2013-11-15T15:09:53-06:00 2012-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2012-01-01 351955283 FRANCISCAN ALLIANCE FOUNDATION INC % PRISCILLAR NCUBE FRAN 3177826199 1515 DRAGOON TRAIL Suite MISHAWAKA IN 46544 KEVIN D LEAHY 2673303000 2013-11-14 true 2673303000 2012 2016-03-07 17:11:31Z KEVIN D LEAHY 1515 DRAGOON TRAIL MISHAWAKA IN 46544 4274160 false X N/A X 1995 IN RAISE, INVEST, AND EXPEND CONTRIBUTIONS FOR THE BENEFIT OF FRANCISCAN ALLIANCE, INC. HEALTH CENTERS. 7 6 0 136 0 2997495 4145884 0 0 15427 10437 0 0 3012922 4156321 2072213 1593796 0 0 0 0 0 0 0 403751 1961995 2475964 3555791 536958 600530 7672041 25538838 1358347 3676545 6313694 21862293 THE FOUNDATION RAISES, INVESTS, AND EXPENSES CONTRIBUTIONS FOR THE BENEFIT OF FRANCISCAN ALLIANCE, INC. HEALTH CENTERS. THE BENEFICIARY'S PURPOSE IS TO PROMOTE COMPASSION FOR THOSE IN NEED, RESPECT LIFE AND DIGNITY OF PERSONS, WELLNESS AND THE PREVENTION OF ILLNESS, RESTORATION TO HEALTH, AND THE ACCEPTANCE OF DEATH AS THE FINAL STEP TOWARDS WELLNESS. false false 1593796 1593796 0 FRANCISCAN ALLIANCE FOUNDATION, INC. RAISES, INVESTS, AND EXPENDS CONTRIBUTIONS FOR THE BENEFIT OF FRANCISCAN ALLIANCE, INC. THE BENEFICIARY'S PURPOSE IS TO PROMOTE COMPASSION FOR THOSE IN NEED, RESPECT LIFE AND DIGNITY OF PERSONS, WELLNESS AND THE PREVENTION OF ILLNESS, RESTORATION TO HEALTH, AND THE ACCEPTANCE OF DEATH AS THE FINAL STEP TOWARDS WELLNESS. 1593796 true true false false false false false false true true false false false true false false true false false false false false false true false false true false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false true true false false false false X 7 6 false false false false true true true true true false false true true true true true true false false false IN X X PRISCILLAR NCUBE 5742733817 3510 PARK PLACE WEST SUITE 200 MISHAWAKA IN 46545 SISTER M ALINE SHULTZ OSF 5.0 40.0 X 0 0 0 SISTER JANE MARIE KLEIN 5.0 46.0 X X 0 0 0 SISTER M ANN KATHLEEN MAGIERA 5.0 41.0 X X 0 0 0 SISTER M MADONNA ROUGEAU 5.0 46.0 X 0 0 0 SISTER ROSE AGNES PFAUTSCH 5.0 5.0 X 0 0 0 KEVIN D LEAHY 5.0 46.0 X 0 1592190 928173 SISTER M CORITA LAST 5.0 40.0 X X 0 0 0 SISTER LETHIA MARIE LEVEILLE 5.0 40.0 X X 0 0 0 0 1592190 928173 0 false true false NONE 0 245184 90000 367397 3443303 4145884 0 10437 10437 0 0 0 0 0 0 117839 245184 117839 0 0 0 0 4156321 10437 1593796 1593796 0 0 0 0 0 0 0 0 0 0 27608 27608 0 0 0 0 0 10098 10098 9983 9983 6540 6540 0 92813 92813 11128 11128 0 13828 13828 0 0 11033 11033 0 MANAGEMENT FEES 1585346 1585346 PURCHASED SERVICES 87245 87245 BAD DEBT 71774 71774 POSTAGE, PRINTING, OTHER 20102 20102 14497 14497 3555791 1593796 1961995 0 5748283 1051636 0 0 1868562 4071581 0 0 0 0 0 0 0 0 0 0 7320 11524 243557 111674 47876 131883 0 20272214 0 0 0 0 0 0 0 0 7672041 25538838 1297597 3625505 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60750 51040 1358347 3676545 X 658876 -1737192 4695146 19006996 959672 4592489 6313694 21862293 7672041 25538838 X 600530 14948069 X false true X true false X 2717813 1794055 1622952 2997495 4145884 13278199 0 0 0 0 0 0 0 0 0 0 0 0 2717813 1794055 1622952 2997495 4145884 13278199 338071 12940128 198843 96495 51739 15427 9757 372261 0 0 0 0 0 0 0 0 0 0 0 0 13650460 0 0.94796 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 959672 3666167 33351 4592488 958824 848 959672 957676 1148 958824 948162 9514 957676 947768 394 948162 1.00000 false false 23602 1246 22356 219955 110428 109527 131883 0 ANNUITY PAYABLE 51040 51040 SCHEDULE D, PART V, LINE 4 SPIRITUAL CARE ENDOWMENT - THIS FUND IS TO CONSTANTLY REASSURE THE INSTITUTION OF ITS COMMITMENT TO HAVING CHAPLAINS AVAILABLE FOR PATIENTS, STAFF, AND FAMILIES, 24 HOURS-A-DAY, 7 DAYS A WEEK. SPIRITUAL CARE IS MANDATED BY THE ETHICAL & RELIGIOUS DIRECTIVES AS THE PIVOTAL HALLMARK THAT SETS US APART FROM SECULAR HEALTH CARE INSTITUTIONS. DR. COSTIN ENDOWMENT - THE COSTIN ENDOWMENT FUND WAS