SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Ascension Health Alliance
 
Employer identification number

45-3358926
Return Reference Explanation
Form 990, Part VI, Line 6 Classes of members or stockholders Ascension Health Alliance (Ascension) is sponsored by Ascension Health Ministries ("Ascension Sponsor"), a Public Juridic Person ("PJP"), which is subject to those rights and obligations which pertain to Public Juridic Persons in the Catholic Church. The Participating Entities of Ascension Health Ministries are the Daughters of Charity of St. Vincent de Paul in the United States, Province of St. Louise, the Congregation of St. Joseph, the Congregation of the Sisters of St. Joseph of Carondelet, the Congregation of Alexian Brothers of the Immaculate Conception Province - American Province, and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Board members shall be appointed, upon the recommendation of the Board of Directors, by Ascension Health Ministries ("Ascension Sponsor"), I.e., by the PJP members.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to Ascension Health Alliance's financial information or corporation as a whole are reserved to its members, the PJP members who represent the Canonical sponsor, Ascension Health Ministries ("Ascension Sponsor"). The following powers are reserved to Ascension Sponsor: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures.
Form 990, Part VI, Line 11b Review of form 990 by governing body Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Member's questions.
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 conflict 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. In addition, the General Counsel reviews all Conflict of Interest disclosures and makes an annual report to the Board on such disclosures.
Form 990, Part VI, Line 15a Process to establish compensation of top management official The process for determining the compensation of the organization's CEO includes (1) the use of an independent third-party compensation firm nationally recognized as having expertise in compensation matters specific to large, nonprofit health care systems in the United States to obtain comparability data, analysis, and recommendations for setting compensation, (2) the review and approval of the independent third-party compensation firm's recommendations by the Board or its committee with authority over compensation matters, and (3) the contemporaneous substantiation of the analyses and decisions regarding compensation arrangements, with system compensation oversight and direction reviewed at least annually for approval by the Board or committee. The organization's process is designed to satisfy the conditions necessary to obtain a rebuttable presumption of reasonableness regarding the compensation arrangement (per IRC Section 4958). 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 15b Process to establish compensation of other employees THE PROCESS FOR DETERMINING COMPENSATION OF THE OTHER OFFICER AND SENIOR EXECUTIVES IS OVERSEEN BY THE BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM AN INDEPENDENT THIRD-PARTY COMPENSATION FIRM NATIONALLY RECOGNIZED AS HAVING EXPERTISE IN COMPENSATION MATTERS SPECIFIC TO LARGE, NONPROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES; OR, IF MORE APPROPRIATE FOR THE CIRCUMSTANCES, 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 19 Required documents available to the public The organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section B, Line 1 Independent Contractor Reporting Independent contractor payment information reported by Ascension Health Alliance includes payments made on behalf of affiliates under the organization's shared services accounts payable system.
Form 990, Part VIII, Line 2f Other Program Service Revenue Income From Unconsolidated Oper - Total Revenue: 17135117, Related or Exempt Function Revenue: 17135117, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; PDC Revenue from Affiliates - Total Revenue: 15492636, Related or Exempt Function Revenue: 15492636, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; CVH II MGMT Fees - Total Revenue: 5100000, Related or Exempt Function Revenue: 5100000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Billing Service Revenue - Total Revenue: 1102865, Related or Exempt Function Revenue: 1102865, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Vendor Offeror Fees - Total Revenue: 983100, Related or Exempt Function Revenue: 983100, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Program Expense - Total Revenue: 210990, Related or Exempt Function Revenue: 210990, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Contracted Services Revenue - Total Revenue: 22735, Related or Exempt Function Revenue: 22735, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Misc Revenue - Total Revenue: 11769779, Related or Exempt Function Revenue: 11769779, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Investment in CHAN - Total Revenue: 18056, Related or Exempt Function Revenue: 18056, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Seminars/Tuition Revenue - Total Revenue: 14114, Related or Exempt Function Revenue: 14114, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Parking - Total Revenue: 3465, Related or Exempt Function Revenue: 3465, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Unclaimed Property - Total Revenue: 588, Related or Exempt Function Revenue: 588, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Gain/Loss Defeance - Total Revenue: -2853489, Related or Exempt Function Revenue: -2853489, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Transition Services Agreement With CT - Total Revenue: 433674, Related or Exempt Function Revenue: 433674, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees CONTRACT LABOR - Total Expense: 11106487, Program Service Expense: 11106487, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 90331349, Program Service Expense: 90331349, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Centralized Cash Management Activity The organization utilizes a centralized cash management system. Therefore, certain centralized cash management activity amounts relate to liabilities of Health System affiliates.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO SPONSOR - -5083333; PENSION & OTHER POST-RETIREMENT - -XXX-XX-XXXX; JOINT VENTURE CAPITAL TRANSACTIONS - -78008011; Centralized Cash Management Activity - 2286547493; UNRESTRICTED NET ASSETS NON CASH SETTLEMENT - 130946; DISCONTINUED OPERATIONS NET ASSETS - -3189580; CHANGE SHARE OF INVESTEES NET ASSETS - 177192; SmartHealth Health Benefit Adjustment - 38961612;
HEADING - ITEM C DOING BUSINESS AS Ascension Ascension Health Alliance, INC.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 19010655
Software Version: 2019v5.0