Presence Healthcare Services

Nonprofit profile at a glance

EIN
363330928
IRS 990 coverage
2009–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
St Louis, MO, USA
Phone
3147338000
Rating
64
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic

Reported finances

Revenue
$61,731,801
Expenses
$131,049,305
Assets
$60,379,017
Liabilities
$12,857,724

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

Leadership & pay

5 people listed

Executive titles in this filing

  • ANDREW C PALUMBO (CHAIR/PRESIDENT)

Highest reported compensation

  • RICHARD DOUGLAS CARTER (FORMER OFFICER (END 6/2024)): $1,772,591 total reported compensation
  • ANDREW C PALUMBO (CHAIR/PRESIDENT): $667,867 total reported compensation
  • DANA L GILBERT (DIRECTOR (END 4/2025)): $659,339 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. 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. On march 1, 2025, phs sold a significant portion of its operations to another health system reducing its total physician and advanced practice providers to approximately 60.

Operating model

Revenue model
Other-operating. 99% 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: 82
  • Transparency & Controls: 67
  • Accountability: 28
  • Sustainability: 24
  • Growth: 80

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 79.3%; rating input score 79
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th 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; 4th 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: -112.3%; rating input score 0; 0th percentile among comparable filings
  • Total-asset coverage ratio: 0.46; rating input score 17; 17th percentile among comparable filings
  • Liabilities to assets ratio: 0.21; rating input score 67; 67th percentile among comparable filings
  • Officer compensation ratio: 0.2%; rating input score 91; 91st percentile among comparable filings

Growth

  • Program expense growth: 0.4% per year; rating input score 100; 8th percentile among comparable filings
  • Revenue growth: 3.1% per year; rating input score 100; 23rd percentile among comparable filings
  • Asset growth: -1.1% per year; rating input score 0; 5th percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 79.3% of spending went to programs
  • Governance: 0 of 2 board members independent · 6 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $104M in reported program spending
  • Leadership: top reported pay $1.8M · 5 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $7.8M reported
  • Consistency: 25 of 25 current checks pass
  • Schedules: 6 filed schedules · includes executive pay and related organizations
  • Filing history: 13 filing years from 2009 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 — Sustainability: Total-asset coverage ratio scored 17/100.
  • High — Growth: Asset growth scored 0/100.