  • 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. ASCENSION ST. FRANCIS HOSPITAL, INC. IS A 153-BED HOSPITAL CAMPUS PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2023, ASCENSION ST. FRANCIS HOSPITAL, INC. TREATED 2,684 ADULTS AND CHILDREN FOR A TOTAL OF 14,340 PATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED SERVICES FOR 130,531 OUTPATIENT VISITS, WHICH INCLUDED 821 OUTPATIENT SURGERIES AND 37,220 EMERGENCY ROOM VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS.

    Expenses $115,657,100 · Grants $296,019 · Revenue $128,090,930

As filed on the 2022 return.

Listed in Part VII

  • KRISTIN A MCMANMON

    EX-OFFICIO/PRESIDENT

    Total calculated
    $703,004
    From this org
    $0
    From related orgs
    $665,691
    Other
    $37,313
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $452,800 related
    Bonus
    $0 + $161,050 related
    Other
    $0 + $51,841 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $22,063 related
    Filer's total
    $0 + $703,004 related

  • LYNNE BRIGGS

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • ROBERT VANHIMBERGEN

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • WENDELL WILLIS

    VICE CHAIR (END 8/2022)

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • DANIEL W JACKSON

    EX-OFFICIO (START 3/2023)

    Total calculated
    $0
    Hours/week
    0 + 50 related

  • GERALD J NORA MD

    EX-OFFICIO

    Total calculated
    $283,692
    From this org
    $0
    From related orgs
    $241,064
    Other
    $42,628
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $238,842 related
    Bonus
    $0 + $834 related
    Other
    $0 + $1,388 related
    Deferred
    $0 + $13,584 related
    Nontaxable benefits
    $0 + $29,044 related
    Filer's total
    $0 + $283,692 related

  • JOHN JOYCE

    EX-OFFICIO

    Total calculated
    $548,161
    From this org
    $0
    From related orgs
    $510,444
    Other
    $37,717
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $398,243 related
    Bonus
    $0 + $55,457 related
    Other
    $0 + $56,744 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $22,467 related
    Filer's total
    $0 + $548,161 related

  • JONATHAN H BERKOFF MD

    EX-OFFICIO

    Total calculated
    $14,700
    From this org
    $0
    From related orgs
    $14,700
    Other
    $0
    Hours/week
    1 + 4 related

  • JOSEPH P REGAN MD

    EX-OFFICIO

    Total calculated
    $67,027
    From this org
    $0
    From related orgs
    $67,027
    Other
    $0
    Hours/week
    1 + 9 related

  • KAYE-EILEEN WILLARD MD

    EX-OFFICIO

    Total calculated
    $390,878
    From this org
    $0
    From related orgs
    $348,985
    Other
    $41,893
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $339,277 related
    Bonus
    $0
    Other
    $0 + $9,708 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $22,068 related
    Filer's total
    $0 + $390,878 related

  • NICHOLAS DEMURO MD

    EX-OFFICIO

    Total calculated
    $707,830
    From this org
    $0
    From related orgs
    $668,939
    Other
    $38,891
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $397,435 related
    Bonus
    $0 + $261,106 related
    Other
    $0 + $10,398 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $23,641 related
    Filer's total
    $0 + $707,830 related

  • PETER STAMAS MD

    EX-OFFICIO

    Total calculated
    $567,134
    From this org
    $0
    From related orgs
    $526,019
    Other
    $41,115
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $425,881 related
    Bonus
    $0 + $87,550 related
    Other
    $0 + $12,588 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $22,815 related
    Filer's total
    $0 + $567,134 related

  • SALEEM AMAN MD

    EX-OFFICIO

    Total calculated
    $571,320
    From this org
    $0
    From related orgs
    $530,044
    Other
    $41,276
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $439,356 related
    Bonus
    $0 + $61,358 related
    Other
    $0 + $29,330 related
    Deferred
    $0 + $10,675 related
    Nontaxable benefits
    $0 + $30,601 related
    Filer's total
    $0 + $571,320 related

  • SRIRAM DARISETTY MD

    EX-OFFICIO

    Total calculated
    $538,997
    From this org
    $0
    From related orgs
    $489,480
    Other
    $49,517
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $483,168 related
    Bonus
    $0 + $5,286 related
    Other
    $0 + $1,026 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $31,217 related
    Filer's total
    $0 + $538,997 related

