| Form 990, Part IV, Line 24a Tax Exempt Bond Issuance |
Ascension Health is the parent of all of the health facilities in the national health system that is part of Ascension Health Alliance. Ascension Health Alliance is the borrower for tax exempt hospital revenue bonds. Ascension Health holds an intercompany note payable with Ascension Health Alliance, and this information is reported on the balance sheet. |
| Form 990, Part VI, Line 15a Process to Establish Compensation of CEO |
The process for determining the compensation of the organization's top management official is directed by a related organization and 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 OFFICERS OR KEY EMPLOYEES |
THE PROCESS FOR DETERMINING COMPENSATION OF THE OTHER OFFICERS AND SENIOR EXECUTIVES IS PERFORMED BY A RELATED ORGANIZATION AND OVERSEEN BY ITS 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 6 Classes of members or stockholders |
The sole corporate member of Ascension Health is Ascension Health Alliance (Ascension), a Missouri nonprofit corporation that is described under Section 501(c)(3). Ascension is sponsored by Ascension Health Ministries, 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 recommendation of the Board of Trustees, by the member, Ascension Health Alliance, subject to ratification by Ascension Health Ministries, the Canonical sponsor. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders |
All decisions that have a material impact to Ascension Health's financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Health Alliance. The following powers are reserved to Ascension Health Alliance: 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 |
DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX, IN LIEU OF THE FULL BOARD. |
| 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 19 Required documents available to the public |
The organization will provide any documents open to public inspection upon request. |
| Form 990, Part VII, Section A Related Entities |
The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue |
Other Miscellaneous Revenue - Total Revenue: 218547, Related or Exempt Function Revenue: 218547, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Unclaimed Property Exemptions - Total Revenue: 1331, Related or Exempt Function Revenue: 1331, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Fees |
Professional Fees - Total Expense: 11184467, Program Service Expense: 10289710, Management and General Expenses: 894757, Fundraising Expenses: ; Purchased Services - Total Expense: 2176300, Program Service Expense: 2002196, Management and General Expenses: 174104, Fundraising Expenses: ; Consulting Fees - Total Expense: 4237380, Program Service Expense: 3898390, Management and General Expenses: 338990, Fundraising Expenses: ; Contract Labor - Total Expense: 6373367, Program Service Expense: 5863498, Management and General Expenses: 509869, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances |
Transfer with Affiliates - 28546109; Net assets - discontinued operations - 195328; |
| Form 990, Page 1, Box C d/b/a names |
Ascension Health has the following d/b/a names: Ascension Health, Inc. Ascension Health, Inc. A/K/A Ascension Health Ascension Healthcare |
Attach to Form 990 or 990-EZ.