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FRANCISCAN ALLIANCE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FRANCISCAN ALLIANCE INC (EIN 35-1330472)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201343199349310454
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T16:42:36-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351330472EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FRANCISCAN ALLIANCE INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MARGUERITE EICHELBERGERInCareOfName
Name ControlFRANNameControl
Phone5742563935Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11515 DRAGOON TRAILAddressLine1
Address Line2SuiteAddressLine2
CityMISHAWAKACity
StateINState
ZIP Code465444710ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN D LEAHYName
TitlePRESIDENT/CEOTitle
Phone2673303000Phone
Date Signed2013-11-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKEVIN D LEAHYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11515 DRAGOON TRAILAddressLine1
CityMISHAWAKACity
StateINState
ZIP Code46544ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2640343098GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.FRANCISCANALLIANCE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1974YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees20487TotalNbrEmployees
Total Nbr Volunteers2108TotalNbrVolunteers
Total Gross UBI7245372TotalGrossUBI
Net Unrelated Business Txbl Income1289207NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7420568ContributionsGrantsPriorYear
Contributions Grants Current Year5479482ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2255270155ProgramServiceRevenuePriorYear
Program Service Revenue CY2532599050ProgramServiceRevenueCY
Investment Income Prior Year86918390InvestmentIncomePriorYear
Investment Income Current Year80546006InvestmentIncomeCurrentYear
Other Revenue Prior Year11057705OtherRevenuePriorYear
Other Revenue Current Year6667468OtherRevenueCurrentYear
Total Revenue Prior Year2360666818TotalRevenuePriorYear
Total Revenue Current Year2625292006TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year60338GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1643789GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1137443940SalariesEtcPriorYear
Salaries Etc Current Year1229925169SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year143488TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year123752TotalFundrsngExpCurrentYear
Other Expense Prior Year1076589218OtherExpensePriorYear
Other Expenses Current Year1256899742OtherExpensesCurrentYear
Total Expenses Prior Year2214236984TotalExpensesPriorYear
Total Expenses Current Year2488468700TotalExpensesCurrentYear
Revenues Less Expenses Prior Year146429834RevenuesLessExpensesPriorYear
Revenues Less Expenses CY136823306RevenuesLessExpensesCY
Total Assets BOY3793872644TotalAssetsBOY
Total Assets EOY4008931900TotalAssetsEOY
Total Liabilities BOY1956026290TotalLiabilitiesBOY
Total Liabilities EOY2092819331TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1837846354NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1916112569NetAssetsOrFundBalancesEOY
Mission DescriptionTHE PURPOSES FOR WHICH FRANCISCAN ALLIANCE, INC. 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 ALLIANCE, INC. THE REVENUES OF FRANCISCAN ALLIANCE, INC. 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 STMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2174914947Expense
Grants1643789Grants
Revenue2522660037Revenue
DescriptionFor over 135 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 operates thirteen 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 is further described below. In 2012, Franciscan admitted approximately 90,000 inpatients and recorded over 413,000 inpatient days, 420,000 emergency room visits, and provided over $524 million in charity care and other community benefits which includes Medicaid and Medicare shortfalls at cost. Franciscan provides significant benefits that reflect the organization's commitment to healthcare and the communities it is privileged to serve. We break community benefits down into two primary categories: a) benefits for the poor and underserved which includes the cost of providing programs and services to persons who are economically poor or are medically indigent and cannot afford to pay for health care services because they have inadequate resources and/or are uninsured or underinsured and b) benefits for the broader community which includes the cost of providing programs and services aimed at persons and groups for reasons other than poverty (however it may include needy populations that may not qualify as poor but need special services and support) or broader populations who benefit from healthy community initiatives with the provision of these programs and services not intended to be financially self-supporting. In 2012, Franciscan provided over $524 million in quantifiable community benefits which included: Benefits for the Poor: Charity Care $83,775,331 Unpaid Costs of Medicaid $92,536,775 Community Services $4,252,504 Other Public Programs $4,134,629 _______________ Subtotal $184,699,239 Benefits for the Community: Unpaid Costs of Medicare $250,738,928 Other Community Benefits $54,206,499 Bad Debt $34,552,073 _____________ Subtotal $339,497,500 Total $524,196,739 "Our Giving Journal" at www.FranciscanAlliance.org/CommunityBenefit reflects Franciscan's mission of "Continuing Christ's Ministry in Our Franciscan Tradition" along with a report of our community benefit activities. 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 Health 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. - Indigent Health Care Clinics. - Health and Wellness Centers and Healthy Living Education Centers. - Community Outreach and Education Programs including: Health Fairs, Free Health Screenings, Free Breast Health Screening Services, Free Prostrate Screenings, Free Skin Cancer Screenings, Free Cervical Cancer Screenings, Free Glucose Screenings, Free Cholesterol Screenings, Free Bone Density Screenings, Free Spa Services for Cancer Patients, Online Health Condition Assessment Tools, Cancer Prevention Activities, Cancer Survivor Programs and Retreats, Health Care Decision-Making Sessions, Senior Health Education, Diabetes Management Education and Activities, Pain Management Seminars and Activities, Cardiac Risk Factors Educational Sessions and Online Tools, Hospice and Palliative Care Counseling and Education Services, Alzheimer Support Services, Smoking Cessation Programs, Basic Life-Saving Skills Programs, Children's Health Needs Activities, Childhood Obesity Activities, Weight Loss Education, Organ and Tissue Donation Fairs, Volunteer Advocates for Seniors, Parenting Programs, Residential Support Program for Pregnant Girls, Prenatal 'Baby Showers', Athletic Training (Schools and Various Marathons), Orthopedic Road Shows, Flu Vaccinations, Child Seat Safety Programs, Bereavement Support Groups, Community Education Lectures, Indigent Prescription Programs, Sex Can Wait Programs, Caregivers Education Symposiums, Health Career Days, Arthritis Exercise Group, Babysitting Course, Prepared Childbirth Programs, Food Share Programs, Nutritional Counseling for Grade Schools and Seniors, etc. - Social Services including: Pastoral Care, Eucharistic Ministry Program, No One Dies Alone Programs, Language Interpreter Services, Deaf Interpreter Services, Transportation for the Indigent, enrollment assistance in Medicaid, etc. - Medical Education including: Physician Residency Programs, Family Medicine Residency Program, Emergency Room Physician Residency Program, Pharmacy Residency Program, Medical Student Training Program, St. Elizabeth School of Nursing Program, Advance Nursing Continuing Education, Nursing Clinical Rotations, Phlebotomy Training Program, Medical Assistance Training, Medical Technology Training Programs, OR Technology Training, etc. - Research Programs including - Cancer Genome Project, Cardiac Research, HLA-Vascular Biology Research, Clinical Trails, Plaque Formation Studies, Use of Drug Eluting Stents Studies, etc. Again, please visit "Our Giving Journal" at www.FranciscanAlliance.org/CommunityBenefit for further details.Description
Total Program Service Expense2174914947TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
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Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
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SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
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GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
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Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondstrueInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962322NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees20487NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryBRNameOfForeignCountry
Name Of Foreign CountryCHNameOfForeignCountry
Name Of Foreign CountryCONameOfForeignCountry
Name Of Foreign CountryEZNameOfForeignCountry
Name Of Foreign CountryDANameOfForeignCountry
Name Of Foreign CountryEGNameOfForeignCountry
Name Of Foreign CountryGRNameOfForeignCountry
Name Of Foreign CountryHUNameOfForeignCountry
Name Of Foreign CountryIDNameOfForeignCountry
Name Of Foreign CountryISNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
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Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
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Members Or StockholdersfalseMembersOrStockholders
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Local ChaptersfalseLocalChapters
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Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

