2025-11-17T15:06:55-06:00 2024-12-31 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2024-01-01 351904455 FRANCISCAN ACO INC % LISA ANDERSON FRAN 3177826875 700 E SOUTHPORT ROAD INDIANAPOLIS IN 46227 SISTER LETHIA MARIE LEVEILLE SECRETARY 5743476418 2025-11-17 true true ERIC M MCNEIL P00460263 2673303000 2025-11-14 2024 2025-03-06 01:10:19Z KEVIN D LEAHY 1515 DRAGOON TRAIL MISHAWAKA IN 46544 89035428 false X WWW.FRANCISCANHEALTH.ORG/ABOUT-US/ACO X 1993 IN SEE SCHEDULE O, ATTACHMENT 1 10 9 0 0 0 0 984908 488328 77688728 77355627 -5068 0 6203789 11191473 84872357 89035428 0 0 0 0 0 0 0 0 0 87732642 82024088 87732642 82024088 -2860285 7011340 15847712 23345177 7277504 7763629 8570208 15581548 X SEE SCHEDULE O false false 50608594 0 52238898 FRANCISCAN ACO, INC. ("ACO", "FRANCISCAN") WAS FORMED IN 2011, AND WAS THE FIRST AND ONLY PIONEER ACO IN INDIANA AND AMONG THE FIRST IN THE COUNTRY TO PARTNER WITH MEDICARE AS AN ACO. FRANCISCAN ACO PARTICIPATES IN THE MEDICARE SHARED SAVINGS ACO PROGRAM AND NONGOVERNMENTAL VALUE BASED PROGRAMS TO MEET THE NEEDS OF PATIENTS. THE ACO SUPPORTS PATIENTS AND PROVIDERS IN BOTH INDIANA AND ILLINOIS THROUGH THE COLLABORATIVE EFFORTS OF THE FOLLOWING PARTNERS: (A) 12 TAX-EXEMPT HOSPITALS OPERATED, DIRECTLY AND INDIRECTLY, BY FRANCISCAN ALLIANCE, INC.; (B) FRANCISCAN PHYSICIAN NETWORK, A FRANCISCAN ALLIANCE, INC. EMPLOYED MULTI-SPECIALTY GROUP OF PRIMARY AND SPECIALTY-CARE PROVIDERS THROUGHOUT THE STATE OF INDIANA AND ILLINOIS; (C) SPECIALTY PHYSICIANS OF ILLINOIS, LLC, AN EMPLOYED MULTI-SPECIALTY GROUP OF SPECIALTY-CARE PROVIDERS IN ILLINOIS, SERVING FRANCISCAN HEALTH CHICAGO HEIGHTS AND FRANCISCAN HEALTH OLYMPIA FIELDS; (D) INDIANA INTERNAL MEDICINE CONSULTANTS WHICH INCLUDES ST. FRANCIS MEDICAL GROUP, LLC, PROVIDES HEALTHCARE SERVICES TO COMPLEX INTERNAL MEDICINE PATIENTS ACROSS INDIANAPOLIS IN BOTH INPATIENT AND OUTPATIENT SETTINGS; AND (E) OTHER HEALTHCARE PARTNERS INCLUDE MAJOR MULTISPECIALTY ASSOCIATES AND MAJOR HOSPITAL. CURRENTLY FRANCISCAN ACO PARTICIPATES IN THE MEDICARE SHARED SAVINGS PROGRAM (MSSP); ANTHEM MEDICARE ADVANTAGE; HUMANA MEDICARE ADVANTAGE; UNITED HEALTHCARE MEDICARE ADVANTAGE; AND AETNA MEDICARE ADVANTAGE. AS A PARTICIPANT IN CMS (CENTERS FOR MEDICARE & MEDICAID SERVICES) MSSP PROGRAM FOR 2024, FRANCISCAN ACO WAS RESPONSIBLE FOR THE COST AND QUALITY OF CARE FOR APPROXIMATELY 38,000 PATIENTS. RESULTS OF THIS PARTICIPATION SHOWED A QUALITY SCORE OF 90.7%, HIGHER THAN BOTH THE NATIONAL AND STATE AVERAGE. HIGHLIGHTS OF PERFORMANCE INCLUDE MEASURES OF SCREENING FOR FUTURE FALL RISK AND STATIN THERAPY FOR THE PREVENTION AND TREATMENT OF CARDIOVASCULAR DISEASE RESULTS BOTH BEING ABOVE 90%. 