2014-11-17T10:38:36-06:00 2013-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2013-01-01 351330472 FRANCISCAN ALLIANCE INC % MARGUERITE EICHELBERGER FRAN 5742563935 1515 DRAGOON TRAIL Suite MISHAWAKA IN 465444710 KEVIN LEAHY PRESIDENT 5742563935 2014-11-14 true ERIC M MCNEIL P00460263 5742563935 2013 2015-11-30 17:44:51Z KEVIN D LEAHY 1515 DRAGOON TRAIL MISHAWAKA IN 46544 2596912525 false 0928 X WWW.FRANCISCANALLIANCE.ORG X 1974 IN SEE SCHEDULE O 16 13 20263 1988 5277312 -604488 5479482 4960347 2532599050 2506575052 80546006 69417001 6667468 7629975 2625292006 2588582375 1643789 160000 0 0 1229925169 1280893808 0 0 0 1256899742 1214856384 2488468700 2495910192 136823306 92672183 4008931900 4159841951 2092819331 1659238916 1916112569 2500603035 X THE PURPOSES FOR WHICH FRANCISCAN ALLIANCE, INC. IS FORMED ARE: TO CONTINUE THE HEALING MINISTRY OF CHRIST IN ACCORDANCE WITH THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH AND, IN PARTNERSHIP WITH OTHERS, TO PROVIDE A FULL CONTINUUM OF HEALTH CARE SERVICES; TO CARRY ON EDUCATIONAL ACTIVITIES RELATED TO THE PROMOTION OF HEALTH; TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO HEALTH CARE; AND TO PARTICIPATE IN ANY ACTIVITY DESIGNED AND CONDUCTED TO PROMOTE THE GENERAL HEALTH OF THOSE SERVED BY FRANCISCAN ALLIANCE, INC. THE REVENUES OF FRANCISCAN ALLIANCE, INC. ALLOW FOR THE OPERATION OF HEALTH CARE FACILITIES WHERE THE PURPOSE IS TO RESPECT LIFE AND TO PRESERVE HEALTH AS WELL AS TREAT ILLNESS AND INJURY. THIS ALLOWS FOR THE ACCOMPLISHMENT OF THE CORPORATE MINISTRY WHICH HAS THE FOLLOWING CENTRAL CONCERNS: COMPASSION FOR THOSE IN NEED, RESPECT FOR LIFE AND THE DIGNITY OF PERSONS, WELLNESS AND THE PREVENTION OF ILLNESS, RESTORATION TO HEALTH, AND THE ACCEPTANCE OF DEATH AS THE FINAL ST false false 2152118125 160000 2497798681 For over 135 years, Franciscan Alliance, Inc. ("Franciscan") has endeavored to stay true to our founding mission of caring for patients who come through our doors and we continue to look for opportunities to serve our communities through the very best in medical care and service to the less fortunate among us. Franciscan's purpose is to continue the healing ministry of Christ in accordance with the teachings of the Roman Catholic Church and in partnership with others to provide a full continuum of health care services; to carry on educational activities related to the promotion of health; to promote and carry on scientific research related to health care; and to participate in activities designed and conducted to promote the general health of those served by Franciscan. Franciscan operates thirteen hospital campuses (two in Illinois and eleven in Indiana) along with numerous physician clinics and ancillary services centers and offers numerous community health improvement programs that is further described below. In 2013, Franciscan admitted approximately 82,000 inpatients and recorded over 372,000 inpatient days, 397,000 emergency room visits, and provided over $579 million in charity care and other community benefits which includes Medicaid and Medicare shortfalls at cost. Franciscan provides significant benefits that reflect the organization's commitment to healthcare and the communities it is privileged to serve. We break community benefits down into two primary categories: a) benefits for the poor and underserved which includes the cost of providing programs and services to persons who are economically poor or are medically indigent and cannot afford to pay for health care services because they have inadequate resources and/or are uninsured or underinsured and b) benefits for the broader community which includes the cost of providing programs and services aimed at persons and groups for reasons other than poverty (however it may include needy populations that may not qualify as poor but need special services and support) or broader populations who benefit from healthy community initiatives with the provision of these programs and services not intended to be financially self-supporting. In 2013, Franciscan provided over $579 million in quantifiable community benefits which included: Benefits for the Poor: Charity Care $93,613,679 Unpaid Costs of Medicaid $109,237,168 Community Services $4,327,132 Other Public Programs $757,884 _______________ Subtotal $207,935,863 Benefits for the Community: Unpaid Costs of Medicare $272,730,170 Other Community Benefits $61,646,559 Bad Debt $36,752,348 _____________ Subtotal $371,129,077 Total $579,064,940 "Our Giving Journal" at www.FranciscanAlliance.org/CommunityBenefit reflects Franciscan's mission of "Continuing Christ's Ministry in Our Franciscan Tradition" along with a report of our community benefit activities. Although it is not all inclusive of the many benefits provided by Franciscan it does portray the significant benefits that reflect our commitment to healthcare and the communities we are privileged to serve. The following is a subset of the many clinical services as well as population health improvement and community outreach activities offered by one or more of Franciscan's healthcare facilities: - Inpatient Hospital Services including: Medical Services, Surgical Services, Intensive Care Services, Telemetry Services, Obstetrics Services, Pediatrics Services, Neonatal Intensive Care Services, Acute Rehabilitation Services, Oncology Services, Bone Marrow Transplant Services, General Surgery Services, Cardiac Surgery Services, Vascular Services, Pulmonary Services, Interventional Radiology, Orthopedics, Joint and Spine Care, Gastrointestinal Care, Neurosciences Services, Colon and Rectal Services, Anesthesia Services, Hospice Services, Inpatient Psychiatric Care, Residential Treatment Program for Adolescents, etc. - Emergency Services including: 24 hour Emergency Room Services, Ambulance Services, Immediate Care Services, Advanced Life Support Services, Basic Life Support Services, Behavioral Health Emergency Consultation Services, 24-Hour Crisis and Referral Hotline, etc. - Outpatient Services including: Laboratory Services, Physical Therapy Services, Occupational Therapy Services, Speech Therapy Services, General Radiology Services, Computed Tomography Services, Magnetic Resonance Imaging (MRI), Nuclear Medicine Services, Mammography Services, Angiography Services, Neurodiagnostics Services, Gastro/Intestinal Services, Sleep Laboratory, Pulmonary Services, Outpatient Surgery, Cardiac Testing, Electrocardiogram (EKG) Services, Medical Oncology Services, Radiation Oncology Services, Pharmacy, Occupational Medicine Services, Cardiac/Pulmonary Rehabilitation Services, Congestive Health Failure Clinic, Wound Healing and Prevention, Nutritional Counseling, Diabetes Management, Bariatric Services, Pain Management, Social Services, Palliative Care, Sports Medicine, Behavioral Health, Stroke Services, Home Health Services, Skilled Nursing Services, Social Services, Durable Medical Equipment. - Primary Care and Specialty Care Physician Clinics. - Subsidized Healthcare Services offered by Franciscan: - Franciscan has neighborhood health clinics that offer family practice services designed for families without access to affordable health care. The focus is on providing primary and preventive care as well as health education. These clinics offer free immunizations. - Franciscan's Sexual Assault Clinics that provide medical and forensic assistance that is sensitive to the special needs of the victim as well as a victim advocate program and crisis intervention counselors. - Franciscan's Blood and Marrow Transplant program is only one of two programs in Indiana offering full service transplant care and specializes in the treatment of patients with leukemia, Hodgkin's or non-Hodgkin's lymphoma, multiple myeloma, and many other malignancies and blood disorders. - Franciscan's Diabetes Education Centers offer a number of diabetes classes and individualized sessions to help patients take control of their health with a focus on nutritional, exercise, medications, chronic conditions, preconception and pregnancy, blood glucose monitoring, goal setting, problem solving, psychosocial adjustment, detection/treatment of high and low blood sugar, and insulin administration. - Franciscan's Women's and Children's Services include preventive medical care and health screenings to gynecological care, maternity, lactation consultation services, and beyond, Franciscan's facilities focus on keeping women healthy. - Franciscan's Hospice Care Services provide a sense of dignity and compassion to both the patient and their family in caring for patients with a life expectancy of six months or less. Our programs affirm and celebrate life and regard dying as a natural process, recognizing that every person has the right to die with dignity, peace, and comfort regardless of their ethnic, faith background, or ability to pay. - Level III NICU - Ambulance Service - Physician Services - Residential Treatment Program for Adolescents - St. Monica Home for pregnant teens - Emergency Services - Inpatient Psychiatric Units - Palliative Care Services - Indigent Health Care Clinics. - Health and Wellness Centers and Healthy Living Education Centers. - Clinical care coordinators to support Franciscan's various Accountable Care Organizations which are designed to improve quality and reduce cost. - Community Outreach and Education Programs including: Health Fairs, Free Health Screenings, Free Immunizations, Free Breast Health Screening Services, Free Prostrate Screenings, Free Skin Cancer Screenings, Free Cervical Cancer Screenings, Free Glucose Screenings, Free Cholesterol Screenings, Free Bone Density Screenings, Free Lung Screenings, Free Spa Services for Cancer Patients, Online Health Condition Assessment Tools, Cancer Prevention Activities, Cancer Survivor Programs and Retreats, Cancer and Heart Care Clinical Symposiums, Health Care Decision-Making Sessions, Senior Health Education, Diabetes Management Education and Activities, Pain Management Seminars and Activities, Cardiac Risk Factors Educational Sessions and Online Tools, Hospice and Palliative Care Counseling and Education Services, Alzheimer Support Services, Behavioral Health Community Education, Smoking Cessation Programs, Mobile Dental Clinics, Basic Life-Saving Skills Programs, Children's Health Needs Activities, Childhood Obesity Activities, Weight Loss Education, Organ and Tissue Donation Fairs, Volunteer Advocates for Seniors, Parenting Programs, Residential Support Program for Pregnant Girls, Prenatal 'Baby Showers', Athletic Training (Schools and Various Marathons), Orthopedic Road Shows, Flu Vaccinations, Child Seat Safety Programs, Bereavement Support Groups, Community Education Lectures, Indigent Prescription Programs, Sex Can Wait Programs, Caregivers Educati 2152118125 true true false true false false false false true true false false false true false false true false false true false false false false false true true true false true true true false false false false false false false false true false false false false true true true true false false true 2334 0 true 20263 true true true true BR CI CH CO EZ HU ID IS KS MY false false false true true false false false