FRANCISCAN ALLIANCE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: FRANCISCAN ALLIANCE INC (EIN 35-1330472)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-15
IRS object ID: 201703199349309215
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-15T12:49:24-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	351330472	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FRANCISCAN ALLIANCE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MARGUERITE EICHELBERGER	InCareOfNm
Business Name Control	FRAN	BusinessNameControlTxt
Phone	5742563935	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1515 DRAGOON TRAIL	AddressLine1Txt
City	MISHAWAKA	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	465444710	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEVIN D LEAHY	PersonNm
Person Title	PRESIDENT/TRUSTEE	PersonTitleTxt
Phone	5742563935	PhoneNum
Signature	2017-11-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ERIC M MCNEIL	PreparerPersonNm
PTIN	P00460263	PTIN
Phone	2673303000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	155.201.188.33	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	23522320173195000012	FederalOriginalSubmissionId
Federal Original Submission Id	2017-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	3D1FEA3C40376A89A7DB837C3BDAEAEF8F57CCCB	AtSubmissionCreationDeviceId
At Submission Filing Device Id	CE88C8CFFE51E99E9DF9B7C5B75C02950C36D7D6	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KEVIN D LEAHY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1515 DRAGOON TRAIL	AddressLine1Txt
City	MISHAWAKA	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46544	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,884,818,810	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FRANCISCANALLIANCE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1974	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	20232	TotalEmployeeCnt
Total Volunteers	1705	TotalVolunteersCnt
Total Gross UBI	$3,383,128	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$361,102	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,966,780	PYContributionsGrantsAmt
CY Contributions Grants	$4,744,243	CYContributionsGrantsAmt
PY Program Service Revenue	$2,634,283,480	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,769,868,253	CYProgramServiceRevenueAmt
PY Investment Income	$84,958,096	PYInvestmentIncomeAmt
CY Investment Income	$96,377,888	CYInvestmentIncomeAmt
PY Other Revenue	$5,891,940	PYOtherRevenueAmt
CY Other Revenue	$6,074,852	CYOtherRevenueAmt
PY Total Revenue	$2,731,100,296	PYTotalRevenueAmt
CY Total Revenue	$2,877,065,236	CYTotalRevenueAmt
PY Grants And Similar Paid	$10,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,215,965,698	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,284,224,963	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,264,414,763	PYOtherExpensesAmt
CY Other Expenses	$1,400,916,552	CYOtherExpensesAmt
PY Total Expenses	$2,480,390,461	PYTotalExpensesAmt
CY Total Expenses	$2,685,141,515	CYTotalExpensesAmt
PY Revenues Less Expenses	$250,709,835	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$191,923,721	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,441,514,992	TotalAssetsBOYAmt
Total Assets EOY	$4,890,699,250	TotalAssetsEOYAmt
Total Liabilities BOY	$1,906,990,671	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,065,730,609	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,534,524,321	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,824,968,641	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE PURPOSES FOR WHICH FRANCISCAN ALLIANCE, INC. ("FRANCISCAN") IS FORMED ARE: 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; TO CARRY ON EDUCATIONAL ACTIVITIES RELATED TO THE PROMOTION OF HEALTH; TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO HEALTH CARE; AND TO PARTICIPATE IN ANY ACTIVITY DESIGNED AND CONDUCTED TO PROMOTE THE GENERAL HEALTH OF THOSE SERVED BY FRANCISCAN. THE REVENUES OF FRANCISCAN ALLOW FOR THE OPERATION OF HEALTH CARE FACILITIES WHERE THE PURPOSE IS TO RESPECT LIFE AND TO PRESERVE HEALTH AS WELL AS TREAT ILLNESS AND INJURY. THIS ALLOWS FOR THE ACCOMPLISHMENT OF THE CORPORATE MINISTRY WHICH HAS THE FOLLOWING CENTRAL CONCERNS: COMPASSION FOR THOSE IN NEED, RESPECT FOR 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 WHO	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$2,286,023,574	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$2,758,160,301	RevenueAmt
Desc	FOR OVER 140 YEARS, FRANCISCAN ALLIANCE, INC. ("FRANCISCAN") HAS ENDEAVORED TO STAY TRUE TO OUR FOUNDING MISSION OF CARING FOR PATIENTS WHO COME THROUGH OUR DOORS AND WE CONTINUE TO LOOK FOR OPPORTUNITIES TO SERVE OUR COMMUNITIES THROUGH THE VERY BEST IN MEDICAL CARE AND SERVICE TO THE LESS FORTUNATE AMONG US. FRANCISCAN'S 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; TO CARRY ON EDUCATIONAL ACTIVITIES RELATED TO THE PROMOTION OF HEALTH; TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO HEALTH CARE; AND TO PARTICIPATE IN ACTIVITIES DESIGNED AND CONDUCTED TO PROMOTE THE GENERAL HEALTH OF THOSE SERVED BY FRANCISCAN. FRANCISCAN DIRECTLY OR INDIRECTLY OPERATES FOURTEEN HOSPITAL CAMPUSES (TWO IN ILLINOIS AND ELEVEN IN INDIANA) ALONG WITH NUMEROUS PHYSICIAN CLINICS AND ANCILLARY SERVICES CENTERS AND OFFERS NUMEROUS COMMUNITY HEALTH IMPROVEMENT PROGRAMS THAT ARE FURTHER DESCRIBED BELOW. IN 2016, FRANCISCAN SERVED OVER 2.9 MILLION PERSONS AND PROVIDED OVER $572 MILLION IN CHARITY CARE AND OTHER COMMUNITY BENEFITS. FRANCISCAN PROVIDES SIGNIFICANT BENEFITS THAT REFLECT THE ORGANIZATION'S COMMITMENT TO HEALTHCARE AND THE COMMUNITIES IT IS PRIVILEGED TO SERVE. IN 2016, FRANCISCAN PROVIDED COMMUNITY BENEFITS WHICH INCLUDED: CHARITY CARE $ 85,080,757 COMMUNITY HEALTH IMPROVEMENT SERVICES $ 5,173,345 HEALTH PROFESSIONS EDUCATION $ 14,485,376 CASH AND IN-KIND CONTRIBUTIONS $ 2,375,719 COMMUNITY BUILDING ACTIVITIES $ 1,698,181 COMMUNITY BENEFIT OPERATIONS $ 333,635 RESEARCH $ 1,553,389 SUBSIDIZED HEALTH SERVICES $ 449,257,803 BAD DEBT $ 12,163,645 _______________ TOTAL $ 572,121,850 WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH REFLECTS FRANCISCAN'S MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION." ALTHOUGH IT IS NOT ALL INCLUSIVE OF THE MANY BENEFITS PROVIDED BY FRANCISCAN IT DOES PORTRAY THE SIGNIFICANT BENEFITS THAT REFLECT OUR COMMITMENT TO HEALTHCARE AND THE COMMUNITIES WE ARE PRIVILEGED TO SERVE. THE FOLLOWING IS A SUBSET OF THE MANY CLINICAL SERVICES AS WELL AS POPULATION HEALTH IMPROVEMENT AND COMMUNITY OUTREACH ACTIVITIES OFFERED BY ONE OR MORE OF FRANCISCAN'S HEALTHCARE FACILITIES: - INPATIENT HOSPITAL SERVICES INCLUDING: MEDICAL SERVICES, SURGICAL SERVICES, INTENSIVE CARE SERVICES, TELEMETRY SERVICES, OBSTETRICS SERVICES, PEDIATRICS SERVICES, NEONATAL INTENSIVE CARE SERVICES, ACUTE REHABILITATION SERVICES, ONCOLOGY SERVICES, BONE MARROW TRANSPLANT SERVICES, GENERAL SURGERY SERVICES, CARDIAC SURGERY SERVICES, VASCULAR SERVICES, PULMONARY SERVICES, INTERVENTIONAL RADIOLOGY, ORTHOPEDICS, JOINT AND SPINE CARE, GASTROINTESTINAL CARE, NEUROSCIENCES SERVICES, COLON AND RECTAL SERVICES, ANESTHESIA SERVICES, HOSPICE SERVICES, INPATIENT PSYCHIATRIC CARE, RESIDENTIAL TREATMENT PROGRAM FOR ADOLESCENTS, ETC. - EMERGENCY SERVICES INCLUDING: 24 HOUR EMERGENCY ROOM SERVICES, AMBULANCE SERVICES, IMMEDIATE CARE SERVICES, ADVANCED LIFE SUPPORT SERVICES, BASIC LIFE SUPPORT SERVICES, BEHAVIORAL HEALTH EMERGENCY CONSULTATION SERVICES, 24-HOUR CRISIS AND REFERRAL HOTLINE, ETC. - OUTPATIENT SERVICES INCLUDING: LABORATORY SERVICES, PHYSICAL THERAPY SERVICES, OCCUPATIONAL THERAPY SERVICES, SPEECH THERAPY SERVICES, GENERAL RADIOLOGY SERVICES, COMPUTED TOMOGRAPHY SERVICES, MAGNETIC RESONANCE IMAGING (MRI), NUCLEAR MEDICINE SERVICES, MAMMOGRAPHY SERVICES, ANGIOGRAPHY SERVICES, NEURODIAGNOSTICS SERVICES, GASTRO/INTESTINAL SERVICES, SLEEP LABORATORY, PULMONARY SERVICES, OUTPATIENT SURGERY, CARDIAC TESTING, ELECTROCARDIOGRAM (EKG) SERVICES, MEDICAL ONCOLOGY SERVICES, RADIATION ONCOLOGY SERVICES, PHARMACY, OCCUPATIONAL MEDICINE SERVICES, CARDIAC/PULMONARY REHABILITATION SERVICES, CONGESTIVE HEART FAILURE CLINIC, WOUND HEALING AND PREVENTION, NUTRITIONAL COUNSELING, DIABETES MANAGEMENT, BARIATRIC SERVICES, PAIN MANAGEMENT, SOCIAL SERVICES, PALLIATIVE CARE, SPORTS MEDICINE, BEHAVIORAL HEALTH, STROKE SERVICES, HOME HEALTH SERVICES, SKILLED NURSING SERVICES, SOCIAL SERVICES, DURABLE MEDICAL EQUIPMENT. - PRIMARY CARE AND SPECIALTY CARE PHYSICIAN CLINICS. - SUBSIDIZED HEALTHCARE SERVICES OFFERED BY FRANCISCAN: - FRANCISCAN HAS NEIGHBORHOOD HEALTH CLINICS THAT OFFER FAMILY PRACTICE SERVICES DESIGNED FOR FAMILIES WITHOUT ACCESS TO AFFORDABLE HEALTH CARE. THE FOCUS IS ON PROVIDING PRIMARY AND PREVENTIVE CARE AS WELL AS HEALTH EDUCATION. THESE CLINICS OFFER FREE IMMUNIZATIONS. - FRANCISCAN'S SEXUAL ASSAULT CLINICS THAT PROVIDE MEDICAL AND FORENSIC ASSISTANCE THAT IS SENSITIVE TO THE SPECIAL NEEDS OF THE VICTIM AS WELL AS A VICTIM ADVOCATE PROGRAM AND CRISIS INTERVENTION COUNSELORS. - FRANCISCAN'S BLOOD AND MARROW TRANSPLANT PROGRAM IS ONLY ONE OF TWO PROGRAMS IN INDIANA OFFERING FULL SERVICE TRANSPLANT CARE AND SPECIALIZES IN THE TREATMENT OF PATIENTS WITH LEUKEMIA, HODGKIN'S OR NON-HODGKIN'S LYMPHOMA, MULTIPLE MYELOMA, AND MANY OTHER MALIGNANCIES AND BLOOD DISORDERS. - FRANCISCAN'S DIABETES EDUCATION CENTERS OFFER A NUMBER OF DIABETES CLASSES AND INDIVIDUALIZED SESSIONS TO HELP PATIENTS TAKE CONTROL OF THEIR HEALTH WITH A FOCUS ON NUTRITION, EXERCISE, MEDICATIONS, CHRONIC CONDITIONS, PRECONCEPTION AND PREGNANCY, BLOOD GLUCOSE MONITORING, GOAL SETTING, PROBLEM SOLVING, PSYCHOSOCIAL ADJUSTMENT, DETECTION/TREATMENT OF HIGH AND LOW BLOOD SUGAR, AND INSULIN ADMINISTRATION. - FRANCISCAN'S WOMEN'S AND CHILDREN'S SERVICES INCLUDE PREVENTIVE MEDICAL CARE AND HEALTH SCREENINGS TO GYNECOLOGICAL CARE, MATERNITY, LACTATION CONSULTATION SERVICES, AND BEYOND, FRANCISCAN'S FACILITIES FOCUS ON KEEPING WOMEN HEALTHY. - AT FRANCISCAN HOSPICE HOUSE, PATIENTS RECEIVE SPECIALIZED CARE AND RESPITE FOR FAMILIES WHILE BEING PROVIDED ALL THE COMFORTS OF HOME. FROM ROOMS THAT ARE LARGE, PRIVATE AND PET-FRIENDLY TO A GARDEN THAT'S JUST RIGHT FOR PRAYER, CONTEMPLATION OR QUIET CONVERSATION, THE SERVICES AND AMENITIES AT FRANCISCAN HOSPITAL HOUSE WERE DESIGNED WITH PATIENT COMFORT IN MIND. FRANCISCAN HOSPICE HOUSE WAS ENVISIONED AS A COMPLEMENT TO THE EXCEPTIONAL HOME HEALTH, HOSPITCE AND PALLIATIVE CARE SERVICES THAT FRANCISCAN HEALTH AND FRANCISCAN VNS HAVE PROVIDED TO FAMILIES IN SOUTH-CENTRAL INDIANA FOR MORE THAN TWO DECADES. FRANCISCAN HOSPICE HOUSE OFFERS: - 12 PRIVATE ROOMS FOR PATIENTS AND FAMILIES - LARGE COMMON AREA FOR FAMILIIES - WELL-EQUIPPED KITCHEN WITH DINING ROOM - CHAPEL AND PRAYER GARDEN - HIGH-QUALITY, HOLISTIC MEDICAL CARE FOR ALL PATIENTS - REGARDLESS OF THEIR FINANCIAL SITUATIONS - AND SUPPORT FOR THEIR FAMILIES. - FRANCISCAN'S HOSPICE CARE SERVICES PROVIDE A SENSE OF DIGNITY AND COMPASSION TO BOTH THE PATIENT AND THEIR FAMILY IN CARING FOR PATIENTS WITH A LIFE EXPECTANCY OF SIX MONTHS OR LESS. OUR PROGRAMS AFFIRM AND CELEBRATE LIFE AND REGARD DYING AS A NATURAL PROCESS, RECOGNIZING THAT EVERY PERSON HAS THE RIGHT TO DIE WITH DIGNITY, PEACE, AND COMFORT REGARDLESS OF THEIR ETHNICITY, FAITH BACKGROUND, OR ABILITY TO PAY. - LEVEL III NICU - AMBULANCE SERVICE - PHYSICIAN SERVICES - RESIDENTIAL TREATMENT PROGRAM FOR ADOLESCENTS - ST. MONICA HOME FOR PREGNANT TEENS- EMERGENCY SERVICES - INPATIENT PSYCHIATRIC UNITS - PALLIATIVE CARE SERVICES - INDIGENT HEALTH CARE CLINICS. - HEALTH AND WELLNESS CENTERS AND HEALTHY LIVING EDUCATION CENTERS. - CLINICAL CARE COORDINATORS TO SUPPORT FRANCISCAN'S VARIOUS ACCOUNTABLE CARE ORGANIZATIONS WHICH ARE DESIGNED TO IMPROVE QUALITY AND REDUCE COST. - FRANCISCAN SENIOR HEALTH & WELLNESS IS A COMPLETE HEALTH CARE SOLUTION FOR SENIORS WHO WANT TO REMAIN AT HOME. OUR PROGRAM ENABLES SENIORS TO LIVE AS INDEPENDENTLY AS POSSIBLE BY PROVIDING TRULY ALL-INCLUSIVE SERVICES. FRANCISCAN SENIOR HEALTH & WELLNESS IS A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE), A COMMUNITY-BASED HEALTHCARE PROGRAM CREATED FOR PEOPLE 55 OR OLDER WHO ARE ELIGIBLE FOR NURSING-HOME LEVEL CARE BUT PREFER TO RECEIVE THEIR CARE IN THEIR OWN FAMILIAR SURROUNDINGS. THE FRANCISCAN SENIOR HEALTH & WELLNESS - PACE PROGRAM DELIVERS ALL THE SERVICES NEEDED TO KEEP YOU HEALTHY, SAFE AND COMFORTABLE IN THE PLACE YOU CALL HOME. COVERED BENEFITS INCLUDE: - PRIMARY MEDICAL AND NURSING CARE - OCCUPATIONAL, PHYSICAL AND SPEECH THERAPY - MEDICATIONS AND DURABLE MEDICAL EQUIPMENT - LABORATORY AND DIAGNOSTIC SERVICES - ALL NECESSARY PRESCRIPTION DRUGS - SKILLED HOME CARE AND PERSONAL CARE AIDES - HOSPITALIZATION, SKILLED NURSING FACILITY CARE - CARE FROM MEDICAL SPECIALISTS IN CARDIOLOGY, NEPHROLOGY, OPHTHALMOLOGY, DERMATOLOGY, ORTHOPEDICS, SURGERY, PODIATRY AND MORE - MEDICALLY NECESSARY TRANSPORTATION OUR BROAD RANGE OF SERVICE PROVIDERS, INCLUDING DOCTORS, NURSES, PHARMACISTS, THERAPISTS AND PERSONAL CARE AIDES ARE READILY ACCESSIBLE. THROUGH THESE MEDICAL SERVICES, WE CAN MANAGE THE CARE OF YOUR AGING LOVED ONE, AND HELP AVOID THE ILLNESSES AND HOSPITALIZATIONS THAT SENIORS OFTEN FACE. IN ADDITION TO ADDRESSING EACH PARTICIPANT'S UNIQUE MEDICAL NEEDS, FRANCISCAN SENIOR HEALTH & WELLNESS ALSO HELPS WITH THE SOCIAL, EMOTI	Desc
Total Program Service Expenses	$2,286,023,574	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	2309	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	20232	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	BR	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	CI	ForeignCountryCd
Foreign Country	CH	ForeignCountryCd
Foreign Country	CO	ForeignCountryCd
Foreign Country	EZ	ForeignCountryCd
Foreign Country	DA	ForeignCountryCd
Foreign Country	EG	ForeignCountryCd
Foreign Country	GR	ForeignCountryCd
Foreign Country	HU	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MARGUERITE EICHELBERGER	PersonNm
Phone	5742546268	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1515 DRAGOON TRAIL	AddressLine1Txt
City	MISHAWAKA	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	465444710	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SISTER M ALINE SHULTZ
TRUSTEE, VICE CHAIR & COOFHMU	40.0	5.0	Yes (X)	$0	$0	$0
SISTER M CLARE REUILLE
TRUSTEE	5.0	0.0	Yes (X)	$0	$0	$0
SISTER ROSE AGNES PFAUTSCH
TRUSTEE	5.0	10.0	Yes (X)	$0	$0	$0
SISTER M ANGELA MELLADY
TRUSTEE	5.0	0.0	Yes (X)	$0	$0	$0
SISTER M MARLENE SHAPLEY
TRUSTEE AND VP OF MISSION	40.0	0.0	Yes (X)	$0	$0	$0
SISTER MARILYN OLIVER
TRUSTEE	5.0	0.0	Yes (X)	$0	$0	$0
KATHLEEN GOEPPINGER PHD
TRUSTEE	5.0	0.0	Yes (X)	$0	$0	$0
SISTER M MADONNA ROUGEAU
TRUSTEE AND VICE CHAIR	40.0	10.0	Yes (X)	$0	$0	$0	Yes (X)
SISTER JANE MARIE KLEIN
CHAIRPERSON AND TRUSTEE	40.0	16.0	Yes (X)	$0	$0	$0	Yes (X)
SISTER M ANN KATHLEEN MAGIERA
TREASURER AND TRUSTEE	40.0	11.0	Yes (X)	$0	$0	$0	Yes (X)
KEVIN D LEAHY
PRESIDENT AND TRUSTEE	40.0	16.0	Yes (X)	$1,847,162	$0	$808,104	Yes (X)
DONALD J KERNER MD
TRUSTEE	5.0	0.0	Yes (X)	$0	$0	$0
JAIRO CRUZ MD
PHYSICIAN (UNPAID TRUSTEE)	40.0	0.0	Yes (X)	$251,914	$0	$14,224
ERNEST IANNOTTA
TRUSTEE	5.0	0.0	Yes (X)	$0	$0	$0
JAMES MONKS MD
TRUSTEE	5.0	0.0	Yes (X)	$0	$0	$0
KENNETH HERLIN
TRUSTEE	5.0	0.0	Yes (X)	$0	$0	$0
SISTER M PETRA NIELSEN
TRUSTEE AND VP OF ADMIN SRVCS	40.0	0.0	Yes (X)	$0	$0	$0
SISTER LETHIA MARIE LEVEILLE
SECRETARY	40.0	11.0		$0	$0	$0	Yes (X)
EUGENE C DIAMOND
SR VP/COO INPATIENT SERVICES	40.0	0.0		$1,033,201	$0	$182,717		Yes (X)
ROBERT J BRODY
SR VP/COO AMBULATORY SERVICES	40.0	0.0		$1,033,327	$0	$182,587		Yes (X)
JENNIFER P MARION
SENIOR VP FINANCE, CFO	40.0	0.0		$889,321	$0	$191,591		Yes (X)
THOMAS GRYZBEK
SR VP OF POST ACUTE SRVCS DIV	40.0	0.0		$616,904	$0	$174,558		Yes (X)
SAMMI M DALI
PHYSICIAN	40.0	0.0		$1,379,812	$0	$71,004			Yes (X)
NADEEM IKHLAQUE MD
PHYSICIAN	40.0	0.0		$1,368,487	$0	$38,465			Yes (X)
DANIEL G SPOMAR MD
PHYSICIAN	40.0	0.0		$1,338,240	$0	$64,127			Yes (X)
ROWLAND O MBAOMA MD
PHYSICIAN	40.0	0.0		$1,220,476	$0	$45,706			Yes (X)
ARNOLD KIMMEL
PRESIDENT/CEO - OLYMPIA FIELDS	40.0	0.0		$1,077,791	$0	$39,096			Yes (X)
TERRANCE E WILSON
PRESIDENT/CEO - LAFAYETTE	40.0	5.0		$832,500	$0	$524,108				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,889,135	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,336,287	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1492	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
LEIDOS HEALTH LLC
PO BOX 223866	PITTSBURGH	PA	152512866	CONTRACT IT SUPPORT	$8,651,280
EMCARE INC
7032 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	PHYSICIAN FEES	$7,871,399
METT THERAPY
801 S BRIGGS STREET SECOND FLOOR	JOLIET	IL	60433	THERAPY SERVICES	$7,466,127
NORTHSTAR ANESTHESIA OF INDIANA LL
PO BOX 612364	DALLAS	TX	752612364	ANESTHESIA SERVICES	$6,256,536
NORTHSTAR ANESTHESIA OF ILLINOIS L
6225 NORTH STATE HWY 161	IRVING	TX	75038	ANESTHESIA SERVICES	$5,246,606

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	234	CntrctRcvdGreaterThan100KCnt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$4,175,238	RelatedOrganizationsAmt
Government Grants	$100,000	GovernmentGrantsAmt
All Other Contributions	$469,005	AllOtherContributionsAmt
Total Contributions	$4,744,243	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICE AND OTHER REVENUES	900099	$2,706,260,845	$2,700,176,035	$899,556	$5,185,254
PREMIUM REVENUE	900099	$54,417,398	$54,417,398
MEANINGFUL USE	812300	$3,371,225	$3,371,225
CAFETERIA	722310	$5,498,777		$2,731	$5,496,046
LAUNDRY	812300	$320,008	$195,643	$124,365

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,769,868,253	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$92,637,200	TotalRevenueColumnAmt
Unrelated Business Revenue	-$661,443	UnrelatedBusinessRevenueAmt
Exclusion	$93,298,643	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,063,117	RealAmt
Personal	$15,222	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$5,995,930	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,067,187	RealAmt
Personal	$15,222	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,082,409	TotalRevenueColumnAmt
Unrelated Business Revenue	$15,222	UnrelatedBusinessRevenueAmt
Exclusion	$3,067,187	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$5,278,071	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,537,383	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$3,740,688	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,740,688	TotalRevenueColumnAmt
Exclusion	$3,740,688	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$210,007	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$220,261	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$10,254	TotalRevenueColumnAmt
Exclusion	-$10,254	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER OPERATING REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$3,002,697	TotalRevenueColumnAmt
Unrelated Business Revenue	$3,002,697	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,002,697	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,877,065,236	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,758,160,301	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,383,128	UnrelatedBusinessRevenueAmt
Exclusion	$110,777,564	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$15,497,802	TotalAmt
Program Services	$9,892,737	ProgramServicesAmt
Management And General	$5,605,065	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,014,712,278	TotalAmt
Program Services	$863,765,227	ProgramServicesAmt
Management And General	$150,947,051	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$58,792,911	TotalAmt
Program Services	$54,489,258	ProgramServicesAmt
Management And General	$4,303,653	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$125,869,812	TotalAmt
Program Services	$94,606,786	ProgramServicesAmt
Management And General	$31,263,026	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$69,352,160	TotalAmt
Program Services	$58,578,438	ProgramServicesAmt
Management And General	$10,773,722	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$11,257,043	TotalAmt
Program Services	$10,373,215	ProgramServicesAmt
Management And General	$883,828	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,008,580	TotalAmt
Program Services	$6,244	ProgramServicesAmt
Management And General	$2,002,336	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,465,213	TotalAmt
Program Services	-$305,995	ProgramServicesAmt
Management And General	$1,771,208	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$540,359	TotalAmt
Program Services	$5,422	ProgramServicesAmt
Management And General	$534,937	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$66,265,827	TotalAmt
Program Services	$58,737,915	ProgramServicesAmt
Management And General	$7,527,912	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$21,301,481	TotalAmt
Program Services	$3,799,739	ProgramServicesAmt
Management And General	$17,501,742	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,413,087	TotalAmt
Program Services	$9,704,769	ProgramServicesAmt
Management And General	$2,708,318	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$112,783,121	TotalAmt
Program Services	$112,783,121	ProgramServicesAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$31,381,000	TotalAmt
Program Services	$29,742,232	ProgramServicesAmt
Management And General	$1,638,768	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,625,140	TotalAmt
Program Services	$1,415,901	ProgramServicesAmt
Management And General	$1,209,239	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,099,564	TotalAmt
Program Services	$618,404	ProgramServicesAmt
Management And General	$481,160	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$43,067,088	TotalAmt
Program Services	$43,067,088	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$127,673,399	TotalAmt
Program Services	$112,405,836	ProgramServicesAmt
Management And General	$15,267,563	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$31,257,045	TotalAmt
Program Services	$25,661,883	ProgramServicesAmt
Management And General	$5,595,162	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES/DRUGS	$363,986,045	$363,986,045	$0
PURCHASED SERVICES	$343,884,430	$294,960,953	$48,923,477
REPAIRS AND MAINTENANCE	$34,948,123	$28,263,453	$6,684,670
FEDERAL AND STATE UBTI TAXES	$28,795	$0	$28,795

