2015-05-14T23:00:30-05:00 2014-06-30 861065772 DELOITTE TAX LLP 250 EAST FIFTH STREET SUITE 1900 CINCINNATI OH 45202 990 2013-07-01 651257719 ASCENSION HEALTH-IS INC ASCE 3147338000 PO Box 45998 St Louis MO 631455998 ELIZABETH C FOSHAGE SR VP, FINANCE 2015-05-14 true Alicia Janisch P00741382 5137847100 2013 2016-03-07 17:11:31Z MARK BARNER PO Box 45998 St Louis MO 631455998 655972089 false 0928 X WWW.ASCENSIONHEALTH.ORG X 2005 MO INFORMATION TECHNOLOGY SUPPORT ORGANIZATION FOR OVER 25 MULTIPLE LOCATION RELATED TAX-EXEMPT HEALTHCARE SYSTEMS. 3 1 2743 1 31876 0 0 0 629134945 651549138 147149 4416532 3818 6419 629285912 655972089 0 0 0 0 242232970 264706810 0 0 0 392726957 396312739 634959927 661019549 -5674015 -5047460 107317677 128551611 92062152 99352832 15255525 29198779 ASCENSION HEALTH-IS, INC. IS AN INFORMATION TECHNOLOGY SUPPORT ORGANIZATION FOR OVER TWENTY-FIVE MULTIPLE LOCATION, MULTIPLE CORPORATION HEALTHCARE SYSTEMS ORGANIZED AND OPERATED BY ITS PARENT, ASCENSION HEALTH ALLIANCE, TO FULFILL THE MISSION AND PURPOSE DEFINED BY THE ASCENSION SPONSOR WHOSE PARTICIPATING ENTITIES ARE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE, THE CONGREGATION OF ST. JOSEPH, THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET (CSJ), 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. false false 627188005 651523681 ASCENSION HEALTH-IS, INC. ("AHIS") WAS FORMED TO PROVIDE INFORMATION TECHNOLOGY ("I.T.") AND APPLICATION SUPPORT SERVICES TO THE MEMBER ENTITIES OF ASCENSION HEALTH ALLIANCE. AHIS SERVICES ARE FUNDED BY THE AFFILIATED ENTITIES THROUGH THE COLLECTION OF SERVICE FEES. IN RETURN AND IN ADDITION TO PROVIDING I.T. AND APPLICATION SUPPORT SERVICES, AHIS PROVIDES AN ARRAY OF SERVICES INCLUDING STRATEGIC LEADERSHIP, DEVELOPMENT OF STRATEGIES AROUND I.T. INVESTMENTS, CONSOLIDATION OF I.T. CONTRACTS, AND EFFICIENT AND COST-EFFECTIVE INSTALLATION AND SUPPORT FOR SYSTEM I.T. INVESTMENTS. ASCENSION HEALTH ALLIANCE, A TAX-EXEMPT ENTITY, IS THE PARENT OF THIS ORGANIZATION AND ALL MEMBER ENTITIES ARE RELATED TO THE ASCENSION SPONSOR THROUGH WHICH THE ORGANIZATION SUPPORTS THE ROMAN CATHOLIC CHURCH. 627188005 true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 184 0 true 2743 true true true false false false false false false false false false X 3 1 true false false false true true true true true false false true true true true true true false false false IN X Michael Oligschlaeger 3147338171 PO Box 45998 St Louis MO 63145 CHARLES J BARNETT BOARD CHAIR 4.00 46.00 X X 0 3192950 28235 MARK BARNER CHIEF INFORMATION OFFICER 50.00 0.00 X X 1731264 0 46217 SISTER BERNICE COREIL SCH O BOARD MEMBER 4.00 4.00 X 0 0 0 CLAUDIA ALLEN REGIONAL CIO 50.00 0.00 X 900856 0 61632 GERALD R LEWIS REGIONAL CIO 50.00 0.00 X 853250 0 49871 GREGORY JONES CHIEF TECHNOLOGY OFFICER 50.00 0.00 X 1064409 0 61020 MARY PAUL VP, CIS, AND RCIO 50.00 0.00 X 1058143 0 50149 TIMOTHY STETTHEIMER REGIONAL CIO 50.00 0.00 X 841256 0 56775 ROBERT J HENKEL FORMER OFFICER 0.00 50.00 X 0 4376097 69523 6449178 7569047 423422 600 true true false CERNER 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 SOFTWARE MAINTENCE/HOSTING SERVICES 68315944 DELL MARKETING PO BOX 67601 DALLAS TX 752676021 IT/SUPPORT 41634373 SIEMENS MEDICAL SOLUTIONS 51 VALLEY STREAM PARKWAY MALVERN PA 19355 IT CONSULTING