2024 PERFORMANCE RESULTED IN FRANCISCAN ACO SAVING CMS APPROXIMATELY $32.8 MILLION DOLLARS. FRANCISCAN ACO THROUGH ITS INTERACTIONS WITH PARTICIPANT PROVIDERS AND HOSPITALS, HELPS TO SUPPORT IMPROVED RATES OF WELLNESS AND PREVENTION ACTIVITIES, SUCH AS YEARLY CHECKUPS AND CANCER SCREENINGS, ALONG WITH BETTER MANAGEMENT FOR CHRONIC DISEASES, SUCH AS DIABETES AND HYPERTENSION. THE ACO WORKS WITH CARE TEAMS, PATIENTS AND FAMILIES THROUGHOUT THE CONTINUUM, WORKING TO IMPROVE CARE COORDINATION, DECREASE AVOIDABLE HOSPITAL ADMISSIONS AND READMISSIONS. THESE ACTIVITIES HELP SUPPORT THE OPPORTUNITY FOR IMPROVED OVERALL PATIENT HEALTH, BETTER QUALITY AND EXPERIENCE OF CARE AND LOWER COSTS OF CARE WHERE APPROPRIATE. 31415494 0 36308202 FRANCISCAN SENIOR HEALTH & WELLNESS, A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE), IS A COMMUNITY-BASED HEALTHCARE PROGRAM CREATED FOR PEOPLE 55 OR OLDER WHO ARE ELIGIBLE FOR NURSING-HOME LEVEL CARE, BUT PREFER TO RECEIVE THEIR CARE IN THEIR OWN FAMILIAR SURROUNDINGS. OUR PROGRAM ENABLES SENIORS TO LIVE AS INDEPENDENTLY AS POSSIBLE BY PROVIDING TRULY ALL-INCLUSIVE SERVICES. IN ADDITION TO ADDRESSING EACH PARTICIPANT'S UNIQUE MEDICAL NEEDS, WE ALSO HELP WITH THE SOCIAL, EMOTIONAL AND PRACTICAL CHALLENGES THAT OLDER ADULTS OFTEN FACE. THROUGH INTERACTIONS WITH PEERS, STIMULATING ACTIVITIES AND OTHER SUPPORTIVE SERVICES, PARTICIPANTS WILL ENJOY A BETTER QUALITY OF LIFE. FRANCISCAN SENIOR HEALTH & WELLNESS IS A MEMBER OF THE NATIONAL PACE ASSOCIATION (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY). THE PACE MODEL OF CARE IS CENTERED AROUND THE BELIEF THAT THE WELL-BEING OF SENIORS WITH CHRONIC CARE NEEDS, AND THEIR FAMILIES, ARE BETTER SERVED IN THEIR OWN COMMUNITIES WHENEVER POSSIBLE. 82024088 true true false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 306 0 true 0 false false false false false false false false false false false false X 10 9 false false false false true true true true true false false true true true true true true false false false IN X X LISA ANDERSON 5742546297 1515 W DRAGOON TRAIL MISHAWAKA IN 46544 KEVIN D LEAHY PRESIDENT AND DIRECTOR 5.0 55.0 X X 0 2927664 108891 SISTER M ALINE SHULTZ CHAIRPERSON & DIRECTOR 5.0 55.0 X X 0 0 0 SISTER M ANN KATHLEEN MAGIERA TREASURER AND DIRECTOR 5.0 50.0 X X 0 0 0 SISTER LETHIA MARIE LEVEILLE SECRETARY AND DIRECTOR 5.0 55.0 X X 0 0 0 SISTER M MADONNA ROUGEAU DIRECTOR 5.0 50.0 X 0 0 0 THOMAS GRYZBEK DIRECTOR 5.0 0.0 X 0 0 0 ALLAN GILLESPIE MD DIRECTOR 5.0 5.0 X 0 0 0 ERNEST IANNOTTA DIRECTOR 5.0 5.0 X 0 0 0 MICHAEL SMITH DIRECTOR, PACE 5.0 0.0 X 0 0 0 CYNTHIA EVANS DIRECTOR, PACE 5.0 0.0 X 0 0 0 0 2927664 108891 0 false true false TRHC TPA LLC DBA PHARMASTAR LLC 228 STRAWBRIDGE DRIVE MOORESTOWN NJ 08057 PHARMACY BENEFIT MGR 209286 1 15235 473093 0 488328 PACE PREMIUMS 900099 36308202 36308202 CARE MANAGEMENT REVENUE 900099 4279882 4279882 SHARED SAVINGS REVENUE 900099 36767543 