Ascension Texas Cardiovascular

Nonprofit profile at a glance

EIN
273220767
IRS 990 coverage
2016–2024
Forms available
Form 990 2024, Form 990-EZ 2015
Location
St Louis, MO, USA
Phone
3147338000
Rating
63
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Treatment Facilities, Primarily Outpatient

Reported finances

Revenue
$3,286
Expenses
$43,101,950
Assets
$646,133
Liabilities
$6,927,514

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

16 people listed

Executive titles in this filing

  • MARK J PIRWITZ MD (PRESIDENT)

Highest reported compensation

  • SCOTT HERNDON (FORMER OFFICER (END 8/2022)): $1,845,616 total reported compensation
  • SAMSON W JESUDASS MD (DIRECTOR): $1,495,955 total reported compensation
  • MARK J PIRWITZ MD (PRESIDENT): $1,346,016 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

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.

What it reported doing in 2024

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 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.

Operating model

Revenue model
Other-operating. 100% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.

Rating breakdown

  • Financial Efficiency: 86
  • Transparency & Controls: 67
  • Accountability: 28
  • Sustainability: 4
  • Growth: 60

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 92.5%; rating input score 92
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 0%; rating input score 0; 9th percentile among comparable filings
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -1,311,584.4%; rating input score 0; 0th percentile among comparable filings
  • Total-asset coverage ratio: 0.01; rating input score 6; 6th percentile among comparable filings
  • Liabilities to assets ratio: 10.72; rating input score 1; 1st percentile among comparable filings
  • Officer compensation ratio: 2%; rating input score 19; 19th percentile among comparable filings

Growth

  • Program expense growth: 35.5% per year; rating input score 100; 91st percentile among comparable filings
  • Revenue growth: -5% per year; rating input score 0; 43rd percentile among comparable filings
  • Asset growth: 7% per year; rating input score 100; 73rd percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 92.5% of spending went to programs
  • Governance: 0 of 11 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $39.9M in reported program spending
  • Leadership: top reported pay $1.8M · 16 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 18 of 18 current checks pass
  • Schedules: 5 filed schedules · includes executive pay and related organizations
  • Filing history: 9 filing years from 2016 to 2024
  • Contacts: How to reach this organization
  • Related organizations: 377 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Accountability: Independent voting board scored 0/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Sustainability: Operating margin scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 6/100.
  • High — Sustainability: Liabilities to assets ratio scored 1/100.
  • High — Sustainability: Officer compensation ratio scored 19/100.