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$192,931,212	TotalAmt
Program Services	$109,464,903	ProgramServicesAmt
Management And General	$83,466,309	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,685,141,515	TotalAmt
Program Services	$2,286,023,574	ProgramServicesAmt
Management And General	$399,117,941	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$71,705,697	BOYAmt
EOY	$83,933,459	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$324,490,562	BOYAmt
EOY	$352,994,534	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$19,096,404	BOYAmt
EOY	$20,112,788	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$42,265,292	BOYAmt
EOY	$46,011,144	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,076,496,563	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,452,426,114	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,557,107,557	BOYAmt
EOY	$1,624,070,449	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,090,214,130	BOYAmt
EOY	$2,400,539,393	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$135,809,150	BOYAmt
EOY	$147,179,240	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,952,631	BOYAmt
EOY	$18,359,129	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$179,873,569	BOYAmt
EOY	$197,499,114	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,441,514,992	BOYAmt
EOY	$4,890,699,250	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$185,516,342	BOYAmt
EOY	$214,713,212	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,044,051,138	BOYAmt
EOY	$1,226,260,327	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$1,152,462	BOYAmt
EOY	$148,376	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$676,270,729	BOYAmt
EOY	$624,608,694	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,906,990,671	BOYAmt
EOY	$2,065,730,609	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,522,330,316	BOYAmt
EOY	$2,812,907,182	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,142,588	BOYAmt
EOY	$3,934,099	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,051,417	BOYAmt
EOY	$8,127,360	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,534,524,321	BOYAmt
EOY	$2,824,968,641	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,441,514,992	BOYAmt
EOY	$4,890,699,250	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$191,923,721	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$49,233,405	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$49,287,194	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$331,926	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$208,433	OtherActivitiesAmt
Total Lobbying Expenditures	$540,359	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF LOBBYING ACTIVITIES FRANCISCAN ALLIANCE, INC. ("FRANCISCAN") ENGAGES IN INSUBSTANTIAL AMOUNTS OF LOBBYING ACTIVITIES. FRANCISCAN MAKES GRANTS TO OTHER ORGANIZATIONS THAT LOBBY ON ITS BEHALF INCLUDING VARIOUS HEALTH AND HOSPITAL ASSOCIATIONS. FRANCISCAN ALSO ENGAGES IN DIRECT CONTACT WITH LEGISLATORS AND THEIR STAFFS ON TOPICS RELATED TO FRANCISCAN'S HEALTHCARE MISSION.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,051,417	BeginningYearBalanceAmt
Contributions	$15,000	ContributionsAmt
Investment Earnings Or Losses	$90,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$29,057	OtherExpendituresAmt
End Year Balance	$8,127,360	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,262,909	BeginningYearBalanceAmt
Contributions	$10,000	ContributionsAmt
Investment Earnings Or Losses	-$193,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$28,492	OtherExpendituresAmt
End Year Balance	$8,051,417	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,300,275	BeginningYearBalanceAmt
Contributions	$15,000	ContributionsAmt
Investment Earnings Or Losses	$182,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$104,051	OtherExpendituresAmt
End Year Balance	$13,393,224	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,065,614	BeginningYearBalanceAmt
Investment Earnings Or Losses	$317,000	InvestmentEarningsOrLossesAmt
Other Expenditures	-$6,917,661	OtherExpendituresAmt
End Year Balance	$13,300,275	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,226,856	BeginningYearBalanceAmt
Contributions	$15,000	ContributionsAmt
Investment Earnings Or Losses	-$34,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,142,242	OtherExpendituresAmt
End Year Balance	$6,065,614	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$146,919,313	OtherCostOrOtherBasisAmt
Book Value	$146,919,313	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,133,183,239	OtherCostOrOtherBasisAmt
Depreciation	$708,188,684	DepreciationAmt
Book Value	$424,994,555	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,933,351	OtherCostOrOtherBasisAmt
Depreciation	$18,602,688	DepreciationAmt
Book Value	$19,330,663	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,653,977,114	OtherCostOrOtherBasisAmt
Depreciation	$725,634,742	DepreciationAmt
Book Value	$928,342,372	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$104,483,546	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$104,483,546	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,624,070,449	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ACCRUED PENSION LIABILITY	$270,444,165
ACCRUED PAYROLL	$108,913,715
SWAP VALUATION	$73,389,846
DUE TO THIRD PARTY PAYORS	$23,626,688
ACCRUED PROF & GEN'L LIABILITY	$16,539,057
ACCRUED INTEREST PAYABLE	$8,631,139
OTHER SHORT & LONG TERM LIABILITY	$123,064,084

Field	Value	IRS element (for citing)
Total Liability	$624,608,694	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$2,979,480,491	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$49,233,405	NetUnrealizedGainsInvstAmt
Other Revenue	$47,185,920	OtherRevenueAmt
Revenue Not Reported	$96,419,325	RevenueNotReportedAmt
Revenue Subtotal	$2,883,061,166	RevenueSubtotalAmt
Other Revenues Not Included	-$5,995,930	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$5,995,930	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,877,065,236	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$2,691,137,445	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$5,995,930	OtherExpensesIncludedAmt
Expenses Not Reported	$5,995,930	ExpensesNotReportedAmt
Expenses Subtotal	$2,685,141,515	ExpensesSubtotalAmt
Total Expenses Per Form990	$2,685,141,515	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	FRANCISCAN ALLIANCE, INC. USES ITS ENDOWMENT FUNDS FOR CAPITAL EXPENDITURES FOR EQUIPMENT, CAPITAL PROJECTS, OR OTHER CAPITAL NEEDS; MEDICAL EDUCATION PROGRAMS; AND HEALTH CARE PROGRAMS FOR MEDICAL AND PATIENT SERVICES IN ACCORDANCE WITH ANY STIPULATED DONOR RESTRICTIONS.
SCHEDULE D, PART XI, LINE 2D	EQUITY IN EARNINGS OF AFFILIATES $ 24,133,219 MINORITY INTEREST IN AFFILIATES (2,583,860) EQUITY TRANSFERS TO/FROM AFFILIATES (4,408,982) UNREALIZED LOSS ON SWAP CONTRACTS (2,281,952) UNREALIZED GAIN ON HILLS 6,706,159 OTHER CHANGES IN NET ASSETS 25,621,336 ------------- TOTAL REVENUE/EXPENSE ON BOOKS NOT ON RETURN 47,185,920
SCHEDULE D, PART XI, LINE 4B	RENT EXPENSE $ (5,995,930) ----------- TOTAL EXPENSE ON RETURN NOT ON BOOKS (5,995,930) SCHEDULE D, PART XII, LINE 2D RENT EXPENSE $ 5,995,930 ----------- TOTAL EXPENSE ON RETURN NOT ON BOOKS 5,995,930

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Investments	$20,650,996
Europe (Including Iceland and Greenland)	Investments	$10,029,280
North America	Investments	$3,092,906

Field	Value	IRS element (for citing)
Subtotal Spent	$33,773,182	SubtotalSpentAmt
Total Spent	$33,773,182	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,714,081	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$84,714,081	NetCommunityBenefitExpnsAmt
Total Expense	0.03150	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$411,614,585	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$283,681,810	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$127,932,775	NetCommunityBenefitExpnsAmt
Total Expense	0.04760	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$515,969	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$515,969	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$496,844,635	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$283,681,810	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$213,162,825	NetCommunityBenefitExpnsAmt
Total Expense	0.07930	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,131,598	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$483,183	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,648,415	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,029,268	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,233,832	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,795,436	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,927,485	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,745,626	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,181,859	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,649,443	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$95,920	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,553,523	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,758,405	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,199,171	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,559,234	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82,496,199	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,757,732	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,738,467	NetCommunityBenefitExpnsAmt
Total Expense	0.01780	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$579,340,834	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$318,439,542	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$260,901,292	NetCommunityBenefitExpnsAmt
Total Expense	0.09710	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$885	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$885	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,884	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$55,884	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$123	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,550	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,550	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,593,136	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,150,151	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,442,985	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,653,578	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,150,151	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,503,427	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$34,638,767	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$753,612,313	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,046,959,561	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$293,347,248	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	SEE PART VI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Hospital Facilities	12	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (12 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Emergency Room OtherEmergencyRoomOtherInd
FRANCISCAN HEALTH INDIANAPOLIS
1	8111 SOUTH EMERSON AVENUE	INDIANAPOLIS	IN	46217	WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	11-004972-1	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
FRANCISCAN HEALTH LAFAYETTE
2	1701 S CREASY LANE	LAFAYETTE	IN	47905	WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	15-005096-1	Yes (X)	Yes (X)			Yes (X)	A
FRANCISCAN HEALTH HAMMOND
3	5454 HOHMAN AVENUE	HAMMOND	IN	46320	WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	15-005004-1	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
FRANCISCAN HEALTH OLYMPIA FIELDS
4	20201 SOUTH CRAWFORD AVE	OLYMPIA FIELDS	IL	60461	WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	0005074	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
FRANCISCAN HEALTH CROWN POINT
5	1201 SOUTH MAIN STREET	CROWN POINT	IN	46307	WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	15-005107-1	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
FRANCISCAN HEALTH DYER
6	24 JOLIET STREET	DYER	IN	46311	WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	15-005080-1	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
FRANCISCAN HEALTH MICHIGAN CITY
7	301 W HOMER STREET	MICHIGAN CITY	IN	46360	WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	15-005015-1	Yes (X)	Yes (X)			Yes (X)	A	Yes (X)
FRANCISCAN HEALTH CHICAGO HEIGHTS
8	1423 CHICAGO ROAD	CHICAGO HEIGHTS	IL	60411	WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	002436	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
FRANCISCAN HEALTH MOORESVILLE
9	1201 HADLEY ROAD	MOORESVILLE	IN	46158	WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	14-005052-1	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
FRANCISCAN HEALTH MUNSTER
10	701 SUPERIOR STREET	MUNSTER	IN	46321	WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	15-005615-1	Yes (X)	Yes (X)	Yes (X)		Yes (X)	A
FRANCISCAN HEALTH CRAWFORDSVILLE
11	1710 LAFAYETTE ROAD	CRAWFORDSVILLE	IN	47933	WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	15-005021-1	Yes (X)	Yes (X)			Yes (X)	A
FRANCISCAN HEALTH CARMEL
12	12188-B N MERIDIAN STREET	CARMEL	IN	46032	WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	13-012826-1	Yes (X)	Yes (X)				B

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	No Emergency CareNoEmergencyCareInd
A
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V-C	Yes (X)	Yes (true)	16	Yes (true)	SEE PART V-C	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
B
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	SEE PART V-C	Yes (X)	Yes (true)	16	Yes (true)	SEE PART V-C	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	Yes (X)	false	false	Yes (X)

