Civic Intelligence

Franciscan Aco Inc

EIN 35-1904455 • 501(c)3 • Indianapolis, IN

Profile

Franciscan aco, inc., provides coordinated, comprehensive care across hospitals, physician practices and other healthcare providers to enhance the healthcare experience of patients under our care. Since 2011, franciscan aco, inc., (formerly franciscan alliance aco) has developed innovative care models. Currently participating in the medicare shared savings program (mssp), franciscan aco, inc. Has expanded to also include accountable care organization partnerships with medicare advantage and commercially insured patient populations. Within each of these programs attributed patients, known as beneficiaries, receive the added benefit of a more coordinated care experience. This includes coordination of preventive health services and care coordination support for persons with chronic health conditions, such as diabetes and congestive heart failure. Care coordination services are provided through the aco. Better yet, beneficiaries maintain the ability to see any doctor or healthcare provider

700 E Southport RoadIndianapolis, IN 46227

www.franciscanhealth.org/ABOUT-US/ACO

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

58th percentile

0.33x

Higher debt load relative to assets than 58% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

18th percentile

0.09x

Higher debt load relative to revenue than 18% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

59th percentile

7.9%

Higher net margin than 59% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

64th percentile

10%

Faster asset growth than 64% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2024

Revenue Growth

79th percentile

26%

Faster revenue growth than 79% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2022 to 2024

Assets

Up

$23,345,177

Up $7,497,465 (+47%) from 2023

Liabilities

Up

$7,763,629

Up $486,125 (+6.7%) from 2023

Net Assets

Up

$15,581,548

Up $7,011,340 (+82%) from 2023

Revenue

Up

$89,035,428

Up $4,163,071 (+4.9%) from 2023

Expenses

Down

$82,024,088

Down $5,708,554 (-6.5%) from 2023

Net Income

Up

$7,011,340

Up $9,871,625 (+345%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$30M$20M$10M$0-$10MAssets 2018: $31,717,034Liabilities 2018: $13,598,562Net Assets 2018: $18,118,4722018Assets 2019: $24,867,812Liabilities 2019: $28,454,160Net Assets 2019: -$3,586,3482019Assets 2020: $16,581,431Liabilities 2020: $17,854,932Net Assets 2020: -$1,273,5012020Assets 2021: $21,108,716Liabilities 2021: $22,343,715Net Assets 2021: -$1,234,9992021Assets 2022: $19,218,258Liabilities 2022: $7,787,765Net Assets 2022: $11,430,4932022Assets 2023: $15,847,712Liabilities 2023: $7,277,504Net Assets 2023: $8,570,2082023Assets 2024: $23,345,177Liabilities 2024: $7,763,629Net Assets 2024: $15,581,5482024

Highlighted filing

2024

Assets$23,345,177
Liabilities$7,763,629
Net Assets$15,581,548

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50MRevenue 2018: $28,328,995Expenses 2018: $29,267,265Net Income 2018: -$938,2702018Revenue 2019: $37,183,202Expenses 2019: $37,808,923Net Income 2019: -$625,7212019Revenue 2020: $43,232,466Expenses 2020: $40,918,872Net Income 2020: $2,313,5942020Revenue 2021: $61,139,820Expenses 2021: $61,221,254Net Income 2021: -$81,4342021Revenue 2022: $55,973,643Expenses 2022: $43,308,151Net Income 2022: $12,665,4922022Revenue 2023: $84,872,357Expenses 2023: $87,732,642Net Income 2023: -$2,860,2852023Revenue 2024: $89,035,428Expenses 2024: $82,024,088Net Income 2024: $7,011,3402024

Highlighted filing

2024

Revenue$89,035,428
Expenses$82,024,088
Net Income$7,011,340

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.2
Gross Receipts
$89,035,428
Mission and Program Overview

Mission

Franciscan aco, inc., provides coordinated, comprehensive care across hospitals, physician practices and other healthcare providers to enhance the healthcare experience of patients under our care. Since 2011, franciscan aco, inc., (formerly franciscan alliance aco) has developed innovative care models. Currently participating in the medicare shared savings program (mssp), franciscan aco, inc. Has expanded to also include accountable care organization partnerships with medicare advantage and commercially insured patient populations. Within each of these programs attributed patients, known as beneficiaries, receive the added benefit of a more coordinated care experience. This includes coordination of preventive health services and care coordination support for persons with chronic health conditions, such as diabetes and congestive heart failure. Care coordination services are provided through the aco. Better yet, beneficiaries maintain the ability to see any doctor or healthcare provider

