Civic Intelligence

Franciscan Alliance Inc

990 • Fiscal year 2016 • EIN 35-1330472

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 11, 2017

1515 Dragoon TrailMishawaka, IN 46544-4710

(574) 256-3935

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

53rd percentile

0.42x

Higher debt load relative to assets than 53% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Liabilities / Revenue

47th percentile

0.72x

Higher debt load relative to revenue than 47% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Net Margin

56th percentile

6.7%

Higher net margin than 56% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Top Officer Pay

71st percentile

$2,655,266

Higher top officer pay than 71% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Asset Growth

79th percentile

10%

Faster asset growth than 79% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2015 to 2016

Revenue Growth

58th percentile

5.3%

Faster revenue growth than 58% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2015 to 2016

Assets

Up

$4,890,699,250

Up $449,184,258 (+10%) from 2015

Net Assets

Up

$2,824,968,641

Up $290,444,320 (+11%) from 2015

Liabilities

Up

$2,065,730,609

Up $158,739,938 (+8.3%) from 2015

Revenue

Up

$2,877,065,236

Up $145,964,940 (+5.3%) from 2015

Expenses

Up

$2,685,141,515

Up $204,751,054 (+8.3%) from 2015

Net Income

Down

$191,923,721

Down $58,786,114 (-23%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$8.0B$6.0B$4.0B$2.0B$0Assets 2010: $3,688,293,018Liabilities 2010: $1,822,214,702Net Assets 2010: $1,866,078,3162010Assets 2011: $3,793,872,644Liabilities 2011: $1,956,026,290Net Assets 2011: $1,837,846,3542011Assets 2012: $4,008,931,900Liabilities 2012: $2,092,819,331Net Assets 2012: $1,916,112,5692012Assets 2013: $4,159,841,951Liabilities 2013: $1,659,238,916Net Assets 2013: $2,500,603,0352013Assets 2014: $4,411,603,423Liabilities 2014: $1,968,315,900Net Assets 2014: $2,443,287,5232014Assets 2015: $4,441,514,992Liabilities 2015: $1,906,990,671Net Assets 2015: $2,534,524,3212015Assets 2016: $4,890,699,250Liabilities 2016: $2,065,730,609Net Assets 2016: $2,824,968,6412016Assets 2017: $5,192,782,915Liabilities 2017: $2,032,064,049Net Assets 2017: $3,160,718,8662017Assets 2018: $5,106,168,565Liabilities 2018: $1,970,061,989Net Assets 2018: $3,136,106,5762018Assets 2019: $5,673,773,673Liabilities 2019: $2,158,562,158Net Assets 2019: $3,515,211,5152019Assets 2020: $6,363,970,505Liabilities 2020: $2,564,805,801Net Assets 2020: $3,799,164,7042020Assets 2021: $6,525,769,549Liabilities 2021: $2,164,318,540Net Assets 2021: $4,361,451,0092021Assets 2022: $5,633,003,402Liabilities 2022: $1,957,018,636Net Assets 2022: $3,675,984,7662022Assets 2023: $6,045,200,354Liabilities 2023: $1,963,578,113Net Assets 2023: $4,081,622,2412023Assets 2024: $6,328,976,367Liabilities 2024: $1,990,325,940Net Assets 2024: $4,338,650,4272024