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION C - SUPPLEMENTAL INFORMATION	LINE 5: INPUT FROM INDIVIDUALS IN THE COMMUNITY A STATEWIDE FOCUS GROUP WAS HELD TO DISCUSS REGIONAL ISSUES WITH STATE PUBLIC HEALTH LEADERS. THE FOCUS GROUP WAS CO-SPONSORED BY INDIANA UNIVERSITY HEALTH, ST. VINCENT HEALTH, AND COMMUNITY HEALTH NETWORK. ATTENDEES INCLUDED: - HEALTH BY DESIGN/ALLIANCE FOR HEALTH PROMOTION KIM IRWIN, EXECUTIVE DIRECTOR - HEALTH OCCUPATION STUDENT ASSOCIATION (INDIANA) EDDIE ERICKSON, STATE COORDINATOR; HOLLI FRODGE, STATE PRESIDENT - HOOSIER ENVIRONMENTAL COUNCIL INDRA FRANK, ENVIRONMENTAL HEALTH PROJECT DIRECTOR - INDIANA AREA HEALTH EDUCATION CENTERS DR. JENNIFER TAYLOR, DIRECTOR OF EVALUATION - INDIANA ASSOCIATION OF AREA AGENCIES ON AGING KRISTEN LAEACE, CEO; DAWNE LYON; ELVA JAMES, EXECUTIVE DIRECTOR, AREA 4 AGENCY OF AGING - LEADING AGE INDIANA JIM LEICH, EXECUTIVE DIRECTOR; KATHY JOHNSON, DIRECTOR OF TRAINING - INDIANA CARDIOVASCULAR AND DIABETES COALITION SHARA WESLEY, COALITION MANAGER; JENNIFER PFERRER, CHAIRPERSON - INDIANA COALITION AGAINST DOMESTIC VIOLENCE COLLEEN YEAKLE, COORDINATOR OF PREVENTION INITIATIVES - INDIANA CANCER CONSORTIUM KEYLEE WRIGHT, CANCER CONTROL SECTION DIRECTOR - INDIANA JOINT ASTHMA COALITION - KELLI MCCRARY, COALITION COORDINATOR - IU HEALTH - JOYCE HERTKO - INDIANA HEALTHY WEIGHT INITIATIVE - ERIC BEERS, COALITION COORDINATOR - INDIANA HOSPITAL ASSOCIATION - BERNIE ULRICH, VICE PRESIDENT - INDIANA IMMUNIZATION COALITION - LISA ROBERSON, DIRECTOR - INDIANA MINORITY HEALTH COALITION - ANITA OHMIT, DIRECTOR OF RESEARCH; CALVIN ROBERSON, VP OF PLANNING AND PROGRAM DEVELOPMENT - INDIANA NURSES ASSOCIATION - BLAYNE MILEY, DIRECTOR OF POLICY AND ADVOCACY - INDIANA PSYCHOLOGICAL ASSOCIATION - DR. KATHLEEN VOGLER, PAST PRESIDENT; TABITHA ARNETTE, EXECUTIVE DIRECTOR - INDIANA PRIMARY HEALTH CARE ASSOCIATION - PHIL MORPHEW, CEO; ELAINE WILLIAMS, RESOURCE DEVELOPMENT PROGRAM DIRECTOR - INDIANA SCHOOL NURSES ASSOCIATION - CAROLYN SNYDER, EXECUTIVE DIRECTOR - INDIANA STATE DEPARTMENT OF HEALTH - DR. JOAN DUWVE, CHIEF MEDICAL OFFICER; KATELIN RYAN, DIRECTOR OF PROGRAM EVALUATION; J. DAVID HOPPER, DIRECTOR, LOCAL HEALTH DEPARTMENT OUTREACH DIVISION - INDIANA SOCIETY FOR PUBLIC HEALTH EDUCATION - HEIDI HANCHER-RAUCH, ADVOCACY CHAIR; JENNIFER CONNER, PRESIDENT - IUPUI FAIRBANKS SCHOOL OF PUBLIC HEALTH - SULA HOOD; CYNTHIA STONE - IUPUI POLIS CENTER - KAREN COMER - YMCA OF GREATER INDIANA - CHELSY WINTERS, ASSOCIATE DIRECTOR OF HEALTH PARTNERSHIPS PROGRAMS; ANN GRAVES, DIRECTOR OF HEALTH INITIATIVES AND PARTNERSHIPS IN ADDITION, LOCAL PUBLIC HEALTH AND SOCIAL LEADERS WERE CONSULTED ON THE COMMUNITY HEALTH ISSUES, PRIORITIZATION OF NEEDS, AND COMMUNITY STRENGTHS. THE ASSESSMENT TASK FORCE FOR FRANCISCAN HEALTH CARMEL, FRANCISCAN HEALTH INDIANAPOLIS, AND FRANCISCAN HEALTH MOORESVILLE INCLUDED: - DAN HODGKINS, VICE PRESIDENT OF HEALTH PROMOTION AND COMMUNITY BENEFIT, COMMUNITY HEALTH NETWORK - ANN YEAKLE, COMMUNITY BENEFIT COORDINATOR, COMMUNITY HEALTH NETWORK - JOHN WHITCOMB, CONSULTANT, FRANCISCAN ALLIANCE - KATE HILL-JOHNSON, COMMUNITY BENEFIT AND ENGAGEMENT, FRANCISCAN HEALTH INDIANAPOLIS - PAYGE LIGGETT, COMMUNITY BENEFIT ASSISTANT, FRANCISCAN HEALTH INDIANAPOLIS - MANDI EGGERT, SERVICE EXCELLENCE, FRANCISCAN HEALTH CROWN POINT - RACHEL BUCKMAN, HEALTH EDUCATOR, HENDRICKS COUNTY HEALTH DEPARTMENT - STEPHANIE BERRY, COMMUNITY OUTREACH AND ENGAGEMENT, INDIANA UNIVERSITY HEALTH - ANYAH LAND, COMMUNITY OUTREACH AND ENGAGEMENT, INDIANA UNIVERSITY HEALTH - REBECCA YORK, DIRECTOR OF NURSING, MORGAN COUNTY HEALTH DEPARTMENT - KELLY PEISKLER, COMMUNITY BENEFIT, ST. VINCENT HEALTH - STEPHANIE ULLIANA, COMMUNITY BENEFIT, ST. VINCENT HEALTH - AMBER BLACKMON, INDIANA UNIVERSITY SCHOOL OF PUBLIC HEALTH BLOOMINGTON - HEATHER DOLNE, INDIANA UNIVERSITY SCHOOL OF PUBLIC HEALTH BLOOMINGTON - VIDHI JOSHI, INDIANA UNIVERSITY SCHOOL OF PUBLIC HEALTH BLOOMINGTON - ASHLEY WEISHAAR, INDIANA UNIVERSITY SCHOOL OF PUBLIC HEALTH BLOOMINGTON - JACOB HARTMEISTER, INDIANA UNIVERSITY SCHOOL OF PUBLIC AND ENVIRONMENTAL AFFAIRS BLOOMINGTON - ZACH LOTFALION, INDIANA UNIVERSITY SCHOOL OF PUBLIC AND ENVIRONMENTAL AFFAIRS BLOOMINGTON - LAYNIE MASON, MARION UNIVERSITY SCHOOL OF MEDICINE - H705 PUBLIC HEALTH CAPSTONE COURSE SPRING 2015 STUDENTS, INDIANA UNIVERSITY, RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AT IUPUI, DR. CINDY STONE, CLINICAL ASSOCIATE PROFESSOR - HEALTHIER MORGAN COUNTY INITIATIVE - HENDRICKS COUNTY HEALTH PARTNERSHIP - PARTNERSHIP FOR HEALTHY HAMILTON COUNTY - JERRY KING, INDIANA PUBLIC HEALTH ASSOCIATION - CAROLYN M. MUEGGE, INDIANA UNIVERSITY RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AT IUPUI - JOE GIBSON, MARION COUNTY HEALTH DEPARTMENT - TAMMY NELSON, MARION COUNTY HEALTH DEPARTMENT - KAREN COMER-FREDRICKSON, THE POLIS CENTER AT IUPUI THE ASSESSMENT TASK FORCE FOR FRANCISCAN HEALTH CRAWFORDSVILLE INCLUDED: - MAYOR TODD BARTON, CITY OF CRAWFORDSVILLE, MAYORS OFFICE - FAWN JOHNSON, DIRECTOR, CITY OF CRAWFORDSVILLE PARKS & RECREATION - STEVE HOUSE, DIRECTOR, CHAMBER OF COMMERCE - REX RYKER, ASSISTANT SUPERINTENDENT, CRAWFORDSVILLE SCHOOL CORPORATION - TERRY KLEIN, VP/COO, FRANCISCAN HEALTH CRAWFORDSVILLE - SISTER M. RUTH LUTHMAN OSF, DIRECTOR OF MISSION INTEGRATION, FRANCISCAN HEALTH CRAWFORDSVILLE - MATT OATES, MARKETING SPECIALIST, FRANCISCAN HEALTH CRAWFORDSVILLE - JOBETH MCCARTHY-JEAN, MPH, DIRECTOR, CENTER FOR PUBLIC HEALTH PRACTICE, - INDIANA PUBLIC HEALTH TRAINING CENTER, AND LIAISON, PUBLIC HEALTH CORPS - DR. CYNTHIA STONE, DRPH, RN, CLINICAL ASSOCIATE PROFESSOR, HEALTH POLICY AND MANAGEMENT CONCENTRATION DIRECTOR, INDIANA UNIVERSITY INDIANAPOLIS - RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH - ZACH CHURNEY, DEPUTY DIRECTOR, INDIANA WEST ADVANTAGE - JILL ROGERS, PRESIDENT OF THE BOARD OF MCT, MCT (MEDICAL CARE TRUST) - NANCY SENNETT, PRESIDENT, MONTGOMERY COUNTY HEALTH BOARD - DR. SCOTT DOUGLAS, VICE-PRESIDENT, MONTGOMERY COUNTY HEALTH BOARD - MONICA NAGELE, DIRECTOR, MONTGOMERY COUNTY PURDUE EXTENSION - AMBER REED, ADMINISTRATOR, MONTGOMERY COUNTY HEALTH DEPARTMENT - LUKE WREN, ACCREDITATION COORDINATOR, MONTGOMERY COUNTY HEALTH DEPARTMENT - SAMANTHA SWEARINGEN, HEALTH EDUCATOR, MONTGOMERY COUNTY HEALTH DEPARTMENT - REBECCA LANG, PUBLIC HEALTH NURSE, MONTGOMERY COUNTY HEALTH DEPARTMENT - MARK DAVIDSON, MONTGOMERY COUNTY COUNCIL - LEAH SINNET, NUCOR STEEL - DAVID JOHNSON, EXECUTIVE DIRECTOR, MUFFY - DR. SARA DRURY, STRATEGIC PLANNING FACILITATOR, WABASH COLLEGE - KYLE STUCKER, WABASH STUDENT - KATE HILL-JOHNSON, ADMINISTRATIVE DIRECTOR OF COMMUNITY HEALTH IMPROVEMENT, FRANCISCAN HEALTH - JESS CORBIN, DIRECTOR, ACO CARE MANAGEMENT, FRANCISCAN HEALTH CRAWFORDSVILLE - RAYMOND P. MILLER, DIVISION CHIEF OF EMS CRAWFORDSVILLE FIRE DEPARTMENT - JOSHUA S. KRUMENACKER, M.D., MEDICAL DIRECTOR FOR PARAMEDICINE AND FPN PHYSICIAN THE ASSESSMENT TASK FORCE FOR FRANCISCAN HEALTH LAFAYETTE INCLUDED REPRESENTATIVES FROM: - ACTION FOR HEALTHY KIDS - AMERICAN HEALTH NETWORK - AREA IV ON AGING AND COMMUNITY ACTION PROGRAMS - CITY OF LAFAYETTE - CITY OF WEST LAFAYETTE - COMMUNITY VOLUNTEERS - DRUG FREE COALITION OF TIPPECANOE COUNTY - EMPLOYEE BENEFITS SOLUTIONS - EMPLOYERS HEALTH NETWORK - FRANCISCAN HEALTH LAFAYETTE - GREATER LAFAYETTE COMMERCE - GREATER LAFAYETTE PARISH NURSE - GROUP HOMES FOR CHILDREN - HANNA/MINORITY HEALTH COALITION - HENRIOTT GROUP - KATHRYN WEIL CENTER - PHOENIX GROUP - IU HEALTH ARNETT - KIRBY RISK - LAFAYETTE SCHOOL CORPORATION WELLNESS COMMITTEE - LAFAYETTE FAMILY YMCA - LAFAYETTE YWCA - LAFAYETTE URBAN MINISTRY - MENTAL HEALTH AMERICA - MISSION COMMITTEE OF THE WESTERN INDIANA BOARD OF FRANCISCAN HEALTH LAFAYETTE - NUTRIPLEDGE - PARISH NURSES - PURDUE EXTENSION - PURDUE DEPARTMENT OF HEALTH & KINESIOLOGY - RIGGS COMMUNITY HEALTH CENTER - TIPPECANOE COUNTY HEALTH DEPARTMENT - TOBACCO FREE PARTNERSHIP - UNITED WAY OF GREATER LAFAYETTE - UNITY HEALTHCARE - WOMEN, INFANT, CHILDREN (WIC) PROGRAM THE ASSESSMENT TASK FORCE FOR FRANCISCAN HEALTH DYER, FRANCISCAN HEALTH CROWN POINT, AND FRANCISCAN HEALTH HAMMOND INCLUDED REPRESENTATIVES FROM: - 411 NEWSPAPER - CCNI - CITY OF EAST CHICAGO HEALTH DEPARTMENT - CITY OF EAST CHICAGO - CITY OF GARY COMMUNITY DEVELOPMENT DEPARTMENT - COMMUNITY HEALTHNET INC. - EDGEWATER BEHAVIORAL HEALTH SERVICES - FRANCISCAN ALLIANCE - FRANCISCAN HEALTH - DYER, HAMMOND, AND CROWN POINT - GARY HEALTH AND HUMAN SERVICES DEPARTMENT - GARY MENTAL HEALTH - GEMINUS CORPORATION - GREATER PORTAGE CHAMBER OF COMMERCE - HEALTHLINC - HEC - HOBART FAMILY YMCA - IVY TECH COMMUNITY COLLEGE - JASPER COUNTY HEALTH DEPARTMENT - LAKE AREA UNITED WAY - LAKESHORE CHAMBER OF COMMERCE - MERRILLVILLE COMMUNITY SCHOOLS - MULTICULTURAL WELLNESS NETWORK MOTTEP - NORTHWEST INDIANA COMMUNITY ACTION - NORTHWEST INDIANA FORUM - PORTAGE POLICE DEPARTMENT - PORTAGE TOWNSHIP YMCA - PORTER-STARKE SERVICES - SOJOURNER TRUTH HOUSE - SOUTHERN LAKE COUNTY - THE ARC NORTHWEST INDIANA - THE SALVATION ARMY - THE SALVATION ARMY EAST CHICAGO CORPS - THE TIMES - TOWN OF HEBRON - TOWN OF KOUTS - TOWN
LINES 6A AND 6B: ALL FACILITIES	ALL FRANCISCAN HEALTH FACILITIES COLLABORATED IN A STATEWIDE PARTNERSHIP WITH ST. VINCENT HEALTH, INDIANA UNIVERSITY HEALTH, COMMUNITY HEALTH NETWORK, INDIANA UNIVERSITY RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AT INDIANAPOLIS, AND WITH EACH FACILITY WITHIN THE FRANCISCAN HEALTH SYSTEM. LINES 6A AND 6B: FRANCISCAN HEALTH DYER, FRANCISCAN HEALTH HAMMOND, FRANCISCAN HEALTH MUNSTER, AND FRANCISCAN HEALTH CROWN POINT ALSO COLLABORATED WITH METHODIST HEALTH SYSTEMS AND COMMUNITY HEALTH SYSTEM. A THIRD PARTY, PROFESSIONAL RESOURCE CONSULTING, WAS USED FOR KEY LEADER SURVEYS AND INTERVIEWS. LINES 6A AND 6B: FRANCISCAN HEALTH CHICAGO HEIGHTS AND FRANCISCAN HEALTH OLYMPIA FIELDS ALSO PARTNERED WITH THE COOK COUNTY COLLABORATIVE, WHICH INCLUDES THE HEALTH DEPARTMENTS AND HOSPITALS SYSTEMS IN CHICAGO AND CHICAGO SUBURBS. LINE 6B: FRANCISCAN HEALTH MOORESVILLE PARTNERED WITH THE HENDRICKS COUNTY HEALTH DEPARTMENT AND THE MORGAN COUNTY HEALTH DEPARTMENT TO MEET THE LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS AND THE COMMUNITY BENEFIT REQUIREMENTS. LINE 6B: FRANCISCAN HEALTH CRAWFORDSVILLE PARTNERED WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT TO MEET THE LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS AND THE COMMUNITY BENEFIT REQUIREMENTS. LINE 6B: FRANCISCAN HEALTH LAFAYETTE PARTNERED WITH THE TIPPECANOE HEALTH DEPARTMENT TO MEET THE LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS AND THE COMMUNITY BENEFIT REQUIREMENTS.
LINE 7: ALL FACILITIES	ALL CHNA REPORTS ARE AVAILABLE ON FRANCISCAN ALLIANCES WEBSITE AT HTTPS://WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH LINE 10: ALL FACILITIES ALL IMPLEMENTATION PLANS ARE AVAILABLE ON FRANCISCAN ALLIANCES WEBSITE AT HTTPS://WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH
LINE 11: FRANCISCAN HEALTH CARMEL (FH CARMEL)	COMMUNITY HEALTH NEEDS: BASED ON THE 2016 CHNA, SEVERAL PRIORITY HEALTH NEEDS, INCLUDING SOCIAL DETERMINANTS OF HEALTH, WERE IDENTIFIED. PER IRS GUIDELINES, THE LIST BELOW PROVIDES THE PRIORITY NEEDS, WHICH NEEDS FH CARMEL WILL COMMIT TO WORKING ON, AND JUSTIFICATION OF WHY THE OTHER NEEDS WERE NOT SELECTED. SELECTION OF PRIORITY HEALTH NEEDS WAS BASED ON THE MAGNITUDE, IMPACT, FEASIBILITY, COST, AND PARTNERSHIPS. IT SHOULD BE NOTED THAT THIS LOCATION HAS SIX LICENSED BEDS AND LESS THAN 40 STAFF. CAPACITY GREATLY LIMITS THE AMOUNT OF COMMUNITY BENEFIT ACTIVITY. HEALTH NEED: FOOD INSECURITY DESCRIPTION: IN THE NORTHERN THIRD OF THE COUNTY, FOOD INSECURITY IS A HIGHER NEED THAN IN THE REST OF THE COUNTY. PRIORITY: NO JUSTIFICATION/EXPLANATION: GOOD SAMARITAN NETWORK AND THE PARTNERSHIP FOR HEALTHY HAMILTON COUNTY ARE FOCUSED ON FOOD INSECURITY ISSUES THROUGHOUT THE COUNTY, WITH EMPHASIS ON THE NORTHERN THIRD. FH CARMEL IS REPRESENTED IN THE PARTNERSHIP AND WILL ASSIST WHEN NEEDED. HEALTH NEED: POVERTY DESCRIPTION: POVERTY IS A CONCERN SPECIFICALLY IN THE NORTHERN THIRD OF THE COUNTY, THOUGH DISPARITIES ARE APPARENT THROUGHOUT THE COUNTY. PRIORITY: NO JUSTIFICATION/EXPLANATION: FH CARMEL DOES NOT HAVE THE FINANCIAL OR PERSONNEL RESOURCES TO ADDRESS THIS ISSUE. HEALTH NEED: ACCESS TO HEALTH DESCRIPTION: SURVEY RESPONSES AND KEY LEADER FOCUS GROUPS IDENTIFIED THAT THERE IS A SHORTAGE OF PROVIDERS IN THE NORTHERN THIRD OF THE COUNTY. IN ADDITION, COST OF CO-PAYS, MEDICATION EXPENSES, TRANSPORTATION, AND RELATED COSTS ARE CHALLENGES THROUGHOUT THE COUNTY. PRIORITY: YES JUSTIFICATION/EXPLANATION: TWO FREE HEALTH CLINICS EXIST IN THE COUNTY, HEART AND SOUL AND TRINITY HEALTH CLINIC. FH CARMEL HAS AN ONGOING RELATIONSHIP WITH TRINITY HEALTH CLINIC AND WILL FOCUS ON IMPROVING THE SUPPORT OFFERED TO THE CLINIC. HEALTH NEED: SUBSTANCE ABUSE (ILLEGAL DRUGS, PRESCRIPTION ABUSE, AND ALCOHOL) DESCRIPTION: PAR FOR A MAJORITY OF INDIANA COUNTIES, ALL TYPES OF SUBSTANCE ABUSE ARE AT A DANGEROUS LEVEL. ALCOHOL HAS CONTINUED TO TREND UPWARD, WHILE THE OTHER TYPES OF SUBSTANCE ABUSE HAVE FLATTENED. PRIORITY: NO JUSTIFICATION/EXPLANATION: FH CARMEL DOES NOT PROVIDE BEHAVIORAL HEALTH SERVICES. SEVERAL OTHER HEALTH SYSTEMS AND BEHAVIORAL HEALTH AGENCIES DO PROVIDE SERVICES. THE PARTNERSHIP FOR HEALTHY HAMILTON COUNTY IS DISCUSSING POTENTIAL INTERVENTIONS AND SUPPORTS. FH CARMEL IS REPRESENTED IN THE PARTNERSHIP AND WILL ASSIST WHEN POSSIBLE. HEALTH NEED: CHRONIC DISEASE DESCRIPTION: INCIDENT RATES OF HEART DISEASE, DIABETES, OBESITY, ARTHRITIS, AND CANCER ARE AVERAGE OR BELOW THE STATE AVERAGE. PRIORITY: YES JUSTIFICATION/EXPLANATION: A COMMON CAUSE OF CHRONIC DISEASE IS THE LACK OF PHYSICAL ACTIVITY. INSTEAD OF FOCUSING ON ONE DISEASE, FH CARMEL WILL FOCUS ON ENGAGING MORE INDIVIDUALS IN PHYSICAL ACTIVITY TO ASSIST WITH PREVENTION AND MANAGEMENT OF CHRONIC DISEASE. HEALTH NEED: SUICIDE DESCRIPTION: SUICIDE RATES ARE HIGH THROUGHOUT INDIANA. PRIORITY: NO JUSTIFICATION/EXPLANATION: FH CARMEL DOES NOT PROVIDE BEHAVIORAL HEALTH SERVICES. SEVERAL OTHER HEALTH SYSTEMS AND BEHAVIORAL HEALTH AGENCIES DO PROVIDE SERVICES. HEALTH NEED: LUNG CANCER/TOBACCO USE DESCRIPTION: TOBACCO USE RATES ARE HIGHEST IN THE NORTHERN PORTION OF THE COUNTY. THE COUNTY DOES HAVE AVERAGE AIR QUALITY. PRIORITY: NO JUSTIFICATION/EXPLANATION: THE PARTNERSHIP FOR HEALTHY HAMILTON COUNTY IS THE TOBACCO COORDINATOR VIA THE INDIANA STATE DEPARTMENT OF HEALTH FOR THE COUNTY. FH CARMEL IS REPRESENTED IN THE PARTNERSHIP AND WILL ASSIST WHEN POSSIBLE. HEALTH NEED: STRESS AND DEPRESSION DESCRIPTION: SURVEY RESULTS SHOW STRESS AND DEPRESSION IS A CONCERN FOR RESIDENTS. PRIORITY: NO JUSTIFICATION/EXPLANATION: FH CARMEL DOES NOT PROVIDE BEHAVIORAL HEALTH SERVICES. SEVERAL OTHER HEALTH SYSTEMS AND BEHAVIORAL HEALTH AGENCIES DO PROVIDE SERVICES. 2013-2016 COMMUNITY HEALTH IMPROVEMENT PLAN RESULTS: IN THE 2013-2016 CYCLE, FH CARMEL HAD SEVERAL PRIORITY AREAS. WHEN THE IMPLEMENTATION PLAN WAS WRITTEN, FH CARMEL WAS SCHEDULED TO BECOME A LARGER FACILITY WITH ADDITIONAL SERVICES. THIS DID NOT MATERIALIZE, LEADING TO A LACK OF RESOURCES TO ADEQUATELY ACCOMPLISH THE GOALS SET FORTH IN THE FIRST IMPLEMENTATION PLAN. THE FOLLOWING LIST REVIEWS THE PREVIOUS PRIORITY AREAS, RESULTS, AND FUTURE EFFORTS: PRIORITY: ARTHRITIS AND JOINT PAIN RESULTS: EDUCATIONAL PROGRAMS ON JOINT PAIN AND ASSOCIATED ISSUES MET THE GOAL OF INCREASING ATTENDANCE BY 5%. HOWEVER, OSTEOPOROSIS SCREENINGS DID NOT MEET THE GOAL DUE TO THE CHANGES IN SERVICES OFFERED BY FH CARMEL. CONTINUATION: YES FUTURE EFFORTS: EDUCATIONAL PROGRAMS WILL CONTINUE THROUGH A PARTNERSHIP WITH THE YMCA ENHANCE FITNESS PROGRAM. THE PARTNERSHIP ALLOWS MORE ADULTS TO LEARN ADAPTIVE TECHNIQUES TO AID IN PHYSICAL ACTIVITY. PRIORITY: CANCER RESULTS: PROMOTION OF LUNG CT SCREENINGS DID NOT MEET ITS GOAL DUE TO THE CHANGE IN SERVICES AND PROVIDERS. BREAST CANCER EDUCATION AND MAMMOGRAPHY EVENTS DID MEET THE GOALS. CONTINUATION: NO FUTURE EFFORTS: DUE TO LIMITED STAFF AND RESOURCES, SCANS WILL NOT BE A PRIORITY COMMUNITY BENEFIT ACTIVITY, THOUGH BOTH WILL CONTINUE TO BE PROMOTED TO PATIENTS. PRIORITY: TOBACCO USE RESULTS: THE STATED GOAL IS RELATED TO DECREASING LUNG CANCER RATES AND PROMOTION OF TOBACCO CESSATION PROGRAMS. CONTINUATION: NO FUTURE EFFORTS: FH CARMEL WILL CONTINUE TO PROMOTE TOBACCO CESSATION PROGRAMS TO PATIENTS. THROUGH THE PARTNERSHIP FOR HEALTHY HAMILTON COUNTY, THE COUNTYS TOBACCO CESSATION COORDINATING ORGANIZATION, COLLECTIVE EFFORTS WILL CONTINUE. PRIORITY: ACCESS TO HEALTH SERVICES RESULTS: FH CARMEL HAS DONATED STAFF, FINANCIAL RESOURCES, EDUCATIONAL PROGRAMS, AND SUPPLIES TO TRINITY HEALTH CLINIC. CONTINUATION: YES FUTURE EFFORTS: FH CARMEL WILL STRENGTHEN ITS SERVICE TO THE UNDERSERVED THROUGH PARTNERSHIP WITH TRINITY HEALTH CLINIC. PRIORITY: CARDIOVASCULAR HEALTH RESULTS: OBESITY AND EXERCISE ACTIVITIES HAVE BEEN COMPLETED WITH A PARTNERSHIP WITH THE YMCA OF GREATER INDIANAPOLIS. CONTINUATION: YES FUTURE EFFORTS: THIS GOAL WILL BE SATISFIED THROUGH THE PARTNERSHIP WITH YMCA, LISTED ABOVE. 2016-2018 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): TWO PRIORITY AREAS HAVE BEEN IDENTIFIED FOR THE 2016-2018 TIMEFRAME - PHYSICAL ACTIVITY AND ACCESS TO HEALTH CARE. AS MENTIONED ABOVE, THE PHYSICAL ACTIVITY PROGRAM WILL FEATURE A PARTNERSHIP WITH THE FISHERS AND JORDAN BRANCHES OF THE YMCA OF GREATER INDIANAPOLIS, UTILIZING THE ENHANCE FITNESS NATIONAL PROGRAM. THIS PROGRAM IS DESIGNED TO HELP THOSE PREVIOUSLY UNDERACTIVE OR RECOVERING FROM JOINT OR MUSCLE INJURIES RETURN TO AN EXERCISE REGIMEN. THROUGH THE 12-WEEK PROGRAM, PARTICIPANTS WILL LEARN ADAPTIVE TECHNIQUES AND DEVELOP EXERCISE PLANS TO USE AFTER THE PROGRAM. ACTIVITIES INCLUDE STAFFING A DEPRESSION CLINIC, PROVIDING FREE LABORATORY SERVICES AND SCREENING, MAINTAINING A POSITION ON THE BOARD OF DIRECTORS, AND MAKING A FINANCIAL CONTRIBUTION.
LINE 11: FRANCISCAN HEALTH INDIANAPOLIS (FH INDIANAPOLIS)	COMMUNITY HEALTH NEEDS: BASED ON THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SEVERAL PRIORITY HEALTH NEEDS, INCLUDING SOCIAL DETERMINANTS OF HEALTH, WERE IDENTIFIED. PER IRS GUIDELINES, THE LIST BELOW PROVIDES THE PRIORITY NEEDS, WHICH NEEDS FH INDIANAPOLIS WILL COMMIT TO WORKING ON, AND JUSTIFICATION OF WHY THE OTHER NEEDS WERE NOT SELECTED. SELECTION OF PRIORITY HEALTH NEEDS WERE BASED ON THE MAGNITUDE, IMPACT, FEASIBILITY, COST, AND PARTNERSHIPS. HEALTH NEED: FOOD INSECURITY DESCRIPTION: FOOD INSECURITY IS EVIDENT IN THE URBAN CENTERS OF MARION COUNTY AND WITHIN THE RURAL COMMUNITIES IN JOHNSON COUNTY. PRIORITY: INDIRECTLY JUSTIFICATION/EXPLANATION: FOOD INSECURITY IS A PRIORITY HEALTH ISSUE AMONGST THE GOVERNMENT, HEALTH SYSTEMS, AND SERVICE PROVIDERS IN MARION COUNTY. FH INDIANAPOLIS WILL COLLABORATE WHEN POSSIBLE. FINANCIAL LITERACY, SHOPPING, AND HEALTHY FOOD CHOICES WILL BE ADDRESSED IN THE 'PHYSICAL ACTIVITY AND NUTRITION' PRIORITY AREA. HEALTH NEED: POVERTY DESCRIPTION: POVERTY IS A CONCERN AND DISPARITIES ARE APPARENT THROUGHOUT THE COUNTY. PRIORITY: NO JUSTIFICATION/EXPLANATION: FH INDIANAPOLIS DOES NOT HAVE THE FINANCIAL OR PERSONNEL RESOURCES TO ADDRESS THIS ISSUE. HEALTH NEED: ACCESS TO HEALTH CARE DESCRIPTION: SURVEY RESPONSES AND KEY LEADER FOCUS GROUPS IDENTIFIED COST OF CO-PAYS, MEDICATION EXPENSES, TRANSPORTATION, AND RELATED COSTS ARE CHALLENGES THROUGHOUT THE COUNTY. PRIORITY: YES JUSTIFICATION/EXPLANATION: AN EXISTING MEDICATION ASSISTANCE PROGRAM WILL BE IMPROVED AND BROADENED. HEALTH NEED: SUBSTANCE ABUSE (ILLEGAL DRUGS, PRESCRIPTION ABUSE, AND ALCOHOL) DESCRIPTION: PAR FOR A MAJORITY OF INDIANA COUNTIES, ALL TYPES OF SUBSTANCE ABUSE ARE AT A DANGEROUS LEVEL. PRIORITY: NO JUSTIFICATION/EXPLANATION: FH INDIANAPOLIS BEHAVIORAL HEALTH STAFF DO NOT HAVE THE RESOURCES TO ADEQUATELY ADDRESS SUBSTANCE ABUSE AS A COMMUNITY HEALTH ISSUE. HOWEVER, AS THE STATE GOVERNMENT AND OTHER SAFETY NET PROGRAMS ADDRESS THIS ISSUE, FH INDIANAPOLIS WILL PARTICIPATE TO THE FULLEST EXTENT POSSIBLE. HEALTH NEED: CHRONIC DISEASE DESCRIPTION: INCIDENT RATES OF HEART DISEASE, DIABETES, OBESITY, ARTHRITIS, AND CANCER ARE AVERAGE OR ABOVE THE STATE AVERAGE. PRIORITY: YES JUSTIFICATION/EXPLANATION: A COMMON CAUSE OF CHRONIC DISEASE IS THE LACK OF PHYSICAL ACTIVITY. INSTEAD OF FOCUSING ON ONE DISEASE, FH INDIANAPOLIS WILL FOCUS ON ENGAGING MORE INDIVIDUALS IN PHYSICAL ACTIVITY AND PROPER NUTRITION TO ASSIST WITH PREVENTION AND MANAGEMENT OF CHRONIC DISEASE. HEALTH NEED: SUICIDE DESCRIPTION: SUICIDE RATES ARE HIGH THROUGHOUT INDIANA. PRIORITY: YES JUSTIFICATION/EXPLANATION: FH INDIANAPOLIS WILL PROVIDE TRAINING RELATED TO SUICIDE PREVENTION TO HEALTH AND SERVICE PROFESSIONALS IN THE COMMUNITIES IT SERVES. HEALTH NEED: LUNG CANCER/TOBACCO/ASTHMA DESCRIPTION: TOBACCO USE RATES ARE THE HIGHEST. THE COUNTY DOES HAVE AVERAGE AIR QUALITY. PRIORITY: NOT AS A PRIORITY JUSTIFICATION/EXPLANATION: FH INDIANAPOLIS DOES HAVE A TOBACCO CESSATION PROGRAM AND WORKS WITH THE INDIANA STATE HEALTH DEPARTMENT ON STATE-WIDE EFFORTS. HOWEVER, THIS HAS NOT BEEN SELECTED AS A PRIORITY PROGRAM. HEALTH NEED: STRESS AND DEPRESSION DESCRIPTION: SURVEY RESULTS SHOW STRESS AND DEPRESSION IS A CONCERN FOR RESIDENTS. PRIORITY: INDIRECTLY JUSTIFICATION/EXPLANATION: STRESS MANAGEMENT, DEPRESSION, AND ANXIETY EDUCATION WILL BE INCLUDED IN PHYSICAL ACTIVITY AND NUTRITION PROGRAMMING. 2013-2016 COMMUNITY HEALTH IMPROVEMENT PLAN RESULTS: IN THE 2013-2016 CYCLE, FH INDIANAPOLIS HAD SEVERAL PRIORITY AREAS. WHEN THE IMPLEMENTATION PLAN WAS WRITTEN, FH INDIANAPOLIS HAD MORE STAFF AND FINANCIAL RESOURCES. HOWEVER, AS ECONOMIC CHANGES OCCURRED, A LACK OF RESOURCES MADE IT CHALLENGING TO ADEQUATELY ACCOMPLISH THE GOALS SET FORTH IN THE FIRST IMPLEMENTATION PLAN. THE FOLLOWING LIST REVIEWS THE PREVIOUS PRIORITY AREAS, RESULTS, AND FUTURE EFFORTS: PRIORITY: ALIGNMENT WITH COMMUNITY PARTNERS RESULTS: THE GOAL OF ENHANCING PARTNERSHIPS, ESPECIALLY WITHIN ACO ACTIVITIES, HAS BEEN MET. CONTINUATION: INDIRECTLY FUTURE EFFORTS: MOST OF THE FUTURE PROGRAMMING IS IN PARTNERSHIP WITH ORGANIZATIONS AND OTHER HEALTH SYSTEMS. IT IS NOT NECESSARY FOR THIS TO BE A SPECIFIC GOAL. PRIORITY: BREAST CANCER RESULTS: BREAST CANCER EDUCATION AND MAMMOGRAPHY EVENTS DID MEET THE GOALS WITH VERY POSITIVE RESULTS. CONTINUATION: NOT AS A PRIORITY FUTURE EFFORTS: THE ACTIVITIES OF THIS PRIORITY WILL CONTINUE, BUT WILL NOT BE LISTED AS A PRIORITY AREA. PRIORITY: TOBACCO USE RESULTS: THE STATED GOAL IS RELATED TO DECREASING LUNG CANCER RATES AND PROMOTION OF TOBACCO CESSATION PROGRAMS. CONTINUATION: NO FUTURE EFFORTS: FH INDIANAPOLIS WILL CONTINUE TO PROMOTE TOBACCO CESSATION PROGRAMS TO PATIENTS. PRIORITY: DIABETES EDUCATION RESULTS: THIS GOAL HAS BEEN MET. CONTINUATION: INDIRECTLY FUTURE EFFORTS: WHILE DIABETES SPECIFICALLY IS NOT INCLUDED IN THE IMPLEMENTATION PLAN, A COMPREHENSIVE PHYSICAL ACTIVITY AND NUTRITION PROGRAM WILL ADDRESS THE ROOT CAUSE OF PREDIABETES AND POOR DIABETES MANAGEMENT. PRIORITY: CARDIOVASCULAR HEALTH RESULTS: COMPREHENSIVE EDUCATIONAL PROGRAMS WERE OFFERED WITH SURVEY RESULTS INDICATING AN ABOVE-AVERAGE TRANSFER OF LEARNING. THE GOAL IN THIS AREA ALSO INCLUDED AN INCREASE IN SCREENING, IMPLEMENTATION OF BEST CLINICAL PRACTICES, WEIGHT LOSS, AND DIABETES PREVENTION. CONTINUATION: YES AND NO FUTURE EFFORTS: WHILE CARDIOVASCULAR HEALTH SPECIFICALLY IS NOT INCLUDED IN THE IMPLEMENTATION PLAN, A COMPREHENSIVE PHYSICAL ACTIVITY AND NUTRITION PROGRAM WILL ADDRESS THE ROOT CAUSE OF MANY CARDIOVASCULAR CONDITIONS. 2016-2018 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): THREE PRIORITY AREAS HAVE BEEN IDENTIFIED FOR THE 2016-2018 TIMEFRAME - PHYSICAL ACTIVITY AND NUTRITION, MEDICATION ASSISTANCE, AND SUICIDE PREVENTION. A COMPREHENSIVE WELLNESS PROGRAM FOCUSED ON PHYSICAL ACTIVITY AND NUTRITION WILL TAKE AN INTERDISCIPLINARY APPROACH TO WELLNESS, DISEASE PREVENTION, AND DISEASE MANAGEMENT. TO ADDRESS ACCESS TO HEALTH CARE CHALLENGES, A MEDICATION ASSISTANCE PROGRAM WILL BE IMPROVED AND EXPANDED. SLIGHT CHANGES HAVE BEEN MADE TO THE THREE PRIORITY AREAS FOR THE 2016-2018 TIMEFRAME. THE FIRST PRIORITY, PHYSICAL ACTIVITY AND NUTRITION, HAS BEEN AUGMENTED WITH THE ADDITION OF WALK WITH A DOC IN INDIANAPOLIS, AS WELL AS A SUMMER FARMER'S MARKET, FREE ONLINE COURSES, AND REGULARLY SCHEDULED COOKING CLASSES AND FOOD DEMONSTRATIONS. THE MEDICATION ASSISTANCE PRIORITY SHIFTED BECAUSE OF THE INTRODUCTION OF A NEW RETAIL PHARMACY WITHIN FRANCISCAN HEALTH. INSTEAD, THE FOCUS IS ON MEDICATION TAKE-BACK AND ESTABLISHING MORE EVENTS AND LOCATIONS FOR PRESCRIPTION DRUG DISPOSAL AS A WAY TO COMBAT THE OPIATE EPIDEMIC AND LACK OF RESOURCES IN THE AREA. SUICIDE PREVENTION EDUCATION HAS BEEN MAINTAINED THROUGH REGULARLY SCHEDULE QPR AND MENTAL HEALTH FIRST AID COURSES OFFERED FREE OF CHARGE TO THE PUBLIC.
