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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Ascension Health Alliance
 
Employer identification number
45-3358926
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A HEALTH & ED FAC AUTH OF MO
 
43-1178966 60635HWY1 03-13-2003 295,375,000 See Part VI X     X   X
B INDIANA HEALTH FACILITY FINANCING AUTHORITY
 
35-1611409 454798ND7 03-13-2003 498,475,000 See Part VI X     X   X
C INDIANA HEALTH FACILITY FINANCING AUTHORITY
 
35-1611409 454798PS2 02-03-2005 480,236,983 See Part VI X     X   X
D MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
 
38-2889417 59465E7P2 02-03-2005 161,264,563 See Part VI X     X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 151,385,000 242,375,000 305,135,000 89,900,000
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 302,747,889 509,527,682 481,002,150 161,286,156
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 0 0 0 0
8 Credit enhancement from proceeds ............. 1,565,056 7,381,512 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 41,386,146 74,231,795 386,333,409 112,721,346
11 Other spent proceeds ............. 259,796,687 427,914,375 94,668,741 48,564,810
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2003 2003 2007 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........
X     X X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........
X   X     X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2019
Page 2

Schedule K (Form 990) 2019
Page 2
Part
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.34 % 0.34 % 0.06 % 0.06 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0.34 % 0.34 % 0.06 % 0.06 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?............. X   X   X   X  
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 9.52 % 9.52 % 4.96 % 4.96 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X   X   X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X   X     X   X
b Name of provider .......... SEE PART VI
 
SEE PART VI
 
 
 
 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......   X   X        
e Was the hedge terminated? ........   X   X        
Schedule K (Form 990) 2019
Page 3