Highlighted filing

2016

Assets$4,890,699,250
Liabilities$2,065,730,609
Net Assets$2,824,968,641

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$4.0B$2.0B$0-$2.0BExpenses 2010: $2,130,783,5292010Expenses 2011: $2,214,236,9842011Expenses 2012: $2,488,468,7002012Revenue 2013: $2,588,582,375Expenses 2013: $2,495,910,192Net Income 2013: $92,672,1832013Revenue 2014: $2,661,242,580Expenses 2014: $2,387,120,219Net Income 2014: $274,122,3612014Revenue 2015: $2,731,100,296Expenses 2015: $2,480,390,461Net Income 2015: $250,709,8352015Revenue 2016: $2,877,065,236Expenses 2016: $2,685,141,515Net Income 2016: $191,923,7212016Revenue 2017: $2,943,293,410Expenses 2017: $2,794,130,239Net Income 2017: $149,163,1712017Revenue 2018: $3,146,076,412Expenses 2018: $2,889,242,913Net Income 2018: $256,833,4992018Revenue 2019: $3,235,490,037Expenses 2019: $3,043,369,293Net Income 2019: $192,120,7442019Revenue 2020: $3,159,108,097Expenses 2020: $3,062,728,050Net Income 2020: $96,380,0472020Revenue 2021: $3,598,454,885Expenses 2021: $3,313,588,700Net Income 2021: $284,866,1852021Revenue 2022: $3,290,069,821Expenses 2022: $3,509,722,749Net Income 2022: -$219,652,9282022Revenue 2023: $3,539,325,705Expenses 2023: $3,604,922,998Net Income 2023: -$65,597,2932023Revenue 2024: $3,781,825,597Expenses 2024: $3,736,532,588Net Income 2024: $45,293,0092024

Highlighted filing

2016

Revenue$2,877,065,236
Expenses$2,685,141,515
Net Income$191,923,721
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 11, 2017
Return Version
2016v3.1
Gross Receipts
$2,884,818,810
Mission and Program Overview

Mission

The purposes for which franciscan alliance, inc. ("franciscan") 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. The revenues of franciscan 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 step towards who

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$2,090,214,130$2,400,539,393▲ $310,325,263
Land, Buildings, and Equipment, Net$1,557,107,557$1,624,070,449▲ $66,962,892
Accounts Receivable$324,490,562$352,994,534▲ $28,503,972
Investments Other Securities$135,809,150$147,179,240▲ $11,370,090
Savings and Temporary Cash Investments$71,705,697$83,933,459▲ $12,227,762
Inventories for Sale or Use$42,265,292$46,011,144▲ $3,745,852
Other Notes and Loans Receivable, Net$19,096,404$20,112,788▲ $1,016,384
Intangible Assets$20,952,631$18,359,129▼ $2,593,502
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$4,441,514,992$4,890,699,250▲ $449,184,258
Other Assets Total$179,873,569$197,499,114▲ $17,625,545
Liabilities
Tax Exempt Bond Liabilities$1,044,051,138$1,226,260,327▲ $182,209,189
Other Liabilities$676,270,729$624,608,694▼ $51,662,035
Accounts Payable and Accrued Expenses$185,516,342$214,713,212▲ $29,196,870
Unsecured Notes Loans Payable$1,152,462$148,376▼ $1,004,086
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$1,906,990,671$2,065,730,609▲ $158,739,938
Net Assets / Fund Balance
Unrestricted Net Assets$2,522,330,316$2,812,907,182▲ $290,576,866
Permanently Rstr Net Assets$8,051,417$8,127,360▲ $75,943
Temporarily Rstr Net Assets$4,142,588$3,934,099▼ $208,489
Total Net Assets Fund Balance$2,534,524,321$2,824,968,641▲ $290,444,320
Total Liabilities and Net Assets / Fund Balance$4,441,514,992$4,890,699,250▲ $449,184,258

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$928,342,372$725,634,742$1,653,977,114
Buildings$424,994,555$708,188,684$1,133,183,239
Land$146,919,313-$146,919,313
Other Land Buildings$104,483,546$0$104,483,546
Leasehold Improvements$19,330,663$18,602,688$37,933,351

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$8,051,417$15,000▲ $90,000$29,057$8,127,360
2015$8,262,909$10,000▼ $193,000$28,492$8,051,417
2014$13,300,275$15,000▲ $182,000$104,051$13,393,224
2013$6,065,614-▲ $317,000$-6,917,661$13,300,275
2012$9,226,856$15,000▼ $34,000$3,142,242$6,065,614
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kevin D LeahyPresident and TrusteeFT$1,773,741$881,525$2,655,266
Sammi M DaliPhysicianFT$1,350,229$100,587$1,450,816
Nadeem Ikhlaque MdPhysicianFT$1,348,927$58,025$1,406,952
Daniel G Spomar MdPhysicianFT$1,310,649$91,718$1,402,367
Terrance E WilsonPresident/CEO - LafayetteFT$799,442$557,166$1,356,608
Rowland O Mbaoma MdPhysicianFT$1,210,481$55,701$1,266,182
Eugene C DiamondSr VP/COO Inpatient ServicesFT$983,949$231,969$1,215,918
Robert J BrodySr VP/COO Ambulatory ServicesFT$980,949$234,965$1,215,914
Arnold KimmelPresident/CEO - Olympia FieldsFT$526,250$590,637$1,116,887
Jennifer P MarionSenior VP Finance, CFOFT$867,620$213,292$1,080,912
Thomas GryzbekSr VP of Post Acute Srvcs DivFT$574,150$217,312$791,462
Jairo Cruz MdPhysician (unpaid Trustee)FT$231,669$34,469$266,138