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FieldValueIRS element (for citing)
Name PersonMARGUERITE EICHELBERGERNamePerson
Telephone Number5742546268TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11515 DRAGOON TRAILAddressLine1
CityMISHAWAKACity
StateINState
ZIP Code465444710ZIPCode
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Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SISTER M ALINE SHULTZ
TRUSTEE & VP OF MARKETING40.05.0X000
SISTER M CLARE REUILLE
TRUSTEE5.0X000
SISTER ROSE AGNES PFAUTSCH
TRUSTEE5.0X000
SISTER M ANGELA MELLADY
TRUSTEE5.0X000
SISTER M MARLENE SHAPLEY
TRUSTEE40.05.0X000
SISTER MARILYN OLIVER
TRUSTEE5.0X000
KATHLEEN GOEPPINGER PHD
TRUSTEE5.0X000
SISTER M MADONNA ROUGEAU
TRUSTEE & VP OF MISSION - FSJH40.06.0X000
JOHN LADOWICZ
TRUSTEE5.0X000
JAMES D ROGGE MD
TRUSTEE (RESIGNED 2012)5.0X000
SISTER JANE MARIE KLEIN
CHAIRPERSON AND TRUSTEE40.06.0X000X
SISTER M ANN KATHLEEN MAGIERA
TREASURER AND TRUSTEE40.01.0X000X
KEVIN D LEAHY
PRESIDENT AND TRUSTEE40.06.0X15921900928173X
SISTER M CORITA LAST
VP, SECRETARY (DECEASED 9/12)40.01.0X000X
DONALD J KERNER MD
TRUSTEE10.05.0X005742
JAIRO CRUZ MD
TRUSTEE40.0X248125019362
ERNEST IANNOTTA
TRUSTEE5.0X000
JAMES MONKS MD
TRUSTEE (APPOINTED 4/12)5.0X000
SISTER LETHIA MARIE LEVEILLE
SECRETARY (APPOINTED 12/12)40.0000X
EUGENE C DIAMOND
REGIONAL CEO NIR40.08898880728746X
ROBERT J BRODY
REGIONAL CEO CIR40.08884130719857X
JENNIFER P MARION
SENIOR VP FINANCE, CFO40.07117870247866X
TERRANCE E WILSON
REGIONAL CEO WIR40.06634050437492X
SETH CR WARREN
REGIONAL CEO SSCR40.06597290306131X
LOUIS METZMAN MD
PHYSICIAN40.01156190072608X
JEFFREY L PIERSON MD
PHYSICIAN40.01374734051690X
DIPEN C MAUN
PHYSICIAN40.0990723038188X
NADEEM IKHLAQUE
PHYSICIAN40.0945642048311X
CHARLES E HUGHES III
PHYSICIAN40.0877640059999X
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Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation3664165TotalOtherCompensation
Number Individuals GT100 K1130NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MAXIT HEALTHCARE LLC
PO BOX 223866PITTSBURGHPA15251IT CONSULTING19346413
METT THERAPY
801 SOUTH BRIGGS STREETJOLIETIL60433PHYSICIAN FEES8057650
BEACON PARTNERS INC
97 LIBBEY PARKWAY SUITE 310WEYMOUTHMA02189IT CONSULTING3864926
PRICEWATERHOUSECOOPERS LLP
PO BOX 75647CHICAGOIL60675ACCOUNTING2711305
MIRAMED REVENUE GROUP LLC
9910 OAK CREEK DRIVELOMBARDIL60148COLLECTION SERVICES2386843
FieldValueIRS element (for citing)
Number Of Contractors GT100 K156NumberOfContractorsGT100K
Related Organizations5386823RelatedOrganizations
Government Grants12222GovernmentGrants
All Other Contributions80437AllOtherContributions
Total Contributions5479482TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PATIENT AND OTHER REVENUES900099236599209123659920910$0
PREMIUM REVENUE9000991034689801034689800$0
LAUNDRY812300234994602349946$0
PHARMACY4461105561792053414878913597$1,289,445
CAFETERIA722514517011300$5,170,113
FieldValueIRS element (for citing)
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Investment Income InvestmentIncome

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Exclusion$81,334,002ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

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Rental Income Or Loss RentalIncomeOrLoss

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Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

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Gross Amount Sales Assets GrossAmountSalesAssets

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Other9215591Other

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Other10246952Other

Gain Or Loss GainOrLoss

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Other-1031361Other

Net Gain Or Loss Investments NetGainOrLossInvestments

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Exclusion-$1,030,332ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory307160GrossSalesOfInventory
Cost Of Goods Sold280863CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column26297TotalRevenueColumn
Exclusion$26,297ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER OPERATING REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column3739493TotalRevenueColumn
Unrelated Business Revenue3739493UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue3739493TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2625292006TotalRevenueColumn
Related Or Exempt Function Income2522875949RelatedOrExemptFunctionIncome
Unrelated Business Revenue7245372UnrelatedBusinessRevenue
Exclusion$89,691,203ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1643789Total
Program Services1643789ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total14532799Total
Program Services7940975ProgramServices
Management And General6591824ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

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Total0Total

Other Salaries And Wages OtherSalariesAndWages

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Program Services844669676ProgramServices
Management And General95956447ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

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Management And General4173310ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
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Program Services151343716ProgramServices
Management And General26615337ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
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Program Services48266046ProgramServices
Management And General6098591ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

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Program Services8167845ProgramServices
Management And General2331724ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3336708Total
Program Services931115ProgramServices
Management And General2405593ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1859586Total
Program Services223876ProgramServices
Management And General1635710ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total413116Total
Program Services960ProgramServices
Management And General412156ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
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Program Services146370182ProgramServices
Management And General16254692ManagementAndGeneral
Fundraising86890Fundraising

Advertising Advertising

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Total14396734Total
Program Services3858839ProgramServices
Management And General10537895ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
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Program Services56701827ProgramServices
Management And General21472837ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total102825047Total
Program Services102825047ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total42220712Total
Program Services39928068ProgramServices
Management And General2287056ManagementAndGeneral
Fundraising5588Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total3470319Total
Program Services1986162ProgramServices
Management And General1484157ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total567681Total
Program Services405481ProgramServices
Management And General157099ManagementAndGeneral
Fundraising5101Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total35948266Total
Program Services35948266ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total115111606Total
Program Services104297498ProgramServices
Management And General10809728ManagementAndGeneral
Fundraising4380Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total34360715Total
Program Services29479426ProgramServices
Management And General4881289ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES/ DRUGS24405101424405101400
PURCHASED SERVICES153038364117405814356325500
REPAIRS AND MAINTENANCE279856572668685412988030
FEDERAL UBI AND STATE TAXES62588306258830

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total225302337Total
Program Services163513224ProgramServices
Management And General61767320ManagementAndGeneral
Fundraising21793Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2488468700Total
Program Services2174914947ProgramServices
Management And General313430001ManagementAndGeneral
Fundraising123752Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY154566684BOY
EOY176023495EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY313901189BOY
EOY336243013EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY206803BOY
EOY265852EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY36330201BOY
EOY39770923EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY51352023BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2806764976LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1269996478LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1472740050BOY
EOY1536768498EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1531323211BOY
EOY1556826786EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY124034580BOY
EOY134488493EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY27828383BOY
EOY39900666EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY81589520BOY
EOY188644174EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3793872644BOY
EOY4008931900EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY218401833BOY
EOY152558456EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1120603835BOY
EOY1091522183EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY8467438BOY
EOY4616535EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY608553184BOY
EOY844122157EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1956026290BOY
EOY2092819331EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1818403962BOY
EOY1909434724EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10215536BOY
EOY612232EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9226856BOY
EOY6065613EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1837846354BOY
EOY1916112569EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3793872644BOY
EOY4008931900EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses136823306ReconcilationRevenueExpenses
Reconciliation Unrealized Invest70854059ReconciliationUnrealizedInvest
Reconcilation Other Changes-129411150ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Pertcentage1700.00000PublicSupportPertcentage170
Public Support Pertcent Prior Year0.00000PublicSupportPertcentPriorYear

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$25,299GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$202,744DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$185,073OtherActivitiesAmount
Total Lobbying Expenditures IIB413116TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE C, PART IVIdentifier
ExplanationFranciscan 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.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance9226856BeginningOfYearBalance
Contributions15000Contributions
Investment Earnings Or Losses-34000InvestmentEarningsOrLosses
Other Expenditures3142242OtherExpenditures
End Of Year Balance6065614EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance8975779BeginningOfYearBalance
Investment Earnings Or Losses274000InvestmentEarningsOrLosses
Other Expenditures22923OtherExpenditures
End Of Year Balance9226856EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15030221BeginningOfYearBalance
Investment Earnings Or Losses267000InvestmentEarningsOrLosses
Other Expenditures6321442OtherExpenditures
End Of Year Balance8975779EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance14207054BeginningOfYearBalance
Contributions568167Contributions
Investment Earnings Or Losses255000InvestmentEarningsOrLosses
End Of Year Balance15030221EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13918880BeginningOfYearBalance
Contributions1795174Contributions
Investment Earnings Or Losses-1507000InvestmentEarningsOrLosses
End Of Year Balance14207054EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis90433402OtherCostOrOtherBasis
Book Value90433402BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1075240513OtherCostOrOtherBasis
Depreciation552624968Depreciation
Book Value522615545BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis45987946OtherCostOrOtherBasis
Depreciation18937739Depreciation
Book Value27050207BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1502423675OtherCostOrOtherBasis
Depreciation683608949Depreciation
Book Value818814726BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis93528804OtherCostOrOtherBasis
Depreciation15674868Depreciation
Book Value77853936BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1536767816TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYORS$34,420,717
ACCRUED PAYROLL$109,335,362
OTHER SHORT & LONG TERM LIABIL$155,504,591
ACCRUED PROF & GEN'L LIABILITY$11,490,095
ACCRUED PENSION LIABILITY$424,576,470
SWAP VALUATION$102,207,868
ACCRUED INTEREST PAYABLE$6,587,054
FieldValueIRS element (for citing)
Total Of Amounts844122157TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt2583623035TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments70854059NetUnrealizedGainsInvestments
Other Revenues-117027556OtherRevenues
Revenue Not Rptd F990-46173497RevenueNotRptdF990
Revenue Subtotal2629796532RevenueSubtotal
Other Revenues Not Included-4504526OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-4504526RevenueNotRptdOnFinStmt
Total Revenue Per Form9902625292006TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2492973226TotExpensesEtcAuditedFinclStmt
Other Expenses Included4504526OtherExpensesIncluded
Expenses Not Rptd F9904504526ExpensesNotRptdF990
Expenses Subtotal2488468700ExpensesSubtotal
Total Expenses Per Form9902488468700TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierExplanationExplanation
PART V, LINE 4FRANCISCAN 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.
PART XI, LINE 2DEQUITY IN EARNINGS OF AFFILIATES $ 12,205,166 MINORITY INTEREST IN AFFILIATES (19,388,000) NET ASSETS RELEASED FOR OPERATIONS 1,514,429 NET ASSETS RELEASED FROM RESTRICTION 1,620,000 EQUITY TRANSFERS TO/FROM AFFILIATES 1,412,849 CHANGE IN PENSION & POST-RETIREMENT BENEFITS OTHER THAN NET PERIODIC PENSION COSTS INCLUDED IN ACCRUED PENSION LIABILITY (114,392,000) ------------- TOTAL REVENUE/EXPENSE ON BOOKS NOT ON RETURN (117,087,556)
PART XI, LINE 4BRENT EXPENSE $ (4,504,526) ----------- TOTAL EXPENSE ON RETURN NOT ON BOOKS (4,504,526)
PART XII, LINE 2DRENT EXPENSE $ 4,504,526 ----------- TOTAL EXPENSE ON RETURN NOT ON BOOKS 4,504,526

