2012-11-15T13:30:45-06:00 2011-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2011-01-01 351330472 FRANCISCAN ALLIANCE INC % MARGUERITE EICHELBERGER FRAN 5742563935 1515 DRAGOON TRAIL MISHAWAKA IN 465444710 KEVIN D LEAHY 2012-11-15 true 2673303000 2011 2016-02-24 21:20:13Z KEVIN D LEAHY 1515 DRAGOON TRAIL MISHAWAKA IN 46544 2369317141 false 0928 X WWW.FRANCISCANALLIANCE.ORG X 1974 IN SEE SCHEDULE O 15 11 18201 1884 11199651 707158 7740999 7420568 2202782422 2255270155 102463339 86918390 10406749 11057705 2323393509 2360666818 6454468 60338 0 0 1038668750 1137443940 160348 143488 378709 1085499963 1076589218 2130783529 2214236984 192609980 146429834 3688293018 3793872644 1799844806 1956026290 1888448212 1837846354 X THE 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 ST false false 1937190004 60338 2246315655 FRANCISCAN ALLIANCE, INC.'S ("FRANCISCAN") PURPOSE IS TO CONTINUE THE HEALING MINISTRY OF CHRIST IN ACCORDANCE WITH THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH AND IN PARTNERSHIP WITH OTHERS TO PROVIDE A FULL CONTINUUM OF HEALTH CARE SERVICES; TO CARRY ON EDUCATIONAL ACTIVITIES RELATED TO THE PROMOTION OF HEALTH; TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO HEALTH CARE; AND TO PARTICIPATE IN ACTIVITIES DESIGNED AND CONDUCTED TO PROMOTE THE GENERAL HEALTH OF THOSE SERVED BY FRANCISCAN. PLEASE VIEW "OUR GIVING JOURNAL" AT WWW.FRANCISCANALLIANCE.ORG/COMMUNITYBENEFIT WHICH REFLECTS OUR MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION." THE REPORT LOCATED AT WWW.FRANCISCANALLIANCE.ORG/COMMUNITYBENEFIT REFLECTS OUR MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION." ALTHOUGH IT IS NOT ALL INCLUSIVE OF THE MANY BENEFITS PROVIDED, IT DOES PORTRAY THE SIGNIFICANT BENEFITS THAT REFLECT THE ORGANIZATION'S COMMITMENT TO HEALTHCARE AND THE COMMUNITIES WE SERVE. AS DETAILED IN THE REFERENCED REPORT, A SUMMARY OF THE COMMUNITY BENEFIT OF FRANCISCAN ALLIANCE, INC. IS AS FOLLOWS: BENEFITS FOR THE POOR --------------------- CHARITY CARE $ 69,346,148 UNPAID COST OF MEDICAID 112,305,383 COMMUNITY SERVICES 7,654,946 ----------- $ 189,306,477 BENEFITS FOR THE COMMUNITY -------------------------- OTHER COMMUNITY BENEFITS $ 63,253,443 BAD DEBT 28,296,882 UNPAID COST OF MEDICARE 173,106,967 ------------ TOTAL BENEFITS $ 264,657,292 TOTAL BENEFITS $ 453,963,769 1937190004 true true false true false false false false true true false false false true false false true false false false false false true true false true true true false true true true false false false false false false false false true false false false false true true true true false false true 2322 0 true 18201 true true true true BD false false false true true false false false false X 15 11 false false false false false true true true true false false true true true true true true true true true true IL IN X X MARGUERITE EICHELBERGER 5742546268 1515 DRAGOON TRAIL MISHAWAKA IN 465444710 X SISTER M ALINE SHULTZ 40.0 X SISTER M CLARE REUILLE 5.0 X SISTER ROSE AGNES PFAUTSCH 5.0 X SISTER M ANGELA MELLADY 5.0 X SISTER M MARLENE SHAPLEY 40.0 X SISTER MARILYN OLIVER 5.0 X KATHLEEN GOEPPINGER PHD 5.0 X SISTER M MADONNA ROUGEAU 40.0 X JOHN LADOWICZ 5.0 X JAMES D ROGGE MD 5.0 X SISTER JANE MARIE KLEIN 40.0 X X SISTER M ANN KATHLEEN MAGIERA 40.0 X X KEVIN D LEAHY 40.0 X X 1542487 0 1565450 SISTER M CORITA LAST 40.0 X X DONALD J KERNER MD 10.0 X 38462 0 1751 JAIRO CRUZ MD 40.0 X 242506 0 0 SISTER LETHIA MARIE LEVEILLE 40.0 X EUGENE C DIAMOND 40.0 X 864620 0 1354417 ROBERT J BRODY 40.0 X 865014 0 1215312 JENNIFER P MARION 40.0 X 681005 0 236371 TERRANCE E WILSON 40.0 X 646388 0 577281 SETH CR WARREN 40.0 X 645280 0 338840 LOUIS METZMAN MD 40.0 X 1189020 0 58697 JEFFREY L PIERSON MD 40.0 X 1384874 0 40132 JOHN B MEDING MD 40.0 X 841159 0 53873 MICHAEL E BEREND MD 40.0 X 871656 0 32364 ROBERT A MALINZAK MD 40.0 X 704665 0 32743 10517136 0 5507231 993 false true false METT THERAPY 801 SOUTH BRIGGS STREET JOLIET IL 60433 PHYSICIAN FEES 7806606 PRICEWATERHOUSECOOPERS LLP PO BOX 75647 CHICAGO IL 606755647 ACCOUNTING 2916528 WEBMEDX INC 3350 RIVERWOOD PARKWAY SUITE 1850 ATLANTA GA 30339 BILLING SERVICES 2734438 MEDICAL REIMBURSEMENTS OF AMERICA 7105 MOORES LANE SUITE 7 BRENTWOOD TN 37027 BILLING SERVICES 2672271 KRIEG DEVAULT LLP ONE INDIANA SQUARE INDIANAPOLIS IN 462042079 LEGAL 2495041 151 249802 40000 400470 6730296 7420568 PATIENT AND OTHER REVENUES 900099 2117342503 2116264124 1078379 PREMIUM REVENUE 900099 78345233 78345233 LAUNDRY 812300 2438273 2438273 PHARMACY 446110 53120961 50555512 923348 1642101 CAFETERIA 722210 4023185 4023185 2255270155 87976025 87976025 0 0 0 0 8845121 5534375 3310746 3310746 1150786 2159960 1499193 2556828 -1057635 -1057635 -1057635 166972 249802 287145 -120173 -120173 0 0 301077 271975 29102 29102 OTHER OPERATING REVENUE 900099 7838030 7838030 7838030 2360666818 2246315655 11199651 95730944 60338 60338 0 0 0 14119443 7782495 6336948 0 0 875334591 776290097 98889011 155483 39555261 35439560 4106184 9517 158488611 133515961 24947967 24683 49946034 45207187 4727111 11736 9796849 7953178 1843671 0 3079684 420936 2658748 0 1831641 909162 922479 0 624798 694 624104 0 143488 143488 0 145861758 129081415 