TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) SISTER M ALINE SHULTZ........................................................................ TRUSTEE & VP OF MARKETING	40.0 .......................5.0	X		0	0
(2) SISTER M CLARE REUILLE........................................................................ TRUSTEE	5.0 .......................	X		0	0
(3) SISTER ROSE AGNES PFAUTSCH........................................................................ TRUSTEE	5.0 .......................	X		0	0
(4) SISTER M ANGELA MELLADY........................................................................ TRUSTEE	5.0 .......................	X		0	0
(5) SISTER M MARLENE SHAPLEY........................................................................ TRUSTEE	40.0 .......................5.0	X		0	0
(6) SISTER MARILYN OLIVER........................................................................ TRUSTEE	5.0 .......................	X		0	0
(7) KATHLEEN GOEPPINGER PHD........................................................................ TRUSTEE	5.0 .......................	X		0	0
(8) SISTER M MADONNA ROUGEAU........................................................................ TRUSTEE & VP OF MISSION - FSJH	40.0 .......................6.0	X		0	0
(9) JOHN LADOWICZ........................................................................ TRUSTEE	5.0 .......................	X		0	0
(10) JAMES D ROGGE MD........................................................................ TRUSTEE (RESIGNED 2012)	5.0 .......................	X		0	0
(11) SISTER JANE MARIE KLEIN........................................................................ CHAIRPERSON AND TRUSTEE	40.0 .......................6.0	X	X	0	0
(12) SISTER M ANN KATHLEEN MAGIERA........................................................................ TREASURER AND TRUSTEE	40.0 .......................1.0	X	X	0	0
(13) KEVIN D LEAHY........................................................................ PRESIDENT AND TRUSTEE	40.0 .......................6.0	X	X	1,592,190	928,173
(14) SISTER M CORITA LAST........................................................................ VP, SECRETARY (DECEASED 9/12)	40.0 .......................1.0	X	X	0	0
(15) DONALD J KERNER MD........................................................................ TRUSTEE	10.0 .......................5.0	X		0	5,742
(16) JAIRO CRUZ MD........................................................................ TRUSTEE	40.0 .......................	X		248,125	19,362
(17) ERNEST IANNOTTA........................................................................ TRUSTEE	5.0 .......................	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JAMES MONKS MD........................................................................ TRUSTEE (APPOINTED 4/12)	5.0 .......................	X				0	0	0
(19) SISTER LETHIA MARIE LEVEILLE........................................................................ SECRETARY (APPOINTED 12/12)	40.0 .......................		X			0	0	0
(20) EUGENE C DIAMOND........................................................................ REGIONAL CEO NIR	40.0 .......................			X		889,888	0	728,746
(21) ROBERT J BRODY........................................................................ REGIONAL CEO CIR	40.0 .......................			X		888,413	0	719,857
(22) JENNIFER P MARION........................................................................ SENIOR VP FINANCE, CFO	40.0 .......................			X		711,787	0	247,866
(23) TERRANCE E WILSON........................................................................ REGIONAL CEO WIR	40.0 .......................			X		663,405	0	437,492
(24) SETH CR WARREN........................................................................ REGIONAL CEO SSCR	40.0 .......................			X		659,729	0	306,131
(25) LOUIS METZMAN MD........................................................................ PHYSICIAN	40.0 .......................				X	1,156,190	0	72,608
(26) JEFFREY L PIERSON MD........................................................................ PHYSICIAN	40.0 .......................				X	1,374,734	0	51,690
(27) DIPEN C MAUN........................................................................ PHYSICIAN	40.0 .......................				X	990,723	0	38,188
(28) NADEEM IKHLAQUE........................................................................ PHYSICIAN	40.0 .......................				X	945,642	0	48,311
(29) CHARLES E HUGHES III........................................................................ PHYSICIAN	40.0 .......................				X	877,640	0	59,999

(A) Name and business address	(B) Description of services	(C) Compensation
MAXIT HEALTHCARE LLC, PO BOX 223866PITTSBURGHPA15251	IT CONSULTING	19,346,413
METT THERAPY, 801 SOUTH BRIGGS STREETJOLIETIL60433	PHYSICIAN FEES	8,057,650
BEACON PARTNERS INC, 97 LIBBEY PARKWAY SUITE 310WEYMOUTHMA02189	IT CONSULTING	3,864,926
PRICEWATERHOUSECOOPERS LLP, PO BOX 75647CHICAGOIL60675	ACCOUNTING	2,711,305
MIRAMED REVENUE GROUP LLC, 9910 OAK CREEK DRIVELOMBARDIL60148	COLLECTION SERVICES	2,386,843
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 156

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	1,643,789	1,643,789
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	14,532,799	7,940,975	6,591,824	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	940,626,123	844,669,676	95,956,447	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	42,442,557	38,269,247	4,173,310	0
9	Other employee benefits .......	177,959,053	151,343,716	26,615,337	0
10	Payroll taxes ...........	54,364,637	48,266,046	6,098,591	0
11	Fees for services (non-employees):
a	Management ......	10,499,569	8,167,845	2,331,724	0
b	Legal .........	3,336,708	931,115	2,405,593	0
c	Accounting ...........	1,859,586	223,876	1,635,710	0
d	Lobbying ...........	413,116	960	412,156	0
e	Professional fundraising services. See Part IV, line 17	0			0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	162,711,764	146,370,182	16,254,692	86,890
12	Advertising and promotion ....	14,396,734	3,858,839	10,537,895	0
13	Office expenses .......	78,174,664	56,701,827	21,472,837	0
14	Information technology ......	102,825,047	102,825,047	0	0
15	Royalties ..	0
16	Occupancy ...........	42,220,712	39,928,068	2,287,056	5,588
17	Travel ............	3,470,319	1,986,162	1,484,157	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	567,681	405,481	157,099	5,101
20	Interest ...........	35,948,266	35,948,266
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	115,111,606	104,297,498	10,809,728	4,380
23	Insurance ..............	34,360,715	29,479,426	4,881,289	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES/ DRUGS	244,051,014	244,051,014	0	0
b	PURCHASED SERVICES	153,038,364	117,405,814	35,632,550	0
c	REPAIRS AND MAINTENANCE	27,985,657	26,686,854	1,298,803	0
d	FEDERAL UBI AND STATE TAXES	625,883	0	625,883	0
e	All other expenses	225,302,337	163,513,224	61,767,320	21,793
25	Total functional expenses. Add lines 1 through 24e	2,488,468,700	2,174,914,947	313,430,001	123,752
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	0	1	0
2	Savings and temporary cash investments .........	154,566,684	2	176,023,495
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	313,901,189	4	336,243,013
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	206,803	7	265,852
8	Inventories for sale or use ..............	36,330,201	8	39,770,923
9	Prepaid expenses and deferred charges ..........	51,352,023	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,806,764,976
b	Less: accumulated depreciation .....	10b	1,269,996,478	1,472,740,050	10c	1,536,768,498
11	Investments—publicly traded securities ..........	1,531,323,211	11	1,556,826,786
12	Investments—other securities. See Part IV, line 11 .....	124,034,580	12	134,488,493
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............	27,828,383	14	39,900,666
15	Other assets. See Part IV, line 11 ...........	81,589,520	15	188,644,174
16	Total assets. Add lines 1 through 15 (must equal line 34)......	3,793,872,644	16	4,008,931,900
	17	Accounts payable and accrued expenses .........	218,401,833	17	152,558,456
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	1,120,603,835	20	1,091,522,183
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	8,467,438	24	4,616,535
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	608,553,184	25	844,122,157
26	Total liabilities. Add lines 17 through 25.........	1,956,026,290	26	2,092,819,331
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	1,818,403,962	27	1,909,434,724
28	Temporarily restricted net assets ...........	10,215,536	28	612,232
29	Permanently restricted net assets ...........	9,226,856	29	6,065,613
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	1,837,846,354	33	1,916,112,569
34	Total liabilities and net assets/fund balances ........	3,793,872,644	34	4,008,931,900

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

FRANCISCAN ALLIANCE INC

Employer identification number

35-1330472

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

0 %

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

0 %

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

FRANCISCAN ALLIANCE INC

Employer identification number

35-1330472

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization FRANCISCAN ALLIANCE INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization FRANCISCAN ALLIANCE INC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
FRANCISCAN ALLIANCE INC

Employer identification number

35-1330472

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

FRANCISCAN ALLIANCE INC

Employer identification number

35-1330472

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2012

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

25,299

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

202,744

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

185,073

Total. Add lines 1c through 1i ...............................

413,116

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
SCHEDULE C, PART IV		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.