false X 16 13 false false false false false true true true true false false true true true true true true true true true true IL IN X X MARGUERITE EICHELBERGER 5742546268 1515 DRAGOON TRAIL MISHAWAKA IN 465444710 X SISTER M ALINE SHULTZ TRUSTEE & VP OF MARKETING 40.0 5.0 X 0 0 0 SISTER M CLARE REUILLE TRUSTEE 5.0 0.0 X 0 0 0 SISTER ROSE AGNES PFAUTSCH TRUSTEE 5.0 5.0 X 0 0 0 SISTER M ANGELA MELLADY TRUSTEE 5.0 0.0 X 0 0 0 SISTER M MARLENE SHAPLEY TRUSTEE 40.0 0.0 X 0 0 0 SISTER MARILYN OLIVER TRUSTEE 5.0 0.0 X 0 0 0 KATHLEEN GOEPPINGER PHD TRUSTEE 5.0 0.0 X 0 0 0 SISTER M MADONNA ROUGEAU TRUSTEE & VP OF MISSION - FSJH 40.0 11.0 X X 0 0 0 JOHN LADOWICZ TRUSTEE (TERM. 8/13) 5.0 0.0 X 0 0 0 SISTER JANE MARIE KLEIN CHAIRPERSON AND TRUSTEE 40.0 11.0 X X 0 0 0 SISTER M ANN KATHLEEN MAGIERA TREASURER AND TRUSTEE 40.0 6.0 X X 0 0 0 KEVIN D LEAHY PRESIDENT AND TRUSTEE 40.0 11.0 X X 1645804 0 482013 DONALD J KERNER MD TRUSTEE 5.0 0.0 X 0 0 0 JAIRO CRUZ MD PHYSICIAN (UNPAID TRUSTEE) 40.0 0.0 X 222611 0 18868 ERNEST IANNOTTA TRUSTEE 5.0 0.0 X 0 0 0 JAMES MONKS MD TRUSTEE 5.0 0.0 X 0 0 0 KENNETH HERLIN TRUSTEE (APPOINTED 10/13) 5.0 0.0 X 0 0 0 ROBERT E MCBRIDE MD EMERITUS TRUSTEE 0.0 0.0 X 0 0 0 SISTER LETHIA MARIE LEVEILLE SECRETARY 40.0 6.0 X 0 0 0 EUGENE C DIAMOND REGIONAL CEO NIR 40.0 0.0 X 889951 0 190066 ROBERT J BRODY REGIONAL CEO CIR 40.0 0.0 X 891719 0 252575 JENNIFER P MARION SENIOR VP FINANCE, CFO 40.0 0.0 X 749788 0 51641 TERRANCE E WILSON REGIONAL CEO WIR 40.0 0.0 X 672816 0 83304 SETH CR WARREN REGIONAL CEO SSCR 40.0 6.0 X 670847 0 22987 LOUIS METZMAN MD PHYSICIAN 40.0 0.0 X 983466 0 32450 DAVID RUSKOWSKI HOSPITAL PRESIDENT 40.0 0.0 X 1352884 0 -25002 DANIEL G SPOMAR MD PHYSICIAN 40.0 0.0 X 1054105 0 14595 NADEEM IKHLAQUE MD PHYSICIAN 40.0 0.0 X 1030435 0 29957 ROWLAND O MBAOMA MD PHYSICIAN 40.0 0.0 X 1051774 0 19504 11216200 0 1172958 1293 false true false LEIDOS HEALTH LLC PO BOX 223866 PITTSBURGH PA 152512866 IT CONSULTING 11774437 METT THERAPY 801 SOUTH BRIGGS STREET SECOND FLO JOLIET IL 60433 THERAPY SERVICES 7019798 NORTHSTAR ANESTHESIA OF INDIANA LLC PO BOX 612364 DALLAS TX 752612364 ANESTHESIA SERVICES 6793535 BEACON PARTNERS INC 97 LIBBEY PARKWAY SUITE 310 WEYMOUTH MA 02189 IT CONSULTING 4030771 PRICEWATERHOUSECOOPERS LLP PO BOX 75647 CHICAGO IL 606755647 ACCOUNTING/AUDITING 3299377 160 4930350 29997 4960347 PATIENT AND OTHER REVENUES 900099 2395717582 2394585619 1131963 PREMIUM REVENUE 900099 88584884 88584884 MEANINGFUL USE 812300 14628178 14628178 CAFETERIA 722514 5491949 5491949 LAUNDRY 900099 2152459 2152459 2506575052 66916239 -1453683 68369922 0 0 8172496 4050151 4122345 0 4122345 4122345 23000 6513015 0 4035253 23000 2477762 2500762 2500762 0 0 305803 244746 61057 61057 OTHER OPERATING REVENUE 900099 3446573 3446573 3446573 2588582375 2497798681 5277312 80546035 160000 160000 0 0 0 0 0 0 16140674 8598975 7541699 0 0 0 0 0 963882519 854436748 109445771 0 49433393 44580935 4852458 0 189406774 158148311 31258463 0 62030448 54838782 7191666 0 14376021 10257663 4118358 0 3722863 739137 2983726 0 2604388 981893 1622495 0 524333 3227 521106 0 0 0 0 0 0 0 47704269 39387230 8317039 0 15047671 4368148 10679523 0 14595481 11351324 3244157 0 111531309 111531309 0 0 0 0 0 0 35117347 33338825 1778522 0 2815895 1766061 1049834 0 0 0 0 0 749877 342191 407686 0 37097100 37097100 0 0 0 0 0 0 117506141 101844283 15661858 0 25656410 21518268 4138142 0 MEDICAL SUPPLIES/ DRUGS 319302855 319302855 0 0 PURCHASED SERVICES 255075057 208109720 46965337 0 REPAIRS AND MAINTENANCE 32440385 27012138 5428247 0 FEDERAL AND STATE UBI TAXES 455186 0 455186 0 178533796 102403002 76130794 2495910192 2152118125 343792067 0 0 0 176023495 212399952 0 0 336243013 312109141 0 0 0 0 265852 126119 39770923 37852863 0 0 2874983500 1294538550 1536768498 1580444950 1556826786 1684514497 134488493 132238117 0 0 39900666 35663781 188644174 164492531 4008931900 4159841951 152558456 140434069 0 0 0 0 1091522183 1075956068 0 0 0 0 0 0 4616535 3397159 844122157 439451620 2092819331 1659238916 X 1909434724 2483050816 612232 4251943 6065613 13300276 1916112569 2500603035 4008931900 4159841951 X 92672183 154445102 337373181 X false true X true true true X 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 39720 true 279093 false true 205520 524333 false false SCHEDULE C, PART IV Franciscan Alliance, Inc. ("FRANCISCAN") engages in insubstantial amounts of lobbying activities. FRANCISCAN makes grants to other organizations that lobby on its behalf including various health and hospital associations. FRANCISCAN also engages in direct contact with legislators and their staffs on topics related to FRANCISCAN's healthcare mission. 6065614 317000 -6917661 13300275 9226856 15000 -34000 3142242 6065614 8975779 274000 22923 9226856 15030221 267000 6321442 8975779 14207054 568167 255000 15030221 1.00000 false false 109424030 109424030 1121889784 607806541 514083243 47963466 20501640 27461825 1507153891 648346376 858807515 88552329 17883992 70668337 1580444950 0 DUE TO THIRD PARTY PAYORS 29043479 ACCRUED PAYROLL 115044836 OTHER SHORT & LONG TERM LIABIL 111468773 ACCRUED PROF & GEN'L LIABILITY 13097785 ACCRUED PENSION LIABILITY 106274436 SWAP VALUATION 58490928 ACCRUED INTEREST PAYABLE 6031383 439451620 3071470575 154445102 324392947 478838049 2592632526 -4050151 -4050151 2588582375 2499960343 4050151 4050151 2495910192 2495910192 PART V, LINE 4 FRANCISCAN ALLIANCE, INC. USES ITS ENDOWMENT FUNDS FOR CAPITAL EXPENDITURES FOR EQUIPMENT, CAPITAL PROJECTS, OR OTHER CAPITAL NEEDS; MEDICAL EDUCATION PROGRAMS; AND HEALTH CARE PROGRAMS FOR MEDICAL AND PATIENT SERVICES IN ACCORDANCE WITH ANY STIPULATED DONOR RESTRICTIONS. PART XI, LINE 2D EQUITY IN EARNINGS OF AFFILIATES $ 9,843,021 MINORITY INTEREST IN AFFILIATES (20,108,963) OTHER COMPREHENSIVE INCOME 307,308,328 DIVIDENDS RECEIVED FROM AFFILIATES 127,125 NET ASSETS RELEASED FOR OPERATIONS 1,614,362 NET ASSETS RELEASED FROM RESTRICTION (1,619,133) EQUITY TRANSFERS TO/FROM AFFILIATES 9,019,295 OTHER CHANGES IN NET ASSETS 18,208,912 ------------- TOTAL REVENUE/EXPENSE ON BOOKS NOT ON RETURN 324,392,947 PART XI, LINE 4B RENT EXPENSE $ (4,050,151) ----------- TOTAL EXPENSE ON RETURN NOT ON BOOKS (4,050,151) PART XII, LINE 2D RENT EXPENSE $ 4,050,151 ----------- TOTAL EXPENSE ON RETURN NOT ON BOOKS 4,050,151 Central America and the Caribbean Investments 13841289 Europe (Including Iceland and Greenland) Investments 5302593 North America Investments 5186805 24330687 24330687 true false true false true false true true X true X true X true true true false true true 93613679 0 93613679 0.03750 281333491 172096323 109237168 0.04380 757884 0 757884 0.00030 375705054 172096323 203608731 0.08160 4988389 319808 4668581 0.00190 18782916 5932678 12850238 0.00510 159381659 115519085 43862574 0.01760 1349131 0 1349131 0.00050 2169890 3685 2166205 0.00090 186671985 121775256 64896729 0.02600 562377039 293871579 268505460 0.10760 323 323 2500 2500 8597 8597 54751 54751 44114 44114 4416882 3485780 931102 0.00040 1157 1157 4528324 3485780 1042544 0.00040 true 103921308 656895552 929625722 -272730170 X true true SEE PART VI 13 1 FRANCISCAN ST FRANCIS HEALTH - INDIANAPOLIS 8111 SOUTH EMERSON AV INDIANAPOLIS IN 46217 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 11-004972-1 X X X X X 2 FRANCISCAN ST ANTHONY HEALTH - CROWN POINT 1201 SOUTH MAIN STREET CROWN POINT IN 46307 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 14-005107-1 X X X 3 FRANCISCAN ST MARGARET HEALTH - HAMMOND 5454 HOHMAN AVENUE HAMMOND IN 46320 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 14-005004-1 X X X X 4 FRANCISCAN ST MARGARET HEALTH - DYER 24 JOLIET STREET DYER IN 46311 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 14-005080-1 X X X X 5 FRANCISCAN ST JAMES HEALTH - CHICAGO HEIGHTS 1423 CHICAGO ROAD CHICAGO HEIGHTS IL 60411 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 0002436 X X X X 6 FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE 1701 S CREASY LANE LAFAYETTE IN 47905 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 14-005096-1 X X X 7 FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY 301 W HOMER STREET MICHIGAN CITY IN 46360 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 14-005015-1 X X X X X 8 FRANCISCAN ST JAMES HEALTH - OLYMPIA FIELDS 20201 SOUTH CRAWFOR OLYMPIA FIELDS IL 60461 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 0005074 X X X X 9 FRANCISCAN ST FRANCIS HEALTH - MOORESVILLE 1201 HADLEY ROAD MOORESVILLE IN 46158 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 14-005052-1 X X X X 10 FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE CENTRAL 1501 HARTFORD ST LAFAYETTE IN 47904 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 14-005003-1 X X X 11 FRANCISCAN ST ELIZABETH HEALTH - CRAWFORDSVILLE 1710 LAFAYETTE ROAD CRAWFORDSVILLE IN 47933 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 14-005021-1 X X X 12 FRANCISCAN HEALTHCARE - MUNSTER 701 SUPERIOR STREET MUNSTER IN 46321 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 14-005615-1 X X X 13 FRANCISCAN ST FRANCIS HEALTH - CARMEL 12188-B N MERIDIAN STREET CARMEL IN 46032 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 13-012826-1 X X FSMH - DYER 4 true X X X X X X X X X 13 true true true X SEE PART V-C X X X X X X X false false true true 200. true 400. true X X X X true true X X X X X true false true X false false FSMH - HAMMOND 3 true X X X X X X X X X 13 true true true X SEE PART V-C X X X X X X X false false true true 200. true 400. true X X X X true true X X X X X true false true X false false FRANCISCAN HEALTHCARE - MUNSTER 12 true X X X X X X X X X 13 true true true X SEE PART V-C X X X X X X X false false true true 200. true 400. true X X X X true true X X X X X true false true X false false FSAH - CROWN POINT 2 true X X X X X X X X X 13 true true true X SEE PART V-C X X X X X X X false false true true 200. true 400. true X X X X true true X X X X X true false true X false false FSAH - MICHIGAN CITY 7 true X X X X X X X X X 13 true false true X SEE PART V-C X X X X X X X false false true true 200. true 400. true X X X X true true X X X X X true false X true X false false FSJH - CHICAGO HEIGHTS 5 true X X X X X X X X 13 true true true X SEE PART V-C X X X X X X X false false true true 200. true 400. true X X X X X true true X X X X X true false true X false false FSJH - OLYMPIA FIELDS 8 true X X X X X X X X X 13 true true true X SEE PART V-C X X X X X X X false false true true 200. true 400. true X X X X X true true X X X X X true false true X false false FSEH - LAFAYETTE CENTRAL 10 true X X X X X X X X X 13 true true true X SEE PART V-C X X X X X X X false false true true 200. true 400. true X X X X true true X X X X X true false true X false false FSEH - LAFAYETTE EAST 6 true X X X X X X X X X 13 true true true X SEE PART V-C X X X X X X X false false true true 200. true 400. true X X X X true true X X X X X true false true X false false FSEH - CRAWFORDSVILLE 11 true X X X X X X X X X 13 true false true X SEE PART V-C X X X X X X X false false true true 200. true 400. true X X X X true true X X X X X true false true X false false FSFH - INDIANAPOLIS 1 true X X X X X X X X X 13 true true true X PART V-C X X X