16779223 1120 14653746 4071600 10582146 0 124180369 106216020 17963814 535 87415917 87415917 0 0 0 40624450 37986847 2636893 710 3054789 1700054 1353850 885 0 592872 415517 174467 2888 33505320 33505320 0 98483303 91160239 7318697 4367 31741544 28218629 3517866 5049 MEDICAL SUPPLIES/ DRUGS 197377609 197377609 0 0 PURCHASED SERVICES 130342565 100473721 29855622 13222 REPAIRS AND MAINTENANCE 27251958 25409310 1842648 0 FEDERAL UBI AND STATE TAXES 116000 0 116000 0 126054046 86578198 39470822 5026 2214236984 1937190004 276668271 378709 0 0 191029979 154566684 0 0 245465370 313901189 0 0 0 0 722368 206803 36514501 36330201 46044255 51352023 2783690537 1310950487 1369664400 1472740050 1587928706 1531323211 113044850 124034580 0 0 23403699 27828383 74474890 81589520 3688293018 3793872644 225422597 218401833 0 0 287404 0 1134004299 1120603835 0 0 0 0 0 0 11071886 8467438 429058620 608553184 1799844806 1956026290 X 1868678493 1818403962 10793940 10215536 8975779 9226856 1888448212 1837846354 3688293018 3793872644 X 146429834 -197031692 X false true true X true true X false false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 28954 true 369193 false true 226651 624798 false false SCHEDULE C, PART IV Franciscan Alliance, Inc. ("FRANCISCAN") engages in insubstantial amounts of lobbying activities. FRANCISCAN makes grants to other organizations that lobby on its behalf including various health and hospital associations. FRANCISCAN also engages in direct contact with legislators and their staffs on topics related to FRANCISCAN's healthcare mission. 8975779 274000 22923 9226856 15030221 267000 6321442 8975779 14207054 568167 255000 15030221 13918880 1795174 -1507000 14207054 1.00000 false false 83134218 83134218 1004766956 546953232 457813724 28388283 16902262 11486021 1286718564 721406064 565312500 356506053 14852466 341653587 1459400050 0 DUE TO THIRD PARTY PAYORS 5551049 ACCRUED PAYROLL 77551354 OTHER SHORT & LONG TERM LIABIL 77020761 ACCRUED PROF & GEN'L LIABILITY 11714711 ACCRUED PENSION LIABILITY 329731477 SWAP VALUATION 105964374 ASSET RETIREMENT OBLIGATION 1019458 608553184 2360666818 2214236984 146429834 -129867773 -67163919 -197031692 -50601858 2169529084 -129867773 -67091481 -196959254 2366488338 -5821520 -5821520 2360666818 2220058504 5821520 5821520 2214236984 2214236984 PART V, LINE 4 FRANCISCAN ALLIANCE, INC. USES ITS ENDOWMENT FUNDS FOR CAPITAL EXPENDITURES FOR EQUIPMENT, CAPITAL PROJECTS, OR OTHER CAPITAL NEEDS; MEDICAL EDUCATION PROGRAMS; AND HEALTH CARE PROGRAMS FOR MEDICAL AND PATIENT SERVICES IN ACCORDANCE WITH ANY STIPULATED DONOR RESTRICTIONS. PART XI, LINE 8 EQUITY IN EARNINGS OF AFFILIATES $ 18,065,159 MINORITY INTEREST IN AFFILIATES (17,213,000) NET ASSETS RELEASED FOR OPERATIONS 2,964,082 NET ASSETS RELEASED FROM RESTRICTION 796,000 EQUITY TRANSFERS TO/FROM AFFILIATES 9,574,949 CHANGE IN PENSION & POST-RETIREMENT BENEFITS OTHER THAN NET PERIODIC PENSION COSTS INCLUDED IN ACCRUED PENSION LIABILITY (93,872,000) OTHER CHANGES IN NET ASSETS 12,593,329 NET ASSET RECLASS 254,889 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS (578,404) CHANGE IN PERMANENTLY RESTRICTED NET ASSETS 251,077 ------------- TOTAL OTHER CHANGES IN NET ASSETS (67,163,919) PART XII, LINE 2D EQUITY IN EARNINGS OF AFFILIATES $ 18,065,159 MINORITY INTEREST IN AFFILIATES (17,213,000) NET ASSETS RELEASED FOR OPERATIONS 2,964,082 NET ASSETS RELEASED FROM RESTRICTION 796,000 EQUITY TRANSFERS TO/FROM AFFILIATES 9,574,949 CHANGE IN PENSION & POST-RETIREMENT BENEFITS OTHER THAN NET PERIODIC PENSION COSTS INCLUDED IN ACCRUED PENSION LIABILITY (93,872,000) OTHER CHANGES IN NET ASSETS 12,593,329 ------------- TOTAL REVENUE/EXPENSE ON BOOKS NOT ON RETURN (67,091,481) PART XII, LINE 4B RENT EXPENSE $ (5,534,375) SPECIAL EVENTS EXPENSE (287,145) ----------- TOTAL EXPENSE ON RETURN NOT ON BOOKS (5,821,520) PART XIII, LINE 2D RENT EXPENSE $ 5,534,375 SPECIAL EVENTS EXPENSE 287,145 ----------- TOTAL EXPENSE ON BOOKS NOT ON RETURN 5,821,520 X X X X X X true LAURUS BRUNI SEE PART IV DEVELOPMENT SERVICES false 143488 143488 IL IN NIR GALA 416774 249802 166972 5500 215590 4500 61555 0 416774 249802 166972 5500 215590 4500 61555 287145 -120173 SCHEDULE G, PART I, LINE 2 FRANCISCAN ALLIANCE, INC. COMPENSATES THIS PROFESSIONAL FUNDRAISER BUT CONTRIBUTIONS AND GRANTS ARE RECEIVED BY A RELATED TAX-EXEMPT ORGANIZATION, ST. JAMES COMMUNITY FOUNDATION. ST. JAMES COMMUNITY FOUNDATION RECEIVED $1,564,612 IN CONTRIBUTIONS AND GRANTS DURING 2011. true true X true X true X true false true true 69346148 0 69346148 0.03130 251928493 139623110 112305383 0.05070 4486353 966383 3519970 0.00160 325760994 140589493 185171501 0.08360 5267449 430584 4836865 0.00220 21811401 6416604 15394797 0.00700 113042402 69454788 43587614 0.01970 785648 188658 596990 0.00030 2005985 23430 1982555 0.00090 142912885 76514064 66398821 0.03010 468673879 217103557 251570322 0.11370 463 0 463 0.00000 15247 0 15247 0.00000 546 0 546 0.00000 74040 0 74040 0.00000 71827 0 71827 0.00000 3713624 2887630 825634 0.00040 1841 0 1841 0.00000 3877588 2887630 989598 0.00040 true 28296882 0 416383621 589490588 -173106967 X true true SEE PART VI 13 1 FRANCISCAN ST FRANCIS HEALTH -

