FRANCISCAN HEALTH FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FRANCISCAN HEALTH FOUNDATION INC (EIN 35-1955283)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201333199349308713
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T15:09:53-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351955283EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FRANCISCAN ALLIANCE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% PRISCILLAR NCUBEInCareOfName
Name ControlFRANNameControl
Phone3177826199Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11515 DRAGOON TRAILAddressLine1
Address Line2SuiteAddressLine2
CityMISHAWAKACity
StateINState
ZIP Code46544ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN D LEAHYName
TitlePRESIDENT/CEOTitle
Phone2673303000Phone
Date Signed2013-11-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKEVIN D LEAHYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11515 DRAGOON TRAILAddressLine1
CityMISHAWAKACity
StateINState
ZIP Code46544ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4274160GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionRAISE, INVEST, AND EXPEND CONTRIBUTIONS FOR THE BENEFIT OF FRANCISCAN ALLIANCE, INC. HEALTH CENTERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers136TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2997495ContributionsGrantsPriorYear
Contributions Grants Current Year4145884ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year15427InvestmentIncomePriorYear
Investment Income Current Year10437InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3012922TotalRevenuePriorYear
Total Revenue Current Year4156321TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2072213GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1593796GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year403751OtherExpensePriorYear
Other Expenses Current Year1961995OtherExpensesCurrentYear
Total Expenses Prior Year2475964TotalExpensesPriorYear
Total Expenses Current Year3555791TotalExpensesCurrentYear
Revenues Less Expenses Prior Year536958RevenuesLessExpensesPriorYear
Revenues Less Expenses CY600530RevenuesLessExpensesCY
Total Assets BOY7672041TotalAssetsBOY
Total Assets EOY25538838TotalAssetsEOY
Total Liabilities BOY1358347TotalLiabilitiesBOY
Total Liabilities EOY3676545TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6313694NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21862293NetAssetsOrFundBalancesEOY
Mission DescriptionTHE 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1593796Expense
Grants1593796Grants
Revenue0Revenue
DescriptionFRANCISCAN 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.Description
Total Program Service Expense1593796TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPRISCILLAR NCUBENamePerson
Telephone Number5742733817TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13510 PARK PLACE WEST SUITE 200AddressLine1
CityMISHAWAKACity
StateINState
ZIP Code46545ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
SISTER M ALINE SHULTZ OSF
TRUSTEE5.040.0X000
SISTER JANE MARIE KLEIN
CHAIR AND TRUSTEE5.046.0X000X
SISTER M ANN KATHLEEN MAGIERA
TREASURER AND TRUSTEE5.041.0X000X
SISTER M MADONNA ROUGEAU
TRUSTEE (APPOINTED 9/12)5.046.0X000
SISTER ROSE AGNES PFAUTSCH
TRUSTEE5.05.0X000
KEVIN D LEAHY
PRESIDENT AND TRUSTEE5.046.0X01592190928173
SISTER M CORITA LAST
VP, SEC. & TRUSTEE (THRU 9/12)5.040.0X000X
SISTER LETHIA MARIE LEVEILLE
SECRETARY (APPOINTED 12/12)5.040.0X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1592190TotalReportableCompFrmRltdOrgs
Total Other Compensation928173TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonNONENamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events245184FundraisingEvents
Related Organizations90000RelatedOrganizations
Government Grants367397GovernmentGrants
All Other Contributions3443303AllOtherContributions
Total Contributions4145884TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10437TotalRevenueColumn
Exclusion$10,437ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events117839GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events245184CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses117839FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4156321TotalRevenueColumn
Exclusion$10,437ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1593796Total
Program Services1593796ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total27608Total
Management And General27608ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total10098Total
Management And General10098ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9983Total
Management And General9983ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6540Total
Management And General6540ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total92813Total
Management And General92813ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total11128Total
Management And General11128ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total13828Total
Management And General13828ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11033Total
Management And General11033ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