X X X X false false true true 200. true 400. true X X X X true true X X X X X true false true X false false FSFH - MOORESVILLE 9 true X X X X X X X X X 13 true true true X SEE PART V-C X X X X X X X false false true true 200. true 400. true X X X X true true X X X X X true false true X false false FSFH - CARMEL 13 true X X X X X X X X X 13 true true true X SEE PART V-C X X X X X X X false false true true 200. true 400. true X X X X true true X X X X X true false true X false false IN THIS SECTION, THE FOLLOWING ABBREVIATIONS ARE USED TO REFERENCE THE hospital facilities operated by Franciscan Alliance, Inc.: Franciscan St. Francis Health - Indianapolis: FSFH-Indianapolis Franciscan St. Anthony Health - Crown Point: FSAH-Crown Point Franciscan St. Margaret Health - Hammond: FSMH-Hammond Franciscan St. Margaret Health - Dyer: FSMH-Dyer Franciscan St. James Health - Chicago Heights: FSJH-Chicago Heights Franciscan St. Elizabeth Health - Lafayette: FSEH-Lafayette East Franciscan St. Anthony Health - Michigan City: FSAH-Michigan City Franciscan St. James Health - Olympia Fields: FSJH-Olympia Fields Franciscan St. Francis Health - Mooresville: FSFH-Mooresville Franciscan St. Elizabeth Health - Lafayette Central: FSEH-Lafayette Central Franciscan St. Elizabeth Health - Crawfordsville: FSEH-Crawfordsville Franciscan Healthcare - Munster: FH-Munster Franciscan St. Francis Health - Carmel: FSFH-Carmel LINE 3: FSMH-DYER, FSMH-HAMMOND, FSAH-CROWN POINT, FH-MUNSTER INPUT FROM INDIVIDUALS IN THE COMMUNITY: An independent, third party was retained to conduct the community assessment and a part of that work was the facilitation of several Focus Groups designed to have in-person exchange and information gathering about community health needs, including needs of low income, minorities and the uninsured. The following individuals attended and contributed to that information gathering opportunity: Dr. Janet Seabrook - Executive Director, Gary Community Health Center Dr. Janice Zunich, Indiana University School of Medicine Dr. Mark Feldner, Community Care Network Dr. Lisa Green - CEO, Family Christian Health Centers Janice Wilson - CEO, North Shore Health Centers Olga Gonzales - Manager, Women's Care Center of NWI Tracy Tucker - School Nurse, Eggers Middle School Duane Dedalow - Executive Director, Catholic Charities Diocese of Gary Gordon Johnson - CEO, American Red Cross of NWI Gary Olund - President, Northwest Indiana Community Action Grace Talbot - Director, Hammond Rescue Mission Jane Bisbee - Regional Manager, Child Protective Services Lou Martinez - President, Lake Area United Way Gilda Orange - Trustee, North Township Tom DeGuilio - Town Manager, Munster LINE 3: FSAH-MICHIGAN CITY INPUT FROM INDIVIDUALS IN THE COMMUNITY: A survey of community opinion leaders was conducted soliciting input regarding community health needs. Individuals contributing to this information resource included: Ed Merrion - Housing Program Manager, Catholic Charities Kathy Dennis - Commission on Women George Kucka - President, Fair Meadows Home Health Center Terese Fabbri - Friend of the Open Door Health Center Fred McNulty - EVP, HR Dimensions Deborah Chugg - Executive Director, Imagination Station (behavioral medicine) Patricia Pease - Administrator, LaPorte County Emergency Medical Services Cathy Ellis - Life Care Center of Valparaiso W. Faye Moore - VP, Michigan City Women's Commission/NAACP Deborah Briggs - Program Director, Open Door Adolescent Health Center Tyra Walker - Samaritan Center and LaPorte County Jail Cee Cee Taylor - Executive Director, Samaritan Counseling Center Terri Phillips - Executive Director, Life Care of MICHIGAN CITY (SKILLED NURSING FACILITY) Gerry Jones - Executive Director, Stepping Stone Shelter for Women Steve Birnth - Executive Director, Youth Service Bureau LINE 3: FSJH-CHICAGO HEIGHTS, FSJH-OLYMPIA FIELDS INPUT FROM INDIVIDUALS IN THE COMMUNITY: A community wide survey was conducted by a third party in collaboration with many hospitals coordinated by the Chicago Metropolitan Hospital Council. Subsequent to that community survey the same third party conducted a series of Focus Groups, specific to each participating hospital, comprised of individuals representing various sectors of the service area population including: public health; low income; minorities; medically underserved; chronic disease services; and more. Individuals providing input via the focus groups included: Apostle Carl White, Jr. - Victory International Christian Ministries Deborah Harper - Community and Economic Development Association, Chicago Heights Marianne Bithos - National Alliance on Mental Illness, South Suburbs of Chicago Mary Pat Ambrosino - Southwest Community Services, Tinley Park (services for the disabled) Yvonne Orr - South/Southwest Suburban United Way LINE 3: FSEH-LAFAYETTE EAST, FSEH-LAFAYETTE CENTRAL INPUT FROM INDIVIDUALS IN THE COMMUNITY: A community survey was conducted, followed by a review of results by a cross section of community representatives. That review resulted in conducting an Opinion Leader survey of approximately 200 individuals to add more information regarding priorities. Finally, individual interviews were conducted with the following individuals to further solicit direct input from their respective experiences and knowledge: John Dennis - Mayor, West Lafayette Tom Murtaugh - President of the County Council Sheila Klinker - Indiana State Representative Ronnie Alting - Indiana State Senator Randy Truitt - Indiana State Representative Brandt Hershman - Indiana State Senator Gary Henriott - Chairman and CEO, Henriott Group Trish Hauber - HR Manager, Caterpillar, Inc. Julia Cole - HR MANAGER, Subaru Veronique LeBlanc - President, Riggs Community Health Center Pam Biggs-Reed - CEO, Bauer Center (Head Start and Counseling Center) Marilyn Redmon - CEO, Right Steps Child Development Centers Ron Cripe - Tippecanoe County Health Department Barry Richards - Boys and Girls Club James Taylor - EXECUTIVE DIRECTOR, United Way of Greater Lafayette and Tippecanoe County Joe Seaman - President, Greater Lafayette Chamber of Commerce Cheryl Ubelhor - Program Manager, Community Foundation of Greater Lafayette Scott Hanback - Superintendent, Tippecanoe Schools Eric Davis - President, Lafayette Catholic School Corp. Rocky Killian - Superintendent, West Lafayette Schools Jane Kirkpatrick - Dean, Purdue School of Nursing Anita Reed - St. Elizabeth School of Nursing LINE 3: FSEH-CRAWFORDSVILLE INPUT FROM INDIVIDUALS IN THE COMMUNITY: A community wide survey was conducted, followed by an opinion leader survey. The opinion leaders were then interviewed for focused input. The individuals from whom input was gained are: Robert Cook - Abilities services Todd Barton - Mayor, City of Crawfordsville Fawn Johnson - Crawfordsville Community Center Joanie Crum - Division of Family and Children Phil Wray - FISH Clothes Closet/Food Pantry Brenda Deckard - Friendship Kitchen/HUB Ministries Denise Maxwell - Montgomery County American Red Cross Kelly Taylor - Montgomery County Community Foundation Cheryl Kiem - Montgomery County Community Foundation Jan Sears - St. Bernard Catholic Church Dave Peach - WCVL/WIMC/WCDQ (broadcasting) Joy Dugan - Purdue University Extension Service Deanna Durett - Montgomery County Commissioner Tina McGrady - Editor, Crawfordsville Journal Review Rich Holtz - The Paper of Montgomery County Amber Reed - Montgomery County Health Department Bill Doemel - Mary Ludwig Free Clinic LINE 3: FSFH-INDIANAPOLIS, FSFH-MOORESVILLE, FSFH-CARMEL INPUT FROM INDIVIDUALS IN THE COMMUNITY: A community survey was conducted followed by a survey of opinion leaders. Additionally, interviews were conducted with a variety of community leaders and people knowledgeable in the areas of public health and the needs of target populations. The individuals interviewed include the following: Robert Lyons - Church Odyssey Thomas Zoss - Executive Director, Community Foundation of Morgan County Betty Pedigo - Site Manager, Eskenazi Medical Group (a provider to low income and minorities) Marjorie Porter - Executive Director, Good Shepherd Clinic Mary Kay Mitchell - Horizon House Norman Connell - Board Member, Kendrick Foundation Michael Crosley - Executive Director, Life Bridge Community Julia Brillhart - VP, Magellan Health Joni Collins - Executive Director, Martin Luther King Community Center Dennis Payton - Pastor, Mooresville First United Methodist Church Debra Page - Mooresville Schools M. Cloud - Supervisor, Noble of Indiana Joseph Donahue - Sycamore Services Lydia Rychtarczyk - Director, Tomorrow's Promise Pre-school Pamela Taylor - EMS, Westfield Fire Department Additional Individuals providing information through means other than an interview: Mark Lindenlaub - Executive Director, Aging and Community Services of So. Central Indiana Carla Marchbanks - Director, Beech Grove Senior Citizens Center Rick Whitten - Executive Director, Boys and Girls Clubs of Indianapolis Elaisa Vahnie - Executive Director, Burmese American Community Julie Heger - Case Manager, Children's Bureau Frank Mascari - City-County Council Member Stephen Rink - Trustee, Decatur Township Nancy Beals - Drug Free Marion County Bud Swisher - Executive Director, Healthier Morgan County Initiative Beth Ann Leach - Executive Director, Hendricks County Senior Services Doug Bush - Executive Director, Indiana Dental Association Ann Alley - Director, Primary Care, Indiana State Department of Health Jane Zobel - Social Worker, Indianapolis Public Schools Glen LINE 4: FSMH-DYER, FSMH-HAMMOND, FSAH-CROWN POINT, FH-MUNSTER CHNA CONDUCTED WITH ONE OR MORE OTHER FACILITIES: Franciscan St. Margaret Health-Dyer, Franciscan St. Margaret Health-Hammond, Franciscan St. Anthony Health-Crown Point, and Franciscan Healthcare-Munster are part of Franciscan Alliance, Inc. who collaborated in using the same third party resource (Professional Research Consultants). These five facilities in turn collaborated with two other hospitals in the region - Community Healthcare System and Methodist Hospitals, using the same third party resource. LINE 4: FSJH-CHICAGO HEIGHTS, FSJH-OLYMPIA FIELDS CHNA CONDUCTED WITH ONE OR MORE OTHER FACILITIES: FRANCISCAN ST. JAMES HEALTH-CHICAGO HEIGHTS AND FRANCISCAN ST. JAMES HEALTH-OLYMPIA FIELDS ARE PART OF Franciscan Alliance, Inc. who collaborated in using the same third party resource (Professional Research Consultants). Franciscan St. James Health-Chicago Heights and Franciscan St. James Health-Olympia Fields COORDINATED with a number of other hospitals as part of a coordinated program sponsored by the Metropolitan Chicago Hospital Council using the services of a third party, Professional Research Consultants. LINE 4: FSEH-LAFAYETTE EAST, FSEH-LAFAYETTE CENTRAL CHNA CONDUCTED WITH ONE OR MORE OTHER FACILITIES: FSEH-Lafayette East and FSEH-Lafayette Central are part of Franciscan Alliance, Inc. who collaborated in using the same third party resource (Professional Research Consultants). A community survey was conducted jointly with Franciscan St. Elizabeth Health-Lafayette East, Franciscan St. Elizabeth Health-Lafayette Central, the county health department, and Indiana University Arnett