LINE 11: FRANCISCAN HEALTH MOORESVILLE (FH MOORESVILLE)	COMMUNITY HEALTH NEEDS: BASED ON THE 2016 CHNA, SEVERAL PRIORITY HEALTH NEEDS, INCLUDING SOCIAL DETERMINANTS OF HEALTH, WERE IDENTIFIED. PER IRS GUIDELINES, THE LIST BELOW PROVIDES THE PRIORITY NEEDS, WHICH NEEDS FH MOORESVILLE WILL COMMIT TO WORKING ON, AND JUSTIFICATION OF WHY THE OTHER NEEDS WERE NOT SELECTED. SELECTION OF PRIORITY HEALTH NEEDS WERE BASED ON THE MAGNITUDE, IMPACT, FEASIBILITY, COST, AND PARTNERSHIPS. HEALTH NEED: FOOD INSECURITY DESCRIPTION: FOOD INSECURITY IS EVIDENCED IN MORGAN COUNTY. PRIORITY: INDIRECTLY JUSTIFICATION/EXPLANATION: FOOD INSECURITY IS A PRIORITY HEALTH ISSUE AMONGST SERVICE PROVIDERS IN MORGAN COUNTY. FH MOORESVILLE WILL COLLABORATE WHEN POSSIBLE. FINANCIAL LITERACY, SHOPPING, AND HEALTHY FOOD CHOICES WILL BE ADDRESSED IN THE 'PHYSICAL ACTIVITY AND NUTRITION' PRIORITY AREA. HEALTH NEED: POVERTY DESCRIPTION: POVERTY IS A CONCERN SPECIFICALLY IN THE NORTHERN THIRD OF THE COUNTY, THOUGH DISPARITIES ARE APPARENT THROUGHOUT THE COUNTY. PRIORITY: NO JUSTIFICATION/EXPLANATION: FH MOORESVILLE DOES NOT HAVE THE FINANCIAL OR PERSONNEL RESOURCES TO ADDRESS THIS ISSUE. HEALTH NEED: ACCESS TO HEALTH CARE DESCRIPTION: SURVEY RESPONSES AND KEY LEADER FOCUS GROUPS IDENTIFIED COST OF CO-PAYS, MEDICATION EXPENSES, TRANSPORTATION, AND RELATED COSTS ARE CHALLENGES THROUGHOUT THE COUNTY. PRIORITY: YES JUSTIFICATION/EXPLANATION: AN EXISTING MEDICATION ASSISTANCE PROGRAM WILL BE IMPROVED AND BROADENED. HEALTH NEED: SUBSTANCE ABUSE (ILLEGAL DRUGS, PRESCRIPTION ABUSE, AND ALCOHOL) DESCRIPTION: PAR FOR A MAJORITY OF INDIANA COUNTIES, ALL TYPES OF SUBSTANCE ABUSE ARE AT A DANGEROUS LEVEL. PRIORITY: NO JUSTIFICATION/EXPLANATION: FH MOORESVILLE BEHAVIORAL HEALTH STAFF DO NOT HAVE THE RESOURCES TO ADEQUATELY ADDRESS SUBSTANCE ABUSE AS A COMMUNITY HEALTH ISSUE. HOWEVER, AS THE STATE GOVERNMENT AND OTHER SAFETY NET PROGRAMS ADDRESS THIS ISSUE, FH MOORESVILLE WILL PARTICIPATE TO THE FULLEST EXTENT POSSIBLE. HEALTH NEED: CHRONIC DISEASE DESCRIPTION: INCIDENT RATES OF HEART DISEASE, DIABETES, OBESITY, ARTHRITIS, AND CANCER ARE AVERAGE OR ABOVE THE STATE AVERAGE. PRIORITY: YES JUSTIFICATION/EXPLANATION: A COMMON CAUSE OF CHRONIC DISEASE IS THE LACK OF PHYSICAL ACTIVITY. INSTEAD OF FOCUSING ON ONE DISEASE, FH MOORESVILLE WILL FOCUS ON ENGAGING MORE INDIVIDUALS IN PHYSICAL ACTIVITY AND PROPER NUTRITION TO ASSIST WITH PREVENTION AND MANAGEMENT OF CHRONIC DISEASE. HEALTH NEED: SUICIDE DESCRIPTION: SUICIDE RATES ARE HIGH THROUGHOUT INDIANA. PRIORITY: YES JUSTIFICATION/EXPLANATION: FH MOORESVILLE WILL PROVIDE TRAINING RELATED TO SUICIDE TO HEALTH AND SERVICE PROFESSIONALS IN THE COMMUNITIES IT SERVES. HEALTH NEED: LUNG CANCER/TOBACCO USE DESCRIPTION: TOBACCO USE RATES ARE HIGHEST IN THE NORTHERN PORTION OF THE COUNTY. THE COUNTY DOES HAVE AVERAGE AIR QUALITY. PRIORITY: NOT AS A PRIORITY JUSTIFICATION/EXPLANATION: FH MOORESVILLE DOES HAVE A TOBACCO CESSATION PROGRAM. HOWEVER, THIS HAS NOT BEEN SELECTED AS A PRIORITY PROGRAM. HEALTH NEED: STRESS AND DEPRESSION DESCRIPTION: SURVEY RESULTS SHOW STRESS AND DEPRESSION IS A CONCERN FOR RESIDENTS. PRIORITY: INDIRECTLY JUSTIFICATION/EXPLANATION: STRESS MANAGEMENT, DEPRESSION, AND ANXIETY EDUCATION WILL BE INCLUDED IN PHYSICAL ACTIVITY AND NUTRITION PROGRAMMING. HEALTH NEED: CANCER DESCRIPTION: BREAST, COLORECTAL, AND PROSTATE CANCERS ARE ABOVE STATE AVERAGES IN MORGAN COUNTY. PRIORITY: NOT AS A PRIORITY JUSTIFICATION/EXPLANATION: FH MOORESVILLE CANCER CENTER WILL CONTINUE TO PROVIDE COMMUNITY HEALTH INITIATIVES TO PROMOTE SCREENINGS AND ASSIST INDIVIDUALS THROUGHOUT TREATMENT AND RECOVERY. HEALTH NEED: AGING DESCRIPTION: THE POPULATION IN MORGAN COUNTY IS AGING, AND BRINGS CONCERNS SUCH AS AGING IN PLACE, ARTHRITIS, OSTEOPOROSIS, DEPRESSION, AND INCREASED GERIATRIC CARE. PRIORITY: INDIRECTLY JUSTIFICATION/EXPLANATION: THE COMPREHENSIVE PHYSICAL ACTIVITY AND NUTRITION PROGRAM WILL APPLY TO THE SENIOR POPULATION. 2013-2016 COMMUNITY HEALTH IMPROVEMENT PLAN RESULTS: IN THE 2013-2016 CYCLE, FH MOORESVILLE HAD SEVERAL PRIORITY AREAS. WHEN THE IMPLEMENTATION PLAN WAS WRITTEN, FH MOORESVILLE HAD MORE STAFF AND FINANCIAL RESOURCES. HOWEVER, AS ECONOMIC CHANGES OCCURRED, A LACK OF RESOURCES TO MADE IT CHALLENGING TO ADEQUATELY ACCOMPLISH THE GOALS SET FORTH IN THE FIRST IMPLEMENTATION PLAN. THE FOLLOWING LIST REVIEWS THE PREVIOUS PRIORITY AREAS, RESULTS, AND FUTURE EFFORTS: PRIORITY: ALIGNMENT WITH COMMUNITY PARTNERS RESULTS: THE GOAL OF ENHANCING PARTNERSHIPS, ESPECIALLY WITHIN ACO ACTIVITIES, HAS BEEN MET. CONTINUATION: INDIRECTLY FUTURE EFFORTS: MOST FUTURE PROGRAMMING IS IN PARTNERSHIP WITH ORGANIZATIONS AND OTHER HEALTH SYSTEMS. IT IS NOT NECESSARY FOR THIS TO BE A SPECIFIC GOAL. PRIORITY: BREAST CANCER RESULTS: BREAST CANCER EDUCATION AND MAMMOGRAPHY EVENTS DID MEET THE GOALS WITH VERY POSITIVE RESULTS. CONTINUATION: NOT AS A PRIORITY FUTURE EFFORTS: THE ACTIVITIES OF THIS PRIORITY WILL CONTINUE, BUT WILL NOT BE LISTED AS A PRIORITY AREA. PRIORITY: TOBACCO USE RESULTS: THE STATED GOAL IS RELATED TO DECREASING LUNG CANCER RATES AND PROMOTION OF TOBACCO CESSATION PROGRAMS. CONTINUATION: NO FUTURE EFFORTS: FH MOORESVILLE WILL CONTINUE TO PROMOTE TOBACCO CESSATION PROGRAMS TO PATIENTS. THROUGH THE HEALTHIER MORGAN COUNTY INITIATIVE, THE COLLECTIVE EFFORTS WILL CONTINUE. PRIORITY: DIABETES AND ARTHRITIS EDUCATION RESULTS: THIS GOAL HAS BEEN MET. CONTINUATION: INDIRECTLY FUTURE EFFORTS: WHILE DIABETES SPECIFICALLY IS NOT INCLUDED IN THE IMPLEMENTATION PLAN, A COMPREHENSIVE PHYSICAL ACTIVITY AND NUTRITION PROGRAM WILL ADDRESS THE ROOT CAUSE OF PREDIABETES AND POOR DIABETES MANAGEMENT. PRIORITY: CARDIOVASCULAR HEALTH RESULTS: COMPREHENSIVE EDUCATIONAL PROGRAMS WERE OFFERED WITH SURVEY RESULTS INDICATING AN ABOVE-AVERAGE TRANSFER OF LEARNING. THE GOAL IN THIS AREA ALSO INCLUDED AN INCREASE IN SCREENING, IMPLEMENTATION OF BEST CLINICAL PRACTICES, WEIGHT LOSS, AND DIABETES PREVENTION. CONTINUATION: YES AND NO FUTURE EFFORTS: WHILE CARDIOVASCULAR HEALTH SPECIFICALLY IS NOT INCLUDED IN THE IMPLEMENTATION PLAN, A COMPREHENSIVE PHYSICAL ACTIVITY AND NUTRITION PROGRAM WILL ADDRESS THE ROOT CAUSE OF MANY CARDIOVASCULAR CONDITIONS. 2016-2018 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): THREE PRIORITY AREAS HAVE BEEN IDENTIFIED FOR THE 2016-2018 TIMEFRAME - PHYSICAL ACTIVITY AND NUTRITION, MEDICATION ASSISTANCE, AND SUICIDE PREVENTION. A COMPREHENSIVE WELLNESS PROGRAM FOCUSED ON PHYSICAL ACTIVITY AND NUTRITION WILL TAKE AN INTERDISCIPLINARY APPROACH TO WELLNESS, DISEASE PREVENTION, AND DISEASE MANAGEMENT. TO ADDRESS ACCESS TO HEALTH CARE CHALLENGES, A MEDICATION ASSISTANCE PROGRAM WILL BE IMPROVED AND EXPANDED. SLIGHT CHANGES HAVE BEEN MADE TO THE THREE PRIORITY AREAS FOR THE 2016-2018 TIMEFRAME. THE FIRST PRIORITY, PHYSICAL ACTIVITY AND NUTRITION, HAS BEN AUGMENTED WITH THE ADDITION OF WALK WITH A DOC IN MOORESVILLE AND PLAINFIELD, AS WELL AS SCHOOL BASED INTERVENTIONS. THE MEDICATION ASSISTANCE PRIORITY SHIFTED BECAUSE OF THE INTRODUCTION OF A NEW RETAIL PHARMACY WITHIN FRANCISCAN HEALTH. INSTEAD, THE FOCUS IS ON MEDICATION TAKE-BACK AND ESTABLISHING MORE EVENTS AND LOCATIONS FOR PRESCRIPTION DRUG DISPOSAL AS A WAY TO COMBAT THE OPIATE EPIDEMIC AND LACK OF RESOURCES IN THE AREA. SUICIDE PREVENTION EDUCATION HAS MAINTAINED THROUGH REGULARLY SCHEDULE QPR AND MENTAL HEALTH FIRST AID COURSES OFFERED FREE OF CHARGE TO THE PUBLIC AND IN PARTNERSHIP WITH THE HEALTHIER MORGAN COUNTY INITIATIVE. LINE 11: FRANCISCAN HEALTH CHICAGO HEIGHTS AND FRANCISCAN HEALTH OLYMPIA FIELDS (FH CHICAGO HEIGHTS, FH OLYMPIA FIELDS) COMMUNITY HEALTH NEEDS: BASED ON THE 2016 CHNA, SEVERAL PRIORITY HEALTH NEEDS, INCLUDING SOCIAL DETERMINANTS OF HEALTH, WERE IDENTIFIED. PER IRS GUIDELINES, THE LIST BELOW PROVIDES THE PRIORITY NEEDS, WHICH NEEDS FH CHICAGO HEIGHTS & FH OLYMPIA FIELDS WILL COMMIT TO WORKING ON, AND JUSTIFICATION OF WHY THE OTHER NEEDS WERE NOT SELECTED. SELECTION OF PRIORITY HEALTH NEEDS WAS BASED ON THE MAGNITUDE, IMPACT, FEASIBILITY, COST, AND PARTNERSHIPS. HEALTH NEED: PHYSICAL ACTIVITY AND NUTRITION DESCRIPTION: OBESITY, DIABETES MANAGEMENT, ARTHRITIS, AND CARDIOVASCULAR CONDITIONS ALL SCORE HIGHLY IN INCIDENT RATES AND PERCEPTION OF NEED. A COMMON THEME AMONGST ALL OF THESE CLINICAL ISSUES IS THE LACK OF PHYSICAL ACTIVITY AND PROPER NUTRITION. CONCERNS ABOUT PUBLIC SAFETY, LACK OF BUILT ENVIRONMENT, AND ACCESS TO HEALTHY FOOD ALSO CONTRIBUTE TO THIS ISSUE. FOOD INSECURITY IS ALSO AN ISSUE. PRIORITY: YES JUSTIFICATION/EXPLANATION: PHYSICAL ACTIVITY AND NUTRITION INFORMATION WILL BE INCLUDED IN THE CANCER, DIABETES, AND CARDIOVASCULAR PROGRAMS. HEALTH NEED: BEHAVIORAL HEALTH DESCRIPTION: BEHAVIORAL HEALTH: SUBSTANCE ABUSE RATES ARE ALSO QUITE HIGH, ESPECIALLY WITH ALCOHOL AND OPIATES. STRESS, DEPRESSION, AND POOR MENTAL HEALTH RATES ALSO CONTRIBUTE TO POOR CHRONIC DISEASE MANAGEMENT, OBESITY, AND SELF-SATISFACTION. PRIORITY: YES JUSTIFICATION/EXPLANATION: FH CHICAGO HEIGHTS & FH OLYMPIA FIELDS WILL PROVIDE ADDITIONAL BEHAVIORA
LINE 11: FRANCISCAN HEALTH CRAWFORDSVILLE (FH CRAWFORDSVILLE)	COMMUNITY HEALTH NEEDS: BASED ON THE 2016 CHNA, SEVERAL PRIORITY HEALTH NEEDS, INCLUDING SOCIAL DETERMINANTS OF HEALTH, WERE IDENTIFIED. PER IRS GUIDELINES, THE LIST BELOW PROVIDES THE PRIORITY NEEDS, WHICH NEEDS FH CRAWFORDSVILLE WILL COMMIT TO WORKING ON, AND JUSTIFICATION OF WHY THE OTHER NEEDS WERE NOT SELECTED. SELECTION OF PRIORITY HEALTH NEEDS WAS BASED ON THE MAGNITUDE, IMPACT, FEASIBILITY, COST, AND PARTNERSHIPS. HEALTH NEED: PHYSICAL ACTIVITY AND NUTRITION DESCRIPTION: OBESITY, DIABETES MANAGEMENT, ARTHRITIS, AND CARDIOVASCULAR CONDITIONS ALL SCORE HIGHLY IN INCIDENT RATES AND PERCEPTION OF NEED. A COMMON THEME AMONGST ALL OF THESE CLINICAL ISSUES IS THE LACK OF PHYSICAL ACTIVITY AND PROPER NUTRITION. CONCERNS ABOUT PUBLIC SAFETY, LACK OF BUILT ENVIRONMENT, AND ACCESS TO HEALTHY FOOD ALSO CONTRIBUTE TO THIS ISSUE. PRIORITY: YES JUSTIFICATION/EXPLANATION: MONTGOMERY COUNTY LACKS OPPORTUNITIES TO BE PHYSICALLY ACTIVE. FH CRAWFORDSVILLE WILL INTRODUCE MULTIPLE OPPORTUNITIES FOR ALL RESIDENTS TO PARTICIPATE IN PHYSICAL ACTIVITY. HEALTH NEED: BEHAVIORAL HEALTH DESCRIPTION: SUICIDE RATES ARE HIGHER THAN THE STATE AVERAGE. NATIONAL DATA INDICATES OF THE REPORTED COMPLETED SUICIDES, MANY MORE ARE UNREPORTED DUE TO THE LISTED CAUSE OF DEATH. SUBSTANCE ABUSE RATES ARE ALSO QUITE HIGH, ESPECIALLY WITH ALCOHOL AND OPIATES. STRESS, DEPRESSION, AND POOR MENTAL HEALTH RATES ALSO CONTRIBUTE TO POOR CHRONIC DISEASE MANAGEMENT, OBESITY, AND SELF-SATISFACTION. PRIORITY: INDIRECTLY JUSTIFICATION/EXPLANATION: THE WELLNESS COALITION OF MONTGOMERY COUNTY HAS IDENTIFIED MENTAL HEALTH AND SUBSTANCE ABUSE AS TWO PRIORITIES FOR 2016-2020. FH CRAWFORDSVILLE PARTICIPATES IN THIS COALITION AND WILL PROVIDE SUPPORT AND RESOURCES TO THESE INTERVENTIONS WHEN POSSIBLE. HEALTH NEED: ACCESS TO HEALTH CARE DESCRIPTION: COST OF CO-PAYS, DEDUCTIBLES, MEDICATIONS, AND DURABLE MEDICAL EQUIPMENT ARE REPORTED MOST FREQUENTLY AS BARRIERS TO CLINICAL CARE. WHILE THE COUNTY IS NOT A FEDERALLY DESIGNATED HEALTH PROFESSIONS SHORTAGE AREA, THERE IS A SHORTAGE OF PROVIDERS, OR LONG WAITS TO SEE A PRIMARY CARE PROVIDER. PRIORITY: YES JUSTIFICATION/EXPLANATION: FH CRAWFORDSVILLE WILL IMPLEMENT A PARAMEDICINE PROGRAM THAT DELIVERS HEALTH CARE IN THE HOMES OF RESIDENTS. IN ADDITION, FH CRAWFORDSVILLE WILL CONTINUE TO RECRUIT QUALIFIED HEALTH PROFESSIONALS, THOUGH NOT AS PART OF THE COMMUNITY BENEFIT PROGRAM. HEALTH NEED: RESPIRATORY DISEASES DESCRIPTION: PERHAPS LINKED TO THE HIGH TOBACCO USE RATES, ASTHMA AND COPD RATES ARE HIGH AND MANAGEMENT IS POOR, ESPECIALLY IN CHILDREN. PRIORITY: YES JUSTIFICATION/EXPLANATION: COPD PATIENTS WHO HAVE BEEN DISCHARGED FROM THE HOSPITAL WILL RECEIVE HOME CARE AS PART OF THE PARAMEDICINE PROGRAM. HEALTH NEED: TOBACCO DESCRIPTION: AS IS TRUE IN MOST INDIANA COUNTIES, TOBACCO CONTINUES TO BE AN ISSUE AND MAY CONTRIBUTE TO OTHER CONDITIONS, INCLUDING LUNG, ORAL CAVITY, AND PHARYNX CANCERS. PRIORITY: NOT AS A PRIORITY JUSTIFICATION/EXPLANATION: HOSPITAL STAFF WILL CONTINUE TO SUPPORT PATIENTS WHO ARE READY TO QUIT SMOKING THROUGH INTERNAL AND EXTERNAL REFERRALS. HEALTH NEED: YOUTH HEALTH DESCRIPTION: COMPOUNDING FACTORS, SUCH AS HEALTH AND SAFETY ISSUES, LEAD TO ADVERSE CHILDHOOD EXPERIENCES. TEEN BIRTH RATES, HIGH FOOD INSECURITY RATES, USE OF ALCOHOL, TOBACCO, AND OTHER DRUGS, AND CASES OF CHILD ABUSE AND NEGLECT CONTRIBUTE TO POOR WELL-BEING OF YOUTH. PRIORITY: INDIRECTLY JUSTIFICATION/EXPLANATION: THE WELLNESS COALITION OF MONTGOMERY COUNTY HAS IDENTIFIED YOUTH HEALTH AS A PRIORITY FOR 2016-2020. FH CRAWFORDSVILLE PARTICIPATES IN THIS COALITION AND WILL PROVIDE SUPPORT AND RESOURCES TO THESE INTERVENTIONS WHEN POSSIBLE. 2013-2016 COMMUNITY HEALTH IMPROVEMENT PLAN RESULTS: IN THE 2013-2016 CYCLE, FH CRAWFORDSVILLE HAD TWO PRIORITY AREAS, DIABETES MANAGEMENT AND ACCESS TO HEALTH CARE: PRIORITY: DIABETES MANAGEMENT RESULTS: A SHARED MEDICAL APPOINTMENT STRUCTURE GUIDED PARTICIPANTS IN SELF-MANAGEMENT. CONTINUATION: YES FUTURE EFFORTS: THE PROGRAM WILL BE CONTINUED AS PART OF THE PHYSICIAN NETWORK SERVICES. PRIORITY: ACCESSIBLE CARE RESULTS: A NEIGHBORHOOD CLINIC PROVIDED APPOINTMENTS TO PATIENTS WITH MEDICAID AND HOSPITAL FOLLOW UP APPOINTMENTS TO PATIENTS WITHOUT A PROVIDER. THE MODEL WAS DISCONTINUED AND ANOTHER SOLUTION WAS IMPLEMENTED. CONTINUATION: NO FUTURE EFFORTS: INSTEAD OF THIS CLINIC, MDWISE PANELS HAVE BEEN EXPANDED TO ALL PRIMARY CARE PHYSICIANS. IN ADDITION, A DOC OF THE DAY ALLOWS FOR MORE IMMEDIATE SERVICES TO THOSE MOST IN NEED. 2016-2018 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): TWO PRIORITY AREAS HAVE BEEN IDENTIFIED FOR THE 2016-2018 TIMEFRAME - PHYSICAL ACTIVITY AND IMPLEMENTATION OF A PARAMEDIC PROGRAM. THE PHYSICAL ACTIVITY PROGRAM BUILDS ON PREVIOUS ACTIVITIES HOSTED BY FH CRAWFORDSVILLE. BY OFFERING A SERIES OF 5KS AND A COUCH TO 5K PROGRAM, THE NUMBER OF OPPORTUNITIES TO BE ACTIVE AND GAIN INFORMATION ON PHYSICAL ACTIVITY ARE INCREASED IN THE COMMUNITY. THE PARAMEDICINE PROGRAM EXTENDS ACCESS TO HEALTHCARE TO THOSE WHO NEED ADDITIONAL RESOURCES TO PREVENT HOSPITAL READMISSION AND MANAGE CARE IN THE HOME. MUCH OF THE ACTIVITY IN 2016 CENTERED ON THE DEVELOPMENT OF SUSTAINABLE PROGRAMS. BECAUSE DETAILS ARE NOT COMPLETE, ADDITIONAL ACTIONS WILL BE ADDED TO THE STRATEGIC PLANS ANNUALLY.
LINE 11: FRANCISCAN HEALTH LAFAYETTE (FH LAFAYETTE)	COMMUNITY HEALTH NEEDS: BASED ON THE 2016 CHNA, SEVERAL PRIORITY HEALTH NEEDS, INCLUDING SOCIAL DETERMINANTS OF HEALTH, WERE IDENTIFIED. PER IRS GUIDELINES, THE LIST BELOW PROVIDES THE PRIORITY NEEDS, WHICH NEEDS FH LAFAYETTE WILL COMMIT TO WORKING ON, AND JUSTIFICATION OF WHY THE OTHER NEEDS WERE NOT SELECTED. SELECTION OF PRIORITY HEALTH NEEDS WAS BASED ON THE MAGNITUDE, IMPACT, FEASIBILITY, COST, AND PARTNERSHIPS. HEALTH NEED: PHYSICAL ACTIVITY AND NUTRITION DESCRIPTION: OBESITY, DIABETES MANAGEMENT, ARTHRITIS, AND CARDIOVASCULAR CONDITIONS ALL SCORE HIGHLY IN INCIDENT RATES AND PERCEPTION OF NEED. A COMMON THEME AMONGST ALL OF THESE CLINICAL ISSUES IS THE LACK OF PHYSICAL ACTIVITY AND PROPER NUTRITION. CONCERNS ABOUT PUBLIC SAFETY, LACK OF BUILT ENVIRONMENT, AND ACCESS TO HEALTHY FOOD ALSO CONTRIBUTE TO THIS ISSUE. PRIORITY: YES JUSTIFICATION/EXPLANATION: THE ACO WILL ADDRESS DIABETES AND CARDIOVASCULAR CONCERNS, INCLUDING PHYSICAL ACTIVITY AND NUTRITION. THE BREASTFEEDING INITIATIVES TO CURB CHILDHOOD OBESITY WILL CONTINUE. HEALTH NEED: BEHAVIORAL HEALTH DESCRIPTION: SUICIDE RATES ARE HIGHER THAN THE STATE AVERAGE. NATIONAL DATA INDICATES OF THE REPORTED COMPLETED SUICIDES, MANY MORE ARE UNREPORTED DUE TO THE LISTED CAUSE OF DEATH. SUBSTANCE ABUSE RATES ARE ALSO QUITE HIGH, ESPECIALLY WITH ALCOHOL AND OPIATES. STRESS, DEPRESSION, AND POOR MENTAL HEALTH RATES ALSO CONTRIBUTE TO POOR CHRONIC DISEASE MANAGEMENT, OBESITY, AND SELF-SATISFACTION. PRIORITY: YES JUSTIFICATION/EXPLANATION: A WELLNESS AND PREVENTION PROGRAM WILL BE DEVELOPED AND IMPLEMENTED FOR STUDENTS AT IVY TECH COMMUNITY COLLEGE. HEALTH NEED: ACCESS TO HEALTHCARE DESCRIPTION: SURVEY RESPONSES IDENTIFIED COST OF CO-PAYS, MEDICATION EXPENSES, TRANSPORTATION, AND RELATED COSTS ARE CHALLENGES THROUGHOUT THE COUNTY. PRIORITY: NOT AS A PRIORITY JUSTIFICATION/EXPLANATION: FH LAFAYETTE PROVIDES SIGNIFICANT FINANCIAL SUPPORT THROUGH GOVERNMENT PROGRAMS AND CHARITY CARE. HEALTH NEED: LUNG CANCER/TOBACCO USE DESCRIPTION: TOBACCO USE RATES ARE HIGH THROUGHOUT INDIANA. PRIORITY: YES JUSTIFICATION/EXPLANATION: FH LAFAYETTE WILL DEVELOP AND IMPLEMENT A PROGRAM DESIGNED TO ASSIST PREGNANT SMOKERS QUIT. 2013-2016 COMMUNITY HEALTH IMPROVEMENT PLAN RESULTS: IN THE 2013-2016 CYCLE, FH LAFAYETTE HAD THREE PRIORITY AREAS. THE FOLLOWING LIST REVIEWS THE PREVIOUS PRIORITY AREAS, RESULTS, AND FUTURE EFFORTS: PRIORITY: IMPROVING BREASTFEEDING RATES AMONG NEW MOTHERS RESULTS: COMPARISON OF 2013 TO 2014 RESPONSES DEMONSTRATED A .41% INCREASE IN BREASTFEEDING AT 3 MONTHS AND A 2.44% INCREASE AT 6 MONTHS. FOLLOW-UP CALL RESULTS FOR 2013 LESS THAN 40% OF MOMS WERE STILL BREASTFEEDING AT 6 MONTHS, THE PERCENTAGE INCREASED TO GREATER THAN 40 % IN 2014 AND WAS SLIGHTLY UNDER 50 % IN 2015. CONTINUATION: YES FUTURE EFFORTS: CERTIFIED LACTATION NURSES WILL CONTINUE CALLING NEW MOTHERS AT DETERMINED INTERVALS TO PROVIDE EDUCATION AND BREASTFEEDING SUPPORT. FH LAFAYETTE WILL CONTINUE TO WORK WITH OTHER LOCAL AGENCIES TO PROVIDE CONSISTENT MESSAGING TO EXPECTANT AND NEWLY DELIVERED MOMS ABOUT THE BENEFITS OF BREASTFEEDING TO BOTH MOM AND BABY. PRIORITY: DIABETES AWARENESS AND SUPPORT RESULTS: A1C TESTING OF FRANCISCAN PHYSICIAN NETWORK PATIENTS WENT FROM 78% IN 2013 TO 93.2% IN 2015. THOSE REFERRED TO EDUCATION INCREASED FROM 10% TO 50%. REPEATED TESTING AFTER 3-6 MONTHS SHOWED THAT 96% OF PARTICIPANTS IMPROVED THEIR A1C SCORES IN THAT TIME PERIOD. CONTINUATION: YES FUTURE EFFORTS: EFFORTS WILL CONTINUE TO REFER PATIENTS FOR DIABETES EDUCATION AND MONITOR THEIR A1C SCORES. FH LAFAYETTE WILL REACH OUT TO PHYSICIAN OFFICES BEYOND OUR OWN PHYSICIANS. PRIORITY: REDUCTION OF HEART FAILURE AND COPD AVOIDABLE RE-HOSPITALIZATION RESULTS: THE GOAL WAS TO REDUCE READMISSIONS BY 20%. IN 2015 30-DAY HEART FAILURE READMISSIONS WAS 19.8% AND COPD WAS 16.59%. CONTINUATION: YES FUTURE EFFORTS: FRANCISCAN HEALTHY LIVING CENTER WILL MERGE WITH THE ACO TO ENHANCE SERVICES AND CARE COORDINATION. COPD AND HF NAVIGATORS WILL BE PART OF THE ACO READMISSION TEAM. A CORPORATE HEART FAILURE TASKFORCE IS BEING PLANNED. 2016-2018 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): THREE PRIORITY AREAS HAVE BEEN IDENTIFIED FOR THE 2016-2018 TIMREFRAME - PHYSICAL ACTIVITY AND NUTRITION, BEHAVIORAL HEALTH, AND TOBACCO CESSATION AMONGST PREGNANT WOMEN. DIABETES AND CARDIOVASCULAR SCREENING AND EDUCATION WILL ADDRESS PHYSICAL ACTIVITY AND NUTRITION AS NOT ONLY A PREVENTATIVE, BUT MANAGEMENT TOOL. SPECIFIC DIETARY NEEDS WILL ALSO BE ADDRESSED. A WELLNESS BEHAVIORAL HEALTH PROGRAM WILL BE DEVELOPED FOR THE STUDENTS OF IVY TECH COMMUNITY COLLEGE. THE PROGRAM WILL ADDRESS MENTAL HEALTH CONCERNS AS WELL AS PROTECTIVE FACTORS, SUCH AS LIFE SKILLS, STRESS REDUCTION, RESOURCES, AND LIFE SKILLS. A NEW EFFORT TO REDUCE THE NUMBER OF WOMEN WHO SMOKE DURING PREGNANCY WILL PARTNER WITH INDIANAS BABY AND ME PROGRAM, EXPANDING THE REACH TO ADDITIONAL WOMEN. CHNAGES HAVE BEEN MADE TO THE THREE PRIORITY AREAS FOR THE 2016-2018 TIMEFRAME. THE FIRST PRIORITY, PHYSICAL ACTIVITY AND NUTRITION, HAS BEEN AUGMENTED WITH THE ADDITION OF WALK WITH A DOC IN LAFAYETTE, AS WELL AS ONLINE EDUCATION. DUE TO CHANGES IN STATE FUNDING AND INTERNAL INFRASTRUCTURE, TOBACCO CESSATION AMONGST LOW INCOME PREGNANT WOMEN HAS BEEN REALIGNED TO PROVIDE AN INTERVENTION BASED ON ONLINE ACTIVITIES AND INCENTIVES TO MOVE WOMEN FROM PRE-CONTEMPLATION TO A MINIMUM OF CONTEMPLATION (USING THE HEALTH BELIEF MODEL). THE THIRD PRIORITY, BEHAVIORAL HEALTH, CHANGES DUE TO THE DISBANNING OF THE COMMUNITY PARTNER ORGANIZATION. HOWEVER, A MEDICALLY ASSISTED TREATMENT PROGRAM BECAME MORE URGENT DUE TO THE RISING OF ADDITION IN THE COMMUNITY. THE FACILITY IS DEVELOPING THE SERVICE, AS WELL AS SUPPORTIVE PROGRAMMING, IN LIEU OF THE ORIGINAL PROGRAM.
LINE 11: FRANCISCAN HEALTH CROWN POINT (FH CROWN POINT)	COMMUNITY HEALTH NEEDS: BASED ON THE 2016 CHNA, SEVERAL PRIORITY HEALTH NEEDS, INCLUDING SOCIAL DETERMINANTS OF HEALTH, WERE IDENTIFIED. PER IRS GUIDELINES, THE LIST BELOW PROVIDES THE PRIORITY NEEDS, WHICH NEEDS FH CROWN POINT WILL COMMIT TO WORKING ON, AND JUSTIFICATION OF WHY THE OTHER NEEDS WERE NOT SELECTED. SELECTION OF PRIORITY HEALTH NEEDS WERE BASED ON THE MAGNITUDE, IMPACT, FEASIBILITY, COST, AND PARTNERSHIPS. HEALTH NEED: PHYSICAL ACTIVITY AND NUTRITION DESCRIPTION: OBESITY, DIABETES MANAGEMENT, ARTHRITIS, AND CARDIOVASCULAR CONDITIONS ALL SCORE HIGHLY IN INCIDENT RATES AND PERCEPTION OF NEED. A COMMON THEME AMONGST ALL OF THESE CLINICAL ISSUES IS THE LACK OF PHYSICAL ACTIVITY AND PROPER NUTRITION. PRIORITY: YES JUSTIFICATION/EXPLANATION: PHYSICAL ACTIVITY AND NUTRITION EDUCATION WILL BE INTEGRATED INTO THE DIABETES PREVENTION PROGRAM. HEALTH NEED: BEHAVIORAL HEALTH DESCRIPTION: SUICIDE, POOR MENTAL HEALTH DAYS, DEPRESSION, AND SUBSTANCE ABUSE ALL RANK HIGHLY IN THE COMMUNITY. PRIORITY: SOMEWHAT JUSTIFICATION/EXPLANATION: STRESS, DEPRESSION, AND POOR MENTAL HEALTH RATES ALSO CONTRIBUTE TO POOR CHRONIC DISEASE MANAGEMENT, OBESITY, AND SELF-SATISFACTION. THIS WILL BE ADDRESSED IN EDUCATIONAL PROGRAMMING. HEALTH NEED: ACCESS TO HEALTH CARE DESCRIPTION: THE COUNTY DOES HAVE A PORTION DESIGNATED AS HEALTH PROFESSIONS SHORTAGE AREA DUE TO LOW INCOME POPULATIONS. IN ADDITION, THERE IS A SHORTAGE OF PROVIDERS, OR LONG WAITS TO SEE A PRIMARY CARE PROVIDER. PRIORITY: YES JUSTIFICATION/EXPLANATION: THE ST. CLARE CLINIC, A PRIMARY CARE PROVIDER THAT SERVES THOSE WHO ENDURE HARDSHIP TO ACCESS QUALITY HEALTHCARE, WILL BE EXPANDED TO OFFER ADDITIONAL SERVICES. THE ST. CLAIRE CLINIC SERVES THE UNINSURED AND UNDERINSURED WITH THEIR MEDICAL, BEHAVIORAL, AND SOCIAL NEEDS. THE CLINIC MAINTAINS A FOOD PANTRY, SUPPORT SERVICES FOR PREGNANT WOMEN, AND SPECIAL DIABETES PROGRAMMING AND ASSOCIATED SERVICES. HEALTH NEED: LUNG AND COLORECTAL CANCERS DESCRIPTION: WITH A HIGHER THAN STATE AVERAGE SMOKING RATE AND POOR AIR QUALITY, LUNG CANCER RATES ARE HIGH. COLORECTAL CANCER SCREENING RATES ARE LOW, AS ARE PROSTATE SCREENINGS, AND INCIDENT RATES ARE HIGH. PRIORITY: NO JUSTIFICATION/EXPLANATION: OTHER FRANCISCAN ALLIANCE HOSPITALS IN THE COUNTY WILL FOCUS ATTENTION ON REDUCING CANCER. HEALTH NEED: INFANT MORTALITY DESCRIPTION: SMOKING DURING PREGNANCY, LOW CLINICAL CARE VISITS, AND HIGH INFANT MORTALITY RATES SHOW THE NEED FOR IMPROVED ACCESS AND SERVICES FOR PREGNANT WOMEN AND THEIR FAMILIES. PRIORITY: NOT AS A PRIORITY JUSTIFICATION/EXPLANATION: SERVICES ARE PROVIDED AS A STANDARD OF CARE FOR PATIENTS. HEALTH NEED: ASTHMA DESCRIPTION: PERHAPS LINKED TO THE POOR AIR QUALITY IN THE COUNTY AND HIGH TOBACCO USE RATES, ASTHMA RATES ARE HIGH AND MANAGEMENT IS POOR, ESPECIALLY IN CHILDREN. PRIORITY: NO JUSTIFICATION/EXPLANATION: OTHER FRANCISCAN ALLIANCE HOSPITALS IN THE COUNTY WILL FOCUS ATTENTION ON ASTHMA AND RESPIRATORY CARE. HEALTH NEED: SENIOR SERVICES DESCRIPTION: THERE IS A NOTED LACK OF SERVICES FOR THE OLDER POPULATION, INCLUDING ACTIVITIES, SPECIALIZED HEALTH CARE, AND TRANSPORTATION PRIORITY: YES JUSTIFICATION/EXPLANATION: A FALL PREVENTION PROGRAM WILL BE IMPLEMENTED FOR THOSE IN THE SERVICE AREA. 2013-2016 COMMUNITY HEALTH IMPROVEMENT PLAN RESULTS: IN THE 2013-2016 CYCLE, FH CROWN POINT HAD TWO PRIORITY AREAS. THE FOLLOWING LIST REVIEWS THE PREVIOUS PRIORITY AREAS, RESULTS, AND FUTURE EFFORTS: PRIORITY: DIABETES EDUCATION RESULTS: CLINICAL DATA SUPPORTS POSITIVE BEHAVIORAL CHANGES AND BIOMETRICS WITHIN INDIVIDUALS OF THE DIABETES EDUCATION PROGRAMS OFFERED THROUGH ST. CLARE HEALTH CLINIC. CONTINUATION: YES FUTURE EFFORTS: WHILE THE DATA SUPPORTS POSITIVE RESULTS, THE PROGRAM HAS OPPORTUNITY FOR EXPANSION TO PRE-DIABETES THROUGH THE CDCS DIABETES PREVENTION PROGRAM. THE CLINIC WILL BE EXPANDING SERVICES AND ANTICIPATES AN INCREASE IN EDUCATIONAL OPPORTUNITY. PRIORITY: CARDIOVASCULAR HEALTH RESULTS: THE GOAL IN THIS AREA ALSO INCLUDED AN INCREASE IN SCREENING, IMPLEMENTATION OF BEST CLINICAL PRACTICES, WEIGHT LOSS, AND DIABETES PREVENTION. CONTINUATION: INDIRECTLY THROUGH PROGRAMS FUTURE EFFORTS: WHILE CARDIOVASCULAR HEALTH SPECIFICALLY IS NOT INCLUDED IN THE IMPLEMENTATION PLAN, A COMPREHENSIVE PHYSICAL ACTIVITY AND NUTRITION PROGRAM WILL ADDRESS THE ROOT CAUSE OF MANY CARDIOVASCULAR CONDITIONS INCLUDING BUT NOT LIMITED TO DIABETES, TOBACCO USE, AND OBESITY. 2016-2018 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): THREE PRIORITY AREAS HAVE BEEN IDENTIFIED FOR THE 2016-2018 TIMEFRAME - DIABETES PREVENTION AND MANAGEMENT, FALL PREVENTION, AND ACCESS TO HEALTHCARE. A DIABETES SCREENING, PREVENTION, AND MANAGEMENT PROGRAM USING HEALTH COACHING HAS BEEN ADDED TO THE ST. CLARE CLINIC, AS WELL AS HEALTHIER FOOD PANTRY ITEMS FOR THOSE WHO NEED IT FOR DIABETES MANAGEMENT. A NATIONAL FALL MANAGEMENT PROGRAM, STEPPING ON, HAS BEEN PUT INTO PLACE TO SERVE THE ELDERLY POPULATION THAT HAS A FALL RISK OR HAS HAD A RECENT FALL. THE THIRD PRIORITY, ACCESS TO HEALTH CARE, HAS BEEN MET WITH A CHANGE TO ST. CLARE CLINIC SO THAT THEY MAY ACCEPT INDIVIDUALS WITH INSURANCE THAT CANNOT AFFORD CO-PAYS OR NEED ADDITIONAL ASSISTANCE.
