2023-11-14T20:02:41-06:00 2022-12-31 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2022-01-01 351955283 FRANCISCAN HEALTH FOUNDATION INC % PRISCILLAR N MUDARI FRAN 5742733855 1515 DRAGOON TRAIL MISHAWAKA IN 46544 SISTER LETHIA MARIE LEVEILLE SECRETARY & TRUSTEE 5743476418 2023-11-14 true SISTER LETHIA MARIE LEVEILLE 999009999 ERIC M MCNEIL P00460263 2673303000 2023-11-14 2 2022 2023-04-26 12:10:37Z KEVIN D LEAHY 1515 DRAGOON TRAIL MISHAWAKA IN 46544 8837008 false X N/A X 1995 IN RAISE, INVEST, AND EXPEND CONTRIBUTIONS FOR THE BENEFIT OF FRANCISCAN ALLIANCE, INC. HEALTH CENTERS. 5 4 0 308 0 0 9240083 7742225 0 0 501916 716906 0 0 9741999 8459131 5435830 6835413 0 0 0 0 0 0 0 4613885 3578396 10049715 10413809 -307716 -1954678 46155507 50818852 2914282 1072234 43241225 49746618 X FRANCISCAN HEALTH FOUNDATION, INC. (THE FOUNDATION) RAISES, INVESTS, AND DISBURSES CONTRIBUTIONS TO SUPPORT THE PROGRAMS AND SERVICES OF FRANCISCAN ALLIANCE, INC. THE OVERARCHING PURPOSE IS TO CONTINUE THE HEALING MINISTRY OF CHRIST IN ACCORDANCE WITH THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH AND IN PARTNERSHIP WITH OTHERS TO PROVIDE A FULL CONTINUUM OF HEALTH CARE SERVICES; THE FOUNDATION IS DEDICATED TO ADDRESSING THE EVER-GROWING HEALTHCARE NEEDS OF OUR PATIENTS AND TO SUPPORTING ALL FRANCISCAN ALLIANCE, INC.'S HEALTH CENTERS IN THEIR COMMITMENT TO BUILDING HEALTHIER COMMUNITIES. THE FUNDS RAISED AND DISBURSED BY THE FOUNDATION SUPPORT THE NEEDS OF PATIENTS WITHOUT THE RESOURCES TO ATTAIN CARE WITHOUT REGARDS TO AGE, SEX, RELIGION OR NATIONAL ORIGIN; INCREASE PATIENT ACCESS TO MEDICAL TECHNOLOGY; FURTHERS SCIENTIFIC AND MEDICAL EDUCATION OPPORTUNITIES IN ORDER TO IMPROVE CARE; AND PROMOTES WELLNESS WITHIN THE COMMUNITIES WE SERVE. false false 10383342 6835413 0 FRANCISCAN HEALTH FOUNDATION, INC. RAISES, INVESTS, AND EXPENDS CONTRIBUTIONS FOR THE BENEFIT OF FRANCISCAN ALLIANCE, INC. THE BENEFICIARY'S PURPOSE IS TO PROMOTE COMPASSIONATE CARE FOR THOSE IN NEED, RESPECT LIFE AND THE DIGNITY OF PERSONS, WELLNESS AND THE PREVENTION OF ILLNESS, RESTORATION TO HEALTH, AND THE ACCEPTANCE OF DEATH AS THE FINAL STEP TOWARDS WELLNESS. 10383342 true true false false false false false false false true true false false false true false false true false false false false false false true false false true false true false false false false false false false false true false false false false true false false false true 31 0 true 0 false false false false false true true false false false false false false X 5 4 false false false false true true true true true false false true true true true true true false false false IN X X PRISCILLAR N MUDARI 5742733817 3510 PARK PLACE WEST SUITE 200 MISHAWAKA