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M KAROL ANN HOEFER TRUSTEE (AS OF 08/2023) 5.0 0.0 X 0 0 0 SISTER M MARIE MORGAN TRUSTEE (AS OF 08/2023) 40.0 0.0 X 0 0 0 SISTER JANE MARIE KLEIN CHAIRPERSON/TRUSTEE THRU 8/23 40.0 25.0 X X 0 0 0 13648591 0 1608914 2880 false true false HEALTHTRUST WORKFORCE SOLUTIONS LLC PO BOX 742697 ATLANTA GA 30374 CONTRACT LABOR 114922993 INDIANA INTERNAL MEDICINE CONSULTAN 701 E COUNTY LINE RD STE 101 GREENWOOD IN 46143 PHYSICIAN SERVICES 53620200 LAKESHORE BONE AND JOINT INSTITUTE 601 GATEWAY BLVD N CHESTERTON IN 46303 PHYSICIAN SERVICES 15206973 NORTHSTAR ANESTHESIA OF INDIANA LLC 6225 NORTH STATE HWY 161 STE 200 IRVING TX 75038 PHYSICIAN SERVICES 9791737 CARDIAC SURGERY ASSOCIATES SC 2650 WARRENVILLE RD STE 280 DOWNERS GROVE IL 60515 PHYSICIAN SERVICES 9060557 243 6427187 13969252 0 20396439 PATIENT SERVICE AND OTHER REVENUES 900099 3460363300 3458467463 1895837 0 PREMIUM REVENUE 900099 14911980 14911980 0 0 CAFETERIA/FOOD SERVICES 722310 6874305 0 24526 6849779 LAUNDRY 812332 2700 0 2700 0 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44844903 47541534 61885238 61012200 0 0 3870367736 1892208789 1919999681 1978158947 2320219303 2519690392 234302464 273767396 0 0 13894895 14814090 505171553 610957056 5633003402 6045200354 261153477 288103080 0 0 0 0 1104094668 1077209758 0 0 0 0 92274512 92274512 0 0 499495979 505990763 1957018636 1963578113 X 3673331641 4079214424 2653125 2407817 3675984766 4081622241 5633003402 6045200354 X -65597293 294370167 176864601 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 386962 386962 false false SCHEDULE C, PART II-B, LINE 1 DESCRIPTION OF LOBBYING ACTIVITIES FRANCISCAN ALLIANCE, INC. ("FRANCISCAN") ENGAGES IN INSUBSTANTIAL AMOUNTS OF LOBBYING ACTIVITIES. FRANCISCAN MAKES GRANTS TO OTHER ORGANIZATIONS THAT LOBBY ON ITS BEHALF INCLUDING VARIOUS HEALTH AND HOSPITAL ASSOCIATIONS. FRANCISCAN ALSO ENGAGES IN DIRECT CONTACT WITH LEGISLATORS AND THEIR STAFFS ON TOPICS RELATED TO FRANCISCAN'S HEALTHCARE MISSION. 1942713 1942713 1880787 61926 1942713 1878415 2372 1880787 3600017 1721602 1878415 3584807 39000 23790 3600017 1.00000 true true true 72953798 72953798 2387013858 1134057061 1252956797 58691700 43980618 14711081 845309413 606711723 238597690 558011483 159071902 398939581 1978158947 OTHER ASSETS 357985857 OTHER CURRENT ASSETS 148338794 RIGHT TO USE LEASED ASSETS 104632405 610957056 0 ACCRUED PAYROLL 146647102 LEASE LIABILITIES 129731527 SWAP VALUATION 19227125 DUE TO THIRD PARTY PAYORS 34317081 ACCRUED PROF & GEN'L LIABILITY 26993196 ACCRUED INTEREST PAYABLE 6049780 OTHER SHORT & LONG TERM LIABILITY 143024952 505990763 4006953162 294370167 176864601 471234768 3535718394 3607311 3607311 3539325705 3601315687 -3607311 -3607311 3604922998 3604922998 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 $ 61,569,393 OTHER COMPONENTS OF NET PERIODIC PENSION COST $ 6,390,981 OTHER COMPREHENSIVE INCOME $ 93,011,001 DIVIDENDS RECEIVED FROM AFFILIATES $ 3,106,680 EQUITY TRANSFER (TO)/FROM AFFILIATES $ (3,509,604) CHANGES IN NET UNREALIZED GAINS/LOSSES - HILLS $ 24,540,430 CHANGES IN NET UNREALIZED GAINS/LOSSES - SWAP $ 943,721 CHANGE IN NONCONTROLLING INTEREST IN SUBS $ 84,972 CHANGE DONOR RESTRICTED NET ASSETS $ (245,308) DISTRIBUTIONS TO AFFILIATES $ (5,351,105) DONATION OF PPE $ (900,859) OTHER CHANGES IN NET ASSETS $ (2,775,700) -------------- TOTAL OTHER CHANGES IN NET ASSETS $ 176,864,601 SCHEDULE D, PART XI, LINE 4B RENT EXPENSE AND COST OF GOODS SOLD $ 3,607,311 ----------- TOTAL EXPENSE ON RETURN NOT ON BOOKS $ 3,607,311 SCHEDULE D, PART XII, LNE 2D RENT EXPENSE AND COST OF GOODS SOLD $ (3,607,311) ----------- TOTAL EXPENSE ON RETURN NOT ON BOOKS $ (3,607,311) Central America and the Caribbean 0 0 Investments 138521555 Europe (Including Iceland and Greenland) 0 0 Investments 2314694 North America 0 0 Investments 1954409 0 0 0 0 142790658 142790658 true false true true true false true true X true X true X true true true false true true 66102319 0 66102319 0.01830 626469246 439822893 186646353 0.05180 187552 0 187552 0.00010 692759117 439822893 252936224 0.07020 5597070 60429 5536641 0.00150 23035417 8150260 14885157 0.00410 107831588 71026158 36805430 0.01020 1842272 0 1842272 0.00050 618368 619 617749 0.00020 138924715 79237466 59687249 0.01650 831683832 519060359 312623473 0.08670 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 true 9628450 1010485783 1533922437 -523436654 X true true SEE PART VI 9 1 FRANCISCAN HEALTH INDIANAPOLIS 8111 SOUTH EMERSON AVENUE INDIANAPOLIS IN 46217 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 11-004972-1 X X X X X A 2 FRANCISCAN HEALTH LAFAYETTE 1701 S CREASY LANE LAFAYETTE IN 47905 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 15-005096-1 X X X X A 3 FRANCISCAN HEALTH OLYMPIA FIELDS 20201 SOUTH CRAWFORD AVE OLYMPIA FIELDS IL 60461 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 0005074 X X X X A 4 FRANCISCAN HEALTH MICHIGAN CITY 3500 FRANCISCAN WAY MICHIGAN CITY IN 46360 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 15-005015-1 X X X X A 5 FRANCISCAN HEALTH CROWN POINT 1201 SOUTH MAIN STREET CROWN POINT IN 46307 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 15-005107-1 X X X X A 6 FRANCISCAN HEALTH DYER 24 JOLIET STREET DYER IN 46311 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 15-005080-1 X X X X A 7 FRANCISCAN HEALTH MUNSTER 701 SUPERIOR STREET MUNSTER IN 46321 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 15-005615-1 X X X X A 8 FRANCISCAN HEALTH MOORESVILLE 1201 HADLEY ROAD MOORESVILLE IN 46158 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 14-005052-1 X X X X X A 9 FRANCISCAN HEALTH CRAWFORDSVILLE 1710 LAFAYETTE ROAD CRAWFORDSVILLE IN 47933 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS 15-005021-1 X X X A A false false true X X X X X X X X X 22 true false false true X SEE PART V-C X true 22 true SEE PART V-C false false X 200. 400. X X X true true X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B - SUPPLEMENTAL INFORMATION LINE 3E: PLEASE SEE THE RESPONSE TO SCHEDULE H, PART V, LINE 11 BELOW FOR AN EXPLANATION OF HOW THE HEALTH NEEDS IDENTIFIED IN THE CHNA WERE PRIORITIZED. LINE 5: INPUT FROM INDIVIDUALS IN THE COMMUNITY THE 2022-2024 CHNA USED THE SAME SURVEY AS THE 2018-2021 CHNA DUE TO THE SCIENTIFIC RIGOR OF THE SURVEY. THE SURVEY FOR THE 2022-2024 CHNA WAS SENT TO RESIDENTS USING CONVENIENCE SAMPLING TO VERIFY THAT THE RESULTS OF THE SURVEY WERE ACCURATE. ADDITIONAL QUESTIONS WERE ADDED RELATED TO COVID TO ASSIST IN UNDERSTANDING ANY DIFFERENCE DUE TO THE PANDEMIC. FOR THE 2018-2021 CHNA, AN EXTENSIVE SURVEY WAS DEPLOYED FOLLOWING THIS PROCESS AND METHODOLOGY: TO COLLECT PRIMARY DATA FROM THE HOSPITAL'S SERVICE AREA POPULATION, A SURVEY WAS DESIGNED, FIELDED, AND ANALYZED TO ENSURE THAT THE PERSPECTIVES OF THE RESIDENTS OF THE SERVICE AREA WERE INCLUDED IN THIS ASSESSMENT, THE HOSPITAL USED A RIGOROUS POPULATION-BASED METHODOLOGICAL APPROACH TO COVER THE SERVICE AREA. TO DEVELOP THE SURVEY USED FOR THE CHNA, THE HOSPITAL PARTNERED WITH FACULTY FROM INDIANA-BASED UNIVERSITIES WHO HAD PARTICULAR EXPERTISE IN COMMUNITY-BASED SURVEY RESEARCH. DR. WILLIAM MCCONNELL OF THE UNIVERSITY OF EVANSVILLE SERVED AS THE LEAD RESEARCHER ON THE PROJECT, IN PARTNERSHIP WITH DR. MICHAEL REECE AND DR. CATHERINE SHERWOOD-LAUGHLIN (BOTH OF THE INDIANA UNIVERSITY SCHOOL OF PUBLIC HEALTH). THE UNIVERSITY OF EVANSVILLE CONTRACTED WITH THE CENTER FOR SURVEY RESEARCH (CSR) AT INDIANA UNIVERSITY TO ADMINISTER THIS SURVEY IN TWO PHASES: PHASE I WAS CONDUCTED AS A PAPER SURVEY MAILED TO A RANDOM ADDRESS-BASED SAMPLE AND PHASE II WAS CONDUCTED AS A PAPER SURVEY ADMINISTERED BY THE HOSPITALS TO A CONVENIENCE SAMPLE OF THEIR CHOOSING. THE SURVEY WAS CONDUCTED WITH APPROVAL OF THE INSTITUTIONAL REVIEW BOARD (IRB) OF THE UNIVERSITY OF EVANSVILLE. PLANNING AND DEVELOPMENT FOR THE SURVEY BEGAN IN THE WINTER OF 2017. USING A CONSTRUCT-BASED APPROACH THAT IDENTIFIED THE LEADING AREAS TO BE INCLUDED ON THE SURVEY, THE HOSPITALS AND FACULTY DEVELOPED A SURVEY. THE SURVEY INCLUDED MEASURES THAT HAD BEEN VALIDATED FOR USE IN SIMILAR PROJECTS BY OTHER RESEARCHERS AND ADDITIONAL MEASURES THAT WERE DEVELOPED BY THE PARTNERS FOR SPECIFIC NEEDS OF THIS CHNA. THE SURVEY COVERED TEN MAJOR AREAS. TWO WEIGHTING ADJUSTMENTS WERE MADE TO ENHANCE CONSISTENCY BETWEEN THE SURVEY SAMPLE AND THE CHARACTERISTICS OF THE HOSPITAL'S SERVICE POPULATION. THE FIRST WAS A BASE WEIGHT ADJUSTMENT TO ACCOUNT FOR UNEQUAL PROBABILITIES OF SELECTION WITHIN HOUSEHOLD. THE SECOND WAS A POSTSTRATIFICATION ADJUSTMENT TO THE U.S. CENSUS BUREAU 2012-2016 AMERICAN COMMUNITY SURVEY FIVE-YEAR POPULATION ESTIMATES. THE TWO WEIGHTING ADJUSTMENTS WERE MULTIPLIED TO CALCULATE A PRELIMINARY FINAL WEIGHT FOR EACH HOSPITAL'S CATCHMENT AREA. THESE PRELIMINARY WEIGHTS WERE THEN TRIMMED AND SCALED SO THAT THE FINAL WEIGHTS SUMMED TO THE NUMBER OF RESPONDENTS IN EACH CATCHMENT AREA. BECAUSE DATA COLLECTION OCCURRED DURING THE PANDEMIC, FOCUS GROUPS WERE UNABLE TO BE HELD. TO GAIN A FURTHER UNDERSTANDING OF COMMUNITY NEEDS, A SURVEY TO COMMUNITY PARTNERS, SUCH AS THE ONES LISTED BELOW, WAS ADMINISTERED. THE SURVEY MIRRORED THE RESIDENT SURVEY, WITH THE INCLUSION OF QUESTIONS RELATED TO COVID AND RECOVERY. SAMPLE OF PARTICIPATING ORGANIZATIONS - YOUTH SERVICES BUREAU - CRAWFORDSVILLE COMMUNITY SCHOOL CORPORATION - CRAWFORDSVILLE FIRE DEPARTMENT - NURSE FAMILY PARTNERSHIP - WABASH COLLEGE - CRAWFORDSVILLE PARKS DEPARTMENT - CRAWFORDSVILLE PUBLIC LIBRARY - MONTGOMERY COUNTY HEALTH DEPARTMENT - FRANCISCAN HEALTH - WABASH VALLEY ALLIANCE - COMMUNITY HEALTHNET - COVERING KIDS AND FAMILIES - METHODIST HOSPITALS - COMMUNITY HEALTH CARE - PURDUE UNIVERSITY NORTHWEST - NORTHWEST INDIANA COMMUNITY ACTION - NURSE FAMILY PARTNERSHIP - CROWN POINT SCHOOLS - DEAN AND BARBARA WHITE SOUTHLAKE YMCA - HEALTHY START - MUNSTER PARKS AND RECREATION - PURDUE EXTENSION - THE INTREPID PHOENIX - FOOD BANK OF NORTHWEST INDIANA - AREA HEALTH EDUCATION CENTER - INDIANA UNIVERSITY NORTHWEST - GIRLS ON THE RUN - HOPE CHRISTIAN CHURCH - INDIANA PARENTING INITIATIVE - COMMUNITY HEALTH NETWORK - ANTHEM - NURSE FAMILY PARTNERSHIP - WINDROSE HEALTH - INDY SOUTHSIDE QUALITY OF LIFE - BARBARA B. JORDAN YMCA - ARTHUR R. BAXTER YMCA - CITY OF GREENWOOD - INDIANA YOUTH INSTITUTE - AREA HEALTH EDUCATION CENTER - GREATER SOUTHSIDE BUSINESS ALLIANCE - NURSE FAMILY PARTNERSHIP - THE VILLAGES - PURDUE UNIVERSITY SCHOOL OF NURSING - AREA IV AGENCY - BOY SCOUTS - NORTH CENTRAL HEALTH SERVICES - RIGGS COMMUNITY HEALTH CENTER - INDIANA UNIVERSITY HEALTH- YWCA - BAUER SERVICES - LOCAL WOMEN INFANT CHILDREN'S ("WIC") AGENCY - HEALTHY COMMUNITIES OF CLINTON COUNTY/COVERING KIDS AND FAMILIES - INDIANA YOUTH INSTITUTE - PURDUE EXTENSION-4-H - FOOD FINDERS - LTHC HOMELESS SERVICES - UNITED WAY OF LAPORTE COUNTY - DUNEBROOK - OPEN DOOR - SOUTH CENTRAL SCHOOL DISTRICT - SWANSON CENTER - IVY TECH - BOYS AND GIRLS CLUB - DUNELAND FAMILY YMCA - HAMMOND FAMILY YMCA - FRONTLINE FOUNDATION - WALKER MEDICAL - AREA HEALTH EDUCATION CENTER - UNITY FOUNDATION - LAPORTE COUNTY HEALTH DEPARTMENT - HEALTHIER MORGAN COUNTY INITIATIVE - PURDUE GLOBAL - BRIDGES OF HOPE - IVY TECH - LIFE SMART YOUTH - UNITED WAY - MDWISE - BOYS AND GIRLS CLUB - MOORESVILLE PARKS DEPARTMENT - MOORESVILLE SCHOOLS YMCA - MORGAN COUNTY SUBSTANCE ABUSE COUNCIL - MORGAN COUNTY HEALTH DEPARTMENT - PEACE RESTORED - JACKSON CENTER - MOORESVILLE CHAMBER OF COMMERCE - REACH FOR YOUTH - GIRL SCOUTS - BLOOM TOWNSHIP HIGH SCHOOL - GOVENORS STATE UNIVERSITY - PARK FOREST POLICE - PRAIRIE STATE COLLEGE - SOUTH SUBURBAN FAMILY SHELTER - DISTRICT 163 SCHOOLS - DISTRICT 227 SCHOOLS - PREVENT CHILD ABUSE - SOUTH SUBURBAN PADS - RESPOND NOW - DISTRICT 227 SCHOOLS - JONES CENTER LINE 7: ALL FACILITIES ALL CHNA REPORTS ARE AVAILABLE ON FRANCISCAN ALLIANCE'S WEBSITE AT HTTPS://WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH. IN ADDITION, A PRINT COPY IS AVAILABLE FREE OF CHARGE IN EACH HOSPITAL'S ADMINISTRATIVE OFFICE. LINE 10: ALL FACILITIES ALL IMPLEMENTATION PLANS ARE CONTAINED IN THE CHNA AS 'CHAPTER 6: CALL TO ACTION.' THE REPORTS ARE AVAILABLE ON FRANCISCAN ALLIANCE'S WEBSITE AT HTTPS://WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT THE TOP HEALTH NEEDS IN A COMMUNITY IS A DIFFICULT PROCESS. MANY POOR HEALTH OUTCOMES, HEALTH DISPARITIES, AND POOR SOCIAL DETERMINANTS OF HEALTH WEIGH HEAVILY ON SEGMENTS OF OUR COMMUNITY. WE ALSO ACKNOWLEDGE THAT THERE ARE MANY STRENGTHS AND POSITIVE GROWTH THAT BALANCE SOME OF THESE CHALLENGES. FRANCISCAN HEALTH DETERMINED THE TOP HEALTH NEEDS BY REVIEWING SECONDARY DATA, SURVEY RESPONSES, AND FEEDBACK FROM INPUT MEETINGS. A CORE TEAM OF SIX STAFF MEMBERS WITH EDUCATION AND EXPERIENCE IN PUBLIC HEALTH WORKED WITH STAFF IN EACH COMMUNITY TO COME TO A CONSENSUS ON THE TOP ISSUES. A COMBINATION OF MULTIVOTE RANKING AND THE HANLON METHOD WERE USED. ONCE A REFINED LIST OF THE TOP TEN ISSUES WAS BROUGHT TO CONSENSUS, EACH STAFF MEMBER RANKED HEALTH ISSUES BASED ON SIZE, SERIOUSNESS, EQUITY, TYPES OF INTERVENTION, AND URGENCY. TO ASSIST WITH INTERVENTION PLANNING, A SECOND SCORE ON THE POTENTIAL FOR FRANCISCAN HEALTH TO PRIORITIZE THE HEALTH ISSUE WAS DETERMINED. SCORING CRITERIA INCLUDED INTERNAL CAPACITY, COMMUNITY ACCEPTABILITY, SUSTAINABILITY, AND LONG-TERM IMPACT. USING A MIX OF HANLON AND PEARL TECHNIQUES, THE FRANCISCAN HEALTH COMMUNITY HEALTH TEAM SCORED THE SECONDARY DATA, FEEDBACK MEETING COMMENTS, AND SURVEY DATA TO PRODUCE THE LIST OF TOP HEALTH NEEDS IN THE COMMUNITY. IN DETERMINING COMMUNITY HEALTH INTERVENTIONS FOR THE SELECTED PRIORITY HEALTH NEEDS, HEALTH EQUITY, SUSTAINABILITY, AND AN EMPHASIS ON SOCIAL DETERMINANTS OF HEALTH WERE HEAVILY WEIGHTED. WHILE MOST INTERVENTIONS FOCUS ON INDIVIDUAL LIFESTYLE FACTORS, KNOWLEDGE, SKILLS, AND BEHAVIORS, CONSIDERATION OF THE CULTURAL AND ENVIRONMENTAL CONTEXTS ARE JUST AS IMPORTANT. FRANCISCAN ALLIANCE ACKNOWLEDGES THAT TRUE CHANGE COMES WITH MAJOR SHIFTS IN ALL AREAS. THE FIRST CRITERIA USED TO DETERMINE IMPLEMENTATION STRATEGIES IS THE CONNECTION TO THE SOCIO-ECOLOGICAL MODEL AND SOCIAL DETERMINENTS OF HEALTH. INTERVENTIONS IMPLEMENTED BY FRANCISCAN ALLIANCE ARE PERSON-CENTERED AND DESIGNED TO CREATE LASTING CHANGE. MALCOLM KNOWLES' PRINCIPLES OF ANDRAGOGY PROVIDED THE FRAMEWORK. WHILE THIS MODEL IS BASED ON EDUCATIONAL PROGRAMMING, IT APPLIES TO ALL TYPES OF INTERVENTIONS. FOR EXAMPLE, IN THE PROVISION OF CLINICAL CARE OR MEDICATION ASSISTANCE, PARTICIPANTS NOT ONLY RECEIVE THE CARE OR MEDICATION, THEY ALSO LEARN TO BETTER MANAGE THEIR OWN HEALTH OR ACCESS COMPONENTS OF THE HEALTH SYSTEM OR ASSISTANCE PROGRAM. REFLECTION, TEACH-BACK, AND COMMUNICATION TECHNIQUES ARE UTILIZED TO EMPOWER THE PARTICIPANT TO MOVE BEYOND A ONE-TIME INTERACTION OR ASSISTANCE. FRANCISCAN ALLIANCE USES EVIDENCE-BASED PRACTICES IN PLANNING INTERVENTIONS WHENEVER POSSIBLE, AS THESE PROGRAMS HAVE BEEN THOROUGHLY TESTED AND HAVE PROVEN EFFICACY. WHEN EVIDENCE-BASED PROGRAMS ARE NOT AVAILABLE, BEST PRACTICES AND DOCUMENTED RESEARCH GUIDES THE DEVELOPMENT AND IMPLEMENTATION OF THE INTERVENTION. IMPLEMENTATION ACTIVITIES WILL BE EVALUATED TO THE FULLEST EXTENT. USING THE KIRKPATRICK MODEL (A STANDARDIZED EVALUATION SYSTEM BASED ON REACTION, LEARNING, BEHAVIOR, AND RESULTS) AS A GUIDE, EVALUATION OF NOT ONLY THE PROGRAM, BUT ITS IMPACT AND RESULTS WILL BE REVIEWED. THIS PROCESS ALLOWS FOR CHANGES TO BE MADE TO IMPROVE THE PROGRAM ON AN ONGOING BASIS. WHILE IT CAN BE DIFFICULT TO DETERMINE THE EXACT CAUSE OF INDIVIDUAL BEHAVIORAL CHANGE, BIOMETRICS, POST-FOLLOW UP SURVEYS, AND OTHER METHODS WERE USED TO CAPTURE QUALITATIVE AND QUANTITATIVE DATA. LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT CON'T THE FOLLOWING SHOWS THE TOP HEALTH NEEDS IN THREE CATEGORIES: SOCIAL NEED, POOR HEALTH BEHAVIORS, AND POOR HEALTH OUTCOMES. THIS TAKES INTO ACCOUNT THE COMPLEXITY OF SOCIAL DETERMINANTS OF HEALTH AND THE MANY FACTORS THAT MAKE UP INDIVIDUAL HEALTH. IN SOME CASES, ONE WILL NOTICE A CLEAR PATH BETWEEN SOCIAL NEED, POOR BEHAVIORS, AND THE RESULTING OUTCOME. MANY NEEDS ARE SELF-EXPLANATORY OR BASED ON COMMONLY UNDERSTOOD DEFINITIONS. HOWEVER, SOME ISSUES ARE A BIT NUANCED OR EMERGING COMMUNITY TRENDS. THE DEPARTMENT OFFERS THESE DEFINITIONS TO AID IN UNDERSTANDING IDENTIFIED ISSUES: SOCIAL COHESION - INCLUDES OVERALL SENSE OF COMMUNITY, SOCIAL BONDING, BRIDGING, CONNECTEDNESS, SUPPORT NETWORKS, FAMILY BUILDING, "WARM HAND-OFF" FOR RESOURCES, UNDERSTANDING OF OTHERS, COMMUNICATION AND CONFLICT SKILL DEVELOPMENT - HOW WE KNOW: VICTIMIZATION RATES, BEHAVIORAL HEALTH ISSUES, SOCIAL SERVICE AGENCIES REPORT/SURVEY, SERVICE PROVIDER RATES (PATIENT:PROVIDER RATIO), PUBLIC SURVEY DATA, PROFESSIONAL SURVEY DATA VICTIMS OF VIOLENCE - INCLUDES DOMESTIC AND INTERPERSONAL VIOLENCE, CHILD ABUSE/NEGLECT, HUMAN TRAFFICKING, VIOLENT CRIME, ELDER ABUSE/NEGLECT - HOW WE KNOW: MORTALITY RATES, PUBLIC SURVEY DATA, PROFESSIONAL SURVEY DATE, LACK OF SERVICE PROVIDER CAPACITY; CHILD IN NEED OF SERVICES CASES, DEPARTMENT OF CHILD SERVICES AND DEPARTMENT OF CHILDREN AND FAMILIES SUBSTANTIATED ABUSE CASES, VIOLENT CRIME RATES, EMERGENCY DEPARTMENT DATA, HATE CRIME RATES BEHAVIORAL HEALTH - INCLUDES DIAGNOSED AND UNDIAGNOSED MENTAL HEALTH ISSUES, SUICIDE, SELF-HARM, DEPRESSION, ANXIETY - HOW WE KNOW: SERVICE PROVIDER RATES (PATIENT:PROVIDER RATIO), SUICIDE RATES, SELF-HARM RATES, POOR MENTAL HEALTH DAYS, PROFESSIONAL SURVEY DATA, PUBLIC SURVEY DATA, LACK OF RESOURCES SUBSTANCE ABUSE - INCLUDES ILLEGAL DRUGS, PRESCRIPTION ABUSE, ALCOHOL - HOW WE KNOW: MORTALITY RATES, OVERDOSE RATES, DUI, ED/PATIENT DATA, PUBLIC SURVEY DATA, PROFESSIONAL SURVEY DATA ACCESS TO HEALTH CARE - INCLUDES BARRIERS THAT PREVENT OR LIMIT ACCESS TO NEEDED HEALTH CARE SERVICES, NO TRANSPORTATION, LACK OF INSURANCE, UNDERINSURED, TRANSPORTATION, AVAILABILITY OF PROVIDERS AND SERVICES - HOW WE KNOW: PUBLIC SURVEY DATA, PROFESSIONAL SURVEY DATA, INSURANCE RATES, SERVICE PROVIDER RATES (PATIENT:PROVIDER RATIO) FRANCISCAN ALLIANCE HOSPITALS MADE THE FOLLOWING PROGRESS DURING 2023 IN ADDRESSING THE IDENTIFIED COMMUNITY HEALTH NEEDS FROM ITS MOST RECENT CHNA: FRANCISCAN HEALTH CRAWFORDSVILLE TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - BEHAVIORAL HEALTH - INFANT AND MATERNAL CARE - SOCIAL COHESION - HOUSING - ACCESS TO HEALTHY FOOD - VIOLENCE - ACCESS TO PHYSICAL ACTIVITY - TOBACCO CESSATION - SUBSTANCE ABUSE - TRAUMA FROM VIOLENCE - INFANT AND CHILD MORTALITY - INJURY - DIABETES - CARDIOVASCULAR DISEASE USING A THEME OF 'HEALTHY BODIES, HEALTHY MINDS, AND HEALTHY CONNECTIONS' TO DESCRIBE A COMPREHENSIVE APPROACH TO THESE TOP HEALTH NEEDS, THE FOLLOWING INTERVENTIONS WERE PROVIDED: -FREE PHYSICAL ACTIVITY PROGRAMMING, INCLUDING 'WALK WITH A DOC' -EDUCATION ON HEALTHY FOOD/NUTRITION, INCLUDING COOKING MATTERS AND HEALTHY CHOICES -SUICIDE PREVENTION COURSES, INCLUDING QPR (QUESTION, PERSUADE, REFER - SUICIDE PREVENTION TRAINING) -FACILITATION OF A COMMUNITY WIDE RESILIENCE COALITION FOCUSED ON RESOLVING SYSTEMIC ISSUES LEADING TO POOR HEALTH CONDITIONS -PROFESSIONAL TRAINING ON TRAUMA INFORMED CARE, RESILIENCE AND MINDFULNESS FOR NON-PROFITS - COMMUNITY BABY SHOWER FOR UNDER-RESOURCED FAMILIES FRANCISCAN HEALTH CROWN POINT (SOUTH LAKE COUNTY): TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - BEHAVIORAL HEALTH - ACCESS TO PRIMARY CARE - SOCIAL COHESION - FOOD INSECURITY - SELF-HARM/VIOLENCE - SUBSTANCE ABUSE - UNSAFE SEX - HOMICIDES - NUTRITION - PHYSICAL ACTIVITY - TOBACCO USAGE - INFANT AND CHILD MORTALITY - DIABETES - ASTHMA USING A THEME OF 'HEALTHY BODIES, HEALTHY MINDS, AND HEALTHY CONNECTIONS' TO DESCRIBE A COMPREHENSIVE APPROACH TO THESE TOP HEALTH NEEDS, THE FOLLOWING INTERVENTIONS WERE PROVIDED: -FREE PHYSICAL ACTIVITY PROGRAMMING, INCLUDING 'FIT TOGETHER' FOR FAMILIES AND 'WALK WITH A DOC' -EDUCATION ON HEALTHY FOOD/NUTRITION, INCLUDING 'COOKING MATTERS' -SUICIDE PREVENTION COURSES, INCLUDING QPR AND ASIST -FACILITATION OF A COMMUNITY WIDE RESILIENCE COALITION -PROFESSIONAL TRAINING ON MENTAL HEALTH FIRST AID -ADOPTION OF THE NATIONAL 'REACH OUT AND READ' PROGRAM -OPERATION OF A FOOD PANTRY IN CROWN POINT AND MOBILE FOOD MARKETS -OPERATION OF A DIAPER PANTRY -HOME VISITING PRENATAL CARE AND INFANT CARE PROGRAM -PRENATAL ASSISTANCE PROGRAM -LEAD AGENCY FOR TOBACCO PREVENTION AND CESSATION FOR THE STATE OF INDIANA INDIANA LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT CON'T FRANCISCAN HEALTH HAMMOND, FRANCISCAN HEALTH MUNSTER, AND FRANCISCAN HEALTH DYER (NORTH LAKE COUNTY) TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - BEHAVIORAL HEALTH - SOCIAL COHESION - FOOD INSECURITY - ACCESS TO PRIMARY CARE - SELF-HARM/VIOLENCE - TOBACCO USAGE - SUBSTANCE USE - INFANT AND CHILD MORTALITY - VICTIMS OF CRIME TRAUMA - OBESITY - DIABETES - ASTHMA USING A THEME OF 'HEALTHY BODIES, HEALTHY MINDS, AND HEALTHY CONNECTIONS' TO DESCRIBE A COMPREHENSIVE APPROACH TO THESE TOP HEALTH NEEDS, THE FOLLOWING INTERVENTIONS WERE PROVIDED: -FREE PHYSICAL ACTIVITY PROGRAMMING, INCLUDING 'FIT TOGETHER' FOR FAMILIES AND 'WALK WITH A DOC' -EDUCATION ON HEALTHY FOOD/NUTRITION, INCLUDING 'COOKING MATTERS' -SUICIDE PREVENTION COURSES, INCLUDING QPR AND ASIST -FACILITATION OF A COMMUNITY WIDE RESILIENCE COALITION -PROFESSIONAL TRAINING ON MENTAL HEALTH FIRST AID -ADOPTION OF THE NATIONAL 'REACH OUT AND READ' PROGRAM -OPERATION OF A FOOD PANTRY IN HAMMOND AND MOBILE MARKETS -OPERATION OF A DIAPER PANTRY -HOME VISITING PRENATAL CARE AND INFANT CARE PROGRAM -PRENATAL ASSISTANCE PROGRAM -LEAD AGENCY FOR TOBACCO PREVENTION AND CESSATION FOR THE STATE OF INDIANA FRANCSICAN HEALTH INDIANAPOLIS TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): -POVERTY -ACCESS TO HEALTH CARE -BEHAVIORAL HEALTH -SUBSTANCE ABUSE -FOOD INSECURITY -SOCIAL COHESION -VIOLENCE -INJURY -INFANT AND CHILD MORTALITY -CARDIOVASCULAR DISEASES -DIABETES USING A THEME OF 'HEALTHY BODIES, HEALTHY MINDS, AND HEALTHY CONNECTIONS' TO DESCRIBE A COMPREHENSIVE APPROACH TO THESE TOP HEALTH NEEDS, THE FOLLOWING INTERVENTIONS WERE PROVIDED: -FREE PHYSICAL ACTIVITY PROGRAMMING, INCLUDING YOGA -EDUCATION ON HEALTHY FOOD/NUTRITION, INCLUDING 'COOKING MATTERS' -SUICIDE PREVENTION COURSES, INCLUDING QPR AND ASIST -FACILITATION