MANAGEMENT FEES15853461585346
PURCHASED SERVICES8724587245
BAD DEBT7177471774
POSTAGE, PRINTING, OTHER2010220102

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14497Total
Management And General14497ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3555791Total
Program Services1593796ProgramServices
Management And General1961995ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5748283BOY
EOY1051636EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1868562BOY
EOY4071581EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7320BOY
EOY11524EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis243557LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec111674LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY47876BOY
EOY131883EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY20272214EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7672041BOY
EOY25538838EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1297597BOY
EOY3625505EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY60750BOY
EOY51040EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1358347BOY
EOY3676545EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY658876BOY
EOY-1737192EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4695146BOY
EOY19006996EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY959672BOY
EOY4592489EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6313694BOY
EOY21862293EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7672041BOY
EOY25538838EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses600530ReconcilationRevenueExpenses
Reconcilation Other Changes14948069ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2717813CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1794055CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1622952CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2997495CurrentTaxYearMinus1Year
Current Tax Year4145884CurrentTaxYear
Total13278199Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2717813CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1794055CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1622952CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2997495CurrentTaxYearMinus1Year
Current Tax Year4145884CurrentTaxYear
Total13278199Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total338071AmountsSubstContributorsTotal
Public Support Total17012940128PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years198843CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years96495CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51739CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15427CurrentTaxYearMinus1Year
Current Tax Year9757CurrentTaxYear
Total372261Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Total Support13650460TotalSupport
Gross Receipts From Admissions Etc0GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.94796PublicSupportPertcentage170
Public Support Pertcent Prior Year0.00000PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance959672BeginningOfYearBalance
Contributions3666167Contributions
Other Expenditures33351OtherExpenditures
End Of Year Balance4592488EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance958824BeginningOfYearBalance
Contributions848Contributions
End Of Year Balance959672EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance957676BeginningOfYearBalance
Contributions1148Contributions
End Of Year Balance958824EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance948162BeginningOfYearBalance
Contributions9514Contributions
End Of Year Balance957676EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance947768BeginningOfYearBalance
Contributions394Contributions
End Of Year Balance948162EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis23602OtherCostOrOtherBasis
Depreciation1246Depreciation
Book Value22356BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis219955OtherCostOrOtherBasis
Depreciation110428Depreciation
Book Value109527BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings131883TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionANNUITY PAYABLEDescription
Amount$51,040Amount
FieldValueIRS element (for citing)
Total Of Amounts51040TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE D, PART V, LINE 4Identifier
ExplanationSPIRITUAL 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. NURSING INCENTIVES ENDOWMENT IS A COMBINATION OF SEVERAL ENDOWMENTS AND THE INCOME IS TO BE USED FOR CAREERS IN HEALTH CARE FOR PERSONS ENGAGED IN PATIENT CARE. ED LOEB FUND ENDOWMENT ESTABLISHED FOR A STUDENT NURSING ACHIEVEMENT AWARD TO BE PRESENTED ANNUALLY TO THE VALEDICTORIAN AND SALUTATORIAN OF THE SCHOOL OF NURSING, FROM THE INTEREST EARNED BY THE ENDOWMENT. MORRIS HOLDERLY ENDOWMENT FUNDS WILL BE LOANED TO PERSONS INTERESTED IN NURSES' TRAINING, AND SHALL BE REPAID BY THE RECIPIENT WITHIN 4 YEARS FROM GRADUATION BETTY MCCAY SHOBER ENDOWMENT AWARDS $1,000 TO AN INCOMING FIRST YEAR STUDENT FROM THE INTEREST EARNED BY THE ENDOWMENT. SIMEK SCHOLARSHIPS FUND - PROCEEDS FROM THE FRANK AND ROZY SIMEK SCHOLARSHIP IS DEDICATED TO THE CONTINUING OF QUALITY CARE IN THE LAFAYETTE HOME HOSPITAL SYSTEM. IT IS AWARDED TO INDIVIDUALS PURSING CAREERS IN HEALTH-RELATED CAREERS WHO ARE ENROLLED IN EITHER ENTRY-LEVEL PROGRAM OR POST-PROFESSIONAL LEVEL PROGRAM IN A POST-SECONDARY EDUCATIONAL INSTITUTION. 