TY 2013 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
Hall Rende Killian Heath39778 Treasury CenterChicagoIL60694	Legal Services	745,245
Alpha Imaging LLCPO Box 637572CincinnatiOH452637572	Service Trouble Shooting	687,286
Shared Imaging Services801 Phoenix Lake AveSteamwoodIL60107	Service & Monthly Maintenance	351,238
Equipment Maintenance Solution1250 Woodwared HeightsFerndaleMI48220	Service for Drive Motors	327,131
Northfield Medical2882 Momentum PlaceChicagoIL606895328	Service for Scopes	300,711
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 6

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	25,000	25,000
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	19,922,773	14,942,080	4,980,693
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	84,533,940	63,400,455	21,133,485
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,348,016	1,322,529	25,487
9	Other employee benefits .......	9,791,816	9,618,517	173,299
10	Payroll taxes ...........	4,060,536	3,840,348	220,188
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	9,755,983	1,958,278	7,797,705
c	Accounting ...........	950,004		950,004
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	25,905,802	25,905,802
12	Advertising and promotion ....
13	Office expenses .......	3,092,945	2,936,249	156,696
14	Information technology ......	878,485	875,729	2,756
15	Royalties ..
16	Occupancy ...........	3,014,951	2,348,531	666,420
17	Travel ............	3,904,941	3,525,386	379,555
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	2,183,204	2,065,166	118,038
20	Interest ...........	154,988,267	154,988,267
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	1,357,028	1,051,354	305,674
23	Insurance ..............	2,016,745	1,964,184	52,561
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Service Fees	214,538,580	214,538,580
b	Benefit Payments	21,260,208	21,260,208
c	CDMS	6,395,537	6,395,537
d	Bad Debt	377,652	377,652
e	All other expenses	64,861,773	64,783,199	78,574
25	Total functional expenses. Add lines 1 through 24e	635,164,186	598,123,051	37,041,135	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	2	1	10,725,395
2	Savings and temporary cash investments .........	196,930,844	2	21,401,138
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	42,124,012	4	99,724,586
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	5,123,129,693	7	5,146,761,222
8	Inventories for sale or use ..............	2,764,373	8	133,450
9	Prepaid expenses and deferred charges ..........	7,487,090	9	18,049,380
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	31,890,577
b	Less: accumulated depreciation .....	10b	694,975	36,414,958	10c	31,195,602
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....	3,562,423	13	3,364,174
14	Intangible assets ...............	3,398	14	75,962
15	Other assets. See Part IV, line 11 ...........	745,785,549	15	1,126,594,286
16	Total assets. Add lines 1 through 15 (must equal line 34)......	6,158,202,342	16	6,458,025,195
	17	Accounts payable and accrued expenses .........	126,419,988	17	103,767,421
18	Grants payable .................		18
19	Deferred revenue ................	2,822,106	19	4,680,538
20	Tax-exempt bond liabilities .............	5,186,204,999	20	5,109,900,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	412,099,296	25	482,342,191
26	Total liabilities. Add lines 17 through 25.........	5,727,546,389	26	5,700,690,150
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	430,655,953	27	757,335,045
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	430,655,953	33	757,335,045
34	Total liabilities and net assets/fund balances ........	6,158,202,342	34	6,458,025,195

	(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

		Amount
c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Description of property	(a) Cost or other basis (investment)	(c) Accumulated depreciation	(d) Book value
1a	Land .................
b	Buildings ................	14,961,858	145,041	14,816,817
c	Leasehold improvements ............	1,607,438	15,687	1,591,751
d	Equipment ................	5,019,487	534,247	4,485,240
e	Other .................	10,301,794		10,301,794
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......	31,195,602

(a) Description	(b) Book value
(1) Investment in Alpha Fund (net of fiscal agency agreements)	925,770,594
(2) Interest Rate Swap Assets	66,980,660
(3) Retirement Assets	10,015,749
(4) Other Misc Assets	104,529,853
(5) Bond Indenture Asset	7,833,201
(6) HSD - Other Non-Restricted Long Term	8,332,647
(7) Other Investments	1,922,113
(8) Other Miscellaneous Current Assets	414,662
(9) Other Miscellaneous Long-Term Assets	794,807
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........	1,126,594,286

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......	1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................	2e
3	Subtract line 2e from line 1.....................	3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................	4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......	5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........	1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................	2e
3	Subtract line 2e from line 1.....................	3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................	4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......	5

Return Reference	Explanation
Part X, Line 2:	From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System"): 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.

Return Reference	Explanation
Part I, Line 2:	Applications are sent to Ascension Health Alliance's sponsoring organization. They are compiled at System Office and sent to Committee who reads and scores them on a set of criteria that are delineated in the application. The Committee discusses the religious and general merits of each application in relation to the mission of Ascension Health Alliance and makes the final decisions of grants to be awarded. Grants are made to religious organizations whose work supports the mission, vision, and values of Ascension Health Alliance.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)Anthony R Tersigni EdD FACHPresident/CEO	(i) (ii)	1,609,398 0	9,576,413 0	3,061,868 0	36,607 0	40,777 0	14,325,063 0
(2)Anthony J SperanzoChief Financial Officer	(i) (ii)	1,043,175 0	2,992,500 0	1,494,855 0	32,092 0	35,088 0	5,597,710 0
(3)Robert Henkel FACHEExecutive Vice President	(i) (ii)	1,213,720 0	2,287,500 0	874,877 0	41,702 0	27,821 0	4,445,620 0
(4)John DoyleExecutive Vice President	(i) (ii)	754,905 0	1,988,719 0	973,143 0	40,035 0	42,765 0	3,799,567 0
(5)David Pryor MDExecutive Vice President	(i) (ii)	755,669 0	1,988,719 0	471,623 0	32,075 0	46,703 0	3,294,789 0
(6)Joseph R ImpiccicheExecutive Vice President	(i) (ii)	758,824 0	1,988,719 0	354,805 0	81,461 0	33,565 0	3,217,374 0
(7)Herbert J VallierExecutive Vice President	(i) (ii)	556,798 0	1,237,209 0	322,118 0	5,100 0	30,330 0	2,151,555 0

Return Reference	Explanation
Part I, Line 1a	With respect to the boxes checked on Part I, Question 1a, Ascension Health Alliance has various policies in place with respect to travel, commuting and other benefits provided to its executives. Certain benefits listed and checked under this question are considered taxable compensation. In these circumstances, the value of the benefit is included in that given executive's compensation. Certain other benefits listed and checked on this question are considered strictly business expenses and therefore no amount of the benefit is taxable and no amount is included in the executive's compensation.
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. The organization that paid the salaries of the individuals listed in Schedule J, Part II, paid out of the supplemental nonqualified retirement plan in the amounts as noted: - Anthony R. Tersigni - $220,903 - John Doyle - $408,560 The amounts shown on Schedule J, Part II include deferred compensation reported in prior year Forms 990.

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Ascension Health Alliance

Employer identification number
45-3358926

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Escambia County Health Facilities Authority	52-1378815	296117AX2	03-13-2003	207,543,149	See Part VI	X			X		X
B	Health & Ed Fac Auth of MO	43-1178966	60635HWY1	03-13-2003	295,375,000	See Part VI	X			X		X
C	Indiana Health Facility Financing Authority	35-1611409	454798ND7	03-13-2003	498,475,000	See Part VI	X			X		X
D	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	091081DF3	02-03-2005	13,712,418	See Part VI	X			X		X
	Indiana Health Facility Financing Authority	35-1611409	454798PS2	02-03-2005	480,236,983	See Part VI	X			X		X
	Michigan State Hospital Finance Authority	38-2889417	59465E7P2	02-03-2005	161,264,563	See Part VI	X			X		X
	WI Health & Educational Facilities Authority	39-1337855	97710VT65	11-16-2006	125,000,611	See Part VI		X		X		X
	IN Health & Ed Facility Financing Authority	35-1611409	454795BZ7	11-16-2006	397,759,540	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	010399BY8	11-16-2006	99,762,733	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of the City of Mobile	63-0878048	01039VAD6	11-16-2006	105,449,341	See Part VI		X		X		X
	Hlth & Ed Bd of NashvilleDavidson County	62-6139016	592041QZ3	03-30-2009	81,500,000	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	010399CK7	05-28-2009	35,000,000	See Part VI		X		X		X
	IN Hlth & Ed Fac Fin Authority	35-1611409	454795BS3	11-16-2006	179,400,000	See Part VI	X			X		X
	Indiana Finance Authority	35-1611409	454795ET8	05-28-2009	118,690,000	See Part VI		X		X		X
	Tarrant Cnty Cultural Ed Fac Fin Corp	04-3833551	87638TEB5	03-25-2010	64,632,770	See Part VI		X		X		X
	CT Hlth & Ed Facilities Authority	06-0806186	20774UY58	03-25-2010	94,900,868	See Part VI		X		X		X
	Michigan State Hospital Finance Authority	38-2889417	59465HNC6	03-25-2010	872,106,861	See Part VI	X			X		X
	WI Health & Educational Facilities Authority	39-1337855	97710BSU7	03-25-2010	168,792,011	See Part VI		X		X		X
	Hlth & Ed Fac Bd of Rutherford Cnty TN	62-1342304	78324PAB5	03-25-2010	146,828,804	See Part VI		X		X		X
	Illinois Finance Authority	86-1091967	45203HGM8	05-10-2012	241,884,613	See Part VI		X		X		X
	MD Hlth & Higher Ed Facilities Authority	52-0936091	574218GR8	05-10-2012	92,002,877	See Part VI		X		X		X
	Hlth & Ed Fac Bd of Rutherford Cnty TN	62-1342304	78324PAJ8	05-10-2012	46,902,484	See Part VI		X		X		X
	WI Health & Educational Facilities Authority	39-1337855	97710BT69	05-10-2012	94,701,225	See Part VI		X		X		X
	WI Health & Educational Facilities Authority	39-1337855	97712DBP0	06-18-2013	570,827,513	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	139,150,000		33,380,000		228,945,000		695,000
2 Amount of bonds legally defeased . . . . . . . . . . .	180,000		180,000				2,590,000
3 Total proceeds of issue . . . . . . . . . . . . . .	212,236,716		302,747,889		509,527,682		13,728,432
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .
8 Credit enhancement from proceeds . . . . . . . . . . .	1,565,056		1,565,056		7,381,512
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	30,195,905		41,386,146		74,231,795		13,728,432
11 Other spent proceeds . . . . . . . . . . . . . .	182,040,811		259,796,687		427,914,375		397,759,540
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2003		2003		2003		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X	X			X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .	X		X		X			X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.190 %		0.190 %		0.190 %		0.180 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.190 %		0.190 %		0.190 %		0.180 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.190 %		0.190 %		0.190 %		0.170 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .	X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .	X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X	X		X			X
b Name of provider . . . . . . . . .	See Part VI		See Part VI		See Part VI
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .		X		X		X
e Was the hedge terminated? . . . . . .		X		X		X

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	AIG		Morgan Stanley		AIG		See Part VI
c Term of GIC . . . . . . . . . .	0.900000000000		0.200000000000		0.900000000000
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .	X		X		X		X
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Date Rebate Computation Performed	Issuer Name: Escambia County Health Facilities Authority Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: Health & Ed Fac Auth of MO Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: Indiana Health Facility Financing Authority Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: AL Spl Care Fac Fin Auth of Birmingham Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: Indiana Health Facility Financing Authority Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: Michigan State Hospital Finance Authority Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: WI Health & Educational Facilities Authority Date the Rebate Computation was Performed: 05/16/2008 Issuer Name: IN Hlth & Ed Fac Fin Authority Date the Rebate Computation was Performed: 05/16/2008
Escambia County Health Facilities Authority	Part I - Line (f), Description of purpose: 2003A - To finance and refinance certain improvements, additions, equipping and renovation of the Hospital, and to refund certain bonds issued November 1, 1999 Health and Educational Facilities Authority of the State of Missouri Part I - Line (f), Description of purpose: 2003C/2008C - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and commercial paper issued December 5, 2002 and to pay the premium on policies of bond insurance Indiana Health Facility Financing Authority Part I - Line (f), Description of purpose: 2003E/2008E - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and to pay the premium on policies of bond insurance Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2005A-1 and A-2 - To provide funds to finance certain improvements, additions, equipping and renovation of certain health care facilities Indiana Health Facility Financing Authority Part I - Line (f), Description of purpose: 2005A - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Michigan State Hospital Finance Authority Part I - Line (f), Description of purpose: 2005 - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2006A - To provide funds to finance certain improvements, additions, equipping and renovation of certain health care facilities Indiana Health And Educational Facility Financing Authority Part I - Line (f), Description of purpose: 2006B-3, B-4, B-5 and B-6 - To current refund certain prior bonds issued November 1, 1999, December 4, 2001 and December 31, 2001 Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2006C-2 - To current refund certain prior bonds issued November 1, 1999 Alabama Special Care Facilities Financing Authority of the City of Mobile Part I - Line (f), Description of purpose: 2006D - To current refund certain prior bonds issued November 1, 1999 Health and Educational Board of Metropolitan Government of Nashville and Davidson Counties Part I - Line (f), Description of purpose: 2001B-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued December 31, 2001, which bonds provided funds to finance or refinance the costs of acquiring, constructing, equipping and renovating certain health care facilities Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2006C-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bonds provided funds to finance certain improvements, additions, equipping and renovation of health care facilities Indiana Health And Educational Facility Financing Authority Part I - Line (f), Description of purpose: 2006B-1, B-2, B-7 and B-8 - To provide reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Indiana Finance Authority Part I - Line (f), Description of purpose: 2006B-1, B-7 and B-8 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bond provided reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Tarrant County Cultural Education Facilities Finance Corporation Part I - Line (f), Description of purpose: 2010D - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members State of Connecticut Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2010A - To provide funds to refund commercial paper issued January 21, 2010 and finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Michigan State Hospital Finance Authority Part I - Line (f), Description of purpose: 2010B/2010F - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members, and to refinance the indebtedness of the Senior Credit Group through the current refunding of the Refunded Bonds issued April 8, 2008; April 15, 2008; April 22, 2008; May 6, 2008 and commercial paper issued 1/21/2010 Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2010E - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members The Health and Educational Facilities Board of Rutherford County, Tennessee Part I - Line (f), Description of purpose: 2010C - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Illinois Finance Authority Part I - Line (f), Description of purpose: 2012A, E-1 and E-2 - To provide funds to finance, refinance (prior debt issued 2/22/2012 and 3/29/2012) or reimburse Ascension Health Alliance for capital expenditures made by certain of its affiliates located in Illinois and Missouri Maryland Health and Higher Educational Facilities Authority Part I - Line (f), Description of purpose: 2012B - To provide funds to finance, refinance (prior debt issued 2/24/2012, 3/29/2012 and 5/3/2012) or reimburse Ascension Health Alliance for capital expenditures made by St. Agnes Healthcare, Inc. The Health and Educational Facilities Board of Rutherford County, Tennessee Part I - Line (f), Description of purpose: 2012C - To provide funds to finance, refinance (prior debt issued 3/29/2012) or reimburse Ascension Health Alliance for capital expenditures made by Middle Tennessee Medical Center Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2012D - To provide funds to finance, refinance (prior debt issued 4/2/2012) or reimburse Ascension Health Alliance for capital expenditures made by certain of its affiliates located in Wisconsin Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2013A and B-1 through B-5 - To provide funds for the acquisition of capital assets of Via Christi Health, Ministry Health Care and St. John Health and certain of their affiliates.
Part I:	1. A portion of the Missouri Series 2003C issuance was exchanged for 2008C bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Missouri Series 2003C and 2008C bonds. All of these bonds are characterized collectively on the schedule. 2. A portion of the Indiana Series 2003E issuance was exchanged for 2008E bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Indiana Series 2003E and 2008E bonds. All of these bonds are characterized collectively on the schedule. 3. CUSIP number for Michigan Series 2005 as originally reported on Form 8038 was incorrect (reported as "59455E7P2"). 4. Tennessee Series 2001B-1 was reissued for tax purposes as of 3/30/09 in connection with an interest rate conversion on the bonds, and for this reason must be included on Schedule K. However, reporting is not necessary on Part III of Schedule K for refunding bonds that refunded bonds issued in 2002 or earlier, which is the case in this situation. 5. Indiana Series 2006B-1, B-7 and B-8 were reissued for tax purposes as of 5/28/09 in connection with an interest rate conversion on the bonds. Indiana Series 2006B-2 remains outstanding as originally issued. 6. Indiana Series 2006B-3, B-4, B-5 and B-6 were issued on 11/16/2006 and 12/1/2006 as evidenced by the 8038; only one field is available for issue date on the Schedule so we have presented the earlier of the two dates. 7. The Indiana Health and Educational Facility Financing Authority was merged into the Indiana Finance Authority on 7/1/07. 8. CUSIP number for Michigan Series 2010B and 2010F as originally reported on Form 8038 was incorrect (no CUSIP was reported). 9. The Escambia 2003A, Missouri 2003C and Indiana 2003E/2008E Bonds, along with other, now-retired bonds from Michigan and Idaho issuers, are all part of a single issue for certain federal tax purposes. Within that issue, an election has been made to treat the Michigan bonds as a separate issue for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 10. The Alabama 2005A, Indiana 2005A and Michigan 2005 Bonds are all part of a single issue for certain federal tax purposes although Ascension Health Alliance and the issuers reserve the right to make any multipurpose allocations permitted under the Treasury Regulations. 11. The Wisconsin 2006A, Indiana 2006B (all sub-series), Alabama (Birmingham) 2006C-1 and C-2 and Alabama (Mobile) 2006D Bonds are all part of a single issue for certain federal tax purposes.Within that issue, an election has been made under the Treasury Regulationsto treat the Wisconsin 2006A, Indiana 2006B-3, B-4, B-5 and B-6, Alabama (Birmingham) 2006C-2 and the Alabama (Mobile) 2006D Bonds, together, as a single issue for IRC section 141 purposes.Also, an election has been made under the Treasury Regulations to treat the Indiana 2006B-1, B-2, B-7 and B-8, and the Alabama (Birmingham) 2006C-1, together, as a single issue for IRC section 141 purposes. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 12. The Connecticut 2010A, Michigan 2010B/2010F, Tennessee 2010C, Tarrant County 2010D and Wisconsin 2010E bonds are a single issue for certain federal tax purposes. Within that issue, elections have been made to treat each of the foregoing as separate issues for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 13. The Illinois 2012A/2012E, Maryland 2012B, Tennessee 2012C and Wisconsin 2012D bonds are a single issue for certain federal tax purposes. Within that issue, elections have been made to treat the Maryland 2012B bonds as a separate issue for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any additional multipurpose allocations permitted under the Treasury Regulations. 14. Ascension Health Alliance believes, and has prepared Schedule K in a manner consistent with such belief, that the Part III exclusion provided in the instructions for bonds that refund a pre-2003 bond issue applies to certain of the bonds reflected herein, though allocations under Regulations section 1.141-13(d) may not have yet been elected; this submission does not constitute an allocation election under Regulations section 1.141-13(d) for any issue or portion of an issue. 15. Schedule K, Part II, question 2, refers to the amount of bonds that have been defeased, are still outstanding and are being funded by a defeasance escrow.
Part II:	1. For purposes of Schedule K, Part II, Ascension Health Alliance is assuming that there is no "year of substantial completion" with respect to refunding bonds. 2. Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings.
Part III:	1. With respect to the dispositions of property reported here, Ascension Health Alliance (AHA) filed a submission under the Voluntary Closing Agreement Program (VCAP) on 9/18/2012. The reason for the VCAP filing is that the remedial action described in sections 1.141-12 and 1.145-2 of the Regulations was not taken in a timely manner. Under the requested closing agreement (of which a draft has been circulated between the Internal Revenue Service, AHA, and counsel, and which AHA expects to become final in the near future), the delinquency in taking remedial action will be cured. AHA has answered question 8c based on the good-faith assumption and belief that the requested relief will be granted.
Part IV:	1. Line 21(e) of the Form 8038 was incorrectly marked "4.8472%" for the Tarrant County Series 2010D bond issue; the bonds actually constitute a variable yield issue for arbitrage purposes. 2. The hedge providers for the Missouri Series 2003C bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 23.7 years. The Morgan Stanley hedges have original terms of 6.7 and 23.6 years. 3. The hedge providers for the Indiana Series 2003E/2008E bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 33.7 years. The Morgan Stanley hedges have original terms of 23.6, 33.6 and 33.7 years. 4. GIC for Indiana Series 2006B-3, B-4, B-5 and B-6 was held at Citigroup and Morgan Stanley with a term of 0.3 and 0.2 years respectively. 5. Part IV, Line 2 - For issues that have not reached their fifth anniversary yet, Ascension is answering "Yes" to 2a because the reporting deadline has not been reached and no calculations have yet been performed. This is not to suggest that a spending exception has not been met or that there is an expectation that any rebate will be due upon completion of any required calculation. For issues that have been issued longer than five years, Ascension is answering "Yes" to 2b if the issue was a current refunding issue since this is the basis of a rebate exception. Ascension is answering "Yes" to 2c and providing a computation report date for new money issues that are greater than five years old. 6. Part IV, Line 6 - This question is being answered without regard to certain yield restricted advance refunding escrows.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Ascension Health Alliance

Employer identification number
45-3358926

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Escambia County Health Facilities Authority	52-1378815	296117AX2	03-13-2003	207,543,149	See Part VI	X			X		X
B	Health & Ed Fac Auth of MO	43-1178966	60635HWY1	03-13-2003	295,375,000	See Part VI	X			X		X
C	Indiana Health Facility Financing Authority	35-1611409	454798ND7	03-13-2003	498,475,000	See Part VI	X			X		X
D	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	091081DF3	02-03-2005	13,712,418	See Part VI	X			X		X
	Indiana Health Facility Financing Authority	35-1611409	454798PS2	02-03-2005	480,236,983	See Part VI	X			X		X
	Michigan State Hospital Finance Authority	38-2889417	59465E7P2	02-03-2005	161,264,563	See Part VI	X			X		X
	WI Health & Educational Facilities Authority	39-1337855	97710VT65	11-16-2006	125,000,611	See Part VI		X		X		X
	IN Health & Ed Facility Financing Authority	35-1611409	454795BZ7	11-16-2006	397,759,540	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	010399BY8	11-16-2006	99,762,733	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of the City of Mobile	63-0878048	01039VAD6	11-16-2006	105,449,341	See Part VI		X		X		X
	Hlth & Ed Bd of NashvilleDavidson County	62-6139016	592041QZ3	03-30-2009	81,500,000	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	010399CK7	05-28-2009	35,000,000	See Part VI		X		X		X
	IN Hlth & Ed Fac Fin Authority	35-1611409	454795BS3	11-16-2006	179,400,000	See Part VI	X			X		X
	Indiana Finance Authority	35-1611409	454795ET8	05-28-2009	118,690,000	See Part VI		X		X		X
	Tarrant Cnty Cultural Ed Fac Fin Corp	04-3833551	87638TEB5	03-25-2010	64,632,770	See Part VI		X		X		X
	CT Hlth & Ed Facilities Authority	06-0806186	20774UY58	03-25-2010	94,900,868	See Part VI		X		X		X
	Michigan State Hospital Finance Authority	38-2889417	59465HNC6	03-25-2010	872,106,861	See Part VI	X			X		X
	WI Health & Educational Facilities Authority	39-1337855	97710BSU7	03-25-2010	168,792,011	See Part VI		X		X		X
	Hlth & Ed Fac Bd of Rutherford Cnty TN	62-1342304	78324PAB5	03-25-2010	146,828,804	See Part VI		X		X		X
	Illinois Finance Authority	86-1091967	45203HGM8	05-10-2012	241,884,613	See Part VI		X		X		X
	MD Hlth & Higher Ed Facilities Authority	52-0936091	574218GR8	05-10-2012	92,002,877	See Part VI		X		X		X
	Hlth & Ed Fac Bd of Rutherford Cnty TN	62-1342304	78324PAJ8	05-10-2012	46,902,484	See Part VI		X		X		X
	WI Health & Educational Facilities Authority	39-1337855	97710BT69	05-10-2012	94,701,225	See Part VI		X		X		X
	WI Health & Educational Facilities Authority	39-1337855	97712DBP0	06-18-2013	570,827,513	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	139,150,000		33,380,000		228,945,000		695,000
2 Amount of bonds legally defeased . . . . . . . . . . .	180,000		180,000				2,590,000
3 Total proceeds of issue . . . . . . . . . . . . . .	212,236,716		302,747,889		509,527,682		13,728,432
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .
8 Credit enhancement from proceeds . . . . . . . . . . .	1,565,056		1,565,056		7,381,512
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	30,195,905		41,386,146		74,231,795		13,728,432
11 Other spent proceeds . . . . . . . . . . . . . .	182,040,811		259,796,687		427,914,375		397,759,540
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2003		2003		2003		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X	X			X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .	X		X		X			X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.190 %		0.190 %		0.190 %		0.180 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.190 %		0.190 %		0.190 %		0.180 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.190 %		0.190 %		0.190 %		0.170 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .	X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .	X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X	X		X			X
b Name of provider . . . . . . . . .	See Part VI		See Part VI		See Part VI
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .		X		X		X
e Was the hedge terminated? . . . . . .		X		X		X

