2015-11-16T13:19:29-06:00 2014-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2014-01-01 351955283 FRANCISCAN ALLIANCE FOUNDATION INC % PRISCILLAR N MUDARI FRAN 3177826199 1515 DRAGOON TRAIL MISHAWAKA IN 46544 Sister Lethia Marie Leveille Corporate Secretary 3177826199 2015-11-16 true ERIC M MCNEIL P00460263 2673303000 2014 2016-03-07 17:11:31Z KEVIN D LEAHY 1515 DRAGOON TRAIL MISHAWAKA IN 46544 7979296 false X N/A X 1995 IN RAISE, INVEST, AND EXPEND CONTRIBUTIONS FOR THE BENEFIT OF FRANCISCAN ALLIANCE, INC. HEALTH CENTERS. 7 6 0 155 0 5464335 7151949 0 0 137528 17047 0 0 5601863 7168996 4930350 8241058 0 0 0 0 0 0 855254 3984635 3104961 8914985 11346019 -3313122 -4177023 23237754 19925078 10148206 913053 13089548 19012025 THE FOUNDATION RAISES, INVESTS, AND EXPENSES CONTRIBUTIONS FOR THE BENEFIT OF FRANCISCAN ALLIANCE, INC. HEALTH CENTERS. 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. false false 10413202 8241058 0 FRANCISCAN 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. 10413202 true true false false false false false false true true false false false true false false true false false false false false false true false false true false true false false false false false false false false true false false false false true false false false true 0 0 0 false false false false false true true false false false false X 7 6 false false false false true true true true true false false true true true true true true false false false IN X X PRISCILLAR N MUDARI 5742733817 3510 PARK PLACE WEST SUITE 200 MISHAWAKA IN 46545 SISTER M ALINE SHULTZ OSF TRUSTEE 5.0 40.0 X 0 0 0 SISTER JANE MARIE KLEIN CHAIR AND TRUSTEE 5.0 46.0 X X 0 0 0 SISTER M ANN KATHLEEN MAGIERA TREASURER AND TRUSTEE 5.0 41.0 X X 0 0 0 SISTER M MADONNA ROUGEAU TRUSTEE 5.0 46.0 X 0 0 0 SISTER ROSE AGNES PFAUTSCH TRUSTEE 5.0 5.0 X 0 0 0 KEVIN D LEAHY PRESIDENT AND TRUSTEE 5.0 46.0 X 0 1672199 161089 SISTER LETHIA MARIE LEVEILLE SECRETARY 5.0 41.0 X X 0 0 0 0 1672199 161089 0 false true false NONE 0 9085 454003 194675 647722 5846464 33952 7151949 0 17047 17047 0 0 0 0 0 0 810300 454003 810300 0 0 0 0 7168996 17047 8241058 8241058 0 0 0 0 0 0 0 0 0 0 38398 38398 16869 16869 0 0 0 0 0 76194 76194 27799 27799 0 84162 84162 12149 12149 0 8218 8218 0 0 45433 45433 0 MANAGEMENT FEES 1924102 1924102 SPEC EVENTS & DON CULTIVATION 855254 855254 DUES & SUBSCRIPTIONS 36535 36535 BAD DEBT -24414 -24414 4262 2333 1929 11346019 10413202 77563 855254 888551 291969 0 0 2291610 3384996 0 0 0 0 0 0 0 0 0 0 13058 19509 398806 200376 232599 198430 19811936 16030174 0 0 0 0 0 0 0 0 23237754 19925078 10050596 696566 0 0 54948 121203 0 0 0 0 0 0 0 0 0 0 42662 95284 10148206 913053 X -4172176 5322016 14513354 11295517 2748370 2394492 13089548 19012025 23237754 19925078 X -4177023 10099500 X false true X true false X 1622952 2997495 4145884 5464335 7151949 21382615 0 0 0 0 0 0 0 0 0 0 0 0 1622952 2997495 4145884 5464335 7151949 21382615 1163136 20219479 51739 15427 10437 137528 17047 232178 0 0 0 0 0 0 0 0 0 0 0 0 21614793 0.93545 0.97467 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2748370 100000 453878 2394492 4592488 1844118 2748370 959672 3666167 33351 4592488 958824 848 959672 957676 1148 958824 1.00000 false false 62498 4166 58332 336308 196210 140098 198430 0 ANNUITY PAYABLE 95284 95284 SCHEDULE D, PART V, LINE 4 SPIRITUAL CARE ENDOWMENT - THIS FUND IS TO CONSTANTLY REASSURE THE INSTITUTION OF ITS COMMITMENT TO 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 US 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 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 ALLIANCE FOUNDATION, INC. ESTABLISHED AND MANAGES THE EDUCATION ENDOWMENT FUND TO PROVIDE EDUCATIONAL OPPORTUNITIES FOR FRANCISCAN ST. FRANCIS