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. SR. MICHAEL TOLLE - THIS ENDOWMENT FUND WAS ESTABLISHED IN 1993 BY THE CHICAGO HEIGHTS AUXILIARY OF ST. JAMES HOSPITAL. IT IS TO PROVIDE FOR THE HEALTHCARE NEEDS OF CHILDREN WHOSE NORMAL RESOURCES HAVE RUN OUT. SINCE ITS REVISION OF 1996, THE PURPOSE IS MORE FOCUSED ON ANNUAL INTEREST TO PROVIDE FUNDS FOR PROGRAMS AND SERVICES THAT SUPPORT A HEALTHIER COMMUNITY IN THE CHICAGO SOUTH SUBURBS. 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.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DINNER DANCENameOfEvent1
Gross Receipts Event1234355GrossReceiptsEvent1
Charitable Contributions Event1148074CharitableContributionsEvent1
Gross Revenue Event186281GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event10RentFacilityCostsEvent1
Food And Beverage Event142126FoodAndBeverageEvent1
Entertainment Event17100EntertainmentEvent1
Other Direct Expenses Event137055OtherDirectExpensesEvent1
Name Of Event2GOLF OUTINGNameOfEvent2
Gross Receipts Event2111687GrossReceiptsEvent2
Charitable Contributions Event280798CharitableContributionsEvent2
Gross Revenue Event230889GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event25431NonCashPrizesEvent2
Rent Facility Costs Event215220RentFacilityCostsEvent2
Food And Beverage Event25856FoodAndBeverageEvent2
Entertainment Event20EntertainmentEvent2
Other Direct Expenses Event24381OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events16981GrossReceiptsOtherEvents
Charitable Contrib Other Events16312CharitableContribOtherEvents
Gross Revenue Other Events669GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events601NonCashPrizesOtherEvents
Rent Facility Costs Other Events0RentFacilityCostsOtherEvents
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events69OtherDirectExpensesOtherEvents
Gross Receipts Total363023GrossReceiptsTotal
Charitable Contributions Total245184CharitableContributionsTotal
Gross Revenue Total Events117839GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events6032NonCashPrizesTotalEvents
Rent Facility Costs Total Events15220RentFacilityCostsTotalEvents
Food And Beverage Total Events47982FoodAndBeverageTotalEvents
Entertainment Total Events7100EntertainmentTotalEvents
Other Direct Expenses Total Events41505OtherDirectExpensesTotalEvents
Direct Expense Summary Events117839DirectExpenseSummaryEvents

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1FRANCISCAN ALLIANCE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11515 DRAGOON TRAILAddressLine1
CityMISHAWAKACity
StateINState
ZIP Code46544ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient351330472EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant1593796AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantTO FUND VARIOUS PROGRAMS IN SUPPORT OF THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonKEVIN D LEAHYNamePerson
TitlePRESIDENT AND TRUSTEETitle
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs1523989CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs68201OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs895647DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs32526NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs2520363TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE J, PART I, LINE 3THE FRANCISCAN ALLIANCE FOUNDATION, INC. DOES NOT COMPENSATE ITS PRESIDENT.
SCHEDULE J, PART I, LINE 4BCERTAIN OFFICERS AND DIRECTORS OF FRANCISCAN ALLIANCE FOUNDATION, INC. ARE COMPENSATED BY A RELATED ORGANIZATION, FRANCISCAN ALLIANCE, INC. FRANCISCAN ALLIANCE, INC. maintains a supplemental executive retirement plan. These benefits are subject to a significant risk of forfeiture and as such possibly may never be paid out to the executives participating in the plan.
SCHEDULE J, PART II, COLUMN (C)DEFERRED COMPENSATION FROM A RELATED ORGANIZATION INCLUDES SPLIT-DOLLAR LIFE INSURANCE, EMPLOYER DEFERRAL TO SECTION 403(B) PLAN, 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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6THE 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 12CTHE CORPORATION AND/OR AN AFFILIATE REQUIRES ANNUAL CONFLICT OF INTEREST STATEMENTS FROM EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS WHICH AFFIRMS THAT THEY HAVE RECEIVED, READ, AND UNDERSTAND THE CONFLICT OF INTEREST POLICY AND HAVE AGREED TO COMPLY WITH THE POLICY. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, A DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OR A COMMITTEE WITH BOARD DESIGNATED POWERS MUST DISCLOSE THE EXISTENCE AND NATURE OF THE FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST, THE DIRECTOR, PRINCIPAL, OR COMMITTEE MEMBER SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTE TAKEN. IN ADDITION, ONGOING REVIEWS AND ASSESSMENTS ARE MADE TO MAKE CERTAIN THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. IN CONDUCTING THE ONGOING REVIEWS AND ASSESSMENTS, THE CORPORATION USES INTERNAL AND EXTERNAL ADVISORS.