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	AIG		Morgan Stanley		AIG		See Part VI
c Term of GIC . . . . . . . . . .	0.900000000000		0.200000000000		0.900000000000
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .	X		X		X		X
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Date Rebate Computation Performed	Issuer Name: Escambia County Health Facilities Authority Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: Health & Ed Fac Auth of MO Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: Indiana Health Facility Financing Authority Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: AL Spl Care Fac Fin Auth of Birmingham Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: Indiana Health Facility Financing Authority Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: Michigan State Hospital Finance Authority Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: WI Health & Educational Facilities Authority Date the Rebate Computation was Performed: 05/16/2008 Issuer Name: IN Hlth & Ed Fac Fin Authority Date the Rebate Computation was Performed: 05/16/2008
Escambia County Health Facilities Authority	Part I - Line (f), Description of purpose: 2003A - To finance and refinance certain improvements, additions, equipping and renovation of the Hospital, and to refund certain bonds issued November 1, 1999 Health and Educational Facilities Authority of the State of Missouri Part I - Line (f), Description of purpose: 2003C/2008C - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and commercial paper issued December 5, 2002 and to pay the premium on policies of bond insurance Indiana Health Facility Financing Authority Part I - Line (f), Description of purpose: 2003E/2008E - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and to pay the premium on policies of bond insurance Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2005A-1 and A-2 - To provide funds to finance certain improvements, additions, equipping and renovation of certain health care facilities Indiana Health Facility Financing Authority Part I - Line (f), Description of purpose: 2005A - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Michigan State Hospital Finance Authority Part I - Line (f), Description of purpose: 2005 - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2006A - To provide funds to finance certain improvements, additions, equipping and renovation of certain health care facilities Indiana Health And Educational Facility Financing Authority Part I - Line (f), Description of purpose: 2006B-3, B-4, B-5 and B-6 - To current refund certain prior bonds issued November 1, 1999, December 4, 2001 and December 31, 2001 Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2006C-2 - To current refund certain prior bonds issued November 1, 1999 Alabama Special Care Facilities Financing Authority of the City of Mobile Part I - Line (f), Description of purpose: 2006D - To current refund certain prior bonds issued November 1, 1999 Health and Educational Board of Metropolitan Government of Nashville and Davidson Counties Part I - Line (f), Description of purpose: 2001B-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued December 31, 2001, which bonds provided funds to finance or refinance the costs of acquiring, constructing, equipping and renovating certain health care facilities Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2006C-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bonds provided funds to finance certain improvements, additions, equipping and renovation of health care facilities Indiana Health And Educational Facility Financing Authority Part I - Line (f), Description of purpose: 2006B-1, B-2, B-7 and B-8 - To provide reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Indiana Finance Authority Part I - Line (f), Description of purpose: 2006B-1, B-7 and B-8 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bond provided reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Tarrant County Cultural Education Facilities Finance Corporation Part I - Line (f), Description of purpose: 2010D - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members State of Connecticut Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2010A - To provide funds to refund commercial paper issued January 21, 2010 and finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Michigan State Hospital Finance Authority Part I - Line (f), Description of purpose: 2010B/2010F - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members, and to refinance the indebtedness of the Senior Credit Group through the current refunding of the Refunded Bonds issued April 8, 2008; April 15, 2008; April 22, 2008; May 6, 2008 and commercial paper issued 1/21/2010 Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2010E - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members The Health and Educational Facilities Board of Rutherford County, Tennessee Part I - Line (f), Description of purpose: 2010C - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Illinois Finance Authority Part I - Line (f), Description of purpose: 2012A, E-1 and E-2 - To provide funds to finance, refinance (prior debt issued 2/22/2012 and 3/29/2012) or reimburse Ascension Health Alliance for capital expenditures made by certain of its affiliates located in Illinois and Missouri Maryland Health and Higher Educational Facilities Authority Part I - Line (f), Description of purpose: 2012B - To provide funds to finance, refinance (prior debt issued 2/24/2012, 3/29/2012 and 5/3/2012) or reimburse Ascension Health Alliance for capital expenditures made by St. Agnes Healthcare, Inc. The Health and Educational Facilities Board of Rutherford County, Tennessee Part I - Line (f), Description of purpose: 2012C - To provide funds to finance, refinance (prior debt issued 3/29/2012) or reimburse Ascension Health Alliance for capital expenditures made by Middle Tennessee Medical Center Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2012D - To provide funds to finance, refinance (prior debt issued 4/2/2012) or reimburse Ascension Health Alliance for capital expenditures made by certain of its affiliates located in Wisconsin Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2013A and B-1 through B-5 - To provide funds for the acquisition of capital assets of Via Christi Health, Ministry Health Care and St. John Health and certain of their affiliates.
Part I:	1. A portion of the Missouri Series 2003C issuance was exchanged for 2008C bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Missouri Series 2003C and 2008C bonds. All of these bonds are characterized collectively on the schedule. 2. A portion of the Indiana Series 2003E issuance was exchanged for 2008E bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Indiana Series 2003E and 2008E bonds. All of these bonds are characterized collectively on the schedule. 3. CUSIP number for Michigan Series 2005 as originally reported on Form 8038 was incorrect (reported as "59455E7P2"). 4. Tennessee Series 2001B-1 was reissued for tax purposes as of 3/30/09 in connection with an interest rate conversion on the bonds, and for this reason must be included on Schedule K. However, reporting is not necessary on Part III of Schedule K for refunding bonds that refunded bonds issued in 2002 or earlier, which is the case in this situation. 5. Indiana Series 2006B-1, B-7 and B-8 were reissued for tax purposes as of 5/28/09 in connection with an interest rate conversion on the bonds. Indiana Series 2006B-2 remains outstanding as originally issued. 6. Indiana Series 2006B-3, B-4, B-5 and B-6 were issued on 11/16/2006 and 12/1/2006 as evidenced by the 8038; only one field is available for issue date on the Schedule so we have presented the earlier of the two dates. 7. The Indiana Health and Educational Facility Financing Authority was merged into the Indiana Finance Authority on 7/1/07. 8. CUSIP number for Michigan Series 2010B and 2010F as originally reported on Form 8038 was incorrect (no CUSIP was reported). 9. The Escambia 2003A, Missouri 2003C and Indiana 2003E/2008E Bonds, along with other, now-retired bonds from Michigan and Idaho issuers, are all part of a single issue for certain federal tax purposes. Within that issue, an election has been made to treat the Michigan bonds as a separate issue for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 10. The Alabama 2005A, Indiana 2005A and Michigan 2005 Bonds are all part of a single issue for certain federal tax purposes although Ascension Health Alliance and the issuers reserve the right to make any multipurpose allocations permitted under the Treasury Regulations. 11. The Wisconsin 2006A, Indiana 2006B (all sub-series), Alabama (Birmingham) 2006C-1 and C-2 and Alabama (Mobile) 2006D Bonds are all part of a single issue for certain federal tax purposes.Within that issue, an election has been made under the Treasury Regulationsto treat the Wisconsin 2006A, Indiana 2006B-3, B-4, B-5 and B-6, Alabama (Birmingham) 2006C-2 and the Alabama (Mobile) 2006D Bonds, together, as a single issue for IRC section 141 purposes.Also, an election has been made under the Treasury Regulations to treat the Indiana 2006B-1, B-2, B-7 and B-8, and the Alabama (Birmingham) 2006C-1, together, as a single issue for IRC section 141 purposes. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 12. The Connecticut 2010A, Michigan 2010B/2010F, Tennessee 2010C, Tarrant County 2010D and Wisconsin 2010E bonds are a single issue for certain federal tax purposes. Within that issue, elections have been made to treat each of the foregoing as separate issues for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 13. The Illinois 2012A/2012E, Maryland 2012B, Tennessee 2012C and Wisconsin 2012D bonds are a single issue for certain federal tax purposes. Within that issue, elections have been made to treat the Maryland 2012B bonds as a separate issue for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any additional multipurpose allocations permitted under the Treasury Regulations. 14. Ascension Health Alliance believes, and has prepared Schedule K in a manner consistent with such belief, that the Part III exclusion provided in the instructions for bonds that refund a pre-2003 bond issue applies to certain of the bonds reflected herein, though allocations under Regulations section 1.141-13(d) may not have yet been elected; this submission does not constitute an allocation election under Regulations section 1.141-13(d) for any issue or portion of an issue. 15. Schedule K, Part II, question 2, refers to the amount of bonds that have been defeased, are still outstanding and are being funded by a defeasance escrow.
Part II:	1. For purposes of Schedule K, Part II, Ascension Health Alliance is assuming that there is no "year of substantial completion" with respect to refunding bonds. 2. Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings.
Part III:	1. With respect to the dispositions of property reported here, Ascension Health Alliance (AHA) filed a submission under the Voluntary Closing Agreement Program (VCAP) on 9/18/2012. The reason for the VCAP filing is that the remedial action described in sections 1.141-12 and 1.145-2 of the Regulations was not taken in a timely manner. Under the requested closing agreement (of which a draft has been circulated between the Internal Revenue Service, AHA, and counsel, and which AHA expects to become final in the near future), the delinquency in taking remedial action will be cured. AHA has answered question 8c based on the good-faith assumption and belief that the requested relief will be granted.
Part IV:	1. Line 21(e) of the Form 8038 was incorrectly marked "4.8472%" for the Tarrant County Series 2010D bond issue; the bonds actually constitute a variable yield issue for arbitrage purposes. 2. The hedge providers for the Missouri Series 2003C bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 23.7 years. The Morgan Stanley hedges have original terms of 6.7 and 23.6 years. 3. The hedge providers for the Indiana Series 2003E/2008E bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 33.7 years. The Morgan Stanley hedges have original terms of 23.6, 33.6 and 33.7 years. 4. GIC for Indiana Series 2006B-3, B-4, B-5 and B-6 was held at Citigroup and Morgan Stanley with a term of 0.3 and 0.2 years respectively. 5. Part IV, Line 2 - For issues that have not reached their fifth anniversary yet, Ascension is answering "Yes" to 2a because the reporting deadline has not been reached and no calculations have yet been performed. This is not to suggest that a spending exception has not been met or that there is an expectation that any rebate will be due upon completion of any required calculation. For issues that have been issued longer than five years, Ascension is answering "Yes" to 2b if the issue was a current refunding issue since this is the basis of a rebate exception. Ascension is answering "Yes" to 2c and providing a computation report date for new money issues that are greater than five years old. 6. Part IV, Line 6 - This question is being answered without regard to certain yield restricted advance refunding escrows.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Ascension Health Alliance

Employer identification number
45-3358926

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Escambia County Health Facilities Authority	52-1378815	296117AX2	03-13-2003	207,543,149	See Part VI	X			X		X
B	Health & Ed Fac Auth of MO	43-1178966	60635HWY1	03-13-2003	295,375,000	See Part VI	X			X		X
C	Indiana Health Facility Financing Authority	35-1611409	454798ND7	03-13-2003	498,475,000	See Part VI	X			X		X
D	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	091081DF3	02-03-2005	13,712,418	See Part VI	X			X		X
	Indiana Health Facility Financing Authority	35-1611409	454798PS2	02-03-2005	480,236,983	See Part VI	X			X		X
	Michigan State Hospital Finance Authority	38-2889417	59465E7P2	02-03-2005	161,264,563	See Part VI	X			X		X
	WI Health & Educational Facilities Authority	39-1337855	97710VT65	11-16-2006	125,000,611	See Part VI		X		X		X
	IN Health & Ed Facility Financing Authority	35-1611409	454795BZ7	11-16-2006	397,759,540	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	010399BY8	11-16-2006	99,762,733	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of the City of Mobile	63-0878048	01039VAD6	11-16-2006	105,449,341	See Part VI		X		X		X
	Hlth & Ed Bd of NashvilleDavidson County	62-6139016	592041QZ3	03-30-2009	81,500,000	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	010399CK7	05-28-2009	35,000,000	See Part VI		X		X		X
	IN Hlth & Ed Fac Fin Authority	35-1611409	454795BS3	11-16-2006	179,400,000	See Part VI	X			X		X
	Indiana Finance Authority	35-1611409	454795ET8	05-28-2009	118,690,000	See Part VI		X		X		X
	Tarrant Cnty Cultural Ed Fac Fin Corp	04-3833551	87638TEB5	03-25-2010	64,632,770	See Part VI		X		X		X
	CT Hlth & Ed Facilities Authority	06-0806186	20774UY58	03-25-2010	94,900,868	See Part VI		X		X		X
	Michigan State Hospital Finance Authority	38-2889417	59465HNC6	03-25-2010	872,106,861	See Part VI	X			X		X
	WI Health & Educational Facilities Authority	39-1337855	97710BSU7	03-25-2010	168,792,011	See Part VI		X		X		X
	Hlth & Ed Fac Bd of Rutherford Cnty TN	62-1342304	78324PAB5	03-25-2010	146,828,804	See Part VI		X		X		X
	Illinois Finance Authority	86-1091967	45203HGM8	05-10-2012	241,884,613	See Part VI		X		X		X
	MD Hlth & Higher Ed Facilities Authority	52-0936091	574218GR8	05-10-2012	92,002,877	See Part VI		X		X		X
	Hlth & Ed Fac Bd of Rutherford Cnty TN	62-1342304	78324PAJ8	05-10-2012	46,902,484	See Part VI		X		X		X
	WI Health & Educational Facilities Authority	39-1337855	97710BT69	05-10-2012	94,701,225	See Part VI		X		X		X
	WI Health & Educational Facilities Authority	39-1337855	97712DBP0	06-18-2013	570,827,513	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	139,150,000		33,380,000		228,945,000		695,000
2 Amount of bonds legally defeased . . . . . . . . . . .	180,000		180,000				2,590,000
3 Total proceeds of issue . . . . . . . . . . . . . .	212,236,716		302,747,889		509,527,682		13,728,432
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .
8 Credit enhancement from proceeds . . . . . . . . . . .	1,565,056		1,565,056		7,381,512
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	30,195,905		41,386,146		74,231,795		13,728,432
11 Other spent proceeds . . . . . . . . . . . . . .	182,040,811		259,796,687		427,914,375		397,759,540
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2003		2003		2003		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X	X			X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .	X		X		X			X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.190 %		0.190 %		0.190 %		0.180 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.190 %		0.190 %		0.190 %		0.180 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.190 %		0.190 %		0.190 %		0.170 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .	X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .	X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X	X		X			X
b Name of provider . . . . . . . . .	See Part VI		See Part VI		See Part VI
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .		X		X		X
e Was the hedge terminated? . . . . . .		X		X		X

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	AIG		Morgan Stanley		AIG		See Part VI
c Term of GIC . . . . . . . . . .	0.900000000000		0.200000000000		0.900000000000
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .	X		X		X		X
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Date Rebate Computation Performed	Issuer Name: Escambia County Health Facilities Authority Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: Health & Ed Fac Auth of MO Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: Indiana Health Facility Financing Authority Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: AL Spl Care Fac Fin Auth of Birmingham Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: Indiana Health Facility Financing Authority Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: Michigan State Hospital Finance Authority Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: WI Health & Educational Facilities Authority Date the Rebate Computation was Performed: 05/16/2008 Issuer Name: IN Hlth & Ed Fac Fin Authority Date the Rebate Computation was Performed: 05/16/2008
Escambia County Health Facilities Authority	Part I - Line (f), Description of purpose: 2003A - To finance and refinance certain improvements, additions, equipping and renovation of the Hospital, and to refund certain bonds issued November 1, 1999 Health and Educational Facilities Authority of the State of Missouri Part I - Line (f), Description of purpose: 2003C/2008C - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and commercial paper issued December 5, 2002 and to pay the premium on policies of bond insurance Indiana Health Facility Financing Authority Part I - Line (f), Description of purpose: 2003E/2008E - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and to pay the premium on policies of bond insurance Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2005A-1 and A-2 - To provide funds to finance certain improvements, additions, equipping and renovation of certain health care facilities Indiana Health Facility Financing Authority Part I - Line (f), Description of purpose: 2005A - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Michigan State Hospital Finance Authority Part I - Line (f), Description of purpose: 2005 - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2006A - To provide funds to finance certain improvements, additions, equipping and renovation of certain health care facilities Indiana Health And Educational Facility Financing Authority Part I - Line (f), Description of purpose: 2006B-3, B-4, B-5 and B-6 - To current refund certain prior bonds issued November 1, 1999, December 4, 2001 and December 31, 2001 Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2006C-2 - To current refund certain prior bonds issued November 1, 1999 Alabama Special Care Facilities Financing Authority of the City of Mobile Part I - Line (f), Description of purpose: 2006D - To current refund certain prior bonds issued November 1, 1999 Health and Educational Board of Metropolitan Government of Nashville and Davidson Counties Part I - Line (f), Description of purpose: 2001B-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued December 31, 2001, which bonds provided funds to finance or refinance the costs of acquiring, constructing, equipping and renovating certain health care facilities Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2006C-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bonds provided funds to finance certain improvements, additions, equipping and renovation of health care facilities Indiana Health And Educational Facility Financing Authority Part I - Line (f), Description of purpose: 2006B-1, B-2, B-7 and B-8 - To provide reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Indiana Finance Authority Part I - Line (f), Description of purpose: 2006B-1, B-7 and B-8 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bond provided reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Tarrant County Cultural Education Facilities Finance Corporation Part I - Line (f), Description of purpose: 2010D - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members State of Connecticut Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2010A - To provide funds to refund commercial paper issued January 21, 2010 and finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Michigan State Hospital Finance Authority Part I - Line (f), Description of purpose: 2010B/2010F - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members, and to refinance the indebtedness of the Senior Credit Group through the current refunding of the Refunded Bonds issued April 8, 2008; April 15, 2008; April 22, 2008; May 6, 2008 and commercial paper issued 1/21/2010 Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2010E - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members The Health and Educational Facilities Board of Rutherford County, Tennessee Part I - Line (f), Description of purpose: 2010C - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Illinois Finance Authority Part I - Line (f), Description of purpose: 2012A, E-1 and E-2 - To provide funds to finance, refinance (prior debt issued 2/22/2012 and 3/29/2012) or reimburse Ascension Health Alliance for capital expenditures made by certain of its affiliates located in Illinois and Missouri Maryland Health and Higher Educational Facilities Authority Part I - Line (f), Description of purpose: 2012B - To provide funds to finance, refinance (prior debt issued 2/24/2012, 3/29/2012 and 5/3/2012) or reimburse Ascension Health Alliance for capital expenditures made by St. Agnes Healthcare, Inc. The Health and Educational Facilities Board of Rutherford County, Tennessee Part I - Line (f), Description of purpose: 2012C - To provide funds to finance, refinance (prior debt issued 3/29/2012) or reimburse Ascension Health Alliance for capital expenditures made by Middle Tennessee Medical Center Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2012D - To provide funds to finance, refinance (prior debt issued 4/2/2012) or reimburse Ascension Health Alliance for capital expenditures made by certain of its affiliates located in Wisconsin Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2013A and B-1 through B-5 - To provide funds for the acquisition of capital assets of Via Christi Health, Ministry Health Care and St. John Health and certain of their affiliates.
Part I:	1. A portion of the Missouri Series 2003C issuance was exchanged for 2008C bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Missouri Series 2003C and 2008C bonds. All of these bonds are characterized collectively on the schedule. 2. A portion of the Indiana Series 2003E issuance was exchanged for 2008E bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Indiana Series 2003E and 2008E bonds. All of these bonds are characterized collectively on the schedule. 3. CUSIP number for Michigan Series 2005 as originally reported on Form 8038 was incorrect (reported as "59455E7P2"). 4. Tennessee Series 2001B-1 was reissued for tax purposes as of 3/30/09 in connection with an interest rate conversion on the bonds, and for this reason must be included on Schedule K. However, reporting is not necessary on Part III of Schedule K for refunding bonds that refunded bonds issued in 2002 or earlier, which is the case in this situation. 5. Indiana Series 2006B-1, B-7 and B-8 were reissued for tax purposes as of 5/28/09 in connection with an interest rate conversion on the bonds. Indiana Series 2006B-2 remains outstanding as originally issued. 6. Indiana Series 2006B-3, B-4, B-5 and B-6 were issued on 11/16/2006 and 12/1/2006 as evidenced by the 8038; only one field is available for issue date on the Schedule so we have presented the earlier of the two dates. 7. The Indiana Health and Educational Facility Financing Authority was merged into the Indiana Finance Authority on 7/1/07. 8. CUSIP number for Michigan Series 2010B and 2010F as originally reported on Form 8038 was incorrect (no CUSIP was reported). 9. The Escambia 2003A, Missouri 2003C and Indiana 2003E/2008E Bonds, along with other, now-retired bonds from Michigan and Idaho issuers, are all part of a single issue for certain federal tax purposes. Within that issue, an election has been made to treat the Michigan bonds as a separate issue for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 10. The Alabama 2005A, Indiana 2005A and Michigan 2005 Bonds are all part of a single issue for certain federal tax purposes although Ascension Health Alliance and the issuers reserve the right to make any multipurpose allocations permitted under the Treasury Regulations. 11. The Wisconsin 2006A, Indiana 2006B (all sub-series), Alabama (Birmingham) 2006C-1 and C-2 and Alabama (Mobile) 2006D Bonds are all part of a single issue for certain federal tax purposes.Within that issue, an election has been made under the Treasury Regulationsto treat the Wisconsin 2006A, Indiana 2006B-3, B-4, B-5 and B-6, Alabama (Birmingham) 2006C-2 and the Alabama (Mobile) 2006D Bonds, together, as a single issue for IRC section 141 purposes.Also, an election has been made under the Treasury Regulations to treat the Indiana 2006B-1, B-2, B-7 and B-8, and the Alabama (Birmingham) 2006C-1, together, as a single issue for IRC section 141 purposes. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 12. The Connecticut 2010A, Michigan 2010B/2010F, Tennessee 2010C, Tarrant County 2010D and Wisconsin 2010E bonds are a single issue for certain federal tax purposes. Within that issue, elections have been made to treat each of the foregoing as separate issues for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 13. The Illinois 2012A/2012E, Maryland 2012B, Tennessee 2012C and Wisconsin 2012D bonds are a single issue for certain federal tax purposes. Within that issue, elections have been made to treat the Maryland 2012B bonds as a separate issue for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any additional multipurpose allocations permitted under the Treasury Regulations. 14. Ascension Health Alliance believes, and has prepared Schedule K in a manner consistent with such belief, that the Part III exclusion provided in the instructions for bonds that refund a pre-2003 bond issue applies to certain of the bonds reflected herein, though allocations under Regulations section 1.141-13(d) may not have yet been elected; this submission does not constitute an allocation election under Regulations section 1.141-13(d) for any issue or portion of an issue. 15. Schedule K, Part II, question 2, refers to the amount of bonds that have been defeased, are still outstanding and are being funded by a defeasance escrow.
Part II:	1. For purposes of Schedule K, Part II, Ascension Health Alliance is assuming that there is no "year of substantial completion" with respect to refunding bonds. 2. Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings.
Part III:	1. With respect to the dispositions of property reported here, Ascension Health Alliance (AHA) filed a submission under the Voluntary Closing Agreement Program (VCAP) on 9/18/2012. The reason for the VCAP filing is that the remedial action described in sections 1.141-12 and 1.145-2 of the Regulations was not taken in a timely manner. Under the requested closing agreement (of which a draft has been circulated between the Internal Revenue Service, AHA, and counsel, and which AHA expects to become final in the near future), the delinquency in taking remedial action will be cured. AHA has answered question 8c based on the good-faith assumption and belief that the requested relief will be granted.
Part IV:	1. Line 21(e) of the Form 8038 was incorrectly marked "4.8472%" for the Tarrant County Series 2010D bond issue; the bonds actually constitute a variable yield issue for arbitrage purposes. 2. The hedge providers for the Missouri Series 2003C bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 23.7 years. The Morgan Stanley hedges have original terms of 6.7 and 23.6 years. 3. The hedge providers for the Indiana Series 2003E/2008E bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 33.7 years. The Morgan Stanley hedges have original terms of 23.6, 33.6 and 33.7 years. 4. GIC for Indiana Series 2006B-3, B-4, B-5 and B-6 was held at Citigroup and Morgan Stanley with a term of 0.3 and 0.2 years respectively. 5. Part IV, Line 2 - For issues that have not reached their fifth anniversary yet, Ascension is answering "Yes" to 2a because the reporting deadline has not been reached and no calculations have yet been performed. This is not to suggest that a spending exception has not been met or that there is an expectation that any rebate will be due upon completion of any required calculation. For issues that have been issued longer than five years, Ascension is answering "Yes" to 2b if the issue was a current refunding issue since this is the basis of a rebate exception. Ascension is answering "Yes" to 2c and providing a computation report date for new money issues that are greater than five years old. 6. Part IV, Line 6 - This question is being answered without regard to certain yield restricted advance refunding escrows.

