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)

4 risk indicators measuring financial stability and operational resilience

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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

Receive, hold and invest contributions and disburse claims and expenses payable.

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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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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

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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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