FORM 990, PART VI, SECTION B, LINES 15A AND 15BFRANCISCAN ALLIANCE FOUNDATION, INC. DOES NOT COMPENSATE ITS OFFICERS AND IT DOES NOT HAVE ANY EMPLOYEES. FORM 990, PART XI, LINE 9 OTHER $14,948,069

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
FRANCISCAN ALLIANCE INC
1515 DRAGOON TRAILMISHAWAKAIN46546351330472HEALTH SRVCSIN501(C)(3)3NAfalse
ALVERNO CLINICAL LABS INC
2434 INTERSTATE PLAZA DRIVEHAMMONDIN46324352060754LAB SERVICESIN501(C)(3)11 - Type 1FRANCISCANfalse
HILLS INSURANCE COMPANY INC
1515 DRAGOON TRAILMISHAWAKAIN46544030372512CAPTIVE INSVT501(C)(3)11 - Type 1FRANCISCANfalse
SISTERS OF ST FRANCIS OF PERPETUAL ADOR
PO BOX 766MISHAWAKAIN46546351328145RELIGIOUSIN501(C)(3)1NAfalse
ST ALEXIS HOSPITAL ASSOCIATION
PO BOX 1290MISHAWAKAIN46546340714485SUPPORT ALEXAOH501(C)(3)3FRANCISCANfalse
ST JAMES COMMUNITY FOUNDATION
1423 CHICAGO ROADCHICAGO HEIGHTSIL60411204249251FUNDRAISINGIL501(C)(3)7FRANCISCANfalse
AT YOUR SERVICE HOME CARE INC
4701 N KEYSTONE AVEINDIANAPOLISIN46205352107306HEALTHCAREIN501(C)(3)9FRANCISCANfalse
VNS AT ST FRANCIS INC
4701 N KEYSTONE AVE S418INDIANAPOLISIN46205350868199HOME HEALTHIN501(C)(3)9FRANCISCANfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
FRANCISCAN IMAGING EQUIPMENT LEASING LLC
1600 ALBANY STREETBEECH GROVEIN46107352282509EQUIPMENT LEAINNAN/A
FRANCISCAN PHYSICIANS REAL PROPERTY LLC
701 SUPERIOR STREETMUNSTERIN46321260787231REAL PROP LEASINGINNAN/A
FRANCISCAN SURGERY CENTER LLC
1600 ALBANY ROADBEECH GROVEIN46107352128334MEDICAL SRVCSINNAN/A
LAFAYETTE HEART PROGRAM HOLDINGS LLC
1501 HARTFORD STREETLAFAYETTEIN47904383750811MEDICAL SRVCSINNAN/A
ST ANTHONY HEALTH NETWORK LLC
PO BOX 310MISHAWAKAIN465460310351985170CLAIMS PROCESINNAN/A
ST FRANCIS MOORESVILLE SURGERY CENTER
1215 HADLEY ROAD SUITE 100MOORESVILLEIN46158202256900MEDICAL SRVCSINNAN/A
ST FRANCIS RADIATION THERAPY CENTERS LLC
1600 ALBANY STREETBEECH GROVEIN46107770663631MEDICAL SRVCSINNAN/A
ST FRANCIS IMAGING CTR GREENWOOD LLC
3147 W SMITH VALLEY RDGREENWOODIN46107204607426IMAGING SVCSINNAN/A
TONN AND BLANK CONST LLC
1623 GREENWOOD AVEMICHIGAN CITYIN46360263919039CONSTRUCTIONINNAN/A
MAJOR HOSPITAL CARDIAC DIAGNOSTICS LLC
150 WEST WASHINGTON STREETSHELBYVILLEIN46176208715441MEDICAL SERVIINNAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
FRANCISCAN HOLDING CORPORATION
1515 DRAGOON TRAILMISHAWAKAIN46544363593505HOLDING COMPINNAC CORP
ST FRANCIS HEALTH NETWORK
112 N 17TH AVENUE SUITE 210BEECH GROVEIN46107351904455MANAGED CAREINNAC CORP
ST JAMES PHO INC
1423 CHICAGO ROADCHICAGO HEIGHTSIL60411363945083PHYSICIAN SRVILNAC CORP
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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