Schedule K (Form 990) 2013

Additional Data

Software ID:
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- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Ascension Health Alliance

Employer identification number
45-3358926

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Escambia County Health Facilities Authority	52-1378815	296117AX2	03-13-2003	207,543,149	See Part VI	X			X		X
B	Health & Ed Fac Auth of MO	43-1178966	60635HWY1	03-13-2003	295,375,000	See Part VI	X			X		X
C	Indiana Health Facility Financing Authority	35-1611409	454798ND7	03-13-2003	498,475,000	See Part VI	X			X		X
D	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	091081DF3	02-03-2005	13,712,418	See Part VI	X			X		X
	Indiana Health Facility Financing Authority	35-1611409	454798PS2	02-03-2005	480,236,983	See Part VI	X			X		X
	Michigan State Hospital Finance Authority	38-2889417	59465E7P2	02-03-2005	161,264,563	See Part VI	X			X		X
	WI Health & Educational Facilities Authority	39-1337855	97710VT65	11-16-2006	125,000,611	See Part VI		X		X		X
	IN Health & Ed Facility Financing Authority	35-1611409	454795BZ7	11-16-2006	397,759,540	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	010399BY8	11-16-2006	99,762,733	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of the City of Mobile	63-0878048	01039VAD6	11-16-2006	105,449,341	See Part VI		X		X		X
	Hlth & Ed Bd of NashvilleDavidson County	62-6139016	592041QZ3	03-30-2009	81,500,000	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	010399CK7	05-28-2009	35,000,000	See Part VI		X		X		X
	IN Hlth & Ed Fac Fin Authority	35-1611409	454795BS3	11-16-2006	179,400,000	See Part VI	X			X		X
	Indiana Finance Authority	35-1611409	454795ET8	05-28-2009	118,690,000	See Part VI		X		X		X
	Tarrant Cnty Cultural Ed Fac Fin Corp	04-3833551	87638TEB5	03-25-2010	64,632,770	See Part VI		X		X		X
	CT Hlth & Ed Facilities Authority	06-0806186	20774UY58	03-25-2010	94,900,868	See Part VI		X		X		X
	Michigan State Hospital Finance Authority	38-2889417	59465HNC6	03-25-2010	872,106,861	See Part VI	X			X		X
	WI Health & Educational Facilities Authority	39-1337855	97710BSU7	03-25-2010	168,792,011	See Part VI		X		X		X
	Hlth & Ed Fac Bd of Rutherford Cnty TN	62-1342304	78324PAB5	03-25-2010	146,828,804	See Part VI		X		X		X
	Illinois Finance Authority	86-1091967	45203HGM8	05-10-2012	241,884,613	See Part VI		X		X		X
	MD Hlth & Higher Ed Facilities Authority	52-0936091	574218GR8	05-10-2012	92,002,877	See Part VI		X		X		X
	Hlth & Ed Fac Bd of Rutherford Cnty TN	62-1342304	78324PAJ8	05-10-2012	46,902,484	See Part VI		X		X		X
	WI Health & Educational Facilities Authority	39-1337855	97710BT69	05-10-2012	94,701,225	See Part VI		X		X		X
	WI Health & Educational Facilities Authority	39-1337855	97712DBP0	06-18-2013	570,827,513	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	139,150,000		33,380,000		228,945,000		695,000
2 Amount of bonds legally defeased . . . . . . . . . . .	180,000		180,000				2,590,000
3 Total proceeds of issue . . . . . . . . . . . . . .	212,236,716		302,747,889		509,527,682		13,728,432
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .
8 Credit enhancement from proceeds . . . . . . . . . . .	1,565,056		1,565,056		7,381,512
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	30,195,905		41,386,146		74,231,795		13,728,432
11 Other spent proceeds . . . . . . . . . . . . . .	182,040,811		259,796,687		427,914,375		397,759,540
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2003		2003		2003		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X	X			X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .	X		X		X			X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.190 %		0.190 %		0.190 %		0.180 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.190 %		0.190 %		0.190 %		0.180 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.190 %		0.190 %		0.190 %		0.170 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .	X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .	X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X	X		X			X
b Name of provider . . . . . . . . .	See Part VI		See Part VI		See Part VI
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .		X		X		X
e Was the hedge terminated? . . . . . .		X		X		X

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	AIG		Morgan Stanley		AIG		See Part VI
c Term of GIC . . . . . . . . . .	0.900000000000		0.200000000000		0.900000000000
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .	X		X		X		X
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Date Rebate Computation Performed	Issuer Name: Escambia County Health Facilities Authority Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: Health & Ed Fac Auth of MO Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: Indiana Health Facility Financing Authority Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: AL Spl Care Fac Fin Auth of Birmingham Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: Indiana Health Facility Financing Authority Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: Michigan State Hospital Finance Authority Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: WI Health & Educational Facilities Authority Date the Rebate Computation was Performed: 05/16/2008 Issuer Name: IN Hlth & Ed Fac Fin Authority Date the Rebate Computation was Performed: 05/16/2008
Escambia County Health Facilities Authority	Part I - Line (f), Description of purpose: 2003A - To finance and refinance certain improvements, additions, equipping and renovation of the Hospital, and to refund certain bonds issued November 1, 1999 Health and Educational Facilities Authority of the State of Missouri Part I - Line (f), Description of purpose: 2003C/2008C - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and commercial paper issued December 5, 2002 and to pay the premium on policies of bond insurance Indiana Health Facility Financing Authority Part I - Line (f), Description of purpose: 2003E/2008E - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and to pay the premium on policies of bond insurance Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2005A-1 and A-2 - To provide funds to finance certain improvements, additions, equipping and renovation of certain health care facilities Indiana Health Facility Financing Authority Part I - Line (f), Description of purpose: 2005A - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Michigan State Hospital Finance Authority Part I - Line (f), Description of purpose: 2005 - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2006A - To provide funds to finance certain improvements, additions, equipping and renovation of certain health care facilities Indiana Health And Educational Facility Financing Authority Part I - Line (f), Description of purpose: 2006B-3, B-4, B-5 and B-6 - To current refund certain prior bonds issued November 1, 1999, December 4, 2001 and December 31, 2001 Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2006C-2 - To current refund certain prior bonds issued November 1, 1999 Alabama Special Care Facilities Financing Authority of the City of Mobile Part I - Line (f), Description of purpose: 2006D - To current refund certain prior bonds issued November 1, 1999 Health and Educational Board of Metropolitan Government of Nashville and Davidson Counties Part I - Line (f), Description of purpose: 2001B-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued December 31, 2001, which bonds provided funds to finance or refinance the costs of acquiring, constructing, equipping and renovating certain health care facilities Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2006C-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bonds provided funds to finance certain improvements, additions, equipping and renovation of health care facilities Indiana Health And Educational Facility Financing Authority Part I - Line (f), Description of purpose: 2006B-1, B-2, B-7 and B-8 - To provide reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Indiana Finance Authority Part I - Line (f), Description of purpose: 2006B-1, B-7 and B-8 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bond provided reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Tarrant County Cultural Education Facilities Finance Corporation Part I - Line (f), Description of purpose: 2010D - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members State of Connecticut Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2010A - To provide funds to refund commercial paper issued January 21, 2010 and finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Michigan State Hospital Finance Authority Part I - Line (f), Description of purpose: 2010B/2010F - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members, and to refinance the indebtedness of the Senior Credit Group through the current refunding of the Refunded Bonds issued April 8, 2008; April 15, 2008; April 22, 2008; May 6, 2008 and commercial paper issued 1/21/2010 Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2010E - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members The Health and Educational Facilities Board of Rutherford County, Tennessee Part I - Line (f), Description of purpose: 2010C - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Illinois Finance Authority Part I - Line (f), Description of purpose: 2012A, E-1 and E-2 - To provide funds to finance, refinance (prior debt issued 2/22/2012 and 3/29/2012) or reimburse Ascension Health Alliance for capital expenditures made by certain of its affiliates located in Illinois and Missouri Maryland Health and Higher Educational Facilities Authority Part I - Line (f), Description of purpose: 2012B - To provide funds to finance, refinance (prior debt issued 2/24/2012, 3/29/2012 and 5/3/2012) or reimburse Ascension Health Alliance for capital expenditures made by St. Agnes Healthcare, Inc. The Health and Educational Facilities Board of Rutherford County, Tennessee Part I - Line (f), Description of purpose: 2012C - To provide funds to finance, refinance (prior debt issued 3/29/2012) or reimburse Ascension Health Alliance for capital expenditures made by Middle Tennessee Medical Center Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2012D - To provide funds to finance, refinance (prior debt issued 4/2/2012) or reimburse Ascension Health Alliance for capital expenditures made by certain of its affiliates located in Wisconsin Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2013A and B-1 through B-5 - To provide funds for the acquisition of capital assets of Via Christi Health, Ministry Health Care and St. John Health and certain of their affiliates.
Part I:	1. A portion of the Missouri Series 2003C issuance was exchanged for 2008C bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Missouri Series 2003C and 2008C bonds. All of these bonds are characterized collectively on the schedule. 2. A portion of the Indiana Series 2003E issuance was exchanged for 2008E bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Indiana Series 2003E and 2008E bonds. All of these bonds are characterized collectively on the schedule. 3. CUSIP number for Michigan Series 2005 as originally reported on Form 8038 was incorrect (reported as "59455E7P2"). 4. Tennessee Series 2001B-1 was reissued for tax purposes as of 3/30/09 in connection with an interest rate conversion on the bonds, and for this reason must be included on Schedule K. However, reporting is not necessary on Part III of Schedule K for refunding bonds that refunded bonds issued in 2002 or earlier, which is the case in this situation. 5. Indiana Series 2006B-1, B-7 and B-8 were reissued for tax purposes as of 5/28/09 in connection with an interest rate conversion on the bonds. Indiana Series 2006B-2 remains outstanding as originally issued. 6. Indiana Series 2006B-3, B-4, B-5 and B-6 were issued on 11/16/2006 and 12/1/2006 as evidenced by the 8038; only one field is available for issue date on the Schedule so we have presented the earlier of the two dates. 7. The Indiana Health and Educational Facility Financing Authority was merged into the Indiana Finance Authority on 7/1/07. 8. CUSIP number for Michigan Series 2010B and 2010F as originally reported on Form 8038 was incorrect (no CUSIP was reported). 9. The Escambia 2003A, Missouri 2003C and Indiana 2003E/2008E Bonds, along with other, now-retired bonds from Michigan and Idaho issuers, are all part of a single issue for certain federal tax purposes. Within that issue, an election has been made to treat the Michigan bonds as a separate issue for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 10. The Alabama 2005A, Indiana 2005A and Michigan 2005 Bonds are all part of a single issue for certain federal tax purposes although Ascension Health Alliance and the issuers reserve the right to make any multipurpose allocations permitted under the Treasury Regulations. 11. The Wisconsin 2006A, Indiana 2006B (all sub-series), Alabama (Birmingham) 2006C-1 and C-2 and Alabama (Mobile) 2006D Bonds are all part of a single issue for certain federal tax purposes.Within that issue, an election has been made under the Treasury Regulationsto treat the Wisconsin 2006A, Indiana 2006B-3, B-4, B-5 and B-6, Alabama (Birmingham) 2006C-2 and the Alabama (Mobile) 2006D Bonds, together, as a single issue for IRC section 141 purposes.Also, an election has been made under the Treasury Regulations to treat the Indiana 2006B-1, B-2, B-7 and B-8, and the Alabama (Birmingham) 2006C-1, together, as a single issue for IRC section 141 purposes. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 12. The Connecticut 2010A, Michigan 2010B/2010F, Tennessee 2010C, Tarrant County 2010D and Wisconsin 2010E bonds are a single issue for certain federal tax purposes. Within that issue, elections have been made to treat each of the foregoing as separate issues for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 13. The Illinois 2012A/2012E, Maryland 2012B, Tennessee 2012C and Wisconsin 2012D bonds are a single issue for certain federal tax purposes. Within that issue, elections have been made to treat the Maryland 2012B bonds as a separate issue for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any additional multipurpose allocations permitted under the Treasury Regulations. 14. Ascension Health Alliance believes, and has prepared Schedule K in a manner consistent with such belief, that the Part III exclusion provided in the instructions for bonds that refund a pre-2003 bond issue applies to certain of the bonds reflected herein, though allocations under Regulations section 1.141-13(d) may not have yet been elected; this submission does not constitute an allocation election under Regulations section 1.141-13(d) for any issue or portion of an issue. 15. Schedule K, Part II, question 2, refers to the amount of bonds that have been defeased, are still outstanding and are being funded by a defeasance escrow.
Part II:	1. For purposes of Schedule K, Part II, Ascension Health Alliance is assuming that there is no "year of substantial completion" with respect to refunding bonds. 2. Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings.
Part III:	1. With respect to the dispositions of property reported here, Ascension Health Alliance (AHA) filed a submission under the Voluntary Closing Agreement Program (VCAP) on 9/18/2012. The reason for the VCAP filing is that the remedial action described in sections 1.141-12 and 1.145-2 of the Regulations was not taken in a timely manner. Under the requested closing agreement (of which a draft has been circulated between the Internal Revenue Service, AHA, and counsel, and which AHA expects to become final in the near future), the delinquency in taking remedial action will be cured. AHA has answered question 8c based on the good-faith assumption and belief that the requested relief will be granted.
Part IV:	1. Line 21(e) of the Form 8038 was incorrectly marked "4.8472%" for the Tarrant County Series 2010D bond issue; the bonds actually constitute a variable yield issue for arbitrage purposes. 2. The hedge providers for the Missouri Series 2003C bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 23.7 years. The Morgan Stanley hedges have original terms of 6.7 and 23.6 years. 3. The hedge providers for the Indiana Series 2003E/2008E bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 33.7 years. The Morgan Stanley hedges have original terms of 23.6, 33.6 and 33.7 years. 4. GIC for Indiana Series 2006B-3, B-4, B-5 and B-6 was held at Citigroup and Morgan Stanley with a term of 0.3 and 0.2 years respectively. 5. Part IV, Line 2 - For issues that have not reached their fifth anniversary yet, Ascension is answering "Yes" to 2a because the reporting deadline has not been reached and no calculations have yet been performed. This is not to suggest that a spending exception has not been met or that there is an expectation that any rebate will be due upon completion of any required calculation. For issues that have been issued longer than five years, Ascension is answering "Yes" to 2b if the issue was a current refunding issue since this is the basis of a rebate exception. Ascension is answering "Yes" to 2c and providing a computation report date for new money issues that are greater than five years old. 6. Part IV, Line 6 - This question is being answered without regard to certain yield restricted advance refunding escrows.

Schedule K (Form 990) 2013

Additional Data

Software ID:
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- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Ascension Health Alliance

Employer identification number
45-3358926

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Escambia County Health Facilities Authority	52-1378815	296117AX2	03-13-2003	207,543,149	See Part VI	X			X		X
B	Health & Ed Fac Auth of MO	43-1178966	60635HWY1	03-13-2003	295,375,000	See Part VI	X			X		X
C	Indiana Health Facility Financing Authority	35-1611409	454798ND7	03-13-2003	498,475,000	See Part VI	X			X		X
D	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	091081DF3	02-03-2005	13,712,418	See Part VI	X			X		X
	Indiana Health Facility Financing Authority	35-1611409	454798PS2	02-03-2005	480,236,983	See Part VI	X			X		X
	Michigan State Hospital Finance Authority	38-2889417	59465E7P2	02-03-2005	161,264,563	See Part VI	X			X		X
	WI Health & Educational Facilities Authority	39-1337855	97710VT65	11-16-2006	125,000,611	See Part VI		X		X		X
	IN Health & Ed Facility Financing Authority	35-1611409	454795BZ7	11-16-2006	397,759,540	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	010399BY8	11-16-2006	99,762,733	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of the City of Mobile	63-0878048	01039VAD6	11-16-2006	105,449,341	See Part VI		X		X		X
	Hlth & Ed Bd of NashvilleDavidson County	62-6139016	592041QZ3	03-30-2009	81,500,000	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	010399CK7	05-28-2009	35,000,000	See Part VI		X		X		X
	IN Hlth & Ed Fac Fin Authority	35-1611409	454795BS3	11-16-2006	179,400,000	See Part VI	X			X		X
	Indiana Finance Authority	35-1611409	454795ET8	05-28-2009	118,690,000	See Part VI		X		X		X
	Tarrant Cnty Cultural Ed Fac Fin Corp	04-3833551	87638TEB5	03-25-2010	64,632,770	See Part VI		X		X		X
	CT Hlth & Ed Facilities Authority	06-0806186	20774UY58	03-25-2010	94,900,868	See Part VI		X		X		X
	Michigan State Hospital Finance Authority	38-2889417	59465HNC6	03-25-2010	872,106,861	See Part VI	X			X		X
	WI Health & Educational Facilities Authority	39-1337855	97710BSU7	03-25-2010	168,792,011	See Part VI		X		X		X
	Hlth & Ed Fac Bd of Rutherford Cnty TN	62-1342304	78324PAB5	03-25-2010	146,828,804	See Part VI		X		X		X
	Illinois Finance Authority	86-1091967	45203HGM8	05-10-2012	241,884,613	See Part VI		X		X		X
	MD Hlth & Higher Ed Facilities Authority	52-0936091	574218GR8	05-10-2012	92,002,877	See Part VI		X		X		X
	Hlth & Ed Fac Bd of Rutherford Cnty TN	62-1342304	78324PAJ8	05-10-2012	46,902,484	See Part VI		X		X		X
	WI Health & Educational Facilities Authority	39-1337855	97710BT69	05-10-2012	94,701,225	See Part VI		X		X		X
	WI Health & Educational Facilities Authority	39-1337855	97712DBP0	06-18-2013	570,827,513	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	139,150,000		33,380,000		228,945,000		695,000
2 Amount of bonds legally defeased . . . . . . . . . . .	180,000		180,000				2,590,000
3 Total proceeds of issue . . . . . . . . . . . . . .	212,236,716		302,747,889		509,527,682		13,728,432
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .
8 Credit enhancement from proceeds . . . . . . . . . . .	1,565,056		1,565,056		7,381,512
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	30,195,905		41,386,146		74,231,795		13,728,432
11 Other spent proceeds . . . . . . . . . . . . . .	182,040,811		259,796,687		427,914,375		397,759,540
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2003		2003		2003		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X	X			X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .	X		X		X			X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.190 %		0.190 %		0.190 %		0.180 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.190 %		0.190 %		0.190 %		0.180 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.190 %		0.190 %		0.190 %		0.170 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .	X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .	X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X	X		X			X
b Name of provider . . . . . . . . .	See Part VI		See Part VI		See Part VI
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .		X		X		X
e Was the hedge terminated? . . . . . .		X		X		X