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

FRANCISCAN ALLIANCE INC

Employer identification number

35-1330472

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	9,226,856	8,975,779	15,030,221	14,207,054	13,918,880
b	Contributions ........	15,000			568,167	1,795,174
c	Net investment earnings, gains, and losses	-34,000	274,000	267,000	255,000	-1,507,000
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	3,142,242	22,923	6,321,442
f	Administrative expenses ....
g	End of year balance ......	6,065,614	9,226,856	8,975,779	15,030,221	14,207,054

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	90,433,402		90,433,402
b	Buildings ................	1,075,240,513	552,624,968	522,615,545
c	Leasehold improvements ............	45,987,946	18,937,739	27,050,207
d	Equipment ................	1,502,423,675	683,608,949	818,814,726
e	Other .................	93,528,804	15,674,868	77,853,936
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				1,536,767,816

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
DUE TO THIRD PARTY PAYORS		34,420,717
ACCRUED PAYROLL		109,335,362
OTHER SHORT & LONG TERM LIABIL		155,504,591
ACCRUED PROF & GEN'L LIABILITY		11,490,095
ACCRUED PENSION LIABILITY		424,576,470
SWAP VALUATION		102,207,868
ACCRUED INTEREST PAYABLE		6,587,054


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		844,122,157
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	2,583,623,035
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	70,854,059
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-117,027,556
e	Add lines 2a through 2d .....................			2e	-46,173,497
3	Subtract line 2e from line 1.....................			3	2,629,796,532
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	-4,504,526
c	Add lines 4a and 4b.......................			4c	-4,504,526
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	2,625,292,006

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........			1	2,492,973,226
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	4,504,526
e	Add lines 2a through 2d......................			2e	4,504,526
3	Subtract line 2e from line 1.....................			3	2,488,468,700
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................			4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	2,488,468,700

Part XIII

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
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.
PART XI, LINE 2D		EQUITY IN EARNINGS OF AFFILIATES $ 12,205,166 MINORITY INTEREST IN AFFILIATES (19,388,000) NET ASSETS RELEASED FOR OPERATIONS 1,514,429 NET ASSETS RELEASED FROM RESTRICTION 1,620,000 EQUITY TRANSFERS TO/FROM AFFILIATES 1,412,849 CHANGE IN PENSION & POST-RETIREMENT BENEFITS OTHER THAN NET PERIODIC PENSION COSTS INCLUDED IN ACCRUED PENSION LIABILITY (114,392,000) ------------- TOTAL REVENUE/EXPENSE ON BOOKS NOT ON RETURN (117,087,556)
PART XI, LINE 4B		RENT EXPENSE $ (4,504,526) ----------- TOTAL EXPENSE ON RETURN NOT ON BOOKS (4,504,526)
PART XII, LINE 2D		RENT EXPENSE $ 4,504,526 ----------- TOTAL EXPENSE ON RETURN NOT ON BOOKS 4,504,526

Schedule D (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization
FRANCISCAN ALLIANCE INC

Employer identification number

35-1330472

Part I

General Information on Activities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of the grants or

assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used to award

the grants or assistance? ...................................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	East Asia and the Pacific	Investments	34,207,502
	South America	Investments	6,398,250
	Europe (Including Iceland and Greenland)	Investments	4,882,663
	Middle East and North Africa	Investments	26,280
	Central America and the Caribbean	Investments	9,516,201
	North America	Investments	21,181











3a	Sub-total .....		55,052,077
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		55,052,077

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012

Schedule F (Form 990) 2012

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2012

Schedule F (Form 990) 2012Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2012

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2012

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	ReturnReference	Explanation

Schedule F (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

FRANCISCAN ALLIANCE INC

Employer identification number

35-1330472

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	83,775,331	0	83,775,331	3.410 %
b	Medicaid (from Worksheet 3, column a) ....	296,128,038	203,591,263	92,536,775	3.760 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	4,134,629	0	4,134,629	0.170 %
d	Total Financial Assistance and Means-Tested Government Programs .	384,037,998	203,591,263	180,446,735	7.340 %
Other Benefits		5,661,823	415,818	5,246,005	0.210 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	5,661,823	415,818	5,246,005	0.210 %
f	Health professions education (from Worksheet 5) ..	20,488,220	6,138,967	14,349,253	0.580 %
g	Subsidized health services (from Worksheet 6) ..	156,906,845	122,999,373	33,907,472	1.380 %
h	Research (from Worksheet 7)	937,183	0	937,183	0.040 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	3,134,298	4,764	3,129,534	0.130 %
j	Total. Other Benefits ..	187,128,369	129,558,922	57,569,447	2.340 %
k	Total. Add lines 7d and 7j .	571,166,367	333,150,185	238,016,182	9.680 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	75,562	0	75,562
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	50,615	0	50,615
7	Community health improvement advocacy	49,914	44	49,870
8	Workforce development	4,127,565	3,448,987	678,578	0.030 %
9	Other	34,931	0	34,931
10	Total	4,338,587	3,449,031	889,556	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

106,993,000

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

443,986,213

Enter Medicare allowable costs of care relating to payments on line 5.....

694,725,141

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-250,738,928

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1SEE PART VI
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?14 Name, address, and primary website address								Facility reporting group
1	FRANCISCAN ST FRANCIS HEALTH - INDIANAPOLIS 8111 SOUTH EMERSON AV INDIANAPOLIS,IN46217 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	X	X	X		X	X	A
2	FRANCISCAN ST ANTHONY HEALTH - CROWN POINT 1201 SOUTH MAIN STREET CROWN POINT,IN46307 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	X	X			X		A
3	FRANCISCAN ST JAMES HEALTH - CHICAGO HEIGHTS 1423 CHICAGO ROAD CHICAGO HEIGHTS,IL60411 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	X	X	X		X		B
4	FRANCISCAN ST MARGARET HEALTH - HAMMOND 5454 HOHMAN AVENUE HAMMOND,IN46320 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	X	X	X		X		A
5	FRANCISCAN ST MARGARET HEALTH - DYER 24 JOLIET STREET DYER,IN46311 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	X	X	X		X		A
6	FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE 1701 S CREASY LANE LAFAYETTE,IN47905 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	X	X			X		A
7	FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY 301 W HOMER STREET MICHIGAN CITY,IN46360 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	X	X			X	X	A
8	FRANCISCAN ST JAMES HEALTH - OLYMPIA FIELDS 20201 SOUTH CRAWFOR OLYMPIA FIELDS,IL60461 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	X	X	X		X		B
9	FRANCISCAN ST FRANCIS HEALTH - MOORESVILLE 1201 HADLEY ROAD MOORESVILLE,IN46158 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	X	X	X		X		A
10	FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE CENTRAL 1501 HARTFORD ST LAFAYETTE,IN47904 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	X	X			X		A
11	FRANCISCAN ST ELIZABETH HEALTH - CRAWFORDSVILLE 1710 LAFAYETTE ROAD CRAWFORDSVILLE,IN47933 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	X	X			X		A
12	FRANCISCAN HEALTHCARE - MUNSTER 701 SUPERIOD STREET MUNSTER,IN46321 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	X	X					A
13	FRANCISCAN ST FRANCIS HEALTH - CARMEL 12188-B N MERIDIAN STREET CARMEL,IN46032 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	X	X					A
14	FRANCISCAN ST FRANCIS HEALTH - BEECH GROVE 1600 ALBANY STREET BEECH GROVE,IN46107 WWW.FRANCISCANALLIANCE.ORG/HOSPITALS	X	X	X	X	X		A