OF A COMMUNITY WIDE RESILIENCE COALITION -PROFESSIONAL TRAINING ON TRAUMA INFORMED CARE, RESILIENCE AND MINDFULNESS FOR NON-PROFITS -ADOPTION OF THE NATIONAL 'REACH OUT AND READ' PROGRAM -OPENING OF A FOOD PANTRY AND OPERATION OF MOBILE FOOD PANTRIES -FAITH NURSING PROGRAM -BURMESE REFUGE SPECIFIC PROGRAMMING AND NAVIGATION PROGRAM FRANCSICAN HEALTH LAFAYETTE TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - HOUSING - ACCESS TO HEALTH CARE - SOCIAL COHESION - FOOD INSECURITY - UNSAFE SEX - NUTRITION - SUBSTANCE ABUSE - TOBACCO USE - PHYSICAL ACTIVITY - INFANT MORTALITY - CARDIOVASCULAR DISEASE - OBESITY - INJURY USING A THEME OF 'HEALTHY BODIES, HEALTHY MINDS, AND HEALTHY CONNECTIONS' TO DESCRIBE A COMPREHENSIVE APPROACH TO THESE TOP HEALTH NEEDS, THE FOLLOWING INTERVENTIONS WERE PROVIDED: -EDUCATION ON HEALTHY FOOD/NUTRITION, 'EAT SMART, MOVE MORE'COOKING MATTERS' -SUICIDE PREVENTION COURSES, INCLUDING QPR AND ASIST -SAFE KIDS LEAD AGENCY -CAR SEAT AND CHILD SAFETY PROGRAMMING -OFFERING OF YOUTH MENTAL HEALTH FIRST AID COURSE FRANCISCAN HEALTH MICHIGAN CITY TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): -FOOD INSECURITY -POVERTY -BEHAVIORAL HEALTH -SOCIAL COHESION -NUTRITION -SUBSTANCE ABUSE -PHYSICAL ACTIVITY -CANCER -CARDIOVASCULAR DISEASES -DIABETES -INFANT MORTALITY -TEEN PREGNANCY USING A THEME OF 'HEALTHY BODIES, HEALTHY MINDS, AND HEALTHY CONNECTIONS' TO DESCRIBE A COMPREHENSIVE APPROACH TO THESE TOP HEALTH NEEDS, THE FOLLOWING INTERVENTIONS WERE PROVIDED: -FREE PHYSICAL ACTIVITY PROGRAMMING, INCLUDING 'FIT TOGETHER' FOR FAMILIES AND 'WELLNESS WEDNESDAYS' -EDUCATION ON HEALTHY FOOD/NUTRITION, 'EAT SMART, MOVE MORE' 'COOKING MATTERS' -SUICIDE PREVENTION COURSES, INCLUDING QPR -FACILITATION OF A HEALTH EQUITY COMMITTEE -ADOPTION OF THE NATIONAL 'REACH OUT AND READ' PROGRAM -OPERATION OF A DIAPER PANTRY -PRENATAL ASSISTANCE PROGRAM LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT CON'T FRANCISCAN HEALTH MOORESVILLE TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - ACCESS TO PRIMARY CARE - BEHAVIORAL HEALTH - SOCIAL COHESION - HOUSING - VIOLENCE - TOBACCO USE - PHYSICAL ACTIVITY - MOTOR VEHICLE DEATHS - CARDIOVASCULAR DISEASE - RESPIRATORY DISEASE - DIABETES USING A THEME OF 'HEALTHY BODIES, HEALTHY MINDS, AND HEALTHY CONNECTIONS' TO DESCRIBE A COMPREHENSIVE APPROACH TO THESE TOP HEALTH NEEDS, THE FOLLOWING INTERVENTIONS WERE PROVIDED: -EDUCATION ON HEALTHY FOOD/NUTRITION, 'COOKING MATTERS' -SUICIDE PREVENTION COURSES, INCLUDING QPR AND ASIST -FACILITATION OF A COMMUNITY WIDE RESILIENCE COALITION -PROFESSIONAL TRAINING ON TRAUMA INFORMED CARE, RESILIENCE AND MINDFULNESS FOR NON-PROFITS -ADOPTION OF THE NATIONAL 'REACH OUT AND READ' PROGRAM -OFFERING OF YOUTH MENTAL HEALTH FIRST AID COURSE -FAITH NURSING PROGRAM FRANCISCAN HEALTH OLYMPIA FIELDS TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - POVERTY - ACCESS TO HEALTH CARE - PRENATAL CARE - SOCIAL COHESION - PHYSICAL ACTIVITY - NUTRITION - SUBSTANCE ABUSE - CANCER - CARDIOVASCULAR DISEASE - ASTHMA - DIABETES USING A THEME OF 'HEALTHY BODIES, HEALTHY MINDS, AND HEALTHY CONNECTIONS' TO DESCRIBE A COMPREHENSIVE APPROACH TO THESE TOP HEALTH NEEDS, THE FOLLOWING INTERVENTIONS WERE PROVIDED: -SUICIDE PREVENTION COURSES, INCLUDING QPR AND ASIST -FACILITATION OF A COMMUNITY WIDE RESILIENCE COALITION -BACK TO SCHOOL READINESS EVENT WITH VACCINATIONS AND FAMILY RESOURCES -FREE FITNESS CLASSES QUARTERLY -HEALTH EDUCATION ON CANCER AND HEART DISEASE PREVENTION LINE 15 AND 16: ALL FACILITIES THROUGH FRANCISCAN ALLIANCE, INC. ("FRANCISCAN"), WE CONTINUE THE HEALING MINISTRY OF CHRIST IN A CATHOLIC HEALTH CARE SYSTEM THAT UPHOLDS THE MORAL VALUES AND TEACHINGS OF THE CATHOLIC CHURCH. CENTRAL CONCERNS OF THIS CORPORATE MINISTRY INCLUDE COMPASSION FOR THOSE IN NEED, RESPECT FOR LIFE AND THE DIGNITY OF PERSONS. FRANCISCAN BELIEVES IN THE DIGNITY, UNIQUENESS, AND WORTH OF EACH INDIVIDUAL AND, WITHIN THE LIMITS OF OUR RESOURCES, FRANCISCAN OFFERS A COMPREHENSIVE RANGE OF HEALTH CARE SERVICES TO ALL REGARDLESS OF RACE, CREED, COLOR, SEX, NATIONAL ORIGIN, HANDICAP OR AN INDIVIDUAL'S FINANCIAL CAPABILITY. IN LIGHT OF THIS BELIEF, WE CONSIDER OUR HEALTH CARE SERVICES TO BE REACHING OUT AND RESPONDING, IN A CHRIST-LIKE MANNER, TO THOSE WHO ARE PHYSICALLY, MATERIALLY, OR SPIRITUALLY IN NEED. FRANCISCAN IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE, IN THE FORM OF CHARITY CARE OR UNINSURED DISCOUNTS, TO PERSONS WHO ARE UNINSURED OR UNDERINSURED, WHO ARE INELIGIBLE FOR GOVERNMENTAL OR SOCIAL SERVICE PROGRAMS, AND WHO OTHERWISE ARE UNABLE TO PAY FOR EMERGENCY SERVICES OR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. CONSISTENT WITH OUR MISSION TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE AND TO ADVOCATE FOR THOSE WHO ARE POOR AND DISENFRANCHISED, FRANCISCAN STRIVES TO ENSURE THE FINANCIAL CAPACITY OF PEOPLE WHO NEED MEDICALLY NECESSARY HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING THAT CARE. FRANCISCAN'S FINANCIAL ASSISTANCE POLICY IS DESIGNED TO ALLOW RELIEF FROM ALL OR PART OF THE CHARGES RELATED TO EMERGENCY OR MEDICALLY NECESSARY HEALTH CARE SERVICES THAT EXCEED A PATIENT'S REASONABLE ABILITY TO PAY. IN ORDER TO ENSURE TRANSPARENCY, CONSISTENCY AND FAIRNESS, WE ASK PATIENTS TO COOPERATE BY PROVIDING NECESSARY INFORMATION TO DETERMINE THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. FOR PATIENTS NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE, FRANCISCAN COMMUNICATES THE AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY THROUGH THE FOLLOWING MEANS: 1. FRANCISCAN COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN APPROPRIATE CARE SETTINGS SUCH AS EMERGENCY DEPARTMENTS, ADMITTING/REGISTRATION AREAS, BILLING OFFICES, OUTPATIENT SERVICE SETTINGS, AND ON OUR HOSPITALS' WEBSITES. SIGNS/POSTINGS INFORM PATIENTS THAT FREE OR REDUCED COST CARE MAY BE AVAILABLE TO QUALIFYING PATIENTS WHO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. 2. BROCHURES SUMMARIZING OUR FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE THROUGHOUT EACH FRANCISCAN HOSPITAL. 3. FINANCIAL COUNSELORS AND BUSINESS OFFICE PERSONNEL ARE AVAILABLE TO HELP PATIENTS UNDERSTAND AND APPLY FOR LOCAL, STATE, FEDERAL HEALTH CARE, AND HEALTH INSURANCE EXCHANGE PROGRAMS AND FRANCISCAN'S FINANCIAL ASSISTANCE PROGRAMS. 4. ALL BILLS AND STATEMENTS FOR SERVICES INFORM UNINSURED PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. 5. PATIENTS/GUARANTORS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE APPLICATION BY CALLING THE FRANCISCAN BILLING OFFICE OR DOWNLOADING A COPY AT NO COST FROM FRANCISCAN HOSPITAL'S WEBSITES. 6. PATIENTS/GUARANTORS CAN REQUEST FINANCIAL ASSISTANCE INFORMATION BY CALLING FRANCISCAN'S BILLING OFFICE PHONE LINE ON A 24-HOUR BASIS. 7. INDIVIDUALS OTHER THAN THE PATIENT, SUCH AS THE PATIENT'S PHYSICIAN, FAMILY MEMBERS, COMMUNITY OR RELIGIOUS GROUPS, SOCIAL SERVICES, OR HOSPITAL PERSONNEL MAY MAKE REQUESTS FOR FINANCIAL ASSISTANCE ON THE PATIENT'S BEHALF, SUBJECT TO APPLICABLE PRIVACY LAWS. 8. PRIOR TO TRANSFER TO A COLLECTION AGENCY, FRANCISCAN SENDS A MINIMUM OF 4 STATEMENTS AND MAKES 6 PHONE CALL ATTEMPTS TO CONTACT THE PATIENT/GUARANTOR AT THE ADDRESS AND PHONE NUMBER PROVIDED BY THE PATIENT/GUARANTOR. STATEMENTS AND COMMUNICATIONS INFORM THE PATIENT OF THE AMOUNT DUE AND IF THEY CANNOT PAY THEIR BALANCE THE AVAILABILITY OF FINANCIAL ASSISTANCE. A PATIENT'S QUALIFICATION FOR CHARITY CARE IS DETERMINED THROUGH A FINANCIAL ASSISTANCE APPLICATION AND SCREENING PROCESS. PATIENTS WHO MAY QUALIFY FOR MEDICAID OR ANY OTHER GOVERNMENTAL ASSISTANCE MUST BE DENIED COVERAGE OR ASSISTANCE FROM THOSE GOVERNMENTAL PROGRAMS PRIOR TO RECEIVING APPROVAL FOR CHARITY CARE. AS SUCH, FRANCISCAN OFFERS PATIENTS ASSISTANCE IN APPLYING OR ENROLLING IN SUCH PROGRAMS. A PATIENT WILL NEED TO FILL OUT, SIGN, AND SUBMIT THE FINANCIAL ASSISTANCE APPLICATION ALONG WITH ALL REQUESTED DOCUMENTATION OF INCOME, EXPENSES, ASSETS, AND LIABILITIES. FRANCISCAN'S BILLING OFFICE WILL PLACE THE PATIENT'S ACCOUNT ON HOLD ONCE A FINANCIAL ASSISTANCE APPLICATION HAS BEEN REQUESTED AND UNTIL A FINANCIAL ASSISTANCE DETERMINATION IS MADE. APPLICANTS ARE TREATED WITH DIGNITY AND RESPECT THROUGHOUT THE FINANCIAL ASSISTANCE PROCESS AND ALL INFORMATION/MATERIALS RECEIVED ARE CONFIDENTIALLY MAINTAINED. FRANCISCAN ALSO UTILIZES AN EXTERNAL VENDOR, SERVICE, OR DATA SOURCE THAT PROVIDES INFORMATION ON A PATIENT'S OR GUARANTOR'S ABILITY TO PAY (I.E. CREDIT SCORING). ELIGIBILITY FOR CHARITY CARE MAY BE DETERMINED AT ANY POINT IN THE COLLECTIONS CYCLE (I.E. PRIOR TO THE PROVISION OF SERVICES, DURING THE NORMAL COLLECTIONS CYCLE, OR MAY BE USED TO RE-CLASSIFY ACCOUNTS AFTER THEY HAVE BEEN DEEMED UNCOLLECTIBLE AND SUBSEQUENTLY RETURNED FROM A THIRD PARTY COLLECTION AGENCY). ONCE APPROVED, THE PATIENT WILL REMAIN ELIGIBLE FOR CHARITY CARE FOR A MAXIMUM OF FOUR MONTHS. THE ELIGIBILITY PERIOD WILL BEGIN FROM THE DATE OF THE PATIENT'S APPROVAL OF CHARITY CARE. CHARITY CARE DISCOUNTS WILL BE GIVEN FOR CURRENT OPEN ACCOUNTS AND THE FOLLOWING FOUR MONTHS OF EMERGENCY SERVICES OR MEDICALLY NECESSARY CARE. AFTER THE ELIGIBILITY PERIOD HAS ELAPSED, THE PATIENT MUST REAPPLY FOR FINANCIAL ASSISTANCE. LINES 16A, 16B, AND 16C: ALL FACILITIES THE FINANCIAL ASSISTANCE POLICY ("FAP"), FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT THE FOLLOWING ADDRESS: HTTPS://STATEMENTS.FRANCISCANALLIANCE.ORG/INFO/FINANCIALASSISTANCE.ASPX LINE 22: FRANCISCAN HEALTH OLYMPIA FIELDS FRANCISCAN HEALTH OLYMPIA FIELDS COMPUTES THE MAXIMUM AMOUNTS CHARGED TO FINANCIAL ASSISTANCE POLICY-ELIGIBLE INDIVIDUALS BASED ON THE ILLINOIS UNINSURED DISCOUNT ACT. UNDER THIS ACT, ILLINOIS FACILITIES CANNOT CHARGE GREATER THAN 135% OF COST. THIS METHOD RESULTS IN A LARGER DISCOUNT THAN THAT DETERMINED BY THE FEDERAL CALCULATION. 