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (6 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
East Asia and the PacificInvestments34207502
South AmericaInvestments6398250
Europe (Including Iceland and Greenland)Investments4882663
Middle East and North AfricaInvestments26280
Central America and the CaribbeanInvestments9516201
North AmericaInvestments21181
FieldValueIRS element (for citing)
Subtotal Amount Spent55052077SubtotalAmountSpent
Total Amount Spent55052077TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense83775331TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense83775331NetCommunityBenefitExpense
Percent Of Total Expense0.03410PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense296128038TotalCommunityBenefitExpense
Direct Offsetting Revenue203591263DirectOffsettingRevenue
Net Community Benefit Expense92536775NetCommunityBenefitExpense
Percent Of Total Expense0.03760PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense4134629TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense4134629NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense384037998TotalCommunityBenefitExpense
Direct Offsetting Revenue203591263DirectOffsettingRevenue
Net Community Benefit Expense180446735NetCommunityBenefitExpense
Percent Of Total Expense0.07340PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5661823TotalCommunityBenefitExpense
Direct Offsetting Revenue415818DirectOffsettingRevenue
Net Community Benefit Expense5246005NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense20488220TotalCommunityBenefitExpense
Direct Offsetting Revenue6138967DirectOffsettingRevenue
Net Community Benefit Expense14349253NetCommunityBenefitExpense
Percent Of Total Expense0.00580PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense156906845TotalCommunityBenefitExpense
Direct Offsetting Revenue122999373DirectOffsettingRevenue
Net Community Benefit Expense33907472NetCommunityBenefitExpense
Percent Of Total Expense0.01380PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense937183TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense937183NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense3134298TotalCommunityBenefitExpense
Direct Offsetting Revenue4764DirectOffsettingRevenue
Net Community Benefit Expense3129534NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense187128369TotalCommunityBenefitExpense
Direct Offsetting Revenue129558922DirectOffsettingRevenue
Net Community Benefit Expense57569447NetCommunityBenefitExpense
Percent Of Total Expense0.02340PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense571166367TotalCommunityBenefitExpense
Direct Offsetting Revenue333150185DirectOffsettingRevenue
Net Community Benefit Expense238016182NetCommunityBenefitExpense
Percent Of Total Expense0.09680PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense75562TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense75562NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense50615TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense50615NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense49914TotalCommunityBuildingExpense
Direct Offsetting Revenue44DirectOffsettingRevenue
Net Community Building Expense49870NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense4127565TotalCommunityBuildingExpense
Direct Offsetting Revenue3448987DirectOffsettingRevenue
Net Community Building Expense678578NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense34931TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense34931NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense4338587TotalCommunityBuildingExpense
Direct Offsetting Revenue3449031DirectOffsettingRevenue
Net Community Building Expense889556NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$106,993,000BadDebtExpenseAmount
Amount Reimbursed By Medicare443986213AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare694725141CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-250738928MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1SEE PART VIBusinessNameLine1
FieldValueIRS element (for citing)
Number Of Hospital Facilities14NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (14 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursEr OtherErOtherFacility Reporting GroupFacilityReportingGroupResearch FacilityResearchFacility
FRANCISCAN ST FRANCIS HEALTH -
1INDIANAPOLIS 8111 SOUTH EMERSON AVINDIANAPOLISIN46217WWW.FRANCISCANALLIANCE.ORG/HOSPITALSXXXXXA
FRANCISCAN ST ANTHONY HEALTH -
2CROWN POINT 1201 SOUTH MAIN STREETCROWN POINTIN46307WWW.FRANCISCANALLIANCE.ORG/HOSPITALSXXXA
FRANCISCAN ST JAMES HEALTH -
3CHICAGO HEIGHTS 1423 CHICAGO ROADCHICAGO HEIGHTSIL60411WWW.FRANCISCANALLIANCE.ORG/HOSPITALSXXXXB
FRANCISCAN ST MARGARET HEALTH -
4HAMMOND 5454 HOHMAN AVENUEHAMMONDIN46320WWW.FRANCISCANALLIANCE.ORG/HOSPITALSXXXXA
FRANCISCAN ST MARGARET HEALTH -
5DYER 24 JOLIET STREETDYERIN46311WWW.FRANCISCANALLIANCE.ORG/HOSPITALSXXXXA
FRANCISCAN ST ELIZABETH HEALTH -
6LAFAYETTE 1701 S CREASY LANELAFAYETTEIN47905WWW.FRANCISCANALLIANCE.ORG/HOSPITALSXXXA
FRANCISCAN ST ANTHONY HEALTH -
7MICHIGAN CITY 301 W HOMER STREETMICHIGAN CITYIN46360WWW.FRANCISCANALLIANCE.ORG/HOSPITALSXXXXA
FRANCISCAN ST JAMES HEALTH -
8OLYMPIA FIELDS 20201 SOUTH CRAWFOROLYMPIA FIELDSIL60461WWW.FRANCISCANALLIANCE.ORG/HOSPITALSXXXXB
FRANCISCAN ST FRANCIS HEALTH -
9MOORESVILLE 1201 HADLEY ROADMOORESVILLEIN46158WWW.FRANCISCANALLIANCE.ORG/HOSPITALSXXXXA
FRANCISCAN ST ELIZABETH HEALTH -
10LAFAYETTE CENTRAL 1501 HARTFORD STLAFAYETTEIN47904WWW.FRANCISCANALLIANCE.ORG/HOSPITALSXXXA
FRANCISCAN ST ELIZABETH HEALTH -
11CRAWFORDSVILLE 1710 LAFAYETTE ROADCRAWFORDSVILLEIN47933WWW.FRANCISCANALLIANCE.ORG/HOSPITALSXXXA
FRANCISCAN HEALTHCARE - MUNSTER
12701 SUPERIOD STREETMUNSTERIN46321WWW.FRANCISCANALLIANCE.ORG/HOSPITALSXXA
FRANCISCAN ST FRANCIS HEALTH -
13CARMEL 12188-B N MERIDIAN STREETCARMELIN46032WWW.FRANCISCANALLIANCE.ORG/HOSPITALSXXA
FRANCISCAN ST FRANCIS HEALTH -
14BEECH GROVE 1600 ALBANY STREETBEECH GROVEIN46107WWW.FRANCISCANALLIANCE.ORG/HOSPITALSXXXXAX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

CHNA ConductedCHNAConductedEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyUninsured DiscountUninsuredDiscountExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyAverage Negotiated RatesAverageNegotiatedRatesAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesState RegulationStateRegulation
FACILITY REPORTING GROUP A
falsetruetrue200.true300.trueXXXXtruetrueXXXtruefalsetrueXfalsefalse
FACILITY REPORTING GROUP B
falsetruetrue200.true300.trueXXXXtruetrueXXXtruefalsetrueXfalsefalseX

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities165NumberOfOtherFacilities