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP A
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP B
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?165
Name and address		Type of Facility (describe)
1	IIMC 701 E COUNTY LINE ROAD SUITE 101 GREENWOOD,IN46143	PHYSICIAN PRACTICE
2	INDIANA ORTHOPEDIC SURGERY CENTER 5255 E STOP 11 ROAD SUITE 110 INDIANAPOLIS,IN46237	AMBULATORY SURGERY CENTER
3	FRANCISCAN SURGERY CENTER 5255 E STOP 11 ROAD SUITE 100 INDIANAPOLIS,IN46237	AMBULATORY SURGERY CENTER
4	THE ENDOSCOPY CENTER AT ST FRANCIS 8051 S EMERSON AVENUE SUITE 150 INDIANAPOLIS,IN46237	ENDOSCOPY CENTER
5	ST FRANCIS RADIATION THERAPY CENTERS 8111 S EMERSON AVENUE INDIANAPOLIS,IN46239	RADIATION THERAPY
6	INDIANA HEART PHYSICIANS 5330 E STOP 11 ROAD INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
7	FRANCISCAN PHYSICIAN NETWORK - MC 1225 E COOLSPRING AVENUE MICHIGAN CITY,IN46360	PHYSICIAN PRACTICE
8	SOUTH EMERSON SURGERY CENTER 8141 S EMERSON AVENUE SUITE C INDIANAPOLIS,IN46237	AMBULATORY SURGERY CENTER
9	COOPERATIVE MANAGED CARE SERVICES 9045 RIVER ROAD SUITE 250 INDIANAPOLIS,IN46240	MANAGED CARE
10	INDIANA BLODD AND MARROW TRANSPLANTATION 1500 ALBANY STREET SUITE 911 BEECH GROVE,IN46107	BLOOD AND MARROW TRANSPLANT
11	FRANCISCAN ST JAMES HEALTH-HOME HEALTH 1400 OTTO BOULEVARD CHICAGO HEIGHTS,IL60411	HOME HEALTH
12	MOORESVILLE SURGERY CENTER 1215 HADLEY ROAD SUITE 100 MOORESVILLE,IN46260	AMBULATORY SURGERY CENTER
13	FPN ORTHOPEDIC AND SPORTS MEDICINE 1702 LAFAYETTE ROAD CRAWFORDSVILLE,IN47933	PHYSICIAN PRACTICE
14	JOINT REPLACEMENT SURGEONS 1199 HADLEY ROAD MOORESVILLE,IN46158	PHYSICIAN PRACTICE
15	ONCOLOGY AND HEMATOLOGY SPECIALISTS 8111 S EMERSON AVENUE SUITE A INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
16	SOUTH INDY MRI AND REHAB 8141 S EMERSON AVENUE SUITE A INDIANAPOLIS,IN46237	RADIOLOGY AND PHYSICAL SERVICES
17	MOORESVILLE ENDOSCOPY CENTER 1215 HADLEY ROAD SUITE 101 MOORESVILLE,IN46158	ENDOSCOPY CENTER
18	FRANCISCAN PHYSICIAN NETWORK 9470 BROADWAY CROWN POINT,IN46307	PHYSICIAN PRACTICE
19	FPN NEPHROLOGY FPN PULMONARY 2708 FERRY STREET LAFAYETTE,IN47904	PHYSICIAN PRACTICE
20	FRANCISCAN ST JAMES HEALTH - HEALTH WELLNESS CENTER 100 W 197 CHICAGO HEIGHTS,IL60411	WELLNESS CENTER
21	GREENWOOD PEDIATRIC ASSOCIATES 900 AVERITT ROAD GREENWOOD,IN46143	PHYSICIAN PRACTICE
22	FPN DERMATOLOGY FAMILY MEDICINE PEDS 915 SAGAMORE PARKWAY WEST WEST LAFAYETTE,IN47906	PHYSICIAN PRACTICE
23	ST FRANCIS IMAGING CENTER 3147 W SMITH VALLEY ROAD SUITE D GREENWOOD,IN46143	RADIOLOGY
24	FPN FAMILY & GERIATRIC MEDICINE 3920 ST FRANCIS WAY SUITE 209 LAFAYETTE,IN47905	PHYSICIAN PRACTICE
25	FRANCISCAN PHYSICIAN NETWORK 1505 SOUTH COURT STREET CROWN POINT,IN46307	PHYSICIAN PRACTICE
26	FRANCISCAN PHYSICIAN NETWORK 12800 MISSISSIPPI PARKWAY CROWN POINT,IN46307	PHYSICIAN PRACTICE
27	FRANCISCAN PHYSICIAN NETWORK 2421 LAPORTE AVENUE VALPARAISO,IN46385	PHYSICIAN PRACTICE
28	AMER HEALTH NETWORK - MUNCIE 3631 N MORRISON ROAD MUNCIE,IN47304	PT, IMAGING, SURGERY
29	FPN INTERNAL MEDICINE & SURGICAL SPEC 1630 LAFAYETTE ROAD SUITE 300 CRAWFORDSVILLE,IN47933	PHYSICIAN PRACTICE
30	FRANCISCAN PHYSICIAN NETWORK - MC 8865 W 400 NORTH MICHIGAN CITY,IN46360	PHYSICIAN PRACTICE
31	FPN CARDIOLOGY ELECTROPHYSIOLOGY 3900 SAINT FRANCIS WAY STE 200 LAFAYETTE,IN47905	PHYSICIAN PRACTICE
32	AMER HEALTH NETWORK - GROUP ONE 4880 CENTURY PLAZA ROAD SUITE 100 INDIANAPOLIS,IN46254	IMAGING
33	AMER HEALTH NETWORK - AVON 5250 E US 36 SUITE 610 AVON,IN46123	IMAGING
34	FPN CRAWFORDSVILLE FAMILY MEDICINE 308 W MARKET STREET CRAWFORDSVILLE,IN47933	PHYSICIAN PRACTICE
35	FPN GREENACRES FAMILY MEDICINE 1500 DARLINGTON AVENUE SUITE 300 CRAWFORDSVILLE,IN47933	PHYSICIAN PRACTICE
36	FRANCISCAN PHYSICIAN NETWORK - MC 1507 WABASH STREET MICHIGAN CITY,IN46360	PHYSICIAN PRACTICE
37	FRANCISCAN PHYSICIAN NETWORK 11161 RANDOLPH STREET CROWN POINT,IN46307	PHYSICIAN PRACTICE
38	SOUTHPORT FP AND SPORTS MEDICINE 7855 S EMERSON AVENUE SUITE P INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
39	FRANCISCAN PHYSICIAN NETWORK 1205 S MAIN STREET CROWN POINT,IN46307	PHYSICIAN PRACTICE
40	ST MARGARET MEDICAL ASSOCIATES 701 SUPERIOR AVE SUITE E MUNSTER,IN46321	PHYSICIAN PRACTICE
41	ALVERNO DURABLE MEDICAL EQUIPMENT 16149 SOUTH CLINTON STREET HARVEY,IL60426	DURABLE MEDICAL EQUIPMENT
42	IMPACT CENTER 1201 HADLEY ROAD MOORESVILLE,IN46158	PHYSICIAN PRACTICE
43	ST MARGARET MEDICAL ASSOCIATES 840 RICHARD ROAD DYER,IN46311	PHYSICIAN PRACTICE
44	BEECH GROVE FAMILY MEDICINE 2030 CHURCHMAN AVENUE BEECH GROVE,IN46107	PHYSICIAN PRACTICE
45	INDIANA SLEEP CENTER 701 E COUNTY LINE ROAD SUITE 207 GREENWOOD,IN46143	SLEEP CENTER
46	FRANCISCAN PHYSICIAN NETWORK - MC 810 MICHAEL DRIVE CHESTERTON,IN46304	PHYSICIAN PRACTICE
47	FRANCISCAN PHYSICIAN NETWORK CHERRY CREEK CENTER CROWN POINT,IN46307	PHYSICIAN PRACTICE
48	FPN NORTHRIDGE INTERNAL MEDICINE 1704 LAFAYETTE ROAD SUITE 8 CRAWFORDSVILLE,IN47933	PHYSICIAN PRACTICE
49	DIABETES AND ENDOCRINOLOGY SPECIALISTS 5230A E STOP 11 ROAD SUITE 150 INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
50	ST MARGARET MEDICAL ASSOCIATES 14785 WEST 101ST AVENUE DYER,IN46311	PHYSICIAN PRACTICE
51	KENDRICK FAMILY MEDICINE 1001 HADLEY ROAD SUITE 101 MOORESVILLE,IN46158	PHYSICIAN PRACTICE
52	FPN CRAWFORDSVILLE GYNECOLOGY 407 E MARKET STREET SUITE 101 CRAWFORDSVILLE,IN47933	PHYSICIAN PRACTICE
53	MOORESVILLE FAMILY CARE 1001 HADLEY ROAD SUITE 102 MOORESVILLE,IN46158	PHYSICIAN PRACTICE
54	AMER HEALTH NETWORK - SLEEP (CARMEL) 12425 OLD MERIDIAN STREET SUITE A- CARMEL,IN46032	SLEEP CENTER
55	NEUROSURGICAL SPECIALISTS 8051 S EMERSON AVENUE SUITE 300 INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
56	GRAY ROAD FAMILY MEDICINE 7825 MCFARLAND LANE SUITE A INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
57	AMER HEALTH NETWORK - FRANKLIN 1300 W JEFFERSON STREET SUITE C FRANKLIN,IN46131	PT, IMAGING
58	ORTHOPEDIC SPECIALISTS 5230A E STOP 11 ROAD SUITE 250 INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
59	AMER HEALTH NETWORK - KOKOMO 2330 S DIXON ROAD KOKOMO,IN46902	IMAGING
60	CENTER GROVE FAMILY MEDICINE 362 MERIDIAN PARKE LANE GREENWOOD,IN46142	PHYSICIAN PRACTICE
61	SOUTH 31 FAMILY CARE 610 E SOUTHPORT ROAD SUITE 205 INDIANAPOLIS,IN46227	PHYSICIAN PRACTICE
62	SOUTHEAST FAMILY MEDICINE 5136 E STOP 11 ROAD SUITE 30 INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
63	FRANCISCAN PHYSICIAN NETWORK 2050 NORTH MAIN STREET CROWN POINT,IN46307	PHYSICIAN PRACTICE
64	FRANCISCAN ST JAMES HEALTH - AMBULANCE & EMS 20201 SOUTH CRAWFORD AVENUE OLYMPIA FIELDS,IL60461	AMBULANCE SERVICES
65	ST MARGARET MEDICAL ASSOCIATES 8242 CALUMET AVENUE MUNSTER,IN46321	PHYSICIAN PRACTICE
66	VASCULAR SPECIALISTS 5255 E STOP 11 ROAD SUITE 200 INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
67	ST JAMES HEALTH OUTPATIENT PHARMACY 3700 203RD STREET SUITE 108 OLYMPIA FIELDS,IL60461	PHARMACY
68	FRANKLIN TOWNSHIP FAMILY MEDICINE 8325 E SOUTHPORT ROAD SUITE 100 INDIANAPOLIS,IN46259	PHYSICIAN PRACTICE
69	ST MARGARET MEDICAL ASSOCIATES 1573 N CLINE AVENUE GRIFFITH,IN46319	PHYSICIAN PRACTICE
70	HEARTLAND CROSSING PEDIATRICS 10701 ALLIANCE DRIVE CAMBY,IN46113	PHYSICIAN PRACTICE
71	IRVINGTON FAMILY MEDICINE 5839 E WASHINGTON STREET INDIANAPOLIS,IN46219	PHYSICIAN PRACTICE
72	MAJOR HOSPITAL CARDIAC DIAGNOSTICS 150 WEST WASHINGTON STREET SHELBYVILLE,IN46176	CARDIOVASCULAR TESTING
73	FPN EASTSIDE FAMILY MEDICINE 2056 LEBANON ROAD CRAWFORDSVILLE,IN47933	PHYSICIAN PRACTICE
74	SPINE SPECIALISTS 8051 S EMERSON AVENUE SUITE 360 INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
75	MADISON AVE FAMILY MEDICINE 8778 S MADISON AVENUE SUITE 200 INDIANAPOLIS,IN46227	PHYSICIAN PRACTICE
76	AMER HEALTH NETWORK - PERU 315 W OLD KEY DRIVE IMAGING SUITE PERU,IN46970	IMAGING
77	HEARTLAND INTERNAL MEDICINE 10701 ALLIANCE DRIVE CAMBY,IN46113	PHYSICIAN PRACTICE
78	FRANCISCAN PHYSICIAN NETWORK 200 3RD COURT SE DEMOTTE,IN46310	PHYSICIAN PRACTICE
79	COUNTY LINE PEDIATRICS 8325 S EMERSON SUITE B1 INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
80	ST MARGARET MEDICAL ASSOCIATES 5530 HOHMAN AVENUE HAMMOND,IN46320	PHYSICIAN PRACTICE
81	ST MARGARET MEDICAL ASSOCIATES 221 US HWY 41 SUITE I SCHERERVILLE,IN46375	PHYSICIAN PRACTICE