LINE 11: FRANCISCAN HEALTH DYER (FH DYER) AND FRANCISCAN HEALTH HAMMOND	(FH HAMMOND) COMMUNITY HEALTH NEEDS: BASED ON THE 2016 CHNA, SEVERAL PRIORITY HEALTH NEEDS, INCLUDING SOCIAL DETERMINANTS OF HEALTH, WERE IDENTIFIED. PER IRS GUIDELINES, THE LIST BELOW PROVIDES THE PRIORITY NEEDS, WHICH NEEDS FH HAMMOND AND FH DYER WILL COMMIT TO WORKING ON, AND JUSTIFICATION OF WHY THE OTHER NEEDS WERE NOT SELECTED. SELECTION OF PRIORITY HEALTH NEEDS WERE BASED ON THE MAGNITUDE, IMPACT, FEASIBILITY, COST, AND PARTNERSHIPS. HEALTH NEED: PHYSICAL ACTIVITY AND NUTRITION DESCRIPTION: OBESITY, DIABETES MANAGEMENT, ARTHRITIS, AND CARDIOVASCULAR CONDITIONS ALL SCORE HIGHLY IN INCIDENT RATES AND PERCEPTION OF NEED. A COMMON THEME AMONGST ALL OF THESE CLINICAL ISSUES IS THE LACK OF PHYSICAL ACTIVITY AND NUTRITION. PRIORITY: SOMEWHAT JUSTIFICATION/EXPLANATION: PHYSICAL ACTIVITY AND NUTRITION EDUCATION WILL BE INTEGRATED INTO THE ASTHMA PROGRAM. HEALTH NEED: BEHAVIORAL HEALTH DESCRIPTION: SUICIDE, POOR MENTAL HEALTH DAYS, DEPRESSION, AND SUBSTANCE ABUSE ALL RANK HIGHLY IN THE COMMUNITY. PRIORITY: YES JUSTIFICATION/EXPLANATION: THE ADOLESCENT COPING WITH DEPRESSION PROGRAM AIMS TO IMPROVE YOUTH BEHAVIORAL HEALTH. HEALTH NEED: ACCESS TO HEALTH CARE DESCRIPTION: THE COUNTY DOES HAVE A PORTION DESIGNATED AS HEALTH PROFESSIONS SHORTAGE AREA DUE TO LOW INCOME POPULATIONS. IN ADDITION, THERE IS A SHORTAGE OF PROVIDERS, OR LONG WAITS TO SEE A PRIMARY CARE PROVIDER. PRIORITY: NO JUSTIFICATION/EXPLANATION: FH DYER PROVIDES SIGNIFICANT FINANCIAL SUPPORT THROUGH GOVERNMENT PROGRAMS AND CHARITY CARE. OTHER FRANCISCAN ALLIANCE FACILITIES IN THE COUNTY PROVIDE ADDITIONAL ACCESS-RELATED SERVICES. HEALTH NEED: LUNG AND COLORECTAL CANCERS DESCRIPTION: WITH A HIGHER THAN STATE AVERAGE SMOKING RATE AND POOR AIR QUALITY, LUNG CANCER RATES ARE HIGH. COLORECTAL CANCER SCREENING RATES ARE LOW, AS ARE PROSTATE SCREENINGS, AND INCIDENT RATES ARE HIGH. PRIORITY: NO JUSTIFICATION/EXPLANATION: COLORECTAL CANCER SCREENINGS AND EDUCATION WILL BE A PRIORITY FOR ANOTHER FRANCISCAN ALLIANCE FACILITY IN THE COUNTY. HEALTH NEED: INFANT MORTALITY DESCRIPTION: SMOKING DURING PREGNANCY, LOW CLINICAL CARE VISITS, AND HIGH INFANT MORTALITY RATES SHOW THE NEED FOR IMPROVED ACCESS AND SERVICES FOR PREGNANT WOMEN AND THEIR FAMILIES. PRIORITY: YES JUSTIFICATION/EXPLANATION: THE PERIOD OF PURPLE CRYING PROGRAM WORKS TO DECREASE THE INCIDENCE OF SHAKEN BABY SYNDROME. HEALTH NEED: ASTHMA DESCRIPTION: PERHAPS LINKED TO THE POOR AIR QUALITY IN THE COUNTY AND HIGH TOBACCO USE RATES, ASTHMA RATES ARE HIGH AND MANAGEMENT IS POOR, ESPECIALLY IN CHILDREN. PRIORITY: YES JUSTIFICATION/EXPLANATION: IN PARTNERSHIP WITH TWO FRANCISCAN ALLIANCE FACILITIES, ASTHMA EDUCATION AND MANAGEMENT WILL BE ADDRESSED. HEALTH NEED: SENIOR SERVICES DESCRIPTION: THERE IS A NOTED LACK OF SERVICES FOR THE OLDER POPULATION, INCLUDING ACTIVITIES, SPECIALIZED HEALTH CARE, AND TRANSPORTATION PRIORITY: NO JUSTIFICATION/EXPLANATION: A FALL PREVENTION PROGRAM WILL BE IMPLEMENTED BY ANOTHER FRANCISCAN ALLIANCE FACILITY IN THE COUNTY. 2013-2016 COMMUNITY HEALTH IMPROVEMENT PLAN RESULTS: IN THE 2013-2016 CYCLE, FH HAMMOND AND FH DYER HAD TWO PRIORITIES. THE FOLLOWING LIST REVIEWS THE PREVIOUS PRIORITY AREAS, RESULTS, AND FUTURE EFFORTS: PRIORITY: DECREASE SUBSTANCE ABUSE AMONG ADOLESCENTS RESULTS: THE PROGRAM OVERALL HAS BEEN A SUCCESS. OUR COMMUNITY PARTNERS HAVE BEEN PLEASED WITH OUR PARTNERSHIP AND WE HAVE BEEN ABLE TO REACH OUR GOAL. CONTINUATION: NO FUTURE EFFORTS: FH HAMMOND AND FH DYER WILL CONTINUE ITS EFFORT TO DECREASE SUBSTANCE ABUSE AMONG ADOLESCENTS, BUT WILL NOT BE LISTED AS A PRIORITY AREA BECAUSE IT BECAME PART OF THE CLINICAL SERVICE LINE REQUIRING PAYMENT. PRIORITY: IMPROVE CARDIOVASCULAR HEALTH AND LIFE QUALITY RESULTS: PROGRAM EFFORTS FOR THOSE WHO PARTICIPATED WAS A SUCCESS. HOWEVER OVERALL PROGRAM HAS BEEN NOTABLE AS EFFORT TO RETAIN PARTICIPANTS WAS A CONSTANT CHALLENGE. CONTINUATION: NO FUTURE EFFORTS: THE ACTIVITIES OF THIS PRIORITY WILL CONTINUE, BUT WILL NOT BE LISTED AS A PRIORITY AREA. CARDIOVASCULAR HEALTH NO LONGER WARRANTED A PRIORITY PROGRAM STATUS BECAUSE IT WAS ROLLED INTO PHYSICAL ACTIVITY AND NUTRITION AS A WAY TO ADDRESS ROOT CAUSES OF MULTIPLE DISEASES. 2016-2018 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): THREE PRIORITY AREAS HAVE BEEN IDENTIFIED FOR THE 2016-2018 TIMEFRAME - RESPIRATORY CARE, INFANT MORTALITY, AND BEHAVIORAL HEALTH. THE COMMUNITY IN WHICH THIS HOSPITAL SERVES SUFFERS FROM GREAT HEALTH DISPARITIES AND VERY POOR ENVIRONMENTAL FACTORS. THE RESPIRATORY CARE PROGRAM WAS SLIGHTLY MODIFIED TO ONLY INCLUDE ASTHMA. AFTER THE INITIAL POSTING OF THE IMPLEMENTATION PLAN, INDIANA RULED THAT FLU VACCINES COULD NO LONGER BE GIVEN AT SCHOOL. HOWEVER, THE ASTHMA PROGRAM HAS GROWN SIGNIFICANTLY IN PARTNERSHIP WITH EAST CHICAGO SCHOOLS AND INCLUDES A COMPREHENSIVE EDUCATION AND CLINICAL SERVICES INTERVENTIONS. INFANT MORTALITY IS ADDRESSED THROUGH THE EVIDENCE-BASED PROGRAM, PERIOD OF PURPLE CRYING, WHICH EDUCATES NEW PARENTS ON SAFE SLEEP AND HOW TO SAFELY WALK AWAY FROM AN INFANT WHEN STRESS BECOMES UNMANAGEABLE. A YOUTH BEHAVIORAL HEALTH INTERVENTION, ADOLESCENT COPING WITH DEPRESSION PROGRAM, ADDRESSES DEPRESSION IN PRE-TEENS AND TEENS IDENTIFIED THROUGH SCHOOLS AND YOUTH PROGRAMS IN A CLASS/SUPPORT GROUP FORMAT. BECAUSE FH HAMMOND AND FH DYER ARE WITHIN A FEW MILES OF EACH OTHER AND SHARE KEY STAFF, THE HOSPITALS ARE COLLABORATING ON THESE PROGRAMS.
LINE 11: FRANCISCAN HEALTH MICHIGAN CITY (FH MICHIGAN CITY)	COMMUNITY HEALTH NEEDS: BASED ON THE 2016 CHNA, SEVERAL PRIORITY HEALTH NEEDS, INCLUDING SOCIAL DETERMINANTS OF HEALTH, WERE IDENTIFIED. PER IRS GUIDELINES, THE LIST BELOW PROVIDES THE PRIORITY NEEDS, WHICH NEEDS FH MICHIGAN CITY WILL COMMIT TO WORKING ON, AND JUSTIFICATION OF WHY THE OTHER NEEDS WERE NOT SELECTED. SELECTION OF PRIORITY HEALTH NEEDS WAS BASED ON THE MAGNITUDE, IMPACT, FEASIBILITY, COST, AND PARTNERSHIPS. HEALTH NEED: PHYSICAL ACTIVITY AND NUTRITION DESCRIPTION: SEVERAL CHRONIC CONDITIONS AND DISEASES CAUSED OR EXACERBATED BY LACK OF PHYSICAL ACTIVITY AND NUTRITION HAVE HIGH INCIDENT RATES. PRIORITY: YES JUSTIFICATION/EXPLANATION: THIS HEALTH NEED WILL BE ADDRESSED THROUGH THE PHYSICAL ACTIVITY AND NUTRITION AND DIABETES PREVENTION PROGRAM. HEALTH NEED: PRE-NATAL CARE DESCRIPTION: SMOKING DURING PREGNANCY, LOW CLINICAL CARE VISITS, AND HIGH INFANT MORTALITY RATES PRIORITY: NO JUSTIFICATION/EXPLANATION: FH-MICHIGAN CITY STAFF WILL PROVIDE SERVICES TO PATIENTS AND GENERAL PROGRAMMING. HEALTH NEED: ACCESS TO HEALTH CARE DESCRIPTION: SURVEY RESPONSES AND KEY LEADER FOCUS GROUPS IDENTIFIED COST OF CO-PAYS, MEDICATION EXPENSES, TRANSPORTATION, AND RELATED COSTS ARE CHALLENGES THROUGHOUT THE COUNTY. PRIORITY: NO JUSTIFICATION/EXPLANATION: AN EXISTING MEDICATION ASSISTANCE PROGRAM WILL CONTINUE, BUT NOT AS A COMMUNITY HEALTH PRIORITY. HEALTH NEED: SEXUALLY TRANSMITTED INFECTIONS DESCRIPTION: HEPATITIS C, HIV, CHLAMYDIA, AND GONORRHEA IS PREVALENT PRIORITY: NO JUSTIFICATION/EXPLANATION: LAPORTE COUNTY HAS OTHER PROVIDERS THAT WORK ON THESE ISSUES IN A COMMUNITY HEALTH CONTEXT. HEALTH NEED: CHRONIC DISEASE DESCRIPTION: INCIDENT RATES OF HEART DISEASE, DIABETES, OBESITY, ARTHRITIS, AND CANCER ARE AVERAGE OR ABOVE THE STATE AVERAGE. PRIORITY: YES JUSTIFICATION/EXPLANATION: THIS HEALTH NEED WILL BE ADDRESSED THROUGH THE PHYSICAL ACTIVITY AND NUTRITION AND DIABETES PREVENTION PROGRAM. HEALTH NEED: BEHAVIORAL HEALTH DESCRIPTION: SUICIDE AND SUBSTANCE ABUSE RATES ARE HIGH THROUGHOUT INDIANA. PRIORITY: YES JUSTIFICATION/EXPLANATION: A SUBSTANCE ABUSE PROGRAM FOCUSED ON MIDDLE SCHOOL STUDENTS WILL BE DEVELOPED AND IMPLEMENTED. HEALTH NEED: LUNG CANCER/TOBACCO USE DESCRIPTION: TOBACCO USE RATES ARE HIGH. THE COUNTY DOES HAVE AVERAGE AIR QUALITY. PRIORITY: NOT AS A PRIORITY JUSTIFICATION/EXPLANATION: FH MICHIGAN CITY WORKS WITH THE INDIANA STATE HEALTH DEPARTMENT ON STATE-WIDE EFFORTS. HOWEVER, THIS HAS NOT BEEN SELECTED AS A PRIORITY PROGRAM. HEALTH NEED: ASTHMA DESCRIPTION: POOR AIR QUALITY AND HIGH SMOKING RATES CONTRIBUTE TO HIGH RATES OF ASTHMA. PRIORITY: NO JUSTIFICATION/EXPLANATION: CLINICAL SERVICES TO PREVENT AND TREAT ASTHMA WILL BE AVAILABLE, BUT THIS WILL NOT BE A COMMUNITY HEALTH PRIORITY PROGRAM. HEALTH NEED: CANCER DESCRIPTION: BREAST AND COLORECTAL INCIDENT RATES ARE HIGH. PRIORITY: NOT AS A PRIORITY JUSTIFICATION/EXPLANATION: FH MICHIGAN CITYS CLINICAL SERVICES WILL CONTINUE TO PROVIDE COMMUNITY HEALTH INITIATIVES TO PROMOTE SCREENINGS AND ASSIST INDIVIDUALS THROUGHOUT TREATMENT AND RECOVERY. 2013-2016 COMMUNITY HEALTH IMPROVEMENT PLAN RESULTS IN THE 2013-2016 CYCLE, FH MICHIGAN CITY HAD THREE PRIORITY AREAS: PRIORITY: MEDICATION ASSISTANCE RESULTS: THE GOAL OF THIS PROGRAM WAS MET - PROVIDING ASSISTANCE FOR PRESCRIPTIONS TO THOSE MOST IN NEED. CONTINUATION: NOT AS A PRIORITY FUTURE EFFORTS: THIS PROGRAM WILL CONTINUE, BUT IT WILL NO LONGER BE A COMMUNITY HEALTH PRIORITY PROGRAM, AS IT HAS PREVIOUSLY ADDRESSED MANY OF THE NEEDS INITIALLY INDICATED. PRIORITY: DIABETES MANAGEMENT RESULTS: THE GOAL OF THIS PROGRAM WAS MET. REFERRALS TO PROVIDERS, CLINICAL MANAGEMENT, AND COMMUNITY EDUCATION PROVIDED TOOLS FOR BETTER MANAGEMENT. CONTINUATION: YES FUTURE EFFORTS: TO BETTER SERVE THE COMMUNITY, THE PROGRAM AS-IS WILL DISCONTINUE. IN ITS PLACE WILL BE THE CDC PROGRAM, DIABETES PREVENTION PROGRAM. PRIORITY: HEART FAILURE RESULTS: THE GOAL OF THIS PROGRAM WAS MET. CONTINUATION: NO FUTURE EFFORTS: INTERNAL INFRASTRUCTURE DOES NOT ALLOW THIS PROGRAM TO CONTINUE AS A COMMUNITY HEALTH PRIORITY PROGRAM, THOUGH CLINICAL SERVICES FOR PATIENTS WILL CONTINUE. 2016-2018 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): THREE PRIORITY AREAS HAVE BEEN IDENTIFIED FOR THE 2016-2018 TIMEFRAME - PHYSICAL ACTIVITY AND NUTRITION, DIABETIES PREVENTION AND MANAGEMENT, AND MEDICATION ASSISTANCE. TO ADDRESS ACCESS TO HEALTH CARE CHALLENGES, A MEDICATION ASSISTANCE PROGRAM WILL BE IMPROVED AND EXPANDED. THE PHYSICAL ACTIVITY AND NUTRITION PROGRAM WILL TARGET CHILDREN AND THEIR FAMILIES THROUGH A PARTNERSHIP WITH THE YMCA. A NEW DIABETES PREVENTION AND MANAGEMENT PROGRAM WILL BE IMPLEMENTED FOR ADULTS. IT SHOULD BE NOTED THAT TWO OF THESE PRIORITIES, DIABETES PREVENTION AND MANAGEMENT, AND PHYSICAL ACTIVITY AND NUTRITION ARE DEVELOPMENTAL. THE FIRST YEAR OF THESE PROGRAMS WILL INCLUDE AMPLE TIME OF DEVELOPMENT, TO ENSURE SUSTAINABLE PROGRAMMING AND INDIVIDUAL SUCCESS. MORE COMPLETE ACTION PLANS WILL BE AVAILABLE ONCE THE FULL DEVELOPMENT HAS BEEN COMPLETED. MAJOR CHANGES HAVE BEEN MADE TO THE 2016-2018 IMPLEMENTATION PLAN DUE TO SHIFTS IN STAFFING AND THE CONSTRUCTION OF A REPLACEMENT HOSPITAL. THE PRIORITY AREAS REMAIN THE SAME: DIABETES PREVENTION AND MANAGEMENT, PHYSICAL ACTIVITY AND NUTRITION, AND MEDICATION ASSISTANCE. THE DIABETES PREVENTION AND MANAGEMENT DEVELOPMENTAL GOAL HAS RESULTED IN THE IMPLEMENTATION OF THE CDC'S DIABETES PREVENTION PROGRAM. THE PHYSICAL ACTIVITY AND NUTRITION PROGRAM BEGAN AS A CLINICAL PROGRAM IN PARTNERSHIP WITH THE YMCA TO REDUCE WEIGHT IN 10 IDENTIFIED CHILDREN THROUGH A CLINICAL PRACTICE. BECAUSE THE PROGRAM SERVED SUCH A SMALL NUMBER AND BECAME MORE CLINICAL THAN COMMUNITY-BASED, IT NO LONGER FIT THE COMMUNITY BENEFIT STANDARDS. THE FACILITY NOW PARTNERS WITH A LOCAL SCHOOL TO PROVIDE COMPREHENSIVE EDUCATION AND SUPPORT SERVICES TO THIRD GRADERS THROUGHOUT THE DURATION OF THE SCHOOL YEAR. THIS PROGRAM WILL EXPAND IN 2018 TO INCLUDE FAMILY INTERVENTIONS AND POSSIBLE EXPANSION TO A SECOND GRADE LEVEL. THE MEDICATION ASSISTANCE PROGRAM BECAME OBSOLETE DUE TO THE INTRODUCTION OF A FRANCISCAN HEALTH RETAIL PHARMACY. THE GOAL WAS SHIFTED TO MEDICATION TAKE BACK TO COMBAT THE OPIOID CRISIS. A MEDICATION DROP BOX HAS BEEN INSTALLED IN THE FACILITY AND A FULL COMMUNITY CAMPAIGN ADVERTISING THE NECESSITY OF SAFELY REMOVING DRUGS FROM HOMES, DROP SITES, AND AVAILABLE RESOURCES WILL BEGIN IN 2018.
LINE 11: FRANCISCAN HEALTH MUNSTER (FH MUNSTER)	COMMUNITY HEALTH NEEDS: BASED ON THE 2016 CHNA, SEVERAL PRIORITY HEALTH NEEDS, INCLUDING SOCIAL DETERMINANTS OF HEALTH, WERE IDENTIFIED. PER IRS GUIDELINES, THE LIST BELOW PROVIDES THE PRIORITY NEEDS, WHICH NEEDS FH MUNSTER WILL COMMIT TO WORKING ON, AND JUSTIFICATION OF WHY THE OTHER NEEDS WERE NOT SELECTED. SELECTION OF PRIORITY HEALTH NEEDS WERE BASED ON THE MAGNITUDE, IMPACT, FEASIBILITY, COST, AND PARTNERSHIPS. HEALTH NEED: PHYSICAL ACTIVITY AND NUTRITION DESCRIPTION: OBESITY, DIABETES MANAGEMENT, ARTHRITIS, AND CARDIOVASCULAR CONDITIONS ALL SCORE HIGHLY IN INCIDENT RATES AND PERCEPTION OF NEED. A COMMON THEME AMONGST ALL OF THESE CLINICAL ISSUES IS THE LACK OF PHYSICAL ACTIVITY AND PROPER NUTRITION. PRIORITY: SOMEWHAT JUSTIFICATION/EXPLANATION: PHYSICAL ACTIVITY AND NUTRITION EDUCATION WILL BE INTEGRATED INTO THE COLORECTAL AND ASTHMA PROGRAMS. HEALTH NEED: BEHAVIORAL HEALTH DESCRIPTION: SUICIDE, POOR MENTAL HEALTH DAYS, DEPRESSION, AND SUBSTANCE ABUSE ALL RANK HIGHLY IN THE COMMUNITY. PRIORITY: NO JUSTIFICATION/EXPLANATION: FH MUNSTER IS UNABLE TO PROVIDE RESOURCES RELATED TO BEHAVIORAL HEALTHCARE. HEALTH NEED: ACCESS TO HEALTH CARE DESCRIPTION: THE COUNTY DOES HAVE A PORTION DESIGNATED AS HEALTH PROFESSIONS SHORTAGE AREA DUE TO LOW INCOME POPULATIONS. IN ADDITION, THERE IS A SHORTAGE OF PROVIDERS, OR LONG WAITS TO SEE A PRIMARY CARE PROVIDER. PRIORITY: NO JUSTIFICATION/EXPLANATION: FH MUNSTER PROVIDES SIGNIFICANT FINANCIAL SUPPORT THROUGH GOVERNMENT PROGRAMS AND CHARITY CARE. OTHER FRANCISCAN ALLIANCE FACILITIES IN THE COUNTY PROVIDE ADDITIONAL ACCESS-RELATED SERVICES. HEALTH NEED: LUNG AND COLORECTAL CANCERS DESCRIPTION: WITH A HIGHER THAN STATE AVERAGE SMOKING RATE AND POOR AIR QUALITY, LUNG CANCER RATES ARE HIGH. COLORECTAL CANCER SCREENING RATES ARE LOW, AS ARE PROSTATE SCREENINGS, AND INCIDENT RATES ARE HIGH. PRIORITY: YES JUSTIFICATION/EXPLANATION: COLORECTAL CANCER SCREENINGS AND EDUCATION WILL BE A PRIORITY FOR FH MUNSTER HEALTH NEED: INFANT MORTALITY DESCRIPTION: SMOKING DURING PREGNANCY, LOW CLINICAL CARE VISITS, AND HIGH INFANT MORTALITY RATES SHOW THE NEED FOR IMPROVED ACCESS AND SERVICES FOR PREGNANT WOMEN AND THEIR FAMILIES. PRIORITY: NO JUSTIFICATION/EXPLANATION: FH MUNSTER DOES NOT PROVIDE LABOR AND DELIVERY SERVICES HEALTH NEED: ASTHMA DESCRIPTION: PERHAPS LINKED TO THE POOR AIR QUALITY IN THE COUNTY AND HIGH TOBACCO USE RATES, ASTHMA RATES ARE HIGH AND MANAGEMENT IS POOR, ESPECIALLY IN CHILDREN. PRIORITY: YES JUSTIFICATION/EXPLANATION: IN PARTNERSHIP WITH TWO FRANCISCAN ALLIANCE FACILITIES, ASTHMA EDUCATION AND MANAGEMENT WILL BE ADDRESSED. HEALTH NEED: SENIOR SERVICES DESCRIPTION: THERE IS A NOTED LACK OF SERVICES FOR THE OLDER POPULATION, INCLUDING ACTIVITIES, SPECIALIZED HEALTH CARE, AND TRANSPORTATION PRIORITY: NO JUSTIFICATION/EXPLANATION: A FALL PREVENTION PROGRAM WILL BE IMPLEMENTED BY ANOTHER FRANCISCAN ALLIANCE FACILITY IN THE COUNTY. 2013-2016 COMMUNITY HEALTH IMPROVEMENT PLAN RESULTS IN THE 2013-2016 CYCLE, FH-MUNSTER HAD TWO PRIORITIES. THE FOLLOWING LIST REVIEWS THE PREVIOUS PRIORITY AREAS, RESULTS, AND FUTURE EFFORTS: PRIORITY: COLORECTAL SCREENING RESULTS: PROGRAM EFFORTS FOR THOSE WHO PARTICIPATED WAS A SUCCESS. HOWEVER OVERALL PROGRAM HAS BEEN NOTABLE AS EFFORT TO RETAIN PARTICIPANTS WAS A CONSTANT CHALLENGE. CONTINUATION: YES FUTURE EFFORTS: FH MUNSTER WILL CONTINUE EXPAND THE PROGRAM EFFORT TO A LARGER TARGETED GROUP THAN PREVIOUSLY. PRIORITY: IMPROVE SELF-MANAGEMENT AMONG DIABETIC PATIENTS RESULTS: OVERALL PROGRAM HAS BEEN NOTABLE AS EFFORT TO RETAIN PARTICIPANTS WAS A CONSTANT CHALLENGE. CONTINUATION: NO FUTURE EFFORTS: THE ACTIVITIES OF THIS PRIORITY WILL CONTINUE, BUT WILL NOT BE LISTED AS A PRIORITY AREA. 2016-2018 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): TWO PRIORITY AREAS HAVE BEEN IDENTIFIED FOR THE 2016-2018 TIMEFRAME - COLORECTAL CANCER AND RESPIRATORY CARE. THE COLORECTAL PROGRAM WILL IMPROVE EDUCATION AND SCREENING RATES THROUGH A FAITH BASED INITIATIVE, TARGETED TO THE AFRICAN AMERICAN COMMUNITY. THE DISPARITY IN COLORECTAL SCREENING AND INCIDENT RATES BETWEEN CAUCASIANS AND AFRICAN AMERICANS IS QUITE HIGH IN THIS COMMUNITY. THE RESPIRATORY CARE PROGRAM WAS SLIGHTLY MODIFIED TO ONLY INCLUDE ASTHMA. HOWEVER, THE ASTHMA PROGRAM HAS GROWN SIGNIFICANTLY IN PARTNERSHIP WITH EAST CHICAGO SCHOOLS AND INCLUDES A COMPREHENSIVE EDUCATION AND CLINICAL SERVICES INTERVENTIONS.
LINES 15 AND 16: ALL FACILITIES	THROUGH FRANCISCAN ALLIANCE, INC. ("FRANCISCAN"), WE CONTINUE THE HEALING MINISTRY OF CHRIST IN A CATHOLIC HEALTH CARE SYSTEM THAT UPHOLDS THE MORAL VALUES AND TEACHINGS OF THE CATHOLIC CHURCH. CENTRAL CONCERNS OF THIS CORPORATE MINISTRY INCLUDE COMPASSION FOR THOSE IN NEED, RESPECT FOR LIFE AND THE DIGNITY OF PERSONS. FRANCISCAN BELIEVES IN THE DIGNITY, UNIQUENESS, AND WORTH OF EACH INDIVIDUAL AND, WITHIN THE LIMITS OF OUR RESOURCES, FRANCISCAN OFFERS A COMPREHENSIVE RANGE OF HEALTH CARE SERVICES TO ALL REGARDLESS OF RACE, CREED, COLOR, SEX, NATIONAL ORIGIN, HANDICAP OR AN INDIVIDUAL'S FINANCIAL CAPABILITY. IN LIGHT OF THIS BELIEF, WE CONSIDER OUR HEALTH CARE SERVICES TO BE REACHING OUT AND RESPONDING, IN A CHRIST-LIKE MANNER, TO THOSE WHO ARE PHYSICALLY, MATERIALLY, OR SPIRITUALLY IN NEED. FRANCISCAN IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE, IN THE FORM OF CHARITY CARE OR UNINSURED DISCOUNTS, TO PERSONS WHO ARE UNINSURED OR UNDERINSURED, WHO ARE INELIGIBLE FOR GOVERNMENTAL OR SOCIAL SERVICE PROGRAMS, AND WHO OTHERWISE ARE UNABLE TO PAY FOR EMERGENCY SERVICES OR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. CONSISTENT WITH OUR MISSION TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE AND TO ADVOCATE FOR THOSE WHO ARE POOR AND DISENFRANCHISED, FRANCISCAN STRIVES TO ENSURE THE FINANCIAL CAPACITY OF PEOPLE WHO NEED MEDICALLY NECESSARY HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING THAT CARE. FRANCISCAN'S FINANCIAL ASSISTANCE POLICY IS DESIGNED TO ALLOW RELIEF FROM ALL OR PART OF THE CHARGES RELATED TO EMERGENCY OR MEDICALLY NECESSARY HEALTH CARE SERVICES THAT EXCEED A PATIENT'S REASONABLE ABILITY TO PAY. IN ORDER TO ENSURE TRANSPARENCY, CONSISTENCY AND FAIRNESS, WE ASK PATIENTS TO COOPERATE BY PROVIDING NECESSARY INFORMATION TO DETERMINE THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. FOR PATIENTS NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE, FRANCISCAN COMMUNICATES THE AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY THROUGH THE FOLLOWING MEANS: 1. FRANCISCAN COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN APPROPRIATE CARE SETTINGS SUCH AS EMERGENCY DEPARTMENTS, ADMITTING/REGISTRATION AREAS, BILLING OFFICES, OUTPATIENT SERVICE SETTINGS, AND ON OUR HOSPITALS' WEBSITES. SIGNS/POSTINGS INFORM PATIENTS THAT FREE OR REDUCED COST CARE MAY BE AVAILABLE TO QUALIFYING PATIENTS WHO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. 2. BROCHURES SUMMARIZING OUR FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE THROUGHOUT EACH FRANCISCAN HOSPITAL. 3. FINANCIAL COUNSELORS AND BUSINESS OFFICE PERSONNEL ARE AVAILABLE TO HELP PATIENTS UNDERSTAND AND APPLY FOR LOCAL, STATE, FEDERAL HEALTH CARE, AND HEALTH INSURANCE EXCHANGE PROGRAMS AND FRANCISCAN'S FINANCIAL ASSISTANCE PROGRAMS. 4. ALL BILLS AND STATEMENTS FOR SERVICES INFORM UNINSURED PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. 5. PATIENTS/GUARANTORS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE APPLICATION BY CALLING THE FRANCISCAN BILLING OFFICE OR DOWNLOADING A COPY AT NO COST FROM FRANCISCAN HOSPITAL'S WEBSITES. 6. PATIENTS/GUARANTORS CAN REQUEST FINANCIAL ASSISTANCE INFORMATION BY CALLING FRANCISCAN'S BILLING OFFICE PHONE LINE ON A 24-HOUR BASIS. 7. INDIVIDUALS OTHER THAN THE PATIENT, SUCH AS THE PATIENT'S PHYSICIAN, FAMILY MEMBERS, COMMUNITY OR RELIGIOUS GROUPS, SOCIAL SERVICES, OR HOSPITAL PERSONNEL MAY MAKE REQUESTS FOR FINANCIAL ASSISTANCE ON THE PATIENT'S BEHALF, SUBJECT TO APPLICABLE PRIVACY LAWS. 8. PRIOR TO TRANSFER TO A COLLECTION AGENCY, FRANCISCAN SENDS A MINIMUM OF 4 STATEMENTS AND MAKES 7 PHONE CALL ATTEMPTS TO CONTACT THE PATIENT/GUARANTOR AT THE ADDRESS AND PHONE NUMBER PROVIDED BY THE PATIENT/GUARANTOR. STATEMENTS AND COMMUNICATIONS INFORM THE PATIENT OF THE AMOUNT DUE AND IF THEY CANNOT PAY THEIR BALANCE THE AVAILABILITY OF FINANCIAL ASSISTANCE. A PATIENT'S QUALIFICATION FOR CHARITY CARE IS DETERMINED THROUGH A FINANCIAL ASSISTANCE APPLICATION AND SCREENING PROCESS. PATIENTS WHO MAY QUALIFY FOR MEDICAID OR ANY OTHER GOVERNMENTAL ASSISTANCE MUST BE DENIED COVERAGE OR ASSISTANCE FROM THOSE GOVERNMENTAL PROGRAMS PRIOR TO RECEIVING APPROVAL FOR CHARITY CARE. AS SUCH, FRANCISCAN OFFERS PATIENTS ASSISTANCE IN APPLYING OR ENROLLING IN SUCH PROGRAMS. A PATIENT WILL NEED TO FILL OUT, SIGN, AND SUBMIT THE FINANCIAL ASSISTANCE APPLICATION ALONG WITH ALL REQUESTED DOCUMENTATION OF INCOME, EXPENSES, ASSETS, AND LIABILITIES. FRANCISCAN'S BILLING OFFICE WILL PLACE THE PATIENT'S ACCOUNT ON HOLD ONCE A FINANCIAL ASSISTANCE APPLICATION HAS BEEN REQUESTED AND UNTIL A FINANCIAL ASSISTANCE DETERMINATION IS MADE. APPLICANTS ARE TREATED WITH DIGNITY AND RESPECT THROUGHOUT THE FINANCIAL ASSISTANCE PROCESS AND ALL INFORMATION/MATERIALS RECEIVED ARE CONFIDENTIALLY MAINTAINED. FRANCISCAN ALSO UTILIZES AN EXTERNAL VENDOR, SERVICE, OR DATA SOURCE THAT PROVIDES INFORMATION ON A PATIENT'S OR GUARANTOR'S ABILITY TO PAY (I.E. CREDIT SCORING). ELIGIBILITY FOR CHARITY CARE MAY BE DETERMINED AT ANY POINT IN THE COLLECTIONS CYCLE (I.E. PRIOR TO THE PROVISION OF SERVICES, DURING THE NORMAL COLLECTIONS CYCLE, OR MAY BE USED TO RE-CLASSIFY ACCOUNTS AFTER THEY HAVE BEEN DEEMED UNCOLLECTIBLE AND SUBSEQUENTLY RETURNED FROM A THIRD PARTY COLLECTION AGENCY). ONCE APPROVED, THE PATIENT WILL REMAIN ELIGIBLE FOR CHARITY CARE FOR A MAXIMUM OF FOUR MONTHS. THE ELIGIBILITY PERIOD WILL BEGIN FROM THE DATE OF THE PATIENT'S APPROVAL OF CHARITY CARE. CHARITY CARE DISCOUNTS WILL BE GIVEN FOR CURRENT OPEN ACCOUNTS AND THE FOLLOWING FOUR MONTHS OF EMERGENCY SERVICES OR MEDICALLY NECESSARY CARE. AFTER THE ELIGIBILITY PERIOD HAS ELAPSED, THE PATIENT MUST REAPPLY FOR FINANCIAL ASSISTANCE. LINES 16A, 16B, AND 16C: ALL FACILITIES THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT THE FOLLOWING ADDRESS: HTTPS://FRANCISCANHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE/FINAN CIAL-ASSISTANCE-AND-COUNSELING LINE 22: FRANCISCAN HEALTH CHICAGO HEIGHTS, FRANCISCAN HEALTH OLYMPIA FIELDS FRANCISCAN HEALTH CHICAGO HEIGHTS AND FRANCISCAN HEALTH OLYMPIA FIELDS COMPUTE THE MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS BASED ON THE ILLINOIS UNINSURED DISCOUNT ACT. UNDER THIS ACT, ILLINOIS FACILITIES CANNOT CHARGE GREATER THAN 135% OF COST. THIS METHOD RESULTS IN A LARGER DISCOUNT THAN THAT DETERMINED BY THE FEDERAL CALCULATION.