Schedule K (Form 990) 2019
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part I, Column (f) supplemental information 1(A) Part I: Health & Educational Facilities Authority of Missouri (03/13/2003) 2003C/2008C - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and commercial paper issued December 5, 2002 and to pay the premium on policies of bond insurance Indiana Health Facility Financing Authority (03/13/2003) 2003E/2008E - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and to pay the premium on policies of bond insurance Indiana Health Facility Financing Authority (02/03/2005) 2005A - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Michigan State Hospital Finance Authority (02/03/2005) 2005 - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Indiana Health and Educational Facility Financing Authority (11/16/2006) 2006B-3, B-4, B-5 and B-6 - To current refund certain prior bonds issued November 1, 1999, December 4, 2001 and December 31, 2001 Health & Educational Board of Nashville/Davidson County (03/30/2009) 2001B-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued December 31, 2001, which bonds provided funds to finance or refinance the costs of acquiring, constructing, equipping and renovating certain health care facilities Alabama Special Care Facilities Financing Authority of Birmingham (05/28/2009) 2006C-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bonds provided funds to finance certain improvements, additions, equipping and renovation of health care facilities Indiana Health and Educational Facility Financing Authority (11/16/2006) 2006B-1, B-2, B-7 and B-8 - To provide reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Indiana Finance Authority (05/28/2009) 2006B-1, B-7 and B-8 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bond provided reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Michigan State Hospital Finance Authority (03/25/2010) 2010F - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members, and to refinance the indebtedness of the Senior Credit Group through the current refunding of the Refunded Bonds issued April 8, 2008; April 15, 2008; April 22, 2008; May 6, 2008 and commercial paper issued 1/21/2010. THE 2010B ISSUANCE IS NO LONGER OUTSTANDING. Illinois Finance Authority (05/10/2012) 2012E-1 and E-2 - To provide funds to finance, refinance (prior debt issued 2/22/2012 and 3/29/2012) or reimburse Ascension Health Alliance for capital expenditures made by certain of its affiliates located in Illinois and Missouri. THE 2012A ISSUANCE IS NO LONGER OUTSTANDING. Wisconsin Health and Educational Facilities Authority (06/18/2013) 2013A and B-1 through B-5 - To provide funds for the acquisition of capital assets of Via Christi Health, Ministry Health Care and St. John Health and certain of their affiliates. Wisconsin Health and Educational Facilities Authority (05/11/2016) 2016A - To (i) finance, refinance or reimburse Ascension for capital expenditures of certain affiliates of Ascension, (ii) refinance taxable commercial paper issued by Ascension on 2/29/2016 and 4/1/2016 (a) to provide funds for the acquisition of capital assets of Wheaton Franciscan Healthcare - Southeast Wisconsin, Inc. and certain of its affiliates and (b) to finance certain capital expenditures of certain affiliates of Ascension, and (iii) refinance certain bonds previously issued 8/5/2004 and 11/16/2006 for the benefit of Ascension and certain of its affiliates and Ministry Health Care, Inc. and certain of its affiliates. Alabama Special Care Facilities Financing Authority of Birmingham (05/11/2016) 2016B - to (i) finance, refinance or reimburse Ascension for capital expenditures of certain affiliates of Ascension and (ii) refinance certain bonds previously issued 11/16/2006 for the benefit of Ascension and certain of its affiliates. Alabama Special Care Facilities Financing Authority of the City of Mobile (05/11/2016) 2016C - to (i) finance, refinance or reimburse Ascension for capital expenditures of certain affiliates of Ascension and (ii) refinance certain bonds previously issued 11/16/2006 for the benefit of Ascension and certain of its affiliates. Michigan Finance Authority (05/11/2016) 2016E-1 through E-3 - to (i) finance, refinance or reimburse Ascension for capital expenditures of certain affiliates of Ascension and (ii) refinance taxable commercial paper issued by Ascension on 10/1/2015 to provide funds for the acquisition of capital assets of Ascension Providence Rochester Hospital and certain of its affiliates. Illinois Finance Authority (08/16/2016) 2016C- to provide funds to refund bonds issued 5/26/2005, 6/5/2008, 6/25/2009, 12/22/2009, 2/11/2010, and 5/26/2016, and to finance certain capital expenditures. WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY (10/23/2019) 2019A- TO PROVIDE FUNDS TO REFUND BONDS ISSUED 3/25/2010.
Schedule K, Part II supplemental information 1. For purposes of Schedule K, Part II, Ascension Health Alliance is assuming that there is no "year of substantial completion" with respect to refunding bonds. 2. Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings.
Schedule K, Part IV supplemental information 1. The hedge providers for the Missouri Series 2003C bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 23.7 years. The Morgan Stanley hedges have original terms of 6.7 and 23.6 years. 2. The hedge providers for the Indiana Series 2003E/2008E bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 33.7 years. The Morgan Stanley hedges have original terms of 23.6, 33.6 and 33.7 years. 3. GIC for Indiana Series 2006B-3, B-4, B-5 and B-6 was held at Citigroup and Morgan Stanley with a term of 0.3 and 0.2 years respectively. 4. Part IV, Line 2 - For issues that have not reached their fifth anniversary yet, Ascension is answering "Yes" to 2a because the reporting deadline has not been reached and no calculations have yet been performed. This is not to suggest that a spending exception has not been met or that there is an expectation that any rebate will be due upon completion of any required calculation. For issues that have been issued longer than five years, Ascension is answering "Yes" to 2b if the issue was a current refunding issue since this is the basis of a rebate exception. Ascension is answering "Yes" to 2c and providing a computation report date for new money issues that are greater than five years old. 5. Part IV, Line 6 - This question is being answered without regard to certain yield restricted advance refunding escrows.
