Civic Intelligence

Ascension Texas Heart & Vascular Institute

990 • Fiscal year 2023 • EIN 27-3220767

Jul 01, 2022 to Jun 30, 2023 • Filed on May 08, 2024

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

100th percentile

69.92x

Higher debt load relative to assets than 100% of similar nonprofits.

2023 filings • 501(c)3 • <$500k nonprofits • Source year 2023

Liabilities / Revenue

100th percentile

1066.01x

Higher debt load relative to revenue than 100% of similar nonprofits.

2023 filings • 501(c)3 • <$500k nonprofits • Source year 2023

Net Margin

1st percentile

-501298%

Higher net margin than 1% of similar nonprofits.

2023 filings • 501(c)3 • <$500k nonprofits • Source year 2023

Top Officer Pay

100th percentile

$5,304,408

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 85943.1% of source-year revenue.

2023 filings • 501(c)3 • <$500k nonprofits • Source year 2023

Asset Growth

4th percentile

-88%

Faster asset growth than 4% of similar nonprofits.

2023 filings • 501(c)3 • <$500k nonprofits • Annualized from 2022 to 2023

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2022 to 2023

Assets

Down

$94,097

Down $664,034 (-88%) from 2022

Net Assets

Up

-$6,485,312

Up $22,320,343 (+77%) from 2022

Liabilities

Down

$6,579,409

Down $22,984,377 (-78%) from 2022

Revenue

Up

$6,172

Up $6,172 from 2022

Expenses

Up

$30,946,292

Up $2,140,637 (+7.4%) from 2022

Net Income

Down

-$30,940,120

Down $2,134,465 (-7.4%) from 2022

Historical Trend

Balance Sheet Trend

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

$40M$20M$0-$20M-$40MAssets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014Assets 2015: $0Liabilities 2015: $880,766Net Assets 2015: -$880,7662015Assets 2016: $0Liabilities 2016: $880,766Net Assets 2016: -$880,7662016Assets 2017: $1,026,851Liabilities 2017: $54,342Net Assets 2017: $972,5092017Assets 2018: $452,388Liabilities 2018: $189,185Net Assets 2018: $263,2032018Assets 2019: $292,122Liabilities 2019: $241,595Net Assets 2019: $50,5272019Assets 2020: $12,993Liabilities 2020: $9,795Net Assets 2020: $3,1982020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021Assets 2022: $758,131Liabilities 2022: $29,563,786Net Assets 2022: -$28,805,6552022Assets 2023: $94,097Liabilities 2023: $6,579,409Net Assets 2023: -$6,485,3122023Assets 2024: $94,658Liabilities 2024: $6,021,242Net Assets 2024: -$5,926,5842024

Highlighted filing

2023

Assets$94,097
Liabilities$6,579,409
Net Assets-$6,485,312

Operations Trend

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

$40M$20M$0-$20M-$40MRevenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $0Expenses 2015: $880,766Net Income 2015: -$880,7662015Revenue 2016: $0Expenses 2016: $0Net Income 2016: $02016Revenue 2017: $1,253,189Expenses 2017: $1,253,315Net Income 2017: -$1262017Revenue 2018: $1,268,812Expenses 2018: $1,377,330Net Income 2018: -$108,5182018Revenue 2019: $2,543,227Expenses 2019: $2,543,227Net Income 2019: $02019Revenue 2020: $1,080,683Expenses 2020: $1,080,683Net Income 2020: $02020Revenue 2021: $66,111Expenses 2021: $94,487Net Income 2021: -$28,3762021Revenue 2022: $0Expenses 2022: $28,805,655Net Income 2022: -$28,805,6552022Revenue 2023: $6,172Expenses 2023: $30,946,292Net Income 2023: -$30,940,1202023Revenue 2024: $380,480Expenses 2024: $36,767,406Net Income 2024: -$36,386,9262024

Highlighted filing

2023

Revenue$6,172
Expenses$30,946,292
Net Income-$30,940,120
Jump To
Filing Snapshot
Filing Period
Jul 1, 2022 to Jun 30, 2023
Signed
May 8, 2024
Return Version
2022v5.0
Gross Receipts
$6,172
Mission and Program Overview

Mission

Provision of healthcare services with a special concern for the poor and vulnerable.

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Savings and Temporary Cash Investments$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
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Other Assets Total$758,131$94,097▼ $664,034
Total Assets$758,131$94,097▼ $664,034
Liabilities
Other Liabilities$29,563,786$4,139,302▼ $25,424,484
Accounts Payable and Accrued Expenses$0$2,440,107▲ $2,440,107
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$29,563,786$6,579,409▼ $22,984,377
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-28,805,655$-6,485,312▲ $22,320,343
Total Net Assets Fund Balance$-28,805,655$-6,485,312▲ $22,320,343
Total Liabilities and Net Assets / Fund Balance$758,131$94,097▼ $664,034

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$6,172--
Compensation and Service Providers

Board Members and Trustees

NameTitle
-Chair
-President
-Director
-Asst Treasurer/interim CFO, Mm (8/2022 - 10/2022)/CFO, Mm (start 10/2022)
-CFO, Ministry Market (end 8/2022)
-Former Officer (end 12/2020)
-Former Officer (end 6/2018)
-Secretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$6,172
All Other Contributions
$0
Change in Net Assets
$-30,940,120
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$30,946,292
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Conferences and Meetings$22,998--$22,998
Travel$19,141$1,031-$20,172
Other Expenses$16,541$287,408-$16,541
All Other Expenses$8,685$0$0$8,685
Fees for Services Other$5,879$0$0$5,879
Office Expenses$247--$247
Total Functional Expenses$30,654,953$291,339$0$30,946,292
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
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
Due to Affiliates$4,139,302
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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 Texas Cardiovascular HAS A SINGLE CORPORATE MEMBER, SETON CLINICAL ENTERPRISE CORPORATION.