See schedule o, attachment 1

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$18,923,821$25,191,437▲ $6,267,616
Land, Buildings, and Equipment, Net$4,003,337$2,730,681▼ $1,272,656
Prepaid Expenses and Deferred Charges$330,995$301,397▼ $29,598
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$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 Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Savings and Temporary Cash Investments$-9,193,521$-6,137,473▲ $3,056,048
Total Assets$15,847,712$23,345,177▲ $7,497,465
Other Assets Total$1,783,080$1,259,135▼ $523,945
Liabilities
Accounts Payable and Accrued Expenses$5,393,268$6,425,004▲ $1,031,736
Other Liabilities$1,884,236$1,338,625▼ $545,611
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$7,277,504$7,763,629▲ $486,125
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$8,570,208$15,581,548▲ $7,011,340
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$8,570,208$15,581,548▲ $7,011,340
Total Liabilities and Net Assets / Fund Balance$15,847,712$23,345,177▲ $7,497,465

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,750,928$126,513$1,877,441
Equipment$950,750$526,363$1,477,113
Leasehold Improvements-$413,138$413,138
Other Land Buildings$29,003$29,711$58,714
Other Assets Org$1,259,135--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Sister M Aline ShultzChairperson & Director
Kevin D LeahyPresident and Director
Allan Gillespie MdDirector
Ernest IannottaDirector
Sister M Madonna RougeauDirector
Thomas GryzbekDirector
Cynthia EvansDirector, Pace
Michael SmithDirector, Pace
Sister Lethia Marie LeveilleSecretary and Director
Sister M Ann Kathleen MagieraTreasurer and Director

Highest Paid Contractors

ContractorServicesLocationCompensation
Trhc Tpa LLC Dba Pharmastar LLCPharmacy Benefit Mgr228 STRAWBRIDGE DRIVE, Moorestown, NJ 08057$209,286
Revenue and Support

Revenue Composition

Contributions and Grants
$488,328
Program Service Revenue
$77,355,627
Investment Income
$0
Other Revenue
$11,191,473
All Other Contributions
$0
Change in Net Assets
$7,011,340
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$82,024,088
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
All Other Expenses$31,949,876--$31,949,876
Other Expenses$6,292,672--$6,292,672
Occupancy$1,126,065--$1,126,065
Depreciation Depletion$342,372--$342,372
Travel$153,504--$153,504
Insurance$130,757--$130,757
Office Expenses$106,001--$106,001
Advertising$47,971--$47,971
Conferences and Meetings$9,211--$9,211
Interest$874--$874
Total Functional Expenses$82,024,088$0$0$82,024,088
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
No
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
Operating Lease Liabilities Lt$936,805
Operating Lease Liabilities Cp$372,667
Long Term Lease Obligation$16,601
Current Portion of Lt Debt Fin$12,552
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 35% controlled entity
No
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
No
Other officer compensation reviewed
No
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 6

The organization's sole member is franciscan alliance, inc.

Form 990, Part VI, Section A, Line 7A

Those individuals who are elected or appointed as members of the executive committee of the board of trustees of franciscan alliance, inc. Shall, by virtue of such election or appointment, be members of the board of directors of franciscan aco, inc.

Form 990, Part VI, Section A, Line 7B

Certain powers have been reserved to the members. These powers include: (a) approving annual operating and capital budgets; (b) approving a nonbudgeted capital expenditure in excess of $500,000. (c) approving debt incurred which matures more than one year after its original issuance; (d) approving the disposition of any asset having an accounting book value in excess of $500,000; (e) approving the long-range financial and strategic plan; (f) approving and amending the by-laws or articles of incorporation; (g) approving any major capital improvement project having a value in excess of $500,000; (h) approving, interpreting and changing any statement of mission, philosophy, role and purpose; (i) approving the merger, dissolution, consolidation or reorganization of the corporation; (j) approving the acquisition, sale, lease, transfer or other alienation of property of the corporation, other than in the usual and regular course of business, when such acquisition, sale, lease, transfer or other alienation is above the specified financial levels set in accordance with policies established from time to time by the member; and (k) taking any action, which would be inconsistent with the governing documents or policies of franciscan alliance, inc.

