Civic Intelligence

Presence Healthcare Services

EIN 36-3330928 • 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

n/A

Siviq Scores

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

Liabilities / Assets

42nd percentile

0.20x

Higher debt load relative to assets than 42% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

40th percentile

0.30x

Higher debt load relative to revenue than 40% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

4th percentile

-53%

Higher net margin than 4% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

87th percentile

$1,426,472

Higher top officer pay than 87% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

14th percentile

-3.4%

Faster asset growth than 14% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

36th percentile

3.4%

Faster revenue growth than 36% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Down

$225,663,655

Down $7,998,167 (-3.4%) from 2023

Liabilities

Down

$44,159,544

Down $9,193,871 (-17%) from 2023

Net Assets

Up

$181,504,111

Up $1,195,704 (+0.7%) from 2023

Revenue

Up

$147,237,632

Up $4,810,718 (+3.4%) from 2023

Expenses

Up

$225,557,491

Up $23,565,103 (+12%) from 2023

Net Income

Down

-$78,319,859

Down $18,754,385 (-31%) from 2023

Trend Graphs

Balance Sheet Trend

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

$600M$400M$200M$0-$200MAssets 2010: $90,948,084Liabilities 2010: $92,559,999Net Assets 2010: -$1,611,9152010Assets 2012: $322,481,054Liabilities 2012: $369,064,439Net Assets 2012: -$46,583,3852012Assets 2013: $399,038,357Liabilities 2013: $479,139,329Net Assets 2013: -$80,100,9722013Assets 2015: $93,761,315Liabilities 2015: $7,219,084Net Assets 2015: $86,542,2312015Assets 2016: $93,559,306Liabilities 2016: $54,961,032Net Assets 2016: $38,598,2742016Assets 2017: $97,832,838Liabilities 2017: $23,237,624Net Assets 2017: $74,595,2142017Assets 2019: $230,852,190Liabilities 2019: $14,976,734Net Assets 2019: $215,875,4562019Assets 2020: $228,681,485Liabilities 2020: $42,716,807Net Assets 2020: $185,964,6782020Assets 2021: $228,940,587Liabilities 2021: $46,053,647Net Assets 2021: $182,886,9402021Assets 2022: $235,409,702Liabilities 2022: $53,667,203Net Assets 2022: $181,742,4992022Assets 2023: $233,661,822Liabilities 2023: $53,353,415Net Assets 2023: $180,308,4072023Assets 2024: $225,663,655Liabilities 2024: $44,159,544Net Assets 2024: $181,504,1112024

Highlighted filing

2024

Assets$225,663,655
Liabilities$44,159,544
Net Assets$181,504,111

Operations Trend

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

$300M$200M$100M$0-$100MExpenses 2010: $34,971,1172010Expenses 2012: $117,315,1782012Revenue 2013: $120,559,392Expenses 2013: $154,076,979Net Income 2013: -$33,517,5872013Revenue 2015: $99,538,718Expenses 2015: $146,760,080Net Income 2015: -$47,221,3622015Revenue 2016: $129,603,965Expenses 2016: $177,547,922Net Income 2016: -$47,943,9572016Revenue 2017: $132,079,512Expenses 2017: $183,047,648Net Income 2017: -$50,968,1362017Revenue 2019: $91,855,420Expenses 2019: $177,216,345Net Income 2019: -$85,360,9252019Revenue 2020: $89,216,902Expenses 2020: $180,213,120Net Income 2020: -$90,996,2182020Revenue 2021: $99,704,618Expenses 2021: $186,811,257Net Income 2021: -$87,106,6392021Revenue 2022: $118,748,880Expenses 2022: $211,989,829Net Income 2022: -$93,240,9492022Revenue 2023: $142,426,914Expenses 2023: $201,992,388Net Income 2023: -$59,565,4742023Revenue 2024: $147,237,632Expenses 2024: $225,557,491Net Income 2024: -$78,319,8592024

