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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

New U.S. global health policy seen as a way to eliminate malaria in concert with faith leaders

Kurt Jensen

March 26, 2026

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The future of efforts to eliminate malaria in sub-Saharan Africa may depend in part on a U.S. policy shift now drawing mixed reactions.

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Continue Reading New U.S. global health policy seen as a way to eliminate malaria in concert with faith leaders

The miracle of a living kidney donor: Virginia man realizes the power of persistent prayer

Ann M. Augherton

March 25, 2026

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He was put on a waiting list for a kidney transplant. More than 94,000 Americans are waiting for a kidney transplant, according to national data. Many never receive one.

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Continue Reading The miracle of a living kidney donor: Virginia man realizes the power of persistent prayer

Universal health coverage is not a luxury but ‘a moral imperative,’ pope says

OSV News

March 24, 2026

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Universal health coverage is not “merely a technical goal to be achieved” but is a “moral imperative,” Pope Leo XIV told participants at a conference on health equity.

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Continue Reading Universal health coverage is not a luxury but ‘a moral imperative,’ pope says

Archbishop, witnesses testify to religious freedom risks health care providers face

Kate Scanlon

March 17, 2026

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Conscience protections for faith-based health providers remain a key religious freedom concern, witnesses at a March 16 meeting of the Department of Justice’s Religious Liberty Commission said.

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Continue Reading Archbishop, witnesses testify to religious freedom risks health care providers face

Amid measles uptick, infectious diseases specialist says Church recommends vaccination

Kate Scanlon

March 12, 2026

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Amid a spike in measles cases in the U.S., an infectious diseases specialist, who is also a Catholic deacon, told OSV News that the Church “has recommended measles vaccination to safeguard the health of children and families.”

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Continue Reading Amid measles uptick, infectious diseases specialist says Church recommends vaccination

New initiative to form mental health professionals rooted in Church teaching

Katie Yoder

February 28, 2026

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A new initiative by the University of Mary and the Diocese of Phoenix promises to respond to today’s rising mental health challenges by forming mental health professionals who are clinically trained and rooted in the Catholic teaching on human dignity.

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