IN 46545 KEVIN D LEAHY PRESIDENT AND TRUSTEE 5.0 55.0 X X 0 2085355 -100816 SISTER JANE MARIE KLEIN CHAIR AND TRUSTEE 5.0 55.0 X X 0 0 0 SISTER M ANN KATHLEEN MAGIERA TREASURER AND TRUSTEE 5.0 50.0 X X 0 0 0 SISTER M MADONNA ROUGEAU TRUSTEE 5.0 50.0 X 0 0 0 SISTER LETHIA MARIE LEVEILLE SECRETARY AND TRUSTEE 5.0 55.0 X X 0 0 0 0 2085355 -100816 0 false true false NONE 0 293564 289040 2856020 4303601 193843 7742225 0 716906 716906 0 0 0 0 0 0 377877 293564 377877 0 0 0 0 0 0 0 8459131 0 716906 6835413 6835413 0 0 0 0 0 0 0 0 0 2681173 2681173 0 0 0 0 30467 30467 0 30624 30624 42655 42655 58834 58834 0 123529 123529 10727 10727 0 0 0 0 15293 15293 0 BAD DEBT EXPENSE 475066 475066 RESULTS AND RECOGNITION 46675 46675 PURCHASED SERVIVES 28970 28970 DUES & SUBSCRIPTIONS 8043 8043 26340 26340 10413809 10383342 30467 0 968392 597554 0 0 4578877 4748468 0 1975942 0 0 0 0 0 0 0 0 16538 13114 423343 292619 49494 130724 39881467 42692109 0 0 0 0 0 0 660739 660941 46155507 50818852 162487 37679 0 0 78916 74298 0 0 0 0 0 0 0 0 0 0 2672879 960257 2914282 1072234 X 3601517 15468797 39639708 34277821 43241225 49746618 46155507 50818852 X -1954678 -8051599 16511670 X false true X true true true X 9875704 8493386 6962879 9240083 7742225 42314277 0 0 0 0 0 0 0 0 0 0 0 0 9875704 8493386 6962879 9240083 7742225 42314277 3220575 39093702 538652 750204 552168 501916 716906 3059846 0 0 0 0 0 0 0 0 0 0 0 0 45374123 0.86159 0.83097 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8445967 -2098222 -68501 2400 6276844 7530314 874385 40471 -797 8445967 5596498 1890122 45159 1465 7530314 5269160 313321 39345 25328 5596498 2576306 2709323 -12069 4400 5269160 1.00000 false false 90000 90000 62498 41926 20572 270845 250693 20152 130724 0 LEASE LIABILITIES-LT 203964 ANNUITY PAYABLE 88391 LEASE LIABILITIES-CP 69051 INTERCOMPANY PAYABLE 598851 960257 SCHEDULE D, PART V, LINE 4 INNOVATION FUND ENDOWMENT - THIS FUND TO FOSTER INNOVATIVE PROJECTS THAT BENEFIT FRANCISCAN ALLIANCE. FRANCISCAN LEADERSHIP PILGRIMAGE ENDOWMENT - FUND TO SPONSOR FRANCISCAN ALLIANCE'S FULL-TIME, HOURLY-PAID EMPLOYEES WHOSE FAMILY INCOMES WOULD NOT PERMIT THEM TO ATTEND A PILGRIMAGE WITHOUT FINANCIAL ASSISTANCE FROM THE FOUNDATION. MANNION SPIRITUAL CARE ENDOWMENT - THIS FUND IS TO CONSTANTLY PROVIDE FOR HAVING CHAPLAINS AVAILABLE FOR PATIENTS, STAFF, AND FAMILIES, 24 HOURS-A-DAY, 7 DAYS A WEEK. SPIRITUAL CARE IS MANDATED BY THE ETHICAL & RELIGIOUS DIRECTIVES AS THE PIVOTAL HALLMARK THAT SETS FRANCISCAN ALLIANCE, INC. APART FROM SECULAR HEALTH CARE INSTITUTIONS. DR. COSTIN ENDOWMENT - THE COSTIN ENDOWMENT FUND WAS ESTABLISHED TO PROVIDE CONSISTENT RESOURCES FOR THE ANNUAL COSTIN AWARD FOR RESEARCH IN THE ST. FRANCIS SCHOOL OF MEDICAL