Highlighted filing

2024

Revenue$147,237,632
Expenses$225,557,491
Net Income-$78,319,859

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
$164,789,885
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$185,082,013$175,378,987▼ $9,703,026
Investments Program Related$16,163,179$16,569,877▲ $406,698
Accounts Receivable$11,740,364$11,940,407▲ $200,043
Intangible Assets$474,067$753,706▲ $279,639
Prepaid Expenses and Deferred Charges$83,250$35,790▼ $47,460
Cash and Non-Interest-Bearing Accounts$7,274$4,835▼ $2,439
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors$0$0→ $0
Total Assets$233,661,822$225,663,655▼ $7,998,167
Other Assets Total$20,111,675$20,980,053▲ $868,378
Liabilities
Other Liabilities$41,525,322$36,431,476▼ $5,093,846
Accounts Payable and Accrued Expenses$11,827,137$7,658,641▼ $4,168,496
Deferred Revenue$956$69,427▲ $68,471
Total Liabilities$53,353,415$44,159,544▼ $9,193,871
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$180,308,407$181,504,111▲ $1,195,704
Total Net Assets Fund Balance$180,308,407$181,504,111▲ $1,195,704
Total Liabilities and Net Assets / Fund Balance$233,661,822$225,663,655▼ $7,998,167

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$94,011,095$65,095,550$159,106,645
Land$72,860,000-$72,860,000
Leasehold Improvements$4,067,163$3,222,447$7,289,610
Equipment$2,837,531$4,032,029$6,869,560
Other Land Buildings$1,603,198$1,871,354$3,474,552
Investment Program Related Org$16,569,877--
Other Assets Org$8,145,598--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Andrew C PalumboChair/president
Dana L GilbertDirector
Julie P RoknichSecretary
Richard Douglas CarterTreasurer/CFO, Ascension Illinois

Highest Paid Contractors

ContractorServicesLocationCompensation
West Consultant LLCPhysician Services202 N CENTER STREET, FL 2, Bloomington, IL 61701$1,763,150
Professional Clinical Laboratories LLCLaboratory Services26051 NETWORK PLACE, STE 406, Chicago, IL 60673$950,906
Westwood Obstetrics And Gynecology LtdPhysician Services555 W COURT STREET, STE 202, Kankakee, IL 60901$631,806
Associates In Psychiatry And CounselingCounseling Services2050 LARKIN AVENUE, Elgin, IL 60123-5899$485,907
Sylvia D TrevinoPhysician Services120 TIMBERCREEK DR E, Yorkville, IL 60560$430,800
Revenue and Support

Revenue Composition

Contributions and Grants
$1,304,844
Program Service Revenue
$155,739,304
Investment Income
$-49,845
Other Revenue
$-9,756,671
Change in Net Assets
$-78,319,859
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$225,557,491
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
Fees for Services Other$13,054,979$85,412$0$13,140,391
Other Expenses$8,563,065$111,110-$8,674,175
Occupancy$7,969,920$462,072-$8,431,992
Insurance$2,500$7,041,474-$7,043,974
Depreciation Depletion$3,701,089$214,578-$3,915,667
All Other Expenses$1,450,768$618,420$0$2,069,188
Interest-$1,434,524-$1,434,524
Office Expenses$1,078,151$183,690-$1,261,841
Conferences and Meetings$278,071$196-$278,267
Travel$150,821$940-$151,761
Information Technology$19,014$18,928-$37,942
Fees for Services Legal-$5,772-$5,772
Advertising$1,447--$1,447
Total Functional Expenses$187,069,094$38,488,397$0$225,557,491
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
Due to Affiliates$19,163,123
Lease Liability$13,003,705
Accrued Real Estate Tax Liability$3,775,409
Resident/Patient Trust Fund$446,259
Real Estate Security Deposit$42,980
Recovery Tail Liability-
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

Presence healthcare services has one member, presence care transformation corporation.

