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      <SupplementalInformationDetail>
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    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICK BUTLER</PersonNm>
        <TitleTxt>CEO/EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>199081</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3460</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10165</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>212706</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J PART 1, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF OFFICER'S OFFICIAL COMPENSATION: ASCENSION HEALTH, A RELATED ORGANIZATION, ESTABLISHES THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR USING ONE OR MORE METHODS LISTED IN PART I, LINE 3. DIRECTORS' SALARIES ARE REVIEWED BY ASCENSION HUMAN RESOURCES AS WELL AS THE ANNUAL WERLING REPORT FOR NOT-FOR PROFITS SURVEY. THE COMPENSATION REVIEW IS SHARED WITH THE BOARD OF DIRECTORS AND DOCUMENTED IN THE MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION'S MISSION: OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAM SERVICE ACTIVITY #1: Child Development Program - Ascension DePaul Services has two early childhood education programs, DePaul Children's Center and DePaul-Wesley Head Start and Early Head Start. Both of our programs serve children 6 weeks to 5 years and are nationally accredited through the National Association for the Education of Young Children (NAEYC). 80% of the children and families served fell on or below the Federal poverty level. During fiscal year 2023, 275 children and families were served, 192 of which received subsidies. The total number of comprehensive behavioral support services provide were 2,226. 90% of all children severed demonstrated proficiency in all developmental domains from the beginning to the end of the school year and 95% of all children served demonstrated proficiency in the Social/Emotional and Language Development domains, which are indicators of future educational success.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAM SERVICE ACTIVITY #2: La Mision Family Healthcare Center - Ascension DePaul Services takes a holistic approach to providing services to the south side of Bexar County. La Misin Family Healthcare Center provides affordable primary dental services, including preventive dentistry, restorations, fillings, extractions, as well as education. The medical program provides full-time primary care services to patients of all ages. Routine preventative care, such as well-child physicals and immunizations, are provided regularly. Along with dental and medical, La Misin Family Healthcare Center also provides behavioral health services. Working together, each department is committed to educating patients to ensure they understand their health needs and are empowered to actively participate in achieving their desired health outcomes. In fiscal year 2023, La Mision served patients through 5,525 medical visits, 1,726 dental visits and 618 counseling visits. Social Services - Ascension DePaul Services provides life-changing support designed to give emergency assistance, counseling services, connection to community resources, and education to individuals and families striving to better their circumstances. The services also offer professional guidance from licensed community health workers. They meet with individuals and families to identify action plans to solve short-term as well as long-term needs. Ascension DePaul Services provides guidance and support exiting abusive relationships, identifying educational and employment opportunities, and providing pregnancy support, parenting classes and resources. In fiscal year 2023, 7,204 individuals received support. 1,256 of these received comprehensive parenting support and 5,428 received food assistance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OR STOCKHOLDERS OF THE ORGANIZATION: ASCENSION HEALTH, OUR CORPORATE SPONSOR, IS THE SOLE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>POWER TO APPOINT OR ELECT MEMBERS: THE ORGANIZATION HAS ONE MEMBER, ASCENSION HEALTH, WHO HAS SOLE AUTHORITY ELECTING THE MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DECISIONS SUBJECT TO APPROVAL BY MEMBERS: THE BYLAWS STATE THAT THE BOARD OF TRUSTEES OF THE CORPORATION SHALL NOT TAKE ACTION ON THE FOLLOWING LIST OF ITEMS WITHOUT THE APPROVAL OF THE MEMBER: 4.2-A APPROVE THE FORMATION OR ACQUISITION OF LEGAL ENTITIES FOR WHICH ASCENSION HEALTH WILL SERVE AS THE SOLE OR CONTROLLING ENTITY AND, SUBJECT TO CANONICAL REQUIREMENTS, APPROVE THE SALE, TRANSFER OR SUBSTANTIAL CHANGE IN USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR THE DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP OR CORPORATE REORGANIZATION OF THE CORPORATION. 