Hospital. LINE 4: FSFH-INDIANAPOLIS, FSFH-MOORESVILLE, FSFH-CARMEL CHNA CONDUCTED WITH ONE OR MORE OTHER FACILITIES: FSFH-INDIANAPOLIS, FSFH-MOORESVILLE, and FSFH-CARMEL are part of Franciscan Alliance, Inc. who collaborated in using the same third party resource (Professional Research Consultants). ALL CHNA RELATED ACTIVITIES WERE A JOINT EFFORT BETWEEN FRANCISCAN ST. FRANCIS HEALTH-INDIANAPOLIS, FRANCISCAN ST. FRANCIS HEALTH-MOORESVILLE, AND FRANCISCAN ST. FRANCIS HEALTH-CARMEL. LINE 5: ALL FACILITIES ALL 13 hospital's CHNAS ARE AVAILABLE ON FRANCISCAN ALLIANCE'S WEBSITE AT: HTTP://WWW.FRANCISCANALLIANCE.ORG/COMMUNITY/COMMUNITY-NEEDS-ASSESSMENT/ANN UAL-REPORT/PAGES/DEFAULT.ASPX LINE 7: FSMH-DYER, FSMH-HAMMOND NEEDS IDENTIFIED BUT NOT SELECTED FOR CHNA INITIATIVES: A. Access to health care services - The hospitals already operate a community clinic (Mother McAuley Clinic) to serve under and uninsured; operate physician practices that accept all patients; expect provisions of the Affordable care Act will improve access via Medicaid and employer insurance expansion. B. Cancer of the breast, cervix, colon and prostate - identified as being of higher incidence and being addressed through other, established programs and through gradually improving underlying social issues. C. Chlamydia Incidence Rate - As a Catholic organization we are limited by the Ethical and Religious Directives as to what we can do regarding the use of contraceptives. D. Chronic Kidney Disease - developing a program to improve diabetes management, which is an underlying cause of kidney disease. E. High Use of ER - Various new programs initiated as part of Franciscan's ACO, also we operate several Urgent Care centers and have expanded to include new sites. F. Injury and Violence Prevention - We regard this as primarily a task of the public sector as we do not have expertise or resources to develop and sustain programs. G. Maternal, Infant and Child Health - A robust program needs neo-natal resources we do not have. We do already offer some services through our community clinic and through our St. Monica Home for unwed mothers. H. Oral Health - we do not have dental services, staff, resources or expertise to meet this need. I. Social and Economic Factors - there are a variety of conditions including education, transportation, employment, crime, etc., which are obligations of government to address as we do not have needed expertise, funding, resources or experience to address. LINE 7: FSAH-MICHIGAN CITY NEEDS IDENTIFIED BUT NOT SELECTED FOR CHNA INITIATIVES: A. Access to Health Services - The hospital already works closely with established Federally Qualified Health Centers in the community; operates physician practices that accept all patients; expect the provisions of the Affordable Care Act to improve access via Medicaid and employer expansion of insurance coverage. B. Maternal Infant and Child Health - some needs are served through Women's Care Center; limited capability in neo-natal care; shortage of physician staff with whom to partner. C. Homelessness - hospital does not have expertise in this area. D. Mental Health - limited resources (no psychiatric services) plus the existence of several other mental health resources in the community. E. Nutrition, Fitness/Life Style - existing programs address some of these needs plus the programs selected for development (diabetes and cardiovascular) will include emphasis on these factors for improved health. F. Tobacco Use - existing programs address this need plus, other community programs emphasize this problem; plus, the heart failure program that is a CHNA selection will include smoking cessation. LINE 7: FH-Munster NEEDS IDENTIFIED BUT NOT SELECTED FOR CHNA INITIATIVES: A. Access to Care - Franciscan Alliance already operates a clinic for the under and uninsured population in the geographic area. The hospital does not operate an ER and expect that the provisions of the Affordable Care Act will improve access via Medicaid and employer expansion of insurance coverage. B. Preventable hospitalizations - Franciscan's ACO is working toward addressing this problem and there are other targeted programs addressing re-admissions. C. Maternal and Child Health - the hospital does not offer any obstetric or pediatric services and thus, does not have the resources or expertise typical for such programs. D. Adult Immunizations - other community resources and physician offices address this need. E. Asthma - due to our limited services we do not have the resources or expertise typical for such programs. F. Health Education - it was decided that broad-based health education is available from many sources. However, targeted health education in the areas of Diabetes and colon disease will be part of the selected CHNA programs provided. G. Substance Abuse - other programs are currently available in the community to address the need. H. Oral Health - the hospital does not have the expertise or resources required for this service. I. Nutrition, Physical Activity/Life-style - targeted effort will be a part of the diabetes program being developed; plus, other community programs are very active regarding this need. J. Mental Health - other community services are available and another Franciscan hospital that is part of this Form 990 already provides a variety of inpatient and outpatient mental health programs. K. Heart Disease and Stroke - existing services in our hospital address some of these needs and another Franciscan hospital that is part of this Form 990 already offers services specific to these needs and they are developing more targeted programs in their CHNA efforts. LINE 7: FSAH-CROWN POINT NEEDS IDENTIFIED BUT NOT SELECTED FOR CHNA INITIATIVES: A. Access to Health Services - the hospital already operates a clinic (St. Clare Health Clinic) to serve the under and uninsured population. People can also access a Federally Qualified Health Clinic in the area; the hospital also operates physician practices that accept all patients; and expect that the provisions of the Affordable Care Act will improve access via Medicaid and employer insurance expansion. B. Cancer Care - several existing programs that focus on several types of cancer address many of the cancer needs of the community. C. Family Planning (teen births) - existing programs in the hospital and the community are addressing this need. D. Injury and Violence Prevention - we regard this as primarily a task of the public section as we do not have expertise, staff or funding. E. Mental Health - there are existing services in the area for both inpatient and outpatient mental health needs. F. Substance Abuse - existing programs in the community address these needs. LINE 7: FSJH-CHICAGO HEIGHTS NEEDS IDENTIFIED BUT NOT SELECTED FOR CHNA INITIATIVES: A. Cancer - programs already in place address colonoscopy and mammography screening so it was decided that resources would be directed toward other needs. B. Chronic Kidney Disease - Franciscan St. James Health-Olympia Fields is developing a program that addresses diabetes, which is a major cause of kidney disease. Thus, rather than duplicate that effort, it was not selected for development at Franciscan St. James Health-Chicago Heights. C. Maternal, Infant and child health - This need is being addressed currently by a partner Federally Qualified Health Center and thus, was not selected for development. D. Mental Health - Other community and regional organizations are addressing this need plus, we do not have expertise or resources to adequately develop effective programs. E. Respiratory Disease - Existing inpatient and outpatient services address this need and thus, it was not selected for further development. F. Injury and Violence Prevention - This need is seen as being more appropriately met by other public resources plus, we do not have expertise, resources or funding to adequately address this need. G. Sexually Transmitted Diseases - We are a Catholic organization and are constrained from having a comprehensive program by the Ethical and Religious Directives plus, other organizations have established programs. LINE 7: FSJH-OLYMPIA FIELDS NEEDS IDENTIFIED BUT NOT SELECTED FOR CHNA INITIATIVES: A. Cancer - programs already in place address colonoscopy and mammography screening so it was decided that resources would be directed toward other needs. B. Chronic Kidney Disease - We are implementing a diabetes program as one of our priorities and believe that this will somewhat address this need since diabetes is a major cause of kidney disease. C. Maternal, Infant and child health - This need is being addressed currently by a partner Federally Qualified Health Center and thus, was not selected for development. D. Mental Health - Other community and regional organizations are addressing this need plus, we do not have expertise or resources to adequately develop effective programs. E. Respiratory Disease - Existing inpatient and outpatient services address this need and thus, it was not selected for further development. F. Injury and Violence Prevention - This need is seen as being more appropriately met by other public resources plus, we do not have expertise, resources or funding to adequately address this need. G. Sexually Transmitted Diseases - We are a Catholic organization and are constrained from having a comprehensive program by the Ethical and Religious Directives plus, other organizations have established programs. LINE 7: FSEH-EAST NEEDS IDENTIFIED BUT NOT SELECTED FOR CHNA INITIATIVES: A. Obesity - existing programs address aspects of this need plus, the CHNA programs in diabetes and congestive heart failure selected for development 167 IIMC 701 E COUNTY LINE ROAD SUITE 101 GREENWOOD IN 46143 PHYSICIAN PRACTICE INDIANA ORTHOPEDIC SURGERY CENTER 5255 E STOP 11 ROAD SUITE 110 INDIANAPOLIS IN 46237 AMBULATORY SURGERY CENTER FRANCISCAN SURGERY CENTER 5255 E STOP 11 ROAD SUITE 100 INDIANAPOLIS IN 46237 AMBULATORY SURGERY CENTER THE ENDOSCOPY CENTER AT ST FRANCIS 8051 S EMERSON AVENUE SUITE 150 INDIANAPOLIS IN 46237 ENDOSCOPY CENTER ST FRANCIS RADIATION THERAPY CENTERS 8111 S EMERSON AVENUE INDIANAPOLIS IN 46239 RADIATION THERAPY INDIANA HEART PHYSICIANS 5330 E STOP 11 ROAD INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK - MC 1225 E COOLSPRING AVENUE MICHIGAN CITY IN 46360 PHYSICIAN PRACTICE SOUTH EMERSON SURGERY CENTER 8141 S EMERSON AVENUE SUITE C INDIANAPOLIS IN 46237 AMBULATORY SURGERY CENTER COOPERATIVE MANAGED CARE SERVICES 9045 RIVER ROAD SUITE 250 INDIANAPOLIS IN 46240 MANAGED CARE INDIANA BLODD AND MARROW TRANSPLANTATION 1500 ALBANY STREET SUITE 911 BEECH GROVE IN 46107 BLOOD AND MARROW TRANSPLANT FRANCISCAN ST JAMES HEALTH-HOME HEALTH 1400 OTTO BOULEVARD CHICAGO HEIGHTS IL 60411 HOME HEALTH MOORESVILLE SURGERY CENTER 1215 HADLEY ROAD SUITE 100 MOORESVILLE IN 46260 AMBULATORY SURGERY CENTER FPN ORTHOPEDIC AND SPORTS MEDICINE 1702 LAFAYETTE ROAD CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE JOINT REPLACEMENT SURGEONS 1199 HADLEY ROAD MOORESVILLE IN 46158 PHYSICIAN PRACTICE ONCOLOGY AND HEMATOLOGY SPECIALISTS 8111 S EMERSON AVENUE SUITE A INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE SOUTH INDY MRI