2023-11-13T08:34:23-06:00 2022-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 46240 990 2022-01-01 350868199 FRANCISCAN VNS HOME CARE INC FRAN 3177827200 1300 ALBANY STREET BEECH GROVE IN 46107 SISTER LETHIA MARIE LEVEILLE OSF SECRETARY 3177228299 2023-11-06 1 SISTER LETHIA MARIE LEVEILL 999009999 0 CASSE TATE P01271193 3175802000 2023-11-06 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KEVIN D LEAHY 1300 ALBANY STREET BEECH GROVE IN 46107 13064478 0 X WWW.FRANCISCANHEALTH.ORG X 1983 IN PROVIDER OF HEALTHCARE TO PATIENTS MEETING CRITERIA FOR HOME CARE. 6 4 208 6 0 0 222299 530387 12678583 11949882 0 571407 0 0 12900882 13051676 0 0 0 0 15172175 14472899 0 0 0 3508711 3438280 18680886 17911179 -5780004 -4859503 9258157 9646744 7166978 11860499 2091179 -2213755 X TO PROVIDE MEDICAL RELATED SERVICES TO HOMEBOUND PATIENTS IN MARION COUNTY, INDIANA AND SURROUNDING COUNTIES THROUGH A STAFF OF SKILLED NURSES, HOME HEALTH AIDES, THERAPISTS AND CONTRACTED PROFESSIONALS. 0 0 12982414 11949882 THE HOMECARE PROGRAM PROVIDES MEDICAL RELATED SERVICES TO HOMEBOUND PATIENTS IN MARION COUNTY, INDIANA AND SURROUNDING COUNTIES THROUGH A STAFF OF SKILLED NURSES, HOME HEALTH AIDES, THERAPISTS AND CONTRACTED PROFESSIONALS. 5,543 PATIENTS SERVED BY HOME HEALTHCARE AND 3,008 PATIENTS SERVED UNDER SPECIAL PROGRAMS. VNS HAS SEVERAL OTHER PROGRAMS RELATED TO THE ORGANIZATIONS MISSION OF PROVIDING HOME HEALTH SERVICE TO CERTAIN PATIENTS MEETING CERTAIN CRITERIA AT NO CHARGE OR AT AMOUNTS LESS THAN THE ESTABLISHED RATE. 12982414 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 208 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IN X AGNES THERADY 3177827244 1300 ALBANY STREET BEECH GROVE IN 46107 KEVIN D LEAHY PRESIDENT & CEO - FRANCISC 1.00 40.00 X 0 2085355 -100816 SISTER JANE MARIE KLEIN OSF CHAIRPERSON 1.00 X X 0 0 0 SISTER LETHIA MARIE LEVEILLE OSF SECRETARY 1.00 X X 0 0 0 SISTER M ANN KATHLEEN MAGIERA OSF TREASURER 1.00 X X 0 0 0 SISTER M MADONNA ROUGEAU OSF DIRECTOR 1.00 X 0 0 0 AGNES THERADY DIRECTOR 1.00 40.00 X 0 473178 33221 JUNE ERROL G PASADILLA HOME HEALTH PHYSICAL THERA 40.00 X 168439 0 31990 JABAKAR SANTHOSAM HOME HEALTH PHYSICAL THERA 40.00 X 120692 0 51210 JOHN M EAST HOME HEALTH PHYSICAL THERA 40.00 X 148968 0 34039 NOEL S DALMAN HOME HEALTH PHYSICAL THERA 40.00 X 140649 0 32286 HITESH KUMAR JAIN HOME HEALTH PHYSICAL THERA 40.00 X 134041 0 32641 712789 2558533 114571 39 0 1 0 HEALTHTRUST WORKFORCE SOLUTIONS 3322 WEST END AVE STE 201 NASHVILLE TN 37203 PURCHASED LABOR 186072 MCBEE ASSOCIATES INC 7085 SAMUEL MORSE DR 200 COLUMBIA MD 41046 CODING SERVICES 129479 2 208885 321502 530387 PATIENT SERVICE REVENUE 621610 11949882 11949882 11949882 584209 12802 571407 571407 571407 13051676 11949882 0 571407 11340056 8505042 2835014 3132843 2349632 783211 6275 6275 4271 3203 1068 63478 19043 44435 896120 672090 224030 379357 113807 265550 168204 50461 117743 235073 235073 PURCHASED SERVICES 1193175 894881 298294 MEDICAL SUPPLIES 