FRANCISCAN HEALTH FOUNDATION INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
FRANCISCAN HEALTH FOUNDATION INC (EIN 35-1955283)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201723199349309212
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-15T12:49:26-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351955283EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FRANCISCAN HEALTH FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% PRISCILLAR N MUDARIInCareOfNm
Business Name ControlFRANBusinessNameControlTxt
Phone5742733855PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11515 DRAGOON TRAILAddressLine1Txt
CityMISHAWAKACityNm
State AbbreviationINStateAbbreviationCd
ZIP46544ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN D LEAHYPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5742733855PhoneNum
Signature2017-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIC M MCNEILPreparerPersonNm
PTINP00460263PTIN
Phone2673303000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address155.201.188.33IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id23522320173195000010FederalOriginalSubmissionId
Federal Original Submission Id2017-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdCE88C8CFFE51E99E9DF9B7C5B75C02950C36D7D6AtSubmissionCreationDeviceId
At Submission Filing Device Id7C276736B1F8534619D83B6F2AADECD8007A5E58AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN D LEAHYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11515 DRAGOON TRAILAddressLine1Txt
CityMISHAWAKACityNm
State AbbreviationINStateAbbreviationCd
ZIP46544ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,044,202GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionRAISE, INVEST, AND EXPEND CONTRIBUTIONS FOR THE BENEFIT OF FRANCISCAN ALLIANCE, INC. HEALTH CENTERS.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers143TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$6,903,633PYContributionsGrantsAmt
CY Contributions Grants$7,678,871CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$38,203CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$6,903,633PYTotalRevenueAmt
CY Total Revenue$7,717,074CYTotalRevenueAmt
PY Grants And Similar Paid$5,745,205PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,175,238CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$378,674CYTotalFundraisingExpenseAmt
PY Other Expenses$3,134,203PYOtherExpensesAmt
CY Other Expenses$3,227,753CYOtherExpensesAmt
PY Total Expenses$8,879,408PYTotalExpensesAmt
CY Total Expenses$7,402,991CYTotalExpensesAmt
PY Revenues Less Expenses-$1,975,775PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$314,083CYRevenuesLessExpensesAmt
Total Assets BOY$21,653,965TotalAssetsBOYAmt
Total Assets EOY$18,869,832TotalAssetsEOYAmt
Total Liabilities BOY$6,824,107TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,327,728TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,829,858NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,542,104NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFRANCISCAN HEALTH FOUNDATION, INC. (THE FOUNDATION) RAISES, INVESTS, AND DISBURSES CONTRIBUTIONS TO SUPPORT THE PROGRAMS AND SERVICES OF FRANCISCAN ALLIANCE, INC. THE OVERARCHING PURPOSE IS TO CONTINUE THE HEALING MINISTRY OF CHRIST IN ACCORDANCE WITH THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH AND IN PARTNERSHIP WITH OTHERS TO PROVIDE A FULL CONTINUUM OF HEALTH CARE SERVICES; THE FOUNDATION IS DEDICATED TO ADDRESSING THE EVER-GROWING HEALTHCARE NEEDS OF OUR PATIENTS AND TO SUPPORTING ALL FRANCISCAN ALLIANCE, INC.'S HEALTH CENTERS IN THEIR COMMITMENT TO BUILDING HEALTHIER COMMUNITIES. THE FUNDS RAISED AND DISBURSED BY THE FOUNDATION SUPPORT THE NEEDS OF PATIENTS WITHOUT THE RESOURCES TO ATTAIN CARE WITHOUT REGARDS TO AGE, SEX, RELIGION OR NATIONAL ORIGIN; INCREASE PATIENT ACCESS TO MEDICAL TECHNOLOGY; FURTHERS SCIENTIFIC AND MEDICAL EDUCATION OPPORTUNITIES IN ORDER TO IMPROVE CARE; AND PROMOTES WELLNESS WITHIN THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$6,954,538ExpenseAmt