131 FRANCISCAN HEALTH 5255 MED BLDG 5255 E STOP 11 RD INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE INDIANA HEART PHYSICIANS 5330 E STOP 11 RD INDIANAPOLIS IN 46237 CARDIOVASCULAR FPN LAFAYETTE 3920 ST FRANCIS WAY LAFAYETTE IN 47905 PHYSICIAN PRACTICE FPN FRANCISCAN MEDICAL PAVILION 3500 FRANCISCAN WAY MICHIGAN CITY IN 46360 MEDICAL PAVILION FRANCISCAN HAMMOND CLINIC 7905 CALUMET AVE MUNSTER IN 46321 FAMILY WELLNESS CENTER FPN LAFAYETTE EAST 1701 S CREASY LN LAFAYETTE IN 47905 PHYSICIAN PRACTICE FPN CROWN POINT SPECIALTY CTR 1205 S MAIN ST CROWN POINT IN 46307 PHYSICIAN PRACTICE FRANCISCAN MEDICAL PAVILLION 3700 W 203RD ST OLYMPIA FIELDS IL 60461 PHYSICIAN PRACTICE FPN MEDICAL PAVILION SOUTH 2150 GETTLER ST DYER IN 46311 MEDICAL PAVILION FRANCISCAN HEALTH SPECIALITY CLINIC 8111 S EMERSON AVE INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE FRANCISCAN HEALTH 5230 MEDICAL BLDG 5230 E STOP 11 RD INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE WOODLAND HEALTH CTR 8865 W 400 N MICHIGAN CITY IN 46360 PHYSICIAN PRACTICE MICHIGAN CITY COOLSPRING HEALTH CTR 1225 E COOLSPRING AVE MICHIGAN CITY IN 46360 PHYSICIAN PRACTICE FRANCISCAN HEALTH MUNSTER BLDG 701 SUPERIOR AVE MUNSTER IN 46321 PHYSICIAN PRACTICE FRANCISCAN MUNSTER 761 MEDICAL BLDG 761 45TH AVE MUNSTER IN 46321 PHYSICIAN PRACTICE SPI - CRAWFORD AVE MEDICAL 20201 CRAWFORD AVE OLYMPIA FIELDS IL 60461 PHYSICIAN PRACTICE FPN INDIANAPOLIS 8051 S EMERSON AVE INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE DYER OUT PATIENT REHAB 24 JOLIET ST DYER IN 46311 PHYSICIAN PRACTICE FPN JOINT REPLACEMENT SURGEONS 1199 HADLEY RD MOORESVILLE IN 46158 PHYSICIAN PRACTICE FPN FAMILY WELLNESS CTR 9800 VALPARAISO DR MUNSTER IN 46321 PHYSICIAN PRACTICE FPN STONES CROSSING 1703 W STONES CROSSING RD GREENWOOD IN 46143 PHYSICIAN PRACTICE COLUMBUS PRIMARY & SPECIALTY CARE 123 2ND ST COLUMBUS IN 47201 PHYSICIAN PRACTICE FRANCISCAN HEALTH CROWN POINT MEDICAL OF 1201 S Main St CROWN POINT IN 46307 EXPRESS CARE CLINIC FRANCISCAN POINT 12800 MISSISSIPPI PKWY CROWN POINT IN 46307 PHYSICIAN PRACTICE ST FRANCIS WAY MEDICAL BLDG LAFAYETTE 3900 ST FRANCIS WAY LAFAYETTE IN 47905 PHYSICIAN PRACTICE FPN EXPRESS CARE & IMAGING CTR 909 SAGAMORE PKWY W WEST LAFAYETTE IN 47906 EXPRESS CARE CLINIC/IMAGING FPN WEST LAFAYETTE 915 SAGAMORE PKWY WEST WEST LAFAYETTE IN 47906 PHYSICIAN PRACTICE FPN COUNTY LINE MEDICAL 747 E COUNTY LINE RD GREENWOOD IN 46143 PHYSICIAN PRACTICE HEART AND VASCULAR INSTITUTE 3800 W 203RD ST OLYMPIA FIELDS IL 60461 CARDIOVASCULAR FRANCISCAN MEDICAL SPECIALISTS - DYER 919 MAIN ST DYER IN 46311 PHYSICIAN PRACTICE FRANCISCAN HEALTH CTR FOR WOMEN MOORESVI 1205 HADLEY RD MOORESVILLE IN 46158 PHYSICIAN PRACTICE FPN CROWN POINT PEDIATRIC HEALTH CTR 1141 S INDIANA AVE CROWN POINT IN 46307 PHYSICIAN PRACTICE FPN VALPARAISO HEALTH CTR 2421 LAPORTE AVE VALPARAISO IN 46383 PHYSICIAN PRACTICE FRANCISCAN HEALTH MOORESVILLE PROFESSION 1215 HADLEY RD MOORESVILLE IN 46158 SURGERY/ENDOSCOPY CENTER PHYSICIAN OFFICE WINFIELD HEALTH CTR 11161 RANDOLPH ST CROWN POINT IN 46307 PHYSICIAN PRACTICE FRANCISCAN HEALTH MOORESVILLE PAVILLON 1001 HADLEY RD MOORESVILLE IN 46158 PHYSICIAN PRACTICE PEDIATRIC ASSOCIATES OF GREENWOOD 900 AVERITT RD GREENWOOD IN 46143 PHYSICIAN PRACTICE FRANCISCAN EXPRESSCARE THOMPSON COMMONS 5210 E THOMPSON RD INDIANAPOLIS IN 46237 EXPRESS CARE CLINIC FRANCISCAN COMMUNITY CARE 1400 OTTO BLVD CHICAGO HEIGHTS IL 60411 PHYSICIAN PRACTICE FPN CHESTERTON MEDICAL OFFICE BLDG 770 INDIAN BOUNDARY RD CHESTERTON IN 46304 PHYSICIAN PRACTICE FPN CARMEL 12188B N MERIDIAN CARMEL IN 46032 EXPRESS CARE CLINIC FPN 1630 CRAWFORDSVILLE 1630 LAFAYETTE RD CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE FPN BRDWAY HEALTH CTR 9470 BRDWAY CROWN POINT IN 46307 PHYSICIAN PRACTICE INDIANAPOLIS MADISON AVE FRANCISCAN EXPR 1001 N MADISON AVE GREENWOOD IN 46142 EXPRESS CARE CLINIC FRANKLIN TOWNSHIP FAMILY MEDICINE 8325 E SOUTHPORT RD INDIANAPOLIS IN 46259 PHYSICIAN PRACTICE FPN HP MC EXPRESSCARE 4111 FRANKLIN ST MICHIGAN CITY IN 46360 EXPRESS CARE CLINIC SOUTHEAST FAMILY MEDICINE 965 EMERSON PKWY GREENWOOD IN 46143 PHYSICIAN PRACTICE FPN SOUTHSIDE FAMILY PRACTICE CRAWFORDSV 1640 CRAWFORDSVILLE SQ DR CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE LAFAYETTE FRANCISCAN HEALTHY LIVING CLIN 1116 N 16TH ST LAFAYETTE IN 47904 PHYSICIAN PRACTICE PLAINFIELD MEDICAL CTR 315 N DAN JONES RD PLAINFIELD IN 46168 PHYSICIAN PRACTICE FPN MICHIGAN CITY 3723 FRANKLIN ST MICHIGAN CITY IN 46360 PHYSICIAN PRACTICE ST JOHN FAMILY SERVICES 10860 MAPLE LANE SAINT JOHN IN 46373 PHYSICIAN PRACTICE FPN 400 NORTH HEALTH CTR 8733 W 400 N MICHIGAN CITY IN 46360 PHYSICIAN PRACTICE BEECH GROVE FAMILY MEDICINE 2030 CHURCHMAN AVE BEECH GROVE IN 46107 PHYSICIAN PRACTICE FPN SCHERERVILLE HEALTH CTR 7310 W LINCOLN HWY CROWN POINT IN 46307 PHYSICIAN PRACTICE HEARTLAND INTERNAL MEDICINE 10701 ALLIANCE DR CAMBY IN 46113 CARDIOVASCULAR FPN MICHIGAN CITY 8955 W 400 NORTH MICHIGAN CITY IN 46360 PHYSICIAN PRACTICE FPN SOUTH 31 FAMILY CARE 610 E SOUTHPORT RD INDIANAPOLIS IN 46227 PHYSICIAN PRACTICE CROWN POINT MEDICAL ARTS CTR 297 W FRANCISCAN DR CROWN POINT IN 46307 PHYSICIAN PRACTICE SOUTHPORT FP AND SPORTS MEDICINE 7825 MCFARLAND LN INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE GREENWOOD PARKE FAMILY MEDICINE 701 E COUNTYLINE RD GREENWOOD IN 46143 SLEEP CENTER FRANCISCAN HEALTH CITYWAY 426 S ALABAMA ST INDIANAPOLIS IN 46225 PHYSICIAN PRACTICE FPN OMNI FAMILY HEALTH CTR 221 US HWY 41 SCHERERVILLE IN 46375 PHYSICIAN PRACTICE FPN RENSSELAER MED CTR - FM & GEN SURGER 118 W DREXEL PKWY RENSSELAER IN 47978 PHYSICIAN PRACTICE FPN DYER FAMILY HEALTH CTR 840 RICHARD RD DYER IN 46311 PHYSICIAN PRACTICE INDIANA HEART PHYSICIANS MOORESVILLE 1201 HADLEY RD MOORESVILLE IN 46158 CARDIOVASCULAR LAFAYETTE FERRY ST MEDICAL BLDG 2708 FERRY ST LAFAYETTE IN 47904 PHYSICIAN PRACTICE FPN 1710 CRAWFORDSVILLE 1710 LAFAYETTE RD CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE FPN CEDAR LAKE HEALTH CTR 6831 133RD AVE CEDAR LAKE IN 46303 PHYSICIAN PRACTICE OLYMPIA FIELDS COMPREHENSIVE CANCER INST 3900 W 203RD ST OLYMPIA FIELDS IL 60461 PHYSICIAN PRACTICE FPN LOWELL HEALTH CTR 4500 WEST 181ST AVE LOWELL IN 46356 PHYSICIAN PRACTICE FPN LAFAYETTE YMCA 3001 S CREASY LN LAFAYETTE IN 47905 PHYSICIAN PRACTICE GREENWOOD MERIDIAN PARKE MEDICAL BLDG 362 MERIDIAN PARKE LN GREENWOOD IN 46142 PHYSICIAN PRACTICE MATTESON HEALTH CTR 20939 S CICERO AVE MATTESON IL 60443 PHYSICIAN PRACTICE HOBART EXPRESS CARE & WORKING WELL 101 W 61ST AVE HOBART IN 46342 EXPRESS CARE CLINIC/WORKING WELL DUNELAND HEALTH AND WELLNESS 810 MICHAEL DR CHESTERTON IN 46304 PHYSICIAN PRACTICE FPN INDY SOUTHSIDE FAMILY MEDICINE 4018 EAST SOUTHPORT RD INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE FRANCISCAN EXPRESSCARE RENSSELAER 919 E GRACE ST RENSSELAER IN 47978 EXPRESS CARE CLINIC INDIANA HEART PHYSICIANS SHELBYVILLE 2451 INTELLIPLEX DR SHELBYVILLE IN 46176 CARDIOVASCULAR FRANCISCAN BEHAVIORAL HEALTH NORTHPOINT 2050 N MAIN ST CROWN POINT IN 46307 PHYSICIAN PRACTICE CRAWFORDSVILLE EAST SIDE FAMILY MEDICINE 2056 LEBANON RD CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE FRANCISCAN MUNSTER 759 MEDICAL BLDG 759 45TH AVE MUNSTER IN 46321 PHYSICIAN PRACTICE FPN COLUMBUS SPECIALTY CTR 4035 Mimosa Dr COLUMBUS IN 47201 PHYSICIAN PRACTICE CRAWFORDSVILLE FRANCISCAN HEALTH LIVING 1704 LAFAYETTE RD CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE TINLEY PARK WALK-IN CLINIC 16650 HARLEM AVE TINLEY PARK IL 60477 PHYSICIAN PRACTICE WHITE OAK PROFESSIONAL BLDG 1644 45TH ST MUNSTER IN 46321 PHYSICIAN PRACTICE VALPARAISO EXPRESSCARE & WORKING WELL 2307 LAPORTE AVE VALPARAISO IN 46383 EXPRESS CARE CLINIC/WORKING WE WORKING WELL FRANCISCAN MEDICAL SPECIALISTS - HAMMOND 5529 HOHMAN AVE HAMMOND IN 46320 PHYSICIAN PRACTICE FPN ST CLARE CLINIC 1121 S INDIANA AVE CROWN POINT IN 46307 PHYSICIAN PRACTICE INDIANAPOLIS WORKING WELL ALABAMA ST 325 S ALABAMA ST INDIANAPOLIS IN 46204 PHYSICIAN PRACTICE GREENWOOD SPRINGS MEDICAL BLDG 1040 GREENWOOD SPRINGS BLVD GREENWOOD IN 46143 PHYSICIAN PRACTICE CONFIDENTIAL CARE LTD 720 45TH ST MUNSTER IN 46321 PHYSICIAN PRACTICE FRANCISCAN EXPRESSCARE CARMEL 10767 ILLINOIS ST CARMEL IN 46032 EXPRESS CARE CLINIC LAPORTE MEDICAL GROUP SURGICAL CTR 900 I ST LAPORTE IN 46350 PHYSICIAN PRACTICE FRANCISCAN EXPRESSCARE PORTAGE 3283 WILLOWCREEK RD PORTAGE IN 46368 EXPRESS CARE CLINIC HOMEWOOD HEALTH CTR 18636 DIXIE HWY HOMEWOOD IL 60430 PHYSICIAN PRACTICE FPN GREENCASTLE 1542 S BLOOMINGTON ST GREENCASTLE IN 46135 PHYSICIAN PRACTICE SPI OLYMPIA FIELDS CRAWFORD AVE 20303 CRAWFORD AVE OLYMPIA FIELDS IL 60461 PHYSICIAN PRACTICE FRANCISCAN HEALTH HAMMOND 5454 HOHMAN AVE HAMMOND IN 46320 PHYSICIAN PRACTICE FPN CARDIOLOGY - LOGANSPORT 1201 MICHIGAN AVE LOGANSPORT IN 46947 PHYSICIAN PRACTICE FPN INDY SOUTH 7855 S EMERSON AV INDIANAPOLIS IN 46237 PHYSICIAN PRACTICE MARIE CANINE CANCER CTR 1706 LAFAYETTE RD CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE FPN VALPARAISO SPECIALTY HEALTH CTR 2590 MORTHLAND DR VALPARAISO IN 46385 PHYSICIAN PRACTICE INDIANA HEART PHYSICIANS GREENSBURG 720 N LINCOLN ST GREENSBURG IN 47240 CARDIOVASCULAR INDIANA PACKERS EMPLOYEE HEALTH CLINIC 1165 NORTH US 421 DELPHI IN 46923 PHYSICIAN PRACTICE HAMMOND FAMILY HEALTH CTR 5530 HOHMAN AVE HAMMOND IN 46320 PHYSICIAN PRACTICE CHICAGO HEIGHTS PROFESSIONAL BLDG 30 E 15TH ST CHICAGO HEIGHTS IL 60411 RESIDENCY CLINIC OLYMPIA FIELDS PAVILION 20121 CRAWFORD AVE OLYMPIA FIELDS IL 60461 MEDICAL PAVILION LAPORTE LEGACY HILLS HEALTH CTR 309 W JOHNSON RD LA PORTE IN 46350 PHYSICIAN PRACTICE FRANKLIN JEFFERSON ST MEDICAL BLDG 1300 W JEFFERSON ST FRANKLIN IN 46131 PHYSICIAN PRACTICE WORKING WELL MADISON AVE 300 S MADISON AVE GREENWOOD IN 46142 PHYSICIAN PRACTICE PURDUE UNIVERSITY SPORTS MEDICINE 900 N JOHN R WOODEN DR WEST LAFAYETTE IN 47907 PHYSICIAN PRACTICE HEALTH & WELLNESS - UNIVERSITY OF SAINT 1516 LEESBURG RD FORT WAYNE IN 46808 PHYSICIAN PRACTICE FPN INDY SOUTHSIDE SURGICAL 1203 HADLEY RD MOORESVILLE IN 46158 PHYSICIAN PRACTICE CRAWFORDSVILLE ATHENS OUTPATIENT CTR 1660 LAFAYETTE RD CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE BUTLER UNIVERSITY SPORTS MEDICINE 510 W 49TH ST INDIANAPOLIS IN 46208 PHYSICIAN PRACTICE FRANCISCAN BROOK HEALTH CTR 420 E MAIN ST BROOK IN 47922 PHYSICIAN PRACTICE DEFRIES CHIROPRACTIC CTR 492 S BIERMA ST WHEATFIELD IN 46392 PHYSICIAN PRACTICE FPN HAMMOND FAMILY HEALTH CTR 5500 HOHMAN AVE HAMMOND IN 46320 PHYSICIAN PRACTICE LAFAYETTE HUNTERS PLAZA BLDG 3218 DAUGHERTY DR LAFAYETTE IN 47909 PHYSICIAN PRACTICE FPN OF ILLINOIS EXPRESSCARE 20180 S LAGRANGE RD FRANKFORT IL 60423 EXPRESS CARE CLINIC IBMT OUTREACH CLINIC 5340 HOLY CROSS PKWY MISHAWAKA IN 46545 PHYSICIAN PRACTICE FPN MONTICELLO MEDICAL CTR 826 N 6TH ST MONTICELLO IN 47960 MEDICAL PRACTICE FRANCISCAN HEALTH ST JOHN 8345 WICKER AVE SAINT JOHN IN 46373 PHYSICIAN PRACTICE FPN DEMOTTE HEALTH CTR 200 3RD COURT SE DEMOTTE IN 46310 PHYSICIAN PRACTICE FPN ILLINOIS 333 DIXIE HWY CHICAGO HEIGHTS IL 60411 PHYSICIAN PRACTICE PREFERRED PEDIATRICS OF LAFAYETTE 3774 BAYLEY DR LAFAYETTE IN 47905 PHYSICIAN PRACTICE SPI - PARK FOREST 344 VICTORY DR PARK FOREST IL 60466 PHYSICIAN PRACTICE FPN LAKE RIDGE FAMILY HEALTH CTR 1573 N CLINE AVE GRIFFITH IN 46319 PHYSICIAN PRACTICE CRAWFORDSVILLE FAMILY CARE 308 W MARKET ST CRAWFORDSVILLE IN 47933 PHYSICIAN PRACTICE HONEY GROVE FAMILY MEDICINE 1711 S STATE RD 135 GREENWOOD IN 46143 PHYSICIAN PRACTICE SCHEDULE H, PART VI, ITEM 2 NEEDS ASSESSMENT FRANCISCAN ALLIANCE, INC. ("FRANCISCAN") HOSPITALS ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE BY COLLABORATING WITH PUBLIC AND PRIVATE AGENCIES TO DETERMINE COMMUNITY HEALTH NEEDS AND HOW BEST TO ADDRESS THEM. FRANCISCAN'S SYSTEM-WIDE COMMUNITY BENEFIT COMMITTEE, AS WELL AS COMMITTEES IN THE LOCAL FACILITIES, COMMITTED TO AN ONGOING ASSESSMENT OF COMMUNITY HEALTH NEEDS AND PRIORITIES BASED UPON HEALTH INITIATIVES OF THE MUNICIPAL, COUNTY, AND STATE HEALTH DEPARTMENTS, COMMUNITY-BASED ASSESSMENTS BY OTHER PUBLIC SECTOR PARTNERS, PROFESSIONAL RESEARCH CONSULTANT REPORTS, AND FAITH-BASED PARTNERS WITHIN THE COMMUNITIES SERVED. IN ADDITION, OUR HOSPITALS ADDRESS PUBLIC AGENCY AND COMMUNITY GROUP REQUESTS TO PROVIDE COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS THAT MEET CERTAIN SPECIALTY OR HYBRID NEEDS OR POPULATIONS. THE DETAILED CHNA ACTIVITIES FOR EACH OF FRANCISCAN'S HOSPITALS CAN BE FOUND IN PART V OF THIS SCHEDULE H. ------------------------------------------------------------------- SCHEDULE H, PART VI, ITEM 3 FINANCIAL ASSISTANCE POLICY FRANCISCAN'S HOSPITALS INFORM AND EDUCATE PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER FRANCISCAN'S FINANCIAL ASSISTANCE AND CHARITY CARE POLICY. FOR PATIENTS NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE, FRANCISCAN COMMUNICATES THE AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY THROUGH THE FOLLOWING MEANS: 1. FRANCISCAN COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN APPROPRIATE CARE SETTINGS SUCH AS EMERGENCY DEPARTMENTS, ADMITTING/REGISTRATION AREAS, BILLING OFFICES, OUTPATIENT SERVICE SETTINGS, AND ON OUR HOSPITALS' WEBSITES. SIGNS/POSTINGS INFORM PATIENTS THAT FREE OR REDUCED COST CARE MAY BE AVAILABLE TO QUALIFYING PATIENTS WHO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. 