AND REHAB 8141 S EMERSON AVENUE SUITE A INDIANAPOLIS IN 46237 RADIOLOGY AND PHYSICAL SERVICES MOORESVILLE ENDOSCOPY CENTER 1215 HADLEY ROAD SUITE 101 MOORESVILLE IN 46158 ENDOSCOPY CENTER FRANCISCAN PHYSICIAN NETWORK 9470 BROADWAY CROWN POINT IN 46307 PHYSICIAN PRACTICE FPN NEPHROLOGY FPN PULMONARY 2708 FERRY STREET LAFAYETTE IN 47904 PHYSICIAN PRACTICE FRANCISCAN ST JAMES HEALTH - HEALTH WELLNESS CENTER 100 W 197 CHICAGO HEIGHTS IL 60411 WELLNESS CENTER GREENWOOD PEDIATRIC ASSOCIATES 900 AVERITT ROAD GREENWOOD IN 46143 PHYSICIAN PRACTICE FPN DERMATOLOGY FAMILY MEDICINE PEDS 915 SAGAMORE PARKWAY WEST WEST LAFAYETTE IN 47906 PHYSICIAN PRACTICE ST FRANCIS IMAGING CENTER 3147 W SMITH VALLEY ROAD SUITE D GREENWOOD IN 46143 RADIOLOGY FPN FAMILY & GERIATRIC MEDICINE 3920 ST FRANCIS WAY SUITE 209 LAFAYETTE IN 47905 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK 1505 SOUTH COURT STREET CROWN POINT IN 46307 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK 12800 MISSISSIPPI PARKWAY CROWN POINT IN 46307 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK 2421 LAPORTE AVENUE VALPARAISO IN 46385 PHYSICIAN PRACTICE AMER HEALTH NETWORK - MUNCIE 3631 N MORRISON ROAD MUNCIE IN 47304 PT, IMAGING, SURGERY FPN INTERNAL MEDICINE & SURGICAL SPEC 1630 LAFAYETTE ROAD SUITE 300 CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK - MC 8865 W 400 NORTH MICHIGAN CITY IN 46360 PHYSICIAN PRACTICE FPN CARDIOLOGY ELECTROPHYSIOLOGY 3900 SAINT FRANCIS WAY STE 200 LAFAYETTE IN 47905 PHYSICIAN PRACTICE AMER HEALTH NETWORK - GROUP ONE 4880 CENTURY PLAZA ROAD SUITE 100 INDIANAPOLIS IN 46254 IMAGING AMER HEALTH NETWORK - AVON 5250 E US 36 SUITE 610 AVON IN 46123 IMAGING FPN CRAWFORDSVILLE FAMILY MEDICINE 308 W MARKET STREET CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE FPN GREENACRES FAMILY MEDICINE 1500 DARLINGTON AVENUE SUITE 300 CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK - MC 1507 WABASH STREET MICHIGAN CITY IN 46360 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK 11161 RANDOLPH STREET CROWN POINT IN 46307 PHYSICIAN PRACTICE SOUTHPORT FP AND SPORTS MEDICINE 7855 S EMERSON AVENUE SUITE P INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK 1205 S MAIN STREET CROWN POINT IN 46307 PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES 701 SUPERIOR AVE SUITE E MUNSTER IN 46321 PHYSICIAN PRACTICE ALVERNO DURABLE MEDICAL EQUIPMENT 16149 SOUTH CLINTON STREET HARVEY IL 60426 DURABLE MEDICAL EQUIPMENT IMPACT CENTER 1201 HADLEY ROAD MOORESVILLE IN 46158 PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES 840 RICHARD ROAD DYER IN 46311 PHYSICIAN PRACTICE BEECH GROVE FAMILY MEDICINE 2030 CHURCHMAN AVENUE BEECH GROVE IN 46107 PHYSICIAN PRACTICE INDIANA SLEEP CENTER 701 E COUNTY LINE ROAD SUITE 207 GREENWOOD IN 46143 SLEEP CENTER FRANCISCAN PHYSICIAN NETWORK - MC 810 MICHAEL DRIVE CHESTERTON IN 46304 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK CHERRY CREEK CENTER CROWN POINT IN 46307 PHYSICIAN PRACTICE FPN NORTHRIDGE INTERNAL MEDICINE 1704 LAFAYETTE ROAD SUITE 8 CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE DIABETES AND ENDOCRINOLOGY SPECIALISTS 5230A E STOP 11 ROAD SUITE 150 INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES 14785 WEST 101ST AVENUE DYER IN 46311 PHYSICIAN PRACTICE KENDRICK FAMILY MEDICINE 1001 HADLEY ROAD SUITE 101 MOORESVILLE IN 46158 PHYSICIAN PRACTICE FPN CRAWFORDSVILLE GYNECOLOGY 407 E MARKET STREET SUITE 101 CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE MOORESVILLE FAMILY CARE 1001 HADLEY ROAD SUITE 102 MOORESVILLE IN 46158 PHYSICIAN PRACTICE AMER HEALTH NETWORK - SLEEP (CARMEL) 12425 OLD MERIDIAN STREET SUITE A- CARMEL IN 46032 SLEEP CENTER NEUROSURGICAL SPECIALISTS 8051 S EMERSON AVENUE SUITE 300 INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE GRAY ROAD FAMILY MEDICINE 7825 MCFARLAND LANE SUITE A INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE AMER HEALTH NETWORK - FRANKLIN 1300 W JEFFERSON STREET SUITE C FRANKLIN IN 46131 PT, IMAGING ORTHOPEDIC SPECIALISTS 5230A E STOP 11 ROAD SUITE 250 INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE AMER HEALTH NETWORK - KOKOMO 2330 S DIXON ROAD KOKOMO IN 46902 IMAGING CENTER GROVE FAMILY MEDICINE 362 MERIDIAN PARKE LANE GREENWOOD IN 46142 PHYSICIAN PRACTICE SOUTH 31 FAMILY CARE 610 E SOUTHPORT ROAD SUITE 205 INDIANAPOLIS IN 46227 PHYSICIAN PRACTICE SOUTHEAST FAMILY MEDICINE 5136 E STOP 11 ROAD SUITE 30 INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK 2050 NORTH MAIN STREET CROWN POINT IN 46307 PHYSICIAN PRACTICE FRANCISCAN ST JAMES HEALTH - AMBULANCE & EMS 20201 SOUTH CRAWFORD AVENUE OLYMPIA FIELDS IL 60461 AMBULANCE SERVICES ST MARGARET MEDICAL ASSOCIATES 8242 CALUMET AVENUE MUNSTER IN 46321 PHYSICIAN PRACTICE VASCULAR SPECIALISTS 5255 E STOP 11 ROAD SUITE 200 INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE ST JAMES HEALTH OUTPATIENT PHARMACY 3700 203RD STREET SUITE 108 OLYMPIA FIELDS IL 60461 PHARMACY FRANKLIN TOWNSHIP FAMILY MEDICINE 8325 E SOUTHPORT ROAD SUITE 100 INDIANAPOLIS IN 46259 PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES 1573 N CLINE AVENUE GRIFFITH IN 46319 PHYSICIAN PRACTICE HEARTLAND CROSSING PEDIATRICS 10701 ALLIANCE DRIVE CAMBY IN 46113 PHYSICIAN PRACTICE IRVINGTON FAMILY MEDICINE 5839 E WASHINGTON STREET INDIANAPOLIS IN 46219 PHYSICIAN PRACTICE MAJOR HOSPITAL CARDIAC DIAGNOSTICS 150 WEST WASHINGTON STREET SHELBYVILLE IN 46176 CARDIOVASCULAR TESTING FPN EASTSIDE FAMILY MEDICINE 2056 LEBANON ROAD CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE SPINE SPECIALISTS 8051 S EMERSON AVENUE SUITE 360 INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE MADISON AVE FAMILY MEDICINE 8778 S MADISON AVENUE SUITE 200 INDIANAPOLIS IN 46227 PHYSICIAN PRACTICE AMER HEALTH NETWORK - PERU 315 W OLD KEY DRIVE IMAGING SUITE PERU IN 46970 IMAGING HEARTLAND INTERNAL MEDICINE 10701 ALLIANCE DRIVE CAMBY IN 46113 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK 200 3RD COURT SE DEMOTTE IN 46310 PHYSICIAN PRACTICE COUNTY LINE PEDIATRICS 8325 S EMERSON SUITE B1 INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES 5530 HOHMAN AVENUE HAMMOND IN 46320 PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES 221 US HWY 41 SUITE I SCHERERVILLE IN 46375 PHYSICIAN PRACTICE HONEY GROVE FAMILY MEDICINE 1711 S STATE ROAD 135 SUITE C GREENWOOD IN 46143 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK 297 WEST FRANCISCAN LANE SUITE 104 CROWN POINT IN 46307 PHYSICIAN PRACTICE FPN PHYSICAL MEDICINE & REHABILITATION 1012 N 14TH STREET LAFAYETTE IN 47904 PHYSICIAN PRACTICE FPN WOMEN'S HEALTH SERVICES 1630 LAFAYETTE ROAD SUITE 200 CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE FPN FAMILY MEDICINE - KENSINGTON 3875 KENSINGTON DRIVE LAFAYETTE IN 47905 PHYSICIAN PRACTICE GYNECOLOGIC ONCOLOGY SPECIALISTS 5255 E STOP 11 ROAD SUITE 310 INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE FPN NORTHSIDE FAMILY MEDICINE 1660 LAFAYETTE ROAD SUITE 170 CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE PLAINFIELD FAMILY MEDICINE 315 DAN HONES ROAD SUITE 100 PLAINFIELD IN 46168 PHYSICIAN PRACTICE PSYCHIATRIC SPECIALISTS 610 E SOUTHPORT ROAD SUITE 200 INDIANAPOLIS IN 46227 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK 10860 MAPLE LANE SAINT JOHN IN 46373 PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES 3831 HOHMAN AVENUE HAMMOND IN 46327 PHYSICIAN PRACTICE FRANCISCAN ST JAMES HEALTH CENTERS FOR DIABETES 20201 SOUTH CRAWFORD AVEN OLYMPIA FIELDS IL 60461 DIABETES CLINIC PLEASANT VIEW FAMILY MEDICINE 12524 SOUTHEASTERN AVENUE INDIANAPOLIS IN 46259 PHYSICIAN PRACTICE AMER HEALTH NETWORK - EAGLE HIGHLANDS 6820 PARKDALE PLACE 105 INDIANAPOLIS IN 46254 IMAGING ST MARGARET MEDICAL ASSOCIATES 24 JOLIET STREET SUITE 101 DYER IN 46311 PHYSICIAN PRACTICE RHEUMATOLOGY & OSTEOPOROSIS SPECIALISTS 5255 E STOP 11 ROAD SUITE 320 INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE WEIGHT LOSS SPECIALISTS 5230A E STOP 11 ROAD SUITE 190 INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES 10860 MAPLE LANE ST JOHN IN 46373 PHYSICIAN PRACTICE FRANCISCAN ST JAMES HEALTH - FAMILY HEALTH TINLEY PARK 17859 S 80TH A TINLEY PARK IL 60477 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK - MC 500 W BUFFALO STREET NEW BUFFALO MI 49117 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK 5985 EAST 1015 NORTH ROSELAWN IN 46372 PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES 5500 HOHMAN AVENUE SUITE 2A HAMMOND IN 46320 PHYSICIAN PRACTICE MOORESVILLE AFTER HOURS CLINIC 1001 HADLEY ROAD SUITE 101 MOORESVILLE IN 46158 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK - MC 3340 MONROE STREET LAPORTE IN 46350 PHYSICIAN PRACTICE FPN GATROENTEROLOGY 3218 DAUGHERTY DRIVE SUITE 140 LAFAYETTE IN 47909 PHYSICIAN PRACTICE BREAST SPECIALISTS 5255 E STOP 11 ROAD SUITE 250 INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE INDY SOUTH AFTER HOURS CLINIC 7855 S EMERSON AVENUE SUITE P INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE SFMG REHABILITATION SPECIALISTS 8051 S EMERSON AVENUE SUITE 360 INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE BEECH GROVE INTERNAL MEDICINE 2030 CHURCHMAN AVENUE BEECH GROVE IN 46107 PHYSICIAN PRACTICE SFMG PAIN SPECIALISTS 8051 S EMERSON AVENUE SUITE 360 INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE BEECH GROVE AFTER HOURS CLINIC 2030 CHURCHMAN AVENUE BEECH GROVE IN 46107 PHYSICIAN PRACTICE MATERNAL FETAL SPECIALISTS 8051 S EMERSON AVENUE SUITE 450B INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE PLASTIC SURGERY SPECIALISTS 8051 S EMERSON AVENUE SUITE 450 INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE ST JAMES COMMUNITY HEALTH CENTER - BEECHER 989 DIXIE HIGHWAY BEECHER IL 60401 PHYSICAL THERAPY SERVICES FPN NEIGHBORHOOD CLINIC 407 E MARKET STREET SUITE 101 CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE ST MARGARET MEDICAL ASSOCIATES 5454 HOHMAN AVENUE HAMMOND IN 46320 PHYSICIAN PRACTICE FPN FAMILY MEDICINE - MULBERRY 510 WEST JACKSON STREET MULBERRY IN 46058 PHYSICIAN PRACTICE FRANCISCAN ST JAMES HEALTH - FAMILY HEALTH HOMEWOOD 18636 DIXIE HIGHWA HOMEWOOD IL 60430 PHYSICIAN PRACTICE PLAINFIELD SPORTS AND FAMILY MEDICINE 315 DAN JONES ROAD SUITE 150 PLAINFIELD IN 46168 PHYSICIAN PRACTICE AMER HEALTH NETWORK - SLEEP (MUNCIE) 3631 N MORRISON ROAD MUNCIE IN 47304 SLEEP CENTER AMER HEALTH NETWORK - NOBLESVILLE 18051 RIVER AVENUE SUITE 103 NOBLESVILLE IN 46062 IMAGING MONTICELLO MEDICAL CENTER 826 N 6TH ST MONTICELLO IN 47960 MEDICAL PRACTICE FPN FAMILY MEDICINE - MONTICELLO 902 FOXWOOD COURT MONTICELLO IN 47960 MEDICAL PRACTICE FRANCISCAN PHYSICIANS HOSPITAL SLEEP CTR 7905 CALUMET AVENUE MUNSTER IN 463214209 SLEEP CENTER FRANCISCAN HAMMOND CLINIC 7905 CALUMET AVENUE MUNSTER IN 46321 SPECIALTY CENTER/URGENT CARE FRANCISCAN HAMMOND CLINIC 9800 VALPARAISO DRIVE MUNSTER IN 46321 FAMILY WELLNESS CENTER FRANCISCAN HAMMOND CLINIC 11355 WEST 97TH LANE ST JOHN IN 46373 PRIMARY CARE FRANCISCAN PHYSICIAN NETWORK 6831 133RD AVENUED CEDAR LAKE IN 46303 FAMILY PRACTICE FRANCISCAN PHYSICIAN NETWORK 297 WEST FRANCISCAN LANE SUITE 203 CROWN POINT IN 46307 FAMILY PRACTICE ST JAMES HEALTH SURGERY CENTER 333 DIXIE HIGHWAY CHICAGO HEIGHTS IL 60411 OP SURGERY CENTER FRANCISCAN ST JAMES