FRANCISCAN ACO INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: FRANCISCAN ACO INC (EIN 35-1904455)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-14
IRS object ID: 201923189349312317
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-14T16:25:48-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	351904455	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% HEATHER MONROE	InCareOfNm
Business Name Control	FRAN	BusinessNameControlTxt
Phone	3177826875	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E SOUTHPORT ROAD	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46227	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SISTER LETHIA MARIE LEVEILLE	PersonNm
Person Title	SECRETARY	PersonTitleTxt
Signature	2019-11-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.125.77	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	23522320193185000107	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	7C276736B1F8534619D83B6F2AADECD8007A5E58	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7C276736B1F8534619D83B6F2AADECD8007A5E58	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$28,328,995	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FRANCISCANHEALTH.ORG/ABOUT-US/ACO	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1993	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O, ATTACHMENT 1	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	6	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,700	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$16,411,177	PYProgramServiceRevenueAmt
CY Program Service Revenue	$21,670,304	CYProgramServiceRevenueAmt
PY Investment Income	$537,491	PYInvestmentIncomeAmt
CY Investment Income	-$5,642	CYInvestmentIncomeAmt
PY Other Revenue	$3,009,316	PYOtherRevenueAmt
CY Other Revenue	$6,664,333	CYOtherRevenueAmt
PY Total Revenue	$19,961,684	PYTotalRevenueAmt
CY Total Revenue	$28,328,995	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$23,517,806	PYOtherExpensesAmt
CY Other Expenses	$29,267,265	CYOtherExpensesAmt
PY Total Expenses	$23,517,806	PYTotalExpensesAmt
CY Total Expenses	$29,267,265	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,556,122	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$938,270	CYRevenuesLessExpensesAmt
Total Assets BOY	$31,396,772	TotalAssetsBOYAmt
Total Assets EOY	$31,717,034	TotalAssetsEOYAmt
Total Liabilities BOY	$33,686,586	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$13,598,562	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$2,289,814	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$18,118,472	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	FRANCISCAN ACO, INC., PROVIDES COORDINATED, COMPREHENSIVE CARE ACROSS HOSPITALS, PHYSICIAN PRACTICES AND OTHER HEALTHCARE PROVIDERS TO ENHANCE THE HEALTHCARE EXPERIENCE OF PATIENTS UNDER OUR CARE. SINCE 2011, FRANCISCAN ACO, INC., (FORMERLY FRANCISCAN ALLIANCE ACO) HAS DEVELOPED INNOVATIVE CARE MODELS. CURRENTLY PARTICIPATING IN THE MEDICARE SHARED SAVINGS PROGRAM (MSSP), FRANCISCAN ACO, INC. HAS EXPANDED TO ALSO INCLUDE ACCOUNTABLE CARE ORGANIZATION PARTNERSHIPS WITH MEDICARE ADVANTAGE AND COMMERCIALLY INSURED PATIENT POPULATIONS. WITHIN EACH OF THESE PROGRAMS ATTRIBUTED PATIENTS, KNOWN AS BENEFICIARIES, RECEIVE THE ADDED BENEFIT OF A MORE COORDINATED CARE EXPERIENCE. THIS INCLUDES COORDINATION OF PREVENTIVE HEALTH SERVICES AND CARE COORDINATION SUPPORT FOR PERSONS WITH CHRONIC HEALTH CONDITIONS, SUCH AS DIABETES AND CONGESTIVE HEART FAILURE. CARE COORDINATION SERVICES ARE PROVIDED THROUGH THE ACO. BETTER YET, BENEFICIARIES MAINTAIN THE ABILITY TO SEE ANY DOCTOR OR HEALTHCARE PROVIDER	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$29,267,265	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$28,334,637	RevenueAmt