36767543 77355627 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MANAGEMENT FEE 900099 4981889 4981889 FACILITY FUNDING 900099 2749937 2749937 ACO PARTICIPATING PROVIDER ADMIN FEE 900099 535000 535000 2924647 2924647 11191473 89035428 88547100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47971 47971 106001 106001 0 0 1126065 1126065 153504 153504 0 9211 9211 874 874 0 342372 342372 130757 130757 LEASED EMPLOYEES 17000084 17000084 CLAIMS EXPENSES 13579623 13579623 PURCHASED SERVICES 11285078 11285078 MEDICAL SUPPLIES 6292672 6292672 31949876 31949876 82024088 82024088 0 0 0 0 -9193521 -6137473 0 0 18923821 25191437 0 0 0 0 0 0 0 0 330995 301397 3826406 1095725 4003337 2730681 0 0 0 0 0 0 0 0 1783080 1259135 15847712 23345177 5393268 6425004 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1884236 1338625 7277504 7763629 X 8570208 15581548 0 0 8570208 15581548 15847712 23345177 7011340 X false true X true false X X X 1 FRANCISCAN ALLIANCE INC 351330472 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1877441 126513 1750928 413138 413138 1477113 526363 950750 58714 29711 29003 2730681 OPERATING LEASE - ROU ASSET 1259135 1259135 0 CURRENT PORTION OF LT DEBT FIN 12552 OPERATING LEASE LIABILITIES CP 372667 OPERATING LEASE LIABILITIES LT 936805 LONG TERM LEASE OBLIGATION 16601 1338625 false false false false false false false false false KEVIN D LEAHY PRESIDENT AND DIRECTOR 0 2842860 0 0 0 84804 0 91614 0 17277 0 3036555 0 0 SCHEDULE J, PART I, LINE 3 FRANCISCAN ACO, INC. DOES NOT COMPENSATE ITS PRESIDENT. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER IS FRANCISCAN ALLIANCE, INC. FORM 990, PART VI, SECTION A, LINE 7A THOSE INDIVIDUALS WHO ARE ELECTED OR APPOINTED AS MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF FRANCISCAN ALLIANCE, INC. SHALL, BY VIRTUE OF SUCH ELECTION OR APPOINTMENT, BE MEMBERS OF THE BOARD OF DIRECTORS OF FRANCISCAN ACO, INC. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN POWERS HAVE BEEN RESERVED TO THE MEMBERS. THESE POWERS INCLUDE: (A) APPROVING ANNUAL OPERATING AND CAPITAL BUDGETS; (B) APPROVING A NONBUDGETED CAPITAL EXPENDITURE IN EXCESS OF $500,000. (C) APPROVING DEBT INCURRED WHICH MATURES MORE THAN ONE YEAR AFTER ITS ORIGINAL ISSUANCE; (D) APPROVING THE DISPOSITION OF ANY ASSET HAVING AN ACCOUNTING BOOK VALUE IN EXCESS OF $500,000; (E) APPROVING THE LONG-RANGE FINANCIAL AND STRATEGIC PLAN; (F) APPROVING AND AMENDING THE BY-LAWS OR ARTICLES OF INCORPORATION; (G) APPROVING ANY MAJOR CAPITAL IMPROVEMENT PROJECT HAVING A VALUE IN EXCESS OF $500,000; (H) APPROVING, INTERPRETING AND CHANGING ANY STATEMENT OF MISSION, PHILOSOPHY, ROLE AND PURPOSE; (I) APPROVING THE MERGER, DISSOLUTION, CONSOLIDATION OR REORGANIZATION OF THE CORPORATION; (J) APPROVING THE ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION OF PROPERTY OF THE CORPORATION, OTHER THAN IN THE USUAL AND REGULAR COURSE OF BUSINESS, WHEN SUCH ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION IS ABOVE THE SPECIFIED FINANCIAL LEVELS SET IN ACCORDANCE WITH POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBER; AND (K) TAKING ANY ACTION, WHICH WOULD BE INCONSISTENT WITH THE GOVERNING DOCUMENTS OR POLICIES OF FRANCISCAN ALLIANCE, INC. FORM 990, PART VI, SECTION B, LINE 11B THE INFORMATION TO PREPARE THE FORM 990 OF FRANCISCAN ACO, INC. IS GATHERED BY FINANCE STAFF AND PROVIDED TO ITS ACCOUNTING FIRM WHO PREPARES THE RETURN. SENIOR MANAGEMENT THEN REVIEWS THE RETURN PRIOR TO FILING. THE FORM 990 IS ALSO MADE AVAILABLE TO FRANCISCAN ACO'S BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATION AND/OR AN AFFILIATE REQUIRES ANNUAL CONFLICT OF INTEREST STATEMENTS FROM EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBERS OF COMMITTEE WITH BOARD DESIGNATED POWERS WHICH AFFIRMS THAT THEY HAVE RECEIVED, READ, AND UNDERSTAND THE CONFLICT OF INTERSEST POLICY AND HAVE AGREED TO COMPLY WITH THE POLICY. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, A DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OR A COMMITTEE WITH BOARD DESIGNATED POWERS MUST DISCLOSE THE EXISTENCE AND NATURE OF THE FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST, THE DIRECTOR, PRINCIPAL, OR COMMITTEE MEMBER SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTE TAKEN. IN ADDITION, ONGOING REVIEWS AND ASSESSMENTS ARE MADE TO CERTAIN THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. IN CONDUCTING THE ONGOING REVIEWS AND ASSESSMENTS, THE CORPORATION USES INTERNAL AND EXTERNAL ADVISORS. FORM 990, PART VI, SECTION B, LINES 15A AND 15B FRANCISCAN ACO, INC. DOES NOT COMPENSATE ANY OF ITS OFFICERS. FORM 990, PART III, LINE 1 FRANCISCAN ACO ALIGNS PHYSICIANS, PRACTICES, HOSPITALS AND PAYERS TO IMPROVE ACCESS TO INNOVATIVE, HIGH QUALITY, VALUE DRIVEN CARE WHICH STRIVES TO PUT THE PATIENT AT THE CENTER. BUILDING ON MORE THAN A DECADE OF SUCCESS, FRANCISCAN ACO CONTINUES TO WORK TO IMPROVE AND TRANSFORM CARE TO SUPPORT PATIENTS LIVING LONGER AND BETTER LIVES. TOWARDS THAT EFFORT, THE ACO WORKS TO REFINE AND IMPROVE AREAS SUCH AS EDUCATION, ENGAGEMENT, DATA ANALYTICS AND SUPPORT TO BOTH PATIENTS AND PROVIDERS IN KEY AREAS: . PARTNERING WITH A WIDE VARIETY OF PROVIDERS SPECIALTIES TO MEET PATIENT NEEDS, WITH AN EMPHASIS ON PRIMARY CARE PROVIDERS; . COLLABORATING ON CARE MANAGEMENT ACROSS A PATIENT'S EXPERIENCE OF CARE, INCLUDING POST-ACUTE NEEDS, WITH ENHANCED SUPPORT FOR HIGH RISK OR MEDICALLY COMPLEX PATIENTS; . EMPHASIZING AND FOCUSING ON PREVENTIVE CARE AND WELLNESS; . ENHANCING COMMUNICATIONS TO INTEGRATE CARE AND CLINICAL COORDINATION BETWEEN THE PATIENTS CARE TEAM, THE HOSPITAL, THE COMMUNITY, AND