HEALTH-FAMILY HEALTH 3700 WEST 203RD STREET SUITE 112 OLYMPIA FIELDS IL 60461 PHYSICIAN PRACTICE FRANKFORT REHABILITATION SERVICES 10043 LINCOLN HIGHWAY 2ND FLOOR FRANKFORT IL 60423 PHYSICAL THERAPY DIXIE HIGHWAY REHABILITATION SERVICES 211 DIXIE HIGHWAY CHICAGO HEIGHTS IL 60411 PHYSICAL THERAPY GREENWOOD IMMEDIATE CARE 1001 N MADISON AVENUE GREENWOOD IN 46142 IMMEDIATE CARE CENTER CHAPEL HILL IMMEDIATE CARE 650 N GIRLS SCHOOL ROAD INDIANAPOLIS IN 46214 IMMEDIATE CARE CENTER NORA IMMEDIATE CARE 860 E 86TH STREET INDIANAPOLIS IN 46240 IMMEDIATE CARE CENTER WASHINGTON SQUARE IMMEDIATE CARE 992 N MITTHOEFFER INDIANAPOLIS IN 46229 IMMEDIATE CARE CENTER FPN HILLSBORO FAMILY MEDICINE 203 EAST MAIN STREET HILLSBORO IN 47949 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK - MC 770 INDIAN BOUNDARY ROAD CHESTERTON IN 46304 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK - MC 900 I STREET LAPORTE IN 46350 PHYSICIAN PRACTICE FRANCISCAN PHYSICIAN NETWORK 1020 EAST COMMERCIAL AVENUE LOWELL IN 46356 PHYSICIAN PRACTICE HAMMOND CLINIC SPECIALTY CENTER 7905 CALUMET AVENUE MUNSTER IN 46321 MULTISPECIALTY/OUTPATIENT FACILITY HAMMOND CLINIC FAMILY WELLNESS CENTER 9800 VALPARAISO DRIVE MUNSTER IN 46321 MULTI SPEC/OUTPATIENT FACILITY HAMMOND CLINIC ST JOHN 11355 W 97TH LANE ST JOHN IN 46373 MULTISPEC/OUTPATIENT FACILITY FRANCISCAN MEDICAL SPECIALISTS 919 MAIN STREET DYER IN 46311 PHYSICIAN PRACTICE FRANCISCAN MEDICAL SPECIALISTS 5529 HOHMAN AVENUE HAMMOND IN 46320 PHYSICIAN PRACTICE FRANCISCAN MEDICAL SPECIALISTS 1400 S LAKE PARK AVENUE SUITE 305 HOBART IN 46432 PHYSICIAN PRACTICE FRANCISCAN MEDICAL SPECIALISTS 901 LINCOLN WAY LAPORTE IN 46350 PHYSICIAN PRACTICE FRANCISCAN MEDICAL SPECIALISTS 300 W 80TH PLACE MERRILLVILLE IN 46410 PHYSICIAN PRACTICE FRANCISCAN MEDICAL SPECIALISTS 301 W HOMER STREET MICHIGAN CITY IN 46360 PHYSICIAN PRACTICE FRANCISCAN MEDICAL SPECIALISTS 1950 45TH STREET MUNSTER IN 46321 PHYSICIAN PRACTICE FRANCISCAN MEDICAL SPECIALISTS 9034 COLUMBIA MUNSTER IN 46321 PHYSICIAN PRACTICE FRANCISCAN MEDICAL SPECIALISTS 761 45TH STREET MUNSTER IN 46321 PHYSICIAN PRACTICE FRANCISCAN MEDICAL SPECIALISTS 757 45TH STREET MUNSTER IN 46321 PHYSICIAN PRACTICE FRANCISCAN MEDICAL SPECIALISTS 2001 US 41 SCHERERVILLE IN 46375 PHYSICIAN PRACTICE FRANCISCAN MEDICAL SPECIALISTS 1101 GLENDALE ROAD SUITE 110 VALPARAISO IN 46383 PHYSICIAN PRACTICE FPN - MICHIGAN CITY 610 JEFFERSON AVE LAPORTE IN 46360 PHYSICIAN PRACTICE FPN - MICHIGAN CITY 414 LINCOLN WAY LAPORTE IN 46360 PHYSICIAN PRACTICE FPN- MICHIGAN CITY EXPRESS CARE 3325 WILLOWCREEK ROAD PORTAGE IN 46368 PHYSICIAN PRACTICE FPN - MICHIGAN CITY EXPRESS CARE 2307 LAPORTE AVE STE B VALPARAISO IN 46383 PHYSICIAN PRACTICE FPN - MICHIGAN CITY EXPRESS CARE 2590 MONTLAND DRIVE STE I VALPARAISO IN 46383 PHYSICIAN PRACTICE FPN - MICHIGAN CITY EXPRESS CARE 6615 S BOUNDARY RD PORTAGE IN 46368 PHYSICIAN PRACTICE PREMIER HEALTHCARE FOR WOMEN 3774 BAYLEY DRIVE SUITE B LAFAYETTE IN 47905 PHYSICIAN PRACTICE St Margaret Medical Associates 8437 Kennedy Avenue Highland IN 46322 Physician Practice St Margaret Medical Associates 19400 North Creek Drive Lynwood IL 60411 Physician Practice St Margaret Medical Associates 2068 Lucas Parkway Lowell MA 46350 Physician Practice SUPPLEMENTAL INFORMATION SCHEDULE H, PART VI, ITEM 2 NEEDS ASSESSMENT Franciscan Alliance, Inc. ("FRANCISCAN") hospitals assess the health care needs of the communities we serve by collaborating with public and private agencies to determine community health needs and how best to address them. Franciscan's Corporate Community Benefit Committee, as well as committees in the local facilities, committed to an ongoing assessment of community health needs and priorities based upon health initiatives of the municipal, county, and state health departments, community-based assessments by other public sector partners, professional research consultant reports, and faith-based partners within the communities served. In addition, our hospitals address public agency and community group requests to provide community benefit activities and programs that meet certain specialty or hybrid needs or populations. The detailed CHNA activities for each of Franciscan's hospitals can be found in Part V of this Schedule H. ------------------------------------------------------------------- SCHEDULE H, PART VI, ITEM 3 FINANCIAL ASSISTANCE POLICY Franciscan's hospitals inform and educate patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under Franciscan's financial assistance and charity care policy. For patients not initially identified as qualifying for financial assistance, Franciscan communicates the availability of charity care and financial assistance in the applicable languages of the hospital community through the following means: 1. Franciscan communicates the availability of financial assistance in appropriate care settings such as emergency departments, admitting/registration areas, billing offices, outpatient service settings, and on our hospitals' websites. Signs/postings inform patients that free or reduced cost care may be available to qualifying patients who complete a financial assistance application. 2. Brochures summarizing our financial assistance programs are available throughout each Franciscan hospital. 3. Financial counselors and business office personnel are available to help patients understand and apply for local, state, federal health care programs; health insurance exchanges; and Franciscan's financial assistance programs. 4. All bills and statements for services inform uninsured patients that financial assistance is available. 5. Patients/guarantors may request a copy of the financial assistance application by calling the Franciscan billing office or downloading a copy at no cost from Franciscan hospital's websites. 6. Patients/guarantors can request financial assistance information by calling Franciscan's billing office phone line on a 24-hour basis. 7. Individuals other than the patient, such as the patient's physician, family members, community or religious groups, social services, or hospital personnel may make requests for financial assistance on the patient's behalf, subject to applicable privacy laws. 8. Franciscan sends a minimum of 4 statements and makes 7 phone call attempts to contact the patient/guarantor at the address and phone number provided by the patient/guarantor. Statements and communications inform the patient of the amount due and if they cannot pay their balance the availability of financial assistance. ------------------------------------------------ SCHEDULE H, PART VI, ITEM 4 COMMUNITY INFORMATION The Franciscan Alliance serves a large geographic area which includes 18 counties in Indiana (Benton, Carroll, Fountain, Hamilton, Jasper, Johnson, Lake, LaPorte, Marion, Montgomery, Morgan, Newton, Porter, Shelby, Starke, Tippacanoe, Warren, and White) and 3 counties in Illinois (Cook, Kankakee, and Will). The population of the communities that we serve was estimated at over 3.9 million people with an average household income of approximately $63,500 in 2013. For these communities, the percentage of residents below the federal poverty level was estimated at 16.8%. The percentage of inpatients from these communities who were served by Medicaid was 20.0%. And the percentage of inpatients from these communities who were uninsured was approximately 3.7%. In comparison, the percentages of Medicaid and uninsured inpatients treated by the hospitals of the Franciscan Alliance were 16.7% and 6.0% respectively in 2013. There are 56 other hospitals that serve within these communities as well. ----------------------------------------- SCHEDULE H, PART VI, ITEM 5 & Part I, Line 6A OTHER INFORMATION "Our Giving Journal" at www.FranciscanAlliance.org/CommunityBenefit reflects Franciscan's mission of "Continuing Christ's Ministry in Our Franciscan Tradition" along with a report of our community benefit activities. Although it is not all inclusive of the many benefits provided by Franciscan it does portray the significant benefits that reflect our commitment to healthcare and the communities we are privileged to serve. The following is a subset of the many clinical services as well as population health improvement and community outreach activities offered by one or more of Franciscan's healthcare facilities: - Inpatient Hospital Services including: Medical Services, Surgical Services, Intensive Care Services, Telemetry Services, Obstetrics Services, Pediatrics Services, Neonatal Intensive Care Services, Acute Rehabilitation Services, Oncology Services, Bone Marrow Transplant Services, General Surgery Services, Cardiac Surgery Services, Vascular Services, Pulmonary Services, Interventional Radiology, Orthopedics, Joint and Spine Care, Gastrointestinal Care, Neurosciences Services, Colon and Rectal Services, Anesthesia Services, Hospice Services, Inpatient Psychiatric Care, Residential Treatment Program for Adolescents, etc. - Emergency Services including: 24 hour Emergency Room Services, Ambulance Services, Immediate Care Services, Advanced Life Support Services, Basic Life Support Services, Behavioral Health Emergency Consultation Services, 24-Hour Crisis and Referral Hotline, etc. - Outpatient Services including: Laboratory Services, Physical Therapy Services, Occupational Therapy Services, Speech Therapy Services, General Radiology Services, Computed Tomography Services, Magnetic Resonance Imaging (MRI), Nuclear Medicine Services, Mammography Services, Angiography Services, Neurodiagnostics Services, Gastro/Intestinal Services, Sleep Laboratory, Pulmonary Services, Outpatient Surgery, Cardiac Testing, Electrocardiogram (EKG) Services, Medical Oncology Services, Radiation Oncology Services, Pharmacy, Occupational Medicine Services, Cardiac/Pulmonary Rehabilitation Services, Congestive Health Failure Clinic, Wound Healing and Prevention, Nutritional Counseling, Diabetes Management, Bariatric Services, Pain Management, Social Services, Palliative Care, Sports Medicine, Behavioral Health, Stroke Services, Home Health Services, Skilled Nursing Services, Social Services, Durable Medical Equipment. - Primary Care and Specialty Care Physician Clinics. - Subsidized Healthcare Services offered by Franciscan: - Franciscan has neighborhood health clinics that offer family practice services designed for families without access to affordable health care. The focus is on providing primary and preventive care as well as health education. These clinics offer free immunizations. - Franciscan's Sexual Assault Clinics that provide medical and forensic assistance that is sensitive to the special needs of the victim as well as a victim advocate program and crisis intervention counselors. - Franciscan's Blood and Marrow Transplant program is only one of two programs in Indiana offering full service transplant care and specializes in the treatment of patients with leukemia, Hodgkin's or non-Hodgkin's lymphoma, multiple myeloma, and many other malignancies and blood disorders. - Franciscan's Diabetes Education Centers offer a number of diabetes classes and individualized sessions to help patients take control of their health with a focus on