ESTABLISHED TO PROVIDE CONSISTENT RESOURCES FOR THE ANNUAL COSTIN AWARD FOR RESEARCH IN THE ST. FRANCIS SCHOOL OF MEDICAL TECHNOLOGY. RICHARD E. FRY ENDOWMENT - THROUGH THE GENEROUS GIFTS OF MANY DONORS AND MRS. FRY, THIS ENDOWMENT FUND IS BEING ESTABLISHED TO FINANCE ANNUAL NURSING SCHOLARSHIPS AND WILL BE KNOWN AS THE RICHARD E. FRY, M.D. MEMORIAL NURSING SCHOLARSHIP FUND. THE INCOME FROM THIS ENDOWMENT SHALL BE USED TO FUND ANNUAL SCHOLARSHIP AWARDS. ANY UNUSED PORTION FROM THIS ENDOWMENT SHALL BE REINVESTED IN THE ENDOWMENT, OR PLACED IN THE RESTRICTED NURSING SCHOLARSHIP ACCOUNT FOR FUTURE USE. NHC ENDOWMENT FUND - AS DETERMINED BY HOSPITAL ADMINISTRATION AND THE FOUNDATION, THE NHC ENDOWMENT WAS ESTABLISHED IN 2000 WITH $300,000 OF THE $1.3 MILLION RUTH LILLY CAPITAL GIFT TO SUPPORT CARDIOLOGY/HEART PROGRAM AND INDIGENT CARE SERVICES. EMHARDT ENDOWMENT FUND - THIS ENDOWMENT FUND IS USED TO FUND THE EMHART ROLE MODEL OPERATING FUND WHICH PROVIDES AN ANNUAL ROLE MODEL AWARD AND ANNUALLY DONATES $1,000 TO THE MICON FUND. EDUCATION ENDOWMENT FUND - IN RESPONSE TO SPECIFIC PURPOSE FUNDRAISING FROM 1998-2002, THE FRANCISCAN ALLIANCE FOUNDATION, INC. ESTABLISHED AND MANAGES THE EDUCATION ENDOWMENT FUND TO PROVIDE EDUCATIONAL OPPORTUNITIES FOR FRANCISCAN ST. FRANCIS HEALTH'S NON-PHYSICIAN EMPLOYEES. THE INTENT OF THE ENDOWMENT FUND IS TO PROVIDE MONETARY ASSISTANCE FOR EDUCATIONAL OPPORTUNITIES WHICH MAY NOT BE AVAILABLE THROUGH EXISTING FUNDS, SUCH AS THE HOSPITAL'S SERVICE LINE BUDGETS, OR OTHER DESIGNATED GIFTS. PHYSICIAN MISSION ENDOWMENT - THE ST. FRANCIS PHYSICIAN MISSION ENDOWMENT PROVIDES ANNUAL GRANTS TO INDIVIDUALS WISHING TO USE THEIR HEALTHCARE SKILLS TO ASSIST SOME OF THE WORLD'S NEEDIEST PEOPLE - THE POOR, THE DISABLED AND THE AGED - THROUGH LOCAL AND INTERNATIONAL MEDICAL OUTREACH. 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. DINNER DANCE 234355 148074 86281 0 0 0 42126 7100 37055 GOLF OUTING 111687 80798 30889 0 5431 15220 5856 0 4381 1 16981 16312 669 0 601 0 0 0 69 363023 245184 117839 0 6032 15220 47982 7100 41505 117839 true FRANCISCAN ALLIANCE INC 1515 DRAGOON TRAIL MISHAWAKA IN 46544 351330472 501(c)(3) 1593796 0 N/A N/A TO FUND VARIOUS PROGRAMS IN SUPPORT OF THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE. 1 PART I, LINE 2 ALL EXPENDITURES ARE REVIEWED BY THE DIRECTORS OF THE FOUNDATION AND FUND MANAGERS AND IN SOME CASES COMMITTEES, TO ENSURE ADHERENCE TO THE INTENT FOR WHICH FUNDS ARE DONATED. ALSO, THE FOUNDATION ONLY PROVIDES GRANTS TO THE ORGANIZATION IT WAS ORGANIZED TO SUPPORT, FRANCISCAN ALLIANCE, INC. false true false false false false false false false KEVIN D LEAHY 0 1523989 0 0 0 68201 0 895647 0 32526 0 2520363 0 0 SCHEDULE J, PART I, LINE 3 THE FRANCISCAN ALLIANCE FOUNDATION, INC. DOES NOT COMPENSATE ITS PRESIDENT. SCHEDULE J, PART I, LINE 4B CERTAIN OFFICERS AND DIRECTORS OF FRANCISCAN ALLIANCE FOUNDATION, INC. ARE COMPENSATED BY A RELATED ORGANIZATION, FRANCISCAN ALLIANCE, INC. FRANCISCAN ALLIANCE, INC. maintains a supplemental executive retirement plan. These benefits are subject to a significant risk of forfeiture and as such possibly may never be paid out to the executives participating in the plan. SCHEDULE J, PART II, COLUMN (C) DEFERRED COMPENSATION FROM A RELATED ORGANIZATION INCLUDES SPLIT-DOLLAR LIFE INSURANCE, 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. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF FRANCSICAN ALLIANCE FOUNDATION, INC. IS FRANCISCAN ALLIANCE, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, FRANCISCAN ALLIANCE, INC., ELECTS ALL DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B The following matters are reserved exclusively to the Member for consideration and action and must be submitted to and receive the approval of the Member: (a) amend, restate, repeal or replace the Articles of Incorporation; (b) adopt, amend, restate, repeal or replace the Bylaws; (c) authorize the merger, consolidation, or dissolution of the Foundation; (d) authorize the sale, pledge, lease or exchange of the Foundation's assets; (e) authorize the incurrence of debt by the Foundation; (f) select or remove the Foundation's independent auditors; (g) take action on matters which may be specified by the Member from time to time; (h) authorize actions otherwise requiring Member approval by law or which the Board determines are advisable to be considered by the Member; (i) settlement of proceedings for which indemnification or advancement of expenses may be sought; (j) determine whether the Foundation is in compliance with The Ethical and Religious Directives for Catholic Health Care Services; (k) approve the annual budgets of the Foundation, and amendments thereto with such modifications as the Member may deem necessary or appropriate and any unbudgeted expenditures of the Foundation in excess of One Hundred Thousand Dollars ($100,000); (l) approve the Chairperson of the Regional Council of each of the Regional Divisional Offices of the Foundation, and to remove such individuals with or without cause; (m) adopt, amend, restate, repeal or replace the Charter of each of the Regional Divisional Offices of the Foundation; (n) the creation, determination of boundaries, reorganization, consolidation or discontinuation of Regional Divisional Offices of the Foundation; (o) the voluntary declaration and filing of bankruptcy of the Foundation; (p) approve the admission or removal of a Member; (q) approve a strategic plan of the Foundation and any modifications thereto or replacements thereof developed and recommended by the Board of Directors of the Foundation, with such modifications thereto as the Member may deem necessary or appropriate; (r) change the status of the Foundation for federal tax purposes or make any federal or state tax election on behalf of the Foundation; (s) establish any subsidiaries or affiliates of the Foundation or enter into any joint venture arrangements involving the Foundation; (t) promulgate policies binding on the Foundation; (u) adopt, amend and terminate employee benefits and employee benefit plans; (v) require the Foundation to participate in the Member's shared services programs; and (w) approve the Foundation's acceptance of any gift or bequest which includes either an interest (including future interests) in real property, or other assets which are encumbered in any way. FORM 990, PART VI, SECTION B, LINE 11B THE INFORMATION TO PREPARE THE FORM 990 OF FRANCISCAN ALLIANCE FOUNDATION, INC. IS GATHERED BY FINANCE STAFF AND PROVIDED TO ITS ACCOUNTING FIRM WHO PREPARES THE RETURN. SENIOR MANAGEMENT THEN REVIEWS THE RETURN PRIOR TO FILING. THE FORM 990 IS ALSO MADE AVAILABLE TO FRANCISCAN ALLIANCE FOUNDATION'S BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATION AND/OR AN AFFILIATE REQUIRES ANNUAL CONFLICT OF INTEREST STATEMENTS FROM EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS WHICH AFFIRMS THAT THEY HAVE RECEIVED, READ, AND UNDERSTAND THE CONFLICT OF INTEREST POLICY AND HAVE AGREED TO COMPLY WITH THE POLICY. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, A DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OR A COMMITTEE WITH BOARD DESIGNATED POWERS MUST DISCLOSE THE EXISTENCE AND NATURE OF THE FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST, THE DIRECTOR, PRINCIPAL, OR COMMITTEE MEMBER SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTE TAKEN. IN ADDITION, ONGOING REVIEWS AND ASSESSMENTS ARE MADE TO MAKE CERTAIN THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. IN CONDUCTING THE ONGOING REVIEWS AND ASSESSMENTS, THE CORPORATION USES INTERNAL AND EXTERNAL ADVISORS. FORM 990, PART VI, SECTION B, LINES 15A AND 15B FRANCISCAN ALLIANCE FOUNDATION, INC. DOES NOT COMPENSATE ITS OFFICERS AND IT DOES NOT HAVE ANY EMPLOYEES. 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