Grant$4,175,238GrantAmt
Revenue$0RevenueAmt
DescFRANCISCAN ALLIANCE FOUNDATION, INC. RAISES, INVESTS, AND EXPENDS CONTRIBUTIONS FOR THE BENEFIT OF FRANCISCAN ALLIANCE, INC. THE BENEFICIARY'S PURPOSE IS TO PROMOTE COMPASSION FOR THOSE IN NEED, RESPECT LIFE AND DIGNITY OF PERSONS, WELLNESS AND THE PREVENTION OF ILLNESS, RESTORATION TO HEALTH, AND THE ACCEPTANCE OF DEATH AS THE FINAL STEP TOWARDS WELLNESS.Desc
Total Program Service Expenses$6,954,538TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPRISCILLAR N MUDARIPersonNm
Phone5742733817PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13510 PARK PLACE WEST SUITE 200AddressLine1Txt
CityMISHAWAKACityNm
State AbbreviationINStateAbbreviationCd
ZIP46545ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
SISTER M ALINE SHULTZ
TRUSTEE5.040.0Yes (X)$0$0$0
SISTER JANE MARIE KLEIN
CHAIR AND TRUSTEE5.051.0Yes (X)$0$0$0Yes (X)
SISTER M ANN KATHLEEN MAGIERA
TREASURER AND TRUSTEE5.046.0Yes (X)$0$0$0Yes (X)
SISTER M MADONNA ROUGEAU
TRUSTEE5.045.0Yes (X)$0$0$0
SISTER ROSE AGNES PFAUTSCH
TRUSTEE5.010.0Yes (X)$0$0$0
KEVIN D LEAHY
PRESIDENT AND TRUSTEE5.051.0Yes (X)$0$1,847,162$808,104Yes (X)
SISTER LETHIA MARIE LEVEILLE
SECRETARY5.046.0Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,847,162TotReportableCompRltdOrgAmt
Total Other Compensation$808,104TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonNONEPersonNm
FieldValueIRS element (for citing)
Contractor AddressContractorAddress
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$825,241FundraisingAmt
Related Organizations$80,135RelatedOrganizationsAmt
Government Grants$846,988GovernmentGrantsAmt
All Other Contributions$5,926,507AllOtherContributionsAmt
Noncash Contributions$11,057NoncashContributionsAmt
Total Contributions$7,678,871TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,203TotalRevenueColumnAmt
Exclusion$38,203ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$327,128FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$825,241ContriRptFundraisingEventAmt
Fundraising Direct Expenses$327,128FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,717,074TotalRevenueColumnAmt
Exclusion$38,203ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,175,238TotalAmt
Program Services$4,175,238ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,630TotalAmt
Management And General$1,630ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$17,940TotalAmt
Management And General$17,940ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,661TotalAmt
Management And General$16,661ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$53,385TotalAmt
Program Services$53,385ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$34,648TotalAmt
Program Services$34,648ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$149,220TotalAmt
Program Services$149,220ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$15,090TotalAmt
Program Services$15,090ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$16,741TotalAmt
Management And General$16,741ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,349TotalAmt
Program Services$31,349ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
MANAGEMENT FEES$2,400,690$2,400,690
SPECIAL EVENTS$378,674$378,674
BAD DEBT$52,419$52,419
DUES & SUBSCRIPTIONS$42,499$42,499

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$16,807TotalAmt
Management And General$16,807ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,402,991TotalAmt
Program Services$6,954,538ProgramServicesAmt
Management And General$69,779ManagementAndGeneralAmt