82	HONEY GROVE FAMILY MEDICINE 1711 S STATE ROAD 135 SUITE C GREENWOOD,IN46143	PHYSICIAN PRACTICE
83	FRANCISCAN PHYSICIAN NETWORK 297 WEST FRANCISCAN LANE SUITE 104 CROWN POINT,IN46307	PHYSICIAN PRACTICE
84	FPN PHYSICAL MEDICINE & REHABILITATION 1012 N 14TH STREET LAFAYETTE,IN47904	PHYSICIAN PRACTICE
85	FPN WOMEN'S HEALTH SERVICES 1630 LAFAYETTE ROAD SUITE 200 CRAWFORDSVILLE,IN47933	PHYSICIAN PRACTICE
86	ST MARGARET MEDICAL ASSOCIATES 2068 LUCAS PARKWAY LOWELL,IN46356	PHYSICIAN PRACTICE
87	FPN FAMILY MEDICINE - KENSINGTON 3875 KENSINGTON DRIVE LAFAYETTE,IN47905	PHYSICIAN PRACTICE
88	GYNECOLOGIC ONCOLOGY SPECIALISTS 5255 E STOP 11 ROAD SUITE 310 INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
89	FPN NORTHSIDE FAMILY MEDICINE 1660 LAFAYETTE ROAD SUITE 170 CRAWFORDSVILLE,IN47933	PHYSICIAN PRACTICE
90	PLAINFIELD FAMILY MEDICINE 315 DAN HONES ROAD SUITE 100 PLAINFIELD,IN46168	PHYSICIAN PRACTICE
91	PSYCHIATRIC SPECIALISTS 610 E SOUTHPORT ROAD SUITE 200 INDIANAPOLIS,IN46227	PHYSICIAN PRACTICE
92	FRANCISCAN PHYSICIAN NETWORK 10860 MAPLE LANE SAINT JOHN,IN46373	PHYSICIAN PRACTICE
93	FRANCISCAN IMAGING EQUIPMENT LEASING 1600 ALBANY STREET BEECH GROVE,IN46107	LEASING RADIOLOGY EQUIPMENT
94	ST MARGARET MEDICAL ASSOCIATES 3831 HOHMAN AVENUE HAMMOND,IN46327	PHYSICIAN PRACTICE
95	FRANCISCAN ST JAMES HEALTH CENTERS FOR DIABETES 20201 SOUTH CRAWFORD AVEN OLYMPIA FIELDS,IL60461	DIABETES CLINIC
96	PLEASANT VIEW FAMILY MEDICINE 12524 SOUTHEASTERN AVENUE INDIANAPOLIS,IN46259	PHYSICIAN PRACTICE
97	AMER HEALTH NETWORK - EAGLE HIGHLANDS 6820 PARKDALE PLACE 105 INDIANAPOLIS,IN46254	IMAGING
98	ST MARGARET MEDICAL ASSOCIATES 24 JOLIET STREET SUITE 101 DYER,IN46311	PHYSICIAN PRACTICE
99	RHEUMATOLOGY & OSTEOPOROSIS SPECIALISTS 5255 E STOP 11 ROAD SUITE 320 INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
100	WEIGHT LOSS SPECIALISTS 5230A E STOP 11 ROAD SUITE 190 INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
101	ST MARGARET MEDICAL ASSOCIATES 10860 MAPLE LANE ST JOHN,IN46373	PHYSICIAN PRACTICE
102	FRANCISCAN ST JAMES HEALTH - FAMILY HEALTH TINLEY PARK 17859 S 80TH A TINLEY PARK,IL60477	PHYSICIAN PRACTICE
103	ST MARGARET MEDICAL ASSOCIATES 5454 HOHMAN AVENUE HAMMOND,IN46320	PHYSICIAN PRACTICE
104	FRANCISCAN PHYSICIAN NETWORK - MC 500 W BUFFALO STREET NEW BUFFALO,MI49117	PHYSICIAN PRACTICE
105	ST MARGARET MEDICAL ASSOCIATES 8437 KENNEDY AVENUE HIGHLAND,IN46322	PHYSICIAN PRACTICE
106	FRANCISCAN PHYSICIAN NETWORK 5985 EAST 1015 NORTH ROSELAWN,IN46372	PHYSICIAN PRACTICE
107	ST MARGARET MEDICAL ASSOCIATES 5500 HOHMAN AVENUE SUITE 2A HAMMOND,IN46320	PHYSICIAN PRACTICE
108	MOORESVILLE AFTER HOURS CLINIC 1001 HADLEY ROAD SUITE 101 MOORESVILLE,IN46158	PHYSICIAN PRACTICE
109	FRANCISCAN PHYSICIAN NETWORK - MC 3340 MONROE STREET LAPORTE,IN46350	PHYSICIAN PRACTICE
110	FPN GATROENTEROLOGY 3218 DAUGHERTY DRIVE SUITE 140 LAFAYETTE,IN47909	PHYSICIAN PRACTICE
111	BREAST SPECIALISTS 5255 E STOP 11 ROAD SUITE 250 INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
112	INDY SOUTH AFTER HOURS CLINIC 7855 S EMERSON AVENUE SUITE P INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
113	SFMG REHABILITATION SPECIALISTS 8051 S EMERSON AVENUE SUITE 360 INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
114	ST MARGARET MEDICAL ASSOCIATES 5454 HOHMAN AVENUE HAMMOND,IN46320	PHYSICIAN PRACTICE
115	BEECH GROVE INTERNAL MEDICINE 2030 CHURCHMAN AVENUE BEECH GROVE,IN46107	PHYSICIAN PRACTICE
116	SFMG PAIN SPECIALISTS 8051 S EMERSON AVENUE SUITE 360 INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
117	BEECH GROVE AFTER HOURS CLINIC 2030 CHURCHMAN AVENUE BEECH GROVE,IN46107	PHYSICIAN PRACTICE
118	ST MARGARET MEDICAL ASSOCIATES 8230 CALUMET AVENUE MUNSTER,IN46321	PHYSICIAN PRACTICE
119	MATERNAL FETAL SPECIALISTS 8051 S EMERSON AVENUE SUITE 450B INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
120	PLASTIC SURGERY SPECIALISTS 8051 S EMERSON AVENUE SUITE 450 INDIANAPOLIS,IN46237	PHYSICIAN PRACTICE
121	ST JAMES COMMUNITY HEALTH CENTER - BEECHER 989 DIXIE HIGHWAY BEECHER,IL60401	PHYSICAL THERAPY SERVICES
122	FPN NEIGHBORHOOD CLINIC 407 E MARKET STREET SUITE 101 CRAWFORDSVILLE,IN47933	PHYSICIAN PRACTICE
123	ST MARGARET MEDICAL ASSOCIATES 5454 HOHMAN AVENUE HAMMOND,IN46320	PHYSICIAN PRACTICE
124	ST MARGARET MEDICAL ASSOCIATES 19400 NORTH CREEK DRIVE LYNWOOD,IL60411	PHYSICIAN PRACTICE
125	FPN FAMILY MEDICINE - MULBERRY 510 WEST JACKSON STREET MULBERRY,IN46058	PHYSICIAN PRACTICE
126	FRANCISCAN ST JAMES HEALTH - FAMILY HEALTH HOMEWOOD 18636 DIXIE HIGHWA HOMEWOOD,IL60430	PHYSICIAN PRACTICE
127	PLAINFIELD SPORTS AND FAMILY MEDICINE 315 DAN JONES ROAD SUITE 150 PLAINFIELD,IN46168	PHYSICIAN PRACTICE
128	AMER HEALTH NETWORK - SLEEP (MUNCIE) 3631 N MORRISON ROAD MUNCIE,IN47304	SLEEP CENTER
129	REDOX REACTIVE REAGENTS 1600 ALBANY STREET BEECH GROVE,IN46107	AUTOIMMUNE DISEASE TREATMENT
130	AMER HEALTH NETWORK - NOBLESVILLE 18051 RIVER AVENUE SUITE 103 NOBLESVILLE,IN46062	IMAGING
131	MONTICELLO MEDICAL CENTER 826 N 6TH ST MONTICELLO,IN47960	MEDICAL PRACTICE
132	FPN FAMILY MEDICINE - MONTICELLO 902 FOXWOOD COURT MONTICELLO,IN47960	MEDICAL PRACTICE
133	FRANCISCAN PHYSICIANS HOSPITAL SLEEP CTR 7905 CALUMET AVENUE MUNSTER,IN463214209	SLEEP CENTER
134	FRANCISCAN HAMMOND CLINIC 7905 CALUMET AVENUE MUNSTER,IN46321	SPECIALTY CENTER/URGENT CARE
135	FRANCISCAN HAMMOND CLINIC 9800 VALPARAISO DRIVE MUNSTER,IN46321	FAMILY WELLNESS CENTER
136	FRANCISCAN HAMMOND CLINIC 11355 WEST 97TH LANE ST JOHN,IN46373	PRIMARY CARE
137	FRANCISCAN PHYSICIAN NETWORK 6831 133RD AVENUED CEDAR LAKE,IN46303	FAMILY PRACTICE
138	FRANCISCAN PHYSICIAN NETWORK 297 WEST FRANCISCAN LANE SUITE 203 CROWN POINT,IN46307	FAMILY PRACTICE
139	ST JAMES HEALTH SURGERY CENTER 333 DIXIE HIGHWAY CHICAGO HEIGHTS,IL60411	OP SURGERY CENTER
140	FRANCISCAN ST JAMES HEALTH-FAMILY HEALTH 3700 WEST 203RD STREET SUITE 112 OLYMPIA FIELDS,IL60461	PHYSICIAN PRACTICE
141	FRANKFORT REHABILITATION SERVICES 10043 LINCOLN HIGHWAY 2ND FLOOR FRANKFORT,IL60423	PHYSICAL THERAPY
142	DIXIE HIGHWAY REHABILITATION SERVICES 211 DIXIE HIGHWAY CHICAGO HEIGHTS,IL60411	PHYSICAL THERAPY
143	GREENWOOD IMMEDIATE CARE 1001 N MADISON AVENUE GREENWOOD,IN46142	IMMEDIATE CARE CENTER
144	CHAPEL HILL IMMEDIATE CARE 650 N GIRLS SCHOOL ROAD INDIANAPOLIS,IN46214	IMMEDIATE CARE CENTER
145	NORA IMMEDIATE CARE 860 E 86TH STREET INDIANAPOLIS,IN46240	IMMEDIATE CARE CENTER
146	WASHINGTON SQUARE IMMEDIATE CARE 992 N MITTHOEFFER INDIANAPOLIS,IN46229	IMMEDIATE CARE CENTER
147	FPN HILLSBORO FAMILY MEDICINE 203 EAST MAIN STREET HILLSBORO,IN47949	PHYSICIAN PRACTICE
148	FRANCISCAN PHYSICIAN NETWORK - MC 770 INDIAN BOUNDARY ROAD CHESTERTON,IN46304	PHYSICIAN PRACTICE
149	FRANCISCAN PHYSICIAN NETWORK - MC 900 I STREET LAPORTE,IN46350	PHYSICIAN PRACTICE
150	FRANCISCAN PHYSICIAN NETWORK 1020 EAST COMMERCIAL AVENUE LOWELL,IN46356	PHYSICIAN PRACTICE
151	HAMMOND CLINIC SPECIALTY CENTER 7905 CALUMET AVENUE MUNSTER,IN46321	MULTISPECIALTY/OUTPATIENT FACILITY
152	HAMMOND CLINIC FAMILY WELLNESS CENTER 9800 VALPARAISO DRIVE MUNSTER,IN46321	MULTI SPEC/OUTPATIENT FACILITY
153	HAMMOND CLINIC ST JOHN 11355 W 97TH LANE ST JOHN,IN46373	MULTISPEC/OUTPATIENT FACILITY
154	FRANCISCAN MEDICAL SPECIALISTS 919 MAIN STREET DYER,IN46311	PHYSICIAN PRACTICE
155	FRANCISCAN MEDICAL SPECIALISTS 5529 HOHMAN AVENUE HAMMOND,IN46320	PHYSICIAN PRACTICE
156	FRANCISCAN MEDICAL SPECIALISTS 1400 S LAKE PARK AVENUE SUITE 305 HOBART,IN46432	PHYSICIAN PRACTICE
157	FRANCISCAN MEDICAL SPECIALISTS 901 LINCOLN WAY LAPORTE,IN46350	PHYSICIAN PRACTICE
158	FRANCISCAN MEDICAL SPECIALISTS 300 W 80TH PLACE MERRILLVILLE,IN46410	PHYSICIAN PRACTICE
159	FRANCISCAN MEDICAL SPECIALISTS 301 W HOMER STREET MICHIGAN CITY,IN46360	PHYSICIAN PRACTICE
160	FRANCISCAN MEDICAL SPECIALISTS 1950 45TH STREET MUNSTER,IN46321	PHYSICIAN PRACTICE
161	FRANCISCAN MEDICAL SPECIALISTS 9034 COLUMBIA MUNSTER,IN46321	PHYSICIAN PRACTICE
162	FRANCISCAN MEDICAL SPECIALISTS 761 45TH STREET MUNSTER,IN46321	PHYSICIAN PRACTICE
163	FRANCISCAN MEDICAL SPECIALISTS 757 45TH STREET MUNSTER,IN46321	PHYSICIAN PRACTICE
164	FRANCISCAN MEDICAL SPECIALISTS 2001 US 41 SCHERERVILLE,IN46375	PHYSICIAN PRACTICE
165	FRANCISCAN MEDICAL SPECIALISTS 1101 GLENDALE ROAD SUITE 110 VALPARAISO,IN46383	PHYSICIAN PRACTICE

