Ascension
Legal name: Ascension Health Alliance Professional & General Liability Self-Insurance T Rust
Nonprofit profile at a glance
- EIN
- 367046706
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- St Louis, MO, USA
- Phone
- 3147338000
- Rating
- 78
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Insurance Providers
Reported finances
- Revenue
- $286,007,626
- Expenses
- $336,983,846
- Assets
- $711,621,218
- Liabilities
- $966,540,782
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
1 person listed
Highest reported compensation
- NORTHERN TRUST COMPANY (TRUSTEE): $83,896 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
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What it reported doing in 2024
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.
Operating model
- Revenue model
- Other-operating. 88% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 89
- Transparency & Controls: 100
- Accountability: 30
- Sustainability: 21
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 100%; rating input score 100
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: Limited
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Limited
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: Limited
- Governance controls: 5 of 9 controls in place; rating input score 71
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Limited
- Other executive compensation review process: Limited
- Form 990 shared with the board: Fail
- Board meeting minutes documented: Fail
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -17.8%; rating input score 4; 4th percentile among comparable filings
- Total-asset coverage ratio: 2.11; rating input score 65; 65th percentile among comparable filings
- Liabilities to assets ratio: 1.36; rating input score 3; 3rd percentile among comparable filings
- Officer compensation ratio: Limited
Growth
- Program expense growth: 13.4% per year; rating input score 100; 84th percentile among comparable filings
- Revenue growth: 8.6% per year; rating input score 100; 71st percentile among comparable filings
- Asset growth: 4.1% per year; rating input score 100; 29th percentile among comparable filings
Details
- What they do: 3 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 100% of revenue deployed · 100% of spending went to programs
- Governance: 5 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $337M in reported program spending
- Leadership: top reported pay $84K · 1 people listed
- Highest-paid contractors: 2 contractors listed · $1.2M reported
- Consistency: 20 of 20 current checks pass
- Schedules: 4 filed schedules · includes related organizations
- Filing history: 15 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Related organizations: 377 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Review — Accountability: Governance controls: 2 of 7 not reported.
- High — Sustainability: Operating margin scored 4/100.
- High — Sustainability: Liabilities to assets ratio scored 3/100.