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	AIG		Morgan Stanley		AIG		See Part VI
c Term of GIC . . . . . . . . . .	0.900000000000		0.200000000000		0.900000000000
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .	X		X		X		X
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Date Rebate Computation Performed	Issuer Name: Escambia County Health Facilities Authority Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: Health & Ed Fac Auth of MO Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: Indiana Health Facility Financing Authority Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: AL Spl Care Fac Fin Auth of Birmingham Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: Indiana Health Facility Financing Authority Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: Michigan State Hospital Finance Authority Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: WI Health & Educational Facilities Authority Date the Rebate Computation was Performed: 05/16/2008 Issuer Name: IN Hlth & Ed Fac Fin Authority Date the Rebate Computation was Performed: 05/16/2008
Escambia County Health Facilities Authority	Part I - Line (f), Description of purpose: 2003A - To finance and refinance certain improvements, additions, equipping and renovation of the Hospital, and to refund certain bonds issued November 1, 1999 Health and Educational Facilities Authority of the State of Missouri Part I - Line (f), Description of purpose: 2003C/2008C - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and commercial paper issued December 5, 2002 and to pay the premium on policies of bond insurance Indiana Health Facility Financing Authority Part I - Line (f), Description of purpose: 2003E/2008E - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and to pay the premium on policies of bond insurance Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2005A-1 and A-2 - To provide funds to finance certain improvements, additions, equipping and renovation of certain health care facilities Indiana Health Facility Financing Authority Part I - Line (f), Description of purpose: 2005A - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Michigan State Hospital Finance Authority Part I - Line (f), Description of purpose: 2005 - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2006A - To provide funds to finance certain improvements, additions, equipping and renovation of certain health care facilities Indiana Health And Educational Facility Financing Authority Part I - Line (f), Description of purpose: 2006B-3, B-4, B-5 and B-6 - To current refund certain prior bonds issued November 1, 1999, December 4, 2001 and December 31, 2001 Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2006C-2 - To current refund certain prior bonds issued November 1, 1999 Alabama Special Care Facilities Financing Authority of the City of Mobile Part I - Line (f), Description of purpose: 2006D - To current refund certain prior bonds issued November 1, 1999 Health and Educational Board of Metropolitan Government of Nashville and Davidson Counties Part I - Line (f), Description of purpose: 2001B-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued December 31, 2001, which bonds provided funds to finance or refinance the costs of acquiring, constructing, equipping and renovating certain health care facilities Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2006C-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bonds provided funds to finance certain improvements, additions, equipping and renovation of health care facilities Indiana Health And Educational Facility Financing Authority Part I - Line (f), Description of purpose: 2006B-1, B-2, B-7 and B-8 - To provide reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Indiana Finance Authority Part I - Line (f), Description of purpose: 2006B-1, B-7 and B-8 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bond provided reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Tarrant County Cultural Education Facilities Finance Corporation Part I - Line (f), Description of purpose: 2010D - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members State of Connecticut Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2010A - To provide funds to refund commercial paper issued January 21, 2010 and finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Michigan State Hospital Finance Authority Part I - Line (f), Description of purpose: 2010B/2010F - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members, and to refinance the indebtedness of the Senior Credit Group through the current refunding of the Refunded Bonds issued April 8, 2008; April 15, 2008; April 22, 2008; May 6, 2008 and commercial paper issued 1/21/2010 Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2010E - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members The Health and Educational Facilities Board of Rutherford County, Tennessee Part I - Line (f), Description of purpose: 2010C - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Illinois Finance Authority Part I - Line (f), Description of purpose: 2012A, E-1 and E-2 - To provide funds to finance, refinance (prior debt issued 2/22/2012 and 3/29/2012) or reimburse Ascension Health Alliance for capital expenditures made by certain of its affiliates located in Illinois and Missouri Maryland Health and Higher Educational Facilities Authority Part I - Line (f), Description of purpose: 2012B - To provide funds to finance, refinance (prior debt issued 2/24/2012, 3/29/2012 and 5/3/2012) or reimburse Ascension Health Alliance for capital expenditures made by St. Agnes Healthcare, Inc. The Health and Educational Facilities Board of Rutherford County, Tennessee Part I - Line (f), Description of purpose: 2012C - To provide funds to finance, refinance (prior debt issued 3/29/2012) or reimburse Ascension Health Alliance for capital expenditures made by Middle Tennessee Medical Center Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2012D - To provide funds to finance, refinance (prior debt issued 4/2/2012) or reimburse Ascension Health Alliance for capital expenditures made by certain of its affiliates located in Wisconsin Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2013A and B-1 through B-5 - To provide funds for the acquisition of capital assets of Via Christi Health, Ministry Health Care and St. John Health and certain of their affiliates.
Part I:	1. A portion of the Missouri Series 2003C issuance was exchanged for 2008C bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Missouri Series 2003C and 2008C bonds. All of these bonds are characterized collectively on the schedule. 2. A portion of the Indiana Series 2003E issuance was exchanged for 2008E bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Indiana Series 2003E and 2008E bonds. All of these bonds are characterized collectively on the schedule. 3. CUSIP number for Michigan Series 2005 as originally reported on Form 8038 was incorrect (reported as "59455E7P2"). 4. Tennessee Series 2001B-1 was reissued for tax purposes as of 3/30/09 in connection with an interest rate conversion on the bonds, and for this reason must be included on Schedule K. However, reporting is not necessary on Part III of Schedule K for refunding bonds that refunded bonds issued in 2002 or earlier, which is the case in this situation. 5. Indiana Series 2006B-1, B-7 and B-8 were reissued for tax purposes as of 5/28/09 in connection with an interest rate conversion on the bonds. Indiana Series 2006B-2 remains outstanding as originally issued. 6. Indiana Series 2006B-3, B-4, B-5 and B-6 were issued on 11/16/2006 and 12/1/2006 as evidenced by the 8038; only one field is available for issue date on the Schedule so we have presented the earlier of the two dates. 7. The Indiana Health and Educational Facility Financing Authority was merged into the Indiana Finance Authority on 7/1/07. 8. CUSIP number for Michigan Series 2010B and 2010F as originally reported on Form 8038 was incorrect (no CUSIP was reported). 9. The Escambia 2003A, Missouri 2003C and Indiana 2003E/2008E Bonds, along with other, now-retired bonds from Michigan and Idaho issuers, are all part of a single issue for certain federal tax purposes. Within that issue, an election has been made to treat the Michigan bonds as a separate issue for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 10. The Alabama 2005A, Indiana 2005A and Michigan 2005 Bonds are all part of a single issue for certain federal tax purposes although Ascension Health Alliance and the issuers reserve the right to make any multipurpose allocations permitted under the Treasury Regulations. 11. The Wisconsin 2006A, Indiana 2006B (all sub-series), Alabama (Birmingham) 2006C-1 and C-2 and Alabama (Mobile) 2006D Bonds are all part of a single issue for certain federal tax purposes.Within that issue, an election has been made under the Treasury Regulationsto treat the Wisconsin 2006A, Indiana 2006B-3, B-4, B-5 and B-6, Alabama (Birmingham) 2006C-2 and the Alabama (Mobile) 2006D Bonds, together, as a single issue for IRC section 141 purposes.Also, an election has been made under the Treasury Regulations to treat the Indiana 2006B-1, B-2, B-7 and B-8, and the Alabama (Birmingham) 2006C-1, together, as a single issue for IRC section 141 purposes. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 12. The Connecticut 2010A, Michigan 2010B/2010F, Tennessee 2010C, Tarrant County 2010D and Wisconsin 2010E bonds are a single issue for certain federal tax purposes. Within that issue, elections have been made to treat each of the foregoing as separate issues for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 13. The Illinois 2012A/2012E, Maryland 2012B, Tennessee 2012C and Wisconsin 2012D bonds are a single issue for certain federal tax purposes. Within that issue, elections have been made to treat the Maryland 2012B bonds as a separate issue for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any additional multipurpose allocations permitted under the Treasury Regulations. 14. Ascension Health Alliance believes, and has prepared Schedule K in a manner consistent with such belief, that the Part III exclusion provided in the instructions for bonds that refund a pre-2003 bond issue applies to certain of the bonds reflected herein, though allocations under Regulations section 1.141-13(d) may not have yet been elected; this submission does not constitute an allocation election under Regulations section 1.141-13(d) for any issue or portion of an issue. 15. Schedule K, Part II, question 2, refers to the amount of bonds that have been defeased, are still outstanding and are being funded by a defeasance escrow.
Part II:	1. For purposes of Schedule K, Part II, Ascension Health Alliance is assuming that there is no "year of substantial completion" with respect to refunding bonds. 2. Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings.
Part III:	1. With respect to the dispositions of property reported here, Ascension Health Alliance (AHA) filed a submission under the Voluntary Closing Agreement Program (VCAP) on 9/18/2012. The reason for the VCAP filing is that the remedial action described in sections 1.141-12 and 1.145-2 of the Regulations was not taken in a timely manner. Under the requested closing agreement (of which a draft has been circulated between the Internal Revenue Service, AHA, and counsel, and which AHA expects to become final in the near future), the delinquency in taking remedial action will be cured. AHA has answered question 8c based on the good-faith assumption and belief that the requested relief will be granted.
Part IV:	1. Line 21(e) of the Form 8038 was incorrectly marked "4.8472%" for the Tarrant County Series 2010D bond issue; the bonds actually constitute a variable yield issue for arbitrage purposes. 2. The hedge providers for the Missouri Series 2003C bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 23.7 years. The Morgan Stanley hedges have original terms of 6.7 and 23.6 years. 3. The hedge providers for the Indiana Series 2003E/2008E bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 33.7 years. The Morgan Stanley hedges have original terms of 23.6, 33.6 and 33.7 years. 4. GIC for Indiana Series 2006B-3, B-4, B-5 and B-6 was held at Citigroup and Morgan Stanley with a term of 0.3 and 0.2 years respectively. 5. Part IV, Line 2 - For issues that have not reached their fifth anniversary yet, Ascension is answering "Yes" to 2a because the reporting deadline has not been reached and no calculations have yet been performed. This is not to suggest that a spending exception has not been met or that there is an expectation that any rebate will be due upon completion of any required calculation. For issues that have been issued longer than five years, Ascension is answering "Yes" to 2b if the issue was a current refunding issue since this is the basis of a rebate exception. Ascension is answering "Yes" to 2c and providing a computation report date for new money issues that are greater than five years old. 6. Part IV, Line 6 - This question is being answered without regard to certain yield restricted advance refunding escrows.

Schedule K (Form 990) 2013

Additional Data

Software ID:
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- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
Ascension Health Alliance

Employer identification number
45-3358926

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Escambia County Health Facilities Authority	52-1378815	296117AX2	03-13-2003	207,543,149	See Part VI	X			X		X
B	Health & Ed Fac Auth of MO	43-1178966	60635HWY1	03-13-2003	295,375,000	See Part VI	X			X		X
C	Indiana Health Facility Financing Authority	35-1611409	454798ND7	03-13-2003	498,475,000	See Part VI	X			X		X
D	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	091081DF3	02-03-2005	13,712,418	See Part VI	X			X		X
	Indiana Health Facility Financing Authority	35-1611409	454798PS2	02-03-2005	480,236,983	See Part VI	X			X		X
	Michigan State Hospital Finance Authority	38-2889417	59465E7P2	02-03-2005	161,264,563	See Part VI	X			X		X
	WI Health & Educational Facilities Authority	39-1337855	97710VT65	11-16-2006	125,000,611	See Part VI		X		X		X
	IN Health & Ed Facility Financing Authority	35-1611409	454795BZ7	11-16-2006	397,759,540	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	010399BY8	11-16-2006	99,762,733	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of the City of Mobile	63-0878048	01039VAD6	11-16-2006	105,449,341	See Part VI		X		X		X
	Hlth & Ed Bd of NashvilleDavidson County	62-6139016	592041QZ3	03-30-2009	81,500,000	See Part VI	X			X		X
	AL Spl Care Fac Fin Auth of Birmingham	63-0847033	010399CK7	05-28-2009	35,000,000	See Part VI		X		X		X
	IN Hlth & Ed Fac Fin Authority	35-1611409	454795BS3	11-16-2006	179,400,000	See Part VI	X			X		X
	Indiana Finance Authority	35-1611409	454795ET8	05-28-2009	118,690,000	See Part VI		X		X		X
	Tarrant Cnty Cultural Ed Fac Fin Corp	04-3833551	87638TEB5	03-25-2010	64,632,770	See Part VI		X		X		X
	CT Hlth & Ed Facilities Authority	06-0806186	20774UY58	03-25-2010	94,900,868	See Part VI		X		X		X
	Michigan State Hospital Finance Authority	38-2889417	59465HNC6	03-25-2010	872,106,861	See Part VI	X			X		X
	WI Health & Educational Facilities Authority	39-1337855	97710BSU7	03-25-2010	168,792,011	See Part VI		X		X		X
	Hlth & Ed Fac Bd of Rutherford Cnty TN	62-1342304	78324PAB5	03-25-2010	146,828,804	See Part VI		X		X		X
	Illinois Finance Authority	86-1091967	45203HGM8	05-10-2012	241,884,613	See Part VI		X		X		X
	MD Hlth & Higher Ed Facilities Authority	52-0936091	574218GR8	05-10-2012	92,002,877	See Part VI		X		X		X
	Hlth & Ed Fac Bd of Rutherford Cnty TN	62-1342304	78324PAJ8	05-10-2012	46,902,484	See Part VI		X		X		X
	WI Health & Educational Facilities Authority	39-1337855	97710BT69	05-10-2012	94,701,225	See Part VI		X		X		X
	WI Health & Educational Facilities Authority	39-1337855	97712DBP0	06-18-2013	570,827,513	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	139,150,000		33,380,000		228,945,000		695,000
2 Amount of bonds legally defeased . . . . . . . . . . .	180,000		180,000				2,590,000
3 Total proceeds of issue . . . . . . . . . . . . . .	212,236,716		302,747,889		509,527,682		13,728,432
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .
8 Credit enhancement from proceeds . . . . . . . . . . .	1,565,056		1,565,056		7,381,512
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	30,195,905		41,386,146		74,231,795		13,728,432
11 Other spent proceeds . . . . . . . . . . . . . .	182,040,811		259,796,687		427,914,375		397,759,540
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2003		2003		2003		2005
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X	X			X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .	X		X		X			X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.190 %		0.190 %		0.190 %		0.180 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.190 %		0.190 %		0.190 %		0.180 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.190 %		0.190 %		0.190 %		0.170 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .	X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . .	X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X	X		X			X
b Name of provider . . . . . . . . .	See Part VI		See Part VI		See Part VI
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .		X		X		X
e Was the hedge terminated? . . . . . .		X		X		X

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	AIG		Morgan Stanley		AIG		See Part VI
c Term of GIC . . . . . . . . . .	0.900000000000		0.200000000000		0.900000000000
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .	X		X		X		X
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Date Rebate Computation Performed	Issuer Name: Escambia County Health Facilities Authority Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: Health & Ed Fac Auth of MO Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: Indiana Health Facility Financing Authority Date the Rebate Computation was Performed: 11/15/2009 Issuer Name: AL Spl Care Fac Fin Auth of Birmingham Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: Indiana Health Facility Financing Authority Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: Michigan State Hospital Finance Authority Date the Rebate Computation was Performed: 08/03/2005 Issuer Name: WI Health & Educational Facilities Authority Date the Rebate Computation was Performed: 05/16/2008 Issuer Name: IN Hlth & Ed Fac Fin Authority Date the Rebate Computation was Performed: 05/16/2008
Escambia County Health Facilities Authority	Part I - Line (f), Description of purpose: 2003A - To finance and refinance certain improvements, additions, equipping and renovation of the Hospital, and to refund certain bonds issued November 1, 1999 Health and Educational Facilities Authority of the State of Missouri Part I - Line (f), Description of purpose: 2003C/2008C - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and commercial paper issued December 5, 2002 and to pay the premium on policies of bond insurance Indiana Health Facility Financing Authority Part I - Line (f), Description of purpose: 2003E/2008E - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and to pay the premium on policies of bond insurance Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2005A-1 and A-2 - To provide funds to finance certain improvements, additions, equipping and renovation of certain health care facilities Indiana Health Facility Financing Authority Part I - Line (f), Description of purpose: 2005A - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Michigan State Hospital Finance Authority Part I - Line (f), Description of purpose: 2005 - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2006A - To provide funds to finance certain improvements, additions, equipping and renovation of certain health care facilities Indiana Health And Educational Facility Financing Authority Part I - Line (f), Description of purpose: 2006B-3, B-4, B-5 and B-6 - To current refund certain prior bonds issued November 1, 1999, December 4, 2001 and December 31, 2001 Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2006C-2 - To current refund certain prior bonds issued November 1, 1999 Alabama Special Care Facilities Financing Authority of the City of Mobile Part I - Line (f), Description of purpose: 2006D - To current refund certain prior bonds issued November 1, 1999 Health and Educational Board of Metropolitan Government of Nashville and Davidson Counties Part I - Line (f), Description of purpose: 2001B-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued December 31, 2001, which bonds provided funds to finance or refinance the costs of acquiring, constructing, equipping and renovating certain health care facilities Alabama Special Care Facilities Financing Authority of Birmingham Part I - Line (f), Description of purpose: 2006C-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bonds provided funds to finance certain improvements, additions, equipping and renovation of health care facilities Indiana Health And Educational Facility Financing Authority Part I - Line (f), Description of purpose: 2006B-1, B-2, B-7 and B-8 - To provide reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Indiana Finance Authority Part I - Line (f), Description of purpose: 2006B-1, B-7 and B-8 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bond provided reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Tarrant County Cultural Education Facilities Finance Corporation Part I - Line (f), Description of purpose: 2010D - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members State of Connecticut Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2010A - To provide funds to refund commercial paper issued January 21, 2010 and finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Michigan State Hospital Finance Authority Part I - Line (f), Description of purpose: 2010B/2010F - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members, and to refinance the indebtedness of the Senior Credit Group through the current refunding of the Refunded Bonds issued April 8, 2008; April 15, 2008; April 22, 2008; May 6, 2008 and commercial paper issued 1/21/2010 Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2010E - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members The Health and Educational Facilities Board of Rutherford County, Tennessee Part I - Line (f), Description of purpose: 2010C - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Illinois Finance Authority Part I - Line (f), Description of purpose: 2012A, E-1 and E-2 - To provide funds to finance, refinance (prior debt issued 2/22/2012 and 3/29/2012) or reimburse Ascension Health Alliance for capital expenditures made by certain of its affiliates located in Illinois and Missouri Maryland Health and Higher Educational Facilities Authority Part I - Line (f), Description of purpose: 2012B - To provide funds to finance, refinance (prior debt issued 2/24/2012, 3/29/2012 and 5/3/2012) or reimburse Ascension Health Alliance for capital expenditures made by St. Agnes Healthcare, Inc. The Health and Educational Facilities Board of Rutherford County, Tennessee Part I - Line (f), Description of purpose: 2012C - To provide funds to finance, refinance (prior debt issued 3/29/2012) or reimburse Ascension Health Alliance for capital expenditures made by Middle Tennessee Medical Center Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2012D - To provide funds to finance, refinance (prior debt issued 4/2/2012) or reimburse Ascension Health Alliance for capital expenditures made by certain of its affiliates located in Wisconsin Wisconsin Health and Educational Facilities Authority Part I - Line (f), Description of purpose: 2013A and B-1 through B-5 - To provide funds for the acquisition of capital assets of Via Christi Health, Ministry Health Care and St. John Health and certain of their affiliates.
Part I:	1. A portion of the Missouri Series 2003C issuance was exchanged for 2008C bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Missouri Series 2003C and 2008C bonds. All of these bonds are characterized collectively on the schedule. 2. A portion of the Indiana Series 2003E issuance was exchanged for 2008E bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Indiana Series 2003E and 2008E bonds. All of these bonds are characterized collectively on the schedule. 3. CUSIP number for Michigan Series 2005 as originally reported on Form 8038 was incorrect (reported as "59455E7P2"). 4. Tennessee Series 2001B-1 was reissued for tax purposes as of 3/30/09 in connection with an interest rate conversion on the bonds, and for this reason must be included on Schedule K. However, reporting is not necessary on Part III of Schedule K for refunding bonds that refunded bonds issued in 2002 or earlier, which is the case in this situation. 5. Indiana Series 2006B-1, B-7 and B-8 were reissued for tax purposes as of 5/28/09 in connection with an interest rate conversion on the bonds. Indiana Series 2006B-2 remains outstanding as originally issued. 6. Indiana Series 2006B-3, B-4, B-5 and B-6 were issued on 11/16/2006 and 12/1/2006 as evidenced by the 8038; only one field is available for issue date on the Schedule so we have presented the earlier of the two dates. 7. The Indiana Health and Educational Facility Financing Authority was merged into the Indiana Finance Authority on 7/1/07. 8. CUSIP number for Michigan Series 2010B and 2010F as originally reported on Form 8038 was incorrect (no CUSIP was reported). 9. The Escambia 2003A, Missouri 2003C and Indiana 2003E/2008E Bonds, along with other, now-retired bonds from Michigan and Idaho issuers, are all part of a single issue for certain federal tax purposes. Within that issue, an election has been made to treat the Michigan bonds as a separate issue for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 10. The Alabama 2005A, Indiana 2005A and Michigan 2005 Bonds are all part of a single issue for certain federal tax purposes although Ascension Health Alliance and the issuers reserve the right to make any multipurpose allocations permitted under the Treasury Regulations. 11. The Wisconsin 2006A, Indiana 2006B (all sub-series), Alabama (Birmingham) 2006C-1 and C-2 and Alabama (Mobile) 2006D Bonds are all part of a single issue for certain federal tax purposes.Within that issue, an election has been made under the Treasury Regulationsto treat the Wisconsin 2006A, Indiana 2006B-3, B-4, B-5 and B-6, Alabama (Birmingham) 2006C-2 and the Alabama (Mobile) 2006D Bonds, together, as a single issue for IRC section 141 purposes.Also, an election has been made under the Treasury Regulations to treat the Indiana 2006B-1, B-2, B-7 and B-8, and the Alabama (Birmingham) 2006C-1, together, as a single issue for IRC section 141 purposes. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 12. The Connecticut 2010A, Michigan 2010B/2010F, Tennessee 2010C, Tarrant County 2010D and Wisconsin 2010E bonds are a single issue for certain federal tax purposes. Within that issue, elections have been made to treat each of the foregoing as separate issues for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 13. The Illinois 2012A/2012E, Maryland 2012B, Tennessee 2012C and Wisconsin 2012D bonds are a single issue for certain federal tax purposes. Within that issue, elections have been made to treat the Maryland 2012B bonds as a separate issue for purposes of IRC section 141. Ascension Health Alliance and the issuers reserve the right to make any additional multipurpose allocations permitted under the Treasury Regulations. 14. Ascension Health Alliance believes, and has prepared Schedule K in a manner consistent with such belief, that the Part III exclusion provided in the instructions for bonds that refund a pre-2003 bond issue applies to certain of the bonds reflected herein, though allocations under Regulations section 1.141-13(d) may not have yet been elected; this submission does not constitute an allocation election under Regulations section 1.141-13(d) for any issue or portion of an issue. 15. Schedule K, Part II, question 2, refers to the amount of bonds that have been defeased, are still outstanding and are being funded by a defeasance escrow.
Part II:	1. For purposes of Schedule K, Part II, Ascension Health Alliance is assuming that there is no "year of substantial completion" with respect to refunding bonds. 2. Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings.
Part III:	1. With respect to the dispositions of property reported here, Ascension Health Alliance (AHA) filed a submission under the Voluntary Closing Agreement Program (VCAP) on 9/18/2012. The reason for the VCAP filing is that the remedial action described in sections 1.141-12 and 1.145-2 of the Regulations was not taken in a timely manner. Under the requested closing agreement (of which a draft has been circulated between the Internal Revenue Service, AHA, and counsel, and which AHA expects to become final in the near future), the delinquency in taking remedial action will be cured. AHA has answered question 8c based on the good-faith assumption and belief that the requested relief will be granted.
Part IV:	1. Line 21(e) of the Form 8038 was incorrectly marked "4.8472%" for the Tarrant County Series 2010D bond issue; the bonds actually constitute a variable yield issue for arbitrage purposes. 2. The hedge providers for the Missouri Series 2003C bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 23.7 years. The Morgan Stanley hedges have original terms of 6.7 and 23.6 years. 3. The hedge providers for the Indiana Series 2003E/2008E bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 33.7 years. The Morgan Stanley hedges have original terms of 23.6, 33.6 and 33.7 years. 4. GIC for Indiana Series 2006B-3, B-4, B-5 and B-6 was held at Citigroup and Morgan Stanley with a term of 0.3 and 0.2 years respectively. 5. Part IV, Line 2 - For issues that have not reached their fifth anniversary yet, Ascension is answering "Yes" to 2a because the reporting deadline has not been reached and no calculations have yet been performed. This is not to suggest that a spending exception has not been met or that there is an expectation that any rebate will be due upon completion of any required calculation. For issues that have been issued longer than five years, Ascension is answering "Yes" to 2b if the issue was a current refunding issue since this is the basis of a rebate exception. Ascension is answering "Yes" to 2c and providing a computation report date for new money issues that are greater than five years old. 6. Part IV, Line 6 - This question is being answered without regard to certain yield restricted advance refunding escrows.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

Ascension Health Alliance

Employer identification number

45-3358926

Return Reference	Explanation
Form 990, Part VI, Section A, line 6	Ascension Health Alliance (Ascension) is sponsored by Ascension Health Ministries, a Public Juridic Person ("PJP"), which is subject to those rights and obligations which pertain to Public Juridic Persons in the Catholic Church. The Participating Entities of Ascension Health Ministries are the Daughters of Charity of St. Vincent de Paul in the United States, Province of St. Louise, 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.
Form 990, Part VI, Section A, line 7a	Board members shall be appointed, upon the recommendation of the Board of Directors, by Ascension Health Ministries (i.e., the PJP members).
Form 990, Part VI, Section A, line 7b	All decisions that have a material impact to Ascension Health Alliance's financial information or corporation as a whole are reserved to its members, the PJP members who represent the Canonical sponsor, Ascension Health Ministries. The following powers are reserved to Ascension Health Ministries: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures.
Form 990, Part VI, Section B, line 11	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 Member's questions.
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. In addition, the General Counsel reviews all Conflict of Interest disclosures and makes an annual report to the Board on such disclosures.
Form 990, Part VI, Section B, line 15	In determining compensation of the organization's CEO, the process 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 the CEO. Then the Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals in other comparable organizations that 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. In determining the compensation of the other officer of the organization, the process 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 officer and received a reasonableness with respect with that compensation. Then the Compensation Committee reviewed and approved the compensation. In the review of the compensation, the other officers of the organization were compared to individuals in other comparable organizations that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the minutes.
Form 990, Part VI, Section C, line 19	The organization will provide any documents open to public inspection upon request.
Form 990, Part XI, line 9:	Net Asset Transfers from Affiliates 277,473,503. Pension Liability 11,099. Other Adjustments from Affiliates -25,928,679.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

