2016-05-16T07:00:10-05:00 2015-06-30 990 2014-07-01 367046706 Ascension Health Alliance Professional & General Liability Self-Insurance T rust ASCE 3147338000 4600 Edmundson Road St Louis MO 631343806 TONYA MERSHON DIRECTOR OF TAXATION 2016-05-16 2014 2016-08-17 19:52:53Z ELIZABETH FOSHAGE 4600 Edmundson Road St Louis MO 631343806 99656822 false X WWW.ASCENSIONHEALTH.ORG X 1983 MO Receive, hold and invest contributions and disburse claims and expenses payable. 0 0 0 0 -9308 -9308 0 0 67061515 107986136 12827046 2655106 -8669729 -12116563 71218832 98524679 0 0 0 0 0 0 0 0 0 77862493 108009749 77862493 108009749 -6643661 -9485070 540499258 490372697 398619558 371652249 141879700 118720448 To receive, hold and invest contributions for professional and general liabilities and to disburse claims and expenses payable under the program. false false 107927305 95869573 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. 107927305 true false false false false false false false false false false false true false true true false true false false false false false false false false false false false false false false false false false false false false false false false false false true true true false false true 413 0 true 0 true true false false false false false false false false false X 0 0 false false false false false true true false false true false true true false false true true false false false X JEANINE WESCOTT 3147338877 11775 BORMAN DR STLOUIS MO 631464134 X STATE STREET BANK AND TRUST CO TRUSTEE 1.00 20.00 X 0 0 0 0 0 0 0 false false false QUANTROS INC DEPT CH 16932 PALATINE IL 60055 DEVELOPMENT FEES FOR NEW EVENT REPORTING 3328433 Marsh USA Inc PO Box 846015 Dallas TN 75284 CONSULTING 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11g AMOUNT OF SUPPORT / OTHER SUPPORT ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITIES SELF-INSURANCE TRUST PROVIDES SUPPORT THROUGH THE PAYMENT OF CLAIMS ARISING AGAINST LIABILITY COVERAGE FOR MEMBER CATHOLIC HEALTH CARE ORGANIZATIONS OF THE ASCENSION SPONSOR, THE CANONICAL SPONSOR WHICH WAS FORMED BY THE FOUNDING SPONSORS AND WHICH HAS BEEN CONFERRED PUBLIC JURIDIC PERSONALITY BY DECREE OF THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE OF THE ROMAN CATHOLIC CHURCH. Schedule A, Part IV, Section B, Line 1 POWER TO APPOINT DIRECTORS The Ascension Sponsor (the Canonical sponsor which was formed by the founding religious sponsors and which has been conferred public juridic personality by decree of The Congregation for Institutes of Consecrated Life and Societies of Apostolic Life of the Roman Catholic Church) determines the philosophy, mission, vision, values and expectations of the System, and appoints the board for Ascension Health Alliance, delegating that appointment power within the System, with the Ascension Sponsor retaining ultimate control over governance matters. The organization carries out the purposes of the Ascension Sponsor by supporting the Ascension Sponsor, Ascension Health Alliance, and Ascension Health Ministry entities that provide care and healing in their respective communities. Schedule A, Part IV, Section B, Line 2 CONTROL BY SUPPORTED ORGANIZATIONS The Ascension Sponsor (the Canonical sponsor which was formed by the founding religious sponsors and which has been conferred public juridic personality by decree of The Congregation for Institutes of Consecrated Life and Societies of Apostolic Life of the Roman Catholic Church) determines the philosophy, mission, vision, values and expectations of the System, and, as applied within a framework of delegation, retains ultimate control of governance within the System. The trust carries out the purposes of the Ascension Sponsor by supporting Ascension Sponsor, Ascension Health Alliance, and the Ascension Health Ministry entities that provide care and healing in their respective communities. In answering "no" to Part IV, Section B, Line 2, the organization is considering the Ascension Sponsor's direct control as well as its ultimate control over the other supported organizations throughout the System. Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name THE TRUST IS ORGANIZED AND AT ALL TIMES SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL IN THE UNITED STATES, ST. LOUISE PROVINCE, 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 BY AND THROUGH ASCENSION HEALTH MINISTRIES (ASCENSION SPONSOR), AND, PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE AFFILIATED ORGANIZATIONS PROVIDED THAT SUCH ORGANIZATIONS ARE DESCRIBED UNDER SECTION 501(C)(3) OF THE CODE AND ARE CLASSIFIED AS PUBLIC CHARITIES UNDER SECTIONS 509(A)(1) AND 509(A)(2) OF THE CODE. SUCH SUPPORTED ORGANIZATIONS ARE LISTED AT PART I. THE ORGANIZATION ALSO SUPPORTS ASCENSION SPONSOR, THE CANONICAL SPONSOR WHICH WAS FORMED BY THE FOUNDING SPONSORS AND WHICH HAS BEEN CONFERRED PUBLIC JURIDIC PERSONALITY BY DECREE OF THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE OF THE ROMAN CATHOLIC CHURCH. Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) SUPPORTED ORGANIZATIONS NOT REQUIRED TO OBTAIN A SEPARATE IRS DETERMINATION OF STATUS ARE EITHER CONSIDERED AN INSTRUMENTALITY OF THE CATHOLIC CHURCH OR ARE INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AND HAVE BEEN VERIFIED TO BE DESCRIBED IN EITHER 509(a)(1) or 509(a)(2) ACCORDING TO THEIR MOST RECENT FORM 990 FILING. ASCENSION ALPHA FUND LLC 452921256 C CLAIM PAYMENT FUND IN HOUSE 8182757 C INVESTMENT - M&T BANK 2565394 C CLAIM PAYMENT FUND MILWAUKEE 8710803 C CLAIM PAYMENT FUND OZAUKEE 2808840 C 475189050 RESERVE FOR LOSSES 363610310 363610310 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Ascension Health Alliance Professional & General Liability Self-Insurance Trust: The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2015. Form 990, Part VI, Line 12a OFFICERS, TRUSTEES OR KEY EMPLOYEES ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE TRUST DOES NOT HAVE OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES; THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED NOT APPLICABLE. Form 990, Part VI, Line 15 CEO & TOP MANAGMENT ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE TRUST DOES NOT HAVE A CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIAL, OR ANY OTHER OFFICERS OR KEY EMPLOYEES; THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED NOT APPLICABLE. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Ascension Health Alliance is the plan sponsor of Ascension Health Alliance Professional & General Liability Self-Insurance Trust, and as plan sponsor reserved the right to amend the Trust. The reserved right to amend the Trust includes the ability to appoint a new trustee. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Ascension Health Alliance is the plan sponsor of the Ascension Health Alliance Professional & General Liability Self-Insurance Trust. As plan sponsor, Ascension Health Alliance holds certain rights as provided in the trust agreement. Form 990, Part VI, Line 8a Documentation of meetings held by governing body Ascension Health Alliance Professional & General Liability Self-Insurance Trust did not hold meetings of the governing body during the year. All decisions of the organization were made by the plan sponsor, Ascension Health Alliance. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body There are no committees with authority to act on behalf of the governing body. This question is more appropriately answered as not applicable. Form 990, Part VI, Line 9 Interested person not at organization's address State Street Bank and Trust Company #1 Lincoln Center Boston, MA 02111 Form 990, Part VI, Line 11b Review of form 990 by governing body Ascension Health Alliance Management works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, the Plan Sponsor is provided the Form 990 to review. 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 Line 9 State Street Bank and Trust Company - #1 Lincoln Center, Boston, MA 02111 Form 990, Part XI, Line 9 Other changes in net assets or fund balances NET ASSET TRANSFER FROM ACQUIRED MINISTRIES - -7579; ROUNDING TO FOOT - -4; ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3 Type I Ascension Sponsor false ASCENSION HEALTH PO BOX 45998 STLOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3 Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH-IS INC PO BOX 45998 ST LOUIS MO 63145 651257719 SUPPORTING ORGANIZATION MO 501(c)(3 Type I ASCENSION HEALTH ALLIANCE true ASCENSION MINISTRY AND MISSION FUND PO BOX 45998 ST LOUIS MO 63145 273174701 SUPPORTING ORGANIZATION MO 501(c)(3 Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH GLOBAL MISSION 101 SOUTH HANLEY SUITE 450 ST LOUIS MO 63105 651205990 SUPPORTING ORGANIZATION MO 501(c)(3 Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH WELFARE 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