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Leidos Health LLCContract It SupportPO BOX 223866, Pittsburgh, PA 15251-2866$8,651,280
Emcare INCPhysician Fees7032 COLLECTIONS CENTER DRIVE, Chicago, IL 60693$7,871,399
Mett TherapyTherapy Services801 S BRIGGS STREET SECOND FLOOR, Joliet, IL 60433$7,466,127
Northstar Anesthesia Of Indiana LlAnesthesia ServicesPO BOX 612364, Dallas, TX 75261-2364$6,256,536
Northstar Anesthesia Of Illinois LAnesthesia Services6225 NORTH STATE HWY 161, Irving, TX 75038$5,246,606
Revenue and Support

Revenue Composition

Contributions and Grants
$4,744,243
Program Service Revenue
$2,769,868,253
Investment Income
$96,377,888
Other Revenue
$6,074,852
All Other Contributions
$469,005
Change in Net Assets
$191,923,721

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,883,061,166
Revenue Not Reported on Financial Statements
$-5,995,930
Revenue Not Reported on Form 990
$96,419,325
Other Revenue Adjustments
$-5,995,930
Total Revenue per Audited Statements
$2,979,480,491
Total Revenue per Form 990
$2,877,065,236
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,400,916,552
Salaries, Compensation, and Employee Benefits$1,284,224,963
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$863,765,227$150,947,051-$1,014,712,278
All Other Expenses$109,464,903$83,466,309-$192,931,212
Depreciation Depletion$112,405,836$15,267,563-$127,673,399
Other Employee Benefits$94,606,786$31,263,026-$125,869,812
Information Technology$112,783,121--$112,783,121
Payroll Taxes$58,578,438$10,773,722-$69,352,160
Fees for Services Other$58,737,915$7,527,912-$66,265,827
Pension Plan Contributions$54,489,258$4,303,653-$58,792,911
Interest$43,067,088--$43,067,088
Occupancy$29,742,232$1,638,768-$31,381,000
Insurance$25,661,883$5,595,162-$31,257,045
Advertising$3,799,739$17,501,742-$21,301,481
Current Officers, Directors, Trustees, and Key Employees$9,892,737$5,605,065-$15,497,802
Office Expenses$9,704,769$2,708,318-$12,413,087
Fees for Services Management$10,373,215$883,828-$11,257,043
Travel$1,415,901$1,209,239-$2,625,140
Fees for Services Legal$6,244$2,002,336-$2,008,580
Fees for Services Accounting$-305,995$1,771,208-$1,465,213
Conferences and Meetings$618,404$481,160-$1,099,564
Fees for Services Lobbying$5,422$534,937-$540,359
Other Expenses$0$28,795-$28,795
Total Functional Expenses$2,286,023,574$399,117,941$0$2,685,141,515

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$2,691,137,445
Expenses per Audited Statements$2,685,141,515
Total Expenses per Form 990$2,685,141,515
Expenses Not Reported on Form 990$5,995,930
International Activity

International Summary

Spending
$33,773,182

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments---$20,650,996
Europe (Including Iceland and Greenland)Investments---$10,029,280
North AmericaInvestments---$3,092,906
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Pension Liability$270,444,165
Other Short & Long Term Liability$123,064,084
Accrued Payroll$108,913,715
Swap Valuation$73,389,846
Due to Third Party Payors$23,626,688
ACCRUED PROF & GEN'L LIABILITY$16,539,057
Accrued Interest Payable$8,631,139