2. BROCHURES SUMMARIZING OUR FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE THROUGHOUT EACH FRANCISCAN HOSPITAL. 3. FINANCIAL COUNSELORS AND BUSINESS OFFICE PERSONNEL ARE AVAILABLE TO HELP PATIENTS UNDERSTAND AND APPLY FOR LOCAL, STATE, FEDERAL HEALTH CARE PROGRAMS; HEALTH INSURANCE EXCHANGES; AND FRANCISCAN'S FINANCIAL ASSISTANCE PROGRAMS. 4. ALL BILLS AND STATEMENTS FOR SERVICES INFORM UNINSURED PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. 5. PATIENTS/GUARANTORS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE APPLICATION BY CALLING THE FRANCISCAN BILLING OFFICE OR DOWNLOADING A COPY AT NO COST FROM FRANCISCAN HOSPITAL'S WEBSITES. 6. PATIENTS/GUARANTORS CAN REQUEST FINANCIAL ASSISTANCE INFORMATION BY CALLING FRANCISCAN'S BILLING OFFICE PHONE LINE ON A 24-HOUR BASIS. 7. INDIVIDUALS OTHER THAN THE PATIENT, SUCH AS THE PATIENT'S PHYSICIAN, FAMILY MEMBERS, COMMUNITY OR RELIGIOUS GROUPS, SOCIAL SERVICES, OR HOSPITAL PERSONNEL MAY MAKE REQUESTS FOR FINANCIAL ASSISTANCE ON THE PATIENT'S BEHALF, SUBJECT TO APPLICABLE PRIVACY LAWS. 8. FRANCISCAN SENDS 4 STATEMENTS AND MAKES 6 PHONE CALL ATTEMPTS TO CONTACT THE PATIENT/GUARANTOR AT THE ADDRESS AND PHONE NUMBER PROVIDED BY THE PATIENT/GUARANTOR. STATEMENTS AND COMMUNICATIONS INFORM THE PATIENT OF THE AMOUNT DUE AND IF THEY CANNOT PAY THEIR BALANCE THE AVAILABILITY OF FINANCIAL ASSISTANCE. ------------------------------------------------ SCHEDULE H, PART VI, ITEM 4 COMMUNITY INFORMATION THE FRANCISCAN ALLIANCE SERVES A LARGE GEOGRAPHIC AREA WHICH INCLUDES 18 COUNTIES IN INDIANA (BENTON, CARROLL, FOUNTAIN, HAMILTON, JASPER, JOHNSON, LAKE, LAPORTE, MARION, MONTGOMERY, MORGAN, NEWTON, PORTER, SHELBY, STARKE, TIPPECANOE, WARREN, AND WHITE) AND 3 COUNTIES IN ILLINOIS (COOK, KANKAKEE, AND WILL). THE POPULATION OF THE COMMUNITIES THAT WE SERVE WAS ESTIMATED CLOSE TO 3.96 MILLION PEOPLE WITH AN AVERAGE HOUSEHOLD INCOME JUST ABOVE $74,100 IN 2024. FOR THESE COMMUNITIES, THE PERCENTAGE OF RESIDENTS BELOW THE FEDERAL POVERTY LEVEL WAS ESTIMATED AT 12.9%. THE PERCENTAGE OF INPATIENTS FROM THESE COMMUNITIES WHO WERE SERVED BY MEDICAID WAS 24.6% AND THE PERCENTAGE OF INPATIENTS FROM THESE COMMUNITIES WHO WERE UNINSURED WAS APPROXIMATELY 3.4%. FOR PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND COMMUNITY HEALTH IMPROVEMENT PLANS, THE 'COMMUNITY' HAS MORE RESTRICTIVE BOUNDARIES THAN LISTED ABOVE. BECAUSE MOST HOSPITALS ARE IN AREAS OF THE MOST VULNERABLE OF THE POPULATION. BY BEING MORE STRATEGIC ABOUT SPECIFIC CITIES, TOWNS, ZIP CODES, COUNTIES, OR VILLAGES, THE INTENT OF THE COMMUNITY BENEFIT REGULATION IS HONORED, CONCENTRATING SERVICES AND RESOURCES IN THE MOST CHALLENGED AREAS. ------------------------------------------------ SCHEDULE H, PART VI, ITEM 5 & PART I, LINE 6A OTHER INFORMATION PLEASE VIEW WWW.FRANCISCANHEALTH.ORG/ABOUT/WHO-WE-ARE WHICH REFLECTS OUR MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION." AS WELL AS WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH FOR FRANCISCAN'S COMMUNITY BENEFIT AND COMMUNITY HEALTH ASSESMENTS. 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, TRAUMA SERVICES, 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, STROKE SERVICES, HOME HEALTH SERVICES, SKILLED NURSING SERVICES, SOCIAL SERVICES, DURABLE MEDICAL EQUIPMENT. - FRANCISCAN SENIOR HEALTH & WELLNESS IS A COMPREHENSIVE AND COORDINATED 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. FRANCISCAN SAVED MEDICARE AND MEDICAID OVER $3 MILLION IN 2023 AND 2022 AND ALLOWED SENIORS THE ABILITY TO CONTINUE TO LIVE AT HOME WHILE HAVING THEIR HEALTH MANAGED. THE FRANCISCAN SENIOR HEALTH & WELLNESS - PACE PROGRAM PROVIDES ALL MEDICARE AND MEDICAID COVERED SERVICES AS WELL AS ALL SERVICES DETERMINED NECESSARY BY OUR INTERDISCIPLINARY TEAM TO MAINTAIN EACH PARTICIPANT'S OVERALL MEDICAL, PHYSICAL, EMOTIONAL, AND SOCIAL HEALTH. WE EXPANDED OPERATIONS TO FOUR PACE CENTERS ACCROSS INDIANA FOR SUPPORT OF HOOSIERRS IN NEED OF SERVICES TO REMAIN 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, ADVANCED PRACTICE PROVIDERS, NURSES, PHARMACISTS, THERAPISTS, SOCIAL WORKERS, DIETI SCHEDULE H, PART VI, ITEM 5 & PART I, LINE 6A CON'T - 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, FAMILY CONFLICTS, AND EMOTIONAL DISORDERS, INCLUDING TESTING FOR PSYCHOLOGICAL DISORDERS AND CONSULTATIONS. OUR BEHAVIORAL HEALTH SERVICES AND PROGRAMS ARE TAILORED TO MEET THE NEEDS OF ADULTS, ADOLESCENTS AND CHILDREN WITH BOTH INDIVIDUAL AND GROUP BEHAVIORAL THERAPY AND COUNSELING OPTIONS. AFTERCARE AND LONG-TERM RECOVERY PROGRAMS ARE ADDITIONAL, CRITICAL ASPECTS OF OUR BEHAVIORAL HEALTH SERVICES. - THE ST. FRANCIS CENTER RESIDENTIAL TREATMENT PROGRAM FOR ADOLESCENTS BASED AT FRANCISCAN HEALTH DYER, IS AN ADOLESCENT RESIDENTIAL TREATMENT PROGRAM FOR MALE AND FEMALE YOUTHS, AGES 12 THROUGH 18, WHO WOULD BE UNSUCCESSFUL WITHOUT A HIGHLY STRUCTURED AND CONTROLLED ENVIRONMENT. THE ST. FRANCIS CENTER OFFERS TWO LEVELS OF CARE IN A NURTURING, THERAPEUTIC AND SECURE ENVIRONMENT. THE PROGRAM IS DESIGNED TO ASSIST ADOLESCENTS IN DEVELOPING THE NECESSARY SKILLS TO FUNCTION AGE-APPROPRIATELY AND SUCCESSFULLY ON A DAILY BASIS SO THEY CAN REINTEGRATE WITH THE COMMUNITY AND THEIR FAMILIES. IT IS OUR BELIEF THAT SUCCESS IS OFTEN DEPENDENT ON FAMILY INVOLVEMENT. THEREFORE, FAMILIES ARE ENCOURAGED TO TAKE AN ACTIVE ROLE IN THE TREATMENT WITH FAMILY SESSIONS ROUTINELY SCHEDULED. - FRANCISCAN MICHIGAN CITY ALSO HAS A 14-BED INPATIENT BEHAVIORAL HEALTH UNIT AT THE FRANCISCAN HEALTH MICHIGAN CITY NORTH CAMPUS. - THE EMPATH UNIT AT FRANCISCAN HEALTH LAFAYETTE EAST IS FOCUSED ON TREATING AND STABILIZING PATIENTS EXPERIENCING A PSYCHIATRIC CRISIS. THIS TRAUMA-INFORMED TEAM COLLABORATES WITH COMMUNITY RESOURCES TO CONNECT PATIENTS WITH THE BEHAVIORAL HEALTH CARE THAT IS RIGHT FOR THEM. - LOCATED AT FRANCISCAN HEALTH CRAWFORDSVILLE, THE GENERATIONS PROGRAM SERVES SENIORS 55 AND OLDER THROUGHOUT INDIANA AND EASTERN ILLINOIS WHO ARE EXPERIENCING DEMENTIA OR ALZHEIMER'S DISEASE OR EXHIBITING INCONSISTENT, DISRUPTIVE, UNPREDICTABLE OR EVEN SUICIDAL BEHAVIOR. - FRANCISCAN HAS VARIOUS PRENATAL ASSISTANCE PROGRAMS THROUGHOUT INDIANA AND ILLINOIS AS PART OF OUR INITIATIVE TO REDUCE INFANT MORTALITY RATES. FRANCISCAN PROVIDES SUPPORT FOR MOMS IN NEED, INCLUDING CONNECTING THEM WITH PRENATAL CARE, CASE MANAGEMENT, CONNECTING THEM WITH RESOURCES IN THE COMMUNITY, AND PROVIDING CONTINUED SUPPORT AFTER THE BIRTH OF THEIR BABY. WE ALSO OFFER DIAPER DEPOTS THROUGHOUT OUR COMMUNITIES PROVIDING FREE DIAPERS AND WIPES TO FAMILIES IN NEED ON SET DAYS EACH MONTH. AS PART OF OUR EFFORTS, WE HAVE SEEN INFANT MORTALITY DECREASE IN NORTHWEST INDIANA FROM 10.5 PER 1,000 LIVE BIRTHS IN 2017 TO 8.0 PER 1,000 LIVE BIRTHS IN 2021 AND WE ARE COMMITTED TO THESE EFFORTS. - NEONATAL INTENSIVE CARE SERVICES OFFERS ADVANCED PROCEDURES, TECHNOLOGY AND EXPERTISE TO GIVE VERY SMALL OR VERY ILL NEWBORNS THE BEST CHANCE FOR A HEALTHY START IN LIFE. OUR TEAM OF DOCTORS, NURSES AND OTHER HEALTH PROFESSIONALS DEMONSTRATES THE GENUINE CARING, WARMTH AND SINCERITY THAT BRING OUR MISSION OF SERVICE TO LIFE AND OFFER REASSURANCE AND CONFIDENCE TO PARENTS AND REFERRING PHYSICIANS ALIKE. - PALLIATIVE CARE SERVICES ASSIST PATIENTS AND FAMILIES IN MAKING COMPLEX MEDICAL DECISIONS BY PROVIDING A GOOD UNDERSTANDING OF THE PATIENT'S PRESENT CONDITION, COORDINATING AND COMMUNICATING CARE WITH PHYSICIANS, ADVOCATING FOR PATIENTS' WISHES, AND HELPING THEM TO ACHIEVE A SENSE OF CONTROL OVER THEIR MEDICAL CARE. PALLIATIVE CARE IS OFFERED REGARDLESS OF THE STAGE OF DISEASE OR THE NEED FOR OTHER THERAPIES AND CAN BE PROVIDED CONCURRENTLY WITH LIFE-PROLONGING CARE OR AS THE MAIN FOCUS OF CARE. - CLINICS FOR THE UNINSURED INCLUDE THE ST. CLARE HEALTH CLINIC AND DR. JOHN LANMAN CLINIC. THESE CLINICS PROVIDE PRIMARY CARE FOR NON-EMERGENCY SERVICES WITH AN EMPHASIS ON PREVENTION, EARLY DETECTION, PATIENT EDUCATION, PHYSICAL EXAMS AND HEALTH SCREENINGS. THESE CLINICS ALSO SERVES THOSE WHO ENDURE HARDSHIP TO ACCESS QUALITY HEALTH CARE. - EMERGENCY SERVICES PROVIDE OUR COMMUNITIES WITH STATE-OF-THE-ART EMERGENCY FACILITIES, OPEN 24-HOURS A DAY, SEVEN DAYS A WEEK. EQUIPPED WITH ADVANCED MEDICAL TECHNOLOGY, OUR EMERGENCY TEAM OF SPECIALLY TRAINED PHYSICIANS AND NURSES TREAT THEIR PATIENTS FOR TRAUMA, STROKE, CARDIAC, AND OTHER LIFE-THREATENING CONDITIONS IN ADULTS AND CHILDREN. - AT THE FRANCISCAN HOSPICE HOUSE LOCATED IN INDIANAPOLIS, INDIANA, PATIENTS RECEIVE SPECIALIZED CARE AND RESPITE SERVICES FOR FAMILIES IN A HOME LIKE SETTING. FROM ROOMS THAT ARE LARGE, PRIVATE AND PET-FRIENDLY TO A GARDEN THAT'S JUST RIGHT FOR PRAYER, CONTEMPLATION OR QUIET CONVERSATION, THE SERVICES AND AMENITIES AT THE FRANCISCAN HOSPICE HOUSE WERE DESIGNED WITH PATIENT COMFORT IN MIND. FRANCISCAN HOSPICE HOUSE WAS ENVISIONED AS A COMPLEMENT TO THE EXCEPTIONAL HOME HEALTH, HOSPICE, AND PALLIATIVE CARE SERVICES THAT FRANCISCAN HEALTH HAS PROVIDED TO PATIENTS AND FAMILIES IN SOUTH-CENTRAL INDIANA FOR MORE THAN TWO DECADES. FRANCISCAN HOSPICE HOUSE OFFERS 16 PRIVATE ROOMS FOR PATIENTS AND FAMILIES, A LARGE COMMON AREA FOR FAMILIES, A WELL-EQUIPPED KITCHEN WITH DINING ROOM, A CHAPEL AND PRAYER GARDEN, AND HIGH-QUALITY, HOLISTIC INDIVIDUALIZED PATIENT CENTRIC MEDICAL CARE FOR ALL PATIENTS-REGARDLESS OF THEIR ABILITY TO PAY. FRANCISCAN HOSPICE HOUSE IS STAFFED WITH A COMPASSIONATE AND EXPERIENCED TEAM OF PHYSICIANS, NURSES, SOCIAL WORKERS, THERAPISTS, CHAPLAINS AND ASSISTIVE PERSONNEL WHOSE MISSION IS TO PROVIDE EXCEPTIONAL AND DIGNIFIED END OF LIFE CARE FOR PATIENTS AND SUPPORT FOR THE FAMILITIES AT ALL TIMES. - HEALTH AND WELLNESS CENTERS AND HEALTHY LIVING EDUCATION CENTERS. THE HEALTHY LIVING CENTER BRINGS TOGETHER MEDICAL PROFESSIONALS DEDICATED TO THE PREVENTION AND TREATMENT OF CHRONIC HEALTH CONDITIONS. OUR GOAL IS TO PROVIDE EVIDENCE-BASED CARE AND EDUCATION TO ASSIST WITH IMPROVING OVERALL QUALITY OF LIFE AND REDUCING CARE COMPLICATIONS AT ALL PHASES OF CARE AS A PARTNER WITH OTHER CARE TEAM MEMBERS. WE CURRENTLY OFFER THE FOLLOWING PROGRAMS: 1. NURSE PRACTITIONER LED PROGRAM FOR HEART FAILURE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, AND ASTHMA MANAGEMENT WHICH TARGETS GUIDELINE DIRECTED MEDICAL THERAPY AND EDUCATION. THIS TEAM WILL ALSO PROVIDE TRANSITIONAL MANAGEMENT VISITS FOR PATIENTS DISCHARGING FROM THE HOSPITAL AND UNABLE TO BE SEEN BY PRIMARY CARE PROVIDERS TIMELY. THE TEAM WORKS IN COLLABORATION WITH PRIMARY AND SPECIALTY CARE PROVIDERS FOR OPTIMIZED TREATMENT PLANS AND READMISSION REDUCTION. THE PROGRAM IS MULTI-DISCIPLINARY IN NATURE AND INCLUDES A PHARMACIST, DIETITIAN, RESPIRATORY THERAPIST, AND SOCIAL WORKER. 