340244 340244 REPAIRS AND MAINTENANCE 112249 33675 78574 DUES AND SUBSCRIPTIONS 38716 38716 1118 336 782 17911179 12982414 4928765 0 1687010 1883761 24783 13152 67562 21660 1125021 715102 490461 409919 0 1840098 6988341 5478154 9258157 9646744 2079690 2109379 5087288 9751120 7166978 11860499 X -4672504 -7691909 6763683 5478154 2091179 -2213755 9258157 9646744 X -4859503 554569 X 0 1 X 0 0 X 255437 273831 828339 222299 530387 2110293 11377723 13221174 12862839 12678583 11949882 62090201 11633160 13495005 13691178 12900882 12480269 64200494 0 0 0 64200494 56081 56081 11689241 13495005 13691178 12900882 12480269 64256575 0.99910 0.99850 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 635082 417763 217319 489939 297339 192600 409919 BENEFICIAL INTEREST IN LYNN TRUST 5478154 5478154 DUE TO RELATED PARTY 9751120 9751120 0 1 0 0 0 0 0 0 0 KEVIN D LEAHY PRESIDENT & CEO - FRANCISC 0 2044355 0 0 0 41000 0 -115737 0 14921 0 1984539 0 0 AGNES THERADY DIRECTOR 0 458984 0 0 0 14194 0 18300 0 14921 0 506399 0 0 JUNE ERROL G PASADILLA HOME HEALTH PHYSICAL THERA 168439 0 0 0 0 0 17478 0 14512 0 200429 0 0 0 JOHN M EAST HOME HEALTH PHYSICAL THERA 148968 0 0 0 0 0 11702 0 22337 0 183007 0 0 0 NOEL S DALMAN HOME HEALTH PHYSICAL THERA 140649 0 0 0 0 0 16214 0 16072 0 172935 0 0 0 JABAKAR SANTHOSAM HOME HEALTH PHYSICAL THERA 120692 0 0 0 0 0 28972 0 22238 0 171902 0 0 0 HITESH KUMAR JAIN HOME HEALTH PHYSICAL THERA 134041 0 0 0 0 0 25136 0 7505 0 166682 0 0 0 PART I, LINE 3 THE RELATED ORGANIZATION, FRANCISCAN ALLIANCE, INC., USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY AND/OR STUDY, AS WELL AS APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. SCHEDULE J, PART II, COLUMN (C): DEFERRED COMPENSATION FROM A RELATED ORGANIZATION INCLUDES CHANGE IN PRESENT VALUE OF THE QUALIFIED DEFINED BENEFIT 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. SCHEDULE J, PART I, LINE 4B: FOR ALL FRANCISCAN EMPLOYEES, INCLUDING THOSE LISTED ON SCHEDULE J, FRANCISCAN'S GOAL IS TO OFFER COMPETITIVE SALARIES IN ORDER TO ATTRACT, HIRE, AND RETAIN QUALIFIED AND TALENTEND INDIVIDUALS. FRANCISCAN MAINTAINS A COMPENSATION COMMITTEE WHICH USES A NUMBER OF METHODS TO ESTABLISH COMPENSATION FOR NONEXECUTIVES, EXECUTIVES, OFFICERS, AND KEY EMPLOYEES (E.G. COMPENSATION STUDIES AND SURVEYS, INDEPENDENT COMPENSATION CONSULTANTS, USE OF FORM 990 OF OTHER HEALTH CARE ORGANIZATIONS, ETC.). FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE BOARD OF DIRECTORS AND APPROVED BY THE PRESIDENT/CEO AND THE FINANCE DIRECTOR BEFORE BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD COMMITTEE EVALUATES AND REVIEWS PERFORMANCE OF THE CEO. THE BOARD COMMITTEE CONSISTS OF THE CHAIRMAN OF THE BOARD, TREASURER AND CHAIR OF THE HR COMMITTEE. THE BOARD REVIEWS AND RECOMMENDS ALL CHANGES TO THE CEO SALARY, BONUSES, AND OTHER COMPENSATION. PART VII SECTION A: FOR ALL FRANCISCAN ALLIANCE, INC. ("FRANCISCAN") EMPLOYEES, INCLUDING THOSE LISTED ON SCHEDULE J, FRANCISCAN'S