  • THERESA K HAYSSEN MD

    EX-OFFICIO

    Total calculated
    $428,286
    From this org
    $0
    From related orgs
    $386,706
    Other
    $41,580
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $346,110 related
    Bonus
    $0 + $36,358 related
    Other
    $0 + $4,238 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $24,805 related
    Filer's total
    $0 + $428,286 related

  • JONATHON MATUSZEWSKI

    ADMINISTRATOR

    Total calculated
    $297,984
    From this org
    $263,957
    From related orgs
    $0
    Other
    $34,027
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $216,524
    Bonus
    $47,000
    Other
    $433
    Deferred
    $6,848
    Nontaxable benefits
    $27,179
    Filer's total
    $297,984

  • MATTHEW TYLER HANSELMAN

    CFO, MINISTRY MARKET/INTERIM CEO, MINISTRY MARKET (START 5/2023)

    Total calculated
    $682,503
    From this org
    $0
    From related orgs
    $634,732
    Other
    $47,771
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $390,659 related
    Bonus
    $0 + $120,000 related
    Other
    $0 + $124,073 related
    Deferred
    $0 + $18,015 related
    Nontaxable benefits
    $0 + $29,756 related
    Filer's total
    $0 + $682,503 related

  • ANDREW P PESCH

    PHARMACIST

    Total calculated
    $215,964
    From this org
    $182,010
    From related orgs
    $0
    Other
    $33,954
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $179,595
    Bonus
    $1,923
    Other
    $492
    Deferred
    $8,430
    Nontaxable benefits
    $25,524
    Filer's total
    $215,964

  • ANNETTE DOPP RN

    REGISTERED NURSE

    Total calculated
    $208,311
    From this org
    $188,827
    From related orgs
    $0
    Other
    $19,484
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $173,948
    Bonus
    $13,318
    Other
    $1,561
    Deferred
    $9,268
    Nontaxable benefits
    $10,216
    Filer's total
    $208,311

  • CHAD E BURNS

    PHYSICIST

    Total calculated
    $220,813
    From this org
    $200,438
    From related orgs
    $0
    Other
    $20,375
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $176,242
    Bonus
    $0
    Other
    $24,196
    Deferred
    $10,727
    Nontaxable benefits
    $9,648
    Filer's total
    $220,813

  • JENNIFER L HEDRICK RN

    REGISTERED NURSE

    Total calculated
    $231,720
    From this org
    $210,015
    From related orgs
    $0
    Other
    $21,705
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $207,488
    Bonus
    $250
    Other
    $2,277
    Deferred
    $13,735
    Nontaxable benefits
    $7,970
    Filer's total
    $231,720

  • MARK B SEIB

    RESPIRATORY THERAPIST

    Total calculated
    $193,838
    From this org
    $180,340
    From related orgs
    $0
    Other
    $13,498
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $179,676
    Bonus
    $500
    Other
    $164
    Deferred
    $4,565
    Nontaxable benefits
    $8,933
    Filer's total
    $193,838

  • JERRY M HARDACRE MD

    FORMER OFFICER (END 6/2020)

    Total calculated
    $546,050
    From this org
    $0
    From related orgs
    $503,525
    Other
    $42,525
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $465,769 related
    Bonus
    $0 + $10,000 related
    Other
    $0 + $27,756 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $22,700 related
    Filer's total
    $0 + $546,050 related

  • JILL MARY BERG PHD

    FORMER KEY EMPLOYEE (END 12/2021)

    Total calculated
    $361,034
    From this org
    $0
    From related orgs
    $330,048
    Other
    $30,986
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $265,530 related
    Bonus
    $0 + $53,000 related
    Other
    $0 + $11,518 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $11,161 related
    Filer's total
    $0 + $361,034 related

  • JONATHAN SOHN

    FORMER OFFICER (END 9/2021)

    Total calculated
    $1,343,939
    From this org
    $0
    From related orgs
    $1,289,649
    Other
    $54,290
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $536,290 related
    Bonus
    $0 + $660,000 related
    Other
    $0 + $93,359 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $34,465 related
    Filer's total
    $0 + $1,343,939 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
11 May 2024
IRS schema version
2022v5.0
Source object
202441319349305464

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