HEALTH'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 COHEN AND KLINE FAMILIES IN 1979. INTEREST IS TO FUND NEEDS DETERMINED ANNUALLY AS DIRECTED BY DESIGNATED MEMBER OF 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 - THIS FUND IS TO HAVE A GOAL OF A $1 MILLION DOLLAR 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 CENTRAL AND EAST HOSPITALS. THE MONEY WILL BE INVESTED AND THE EARNINGS GIVEN TO THE HOSPITAL FOR INDIGENT CARE. DINNER DANCES 1049446 309202 740244 6016 258950 409156 10770 55352 CAR SHOW 111917 74542 37375 1658 3499 26509 5710 6 102940 70259 32681 5675 15095 7705 850 3355 1264303 454003 810300 13349 277544 443370 11620 64417 810300 true FRANCISCAN ALLIANCE INC 1515 DRAGOON TRAIL MISHAWAKA IN 46544 351330472 501(c)(3) 8241058 N/A N/A VARIOUS PROGRAMS 1 PART I, LINE 2 ALL 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. false true false false false false false false false KEVIN D LEAHY PRESIDENT AND TRUSTEE 0 1615731 0 0 0 56468 0 132022 0 29067 0 1833288 0 0 SCHEDULE J, PART I, LINE 3 THE FRANCISCAN ALLIANCE FOUNDATION, INC. DOES NOT COMPENSATE ITS PRESIDENT. SCHEDULE J, PART I, LINE 4B CERTAIN 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. X 2932 FMV X 295 472 FMV X FANTASY ROOM MATERIALS 1 23367 FMV X TABLET 1 6500 FMV X GIFT CARDS 21 460 FMV X FITNESS MEMBERSHIPS 2 209 FMV X TOOLS 1 12 FMV false false false FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF FRANCSICAN ALLIANCE 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) the creation, determination of boundaries, reorganization, consolidation or discontinuation of Regional Divisional Offices of the Foundation; (o) the voluntary declaration and filing of 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 ALLIANCE 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 FRANCISCAN ALLIANCE FOUNDATION'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 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 15B FRANCISCAN ALLIANCE FOUNDATION, INC. DOES NOT COMPENSATE ITS OFFICERS AND IT DOES NOT HAVE ANY EMPLOYEES. FORM 990, PART XI, LINE 9 OTHER COMPREHENSIVE INCOME 9,316,650 DONATIONS IN KIND 782,850 ____________ TOTAL $10,099,500 FRANCISCAN ALLIANCE INC 1515 DRAGOON TRAIL MISHAWAKA IN 46544 351330472 HEALTH SRVCS IN 501(C)(3) 3 NA false ALVERNO CLINICAL LABS INC 2434 INTERSTATE PLAZA DRIVE HAMMOND IN 46324 352060754 LAB SERVICES IN 501(C)(3) 11 - Type 1 FRANCISCAN false HILLS INSURANCE COMPANY INC 1515 DRAGOON TRAIL MISHAWAKA IN 46544 030372512 CAPTIVE INS VT 501(C)(3) 11 - Type 1 FRANCISCAN false SISTERS OF ST FRANCIS OF PERPETUAL ADOR PO BOX 766 MISHAWAKA IN 46546 351328145 RELIGIOUS IN 501(C)(3) 1 NA false ST ALEXIS HOSPITAL ASSOCIATION PO BOX 1290 MISHAWAKA IN 46546 340714485 SUPPORT ALEXA OH 501(C)(3) 3 FRANCISCAN false ST JAMES COMMUNITY FOUNDATION 1423 CHICAGO ROAD CHICAGO HEIGHTS IL 60411 204249251 FUNDRAISING IL 501(C)(3) 7 FRANCISCAN false AT YOUR SERVICE HOME CARE INC 4701 N KEYSTONE AVE S418 INDIANAPOLIS IN 46205 352107306 HEALTHCARE IN 501(C)(3) 9 FRANCISCAN false VNS AT ST FRANCIS INC 4701 N KEYSTONE AVE S418 INDIANAPOLIS IN 46205 350868199 HOME HEALTH IN 501(C)(3) 9 FRANCISCAN false 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 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 CONSTRUCTION IN NA N/A MAJOR HOSP CARDIAC DIAGNOSTICS LLC 150 WEST WASHINGTON STREET SHELBYVILLE IN 46176 MEDICAL SERVICES IN NA N/A FRANCISCAN HOLDING CORPORATION 1515 DRAGOON TRAIL MISHAWAKA IN 46544 363593505 HOLDING CO. IN NA C CORP FRANCISCAN ACO INC 700 E SOUTHPORT RD INDIANAPOLIS IN 46107 351904455 INSURANCE 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 false true true false false false false false false false false false false false false true false false false