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

Filing organization has a single corporate member, presence care transformation corporation, who has the ability to elect members to the governing body of filing organization.

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

All decisions that have a material impact to filing organization's financial information or corporation as a whole are subject to approval by its sole corporate member, presence care transformation 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 2F Other Program Service Revenue

Income from Joint Ventures - Total Revenue: 632599, Related or Exempt Function Revenue: , Unrelated Business Revenue: 632599, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Services to Affiliates - Total Revenue: 302976, Related or Exempt Function Revenue: 302976, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Program Revenue - Total Revenue: 129198, Related or Exempt Function Revenue: 129198, 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: 33, Related or Exempt Function Revenue: 33, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous Revenue - Total Revenue: 234524, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 234524;

Filing and Contact Details

Filer

Filer Name
Presence Healthcare Services
EIN
36-3330928
Phone
3147338000
Address
C/O TAX DEPARTMENT PO BOX 45998, ST LOUIS, MO 63145-5998
Doing Business As
Women First Presence Medical Group Presence Medical Group - RHC

Signing Officer

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

Organization Details

Formed
1984
Legal Domicile
Il
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Ernst & Young US LLP
Address
200 Clarendon Street, Boston, MA 02116
Preparer
George F Pagano
Phone
6172662000
Supplemental Narrative

Additional Explanations

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

Transfers with Affiliates - 79661522; Book/Tax Difference in JV - -145959;

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.

Schedule A, Part I, Line 3 HOSPITAL ORGANIZATION

The internal revenue service has issued different definitions of a "hospital" for form 990 schedules a and h. Although presence healthcare services qualifies as a hospital for purposes of schedule a, it does not operate a state licensed hospital as required for form 990, schedule h. Presence healthcare services is not recognized as a hospital by the state of illinois and, as such, is not required to complete form 990, schedule h.

Form 990, Page 1 Physical Address

THE PHYSICAL ADDRESS FOR THIS ENTITY IS 2380 E. Dempster Street, Des Plaines, Illinois 60016. 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, 2024.

Raw XML AppendixShowing 400 of 5,490 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE.
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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. PRESENCE HEALTHCARE SERVICES (PHS) PROVIDES THE COMMUNITY WITH APPROXIMATELY 255 HIGHLY QUALIFIED PHYSICIANS AND ADVANCED PRACTICE PROFESSIONALS IN LOCATIONS THROUGHOUT THE CHICAGOLAND AREA. PHS PROVIDES ACCESS TO CLINICIANS FROM VARIOUS DISCIPLINES AT ONE-STOP CLINICS OFFERING COMPREHENSIVE CARE AND TESTING. PHS CLINICIANS HAVE PRACTICED FOR MANY YEARS IN THE COMMUNITIES THAT THEY SERVE WHILE FOCUSING ON LONG-TERM HEALTH, NOT JUST SHORT-TERM TREATMENT, AND TAKE THE TIME TO BUILD STRONG RELATIONSHIPS WITH THE COMMUNITY. PHS MAINTAINS FLEXIBLE OFFICE HOURS AND EASY APPOINTMENT SCHEDULING ENABLING THE COMMUNITY TO RECEIVE THE HEALTH CARE THEY NEED WHEN THEY NEED IT.
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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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IRS990/ProgSrvcAccomActy2Grp/Desc0PRESENCE HEALTHCARE SERVICES (PHS) OWNS AND MANAGES A NUMBER OF MEDICAL OFFICE BUILDINGS. PHS IN TURN LEASES THE SPACE TO OTHER RELATED TAX-EXEMPT HEALTHCARE ENTITIES IN SUPPORT OF THEIR TAX-EXEMPT PROGRAM SERVICES.
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2Lease Liability
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc3Real Estate Security Deposit
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc4Resident/Patient Trust Fund
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc5Recovery Tail Liability
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, 2024.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote
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