Ascension Health Alliance

Employer identification number

45-3358926

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Ascension Health Ventures LLC 4600 Edmundson Road St Louis,MO63134 31-1793943	Healthcare	MO	8,560,913	15,290,971	Ascension Health Alliance
(2) Ascension Health Leadership Academy LLC 101 South Hanley Suite 450 St Louis,MO63105 45-4157453	Healthcare	MO	0	0	Ascension Health Alliance
(3) AH Holdings LLC 5451 Lakeview Parkway South Drive Indianapolis,IN46268 27-0464821	Healthcare	IN	0	0	Ascension Health Alliance
(4) Ascension Health Resource and Supply Management Group LLC 101 South Hanley Ste 450 St Louis,MO63105 27-3859055	Healthcare	MO	87,642,945	15,826,624	Ascension Health Alliance
(5) AHV Holding Company LLC 11775 Borman Dr Suite 310 St Louis,MO63146 45-4486150	Healthcare	MO	6,468,505	4,113,254	Ascension Health Alliance
(6) Ascension Health Ventures II LLC 11775 Borman Drive St Louis,MO62146 26-0624407	Healthcare	MO	1,938,450	5,263,854	AHV Holding Company LLC
(7) Ascension Health Ventures III LLC 11775 Borman Dr Suite 310 St Louis,MO63146 45-4485999	Healthcare	MO	4,487,735	609,870	AHV Holding Company LLC
(8) MedXcel LLC 5451 Lakeview Parkway S Drive Indianapolis,IN46268 45-4807500	Healthcare	IN	0	0	AH Holdings LLC
(9) AH Orion LLC 4600 Edmundson Road St Louis,MO63134 32-0292619	Healthcare	MO	0	0	AH Holdings LLC
(10) Axess Ultrasound LLC 5451 Lakeview Parkway S Drive Indianapolis,IN46268 26-2953976	Healthcare	IN	-954,210	5,073,728	MedXcel LLC
(11) TriMedx LLC 5451 Lakeview Parkway S Drive Indianapolis,IN46268 35-2081152	Healthcare	IN	233,341,175	111,459,517	MedXcel LLC
(12) eProtex LLC 5451 Lakeview Parkway S Drive Indianapolis,IN46268 27-0148607	Healthcare	IN	0	0	MedXcel LLC
(13) TriMedx International LLC 5451 Lakeview Parkway S Drive Indianapolis,IN46268 45-5434912	Healthcare	IN	0	0	MedXcel LLC
(14) TriMedx Data Consulting LLC 5451 Lakeview Parkway S Drive Indianapolis,IN46268	Inactive	IN	0	0	TriMedx LLC
(15) TriMedx India LLC 5451 Lakeview Parkway S Drive Indianapolis,IN46268 45-4993750	Healthcare	IN	0	0	TriMedx International LLC