nutritional, exercise, medications, chronic conditions, preconception and pregnancy, blood glucose monitoring, goal setting, problem solving, psychosocial adjustment, detection/treatment of high and low blood sugar, and insulin administration. - Franciscan's Women's and Children's Services include preventive medical care and health screenings to gynecological care, maternity, lactation consultation services, and beyond, Franciscan's facilities focus on keeping women healthy. - Franciscan's Hospice Care Services provide a sense of dignity and compassion to both the patient and their family in caring for patients with a life expectancy of six months or less. Our programs affirm and celebrate life and regard dying as a natural process, recognizing that every person has the right to die with dignity, peace, and comfort regardless of their ethnic, faith background, or ability to pay. - St. Monica Home for pregnant teens offers a medically soun SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES FRANCISCAN is involved in and actively participates in numerous community building activities. We work to provide quality care and community building activities by partnering with other health care providers, government agencies, and not-for-profit social service agencies to serve our communities' diverse health care needs. The community building activities offered by FRANCISCAN are provided without reimbursement, serve at-risk populations, and provide health education to key community groups. We monitor these activities for outcomes by identifying changes in health behaviors and knowledge. Some examples of community health programs Franciscan provides include: health education, health fairs, free or low cost health screening, access to healthcare services, immunization services, prescription medication assistance programs, nutritional counseling, enrollment assistance in Medicaid, free spa services for cancer patients, food assistance, transportation assistance, referral assistance, breast cancer and childhood obesity initiatives, healthy choices initiatives, childhood alcoholism prevention, and other various community outreach programs as further described in "Our Giving Journal" at www.franciscanalliance.org/communitybenefit. Additionally, several of our hospitals have been identified by the federal government as designated regional medication distribution sites in the event of a national disaster or epidemic/pandemic. Responding to federal, state and local needs in the event of national or local disasters or epidemic/pandemics, we collaborate and coordinate our efforts with many civic and other agencies to ensure that those needs will be met should disaster strike. Franciscan Alliance provides medical and other supplies, health care and other services, screenings, support groups, educational opportunities and presentations, and other sponsorships. Members from all of our organization contribute their time and skills and, in meaningful ways, touch many lives in our communities. Members from our facilities participate on boards, coalitions, task forces and work with colleges universities and other groups to address the healthcare needs of our communities. ----------------------------------------- SCHEDULE H, PART III, LINE 2 Throughout the year, the Corporation estimates this allowance based on the aging of its patient accounts receivable, historical collection experience, and other relevant factors. These factors include changes in the economy and unemployment rates, which has an impact on the number of uninsured and underinsured patients, as well as trends in health care coverage, such as the increased burden of deductibles, copayments, and coinsurance payments to be made by patients with insurance. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established procedures for placing certain past due patient balances with collection agencies, subject to the terms and certain restrictions on collection efforts as determined by the Corporation. Uncollectible patient accounts receivable are written off against the allowance for doubtful accounts with any subsequent recoveries being recorded against the provision for doubtful accounts. ----------------------------------------- SCHEDULE H, PART III, LINE 3 The corporation has a system-wide charity care and uninsured discount policy; has detailed administrative procedures established for qualifying and enrolling patients for charity care or uninsured/underinsured discounts; uses various analytical programs including soft credit inquiries that do not affect credit scores to help assess a patient's ability to pay; and utilizes numerous mechanisms to inform and educate patients about their eligibility for assitance which are detailed under Schedule H, Part VI, item 3. Despite these rigorous efforts, patients who need subsidized care may not seek this assistance or choose to enroll in the state's Medicaid program. Also, as further described in HFMA statement No. 15, the appropriate classification of charity care and bad debt is often difficult. The urgency of some treatments, as well as certain federal regulations, often requires the provision of service without consideration of the patient's ability to pay. Some patients have complex medical conditions with unpredictable treatment needs. For these and other reasons, Franciscan believes, a portion of its bad debt expense as reported on Line 3 of Part III represents charity care delivered to individuals in the communities it serves consistent with its charitable healthcare mission. -------------------------------------- SCHEDULE H, PART III, LINE 4 The Corporation's allowance for doubtful accounts footnote from its audited financial statements is as follows: "The collection of outstanding patient accounts receivable from governmental payors, managed care and other third party payors, and patients is the Corporation's primary source of cash. The corporation's main collection risk relates to uninsured patient accounts and patient accounts for which the third party payor has paid amounts in accordance with the applicable agreement, however the patient's responsibility, usually in the form of deductibles, copayments, and coinsurance payments, remain outstanding ("self pay accounts"). The Corporation's patient accounts receivable is reduced by an allowance for amounts, primarily self pay accounts, which could become uncollectible in the future. Throughout the year, the Corporation estimated this allowance based on the aging of its patient accounts receivable, historical collection experience, and other relevant factors. These factors include changes in the economy and unemployment rates, which has an impact on the number of uninsured and underinsured patients, as well as trends in health care coverage, such as the increased burden of deductibles, copayments, and coinsurance payments to be made by patients with insurance. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established procedures for placing certain past due patient balances with collection agencies, subject to the terms and certain restrictions on collection efforts determined by the Corporation. Uncollectible patient accounts receivable are written off against the allowance for doubtful accounts with any subsequent recoveries being recorded against the provision for doubtful accounts." ------------------------------------------------ SCHEDULE H, PART III, LINE 8 Consistent with the charitable healthcare mission of FRANCISCAN and the community benefit standard set forth in IRS Revenue Ruling 69-545, FRANCISCAN provides care for all patients covered by Medicare seeking medical care at FRANCISCAN. Such care is provided regardless of whether the reimbursement provided for such services meets or exceeds the costs incurred by FRANCISCAN to provide such services. Like Medicaid, payment rates for Medicare are set by law rather than through a negotiation process as with private insurers. These payment rates are currently set below the costs of providing care resulting in underpayments. Medicare rates are determined within the context of all the budgetary needs of the federal government and Medicare payments have historically been set below the costs of providing care to Medicare patients though how far below varies over time and by service. Each year Medicare is supposed to provide hospitals an increase in both inpatient and outpatient payments to account for inflation in the prices for goods and services hospitals must purchase in order to provide patient care. However inpatient updates have been set below the rate of inflation and actually negative in recent years resulting in a shortfall that has grown over time. The compounding issue that occurs is that this shortfall jeopardizes hospitals' ability to serve their communities because they are not reimbursed their incurred costs. Providers make the decision to eliminate or significantly reduce necessary clinical services within the marketplace placing the Medicare shortfall burden on others that do, such as FRANCISCAN. Given that FRANCISCAN provides such services to Medicare patients knowing that they will result in a loss, and given that FRANCISCAN believes that it provides these services in an efficient and cost effective manner, the shortfall reported on line 7 of Part III should be viewed as community benefit provided by FRANCISCAN. ------------------------------------------------ SCHEDULE H, PART III, LINE 9B Franciscan Alliance, Inc.'s written Charity Care and Uninsured Patient Discount Policy and Patient Collection Procedure include various provisions on the collection practices to be followed for patients who are known to qualify for charity or financial assistance. If a patient qualifies for charity or financ true LAFAYETTE MEDICAL EDUCATION FOUNDATION 1501 HARTFORD STREET RM 1128A LAFAYETTE IN 47093 351314750 501(C)(3) 10000 FMV NONE MED. EDUC. SSFPA PO BOX 766 1515 W DRAGOON TRAIL MISHAWAKA IN 465460766 351328145 501(C)(3) 150000 0 FMV NONE FINANCIAL ASSISTANCE 2 0 PART I, LINE 2 CONTRIBUTIONS ARE GIVEN TO TAX-EXEMPT ORGANIZATIONS WHICH USE THE FUNDS FOR CHARITABLE PURPOSES IN FURTHERANCE OF MEDICAL RESEARCH, MEDICAL INITIATIVES, EDUCATION, AND/ OR COMMUNITY ACTIVITIES. X X X X X X false true false false false false false false false KEVIN D LEAHY PRESIDENT AND TRUSTEE 1577662 0 0 0 68142 0 452648 0 29365 0 2127817 0 0 0 EUGENE C DIAMOND REGIONAL CEO NIR 833550 0 0 0 56401 0 163744 0 26322 0 1080017 0 0 0 ROBERT J BRODY REGIONAL CEO CIR 832050 0 0 0 59669 0 224483 0 28092 0 1144294 0 0 0 JENNIFER P MARION SENIOR VP FINANCE, CFO 720938 0 0 0 28850 0 25083 0 26558 0 801429 0 0 0 TERRANCE E WILSON REGIONAL CEO WIR 634826 0 0 0 37990 0 57249 0 26055 0 756120 0 0 0 SETH CR WARREN REGIONAL CEO SSCR 625611 0 0 0 45236 0 0 0 22987 0 693834 0 0 0 LOUIS METZMAN MD PHYSICIAN 904273 0 44570 0 34623 0 11048 0 21402 0 1015916 0 0 0 DAVID RUSKOWSKI HOSPITAL PRESIDENT 483303 0 24892 0 844689 0 -43312 0 18310 0 1327882 0 0 0 JAIRO CRUZ MD PHYSICIAN (UNPAID TRUSTEE) 197459 0 0 0 25152 0 0 0 18868 0 241479 0 0 0 DANIEL G SPOMAR MD PHYSICIAN 1020743 0 0 0 33362 0 278 0 14317 0 1068700 0 0 0 NADEEM IKHLAQUE MD PHYSICIAN 997982 0 0 0 32453 0 13099 0 16858 0 1060392 0 0 0 ROWLAND O MBAOMA MD PHYSICIAN 611802 0 426682 0 13290 0 0 0 19504 0 1071278 0 0 0 SCHEDULE J, PART II, COLUMN (C) Deferred compensation reported in this column includes split-dollar life insurance, employer deferral to section 403(B) Plan, and change in present value of the qualified and, if applicable, nonqualified defined benefit plan. The value of the nonqualified defined benefit plan is subject to a significant risk of forfeiture and as such possibly may never be paid to the executives participating in the plan. Under the nonqualified defined benefit plan, David Ruskowski received a vested benefit of $834,051 during 2013, and this amount is included in Schedule J, Part II, Column (B)(iii). 