GOAL IS TO OFFER COMPETITIVE SALARIES IN ORDER TO ATTRACT, HIRE, AND RETAIN QUALIFIED AND TALENTED INDIVIDUALS. AS IDENTIFIED ON SCHEDULE J, FRANCISCAN MAINTAINS A COMPENSATION COMMITTEE WHICH USES A NUMBER OF METHODS TO ESTABLISH COMPENSATION FOR NONEXECUTIVES, EXECUTIVES, OFFICERS, AND KEY EMPLOYEES (E.G. COMPENSATION STUDIES AND SURVEYS, INDEPENDENT COMPENSATION CONSULTANTS, USE OF FORM 990 OF OTHER HEALTH CARE ORGANIZATIONS, ETC.). PART VII SECTION A REPORTS ALL DEFERRED COMPENSATION REPORTED IN THIS COLUMN INCLUDES CHANGE IN PRESENT VALUE OF THE QUALIFIED DEFINED BENEFIT 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. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONS GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: ADMINISTRATIVE CORRECTION FROM AFFILIATED ORG. OF GOODWILL PRESENTATION 1,840,098. PERM RESTRICTED NET ASSETS FOR CHANGE IN BENEFICIAL INTEREST IN LYNN TRUST -1,285,529. FRANCISCAN ALLIANCE INC 1515 DRAGOON TRAIL MISHAWAKA IN 465444710 351330472 HEALTH CARE IN 501(C)(3) LINE 3 0 HILLS INSURANCE COMPANY INC 1515 DRAGOON TRAIL MISHAWAKA IN 46544 030372512 CAPTIVE INS VT 501(C)(3) LINE 12A, I FRANCISCAN ALLIANCE INC 1 SISTERS OF ST FRANCIS OF PERPETUAL ADOR PO BOX 766 MISHAWAKA IN 46546 351328145 RELIGIOUS IN 501(C)(3) LINE 1 N/A 0 ST ALEXIS HOSPITAL ASSOCIATION PO BOX 1290 MISHAWAKA IN 46546 340714485 SUPPORT ALEXA OH 501(C)(3) LINE 3 FRANCISCAN ALLIANCE INC 1 FRANCISCAN HEALTH FOUNDATION INC 1515 DRAGOON TRAIL MISHAWAKA IN 46544 351955283 FUNDRAISING IN 501(C)(3) LINE 7 FRANCISCAN ALLIANCE INC 1 FRANCISCAN HEALTH RENSSELAER INC 1104 E GRACE ST RENSSELAER IN 47978 473825106 HEALTH SRVCS IN 501(C)(3) LINE 3 FRANCISCAN ALLIANCE INC 1 FRANCISCAN ACO INC 700 E SOUTHPORT ROAD INDIANAPOLIS IN 46227 351904455 HEALTHCARE IN 501(C)(3) LINE 12A, I FRANCISCAN ALLIANCE INC 1 FRANCISCAN SURGERY CENTER LLC 421 N EMERSON AVE INDIANAPOLIS IN 46219 MEDICAL SERVICES IN FRANCISCAN ALLIANCE INC N/A 0 0 ST FRANCIS RADIATION THERAPY CENTERS LLC 421 N EMERSON AVE INDIANAPOLIS IN 46219 MEDICAL SERVICES IN FRANCISCAN ALLIANCE INC N/A 0 0 ST FRANCIS IMAGING CTR (GREENWOOD) LLC 421 N EMERSON AVE INDIANAPOLIS IN 46219 IMAGING SERVICES IN FRANCISCAN ALLIANCE INC N/A 0 0 TONN AND BLANK CONSTRUCTION LLC 1623 GREENWOOD AVE MICHIGAN CITY IN 46360 CONSTRUCTION IN FRANCISCAN ALLIANCE INC N/A 0 0 MAJOR HOSP CARDIAC DIAGNOSTICS 2451 INTELLIPLEX DR SHELBYVILLE IN 46176 MEDICAL SERVICES IN FRANCISCAN ALLIANCE INC N/A 0 0 ST FRANCIS MOORESVILLE SURGERY 1215 HADLEY ROAD SUITE 100 MOORESVILLE IN 46158 MEDICAL SERVICES IN FRANCISCAN ALLIANCE INC N/A 0 0 FRANCISCAN ORTHOPEDIC SURGERY 10777 ILLINOIS STREET CARMEL IN 46032 MEDICAL SERVICES IN FRANCISCAN ALLIANCE INC N/A 0 0 MOORESVILLE ENDOSCOPY CENTER 1215 HADLEY ROAD SUITE 100 MOORESVILLE IN 46158 MEDICAL SERVICES IN FRANCISCAN ALLIANCE INC N/A 0 0 FRANCISCAN HOLDING CORPORATION 1515 DRAGOON TRAIL MISHAWAKA IN 46544 363593505 HOLDING CO. 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