Other Facilities OtherFacilities (165 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
IIMC
701 E COUNTY LINE ROAD SUITE 101GREENWOODIN46143PHYSICIAN PRACTICE
INDIANA ORTHOPEDIC SURGERY CENTER
5255 E STOP 11 ROAD SUITE 110INDIANAPOLISIN46237AMBULATORY SURGERY CENTER
FRANCISCAN SURGERY CENTER
5255 E STOP 11 ROAD SUITE 100INDIANAPOLISIN46237AMBULATORY SURGERY CENTER
THE ENDOSCOPY CENTER AT ST FRANCIS
8051 S EMERSON AVENUE SUITE 150INDIANAPOLISIN46237ENDOSCOPY CENTER
ST FRANCIS RADIATION THERAPY CENTERS
8111 S EMERSON AVENUEINDIANAPOLISIN46239RADIATION THERAPY
INDIANA HEART PHYSICIANS
5330 E STOP 11 ROADINDIANAPOLISIN46237PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK - MC
1225 E COOLSPRING AVENUEMICHIGAN CITYIN46360PHYSICIAN PRACTICE
SOUTH EMERSON SURGERY CENTER
8141 S EMERSON AVENUE SUITE CINDIANAPOLISIN46237AMBULATORY SURGERY CENTER
COOPERATIVE MANAGED CARE SERVICES
9045 RIVER ROAD SUITE 250INDIANAPOLISIN46240MANAGED CARE
INDIANA BLODD AND MARROW TRANSPLANTATION
1500 ALBANY STREET SUITE 911BEECH GROVEIN46107BLOOD AND MARROW TRANSPLANT
FRANCISCAN ST JAMES HEALTH-HOME HEALTH
1400 OTTO BOULEVARDCHICAGO HEIGHTSIL60411HOME HEALTH
MOORESVILLE SURGERY CENTER
1215 HADLEY ROAD SUITE 100MOORESVILLEIN46260AMBULATORY SURGERY CENTER
FPN ORTHOPEDIC AND SPORTS MEDICINE
1702 LAFAYETTE ROADCRAWFORDSVILLEIN47933PHYSICIAN PRACTICE
JOINT REPLACEMENT SURGEONS
1199 HADLEY ROADMOORESVILLEIN46158PHYSICIAN PRACTICE
ONCOLOGY AND HEMATOLOGY SPECIALISTS
8111 S EMERSON AVENUE SUITE AINDIANAPOLISIN46237PHYSICIAN PRACTICE
SOUTH INDY MRI AND REHAB
8141 S EMERSON AVENUE SUITE AINDIANAPOLISIN46237RADIOLOGY AND PHYSICAL SERVICES
MOORESVILLE ENDOSCOPY CENTER
1215 HADLEY ROAD SUITE 101MOORESVILLEIN46158ENDOSCOPY CENTER
FRANCISCAN PHYSICIAN NETWORK
9470 BROADWAYCROWN POINTIN46307PHYSICIAN PRACTICE
FPN NEPHROLOGY FPN PULMONARY
2708 FERRY STREETLAFAYETTEIN47904PHYSICIAN PRACTICE
FRANCISCAN ST JAMES HEALTH -
HEALTH WELLNESS CENTER 100 W 197CHICAGO HEIGHTSIL60411WELLNESS CENTER
GREENWOOD PEDIATRIC ASSOCIATES
900 AVERITT ROADGREENWOODIN46143PHYSICIAN PRACTICE
FPN DERMATOLOGY FAMILY MEDICINE PEDS
915 SAGAMORE PARKWAY WESTWEST LAFAYETTEIN47906PHYSICIAN PRACTICE
ST FRANCIS IMAGING CENTER
3147 W SMITH VALLEY ROAD SUITE DGREENWOODIN46143RADIOLOGY
FPN FAMILY & GERIATRIC MEDICINE
3920 ST FRANCIS WAY SUITE 209LAFAYETTEIN47905PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK
1505 SOUTH COURT STREETCROWN POINTIN46307PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK
12800 MISSISSIPPI PARKWAYCROWN POINTIN46307PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK
2421 LAPORTE AVENUEVALPARAISOIN46385PHYSICIAN PRACTICE
AMER HEALTH NETWORK - MUNCIE
3631 N MORRISON ROADMUNCIEIN47304PT, IMAGING, SURGERY
FPN INTERNAL MEDICINE & SURGICAL SPEC
1630 LAFAYETTE ROAD SUITE 300CRAWFORDSVILLEIN47933PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK - MC
8865 W 400 NORTHMICHIGAN CITYIN46360PHYSICIAN PRACTICE
FPN CARDIOLOGY ELECTROPHYSIOLOGY
3900 SAINT FRANCIS WAY STE 200LAFAYETTEIN47905PHYSICIAN PRACTICE
AMER HEALTH NETWORK - GROUP ONE
4880 CENTURY PLAZA ROAD SUITE 100INDIANAPOLISIN46254IMAGING
AMER HEALTH NETWORK - AVON
5250 E US 36 SUITE 610AVONIN46123IMAGING
FPN CRAWFORDSVILLE FAMILY MEDICINE
308 W MARKET STREETCRAWFORDSVILLEIN47933PHYSICIAN PRACTICE
FPN GREENACRES FAMILY MEDICINE
1500 DARLINGTON AVENUE SUITE 300CRAWFORDSVILLEIN47933PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK - MC
1507 WABASH STREETMICHIGAN CITYIN46360PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK
11161 RANDOLPH STREETCROWN POINTIN46307PHYSICIAN PRACTICE
SOUTHPORT FP AND SPORTS MEDICINE
7855 S EMERSON AVENUE SUITE PINDIANAPOLISIN46237PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK
1205 S MAIN STREETCROWN POINTIN46307PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
701 SUPERIOR AVE SUITE EMUNSTERIN46321PHYSICIAN PRACTICE
ALVERNO DURABLE MEDICAL EQUIPMENT
16149 SOUTH CLINTON STREETHARVEYIL60426DURABLE MEDICAL EQUIPMENT
IMPACT CENTER
1201 HADLEY ROADMOORESVILLEIN46158PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
840 RICHARD ROADDYERIN46311PHYSICIAN PRACTICE
BEECH GROVE FAMILY MEDICINE
2030 CHURCHMAN AVENUEBEECH GROVEIN46107PHYSICIAN PRACTICE
INDIANA SLEEP CENTER
701 E COUNTY LINE ROAD SUITE 207GREENWOODIN46143SLEEP CENTER
FRANCISCAN PHYSICIAN NETWORK - MC
810 MICHAEL DRIVECHESTERTONIN46304PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK
CHERRY CREEK CENTERCROWN POINTIN46307PHYSICIAN PRACTICE
FPN NORTHRIDGE INTERNAL MEDICINE
1704 LAFAYETTE ROAD SUITE 8CRAWFORDSVILLEIN47933PHYSICIAN PRACTICE
DIABETES AND ENDOCRINOLOGY SPECIALISTS
5230A E STOP 11 ROAD SUITE 150INDIANAPOLISIN46237PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
14785 WEST 101ST AVENUEDYERIN46311PHYSICIAN PRACTICE
KENDRICK FAMILY MEDICINE
1001 HADLEY ROAD SUITE 101MOORESVILLEIN46158PHYSICIAN PRACTICE
FPN CRAWFORDSVILLE GYNECOLOGY
407 E MARKET STREET SUITE 101CRAWFORDSVILLEIN47933PHYSICIAN PRACTICE
MOORESVILLE FAMILY CARE
1001 HADLEY ROAD SUITE 102MOORESVILLEIN46158PHYSICIAN PRACTICE
AMER HEALTH NETWORK - SLEEP (CARMEL)
12425 OLD MERIDIAN STREET SUITE A-CARMELIN46032SLEEP CENTER
NEUROSURGICAL SPECIALISTS
8051 S EMERSON AVENUE SUITE 300INDIANAPOLISIN46237PHYSICIAN PRACTICE
GRAY ROAD FAMILY MEDICINE
7825 MCFARLAND LANE SUITE AINDIANAPOLISIN46237PHYSICIAN PRACTICE
AMER HEALTH NETWORK - FRANKLIN
1300 W JEFFERSON STREET SUITE CFRANKLININ46131PT, IMAGING
ORTHOPEDIC SPECIALISTS
5230A E STOP 11 ROAD SUITE 250INDIANAPOLISIN46237PHYSICIAN PRACTICE
AMER HEALTH NETWORK - KOKOMO
2330 S DIXON ROADKOKOMOIN46902IMAGING
CENTER GROVE FAMILY MEDICINE
362 MERIDIAN PARKE LANEGREENWOODIN46142PHYSICIAN PRACTICE
SOUTH 31 FAMILY CARE
610 E SOUTHPORT ROAD SUITE 205INDIANAPOLISIN46227PHYSICIAN PRACTICE
SOUTHEAST FAMILY MEDICINE
5136 E STOP 11 ROAD SUITE 30INDIANAPOLISIN46237PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK
2050 NORTH MAIN STREETCROWN POINTIN46307PHYSICIAN PRACTICE
FRANCISCAN ST JAMES HEALTH - AMBULANCE &
EMS 20201 SOUTH CRAWFORD AVENUEOLYMPIA FIELDSIL60461AMBULANCE SERVICES
ST MARGARET MEDICAL ASSOCIATES
8242 CALUMET AVENUEMUNSTERIN46321PHYSICIAN PRACTICE
VASCULAR SPECIALISTS
5255 E STOP 11 ROAD SUITE 200INDIANAPOLISIN46237PHYSICIAN PRACTICE
ST JAMES HEALTH OUTPATIENT PHARMACY
3700 203RD STREET SUITE 108OLYMPIA FIELDSIL60461PHARMACY
FRANKLIN TOWNSHIP FAMILY MEDICINE
8325 E SOUTHPORT ROAD SUITE 100INDIANAPOLISIN46259PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
1573 N CLINE AVENUEGRIFFITHIN46319PHYSICIAN PRACTICE
HEARTLAND CROSSING PEDIATRICS
10701 ALLIANCE DRIVECAMBYIN46113PHYSICIAN PRACTICE
IRVINGTON FAMILY MEDICINE
5839 E WASHINGTON STREETINDIANAPOLISIN46219PHYSICIAN PRACTICE
MAJOR HOSPITAL CARDIAC DIAGNOSTICS
150 WEST WASHINGTON STREETSHELBYVILLEIN46176CARDIOVASCULAR TESTING
FPN EASTSIDE FAMILY MEDICINE
2056 LEBANON ROADCRAWFORDSVILLEIN47933PHYSICIAN PRACTICE
SPINE SPECIALISTS
8051 S EMERSON AVENUE SUITE 360INDIANAPOLISIN46237PHYSICIAN PRACTICE
MADISON AVE FAMILY MEDICINE
8778 S MADISON AVENUE SUITE 200INDIANAPOLISIN46227PHYSICIAN PRACTICE
AMER HEALTH NETWORK - PERU
315 W OLD KEY DRIVE IMAGING SUITEPERUIN46970IMAGING
HEARTLAND INTERNAL MEDICINE
10701 ALLIANCE DRIVECAMBYIN46113PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK
200 3RD COURT SEDEMOTTEIN46310PHYSICIAN PRACTICE
COUNTY LINE PEDIATRICS
8325 S EMERSON SUITE B1INDIANAPOLISIN46237PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
5530 HOHMAN AVENUEHAMMONDIN46320PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
221 US HWY 41 SUITE ISCHERERVILLEIN46375PHYSICIAN PRACTICE
HONEY GROVE FAMILY MEDICINE
1711 S STATE ROAD 135 SUITE CGREENWOODIN46143PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK
297 WEST FRANCISCAN LANE SUITE 104CROWN POINTIN46307PHYSICIAN PRACTICE
FPN PHYSICAL MEDICINE & REHABILITATION
1012 N 14TH STREETLAFAYETTEIN47904PHYSICIAN PRACTICE
FPN WOMEN'S HEALTH SERVICES
1630 LAFAYETTE ROAD SUITE 200CRAWFORDSVILLEIN47933PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
2068 LUCAS PARKWAYLOWELLIN46356PHYSICIAN PRACTICE
FPN FAMILY MEDICINE - KENSINGTON
3875 KENSINGTON DRIVELAFAYETTEIN47905PHYSICIAN PRACTICE
GYNECOLOGIC ONCOLOGY SPECIALISTS
5255 E STOP 11 ROAD SUITE 310INDIANAPOLISIN46237PHYSICIAN PRACTICE
FPN NORTHSIDE FAMILY MEDICINE
1660 LAFAYETTE ROAD SUITE 170CRAWFORDSVILLEIN47933PHYSICIAN PRACTICE
PLAINFIELD FAMILY MEDICINE
315 DAN HONES ROAD SUITE 100PLAINFIELDIN46168PHYSICIAN PRACTICE
PSYCHIATRIC SPECIALISTS
610 E SOUTHPORT ROAD SUITE 200INDIANAPOLISIN46227PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK
10860 MAPLE LANESAINT JOHNIN46373PHYSICIAN PRACTICE
FRANCISCAN IMAGING EQUIPMENT LEASING
1600 ALBANY STREETBEECH GROVEIN46107LEASING RADIOLOGY EQUIPMENT
ST MARGARET MEDICAL ASSOCIATES
3831 HOHMAN AVENUEHAMMONDIN46327PHYSICIAN PRACTICE
FRANCISCAN ST JAMES HEALTH CENTERS FOR
DIABETES 20201 SOUTH CRAWFORD AVENOLYMPIA FIELDSIL60461DIABETES CLINIC
PLEASANT VIEW FAMILY MEDICINE
12524 SOUTHEASTERN AVENUEINDIANAPOLISIN46259PHYSICIAN PRACTICE
AMER HEALTH NETWORK - EAGLE HIGHLANDS
6820 PARKDALE PLACE 105INDIANAPOLISIN46254IMAGING
ST MARGARET MEDICAL ASSOCIATES
24 JOLIET STREET SUITE 101DYERIN46311PHYSICIAN PRACTICE
RHEUMATOLOGY & OSTEOPOROSIS SPECIALISTS
5255 E STOP 11 ROAD SUITE 320INDIANAPOLISIN46237PHYSICIAN PRACTICE
WEIGHT LOSS SPECIALISTS
5230A E STOP 11 ROAD SUITE 190INDIANAPOLISIN46237PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
10860 MAPLE LANEST JOHNIN46373PHYSICIAN PRACTICE
FRANCISCAN ST JAMES HEALTH - FAMILY
HEALTH TINLEY PARK 17859 S 80TH ATINLEY PARKIL60477PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
5454 HOHMAN AVENUEHAMMONDIN46320PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK - MC
500 W BUFFALO STREETNEW BUFFALOMI49117PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
8437 KENNEDY AVENUEHIGHLANDIN46322PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK
5985 EAST 1015 NORTHROSELAWNIN46372PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
5500 HOHMAN AVENUE SUITE 2AHAMMONDIN46320PHYSICIAN PRACTICE
MOORESVILLE AFTER HOURS CLINIC
1001 HADLEY ROAD SUITE 101MOORESVILLEIN46158PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK - MC
3340 MONROE STREETLAPORTEIN46350PHYSICIAN PRACTICE
FPN GATROENTEROLOGY
3218 DAUGHERTY DRIVE SUITE 140LAFAYETTEIN47909PHYSICIAN PRACTICE
BREAST SPECIALISTS
5255 E STOP 11 ROAD SUITE 250INDIANAPOLISIN46237PHYSICIAN PRACTICE
INDY SOUTH AFTER HOURS CLINIC
7855 S EMERSON AVENUE SUITE PINDIANAPOLISIN46237PHYSICIAN PRACTICE
SFMG REHABILITATION SPECIALISTS
8051 S EMERSON AVENUE SUITE 360INDIANAPOLISIN46237PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
5454 HOHMAN AVENUEHAMMONDIN46320PHYSICIAN PRACTICE
BEECH GROVE INTERNAL MEDICINE
2030 CHURCHMAN AVENUEBEECH GROVEIN46107PHYSICIAN PRACTICE
SFMG PAIN SPECIALISTS
8051 S EMERSON AVENUE SUITE 360INDIANAPOLISIN46237PHYSICIAN PRACTICE
BEECH GROVE AFTER HOURS CLINIC
2030 CHURCHMAN AVENUEBEECH GROVEIN46107PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
8230 CALUMET AVENUEMUNSTERIN46321PHYSICIAN PRACTICE
MATERNAL FETAL SPECIALISTS
8051 S EMERSON AVENUE SUITE 450BINDIANAPOLISIN46237PHYSICIAN PRACTICE
PLASTIC SURGERY SPECIALISTS
8051 S EMERSON AVENUE SUITE 450INDIANAPOLISIN46237PHYSICIAN PRACTICE
ST JAMES COMMUNITY HEALTH CENTER -
BEECHER 989 DIXIE HIGHWAYBEECHERIL60401PHYSICAL THERAPY SERVICES
FPN NEIGHBORHOOD CLINIC
407 E MARKET STREET SUITE 101CRAWFORDSVILLEIN47933PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
5454 HOHMAN AVENUEHAMMONDIN46320PHYSICIAN PRACTICE
ST MARGARET MEDICAL ASSOCIATES
19400 NORTH CREEK DRIVELYNWOODIL60411PHYSICIAN PRACTICE
FPN FAMILY MEDICINE - MULBERRY
510 WEST JACKSON STREETMULBERRYIN46058PHYSICIAN PRACTICE
FRANCISCAN ST JAMES HEALTH - FAMILY
HEALTH HOMEWOOD 18636 DIXIE HIGHWAHOMEWOODIL60430PHYSICIAN PRACTICE
PLAINFIELD SPORTS AND FAMILY MEDICINE
315 DAN JONES ROAD SUITE 150PLAINFIELDIN46168PHYSICIAN PRACTICE
AMER HEALTH NETWORK - SLEEP (MUNCIE)
3631 N MORRISON ROADMUNCIEIN47304SLEEP CENTER
REDOX REACTIVE REAGENTS
1600 ALBANY STREETBEECH GROVEIN46107AUTOIMMUNE DISEASE TREATMENT