TECHNOLOGY. RICHARD E. FRY ENDOWMENT - THROUGH THE GENEROUS GIFTS OF MANY DONORS AND MRS. FRY, THIS ENDOWMENT FUND IS BEING ESTABLISHED TO FINANCE ANNUAL NURSING SCHOLARSHIPS AND WILL BE KNOWN AS THE RICHARD E. FRY, M.D. MEMORIAL NURSING SCHOLARSHIP FUND. THE INCOME FROM THIS ENDOWMENT SHALL BE USED TO FUND ANNUAL SCHOLARSHIP AWARDS. ANY UNUSED PORTION FROM THIS ENDOWMENT SHALL BE REINVESTED IN THE ENDOWMENT, OR PLACED IN THE RESTRICTED NURSING SCHOLARSHIP ACCOUNT FOR FUTURE USE. NEIGHBORHOOD HEALTH CENTER (NHC) ENDOWMENT FUND - AS DETERMINED BY HOSPITAL ADMINISTRATION AND THE FOUNDATION, THE NHC ENDOWMENT WAS ESTABLISHED IN 2000 WITH $300,000 OF THE $1.3 MILLION RUTH LILLY CAPITAL GIFT TO SUPPORT THE CARDIOLOGY/HEART PROGRAM AND INDIGENT CARE SERVICES. EMHARDT ENDOWMENT FUND - THIS ENDOWMENT FUND IS USED TO FUND THE EMHART ROLE MODEL OPERATING FUND WHICH PROVIDES AN ANNUAL ROLE MODEL AWARD AND ANNUALLY DONATES $1,000 TO THE MICON FUND. MEDICAL MISSION ENDOWMENT - THE ST. FRANCIS MEDICAL MISSION ENDOWMENT PROVIDES ANNUAL GRANTS TO INDIVIDUALS WISHING TO USE THEIR HEALTHCARE SKILLS TO ASSIST SOME OF THE WORLD'S NEEDIEST PEOPLE - THE POOR, THE DISABLED AND THE AGED - THROUGH LOCAL AND INTERNATIONAL MEDICAL OUTREACH. COHEN-KLINE - SET UP BY THE COHEN AND KLINE FAMILIES IN 1979. INTEREST IS TO FUND NEEDS DETERMINED ANNUALLY AS DIRECTED BY A DESIGNATED MEMBER OF THE COHEN FAMILY. GOLDBERG MEMORIAL - PROCEEDS FROM THIS FUND ARE TO PROVIDE SCHOLARSHIPS FOR MEDICAL STUDENTS ATTENDING MIDWESTERN UNIVERSITY. ESTABLISHED IN 1987 BY BEVERLY GOLDBERG TO PROVIDE HONORARIUM FOR ANNUAL GOLDBERG LECTURE. SISTER JANE MARIE KLEIN FUND - THIS FUND IS TO HAVE A GOAL OF A $1 MILLION ENDOWMENT THAT WILL PROVIDE AN ON-GOING SOURCE OF INCOME FOR THE HEALTHCARE NEEDS OF WOMEN & CHILDREN IN NEED FROM THE PROCEEDS. HOSPICE HOUSE ENDOWMENT - TO PROVIDE QUARTERLY DISBURSEMENTS OF INVESTMENT INCOME TO THE HOSPICE HOUSE OPERATING FUND, THE PURPOSE IS FOR THE INVESTMENT INCOME TO OFFSET SOME OF THE OPERATING EXPENSES OF FRANCISCAN HOSPICE HOUSE. SFH-ANESTHESIA BOARD DESIGNATED -THE ANESTHESIA FUND IS TO BE USED TO SUPPORT PERI-OPERATIVE SERVICES INITIATIVES AND TO PROVIDE TWO $1,200 ANNUAL SCHOLARSHIPS, THROUGH THE NALIN SHAH MD NURSING SCHOLARSHIP, TO ASPIRING NURSES AND/OR STUDENTS EMPLOYED WITH FRANCISCAN ST. FRANCIS HEALTH SEEKING A PERIO-OPERATIVE NURSING DEGREE OR AN ACCREDITED EDUCATIONAL COURSE. ST. ANTHONY MEDICAL CENTER ENDOWMENT FUND - THE PRIMARY PURPOSE OF THE FUND SHALL BE TO PROVIDE SUPPORT TO ST. ANTHONY MEDICAL CENTER, INC., OR ITS SUCCESSOR, TO CARRY OUT ITS ROLE AND MISSION AS DESCRIBED BY ITS GOVERNING DOCUMENTS. THE DR. JOHN LANMAN CLINIC - SERVES THE WORKING POOR, UNDER-INSURED AND