Desc	FRANCISCAN ACO, INC. IS COMMITTED TO PROVIDING BENEFICIARIES WITH THE HIGHEST QUALITY OF CARE. FRANCISCAN ACO, INC. PROVIDES COORDINATED, COMPREHENSIVE CLINICAL CARE ACROSS HOSPITALS, PHYSICIAN PRACTICES, AND OTHER HEALTHCARE PROVIDERS, WITH AN AIM TO BRING DOWN THE OVERALL COSTS OF MEDICAL CARE. FRANCISCAN ACO, INC. SERVES MEDICARE AND OTHER PATIENTS ACROSS INDIANA AND ILLINOIS THROUGH THE COLLABORATIVE EFFORTS OF THE FOLLOWING PARTNERS: (A) 14 TAX-EXEMPT HOSPITALS OPERATED, DIRECTLY AND INDIRECTLY, BY FRANCISCAN ALLIANCE, INC.; (B) FRANCISCAN PHYSICIAN NETWORK, A FRANCISCAN ALLIANCE, INC. EMPLOYED MULTI-SPECIALTY GROUP OF PRIMARY AND SPECIALTY-CARE PROVIDERS THROUGHOUT THE STATE OF INDIANA AND ILLINOIS; (C) SPECIALTY PHYSICIANS OF ILLINOIS, LLC, AN EMPLOYED MULTI-SPECIALTY GROUP OF SPECIALTY-CARE PROVIDERS IN ILLINOIS, SERVING FRANCISCAN HEALTH CHICAGO HEIGHTS AND FRANCISCAN HEALTH OLYMPIA FIELDS; (D) INDIANA INTERNAL MEDICINE CONSULTANTS, WHICH PROVIDES HEALTHCARE SERVICES TO COMPLEX INTERNAL MEDICINE PATIENTS ACROSS INDIANAPOLIS IN BOTH INPATIENT AND OUTPATIENT SETTINGS; AND (E) ST. FRANCIS MEDICAL GROUP, LLC, WHICH OPERATES THE NEIGHBORHOOD HEALTH CENTER, WHICH IS A FAMILY MEDICINE PRACTICE SERVING PATIENTS WITHOUT ACCESS TO AFFORDABLE CARE. OTHER HEALTHCARE PARTNERS INCLUDE MONTICELLO MEDICAL CENTER. CURRENT FRANCISCAN ACO, INC. PARTNERSHIPS INCLUDE: MEDICARE SHARED SAVINGS PROGRAM (MSSP); ANTHEM MEDICARE ADVANTAGE; HUMANA MEDICARE ADVANTAGE; UNITED HEALTHCARE MEDICARE ADVANTAGE; ANTHEM; CIGNA; AND UNITED HEALTHCARE.	Desc
Total Program Service Expenses	$29,267,265	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	392	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	HEATHER MONROE	PersonNm
Phone	3177828004	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E SOUTHPORT ROAD	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46227	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
KEVIN D LEAHY
PRESIDENT AND DIRECTOR	5.0	56.0	Yes (X)	Yes (X)	$0	$1,934,452	$7,332
SISTER JANE MARIE KLEIN
CHAIRPERSON AND DIRECTOR	5.0	56.0	Yes (X)	Yes (X)	$0	$0	$0
SISTER M MADONNA ROUGEAU
DIRECTOR	5.0	15.0	Yes (X)		$0	$0	$0
SISTER M ANN KATHLEEN MAGIERA
TREASURER AND DIRECTOR	5.0	51.0	Yes (X)	Yes (X)	$0	$0	$0
SISTER ROSE AGNES PFAUTSCH
DIRECTOR	5.0	15.0	Yes (X)		$0	$0	$0
THOMAS ROBERTS MD
DIRECTOR	5.0	0.0	Yes (X)		$0	$0	$0
SISTER LETHIA MARIE LEVEILLE
SECRETARY	5.0	51.0		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,934,452	TotReportableCompRltdOrgAmt
Total Other Compensation	$7,332	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc
INDIANA UNIVERSITY HEALTH INC
2242 RELIABLE PKWY	CHICAGO	IL	60686	PHYSICIAN SERVICES
FRANCISCAN ALLIANCE INC
1515 DRAGOON TRAIL	MISHAWAKA	IN	46544	SHARED & OTHER SVCS
FRANCISCAN PHYSICIAN NETWORK
PO BOX 781706	DETROIT	MI	48278	PHYSICIAN SERVICES
ST VINCENT HOSPITAL AND HEALTH CAR
1207 RELIABLE PKWY	CHICAGO	IL	60686	PHYSICIAN SERVICES
RIVERVIEW HOSPITAL
118 MEDICAL DR	CARMEL	IN	46032	PHYSICIAN SERVICES