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
SUPPLEMENTAL INFORMATION		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 Corporate 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. ------------------------------------------------ SCHEDULE H, PART VI, ITEM 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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, and federal health care 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. Franciscan sends a minimum of 4 statements and makes 7 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 FRANCISCAN ALLIANCE SERVICES A LARGE GEOGRAPHIC AREA WHICH INCLUDES 17 COUNTIES IN INDIANA (BENTON, CARROLL, FOUNTAIN, 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 AT OVER 3.8 MILLION PEOPLE WITH AN AVERAGE HOUSEHOLD INCOME OF APPROXIMATELY $58,119 IN 2012. FOR THESE COMMUNITIES, THE PERCENTAGE OF RESIDENTS BELOW THE FEDERAL POVERTY LEVEL WAS ESTIMATED AT 17.1% IN 2012. THE PERCENTAGE OF INPATIENTS FROM THESE COMMUNITIES WHO WERE SERVED BY MEDICAID WAS 17.9%. AND THE PERCENTAGE OF INPATIENTS FROM THESE COMMUNITIES WHO WERE UNINSURED WAS APPROXIMATELY 3.1%. IN COMPARISON, THE PERCENTAGES OF MEDICAID AND UNINSURED TREATED BY FRANCISCAN ALLIANCE WERE 15.7% AND 5.9% RESPECTIVELY IN 2012. THERE WERE 54 OTHER HOSPITALS IN 2012 THAT SERVE WITHIN THESE COMMUNITIES AS WELL. ----------------------------------------- SCHEDULE H, PART VI, ITEM 5 OTHER INFORMATION "Our Giving Journal" at www.FranciscanAlliance.org/CommunityBenefit reflects Franciscan's mission of "Continuing Christ's Ministry in Our Franciscan Tradition" along with a report of our community benefit activities. 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, 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 Health 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. - Primary Care and Specialty Care Physician Clinics. - Indigent Health Care Clinics. - Health and Wellness Centers and Healthy Living Education Centers. - Community Outreach and Education Programs including: Health Fairs, Free Health Screenings, 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 Spa Services for Cancer Patients, Online Health Condition Assessment Tools, Cancer Prevention Activities, Cancer Survivor Programs and Retreats, 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, Smoking Cessation Programs, Basic Life-Saving Skills Programs, Children's Health Needs Activities, Childhood Obesity Activities, Weight Loss Education, Organ and Tissue Donation Fairs, Volunteer Advocates for Seniors, Parenting Programs, Residential Support Program for Pregnant Girls, Prenatal 'Baby Showers', Athletic Training (Schools and Various Marathons), Orthopedic Road Shows, Flu Vaccinations, Child Seat Safety Programs, Bereavement Support Groups, Community Education Lectures, Indigent Prescription Programs, Sex Can Wait Programs, Caregivers Education Symposiums, Health Career Days, Arthritis Exercise Group, Babysitting Course, Prepared Childbirth Programs, Food Share Programs, Nutritional Counseling for Grade Schools and Seniors, etc. - Social Services including: Pastoral Care, Eucharistic Ministry Program, No One Dies Alone Programs, Language Interpreter Services, Deaf Interpreter Services, Transportation for the Indigent, enrollment assistance in Medicaid, 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, N
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES	FRANCISCAN is involved in and actively participates in numerous community building activities. We work to provide quality care and community building activities by partnering with other health care providers, government agencies, and not-for-profit social service agencies to serve our communities' diverse health care needs. The community building activities offered by FRANCISCAN are provided without reimbursement, serve at-risk populations, and provide health education to key community groups. We monitor these activities for outcomes by identifying changes in health behaviors and knowledge. Some examples of community health programs Franciscan provides include: health education, health fairs, free or low cost health screening, access to healthcare services, immunization services, prescription medication assistance programs, nutritional counseling, enrollment assistance in Medicaid, free spa services for cancer patients, food assistance, transportation assistance, referral assistance, breast cancer and childhood obesity initiatives, healthy choices initiatives, childhood alcoholism prevention, and other various community outreach programs as further described in "Our Giving Journal" at www.franciscanalliance.org/communitybenefit. 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. Franciscan Alliance provides medical and other supplies, health care and other services, screenings, support groups, educational opportunities and presentations, and other sponsorships. Members from all of our organization contribute their time and skills and, in meaningful ways, touch many lives in our communities. Members from our facilities participate on boards, coalitions, task forces and work with colleges universities and other groups to address the healthcare needs of our communities. ----------------------------------------- SCHEDULE H, PART III, LINE 3 The corporation 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 assitance which are detailed under Schedule H, Part VI, item 3. Despite these rigorous efforts, patients who need subsidized care may not seek this assistance or 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 3 of Part III represents charity care delivered to individuals in the communities it serves consistent with its charitable healthcare mission. -------------------------------------- SCHEDULE H, PART III, LINE 4 The Corporation's allowance for doubtful accounts footnote from its audited financial statements is as follows: "The collection of outstanding patient accounts receivable from governmental payors, managed care and other third party payors, and patients is the Corporation's primary source of cash. The corporation's main collection risk relates to uninsured patient accounts and patient accounts for which the third party payor has paid amounts in accordance with the applicable agreement, however the patient's responsibility, usually in the form of deductibles, copayments, and coinsurance payments, remain outstanding ("self pay accounts"). The Corporation's patient accounts receivable is reduced by an allowance for amounts, primarily self pay accounts, which could become uncollectible in the future. Throughout the year, the Corporation estimated 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, the Corporation follows established procedures for placing certain past due patient balances with collection agencies, subject to the terms and certain restrictions on collection efforts determined by the Corporation. Uncollectible patient accounts receivable are written off against the allowance for doubtful accounts with any subsequent recoveries being recorded against the provision for doubtful accounts." ------------------------------------------------ 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, 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 as with private insurers. 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: FRANCISCAN IMAGING EQUIPMENT LEASING LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: IMAGING EQUIPMENT LEASING ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 59.67000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 40.33000 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: LAPORTE COUNTY OPEN MRI LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: MRI SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 33.33333 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 66.66667 NAME OF ENTITY: INDIANA SLEEP CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: SLEEP CENTER ORGANIZATION'S PROFIT % OR STOCK
STATE FILING OF COMMUNITY BENEFIT REPORT	990 SCHEDULE H, PART VI	IL,IN,