UNINSURED PATIENTS LIVING IN NORTHERN LAKE COUNTY. THE MONIES IN THIS ENDOWMENT FUND WILL BE USED TO ASSIST PATIENTS WITH THE COST OF MEDICATIONS, TRANSPORTATION, HEALTHCARE AND OTHER NEEDS AS DETERMINED BY THE DR. JOHN LANMAN ENDOWMENT FUND MANAGER & ASSISTANT FUND MANAGER, WITH CONSULTATION FROM THE NI FOUNDATION. FRANCIS POWERS ENDOWMENT - THE TRUST IS TO BE A MEMORIAL TO ELIZABETH CATHERINE POWERS AND WILL BE USED TO ASSIST IN PAYING FOR NEED BASED CARE AT FRANCISCAN HEALTH LAFAYETTE. THE INVESTMENT EARNINGS FROM THIS FUND ARE GIVEN TO FRANCISCAN HEALTH LAFAYETTE FOR INDIGENT CARE. FANCHER SCHOLARSHIP - TO PROVIDE ANNUAL $500 SCHOLARSHIPS TO A STUDENT(S) OF THE ST. ELIZABETH SCHOOL OF NURSING THAT WILL BE ENROLLED IN THE FALL SEMESTER. THE STUDENT(S) MUST DEMONSTRATE FINANCIAL NEED AND HAVE A MINIMUM GPA OF 3.0 OR BETTER. THE AWARDED SCHOLARSHIP MAY BE RENEWABLE BEYOND YEAR 1 AS LONG AS THE RECIPIENTS MAINTAIN A MINUMUM 3.0 OVERALL GPA. BETTY MCKAY SCHOBER SCHOLARSHIPS - TO PROVIDE SCHOLARSHIP FUNDS IN THE AMOUNT OF $1000 PER YEAR TO AN INCOMING FIRST YEAR NURSING STUDENT AT THE ST. ELIZABETH SCHOOL OF NURSING. MINIMUM CRITERIA TO BE CONSIDERED INCLUDE: BE A US CITIZEN AND/OR LEGAL PERMANENT RESIDENT OF THE US; BE ADMISSABLE TO THE SON FOR THE AUTUMN SEMESTER AFTER GRADUATION FROM HIGH SCHOOL; AND HAVE A HIGH SCHOOL GPA OF 3.2 OR MORE ON A 4.0 SCALE. ADDITIONAL CRITERIA TO BE CONSIDERED IS THAT PREFERENCE WILL BE GIVEN TO STUDENTS FROM A FARM/SMALL TOWN AND/OR WHO HAVE SUCCEEDED IN SPITE OF A DIFFICULT FAMILY SITUATION, SUCH AS A FAMILY MEMBER WITH CANCER, LONGTERM UNEMPLOYMENT OF A PARENT, ETC. OESTERLING-WHITAKER SCHOLARSHIPS - TO PROVIDE ANNUAL SCHOLARSHIPS TO A SOPHOMORE OR JUNIOR ST. ELIZABETH SCHOOL OF NURSING STUDENT(S). THE STUDENT(S) MUST DEMONSTRATE FINANCIAL NEED AND BE A GOOD STUDENT (NOT NECESSARILY A GREAT STUDENT) IN THE CLASSROOM, BUT ONE THAT HAS A HEART FOR SERVICE AND COMPASSION FOR OTHERS. SALLY WATLINGTON SCHOLARSHIPS - THE FUND IS BEING ESTABLISHED TO SUPPORT AN ANNUAL $1000 SCHOLARSHIP TO A STUDENT(S) OF THE ST. ELIZABETH SCHOOL OF NURSING THAT WILL BE ENROLLED IN THE FALL SEMESTER. THE STUDENT(S) MUST DEMONSTRATE FINANCIAL NEED AND HAVE A MINIMUM GPA OF 3.0 OR BETTER. THE AWARDED SCHOLARSHIP MAY BE RENEWABLE BEYOND YEAR ONE AS LONG AS THE RECIPIENT(S) MAINTAIN A MINIMUM 3.0 OVERALL GPA. ST. CLARE MEDICAL AUXILIARY ST. ELIZABETH SCHOOL OF NURSING - FUND IS BEING ESTABLISHED TO SUPPORT AN ANNUAL $1000 SCHOLARSHIP TO A STUDENT(S) THAT WILL GRADUATE A MONTGOMERY COUNTY, INDIANA HIGH SCHOOL OR A HOME-SCHOOLED SENIOR RESIDING IN MONTGOMERY COUNTY, INDIANA. STUDENTS WILL BE ENROLLED AT THE ST. ELIZABETH SCHOOL OF NURSING IN THE FOLLOWING FALL SEMESTER. STUDENTS