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE REVENUE	900099	$7,897,013	$7,897,013
MEDICAID REVENUE	900099	$6,730,757	$6,730,757
CARE MANAGEMENT REVENUE	900099	$4,596,176	$4,596,176
ANTHEM SHARED SAVINGS REVENUE	900099	$1,704,029	$1,704,029
PRIVATE PAY REVENUE	900099	$742,329	$742,329

Field	Value	IRS element (for citing)
Total Program Service Revenue	$21,670,304	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$5,642	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$5,642	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FACILITY FUNDING	900099	$5,919,878	$5,919,878
OTHER OPERATING REVENUE	900099	$651,314	$651,314
MANAGEMENT FEE	900099	$93,141	$93,141

Field	Value	IRS element (for citing)
Other Revenue Total	$6,664,333	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,328,995	TotalRevenueColumnAmt
Related Or Exempt Func Income	$28,334,637	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$5,642	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

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

Pension Plan Contributions PensionPlanContributionsGrp

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

Other Employee Benefits OtherEmployeeBenefitsGrp

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

Payroll Taxes PayrollTaxesGrp

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

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

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

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$26,459	TotalAmt
Program Services	$26,459	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$20,289	TotalAmt
Program Services	$20,289	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$149,374	TotalAmt
Program Services	$149,374	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$127,313	TotalAmt
Program Services	$127,313	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$731,856	TotalAmt
Program Services	$731,856	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$91,817	TotalAmt
Program Services	$91,817	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$6,942	TotalAmt
Program Services	$6,942	ProgramServicesAmt

Interest InterestGrp

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

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$667	TotalAmt
Program Services	$667	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$164,284	TotalAmt
Program Services	$164,284	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES/DRUGS	$10,940,301	$10,940,301
LEASED EMPLOYEES	$14,779,124	$14,779,124
PURCHASED SERVICES	$1,530,569	$1,530,569
REPAIRS AND MAINTENANCE	$13,124	$13,124

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$685,146	TotalAmt
Program Services	$685,146	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$29,267,265	TotalAmt
Program Services	$29,267,265	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,041,803	BOYAmt
EOY	$30,686,497	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,844,736	BOYAmt
EOY	$838,124	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$438,216	BOYAmt
EOY	$192,301	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,000	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,888	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,017	BOYAmt
EOY	$112	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$23,069,000	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,396,772	BOYAmt
EOY	$31,717,034	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,553,881	BOYAmt
EOY	$1,436,520	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,132,705	BOYAmt
EOY	$12,162,042	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,686,586	BOYAmt
EOY	$13,598,562	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$2,289,814	BOYAmt
EOY	$18,118,472	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$2,289,814	BOYAmt
EOY	$18,118,472	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$31,396,772	BOYAmt
EOY	$31,717,034	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$938,270	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$67,508	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$21,279,048	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
IRS Written Determination	Yes (X)	IRSWrittenDeterminationInd
Supported Organizations	1	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

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

Field	Value	IRS element (for citing)
EIN	351330472	EIN
Organization Type	3	OrganizationTypeCd
Governing Document Listed	Yes (true)	GoverningDocumentListedInd
Support	$0	SupportAmt
Other Support	$0	OtherSupportAmt

Field	Value	IRS element (for citing)
Supported Organizations Total	1	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (true)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Land		LandGrp
Buildings		BuildingsGrp
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$2,000	OtherCostOrOtherBasisAmt
Depreciation	$1,888	DepreciationAmt
Book Value	$112	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$112	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO FH - INDIANAPOLIS	$5,442,184
DUE TO FH - HAMMOND	$3,875,509
DUE TO CI PHO	$2,502,438
DUE TO FH - LAFAYETTE	$329,338
DUE TO ALVERNO INFO SERVICES	$9,117
DUE TO FH - OLYMPIA FIELDS	$3,456

Field	Value	IRS element (for citing)
Total Liability	$12,162,042	TotalLiabilityAmt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