THE PAYERS; . SUPPORTING THE USE OF EVIDENCE BASED BEST PRACTICES TO REDUCE VARIABILITIES IN CARE WHEN APPROPRIATE; . COMMITTING TO AND DELIVERING IMPROVEMENT IN MEASURABLE, STANDARDIZED PERFORMANCE-BASED KEY HEALTH CARE OUTCOMES TO ENHANCE BOTH THE PATIENT AND PROVIDER EXPERIENCES OF CARE. FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:REPAIRS AND MAINTENANCE TOTAL EXPENSES:27269 PROGRAM SERVICES:27269 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:OTHER EXPENSES TOTAL EXPENSES:398695 PROGRAM SERVICES:398695 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:SHARED SAVINGS DISTRIBUTION TOTAL EXPENSES:31523912 PROGRAM SERVICES:31523912 FRANCISCAN ALLIANCE INC 1515 DRAGOON TRAIL MISHAWAKA IN 46544 351330472 HEALTH SRVCS IN 501(C)(3) 3 NA false HILLS INSURANCE COMPANY INC 1515 DRAGOON TRAIL MISHAWAKA IN 46544 030372512 CAPTIVE INS VT 501(C)(3) 12 - TYPE 1 FRANCISCAN false SISTERS OF ST FRANCIS OF PERPETUAL ADOR 1515 DRAGOON TRAIL MISHAWAKA IN 46544 351328145 RELIGIOUS IN 501(C)(3) 1 NA false FRANCISCAN HEALTH FOUNDATION INC 1515 DRAGOON TRAIL MISHAWAKA IN 46544 351955283 FUNDRAISING IN 501(C)(3) 7 FRANCISCAN false FRANCISCAN VNS HOME CARE INC 4701 N KEYSTONE AVE S418 INDIANAPOLIS IN 46205 350868199 HOME HEALTH IN 501(C)(3) 10 FRANCISCAN false FRANCISCAN HEALTH RENSSELAER INC 1104 E GRACE ST RENSSELAER IN 47978 473825106 HEALTH SRVCS IN 501(C)(3) 3 FRANCISCAN false ST ALEXIS HOSPITAL ASSOCIATION PO BOX 1290 MISHAWAKA IN 46544 340714485 SUPPORT ALEXA OH 501(C)(3) 3 FRANCISCAN false FRANCISCAN SURGERY CENTER LLC 421 N EMERSON AVE BEECH GROVE IN 46107 352128334 MEDICAL SERVI IN NA MOORESVILLE ENDOSCOPY CENTER LLC 1215 HADLEY ROAD SUITE 101 MOORESVILLE IN 46158 412116930 MEDICAL SERVI IN NA ST FRANCIS RADIATION THERAPY CENTERS 421 N EMERSON AVE BEECH GROVE IN 46107 770663631 MEDICAL SERVI IN NA ST FRANCIS IMAGING CENTER 421 N EMERSON AVE GREENWOOD IN 46107 204607426 IMAGING SERVI IN NA TONN AND BLANK CONST LLC 1623 GREENWOOD AVE MICHIGAN CITY IN 46360 263919039 CONSTRUCTION IN NA MAJOR HOSP CARDIAC DIAGNOSTICS LLC 2451 INTELLIPEX DR SHELBYVILLE IN 46176 208715441 MEDICAL SERVI IN NA ST FRANCIS MOORESVILLE SURGERY CENTER 1215 HADLEY ROAD SUITE 100 MOORESVILLE IN 46158 202256900 MEDICAL SERVI IN NA FRANCISCAN ORTHOPEDIC SURGERY CENTER 10777 ILLINOIS ST STE H3000 H400 CARMEL IN 46032 845101253 MEDICAL SERVI IN NA ROCCWELL LLC 1345 UNITY PLACE SUITE 345 LAFAYETTE IN 47905 870782727 MEDICAL SERVI IN NA UNITY SURGICAL CENTER LLC 1345 UNITY PLACE SUITE 345 LAFAYETTE IN 47905 352099067 MEDICAL SERVI IN NA FRANCISCAN UNITY REAL ESTATE HOLDINGS LL 1345 UNITY PLACE SUITE 345 LAFAYETTE IN 47905 331733357 REAL ESTATE IN NA FRANCISCAN HOLDING CORPORATION 1515 DRAGOON TRAIL MISHAWAKA IN 46544 363593505 HOLDING CO. 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