MUST DEMONSTRATE FINANCIAL NEED AND HAVE A MINIMUM GPA OF 3.0 OR BETTER. THE AWARDED SCHOLARSHIP MAY BE RENEWABLE BEYOND YEAR ONE AS LONG AS RECIPIENTS MAINTAIN MINIMUM 3.0 GPA. NOLA J. GENTRY ST. ELIZABETH SCHOOL OF NURSING SCHOLARSHIP - FUND IS BEING ESTABLISHED TO SUPPORT AN ANNUAL $1000 SCHOLARSHIP TO A STUDENT(S) ENROLLED AT THE ST. ELIZABETH SCHOOL OF NURSING. STUDENTS MUST HAVE MINIMUM GPA 3.5 OR BETTER. THE AWARDED SCHOLARSHIP MAY BE RENEWABLE BEYOND YEAR ONE AS LONG AS THE RECIPIENTS MAINTAINS A MINIMUM 3.5 OVERALL GPA. HOSPICE ENDOWMENT FRANCISCAN MICHIGAN CITY - FUND SUPPLEMENTS COSTS OF MAINTAINING PALLIATIVE CARE INITIATIVES AT FRANCISCAN HEALTH MICHIGAN CITY. FUNDS MAY BE USED FOR SALARIES, EDUCATIONAL MATERIALS, EDUCATIONAL OPPORTUNITES FOR STAFF OR SUPPLIES AND EQUIPMENT USED BY THE DEPARTMENT INCLUDING CAPITAL IMPROVEMENTS. JAUNITA BURNETT MARCHAND MEMORIAL SCHOLARSHIP - FUND IS BEING ESTABLISED TO SUPPORT AN ANNUAL $1000 OR MORE PER YEAR SCHOLARSHIP TO A STUDENT(S) OF THE ST. ELIZABETH SCHOOL OF NURSING THAT WILL BE ENROLLED IN THE FALL SEMESTER. THE STUDENT(s) MUST BE A USA CITIZEN AND HAVE GPA OF 2.75 OR BETTER. THE AWARDED SCHOLARSHIP MAY BE RENEWABLE BEYOND ONE YEAR IF THE RECPIENT(S) MAINTAIN 2.75 OVERALL GPA. FIRST YEAR STUDENTS ARE NOT ELIGIBLE. BETTY JEAN LOWERY ENDOWED NURSING SCHOLARSHIP - FUND IS BEING ESTABLISHED TO SUPPORT AN ANNUAL $1000 OR MORE PER YEAR SCHOLARSHIP TO A STUDENT(S) OF THE ST. ELIZABETH SCHOOL OF NURSING THAT WILL BE ENROLLED IN THE FALL SEMESTER. THE STUDENT(S) MUST BE A NATIVE RESIDENT AND CURRENTLY RESIDE IN THE STATE OF INDIANA. STUDENT(S) MUST BE AT LEAST A SECOND-YEAR STUDENT AND HAVE A GPA OF 3.0 OR BETTER. STUDENT(S) MUST DEMONSTRATE COMPASSIONATE CONCERN FOR THE BETTERMENT OF THEIR PATIENTS. THE AWARDED SCHOLARSHIP MAY BE RENEWABLE BEYOND ONE YEAR IF THE RECIPIENTS(S) MAINTAIN A MINIMUM 3.0 OVERALL GPA. THE WILSON FAMILY NURSING SCHOLARSHIP - FUND IS BEING ESTABLISHED TO SUPPORT AN ANNUAL $1000 SCHOLARSHIP TO A STUDENT(S) OF THE ST. ELIZABETH SCHOOL OF NURSING THAT WILL BE ENROLLED IN THE FALL SEMESTER. THE STUDENT(S) MUST DEMONSTRATE FINANCIAL NEED AND HAVE A MINIMUM GPA OF 3.0 OR BETTER. THE AWARDED SCHOLARSHIP MAY BE RENEWABLE BEYOND YEAR ONE IF THE RECIPIENT(S) MAINTAIN 3.0 GPA OR BETTER. BRENDA E. MURRAY MEMORIAL SCHOLARSHIP - FUND IS BEING ESTABLISHED TO SUPPORT AN ANNUAL $1000 SCHOLARSHIP TO A STUDENT(S) OF THE ST. ELIZABETH SCHOOL OF NURSING THAT WILL BE ENROLLED IN THE FALL SEMESTER. THE STUDENT(S) MUST BE A SINGLE PARENT FROM A RURAL COMMNUNITY, DEMONSTRATE FINANCIAL NEED AND HAVE A MINIMUM GPA OF 3.0 OR BETTER. SPECIAL CONSIDERATION WILL GO TO AN INDIVIDUAL(S) WHO WERE ABLE TO OVERCOME AN GALAS 395920 