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Ascension Health PO Box 45998 St Louis,MO631455998 31-1662309	National Health System	MO	Section 501(c)(3)	Schedule A, Line 11a	Ascension Health Alliance		No
(2) Catholic Healthcare Investment Management Company PO Box 45998 St Louis,MO631455998 27-3174701	Supporting Organization	MO	Section 501(c)(3)	Schedule A, Line 11a	Ascension Health Alliance	Yes
(3) Ascension Health - IS Inc PO Box 45998 St Louis,MO631455998 65-1257719	Supporting Organization	MO	Section 501(c)(3)	Schedule A, Line 11a	Ascension Health Alliance	Yes
(4) Ascension Health Global Mission 101 South Hanley Suite 450 St Louis,MO63105 65-1205990	Supporting Organization	MO	Section 501(c)(3)	Schedule A, Line 11a	Ascension Health Alliance	Yes
(5) AHA Professional And General Liability Self Insurance Trust 4600 Edmundson Rd St Louis,MO63134 36-7046706	Supporting Organization	MO	Section 501(c)(3)	Schedule A, Line 11a	Ascension Health	Yes
(6) Ascension Health Welfare Benefits Trust PO Box 46944 St Louis,MO63146 43-1601369	Trust	MO	Section 501(c)(9)	N/A	Ascension Health	Yes
(7) The TriMedx Foundation 5451 Lakeview Parkway S Drive Indianapolis,IN46268 20-1643383	Supporting Organization	IN	Section 501(c)(3)	Schedule A, Line 7	MedXcel LLC	Yes
(8) St Mary's Healthcare 427 Guy Park Avenue Amsterdam,NY12010 14-1347719	Hospital	NY	Section 501(c)(3)	Schedule A, Line 3	Ascension Health	Yes
(9) Medical Services Enhancement Inc 427 Guy Park Avenue Amsterdam,NY12010 14-1776546	Medical Office Building	NY	Section 501(c)(25)	N/A	St Mary's Healthcare	Yes
(10) The Foundation of St Mary's Healthcare 427 Guy Park Avenue Amsterdam,NY12010 13-3254655	Supporting Organization	NY	Section 501(c)(3)	Schedule A, Line 11c	N/A	Yes
(11) Seton Healthcare Family 1345 Philomena Street Austin,TX78723 45-4364243	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 11a	Ascension Health	Yes
(12) Seton Family of Hospitals 1345 Philomena Street Austin,TX78723 74-1109643	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 3	Seton Healthcare Family	Yes
(13) Austin Childrens Chest Associates II 1345 Philomena Street Austin,TX78723 26-0163261	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	Yes
(14) Blue Lady Minerals Inc 1345 Philomena Street Austin,TX78723 74-2971975	Own Oil and Mineral Rights, Real Estate	TX	Section 501(c)(3)	Schedule A, Line 11c	Seton Fund of the Daughters of Charity of St Vincent de Paul	Yes
(15) CMC Foundation of Central Texas 1345 Philomena Street Austin,TX78723 20-0468031	Fundraising	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Healthcare Family	Yes
(16) SetonUT Southwestern University Physicians Group 1345 Philomena Street Austin,TX78723 74-2869762	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Family of Hospitals	Yes
(17) Institute of Reconstructive Plastic Surgery of Central Texas 1345 Philomena Street Austin,TX78723 26-2908163	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	Yes
(18) Pediatric Critical Care Associates 1345 Philomena Street Austin,TX78723 42-1670843	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	Yes
(19) Seton Family of Pediatric Surgeons 1345 Philomena Street Austin,TX78723 27-1311790	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	Yes
(20) Seton Hays Foundation 1345 Philomena Street Austin,TX78723 26-2842608	Fundraising	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Healthcare Family	Yes
(21) St Agnes Healthcare Inc 900 S Caton Avenue Baltimore,MD21229 52-0591657	Hospital	MD	Section 501(c)(3)	Schedule A, Line 3	Ascension Health	Yes
(22) Seton Medical Group 1345 Philomena Street Austin,TX78723 74-2861106	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	Yes
(23) Seton Williamson Foundation 1345 Philomena Street Austin,TX78723 20-5330986	Fundraising	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Healthcare Family	Yes
(24) The Seton Cove Inc 1345 Philomena Street Austin,TX78723 74-2727509	Spirituality Center	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Healthcare Family	Yes
(25) Seton Fund of the Daughters of Charity of St Vincent de Paul Inc 1345 Philomena Street Austin,TX78723 74-2212968	Fundraising	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Healthcare Family	Yes
(26) Tri-County Clinical 1345 Philomena Street Austin,TX78723 26-4562712	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	Yes
(27) Seton Family of Physicians (fka Tri-County Practice Association) 1345 Philomena Street Austin,TX78723 26-4562522	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	Yes
(28) Specially for Children- Children's Hospital 1345 Philomena Street Austin,TX78723 74-2800601	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	Yes
(29) Twenty-Six Doors Inc 1345 Philomena Street Austin,TX78723 74-2855201	To Hold Title to Real Property	TX	Section 501(c)(25)	N/A	Seton Fund of the Daughters of Charity of St Vincent de Paul	Yes
(30) Fickett Health Legacy Inc 1345 Philomena Street Austin,TX78723 27-2843709	To Hold and Collect Income from Real Property	TX	Section 501(c)(25)	N/A	Twenty-Six Doors Inc	Yes
(31) Pediatric Surgical Subspecialists 1345 Philomena Street Austin,TX78723 20-8957311	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	Yes
(32) Adult Inpatient Medical Services 1345 Philomena Street Austin,TX78723 45-2498998	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Family of Hospitals	Yes
(33) Seton ENT 1345 Philomena Street Austin,TX78723 27-3220659	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	Yes
(34) Children's Bone Joint & Spine Center 1345 Philomena Street Austin,TX78723 45-2499113	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	Yes
(35) Healthcare Collaborative 1345 Philomena Street Austin,TX78723 27-3220767	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Clinical Enterprise Corporation	Yes
(36) Seton Clinical Enterprise Corporation 1345 Philomena Street Austin,TX78723 45-4360468	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Healthcare Family	Yes
(37) Seton Insurance Services Corporation 1345 Philomena Street Austin,TX78723 45-4364813	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Healthcare Family	Yes
(38) Seton Medical Group 900 Caton Avenue Baltimore,MD21229 39-0264992	Provide Health Care Services to the Community	MD	Section 501(c)(3)	Schedule A, Line 3	St Agnes Hospital	Yes
(39) St Agnes Foundation 900 Caton Avenue Baltimore,MD21229 52-1415083	Provide funding to the hospital and community	MD	Section 501(c)(3)	Schedule A, Line 11a	St Agnes Hospital	Yes
(40) St Agnes Auxiliary 900 Caton Avenue Baltimore,MD21229 52-0643673	Fundraising	MD	Section 501(c)(3)	Schedule A, Line 9	St Agnes Hospital	Yes
(41) Lourdes Realty Corporation 169 Riverside Drive Binghamton,NY13905 22-2873637	Rental of Health Care Facilities	NY	Section 501(c)(2)	N/A	Our Lady of Lourdes Memorial Hospital Inc	Yes
(42) Our Lady of Lourdes Memorial Hospital Inc 169 Riverside Drive Binghamton,NY13905 15-0532221	Hospital	NY	Section 501(c)(3)	Schedule A, Line 3	Ascension Health	Yes
(43) St Vincent's Health System 810 St Vincents Drive Birmingham,AL35205 63-0931008	Health System Parent	MO	Section 501(c)(3)	Schedule A, Line 11c	Ascension Health	Yes
(44) St Vincent's Birmingham 810 St Vincents Drive Birmingham,AL35205 63-0288864	Hospital	AL	Section 501(c)(3)	Schedule A, Line 3	St Vincent's Health System	Yes
(45) St Vincent's Blount 150 Gilbreath Drive Oneonta,AL35121 63-0909073	Hospital	AL	Section 501(c)(3)	Schedule A, Line 3	St Vincent's Health System	Yes
(46) St Vincent's East 50 Medical Park East Drive Birmingham,AL35235 63-0578923	Hospital	AL	Section 501(c)(3)	Schedule A, Line 3	St Vincent's Health System	Yes
(47) American Sports Medicine Institute 2660 10th Avenue South No 505 Birmingham,AL35205 63-0952490	Sports Medicine	AL	Section 501(c)(3)	Schedule A, Line 7	St Vincent's Birmingham	Yes
(48) Universal Health Services 810 St Vincents Drive Birmingham,AL35205 63-0932323	Physician Group	AL	Section 501(c)(3)	Schedule A, Line 11b	St Vincent's Health System	Yes
(49) St Vincent's Foundation of Alabama Inc 810 St Vincents Drive Birmingham,AL35205 63-0868068	Fundraising	AL	Section 501(c)(3)	Schedule A, Line 7	St Vincent's Health System	Yes
(50) Seton Property Corporation of North Alabama 810 St Vincents Drive Birmingham,AL35205 23-7326976	Real Estate	AL	Section 501(c)(2)	N/A	St Vincent's Health System	Yes
(51) St Vincent's Health Services Corp 2800 Main Street Bridgeport,CT06606 22-2558134	System Parent	CT	Section 501(c)(3)	Schedule A, Line 11a	Ascension Health	Yes
(52) St Vincent's Special Needs Center 95 Merritt Boulevard Trumbull,CT06611 06-0702617	Programs for Special Needs Individuals	CT	Section 501(c)(3)	Schedule A, Line 9	St Vincent's Health Services Corp	Yes
(53) St Vincent's Development Inc 95 Merritt Boulevard Trumbull,CT06611 22-2554128	Real Estate Holdings	CT	Section 501(c)(25)	N/A	St Vincent's Health Services Corp	Yes
(54) St Vincent's Medical Center 2800 Main Street Bridgeport,CT06606 06-0646886	Hospital	CT	Section 501(c)(3)	Schedule A, Line 3	St Vincent's Health Services Corp	Yes
(55) St Vincent's Medical Center Foundation Inc 2800 Main Street Bridgeport,CT06606 22-2558132	Fundraising	CT	Section 501(c)(3)	Schedule A, Line 7	St Vincent's Health Services Corp	Yes
(56) St Vincent's College 2800 Main Street Bridgeport,CT06606 06-1331677	College of Health Sciences	CT	Section 501(c)(3)	Schedule A, Line 2	St Vincent's Medical Center	Yes
(57) St Vincent's Multispecialty Group Inc 2800 Main Street Bridgeport,CT06606 80-0458769	Physician Practices	CT	Section 501(c)(3)	Schedule A, Line 11a	St Vincent's Medical Center	Yes
(58) St John Health 28000 Dequindre Warren,MI48092 38-2244034	Parent	MI	Section 501(c)(3)	Schedule A, Line 11c	Ascension Health	Yes
(59) Brighton Hospital 12851 Grand River Brighton,MI48116 38-1576680	Hospital	MI	Section 501(c)(3)	Schedule A, Line 3	St John Health	Yes
(60) Eastwood Community Clinics 28000 Dequindre Road Warren,MI48092 38-1958763	Health Care	MI	Section 501(c)(3)	Schedule A, Line 9	St John Health	Yes
(61) Father Murray Nursing Center 28000 Dequindre Road Warren,MI48092 38-2601348	Health Care	MI	Section 501(c)(3)	Schedule A, Line 9	St John Health	Yes
(62) Medical Resources Group 43800 Garfield Clinton Township,MI48038 38-3494637	Health Care	MI	Section 501(c)(3)	Schedule A, Line 9	St John Health	Yes
(63) Providence Health Foundation 22101 Moross Detroit,MI48236 38-3526629	Fundraising	MI	Section 501(c)(3)	Schedule A, Line 11c	St John Health	Yes
(64) Providence Hospital 16001 West Nine Mile Road Southfield,MI48037 38-1358212	Hospital	MI	Section 501(c)(3)	Schedule A, Line 3	St John Health	Yes
(65) Seton Health Corp of SE Michigan 16001 West Nine Mile Road Southfield,MI48037 38-2820107	Health Care	MI	Section 501(c)(3)	Schedule A, Line 11c	St John Health	Yes
(66) St John Community Health Investment Corp 28000 Dequindre Road Warren,MI48092 38-2262856	Health Care	MI	Section 501(c)(3)	Schedule A, Line 3	St John Health	Yes
(67) Reverence Home Health & Hospice 5445 Ali Drive Grand Blanc,MI48439 38-3408684	Health Care	MI	Section 501(c)(3)	Schedule A, Line 7	St John Health	Yes
(68) St John Hospital & Medical Center 28000 Dequindre Road Warren,MI48092 38-1359063	Health Care	MI	Section 501(c)(3)	Schedule A, Line 3	St John Health	Yes
(69) St John Hospital Foundation 22101 Moross Rd Mack Office Buldg S Detroit,MI48236 20-2961579	Fundraising	MI	Section 501(c)(3)	Schedule A, Line 7	St John Health	Yes
(70) St John River District Hospital 4100 River Road East China,MI48054 38-3160564	Hospital	MI	Section 501(c)(3)	Schedule A, Line 3	St John Health	Yes
(71) St John Senior Community 28000 Dequindre Road Warren,MI48092 38-2631907	Health Care	MI	Section 501(c)(3)	Schedule A, Line 9	St John Health	Yes
(72) St John Macomb-Oakland Hospital 28000 Dequindre Road Warren,MI48092 38-3322109	Hospital	MI	Section 501(c)(3)	Schedule A, Line 3	St John Health	Yes
(73) Genesys Health System One Genesys Parkway Grand Blanc,MI484398065 38-3339703	Health System Parent	MI	Section 501(c)(3)	Schedule A, Line 11c	Ascension Health	Yes
(74) Genesys Ambulatory Health Services 5455 Ali Dr Dept 200 Grand Blanc,MI484395193 38-2371754	Hlth Srvcs/Staffing/Prop Mgmnt	MI	Section 501(c)(3)	Schedule A, Line 11b	Genesys Health System	Yes
(75) Genesys Convalescent Center 8481 Holly Road Grand Blanc,MI484391812 38-2317364	Convalescent Center	MI	Section 501(c)(3)	Schedule A, Line 3	Genesys Ambulatory Health Services	Yes
(76) Genesys Health Foundation One Genesys Parkway Grand Blanc,MI484398065 38-3591148	Foundation	MI	Section 501(c)(3)	Schedule A, Line 11b	Genesys Health System	Yes
(77) Genesys Home Health & Hospice 5445 Ali Dr Dept 500 600 Grand Blanc,MI484395195 38-2177968	Hospice	MI	Section 501(c)(3)	Schedule A, Line 11b	Genesys Ambulatory Health Services	Yes
(78) Genesys Regional Medical Center One Genesys Parkway Grand Blanc,MI484398065 38-2377821	Hospital	MI	Section 501(c)(3)	Schedule A, Line 3	Genesys Health System	Yes
(79) Center for Gerontology 5455 Ali Drive Dept 200 Grand Blanc,MI484395195 38-2514708	Adult Day Care	MI	Section 501(c)(3)	Schedule A, Line 11b	Genesys Ambulatory Health Services	Yes
(80) Health Source Group 5445 Ali Dr Dept 200 Grand Blanc,MI484395195 38-2427678	Prg Related Investments	MI	Section 501(c)(3)	Schedule A, Line 11b	Genesys Health System	Yes
(81) Genesys Volunteers One Genesys Parkway Grand Blanc,MI484398065 38-1472646	GRMC Support	MI	Section 501(c)(3)	Schedule A, Line 11a	Genesys Health System	Yes
(82) Central Indiana Health System Cardiac Services Inc 2001 W 86th Street Indianapolis,IN46260 35-1869951	Freestanding outpatient center	IN	Section 501(c)(3)	Schedule A, Line 11c	StVincent Hospital & Health Care Center Inc	Yes
(83) Rehabilitation Hospital of Indiana Inc 4141 Shore Drive Indianapolis,IN46254 35-1786005	Rehabilitation hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(84) SVH Real Estate Inc 10330 N Meridian Street Ste 430N Indianapolis,IN46290 20-5002285	Real estate holding company	IN	Section 501(c)(3)	Schedule A, Line 11a	StVincent Health Inc	Yes
(85) StJoseph Hospital & Health Center Inc 1907 W Sycamore Street Kokomo,IN46901 35-0992717	Hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(86) StJoseph Foundation of Kokomo Indiana Inc 1907 W Sycamore Street Kokomo,IN46901 23-7313206	Supporting organization	IN	Section 501(c)(3)	Schedule A, Line 11a	StJoseph Hospital & Health Center Inc	Yes
(87) StVincent Anderson Regional Hospital Inc 2015 Jackson Street Anderson,IN46016 46-0877261	Hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(88) StVincent Anderson Regional Hospital Foundation Inc 2015 Jackson Street Anderson,IN46016 35-2053693	Supporting organization	IN	Section 501(c)(3)	Schedule A, Line 11a	StVincent Anderson Regional Hospital Inc	Yes
(89) StVincent Carmel Hospital Inc 13500 N Meridian Street Carmel,IN46032 74-3107055	Hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(90) StVincent Clay Hospital Inc 1206 E National Avenue Brazil,IN47834 35-2112529	Critical access hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(91) StVincent Dunn Hospital Inc 1600 23rd Street Bedford,IN47421 27-2192831	Critical access hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(92) StVincent Fishers Hospital Inc 13861 Olio Road Fishers,IN46037 45-4243702	Hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(93) StVincent Frankfort Hospital Inc 1300 S Jackson Frankfort,IN46041 35-2099320	Critical access hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(94) StVincent Frankfort Hospital Foundation Inc 1300 S Jackson Frankfort,IN46041 35-1531734	Supporting organization	IN	Section 501(c)(3)	Schedule A, Line 11a	StVincent Frankfort Hospital Inc	Yes
(95) StVincent Health Inc 10330 N Meridian Street Ste 430N Indianapolis,IN46290 35-2052591	Parent company	IN	Section 501(c)(3)	Schedule A, Line 11c	Ascension Health	Yes
(96) StVincent Health Wellness and Preventive Care Institute Inc 8333 Naab Road Ste 301 Indianapolis,IN46260 46-1227327	Health and wellness services	IN	Section 501(c)(3)	Schedule A, Line 9	StVincent Health Inc	Yes
(97) StVincent Hospital and Health Care Center Inc 2001 W 86th Street Indianapolis,IN46260 35-0869066	Hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(98) StVincent Hospital Foundation Inc 10330 N Meridian Street Ste 430N Indianapolis,IN46290 35-6088862	Supporting organization	IN	Section 501(c)(3)	Schedule A, Line 11a	StVincent Hospital & Health Care Center Inc	Yes
(99) StVincent Jennings Hospital Inc 301 Henry Street North Vernon,IN47265 35-1841606	Critical access hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(100) StVincent Madison County Health System Inc 1331 South A Street Elwood,IN46036 35-0876389	Hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(101) StVincent Medical Group Inc 8425 Harcourt Road Indianapolis,IN46260 27-2039417	Physician professional services	IN	Section 501(c)(3)	Schedule A, Line 9	StVincent Health Inc	Yes
(102) StVincent Mercy Hospital Foundation Inc 1331 South A Street Elwood,IN46036 31-1066871	Supporting organization	IN	Section 501(c)(3)	Schedule A, Line 11a	StVincent Madison County Health System Inc	Yes
(103) StVincent New Hope Inc 8450 N Payne Road Indianapolis,IN46260 35-1733591	Intermediate care facility	IN	Section 501(c)(3)	Schedule A, Line 9	StVincent Health Inc	Yes
(104) StVincent Randolph Hospital Inc 473 Greenville Avenue Winchester,IN47394 35-2103153	Critical access hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(105) StVincent Randolph Hospital Foundation Inc 473 Greenville Avenue Winchester,IN47394 35-2133006	Supporting organization	IN	Section 501(c)(3)	Schedule A, Line 11a	StVincent Randolph Hospital Inc	Yes
(106) StVincent Salem Hospital Inc 911 N Shelby Street Salem,IN47167 27-0847538	Critical access hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(107) StVincent Seton Specialty Hospital Inc 8050 Township Line Road Indianapolis,IN46260 35-1712001	Long term care hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(108) StVincent Williamsport Hospital Inc 412 N Monroe Street Williamsport,IN47993 35-0784551	Critical access hospital	IN	Section 501(c)(3)	Schedule A, Line 3	StVincent Health Inc	Yes
(109) StVincent Williamsport Hospital Foundation Inc 412 N Monroe Street Williamsport,IN47993 74-3130159	Supporting organization	IN	Section 501(c)(3)	Schedule A, Line 11a	StVincent Williamsport Hospital Inc	Yes
(110) SVSM Inc 2001 W 86th Street Indianapolis,IN46260 81-0607827	Holding company	IN	Section 501(c)(3)	Schedule A, Line 11a	StVincent Health Inc	Yes
(111) St Mary's At Home Inc 3700 Washington Avenue Evansville,IN47750 35-1899560	DME/Home care	IN	Section 501(c)(3)	Schedule A, Line 11a	St Mary's Health Services Inc	Yes
(112) St Mary's Building Corporation 3700 Washington Avenue Evansville,IN47750 23-7248362	Real estate holding company	IN	Section 501(c)(2)	N/A	St Mary's Health Services Inc	Yes
(113) St Mary's Warrick Emergency Medical Services Inc 3700 Washington Avenue Evansville,IN47750 20-5342518	Ambulance services	IN	Section 501(c)(4)	N/A	St Mary's Health Services Inc	Yes
(114) St Mary's Health Inc 3700 Washington Avenue Evansville,IN47750 35-2057801	Health ministry parent	IN	Section 501(c)(3)	Schedule A, Line 11c	StVincent Health Inc	Yes
(115) St Mary's Physician Network LLC 3700 Washington Avenue Evansville,IN47750 20-5023387	Physician professional services	IN	Section 501(c)(3)	Schedule A, Line 9	St Mary's Health Inc	Yes
(116) St Mary's Health Services Inc 3700 Washington Avenue Evansville,IN47750 35-1679526	Investment services	IN	Section 501(c)(3)	Schedule A, Line 11c	St Mary's Health Inc	Yes
(117) St Mary's CARE Partners Inc 3700 Washington Avenue Evansville,IN47750 35-1899562	Tax-exempt affiliate reimbursements	IN	Section 501(c)(3)	Schedule A, Line 11a	St Mary's Health Inc	Yes
(118) St Mary's Medical Center Foundation of Evansville Inc 3700 Washington Avenue Evansville,IN47750 23-7045370	Supporting organization	IN	Section 501(c)(3)	Schedule A, Line 11a	St Mary's Medical Center of Evansville Inc	Yes
(119) St Mary's Medical Center of Evansville Inc 3700 Washington Avenue Evansville,IN47750 35-0869065	Hospital	IN	Section 501(c)(3)	Schedule A, Line 3	St Mary's Health Services Inc	Yes
(120) St Mary's Warrick Hospital Foundation Inc 1116 Millis Avenue Boonville,IN47601 35-1961890	Supporting organization	IN	Section 501(c)(3)	Schedule A, Line 11a	St Mary's Warrick Hospital Inc	Yes
(121) St Mary's Warrick Hospital Inc 1116 Millis Avenue Boonville,IN47601 35-1343019	Hospital	IN	Section 501(c)(3)	Schedule A, Line 3	St Mary's Health Services Inc	Yes
(122) St Mary's Ohio Valley Heartcare LLC 901 St Marys Drive Evansville,IN47714 27-3474697	Cardiology services	IN	Section 501(c)(3)	Schedule A, Line 11a	St Mary's Health Inc	Yes
(123) St Mary's Medical Group LLC 3700 Washington Avenue Evansville,IN47750 26-1356310	Physician professional services	IN	Section 501(c)(3)	Schedule A, Line 9	St Mary's Health Inc	Yes
(124) Primary Physician Network LLC 3700 Washington Avenue Evansville,IN47750 20-8775914	Physician professional services	IN	Section 501(c)(3)	Schedule A, Line 9	St Mary's Health Inc	Yes
(125) St Vincent's Health System Inc 4205 Belfort Road Suite 4030 Jacksonville,FL32216 59-3650609	Parent Entity	FL	Section 501(c)(3)	Schedule A, Line 11b	Ascension Health	Yes
(126) St Vincent's Medical Center Inc 4205 Belfort Road Suite 4030 Jacksonville,FL32216 59-0624449	Hospital	FL	Section 501(c)(3)	Schedule A, Line 3	St Vincent's Health System Inc	Yes
(127) St Luke's-St Vincent's Healthcare 4205 Belfort Road Suite 4030 Jacksonville,FL32216 26-0479484	Hospital	FL	Section 501(c)(3)	Schedule A, Line 3	St Vincent's Health System Inc	Yes
(128) St Vincent's Ambulatory Care Inc 4205 Belfort Road Suite 4030 Jacksonville,FL32216 59-2292041	Physician Practice	FL	Section 501(c)(3)	Schedule A, Line 9	St Vincent's Health System Inc	Yes
(129) St Vincent's Foundation Inc 4205 Belfort Road Suite 4030 Jacksonville,FL32216 59-2219923	Fund Raising	FL	Section 501(c)(3)	Schedule A, Line 7	St Vincent's Health System Inc	Yes
(130) St Catherine's Laboure Manor Inc 4205 Belfort Road Suite 4030 Jacksonville,FL32216 59-1878316	Nursing Home	FL	Section 501(c)(3)	Schedule A, Line 3	St Vincent's Health System Inc	Yes
(131) St Vincent's Medical Center Clay County Inc 1580 Branan Field Road Middleburg,FL32068 46-1523194	Hospital	FL	Section 501(c)(3)	Schedule A, Line 3	St Vincent's Health System Inc	Yes
(132) Borgess Health Alliance Inc 1521 Gull Road Kalamazoo,MI49048 38-2335286	Health System Parent	MI	Section 501(c)(3)	Schedule A, Line 11c	Ascension Health	Yes
(133) Borgess Medical Center 1521 Gull Road Kalamazoo,MI49048 38-1360526	Healthcare Services	MI	Section 501(c)(3)	Schedule A, Line 3	Borgess Health Alliance Inc	Yes
(134) Borgess Ambulatory Care Corporation 1521 Gull Road Kalamazoo,MI49048 38-2468823	Holding Company	MI	Section 501(c)(3)	Schedule A, Line 3	Borgess Health Alliance Inc	Yes
(135) Borgess Foundation 1521 Gull Road Kalamazoo,MI49048 23-7222558	Fundraising	MI	Section 501(c)(3)	Schedule A, Line 11c	Borgess Health Alliance Inc	Yes
(136) Borgess Nursing Home 3057 Gull Road Kalamazoo,MI490481281 38-2555589	Residential Care	MI	Section 501(c)(3)	Schedule A, Line 3	Borgess Health Alliance Inc	Yes
(137) Lee Memorial Hospital Corporation 420 West High Street Dowagiac,MI49047 38-1490190	Healthcare Services	MI	Section 501(c)(3)	Schedule A, Line 3	Borgess Health Alliance Inc	Yes
(138) Lee Memorial Foundation 420 West High Street Dowagiac,MI49047 38-2860459	Fundraising	MI	Section 501(c)(3)	Schedule A, Line 11c	Borgess Health Alliance Inc	Yes
(139) ProMed Healthcare 1521 Gull Road Kalamazoo,MI49048 38-3193801	Healthcare Services	MI	Section 501(c)(3)	Schedule A, Line 9	Borgess Health Alliance Inc	Yes
(140) Visiting Nurses Home Care DBA Borgess VNA Home Care 348 North Burdick Kalamazoo,MI49007 38-2717691	Home Healthcare Services	MI	Section 501(c)(3)	Schedule A, Line 9	Borgess Health Alliance Inc	Yes
(141) Carondelet Health 1000 Carondelet Drive Kansas City,MO641144673 43-1276738	System parent	MO	Section 501(c)(9)	Schedule A, Line 11c	Ascension Health	Yes
(142) Carondelet Health Corp & Affil Emp Health & Dental Care 1000 Carondelet Drive Kansas City,MO641144673 43-1116849	VEBA	MO	Section 501(c)(3)	N/A	Carondelet Health	Yes
(143) Carondelet Home Care Services Inc 11050 Roe Suite 120 Overland Park,MO66211 43-1379352	Home Health Care Services	MO	Section 501(c)(3)	Schedule A, Line 3	Carondelet Health	Yes
(144) Carondelet Cardiology Services Inc 1000 Carondelet Drive Kansas City,MO641144673 27-1322670	Health Care	MO	Section 501(c)(3)	Schedule A, Line 9	Carondelet Health	Yes
(145) St Joseph Medical Center 1000 Carondelet Drive Kansas City,MO641144673 44-0546292	Health Care	MO	Section 501(c)(3)	Schedule A, Line 3	Carondelet Health	Yes
(146) St Mary's Medical Center 201 West RD Mize Rd Blue Springs,MO64014 43-1284526	Healthcare	MO	Section 501(c)(3)	Schedule A, Line 3	Carondelet Health	Yes
(147) St Mary's Medical Center Foundation 1000 Carondelet Drive Kansas City,MO641144673 43-1918107	Fundraising	MO	Section 501(c)(3)	Schedule A, Line 11c	Carondelet Health	Yes
(148) St Joseph Medical Center Foundation 1000 Carondelet Drive Kansas City,MO641144673 43-1388461	Fundraising	MO	Section 501(c)(3)	Schedule A, Line 11c	Carondelet Health	Yes
(149) St Joseph Regional Medical Center Foundation Inc 415 Sixth Street Lewiston,ID83501 51-0168321	Fundraising	ID	Section 501(c)(3)	Schedule A, Line 11a	St Joseph Regional Medical Center	Yes
(150) St Joseph Regional Medical Center 415 Sixth Street Lewiston,ID83501 82-0204264	Hospital	ID	Section 501(c)(3)	Schedule A, Line 3	Ascension Health	Yes
(151) Providence Health System (fka Seton Health Corporation of South Alabama) 6801 Airport Blvd Mobile,AL36608 63-0934712	Support Providence Hospital	AL	Section 501(c)(3)	Schedule A, Line 11c	Ascension Health	Yes
(152) Providence Hospital 6801 Airport Blvd Mobile,AL36608 63-0288861	Hospital	AL	Section 501(c)(3)	Schedule A, Line 3	Ascension Health	Yes
(153) Seton Medical Management Inc 6801 Airport Blvd Mobile,AL36608 63-0937704	Support Providence Hospital	AL	Section 501(c)(3)	Schedule A, Line 11b	Providence Health System	Yes
(154) Providence Foundation 6801 Airport Blvd Mobile,AL36608 63-0915493	Support Providence Hospital	AL	Section 501(c)(3)	Schedule A, Line 11c	Providence Health System	Yes
(155) Providence Healthcare Services 6801 Airport Blvd Mobile,AL36608 63-0937705	Support Providence Hospital	AL	Section 501(c)(3)	Schedule A, Line 11c	Providence Health System	Yes
(156) Providence Building Corporation 6801 Airport Blvd Mobile,AL36608 63-0914564	Support Providence Hospital	AL	Section 501(c)(2)	N/A	Providence Health System	Yes
(157) Alabama Providence Healthcare Services 6801 Airport Blvd Mobile,AL36608 46-2847744	Support Providence Hospital	AL	Section 501(c)(3)	Schedule A, Line 11c	Providence Health System	Yes
(158) Saint Thomas West Hospital 4220 Harding Road Nashville,TN37205 62-0347580	Hospital	TN	Section 501(c)(3)	Schedule A, Line 3	Saint Thomas Health	Yes
(159) Saint Thomas Network 4220 Harding Road Nashville,TN37205 62-1284994	Health Investment Entity	TN	Section 501(c)(3)	Schedule A, Line 9	Saint Thomas Health	Yes
(160) Saint Thomas Health Foundations PO Box 380 Nashville,TN37202 58-1663055	Operates Foundation	TN	Section 501(c)(3)	Schedule A, Line 7	Saint Thomas Network	Yes
(161) Covenant Care Inc 102 Woodmont Blvd Suite 800 Nashville,TN37205 62-1695737	Inactive	TN	Section 501(c)(3)	Schedule A, Line 11a	Saint Thomas Network	Yes
(162) Saint Thomas Rutherford Hospital 1700 Medical Center Parkway Murfreesboro,TN37219 62-0475842	Hospital	TN	Section 501(c)(3)	Schedule A, Line 3	Saint Thomas Health	Yes
(163) Saint Thomas Rutherford Foundation fka Middle Tennessee Medical Center Fo 1700 Medical Center Parkway Murfreesboro,TN37219 62-1167917	Foundation	TN	Section 501(c)(3)	Schedule A, Line 11a	Saint Thomas Rutherford Hospital	Yes
(164) Saint Thomas Midtown Hospital 4220 Harding Road Nashville,TN37205 62-1869474	Acute Care Hospital	TN	Section 501(c)(3)	Schedule A, Line 3	Saint Thomas Health	Yes
(165) Baptist Hospital Foundation of Nashville Inc 2000 Church Street Nashville,TN37236 58-1861378	Inactive	TN	Section 501(c)(3)	Schedule A, Line 11a	Saint Thomas Midtown Hospital	Yes
(166) Baptist Health Care Affiliates Inc 2000 Church Street Nashville,TN37236 58-1509251	Community Health Promotion	TN	Section 501(c)(3)	Schedule A, Line 11a	Saint Thomas Network	Yes
(167) Baptist Health Care Group 2000 Church Street Nashville,TN37236 62-1529858	Healthcare Provider	TN	Section 501(c)(3)	Schedule A, Line 3	Saint Thomas Network	Yes
(168) Saint Thomas Hickman Hospital 135 East Swan Street Centerville,TN37033 58-1737573	Hospital	TN	Section 501(c)(3)	Schedule A, Line 3	Baptist Healthcare Affiliates Inc	Yes
(169) Saint Thomas Home Care 135 East Swan Street Centerville,TN37033 62-1836937	Home Health Care	TN	Section 501(c)(3)	Schedule A, Line 9	Saint Thomas Hickman Hospital	Yes
(170) Mount St Mary's Hospital of Niagara Falls 5300 Military Road Lewiston,NY140921997 16-1523353	Hospital	NY	Section 501(c)(3)	Schedule A, Line 3	Ascension Health	Yes
(171) Mount St Mary's Hospital Child Care Center 5310 Military Road Lewiston,NY140921997 16-1523352	Child Care Center	NY	Section 501(c)(3)	Schedile A, Line 9	Mount St Mary's Hospital of Niagara Falls	Yes
(172) Our Lady of Peace Inc 5285 Lewiston Road Lewiston,NY140921997 16-1608735	Nursing Home	NY	Section 501(c)(3)	Schedule A, Line 3	Mount St Mary's Hospital of Niagara Falls	Yes
(173) Mount St Mary's Hospital Foundation 5300 Military Road Lewiston,NY140921997 16-1360884	Foundation	NY	Section 501(c)(3)	Schedule A, Line 11a	Mount St Mary's Hospital of Niagara Falls	Yes
(174) Lourdes Foundation 520 North 4th Avenue Pasco,WA99301 91-1528577	Fundraising	WA	Section 501(c)(3)	Schedule A, Line 11a	Our Lady of Lourdes Hospital at Pasco	Yes
(175) Sacred Heart Health System Inc 5151 N 9th Avenue Pensacola,FL32504 59-0634434	Hospital - Healthcare	FL	Section 501(c)(3)	Schedule A, Line 3	Ascension Health	Yes
(176) Haven of Our lady of Peace Inc 5151 N 9th Ave Pensacola,FL32504 59-3620346	Nursing Home	FL	Section 501(c)(3)	Schedule A, Line 9	Sacred Heart Health System	Yes
(177) Sacred Heart Foundation Inc 5151 N 9th Ave Pensacola,FL32504 59-2436597	Foundation	FL	Section 501(c)(3)	Scheudle A, Line 7	Sacred Heart Health System	Yes
(178) Sacred Heart Health Ventures Inc 5151 N 9th Ave Pensacola,FL32504 57-1183283	Serve as controlling entity of subsidiary organizations.	FL	Section 501(c)(3)	Schedule A, Line 11a	Sacred Heart Health System	Yes
(179) St Mary's of Michigan Medical Center 800 South Washington Avenue Saginaw,MI48601 38-0997730	Hospital	MI	Section 501(c)(3)	Schedule A, Line 3	Ascension Health	Yes
(180) St Mary's Health 800 South Washington Avenue Saginaw,MI48601 38-3477017	Local Health System Parent	MI	Section 501(c)(3)	Schedule A, Line 11a	St Mary's of Michigan Medical Center	Yes
(181) Standish Community Hospital 805 West Cedar Street Standish,MI48658 38-1671120	Hospital	MI	Section 501(c)(3)	Schedule A, Line 3	St Mary's Health	Yes
(182) St Mary's of Michigan Foundation 800 South Washington Avenue Saginaw,MI48601 38-2246366	Fundraising	MI	Section 501(c)(3)	Schedule A, Line 11c	St Mary's of Michigan Medical Center	Yes
(183) Field Neurosciences Institute 800 South Washington Avenue Saginaw,MI48601 38-2790703	Medical Research Organization	MI	Section 501(c)(3)	Schedule A, Line 9	St Mary's of Michigan Medical Center	Yes
(184) St Joseph Health System Inc 200 Hemlock Road Tawas City,MI48763 38-1443395	Hospital	MI	Section 501(c)(3)	Schedule A, Line 3	Ascension Health	Yes
(185) St Joseph Health System Foundation 200 Hemlock Road Tawas City,MI48763 01-0790428	Fundraising	MI	Section 501(c)(3)	Schedule A, Line 11a	St Joseph Health System Inc	Yes
(186) St John Health System Inc 1923 South Utica Avenue Tulsa,OK74104 73-1215174	System Parent	OK	Section 501(c)(3)	Schedule A, Line 11a	Ascension Health	Yes
(187) Craig County Medical Services Corp 1923 South Utica Avenue Tulsa,OK74104 73-1487478	Health Care	OK	Section 501(c)(3)	Schedule A, Line 9	St John Health System Inc	Yes
(188) St John Sapulpa Inc 1923 South Utica Avenue Tulsa,OK74104 73-0662663	Health Care	OK	Section 501(c)(3)	Schedule A, Line 3	St John Health System Inc	Yes
(189) Jane Phillips Nowata Hospital Inc 237 South Locust Nowata,OK74048 73-1440267	Health Care	OK	Section 501(c)(3)	Schedule A, Line 3	Jane Phillips Memorial Medical Center	Yes
(190) Jane Phillips Memorial Medical Center 3500 E Frank Phillips Blvd Bartlesville,OK74006 73-0606129	Health Care	OK	Section 501(c)(3)	Schedule A, Line 3	St John Health System Inc	Yes
(191) Jane Phillips Health Care Foundation 3500 E Frank Phillips Blvd Bartlesville,OK74006 73-1250611	Rural Health Clinics	OK	Section 501(c)(3)	Schedule A, Line 3	Jane Phillips Memorial Medical Center	Yes
(192) Bartlett Homes Inc 1008 E Cleveland Sapulpa,OK74066 73-1301822	HUD Housing	OK	Section 501(c)(3)	Schedule A, Line 7	St John Sapulpa Inc	Yes
(193) Bethel Manor Inc 619 S Division Sapulpa,OK74066 73-1216617	HUD Housing	OK	Section 501(c)(3)	Schedule A, Line 7	St John Sapulpa Inc	Yes
(194) St John Building Corporation 1923 South Utica Avenue Tulsa,OK74104 61-1659782	Real Estate	OK	Section 501(c)(3)	N/A	St John Health System Inc	Yes
(195) St John Health System Foundation Inc 1923 South Utica Avenue Tulsa,OK74104 73-1133139	Health Care	OK	Section 501(c)(3)	Schedule A, Line 7	St John Health System Inc	Yes
(196) St John Medical Center Inc 1923 South Utica Avenue Tulsa,OK74104 73-0579286	Health Care	OK	Section 501(c)(3)	Schedule A, Line 3	St John Health System Inc	Yes
(197) St John Management Services Inc 1923 South Utica Avenue Tulsa,OK74104 20-3742040	Health Care	OK	Section 501(c)(3)	Schedule A, Line 7	St John Health System Inc	Yes
(198) St John Villas Inc 1923 South Utica Avenue Tulsa,OK74104 73-1077367	Nursing Home	OK	Section 501(c)(3)	Schedule A, Line 9	St John Health System Inc	Yes
(199) Owasso Medical Facility Inc 1923 South Utica Avenue Tulsa,OK74104 20-3700131	Health Care	OK	Section 501(c)(3)	Schedule A, Line 3	St John Health System Inc	Yes
(200) St John Broken Arrow Inc 1923 South Utica Avenue Tulsa,OK74104 38-3833117	Health Care	OK	Section 501(c)(3)	Schedule A, Line 3	St John Health System Inc	Yes
(201) St John Auxiliary 1923 South Utica Avenue Tulsa,OK74104 73-0999759	Health Care	OK	Section 501(c)(3)	Schedule A, Line 9	St John Health System Inc	Yes
(202) St Teresa of Avila Villas Inc 6859 South Canton Avenue Tulsa,OK74136 20-4791422	HUD Housing	OK	Section 501(c)(3)	Schedule A, Line 7	St John Villas Inc	Yes
(203) Holy Cross Hospital Inc 1171 W Target Range Rd Nogales,AZ85621 86-0575938	Hospital	AZ	Section 501(c)(3)	Schedule A, Line 3	Carondelet Health Network	Yes
(204) Carondelet Health Network 2202 N Forbes Blvd Tucson,AZ85716 86-0455920	Hospital	AZ	Section 501(c)(3)	Schedule A, Line 3	Carondelet Health Network	Yes
(205) Carondelet Foundation Inc 2202 N Forbes Blvd Tucson,AZ85716 86-0749574	Hospital	AZ	Section 501(c)(3)	Schedule A, Line 11a	Carondelet Health Network	Yes
(206) Chalon Living Inc 8553 E San Alberto Drive Scottsdale,AZ85258 86-0805615	Low Income Housing	AZ	Section 501(c)(3)	Schedule A, Line 7	Holy Cross Hospital Inc	Yes
(207) Sothwest Catholic Health Network 4350 E Cotton Center Blvd Bldg D Phoenix,AZ85040 86-0527381	Insurance	AZ	Section 501(c)(3)	Schedule A, Line 11a	CHN & Dignity Health	Yes