Field	Value	IRS element (for citing)
Facility	179	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (179 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
WOODLAND CANCER CARE CENTER
8955 W 400 NORTH	MICHIGAN CITY	IN	46360	CANCER CENTER
IIMC
701 E COUNTY LINE ROAD SUITE 101	GREENWOOD	IN	46143	PHYSICIAN PRACTICE
ST FRANCIS RADIATION THERAPY CENTERS
8111 S EMERSON AVENUE	INDIANAPOLIS	IN	46239	RADIATION THERAPY
INDIANA HEART PHYSICIANS
5330 E STOP 11 ROAD	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
FRANCISCAN SURGERY CENTER
5255 E STOP 11 ROAD SUITE 100	INDIANAPOLIS	IN	46237	AMBULATORY SURGERY CENTER
FPN - ST ANTHONY WOODLAND HEALTH CENTER
8865 W 400 NORTH	MICHIGAN CITY	IN	46360	PHYSICIAN PRACTICE
FRANCISCAN HAMMOND CLINIC
7905 CALUMET AVENUE	MUNSTER	IN	46321	SPECIALTY CENTER/URGENT CARE
FPN MC - ORTHOPEDIC HEALTH PARTNERS
1225 E COOLSPRING AVENUE	MICHIGAN CITY	IN	46360	PHYSICIAN PRACTICE
FRANCISCAN MEDICAL SPECIALISTS
761 45TH STREET	MUNSTER	IN	46321	PHYSICIAN PRACTICE
FRANCISCAN HAMMOND CLINIC
9800 VALPARAISO DRIVE	MUNSTER	IN	46321	FAMILY WELLNESS CENTER
THE ENDOSCOPY CENTER AT ST FRANCIS
8051 S EMERSON AVENUE SUITE 150	INDIANAPOLIS	IN	46237	ENDOSCOPY CENTER
FPN OBSTETRICSGYNECOLOGY
3900 SAINT FRANCIS WAY STE 100 11	LAFAYETTE	IN	47905	PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK OF ILLINOIS
30 E 15TH STREET	CHICAGO HEIGHTS	IL	60411	RESIDENCY CLINIC SERVICES
FRANCISCAN MEDICAL SPECIALISTS
919 MAIN STREET	DYER	IN	46311	PHYSICIAN PRACTICE
MOORESVILLE SURGERY CENTER
1215 HADLEY ROAD SUITE 100	MOORESVILLE	IN	46260	AMBULATORY SURGERY CENTER
SOUTH EMERSON SURGERY CENTER
8141 S EMERSON AVENUE SUITE C	INDIANAPOLIS	IN	46237	AMBULATORY SURGERY CENTER
FRANCISCAN PHYSICIAN NETWORK OF ILLINOIS
20180 S LAGRANGE ROAD	FRANKFORT	IL	60423	PHYSICIAN PRACTICE
FRANCISCAN PHYSICIANS NETWORK - FMS
759 45TH STREET	MUNSTER	IN	46321	ORTHO/PT
COOPERATIVE MANAGED CARE SERVICES
9045 RIVER ROAD SUITE 250	INDIANAPOLIS	IN	46240	MANAGED CARE
FRANCISCAN PHYSICIAN NETWORK - MC
8965 W 400 NORTH	MICHIGAN CITY	IN	46360	PHYSICIAN PRACTICE SURGERY CENTER
INDY SOUTHSIDE SURGICAL
5255 E STOP 11 450	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK OF ILLINOIS
20121 SOUTH CRAWFORD AVENUE	OLYMPIA FIELDS	IL	60461	PHYSICIAN PRACTICE
ONCOLOGY AND HEMATOLOGY SPECIALISTS
8111 S EMERSON AVENUE SUITE 101	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
ORTHOPEDIC SPECIALISTS
5255 E STOP 11 RD 300	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK - MC
1501 WABASH STREET	MICHIGAN CITY	IN	46360	PHYSICIAN PRACTICE
FPN DERMATOLOGY FAMILY MEDICINE PEDS
915 SAGAMORE PARKWAY WEST	WEST LAFAYETTE	IN	47906	PHYSICIAN PRACTICE
KENDRICK COLON & RECTAL CENTER
5255 E STOP 11 RD 250	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
ST FRANCIS IMAGING CENTER
3147 WEST SMITH VALLEY ROAD	GREENWOOD	IN	46143	IMAGING
FRANCISCAN ST JAMES HEALTH
HEALTH WELLNESS CENTER 100 W 197	CHICAGO HEIGHTS	IL	60411	WELLNESS CENTER
FRANCISCAN PHYSICIANS NETWORK - HOMEWOOD
18636 DIXIE HIGHWAY	HOMEWOOD	IL	60430	PHYSICIAN PRACTICE
JOINT REPLACEMENT SURGEONS
1199 HADLEY ROAD	MOORESVILLE	IN	46158	PHYSICIAN PRACTICE
FPN CP CROWN POINT PEDIATRICS
1505 SOUTH COURT STREET	CROWN POINT	IN	46307	PHYSICIAN PRACTICE
FRANCISCAN HAMMOND CLINIC
11355 WEST 97TH LANE	ST JOHN	IN	46373	PRIMARY CARE
MOORESVILLE ENDOSCOPY CENTER
1215 HADLEY ROAD SUITE 101	MOORESVILLE	IN	46158	ENDOSCOPY CENTER
FRANCISCAN PHYSICIAN NETWORK OF ILLINOIS
20201 SOUTH CRAWFORD AVENUE	OLYMPIA FIELDS	IL	60461	DIABETES CLINIC
FRANCISCAN MEDICAL SPECIALISTS
2001 US 41	SCHERERVILLE	IN	46375	PT/SPEC CENTER
FPN CP VALPARAISO CLINIC
2421 LAPORTE AVENUE	VALPARAISO	IN	46385	PHYSICIAN PRACTICE
GREENWOOD IMMEDIATE CARE
1001 N MADISON AVENUE	GREENWOOD	IN	46142	IMMEDIATE CARE CENTER
FRANCISCAN MEDICAL SPECIALISTS
300 W 80TH PLACE	MERRILLVILLE	IN	46410	PHYSICIAN PRACTICE
FPN NEPHROLOGY FPN PULMONARY
2708 FERRY STREET	LAFAYETTE	IN	47904	PHYSICIAN PRACTICE
FRANCISCAN MEDICAL SPECIALISTS
5529 HOHMAN AVENUE	HAMMOND	IN	46320	PHYSICIAN PRACTICE
DIABETES AND ENDOCRINOLOGY SPECIALISTS
5230A E STOP 11 ROAD SUITE 150	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
FPN BROADWAY CLINIC
9470 BROADWAY	CROWN POINT	IN	46307	PHYSICIAN PRACTICE
PEDIATRIC ASSOCIATES OF GREENWOOD
900 AVERITT ROAD	GREENWOOD	IN	46143	PHYSICIAN PRACTICE
FRANCISCAN IMMEDIATE CARE - THOMPSON
5210 E THOMPSON ROAD	INDIANAPOLIS	IN	46237	IMMEDIATE CARE
NEUROSURGICAL SPECIALISTS
8051 S EMERSON AVENUE SUITE 300	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
FPN CARDIOLOGY ELECTROPHYSIOLOGY
3900 SAINT FRANCIS WAY STE 200	LAFAYETTE	IN	47905	PHYSICIAN PRACTICE
FRANCISCAN MEDICAL SPECIALISTS
757 45TH STREET	MUNSTER	IN	46321	HOME INFUSION
FRANCISCAN ST JAMES HEALTH-HOME HEALTH
1400 OTTO BOULEVARD	CHICAGO HEIGHTS	IL	60411	HOME HEALTH
INDIANA SLEEP CENTER
701 E COUNTY LINE ROAD SUITE 207	GREENWOOD	IN	46143	SLEEP CENTER
FPN CP WINFIELD CLINIC
11161 RANDOLPH STREET	CROWN POINT	IN	46307	PHYSICIAN PRACTICE
SPECIALTY PHYSICIANS OF ILLINOIS
3900 W 203RD ST	OLYMPIA FIELDS	IL	60461	PHYSICIAN PRACTICE
FPN - DYER FAMILY HEALTH CENTER
840 RICHARD ROAD	DYER	IN	46311	PHYSICIAN PRACTICE
IMPACT CENTER
1201 HADLEY ROAD	MOORESVILLE	IN	46158	PHYSICIAN PRACTICE
OMNI REHABILITATION
810 MICHAEL DRIVE	CHESTERTON	IN	46304	PHYSICIAN PRACTICE
SOUTHPORT FP AND SPORTS MEDICINE
7825 MCFARLAND LANE A	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
FPN FAMILY & GERIATRIC MEDICINE
3920 ST FRANCIS WAY SUITE 209	LAFAYETTE	IN	47905	PHYSICIAN PRACTICE
ALVERNO DURABLE MEDICAL EQUIPMENT
16149 SOUTH CLINTON STREET	HARVEY	IL	60426	DME
REHABILITATION SPECIALISTS
8051 S EMERSON AVENUE SUITE 250	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
MOORESVILLE FAMILY CARE
1001 HADLEY ROAD SUITE 102	MOORESVILLE	IN	46158	PHYSICIAN PRACTICE
FPN CP EXPRESS CARE
12800 MISSISSIPPI PARKWAY	CROWN POINT	IN	46307	PHYSICIAN PRACTICE
FPN CP - CHESTERON NEURO
770 INDIAN BOUNDARY ROAD	CHESTERTON	IN	46304	PHYSICIAN PRACTICE
FPN - DYER SOUTH FAMILY HEALTH CENTER
14785 WEST 101ST AVENUE	DYER	IN	46311	PHYSICIAN PRACTICE
FPN CRAWFORDSVILLE FAMILY MEDICINE
308 W MARKET STREET	CRAWFORDSVILLE	IN	47933	PHYSICIAN PRACTICE
FPN CP SCHERERVILLE CHERRY CREEK CLINIC
7310 W LINCOLN HIGHWAY	SCHERERVILLE	IN	46307	PHYSICIAN PRACTICE
FPN - HAMMOND SPECIALTY HEALTH CENTER
5454 HOHMAN AVENUE	HAMMOND	IN	46320	PHYSICIAN PRACTICE
ST JAMES COMMUNITY HEALTH CENTER
BEECHER 989 DIXIE HIGHWAY	BEECHER	IL	60401	PHYSICAL THERAPY SERVICES
SOUTH INDY MRI AND REHAB
8141 S EMERSON AVENUE SUITE A	INDIANAPOLIS	IN	46237	RADIOLOGY AND PHYSICAL
CENTER GROVE FAMILY MEDICINE
362 MERIDIAN PARKE LANE	GREENWOOD	IN	46142	PHYSICIAN PRACTICE
SOUTHEAST FAMILY MEDICINE
965 EMERSON PARKWAY STE J	GREENWOOD	IN	46143	PHYSICIAN PRACTICE
SPINE SPECIALISTS
8051 S EMERSON AVENUE SUITE 360	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
COUNTY LINE PEDIATRICS
747 E COUNTY LINE RD G	GREENWOOD	IN	46143	PHYSICIAN PRACTICE
MADISON AVE FAMILY MEDICINE
747 E County Line Road Suite D	GREENWOOD	IN	46143	PHYSICIAN PRACTICE
PSYCHIATRIC SPECIALISTS
610 E SOUTHPORT ROAD SUITE 200	INDIANAPOLIS	IN	46227	PHYSICIAN PRACTICE
BEECH GROVE FAMILY MEDICINE
2030 CHURCHMAN AVENUE A	BEECH GROVE	IN	46107	PHYSICIAN PRACTICE
CENTRAL INDIANA DERMATOLOGY
5255 E STOP 11 ROAD 310	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
FPN CP NORTH POINT OBGYN
1205 S MAIN STREET	MUNSTER	IN	46321	PHYSICIAN PRACTICE
AMER HEALTH NETWORK - SLEEP (MUNCIE)
3631 N MORRISON ROAD	MUNCIE	IN	47304	SLEEP CENTER
FPN GREENACRES FAMILY MEDICINE
1500 DARLINGTON AVENUE SUITE 300	CRAWFORDSVILLE	IN	47933	PHYSICIAN PRACTICE
FPN CP CROWN POINT CLINIC
12800 MISSISSIPPI PARKWAY	CROWN POINT	IN	46307	PHYSICIAN PRACTICE
FPN CP NORTH POINT INTERNAL MEDICINE
2050 NORTH MAIN STREET	CROWN POINT	IN	46307	PHYSICIAN PRACTICE
PLASTIC & RECONSTRUCTIVE SURGEONS
8051 S EMERSON AVENUE SUITE 450	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
FPN CP SPECIALTY CENTER suite 201
1205 S MAIN STREET	CROWN POINT	IN	46307	PHYSICIAN PRACTICE
HEARTLAND CROSSING PEDIATRICS
1001 HADLEY RD STE LL 100	MOORESVILLE	IN	46158	PHYSICIAN PRACTICE
INDY SOUTHSIDE FAMILY MEDICINE
4018 E SOUTHPORT RD	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
IRVINGTON FAMILY MEDICINE
5839 E WASHINGTON STREET	INDIANAPOLIS	IN	46219	PHYSICIAN PRACTICE
FRANCISCAN IMMEDIATE CARE - VILLAGE PARK
14641-1 THATCHER LANE	CARMEL	IN	46032	IMMEDIATE CARE
MARTINSVILLE FAMILY & INTERNAL MEDICINE
49 BILLS BLVD	MARTINSVILLE	IN	46151	physician practice
FPN CP LOWELL CLINIC
4500 W 181ST AVE	LOWELL	IN	46356	PHYSICIAN PRACTICE
KENDRICK FAMILY MEDICINE
1001 HADLEY ROAD SUITE 101	MOORESVILLE	IN	46158	PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK OF ILLINOIS
1423 CHICAGO ROAD	CHICAGO HEIGHTS	IL	60411	PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK OF ILLINOIS
18636 DIXIE HIGHWAY	HOMEWOOD	IL	60430	PHYSICIAN PRACTICE
WEIGHT LOSS SPECIALISTS
5230A E STOP 11 ROAD SUITE 190	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
GREENWOOD PEDIATRICS
8849 SHELBY ST B1	INDIANAPOLIS	IN	46227	PHYSICIAN PRACTICE
PHYSICIAN OUTPATIENT
24 JOLIET STREET SUITE 101	DYER	IN	46311	PHYSICIAN PRACTICE
SOUTH 31 FAMILY CARE
610 E SOUTHPORT ROAD SUITE 205	INDIANAPOLIS	IN	46227	PHYSICIAN PRACTICE
GYNECOLOGIC ONCOLOGY SPECIALISTS
8111 S EMERSON SUITE 204	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
FPN INTERNAL MEDICINE & SURGICAL SPEC
1630 LAFAYETTE ROAD SUITE 300	CRAWFORDSVILLE	IN	47933	PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK - MC
8955 W 400 NORTH	MICHIGAN CITY	IN	46360	PHYSICIAN PRACTICE CANCER CENTER
FRANCISCAN PHYSICIAN NETWORK LAKE RIDGE
1573 N CLINE AVENUE	GRIFFITH	IN	46319	PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK OF ILLINOIS
3700 W 203RD ST	OLYMPIA FIELDS	IL	60461	PHYSICIAN PRACTICE
SPECIALTY PHYSICIANS OF ILLINOIS
1423 CHICAGO ROAD	CHICAGO HEIGHTS	IL	60411	PHYSICIAN PRACTICE
FPN CP CEDAR LAKE CLINIC
6831 133RD AVENUED	CEDAR LAKE	IN	46303	FAMILY PRACTICE
COLUMBUS PRIMARY & SPECIALTY CARE
123 2ND STREET	COLUMBUS	IN	47201	PHYSICIAN PRACTICE
FPN ORTHOPEDIC AND SPORTS MEDICINE
1702 LAFAYETTE ROAD	CRAWFORDSVILLE	IN	47933	PHYSICIAN PRACTICE
PLAINFIELD FAMILY MEDICINE
315 DAN JONES ROAD SUITE 150	PLAINFIELD	IN	46168	PHYSICIAN PRACTICE
GREENWOOD PARKE FAMILY MEDICINE
701 E COUNTY LINE ROAD SUITE 204	GREENWOOD	IN	46143	PHYSICIAN PRACTICE
CARMEL FAMILY MEDICINE
12188 B NORTH MERIDIAN ST 280	CARMEL	IN	46032	PHYSICIAN PRACTICE
FRANKLIN TOWNSHIP FAMILY MEDICINE
8325 E SOUTHPORT ROAD SUITE 100	INDIANAPOLIS	IN	46259	PHYSICIAN PRACTICE
FPN EASTSIDE FAMILY MEDICINE
2056 LEBANON ROAD	CRAWFORDSVILLE	IN	47933	PHYSICIAN PRACTICE
BREAST SPECIALISTS
8111 S EMERSON 104	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
FPN - OMNI FAMILY HEALTH CENTER
221 US HWY 41 SUITE I	SCHERERVILLE	IN	46375	PHYSICIAN PRACTICE
FPN - ST JOHN HEALTH CENTER
10860 MAPLE LANE	ST JOHN	IN	46373	PHYSICIAN PRACTICE
FPN FAMILY MEDICINE - KENSINGTON
3875 KENSINGTON DRIVE	LAFAYETTE	IN	47905	PHYSICIAN PRACTICE
FPN CP DEMOTTE CLINIC
200 3RD COURT SE	DEMOTTE	IN	46310	PHYSICIAN PRACTICE
MAJOR HOSPITAL CARDIAC DIAGNOSTICS
150 WEST WASHINGTON STREET	SHELBYVILLE	IN	46176	CARDIOVASCULAR TESTING
FPN NORTHRIDGE INTERNAL MEDICINE
1704 LAFAYETTE ROAD SUITE 8	CRAWFORDSVILLE	IN	47933	PHYSICIAN PRACTICE
SPECIALTY PHYSICIANS OF ILLINOIS
3700 W 203RD ST	OLYMPIA FIELDS	IL	60461	PHYSICIAN PRACTICE
PULMONARY & SLEEP SPECIALISTS
1040 GREENWOOD SPRINGS BLVD	GREENWOOD	IN	46143	PHYSICIAN PRACTICE
FPN - DYER SPECIALTY HEALTH CENTER
24 JOLIET STREET SUITE 101	DYER	IN	46311	PHYSICIAN PRACTICE
HEARTLAND INTERNAL MEDICINE
10701 ALLIANCE DRIVE	CAMBY	IN	46113	PHYSICIAN PRACTICE
FPN NORTHSIDE FAMILY MEDICINE
1660 LAFAYETTE ROAD SUITE 170	CRAWFORDSVILLE	IN	47933	PHYSICIAN PRACTICE
MONTICELLO MEDICAL CENTER
826 N 6TH ST	MONTICELLO	IN	47960	MEDICAL PRACTICE
FPN PHYSICAL MEDICINE & REHABILITATION
1012 N 14TH STREET	LAFAYETTE	IN	47904	PHYSICIAN PRACTICE
FPN - HAMMOND FAMILY HEALTH CENTER
5500 HOHMAN AVENUE SUITE 2A	HAMMOND	IN	46320	physician practice
FPN CP MEDICAL ARTS INTERNAL MEDICINE
297 WEST FRANCISCAN LANE SUITE 104	CROWN POINT	IN	46307	PHYSICIAN PRACTICE
KENDRICK INTERNAL MEDICINE
1001 HADLEY ROAD LL050	MOORESVILLE	IN	46158	PHYSICIAN PRACTICE
RHEUMATOLOGY & OSTEOPOROSIS SPECIALISTS
5255 E STOP 11 ROAD SUITE 320	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
Center Grove Internal Medicine
107 N State Road 135 103	GREENWOOD	IN	46142	PHYSICIAL PRACTICE
CENTRAL INDIANA PROCTOLOGY
49 BILLS BLVD	MARTINSVILLE	IN	46151	Physician Practice
MCFARLAND INTERNAL MEDICINE
7855 S Emerson Ave P	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
MCFARLAND FAMILY MEDICINE
7855 S Emerson Ave P	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
CENTRAL EXPRESS CARE
1501 HARTFORD ST	LAFAYETTE	IN	47905	URGENT CARE
FPN BEHAVIOR HEALTH
1501 HARTFORD ST	LAFAYETTE	IN	47905	Physician Practice
FPN - DOUGLAS PARK HEALTH CARE
3831 HOHMAN AVENUE	HAMMOND	IN	46327	PHYSICIAN PRACTICE
CITYWAY FAMILY & SPORTS MEDICINE
426 S ALABAMA STREET	INDIANAPOLIS	IN	46225	PHYSICIAN PRACTICE
RHEUMATOLOGY CARE SPECIALISTS
1205 HADLEY ROAD	MOORESVILLE	IN	46158	PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK - MC
500 W BUFFALO STREET	NEW BUFFALO	MI	49117	PHYSICIAN PRACTICE
MOORESVILLE AFTER HOURS CLINIC
1001 HADLEY ROAD SUITE 101	MOORESVILLE	IN	46158	PHYSICIAN PRACTICE
FPN - MICHIGAN CITY EXPRESS CARE
2590 MORTHDAND DRIVE STE I	VALPARAISO	IN	46383	PHYSICIAN PRACTICE
AMER HEALTH NETWORK - KOKOMO
2330 S DIXON ROAD	KOKOMO	IN	46902	IMAGING
PLEASANT VIEW FAMILY MEDICINE
12524 SOUTHEASTERN AVENUE	INDIANAPOLIS	IN	46259	PHYSICIAN PRACTICE
SPECIALTY PHYSICIANS OF ILLINOIS
20201 SOUTH CRAWFORD AVENUE	OLYMPIA FIELDS	IL	60461	PHYSICIAN PRACTICE
EXPRESS CARE RENSSELAER
919 GRACE STREET	RENSSELAER	IN	47978	PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK OF ILLINOIS
20180 S LAGRANGE ROAD	FRANKFORT	IL	60423	EXPRESS CARE CLINIC
FPN CP SKILLED NURSING
1205 S MAIN STREET	CROWN POINT	IN	46307	PHYSICIAN PRACTICE
SPECIALTY PHYSICIANS OF ILLINOIS
BEECHER 989 DIXIE HIGHWAY	BEECHER	IL	60401	PHYSICIAN PRACTICE
WOUND CARE SPECIALISTS
8111 S EMERSON AVENUE	INDIANAPOLIS	IN	46237	PHYSICIAN PRACTICE
SKILLED NURSING FACILITY
4904 WAR ADMIRAL DRIVE	INDIANAPOLIS	IN	46237	NURSING FACILITY
FRANCISCAN IMMEDIATE CENTER
919 E Grace Street	RENSSELAER	IN	47978	IMMEDIATE CARE
BEECH GROVE INTERNAL MEDICINE
2030 CHURCHMAN AVENUE SUITE A	BEECH GROVE	IN	46107	IMMEDIATE CARE
SPORTS MEDICINE SPECIALISTS
315 DAN JONES ROAD 120	PLAINFIELD	IN	46168	physician practice
AMER HEALTH NETWORK - SLEEP (CARMEL)
12425 OLD MERIDIAN STREET SUITE A-	CARMEL	IN	46032	SLEEP CENTER
FPN CARDIOLOGY LOGANSPORT
1201 Michigan Ave Suite 50	Logansport	IN	46947	SLEEP CENTER
ORTHOPEDIC FOOT & ANKLE SURGEONS
1199 HADLEY ROAD SUITE 300	MOORESVILLE	IN	46158	PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK OF ILLINOIS
344 VICTORY DRIVE	PARK FOREST	IL	60466	PHYSICIAN PRACTICE
SPECIALTY PHYSICIANS OF ILLINOIS
3800 W 203RD ST	OLYMPIA FIELDS	IL	60461	PHYSICIAN PRACTICE
FPN - MICHIGAN CITY
2307 LAPORTE AVE STE B	VALPARAISO	IN	46383	PHYSICIAN PRACTICE
FPN- MICHIGAN CITY EXPRESS CARE
3325 WILLOWCREEK ROAD	PORTAGE	IN	46368	PHYSICIAN PRACTICE
MUNSTER DME
7847 CALUMET AVENUE	MUNSTER	IN	46321	DME
Pallative Care
8111 S Emerson Ave	INDIANAPOLIS	IN	46237	PALLATIVE CARE
AMER HEALTH NETWORK - MUNCIE
3631 N MORRISON ROAD	MUNCIE	IN	47304	PT, IMAGING, SURGERY
FPN CP RADIATION ONCOLOGY
1201 S MAIN STREET BURRELL CANCER C	CROWN POINT	IN	46307	PHYSICIAN PRACTICE
FPN RENSSELAER MEDICAL CENTER- FM & Gen
118 w Drexel Parkway	RENSSELAER	IN	47978	PHYSICIAN PRACTICE
FPN HD SKILLED NURSING
5454 HOHMAN AVENUE	HAMMOND	IN	46320	PHYSICIAN PRACTICE
ALVERNO DURABLE MEDICAL EQUIPMENT
3900 W 203RD ST	OLYMPIA FIELDS	IL	60461	DME
FRANCISCAN PHYSICIAN NETWORK OF ILLINOIS
20939 S CICERO AVENUE	MATTESON	IL	60443	PHYSICIAN PRACTICE
FPN CP ST CLARE CLINIC
1121 S INDIANA	CROWN POINT	IN	46307	PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK OF ILLINOIS
211 DIXIE HIGHWAY	CHICAGO HEIGHTS	IL	60411	EXPRESS CARE CLINIC
PHYSICAL THERAPY - AQUA WORKING WELL
4111 FRANKLIN STREET	MICHIGAN CITY	IN	46360	PHYSICAL THERAPY
FRANCISCAN IMMEDIATE CARE - CASTLE KEY
4527 E 82ND STREET	INDIANAPOLIS	IN	46250	IMMEDIATE CARE
FRANCISCAN PHYSICIAN NETWORK - MC
900 I STREET	LAPORTE	IN	46350	PHYSICIAN PRACTICE
Post Acute Transitional Care
5330 E STOP 11 ROAD	INDIANAPOLIS	IN	46237	POST ACUTE TRANSITIONAL CARE
FPN CP MUNSTER NEUROSURGERY
759 45H STREET	MUNSTER	IN	46321	PHYSICIAN PRACTICE
ST JAMES HEALTH OUTPATIENT PHARMACY
3700 203RD STREET SUITE 108	OLYMPIA FIELDS	IL	60461	PHARMACY
AMER HEALTH NETWORK - PERU
315 W OLD KEY DRIVE IMAGING SUITE	PERU	IN	46970	IMAGING
FRANCISCAN PHYSICIAN NETWORK
19400 North Creek Drive	Lynwood	IL	60411	PHYSICIAN PRACTICE
FPN CP HOSPITALISTS
1205 S MAIN STREET	CROWN POINT	IN	46307	Physician Practice
FRANCISCAN MEDICAL SPECIALISTS
1101 GLENDALE ROAD SUITE 110	VALPARAISO	IN	46383	PHYSICIAN PRACTICE