INDIANAPOLIS 8111 SOUTH EMERSON AV INDIANAPOLIS IN 46217

X X X X X 2 FRANCISCAN ST ELIZABETH HEALTH -

LAFAYETTE EAST 1701 S CREASY LANE LAFAYETTE IN 47905

X X X 3 FRANCISCAN ST ANTHONY HEALTH -

CROWN POINT 1201 SOUTH MAIN STREET CROWN POINT IN 46307

X X X 4 FRANCISCAN ST FRANCIS HEALTH -

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X X X X X X 5 FRANCISCAN ST MARGARET HEALTH -

HAMMOND 5454 HOHMAN AVENUE HAMMOND IN 46320

X X X X 6 FRANCISCAN ST JAMES HEALTH -

CHICAGO HEIGHTS 1423 CHICAGO ROAD CHICAGO HEIGHTS IL 60411

X X X X 7 FRANCISCAN ST ANTHONY HEALTH -

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X X X X 8 FRANCISCAN ST MARGARET HEALTH -

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X X X X 9 FRANCISCAN ST JAMES HEALTH -

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X X X X X 10 FRANCISCAN ST FRANCIS HEALTH -

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X X X X X 11 FRANCISCAN ST ELIZABETH HEALTH -

CRAWFORDSVILLE 1710 LAFAYETTE ROAD CRAWFORDSVILLE IL 47933

X X X 12 FRANCISCAN PHYSICIANS HOSPITAL LLC

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X X 13 FRANCISCAN ST ELIZABETH HEALTH -

LAFAYETTE CENTRAL 1501 HARTFORD ST LAFAYETTE IN 47904

X X X FRANCISCAN ST FRANCIS HEALTH - 1 true true 200. true 300. true X X true true X X X true false true X false false FRANCISCAN ST ELIZABETH HEALTH - 2 true true 200. true 300. true X X true true X X X true false true X false false FRANCISCAN ST ANTHONY HEALTH - 3 true true 200. true 300. true X X true true X X X true false true X false false FRANCISCAN ST FRANCIS HEALTH - 4 true true 200. true 300. true X X true true X X X true false true X false false FRANCISCAN ST MARGARET HEALTH - 5 true true 200. true 300. true X X true true X X X true false true X false false FRANCISCAN ST JAMES HEALTH - 6 true true 200. true 300. true X X X true true X X X true false true X false false FRANCISCAN ST ANTHONY HEALTH - 7 true true 200. true 300. true X X true true X X X true false true X false false FRANCISCAN ST MARGARET HEALTH - 8 true true 200. true 300. true X X true true X X X true false true X false false FRANCISCAN ST JAMES HEALTH - 9 true true 200. true 300. true X X X true true X X X true false true X false false FRANCISCAN ST FRANCIS HEALTH - 10 true true 200. true 300. true X X true true X X X true false true X false false FRANCISCAN ST ELIZABETH HEALTH - 11 true true 200. true 300. true X X true true X X X true false true X false false FRANCISCAN PHYSICIANS HOSPITAL LLC 12 true true 200. true 300. true X X true true X X X true false true X false false FRANCISCAN ST ELIZABETH HEALTH - 13 true true 200. true 300. true X X true true X X X true false true X false false 150 IIMC

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AMBULATORY SURGERY CENTER FRANCISCAN SURGERY CENTER

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AMBULATORY SURGERY CENTER THE ENDOSCOPY CENTER AT ST FRANCIS

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ENDOSCOPY CENTER ST FRANCIS RADIATION THERAPY CENTERS

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RADIATION THERAPY INDIANA HEART PHYSICIANS

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PHYSICIAN PRACTICE HEALTH PARTNERS

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PHYSICIAN PRACTICE SOUTH EMERSON SURGERY CENTER

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AMBULATORY SURGERY CENTER COOPERATIVE MANAGED CARE SERVICES

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MANAGED CARE INDIANA BLODD AND MARROW TRANSPLANTATION

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BLOOD AND MARROW TRANSPLANT FRANCISCAN ST JAMES HEALTH-HOME HEALTH

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HOME HEALTH MOORESVILLE SURGERY CENTER

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AMBULATORY SURGERY CENTER ATHENS ORTHOPEDIC AND SPORTS MEDICINE

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PHYSICIAN PRACTICE JOINT REPLACEMENT SURGEONS

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PHYSICIAN PRACTICE ONCOLOGY AND HEMATOLOGY SPECIALISTS

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PHYSICIAN PRACTICE SOUTH INDY MRI AND REHAB

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RADIOLOGY AND PHYSICAL SERVICES MOORESVILLE ENDOSCOPY CENTER

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ENDOSCOPY CENTER FAMILY PRACTICE NETWORK

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PHYSICIAN PRACTICE SIGMA MEDICAL GROUP