Fundraising$378,674FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$242,932BOYAmt
EOY$226,519EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,306,728BOYAmt
EOY$2,683,276EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,377BOYAmt
EOY$28,510EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$396,806LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$277,327LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$150,828BOYAmt
EOY$119,479EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$18,931,100BOYAmt
EOY$15,812,048EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,653,965BOYAmt
EOY$18,869,832EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,154,037BOYAmt
EOY$947,369EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$589,264BOYAmt
EOY$237,531EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$80,806BOYAmt
EOY$142,828EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,824,107BOYAmt
EOY$1,327,728EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,752,148BOYAmt
EOY$2,679,357EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,511,702BOYAmt
EOY$12,302,909EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,566,008BOYAmt
EOY$2,559,838EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,829,858BOYAmt
EOY$17,542,104EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,653,965BOYAmt
EOY$18,869,832EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$314,083ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,528NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,400,691OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,145,884CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,464,335CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,151,949CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,903,633CurrentTaxYearMinus1YearAmt
Current Tax Year$7,678,871CurrentTaxYearAmt
Total$31,344,672TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,145,884CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,464,335CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,151,949CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,903,633CurrentTaxYearMinus1YearAmt
Current Tax Year$7,678,871CurrentTaxYearAmt
Total$31,344,672TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,730,927SubstantialContributorsTotAmt
Public Support Total170$28,613,745PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,437CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$137,528CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,047CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$35,675CurrentTaxYearAmt
Total$200,687TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$31,545,359TotalSupportAmt
Public Support CY1700.90707PublicSupportCY170Pct
Public Support PY1700.88698PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,566,008BeginningYearBalanceAmt
Contributions$8,830ContributionsAmt
Other Expenditures$15,000OtherExpendituresAmt
End Year Balance$2,559,838EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,394,492BeginningYearBalanceAmt
Contributions$181,516ContributionsAmt
Other Expenditures$10,000OtherExpendituresAmt
End Year Balance$2,566,008EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,748,370BeginningYearBalanceAmt
Contributions$100,000ContributionsAmt
Other Expenditures$453,878OtherExpendituresAmt
End Year Balance$2,394,492EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,592,488BeginningYearBalanceAmt
Other Expenditures$1,844,118OtherExpendituresAmt
End Year Balance$2,748,370EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$959,672BeginningYearBalanceAmt
Contributions$3,666,167ContributionsAmt
Other Expenditures$33,351OtherExpendituresAmt
End Year Balance$4,592,488EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,498OtherCostOrOtherBasisAmt
