Civic Intelligence

Presence Ambulatory Services

990 • Fiscal year 2020 • EIN 36-4286236

Jul 01, 2019 to Jun 30, 2020 • Filed on May 13, 2021

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

71st percentile

0.30x

Higher debt load relative to assets than 71% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Liabilities / Revenue

56th percentile

0.18x

Higher debt load relative to revenue than 56% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Net Margin

16th percentile

-19%

Higher net margin than 16% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Top Officer Pay

100th percentile

$2,216,400

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 86.6% of source-year revenue.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Asset Growth

58th percentile

9.6%

Faster asset growth than 58% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2019 to 2020

Revenue Growth

18th percentile

-28%

Faster revenue growth than 18% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2019 to 2020

Assets

Up

$1,481,891

Up $130,073 (+9.6%) from 2019

Net Assets

Down

$1,030,573

Down $261,002 (-20%) from 2019

Liabilities

Up

$451,318

Up $391,075 (+649%) from 2019

Revenue

Down

$2,560,043

Down $973,079 (-28%) from 2019

Expenses

Down

$3,051,194

Down $2,003,601 (-40%) from 2019

Net Income

Up

-$491,151

Up $1,030,522 (+68%) from 2019

Historical Trend

Balance Sheet Trend

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

$100M$50M$0-$50MAssets 2011: $20,838,566Liabilities 2011: $36,102,397Net Assets 2011: -$15,263,8312011Assets 2012: $26,169,318Liabilities 2012: $45,757,164Net Assets 2012: -$19,587,8462012Assets 2013: $27,706,761Liabilities 2013: $51,917,553Net Assets 2013: -$24,210,7922013Assets 2014: $30,107,457Liabilities 2014: $57,870,500Net Assets 2014: -$27,763,0432014Assets 2015: $5,068,126Liabilities 2015: -$242,681Net Assets 2015: $5,310,8072015Assets 2016: $4,698,172Liabilities 2016: $0Net Assets 2016: $4,698,1722016Assets 2017: $4,304,625Liabilities 2017: $800Net Assets 2017: $4,303,8252017Assets 2019: $1,351,818Liabilities 2019: $60,243Net Assets 2019: $1,291,5752019Assets 2020: $1,481,891Liabilities 2020: $451,318Net Assets 2020: $1,030,5732020Assets 2021: $2,097,973Liabilities 2021: $1,488,537Net Assets 2021: $609,4362021Assets 2022: $789,103Liabilities 2022: $567,948Net Assets 2022: $221,1552022Assets 2023: $400,595Liabilities 2023: $210,993Net Assets 2023: $189,6022023Assets 2024: $539,047Liabilities 2024: $70,022Net Assets 2024: $469,0252024

Highlighted filing

2020

Assets$1,481,891
Liabilities$451,318
Net Assets$1,030,573

Operations Trend

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

$15M$10M$5.0M$0-$5.0MExpenses 2011: $9,822,4622011Expenses 2012: $9,345,8962012Revenue 2013: $5,968,558Expenses 2013: $10,591,504Net Income 2013: -$4,622,9462013Revenue 2014: $7,014,648Expenses 2014: $10,565,768Net Income 2014: -$3,551,1202014Revenue 2015: $7,176,601Expenses 2015: $9,306,622Net Income 2015: -$2,130,0212015Revenue 2016: $4,258,117Expenses 2016: $4,870,752Net Income 2016: -$612,6352016Revenue 2017: $5,387,491Expenses 2017: $5,392,131Net Income 2017: -$4,6402017Revenue 2019: $3,533,122Expenses 2019: $5,054,795Net Income 2019: -$1,521,6732019Revenue 2020: $2,560,043Expenses 2020: $3,051,194Net Income 2020: -$491,1512020Revenue 2021: $2,395,648Expenses 2021: $2,592,035Net Income 2021: -$196,3872021Revenue 2022: $1,336,666Expenses 2022: $1,595,610Net Income 2022: -$258,9442022Revenue 2023: $693,685Expenses 2023: $710,962Net Income 2023: -$17,2772023Revenue 2024: $314,696Expenses 2024: $303,454Net Income 2024: $11,2422024

Highlighted filing

2020

Revenue$2,560,043
Expenses$3,051,194
Net Income-$491,151
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
May 13, 2021
Return Version
2019v5.0
Gross Receipts
$2,560,043
Mission and Program Overview

Mission

Our mission as part of a catholic health care system is to further the healing ministry of jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.

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$728,767$482,856▼ $245,911
Accounts Receivable$431,837$327,052▼ $104,785
Investments Program Related$191,214$231,137▲ $39,923
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$1,351,818$1,481,891▲ $130,073
Other Assets Total$0$440,846▲ $440,846
Liabilities
Other Liabilities$60,243$295,699▲ $235,456
Accounts Payable and Accrued Expenses-$155,619-
Total Liabilities$60,243$451,318▲ $391,075
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,291,575$1,030,573▼ $261,002
Total Net Assets Fund Balance$1,291,575$1,030,573▼ $261,002
Total Liabilities and Net Assets / Fund Balance$1,351,818$1,481,891▲ $130,073

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$444,956$541,294$986,250
Buildings$37,900$56,100$94,000
Investment Program Related Org$231,137--
Other Assets Org$440,846--
Compensation and Service Providers

Board Members and Trustees

NameTitle
-Chair/president
-Director (end 8/2019)
-Director (start 11/2019 - End 6/2020)
-Director (start 6/2020)
-CFO, Amita Health (start 4/2020)
-Former Officer (end 12/2018)
-Secretary
-Treasurer (end 11/2019)
-Treasurer (start 11/2019)
Revenue and Support

Revenue Composition

Contributions and Grants
$147,192
Program Service Revenue
$2,269,762
Investment Income
$269
Other Revenue
$142,820
Change in Net Assets
$-491,151
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$3,051,194
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
Occupancy$571,326--$571,326
Fees for Services Other$281,386$0$0$281,386
Depreciation Depletion$254,162--$254,162
Other Expenses$50,120$83-$50,120
Office Expenses$24,243--$24,243
All Other Expenses$10,376$435$0$10,811
Conferences and Meetings$5,447--$5,447
Travel$1,645--$1,645
Total Functional Expenses$2,963,900$87,294$0$3,051,194
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
Other Liabilities$295,699
Due to Affiliates-
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 Process For Determining Compensation of Top Management Official

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 15B Process for Determining Compensation of Other Officers or Key Employees

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 ambulatory services has one member, presence care transformation corporation.