Field	Value	IRS element (for citing)
Person	KEVIN D LEAHY	PersonNm
Title	PRESIDENT AND DIRECTOR	TitleTxt
Compensation Based On Rltd Orgs	$1,825,836	CompensationBasedOnRltdOrgsAmt
Other Compensation Rltd Orgs	$108,616	OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org	$0	DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs	-$17,664	DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org	$0	NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs	$24,996	NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org	$0	TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs	$1,941,784	TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org	$0	CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs	$0	CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	FRANCISCAN ACO, INC. DOES NOT COMPENSATE ITS PRESIDENT.
SCHEDULE J, PART II, COLUMN (C)	DEFERRED COMPENSATION FROM A RELATED ORGANIZATION INCLUDES CHANGE IN PRESENT VALUE OF THE QUALIFIED DEFINED BENEFIT PLAN. CHANGES IN THE AMOUNT REFLECTED BETWEEN YEARS IS PRIMARILY A FUNCTION OF THE FLUCTUATION IN THE ACTUARIAL DISCOUNT RATE USED TO MEASURE THIS FUTURE LIABILITY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION'S SOLE MEMBER IS FRANCISCAN ALLIANCE, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THOSE INDIVIDUALS WHO ARE ELECTED OR APPOINTED AS MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF FRANCISCAN ALLIANCE, INC. SHALL, BY VIRTUE OF SUCH ELECTION OR APPOINTMENT, BE MEMBERS OF THE BOARD OF DIRECTORS OF FRANCISCAN ACO, INC. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN POWERS HAVE BEEN RESERVED TO THE MEMBERS. THESE POWERS INCLUDE: (A) APPROVING ANNUAL OPERATING AND CAPITAL BUDGETS; (B) APPROVING A NONBUDGETED CAPITAL EXPENDITURE IN EXCESS OF $500,000; (C) APPROVING DEBT INCURRED WHICH MATURES MORE THAN ONE YEAR AFTER ITS ORIGINAL ISSUANCE; (D) APPROVING THE DISPOSITION OF ANY ASSET HAVING AN ACCOUNTING BOOK VALUE IN EXCESS OF $500,000; (E) APPROVING THE LONG-RANGE FINANCIAL AND STRATEGIC PLAN; (F) APPROVING AND AMENDING THE BY-LAWS OR ARTICLES OF INCORPORATION; (G) APPROVING ANY MAJOR CAPITAL IMPROVEMENT PROJECT HAVING A VALUE IN EXCESS OF $500,000; (H) APPROVING, INTERPRETING AND CHANGING ANY STATEMENT OF MISSION, PHILOSOPHY, ROLE AND PURPOSE; (I) APPROVING THE MERGER, DISSOLUTION, CONSOLIDATION OR REORGANIZATION OF THE CORPORATION; (J) APPROVING THE ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION OF PROPERTY OF THE CORPORATION, OTHER THAN IN THE USUAL AND REGULAR COURSE OF BUSINESS, WHEN SUCH ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION IS ABOVE THE SPECIFIED FINANCIAL LEVELS SET IN ACCORDANCE WITH POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBER; AND (K) TAKING ANY ACTION, WHICH WOULD BE INCONSISTENT WITH THE GOVERNING DOCUMENTS OR POLICIES OF FRANCISCAN ALLIANCE, INC.
FORM 990, PART VI, SECTION B, LINE 11B	THE INFORMATION TO PREPARE THE FORM 990 OF FRANCISCAN ACO, INC. IS GATHERED BY FINANCE STAFF AND PROVIDED TO ITS ACCOUNTING FIRM WHO PREPARES THE RETURN. SENIOR MANAGEMENT THEN REVIEWS THE RETURN PRIOR TO FILING. THE FORM 990 IS ALSO MADE AVAILABLE TO FRANCISCAN ACO'S BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE CORPORATION AND/OR AN AFFILIATE REQUIRES ANNUAL CONFLICT OF INTEREST STATEMENTS FROM EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBERS OF COMMITTEE WITH BOARD DESIGNATED POWERS WHICH AFFIRMS THAT THEY HAVE RECEIVED, READ, AND UNDERSTAND THE CONFLICT OF INTERSEST POLICY AND HAVE AGREED TO COMPLY WITH THE POLICY. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, A DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OR A COMMITTEE WITH BOARD DESIGNATED POWERS MUST DISCLOSE THE EXISTENCE AND NATURE OF THE FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST, THE DIRECTOR, PRINCIPAL, OR COMMITTEE MEMBER SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTE TAKEN. IN ADDITION, ONGOING REVIEWS AND ASSESSMENTS ARE MADE TO MAKE CERTAIN THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. IN CONDUCTING THE ONGOING REVIEWS AND ASSESSMENTS, THE CORPORATION USES INTERNAL AND EXTERNAL ADVIORS.
FORM 990, PART VI, SECTION B, LINES 15A AND 15B	FRANCISCAN ACO, INC. DOES NOT COMPENSATE ANY OF ITS OFFICERS.
FORM 990, PART XI, LINE 9	EQUITY TRANSFERS (TO)/FROM AFFILIATES 21,279,048 ____________ TOTAL 21,279,048