AMER HEALTH NETWORK - NOBLESVILLE
18051 RIVER AVENUE SUITE 103NOBLESVILLEIN46062IMAGING
MONTICELLO MEDICAL CENTER
826 N 6TH STMONTICELLOIN47960MEDICAL PRACTICE
FPN FAMILY MEDICINE - MONTICELLO
902 FOXWOOD COURTMONTICELLOIN47960MEDICAL PRACTICE
FRANCISCAN PHYSICIANS HOSPITAL SLEEP CTR
7905 CALUMET AVENUEMUNSTERIN463214209SLEEP CENTER
FRANCISCAN HAMMOND CLINIC
7905 CALUMET AVENUEMUNSTERIN46321SPECIALTY CENTER/URGENT CARE
FRANCISCAN HAMMOND CLINIC
9800 VALPARAISO DRIVEMUNSTERIN46321FAMILY WELLNESS CENTER
FRANCISCAN HAMMOND CLINIC
11355 WEST 97TH LANEST JOHNIN46373PRIMARY CARE
FRANCISCAN PHYSICIAN NETWORK
6831 133RD AVENUEDCEDAR LAKEIN46303FAMILY PRACTICE
FRANCISCAN PHYSICIAN NETWORK
297 WEST FRANCISCAN LANE SUITE 203CROWN POINTIN46307FAMILY PRACTICE
ST JAMES HEALTH SURGERY CENTER
333 DIXIE HIGHWAYCHICAGO HEIGHTSIL60411OP SURGERY CENTER
FRANCISCAN ST JAMES HEALTH-FAMILY HEALTH
3700 WEST 203RD STREET SUITE 112OLYMPIA FIELDSIL60461PHYSICIAN PRACTICE
FRANKFORT REHABILITATION SERVICES
10043 LINCOLN HIGHWAY 2ND FLOORFRANKFORTIL60423PHYSICAL THERAPY
DIXIE HIGHWAY REHABILITATION SERVICES
211 DIXIE HIGHWAYCHICAGO HEIGHTSIL60411PHYSICAL THERAPY
GREENWOOD IMMEDIATE CARE
1001 N MADISON AVENUEGREENWOODIN46142IMMEDIATE CARE CENTER
CHAPEL HILL IMMEDIATE CARE
650 N GIRLS SCHOOL ROADINDIANAPOLISIN46214IMMEDIATE CARE CENTER
NORA IMMEDIATE CARE
860 E 86TH STREETINDIANAPOLISIN46240IMMEDIATE CARE CENTER
WASHINGTON SQUARE IMMEDIATE CARE
992 N MITTHOEFFERINDIANAPOLISIN46229IMMEDIATE CARE CENTER
FPN HILLSBORO FAMILY MEDICINE
203 EAST MAIN STREETHILLSBOROIN47949PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK - MC
770 INDIAN BOUNDARY ROADCHESTERTONIN46304PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK - MC
900 I STREETLAPORTEIN46350PHYSICIAN PRACTICE
FRANCISCAN PHYSICIAN NETWORK
1020 EAST COMMERCIAL AVENUELOWELLIN46356PHYSICIAN PRACTICE
HAMMOND CLINIC SPECIALTY CENTER
7905 CALUMET AVENUEMUNSTERIN46321MULTISPECIALTY/OUTPATIENT FACILITY
HAMMOND CLINIC FAMILY WELLNESS CENTER
9800 VALPARAISO DRIVEMUNSTERIN46321MULTI SPEC/OUTPATIENT FACILITY
HAMMOND CLINIC ST JOHN
11355 W 97TH LANEST JOHNIN46373MULTISPEC/OUTPATIENT FACILITY
FRANCISCAN MEDICAL SPECIALISTS
919 MAIN STREETDYERIN46311PHYSICIAN PRACTICE
FRANCISCAN MEDICAL SPECIALISTS
5529 HOHMAN AVENUEHAMMONDIN46320PHYSICIAN PRACTICE
FRANCISCAN MEDICAL SPECIALISTS
1400 S LAKE PARK AVENUE SUITE 305HOBARTIN46432PHYSICIAN PRACTICE
FRANCISCAN MEDICAL SPECIALISTS
901 LINCOLN WAYLAPORTEIN46350PHYSICIAN PRACTICE
FRANCISCAN MEDICAL SPECIALISTS
300 W 80TH PLACEMERRILLVILLEIN46410PHYSICIAN PRACTICE
FRANCISCAN MEDICAL SPECIALISTS
301 W HOMER STREETMICHIGAN CITYIN46360PHYSICIAN PRACTICE
FRANCISCAN MEDICAL SPECIALISTS
1950 45TH STREETMUNSTERIN46321PHYSICIAN PRACTICE
FRANCISCAN MEDICAL SPECIALISTS
9034 COLUMBIAMUNSTERIN46321PHYSICIAN PRACTICE
FRANCISCAN MEDICAL SPECIALISTS
761 45TH STREETMUNSTERIN46321PHYSICIAN PRACTICE
FRANCISCAN MEDICAL SPECIALISTS
757 45TH STREETMUNSTERIN46321PHYSICIAN PRACTICE
FRANCISCAN MEDICAL SPECIALISTS
2001 US 41SCHERERVILLEIN46375PHYSICIAN PRACTICE
FRANCISCAN MEDICAL SPECIALISTS
1101 GLENDALE ROAD SUITE 110VALPARAISOIN46383PHYSICIAN PRACTICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SUPPLEMENTAL INFORMATIONSCHEDULE 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. ------------------------------------------------ SCHEDULE H, PART VI, ITEM 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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, and federal health care 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. 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. --------------------------------------------- SCHEDULE H, PART VI, ITEM 4 COMMUNITY INFORMATION FRANCISCAN ALLIANCE SERVICES A LARGE GEOGRAPHIC AREA WHICH INCLUDES 17 COUNTIES IN INDIANA (BENTON, CARROLL, FOUNTAIN, JASPER, JOHNSON, LAKE, LAPORTE, MARION, MONTGOMERY, MORGAN, NEWTON, PORTER, SHELBY, STARKE, TIPPECANOE, 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 OF APPROXIMATELY $58,119 IN 2012. FOR THESE COMMUNITIES, THE PERCENTAGE OF RESIDENTS BELOW THE FEDERAL POVERTY LEVEL WAS ESTIMATED AT 17.1% IN 2012. THE PERCENTAGE OF INPATIENTS FROM THESE COMMUNITIES WHO WERE SERVED BY MEDICAID WAS 17.9%. AND THE PERCENTAGE OF INPATIENTS FROM THESE COMMUNITIES WHO WERE UNINSURED WAS APPROXIMATELY 3.1%. IN COMPARISON, THE PERCENTAGES OF MEDICAID AND UNINSURED TREATED BY FRANCISCAN ALLIANCE WERE 15.7% AND 5.9% RESPECTIVELY IN 2012. THERE WERE 54 OTHER HOSPITALS IN 2012 THAT SERVE WITHIN THESE COMMUNITIES AS WELL. ----------------------------------------- SCHEDULE H, PART VI, ITEM 5 OTHER INFORMATION "Our Giving Journal" at www.FranciscanAlliance.org/CommunityBenefit reflects Franciscan's mission of "Continuing Christ's Ministry in Our Franciscan Tradition" along with a report of our community benefit activities. 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 Health 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. - Indigent Health Care Clinics. - Health and Wellness Centers and Healthy Living Education Centers. - Community Outreach and Education Programs including: Health Fairs, Free Health Screenings, Free Breast Health Screening Services, Free Prostrate Screenings, Free Skin Cancer Screenings, Free Cervical Cancer Screenings, Free Glucose Screenings, Free Cholesterol Screenings, Free Bone Density Screenings, Free Spa Services for Cancer Patients, Online Health Condition Assessment Tools, Cancer Prevention Activities, Cancer Survivor Programs and Retreats, Health Care Decision-Making Sessions, Senior Health Education, Diabetes Management Education and Activities, Pain Management Seminars and Activities, Cardiac Risk Factors Educational Sessions and Online Tools, Hospice and Palliative Care Counseling and Education Services, Alzheimer Support Services, Smoking Cessation Programs, Basic Life-Saving Skills Programs, Children's Health Needs Activities, Childhood Obesity Activities, Weight Loss Education, Organ and Tissue Donation Fairs, Volunteer Advocates for Seniors, Parenting Programs, Residential Support Program for Pregnant Girls, Prenatal 'Baby Showers', Athletic Training (Schools and Various Marathons), Orthopedic Road Shows, Flu Vaccinations, Child Seat Safety Programs, Bereavement Support Groups, Community Education Lectures, Indigent Prescription Programs, Sex Can Wait Programs, Caregivers Education Symposiums, Health Career Days, Arthritis Exercise Group, Babysitting Course, Prepared Childbirth Programs, Food Share Programs, Nutritional Counseling for Grade Schools and Seniors, etc. - Social Services including: Pastoral Care, Eucharistic Ministry Program, No One Dies Alone Programs, Language Interpreter Services, Deaf Interpreter Services, Transportation for the Indigent, enrollment assistance in Medicaid, etc. - Medical Education including: Physician Residency Programs, Family Medicine Residency Program, Emergency Room Physician Residency Program, Pharmacy Residency Program, Medical Student Training Program, St. Elizabeth School of Nursing Program, Advance Nursing Continuing Education, N
SCHEDULE H, PART IIFRANCISCAN 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 as further described in "Our Giving Journal" at www.franciscanalliance.org/communitybenefit. 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 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 assitance 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 3 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, 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 not apply. ------------------------------------------------ SCHEDULE H, PART IV NAME OF ENTITY: FRANCISCAN IMAGING EQUIPMENT LEASING LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: IMAGING EQUIPMENT LEASING ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 59.67000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 40.33000 NAME OF ENTITY: MOORESVILLE ENDOSCOPY CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: ENDOSCOPY SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: LAPORTE COUNTY OPEN MRI LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: MRI SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 33.33333 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 66.66667 NAME OF ENTITY: INDIANA SLEEP CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: SLEEP CENTER ORGANIZATION'S PROFIT % OR STOCKCOMMUNITY BUILDING ACTIVITIES
STATE FILING OF COMMUNITY BENEFIT REPORTIL,IN,990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistance
LAFAYETTE MEDICAL EDUCATION FOUNDATION
1501 HARTFORD STREET RM 1128ALAFAYETTEIN47093351314750501(C)(3)10000FMVNONEMED. EDUC.
ST ANTHONY HEALTH CENTER
PO BOX 340ALTONIL62002370661234501(c)(3)1000000FMVNONEFINANCIAL SUPPORT0
USCC BISHOPS OFFICE OF CARDNINALS
3211 FOURTH STREET NEWASHINGTONDC20017530196617501(C)(3)500000FMVNONEFINANCIAL SUPPORT0
RIGGS COMMUNITY HEALTH CLINIC
1716 HARTFORD STLAFAYETTEIN47904351965865501(C)(3)63100FMVNONESKYWALK REMOVAL COSTS0
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPART I, LINE 2Identifier
ExplanationCONTRIBUTIONS ARE GIVEN TO TAX-EXEMPT ORGANIZATIONS WHICH USE THE FUNDS FOR CHARITABLE PURPOSES IN FURTHERANCE OF MEDICAL RESEARCH, MEDICAL INITIATIVES, EDUCATION, AND/ OR COMMUNITY ACTIVITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KEVIN D LEAHY
PRESIDENT AND TRUSTEE152398900068201089564703252602520363000
EUGENE C DIAMOND
REGIONAL CEO NIR82828700061601070210902663701618634000
ROBERT J BRODY
REGIONAL CEO CIR82907100059342068860303125401608270000
JENNIFER P MARION
SENIOR VP FINANCE, CFO6822560002953102185930292730959653000
TERRANCE E WILSON
REGIONAL CEO WIR62297200040433040803502945701100897000
SETH CR WARREN
REGIONAL CEO SSCR6112760004845302801920259390965860000
LOUIS METZMAN MD
PHYSICIAN107336604622903659505056002204801228798000
JEFFREY L PIERSON MD
PHYSICIAN12668660653360425320501620152801426424000
JAIRO CRUZ MD
TRUSTEE22279000025335000193620267487000
DIPEN C MAUN
PHYSICIAN533648043778701928802536201282601028911000
NADEEM IKHLAQUE
PHYSICIAN57976303477300181490326750156360993953000
CHARLES E HUGHES III
PHYSICIAN3674930503994061530488330111660937639000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE J, PART II, COLUMN (C)Deferred compensation reported in this column includes split-dollar life insurance, employer deferral to section 403(B) Plan, 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. No benefits have been paid out to executives reported on Part VII participating in the nonqualified defined benefit plan.
SCHEDULE J, PART I, LINE 4BFranciscan 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
INDIANA FINANCE AUTHORITY (06E)
A351602316454795DW22006-04-2585150922REFUND PRIOR ISSUE DATED 5/16/06falsefalsefalse
INDIANA FINANCE AUTHORITY (08AB)
B35160231645470YAB72008-05-12162960000REFINANCING AND REFUND PRIOR ISSUEfalsefalsefalse
INDIANA FINANCE AUTHORITY (08C)
C35160231645470YAX92008-09-15291837375REFUND PRIOR ISSUE DATED 5/2/06falsefalsefalse
INDIANA FINANCE AUTHORITY (08EFGH)
D35160231645470YBE02008-10-10279345000REFUND PRIOR ISSUE DATED 11/20/03falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A47592208690320900014421000428301834392881602007truefalsetruetrue
B7150000162624820000192482000016070000002012truefalsetruetrue
C12842375029046263400015057850002889568490truefalsetruetrue
D7500000002789193240005038760012487312315354232502011truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropPrcntge Bond Financed PropPrcntgeBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsetruetruetruetruetrue0.001000.000000.00100falsetrue0.00000true
Bfalsetruetruetruetruetrue0.001000.000000.00100falsetrue0.00000true
C0.000000.000000.00000
Dfalsetruetruetruetruetrue0.010000.001000.01100falsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsefalsefalsetruefalsefalsefalse0truetrue
0
Bfalsefalsefalsetruetruefalsefalse0truetrue
0
Cfalsefalsefalsetruefalsefalsefalse0truetrue
0
Dfalsefalsetruefalsetruefalsefalse0falsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue
Ctrue
Dtrue