Schedule H (Form 990) 2012

Additional Data

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- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
FRANCISCAN ALLIANCE INC

Employer identification number
35-1330472

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) LAFAYETTE MEDICAL EDUCATION FOUNDATION 1501 HARTFORD STREET RM 1128A LAFAYETTE,IN47093	35-1314750	501(C)(3)	10,000		FMV	NONE	MED. EDUC.
(2) ST ANTHONY HEALTH CENTER PO BOX 340 ALTON,IL62002	37-0661234	501(c)(3)	1,000,000	0	FMV	NONE	FINANCIAL SUPPORT
(3) USCC BISHOPS OFFICE OF CARDNINALS 3211 FOURTH STREET NE WASHINGTON,DC20017	53-0196617	501(C)(3)	500,000	0	FMV	NONE	FINANCIAL SUPPORT
(4) RIGGS COMMUNITY HEALTH CLINIC 1716 HARTFORD ST LAFAYETTE,IN47904	35-1965865	501(C)(3)	63,100	0	FMV	NONE	SKYWALK REMOVAL COSTS

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information.

Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Identifier	Return Reference	Explanation
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.

Schedule I (Form 990) 2012

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

FRANCISCAN ALLIANCE INC

Employer identification number

35-1330472

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)KEVIN D LEAHYPRESIDENT AND TRUSTEE	(i) (ii)	1,523,989 0	0 0	68,201 0	895,647 0	32,526 0	2,520,363 0	0 0
(2)EUGENE C DIAMONDREGIONAL CEO NIR	(i) (ii)	828,287 0	0 0	61,601 0	702,109 0	26,637 0	1,618,634 0	0 0
(3)ROBERT J BRODYREGIONAL CEO CIR	(i) (ii)	829,071 0	0 0	59,342 0	688,603 0	31,254 0	1,608,270 0	0 0
(4)JENNIFER P MARIONSENIOR VP FINANCE, CFO	(i) (ii)	682,256 0	0 0	29,531 0	218,593 0	29,273 0	959,653 0	0 0
(5)TERRANCE E WILSONREGIONAL CEO WIR	(i) (ii)	622,972 0	0 0	40,433 0	408,035 0	29,457 0	1,100,897 0	0 0
(6)SETH CR WARRENREGIONAL CEO SSCR	(i) (ii)	611,276 0	0 0	48,453 0	280,192 0	25,939 0	965,860 0	0 0
(7)LOUIS METZMAN MDPHYSICIAN	(i) (ii)	1,073,366 0	46,229 0	36,595 0	50,560 0	22,048 0	1,228,798 0	0 0
(8)JEFFREY L PIERSON MDPHYSICIAN	(i) (ii)	1,266,866 0	65,336 0	42,532 0	50,162 0	1,528 0	1,426,424 0	0 0
(9)JAIRO CRUZ MDTRUSTEE	(i) (ii)	222,790 0	0 0	25,335 0	0 0	19,362 0	267,487 0	0 0
(10)DIPEN C MAUNPHYSICIAN	(i) (ii)	533,648 0	437,787 0	19,288 0	25,362 0	12,826 0	1,028,911 0	0 0
(11)NADEEM IKHLAQUEPHYSICIAN	(i) (ii)	579,763 0	347,730 0	18,149 0	32,675 0	15,636 0	993,953 0	0 0
(12)CHARLES E HUGHES IIIPHYSICIAN	(i) (ii)	367,493 0	503,994 0	6,153 0	48,833 0	11,166 0	937,639 0	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
SCHEDULE J, PART II, COLUMN (C)		Deferred compensation reported in this column includes split-dollar life insurance, employer deferral to section 403(B) Plan, and change in present value of the qualified and, if applicable, nonqualified defined benefit plan. The value of the nonqualified defined benefit plan is subject to a significant risk of forfeiture and as such possibly may never be paid to the executives participating in the plan. No benefits have been paid out to executives reported on Part VII participating in the nonqualified defined benefit plan.
SCHEDULE J, PART I, LINE 4B		Franciscan Alliance, Inc. ("FRANCISCAN") maintains a supplemental executive retirement plan. These benefits are subject to a significant risk of forfeiture and as such possibly may never be paid out to the executives participating in the plan.

Schedule J (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
FRANCISCAN ALLIANCE INC

Employer identification number
35-1330472

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	INDIANA FINANCE AUTHORITY (06E)	35-1602316	454795DW2	04-25-2006	85,150,922	REFUND PRIOR ISSUE DATED 5/16/06		X		X		X
B	INDIANA FINANCE AUTHORITY (08AB)	35-1602316	45470YAB7	05-12-2008	162,960,000	REFINANCING AND REFUND PRIOR ISSUE		X		X		X
C	INDIANA FINANCE AUTHORITY (08C)	35-1602316	45470YAX9	09-15-2008	291,837,375	REFUND PRIOR ISSUE DATED 5/2/06		X		X		X
D	INDIANA FINANCE AUTHORITY (08EFGH)	35-1602316	45470YBE0	10-10-2008	279,345,000	REFUND PRIOR ISSUE DATED 11/20/03		X		X		X
	INDIANA FINANCE AUTHORITY (08IJ)	35-1602316	45470YBL4	11-20-2008	81,850,000	REFUND PRIOR ISSUE DATED 5/16/06		X		X		X
	INDIANA FINANCE AUTHORITY (09A)	35-1602316	45470YCF6	11-05-2009	221,309,385	REFUNDING AND NEW PROJECTS		X		X		X
	INDIANA FINANCE AUTHORITY (12AB)	35-1602316		04-25-2012	82,620,000	REFUND PRIOR ISSUES DATED '01&'08		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	475,922		715,000		12,842,375		75,000,000
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	86,903,209		162,624,820		290,462,634		278,919,324
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	144,210		1,924,820		1,505,785		503,876
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	42,830,183		0		0		124,873,123
11 Other spent proceeds . . . . . . . . . . . . . .	43,928,816		160,700,000		288,956,849		153,542,325
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2007		2012				2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0%		0%		0.00000%		0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.00000%		0.00000%		0.00000%		0%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	0%		0%		0.00000%		0%
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .	X		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.00000%		0.00000%		0.00000%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X	X
c No rebate due? . . . . . . . . . .	X		X		X			X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X	X			X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . . . .
e Was a hedge terminated? . . . . . . .