Depreciation$17,074DepreciationAmt
Book Value$45,424BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$334,308OtherCostOrOtherBasisAmt
Depreciation$260,253DepreciationAmt
Book Value$74,055BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$119,479TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescANNUITY PAYABLEDesc
Amt$142,828Amt
FieldValueIRS element (for citing)
Total Liability$142,828TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART V, LINE 4FormAndLineReferenceDesc
ExplanationSPIRITUAL CARE ENDOWMENT - THIS FUND IS TO CONSTANTLY PROVIDE FOR HAVING CHAPLAINS AVAILABLE FOR PATIENTS, STAFF, AND FAMILIES, 24 HOURS-A-DAY, 7 DAYS A WEEK. SPIRITUAL CARE IS MANDATED BY THE ETHICAL & RELIGIOUS DIRECTIVES AS THE PIVOTAL HALLMARK THAT SETS FRANCISCAN ALLIANCE, INC. APART FROM SECULAR HEALTH CARE INSTITUTIONS. DR. COSTIN ENDOWMENT - THE COSTIN ENDOWMENT FUND WAS ESTABLISHED TO PROVIDE CONSISTENT RESOURCES FOR THE ANNUAL COSTIN AWARD FOR RESEARCH IN THE ST. FRANCIS SCHOOL OF MEDICAL TECHNOLOGY. RICHARD E. FRY ENDOWMENT - THROUGH THE GENEROUS GIFTS OF MANY DONORS AND MRS. FRY, THIS ENDOWMENT FUND IS BEING ESTABLISHED TO FINANCE ANNUAL NURSING SCHOLARSHIPS AND WILL BE KNOWN AS THE RICHARD E. FRY, M.D. MEMORIAL NURSING SCHOLARSHIP FUND. THE INCOME FROM THIS ENDOWMENT SHALL BE USED TO FUND ANNUAL SCHOLARSHIP AWARDS. ANY UNUSED PORTION FROM THIS ENDOWMENT SHALL BE REINVESTED IN THE ENDOWMENT, OR PLACED IN THE RESTRICTED NURSING SCHOLARSHIP ACCOUNT FOR FUTURE USE. NHC ENDOWMENT FUND - AS DETERMINED BY HOSPITAL ADMINISTRATION AND THE FOUNDATION, THE NHC ENDOWMENT WAS ESTABLISHED IN 2000 WITH $300,000 OF THE $1.3 MILLION RUTH LILLY CAPITAL GIFT TO SUPPORT THE CARDIOLOGY/HEART PROGRAM AND INDIGENT CARE SERVICES. EMHARDT ENDOWMENT FUND - THIS ENDOWMENT FUND IS USED TO FUND THE EMHART ROLE MODEL OPERATING FUND WHICH PROVIDES AN ANNUAL ROLE MODEL AWARD AND ANNUALLY DONATES $1,000 TO THE MICON FUND. EDUCATION ENDOWMENT FUND - IN RESPONSE TO SPECIFIC PURPOSE FUNDRAISING FROM 1998-2002, THE FRANCISCAN HEALTH FOUNDATION, INC. ESTABLISHED AND MANAGES THE EDUCATION ENDOWMENT FUND TO PROVIDE EDUCATIONAL OPPORTUNITIES FOR FRANCISCAN HEALTH INDIANAPOLIS, FRANCISCAN HEALTH CARMEL, AND FRANCISCAN HEALTH MOORESVILLE'S NON-PHYSICIAN EMPLOYEES. THE INTENT OF THE ENDOWMENT FUND IS TO PROVIDE MONETARY ASSISTANCE FOR EDUCATIONAL OPPORTUNITIES WHICH MAY NOT BE AVAILABLE THROUGH EXISTING FUNDS, SUCH AS THE HOSPITAL'S SERVICE LINE BUDGETS, OR OTHER DESIGNATED GIFTS. PHYSICIAN MISSION ENDOWMENT - THE ST. FRANCIS PHYSICIAN MISSION ENDOWMENT PROVIDES ANNUAL GRANTS TO INDIVIDUALS WISHING TO USE THEIR HEALTHCARE SKILLS TO ASSIST SOME OF THE WORLD'S NEEDIEST PEOPLE - THE POOR, THE DISABLED AND THE AGED - THROUGH LOCAL AND INTERNATIONAL MEDICAL OUTREACH. COHEN-KLINE - SET UP BY THE COHEN AND KLINE FAMILIES IN 1979. INTEREST IS TO FUND NEEDS DETERMINED ANNUALLY AS DIRECTED BY A DESIGNATED MEMBER OF THE COHEN FAMILY. GOLDBERG MEMORIAL - PROCEEDS FROM THIS FUND ARE TO PROVIDE SCHOLARSHIPS FOR MEDICAL STUDENTS ATTENDING MIDWESTERN UNIVERSITY. ESTABLISHED IN 1987 BY BEVERLY GOLDBERG TO PROVIDE HONORARIUM FOR ANNUAL GOLDBERG LECTURE. SISTER JANE MARIE KLEIN FUND - THIS FUND IS TO HAVE A GOAL OF A $1 MILLION ENDOWMENT THAT WILL PROVIDE AN ON-GOING SOURCE OF INCOME FOR THE HEALTHCARE NEEDS OF CHILDREN IN NEED FROM THE PROCEEDS. HOSPICE HOUSE ENDOWMENT - TO PROVIDE QUARTERLY DISBURSEMENTS OF INVESTMENT INCOME TO THE HOSPICE HOUSE OPERATING FUND, THE PURPOSE IS FOR THE INVESTMENT INCOME TO OFFSET SOME OF THE OPERATING EXPENSES OF FRANCISCAN HOSPICE HOUSE. FRANCIS POWERS ENDOWMENT - THE TRUST IS TO BE A MEMORIAL TO ELIZABETH CATHERINE POWERS AND WILL BE USED TO ASSIST IN PAYING FOR NEED BASED CARE AT FRANCISCAN HEALTH LAFAYETTE. THE INVESTMENT EARNINGS FROM THIS FUND ARE GIVEN TO FRANCISCAN HEALTH LAFAYETTE FOR INDIGENT CARE.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Dinner DancesEvent1Nm