(208) The Centurions PO Box 45998 St Louis,MO63145 85-4088322	Foundation	AZ	Section 501(c)(3)	Schedule A, Line 11a	Carondelet Foundation Inc	Yes
(209) Providence Hospital 1150 Varnum Street NE Washington,DC20017 53-0196636	Hospital	DC	Section 501(c)(3)	Schedule A, Line 3	Ascension Health	Yes
(210) Providence Health Services Inc 1150 Varnum Street NE Washington,DC20017 52-1275587	Physician Practices	DC	Section 501(c)(3)	Schedule A, Line 11a	Providence Hospital	Yes
(211) Providence Health Foundation Inc 1150 Varnum Street NE Washington,DC20017 52-1275583	Fundraising Organization	DC	Section 501(c)(3)	Schedule A, Line 11a	Providence Hospital	Yes
(212) Alexian Brothers Bonaventure House 825 Wellington Avenue Chicago,IL60657 36-3527899	Housing and supportive care services for persons with HIV/AIDS	IL	Section 501(c)(3)	Schedule A, Line 9	Alexian Brothers Health System	Yes
(213) Alexian Brothers Specialty Group 3040 W Salt Creek Lane Arlington Heights,IL60005 80-0710751	Specialty physician practice group	IL	Section 501(c)(3)	Schedule A, Line 3	Alexian Brothers Health System	Yes
(214) Alexian Brothers of San Jose Inc 3040 W Salt Creek Lane Arlington Heights,IL60005 94-1530037	Acute care hospital (sold in 1998)	TX	Section 501(c)(3)	Schedule A, Line 11c	Alexian Brothers Health System	Yes
(215) Alexian Brothers Senior Ministries 3040 W Salt Creek Lane Arlington Heights,IL60005 36-4484290	Supports the provision of healthcare services for related corporations	IL	Section 501(c)(3)	Schedule A, Line 11c	Alexian Brothers Health System	Yes
(216) Alexian Brothers Services Inc 3040 W Salt Creek Lane Arlington Heights,IL60005 43-1295333	HUD housing	MO	Section 501(c)(3)	Schedule A, Line 9	Alexian Brothers Health System	Yes
(217) Alexian Brothers Hospital Network 3040 W Salt Creek Lane Arlington Heights,IL60005 36-3276552	Supports the provision of healthcare services for related corporations	IL	Section 501(c)(3)	Schedule A, Line 11c	Alexian Brothers Health System	Yes
(218) Alexian Village of Milwaukee Inc 9301 N 76th Street Milwaukee,WI53223 39-1351584	Continuing care retirement community	WI	Section 501(c)(3)	Schedule A, Line 9	Alexian Brothers Health System	Yes
(219) Alexian Brothers Community Services 425 Cumberland Street Suite 110 Chattanooga,TN37404 36-4344423	Provides comprehensive & coordinated community based services	IL	Section 501(c)(3)	Schedule A, Line 9	Alexian Brothers Health System	Yes
(220) Alexian Brothers Senior Neighbors 250 East 10th Street Chattanooga,TN37402 62-0646376	Supports the provision of community services for senior citizens	TN	Section 501(c)(3)	Schedule A, Line 7	Alexian Brothers Health System	Yes
(221) Alexian Village of Tennessee 437 Alexian Way Signal Mountain,TN37377 62-1136742	Continuing care retirement community	TN	Section 501(c)(3)	Schedule A, Line 9	Alexian Brothers Health System	Yes
(222) Alexian Elderly Services Inc 3040 W Salt Creek Lane Arlington Heights,IL60005 39-2039667	Community outreach	WI	Section 501(c)(3)	Schedule A, Line 9	Alexian Brothers Health System	Yes
(223) Alexian Brothers Lansdowne Village 4624 Lansdowne St Louis,MO63116 43-1470362	Skilled nursing facility	MO	Section 501(c)(3)	Schedule A, Line 9	Alexian Brothers Health System	Yes
(224) Alexian Brothers Sherbrooke Village 4005 Ripa Avenue St Louis,MO63125 43-1592502	Skilled nursing facility	MO	Section 501(c)(3)	Schedule A, Line 9	Alexian Brothers Health System	Yes
(225) Savelli Properties Inc 3040 W Salt Creek Lane Arlington Heights,IL60005 36-3308965	Owns or leases properties where healthcare services are delivered	IL	Section 501(c)(2)	N/A	Alexian Brothers Health System	Yes
(226) Alexian Brothers Center for Mental Health 3436 N Kennicott Avenue Arlington Heights,IL60004 36-3045007	Outpatient community mental health services	IL	Section 501(c)(3)	Schedule A, Line 9	Alexian Brothers Health System	Yes
(227) Alexian Brothers Behavioral Health Hospital 1650 Moon Lake Blvd Hoffman Estates,IL60194 36-4251848	Behavioral health hospital	IL	Section 501(c)(3)	Schedule A, Line 3	Alexian Brothers Health System	Yes
(228) St Alexius Medical Center 1555 Barrington Road Hoffman Estates,IL60194 36-4251846	Acute care hospital	IL	Section 501(c)(3)	Schedule A, Line 3	Alexian Brothers Health System	Yes
(229) Alexian Brothers Ambulatory Group 3040 W Salt Creek Lane Arlington Heights,IL60005 36-4336931	Physician services	IL	Section 501(c)(3)	Schedule A, Line 3	Alexian Brothers Health System	Yes
(230) Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village,IL60007 36-2596381	Acute care hospital	TX	Section 501(c)(3)	Schedule A, Line 3	Alexian Brothers Health System	Yes
(231) Alexian Brothers Health System 3040 W Salt Creek Lane Arlington Heights,IL60005 36-3260495	Supports provision of healthcare services for related corporation	IL	Section 501(c)(3)	Schedule A, Line 11c	Alexian Brothers Health System	Yes
(232) Ministry Health Care Inc 10925 W Lake Park Dr Ste 100 Milwaukee,WI53224 39-1490371	Parent Corporation	WI	Section 501(c)(3)	Schedule A, Line 11b	Ascension Health	Yes
(233) Affinity Health System 1570 Midway Place Menasha,WI54952 39-1568866	Support Related Healthcare Organziations	IL	Section 501(c)(3)	Schedule A, Line 11b	Ministry Health Care Inc	Yes
(234) Agape Community Center of Milwaukee Inc 6100 North 42nd Street Milwaukee,WI532093560 39-1461846	Community Center	WI	Section 501(c)(3)	Schedule A, Line 7	Ministry Health Care Inc	Yes
(235) Calumet Medical Center Inc 614 Memorial Drive Chilton,WI53014 39-0905385	Hospital	WI	Section 501(c)(3)	Schedule A, Line 3	Affinity Health System	Yes
(236) Catalpa Health Inc N4642 County N Appleton,WI54914 45-4681563	Mental Health Facility	WI	Section 501(c)(3)	Schedule A, Line 3	St Elizabeth Hospital Inc	Yes
(237) Saint Michael's Foundation of Stevens Point Inc 900 Illinois Avenue Stevens Point,WI54481 39-1657410	Charitable Foundation	WI	Section 501(c)(3)	Schedule A, Line 11a	Saint Michael's Hospital of Stevens Point Inc	Yes
(238) Door County Memorial Hospital 323 South 18th Avenue Sturgeon Bay,WI54235 39-0806324	Hospital	WI	Section 501(c)(3)	Schedule A, Line 3	Ministry Health Care Inc	Yes
(239) Dr Kate Newcomb Convalescent Center Inc PO Box 829 Woodruff,WI54568 39-1357365	LTC Facility	WI	Section 501(c)(3)	Schedule A, Line 9	Howard Young Health Care Inc	Yes
(240) Eagle River Memorial Hospital Incorporated 201 Hospital Road Eagle River,WI54521 39-0985690	Hospital	WI	Section 501(c)(3)	Schedule A, Line 3	The Howard Young Medical Center Inc	Yes
(241) Foundation of Saint Clare's Hospital of Weston Inc 3400 Ministry Parkway Weston,WI54476 75-3193633	Charitable Foundation	WI	Section 501(c)(3)	Schedule A, Line 11a	Ministry Health Care Inc	Yes
(242) Foundation of Saint Joseph's Hospital of Marshfield Inc 611 Saint Joseph Avenue Marshfield,WI54449 39-1684957	Charitable Foundation	WI	Section 501(c)(3)	Schedule A, Line 11a	Saint Joseph's Hospital of Marshfield Inc	Yes
(243) Good Samaritan Health Center of Merrill Wisconsin Inc 601 South Center Avenue Merrill,WI54452 39-0808503	Hospital	WI	Section 501(c)(3)	Schedule A, Line 3	Ministry Health Care Inc	Yes
(244) Good Samaritan Health Center Foundation of Merrill Wisconsin Inc 601 South Center Avenue Merrill,WI54452 39-1627755	Charitable Foundation	WI	Section 501(c)(3)	Schedule A, Line 11a	Good Samaritan Health Center of Merrill Wisconsin Inc	Yes
(245) Howard Young Foundation Inc 240 Maple Street Woodruff,WI54568 39-1521169	Charitable Foundation	WI	Section 501(c)(3)	Schedule A, Line 7	Howard Young Health Care Inc	Yes
(246) Howard Young Health Care Inc 240 Maple Street Woodruff,WI54568 39-1499115	Home Office	WI	Section 501(c)(3)	Schedule A, Line 11b	Ministry Health Care Inc	Yes
(247) The Howard Young Medical Center Inc 240 Maple Street Woodruff,WI54568 39-0873606	Hospital	WI	Section 501(c)(3)	Schedule A, Line 3	Howard Young Health Care Inc	Yes
(248) Mercy Health Foundation Inc PO Box 3370 Oshkosh,WI54903 23-7140261	Charitable Foundation	WI	Section 501(c)(3)	Schedule A, Line 9	Affinity Health System	Yes
(249) Mercy Medical Center of Oshkosh Inc 500 S Oakwood Road Oshkosh,WI54904 39-0806268	Hospital	WI	Section 501(c)(3)	Schedule A, Line 3	Ministry Health Care Inc	Yes
(250) Ministry Home Care Inc 611 St Joseph Avenue 4S Marshfield,WI54449 39-1936201	Home Care/Hospice	WI	Section 501(c)(3)	Schedule A, Line 9	Ministry Health Care Inc	Yes
(251) Ministry Medical Group Inc 824 Illinois Avenue Stevens Point,WI54481 39-1965593	Clinics	WI	Section 501(c)(3)	Schedule A, Line 11c	Ministry Health Care Inc	Yes
(252) Ministry Weight Management Inc 2251 North Shore Drive Rhinelander,WI54501 39-1829015	Health Services	WI	Section 501(c)(3)	Schedule A, Line 3	Sacred Heart-St Mary's Hospitals Inc	Yes
(253) Network Health System Inc 1570 Appleton Rd Menasha,WI54952 39-1127163	Clinical Healthcare Services	WI	Section 501(c)(3)	Schedule A, Line 3	Affinity Health System	Yes
(254) Our Lady of Victory Hospital Inc 1120 Pine Street Stanley,WI54768 39-0807065	Hospital	WI	Section 501(c)(3)	Schedule A, Line 3	Ministry Health Care Inc	Yes
(255) Sacred Heart-St Mary's Hospitals Inc PO Box 347 Stevens Point,WI54481 39-1390638	Hospital	WI	Section 501(c)(3)	Schedule A, Line 3	Ministry Health Care Inc	Yes
(256) Saint Clare's Hospital of Weston Inc 3400 Ministry Parkway Weston,WI54476 72-1531917	Hospital	WI	Section 501(c)(3)	Schedule A, Line 3	Ministry Health Care Inc	Yes
(257) Saint Elizabeth's Hospital of Wabasha Inc 1200 Grant Blvd West Wabasha,MN55981 41-0693877	Hospital	MN	Section 501(c)(3)	Schedule A, Line 3	Ministry Health Care Inc	Yes
(258) St Elizabeth Hospital Foundation Inc 1506 S Oneida Street Appleton,WI54915 39-1256677	Charitable Foundation	WI	Section 501(c)(3)	Schedule A, Line 7	Affinity Health System	Yes
(259) St Elizabeth Hospital Inc 1506 S Oneida Street Appleton,WI54915 39-0816818	Hospital	WI	Section 501(c)(3)	Schedule A, Line 3	Ministry Health Care Inc	Yes
(260) Saint Joseph's Hospital of Marshfield Inc 611 Saint Joseph Avenue Marshfield,WI54449 39-0847631	Hospital	WI	Section 501(c)(3)	Schedule A, Line 3	Ministry Health Care Inc	Yes
(261) Saint Michael's Hospital of Stevens Point Inc 900 Illinois Avenue Stevens Point,WI54481 39-0808443	Hospital	WI	Section 501(c)(3)	Schedule A, Line 3	Ministry Health Care Inc	Yes
(262) Columbia St Mary's Inc 4425 North Port Washington Road Milwaukee,WI53212 39-1834639	Health System	WI	Section 501(C)(3)	Schedule A, Line 11	N/A	Yes
(263) Columbia College Of Nursing 4425 North Port Washington Road Milwaukee,WI53212 39-1596986	College	WI	Section 501(C)(3)	Schedule A, Line 2	Columbia St Mary's Hospital Milwaukee Inc	Yes
(264) Sacred Heart Rehabilitation Institute 4425 North Port Washington Road Milwaukee,WI53212 39-0902199	Rehab Facility	WI	Section 501(C)(3)	Schedule A, Line 3	Columbia St Mary's Hospital Milwaukee Inc	Yes
(265) Seton Children's School 4425 North Port Washington Road Milwaukee,WI53212 39-1391245	School	WI	Section 501(C)(3)	Schedule A, Line 9	Columbia St Mary's Hospital Milwaukee Inc	Yes
(266) Columbia St Mary's Hospital Milwaukee 4425 North Port Washington Road Milwaukee,WI53212 39-0806315	Hospital	WI	Section 501(C)(3)	Schedule A, Line 3	Columbia St Mary's Inc	Yes
(267) St Mary's Hospital Ozaukee 4425 North Port Washington Road Milwaukee,WI53212 39-0807063	Hospital	WI	Section 501(C)(3)	Schedule A, Line 3	Columbia St Mary's Inc	Yes
(268) Horizon Home Care & Hospice Inc 8949 N Deerbrook Trl Milwaukee,WI53223 39-1171298	Home Care/Hospice	WI	Section 501(C)(3)	Schedule A, Line 3	Columbia St Mary's Inc	Yes
(269) Columbia Health System 4425 North Port Washington Road Milwaukee,WI53212 39-1494977	Health System	WI	Section 501(C)(3)	Schedule A, Line 11	N/A	Yes
(270) Columbia St Mary's Foundation Inc 4426 North Port Washington Road Milwaukee,WI53213 39-1494981	Foundation	WI	Section 501(C)(3)	Schedule A, Line 7	N/A	Yes
(271) Via Christi Health Inc 8200 E Thorn Drive Suite 300 Wichita,KS67226 48-1172107	Health System Parent	KS	Section 501(c)(3)	Schedule A, Line 11c	Ascension Health		No
(272) Via Christi Villages Inc 2622 W Central Suite 100 Wichita,KS67203 48-0559086	Management Company	KS	Section 501(c)(3)	Schedule A, Line 11c	Via Christi Health Inc		No
(273) Cornerstone Assisted Living Inc 2622 W Central Suite 100 Wichita,KS67203 48-1241079	Retirement Home	KS	Section 501(c)(3)	Schedule A, Line 9	Via Christi Villages Inc	Yes
(274) Via Christi Village Hays Inc 2225 Canterbury Drive Hays,KS67601 20-2828680	Retirement Home	KS	Section 501(c)(3)	Schedule A, Line 9	Via Christi Villages Inc	Yes
(275) Via Christi Care at Home Inc 2622 W Central Suite 100 Wichita,KS67203 27-1889960	Health Agency	KS	Section 501(c)(3)	Schedule A, Line 9	Via Christi Villages Inc	Yes
(276) Via Christi Healthcare Outreach Program for Elders Inc 2622 W Central Suite 101 Wichita,KS67203 48-1236589	PACE Community Program	KS	Section 501(c)(3)	Schedule A, Line 9	Via Christi Villages Inc	Yes
(277) Via Christi Village Georgetown Inc 1655 S Georgetown Wichita,KS67218 48-1129325	Retirement Home	KS	Section 501(c)(3)	Schedule A, Line 9	Via Christi Villages Inc	Yes
(278) Via Christi Village Manhattan Inc 2800 Willow Grove Road Manhattan,KS66502 48-1078862	Retirement Home	KS	Section 501(c)(3)	Schedule A, Line 9	Via Christi Villages Inc	Yes
(279) Via Christi Village McLean Inc 777 N McLean Blvd Wichita,KS67203 48-1247723	Retirement Home	KS	Section 501(c)(3)	Schedule A, Line 9	Via Christi Villages Inc	Yes
(280) Via Christi Village Pittsburg Inc 1502 E Centennial Drive Pittsburg,KS66762 74-3070971	Retirement Home	KS	Section 501(c)(3)	Schedule A, Line 9	Via Christi Villages Inc	Yes
(281) Via Christi Village Ponca City Inc 1601 Academy Road Ponca City,OK74604 73-1153337	Retirement Home	OK	Section 501(c)(3)	Schedule A, Line 9	Via Christi Villages Inc	Yes
(282) Via Christi Hospital Pittsburg Inc 1 Mt Carmel Way Pittsburg,KS66762 48-0543778	Hospital	KS	Section 501(c)(3)	Schedule A, Line 3	Via Christi Health Inc		No
(283) Mount Carmel Foundation Inc 1 Mt Carmel Way Pittsburg,KS66762 48-0961283	Foundation	KS	Section 501(c)(3)	Schedule A, Line 11a	Via Christi Hospital Pittsburg Inc		No
(284) Via Christi Health Alliance in Accountable Care Inc 8200 E Thorn Drive Suite 300 Wichita,KS67226 46-2872857	ACO	KS			Via Christi Health Inc		No
(285) Via Christi Hospital Wichita St Teresa Inc 14800 W St Teresa Wichita,KS67235 27-1965272	Hospital	KS	Section 501(c)(3)	Schedule A, Line 3	Via Christi Health Inc		No
(286) Via Christi Hospitals Wichita Inc 929 N Saint Francis Wichita,KS67214 48-1172106	Hospital	KS	Section 501(c)(3)	Schedule A, Line 3	Via Christi Health Inc		No
(287) Gerard House Inc 3144 N Hood Wichita,KS67204 48-1049532	Hospital Support	KS	Section 501(c)(3)	Schedule A, Line 9	Via Christi Hospitals Wichita Inc		No
(288) Via Christi Rehabilitation Hospital Inc 1151 N Rock Road Wichita,KS67206 48-1158274	Rehabilitation Hospital	KS	Section 501(c)(3)	Schedule A, Line 3	Via Christi Hospitals Wichita Inc		No
(289) Via Christi Property Services Inc 8200 E Thorn Drive Suite 300 Wichita,KS67226 48-0948571	Property Management	KS	Section 501(c)(4)	N/A	Via Christi Hospitals Wichita Inc		No
(290) Via Christi Health Partners Inc 8200 E Thorn Drive Suite 300 Wichita,KS67226 48-0958974	Management Company	KS	Section 501(c)(3)	Schedule A, Line 9	Via Christi Health Inc		No
(291) Mercy Regional Health Center Inc 1823 College Avenue Manhattan,KS66502 48-1186704	Hospital	KS	Section 501(c)(3)	Schedule A, Line 3	Via Christi Health Inc		No
(292) Mercy Community Health Foundation Inc PO Box 13 Manhattan,KS66502 48-1152279	Foundation	KS	Section 501(c)(3)	Schedule A, Line 9	Mercy Regional Health Center Inc		No
(293) Wamego Hospital Association Inc 711 Genn Drive Wamego,KS66547 72-1526400	Hospital	KS	Section 501(c)(3)	Schedule A, Line 3	Mercy Regional Health Center Inc		No
(294) Mercy Regional Home Medical Services LLC 2439 Claflin Road Manhattan,KS66502 43-2024491	Medical Equipment	KS	Section 501(c)(3)	Schedule A, Line 9	Mercy Regional Health Center Inc		No
(295) Salina Regional Home Medical Services LLC 520 South Santa Fe Ave Salina,KS67401 43-1948057	Medical Equipment	KS	Section 501(c)(3)	Schedule A, Line 9	Salina Regional Health Center Inc		No
(296) Providence Health Services of Waco 6901 Medical Parkway Waco,TX76712 74-1109636	Hospital	TX	Section 501(c)(3)	Schedule A, Line 3	Ascension Health		No
(297) Providence Foundation Inc 6901 Medical Parkway Waco,TX76712 74-2683112	Support Charitable Purpose of PHSW	TX	Section 501(c)(3)	Schedule A, Line 11a	Providence Health Services of Waco		No
(298) Providence Health Alliance 6901 Medical Parkway Waco,TX76712 74-2696970	Physician Practices	TX	Section 501(c)(3)	Schedule A, Line 3	Providence Health Services of Waco		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) CHV II LLC 101 South Hanley Rd Ste 200 Clayton,MO63105 36-0534243	Investing	MO	N/A
(2) CHV III LLC 101 South Hanley Rd Ste 200 Clayton,MO63105 45-4486925	Investing	MO	N/A
(3) Ascension Alpha Fund LLC 101 South Hanley Rd Ste 200 St Louis,MO63105 90-0786464	Investing	DE	N/A
(4) Lourdes Health Support LLC 333 Butternut Drive Suite 100 Dewitt,NY13214 16-1611707	Medical Equipment Provider	NY	N/A
(5) St Vincent Outpatient Surgery Services LLC 810 St Vincents Drive Birmingham,AL35205 20-0708162	Outpatient Surgery	AL	N/A
(6) St Vincent's Sleep Disorder Center LLC 810 St Vincents Drive Birmingham,AL35202 63-1282288	Sleep Disorder Center	AL	N/A
(7) Center for Gastrointestinal Health at Health Park LLC 307 E Court St Flint,MI48502 02-0743433	Healthcare	MI	N/A
(8) Lapeer County Surgery Center 1546 Callis Road Lapper,MI48446 20-2918877	Healthcare	MI	N/A
(9) Breast MRI Leasing Company LLC 10330 N Meridian St Ste 430N Indianapolis,IN46290 42-6662493	Sale and rental services	IN	N/A
(10) Carmel Ambulatory Surgery Center LLC 13421 Old Meridian St Ste 150 Carmel,IN46032 32-0014795	Ambulatory surgery center	IN	N/A
(11) Cooperative Managed Care Services LLC 9045 River Road Ste 250 Indianapolis,IN46240 35-1999227	Case management	IN	N/A
(12) Advent Partners LP 28000 Dequindre Warren,MI48092 38-3494197	Investment	MI	N/A
(13) Open MRI of Michigan 28000 Dequindre Warren,MI48092 38-3544539	Medical Services	MI	N/A
(14) South Kansas City Surgical Center LLC 10730 Nall Ste 100 Overland Park,KS66211 20-2181884	Health Care	KS	N/A
(15) Endoscopy Center LLC 13421 Old Meridian St Ste 150 Carmel,IN46032 32-0029881	Endoscopy center	IN	N/A
(16) Hancock Physician Network LLC 801 N State Street Greenfield,IN46140 35-2051598	Primary care physician practices	IN	N/A
(17) HCH SVH Cath Lab Services LLC 1000 N 16th Street New Castle,IN47362 45-2087950	Cath lab services	IN	N/A
(18) Meridian Heights Associates LLC 6100 W 96th Street Ste 250 Indianapolis,IN46278 26-4020296	Real estate holding	IN	N/A
(19) Naab Road Surgery Center LLC 8260 Naab Road Ste 100 Indianapolis,IN46260 35-1991390	Ambulatory surgery center	IN	N/A
(20) Neuro Oncology Equipment LLC 10330 N Meridian St Ste 430N Indianapolis,IN46290 74-3103803	Sale and rental services	IN	N/A
(21) StVincent HealthUSP LLC 15305 Dallas Pkwy Ste 1600 Addison,TX75001 20-3749962	Ambulatory surgery center	IN	N/A
(22) StVincent Heart Center of Indiana LLC 10580 N Meridian Street Indianapolis,IN46290 36-4492612	Heart hospital	IN	N/A
(23) Women's Physician Surgery Center LLC 8081 Township Line Road Indianapolis,IN46260 35-2086841	Ambulatory surgery center	IN	N/A
(24) Ambulatory Care Center LLC 1125 Professional Blvd Evansville,IN47714 35-2006018	OP Surgery	IN	N/A
(25) Seton Health Services LLC 3700 Washington Avenue Evansville,IN47750 27-0451316	Equipment rental	IN	N/A
(26) St Mary's Peripheral Vascular Services Management Co LLC 3700 Washington Avenue Evansville,IN47750 20-5062635	Management services	IN	N/A
(27) South Coast Real Estate Venture LLC 5907 Highway 90 Moss Point,MS39563 45-5599047	Own Real Estate for Physician Office Building	MS	N/A
(28) Baptist Womens Health Center LLC 1900 Church Street Suite 300 Nashville,TN37203 62-1772195	Owns and Operates Specialty Hospital	TN	N/A
(29) Middle Tennessee Ambulatory Surgery Center LP 500 N Highland Ave Murfreesboro,TN37130	Operates Outpatient Surgery Center	TN	N/A
(30) STHS Sleep Center LLC 102 Woodmont Suite 800 Nashville,TN37205 20-3664894	Operates a Sleep Center	TN	N/A
(31) Baptist Surgery Center LP 1900 Church Street Suite 300 Nashville,TN37203	Operates Outpatient Surgery Center	TN	N/A
(32) Middle Tennesse Imaging LLC 400 N Highland Avenue Murfreesboro,TN37219 01-0570490	Diagnostic Imaging Center	TN	N/A
(33) RADS of America PO Box 249 Goodlettsville,TN37070	Ambulatory Surgery Center	TN	N/A
(34) Murfreesboro Diagnostic Imaging LLC 400 N Highland Avenue Murfreesboro,TN37219 20-0291952	Diagnostic Imaging Center	TN	N/A
(35) Interventional Rehabilitation Center LLC 1549 Airport Blvd Suite 420 Pensacola,FL32503 59-3673361	Medical Services	FL	N/A
(36) PET LLC 5149 North 9th Ave Suite 124 Pensacola,FL32504 59-3788701	Medical Services	FL	N/A
(37) Endoscopy Group LLC 4810 North Davis HWY Pensacola,FL32503 59-3519881	Medical Services	FL	N/A
(38) Gulf Region Radiation Oncology MSO LLC 5147 N 9th Ave Pensacola,FL32504 26-1353083	Medical Management Services	FL	N/A
(39) Towne Centre Surgery Center LLC 4599 Towne Centre Saginaw,MI48604 20-4943843	Outpatient Services	MI	N/A
(40) Platnum Fitness & Rehab Center LLC 4804 South 109th East Avenue Tulsa,OK74146 20-1879493	Health Club	OK	N/A
(41) Memorial Surgery Center LLC 8131 South Memorial Avenue Tulsa,OK74133 20-1167151	Operate ASC	OK	N/A
(42) Broken Arrow Development LLC 1924 South Utica Avenue Tulsa,OK74104 26-0748994	Medical Services	OK	N/A
(43) UticaUSP Tulsa LLC 15305 Dallas Pkwy Ste 1600 LB 28 Addison,TX75001 27-0408231	Medical Services	TX	N/A
(44) JPHC LLC 3500 SE Frank Phillips Blvd Bartlesville,OK74006 61-1498699	Medical Services	OK	N/A
(45) Alexian Rehabilitation Services LLC 935 Beisner Road Elk Grove Village,IL60007 30-0221481	Rehabilitation hospital	IL	N/A
(46) Illinois NeuroMeg Center LLC 3040 W Salt Creek Lane Arlington Heights,IL60005 87-0783164	Provision of NeuroMeg services	IL	N/A
(47) Elk Grove MOB Limited Partnership 3040 W Salt Creek Lane Arlington Heights,IL60005 36-3853289	Medical office building	IL	N/A
(48) Bonaventure Medical Foundation LLC 3040 W Salt Creek Lane Arlington Heights,IL60005 36-3978153	Manages managed care contracts	DE	N/A
(49) Neurosciences Equipment LLC 3040 W Salt Creek Lane Arlington Heights,IL60005 86-1115516	Ownership of Gamma Knife	IL	N/A
(50) St Alexius Center for Sleep Health LLC 1300 S Main Street Lombard,IL60148 20-5876371	Operation of sleep lab	IL	N/A
(51) Twin Med LLP PO Box 8005 Menasha,WI54952 39-1180341	Rental Property	WI	N/A
(52) Ambulatory Surgery Center LP 8200 E Thorn Drive Suite 300 Wichita,KS67226 48-1114690	Surgery Center	KS	N/A
(53) AMS Diagnostics LLC 8200 E Thorn Drive Suite 300 Wichita,KS67226 48-1223653	Radiology Services	KS	N/A
(54) Kansas Surgery and Recovery Center LLC 2770 North Webb Road Wichita,KS67226 48-1148580	Surgery Center	KS	N/A
(55) MR Imaging Center LLC 8200 E Thorn Drive Suite 300 Wichita,KS67226 48-1000538	Imaging Center	KS	N/A
(56) St Joseph MRI LLC 8200 E Thorn Drive Suite 300 Wichita,KS67226 48-1007220	Imaging Center	KS	N/A
(57) Mercy Imaging LLC 1823 College Avenue Manhattan,KS66502 48-1251984	Radiology Services	KS	N/A
(58) Affiliated Medical Services Laboratory Inc 2916 E Central Wichita,KS67214 48-1239522	Medical Laboratory	KS	N/A
(59) Integrated Healthcare Systems Inc 3311 East Murdock Wichita,KS67208 48-0941549	Clinic Services	KS	N/A
(60) VCH Iowa PC Trust 8200 E Thorn Drive Suite 300 Wichita,KS67226 27-6937322	Beneficiary Trust	IA	N/A
(61) VCH Iowa PC 8200 E Thorn Drive Suite 300 Wichita,KS67226 27-3983977	Professional Association	IA	N/A
(62) Via Christi Clinic PA 3311 East Murdock Wichita,KS67208 48-0993446	Professional Association	KS	N/A
(63) Via Christi Clinic Services Inc 8200 E Thorn Drive Suite 300 Wichita,KS67226 27-3984287	Clinic Services	KS	N/A
(64) Sunflower Assurance Ltd PO Box 1085 Grand Cayman KY1-1102 CJ 98-0223159	Insurance Company	CJ	N/A
(65)			N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) Clinical Holdings Corp 101 South Hanley Rd Ste 200 Clayton,MO63105 45-3802297	Holding Company	MO	N/A	C				No
(2) Ascension Health Master Pension Trust 11775 Borman Drive Ste 200 St Louis,MO63146 36-6891022	Trust	MO	N/A	T				No
(3) Ascension Health Worker's Compensation Self-Insurance Trust 11775 Borman Drive Ste 200 St Louis,MO63146	Trust	MO	N/A	T				No
(4) Ascension Health Insurance Limited PO Box 1159 Grand Cayman BWI CJ	Insurance	CJ	N/A	C				No
(5) Ascension Health Risk Purchasing Group 101 South Hanley Rd Ste 450 St Louis,MO63105 27-4176480	Supporting Organization	MO	N/A	C				No
(6) Travel Services Corporation PO Box 45998 St Louis,MO631455998 26-3764978	Travel Services	MO	N/A	C				No
(7) AH Incubations Accelerator Inc 101 South Hanley Rd Ste 450 St Louis,MO63105 45-5078523	Medical Service	MO	N/A	C				No
(8) TriMedx Inc 5451 Lakeview Parkway South Dr Indianapolis,IN46268 46-0563336	Medical Equipment	IN	N/A	C				No
(9) TriMedx India Pvt Ltd 5451 Lakeview Parkway South Dr Indianapolis,IN46268	Trust	IN	N/A	T				No
(10) Smart Health Inc 101 South Hanley Rd Ste 200 Clayton,MO63105 45-4413419	Medical Service	MO	N/A	C				No
(11) Health City Cayman Islands Ltd 1283 Sea View Rd PO Box 10590 Grand Cayman BWI CJ	Hospitals	CJ	N/A	C				No
(12) Seton Physician Hospital Network 1345 Philomena Street Austin,TX78723 74-2643825	Health Services	TX	N/A	C				No
(13) Advantage Healthco Inc 1345 Philomena Street Austin,TX78723 74-2698151	Health Services	TX	N/A	C				No
(14) Seton Health Plan Inc 1345 Philomena Street Austin,TX78723 74-2725348	HMO	TX	N/A	C				No
(15) The Topfer Building Condominium Association 1345 Philomena Street Austin,TX78723 74-3007869	Commercial Building Association	TX	N/A	C				No
(16) Seton MSO Inc 1345 Philomena Street Austin,TX78723 74-2870455	Health Services	TX	N/A	C				No
(17) Seton Accountable Care Organization Inc (fka Seton Health Alliance) 1345 Philomena Street Austin,TX78723 74-2677756	Health Services	TX	N/A	C				No
(18) Seton Health Alliance (fka Primaria Health) 1345 Philomena Street Austin,TX78723 45-4360468	Delivery of Health Care Services	TX	N/A	C				No
(19) Seton Family of Pediatricians 1345 Philomena Street Austin,TX78723 27-1311909	Delivery of Health Care Services	TX	N/A	C				No
(20) St Agnes Health Ventures Inc 900 Caton Avenue Baltimore,MD21229 52-1733632	Holding Company	MD	N/A	C				No
(21) Corbett Corporation 169 Riverside Drive Binghamton,NY13905 16-1268267	Property Management	NY	N/A	C				No
(22) Vincentian Ventures of North Alabama Inc 810 St Vincents Drive Birmingham,AL35205 63-0965456	Misc Healthcare Services	AL	N/A	C				No
(23) Ascension Ventures Corporation 810 St Vincents Drive Birmingham,AL35205 63-1217059	Misc Healthcare Services	AL	N/A	C				No
(24) Eastside Ventures Inc 810 St Vincents Drive Birmingham,AL35205 63-0846221	Misc Healthcare Services	AL	N/A	C				No
(25) Vincentures Inc 95 Merritt Boulevard Trumbull,CT06611 06-1211417	Inactive	CT	N/A	C				No
(26) Advent Inc 28000 Dequindre Warren,MI48092 38-2971743	Investment	MI	N/A	C				No
(27) Affiliated Health Services Inc 28000 Dequindre Warren,MI48092 38-2292922	Maintain Rental Space & Provide Medical Mgmt.	MI	N/A	C				No
(28) Genesys Health Enterprises 1000 Health Park Blvd Grand Blanc,MI48439 38-2536250	Medical Equipment	MI	N/A	C				No
(29) Genesys Practice Partners 5445 Ali Drive Dept 200 Grand Blanc,MI48439 03-0516871	Employed Phy Practice	MI	N/A	C				No
(30) Beecher Ballenger Services One Genesys Parkway Grand Blanc,MI484398065 38-2497922	Holding Company	MI	N/A	C				No
(31) St Mary's Medical Group Inc 3700 Washington Avenue Evansville,IN47750 35-2076827	Investment	IN	N/A	C				No
(32) Consolidated Pharmacy Services Inc 4205 Belfort Road Suite 4030 Jacksonville,FL32216 59-3398033	Retail Pharmacy & Patient Transport	FL	N/A	C				No
(33) Advanced Patient Transportation Inc 4205 Belfort Road Suite 4030 Jacksonville,FL32216 59-3381444	Transport Services	FL	N/A	C				No
(34) Seton Pharmacies 4205 Belfort Road Suite 4030 Jacksonville,FL32216 59-3001427	Retail Pharmacy	FL	N/A	C				No
(35) First Coast Primary Care 4205 Belfort Road Suite 4030 Jacksonville,FL32216 20-5746243	Primary Care	FL	N/A	C				No
(36) Family Medicine Condominium Association Inc 1 Shircliff Way Jacksonville,FL32204 26-1983355	Condominium Association	FL	N/A	C				No
(37) St Vincent's Physician Enterprise Inc 4205 Belfort Road Suite 4030 Jacksonville,FL32216 27-1927603	Primary Care	FL	N/A	C				No
(38) Textile Systems Inc 817 Walbridge Kalamazoo,MI49007 38-2705047	Laundry Services	MI	N/A	C				No
(39) Indian Creek Center Inc 1000 Carondelet Drive Kansas City,MO641144673 48-0956627	Management	MO	N/A	C				No
(40) Carondelet Management Company Inc 11050 Roe Suite 110 Overland Park,KS66211 43-1352545	Health Management	KS	N/A	C				No
(41) Carondelet Pharmacy 1000 Carondelet Drive Kansas City,MO641144673 43-1699329	Pharmacy	MO	N/A	C				No
(42) Carondelet Primary Care Network Inc 1000 Carondelet Drive Kansas City,MO641144673 43-1596702	Health Care	MO	N/A	C				No
(43) Saint Joseph Ambulatory Surgical Center LLC 1000 Carondelet Drive Kansas City,MO641144673 25-1905706	Health Care	MO	N/A	C				No
(44) Carondelet Occupational Health Wellness & Edu Serv Inc 1000 Carondelet Drive Kansas City,MO641144673 86-1144194	Health Care	MO	N/A	C				No
(45) Carondelet Physician Services 1000 Carondelet Drive Kansas City,MO64114 56-2661265	Health Care	MO	N/A	C				No
(46) Carondelet Medical Enterprises 1000 Carondelet Drive Kansas City,MO641144673 56-2661165	Office Admin. Services	MO	N/A	C				No
(47) Providence Park Inc PO Box 850429 Mobile,AL36685 63-0886846	Real Estate	AL	N/A	C				No
(48) Anesthesia Solutions of Mobile Inc 6701 Airport Blvd Suite D-430B Mobile,AL36608 82-0547505	Anesthesia Services	AL	N/A	C				No
(49) Mississippi Providence Healthcare Services Inc 6801 Airport Blvd Mobile,AL36608 46-1130426	Anesthesia Services	AL	N/A	C				No
(50) Sova Inc 102 Woodmont Boulevard Suite 700 Nashville,TN37205 26-1319638	Health Services	TN	N/A	C				No
(51) Baptist Health Care Ventures Inc 2000 Church Street Nashville,TN37236 62-0469214	Holding Company	TN	N/A	C				No
(52) MissionPoint Health Partners 102 Woodmont Boulevard Suite 700 Nashville,TN37205 45-2958482	Accountable Care Organization	TN	N/A	C				No
(53) Physicians of Pasco Condominiums Assoc 520 North 4th Avenue Pasco,WA99301 45-3691641	Property Management	WA	N/A	C				No
(54) Gulf Coast Diversified Inc 5154 N 9th Ave Pensacola,FL32507 59-2432798	Investment	FL	N/A	C				No
(55) Gulf Region Radiation Oncology Centers Inc 8333 North Davis Hwy Pensacola,FL32514 26-0623827	Medical Management Services	FL	N/A	C				No
(56) St Mary's of Michigan Specialists 800 South Washington Avenue Saginaw,MI48601 20-5959777	Physician Practices	MI	N/A	C				No
(57) St Joseph Health Enterprises 200 Hemlock Road Tawas City,MI48764 38-2686747	Other Medical	MI	N/A	C				No
(58) Utica Services Inc 1923 South Utica Avenue Tulsa,OK74104 73-1057650	Medical Services	OK	N/A	C				No
(59) Regional Medical Laboratories Inc 1923 South Utica Avenue Tulsa,OK74104 73-1131608	Medical Services	OK	N/A	C				No
(60) Physician Support Services Inc 1923 South Utica Avenue Tulsa,OK74104 73-1437252	Medical Services	OK	N/A	C				No
(61) OMNI Medical Group Inc 1923 South Utica Avenue Tulsa,OK74104 73-1335536	Medical Services	OK	N/A	C				No
(62) Outbound Medical Network Inc 1923 South Utica Avenue Tulsa,OK74104 73-1255463	Medical Services	OK	N/A	C				No
(63) St John Urgent Care Clinic Inc 1923 South Utica Avenue Tulsa,OK74104 20-4990275	Medical Services	OK	N/A	C				No
(64) St John Anesthesia Services Inc 1923 South Utica Avenue Tulsa,OK74104 20-3690446	Medical Services	OK	N/A	C				No
(65) St John Physicians Inc 1923 South Utica Avenue Tulsa,OK74104 73-1321032	Medical Services	OK	N/A	C				No
(66) Ceres Medical Practice Inc 3400 E Frank Phillips Blvd Bartlesville,OK74006 73-1522656	Medical Services	OK	N/A	C				No
(67) Doctors Building of Bartlesville 3500 State Street Bartlesville,OK74006 73-0759185	Building Rental	OK	N/A	C				No
(68) Gemini Medical Group Inc 3400 E Frank Phillips Blvd Bartlesville,OK74006 73-1503529	Medical Services	OK	N/A	C				No
(69) Gemini After Hours Clinic Inc 3400 E Frank Phillips Blvd Bartlesville,OK74006 30-0375407	Medical Services	OK	N/A	C				No
(70) Jane Phillips Specialty Physicians Inc 3400 E Frank Phillips Blvd Bartlesville,OK74006 01-0879962	Medical Services	OK	N/A	C				No
(71) Professional Credit Recovery 4100 SE Adams Blvd Bartlesville,OK74006 73-1057187	Collections Services	OK	N/A	C				No
(72) Synergy Hospitalist Grp Inc 3400 E Frank Phillips Blvd Bartlesville,OK74006 30-0375404	Medical Services	OK	N/A	C				No
(73) Professional Medical Insurance Risk Retention Group Inc 201 Merchant Street Suite 2400 Honolulu,HI96813 73-1525831	Insurance	HI	N/A	C				No
(74) Jane Phillips Support Services Inc 3400 E Frank Phillips Blvd Bartlesville,OK74006 75-1530296	Holding Company	OK	N/A	C				No
(75) Carondelet Medical Group PC 2202 N Forbes Blvd Tucson,AZ85745 86-0836126	Medical Group	AZ	N/A	C				No
(76) Carondelet Specialist Group Inc 2202 N Forbes Blvd Tucson,AZ85745 28-1558773	Physician Practice	AZ	N/A	C				No
(77) Resource Pharmacies Inc 1150 Varnum Street NE Washington,DC20017 52-1410076	Retail Pharmacy	DC	N/A	C				No
(78) Thelen Corporation 3040 W Salt Creek Lane Arlington Heights,IL60005 36-3266316	Owns/leases property; joint venture partner	IL	N/A	C				No
(79) Alexian Brothers Health Providers Association Inc 3040 W Salt Creek Lane Arlington Heights,IL60005 36-3853286	Messenger model IPA	IL	N/A	C				No
(80) Alexian Brothers Corpus Christi Housing Project LLC 3040 W Salt Creek Lane Arlington Heights,IL60005 94-3465394	Tax credit financed housing	IL	N/A	C				No
(81) Alexian Village of Elk Grove 3040 W Salt Creek Lane Arlington Heights,IL60005 35-2211303	Tax credit financed housing	IL	N/A	C				No
(82) Network Health Plan Inc 1570 Midway Place Menasha,WI54952 39-1442058	Insurance	WI	N/A	C				No
(83) Affiliated Medical Services Laboratory Inc 2916 E Central Wichita,KS67214 48-1239522	Medical Laboratory	KS	N/A	C				No
(84) Integrated Healthcare Systems Inc 3311 East Murdock Wichita,KS67208 48-0941549	Clinic Services	KS	N/A	C				No
(85) VCH Iowa PC Trust 8200 E Thorn Drive Suite 300 Wichita,KS67226 27-6937322	Beneficiary Trust	IA	N/A	T				No
(86) VCH Iowa PC 8200 E Thorn Drive Suite 300 Wichita,KS67226 27-3983977	Professional Association	IA	N/A	C				No
(87) Via Christi Clinic PA 3311 East Murdock Wichita,KS67208 48-0993446	Professional Association	KS	N/A	C				No
(88) Via Christi Clinic Services Inc 8200 E Thorn Drive Suite 300 Wichita,KS67226 27-3984287	Clinic Services	KS	N/A	C				No
(89) Sunflower Assurance Ltd PO Box 1085 Grand Cayman KY1-1102 CJ 98-0223159	Insurance Company	CJ	N/A	C				No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Ascension Health	S	277,473,503	Actual Amount Transferred
(2) Ascension Health	S	609,745,227	Actual Amount Transferred
(3) Catholic Healthcare Investment Management Company	S	6,209,914	Net Asset Transfer
(4) Catholic Healthcare Investment Management Company	M	6,126,533	Fee Agreement
(5) Ascension Health Alliance Professional & General Liab Self-Insurance Trust	Q	4,373,916	Services Fees

