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Ascension, the largest Catholic health system in Illinois, cleared a significant step in the process of trying to sell more than half of its hospitals in the state to a for-profit health system.

Ascension to sell 9 Illinois hospitals to for-profit health system

January 3, 2025
By Simone Orendain
OSV News
Filed Under: Uncategorized

CHICAGO (OSV News) — The largest Catholic health system in Illinois cleared a significant step in the process of trying to sell more than half of its hospitals in the state to a for-profit health system.

The Illinois Health Facilities and Services Review Board on Dec. 17 approved the sale of 11 facilities — nine hospitals and two outpatient surgical centers — of St. Louis-based Ascension’s Illinois hospitals to Ontario, California-based Prime Healthcare. Only two of the hospitals mentioned in the sale will continue to operate as not-for-profit.

The Illinois board lists the purchase price at $375 million and expects the sale to be completed by Dec. 31.

The sale would mark Prime Healthcare’s entry into Illinois.

Ascension is the parent company of Ascension St. Agnes medical center in Southwest Baltimore. A spokesperson for St. Agnes said the sales in Illinois would not affect the Baltimore facility.

According to a July news release that first announced the proposed sale, four other Ascension locations in Illinois, including senior living facilities and post-acute care facilities, will be sold as well. Ascension said Prime Healthcare would invest $250 million in facility and system upgrades, capital improvements as well as “substantial technology improvements.”

Ascension’s media relations department sent OSV News a statement saying the Catholic health system’s Illinois group expressed gratitude for the review board’s approval of the sale.

“Ascension Illinois leaders are grateful for the Illinois Health Facilities and Services Review Board’s unanimous decision to approve the transfer of ownership of nine acute care hospitals and two ambulatory surgery centers from Ascension Illinois to Prime Healthcare,” said the statement. “We firmly believe the Board’s approval of this project will preserve jobs and ensure needed healthcare access across Chicagoland, as well as investment in Illinois for the future.”

However, the sale was opposed by the National Nurses United union. The union, which has tussled with Ascension before, had urged the Illinois state board in an Oct. 18 letter to reject the sale over what it described as “Prime Healthcare’s history of putting profits over patients, leading to illegal and unethical practices that risk people’s health, in addition to the elimination of crucial health services in the community.”

According to a September release on its financials, Ascension reported a net $1.1 billion loss for fiscal year 2024. It reported a balance sheet of nearly $41 billion of assets and over $15 billion in liquidity.

According to a 2021 analysis published in the Journal of Healthcare Management and titled “The Changing Landscape of Catholic Hospitals and Health Systems, 2008-2017” a Catholic hospital today “is more likely to be partnered with a non-Catholic hospital or to be owned by a for-profit system than to be solely partnered with or operated by another Catholic system.”

The analysis found of the more than 4,200 hospitals it studied over nearly a decade, about 530 changed ownership or management. Its abstract said there was greater decentralization at the Catholic hospitals taking place over this time frame, and that Catholic hospitals today “appear to be more similar to their non-Catholic counterparts.”

According to Ascension, the sale is subject to canonical approval. A spokesperson for the Archdiocese of Chicago told OSV News Dec. 27 that it had no comment on the pending sale.

The Catholic Review contributed to this report.

Read More Health Care

Two major medical groups back limits on gender transition procedures for minors

Kate Scanlon

February 6, 2026

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Two major medical groups have backed limitations on certain types of medical or surgical gender reassignment procedures for minors who identify as transgender.

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Continue Reading Two major medical groups back limits on gender transition procedures for minors

Trump administration ends federally funded research with fetal tissue from elective abortions

OSV News

January 22, 2026

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The Trump administration Jan. 22 announced a policy ending the use of fetal tissue from elective abortions in federally funded research.

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Ohio nuns lament downfall of their former nursing home under new owners

Gina Christian

January 16, 2026

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A congregation of Catholic women religious is lamenting the downfall of an acclaimed nursing home it once operated, after severe neglect and endangerment of residents by the current owners prompted Ohio state officials to intervene.

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Continue Reading Ohio nuns lament downfall of their former nursing home under new owners

House passes extension of Obamacare subsidies for 3 years after 17 Republicans break ranks

Kate Scanlon

January 9, 2026

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The U.S. House of Representatives passed a bill Jan. 8 to extend enhanced health care subsidies for three years by a vote of 230-196 after 17 Republicans broke with their party’s leadership to force a vote.

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Pro-life groups push back after Trump tells House GOP to be ‘flexible’ on Hyde Amendment

Kate Scanlon

January 7, 2026

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After President Donald Trump told House Republicans to be “flexible” on the Hyde Amendment, which prohibits public funding of elective abortions, in negotiations on health care subsidies, a key national pro-life group argued the policy should be “a minimum standard in the Republican Party.”

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Priest gets kidney from principal — and love, support, prayers from parishes, students

Katie Zakrzewski

December 31, 2025

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It’s significantly more likely for family members and relatives to be a match than someone unrelated to you. A match like Father Torres and Whisnant’s match is rare but still medically possible.

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