Ascension Health Alliance Professional & General Liability Self-Insurance T rust

EIN: 367046706 501(c)(3) Mutual Benefit

St Louis, MO

Total Revenue
$223,936,460
Total Expenses
$566,641,196
Total Assets
$789,783,054
Net Assets
$-333,400,061
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Financial Vulnerability Assessment (Tuckman-Chang)

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Financial Trends

Organization Details

Formation Year
1983
Legal Domicile
MO
Phone
3147338000
Tax Period
2022-07-01 to 2023-06-30

Ascension Health Alliance Professional & General Liability Self-Insurance T rust, founded in 1983, is a major nonprofit in the Mutual Benefit sector that reported $223.9M in total revenue in fiscal year 2022. Revenue decreased 18% compared to the prior year. Expenses of $566.6M exceeded revenue, resulting in a 153% operating deficit.

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.

Program Service Accomplishments

Program 1
Expenses: $566,641,196 Revenue: $237,085,356

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...

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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. ASCENSION HEALTH ALLIANCE PROFESSIONAL AND GENERAL LIABILITY SELF INSURANCE TRUST (HEREINAFTER "TRUST"), WAS FORMED TO MAINTAIN THE SELF-INSURANCE FUNDING FOR THE PAYMENT OF CLAIMS ARISING AGAINST LIABILITY COVERAGE FOR THE TAX-EXEMPT MEMBER ORGANIZATIONS OF THE SPONSORS OF ASCENSION HEALTH ALLIANCE. THE TRUST RECEIVES PARTICIPANT CONTRIBUTIONS FROM COVERED ENTITIES AND PAYS THE CLAIMS AND ADMINISTRATIVE EXPENSES OF THE PROGRAM. ASCENSION HEALTH ALLIANCE, A TAX-EXEMPT ENTITY, IS THE SPONSOR OF THE SELF-INSURANCE PROGRAM; ALL BENEFICIARIES OF THE TRUST ARE TAX-EXEMPT ORGANIZATIONS RELATED TO THE SPONSORS OF ASCENSION HEALTH ALLIANCE.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2022)

Revenue Breakdown

Contributions & Grants $0
Program Service Revenue $237,085,356
Investment Income $-13,148,896
Other Revenue $0
TOTAL REVENUE $223,936,460

Expense Breakdown

Grants Paid $2,142,882
Salaries & Benefits $0
Fundraising Expenses $0
Program Expenses $566,641,196
Other Expenses $564,498,314
TOTAL EXPENSES $566,641,196

Year-over-Year Comparison

2022 2021 Change
Revenue $223,936,460 $273,124,714 -0.2%
Expenses $566,641,196 $322,582,755 +0.8%
Net Income $-342,704,736 $-49,458,041 +5.9%
Key Indicators
Grants to Organizations Grants to Individuals Lobbying Political Activity Foreign Activities Donor Advised Fund Schedule B Required
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Liquidity & Cash Position

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Governance

Voting Members
N/A
Independent Members
N/A
Employees
N/A
Volunteers
N/A

Governance Policies

Conflict of Interest Policy
Whistleblower Policy
Document Retention Policy

Special Practices & Reported Activities

Operated a School
Operated a Hospital
Provided First Class Travel
Reported Conflict of Interest
Reported Asset Diversion
Excess Benefit Transaction
Made Political Expenditures
Engaged in Lobbying
Operated Donor Advised Fund
Maintained Art Collections
Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
0
$0
Total Directors
0
$0
Key Employees
0
$0
Highest Compensated
0
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
N/A TRUSTEE 1.0
$0 $0 $71,595
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2025 No data No data No data No data
2024 No data No data No data No data
2023 $223,936,460 $566,641,196 $789,783,054 $-342,704,736
2022 $273,124,714 $322,582,755 $585,359,320 $-49,458,041
2021 $305,841,416 $284,153,439 $655,719,305 $21,687,977
2020 $223,115,902 $261,694,302 $503,289,358 $-38,578,400
2019 $200,114,823 $241,118,125 $488,156,174 $-41,003,302
2018 $154,870,334 $152,767,744 $505,942,568 $2,102,590
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