2. BETTER WEIGH OF LIFE PROGRAM IS AN INTENSIVE WEIGHT LOSS PROGRAM THAT FOCUSES ON LIFESTYLE CHANGE, BEHAVIORAL MODIFICATIONS AND MAY INCLUDE MEDICATION MANAGEMENT. THE TEAM INCLUDES A NURSE PRACTITIONER, DIETITIAN, ATHLETIC TRAINER, AND PHARMACIST. 3. DIABETES EDUCATION AND SUPPORT WORKS WITH PATIENTS AT ALL POINTS OF THE DIABETES JOURNEY TO TEACH SELF-MANAGEMENT SKILLS AND IMPROVE OVERALL DIABETES CONTROL. THE TEAM INCLUDES CERTIFIED DIABETES EDUCATORS THAT ARE NURSE PRACTITIONERS, NURSES, DIETITIANS, AND LIFESTYLE COACHES. 4. DIABETES PREVENTION PROGRAM IS A YEARLONG SMALL GROUP PROGRAM THAT MEETS ROUTINELY TO WORK ON WEIGHT MANAGEMENT AND HEALTHY LIFESTYLE TO PREVENT OR DELAY TYPE 2 DIABETES. THIS PROGRAM CAN BE OFFERED AT OFF-SITE LOCATIONS TO MEET THE NEEDS OF PATIENTS. 5. ASPIRE TOBACCO CESSATION PROGRAM SUPPORTS PATIENTS WITH QUIT ATTEMPTS TO IMPROVE THEIR OVERALL HEALTH. THE TEAM INCLUDES A NURSE PRACTITIONER AND SPECIALLY TRAINED TOBACCO TREATMENT SPECIALISTS TO COACH, EDUCATION AND PROVIDE MEDICATION MANAGEMENT. 6. PRO-EXERCISE IS A SUPERVISED EXERCISE PROGRAM FOR INDIVIDUALS THAT HAVE LIMITED MOBILITY OR OTHER HEALTH CONCERNS THAT MAKE OTHER LOCATIONS CHALLENGING. THIS SUPERVISED EXERCISE PROGRAM IS AVAILABLE BY PROVIDER REFERRAL ONLY. - COMMUNITY OUTREACH, COMMUNITY HEALTH IMPROVEMENT, 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, ORTHOPEDIC, CANCER & HEART CARE CLINICAL SYMPOSIUMS, HEALTH CARE DECISION-MAKING SESSIONS, SENIOR HEALTH EDUCATION, DIABETES MANAGEMENT EDUCATION AND 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, C SCHEDULE H, PART VI, ITEM 5 & PART I, LINE 6A CON'T - SENIOR PROMISE IS A COMMUNITY BENEFIT PROGRAM FOR THOSE OVER THE AGE OF 55. THIS PROGRAM PROVIDES EDUCATION, SUPPORT, AND RESOURCES TO ASSIST MEMBERS OF OUR COMMUNITY ALONG THEIR PATH OF AGING. THE SENIOR PROMISE PROGRAM HAS A KEY EMPHASIS ON THE SOCIAL DETERMINANTS OF HEALTH. COLLABORATING WITH OTHER NON-PROFIT ORGANIZATIONS, SENIOR PROMISE DELIVERS EDUCATIONAL OPPORTUNITIES FOCUSED ON PROMOTING ACCESS TO CARE, IMPROVING HEALTH LITERACY, MINIMIZING SOCIAL ISOLATION, AND REDUCING FOOD INSECURITIES. SINCE 1987, SENIOR PROMISE HAS PRODUCED A QUARTERLY NEWSLETTER WHICH HIGHLIGHTS BOTH FRANCISCAN SERVICES AND COMMUNITY BENEFITS. ARTICLES IN OUR NEWSLETTER REGULARLY INFORM OUR MEMBERS OF SUCH PROGRAMS AS THE PROGRAM FOR ALL-INCLUSIVE CARE (PACE), THE ACCOUNTABLE CARE ORGANIZATION (ACO), AND FEATURE MEDICARE UPDATES, LOCAL HEALTH SCREENING OPPORTUNITIES, AND MYRIAD OF PLANNED COMMUNITY EVENTS. OTHER BENEFITS PROVIDED BY THE SENIOR PROMISE PROGRAM INCLUDE MEDICARE ASSISTANCE, CAREGIVER RESOURCES, GROUP TRAVEL OPPORTUNITIES, LOCAL BUSINESS DISCOUNTS, AND ASSISTANCE WITH BILLING QUESTIONS. - 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, SEXUAL ASSAULT TRAINING PROGRAMS, AMBULANCE/PARAMEDIC TRAINING PROGRAMS, HOME HEALTH STUDENT TRAINING, INTERN & RESIDENT TRAINING FOR MIDWESTERN UNIVERSITY, OPERATING ROOM TECHNOLOGY TRAINING, ETC. INTERN, RESIDENT AND FELLOWSHIP TRAINING PRIMARILY FROM MIDWESTERN UNIVERSITY AND OTHER MEDICAL SCHOOLS IN INTERNAL MEDICINE, FAMILY MEDICINE, CRITICAL CARE, EMERGENCY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, RHEUMATOLOGY, UROLOGY, DIAGNOSTIC RADIOLOGY, AND ORTHOPEDICS. IN 2022, FRANCISCAN HEALTH INITIATED THE FRANCISCAN STUDENT NURSE INTERN PROGRAM, A STRATEGIC INITIATIVE AIMED AT PROVIDING CRUCIAL SUPPORT TO NURSING STUDENTS IN MANAGING THEIR EDUCATIONAL EXPENSES WHILE FACILITATING A SEAMLESS TRANSITION INTO THE ROLE OF A FRANCISCAN NURSE. THIS PROGRAM HAS PROVEN INSTRUMENTAL IN OUR COMMITMENT TO FOSTERING THE GROWTH AND DEVELOPMENT OF THE HEALTHCARE WORKFORCE. THE PROGRAM IS STRUCTURED TO EXTEND ITS BENEFITS TO ELIGIBLE STUDENTS DURING THE FINAL THREE SEMESTERS OF THEIR NURSING EDUCATION. UPON ENROLLMENT, STUDENTS BECOME ELIGIBLE FOR $9,600 IN RETURN FOR A TWO-YEAR SERVICE COMMITMENT WITHIN THE FRANCISCAN HEALTH SYSTEM. DURING 2023, WE ACCEPTED 51 STUDENTS, WITH THE VAST MAJORITY OF STUDENTS COMING FROM IVY TECH COMMUNITY COLLEGE. PURDUE NORTHWEST AND THE UNIVERSITY OF ST. FRANCIS CONTRIBUTED THE MOST CANDIDATES AFTER IVY TECH. IN 2023, FRANCISCAN HEALTH DISBURSED A TOTAL OF $341,510 TO SUPPORT STUDENTS. AS OF DECEMBER 31, 2023, 24 STUDENTS HAVE SUCCESSFULLY GRADUATED AND ARE ACTIVELY FULFILLING THEIR SERVICE COMMITMENT. - RESEARCH PROGRAMS INCLUDING: ONCOLOGY RESEARCH, CARDIOVASCULAR RESEARCH, CARDIO-ONCOLOGY RESEARCH, BLOOD AND MARROW TRANSPLANTATION RESEARCH, INFECTIOUS DISEASE RESEARCH, INTERNAL MEDICINE RESEARCH, ORTHOPEDICS RESEARCH, CARDIOTHORACIC SURGERY RESEARCH, PAIN MANAGEMENT RESEARCH, COLON AND RECTAL SURGERY RESEARCH, INVESTIGATOR INITIATED RESEARCH, NURSING RESEARCH, QI/EBP PROJECTS, NCI SPONSORED CLINICAL TRIALS, PHARMACEUTICAL SPONSORED CLINICAL TRIALS, PHASE I-IV CLINICAL TRIALS, HUMANITARIAN USE DEVICES, CMS RECOGNIZED CAROTID ARTERY STENTING FACILITY. THE FRANCISCAN PROJECT GRACE PROGRAM ASSISTS FAMILIES AFFECTED BY THE OPIATE CRISIS AND HAS ONE PURPOSE - DELIBERATE ACTS OF KINDNESS. GIFTS TO THE PROJECT GRACE PROGRAM PROVIDE FAMILIES BABY FORMULA AND DIAPERS, HELP WITH PAYING BILLS, AND HELP FUND PARENTING CLASSES. EXTENDING GRACE MOTIVATES PARENTS TO STAY EMPLOYED, PROGRESS IN THEIR RECOVERY, AND GIVE THEIR BABY THE BEST POSSIBLE START IN LIFE. AGAIN, PLEASE VIEW WWW.FRANCISCANHEALTH.ORG/ABOUT/WHO-WE-ARE WHICH REFLECTS OUR MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION" AS WELL AS WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH FOR FRANCISCAN'S COMMUNITY BENEFIT AND COMMUNITY HEALTH ASSESMENTS. 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 OFFER CONDITION AND DISEASE-SPECIFIC INFORMATION ON TOPICS LIKE CANCER, PREGNANCY, AND GERIATRICS THAT PROVIDE ILLUSTRATIONS, GRAPHICS AND NARRATED VIDEOS. THE WEB SITES ALSO PROVIDE UNLIMITED FREE ACCESS TO ONLINE HEALTH RISK ASSESSMENT TOOLS SUCH AS THE HEART RISK ASSESSMENT THAT USES AN ESTABLISHED ALGORITHM TO CALCULATE RISK FACTORS FOR HEART ATTACK BASED UPON USER-ENTERED PARAMETERS. THE SITES ALSO OFFER CONDITION-SPECIFIC RECOMMENDATIONS FOR MANAGING CHRONIC ILLNESSES AND CONDITIONS SUCH AS DIABETES, HIGH BLOOD PRESSURE AND ASTHMA, AMONG OTHERS. FINALLY, THE WEB SITES HAVE HEALTHY LIVING SECTIONS THAT OFFER TIPS AND SUGGESTIONS ON BEGINNING AND MAINTAINING DIET AND EXERCISE REGIMENTS TO OPTIMIZE HEALTHY LIFESTYLES. FRANCISCAN HAS NUMEROUS URGENT CARE CLINICS WITHIN THE COMMUNITIES THEY SERVE TO HELP MINIMIZE THE COST OF NON-CRITICAL, EMERGENT MEDICAL CARE. THESE CLINICS ARE ALL SUBSIDIZED BY FRANCISCAN. MOREOVER, THERE ARE OTHER FACTORS THAT DEMONSTRATE THAT FRANCISCAN IS OPERATED FOR A PUBLIC RATHER THAN A PRIVATE INTEREST. FRANCISCAN'S GOVERNING BODY IS COMPOSED OF INDEPENDENT MEMBERS REPRESENTING THE BROAD COMMUNITY SERVED BY FRANCISCAN. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO QUALIFIED PHYSICIANS. FRANCISCAN USES ANY SURPLUS OF REVENUES OVER EXPENSES FOR IMPROVEMENTS IN PATIENT CARE, TO EXPAND AND REPLACE FACILITIES AND EQUIPMENT, FOR THE AMORTIZATION OF INDEBTEDNESS, AND FOR MEDICAL TRAINING, EDUCATION, AND RESEARCH. IN 2023 AND 2022, FRANCISCAN INVESTED APPROXIMATELY $277.3 MILLION AND $252.8 MILLION IN CAPITAL WITHIN THE COMMUNITIES IT SERVES. FRANCISCAN ALLIANCE, INC. AND ITS ACCOUNTABLE CARE ORGANIZATION ("ACO") WAS THE FIRST AND ONLY PIONEER ACO IN INDIANA AND AMONG THE FIRST IN THE COUNTRY TO PARTNER WITH MEDICARE AS AN ACO. FRANCISCAN ALSO PARTICIPATES IN VARIOUS MEDICARE SHARED SAVINGS ACO PROGRAMS AND NONGOVERNMENTAL ACO PROGRAMS AND HAS CONTRACTS TO COORDINATE THE HEALTH CARE NEEDS OF MEDICARE ADVANTAGE BENEFICIARIES. THROUGH THE MEDICARE SHARED SAVINGS PROGRAM, FRANCISCAN SAVED CENTERS FOR MEDICARE AND MEDICAID SERVICES OVER $32.2 MILLION RELATED TO MSSP AND MILLIONS OF DOLLARS FOR COMMERCIAL PATIENTS ALONG WITH IMPROVING OUTCOMES AND QUICKER RECOVERY TIMES. FORMED IN 2011, FRANCISCAN ACO PROVIDES COORDINATED, COMPREHENSIVE CARE ACROSS HOSPITALS, PHYSICIAN PRACTICES, AND OTHER HEALTHCARE PROVIDERS, WITH THE AIM OF BRINGING DOWN THE OVERALL COSTS OF MEDICAL CARE AND IMPROVING THE HEALTH OF PATIENTS ATTRIBUTED TO THE ACO. UNDER THE ACO MODEL, ATTRIBUTED MEDICARE BENEFICIARIES MAINTAIN THE ABILITY TO SEE ANY DOCTOR OR HEALTHCARE PROVIDER, AS WELL AS THE FULL BENEFITS ASSOCIATED WITH TRADITIONAL MEDICARE, BUT WITH THE ADDED BENEFIT OF A MORE COORDINATED CARE EXPERIENCE. THIS INCLUDES COORDINATION OF PREVENTIVE HEALTH SERVICES AND PHARMACY NEEDS, THE ASSIGNMENT OF CLINICAL CARE MANAGERS, THE PROVISION OF SOCIAL SUPPORT SERVICES, AND SUPPORT FOR PERSONS WITH CHRONIC HEALTH CONDITIONS, SUCH AS DIABETES AND CONGESTIVE HEART FAILURE. FRANCISCAN ACO SERVES APPROXIMATELY 76,000 MEDICARE BENEFICIARIES AND APPROXIMATELY 81,000 NONGOVERNMENTAL ACO BENEFICIARIES. FRANCISCAN'S ACO EFFORTS INCLUDE IMPROVED CLINICAL COMMUNICATION AND INFORMATION SHARING AMONG AFFILIATED AND NONAFFILIATED HEALTHCARE PROVIDERS REGARDING ACO PATIENTS, ALONG WITH THE EXPANSION OF ACO CASE MANAGEMENT RESOURCES, THE ASSIGNMENT OF DEDICATED CHRONIC DISEASE CASE ADVOCATES TO PATIENTS, EVALUATING THE QUALITY AND CAPABILITIES OF LONG-TERM CARE FACILITIES THAT ACO PATIENTS MAY TRANSITION TO, AND WORKING WITH POST-ACUTE CARE PROVIDERS TO IMPROVE THEIR CONTINUING CARE SCHEDULE H, PART VI, ITEM 6 ROLE OF AFFILIATES EVERY HOSPITAL WITHIN OUR SYSTEM HAS THE DEGREE OF AUTONOMY AND FLEXIBILITY TO MEET THE NEEDS OF THE COMMUNITIES IT SERVES. THE SYSTEM COMMUNITY HEALTH IMPROVEMENT DIRECTOR PROVIDES COMMUNITY HEALTH DATA, INCLUDING INFORMATION RELATED TO SOCIAL DETERMINANTS OF HEALTH AND EMERGING PUBLIC HEALTH NEEDS TO LOCAL FACILITY STAFF ON A REGULAR BASIS FOR CONSIDERATION OF LOCAL ACTIVITY. THE SYSTEM DIRECTOR ALSO ORGANIZES A THOROUGH COMMUNITY HEALTH NEEDS ASSESSMENT AND PROVIDES CONSULTATION TO LOCAL STAFF ON THE IMPLEMENTATION PLAN. THE INDIVIDUAL AND REGIONAL COMMUNITY BENEFIT PLANS ARE DESIGNED TO BE PART OF AN OVERALL FRANCISCAN SYSTEM VISION TO PROVIDE FOR THE ONGOING HEALTHCARE NEEDS OF THE COMMUNITIES WE ARE PRIVILEGED TO SERVE. SCHEDULE H, PART I, LINE 3B IN ADDITION TO USING FEDERAL POVERTY GUIDELINES AS A FACTOR IN DETERMINING ELIGIBILITY FOR DISCOUNTED CARE, FOR UNINSURED PATIENTS, FRANCISCAN PROVIDES AN UNINSURED PATIENT DISCOUNT FOR EMERGENCY SERVICES OR MEDICALLY NECESSARY SERVICES PERFORMED AT ITS HOSPITAL LOCATIONS ALONG WITH ITS MEDICAL GROUP PHYSICIAN PRACTICES. THE UNINSURED PATIENT DISCOUNT IS BASED ON THE AVERAGE RATE OF THE RESPECTIVE FRANCISCAN HOSPITAL FACILITY'S AVERAGE RATES FOR PRIVATE HEALTH PAYERS, INCLUDING MEDICARE. FRANCISCAN FACILITIES MAY OFFER ADDITIONAL DISCOUNTS BASED ON THE FACTS AND CIRCUMSTANCES UNIQUE TO THEIR LOCAL MARKETS. THIS DISCOUNT SHALL NOT BE COMBINED WITH OTHER FACILITY DISCOUNTS, EXCEPT FOR A PROMPT PAY DISCOUNT, IF AVAILABLE. NO DISCOUNT SHALL BE PROVIDED THAT VIOLATES ANY LAWS OR GOVERNMENT REGULATIONS. FRANCISCAN WILL IDENTIFY UNINSURED PATIENTS DURING THE REGISTRATION AND/OR ADMISSIONS PROCESS. THE UNINSURED DISCOUNT IS APPLIED AUTOMATICALLY BY THE RECEIVABLE SYSTEM AT THE TIME OF INITIAL BILL. ALL STATEMENTS TO PATIENTS WILL INDICATE THE ADJUSTMENT AND THE REVISED PATIENT BALANCE. THE UNINSURED DISCOUNT IS A CONTRACTUAL DISCOUNT AND IS NOT CONSIDERED A CHARITY CARE WRITE OFF UNLESS THE PATIENT ALSO QUALIFIES FOR CHARITY CARE. UNINSURED PATIENT DISCOUNTS WILL NOT BE REVERSED DUE TO NONPAYMENT OF AN ACCOUNT. IF, AT ANY TIME, FRANCISCAN BECOMES AWARE THAT A PREVIOUSLY IDENTIFIED UNINSURED PATIENT WAS IN FACT COVERED BY INSURANCE AT THE TIME OF SERVICE, FRANCISCAN WILL REVOKE THE UNINSURED DISCOUNT AND ISSUE A REVISED STATEMENT TO THE PATIENT AND THE ASSOCIATED INSURANCE PROVIDER. PATIENTS THAT ARE STILL NOT ABLE TO PAY THE BALANCE AFTER THE UNINSURED DISCOUNT ARE ABLE TO APPLY FOR A CHARITY CARE WRITE OFF OR A MEDICAL FINANCIAL HARDSHIP ADJUSTMENT. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES FOLLOWING NATIONAL GUIDANCE ON COMMUNITY BUILDING, ACTIVITIES RELATED TO SOCIAL DETERMINANTS ARE REPRESENTED IN OTHER CATEGORIES. FRANCISCAN ALLIANCE DOES ENGAGE IN COMMUNITY BUILDING THROUGH VARIOUS PARTNERSHIP EFFORTS. FRANCISCAN ALLIANCE DOES ENGAGE IN REDUCING BARRIERS TO HEALTH CARE ACCESS. MOST ACTIVITIES IN THIS AREA ARE INCLUDED IN THE FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT CATEGORIES. EXAMPLES INCLUDE: FREE OR LOW-COST HEALTH SCREENING IN SPECIFIC NEIGHBORHOODS, IMMUNIZATION SERVICES, PRESCRIPTION MEDICATION ASSISTANCE PROGRAMS, ENROLLMENT ASSISTANCE IN MEDICAID, FOOD ASSISTANCE, TRANSPORTATION ASSISTANCE, AND REFERRAL ASSISTANCE. ADDITIONALLY, SEVERAL OF OUR HOSPITALS HAVE BEEN IDENTIFIED BY THE FEDERAL GOVERNMENT AS DESIGNATED REGIONAL MEDICATION DISTRIBUTION SITES IN THE EVENT OF A NATIONAL DISASTER OR EPIDEMIC/PANDEMIC. RESPONDING TO FEDERAL, STATE, AND LOCAL NEEDS IN THE EVENT OF NATIONAL OR LOCAL DISASTERS OR EPIDEMIC/PANDEMICS, WE COLLABORATE AND COORDINATE OUR EFFORTS WITH MANY CIVIC AND OTHER AGENCIES TO ENSURE THAT THOSE NEEDS WILL BE MET SHOULD DISASTER STRIKE. SCHEDULE H, PART III, LINE 2 THROUGHOUT THE YEAR, FRANCISCAN ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ITS PATIENT ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE, AND OTHER RELEVANT FACTORS. THESE FACTORS INCLUDE CHANGES IN THE ECONOMY AND UNEMPLOYMENT RATES, WHICH HAS AN IMPACT ON THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, AS WELL AS TRENDS IN HEALTH CARE COVERAGE, SUCH AS THE INCREASED BURDEN OF DEDUCTIBLES, COPAYMENTS, AND COINSURANCE PAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, FRANCISCAN FOLLOWS ESTABLISHED PROCEDURES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS AND CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY FRANCISCAN. ----------------------------------------- SCHEDULE H, PART III, LINE 3 FRANCISCAN HAS A SYSTEM-WIDE CHARITY CARE AND UNINSURED DISCOUNT POLICY; HAS DETAILED ADMINISTRATIVE PROCEDURES ESTABLISHED FOR QUALIFYING AND ENROLLING PATIENTS FOR CHARITY CARE OR UNINSURED/UNDERINSURED DISCOUNTS; USES VARIOUS ANALYTICAL PROGRAMS INCLUDING SOFT CREDIT INQUIRIES THAT DO NOT AFFECT CREDIT SCORES TO HELP ASSESS A PATIENT'S ABILITY TO PAY; AND UTILIZES NUMEROUS MECHANISMS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE WHICH ARE DETAILED UNDER SCHEDULE H, PART VI, ITEM 3. DESPITE THESE RIGOROUS EFFORTS, PATIENTS WHO NEED SUBSIDIZED CARE MAY NOT SEEK THIS ASSISTANCE NOR CHOOSE TO ENROLL IN THE STATE'S MEDICAID PROGRAM. ALSO, AS FURTHER DESCRIBED IN HFMA STATEMENT NO. 15, THE APPROPRIATE CLASSIFICATION OF CHARITY CARE AND BAD DEBT IS OFTEN DIFFICULT. THE URGENCY OF SOME TREATMENTS, AS WELL AS CERTAIN FEDERAL REGULATIONS, OFTEN REQUIRES THE PROVISION OF SERVICE WITHOUT CONSIDERATION OF THE PATIENT'S ABILITY TO PAY. SOME PATIENTS HAVE COMPLEX MEDICAL CONDITIONS WITH UNPREDICTABLE TREATMENT NEEDS. FOR THESE AND OTHER REASONS, FRANCISCAN BELIEVES, A PORTION OF ITS BAD DEBT EXPENSE AS REPORTED ON LINE 2 OF PART III REPRESENTS CHARITY CARE DELIVERED TO INDIVIDUALS IN THE COMMUNITIES IT SERVES CONSISTENT WITH ITS CHARITABLE HEALTHCARE MISSION. AS AN INTEGRAL PART OF ITS MISSION, FRANCISCAN PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE AND UNINSURED PATIENT DISCOUNT POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE COST OF CHARITY CARE, AS ESTIMATED BELOW, IS DETERMINED BASED ON EACH HEALTH CENTER'S TOTAL COST AS A PERCENTAGE OF TOTAL CHARGES AND THAT RATIO IS APPLIED TO THE CHARGES INCURRED BY PATIENTS QUALIFYING FOR CHARITY CARE UNDER FRANCISCAN'S POLICY. THE CHARGES ASSOCIATED WITH THE PROVISION OF SUCH CARE ARE NOT INCLUDED IN PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. THE ESTIMATED COST OF CHARITY CARE PROVIDED APPROXIMATED $66.1 MILLION AND $79.3 MILLION FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022, RESPECTIVELY. FRANCISCAN MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY IT PROVIDES. -------------------------------------- SCHEDULE H, PART III, LINE 4 FRANCISCAN'S UNCOLLECTIBLE AMOUNTS DUE FROM PATIENTS FOOTNOTE FROM ITS AUDITED FINANCIAL STATEMENTS IS AS FOLLOWS: FRANCISCAN ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE TO PATIENTS WHICH IS NOT REPORTED IN THE SUMMARY OF QUANTIFIABLE COMMUNITY BENEFITS. IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARD UPDATE ("ASU") 2014-9, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), FRANCISCAN RECOGNIZES REVENUE IN AN AMOUNT THAT REFLECTS THE CONSIDERATION THE ENTITY EXPECTS TO BE ENTITLED TO IN AN EXCHANGE FOR GOODS OR SERVICES. ADOPTION OF THIS ASU DOES NOT ALLOW THE SEPARATE REPORTING OF THE UNCOLLECTIBLE AMOUNTS DUE FROM PATIENTS; HOWEVER, THE IDENTIFICATION OF THIS AMOUNT IS NEEDED FOR OTHER PURPOSES INCLUDING GOVERNMENTAL REPORTING AND REIMBURSEMENT CALCULATIONS. FRANCISCAN HAS A SYSTEM-WIDE CHARITY CARE AND UNINSURED DISCOUNT POLICY THAT INCLUDES ADMINISTRATIVE PROCEDURES FOR QUALIFYING AND ENROLLING PATIENTS FOR CHARITY CARE OR UNINSURED/UNDERINSURED DISCOUNTS. FRANCISCAN ALSO USES VARIOUS ANALYTICAL PROGRAMS TO ASSESS A PATIENT'S ABILITY TO PAY AND IT UTILIZES NUMEROUS MECHANISMS TO INFORM AND EDUCATE PATIENTS ABOUT FINANCIAL ASSISTANCE. DESPITE THESE RIGOROUS EFFORTS, PATIENTS WHO NEED SUBSIDIZED CARE MAY NOT SEEK THIS ASSISTANCE NOR CHOOSE TO ENROLL IN MEDICAID OR OTHER FINANCIAL ASSISTANCE PROGRAMS. FOR THESE AND OTHER REASONS, FRANCISCAN BELIEVES A PORTION OF ITS UNCOLLECTIBLE AMOUNTS DUE FROM PATIENTS REPRESENTS CHARITY CARE DELIVERED TO INDIVIDUALS IN THE COMMUNITIES IT SERVES CONSISTENT WITH ITS CHARITABLE HEALTH CARE MISSION. DURING THE YEARS ENDED DECEMBER 31, 2023 AND 2022, FRANCISCAN INCURRED APPROXIMATELY $32.4 MILLION AND $7.8 MILLION, RESPECTIVELY, AS UNCOLLECTIBLE AMOUNTS DUE FROM PATIENTS BASED ON ACCUMULATED CHARGES. FRANCISCAN'S CHARITY CARE FOOTNOTE FROM ITS AUDITED FINANCIAL STATEMENTS IS AS FOLLOWS: AS AN INTEGRAL PART OF ITS MISSION, FRANCISCAN PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE AND UNINSURED PATIENT DISCOUNT POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE COST OF CHARITY CARE, AS ESTIMATED BELOW, IS DETERMINED BASED ON EACH HEALTH CENTER'S TOTAL COST AS A PERCENTAGE OF TOTAL CHARGES AND THAT RATIO IS APPLIED TO THE CHARGES INCURRED BY PATIENTS QUALIFYING FOR CHARITY CARE UNDER FRANCISCAN'S POLICY. THE CHARGES ASSOCIATED WITH THE PROVISION OF SUCH CARE ARE NOT INCLUDED IN PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. THE ESTIMATED COST OF CHARITY CARE PROVIDED APPROXIMATED $66.3 MILLION AND $80.4 MILLION FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022, RESPECTIVELY. FRANCISCAN MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY IT PROVIDES. ------------------------------------------------ SCHEDULE H, PART III, LINE 8 CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF FRANCISCAN AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545 AND THE REQUIREMENTS OF IRC SECTION 501(R), FRANCISCAN PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE AT FRANCISCAN. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY FRANCISCAN TO PROVIDE SUCH SERVICES. LIKE MEDICAID, PAYMENT RATES FOR MEDICARE ARE SET BY LAW RATHER THAN THROUGH A NEGOTIATION PROCESS. THESE PAYMENT RATES ARE CURRENTLY SET BELOW THE COSTS OF PROVIDING CARE RESULTING IN UNDERPAYMENTS. MEDICARE RATES ARE DETERMINED WITHIN THE CONTEXT OF ALL THE BUDGETARY NEEDS OF THE FEDERAL GOVERNMENT AND MEDICARE PAYMENTS HAVE HISTORICALLY BEEN SET BELOW THE COSTS OF PROVIDING CARE TO MEDICARE PATIENTS THOUGH HOW FAR BELOW VARIES OVER TIME AND BY SERVICE. EACH YEAR MEDICARE IS SUPPOSED TO PROVIDE HOSPITALS AN INCREASE IN BOTH INPATIENT AND OUTPATIENT PAYMENTS TO ACCOUNT FOR INFLATION IN THE PRICES FOR GOODS AND SERVICES HOSPITALS MUST PURCHASE IN ORDER TO PROVIDE PATIENT CARE. HOWEVER INPATIENT UPDATES HAVE BEEN SET BELOW THE RATE OF INFLATION AND ACTUALLY NEGATIVE IN RECENT YEARS RESULTING IN A SHORTFALL THAT HAS GROWN OVER TIME. THE COMPOUNDING ISSUE THAT OCCURS IS THAT THIS SHORTFALL JEOPARDIZES HOSPITALS' ABILITY TO SERVE THEIR COMMUNITIES BECAUSE THEY ARE NOT REIMBURSED THEIR INCURRED COSTS. PROVIDERS MAKE THE DECISION TO ELIMINATE OR SIGNIFICANTLY REDUCE NECESSARY CLINICAL SERVICES WITHIN THE MARKETPLACE PLACING THE MEDICARE SHORTFALL BURDEN ON OTHERS THAT DO, SUCH AS FRANCISCAN. GIVEN THAT FRANCISCAN PROVIDES SUCH SERVICES TO MEDICARE PATIENTS KNOWING THAT THEY WILL RESULT IN A LOSS AND GIVEN THAT FRANCISCAN BELIEVES THAT IT PROVIDES THESE SERVICES IN AN EFFICIENT AND COST EFFECTIVE MANNER, THE SHORTFALL REPORTED ON LINE 7 OF PART III SHOULD BE VIEWED AS COMMUNITY BENEFIT PROVIDED BY FRANCISCAN. ------------------------------------------------ SCHEDULE H, PART III, LINE 9B FRANCISCAN ALLIANCE, INC.'S WRITTEN CHARITY CARE AND UNINSURED PATIENT DISCOUNT POLICY AND PATIENT COLLECTION PROCEDURE INCLUDE VARIOUS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO NOT APPLY. SCHEDULE H, PART IV NAME OF ENTITY: MOORESVILLE ENDOSCOPY CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: ENDOSCOPY SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: INDIANA SLEEP CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: SLEEP CENTER ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: FRANCISCAN SURGERY CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: SURGICAL SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 52.9412 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 47.0588 NAME OF ENTITY: SOUTH EMERSON SURGERY CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: SURGICAL SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: ST FRANCIS MOORESVILLE SURGERY CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: SURGICAL SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: ST FRANCIS RADIATION THERAPY CENTERS LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: RADIATION THERAPY SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 84.53000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 15.47000 NAME OF ENTITY: SOUTH INDY MRI & REHAB SERVICES LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: MRI SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: ST FRANCIS IMAGING CENTER (GREENWOOD) LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: IMAGING SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 60.