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L. Gilbraith Insurance SPC Ltd. is a captive insurance company based in the Cayman Islands that provides professional liability and general liability insurance to healthcare organizations. Originally established in 1986 to serve Resurrection Health Care, the company became part of the Ascension health system following the acquisition of Presence Health (the successor to Resurrection) by Ascension in 2018. The company operates as a segregated portfolio company (SPC), which allows it to manage distinct pools of assets and liabilities for different healthcare entities within the parent organization's network. As a key component of Ascension's risk management infrastructure, L. Gilbraith Insurance plays a critical role in managing medical malpractice and other operational risks for one of the largest non-profit health systems in the United States.
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