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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ExplanationExplanationTxt

SUPPLEMENTAL INFORMATION

SCHEDULE H, PART VI, ITEM 2 NEEDS ASSESSMENT FRANCISCAN ALLIANCE, INC. ("FRANCISCAN") HOSPITALS ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE BY COLLABORATING WITH PUBLIC AND PRIVATE AGENCIES TO DETERMINE COMMUNITY HEALTH NEEDS AND HOW BEST TO ADDRESS THEM. FRANCISCAN'S CORPORATE COMMUNITY BENEFIT COMMITTEE, AS WELL AS COMMITTEES IN THE LOCAL FACILITIES, COMMITTED TO AN ONGOING ASSESSMENT OF COMMUNITY HEALTH NEEDS AND PRIORITIES BASED UPON HEALTH INITIATIVES OF THE MUNICIPAL, COUNTY, AND STATE HEALTH DEPARTMENTS, COMMUNITY-BASED ASSESSMENTS BY OTHER PUBLIC SECTOR PARTNERS, PROFESSIONAL RESEARCH CONSULTANT REPORTS, AND FAITH-BASED PARTNERS WITHIN THE COMMUNITIES SERVED. IN ADDITION, OUR HOSPITALS ADDRESS PUBLIC AGENCY AND COMMUNITY GROUP REQUESTS TO PROVIDE COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS THAT MEET CERTAIN SPECIALTY OR HYBRID NEEDS OR POPULATIONS. THE DETAILED CHNA ACTIVITIES FOR EACH OF FRANCISCAN'S HOSPITALS CAN BE FOUND IN PART V OF THIS SCHEDULE H. ------------------------------------------------------------------- SCHEDULE H, PART VI, ITEM 3 FINANCIAL ASSISTANCE POLICY FRANCISCAN'S HOSPITALS INFORM AND EDUCATE PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER FRANCISCAN'S FINANCIAL ASSISTANCE AND CHARITY CARE POLICY. FOR PATIENTS NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE, FRANCISCAN COMMUNICATES THE AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY THROUGH THE FOLLOWING MEANS: 1. FRANCISCAN COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN APPROPRIATE CARE SETTINGS SUCH AS EMERGENCY DEPARTMENTS, ADMITTING/REGISTRATION AREAS, BILLING OFFICES, OUTPATIENT SERVICE SETTINGS, AND ON OUR HOSPITALS' WEBSITES. SIGNS/POSTINGS INFORM PATIENTS THAT FREE OR REDUCED COST CARE MAY BE AVAILABLE TO QUALIFYING PATIENTS WHO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. 2. BROCHURES SUMMARIZING OUR FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE THROUGHOUT EACH FRANCISCAN HOSPITAL. 3. FINANCIAL COUNSELORS AND BUSINESS OFFICE PERSONNEL ARE AVAILABLE TO HELP PATIENTS UNDERSTAND AND APPLY FOR LOCAL, STATE, FEDERAL HEALTH CARE PROGRAMS; HEALTH INSURANCE EXCHANGES; AND FRANCISCAN'S FINANCIAL ASSISTANCE PROGRAMS. 4. ALL BILLS AND STATEMENTS FOR SERVICES INFORM UNINSURED PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. 5. PATIENTS/GUARANTORS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE APPLICATION BY CALLING THE FRANCISCAN BILLING OFFICE OR DOWNLOADING A COPY AT NO COST FROM FRANCISCAN HOSPITAL'S WEBSITES. 6. INDIVIDUALS OTHER THAN THE PATIENT, SUCH AS THE PATIENT'S PHYSICIAN, FAMILY MEMBERS, COMMUNITY OR RELIGIOUS GROUPS, SOCIAL SERVICES, OR HOSPITAL PERSONNEL MAY MAKE REQUESTS FOR FINANCIAL ASSISTANCE ON THE PATIENT'S BEHALF, SUBJECT TO APPLICABLE PRIVACY LAWS. 7. FRANCISCAN SENDS 4 STATEMENTS AND MAKES 6 PHONE CALL ATTEMPTS TO CONTACT THE PATIENT/GUARANTOR AT THE ADDRESS AND PHONE NUMBER PROVIDED BY THE PATIENT/GUARANTOR. STATEMENTS AND COMMUNICATIONS INFORM THE PATIENT OF THE AMOUNT DUE AND IF THEY CANNOT PAY THEIR BALANCE THE AVAILABILITY OF FINANCIAL ASSISTANCE. ------------------------------------------------ SCHEDULE H, PART VI, ITEM 4 COMMUNITY INFORMATION FRANCISCAN ALLIANCE SERVES A LARGE GEOGRAPHIC AREA WHICH INCLUDES 18 COUNTIES IN INDIANA (BENTON, CARROLL, FOUNTAIN, HAMILTON, JASPER, JOHNSON, LAKE, LAPORTE, MARION, MONTGOMERY, MORGAN, NEWTON, PORTER, SHELBY, STARKE, TIPPACANOE, WARREN, AND WHITE) AND 3 COUNTIES IN ILLINOIS (COOK, KANKAKEE, AND WILL). THE POPULATION OF THE COMMUNITIES THAT WE SERVE WAS ESTIMATED AT OVER 3.8 MILLION PEOPLE WITH AN AVERAGE HOUSEHOLD INCOME ABOVE $55,000 IN 2016. FOR THESE COMMUNITIES, THE PERCENTAGE OF RESIDENTS BELOW THE FEDERAL POVERTY LEVEL WAS ESTIMATED AT 15.3%. THE PERCENTAGE OF INPATIENTS FROM THESE COMMUNITIES WHO WERE SERVED BY MEDICAID WAS 19.4%. THE PERCENTAGE OF INPATIENTS FROM THESE COMMUNITIES WHO WERE UNINSURED WAS APPROXIMATELY 3.0%. IN COMPARISON, THE PERCENTAGES OF MEDICAID AND UNINSURED INPATIENTS TREATED BY THE HOSPITALS OF THE FRANCISCAN ALLIANCE WERE 20.1% AND 2.2% RESPECTIVELY IN 2016. THERE ARE 55 OTHER HOSPITALS THAT SERVE WITHIN THESE COMMUNITIES AS WELL. ------------------------------------------------ SCHEDULE H, PART VI, ITEM 5 & PART I, LINE 6A OTHER INFORMATION WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH REFLECTS FRANCISCAN'S MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION." ALTHOUGH IT IS NOT ALL INCLUSIVE OF THE MANY BENEFITS PROVIDED BY FRANCISCAN IT DOES PORTRAY THE SIGNIFICANT BENEFITS THAT REFLECT OUR COMMITMENT TO HEALTHCARE AND THE COMMUNITIES WE ARE PRIVILEGED TO SERVE. THE FOLLOWING IS A SUBSET OF THE MANY CLINICAL SERVICES AS WELL AS POPULATION HEALTH IMPROVEMENT AND COMMUNITY OUTREACH ACTIVITIES OFFERED BY ONE OR MORE OF FRANCISCAN'S HEALTHCARE FACILITIES: - INPATIENT HOSPITAL SERVICES INCLUDING: MEDICAL SERVICES, SURGICAL SERVICES, INTENSIVE CARE SERVICES, TELEMETRY SERVICES, OBSTETRICS SERVICES, PEDIATRICS SERVICES, NEONATAL INTENSIVE CARE SERVICES, ACUTE REHABILITATION SERVICES, ONCOLOGY SERVICES, BONE MARROW TRANSPLANT SERVICES, GENERAL SURGERY SERVICES, CARDIAC SURGERY SERVICES, VASCULAR SERVICES, PULMONARY SERVICES, INTERVENTIONAL RADIOLOGY, ORTHOPEDICS, JOINT AND SPINE CARE, GASTROINTESTINAL CARE, NEUROSCIENCES SERVICES, COLON AND RECTAL SERVICES, ANESTHESIA SERVICES, HOSPICE SERVICES, INPATIENT PSYCHIATRIC CARE, RESIDENTIAL TREATMENT PROGRAM FOR ADOLESCENTS, ETC. - EMERGENCY SERVICES INCLUDING: 24 HOUR EMERGENCY ROOM SERVICES, AMBULANCE SERVICES, IMMEDIATE CARE SERVICES, ADVANCED LIFE SUPPORT SERVICES, BASIC LIFE SUPPORT SERVICES, BEHAVIORAL HEALTH EMERGENCY CONSULTATION SERVICES, 24-HOUR CRISIS AND REFERRAL HOTLINE, ETC. - OUTPATIENT SERVICES INCLUDING: LABORATORY SERVICES, PHYSICAL THERAPY SERVICES, OCCUPATIONAL THERAPY SERVICES, SPEECH THERAPY SERVICES, GENERAL RADIOLOGY SERVICES, COMPUTED TOMOGRAPHY SERVICES, MAGNETIC RESONANCE IMAGING (MRI), NUCLEAR MEDICINE SERVICES, MAMMOGRAPHY SERVICES, ANGIOGRAPHY SERVICES, NEURODIAGNOSTICS SERVICES, GASTRO/INTESTINAL SERVICES, SLEEP LABORATORY, PULMONARY SERVICES, OUTPATIENT SURGERY, CARDIAC TESTING, ELECTROCARDIOGRAM (EKG) SERVICES, MEDICAL ONCOLOGY SERVICES, RADIATION ONCOLOGY SERVICES, PHARMACY, OCCUPATIONAL MEDICINE SERVICES, CARDIAC/PULMONARY REHABILITATION SERVICES, CONGESTIVE HEART FAILURE CLINIC, WOUND HEALING AND PREVENTION, NUTRITIONAL COUNSELING, DIABETES MANAGEMENT, BARIATRIC SERVICES, PAIN MANAGEMENT, SOCIAL SERVICES, PALLIATIVE CARE, SPORTS MEDICINE, BEHAVIORAL HEALTH, STROKE SERVICES, HOME HEALTH SERVICES, SKILLED NURSING SERVICES, SOCIAL SERVICES, DURABLE MEDICAL EQUIPMENT. - PRIMARY CARE AND SPECIALTY CARE PHYSICIAN CLINICS. - SUBSIDIZED HEALTHCARE SERVICES OFFERED BY FRANCISCAN: - FRANCISCAN HAS NEIGHBORHOOD HEALTH CLINICS THAT OFFER FAMILY PRACTICE SERVICES DESIGNED FOR FAMILIES WITHOUT ACCESS TO AFFORDABLE HEALTH CARE. THE FOCUS IS ON PROVIDING PRIMARY AND PREVENTIVE CARE AS WELL AS HEALTH EDUCATION. THESE CLINICS OFFER FREE IMMUNIZATIONS. - FRANCISCAN'S SEXUAL ASSAULT CLINICS THAT PROVIDE MEDICAL AND FORENSIC ASSISTANCE THAT IS SENSITIVE TO THE SPECIAL NEEDS OF THE VICTIM AS WELL AS A VICTIM ADVOCATE PROGRAM AND CRISIS INTERVENTION COUNSELORS. - FRANCISCAN'S BLOOD AND MARROW TRANSPLANT PROGRAM IS ONLY ONE OF TWO PROGRAMS IN INDIANA OFFERING FULL SERVICE TRANSPLANT CARE AND SPECIALIZES IN THE TREATMENT OF PATIENTS WITH LEUKEMIA, HODGKIN'S OR NON-HODGKIN'S LYMPHOMA, MULTIPLE MYELOMA, AND MANY OTHER MALIGNANCIES AND BLOOD DISORDERS. - FRANCISCAN'S DIABETES EDUCATION CENTERS OFFER A NUMBER OF DIABETES CLASSES AND INDIVIDUALIZED SESSIONS TO HELP PATIENTS TAKE CONTROL OF THEIR HEALTH WITH A FOCUS ON NUTRITIONAL, EXERCISE, MEDICATIONS, CHRONIC CONDITIONS, PRECONCEPTION AND PREGNANCY, BLOOD GLUCOSE MONITORING, GOAL SETTING, PROBLEM SOLVING, PSYCHOSOCIAL ADJUSTMENT, DETECTION/TREATMENT OF HIGH AND LOW BLOOD SUGAR, AND INSULIN ADMINISTRATION. - FRANCISCAN'S WOMEN'S AND CHILDREN'S SERVICES INCLUDE PREVENTIVE MEDICAL CARE AND HEALTH SCREENINGS TO GYNECOLOGICAL CARE, MATERNITY, LACTATION CONSULTATION SERVICES, AND BEYOND, FRANCISCAN'S FACILITIES FOCUS ON KEEPING WOMEN HEALTHY. - FRANCISCAN'S HOSPICE CARE SERVICES PROVIDE A SENSE OF DIGNITY AND COMPASSION TO BOTH THE PATIENT AND THEIR FAMILY IN CARING FOR PATIENTS WITH A LIFE EXPECTANCY OF SIX MONTHS OR LESS. OUR PROGRAMS AFFIRM AND CELEBRATE LIFE AND REGARD DYING AS A NATURAL PROCESS, RECOGNIZING THAT EVERY PERSON HAS THE RIGHT TO DIE WITH DIGNITY, PEACE, AND COMFORT REGARDLESS OF THEIR ETHNIC, FAITH BACKGROUND, OR ABILITY TO PAY. - ST. MONICA HOME FOR PREGNANT TEENS OFFERS A MEDICALLY SOUND AND EMOTIONALLY HEALTHY ENVIRONMENT FOR A PREGNANT TEEN TO RESIDE IN WHILE WAITING FOR THE BIRTH OF HER BABY. OPENED IN JULY OF 1994 ON THE FRANCISCAN HEALTH DYER CAMPUS, RESIDENTS OF ST. MONICA HOME LEARN TO FOSTER POSITIVE RELATIONSHIPS AND PA