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .	X		X		X			X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE K, PART II, LINE 13	0	FOR THE INDIANA FINANCE AUTHORITY 2008C AND INDIANA FINANCE AUTHORITY 2012 A/B BONDS, THESE BONDS SOLELY REFUNDED PRIOR ISSUES, SO THE YEAR OF SUBSTANTIAL COMPLETION HAS NOT BEEN ENTERED.
SCHEDULE K, PART III	0	FOR THE INDIANA FINANCE AUTHORITY 2008C BONDS, PART III IS NOT COMPLETED SINCE ALL BOND PROCEEDS WERE USED TO REFUND BONDS ISSUED BEFORE JANUARY 1, 2003.
SCHEDULE K, PART III, LINE 8B	0	FOR THE INDIANA FINANCE AUTHORITY 2006E, 2008A/B, 2008E-H, 2008I/J, AND 2012A/B BONDS, 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 EACH OF THE FOLLOWING BONDS, THE REBATE COMPUTATION WAS PERFORMED: SERIES 2006E - JANUARY 2011 SERIES 2008A/B - JANUARY 2011 SERIES 2008C - JANUARY 2011
SCHEDULE K, PART IV, LINE 5	0

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
FRANCISCAN ALLIANCE INC

Employer identification number
35-1330472

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	INDIANA FINANCE AUTHORITY (06E)	35-1602316	454795DW2	04-25-2006	85,150,922	REFUND PRIOR ISSUE DATED 5/16/06		X		X		X
B	INDIANA FINANCE AUTHORITY (08AB)	35-1602316	45470YAB7	05-12-2008	162,960,000	REFINANCING AND REFUND PRIOR ISSUE		X		X		X
C	INDIANA FINANCE AUTHORITY (08C)	35-1602316	45470YAX9	09-15-2008	291,837,375	REFUND PRIOR ISSUE DATED 5/2/06		X		X		X
D	INDIANA FINANCE AUTHORITY (08EFGH)	35-1602316	45470YBE0	10-10-2008	279,345,000	REFUND PRIOR ISSUE DATED 11/20/03		X		X		X
	INDIANA FINANCE AUTHORITY (08IJ)	35-1602316	45470YBL4	11-20-2008	81,850,000	REFUND PRIOR ISSUE DATED 5/16/06		X		X		X
	INDIANA FINANCE AUTHORITY (09A)	35-1602316	45470YCF6	11-05-2009	221,309,385	REFUNDING AND NEW PROJECTS		X		X		X
	INDIANA FINANCE AUTHORITY (12AB)	35-1602316		04-25-2012	82,620,000	REFUND PRIOR ISSUES DATED '01&'08		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	475,922		715,000		12,842,375		75,000,000
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	86,903,209		162,624,820		290,462,634		278,919,324
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	144,210		1,924,820		1,505,785		503,876
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	42,830,183		0		0		124,873,123
11 Other spent proceeds . . . . . . . . . . . . . .	43,928,816		160,700,000		288,956,849		153,542,325
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2007		2012				2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0%		0%		0.00000%		0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.00000%		0.00000%		0.00000%		0%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	0%		0%		0.00000%		0%
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .	X		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.00000%		0.00000%		0.00000%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X	X
c No rebate due? . . . . . . . . . .	X		X		X			X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X	X			X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . . . .
e Was a hedge terminated? . . . . . . .

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .	X		X		X			X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE K, PART II, LINE 13	0	FOR THE INDIANA FINANCE AUTHORITY 2008C AND INDIANA FINANCE AUTHORITY 2012 A/B BONDS, THESE BONDS SOLELY REFUNDED PRIOR ISSUES, SO THE YEAR OF SUBSTANTIAL COMPLETION HAS NOT BEEN ENTERED.
SCHEDULE K, PART III	0	FOR THE INDIANA FINANCE AUTHORITY 2008C BONDS, PART III IS NOT COMPLETED SINCE ALL BOND PROCEEDS WERE USED TO REFUND BONDS ISSUED BEFORE JANUARY 1, 2003.
SCHEDULE K, PART III, LINE 8B	0	FOR THE INDIANA FINANCE AUTHORITY 2006E, 2008A/B, 2008E-H, 2008I/J, AND 2012A/B BONDS, 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 EACH OF THE FOLLOWING BONDS, THE REBATE COMPUTATION WAS PERFORMED: SERIES 2006E - JANUARY 2011 SERIES 2008A/B - JANUARY 2011 SERIES 2008C - JANUARY 2011
SCHEDULE K, PART IV, LINE 5	0

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

FRANCISCAN ALLIANCE INC

Employer identification number

35-1330472

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) TONN AND BLANK CONSTRUCTION LLC	COMMON DIRECTORS&OFFICERS	29,419,195	PURCHASE OF CONSTRUCTION SERVS		No

Part V

Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE L, PART IV		TONN AND BLANK CONSTRUCTION COMPANY, LLC IS A LIMITED LIABILITY COMPANY IN WHICH FRANCISCAN ALLIANCE, INC. HOLDS A MEMBERSHIP INTEREST. THE FOLLOWING CURRENT TRUSTEES AND OFFICERS OF FRANCISCAN ALLIANCE, INC. ARE ALSO BOARD MEMBERS OF TONN AND BLANK CONSTRUCTION COMPANY, LLC: SISTER JANE MARIE KLEIN AND KEVIN D. LEAHY. TONN AND BLANK CONSTRUCTION COMPANY, LLC PROVIDES CONSTRUCTION SERVICES TO FRANCISCAN ALLIANCE, INC. FOR THE CONSTRUCTION AND IMPROVEMENT OF ITS HEALTHCARE FACILITIES.

Schedule L (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

FRANCISCAN ALLIANCE INC

Employer identification number

35-1330472

Identifier	Return Reference	Explanation
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 "OUR GIVING JOURNAL" AT WWW.FRANCISCANALLIANCE.ORG/COMMUNITYBENEFIT WHICH REFLECTS OUR MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION." FORM 990, PART V, LINE 4B ADDITIONAL FOREIGN COUNTRIES - JAPAN, KOREA, MALAYSIA, PHILLIPPINES, POLAND, THAILAND, AND TURKEY. FORM 990, PART VI, SECTION A, LINE 7A THE 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"), SERVING ON THE PROVINCIAL AND THE PROVINCIAL COUNCIL (COLLECTIVELY "PROVINCIAL LEADERSHIP"), THE PROVINCIAL TREASURER, THE DIRECTOR OF HEALTHCARE OF THE PROVINCE, AND SIX ADDITIONAL SISTERS APPOINTED BY THESE LISTED ABOVE SHALL BE MEMBERS OF FRANCISCAN ALLIANCE, INC. THE BOARD OF TRUSTEES SHALL CONSIST OF 15 INDIVIDUALS INCLUDING: (A) THREE TRUSTEES SHALL BE MEMBERS OF THE PROVINCIAL LEADERSHIP OF THE PROVINCE, ONE WHOM SHALL BE THE PROVINCIAL, OR HER DESIGNEE, AND THE REMAINING TWO SHALL BE ELECTED BY THE PROVINCIAL LEADERSHIP; (B) THE TREASURER OF THE PROVINCE WHO MAY ALSO BE ONE OF THE PROVINCIAL LEADERSHIP REPRESENTATIVES AS DESCRIBED IN (A); (C) THE DIRECTOR OF ALL OF THE HEALTH CARE SERVICES 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 MEMBERS SHALL ELECT THE REMAINING TRUSTEES.
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 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'S BOARD OF TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C		The Corporation requires annual conflict of interest statements from each director, principal officer, members of committees with board designated powers, key employees, and operation 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. If after disclosure of the financial interest, the director, principal or committee member shall leave the board or committee meeting while the financial interest is discussed and vote taken. In addition, ongoing reviews and assessments are made to make certain that the Corporation operates in a manner consistent with its charitable purposes. In conducting the ongoing reviews and assessments, the Corporation uses internal and external advisors. Reviews include compensation arrangements, acquisitions, partnerships, joint venture arrangements, and agreements to provide health care products/services, etc.
FORM 990, PART VI, SECTION B, LINE 15		Franciscan Alliance, Inc.'s ("Franciscan") process for determining compensation for the organization's President/CEO, officers and key employees consists of annual compensation studies obtained from up to eight different national compensation surveys. These studies are used to benchmark the organization's President/CEO, officers and key employees based on comparable positions within the healthcare industry. In addition to compensation surveys, Franciscan has periodic external reviews completed by independent compensation consultants. The Executive Committee of the Board of Trustees approves the proposed compensation and benefits at an annual compensation review meeting held each year. The organization's President/CEO recuses himself from the vote on executive compensation. FORM 990, PART VII, SECTION A, COLUMN (F) Deferred compensation reported in this column includes split-dollar life insurance, employer deferral to section 403(B) Plan, and change in present value of the qualified and, if applicable, nonqualified defined benefit plan. The value of the nonqualified defined benefit plan is subject to a significant risk of forfeiture and as such possibly may never be paid to the executives participating in the plan. No benefits have been paid out to executives reported on Part VII participating in the nonqualified defined benefit plan.
FORM 990, PART XI, LINE 9		EQUITY IN EARNINGS OF AFFILIATES 12,205,166 MINORITY INTEREST IN AFFILIATES (19,388,000) NET ASSETS RELEASED FOR OPERATIONS 1,514,429 NET ASSETS RELEASED FROM RESTRICTION 1,620,000 EQUITY TRANSFERS TO/FROM AFFILIATES 1,412,849 CHANGE IN PENSION & POST-RETIREMENT BENEFITS OTHER THAN NET PERIODIC PENSION COSTS INCLUDED IN ACCRUED PENSION LIABILITY (114,392,000) NET ASSET RECLASS 380,953 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS (9,603,304) CHANGE IN PERMANENTLY RESTRICTED NET ASSETS (3,161,243) ------------- TOTAL OTHER CHANGES IN NET ASSETS (129,411,150)