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K, PART II, LINE 130FOR THE INDIANA FINANCE AUTHORITY 2008C AND INDIANA FINANCE AUTHORITY 2012 A/B BONDS, THESE BONDS SOLELY REFUNDED PRIOR ISSUES, SO THE YEAR OF SUBSTANTIAL COMPLETION HAS NOT BEEN ENTERED.
SCHEDULE K, PART III0FOR 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 8B0FOR THE INDIANA FINANCE AUTHORITY 2006E, 2008A/B, 2008E-H, 2008I/J, AND 2012A/B BONDS, 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 2006E - JANUARY 2011 SERIES 2008A/B - JANUARY 2011 SERIES 2008C - JANUARY 2011
SCHEDULE K, PART IV, LINE 50

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
INDIANA FINANCE AUTHORITY (08IJ)
A35160231645470YBL42008-11-2081850000REFUND PRIOR ISSUE DATED 5/16/06falsefalsefalse
INDIANA FINANCE AUTHORITY (09A)
B35160231645470YCF62009-11-05221309385REFUNDING AND NEW PROJECTSfalsefalsefalse
INDIANA FINANCE AUTHORITY (12AB)
C3516023162012-04-2582620000REFUND PRIOR ISSUES DATED '01&'08falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A85500008169387500011208000008057307502012truefalsetruetrue
B0021939289700079250000218600397002012falsefalsetruetrue
C17650000826200000000000826200000truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropPrcntge Bond Financed PropPrcntgeBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsRemedial Action TakenRemedialActionTaken
Afalsetruetruetruetruetrue0.001000.000000.00100falsetrue0.00000true
Bfalsetruetruetruetruetrue0.020000.005000.02500falsefalsetruefalse
Cfalsetruetruetruetruetrue0.010000.001000.01100falsetrue0.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsefalsefalsetruetruefalsefalse0truetrue
0
Bfalsefalsetruefalsefalsefalsefalse0falsetrue
0
Cfalsetruefalsefalsetruefalsefalse0falsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue
Ctrue