4.2-B APPROVE REQUIREMENTS OF, AND APPROVE CHANGES TO, THE GOVERNING DOCUMENTS OF THE CORPORATION AND ITS SUBSIDIARY ORGANIZATIONS, IF THE CHANGES ARE INCONSISTENT WITH THE SYSTEM REQUIREMENTS FOR GOVERNING DOCUMENTS. 4.2-C APPOINT, UPON THE RECOMMENDATION OF THE BOARD OF THE CORPORATION, OR REMOVE, WITH OR WITHOUT CAUSE, THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION. 4.2-D APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR OF THE BOARD OF THE CORPORATION, IN CONSULTATION WITH THE MEMBER WITH CANONICAL JURISDICTION. 4.2-E APPROVE THE TRANSFER OF ASSETS AND THE REALLOCATION OF DEBT AMONG THE CORPORATION AND OTHER HEALTH MINISTRIES IN ACCORDANCE WITH SYSTEM POLICIES, IN CONSULTATION WITH THE CORPORATION'S BOARD. 4.2-F APPROVE THE TRANSFER OR ENCUMBRANCE OF TAX EXEMPT FINANCED ASSETS OF THE CORPORATION, AND ITS SUBSIDIARY ORGANIZATIONS IN ACCORDANCE WITH SYSTEM POLICIES. 4.2-G APPROVE THE INCURRENCE OF DEBT OF THE CORPORATION IN ACCORDANCE WITH SYSTEM POLICIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO REVIEW THE FORM 990: ASCENSION DEPAUL SERVICES (ADS) USES FORVIS TEMPLATE FOR PREPARATION OF 990, FORVIS COMPILES THE INFORMATION AND FORWARDS TO ADS'S CFO FOR REVIEW. AFTER CFO REVIEW, IT GOES TO THE FINANCE COMMITTEE OF BOARD OF DIRECTORS FOR FINAL REVIEW. THE 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST DISCLAIMERS ARE COMPLETED BY SENIOR LEADERSHIP STAFF AND BOARD MEMBERS ANNUALLY IN THE OCTOBER BOARD MEETING. IF THERE APPEARS TO BE A CONFLICT, STATEMENTS ARE FORWARDED TO ASCENSION FOR FURTHER REVIEW. IF THERE IS A CONFLICT, THE BOARD MEMBER WILL BE EXCLUDED FROM VOTING IN THAT PARTICULAR BUSINESS TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF PRESIDENT/CEO COMPENSATION: A COMPENSATION REVIEW WAS CONDUCTED IN MAY OF 2023 BY ASCENSION HR OF ALL ADS POSITIONS AND THE RESULTS WERE PRESENTED TO THE BOARD OF DIRECTORS AND DOCUMENTED IN THE MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF OTHER OFFICER OFFICIAL COMPENSATION: DIRECTORS' SALARIES ARE REVIEWED BY ASCENSION HR AS WELL AS THE ANNUAL WERLING REPORT FOR NOT-FOR PROFITS SURVEY. THE COMPENSATION REVIEW CONDUCTED IN MAY OF 2023 WAS SHARED WITH THE BOARD OF DIRECTORS AND DOCUMENTED IN THE MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets: Pension-related changes $68,498</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:891305</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASCENSION HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>PO BOX 45998</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63145</ZIPCd>
        </USAddress>
        <EIN>311662309</EIN>
        <PrimaryActivitiesTxt>NATL HLT SYS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SEE PART VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASCENSION HEALTH ALLIANCE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 45998</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63145</ZIPCd>
        </USAddress>
        <EIN>453358926</EIN>
        <PrimaryActivitiesTxt>NATL HLT SYS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Marillac Mission Fund</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>4600 EDMUNDSON RD</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63134</ZIPCd>
        </USAddress>
        <EIN>431748097</EIN>
        <PrimaryActivitiesTxt>FIN SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SEE PART VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SETON HEALTHCARE NETWORK</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>1201 W 38TH ST</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78705</ZIPCd>
        </USAddress>
        <EIN>741109643</EIN>
        <PrimaryActivitiesTxt>HOSPITAL SYST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SEE PART VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASCENSION MEDICAL GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>28000 DEQUINDRE RD</AddressLine1Txt>
          <CityNm>WARREN</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48092</ZIPCd>
        </USAddress>
        <EIN>383494637</EIN>
        <PrimaryActivitiesTxt>GROUP HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SEE PART VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SACRED HEART HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5151 N 9TH AVENUE</AddressLine1Txt>
          <CityNm>PENSACOLA</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32504</ZIPCd>
        </USAddress>
        <EIN>590634434</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SEE PART VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>true</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Marillac Mission Fund</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>2153707</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART II, COLUMN F</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT CONTROLLING ENTITY: ALL ORGANIZATIONS SPECIFIED ARE CONTROLLED BY ASCENSION HEALTH ALLIANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
