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Nonprofiteer
← PRESENCE HEALTH PARTNERS SERVICES

Form 990 for tax year 2022

Filed by PRESENCE HEALTH PARTNERS SERVICES.

Totals

Total revenue
$168,408
Total expenses
$3,512,663
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$168,408
Investment income
$0
Other revenue
$0
Total assets, end of year
$155,091
Total liabilities, end of year
$1,191,103
Net assets or fund balances, end of year
-$1,036,012
Program services expenses (Part IX)
$3,512,663
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$3,512,663

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: Bundled Payments for Care Improvement

    total $168,408 · related or exempt $168,408

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 11g · Fees: other

    total $24,954 · program services $24,954 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $7,057 · program services $7,057

  • 16 · Occupancy

    total $10,125 · program services $10,125

  • 17 · Travel

    total $5,157 · program services $5,157

  • 19 · Conferences, conventions and meetings

    total $1,788 · program services $1,788

  • 22 · Depreciation, depletion and amortization

    total $29,215 · program services $29,215

  • 24a · Other expenses: Wage & Benefit Allocation

    total $3,420,132 · program services $3,420,132

  • 24b · Other expenses: Purchased Services

    total $5,516 · program services $5,516

  • 24c · Other expenses: Record Retention Expenses

    total $5,000 · program services $5,000

  • 24d · Other expenses: Medical Supplies

    total $2,569 · program services $2,569

  • 24e · All other expenses

    total $1,150 · program services $1,150 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $239,000

  • 10b · Land, buildings and equipment: accumulated depreciation

    $182,939

  • 10c · Land, buildings and equipment, net

    beginning of year $81,676 · end of year $56,061

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $11,400 · end of year $7,800

  • 15 · Other assets

    beginning of year $44,310 · end of year $91,230

  • 17 · Accounts payable and accrued expenses

    beginning of year $612,318 · end of year $508,428

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $397,522 · end of year $682,675

  • 27 · Net assets without donor restrictions

    beginning of year -$872,454 · end of year -$1,036,012

Mission and programs · 2022

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.

Activities or mission (Part I)

TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE.

  • 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 Health Partners Services is in the process of winding down its affairs.

    Expenses $3,512,663 · Revenue $168,408

As filed on the 2022 return.

Listed in Part VII

  • DANA L GILBERT

    CHAIR/PRESIDENT

    Total calculated
    $569,095
    From this org
    $0
    From related orgs
    $521,667
    Other
    $47,428
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $410,886 related
    Bonus
    $0 + $100,243 related
    Other
    $0 + $10,538 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $30,653 related
    Filer's total
    $0 + $569,095 related
  • DAVID HURTER

    DIRECTOR

    Total calculated
    $306,594
    From this org
    $0
    From related orgs
    $263,137
    Other
    $43,457
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $216,215 related
    Bonus
    $0 + $45,378 related
    Other
    $0 + $1,544 related
    Deferred
    $0 + $14,975 related
    Nontaxable benefits
    $0 + $28,482 related
    Filer's total
    $0 + $306,594 related
  • DONALD A FRANKE

    DIRECTOR (END 12/2022)

    Total calculated
    $781,794
    From this org
    $0
    From related orgs
    $732,377
    Other
    $49,417
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $499,576 related
    Bonus
    $0 + $217,234 related
    Other
    $0 + $15,567 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $31,117 related
    Filer's total
    $0 + $781,794 related
  • JULIE P ROKNICH

    SECRETARY

    Total calculated
    $326,841
    From this org
    $0
    From related orgs
    $293,578
    Other
    $33,263
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $242,731 related
    Bonus
    $0 + $49,372 related
    Other
    $0 + $1,475 related
    Deferred
    $0 + $13,407 related
    Nontaxable benefits
    $0 + $19,856 related
    Filer's total
    $0 + $326,841 related
  • RICHARD DOUGLAS CARTER

    TREASURER/CFO, ASCENSION ILLINOIS

    Total calculated
    $1,278,048
    From this org
    $0
    From related orgs
    $1,229,668
    Other
    $48,380
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $687,862 related
    Bonus
    $0 + $467,600 related
    Other
    $0 + $74,206 related
    Deferred
    $0 + $11,495 related
    Nontaxable benefits
    $0 + $36,885 related
    Filer's total
    $0 + $1,278,048 related
  • EARL J BARNES II

    FORMER OFFICER (END 4/2022)

    Total calculated
    $330,877
    From this org
    $0
    From related orgs
    $304,129
    Other
    $26,748
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $265,324 related
    Bonus
    $0
    Other
    $0 + $38,805 related
    Deferred
    $0 + $12,115 related
    Nontaxable benefits
    $0 + $14,633 related
    Filer's total
    $0 + $330,877 related
  • RONALD D AUSTIN

    FORMER KEY EMPLOYEE (END 12/2018)

    Total calculated
    $383,224
    From this org
    $0
    From related orgs
    $348,640
    Other
    $34,584
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $276,466 related
    Bonus
    $0 + $55,898 related
    Other
    $0 + $16,276 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $17,809 related
    Filer's total
    $0 + $383,224 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A 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.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
9 May 2024
IRS schema version
2022v5.0
Source object
202411309349304561

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