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 J, PART I, LINE 4B Franciscan Alliance, Inc. ("FRANCISCAN") maintains a supplemental executive retirement plan. These benefits are subject to a significant risk of forfeiture and as such possibly may never be paid out to the executives participating in the plan. A INDIANA FINANCE AUTHORITY (06E) 351602316 454795DW2 2006-04-25 85150922 REFUND PRIOR ISSUE DATED 5/16/06 false false false B INDIANA FINANCE AUTHORITY (08AB) 351602316 45480YAB7 2008-05-12 162960000 REFINANCING AND REFUND PRIOR ISSUE false false false C INDIANA FINANCE AUTHORITY (08C) 351602316 45470YAX9 2008-09-15 291837375 REFUND PRIOR ISSUE DATED 5/2/06 false false false D INDIANA FINANCE AUTHORITY (08EFGH) 351602316 45470YBE0 2008-10-10 279345000 REFUND PRIOR ISSUE DATED 11/20/03 false false false A 475922 0 86903209 0 0 0 144210 0 0 42830183 43928816 0 2007 true false true true B 1275000 0 162624820 0 0 0 1924820 0 0 0 160700000 0 2012 true false true true C 22787375 0 290462634 0 0 0 1505785 0 0 0 288956849 0 true false true true D 75000000 0 278919324 0 0 0 503876 0 0 124873123 153542325 0 2011 true false true true A false true true true true true 0.00130 0.00000 0.00130 false true true B false true true true true true 0.00130 0.00000 0.00130 false true true C 0.00000 0.00000 0.00000 D false true true true true true 0.01470 0.00050 0.01520 false true true A false false false true false false 0 false 0 true true B false false false true true false 0 false 0 true true C false false false true false false 0 false 0 true true D false false true false true false 0 false 0 false true A true B true C true D true SCHEDULE K, PART II, LINE 13 FOR THE INDIANA FINANCE AUTHORITY 2008C AND INDIANA FINANCE AUTHORITY 2012 A/B BONDS, THESE BONDS SOLELY REFUNDED PRIOR ISSUES, SO THE YEAR OF SUBSTANTIAL COMPLETION HAS NOT BEEN ENTERED. SCHEDULE K, PART III FOR THE INDIANA FINANCE AUTHORITY 2008C BONDS, PART III IS NOT COMPLETED SINCE ALL BOND PROCEEDS WERE USED TO REFUND BONDS ISSUED BEFORE JANUARY 1, 2003. SCHEDULE K, PART III, LINE 8B FOR THE INDIANA FINANCE AUTHORITY 2006E, 2008A/B, 2008E-H, 2008I/J, AND 2012A/B BONDS, DURING 2012, THE DISPOSITION PROCEEDS FOR THE DISPOSED OF BOND-FINANCED PROPERTY WAS $1.00, WHICH WAS WELL BELOW A TENTH OF A PERCENT OF EACH ISSUE. SCHEDULE K, PART III, LINE 8C FRANCISCAN ALLIANCE, THE INDIANA FINANCE AUTHORITY, AND THE IRS ENTERED INTO A CLOSING AGREEMENT TO ADDRESS THE REQUIRED REMEDIAL ACTION UNDER REGULATIONS SECTION 1.142-12 AND 1.145-2. SCHEDULE K, PART IV, LINE 2C FOR EACH OF THE FOLLOWING BONDS, THE REBATE COMPUTATION WAS PERFORMED: SERIES 2006E - JANUARY 2011 SERIES 2008A/B - JANUARY 2011 SERIES 2008C - JANUARY 2011 SERIES 2008I/J - JANUARY 2011 SCHEDULE K, PART IV, LINE 5 FOR THE INDIANA FINANCE AUTHORITY 2006E, INDIANA FINANCE AUTHORITY 2008A/B, INDIANA FINANCE AUTHORITY 2008C, AND INDIANA FINANCE AUTHORITY 2008I/J ISSUES, ONLY SMALL AMOUNTS OF PROCEEDS RELATED TO THE COST OF ISSUANCE WERE NOT EXPENDED AT THE END OF THE TEMPORARY PERIODS. A INDIANA FINANCE AUTHORITY (08IJ) 351602316 45470YBL4 2008-11-20 81850000 REFUND PRIOR ISSUE DATED 5/16/06 false false false B INDIANA FINANCE AUTHORITY (09A) 351602316 45470YCF6 2009-11-05 221309385 REFUNDING AND NEW PROJECTS false false false C INDIANA FINANCE AUTHORITY (12AB) 351602316 2012-04-25 82620000 REFUND PRIOR ISSUES DATED '01&'08 false false false A 1075000 0 81693875 0 0 0 1120800 0 0 0 80573075 0 2012 true false true true B 5664385 0 219392897 0 0 0 792500 0 0 218600397 0 0 2012 false false true true C 3620000 0 82620000 0 0 0 0 0 0 0 82620000 0 true false true true A false true true true true true 0.00130 0.00000 0.00130 false true true B false true true true true true 0.03640 0.00220 0.03860 false false false true C false true true true true true 0.01470 0.00050 0.01520 false true true A false false false true true false 0 false 0 true true B false false true false false false 0 false 0 false true C false true false false true false 0 false 0 false true A true B true C true TONN AND BLANK CONSTRUCTION LLC COMMON DIRECTORS&OFFICERS 44624963 PURCHASE OF CONSTRUCTION SERVS false SCHEDULE L, PART IV TONN AND BLANK CONSTRUCTION COMPANY, LLC IS A LIMITED LIABILITY COMPANY IN WHICH FRANCISCAN ALLIANCE, INC. HOLDS A MEMBERSHIP INTEREST. THE FOLLOWING CURRENT TRUSTEES AND OFFICERS OF FRANCISCAN ALLIANCE, INC. ARE ALSO BOARD MEMBERS OF TONN AND BLANK CONSTRUCTION COMPANY, LLC: SISTER JANE MARIE KLEIN AND KEVIN D. LEAHY. TONN AND BLANK CONSTRUCTION COMPANY, LLC PROVIDES CONSTRUCTION SERVICES TO FRANCISCAN ALLIANCE, INC. FOR THE CONSTRUCTION AND IMPROVEMENT OF ITS HEALTHCARE FACILITIES. FORM 990, PART I, LINE 1 FRANCISCAN ALLIANCE, INC.'S ("FRANCISCAN") PURPOSE IS TO CONTINUE THE HEALING MINISTRY OF CHRIST IN ACCORDANCE WITH THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH AND IN PARTNERSHIP WITH OTHERS TO PROVIDE A FULL CONTINUUM OF HEALTH CARE SERVICES; TO CARRY ON EDUCATIONAL ACTIVITIES RELATED TO THE PROMOTION OF HEALTH; TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO HEALTH CARE; AND TO PARTICIPATE IN ACTIVITIES DESIGNED AND CONDUCTED TO PROMOTE THE GENERAL HEALTH OF THOSE SERVED BY FRANCISCAN. PLEASE VIEW "OUR GIVING JOURNAL" AT WWW.FRANCISCANALLIANCE.ORG/COMMUNITYBENEFIT WHICH REFLECTS OUR MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION." FORM 990, PART V, LINE 4B ADDITIONAL FOREIGN COUNTRIES - PHILLIPPINES, POLAND, THAILAND, TURKEY, DENMARK, AND GREECE. FORM 990, PART VI, SECTION A, LINE 7A The entire Board of Trustees shall consist of no more than seventeen (17), with no fewer than seven (7) who shall be Sisters of the Eastern Province ("Province") of the Sisters of St. Francis of Perpetual Adoration, a religious congregation of women of the Roman Catholic Church ("Congregation"). The Trustees of the Board shall include the following persons: (A) Three Trustees shall be members of the Provincial Leadership of the Province, one of whom shall be the provincial, or her designee, and the remaining two shall be elected by the provincial leadership; (B) the Treasurer of the Province who may also be one of the Provincial Leadership representatives as described in (A); (C) the Sponsor Liaison for the Healthcare of the Province who may also be one of the Provincial Leadership representatives as described in (A); (D) the President/Chief Executive Officer of the Corporation; and (E) the Trustees elected by the Members to fill the remaining positions. FORM 990, PART VI, SECTION A, LINE 7B NO ACTION ON THE PART OF THE BOARD OF TRUSTEES IN RESPECT OF ANY OF THE FOLLOWING MATTERS SHALL BE EFFECTIVE UNLESS THE ACTION HAS BEEN APPROVED BY A MAJORITY OF THE MEMBERS; NAMELY: (A) CORPORATE MISSION AND PHILOSOPHY; (B) APPOINTMENT OR REMOVAL OF THE CHAIRPERSON, PRESIDENT, SECRETARY, OR TREASURER OF THE CORPORATION; (C) ALIENATION OF PROPERTY AS DEFINED IN CANON LAW; OR (D) ENCUMBRANCE OF DEBT AS DEFINED BY CANON LAW. FORM 990, PART VI, SECTION B, LINE 11B THE INFORMATION TO PREPARE THE FORM 990 OF FRANCISCAN ALLIANCE, INC. ("FRANCISCAN") IS GATHERED BY FINANCE STAFF AND MISSION REPRESENTATIVES AND PROVIDED TO ITS ACCOUNTING FIRM WHO PREPARES THE RETURN. SENIOR MANAGEMENT THEN REVIEWS THE RETURN PRIOR TO FILING. THE FORM 990 IS ALSO MADE AVAILABLE TO FRANCISCAN'S BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C The Corporation requires annual conflict of interest statements from each director, principal officer, members of committees with board designated powers, key employees, and executive leadership committee members which affirms that they have received, read, and understand the conflict of interest policy and have agreed to comply with the policy. In connection with any actual or possible conflict of interest a director, principal officer or member of a committee with board designated powers must disclose the existence and nature of the financial interest to the directors and members of committees with board delegated powers considering the proposed transaction or arrangements. If after disclosure of the financial interest, the director, principal or committee member shall leave the board or committee meeting while the financial interest is discussed and vote taken. In addition, ongoing reviews and assessments are made to make certain that the Corporation operates in a manner consistent with its charitable purposes. In conducting the ongoing reviews and assessments, the Corporation uses internal and external advisors. Reviews include compensation arrangements, acquisitions, partnerships, joint venture arrangements, and agreements to provide health care products/services, etc. FORM 990, PART VI, SECTION B, LINE 15 Franciscan Alliance, Inc.'s ("Franciscan") process for determining compensation for the organization's President/CEO, officers and key employees consists of periodic external reviews completed by national independent compensation consultants. The Executive Committee of the Board of Trustees approves the proposed compensation and benefits at an annual compensation review meeting held each year. The organization's President/CEO recuses himself from the vote on executive compensation. FORM 990, PART VII, SECTION A, COLUMN (F) Deferred compensation reported in this column includes split-dollar life insurance, employer deferral to section 403(B) Plan, and change in present value of the qualified and, if applicable, nonqualified defined benefit plan. The value of the nonqualified defined benefit plan is subject to a significant risk of forfeiture and as such possibly may never be paid to the executives participating in the plan. 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. FORM 990, PART XI, LINE 9 EQUITY IN EARNINGS OF AFFILIATES 9,843,021 MINORITY INTEREST IN AFFILIATES (20,108,963) OTHER COMPREHENSIVE INCOME 307,308,328 DIVIDENDS RECEIVED FROM AFFILIATES 127,125 NET ASSETS RELEASED FOR OPERATIONS 1,614,362 NET ASSETS RELEASED FROM RESTRICTION (1,619,133) EQUITY TRANSFERS TO/FROM AFFILIATES 9,019,295 CHANGE IN TEMP RESTRICTED NET ASSETS 3,639,714 CHANGE IN PERM RESTRICTED NET ASSETS 7,234,661 OTHER CHANGES IN NET ASSETS 18,188,625 NET ASSET RECLASS 2,126,146 ------------- TOTAL OTHER CHANGES IN NET ASSETS 337,373,181 ATHENS OUTPATIENT SERVICES LLC 1710 LAFAYETTE ROAD CRAWFORDSVILLE IN 47933 203686603 MEDICAL SRVCS IN 30768849 7427991 FRANCISCAN FRANCISCAN ALLIANCE ACCOUNTABLE CARE ORG 1515 DRAGOON TRAIL MISHAWAKA IN 46544 452884517 ACCOUNT. 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