SERVICES 19777324 DELL SERVICES 1 DELL WAY ROUND ROCK TX 78682 IT SERVICES 16369653 MCKESSON TECHNOLOGIES 1 POST STREET SAN FRANCISCO CA 94104 IT SERVICES 9423428 143 0 SERVICE FEES 900099 651549138 651517262 31876 0 0 0 0 0 0 0 0 651549138 4416532 4416532 0 0 0 0 0 0 0 0 0 0 0 MISC RELATED REV 900099 6419 6419 0 0 0 0 0 0 6419 655972089 651523681 31876 4416532 X 0 0 0 0 1902513 1348787 553726 0 216827914 206614255 10213659 5279973 5102650 177323 24923970 24034072 889898 15772440 15270509 501931 0 4779933 4779933 0 0 0 0 87544726 76550043 10994683 0 0 29562539 29525192 37347 208094640 208046054 48586 0 1108620 947726 160894 2621208 2445802 175406 0 1983942 1472205 511737 189736 189736 0 9502374 5626642 3875732 87557 87557 EQUIP. RENT/MAINTENANCE 45615454 45597015 18439 EMPLOY EXP AND RECRUITMENT 453010 325998 127012 TAXES 1229227 1218587 10640 PROFESSIONAL DUES 221079 218113 2966 3318694 2654619 664075 0 661019549 627188005 33831544 0 0 17503542 28083481 25849893 0 0 0 0 33956233 37847825 17983977 4890006 3094927 13093971 0 0 0 0 20183569 27036606 4495925 24723316 107317677 128551611 72317614 77260825 0 0 19744538 22092007 92062152 99352832 X 15255525 29198779 15255525 29198779 107317677 128551611 X -5047460 18990714 X false true X true false X X X false false false ASCENSION SPONSOR (RELIGIOUS ORGANIZATION) AND PUBLICLY SUPPORTED HOSPITALH EALTHCARE AFFILIATES 000000000 1 true 0 1 0 SCHEDULE A, PART I, LINE 11, PART I, LINE 11(I): NAME OF SUPPORTED ORGANIZATIONS: ASCENSION HEALTH-IS, INC. 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 SPONSOR. ASCENSION SPONSOR IS 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 I, Line 11h, Description of non-monetary Support ASCENSION SPONSOR (RELIGIOUS ORGANIZATION) AND PUBLICLY SUPPORTED HOSPITAL/HEALTHCARE AFFILIATES: THE ORGANIZATION PROVIDES AND FACILITATES A VARIETY OF INFORMATION TECHNOLOGY SUPPORT TO THE ASCENSION SPONSOR'S (RELIGIOUS ORGANIZATION OF THE ROMAN CATHOLIC CHURCH) RELATED SUPPORTED ORGANIZATIONS (PRIMARILY HOSPITALS). ASCENSION CREATED ASCENSION HEALTH I/S TO PROVIDE BETTER ACCESS TO IT RESOURCES FOR THE ORGANIZATION. THROUGH ASCENSION HEALTH I/S, WE ACHIEVE OPERATING EFFICIENCIES THROUGH TECHNOLOGY ADVANCEMENTS, DATA CENTER CONSOLIDATION, BEST PRACTICE IMPLEMENTATION, SHARED RESOURCE TEAMS, AND OUR LOCAL HEALTH MINISTRIES' CONTINUED ADOPTION OF ELECTRONIC HEALTH RECORDS. 0 1313213 1228517 84696 244875 102573 142302 10946759 3558916 7387843 5479130 5479130 13093971 INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE 19883475 RETIREMENT ASSETS 1839841 OTHER MISCELLANEOUS LT ASSETS 3000000 24723316 0 PENSION AND DEFERRED COMPENSATION LIABILITY 16663936 DEFERRED REVENUE -16945 OTHER LT MISCELLANEOUS LIABILITIES 5445016 22092007 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 THE FILING ENTITY: 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, 2014. false true false false false false false false false GREGORY JONES CHIEF TECHNOLOGY OFFICER 379975 0 624800 0 59634 0 30934 0 30086 0 1125429 0 0 0 MARK BARNER CHIEF INFORMATION OFFICER 519572 0 1035500 0 176192 0 21675 0 24542 0 1777481 0 0 0 TIMOTHY STETTHEIMER REGIONAL CIO 335048 0 433546 0 72662 0 28484 0 28291 0 898031 0 0 0 CHARLES J BARNETT BOARD CHAIR 0 807526 0 1211250 0 1174174 0 7650 0 20585 0 3221185 0 0 CLAUDIA ALLEN