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PHYSICIAN PRACTICE FRANCISCAN ST JAMES HEALTH -

HEALTH WELLNESS CENTER 100 W 197 CHICAGO HEIGHTS IL 60411

WELLNESS CENTER GREENWOOD PEDIATRIC ASSOCIATES

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PHYSICIAN PRACTICE SIGMA MEDICAL GROUP

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PHYSICIAN PRACTICE ST FRANCIS IMAGING CENTER

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RADIOLOGY SIGMA MEDICAL GROUP

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PHYSICIAN PRACTICE FAMILY PRACTICE NETWORK

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PHYSICIAN PRACTICE FAMILY PRACTICE NETWORK

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PHYSICIAN PRACTICE FAMILY PRACTICE NETWORK

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PHYSICIAN PRACTICE AMER HEALTH NETWORK - MUNCIE

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PT, IMAGING, SURGERY ATHENS MEDICAL SPECIALIST

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PHYSICIAN PRACTICE HEALTH PARTNERS

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PHYSICIAN PRACTICE SIGMA MEDICAL GROUP

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PHYSICIAN PRACTICE AMER HEALTH NETWORK - GROUP ONE

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IMAGING AMER HEALTH NETWORK - AVON

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IMAGING ATHENS CRAWFORDSVILLE FAMILY CARE

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PHYSICIAN PRACTICE ATHENS GREENACRES

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PHYSICIAN PRACTICE HEALTH PARTNERS

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PHYSICIAN PRACTICE FAMILY PRACTICE NETWORK

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PHYSICIAN PRACTICE SOUTHPORT FP AND SPORTS MEDICINE

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PHYSICIAN PRACTICE FAMILY PRACTICE NETWORK

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PHYSICIAN PRACTICE ALVERNO DURABLE MEDICAL EQUIPMENT

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DURABLE MEDICAL EQUIPMENT IMPACT CENTER

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PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES

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PHYSICIAN PRACTICE BEECH GROVE FAMILY MEDICINE

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PHYSICIAN PRACTICE INDIANA SLEEP CENTER

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SLEEP CENTER HEALTH PARTNERS

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PHYSICIAN PRACTICE FAMILY PRACTICE NETWORK

CHERRY CREEK CENTER CROWN POINT IN 46307

PHYSICIAN PRACTICE NORTHRIDGE MEDICAL GROUP

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PHYSICIAN PRACTICE DIABETES AND ENDOCRINOLOGY SPECIALISTS

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PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES

14785 WEST 101ST AVENUE DYER IN 46311

PHYSICIAN PRACTICE KENDRICK FAMILY MEDICINE

1001 HADLEY ROAD SUITE 101 MOORESVILLE IN 46158

PHYSICIAN PRACTICE CRAWFORDSVILLE GYN

407 E MARKET STREET SUITE 101 CRAWFORDSVILLE IN 47933

PHYSICIAN PRACTICE MOORESVILLE FAMILY CARE

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PHYSICIAN PRACTICE AMER HEALTH NETWORK - SLEEP (CARMEL)

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SLEEP CENTER NEUROSURGICAL SPECIALISTS

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PHYSICIAN PRACTICE GRAY ROAD FAMILY MEDICINE

7825 MCFARLAND LANE SUITE A INDIANAPOLIS IN 46237

PHYSICIAN PRACTICE AMER HEALTH NETWORK - FRANKLIN

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PT, IMAGING ORTHOPEDIC SPECIALISTS

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PHYSICIAN PRACTICE AMER HEALTH NETWORK - KOKOMO

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IMAGING CENTER GROVE FAMILY MEDICINE

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PHYSICIAN PRACTICE SOUTH 31 FAMILY CARE

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PHYSICIAN PRACTICE SOUTHEAST FAMILY MEDICINE

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PHYSICIAN PRACTICE FAMILY PRACTICE NETWORK

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PHYSICIAN PRACTICE FRANCISCAN ST JAMES HEALTH - AMBULANCE &

EMS 20201 SOUTH CRAWFORD AVENUE OLYMPIA FIELDS IL 60461

AMBULANCE SERVICES ST MARGARET MEDICAL ASSOCIATES

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PHYSICIAN PRACTICE VASCULAR SPECIALISTS

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PHYSICIAN PRACTICE ST JAMES HEALTH OUTPATIENT PHARMACY

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PHARMACY FRANKLIN TOWNSHIP FAMILY MEDICINE

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PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES

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PHYSICIAN PRACTICE HEARTLAND CROSSING PEDIATRICS

10701 ALLIANCE DRIVE CAMBY IN 46113

PHYSICIAN PRACTICE IRVINGTON FAMILY MEDICINE

5839 E WASHINGTON STREET INDIANAPOLIS IN 46219

PHYSICIAN PRACTICE MAJOR HOSPITAL CARDIAC DIAGNOSTICS

150 WEST WASHINGTON STREET SHELBYVILLE IN 46176

CARDIOVASCULAR TESTING ATHENS ENT

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PHYSICIAN PRACTICE EASTSIDE FAMILY MEDICINE

2056 LEBANON ROAD CRAWFORDSVILLE IN 47933

PHYSICIAN PRACTICE SPINE SPECIALISTS

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PHYSICIAN PRACTICE MADISON AVE FAMILY MEDICINE

8778 S MADISON AVENUE SUITE 200 INDIANAPOLIS IN 46227

PHYSICIAN PRACTICE ATHENS PRIMARY CARE

1601 LAFAYETTE ROAD CRAWFORDSVILLE IN 47933

PHYSICIAN PRACTICE AMER HEALTH NETWORK - PERU

315 W OLD KEY DRIVE IMAGING SUITE PERU IN 46970

IMAGING HEARTLAND INTERNAL MEDICINE

10701 ALLIANCE DRIVE CAMBY IN 46113

PHYSICIAN PRACTICE FAMILY PRACTICE NETWORK

200 3RD COURT SE DEMOTTE IN 46310

PHYSICIAN PRACTICE COUNTY LINE PEDIATRICS

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PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES

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PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES

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PHYSICIAN PRACTICE HONEY GROVE FAMILY MEDICINE

1711 S STATE ROAD 135 SUITE C GREENWOOD IN 46143

PHYSICIAN PRACTICE FAMILY PRACTICE NETWORK

297 WEST FRANCISCAN LANE SUITE 104 CROWN POINT IN 46307

PHYSICIAN PRACTICE SIGMA MEDICAL GROUP

1012 N 14TH STREET LAFAYETTE IN 47904

PHYSICIAN PRACTICE ATHENS OBGYN

1630 LAFAYETTE ROAD SUITE 200 CRAWFORDSVILLE IN 47933

PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES

2068 LUCAS PARKWAY LOWELL IN 46356

PHYSICIAN PRACTICE SIGMA MEDICAL GROUP

3875 KENSINGTON DRIVE LAFAYETTE IN 47905

PHYSICIAN PRACTICE GYNECOLOGIC ONCOLOGY SPECIALISTS

5255 E STOP 11 ROAD SUITE 310 INDIANAPOLIS IN 46237

PHYSICIAN PRACTICE ATHENS WILLIAMS FAMILY PRACTICE

1660 LAFAYETTE ROAD SUITE 170 CRAWFORDSVILLE IN 47933

PHYSICIAN PRACTICE PLAINFIELD FAMILY MEDICINE

315 DAN HONES ROAD SUITE 100 PLAINFIELD IN 46168

PHYSICIAN PRACTICE PSYCHIATRIC SPECIALISTS

610 E SOUTHPORT ROAD SUITE 200 INDIANAPOLIS IN 46227

PHYSICIAN PRACTICE FAMILY PRACTICE NETWORK

10860 MAPLE LANE SAINT JOHN IN 46373

PHYSICIAN PRACTICE FRANCISCAN IMAGING EQUIPMENT LEASING

1600 ALBANY STREET BEECH GROVE IN 46107

LEASING RADIOLOGY EQUIPMENT ST MARGARET MEDICAL ASSOCIATES

3831 HOHMAN AVENUE HAMMOND IN 46327

PHYSICIAN PRACTICE FRANCISCAN ST JAMES HEALTH CENTERS FOR

DIABETES 20201 SOUTH CRAWFORD AVEN OLYMPIA FIELDS IL 60461

DIABETES CLINIC PLEASANT VIEW FAMILY MEDICINE

12524 SOUTHEASTERN AVENUE INDIANAPOLIS IN 46259

PHYSICIAN PRACTICE AMER HEALTH NETWORK - EAGLE HIGHLANDS

6820 PARKDALE PLACE 105 INDIANAPOLIS IN 46254

IMAGING ST MARGARET MEDICAL ASSOCIATES

24 JOLIET STREET SUITE 101 DYER IN 46311

PHYSICIAN PRACTICE RHEUMATOLOGY & OSTEOPOROSIS SPECIALISTS

5255 E STOP 11 ROAD SUITE 320 INDIANAPOLIS IN 46237

PHYSICIAN PRACTICE WEIGHT LOSS SPECIALISTS

5230A E STOP 11 ROAD SUITE 190 INDIANAPOLIS IN 46237

PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES

10860 MAPLE LANE ST JOHN IN 46373

PHYSICIAN PRACTICE FRANCISCAN ST JAMES HEALTH - FAMILY

HEALTH TINLEY PARK 17859 S 80TH A TINLEY PARK IL 60477

PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES

5454 HOHMAN AVENUE HAMMOND IN 46320

PHYSICIAN PRACTICE HEALTH PARTNERS

500 W BUFFALO STREET NEW BUFFALO MI 49117

PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES

8437 KENNEDY AVENUE HIGHLAND IN 46322

PHYSICIAN PRACTICE FAMILY PRACTICE NETWORK

5985 EAST 1015 NORTH ROSELAWN IN 46372

PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES

5500 HOHMAN AVENUE SUITE 2A HAMMOND IN 46320

PHYSICIAN PRACTICE MOORESVILLE AFTER HOURS CLINIC

1001 HADLEY ROAD SUITE 101 MOORESVILLE IN 46158

PHYSICIAN PRACTICE HEALTH PARTNERS

6916 W JOHNSON ROAD LAPORTE IN 46350

PHYSICIAN PRACTICE SIGMA MEDICAL GROUP

3218 DAUGHERTY DRIVE SUITE 140 LAFAYETTE IN 47909

PHYSICIAN PRACTICE BREAST SPECIALISTS

5255 E STOP 11 ROAD SUITE 250 INDIANAPOLIS IN 46237

PHYSICIAN PRACTICE HEALTH PARTNERS

3340 MONROE ST LAPORTE IN 46350

PHYSICIAN PRACTICE INDY SOUTH AFTER HOURS CLINIC

7855 S EMERSON AVENUE SUITE P INDIANAPOLIS IN 46237

PHYSICIAN PRACTICE SFMG REHABILITATION SPECIALISTS

8051 S EMERSON AVENUE SUITE 360 INDIANAPOLIS IN 46237

PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES

5454 HOHMAN AVENUE HAMMOND IN 46320

PHYSICIAN PRACTICE BEECH GROVE INTERNAL MEDICINE

2030 CHURCHMAN AVENUE BEECH GROVE IN 46107

PHYSICIAN PRACTICE SFMG PAIN SPECIALISTS

8051 S EMERSON AVENUE SUITE 360 INDIANAPOLIS IN 46237

PHYSICIAN PRACTICE BEECH GROVE AFTER HOURS CLINIC

2030 CHURCHMAN AVENUE BEECH GROVE IN 46107

PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES

8230 CALUMET AVENUE MUNSTER IN 46321

PHYSICIAN PRACTICE MATERNAL FETAL SPECIALISTS

8051 S EMERSON AVENUE SUITE 450B INDIANAPOLIS IN 46237

PHYSICIAN PRACTICE PLASTIC SURGERY SPECIALISTS

8051 S EMERSON AVENUE SUITE 450 INDIANAPOLIS IN 46237

PHYSICIAN PRACTICE ST JAMES COMMUNITY HEALTH CENTER -

BEECHER 989 DIXIE HIGHWAY BEECHER IL 60401

PHYSICAL THERAPY SERVICES NEIGHBORHOOD CLINIC

407 E MARKET STREET SUITE 101 CRAWFORDSVILLE IN 47933

PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES

5454 HOHMAN AVENUE HAMMOND IN 46320

PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES

19400 NORTH CREEK DRIVE LYNWOOD IL 60411

PHYSICIAN PRACTICE SIGMA MEDICAL GROUP

510 WEST JACKSON STREET MULBERRY IN 46058

PHYSICIAN PRACTICE FRANCISCAN ST JAMES HEALTH - FAMILY

HEALTH HOMEWOOD 18636 DIXIE HIGHWA HOMEWOOD IL 60430

PHYSICIAN PRACTICE SIGMA MEDICAL GROUP

212 EAST MAIN STREET BROOK IN 47922

PHYSICIAN PRACTICE PLAINFIELD SPORTS AND FAMILY MEDICINE

315 DAN JONES ROAD SUITE 150 PLAINFIELD IN 46168

PHYSICIAN PRACTICE AMER HEALTH NETWORK - SLEEP (MUNCIE)