Form 990, Part VI, Section B, Line 11B

The information to prepare the form 990 of franciscan aco, 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 aco'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 committee with board designated powers which affirms that they have received, read, and understand the conflict of intersest 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 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 aco, inc. Does not compensate any of its officers.

Filing and Contact Details

Filer

Filer Name
Franciscan Aco Inc
EIN
35-1904455
In Care Of
% LISA ANDERSON
Phone
3177826875
Address
700 E SOUTHPORT ROAD, INDIANAPOLIS, IN 46227

Signing Officer

Name
Sister Lethia Marie Leveille
Title
Secretary
Phone
5743476418
Signed
2025-11-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kevin D Leahy
Formed
1993
Legal Domicile
In
Voting Board Members
10
Independent Board Members
9
Employees
0
Volunteers
0

Preparer

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

Additional Explanations

Form 990, Part III, Line 1

Franciscan aco aligns physicians, practices, hospitals and payers to improve access to innovative, high quality, value driven care which strives to put the patient at the center. Building on more than a decade of success, franciscan aco continues to work to improve and transform care to support patients living longer and better lives. Towards that effort, the aco works to refine and improve areas such as education, engagement, data analytics and support to both patients and providers in key areas: . Partnering with a wide variety of providers specialties to meet patient needs, with an emphasis on primary care providers; . Collaborating on care management across a patient's experience of care, including post-acute needs, with enhanced support for high risk or medically complex patients; . Emphasizing and focusing on preventive care and wellness; . Enhancing communications to integrate care and clinical coordination between the patients care team, the hospital, the community, and the payers; . Supporting the use of evidence based best practices to reduce variabilities in care when appropriate; . Committing to and delivering improvement in measurable, standardized performance-based key health care outcomes to enhance both the patient and provider experiences of care.

Form 990 Part IX Line 24 - Other Expenses

Description:repairs and maintenance total expenses:27269 program services:27269

Form 990 Part IX Line 24 - Other Expenses

Description:other expenses total expenses:398695 program services:398695

Form 990 Part IX Line 24 - Other Expenses

Description:shared savings distribution total expenses:31523912 program services:31523912