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonTONN AND BLANK CONSTRUCTION LLCNamePerson
FieldValueIRS element (for citing)
RelationshipCOMMON DIRECTORS&OFFICERSRelationship
Amount Of Transaction29419195AmountOfTransaction
Description Of TransactionPURCHASE OF CONSTRUCTION SERVSDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L, PART IVIdentifier
ExplanationTONN AND BLANK CONSTRUCTION COMPANY, LLC IS A LIMITED LIABILITY COMPANY IN WHICH FRANCISCAN ALLIANCE, INC. HOLDS A MEMBERSHIP INTEREST. THE FOLLOWING CURRENT TRUSTEES AND OFFICERS OF FRANCISCAN ALLIANCE, INC. ARE ALSO BOARD MEMBERS OF TONN AND BLANK CONSTRUCTION COMPANY, LLC: SISTER JANE MARIE KLEIN AND KEVIN D. LEAHY. TONN AND BLANK CONSTRUCTION COMPANY, LLC PROVIDES CONSTRUCTION SERVICES TO FRANCISCAN ALLIANCE, INC. FOR THE CONSTRUCTION AND IMPROVEMENT OF ITS HEALTHCARE FACILITIES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
FORM 990, PART I, LINE 1FRANCISCAN 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 "OUR GIVING JOURNAL" AT WWW.FRANCISCANALLIANCE.ORG/COMMUNITYBENEFIT WHICH REFLECTS OUR MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION." FORM 990, PART V, LINE 4B ADDITIONAL FOREIGN COUNTRIES - JAPAN, KOREA, MALAYSIA, PHILLIPPINES, POLAND, THAILAND, AND TURKEY. FORM 990, PART VI, SECTION A, LINE 7A THE 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"), SERVING ON THE PROVINCIAL AND THE PROVINCIAL COUNCIL (COLLECTIVELY "PROVINCIAL LEADERSHIP"), THE PROVINCIAL TREASURER, THE DIRECTOR OF HEALTHCARE OF THE PROVINCE, AND SIX ADDITIONAL SISTERS APPOINTED BY THESE LISTED ABOVE SHALL BE MEMBERS OF FRANCISCAN ALLIANCE, INC. THE BOARD OF TRUSTEES SHALL CONSIST OF 15 INDIVIDUALS INCLUDING: (A) THREE TRUSTEES SHALL BE MEMBERS OF THE PROVINCIAL LEADERSHIP OF THE PROVINCE, ONE 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 DIRECTOR OF ALL OF THE HEALTH CARE SERVICES 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 MEMBERS SHALL ELECT THE REMAINING TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BNO 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 11BTHE INFORMATION TO PREPARE THE FORM 990 OF FRANCISCAN ALLIANCE, INC. ("FRANCISCAN") IS GATHERED BY FINANCE STAFF AND PROVIDED TO ITS ACCOUNTING FIRM WHO PREPARES THE RETURN. SENIOR MANAGEMENT THEN REVIEWS THE RETURN PRIOR TO FILING. THE FORM 990 IS ALSO MADE AVAILABLE TO FRANCISCAN'S BOARD OF TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CThe Corporation requires annual conflict of interest statements from each director, principal officer, members of committees with board designated powers, key employees, and operation 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. If 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 15Franciscan Alliance, Inc.'s ("Franciscan") process for determining compensation for the organization's President/CEO, officers and key employees consists of annual compensation studies obtained from up to eight different national compensation surveys. These studies are used to benchmark the organization's President/CEO, officers and key employees based on comparable positions within the healthcare industry. In addition to compensation surveys, Franciscan has periodic external reviews completed by 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 (F) Deferred compensation reported in this column includes split-dollar life insurance, employer deferral to section 403(B) Plan, 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. No benefits have been paid out to executives reported on Part VII participating in the nonqualified defined benefit plan.
FORM 990, PART XI, LINE 9EQUITY IN EARNINGS OF AFFILIATES 12,205,166 MINORITY INTEREST IN AFFILIATES (19,388,000) NET ASSETS RELEASED FOR OPERATIONS 1,514,429 NET ASSETS RELEASED FROM RESTRICTION 1,620,000 EQUITY TRANSFERS TO/FROM AFFILIATES 1,412,849 CHANGE IN PENSION & POST-RETIREMENT BENEFITS OTHER THAN NET PERIODIC PENSION COSTS INCLUDED IN ACCRUED PENSION LIABILITY (114,392,000) NET ASSET RECLASS 380,953 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS (9,603,304) CHANGE IN PERMANENTLY RESTRICTED NET ASSETS (3,161,243) ------------- TOTAL OTHER CHANGES IN NET ASSETS (129,411,150)