3631 N MORRISON ROAD MUNCIE IN 47304

SLEEP CENTER REDOX REACTIVE REAGENTS

1600 ALBANY STREET BEECH GROVE IN 46107

AUTOIMMUNE DISEASE TREATMENT AMER HEALTH NETWORK - NOBLESVILLE

18051 RIVER AVENUE SUITE 103 NOBLESVILLE IN 46062

IMAGING MONTICELLO MEDICAL CENTER

826 N 6TH ST MONTICELLO IN 47960

MEDICAL PRACTICE DR RENE S GUTIERREZ MD

902 FOXWOOD COURT MONTICELLO IN 47960

MEDICAL PRACTICE FRANCISCAN PHYSICIANS HOSPITAL SLEEP CTR

7905 CALUMET AVENUE MUNSTER IN 463214209

SLEEP CENTER FRANCISCAN HAMMOND CLINIC

7905 CALUMET AVENUE MUNSTER IN 46321

SPECIALTY CENTER/URGENT CARE FRANCISCAN HAMMOND CLINIC

9800 VALPARAISO DRIVE MUNSTER IN 46321

FAMILY WELLNESS CENTER FRANCISCAN HAMMOND CLINIC

11355 WEST 97TH LANE ST JOHN IN 46373

PRIMARY CARE FAMILY PRACTICE NETWORK

952 COURT STREET CROWN POINT IN 46307

FAMILY PRACTICE FAMILY PRACTICE NETWORK

297 WEST FRANCISCAN LANE SUITE 203 CROWN POINT IN 46307

FAMILY PRACTICE ST JAMES HEALTH SURGERY CENTER

333 DIXIE HIGHWAY CHICAGO HEIGHTS IL 60411

OP SURGERY CENTER FRANCISCAN ST JAMES HEALTH-FAMILY HEALTH

3700 WEST 203RD STREET SUITE 112 OLYMPIA FIELDS IL 60461

PHYSICIAN PRACTICE FRANKFORT REHABILITATION SERVICES

10043 LINCOLN HIGHWAY 2ND FLOOR FRANKFORT IL 60423

PHYSICAL THERAPY DIXIE HIGHWAY REHABILITATION SERVICES

211 DIXIE HIGHWAY CHICAGO HEIGHTS IL 60411

PHYSICAL THERAPY GREENWOOD IMMEDIATE CARE

1001 N MADISON AVENUE GREENWOOD IN 46142

IMMEDIATE CARE CENTER CHAPEL HILL IMMEDIATE CARE

650 N GIRLS SCHOOL ROAD INDIANAPOLIS IN 46214

IMMEDIATE CARE CENTER NORA IMMEDIATE CARE

860 E 86TH STREET INDIANAPOLIS IN 46240

IMMEDIATE CARE CENTER WASHINGTON SQUARE IMMEDIATE CARE

992 N MITTHOEFFER INDIANAPOLIS IN 46229

IMMEDIATE CARE CENTER SUPPLEMENTAL INFORMATION SCHEDULE H, PART VI, ITEM 2 NEEDS ASSESSMENT Franciscan Alliance, Inc. ("FRANCISCAN") hospitals assess the health care needs of the communities we serve by collaborating with public and private agencies to determine community health needs and how best to address them. Franciscan's Corporate Community Benefit Committee, as well as committees in the local facilities, committed to an ongoing assessment of community health needs and priorities based upon health initiatives of the municipal, county, and state health departments, community-based assessments by other public sector partners, professional research consultant reports, and faith-based partners within the communities served. In addition, our hospitals address public agency and community group requests to provide community benefit activities and programs that meet certain specialty or hybrid needs or populations. ------------------------------------------------ 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 $61,000 IN 2011. FOR THESE COMMUNITIES, THE PERCENTAGE OF RESIDENTS BELOW THE FEDERAL POVERTY LEVEL WAS ESTIMATED AT 16.3% IN 2011. THE PERCENTAGE OF INPATIENTS FROM THESE COMMUNITIES WHO WERE SERVED BY MEDICAID WAS 16.9%. AND THE PERCENTAGE OF INPATIENTS FROM THESE COMMUNITIES WHO WERE UNINSURED WAS APPROXIMATELY 2.7%. IN COMPARISON, THE PERCENTAGES OF MEDICAID AND UNINSURED TREATED BY FRANCISCAN ALLIANCE WERE 15.9% AND 4.9% RESPECTIVELY IN 2011. THERE WERE 54 OTHER HOSPITALS IN 2011 THAT SERVE WITHIN THESE COMMUNITIES AS WELL. ----------------------------------------- SCHEDULE H, PART VI, ITEM 5 OTHER INFORMATION FRANCISCAN continues to provide access to health care services and a wide variety of community education/health and wellness programs. All of our facilities reach out to their communities by providing access to free, public web sites and online resources. Each web site provides the latest medical information to visitors, in a bi-lingual format, through the use of interactive A to Z health libraries. There are online centers that focus on information related to medical conditions in specialty areas such as the heart, bones, kidneys and nerves. They further offer condition and disease-specific information on topics like cancer, pregnancy and geriatrics that provide illustrations, graphics and narrated videos. The web sites also provide unlimited free access to online health risk assessment tools such as the heart risk assessment that uses an established algorithm to calculate risk factors for heart attack based upon user-entered parameters. The sites also offer condition-specific recommendations for managing chronic illnesses and conditions such as diabetes, high blood pressure and asthma, among others. Finally, the sites have healthy living sections that offer tips and suggestions on beginning and maintaining diet and exercise regiments to optimize healthy lifestyles. Our hospitals provide urgent care clinics within the communities they serve to help minimize cost of non-critical, emergent medical care. We engage in a tremendous amount of university-affiliated medical education and training programs including but not limited to; all levels of nursing (LPN, ASN, BSN and MSN), pharmacy, emergency medical technicians and paramedics, respiratory therapists, physical/occupational/speech therapists and internships/residencies for physicians. We also provide continuing medical education programs. Several of our hospitals participate in clinical trials, medical research programs and pharmaceutical trials. MOREOVER, THERE ARE OTHER FACTORS THAT DEMONSTRATE THAT FRANCISCAN IS OPERATED FOR A PUBLIC RATHER THAN A PRIVATE INTEREST. FRANCISCAN'S GOVERNING BODY IS COMPOSED OF INDEPENDENT MEMBERS REPRESENTING THE BROAD COMMUNITY SERVED BY FRANCISCAN. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO QUALIFIED PHYSICIANS. FRANCISCAN ALSO USES ITS SURPLUS FOR IMPROVEMENT IN PATIENT CARE, TO EXPAND AND REPLACE FACILITIES AND EQUIPMENT, AMORTIZATION OF INDEBTEDNESS, AND MEDICAL TRAINING, EDUCATION, AND RESEARCH. ----------------------------------------- SCHEDULE H, PART VI, ITEM 6 ROLE OF AFFILIATES Every hospital within our system has the degree of autonomy and flexibility to meet the needs of the communities it serves. Each facility performs a mission assessment that is specifically designated for the identified health care needs within the individual service areas. The individual and regional community benefit plans are designed to be part of an overall FRANCISCAN system vision to provide for the ongoing healthcare needs of the communities we are privileged to serve. ------------------------------------------------ SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES FRANCISCAN is involved in and actively participates in numerous community building activities. We work to provide quality care and community building activities by partnering with other health care providers, government agencies, and not-for-profit social service agencies to serve our communities' diverse health care needs. The community building activities offered by FRANCISCAN are provided without reimbursement, serve at-risk populations, and provide health education to key community groups. We monitor these activities for outcomes by identifying changes in health behaviors and knowledge. Some examples of community health programs Franciscan provides include: health education, health fairs, free or low cost health screening, access to healthcare services, immunization services, prescription medication assistance programs, nutritional counseling, enrollment assistance in Medicaid, free spa services for cancer patients, food assistance, transportation assistance, referral assistance, breast cancer and childhood obesity initiatives, healthy choices initiatives, childhood alcoholism prevention, and other various community outreach programs 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 lo STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI IL,IN, true AMERICAN HEART ASSOCIATION 5108 Sagamore Parkway West West Lafayette IN 47906 135613797 501(c)(3) 10000 FMV NONE SPONSOR LAFAYETTE HEART WALK LAFAYETTE MEDICAL EDUCATION FOUNDATION 1501 HARTFORD STREET RM 1128A LAFAYETTE IN 47093 351314750 501(C)(3) 10000 FMV NONE MED. EDUC. 2 PART I, LINE 2 CONTRIBUTIONS 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. X X X X X X false true false false false false false false false KEVIN D LEAHY 1496500 0 0 0 45987 0 1536002 0 29448 0 3107937 0 0 0 EUGENE C DIAMOND 816500 0 0 0 48120 0 1327062 0 27355 0 2219037 0 0 0 ROBERT J BRODY 816500 0 0 0 48514 0 1200668 0 14644 0 2080326 0 0 0 JENNIFER P MARION 662786 0 0 0 18219 0 210975 0 25396 0 917376 0 0 0 TERRANCE E WILSON 615000 0 0 0 31388 0 564567 0 12714 0 1223669 0 0 0 SETH CR WARREN 604900 0 0 0 40380 0 313415 0 25425 0 984120 0 0 0 LOUIS METZMAN MD 1148943 0 10000 0 30077 0 36313 0 22384 0 1247717 0 0 0 JEFFREY L PIERSON MD 1326384 0 16364 0 42126 0 37087 0 3045 0 1425006 0 0 0 JAIRO CRUZ MD 224670 0 0 0 17836 0 0 0 0 0 242506 0 0 0 JOHN B MEDING MD 499228 0 319008 0 22923 0 40151 0 13722 0 895032 0 0 0 MICHAEL E BEREND MD 653687 0 183413 0 34556 0 29319 0 3045 0 904020 0 0 0 ROBERT A MALINZAK MD 517582 0 190492 0 -3409 0 23320 0 9423 0 737408 0 0 0 SCHEDULE J, PART II, COLUMN (C) Deferred compensation 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 participating in the nonqualified defined benefit plan. SCHEDULE J, PART I, LINE 4B Franciscan Alliance, Inc. ("FRANCISCAN") maintains a supplemental executive retirement plan. These benefits are subject to a significant risk of forfeiture and as such possibly may never be paid out to the executives participating in the plan. INDIANA FINANCE AUTHORITY (06E) 361602316 454795DW2 2008-04-25 85150922 REFUND PRIOR ISSUE DATED 5/16/06 false false false INDIANA FINANCE AUTHORITY (08AB) 351602316 45470YAB7 2008-05-12 162960000 REFINANCING AND REFUND PRIOR ISSUE false false false INDIANA FINANCE AUTHORITY (08C) 351602316 45470YAX9 2008-09-15 291837375 REFUND PRIOR ISSUE DATED 5/2/06 false false false INDIANA FINANCE AUTHORITY (08DEFGH) 351602316 45470YBE0 2008-10-10 279345000 REFUND PRIOR ISSUE DATED 11/20/03 false false false 475922 0 86903209 0 0 0 144210 0 0 42830183 43928816 0 2007 true false true true 615000 0 162624820 0 0 0 1924820 0 0 0 160700000 0 true false true true 7007375 0 290462634 0 0 0 1505785 0 0 0 288956849 0 true false true true 0 0 278919324 0 0 0 503876 0 0 124873123 153542325 0 2011 true false true true false true true true true true 0.00100 0.00100 true false true true true true