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IRS990/Desc0FRANCISCAN ACO, INC. ("ACO", "FRANCISCAN") WAS FORMED IN 2011, AND WAS THE FIRST AND ONLY PIONEER ACO IN INDIANA AND AMONG THE FIRST IN THE COUNTRY TO PARTNER WITH MEDICARE AS AN ACO. FRANCISCAN ACO PARTICIPATES IN THE MEDICARE SHARED SAVINGS ACO PROGRAM AND NONGOVERNMENTAL VALUE BASED PROGRAMS TO MEET THE NEEDS OF PATIENTS. THE ACO SUPPORTS PATIENTS AND PROVIDERS IN BOTH INDIANA AND ILLINOIS THROUGH THE COLLABORATIVE EFFORTS OF THE FOLLOWING PARTNERS: (A) 12 TAX-EXEMPT HOSPITALS OPERATED, DIRECTLY AND INDIRECTLY, BY FRANCISCAN ALLIANCE, INC.; (B) FRANCISCAN PHYSICIAN NETWORK, A FRANCISCAN ALLIANCE, INC. EMPLOYED MULTI-SPECIALTY GROUP OF PRIMARY AND SPECIALTY-CARE PROVIDERS THROUGHOUT THE STATE OF INDIANA AND ILLINOIS; (C) SPECIALTY PHYSICIANS OF ILLINOIS, LLC, AN EMPLOYED MULTI-SPECIALTY GROUP OF SPECIALTY-CARE PROVIDERS IN ILLINOIS, SERVING FRANCISCAN HEALTH CHICAGO HEIGHTS AND FRANCISCAN HEALTH OLYMPIA FIELDS; (D) INDIANA INTERNAL MEDICINE CONSULTANTS WHICH INCLUDES ST. FRANCIS MEDICAL GROUP, LLC, PROVIDES HEALTHCARE SERVICES TO COMPLEX INTERNAL MEDICINE PATIENTS ACROSS INDIANAPOLIS IN BOTH INPATIENT AND OUTPATIENT SETTINGS; AND (E) OTHER HEALTHCARE PARTNERS INCLUDE MAJOR MULTISPECIALTY ASSOCIATES AND MAJOR HOSPITAL. CURRENTLY FRANCISCAN ACO PARTICIPATES IN THE MEDICARE SHARED SAVINGS PROGRAM (MSSP); ANTHEM MEDICARE ADVANTAGE; HUMANA MEDICARE ADVANTAGE; UNITED HEALTHCARE MEDICARE ADVANTAGE; AND AETNA MEDICARE ADVANTAGE. AS A PARTICIPANT IN CMS (CENTERS FOR MEDICARE & MEDICAID SERVICES) MSSP PROGRAM FOR 2024, FRANCISCAN ACO WAS RESPONSIBLE FOR THE COST AND QUALITY OF CARE FOR APPROXIMATELY 38,000 PATIENTS. RESULTS OF THIS PARTICIPATION SHOWED A QUALITY SCORE OF 90.7%, HIGHER THAN BOTH THE NATIONAL AND STATE AVERAGE. HIGHLIGHTS OF PERFORMANCE INCLUDE MEASURES OF SCREENING FOR FUTURE FALL RISK AND STATIN THERAPY FOR THE PREVENTION AND TREATMENT OF CARDIOVASCULAR DISEASE RESULTS BOTH BEING ABOVE 90%. 2024 PERFORMANCE RESULTED IN FRANCISCAN ACO SAVING CMS APPROXIMATELY $32.8 MILLION DOLLARS. FRANCISCAN ACO THROUGH ITS INTERACTIONS WITH PARTICIPANT PROVIDERS AND HOSPITALS, HELPS TO SUPPORT IMPROVED RATES OF WELLNESS AND PREVENTION ACTIVITIES, SUCH AS YEARLY CHECKUPS AND CANCER SCREENINGS, ALONG WITH BETTER MANAGEMENT FOR CHRONIC DISEASES, SUCH AS DIABETES AND HYPERTENSION. THE ACO WORKS WITH CARE TEAMS, PATIENTS AND FAMILIES THROUGHOUT THE CONTINUUM, WORKING TO IMPROVE CARE COORDINATION, DECREASE AVOIDABLE HOSPITAL ADMISSIONS AND READMISSIONS. THESE ACTIVITIES HELP SUPPORT THE OPPORTUNITY FOR IMPROVED OVERALL PATIENT HEALTH, BETTER QUALITY AND EXPERIENCE OF CARE AND LOWER COSTS OF CARE WHERE APPROPRIATE.
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IRS990/Form990PartVIISectionAGrp/PersonNm3SISTER LETHIA MARIE LEVEILLE
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IRS990/Form990PartVIISectionAGrp/PersonNm8MICHAEL SMITH
IRS990/Form990PartVIISectionAGrp/PersonNm9CYNTHIA EVANS
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT AND DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER AND DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY AND DIRECTOR
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IRS990/ProgSrvcAccomActy2Grp/Desc0FRANCISCAN SENIOR HEALTH & WELLNESS, A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE), IS 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. OUR PROGRAM ENABLES SENIORS TO LIVE AS INDEPENDENTLY AS POSSIBLE BY PROVIDING TRULY ALL-INCLUSIVE SERVICES. IN ADDITION TO ADDRESSING EACH PARTICIPANT'S UNIQUE MEDICAL NEEDS, WE ALSO HELP WITH THE SOCIAL, EMOTIONAL AND PRACTICAL CHALLENGES THAT OLDER ADULTS OFTEN FACE. THROUGH INTERACTIONS WITH PEERS, STIMULATING ACTIVITIES AND OTHER SUPPORTIVE SERVICES, PARTICIPANTS WILL ENJOY A BETTER QUALITY OF LIFE. FRANCISCAN SENIOR HEALTH & WELLNESS IS A MEMBER OF THE NATIONAL PACE ASSOCIATION (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY). THE PACE MODEL OF CARE IS CENTERED AROUND THE BELIEF THAT THE WELL-BEING OF SENIORS WITH CHRONIC CARE NEEDS, AND THEIR FAMILIES, ARE BETTER SERVED IN THEIR OWN COMMUNITIES WHENEVER POSSIBLE.
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