133400 262520 24883 123189 45352 69096 GOLF OUTINGS 214665 121361 93304 11502 40564 27318 500 13420 5 60856 38803 22053 4110 4903 349 835 11856 671441 293564 377877 15612 70350 150856 46687 94372 377877 true FRANCISCAN ALLIANCE INC 1515 DRAGOON TRAIL MISHAWAKA IN 46544 351330472 501(c)(3) 6327920 N/A N/A VARIOUS PROGRAMS FRANCISCAN HEALTH RENSSELAER INC 1104 E GRACE ST RENSSELAER IN 47978 473825106 501(C)(3) 286464 N/A N/A VARIOUS PROGRAMS SISTERS OF ST FRANCIS PERPETUAL ADORATION PO BOX 766 MISHAWAKA IN 46546 351328145 501(c)(3) 96031 N/A N/A VARIOUS PROGRAMS FRANCISCAN VNS HOME CARE INC 4701 N KEYSTONE AVE S418 INDIANAPOLIS IN 46205 350868199 501(C)(3) 221028 N/A N/A VARIOUS PROGRAMS 4 SCHEDULE I, PART I, LINE 2 ALL EXPENDITURES ARE REVIEWED BY THE DIRECTORS OF THE FOUNDATION AND FUND MANAGERS AND IN SOME CASES COMMITTEES, TO ENSURE ADHERENCE TO THE INTENT FOR WHICH FUNDS ARE DONATED. ALSO, THE FOUNDATION ONLY PROVIDES GRANTS TO THE ORGANIZATION IT WAS ORGANIZED TO SUPPORT, FRANCISCAN ALLIANCE, INC., AND ITS CONTROLLED AFFILIATES. false false false false false false false false false KEVIN D LEAHY PRESIDENT AND TRUSTEE 0 2044355 0 0 0 41000 0 -115737 0 14921 0 1984539 0 0 SCHEDULE J, PART I, LINE 3 FRANCISCAN HEALTH FOUNDATION, INC. DOES NOT COMPENSATE ITS PRESIDENT. X 1 1253 FMV X 10 FMV X 4 44851 FMV X 1 90000 APPRAISAL X 6 0 FMV X 1 0 FMV X AUCTION ITEMS 70 27608 FMV X OTHER 9 17938 FMV X GOODS & SVS 22 9993 FMV X GIFT CARDS 6 2190 FMV false true false SCHEDULE M, PART I, COLUMN (B) THE AMOUNT REPORTED IN COLUMN (B) REPRESENTS THE TOTAL NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF FRANCISCAN HEALTH FOUNDATION, INC. IS FRANCISCAN ALLIANCE, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, FRANCISCAN ALLIANCE, INC., ELECTS ALL DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING MATTERS ARE RESERVED EXCLUSIVELY TO THE MEMBER FOR CONSIDERATION AND ACTION AND MUST BE SUBMITTED TO AND RECEIVE THE APPROVAL OF THE MEMBER: (A) AMEND, RESTATE, REPEAL OR REPLACE THE ARTICLES OF INCORPORATION; (B) ADOPT, AMEND, RESTATE, REPEAL OR REPLACE THE BYLAWS; (C) AUTHORIZE THE MERGER, CONSOLIDATION, OR DISSOLUTION OF THE FOUNDATION; (D) AUTHORIZE THE SALE, PLEDGE, LEASE OR EXCHANGE OF THE FOUNDATION'S ASSETS (E) AUTHORIZE THE INCURRENCE OF DEBT BY THE FOUNDATION; (F) SELECT OR REMOVE THE FOUNDATION'S INDEPENDENT AUDITORS; (G) TAKE ACTION ON MATTERS WHICH MAY BE SPECIFIED BY THE MEMBER FROM TIME TO TIME; (H) AUTHORIZE ACTIONS OTHERWISE REQUIRING MEMBER APPROVAL BY LAW OR WHICH THE BOARD DETERMINES ARE ADVISABLE TO BE CONSIDERED BY THE MEMBER; (I) SETTLEMENT OF PROCEEDINGS FOR WHICH INDEMNIFICATION OR ADVANCEMENT OF EXPENSES MAY BE SOUGHT; (J) DETERMINE WHETHER THE FOUNDATION