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Return R%F Or Nni72tinn Exam T from Income l efile GRAPHIC p rint - DO NOT PROCESS I As Filed Data - I DLN: 93493136000008 Return r%f Or nni72tinn Exam t From Income Tax OMB No 1545-0047 Form 990 W 11- Under section 501(c), 527, or 4947 ( a)(1) of the Internal Revenue Code (except private foundations) 2016 Do not enter social security numbers on this form as it may be made public Department ► Information about Form 990 and its instructions is at www IRS gov/form990 Internal Revenue 5er.ice ► A For the 2016 calendar y ear, or tax y E r beainnina 07-01-2016 . and endina 06-30-2017 C Name of organization B Check if applicable D Employer identification number Ascension Health Alliance q Address change 45-3358926 q Name change q Initial return Doing business as Final - I II/ - I n naLeu I eiepnune nurnuer Number and street (or P 0 box if mail is not delivered to street address) Room/suite L q Am ended return PO Box 45998 (314) 733 8000 q Application pending City or town, state or province, country, and ZIP or foreign postal code St Louis, MO 631455998 G Gross receipts $ 1,87 6,744,413 F Name and address of principal officer H(a) Is this a group return for ANTHONY TERSIGNI PO Box 45998 subordinates? 2 No St Louis, MO 631455998 H(b) Are all subordinates included? q Yes o I Tax-exempt status R 501(c)(3) q 501(c) ( ) A (insert no ) El 4947(a)(1) or El 527 If "No," attach a list ( see instructions ) H(c) Group exemption number 0928 J Website : ► WWW ASCENSION ORG ► L Year of formation 2011 M State of legal domicile K Form of organization 9 Corporation q Trust q Association q Other ► MO ELi^ Summary 1 Briefly describe the organization's mission or most significant activities Catholic health ministry dedicated to service, healing, and transformational solutions q p 2 Check this box ► if the organization discontinued its operations or disposed of more than 25% of its net assets :7 3 Number of voting members of the governing body (Part VI, line 1a) . 3 8 '6 4 Number of independent voting members of the governing body (Part VI, line 1b) 4 7 v. 5 Total number of individuals employed in calendar year 2016 (Part V, line 2a) 5 2,786 6 Total number of volunteers (estimate if necessary) . 6 1 7a Total unrelated business revenue from Part VIII, column (C), line 12 . 7a -2,420,109 b Net unrelated business taxable income from Form 990-T, line 34 . 7b -8,159,258 Prior Year Current Year 8 Contributions and grants (Part VIII , line 1h) . 9 , 723 , 360 8 , 654 , 447 9 Program service revenue (Part VIII, line 2g) . 1,118,492,214 1,096,080,081 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d . 232,875,568 691,120,364 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and lie) -31,284,636 80,889,521 12 Total revenue-add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,329,806,506 1,876,744,413 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3 . 3,707,950 2,860,764 14 Benefits paid to or for members (Part IX, column (A), line 4) . 0 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) 456,237,515 463,880,888 16a Professional fundraising fees (Part IX, column (A), line 11e) 0 b Total fundraising expenses (Part IX, column (D), line 25) 17 Other expenses (Part IX, column (A), lines 11a-11d, llf-24e) . 832,175,373 788,635,243 18 Total expenses Add lines 13-17 (must equal Part IX, column (A), line 25) 1,292,120,838 1,255,376,895 19 Revenue less expenses Subtract line 18 from line 12 37,685,668 621,367,518 T Beginning of Current Year End of Year 20 Total assets (Part X, line 16) . 8,541,521,970 21,553,378,086 21 Total liabilities (Part X, line 26) . 7,531,320,537 8,312,637,254 Z1 22 Net assets or fund balances Subtract line 21 from line 20 1,010,201,433 13,240,740,832 Si g nature Block Under penalties of perjury, I declare that I have examined this return, inclu knowl edge and belief, it is true, correct, and complete Declaration of prepa any knowledge Signature of officer Sign Here Tonya Mershon Tax Officer Type or print name and title Print/Type preparer's name Preparer's signature SAMANTHA BOKORI SAMANTHA BOKORI Paid Preparer Firm's name ► DELOITTE TAX LLP Use Only Firm's address ► 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS, IN 462045108 May the IRS discuss this return with the preparer shown above? (see instrui For Paperwork Reduction Act Notice, see the separate instructio Form 990 ( 2016) Page 2 Statement of Program Service Accomplishments Check if Schedule 0 contains a response or note to any line in this Part III . q 1 Briefly describe the organization 's 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 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990 - EZ? . q Yes 9 No If "Yes ," describe these new services on Schedule 0 3 Did the organization cease conducting , or make significant changes in how it conducts , any program services? . q Yes 9 No If "Yes," describe these changes on Schedule 0 4 Describe the organization ' s program service accomplishments for each of its three largest program services , as measured by expenses Section 501 ( c)(3) and 501 ( c)(4) organizations are required to report the amount of grants and allocations to others , the total expenses , and revenue , if any , for each program service reported 4a (Code ) ( Expenses $ 1,097,728, 915 including grants of $ 2,860,764 ( Revenue $ 1 ,176,969,602 See Additional Data 4b (Code ) ( Expenses $ including grants of $ ) (Revenue $ 4c (Code ) ( Expenses $ including grants of $ ) (Revenue $ 4d Other program services ( Describe in Schedule 0 (Expenses $ including grants of $ ) (Revenue $ 4e Total program service expenses 11o, 1,097, 728,915 Form 990 (2016) Form 990 (2016) Page 3 FTTITTM Checklist of Req uired Schedules Yes No 1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Yes Schedule A . 1 2 Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? 2 No 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates No for public office? If "Yes," complete Schedule C, Part I . 3 4 Section 501(c )( 3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes, " complete Schedule C, Part II . 4 No 5 Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes, " complete Schedule C, Part III . 5 No 6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes, " complete Schedule D, Part I . 6 No 7 Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II . 7 No 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes, " complete Schedule D, Part III . 8 No 9 Did the organization report an amount in Part X, line 21 for escrow or custodial account liability, serve as a custodian for amounts not listed in Part X, or provide credit counseling, debt management, credit repair, or debt negotiation services7If "Yes, " complete Schedule D, Part IV . g No 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, 10 No permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V . 11 If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? Yes If "Yes, " complete Schedule D, Part VI _ . I la b Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII . llb No c Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII . lic No d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported Yes in Part X, line 16? If "Yes," complete Schedule D, Part IX.
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