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Catholic health ministry dedicated to service, healing, and transformational solutions.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	5
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	4
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	1,190
6	Total number of volunteers (estimate if necessary) .............	6	4
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,340,355
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-6,745,402

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	421,393,372	609,745,227
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	26,973,270	31,168,583
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,135,165	19,888,077
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	449,501,807	660,801,887
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	353,470	25,000
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	145,937,332	119,657,081
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	329,720,508	515,482,105
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	476,011,310	635,164,186
19	Revenue less expenses. Subtract line 18 from line 12.......	-26,509,503	25,637,701
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	6,158,202,342	6,458,025,195
21	Total liabilities (Part X, line 26).............	5,727,546,389	5,700,690,150
22	Net assets or fund balances. Subtract line 21 from line 20.....	430,655,953	757,335,045

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 598,123,051 including grants of $ 25,000 ) (Revenue $ 619,104,517 )
	Ascension Health Alliance is a mission-focused organization guided by its religious sponsors in transforming health care by providing the highest quality care to all, with special attention to those who are poor and vulnerable, and through innovation. Ascension Health Alliance supports Ascension Health Ministries, a Public Juridical Person approved by the Vatican, and the efforts of Ascension hospitals and health facilities, providing care to individuals and communities. In fiscal year 2014 Ascension Health employed 153,000 associates serving in 1,900 locations in 23 states and the District of Columbia. However, in comparison to many other organizations of similar scope and complexity, as a nonprofit, spiritually-centered healthcare organization, Ascension differentiates itself in terms of mission, priorities and challenges. In fiscal year 2014 alone, Ascension Health provided $1.8 billion in care of persons living in poverty and community benefit programs, representing an 17% increase from the prior year.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses598,123,051

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) Sr Kathleen Kelly CSJ........................................................................ Board Chair	4.00 .......................4.00	X			0	0	0
(2) Rev Dennis Holtschneider........................................................................ CM, Vice Chair	4.00 .......................0.00	X			0	0	0
(3) Agnieszka Winkler........................................................................ Secretary	4.00 .......................0.00	X			0	0	0
(4) Sr Theresa Peck DC........................................................................ Treasurer	4.00 .......................0.00	X			0	0	0
(5) Anthony R Tersigni EdD FACH........................................................................ President/CEO	50.00 .......................0.00	X	X		14,247,679	0	77,384
(6) Anthony J Speranzo........................................................................ Chief Financial Officer	46.00 .......................4.00		X		5,530,530	0	67,180
(7) Robert Henkel FACHE........................................................................ Executive Vice President	9.70 .......................40.30			X	4,376,097	0	69,523
(8) John Doyle........................................................................ Executive Vice President	50.00 .......................0.00			X	3,716,767	0	82,800
(9) David Pryor MD........................................................................ Executive Vice President	50.00 .......................0.00			X	3,216,011	0	78,778
(10) Joseph R Impicciche........................................................................ Executive Vice President	48.50 .......................1.50			X	3,102,348	0	115,026
(11) Herbert J Vallier........................................................................ Executive Vice President	50.00 .......................0.00			X	2,116,125	0	35,430

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	36,305,557	0	526,121

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......
			Business Code
2a	Service Fees		541610	281,894,039	273,574,699	8,319,340
b	CDMS Fees-Interest		541610	190,991,845	190,991,845
c	Administration Fees		541610	69,358,945	69,358,945
d	Worker's Compensation		541610	40,016,552	40,014,122	2,430
e
f	All other program service revenue .			27,483,846	27,483,846
g	Total. Add lines 2a–2f........			609,745,227
3	Investment income (including dividends, interest, and other similar amounts).......			31,168,583		-6,450,682	37,619,265
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	737,750
b	Less: rental expenses	0
c	Rental income or (loss)	737,750
d	Net rental income or (loss).......			737,750			737,750
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	Investment in CHAN		541610	13,833,890	12,364,623	1,469,267
b	Gain on CDMS Activity		541610	-1,180,470	-1,180,470
c
d	All other revenue ....			6,496,907	6,496,907
e	Total. Add lines 11a–11d ......			19,150,327
12	Total revenue. See Instructions......			660,801,887	619,104,517	3,340,355	38,357,015


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			2	1	10,725,395
2	Savings and temporary cash investments .........			196,930,844	2	21,401,138
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			42,124,012	4	99,724,586
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			5,123,129,693	7	5,146,761,222
8	Inventories for sale or use ..............			2,764,373	8	133,450
9	Prepaid expenses and deferred charges ..........			7,487,090	9	18,049,380
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	31,890,577
b	Less: accumulated depreciation .....	10b	694,975	36,414,958	10c	31,195,602
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....			3,562,423	13	3,364,174
14	Intangible assets ...............			3,398	14	75,962
15	Other assets. See Part IV, line 11 ...........			745,785,549	15	1,126,594,286
16	Total assets. Add lines 1 through 15 (must equal line 34)......			6,158,202,342	16	6,458,025,195
17	Accounts payable and accrued expenses .........			126,419,988	17	103,767,421
18	Grants payable .................				18
19	Deferred revenue ................			2,822,106	19	4,680,538
20	Tax-exempt bond liabilities .............			5,186,204,999	20	5,109,900,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			412,099,296	25	482,342,191
26	Total liabilities. Add lines 17 through 25.........			5,727,546,389	26	5,700,690,150
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			430,655,953	27	757,335,045
28	Temporarily restricted net assets ...........				28
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			430,655,953	33	757,335,045
34	Total liabilities and net assets/fund balances ........			6,158,202,342	34	6,458,025,195

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN		Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support
(A) See Part IV	000000000	See Part IV	Yes			No		No	0

Total									0

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

ReturnReference	Explanation

1.(a) Description of liability		(b) Book value
Federal income taxes
Other Liabilities		257,783,758
Premiums/Discounts		121,244,489
Pension Plans Administered by AH		849,442
Retirement Liabilities		1,828,580
Self-Insurance Liability		160,098
Reserve for Losses - Grantor Trust		100,475,824



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		482,342,191
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America & the Caribbean	0	1	Investments	7,584,928
















3a	Sub-total .....	0	1		7,584,928
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	1		7,584,928

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) Commission on Accreditation of Healthcare Management Education 1700 Rockville Pike Suite 400 Rockville,MD20852	36-2658309	Section 501(c)(3)	25,000	General Purpose

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)Anthony R Tersigni EdD FACHPresident/CEO	(i) (ii)	1,609,398 0	9,576,413 0	3,061,868 0	36,607 0	40,777 0	14,325,063 0	0 0
(2)Anthony J SperanzoChief Financial Officer	(i) (ii)	1,043,175 0	2,992,500 0	1,494,855 0	32,092 0	35,088 0	5,597,710 0	0 0
(3)Robert Henkel FACHEExecutive Vice President	(i) (ii)	1,213,720 0	2,287,500 0	874,877 0	41,702 0	27,821 0	4,445,620 0	0 0
(4)John DoyleExecutive Vice President	(i) (ii)	754,905 0	1,988,719 0	973,143 0	40,035 0	42,765 0	3,799,567 0	0 0
(5)David Pryor MDExecutive Vice President	(i) (ii)	755,669 0	1,988,719 0	471,623 0	32,075 0	46,703 0	3,294,789 0	0 0
(6)Joseph R ImpiccicheExecutive Vice President	(i) (ii)	758,824 0	1,988,719 0	354,805 0	81,461 0	33,565 0	3,217,374 0	0 0
(7)Herbert J VallierExecutive Vice President	(i) (ii)	556,798 0	1,237,209 0	322,118 0	5,100 0	30,330 0	2,151,555 0	0 0