REGIONAL CIO 362143 0 464100 0 74613 0 37212 0 24420 0 962488 0 0 0 GERALD R LEWIS REGIONAL CIO 354371 0 442403 0 56476 0 21675 0 28196 0 903121 0 0 0 ROBERT J HENKEL FORMER OFFICER 0 4376097 0 0 0 0 0 41702 0 27821 0 4445620 0 0 MARY PAUL VP, CIS, AND RCIO 396457 0 561334 0 100352 0 38637 0 11512 0 1108292 0 0 0 Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensation ASCENSION HEALTH ALLIANCE, A RELATED ORGANIZATION OF ASCENSION HEALTH-IS, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. CONTRIBUTIONS AND DISTRIBUTIONS WERE ADMINISTERED BY THE ORGANIZATION THAT PAID THE EXECUTIVE'S SALARY: CHARLES BARNETT DISTRIBUTION FROM SUPPLEMENTAL NONQUALIFIED: $1,048,982 Form 990, Part VI, Sec A, Line 2, Family/business relationships amongst interested persons MANY OF THE PERSONS LISTED IN PART VII, SECTION A HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF EMPLOYMENT WITH ASCENSION HEALTH-IS, INC. AND ITS RELATED ENTITIES. - BUSINESS RELATIONSHIP Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders ASCENSION HEALTH-IS, INC. HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH ALLIANCE. Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body ASCENSION HEALTH-IS, INC. HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH ALLIANCE, THAT HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ASCENSION HEALTH-IS, INC. Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ASCENSION HEALTH-IS, INC.'S FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, ASCENSION HEALTH ALLIANCE. THE FOLLOWING POWERS ARE RESERVED TO ASCENSION HEALTH ALLIANCE: NEW ORGANIZATIONS & MAJOR TRANSACTIONS; GOVERNING DOCUMENTS; APPOINTMENTS/REMOVALS; EVALUATION; DEBT LIMITS; STRATEGIC & FINANCIAL PLANS; ASSETS; SYSTEM POLICIES & PROCEDURES. Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body THE ORGANIZATION WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. THE COMPLETED FORM 990 IS AVAILABLE TO ALL BOARD MEMBERS PRIOR TO ITS FILING, AND APPLICABLE MEMBERS OF THE MANAGEMENT TEAM ARE ON HAND, AS NEEDED, TO ANSWER ANY BOARD MEMBER'S QUESTIONS. Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY,HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. FORM 990, PART VI, LINE 15A, PROCESS FOR DETERMINING COMPENSATON OF TOP MANAGEMENT OFFICIAL IN DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, THE PROCESS PERFORMED BY ASCENSION HEALTH ALLIANCE, A RELATED ENTITY, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE ASCENSION COMPENSATION COMMITTEE OF THE BOARD ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO ADVISE THE COMMITTEE WITH RESPECT TO THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL. THEN THE ASCENSION COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE TOP MANAGEMENT OFFICIAL WAS COMPARED TO INDIVIDUALS IN OTHER COMPARABLE ORGANIZATIONS WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. ASCENSION HEALTH ALLIANCE PERFORMED ALL OF THE ABOVE PROCEDURES TO OBTAIN THE REBUTTABLE PRESUMPTION RESPECTING COMPENSATION ARRANGEMENTS (PER IRC SECTION 4958). FORM 990, PART VI, LINE 15B, DETERMINING COMPENSATION OF OTHER OFFICER IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS, THE PROCESS PERFORMED BY ASCENSION HEALTH, A RELATED ENTITY, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE OF THE BOARD ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO ADVISE THE COMMITTEE WITH RESPECT TO THE COMPENSATION OF EXECUTIVE TEAM MEMBERS. THEN THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICER WAS COMPARED TO INDIVIDUALS IN OTHER COMPARABLE ORGANIZATIONS WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. ASCENSION HEALTH PERFORMED ALL OF THE ABOVE PROCEDURES TO OBTAIN THE REBUTTABLE PRESUMPTION RESPECTING COMPENSATION ARRANGEMENTS (PER IRC SECTION 4958). Form 990, Part VI, Sec C, 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 1A, COLUMN (A), FORM 990, PART VII, SECTION A: AMOUNTS PAID FOR THE SERVICES OF SISTER BERNICE COREIL ARE PAID DIRECTLY TO HER RELIGIOUS PROVINCE; THEREFORE, HER COMPENSATION ON FORM 990, PART VII, COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES IS ZERO. Form 990, Part IX, Line 11g, Other Expenses I/S PURCHASED SERVICES, PROF FEES, CONSULTING - TOTAL EXPENSE: 87544726, PROGRAM SERVICE EXPENSE: 76550043, MANAGEMENT AND GENERAL EXPENSES: 10994683, FUNDRAISING EXPENSES: ; Form 990 , Part XI, Line 9, Other changes in net assets or fund balances DEFERRED PENSION COST - -3445645; TRANSFER TO HEALTH MINISTRIES - 22436359; ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 631455998 453358926 NATIONAL HEALTH SYSTEM MO 501(C)(3) 11 - Type I NA false ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 631455998 311662309 NATIONAL HEALTH SYSTEM MO 501(C)(3) 11 - Type I ASCENSION HEALTH ALLIANCE true CATHOLIC HEALTHCARE INVESTMENT MANAGEMENT COMPANY PO BOX 45998 ST LOUIS MO 631455998 273174701 SUPPORTING ORGANIZATION MO 501(C)(3) 11 - 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) 11 - Type I ASCENSION HEALTH ALLIANCE true AHA PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE TRUST 4600 EDMUNDSON ROAD ST LOUIS MO 631343806 367046706 SUPPORTING ORGANIZATION MO 501(C)(3) 11 - Type I ASCENSION HEALTH ALLIANCE true CHV II LLC 101 SOUTH HANLEY RD STE 200 CLAYTON MO 63105 360534243 INVESTING MO NA N/A CHV III LLC 101 SOUTH HANLEY RD STE 200 CLAYTON MO 63105 454486925 INVESTING MO NA N/A ASCENSION ALPHA FUND 101 SOUTH HANLEY RD STE 200 ST LOUIS MO 63105 900786464 INVESTING DE NA N/A CLINICAL HOLDINGS CORP 101 SOUTH HANLEY RD STE 200 CLAYTON MO 63105 453802297 HOLDING COMPANY MO NA C CORPORATION true ASCENSION HEALTH INSURANCE LIMITED PO BOX 1159 GRAND CAYMAN BWI, CAYMAN ISLANDS CJ INSURANCE CJ NA C CORPORATION true TRAVEL SERVICES CORPORATION PO BOX 45998 ST LOUIS MO 631455998 263764978 TRAVEL SERVICES MO NA C CORPORATION true AH INCUBATIONS ACCELERATOR INC 101 SOUTH HANLEY RD STE 450 ST LOUIS MO 63105 455078523 MEDICAL SERVICE MO NA C CORPORATION true TRIMEDX INC 5451 LAKEVIEW PARKWAY SOUTH DR INDIANAPOLIS IN 46268 460563336 MEDICAL EQUIPMENT IN NA C CORPORATION true TRIMEDX INDIA PVT LTD 5451 LAKEVIEW PARKWAY SOUTH DR INDIANAPOLIS IN 46268 TRUST IN NA TRUST true SMART HEALTH INC 101 SOUTH HANLEY RD STE 200 CLAYTON MO 63105 454413419 MEDICAL SERVICE MO NA C CORPORATION true HEALTH CITY CAYMAN ISLANDS LTD 1283 SEA VIEW RD PO BOX 10590 GRAND CAYMAN GRAND CAYMAN CJ KY1-1005 HOSPITAL CJ NA C CORPORATION true false false false false false false false false false false false true true true true true true true true ASCENSION HEALTH ALLIANCE Q 658156858 SERVICE FEES ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST Q 33811 SERVICE FEES