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

Ascension Texas Cardiovascular HAS A SINGLE CORPORATE MEMBER, SETON CLINICAL ENTERPRISE CORPORATION, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF Ascension Texas Cardiovascular.

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

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

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: 6172, Related or Exempt Function Revenue: 6172, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;

Filing and Contact Details

Filer

Filer Name
Ascension Texas Cardiovascular
EIN
27-3220767
Phone
3147338000
Address
C/O TAX DEPARTMENT PO BOX 45998, ST LOUIS, MO 63145-5998
Doing Business As
Ascension Online Care

Signing Officer

Name
Tonya Mershon
Title
Vice President, Tax
Signed
2024-05-08

Organization Details

Formed
2010
Legal Domicile
TX
Voting Board Members
6
Independent Board Members
0
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

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

Transfers with Affiliates - 53260463;

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 address on page 1 is for mailing purposes only.

Financial Statement Notes

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, 2023.

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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 Texas Cardiovascular is a Texas non-profit health organization that, through an exclusive professional services agreement ("PSA"), has assembled cardiologists and other cardiac specialists to provide a continuum of cardiology care in the Central Texas area. Ascension Texas Cardiovascular, through the PSA, is dedicated to improving access to patients in need of cardiology care in Central Texas, especially for those in our population who are most vulnerable. Cardiology services provided to the community through Ascension Texas Cardiovascular include but are not limited to: * General cardiology * Advanced cardiac imaging * Interventional coronary therapies * Chest pain clinic * Electrophysiology * Afib clinic * Women's heart health clinic * Structural heart therapies - TAVR, Mitraclip, LAAO implants * Peripheral vascular intervention * Vascular medicine * Advanced heart failure * Heart transplant and mechanical circulatory support * ECMO * Heart failure bridge clinic * Cardiac rehabilitation * Adult congenital care * The first dedicated Chest Pain clinic in Central Texas * The first dedicated Cardiovascular Fellowship training programs in Central Texas (general cardiology, interventional, electrophysiology) * Cardio-oncology Some of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. Ascension Texas Cardiovascular furthers its charitable purposes by providing a broad array of cardiovascular services to the community. Accomplishments: Established clinical relationship through PSA agreement to expand access to cardiovascular services in the broad Central Texas area.
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IRS990/MissionDesc0Rooted 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.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0The supported organization is designed by class and purpose through the governing documents that state that the Corporation's purpose shall be consistent with and supportive of the corporate purposes of their member, Seton Clinical Enterprise Corporation, Ascension Medical Group, Ascension Health and Ascension. The Corporation is organized exclusively for charitable, religious, educational and scientific purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code of 1986, as amended (or the corresponding provision of any future United States Internal Revenue Law) (the "Code"), including, for such purposes, the making of distributions to organizations that qualify as exempt organizations under Section 501(c)(3) of the Code. THE FILING ORGANIZATION HAS A HISTORIC AND CONTINUING RELATIONSHIP WITH ASCENSION SETON, WHICH ITS MEMBER ALSO SUPPORTS. IF THE FILING ORGANIZATION WAS NOT PERFORMING THESE ACTIVITIES, THE HOSPITAL WOULD BE ENGAGED IN THESE ACTIVITIES ON ITS OWN.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1SUPPORTED ORGANIZATIONS NOT REQUIRED TO OBTAIN A SEPARATE IRS DETERMINATION OF STATUS ARE EITHER CONSIDERED AN INSTRUMENTALITY OF THE CATHOLIC CHURCH OR ARE INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AND HAVE BEEN VERIFIED TO BE DESCRIBED IN EITHER 509(A)(1) OR 509 (A)(2) ACCORDING TO THEIR MOST RECENT FORM 990 FILING.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2THE FILING ORGANIZATION HAS ONE MEMBER, SETON CLINICAL ENTERPRISE CORPORATION WHO HAS THE POWER TO APPOINT AND REMOVE MEMBERS OF THE BOARD OF THE FILING ORGANIZATION. SETON CLINICAL ENTERPRISE CORPORATION HAS ONE MEMBER, ASCENSION TEXAS WHICH IS ALSO THE MEMBER OF THE SUPPORTED ORGANIZATION, ASCENSION SETON. ASCENSION TEXAS HAS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF THE FILING ORGANIZATION'S MEMBER, AS WELL AS TO APPOINT AND REMOVE THE CHAIR OF THE BOARD OF THE FILING ORGANIZATION'S MEMBER. THE FILING ORGANIZATION'S SUPPORTED ORGANIZATION IS ALSO CONTROLLED BY ASCENSION TEXAS. JUST AS ASCENSION TEXAS SERVES AS THE PARENT OF THE FILING ORGANIZATION AND ITS MEMBER, ASCENSION TEXAS ALSO SERVES AS THE PARENT OF THE SUPPORTED ORGANIZATION. AS ASCENSION TEXAS SERVES AS THE MEMBER AND PARENT OF THE FILING ORGANIZATION'S MEMBER, AS WELL AS THE PARENT OF THE SUPPORTED ORGANIZATION LISTED IN THIS SECTION, THEY ARE UNDER COMMON CONTROL OF ASCENSION TEXAS. CONSEQUENTLY, THE FILING ORGANIZATION IS SUPERVISED AND CONTROLLED IN CONNECTION WITH ITS PARENT, MEMBER, AND SUPPORTED ORGANIZATION.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2)
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2Schedule A, Part IV, Section C, Line 1 Majority director detail
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE 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, 2023.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote
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