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ATHENS OUTPATIENT SERVICES LLC
1710 LAFAYETTE ROADCRAWFORDSVILLEIN47933203686603MEDICAL SRVCSIN143088387114017FRANCISCAN
FRANCISCAN ALLIANCE ACCOUNTABLE CARE ORG
1515 DRAGOON TRAILMISHAWAKAIN46544452884517ACCOUNT. CAREIN4193468389500FRANCISCAN
ST FRANCIS INSURANCE SERVICES LLC
1600 ALBANY STREETBEECH GROVEIN46107200048077INSURANCEIN4314340FRANCISCAN
SPECIALTY PHYSICIANS OF ILLINOIS LLC
333 DIXIE HIGHWAYCHICAGO HEIGHTSIL60411050540914PHYSICIANIL5388149610893325FRANCISCAN
FAITH HOPE AND LOVE CANCER CENTER LLC
1250 SOUTH CREASY LN STE ALAFAYETTEIN47905680612977MEDICAL SRVCSIN214976611153887FRANCISCAN
FRANCISCAN HAMMOND CLINIC LLC
7905 CALUMET AVENUEMUNSTERIN46321274958737MEDICAL SRVCSIN5205576319780922FRANCISCAN
FRANCISCAN PHYSICIANS HOSPITAL LLC
701 SUPERIOR STREETMUNSTERIN46321208411919HOSPITALIN6062942475535506FRANCISCAN
FRANCISCAN PRACTICE MANAGEMENT LLC
5224 S EAST STREET SUITE 3INDIANAPOLISIN46227272919869HEALTHCAREIN4306290FRANCISCAN
ST FRANCIS MEDICAL GROUP LLC
5330 E STOP 11 RDINDIANAPOLISIN46237263877295MEDICAL SVCSIN265849160FRANCISCAN
HEALTHPARTNERS MEDICAL GROUP LLC
1225 E COLLSPRING AVENUEMICHIGAN CITYIN46320200474054HEALTHCAREIN433158084068485FRANCISCAN
FRANCISCAN AHN ACO LLC
1515 DRAGOON TRAILMISHAWAKAIN46544454171713ACCOUNT. CAREIN2057954276959FRAN ACO LLC
FRANCISCAN UNION HOSPITAL ACO LLC
1515 DRAGOON TRAILMISHAWAKAIN46544460889127ACCOUNT. CAREIN26326112541FRAN ACO LLC

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ALVERNO CLINICAL LABS INC
2434 INTERSTATE PLAZA DRIVEHAMMONDIN46324352060754LAB SERVICESIN501(C)(3)11 - Type 1FRANCISCANtrue
HILLS INSURANCE COMPANY INC
1515 DRAGOON TRAILMISHAWAKAIN46544030372512CAPTIVE INSVT501(C)(3)11 - Type 1FRANCISCANtrue
SISTERS OF ST FRANCIS OF PERPETUAL ADOR
PO BOX 766MISHAWAKAIN46546351328145RELIGIOUSIN501(C)(3)1NAfalse
ST ALEXIS HOSPITAL ASSOCIATION
PO BOX 1290MISHAWAKAIN46546340714485SUPPORT ALEXAOH501(C)(3)3FRANCISCANtrue
FRANCISCAN ALLIANCE FOUNDATION INC
1600 ALBANY STREET - FINANCE 9010BEECH GROVEIN46107351955283FUNDRAISINGIN501(C)(3)7FRANCISCANtrue
ST JAMES COMMUNITY FOUNDATION
1423 CHICAGO ROADCHICAGO HEIGHTSIL60411204249251FUNDRAISINGIL501(C)(3)7FRANCISCANtrue
VNS AT ST FRANCIS INC
4701 N KEYSTONE AVE S418INDIANAPOLISIN46205350868199HOME HEALTHIN501(C)(3)9FRANCISCANtrue
AT YOUR SERVICE HOME CARE INC
4701 N KEYSTONE AVEINDIANAPOLISIN46205352107306HEALTHCAREIN501(C)(3)9FRANCISCANtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
FRANCISCAN IMAGING EQUIPMENT LEASING LLC
1600 ALBANY STREETBEECH GROVEIN46107352282509EQUIPMENT LEAINFRANCISCANRELATED160990false$0false0.59670
FRANCISCAN PHYSICIANS REAL PROPERTY LLC
701 SUPERIOR STREETMUNSTERIN46321260787231REAL PROP LEAINFRANCISCANRELATED256528036338991false$0false0.89560
FRANCISCAN SURGERY CENTER LLC
1600 ALBANY ROADBEECH GROVEIN46107352128334MEDICAL SERVSINFRANCISCANRELATED70766533592089false$0false0.50540
LAFAYETTE HEART PROGRAM HOLDINGS LLC
1501 HARTFORD STREETLAFAYETTEIN47904383750811MEDICAL SERVSINFRANCISCANRELATED342978114397410false$0false0.51000
ST ANTHONY HEALTH NETWORK LLC
PO BOX 310MISHAWAKAIN465460310351985170CLAIMS PROCESINFRANCISCANRELATED103132588144false$0false0.88070
ST FRANCIS MOORESVILLE SURGERY CENTER
1215 HADLEY ROAD SUITE 100MOORESVILLEIN46158202256900MEDICAL SERVSINFRANCISCANRELATED1110946425003false$0false0.63290
ST FRANCIS RADIATION THERAPY CENTERS LLC
1600 ALBANY STREETBEECH GROVEIN46107770663631MEDICAL SERVSINFRANCISCANRELATED52751047867729false$0false0.86740
MAJOR HOSPITAL CARDIAC DIAGNOSTICS LLC
150 West Washington StreetShelbyvilleIN46176208715441MEDICAL SERVSINFRANCISCANRELATED388698488843false$0false0.53600
ST FRANCIS IMAGING CTR GREENWOOD LLC
3147 W SMITH VALLEY RDGREENWOODIN46143204607426IMAGING SERVSINFRANCISCANRELATED7706741182205false$0false0.60000
TONN AND BLANK CONST LLC
1623 GREENWOOD AVEMICHIGAN CITYIN46360263919039CONSTRUCTIONINFRANCISCANRELATED14589602980956false$72,210false0.56500

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
FRANCISCAN HOLDING CORPORATION
1515 DRAGOON TRAILMISHAWAKAIN46544363593505HOLDING COMPINFRANCISCANC CORP1225601426217241.00000true
ST FRANCIS HEALTH NETWORK
112 N 17TH AVENUE SUITE 210BEECH GROVEIN46107351904455INSURANCEINFRANCISCANC CORP8021325270061151.00000true
ST JAMES PHO INC
1423 CHICAGO ROADCHICAGO HEIGHTSIL60411363945083MANAGED CAREILFRANCISCANC CORP939550611398650.50000false
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ALVERNO CLINICAL LABORATORIES INC
B194970FMV
FRANCISCAN IMAGING EQUIPMENT LEASING LLC
C314580FMV
FRANCISCAN ALLIANCE FOUNDATION INC
C5386823FMV
FRANCISCAN PHYSICIANS REAL PROPERTY LLC
C2112964FMV
FRANCISCAN SURGERY CENTER LLC
C6087130FMV
MAJOR HOSPITAL CARDIAC DIAGNOSTICS LLC
C150000FMV
ST FRANCIS IMAGING CENTER (GREENWOOD) LLC
C711000FMV
ST FRANCIS MOORESVILLE SURGERY CENTER LLC
C1050000FMV
ST FRANCIS RADIATION THERAPY CENTERS LLC
C4866117FMV
TONN AND BLANK CONSTRUCTION LLC
M29419195FMV
TONN AND BLANK CONSTRUCTION LLC
C571447FMV
FRANCISCAN PHYSICIANS REAL PROPERTY LLC
K2585135FMV