Gross Receipts Event1$626,708GrossReceiptsEvent1Amt
Charitable Contri Event1$461,668CharitableContriEvent1Amt
Gross Revenue Event1$165,040GrossRevenueEvent1Amt
Non Cash Prizes Event1$8,533NonCashPrizesEvent1Amt
Rent Facility Costs Event1$21,447RentFacilityCostsEvent1Amt
Food And Beverage Event1$89,510FoodAndBeverageEvent1Amt
Entertainment Event1$12,150EntertainmentEvent1Amt
Other Direct Expenses Event1$33,400OtherDirectExpensesEvent1Amt
Event2Golf OutingsEvent2Nm
Gross Receipts Event2$250,581GrossReceiptsEvent2Amt
Charitable Contri Event2$164,590CharitableContriEvent2Amt
Gross Revenue Event2$85,991GrossRevenueEvent2Amt
Non Cash Prizes Event2$13,119NonCashPrizesEvent2Amt
Rent Facility Costs Event2$13,121RentFacilityCostsEvent2Amt
Food And Beverage Event2$41,100FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$18,652OtherDirectExpensesEvent2Amt
Other Events Total6OtherEventsTotalCnt
Gross Receipts Other Events$275,080GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$198,983CharitableContriOtherEventsAmt
Gross Revenue Other Events$76,097GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$8,004NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$7,371RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$37,629FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$23,092OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,152,369GrossReceiptsTotalAmt
Charitable Contributions Tot$825,241CharitableContributionsTotAmt
Gross Revenue Total Events$327,128GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$29,656NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$41,939RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$168,239FoodAndBeverageTotalEventsAmt
Entertainment Total Events$12,150EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$75,144OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$327,128DirectExpenseSummaryEventsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1FRANCISCAN ALLIANCE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11515 DRAGOON TRAILAddressLine1Txt
CityMISHAWAKACityNm
State AbbreviationINStateAbbreviationCd
ZIP46544ZIPCd
FieldValueIRS element (for citing)
Recipient EIN351330472RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$4,175,238CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantVARIOUS PROGRAMSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationALL EXPENDITURES ARE REVIEWED BY THE DIRECTORS OF THE FOUNDATION AND FUND MANAGERS AND IN SOME CASES COMMITTEES, TO ENSURE ADHERENCE TO THE INTENT FOR WHICH FUNDS ARE DONATED. ALSO, THE FOUNDATION ONLY PROVIDES GRANTS TO THE ORGANIZATION IT WAS ORGANIZED TO SUPPORT, FRANCISCAN ALLIANCE, INC.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonKEVIN D LEAHYPersonNm
TitlePRESIDENT AND TRUSTEETitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$1,773,741CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$73,421OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$785,812DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$22,292NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$2,655,266TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3THE FRANCISCAN ALLIANCE FOUNDATION, INC. DOES NOT COMPENSATE ITS PRESIDENT.
SCHEDULE J, PART I, LINE 4BCERTAIN OFFICERS AND DIRECTORS OF FRANCISCAN ALLIANCE FOUNDATION, INC. ARE COMPENSATED BY A RELATED ORGANIZATION, FRANCISCAN ALLIANCE, INC. FRANCISCAN ALLIANCE, INC. maintains a supplemental executive retirement plan. These benefits are subject to a significant risk of forfeiture and as such possibly may never be paid out to the executives participating in the plan.
