2014-05-15T11:02:32-05:00 2013-06-30 861065772 DELOITTE TAX LLP 250 EAST FIFTH STREET SUITE 1900 CINCINNATI OH 45202 990 2012-07-01 651257719 ASCENSION HEALTH-IS INC ASCE 3147338000 PO Box 45998 St Louis MO 631455998 ELIZABETH C FOSHAGE 2014-05-14 true Alicia Janisch P00741382 5137847100 2012 2015-11-30 17:44:51Z MARK BARNER same as C above St Louis MO 63145 629285912 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 2500 1 34626 0 0 0 612856052 629134945 298183 147149 6188787 3818 619343022 629285912 100 0 0 0 213980385 242232970 0 0 0 399834077 392726957 613814562 634959927 5528460 -5674015 87848757 107317677 82333511 92062152 5515246 15255525 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 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 608529723 629104137 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 RELIGIOUS SPONSORS OF ASCENSION HEALTH ALLIANCE. 608529723 true false false false false false false false false true false false false true false 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 224 0 true 2500 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 true true false IN X Michael Oligschlaeger 3147338171 POBox 45998 St Louis MO 63145 X CHARLES J BARNETT 4.00 46.00 X X 0 3123025 62646 MARK BARNER 50.00 0.00 X X 1667438 0 31339 SISTER BERNICE COREIL SCH O 4.00 4.00 X 0 0 0 CLAUDIA ALLEN 50.00 0.00 X 870921 0 59133 GERALD R LEWIS 50.00 0.00 X 842983 0 40212 GREGORY JONES 50.00 0.00 X 1047946 0 54369 MARY PAUL 50.00 0.00 X 932658 0 49186 TIMOTHY STETTHEIMER 50.00 0.00 X 828325 0 53097 ROBERT J HENKEL 0.00 50.00 X 0 4558141 78674 6190271 7681166 428656 483 true true false CERNER 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 SOFTWARE MAINTENCE/HOSTING SERVICES 65093227 DELL PO BOX 67601 DALLAS TX 752676021 IT/SUPPORT 53418529 SIEMENS MEDICAL SOLUTIONS 51 VALLEY STREAM PARKWAY MALVERN PA 19355 IT CONSULTING SERVICES 20108431 TEK SYSTEMS PO BOX 198568 ATLANTA GA 30384 IT STAFFING 7321783 MERGE HEALTHCARE SOLUTIONS DEPT AT49979 ATLANTA GA 31192 HEALTH CARE IT 6903583 41 0 SERVICE FEES 900099 629134945 629100319 34626 0 0 0 0 0 0 0 0 629134945 147149 147149 0 0 0 0 0 0 0 0 0 0 0 MISC RELATED REV 900099 3818 3818 0 0 0 0 0 0 3818 629285912 629104137 34626 147149 0 0 0 0 1656773 1242580 414193 0 197984891 190344967 7639924 9798650 9633658 164992 18290333 17917798 372535 14502323 14292275 210048 0 6041791 6041791 0 0 0 0 91399075 85929799 5469276 0 0 24991634 24929664 61970 200068029 200024054 43975 0 876261 788219 88042 2355634 2217732 137902 0 1427365 1036096 391269 208974 208974 0 5043268 2986271 2056997 65573 65573 EQUIP. RENT/MAINTENANCE 49384270 49379415 4855 CONTRACTED SERVICES 6784327 3494520 3289807 TAXES 1140077 1132372 7705 PROFESSIONAL DUES 142465 139762 2703 2798214 2831567 -33353 0 634959927 608529723 26430204 0 0 16814883 17503542 19475660 28083481 0 0 27371447 33956233 7201799 4106872 2407556 3094927 0 0 0 0 17878269 20183569 3900942 4495925 87848757 107317677 63153735 72317614 0 19179776 19744538 82333511 92062152 X 5515246 15255525 5515246 15255525 87848757 107317677 X -5674015 15414294 X false true X true false X X X false false false ASCENSION HEALTH MINISTRIES 453358926 3 true 3708259 1 3708259 SCHEDULE A, PART I, LINE 11H, DESCRIPTION OF NON-MONETARY SUPPORT, ASCENSION HEALTH MINISTRIES: THE ORGANIZATION PROVIDES AND FACILITATES A VARIETY OF INFORMATION TECHNOLOGY SUPPORT TO THE ASCENSION HEALTH MINISTRIES AND ITS RELATED SUPPORTED ORGANIZATIONS. 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 AND SHARED RESOURCE TEAMS. IN 2012, ASCENSION HEALTH I/S IMPLEMENTED 486 CLINICAL SYSTEMS THAT SUPPORT OUR LOCAL HEALTH MINISTRIES' CONTINUED ADOPTION OF ELECTRONIC HEALTH RECORDS. , 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 HEALTH MINISTRIES. ASCENSION HEALTH MINISTRIES 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. 