IS IN COMPLIANCE WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES; (K) APPROVE THE ANNUAL BUDGETS OF THE FOUNDATION, AND AMENDMENTS THERETO WITH SUCH MODIFICATIONS AS THE MEMBER MAY DEEM NECESSARY OR APPROPRIATE AND ANY UNBUDGETED EXPENDITURES OF THE FOUNDATION IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS ($100,000); (L) APPROVE THE CHAIRPERSON OF THE REGIONAL COUNCIL OF EACH OF THE REGIONAL DIVISIONAL OFFICES OF THE FOUNDATION, AND TO REMOVE SUCH INDIVIDUALS WITH OR WITHOUT CAUSE; (M) ADOPT, AMEND, RESTATE, REPEAL OR REPLACE THE CHARTER OF EACH OF THE REGIONAL DIVISIONAL OFFICES OF THE FOUNDATION; (N) CREATE, DETERMINE THE BOUNDARIES, REORGANIZE, CONSOLIDATE OR DISCONTINUE THE DIVISIONAL OFFICES OF THE FOUNDATION; (O) VOLUNTARILY DECLARE AND FILE FOR BANKRUPTCY OF THE FOUNDATION; (P) APPROVE THE ADMISSION OR REMOVAL OF A MEMBER; (Q) APPROVE A STRATEGIC PLAN OF THE FOUNDATION AND ANY MODIFICATIONS THERETO OR REPLACEMENTS THEREOF DEVELOPED AND RECOMMENDED BY THE BOARD OF DIRECTORS OF THE FOUNDATION, WITH SUCH MODIFICATIONS THERETO AS THE MEMBER MAY DEEM NECESSARY OR APPROPRIATE; (R) CHANGE THE STATUS OF THE FOUNDATION FOR FEDERAL TAX PURPOSES OR MAKE ANY FEDERAL OR STATE TAX ELECTION ON BEHALF OF THE FOUNDATION; (S) ESTABLISH ANY SUBSIDIARIES OR AFFILIATES OF THE FOUNDATION OR ENTER INTO ANY JOINT VENTURE ARRANGEMENTS INVOLVING THE FOUNDATION; (T) PROMULGATE POLICIES BINDING ON THE FOUNDATION; (U) ADOPT, AMEND AND TERMINATE EMPLOYEE BENEFITS AND EMPLOYEE BENEFIT PLANS; (V) REQUIRE THE FOUNDATION TO PARTICIPATE IN THE MEMBER'S SHARED SERVICES PROGRAMS; AND (W) APPROVE THE FOUNDATION'S ACCEPTANCE OF ANY GIFT OR BEQUEST WHICH INCLUDES EITHER AN INTEREST (INCLUDING FUTURE INTERESTS) IN REAL PROPERTY, OR OTHER ASSETS WHICH ARE ENCUMBERED IN ANY WAY. FORM 990, PART VI, SECTION B, LINE 11B THE INFORMATION TO PREPARE THE FORM 990 OF FRANCISCAN HEALTH FOUNDATION, INC. IS GATHERED BY FINANCE STAFF AND PROVIDED TO ITS ACCOUNTING FIRM WHO PREPARES THE RETURN. SENIOR MANAGEMENT THEN REVIEWS THE RETURN PRIOR TO FILING. THE FORM 990 IS ALSO MADE AVAILABLE TO THE FRANCISCAN HEALTH FOUNDATION'S BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C FRANCISCAN AND/OR AN AFFILIATE REQUIRES ANNUAL CONFLICT OF INTEREST STATEMENTS FROM EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS WHICH AFFIRMS THAT THEY HAVE RECEIVED, READ, AND UNDERSTAND THE CONFLICT OF INTEREST POLICY AND HAVE AGREED TO COMPLY WITH THE POLICY. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, A DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OR A COMMITTEE WITH BOARD DESIGNATED POWERS MUST DISCLOSE THE EXISTENCE AND NATURE OF THE FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST, THE DIRECTOR, PRINCIPAL, OR COMMITTEE MEMBER SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTE TAKEN. IN ADDITION, ONGOING REVIEWS AND ASSESSMENTS ARE MADE TO MAKE CERTAIN THAT THE FOUNDATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. IN CONDUCTING THE ONGOING REVIEWS AND ASSESSMENTS, THE FOUNDATION USES INTERNAL AND EXTERNAL ADVISORS. FORM 990, PART VI, SECTION B, LINE 15 FRANCISCAN HEALTH FOUNDATION, INC. DOES NOT COMPENSATE ITS OFFICERS AND IT DOES NOT HAVE ANY EMPLOYEES. FORM 990, PART XI, LINE 9 EQUITY TRANSFER FROM AFFILIATE $16,511,670 _________ TOTAL $16,511,670 FRANCISCAN ALLIANCE INC 1515 DRAGOON TRAIL MISHAWAKA IN 46544 351330472 HEALTH SRVCS IN 501(C)(3) 3 NA false HILLS INSURANCE COMPANY INC 1515 DRAGOON TRAIL MISHAWAKA IN 46544 030372512 CAPTIVE INS VT 501(C)(3) 12-TYPE 1 FRANCISCAN false SISTERS OF ST FRANCIS OF PERPETUAL ADOR PO BOX 766 MISHAWAKA IN 46546 351328145 RELIGIOUS IN 501(C)(3) 1 NA false ST ALEXIS HOSPITAL ASSOCIATION PO BOX 1290 MISHAWAKA IN 46546 340714485 SUPPORT ALEXA OH 501(C)(3) 3 FRANCISCAN false FRANCISCAN VNS HOME CARE INC 4701 N KEYSTONE AVE S418 INDIANAPOLIS IN 46205 350868199 HOME HEALTH IN 501(C)(3) 10 FRANCISCAN false FRANCISCAN HEALTH RENSSELAER INC 1104 E GRACE ST RENSSELAER IN 47978 473825106 HEALTH SRVCS IN 501(C)(3) 3 FRANCISCAN false FRANCISCAN ACO INC 700 E SOUTHPORT ROAD INDIANAPOLIS IN 46107 351904455 HEALTHCARE IN 501(C)(3) 12-TYPE 1 FRANCISCAN false FRANCISCAN SURGERY CENTER LLC 421 N EMERSON AVE BEECH GROVE IN 46107 352128334 MEDICAL SERVICES IN NA N/A ST FRANCIS RADIATION THERAPY CENTERS 421 N EMERSON AVE BEECH GROVE IN 46107 770663631 MEDICAL SERVICES IN NA N/A ST FRANCIS IMAGING CENTER (GREENWOOD) 421 N EMERSON AVE GREENWOOD IN 46107 204607426 IMAGING SERVICES IN NA N/A TONN AND BLANK CONSTRUCTION LLC 1623 GREENWOOD AVE MICHIGAN CITY IN 46360 263919039 CONSTRUCTION IN NA N/A MAJOR HOSP CARDIAC DIAGNOSTICS LLC 2451 INTELLIPLEX DR SHELBYVILLE IN 46176 208715441 MEDICAL SERVICES IN NA N/A ST FRANCIS MOORESVILLE SURGERY CENTER 1215 HADLEY ROAD SUITE 100 MOORESVILLE IN 46158 202256900 MEDICAL SERVICES IN NA N/A FRANCISCAN ORTHOPEDIC SURGERY CENTER 10777 ILLINOIS ST STE H3000 H400 CARMEL IN 46032 845101253 MEDICAL SERVICES IN NA N/A MOORESVILLE ENDOSCOPY CENTER LLC 1215 HADLEY ROAD SUITE 101 MOORESVILLE IN 46158 412116930 MEDICAL SERVICES IN NA N/A FRANCISCAN HOLDING CORPORATION 1515 DRAGOON TRAIL MISHAWAKA IN 46544 363593505 HOLDING CO. IN NA C CORP SAGAMORE SURGICAL SERVICES INC 2320 CONCORD ROAD SUITE B LAFAYETTE IN 479092708 351850819 MEDICAL SERVICES IN NA S CORP false true true false false false false false false false false false false false false true true false false FRANCISCAN ALLIANCE INC B 6327920 FMV