SCHEDULE J, PART II, COLUMN (C)DEFERRED COMPENSATION FROM A RELATED ORGANIZATION INCLUDES SPLIT-DOLLAR LIFE INSURANCE, AND CHANGE IN PRESENT VALUE OF THE QUALIFIED AND, IF APPLICABLE, NONQUALIFIED DEFINED BENEFIT PLAN. THE CHANGE IN 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 NONQUALIFIED 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 WHICH MAY NEVER BE PAID TO THE EXECUTIVES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF FRANCSICAN HEALTH FOUNDATION, INC. IS FRANCISCAN ALLIANCE, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, FRANCISCAN ALLIANCE, INC., ELECTS ALL DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B The following matters are reserved exclusively to the Member for consideration and action and must be submitted to and receive the approval of the Member: (a) amend, restate, repeal or replace the Articles of Incorporation; (b) adopt, amend, restate, repeal or replace the Bylaws; (c) authorize the merger, consolidation, or dissolution of the Foundation; (d) authorize the sale, pledge, lease or exchange of the Foundation's assets; (e) authorize the incurrence of debt by the Foundation; (f) select or remove the Foundation's independent auditors; (g) take action on matters which may be specified by the Member from time to time; (h) authorize actions otherwise requiring Member approval by law or which the Board determines are advisable to be considered by the Member; (i) settlement of proceedings for which indemnification or advancement of expenses may be sought; (j) determine whether the Foundation is in compliance with The Ethical and Religious Directives for Catholic Health Care Services; (k) approve the annual budgets of the Foundation, and amendments thereto with such modifications as the Member may deem necessary or appropriate and any unbudgeted expenditures of the Foundation in excess of One Hundred Thousand Dollars ($100,000); (l) approve the Chairperson of the Regional Council of each of the Regional Divisional Offices of the Foundation, and to remove such individuals with or without cause; (m) adopt, amend, restate, repeal or replace the Charter of each of the Regional Divisional Offices of the Foundation; (n) create, determine the boundaries, reorganize, consolidate or discontinue the Divisional Offices of the Foundation; (o) voluntarily declare and file for bankruptcy of the Foundation; (p) approve the admission or removal of a Member; (q) approve a strategic plan of the Foundation and any modifications thereto or replacements thereof developed and recommended by the Board of Directors of the Foundation, with such modifications thereto as the Member may deem necessary or appropriate; (r) change the status of the Foundation for federal tax purposes or make any federal or state tax election on behalf of the Foundation; (s) establish any subsidiaries or affiliates of the Foundation or enter into any joint venture arrangements involving the Foundation; (t) promulgate policies binding on the Foundation; (u) adopt, amend and terminate employee benefits and employee benefit plans; (v) require the Foundation to participate in the Member's shared services programs; and (w) approve the Foundation's acceptance of any gift or bequest which includes either an interest (including future interests) in real property, or other assets which are encumbered in any way. FORM 990, PART VI, SECTION B, LINE 11B THE INFORMATION TO PREPARE THE FORM 990 OF FRANCISCAN HEALTH FOUNDATION, INC. IS GATHERED BY FINANCE STAFF AND PROVIDED TO ITS ACCOUNTING FIRM WHO PREPARES THE RETURN. SENIOR MANAGEMENT THEN REVIEWS THE RETURN PRIOR TO FILING. THE FORM 990 IS ALSO MADE AVAILABLE TO THE FRANCISCAN HEALTH FOUNDATION'S BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CORPORATION AND/OR AN AFFILIATE REQUIRES ANNUAL CONFLICT OF INTEREST STATEMENTS FROM EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS WHICH AFFIRMS THAT THEY HAVE RECEIVED, READ, AND UNDERSTAND THE CONFLICT OF INTEREST POLICY AND HAVE AGREED TO COMPLY WITH THE POLICY. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, A DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OR A COMMITTEE WITH BOARD DESIGNATED POWERS MUST DISCLOSE THE EXISTENCE AND NATURE OF THE FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST, THE DIRECTOR, PRINCIPAL, OR COMMITTEE MEMBER SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTE TAKEN. IN ADDITION, ONGOING REVIEWS AND ASSESSMENTS ARE MADE TO MAKE CERTAIN THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. IN CONDUCTING THE ONGOING REVIEWS AND ASSESSMENTS, THE CORPORATION USES INTERNAL AND EXTERNAL ADVISORS.
