Civic Intelligence

Presence Ambulatory Services

EIN 36-4286236 • 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

70th percentile

0.13x

Higher debt load relative to assets than 70% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

79th percentile

0.22x

Higher debt load relative to revenue than 79% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

48th percentile

3.6%

Higher net margin than 48% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

100th percentile

$1,426,472

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 453.3% of source-year revenue.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Asset Growth

84th percentile

35%

Faster asset growth than 84% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

5th percentile

-55%

Faster revenue growth than 5% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Assets

Up

$539,047

Up $138,452 (+35%) from 2023

Liabilities

Down

$70,022

Down $140,971 (-67%) from 2023

Net Assets

Up

$469,025

Up $279,423 (+147%) from 2023

Revenue

Down

$314,696

Down $378,989 (-55%) from 2023

Expenses

Down

$303,454

Down $407,508 (-57%) from 2023

Net Income

Up

$11,242

Up $28,519 (+165%) from 2023

Trend Graphs

Balance Sheet Trend

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

$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

2024

Assets$539,047
Liabilities$70,022
Net Assets$469,025

Operations Trend

Revenue, expenses, and net income by year, with the latest 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

2024

Revenue$314,696
Expenses$303,454
Net Income$11,242

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
$314,696
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$201,935$440,477▲ $238,542
Accounts Receivable$83,437$1,946▼ $81,491
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$400,595$539,047▲ $138,452
Other Assets Total$115,223$96,624▼ $18,599
Liabilities
Other Liabilities$145,498$56,064▼ $89,434
Accounts Payable and Accrued Expenses$65,495$13,958▼ $51,537
Total Liabilities$210,993$70,022▼ $140,971
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$189,602$469,025▲ $279,423
Total Net Assets Fund Balance$189,602$469,025▲ $279,423
Total Liabilities and Net Assets / Fund Balance$400,595$539,047▲ $138,452

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$418,749$268,610$687,359
Equipment$21,728$41,337$63,065
Other Land Buildings$0$0$0
Leasehold Improvements$0$0$0
Other Assets Org$96,624--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Dana L GilbertChair/president
Julie P RoknichSecretary
Richard Douglas CarterTreasurer/CFO, Ascension Illinois
Revenue and Support

Revenue Composition

Contributions and Grants
$37,643
Program Service Revenue
$150,210
Investment Income
$0
Other Revenue
$126,843
Change in Net Assets
$11,242
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$303,454
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
Insurance-$99,595-$99,595
Depreciation Depletion$18,449$2,612-$21,061
Occupancy$16,508$2,338-$18,846
Office Expenses$17,851--$17,851
Other Expenses$2,042$5,445-$2,042
Total Functional Expenses$141,380$162,074$0$303,454
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$55,287
Recovery Tail Liability$777
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 ambulatory 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.

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
Phone
3147338000
Signed
2025-05-13
Discuss with paid preparer
No

Organization Details

Formed
1999
Legal Domicile
Il
Voting Board Members
2
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 - 268181;

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

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 oversight of audit or selection of independent accountant

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 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 5,323 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/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/SubstAndDsqlfyPrsnsTotGrp/TotalAmt01506911
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IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0687359
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IRS990ScheduleD/EquipmentGrp/DepreciationAmt041337
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IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt00
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt096624
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0Due from Affiliates
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt00
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IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt00
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt1777
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Due to Affiliates
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Recovery 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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IRS990ScheduleD/TotalBookValueOtherAssetsAmt096624
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0RICHARD DOUGLAS CARTER
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2JULIE P ROKNICH
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0TREASURER/CFO, ASCENSION ILLINOIS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CHAIR/PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2SECRETARY
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0A 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.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1ELIGIBLE 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.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

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