Schedule K, Part III, Line 8c supplemental information 1. All dispositions reflected in this percentage were subject to a proper and timely remediation and/or VCAP. 2. ILLINOIS FINANCE AUTHORITY (08/16/2016) 2016C- AS OF JUNE 30, 2020, PRIVATE USE AND UNRELATED TRADE OR BUSINESS ACTIVITY BY PRESENCE HEALTH WAS DISCOVERED. ON DECEMBER 3, 2019, THE AFFECTED BONDS WERE REMEDIATED. THE VCAP WAS FILED AND IS CURRENTLY IN THE FINAL STAGES OF SETTLEMENT DISCUSSIONS WITH THE IRS.
Schedule K, Part II Supplemental Information 1(B) 1. A portion of the Missouri Series 2003C issuance was exchanged for 2008C bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Missouri Series 2003C and 2008C bonds. All of these bonds are characterized collectively on the schedule. 2. A portion of the Indiana Series 2003E issuance was exchanged for 2008E bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Indiana Series 2003E and 2008E bonds. All of these bonds are characterized collectively on the schedule. 3. CUSIP number for Michigan Series 2005 as originally reported on Form 8038 was incorrect (reported as "59455E7P2"). 4. Tennessee Series 2001B-1 was reissued for tax purposes as of 3/30/09 in connection with an interest rate conversion on the bonds, and for this reason must be included on Schedule K. However, reporting is not necessary on Part III of Schedule K for refunding bonds that refunded bonds issued in 2002 or earlier, which is the case in this situation. 5. Indiana Series 2006B-1, B-7 and B-8 were reissued for tax purposes as of 5/28/09 in connection with an interest rate conversion on the bonds. Indiana Series 2006B-2 remains outstanding as originally issued. 6. Indiana Series 2006B-3, B-4, B-5 and B-6 were issued on 11/16/2006 and 12/1/2006 as evidenced by the 8038; only one field is available for issue date on the Schedule so we have presented the earlier of the two dates. 7. The Indiana Health and Educational Facility Financing Authority was merged into the Indiana Finance Authority on 7/1/07. 8. CUSIP NUMBER FOR MICHIGAN SERIES 2010B AND 2010F AS ORIGINALLY REPORTED ON FORM 8038 WAS INCORRECT (NO CUSIP WAS REPORTED). THE MICHIGAN SERIES 2010B BONDS HAVE BEEN FULLY REFUNDED. 9. The Missouri 2003C and Indiana 2003E/2008E Bonds, along with other, now-retired bonds from Florida, Michigan and Idaho issuers, are all part of a single issue for certain federal tax purposes. Within that issue, an election has been made to treat the Michigan bonds as a separate issue for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 10. The Indiana 2005A and Michigan 2005 Bonds (TOGETHER WITH THE ALABAMA 2005A BONDS WHICH ARE NO LONGER OUTSTANDING) are all part of a single issue for certain federal tax purposes although Ascension Health Alliance and the issuers reserve the right to make any multipurpose allocations permitted under the Treasury Regulations. 11. The Indiana 2006B-1, B-2, B-3, B-7, and B-8 sub-series and the Alabama (Birmingham) 2006C-1 Bonds, along with other, now-retired bonds, are all part of a single issue for certain federal tax purposes. Within that issue, elections have been made under the Treasury Regulations to treat the following as separate issues for IRC section 141 purposes: (1) Indiana 2006B-1, B-2, B-7 and B-8, and the Alabama (Birmingham) 2006C-1, combined; (2) Indiana 2006B-3 Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 12. THE MICHIGAN 2010F BONDS, TOGETHER WITH THE NOW-RETIRED CONNECTICUT 2010A, MICHIGAN 2010B, TENNESSEE 2010C, TARRANT COUNTY 2010D AND WISCONSIN 2010E BONDS, ARE A SINGLE ISSUE FOR CERTAIN FEDERAL TAX PURPOSES. WITHIN THAT ISSUE, ELECTIONS HAVE BEEN MADE TO TREAT EACH STATE'S ISSUE AS SEPARATE ISSUES FOR PURPOSES OF IRC SECTION 141. ASCENSION HEALTH ALLIANCE AND THE ISSUERS RESERVE THE RIGHT TO MAKE ANY FURTHER MULTIPURPOSE ALLOCATIONS PERMITTED UNDER THE TREASURY REGULATIONS. 13. THE ILLINOIS 2012E BONDS, TOGETHER WITH THE NOW-DEFEASED AND SOON TO BE RETIRED ILLINOIS 2012A, MARYLAND 2012B, TENNESSEE 2012C AND WISCONSIN 2012D BONDS, ARE A SINGLE ISSUE FOR CERTAIN FEDERAL TAX PURPOSES. WITHIN THAT ISSUE, ELECTIONS HAVE BEEN MADE TO TREAT THE MARYLAND 2012B BONDS AS A SEPARATE ISSUE FOR PURPOSES OF IRC SECTION 141. ASCENSION HEALTH ALLIANCE AND THE ISSUERS RESERVE THE RIGHT TO MAKE ANY ADDITIONAL MULTIPURPOSE ALLOCATIONS PERMITTED UNDER THE TREASURY REGULATIONS. 14. The Wisconsin 2016A, Alabama 2016B/2016C, and Michigan 2016E bonds are a single issue for certain federal tax purposes. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury regulations. 15. Ascension Health Alliance believes, and has prepared Schedule K in a manner consistent with such belief, that the Part III exclusion provided in the instructions for bonds that refund a pre-2003 bond issue applies to certain of the bonds reflected herein, though allocations under Regulations section 1.141-13(d) may not have yet been elected; this submission does not constitute an allocation election under Regulations section 1.141-13(d) for any issue or portion of an issue. 16. Schedule K, Part II, question 2, refers to the amount of bonds that have been defeased, are still outstanding and are being funded by a defeasance escrow.
Schedule K, Part IV, Line 2c COLUMN A Issuer name: HEALTH & ED FAC AUTH OF MO The calculation for computing no rebate due was performed on 11/15/2009
Schedule K, Part IV, Line 2c COLUMN B Issuer name: INDIANA HEALTH FACILITY FINANCING AUTHORITY The calculation for computing no rebate due was performed on 11/15/2009
Schedule K, Part IV, Line 2c COLUMN C Issuer name: INDIANA HEALTH FACILITY FINANCING AUTHORITY The calculation for computing no rebate due was performed on 08/03/2005
Schedule K, Part IV, Line 2c COLUMN D Issuer name: MICHIGAN STATE HOSPITAL FINANCE AUTHORITY The calculation for computing no rebate due was performed on 08/03/2005
Schedule K, Part IV, Line 2c COLUMN D Issuer name: IN HLTH & ED FAC FIN AUTHORITY The calculation for computing no rebate due was performed on 05/16/2008
Schedule K (Form 990) 2019

Additional Data


Software ID: 19010655
Software Version: 2019v5.0