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 40.00000 NAME OF ENTITY: THE ENDOSCOPY CENTER AT ST FRANCIS LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: ENDOSCOPY SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: INDIANA INTERNAL MEDICINE CONSULTANTS LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: INTERNAL MEDICINE SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 49.000000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 51.000000 FILING OF COMMUNITY BENEFIT REPORT IL, IN true FRANCISCAN HEALTH FOUNDATION INC 1515 DRAGOON TRAIL MISHAWAKA IN 46544 351955283 501(C)(3) 694819 N/A N/A FRANCISCAN MISSION ENHANCEMENT PILGRIMAGE 1 0 SCHEDULE I, PART I, LINE 2 CONTRIBUTIONS ARE GIVEN TO TAX-EXEMPT ORGANIZATIONS WHICH USE THE FUNDS FOR CHARITABLE PURPOSES IN FURTHERANCE OF MEDICAL RESEARCH, MEDICAL INITIATIVES, EDUCATION, AND/ OR COMMUNITY ACTIVITIES. X X X X X X false false false false false false false false false KEVIN D LEAHY PRESIDENT AND TRUSTEE 2383652 0 0 0 83804 0 182568 0 14984 0 2665008 0 0 0 JENNIFER P MARION SENIOR VP FINANCE, CFO 1319122 0 0 0 64432 0 393575 0 27614 0 1804743 0 0 0 ALBERT P TOMCHANEY SR VP/CHIEF MEDICAL OFFICER 926672 0 0 0 73168 0 261272 0 23134 0 1284246 0 0 0 RANDALL S MOORE MD SR VP HEALTH & CARE/COO AMB 992941 0 0 0 73168 0 19800 0 21452 0 1107361 0 0 0 YAMEEN RASHID DO PHYSICIAN 1396662 0 0 0 23256 0 29922 0 20692 0 1470532 0 0 0 JAMES T CALLAGHAN MD VP/COO 1371866 0 0 0 66112 0 467862 0 20692 0 1926532 0 0 0 AMIT KUMAR PHYSICIAN 1367147 0 0 0 23714 0 19800 0 13014 0 1423675 0 0 0 SUEYI LAI PHYSICIAN 1165459 0 0 0 23150 0 19800 0 0 0 1208409 0 0 0 FAHEEM AHMAD PHYSICIAN 1131055 0 0 0 33463 0 19800 0 28614 0 1212932 0 0 0 ZOHAIR AHMED PHYSICIAN 1106581 0 0 0 23167 0 19800 0 4519 0 1154067 0 0 0 SCHEDULE J, PART II, COLUMN (C) CERTAIN INDIVIDUALS ARE ELIGIBLE FOR A QUALIFIED DEFERRED BENEFIT PLAN WHERE THERE WAS A INCREASE IN PRESENT VALUE AT DECEMBER 31, 2023. THE INCREASE IN PRESENT VALUE IS DUE TO THE DECREASE IN THE DISCOUNT RATE FROM 6.81 % AS OF DECEMBER 31, 2022 TO 5.99 % AS OF DECEMBER 31, 2023. THE INCREASE IN NET PRESENT VALUE ASSOCIATED WITH THE LISTED INDIVIDUALS IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II. A INDIANA FINANCE AUTHORITY (08F) 351602316 45470YBE0 2008-10-10 279345000 REFUND PRIOR ISSUE DATED 11/20/03 false false false B INDIANA FINANCE AUTHORITY (O8IJ) 351602316 45470YLB4 2008-11-20 81850000 REFUND PRIOR ISSUE DATED 5/16/06 false false false C INDIANA FINANCE AUTHORITY (12AB) 351602316 2012-05-25 82620000 REFUND PRIOR ISSUES DATED '01&'08 false false false D INDIANA FINANCE AUTHORITY (16AB) 351602316 45470YCJ8 2016-02-04 295426956 REFUNDING AND NEW PROJECTS false false false A 234145000 0 278919324 0 0 0 503876 0 0 124873123 151542325 0 2011 true false true true B 27590000 0 81693875 0 0 0 1120800 0 0 0 80573075 0 2012 true false true true C 9670000 0 82620000 0 0 0 0 0 0 0 82620000 0 true false true true D 8250000 0 295426956 0 0 0 2444202 0 0 199269999 93712755 0 false true false true A false true true true true true 0.00800 0.00010 0.00810 false true true B false true true true true true 0.00040 0.00000 0.00040 false true true C false true true true true true 0.00800 0.00010 0.00810 false true true D false true true true true true 0.00760 0.00010 0.00770 false false false true A false false true false true false 0 false 0 false true B false false false true true false 0 false 0 true true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true SCHEDULE K, PART II, LINE 3 DIFFERENCES IN AMOUNTS ENTERED IN PART I, COLUMN (E) AND PART II, LINE 3 REPRESENT INVESTMENT EARNINGS. SCHEDULE K, PART II, LINE 13 FOR THE INDIANA FINANCE AUTHORITY 2012A/B, INDIANA FINANCE AUTHORITY 2016C/E, INDIANA FINANCE AUTHORITY 2017A, INDIANA FINANCE AUTHORITY 2023A, AND INDIANA FINANCE AUTHORITY 2023B BONDS, THESE BONDS SOLELY REFUNDED PRIOR ISSUES, SO THE YEAR OF SUBSTANTIAL COMPLETION HAS NOT BEEN ENTERED. SCHEDULE K, PART III, LINE 8B FOR THE INDIANA FINANCE AUTHORITY 2008F, 2008I/J, AND 2012A/B BONDS, DURING 2012, THE DISPOSITION PROCEEDS FOR THE DISPOSED OF BOND-FINANCED PROPERTY WAS $1.00, WHICH WAS WELL BELOW A TENTH OF A PERCENT OF EACH ISSUE. SCHEDULE K, PART III, LINE 8C FRANCISCAN ALLIANCE, THE INDIANA FINANCE AUTHORITY, AND THE IRS ENTERED INTO A CLOSING AGREEMENT TO ADDRESS THE REQUIRED REMEDIAL ACTION UNDER REGULATIONS SECTION 1.142-12 AND 1.145-2. SCHEDULE K, PART IV, LINE 2C FOR THE SERIES 2008I/J BOND, THE REBATE COMPUTATION WAS PERFORMED FEBRUARY 2011. FOR THE SERIES 2017B/C BOND, THE REBATE COMPUTATION WAS PERFORMED JANUARY 2020. SCHEDULE K, PART IV, LINE 5 FOR THE INDIANA FINANCE AUTHORITY 2008I/J ISSUE, ONLY SMALL AMOUNTS OF PROCEEDS RELATED TO THE COST OF ISSUANCE WERE NOT EXPENDED AT THE END OF THE TEMPORARY PERIODS. A INDIANA FINANCE AUTHORITY (16CE) 351602316 2016-10-19 223085000 REFUNDING PRIOR ISSUE false false false B INDIANA FINANCE AUTHORITY (17A) 351602316 2018-09-19 45250000 REFUND 2008G BONDS false false false C INDIANA FINANCE AUTHORITY (17BC) 351602316 45470YET4 2017-12-28 385659962 REFUND 2009A AND NEW PROJECTS false false false D INDIANA FINANCE AUTHORITY (23A) 351602316 2023-01-19 69145000 REFUNDING 2016(D) BONDS false false false A 30325000 69150000 223085000 0 0 0 0 0 0 0 223085000 0 true false true true B 0 0 45250000 0 0 0 0 0 0 0 45250000 0 true false true true C 30230000 0 386124309 0 0 0 2374503 0 0 175464347 208285459 0 false true true true D 0 0 69145000 0 0 0 0 0 0 0 69145000 0 true false true true A false true true true true true 0.00350 0.00000 0.00350 false false false true B false true true true true true 0.00800 0.00010 0.00810 false false false true C false true true true true true 0.01070 0.00030 0.01100 false false false true D false true true true true true 0.00350 0.00000 0.00350 false false false true A false false true false true false 0 false 0 false true B false false true false true false 0 false 0 false true C false false false true false false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true A INDIANA FINANCE AUTHORITY 23(B) 351602316 2023-12-14 50000000 REFUNDING 2014(A) BONDS false false false A 0 0 50000000 0 0 0 0 0 0 0 50000000 0 true false true true A false true true true true true 0.00800 0.00100 0.00900 false false false true A false true false false true false 0 false 0 false true A true HPC INTERNATIONAL INC Entity > 35% owned by Hilton Hudson, Trustee 145043 BUSINESS TRANSACTION false HPC SURGICAL PLLC Entity > 35% owned by Hilton Hudson, Trustee 3380842 BUSINESS TRANSACTION false 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/ABOUT/WHO-WE-ARE WHICH REFLECTS OUR MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION" AS WELL AS WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH FOR FRANCISCAN'S COMMUNITY BENEFIT AND COMMUNITY HEALTH ASSESMENTS. FORM 990, PART III, LINE 1 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 FRANCISCAN'S 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 WHOLENESS. PLEASE VIEW WWW.FRANCISCANHEALTH.ORG/ABOUT/WHO-WE-ARE WHICH REFLECTS OUR MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION" AS WELL AS WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH FOR FRANCISCAN'S COMMUNITY BENEFIT AND COMMUNITY HEALTH ASSESMENTS. FORM 990, PART III, LINE 4A FOR OVER 145 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 IN SCHEDULE H, PART VI, ITEM 5 AND SCHEDULE H, PART I, LINE 6A. IN 2023, FRANCISCAN SERVED ABOUT 2 MILLION PERSONS AND PROVIDED OVER $836 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 2023, FRANCISCAN PROVIDED COMMUNITY BENEFITS WHICH INCLUDED: UNREIMBURSED COSTS OF MEDICAID AND OTHER INDIGENT CARE PROGRAMS $186,833,905 COST OF CHARITY CARE PROVIDED $ 66,102,319 OTHER BENEFITS FOR THE POOR AND UNDERSERVED $ 3,086,533 SUBSIDIZED HEALTH SERVICES $ 35,311,714 HEALTH PROFESSIONS EDUCATION $ 14,885,157 COMMUNITY HEALTH IMPROVEMENT SERVICES $ 3,886,846 FINANCIAL AND IN-KIND CONTRIBUTIONS $ 486,313 RESEARCH $ 1,842,272 COMMUNITY BENEFIT OPERATIONS $ 188,414 UNREIMBURSED COSTS OF MEDICARE $523,436,654 _______________ TOTAL $836,060,127 PLEASE VIEW WWW.FRANCISCANHEALTH.ORG/ABOUT/WHO-WE-ARE WHICH REFLECTS OUR MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION" AS WELL AS WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH FOR FRANCISCAN'S COMMUNITY BENEFIT AND COMMUNITY HEALTH ASSESMENTS. 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. PLEASE SEE THE RESPONSE TO SCHEDULE H, PART VI, ITEM 5 AND SCHEDULE H, PART I, LINE 6A FOR A DETAILED DESCRIPTION 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. FORM 990, PART V, LINE 4B EUROPEAN UNION, FINLAND, FRANCE, GERMANY, HONG KONG, INDONESIA, ISRAEL, ITALY, JAPAN, REPUBLIC OF KOREA (SOUTH), MALAYSIA, MEXICO, NETHERLANDS, NEW ZEALAND, NORWAY, PORTUGAL, RUSSIAN FEDERATION, SINGAPORE, SOUTH AFRICA, SPAIN, SWEDEN, SWITZERLAND, TAIWAN, THAILAND, UNITED ARAB EMIRATES, UNITED 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. FORM 990, PART VI, SECTION B, LINE 11B THE INFORMATION TO PREPARE THE FORM 990 OF FRANCISCAN ALLIANCE, INC. ("FRANCISCAN") IS GATHERED BY FINANCE AND BY COMMUNITY BENEFIT 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. FORM 990, PART VI, SECTION B, LINE 12C FRANCISCAN 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 FRANCISCAN OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. IN CONDUCTING THE ONGOING REVIEWS AND ASSESSMENTS, FRANCISCAN 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 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. FORM 990, PART XI, LINE 9 EQUITY IN EARNINGS OF AFFILIATES $ 61,569,393 OTHER COMPONENTS OF NET PERIODIC PENSION COST $ 6,390,981 OTHER COMPREHENSIVE INCOME $ 93,011,001 DIVIDENDS RECEIVED FROM AFFILIATES $ 3,106,680 EQUITY TRANSFER (TO)/FROM AFFILIATES $ (3,509,604) CHANGES IN NET UNREALIZED GAINS/LOSSES - HILLS $ 24,540,430 CHANGES IN NET UNREALIZED GAINS/LOSSES - SWAP $ 943,721 CHANGE IN NONCONTROLLING INTEREST IN SUBS $ 84,972 CHANGE DONOR RESTRICTED NET ASSETS $ (245,308) DISTRIBUTIONS TO AFFILIATES $ (5,351,105) DONATION OF PPE $ (900,859) OTHER CHANGES IN NET ASSETS $ (2,775,700) -------------- TOTAL OTHER CHANGES IN NET ASSETS $ 176,864,601 ST FRANCIS INSURANCE SERVICES LLC 1600 ALBANY STREET BEECH GROVE IN 46107 200048077 INSURANCE IN 2153953 0 FRANCISCAN SPECIALTY PHYSICIANS OF ILLINOIS LLC 333 DIXIE HIGHWAY CHICAGO HEIGHTS IL 60411 050540914 PHYSICIAN IL 38397851 7962960 FRANCISCAN FAITH HOPE AND LOVE CANCER CENTER LLC 1250 SOUTH CREASY LN STE A LAFAYETTE IN 47905 680612977 MEDICAL SRVCS IN 3664418 0 FRANCISCAN ST FRANCIS MEDICAL GROUP LLC 5330 E STOP 11 RD INDIANAPOLIS IN 46237 263877295 MEDICAL SRVCS IN 28706657 0 FRANCISCAN FRANCISCAN PHO CENTRAL INDIANA LLC 1515 DRAGOON TRAIL MISHAWAKA IN 46544 822534628 ACCOUNT. 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