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
FRANCISCAN ALLIANCE INC
1515 DRAGOON TRAIL	MISHAWAKA	IN	46544	351330472	HEALTH SRVCS	IN	501(C)(3)	3	NA	false
HILLS INSURANCE COMPANY INC
1515 DRAGOON TRAIL	MISHAWAKA	IN	46544	030372512	CAPTIVE INS	VT	501(C)(3)	12 - TYPE 1	FRANCISCAN	false
SISTERS OF ST FRANCIS OF PERPETUAL ADOR
1515 DRAGOON TRAIL	MISHAWAKA	IN	46544	351328145	RELIGIOUS	IN	501(C)(3)	1	NA	false
FRANCISCAN HEALTH FOUNDATION INC
1515 DRAGOON TRAIL	MISHAWAKA	IN	46544	351955283	FUNDRAISING	IN	501(C)(3)	7	FRANCISCAN	false
FRANCISCAN PERSONAL CARE INC
4701 N KEYSTONE AVE S418	INDIANAPOLIS	IN	46205	352107306	HEALTHCARE	IN	501(C)(3)	10	FRANCISCAN	false
FRANCISCAN VNS HOME CARE INC
4701 N KEYSTONE AVE S418	INDIANAPOLIS	IN	46205	350868199	HOME HEALTH	IN	501(C)(3)	10	FRANCISCAN	false
FRANCISCAN HEALTH RENSSELAER INC
1104 E GRACE ST	RENSSELAER	IN	47978	473825106	HEALTH SRVCS	IN	501(C)(3)	3	FRANCISCAN	false
ST ALEXIS HOSPITAL ASSOCIATION
PO BOX 1290	MISHAWAKA	IN	46544	340714485	SUPPORT ALEXA	OH	501(C)(3)	3	FRANCISCAN	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
FRANCISCAN SURGERY CENTER LLC
421 N EMERSON AVE	BEECH GROVE	IN	46107	352128334	MEDICAL SERVICES	IN	NA	N/A
LAFAYETTE HEART PROGRAM HOLDINGS
1501 HARTFORD STREET	LAFAYETTE	IN	47904	383750811	MEDICAL SERVICES	IN	NA	N/A
ST ANTHONY HEALTH HEALTH NETWORK LLC
PO BOX 310	MISHAWAKA	IN	465460310	351985170	CLAIMS PROCESSING	IN	NA	N/A
ST FRANCIS MOORESVILLE SURGERY CENTER
1215 HADLEY ROAD SUITE 100	MOORESVILLE	IN	46158	202256900	MEDICAL SERVICES	IN	NA	N/A
ST FRANCIS RADIATION THERAPY CENTERS
421 N EMERSON AVE	BEECH GROVE	IN	46107	770663631	MEDICAL SERVICES	IN	NA	N/A
ST FRANCIS IMAGING CTR (GREENWOOD)
421 N EMERSON AVE	GREENWOOD	IN	46107	204607426	IMAGING SERVICES	IN	NA	N/A
TONN AND BLANK CONST LLC
1623 GREENWOOD AVE	MICHIGAN CITY	IN	46360	263919039	CONSTRUCTION	IN	NA	N/A
MAJOR HOSP CARDIAC DIAGNOSTICS LLC
2451 INTELLIPEX DR	SHELBYVILLE	IN	46176	208715441	MEDICAL SERVICES	IN	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt
FRANCISCAN HOLDING CORPORATION
1515 DRAGOON TRAIL	MISHAWAKA	IN	46544	363593505	HOLDING CO.	IN	NA	C CORP
ST JAMES PHO INC
30 E 11TH ST SUITE 402	CHICAGO HEIGHTS	IL	60411	363945083	MANAGED CARE	IL	NA	C CORP

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