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

Subject to the AMITA Affiliation Agreement and the decision making authority of Ascension and Ascension Health, the Ascension Class directors of the Corporate member shall decide the appointment and removal of members of the Board of Corporation of PRESENCE AMBULATORY SERVICES.

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

Subject to the AMITA affiliation agreement and the decision making authority of Ascension and Ascension Health, the Ascension Class Directors of the Corporate member shall decide all decisions that have a material impact on PRESENCE AMBULATORY SERVICES.

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.

Filing and Contact Details

Filer

Filer Name
Presence Ambulatory Services
EIN
36-4286236
Phone
3147338000
Address
C/O TAX DEPARTMENT PO BOX 45998, ST LOUIS, MO 63145-5998

Signing Officer

Name
Tonya Mershon
Title
Vice President, Tax
Signed
2021-05-13

Organization Details

Formed
1999
Legal Domicile
Il
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
1
Supplemental Narrative

Additional Explanations

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

Transfers with affiliates - 230149;

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

The activity of PRESENCE AMBULATORY SERVICES is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of PRESENCE AMBULATORY SERVICES is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of PRESENCE AMBULATORY SERVICES.

Form 990, Part XII, Line 2C oversight of audit or selection of independent accountant

Presence Ambulatory Services is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.

Form 990, Page 1 Physical Address

THE PHYSICAL ADDRESS FOR THIS ENTITY IS 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, 2020.

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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/MoreThan5000KToOrgInd0false
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IRS990/NondeductibleContributionsInd0false
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IRS990/OfficeExpensesGrp/TotalAmt024243
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IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
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IRS990/OtherExpensesGrp/Desc0Wage & Benefit Allocation
IRS990/OtherExpensesGrp/Desc1Medical Supplies
IRS990/OtherExpensesGrp/Desc2Equipment Lease
IRS990/OtherExpensesGrp/Desc3Purchased Services
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt128
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt283
IRS990/OtherExpensesGrp/ProgramServicesAmt01643878
IRS990/OtherExpensesGrp/ProgramServicesAmt162118
IRS990/OtherExpensesGrp/ProgramServicesAmt259199
IRS990/OtherExpensesGrp/ProgramServicesAmt350120
IRS990/OtherExpensesGrp/TotalAmt01730626
IRS990/OtherExpensesGrp/TotalAmt162146
IRS990/OtherExpensesGrp/TotalAmt259282
IRS990/OtherExpensesGrp/TotalAmt350120
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IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt0KEITH PARROTT
IRS990/ProfessionalFundraisingInd0false
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IRS990/ProgramServiceRevenueGrp/BusinessCd1621990
IRS990/ProgramServiceRevenueGrp/BusinessCd2561000
IRS990/ProgramServiceRevenueGrp/Desc0Net Patient Service Revenue
IRS990/ProgramServiceRevenueGrp/Desc1Income from Joint Ventures
IRS990/ProgramServiceRevenueGrp/Desc2Services to Affiliates
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IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1454118
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IRS990/ProhibitedTaxShelterTransInd0false
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IRS990/PYOtherRevenueAmt0111405
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IRS990/PYRevenuesLessExpensesAmt0-1521673
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IRS990/RelatedOrganizationCtrlEntInd0true
IRS990/RelatedOrganizationsAmt081298
IRS990/RentalIncomeOrLossGrp/PersonalAmt00
IRS990/RentalIncomeOrLossGrp/RealAmt0142820
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0true
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0true
IRS990/RevenueAmt02269762
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearAmt081298
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus1YearAmt015000
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt096298
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE 2015 COLUMN REPRESENTS CALENDAR YEAR 2016; THE 2016 COLUMN REPRESENTS CALENDAR YEAR 2017; THE 2017 COLUMN REPRESENTS SHORT YEAR JANUARY 1, 2018 - JUNE 30, 2018; THE 2018 COLUMN REPRESENTS FISCAL YEAR 2019 AND THE 2019 COLUMN REPRESENTS FISCAL YEAR 2020.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part III SUPPORT SCHEDULE FOR ORGANIZATIONS DESCRIBED IN SECTION 509(A)(2)
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0147192
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IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0163930
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0161196
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0683042
IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt0143089
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IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt059433
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt0120766
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt0127216
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0561909
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt02269762
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IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt03969705
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt016316575
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt00
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IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0561909
IRS990ScheduleA/InvestmentIncomeCYPct00.0320
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IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/OtherIncome509Grp/TotalAmt00
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
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IRS990ScheduleA/PublicSupportTotal509Amt015834988
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IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt01164629
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearAmt0390815
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IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus3YearsAmt00
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IRS990ScheduleA/Total509Grp/TotalAmt016999617
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IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
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IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc0INVESTMENT BELMONT HARLEM SURGERY CENTER LLC
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Other Liabilities
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Due to Affiliates
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, 2020.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote
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IRS990ScheduleD/TotalBookValueOtherAssetsAmt0440846
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