FORM 990, PART VI, SECTION B, LINES 15A AND 15BFRANCISCAN HEALTH FOUNDATION, INC. DOES NOT COMPENSATE ITS OFFICERS AND IT DOES NOT HAVE ANY EMPLOYEES.
FORM 990, PART XI, LINE 9DONATIONS IN KIND $ 1,024,157 OTHER COMPREHENSIVE INCOME 1,376,534 ____________ TOTAL $ 2,400,691

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
FRANCISCAN ALLIANCE INC
1515 DRAGOON TRAILMISHAWAKAIN46544351330472HEALTH SRVCSIN501(C)(3)3NAfalse
HILLS INSURANCE COMPANY INC
1515 DRAGOON TRAILMISHAWAKAIN46544030372512CAPTIVE INSVT501(C)(3)12 - Type 1FRANCISCANfalse
SISTERS OF ST FRANCIS OF PERPETUAL ADOR
PO BOX 766MISHAWAKAIN46546351328145RELIGIOUSIN501(C)(3)1NAfalse
ST ALEXIS HOSPITAL ASSOCIATION
PO BOX 1290MISHAWAKAIN46546340714485SUPPORT ALEXAOH501(C)(3)3FRANCISCANfalse
AT YOUR SERVICE HOME CARE INC
4701 N KEYSTONE AVE S418INDIANAPOLISIN46205352107306HEALTHCAREIN501(C)(3)10FRANCISCANfalse
FRANCISCAN VNS HOME CARE INC
4701 N KEYSTONE AVE S418INDIANAPOLISIN46205350868199HOME HEALTHIN501(C)(3)10FRANCISCANfalse
FRANCISCAN HEALTH RENSSELAER INC
1104 E GRACE STRENSSELAERIN47978473825106HEALTH SRVCSIN501(C)(3)3FRANCISCANfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
FRANCISCAN SURGERY CENTER LLC
421 N EMERSON AVEBEECH GROVEIN46107352128334MEDICAL SERVICESINNAN/A
LAFAYETTE HEART PROGRAM HOLDINGS
1501 HARTFORD STREETLAFAYETTEIN47904383750811MEDICAL SERVICESINNAN/A
ST ANTHONY HEALTH NETWORK LLC
PO BOX 310MISHAWAKAIN465460310351985170CLAIMS PROCESSINGINNAN/A
ST FRANCIS MOORESVILLE SURGERY CENTER
1215 HADLEY ROAD SUITE 100MOORESVILLEIN46158202256900MEDICAL SERVICESINNAN/A
ST FRANCIS RADIATION THERAPY CENTERS
421 N EMERSON AVEBEECH GROVEIN46107770663631MEDICAL SERVICESINNAN/A
ST FRANCIS IMAGING CTR (GREENWOOD)
421 N EMERSON AVEGREENWOODIN46107204607426IMAGING SERVICESINNAN/A
TONN AND BLANK CONST LLC
1623 GREENWOOD AVEMICHIGAN CITYIN46360263919039CONSTRUCTIONINNAN/A
MAJOR HOSP CARDIAC DIAGNOSTICS LLC
2451 INTELLIPLEX DRSHELBYVILLEIN46176208715441MEDICAL SERVICESINNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxt
FRANCISCAN HOLDING CORPORATION
1515 DRAGOON TRAILMISHAWAKAIN46544363593505HOLDING CO.INNAC CORP
FRANCISCAN ACO INC
700 E SOUTHPORT RDINDIANAPOLISIN46107351904455INSURANCEINNAC CORP
ST JAMES PHO INC
30 E 11TH ST SUITE 402CHICAGO HEIGHTSIL60411363945083MANAGED CAREILNAC CORP
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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