0 2033565 1916617 116948 257178 68258 188920 4911056 2121997 2789059 0 3094927 0 PENSION AND DEFERRED COMPENSATION LIABILITY 19744538 19744538 false true false false false false false false false ROBERT J HENKEL 0 1207237 0 2843749 0 507155 0 43470 0 35204 0 4636815 0 0 MARK BARNER 504372 0 1025504 0 137562 0 17500 0 13839 0 1698777 0 0 0 CLAUDIA ALLEN 340141 0 431324 0 99456 0 37097 0 22036 0 930054 0 0 0 TIMOTHY STETTHEIMER 327796 0 422720 0 77809 0 25441 0 27656 0 881422 0 0 0 MARY PAUL 376505 0 469046 0 87107 0 38907 0 10279 0 981844 0 0 0 GERALD R LEWIS 332283 0 419374 0 91326 0 17500 0 22712 0 883195 0 0 0 GREGORY JONES 360334 0 576698 0 110914 0 29143 0 25226 0 1102315 0 0 0 CHARLES J BARNETT 0 928442 0 1758194 0 436389 0 44463 0 18183 0 3185671 0 392474 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 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 Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b 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 CONTRIBUTION TO SUPPLEMENTAL NONQUALIFIED: $39,463 CHARLES BARNETT DISTRIBUTION FROM SUPPLEMENTAL NONQUALIFIED: $392,474 Family/business relationships amongst interested persons Form 990, Part VI, Section A, Line 2 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 Classes of members or stockholders Form 990, Part VI, Section A, Line 6 ASCENSION HEALTH-IS, INC. HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH ALLIANCE. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a 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. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b 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. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. PRIOR TO FILING THE RETURN, ALL BOARD MEMBERS ARE PROVIDED THE FORM 990 AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS' QUESTIONS. Conflict of interest policy Form 990, Part VI, Section B, Line 12c 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. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a IN DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, THE PROCESS PERFORMED BY ASCENSION, A RELATED ORGANIZATION, 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 AT OTHER 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. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b IN DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS PERFORMED BY ASCENSION, A RELATED ORGANIZATION OF ASCENSION HEALTH-IS, INC., 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 EXECUTIVE TEAM MEMBERS. THEN THE ASCENSION COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICER OR KEY EMPLOYEES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OFTHE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. ASCENSION PERFORMED ALL OF THE ABOVE PROCEDURES TO OBTAIN THE REBUTTABLE PRESUMPTION RESPECTING COMPENSATION ARRANGEMENTS (PER IRC SECTION 4958). Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VII, SECTION A: FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (A) OFFICERS FOR ASCENSION HEALTH-IS, INC. PROVIDE SERVICES TO ASCENSION HEALTH ALLIANCE AND ITS RELATED ENTITIES. HOURS WORKED ARE NOT TRACKED ON AN ENTITY BY ENTITY BASIS. THEREFORE ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES HOURS REPORTED ON FORM 990, PART VII, COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES REPRESENT ESTIMATED AGGREGATE HOURS WORKED WITH APPROXIMATE ALLOCATIONS BETWEEN AFFILIATES. 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. Other Expenses Form 990, Part IX, Line 11g I/S PURCHASED SERVICES, PROF FEES, CONSULTING - TOTAL EXPENSE: 91399075, PROGRAM SERVICE EXPENSE: 85929799, MANAGEMENT AND GENERAL EXPENSES: 5469276, FUNDRAISING EXPENSES: ; Other changes in net assets or fund balances Form 990 , Part XI, Line 9 TRANSFER TO ASCENSION HEALTH - 3499285; TRANSFER TO ASCENSION HEALTH ALLIANCE - -68931; DEFERRED PENSION COST - 168360; TRANSFER TO HEALTH MINISTRIES - 11815580; ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 631455998 NATIONAL HEALTH SYSTEM MO 501(C)(3) 11 - Type I NA false ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 631455998 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 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 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 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 R 208974 BUDGET AND RECONCILIATION ASCENSION HEALTH ALLIANCE L 357736 BUDGET AND RECONCILIATION ASCENSION HEALTH L 427051 BUDGET AND RECONCILIATION ASCENSION HEALTH L 472590 BUDGET AND RECONCILIATION ASCENSION HEALTH R 3499285 NET ASSET TRANSFER ASCENSION HEALTH ALLIANCE S 68929 NET ASSET TRANSFER ASCENSION HEALTH L 4684900 BUDGET AND RECONCILIATION