Franciscan Alliance Inc

“The information to prepare the form 990 of franciscan alliance, inc. ("franciscan") is gathered by finance and community benefit 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 and board finance committee prior to filing.”

“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 vi, section c, line 19 franciscan alliance, inc.'s articles of incorporation are available on the indiana secretary of state website. The bylaws and conflicts of interest policy are available upon written request. The audited financial statements are available on the electronic municipal market access (emma) website.”

“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."”

“For 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 12 hospital campuses (one in illinois and 11 in indiana) along with numerous physician clinics and ancillary services centers and offers numerous community health improvement programs that are further described below. In 2020, franciscan served over 2.3 million persons and provided over $730 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 2020, franciscan provided community benefits which included: unreimbursed costs of medicaid and other indigent care programs $145,832,000 cost of charity care provided $114,412,000 other benefits for the poor and underserved $ 2,843,000 subsidized health services $ 51,100,000 health professions education $ 12,409,000 community health improvement services $ 8,477,000 financial and in-kind contributions $ 350,000 research $ 1,508,000 community building activities $ 56,000 community benefit operations $ 29,000 unreimbursed costs of medicare $393,394,000 _______________ total $730,410,000 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. In response to the covid-19 pandemic, franciscan alliance and its affiliates expended considerable resources to treat the influx of patients with, or who were presumed to have, covid-19 ("covid-19 patients") and to protect patients and employees from the virus. The following is a subset of the community benefit type measures the corporation took to respond to the covid-19 pandemic with the vast majority of the costs not covered or not reimbursed by federal or state government grants or supplemental aid programs. With the onset of the covid-19 pandemic, and for many months thereafter, franciscan alliance quickly faced an immediate, large scale human resource and personal protective supply need that did not previously exist. Hundreds of employee positions were immediately required for franciscan to treat covid-19 patients, to prevent the further spread of covid-19, and to create personal protective equipment and sanitizer that was not available in the market. In the early onset of covid-19, franciscan alliance quickly made a sizable investment in virtual and telehealth capabilities such as developing its hospital at home program and covid-19 care at home monitoring discharge kits. The corporation quickly expanded its online virtual physician and provider visit capabilities as chronic healthcare conditions needed to be managed. The corporation also developed an online covid-19 information and resources website channel which includes an online covid-19 patient assessment program to identify the need and location of further testing or care as well as online videos prepared by franciscan's healthcare providers describing covid-19 signs/symptoms, prevention measures, tools for children to get used to mask wearing, home treat”

“- franciscan's diabetes education centers offer a number of diabetes classes and individualized sessions to help patients take control of their health with a focus on nutritional, exercise, medications, chronic conditions, preconception and pregnancy, blood glucose monitoring, goal setting, problem solving, psychosocial adjustment, detection/treatment of high and low blood sugar, and insulin administration. - franciscan's women's and children's services include preventive medical care and health screenings to gynecological care, maternity, lactation consultation services, and beyond with a focus on keeping women healthy. - franciscan's hospice care services provide a sense of dignity and compassion to both the patient and their family in caring for patients with a life expectancy of six months or less. Our programs affirm and celebrate life and regard dying as a natural process, recognizing that every person has the right to die with dignity, peace, and comfort regardless of their ethnicity, faith background, or ability to pay. - level iii nicu - ambulance service - physician services - inpatient psychiatric units - health and wellness centers and healthy living education centers - clinical care coordinators to support franciscan's various accountable care organizations which are designed to improve quality and reduce cost. - franciscan senior health & wellness is a complete health care solution for seniors who want to remain at home. Our program enables seniors to live as independently as possible by providing truly all-inclusive services. Franciscan senior health & wellness is a program of all-inclusive care for the elderly (pace), a community-based healthcare program created for people 55 or older who are eligible for nursing-home level care but prefer to receive their care in their own familiar surroundings. The franciscan senior health & wellness - pace program delivers all the services needed to keep people healthy, safe and comfortable in the place they call home. Covered benefits include: - primary medical and nursing care - occupational, physical, and speech therapy - medications and durable medical equipment - laboratory and diagnostic services - all necessary prescription drugs - skilled home care and personal care aides - hospitalization and skilled nursing facility care - care from medical specialists in cardiology, nephrology, ophthalmology, dermatology, orthopedics, surgery, podiatry and more - medically necessary transportation our broad range of service providers, including doctors, nurses, pharmacists, therapists and personal care aides are readily accessible. Through these medical services, we can manage the care of an aging loved one, and help avoid the illnesses and hospitalizations that seniors often face. In addition to addressing each participant's unique medical needs, franciscan senior health & wellness also helps with the social, emotional, and practical challenges that older adults often face. Through interactions with peers, stimulative activities and other supportive services, participants will enjoy a better quality of life. - matclinics is dedicated to helping people recover from addiction to opioids through access to medication assisted treatment (mat). Opioids include prescription pain medications such as codeine, percocet, vicodin, oxycontin, hydrocodone and demerol, as well as illicit street opioids like heroin and fentanyl. Medication assisted treatment combines prescription medications such as naltrexone (i.e. Vivitrol) and buprenorphine (i.e. Suboxone, sublocade, etc) and other buprenorphine based medications with behavioral therapy to treat opioid addiction. Matclinics help patients overcome the physical, emotional and social barriers associated with recovery. - behavioral health services at franciscan health dyer touches all facets of emotional, mental health, behavioral health and chemical dependency problems. We offer treatments in psychiatric disorders, substance abuse and addiction,”