SCHEDULE H, PART II

COMMUNITY BUILDING ACTIVITIES FRANCISCAN IS INVOLVED IN AND ACTIVELY PARTICIPATES IN NUMEROUS COMMUNITY BUILDING ACTIVITIES. WE WORK TO PROVIDE QUALITY CARE AND COMMUNITY BUILDING ACTIVITIES BY PARTNERING WITH OTHER HEALTH CARE PROVIDERS, GOVERNMENT AGENCIES, AND NOT-FOR-PROFIT SOCIAL SERVICE AGENCIES TO SERVE OUR COMMUNITIES' DIVERSE HEALTH CARE NEEDS. THE COMMUNITY BUILDING ACTIVITIES OFFERED BY FRANCISCAN ARE PROVIDED WITHOUT REIMBURSEMENT, SERVE AT-RISK POPULATIONS, AND PROVIDE HEALTH EDUCATION TO KEY COMMUNITY GROUPS. WE MONITOR THESE ACTIVITIES FOR OUTCOMES BY IDENTIFYING CHANGES IN HEALTH BEHAVIORS AND KNOWLEDGE. SOME EXAMPLES OF COMMUNITY HEALTH PROGRAMS FRANCISCAN PROVIDES INCLUDE: HEALTH EDUCATION, HEALTH FAIRS, FREE OR LOW COST HEALTH SCREENING, ACCESS TO HEALTHCARE SERVICES, IMMUNIZATION SERVICES, PRESCRIPTION MEDICATION ASSISTANCE PROGRAMS, NUTRITIONAL COUNSELING, ENROLLMENT ASSISTANCE IN MEDICAID, FREE SPA SERVICES FOR CANCER PATIENTS, FOOD ASSISTANCE, TRANSPORTATION ASSISTANCE, REFERRAL ASSISTANCE, BREAST CANCER AND CHILDHOOD OBESITY INITIATIVES, HEALTHY CHOICES INITIATIVES, CHILDHOOD ALCOHOLISM PREVENTION, AND OTHER VARIOUS COMMUNITY OUTREACH PROGRAMS. ADDITIONALLY, SEVERAL OF OUR HOSPITALS HAVE BEEN IDENTIFIED BY THE FEDERAL GOVERNMENT AS DESIGNATED REGIONAL MEDICATION DISTRIBUTION SITES IN THE EVENT OF A NATIONAL DISASTER OR EPIDEMIC/PANDEMIC. RESPONDING TO FEDERAL, STATE AND LOCAL NEEDS IN THE EVENT OF NATIONAL OR LOCAL DISASTERS OR EPIDEMIC/PANDEMICS, WE COLLABORATE AND COORDINATE OUR EFFORTS WITH MANY CIVIC AND OTHER AGENCIES TO ENSURE THAT THOSE NEEDS WILL BE MET SHOULD DISASTER STRIKE. FRANCISCAN ALLIANCE PROVIDES MEDICAL AND OTHER SUPPLIES, HEALTH CARE AND OTHER SERVICES, SCREENINGS, SUPPORT GROUPS, EDUCATIONAL OPPORTUNITIES AND PRESENTATIONS, AND OTHER SPONSORSHIPS. MEMBERS FROM ALL OF OUR ORGANIZATION CONTRIBUTE THEIR TIME AND SKILLS AND, IN MEANINGFUL WAYS, TOUCH MANY LIVES IN OUR COMMUNITIES. MEMBERS FROM OUR FACILITIES PARTICIPATE ON BOARDS, COALITIONS, TASK FORCES AND WORK WITH COLLEGES, UNIVERSITIES AND OTHER GROUPS TO ADDRESS THE HEALTHCARE NEEDS OF OUR COMMUNITIES. ----------------------------------------- SCHEDULE H, PART III, LINE 2 THROUGHOUT THE YEAR, THE CORPORATION ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ITS PATIENT ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE, AND OTHER RELEVANT FACTORS. THESE FACTORS INCLUDE CHANGES IN THE ECONOMY AND UNEMPLOYMENT RATES, WHICH HAS AN IMPACT ON THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, AS WELL AS TRENDS IN HEALTH CARE COVERAGE, SUCH AS THE INCREASED BURDEN OF DEDUCTIBLES, COPAYMENTS, AND COINSURANCE PAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED PROCEDURES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS AND CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE CORPORATION. UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WITH ANY SUBSEQUENT RECOVERIES BEING RECORDED AGAINST THE PROVISION FOR DOUBTFUL ACCOUNTS. ----------------------------------------- SCHEDULE H, PART III, LINE 3 THE CORPORATION HAS A SYSTEM-WIDE CHARITY CARE AND UNINSURED DISCOUNT POLICY; HAS DETAILED ADMINISTRATIVE PROCEDURES ESTABLISHED FOR QUALIFYING AND ENROLLING PATIENTS FOR CHARITY CARE OR UNINSURED/UNDERINSURED DISCOUNTS; USES VARIOUS ANALYTICAL PROGRAMS INCLUDING SOFT CREDIT INQUIRIES THAT DO NOT AFFECT CREDIT SCORES TO HELP ASSESS A PATIENT'S ABILITY TO PAY; AND UTILIZES NUMEROUS MECHANISMS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE WHICH ARE DETAILED UNDER SCHEDULE H, PART VI, ITEM 3. DESPITE THESE RIGOROUS EFFORTS, PATIENTS WHO NEED SUBSIDIZED CARE MAY NOT SEEK THIS ASSISTANCE OR CHOOSE TO ENROLL IN THE STATE'S MEDICAID PROGRAM. ALSO, AS FURTHER DESCRIBED IN HFMA STATEMENT NO. 15, THE APPROPRIATE CLASSIFICATION OF CHARITY CARE AND BAD DEBT IS OFTEN DIFFICULT. THE URGENCY OF SOME TREATMENTS, AS WELL AS CERTAIN FEDERAL REGULATIONS, OFTEN REQUIRES THE PROVISION OF SERVICE WITHOUT CONSIDERATION OF THE PATIENT'S ABILITY TO PAY. SOME PATIENTS HAVE COMPLEX MEDICAL CONDITIONS WITH UNPREDICTABLE TREATMENT NEEDS. FOR THESE AND OTHER REASONS, FRANCISCAN BELIEVES, A PORTION OF ITS BAD DEBT EXPENSE AS REPORTED ON LINE 2 OF PART III REPRESENTS CHARITY CARE DELIVERED TO INDIVIDUALS IN THE COMMUNITIES IT SERVES CONSISTENT WITH ITS CHARITABLE HEALTHCARE MISSION. -------------------------------------- SCHEDULE H, PART III, LINE 4 THE CORPORATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM ITS AUDITED FINANCIAL STATEMENTS IS AS FOLLOWS: "THE COLLECTION OF OUTSTANDING PATIENT ACCOUNTS RECEIVABLE FROM GOVERNMENTAL PAYORS, MANAGED CARE AND OTHER THIRD PARTY PAYORS, AND PATIENTS IS THE CORPORATION'S PRIMARY SOURCE OF CASH. THE CORPORATION'S MAIN COLLECTION RISK RELATES TO UNINSURED PATIENT ACCOUNTS AND PATIENT ACCOUNTS FOR WHICH THE THIRD PARTY PAYOR HAS PAID AMOUNTS IN ACCORDANCE WITH THE APPLICABLE AGREEMENT, HOWEVER THE PATIENT'S RESPONSIBILITY, USUALLY IN THE FORM OF DEDUCTIBLES, COPAYMENTS, AND COINSURANCE PAYMENTS, REMAIN OUTSTANDING ("SELF PAY ACCOUNTS"). THE CORPORATION'S PATIENT ACCOUNTS RECEIVABLE IS REDUCED BY AN ALLOWANCE FOR AMOUNTS, PRIMARILY SELF PAY ACCOUNTS, WHICH COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THROUGHOUT THE YEAR, THE CORPORATION ESTIMATED THIS ALLOWANCE BASED ON THE AGING OF ITS PATIENT ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE, AND OTHER RELEVANT FACTORS. THESE FACTORS INCLUDE CHANGES IN THE ECONOMY AND UNEMPLOYMENT RATES, WHICH HAS AN IMPACT ON THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, AS WELL AS TRENDS IN HEALTH CARE COVERAGE, SUCH AS THE INCREASED BURDEN OF DEDUCTIBLES, COPAYMENTS, AND COINSURANCE PAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED PROCEDURES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS AND CERTAIN RESTRICTIONS ON COLLECTION EFFORTS DETERMINED BY THE CORPORATION. UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WITH ANY SUBSEQUENT RECOVERIES BEING RECORDED AGAINST THE PROVISION FOR DOUBTFUL ACCOUNTS." ------------------------------------------------ SCHEDULE H, PART III, LINE 8 CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF FRANCISCAN AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545 AND THE REQUIREMENTS OF IRC SECTION 501(R), FRANCISCAN PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE AT FRANCISCAN. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY FRANCISCAN TO PROVIDE SUCH SERVICES. LIKE MEDICAID, PAYMENT RATES FOR MEDICARE ARE SET BY LAW RATHER THAN THROUGH A NEGOTIATION PROCESS AS WITH PRIVATE INSURERS. THESE PAYMENT RATES ARE CURRENTLY SET BELOW THE COSTS OF PROVIDING CARE RESULTING IN UNDERPAYMENTS. MEDICARE RATES ARE DETERMINED WITHIN THE CONTEXT OF ALL THE BUDGETARY NEEDS OF THE FEDERAL GOVERNMENT AND MEDICARE PAYMENTS HAVE HISTORICALLY BEEN SET BELOW THE COSTS OF PROVIDING CARE TO MEDICARE PATIENTS THOUGH HOW FAR BELOW VARIES OVER TIME AND BY SERVICE. EACH YEAR MEDICARE IS SUPPOSED TO PROVIDE HOSPITALS AN INCREASE IN BOTH INPATIENT AND OUTPATIENT PAYMENTS TO ACCOUNT FOR INFLATION IN THE PRICES FOR GOODS AND SERVICES HOSPITALS MUST PURCHASE IN ORDER TO PROVIDE PATIENT CARE. HOWEVER INPATIENT UPDATES HAVE BEEN SET BELOW THE RATE OF INFLATION AND ACTUALLY NEGATIVE IN RECENT YEARS RESULTING IN A SHORTFALL THAT HAS GROWN OVER TIME. THE COMPOUNDING ISSUE THAT OCCURS IS THAT THIS SHORTFALL JEOPARDIZES HOSPITALS' ABILITY TO SERVE THEIR COMMUNITIES BECAUSE THEY ARE NOT REIMBURSED THEIR INCURRED COSTS. PROVIDERS MAKE THE DECISION TO ELIMINATE OR SIGNIFICANTLY REDUCE NECESSARY CLINICAL SERVICES WITHIN THE MARKETPLACE PLACING THE MEDICARE SHORTFALL BURDEN ON OTHERS THAT DO, SUCH AS FRANCISCAN. GIVEN THAT FRANCISCAN PROVIDES SUCH SERVICES TO MEDICARE PATIENTS KNOWING THAT THEY WILL RESULT IN A LOSS, AND GIVEN THAT FRANCISCAN BELIEVES THAT IT PROVIDES THESE SERVICES IN AN EFFICIENT AND COST EFFECTIVE MANNER, THE SHORTFALL REPORTED ON LINE 7 OF PART III SHOULD BE VIEWED AS COMMUNITY BENEFIT PROVIDED BY FRANCISCAN. ------------------------------------------------ SCHEDULE H, PART III, LINE 9B FRANCISCAN ALLIANCE, INC.'S WRITTEN CHARITY CARE AND UNINSURED PATIENT DISCOUNT POLICY AND PATIENT COLLECTION PROCEDURE INCLUDE VARIOUS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN D LEAHY
PRESIDENT AND TRUSTEE	$1,773,741	$0	$0	$0	$73,421	$0	$785,812	$0	$22,292	$0	$2,655,266	$0	$0	$0
EUGENE C DIAMOND
SR VP/COO INPATIENT SERVICES	$983,949	$0	$0	$0	$49,252	$0	$155,439	$0	$27,278	$0	$1,215,918	$0	$0	$0
ROBERT J BRODY
SR VP/COO AMBULATORY SERVICES	$980,949	$0	$0	$0	$52,378	$0	$155,309	$0	$27,278	$0	$1,215,914	$0	$0	$0
JENNIFER P MARION
SENIOR VP FINANCE, CFO	$867,620	$0	$0	$0	$21,701	$0	$165,119	$0	$26,472	$0	$1,080,912	$0	$0	$0
TERRANCE E WILSON
PRESIDENT/CEO - LAFAYETTE	$799,442	$0	$0	$0	$33,058	$0	$498,404	$0	$25,704	$0	$1,356,608	$0	$0	$0
SAMMI M DALI
PHYSICIAN	$1,350,229	$0	$0	$0	$29,583	$0	$49,641	$0	$21,363	$0	$1,450,816	$0	$0	$0
JAIRO CRUZ MD
PHYSICIAN (UNPAID TRUSTEE)	$231,669	$0	$0	$0	$20,245	$0	$0	$0	$14,224	$0	$266,138	$0	$0	$0
NADEEM IKHLAQUE MD
PHYSICIAN	$1,348,927	$0	$0	$0	$19,560	$0	$18,035	$0	$20,430	$0	$1,406,952	$0	$0	$0
DANIEL G SPOMAR MD
PHYSICIAN	$1,310,649	$0	$0	$0	$27,591	$0	$42,498	$0	$21,629	$0	$1,402,367	$0	$0	$0
ROWLAND O MBAOMA MD
PHYSICIAN	$1,210,481	$0	$0	$0	$9,995	$0	$25,637	$0	$20,069	$0	$1,266,182	$0	$0	$0
ARNOLD KIMMEL
PRESIDENT/CEO - OLYMPIA FIELDS	$526,250	$0	$0	$0	$551,541	$0	$33,093	$0	$6,003	$0	$1,116,887	$0	$0	$0
THOMAS GRYZBEK
SR VP OF POST ACUTE SRVCS DIV	$574,150	$0	$0	$0	$42,754	$0	$156,067	$0	$18,491	$0	$791,462	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 4B

FRANCISCAN ALLIANCE, INC. ("FRANCISCAN") MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THESE BENEFITS ARE SUBJECT TO A SIGNIFICANT RISK OF FORFEITURE AND AS SUCH POSSIBLY MAY NEVER BE PAID OUT TO THE EXECUTIVES PARTICIPATING IN THE PLAN.

SCHEDULE J, PART II, COLUMN (C)

Deferred compensation reported in this column includes split-dollar life insurance and change in present value of the qualified, and, if applicable, nonqualified defined benefit plan. The value of the nonqualified defined benefit plan is subject to a significant risk of forfeiture and as such possibly may never be paid to the executives participating in the plan. Changes in the amount reflected between years is primarily a function of the fluctuation in the actuarial discount rate used to measure this future liability which may never be paid to the executives.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
INDIANA FINANCE AUTHORITY (08C)
A	351602316	45470YAX9	2008-09-15	$291,837,375	REFUND PRIOR ISSUE DATED 5/2/06	false	false	false
INDIANA FINANCE AUTHORITY (08FG)
B	351602316	45470YBE0	2008-10-10	$279,345,000	REFUND PRIOR ISSUE DATED 11/20/03	false	false	false
INDIANA FINANCE AUTHORITY (O8IJ)
C	351602316	45470YBL4	2008-11-20	$81,850,000	REFUND PRIOR ISSUE DATED 5/16/06	false	false	false
INDIANA FINANCE AUTHORITY (09A)
D	351602316	45470YCF6	2009-11-05	$221,309,385	REFUNDING AND NEW PROJECTS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$49,357,375	$0	$290,462,634	$0	$0	$0	$1,505,785	$0	$0	$0	$288,956,849	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$188,895,000	$0	$278,919,324	$0	$0	$0	$503,876	$0	$0	$124,873,123	$153,542,325	$0	Yes (true)	false	Yes (true)	Yes (true)	2011
C	$6,625,000	$0	$81,693,875	$0	$0	$0	$1,120,800	$0	$0	$0	$80,573,075	$0	Yes (true)	false	Yes (true)	Yes (true)	2012
D	$13,779,385	$0	$219,392,897	$0	$0	$0	$792,500	$0	$0	$218,600,397	$0	$0	false	false	Yes (true)	Yes (true)	2012

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Remedial Action TakenRemedialActionTakenInd
A	0.00000	0.00000	0.00000
B	0.00840	0.00030	0.00870	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	Yes (true)	Yes (true)
C	0.00100	0.00020	0.00120	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	Yes (true)	Yes (true)
D	0.01200	0.00130	0.01330	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	Yes (true)	Yes (true)
0
B	false	false	Yes (true)	false	Yes (true)	false	false	0	false	Yes (true)
0
C	false	false	false	Yes (true)	Yes (true)	false	false	0	Yes (true)	Yes (true)
0
D	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE K, PART II, LINE 13

FOR THE INDIANA FINANCE AUTHORITY 2008C, INDIANA FINANCE AUTHORITY 2012A/B, INDIANA FINANCE AUTHORITY 2014A BONDS, AND INDIANA FINANCE AUTHORITY 2016C/D/E, THESE BONDS SOLELY REFUNDED PRIOR ISSUES, SO THE YEAR OF SUBSTANTIAL COMPLETION HAS NOT BEEN ENTERED. SCHEDULE K, PART III FOR THE INDIANA FINANCE AUTHORITY 2008C BONDS, PART III IS NOT COMPLETED SINCE ALL BOND PROCEEDS WERE USED TO REFUND BONDS ISSUED BEFORE JANUARY 1, 2003. SCHEDULE K, PART III, LINE 8B FOR THE INDIANA FINANCE AUTHORITY 2008F/G, 2008I/J, AND 2012A/B BONDS, DURING 2012, THE DISPOSITION PROCEEDS FOR THE DISPOSED OF BOND-FINANCED PROPERTY WAS $1.00, WHICH WAS WELL BELOW A TENTH OF A PERCENT OF EACH ISSUE. SCHEDULE K, PART III, LINE 8C FRANCISCAN ALLIANCE, THE INDIANA FINANCE AUTHORITY, AND THE IRS ENTERED INTO A CLOSING AGREEMENT TO ADDRESS THE REQUIRED REMEDIAL ACTION UNDER REGULATIONS SECTION 1.142-12 AND 1.145-2. SCHEDULE K, PART IV, LINE 2C FOR EACH OF THE FOLLOWING BONDS, THE REBATE COMPUTATION WAS PERFORMED: SERIES 2008C - JANUARY 2011 SERIES 2008I/J - FEBRUARY 2011

SCHEDULE K, PART IV, LINE 5

FOR THE INDIANA FINANCE AUTHORITY 2008C AND INDIANA FINANCE AUTHORITY 2008I/J ISSUES, ONLY SMALL AMOUNTS OF PROCEEDS RELATED TO THE COST OF ISSUANCE WERE NOT EXPENDED AT THE END OF THE TEMPORARY PERIODS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
INDIANA FINANCE AUTHORITY (12AB)
A	351602316	2012-04-25	$82,620,000	REFUND PRIOR ISSUES DATED '01&'08	false	false	false
INDIANA FINANCE AUTHORITY (14A)
B	351602316	2014-06-02	$50,000,000	REFUND PRIOR ISSUES DATED '08	false	false	false
INDIANA FINANCE AUTHORITY (16AB)
C	351602316	2016-02-04	$295,426,956	REFUNDING AND NEW PROJECTS	false	false	false	45470ycj8
INDIANA FINANCE AUTHORITY (16CDE)
D	351602316	2016-10-19	$223,085,000	REFUNDING PRIOR ISSUE	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$9,670,000	$0	$82,620,000	$0	$0	$0	$0	$0	$0	$0	$82,620,000	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$50,000,000	$0	$0	$0	$0	$0	$0	$0	$50,000,000	$0	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$0	$0	$0	$0	$2,444,202	$0	$0	$0	$0	$0	false	Yes (true)	false	Yes (true)
D	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	Yes (true)	false		Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Remedial Action TakenRemedialActionTakenInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00840	0.00030	0.00870	false	Yes (true)	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00840	0.00030	0.00870	false	false	Yes (true)	false
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00310	0.00040	0.00350	false	false	Yes (true)	false
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00400	0.00030	0.00430	false	false	Yes (true)	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)
0
C	false			false	false		false	0		Yes (true)
0
D	false			false	Yes (true)		false	0		Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	FRANCISCAN ALLIANCE, INC.'S ("FRANCISCAN") 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; TO CARRY ON EDUCATIONAL ACTIVITIES RELATED TO THE PROMOTION OF HEALTH; TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO HEALTH CARE; AND TO PARTICIPATE IN ACTIVITIES DESIGNED AND CONDUCTED TO PROMOTE THE GENERAL HEALTH OF THOSE SERVED BY FRANCISCAN. PLEASE VIEW WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH WHICH REFLECTS OUR MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION." FORM 990, PART V, LINE 4B ADDITIONAL FOREIGN COUNTRIES (CONTINUATION OF ATTACHMENT 3) - INDONESIA, REPUBLIC OF KOREA (SOUTH KOREA), MALAYSIA, PHILIPPINES, POLAND, THAILAND, TURKEY. FORM 990, PART VI, SECTION A, LINE 7A The entire Board of Trustees shall consist of no more than seventeen (17), with no fewer than seven (7) who shall be Sisters of the Eastern Province ("Province") of the Sisters of St. Francis of Perpetual Adoration, a religious congregation of women of the Roman Catholic Church ("Congregation"). The Trustees of the Board shall include the following persons: (A) Three Trustees shall be members of the Provincial Leadership of the Province, one of whom shall be the provincial, or her designee, and the remaining two shall be elected by the provincial leadership; (B) the Treasurer of the Province who may also be one of the Provincial Leadership representatives as described in (A); (C) the Sponsor Liaison for the Healthcare of the Province who may also be one of the Provincial Leadership representatives as described in (A); (D) the President/Chief Executive Officer of the Corporation; and (E) the Trustees elected by the Members to fill the remaining positions.
FORM 990, PART VI, SECTION A, LINE 7B	NO ACTION ON THE PART OF THE BOARD OF TRUSTEES IN RESPECT OF ANY OF THE FOLLOWING MATTERS SHALL BE EFFECTIVE UNLESS THE ACTION HAS BEEN APPROVED BY A MAJORITY OF THE MEMBERS; NAMELY: (A) CORPORATE MISSION AND PHILOSOPHY; (B) APPOINTMENT OR REMOVAL OF THE CHAIRPERSON, PRESIDENT, SECRETARY, OR TREASURER OF THE CORPORATION; (C) ALIENATION OF PROPERTY AS DEFINED IN CANON LAW; OR (D) ENCUMBRANCE OF DEBT AS DEFINED BY CANON LAW.
FORM 990, PART VI, SECTION B, LINE 11B	THE INFORMATION TO PREPARE THE FORM 990 OF FRANCISCAN ALLIANCE, INC. ("FRANCISCAN") IS GATHERED BY FINANCE STAFF AND MISSION REPRESENTATIVES 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 FRANCISCAN'S BOARD OF TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	The Corporation requires annual conflict of interest statements from each director, principal officer, members of committees with board designated powers, key employees, and executive leadership committee members 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 of 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 delegated 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 Corporation operates in a manner consistent with its charitable purposes. In conducting the ongoing reviews and assessments, the Corporation uses internal and external advisors. Reviews include compensation arrangements, acquisitions, partnerships, joint venture arrangements, and agreements to provide health care products/services, etc.
FORM 990, PART VI, SECTION B, LINE 15	Franciscan Alliance, Inc.'s ("Franciscan") process for determining compensation for the organization's President/CEO, officers and key employees consists of periodic external reviews completed by national independent compensation consultants. The Executive Committee of the Board of Trustees approves the proposed compensation and benefits at an annual compensation review meeting held each year. The organization's President/CEO recuses himself from the vote on executive compensation. FORM 990, PART VII, SECTION A, COLUMN (A) FOR 2016, due to a restructuring of leadership positions, certain individuals previously reported as key employees no longer meet the definition of a key employee for purposes of the Form 990. Since the individuals are still employees of Franciscan Alliance, per the Form 990 instructions, they are required to be reported as former individuals. FORM 990, PART VII, SECTION A, COLUMN (F) Deferred compensation reported in this column includes split-dollar life insurance and change in present value of the qualified and, if applicable, nonqualified defined benefit plan. The value of the nonqualified defined benefit plan is subject to a significant risk of forfeiture and as such possibly may never be paid to the executives participating in the plan. Changes in the amount reflected between years is primarily a function of the fluctuation in the actuarial discount rate used to measure this future liability which may never be paid to the executives.
FORM 990, PART XI, LINE 9	EQUITY IN EARNINGS OF AFFILIATES 24,133,219 MINORITY INTEREST IN AFFILIATES (2,583,860) EQUITY TRANSFERS TO/FROM AFFILIATES (4,408,982) UNREALIZED LOSS ON SWAP CONTRACTS (2,281,952) UNREALIZED GAIN - HILLS 6,706,159 CHANGE IN NONCONTROLLING INTEREST IN SUBS 2,583,860 CHANGE IN TEMP RESTRICTED NET ASSETS (208,489) CHANGE IN PERM RESTRICTED NET ASSETS 75,943 OTHER CHANGES IN NET ASSETS 25,271,296 ------------- TOTAL OTHER CHANGES IN NET ASSETS 49,287,194

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ST FRANCIS INSURANCE SERVICES LLC
1600 ALBANY STREET	BEECH GROVE	IN	46107	200048077	INSURANCE	IN	$816,534	$0	FRANCISCAN
SPECIALTY PHYSICIANS OF ILLINOIS LLC
333 DIXIE HIGHWAY	CHICAGO HEIGHTS	IL	60411	050540914	PHYSICIAN	IL	$17,237,739	$7,637,008	FRANCISCAN
FAITH HOPE AND LOVE CANCER CENTER LLC
1250 SOUTH CREASY LN STE A	LAFAYETTE	IN	47905	680612977	MEDICAL SRVCS	IN	$22,680,831	$1,905,226	FRANCISCAN
ST FRANCIS MEDICAL GROUP LLC
5330 E STOP 11 RD	INDIANAPOLIS	IN	46237	263877295	MEDICAL SRVCS	IN	$0	$0	FRANCISCAN
FRANCISCAN ALLIANCE ACCOUNTABLE CARE ORG
1515 DRAGOON TRAIL	MISHAWAKA	IN	46544	452884517	ACCOUNT. CARE	IN	$0	$0	FRANCISCAN

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
HILLS INSURANCE COMPANY INC
1515 DRAGOON TRAIL	MISHAWAKA	IN	46544	030372512	CAPTIVE INS	VT	501(C)(3)	12 - Type 1	FRANCISCAN	Yes (true)
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	Yes (true)
FRANCISCAN HEALTH FOUNDATION INC
1515 DRAGOON TRAIL	MISHAWAKA	IN	46544	351955283	FUNDRAISING	IN	501(C)(3)	7	FRANCISCAN	Yes (true)
FRANCISCAN VNS HOME CARE INC
4701 N KEYSTONE AVE S418	INDIANAPOLIS	IN	46205	350868199	HOME HEALTH	IN	501(C)(3)	10	FRANCISCAN	Yes (true)
AT YOUR SERVICE HOME CARE INC
4701 N KEYSTONE AVE S418	INDIANAPOLIS	IN	46205	352107306	HEALTHCARE	IN	501(C)(3)	10	FRANCISCAN	Yes (true)
FRANCISCAN HEALTH RENSSELAER INC
1104 E GRACE ST	RENSSELAER	IN	47978	473825106	HEALTH SRVCS	IN	501(C)(3)	3	FRANCISCAN	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
FRANCISCAN SURGERY CENTER LLC
421 N EMERSON AVE	BEECH GROVE	IN	46143	352128334	MEDICAL SERVICES	IN	FRANCISCAN	RELATED	$7,889,579	$3,802,913	false	$0	false	0.50160
LAFAYETTE HEART PROGRAM HOLDINGS LLC
1501 HARTFORD STREET	LAFAYETTE	IN	47904	383750811	MEDICAL SERVICES	IN	FRANCISCAN	RELATED	$4,384,832	$14,397,410	false	$0	false	0.51000
ST ANTHONY HEALTH NETWORK LLC
PO BOX 310	MISHAWAKA	IN	46546	351985170	CLAIMS PROCESSING	IN	FRANCISCAN	RELATED	$104,547	$994,434	false	$0	Yes (true)	0.88070
ST FRANCIS MOORESVILLE SURGERY CTR LLC
1215 HADLEY ROAD SUITE 100	MOORESVILLE	IN	46158	202256900	MEDICAL SERVICES	IN	FRANCISCAN	RELATED	$694,401	$2,591	Yes (true)	$0	false	0.51550
ST FRANCIS RADIATION THERAPY CENTERS LLC
421 N EMERSON AVE	GREENWOOD	IN	46143	770663631	MEDICAL SERVICES	IN	FRANCISCAN	RELATED	$5,176,474	$7,323,847	false	$0	false	0.88950
ST FRANCIS IMAGING CTR (GREENWOOD) LLC
421 N EMERSON AVE	GREENWOOD	IN	46143	204607426	IMAGING SERVICES	IN	FRANCISCAN	RELATED	$653,250	$693,997	false	$0	false	0.60000
TONN & BLANK CONSTRUCTION LLC
1623 GREENWOOD AVENUE	MICHIGAN CITY	IN	46360	263919039	CONSTRUCTION	IN	FHC	RELATED	$4,917,927	$36,068,181	false	$26,783	false	0.86500
MAJOR HOSP CARDIAC DIAGNOSTICS LLC
2451 INTELLIPLEX DR	SHELBYVILLE	IN	46176	208715441	MEDICAL SERVICES	IN	FRANCISCAN	RELATED	$510,092	$189,490	false	$0	false	0.53600

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
FRANCISCAN HOLDING CORPORATION
1515 DRAGOON TRAIL	MISHAWAKA	IN	46544	363593505	HOLDING CO.	IN	FRANCISCAN	C CORP	$776,810	$59,137,734	1.00000	Yes (true)
FRANCISCAN ACO INC
700 E SOUTHPORT RD	INDIANAPOLIS	IN	46107	351904455	INSURANCE	IN	FRANCISCAN	C CORP	$49,594,662	$10,328,082	1.00000	Yes (true)
ST JAMES PHO INC
30 E 11TH ST SUITE 402	CHICAGO HEIGHTS	IL	60411	363945083	MANAGED CARE	IL	FRANCISCAN	C CORP	$45,317,568	$5,680,090	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MAJOR HOSPITAL CARDIAC DIAGNOSTICS LLC
C	$600,000	FMV
FRANCISCAN HEALTH FOUNDATION INC
C	$4,175,238	FMV
ST FRANCIS MOORESVILLE SURGERY CENTER LLC
C	$875,000	FMV
ST FRANCIS RADIATION THERAPY CENTERS LLC
C	$5,644,055	FMV
ST FRANCIS IMAGING CENTER (GREENWOOD) LLC
C	$789,960	FMV
FRANCISCAN SURGERY CENTER LLC
C	$8,076,275	FMV
LAFAYETTE HEART PROGRAM HOLDINGS LLC
C	$4,384,832	FMV
TONN & BLANK CONSTRUCTION LLC
C	$3,216,683	FMV
FRANCISCAN SURGERY CENTER LLC
B	$70,000	FMV
FRANCISCAN HOLDING CORPORATION
C	$546,672	FMV