Bond Issues

BondIssuerIssuedIssue PricePurpose
CIndiana Finance Authority (16ab)2016-02-04$295,426,956Refunding and new projects
AIndiana Finance Authority (08c)2008-09-15$291,837,375Refund prior issue dated 5/2/06
BIndiana Finance Authority (08fg)2008-10-10$279,345,000Refund prior issue dated 11/20/03
DIndiana Finance Authority (16cde)2016-10-19$223,085,000REFUNDING PRIOR ISSUE
DIndiana Finance Authority (09a)2009-11-05$221,309,385Refunding and new projects
AIndiana Finance Authority (12ab)2012-04-25$82,620,000Refund prior issues dated '01&'08
CIndiana Finance Authority (o8ij)2008-11-20$81,850,000Refund prior issue dated 5/16/06
BIndiana Finance Authority (14a)2014-06-02$50,000,000Refund prior issues dated '08

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$290,462,634$288,956,849$49,357,375$1,505,785
B$278,919,324$153,542,325$188,895,000$503,876
D$219,392,897$0$13,779,385$792,500
A$82,620,000$82,620,000$9,670,000$0
C$81,693,875$80,573,075$6,625,000$1,120,800
B$50,000,000$50,000,000$0$0
C$0$0$0$2,444,202
D$0$0$0$0

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
Yes
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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. 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 (A) FOR 2016, due to a restructuring of leadership positions, certain individuals previously reported as key employees no longer meet the definition of a key employee for purposes of the Form 990. Since the individuals are still employees of Franciscan Alliance, per the Form 990 instructions, they are required to be reported as former individuals. FORM 990, PART VII, SECTION A, COLUMN (F) Deferred compensation reported in this column includes split-dollar life insurance 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.

Filing and Contact Details

Filer

Filer Name
Franciscan Alliance Inc
EIN
35-1330472
In Care Of
% MARGUERITE EICHELBERGER
Phone
5742563935
Address
1515 DRAGOON TRAIL, MISHAWAKA, IN 46544-4710

Signing Officer

Name
Kevin D Leahy
Title
President/trustee
Phone
5742563935
Signed
2017-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kevin D Leahy
Formed
1974
Legal Domicile
In
Voting Board Members
17
Independent Board Members
15
Employees
20,232
Volunteers
1,705

Preparer

Firm
PricewaterhouseCoopers LLP
Address
2001 MARKET ST SUITE 1800, PHILADELPHIA, PA 19103
Preparer
Eric M Mcneil
Phone
2673303000
Supplemental Narrative

Additional Explanations

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 WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH WHICH REFLECTS OUR MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION." FORM 990, PART V, LINE 4B ADDITIONAL FOREIGN COUNTRIES (CONTINUATION OF ATTACHMENT 3) - INDONESIA, REPUBLIC OF KOREA (SOUTH KOREA), MALAYSIA, PHILIPPINES, POLAND, THAILAND, TURKEY. 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 XI, Line 9

Equity in earnings of affiliates 24,133,219 minority interest in affiliates (2,583,860) equity transfers to/from affiliates (4,408,982) unrealized loss on swap contracts (2,281,952) unrealized gain - hills 6,706,159 change in noncontrolling interest in subs 2,583,860 change in temp restricted net assets (208,489) change in perm restricted net assets 75,943 other changes in net assets 25,271,296 ------------- total other changes in net assets 49,287,194

Financial Statement Notes

Schedule D, 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.

Schedule D, Part XI, Line 2D

Equity in earnings of affiliates $ 24,133,219 minority interest in affiliates (2,583,860) equity transfers to/from affiliates (4,408,982) unrealized loss on swap contracts (2,281,952) unrealized gain on hills 6,706,159 other changes in net assets 25,621,336 ------------- total revenue/expense on books not on return 47,185,920

Schedule D, Part XI, Line 4B

Rent expense $ (5,995,930) ----------- total expense on return not on books (5,995,930) schedule d, part xii, line 2d rent expense $ 5,995,930 ----------- total expense on return not on books 5,995,930