“- community outreach and education programs including: health fairs, free health screenings, free immunizations, free breast health screening services, free prostrate screenings, free skin cancer screenings, free cervical cancer screenings, free glucose screenings, free cholesterol screenings, free bone density screenings, free lung screenings, free spa services for cancer patients, online health condition assessment tools, colorectal screenings, cancer prevention activities, cancer survivor programs and retreats, cancer & heart care clinical symposiums, health care decision-making sessions, senior health education, diabetes management education activities, pain management seminars and activities, cardiac risk factors educational sessions and online tools, hospice and palliative care counseling and education services, alzheimer support services, behavioral health community education, smoking cessation programs, mobile dental clinics, basic life-saving skills programs, children's health needs activities, childhood obesity activities, weight loss education, organ and tissue donation fairs, volunteer advocates for seniors, parenting programs, residential support program for pregnant girls, prenatal 'baby showers', athletic training for schools and various marathons, orthopedic road shows, flu vaccinations, covid vaccinations, child seat safety programs, bereavement support groups, community education lectures, indigent prescription programs, sex can wait programs, caregivers education symposiums, health career days, arthritis exercise group, babysitting course, prepared childbirth programs, food share programs, nutritional counseling for grade schools and seniors, senior promise program, enhance fitness programs, medication take back programs, fall prevention programs, suicide prevention training, walk with a doc program, infant safe sleep programs, community paramedicine program, asthma school education program, adolescents coping with depression programs, pet therapy program, etc. - social services including: pastoral care, eucharistic ministry program, no one dies alone programs, grievance support programs for children, language interpreter services, deaf interpreter services, transportation for the indigent, enrollment assistance in medicaid and health insurance exchanges, christian legal clinic, transportation service for indigent patients, etc. - medical education including: physician residency programs, family medicine residency program, emergency room physician residency program, pharmacy residency program, medical student training program, st. Elizabeth school of nursing program, advance nursing continuing education, nursing clinical rotations, phlebotomy training program, respiratory therapy training, rehabilative training, medical assistance training, medical technology training programs, high school career days, school of echocardiography, surgical technician externships, social worker internships, home health student training, intern & resident training for midwestern university, operating room technology training, etc. - research programs including: cancer genome project, cardiac research, hla-vascular biology research, clinical trials, plaque formation studies, heart failure and lipd trials, use of drug eluting stents studies, project grace program, opioid treatment programs, etc. Again, please visit www.franciscanhealth.org/community health for further details. Franciscan continues to provide access to health care services and a wide variety of community education/health and wellness programs. All of our facilities reach out to their communities by providing access to free, public web sites and online resources. Each web site provides the latest medical information to visitors, in a bi-lingual format, through the use of interactive a to z health libraries. There are online centers that focus on information related to medical conditions in specialty areas such as the heart, bones, kidneys and nerves. They further o”

“Additional foreign countries (continuation of attachment 3) - european union, finland, france, germany, hong kong, hungary, india, indonesia, israel, italy, japan, republic of korea (south), malaysia, mexico, multi-national companies region, netherlands, new zealand, norway, philippines, poland, portugal, singapore, south africa, spain, sweden, switzerland, thailand, taiwan, turkey, uniked kingdom. Additional foreign countries (continuation of attachment 3) - european union, finland, france, germany, hong kong, hungary, india, indonesia, israel, italy, japan, republic of korea (south), malaysia, mexico, multi-national companies region, netherlands, new zealand, norway, philippines, poland, portugal, singapore, south africa, spain, sweden, switzerland, thailand, taiwan, turkey, uniked kingdom. Companies region, netherlands, new zealand, norway, philippines, poland, portugal, singapore, south africa, spain, sweden, switzerland, thailand, taiwan, turkey, uniked kingdom. Spain, sweden, spain, sweden, switzerland, thailand, taiwan, turkey, uniked kingdom. Form 990, part vi, section a, line 7a the entire board of trustees shall consist of no more than twenty (20), and no fewer than nine (9), seven (7) of whom 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 appointed by the provincial leadership;(b) the member of the corporation serving as treasurer of the province who may also be one of the provincial leadership representatives as described in (a); (c) the member of the corporation serving as sponsor liaison for healthcare of the province who may also be one of the provincial leadership representatives as described in (a); (d) the president/chief executive officer of the corporation; and (e) the trustees elected by the members to fill the remaining positions. Form 990, part vi, section a, line 7b no action on the part of the board of trustees in respect of any of the following matters shall be effective unless the action has been approved by a majority of the members; namely: (a) corporate mission and philosophy; (b) appointment or removal of the chairperson, president, secretary, or treasurer of the corporation; (c) alienation of property as defined in canon law; or (d) encumbrance of debt as defined by canon law.”

“Equity in earnings of affiliates 27,820,440 other components of net periodic pension cost 6,004,916 minority interest in affiliates (3,285,147) other comprehensive income (42,198,652) dividends received from affiliates 1,239,407 equity transfer (to)/from affiliates 3,622,662 changes in net unrealized gains/losses - hills 9,785,647 changes in net unrealized gains/losses - swap (23,935,962) change in noncontrolling interest in subs 15,831,039 change donor restricted net assets (2,041,381) contributions of ppe 4,823,574 other changes in net assets (9,272,735) ------------ total other chagnes in net assets (11,606,202)”