true 0.00100 0.00100 true 0 false true true true true true 0.00800 0.00800 true false false false 0 false 0 true false false true false 0 false 0 true false false false false 0 false 0 true false false true false 0 false 0 false true X SCHEDULE K, PART II, LINE 13 0 FOR THE INDIANA FINANCE AUTHORITY 2008A/B BONDS, 2008 I/J BONDS, AND 2009A BONDS, A YEAR OF SUBSTANTIAL COMPLETION HAS NOT BEEN ENTERED SINCE A SUBSTANTIAL AMOUNT OF THE FINANCED PROPERTY HAS NOT BEEN PLACED IN SERVICE AS OF THE DATE OF FILING. FOR THE INDIANA FINANCE AUTHORITY 2008C BONDS, THESE BONDS SOLELY REFUNDED PRIOR ISSUES, SO THE YEAR OF SUBSTANTIAL COMPLETION HAS NOT BEEN ENTERED. SCHEDULE K, PART III 0 FOR THE INDIANA FINANCE AUTHORITY 2008C BONDS, PART III IS NOT COMPLETED SINCE ALL BOND PROCEEDS WERE USED TO REFUND BONDS ISSUED BEFORE JANUARY 1, 2003. SCHEDULE K, PART IV, LINE 5 0 For the Indiana Finance Authority 2006E, Indiana Finance Authority 2008A/B, Indiana Finance Authority 2008C, and Indiana Finance Authority 2008I/J issues, only small amounts of proceeds related to the costs of issuance were not expended at the end of the temporary periods. INDIANA FINANCE AUTHORITY (08IJ) 351602316 45470YBL4 2008-11-20 81850000 REFUND PRIOR ISSUE DATED 5/16/06 false false false INDIANA FINANCE AUTHORITY (09A) 351602316 45470YCF6 2009-11-05 221309385 REFUNDING AND NEW PROJECTS false false false 655000 0 81693875 0 0 0 1120800 0 0 0 80573075 0 true false true true 829385 0 219392897 0 0 0 792500 0 0 218600397 0 0 false false false true false true true true true true 0.00100 0.00100 true false true false false true 0.01000 0.00100 0.01100 true false true false 0 false 0 true false false false false 0 false 0 false true TONN AND BLANK CONSTRUCTION LLC COMMON DIRECTORS&OFFICERS 84962228 PURCHASE OF CONSTRUCTION SERVS false SCHEDULE L, PART IV TONN 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. FORM 990, PART I, LINE 1 FRANCISCAN ALLIANCE, INC.'S ("FRANCISCAN") PURPOSE IS TO CONTINUE THE HEALING MINISTRY OF CHRIST IN ACCORDANCE WITH THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH AND IN PARTNERSHIP WITH OTHERS TO PROVIDE A FULL CONTINUUM OF HEALTH CARE SERVICES; TO CARRY ON EDUCATIONAL ACTIVITIES RELATED TO THE PROMOTION OF HEALTH; TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO HEALTH CARE; AND TO PARTICIPATE IN ACTIVITIES DESIGNED AND CONDUCTED TO PROMOTE THE GENERAL HEALTH OF THOSE SERVED BY FRANCISCAN. PLEASE VIEW "OUR GIVING JOURNAL" AT WWW.FRANCISCANALLIANCE.ORG/COMMUNITYBENEFIT WHICH REFLECTS OUR MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION." 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 7B NO ACTION ON THE PART OF THE BOARD OF TRUSTEES IN RESPECT OF ANY OF THE FOLLOWING MATTERS SHALL BE EFFECTIVE UNLESS THE ACTION HAS BEEN APPROVED BY A MAJORITY OF THE MEMBERS; NAMELY: (A) CORPORATE MISSION AND PHILOSOPHY; (B) APPOINTMENT OR REMOVAL OF THE CHAIRPERSON, PRESIDENT, SECRETARY, OR TREASURER OF THE CORPORATION; (C) ALIENATION OF PROPERTY AS DEFINED IN CANON LAW; OR (D) ENCUMBRANCE OF DEBT AS DEFINED BY CANON LAW. FORM 990, PART VI, SECTION B, LINE 11B THE INFORMATION TO PREPARE THE FORM 990 OF FRANCISCAN ALLIANCE, INC. ("FRANCISCAN") IS GATHERED BY FINANCE STAFF AND PROVIDED TO ITS ACCOUNTING FIRM WHO PREPARES THE RETURN. SENIOR MANAGEMENT THEN REVIEWS THE RETURN PRIOR TO FILING. THE FORM 990 IS ALSO MADE AVAILABLE TO FRANCISCAN'S BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C The Corporation requires annual conflict of interest statements from each director, principal officer, members of committees with board designated powers, key employees, and 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 15 Franciscan 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 XI, LINE 5 EQUITY IN EARNINGS OF AFFILIATES 18,065,159 MINORITY INTEREST IN AFFILIATES (17,213,000) NET ASSETS RELEASED FOR OPERATIONS 2,964,082 NET ASSETS RELEASED FROM RESTRICTION 796,000 EQUITY TRANSFERS TO/FROM AFFILIATES 9,574,949 CHANGE IN PENSION & POST-RETIREMENT BENEFITS OTHER THAN NET PERIODIC PENSION COSTS INCLUDED IN ACCRUED PENSION LIABILITY (93,872,000) OTHER CHANGES IN NET ASSETS 12,593,329 NET ASSET RECLASS 254,889 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS (578,404) CHANGE IN PERMANENTLY RESTRICTED NET ASSETS 251,077 CHANGES IN NET UNREALIZED GAINS/(LOSSES) (129,867,773) ------------- TOTAL OTHER CHANGES IN NET ASSETS (197,031,692) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SISTER M MARLENE SHAPLEY TITLE:TRUSTEE HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SISTER M MADONNA ROUGEAU TITLE:TRUSTEE & VP OF MISSION - FSJH HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SISTER JANE MARIE KLEIN TITLE:CHAIRPERSON AND TRUSTEE HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SISTER M ANN KATHLEEN MAGIERA TITLE:TREASURER AND TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KEVIN D LEAHY TITLE:PRESIDENT AND TRUSTEE HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SISTER M CORITA LAST TITLE:VICE PRESIDENT, SECRETARY HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DONALD J. 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