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IRS990/Desc0FOR OVER 140 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 DIRECTLY OR INDIRECTLY OPERATES FOURTEEN 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 ARE FURTHER DESCRIBED BELOW. IN 2016, FRANCISCAN SERVED OVER 2.9 MILLION PERSONS AND PROVIDED OVER $572 MILLION IN CHARITY CARE AND OTHER COMMUNITY BENEFITS. FRANCISCAN PROVIDES SIGNIFICANT BENEFITS THAT REFLECT THE ORGANIZATION'S COMMITMENT TO HEALTHCARE AND THE COMMUNITIES IT IS PRIVILEGED TO SERVE. IN 2016, FRANCISCAN PROVIDED COMMUNITY BENEFITS WHICH INCLUDED: CHARITY CARE $ 85,080,757 COMMUNITY HEALTH IMPROVEMENT SERVICES $ 5,173,345 HEALTH PROFESSIONS EDUCATION $ 14,485,376 CASH AND IN-KIND CONTRIBUTIONS $ 2,375,719 COMMUNITY BUILDING ACTIVITIES $ 1,698,181 COMMUNITY BENEFIT OPERATIONS $ 333,635 RESEARCH $ 1,553,389 SUBSIDIZED HEALTH SERVICES $ 449,257,803 BAD DEBT $ 12,163,645 _______________ TOTAL $ 572,121,850 WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH REFLECTS FRANCISCAN'S MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION." 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 HEART FAILURE CLINIC, WOUND HEALING AND PREVENTION, NUTRITIONAL COUNSELING, DIABETES MANAGEMENT, BARIATRIC SERVICES, PAIN MANAGEMENT, SOCIAL SERVICES, PALLIATIVE CARE, SPORTS MEDICINE, BEHAVIORAL HEALTH, ST
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt260
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt270
IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE, VICE CHAIR & COOFHMU
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt2TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt3TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt4TRUSTEE AND VP OF MISSION
IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt7TRUSTEE AND VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt8CHAIRPERSON AND TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt9TREASURER AND TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt10PRESIDENT AND TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt11TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt12PHYSICIAN (UNPAID TRUSTEE)
IRS990/Form990PartVIISectionAGrp/TitleTxt13TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt14TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt15TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt16TRUSTEE AND VP OF ADMIN SRVCS
IRS990/Form990PartVIISectionAGrp/TitleTxt17SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt18SR VP/COO INPATIENT SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt19SR VP/COO AMBULATORY SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt20SENIOR VP FINANCE, CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt21SR VP OF POST ACUTE SRVCS DIV
IRS990/Form990PartVIISectionAGrp/TitleTxt22PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt23PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt24PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt25PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt26PRESIDENT/CEO - OLYMPIA FIELDS
IRS990/Form990PartVIISectionAGrp/TitleTxt27PRESIDENT/CEO - LAFAYETTE
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$6,329$1,990$4,339$3,782$3,737$45.3
2023Detailed filing. Detailed filing data is available for this year.$6,045$1,964$4,082$3,539$3,605$65.6
2022Detailed filing. Detailed filing data is available for this year.$5,633$1,957$3,676$3,290$3,510$220
2021Detailed filing. Detailed filing data is available for this year.$6,526$2,164$4,361$3,598$3,314$285
2020Detailed filing. Detailed filing data is available for this year.$6,364$2,565$3,799$3,159$3,063$96.4
2019Detailed filing. Detailed filing data is available for this year.$5,674$2,159$3,515$3,235$3,043$192
2018Detailed filing. Detailed filing data is available for this year.$5,106$1,970$3,136$3,146$2,889$257
2017Detailed filing. Detailed filing data is available for this year.$5,193$2,032$3,161$2,943$2,794$149
2016Detailed filing. Detailed filing data is available for this year.$4,891$2,066$2,825$2,877$2,685$192
2015Detailed filing. Detailed filing data is available for this year.$4,442$1,907$2,535$2,731$2,480$251
2014Detailed filing. Detailed filing data is available for this year.$4,412$1,968$2,443$2,661$2,387$274
2013Detailed filing. Detailed filing data is available for this year.$4,160$1,659$2,501$2,589$2,496$92.7
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$4,009$2,093$1,916$2,488
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,794$1,956$1,838$2,214
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,688$1,822$1,866$2,131