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

FRANCISCAN ALLIANCE INC

Employer identification number

35-1330472

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) ATHENS OUTPATIENT SERVICES LLC 1710 LAFAYETTE ROAD CRAWFORDSVILLE,IN47933 20-3686603	MEDICAL SRVCS	IN	14,308,838	7,114,017	FRANCISCAN
(2) FRANCISCAN ALLIANCE ACCOUNTABLE CARE ORG 1515 DRAGOON TRAIL MISHAWAKA,IN46544 45-2884517	ACCOUNT. CARE	IN	4,193,468	389,500	FRANCISCAN
(3) ST FRANCIS INSURANCE SERVICES LLC 1600 ALBANY STREET BEECH GROVE,IN46107 20-0048077	INSURANCE	IN	431,434	0	FRANCISCAN
(4) SPECIALTY PHYSICIANS OF ILLINOIS LLC 333 DIXIE HIGHWAY CHICAGO HEIGHTS,IL60411 05-0540914	PHYSICIAN	IL	53,881,496	10,893,325	FRANCISCAN
(5) FAITH HOPE AND LOVE CANCER CENTER LLC 1250 SOUTH CREASY LN STE A LAFAYETTE,IN47905 68-0612977	MEDICAL SRVCS	IN	21,497,661	1,153,887	FRANCISCAN
(6) FRANCISCAN HAMMOND CLINIC LLC 7905 CALUMET AVENUE MUNSTER,IN46321 27-4958737	MEDICAL SRVCS	IN	52,055,763	19,780,922	FRANCISCAN
(7) FRANCISCAN PHYSICIANS HOSPITAL LLC 701 SUPERIOR STREET MUNSTER,IN46321 20-8411919	HOSPITAL	IN	60,629,424	75,535,506	FRANCISCAN
(8) FRANCISCAN PRACTICE MANAGEMENT LLC 5224 S EAST STREET SUITE 3 INDIANAPOLIS,IN46227 27-2919869	HEALTHCARE	IN	430,629	0	FRANCISCAN
(9) ST FRANCIS MEDICAL GROUP LLC 5330 E STOP 11 RD INDIANAPOLIS,IN46237 26-3877295	MEDICAL SVCS	IN	26,584,916	0	FRANCISCAN
(10) HEALTHPARTNERS MEDICAL GROUP LLC 1225 E COLLSPRING AVENUE MICHIGAN CITY,IN46320 20-0474054	HEALTHCARE	IN	43,315,808	4,068,485	FRANCISCAN
(11) FRANCISCAN AHN ACO LLC 1515 DRAGOON TRAIL MISHAWAKA,IN46544 45-4171713	ACCOUNT. CARE	IN	2,057,954	276,959	FRAN ACO LLC
(12) FRANCISCAN UNION HOSPITAL ACO LLC 1515 DRAGOON TRAIL MISHAWAKA,IN46544 46-0889127	ACCOUNT. CARE	IN	26,326	112,541	FRAN ACO LLC

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) ALVERNO CLINICAL LABS INC 2434 INTERSTATE PLAZA DRIVE HAMMOND,IN46324 35-2060754	LAB SERVICES	IN	501(C)(3)	11 - Type 1	FRANCISCAN	Yes
(2) HILLS INSURANCE COMPANY INC 1515 DRAGOON TRAIL MISHAWAKA,IN46544 03-0372512	CAPTIVE INS	VT	501(C)(3)	11 - Type 1	FRANCISCAN	Yes
(3) SISTERS OF ST FRANCIS OF PERPETUAL ADOR PO BOX 766 MISHAWAKA,IN46546 35-1328145	RELIGIOUS	IN	501(C)(3)	1	NA		No
(4) ST ALEXIS HOSPITAL ASSOCIATION PO BOX 1290 MISHAWAKA,IN46546 34-0714485	SUPPORT ALEXA	OH	501(C)(3)	3	FRANCISCAN	Yes
(5) FRANCISCAN ALLIANCE FOUNDATION INC 1600 ALBANY STREET - FINANCE 9010 BEECH GROVE,IN46107 35-1955283	FUNDRAISING	IN	501(C)(3)	7	FRANCISCAN	Yes
(6) ST JAMES COMMUNITY FOUNDATION 1423 CHICAGO ROAD CHICAGO HEIGHTS,IL60411 20-4249251	FUNDRAISING	IL	501(C)(3)	7	FRANCISCAN	Yes
(7) VNS AT ST FRANCIS INC 4701 N KEYSTONE AVE S418 INDIANAPOLIS,IN46205 35-0868199	HOME HEALTH	IN	501(C)(3)	9	FRANCISCAN	Yes
(8) AT YOUR SERVICE HOME CARE INC 4701 N KEYSTONE AVE INDIANAPOLIS,IN46205 35-2107306	HEALTHCARE	IN	501(C)(3)	9	FRANCISCAN	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) FRANCISCAN IMAGING EQUIPMENT LEASING LLC 1600 ALBANY STREET BEECH GROVE,IN46107 35-2282509	EQUIPMENT LEA	IN	FRANCISCAN	RELATED	16,099	0		No	0		No	59.670 %
(2) FRANCISCAN PHYSICIANS REAL PROPERTY LLC 701 SUPERIOR STREET MUNSTER,IN46321 26-0787231	REAL PROP LEA	IN	FRANCISCAN	RELATED	2,565,280	36,338,991		No	0		No	89.560 %
(3) FRANCISCAN SURGERY CENTER LLC 1600 ALBANY ROAD BEECH GROVE,IN46107 35-2128334	MEDICAL SERVS	IN	FRANCISCAN	RELATED	7,076,653	3,592,089		No	0		No	50.540 %
(4) LAFAYETTE HEART PROGRAM HOLDINGS LLC 1501 HARTFORD STREET LAFAYETTE,IN47904 38-3750811	MEDICAL SERVS	IN	FRANCISCAN	RELATED	3,429,781	14,397,410		No	0		No	51.000 %
(5) ST ANTHONY HEALTH NETWORK LLC PO BOX 310 MISHAWAKA,IN465460310 35-1985170	CLAIMS PROCES	IN	FRANCISCAN	RELATED	103,132	588,144		No	0		No	88.070 %
(6) ST FRANCIS MOORESVILLE SURGERY CENTER 1215 HADLEY ROAD SUITE 100 MOORESVILLE,IN46158 20-2256900	MEDICAL SERVS	IN	FRANCISCAN	RELATED	1,110,946	425,003		No	0		No	63.290 %
(7) ST FRANCIS RADIATION THERAPY CENTERS LLC 1600 ALBANY STREET BEECH GROVE,IN46107 77-0663631	MEDICAL SERVS	IN	FRANCISCAN	RELATED	5,275,104	7,867,729		No	0		No	86.740 %
(8) MAJOR HOSPITAL CARDIAC DIAGNOSTICS LLC 150 West Washington Street Shelbyville,IN46176 20-8715441	MEDICAL SERVS	IN	FRANCISCAN	RELATED	388,698	488,843		No	0		No	53.600 %
(9) ST FRANCIS IMAGING CTR GREENWOOD LLC 3147 W SMITH VALLEY RD GREENWOOD,IN46143 20-4607426	IMAGING SERVS	IN	FRANCISCAN	RELATED	770,674	1,182,205		No	0		No	60.000 %
(10) TONN AND BLANK CONST LLC 1623 GREENWOOD AVE MICHIGAN CITY,IN46360 26-3919039	CONSTRUCTION	IN	FRANCISCAN	RELATED	1,458,960	2,980,956		No	72,210		No	56.500 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) FRANCISCAN HOLDING CORPORATION 1515 DRAGOON TRAIL MISHAWAKA,IN46544 36-3593505	HOLDING COMP	IN	FRANCISCAN	C CORP	1,225,601	42,621,724	100.000 %	Yes
(2) ST FRANCIS HEALTH NETWORK 112 N 17TH AVENUE SUITE 210 BEECH GROVE,IN46107 35-1904455	INSURANCE	IN	FRANCISCAN	C CORP	80,213,252	7,006,115	100.000 %	Yes
(3) ST JAMES PHO INC 1423 CHICAGO ROAD CHICAGO HEIGHTS,IL60411 36-3945083	MANAGED CARE	IL	FRANCISCAN	C CORP	9,395,506	1,139,865	50.000 %		No

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ALVERNO CLINICAL LABORATORIES INC	B	194,970	FMV
(2) FRANCISCAN IMAGING EQUIPMENT LEASING LLC	C	314,580	FMV
(3) FRANCISCAN ALLIANCE FOUNDATION INC	C	5,386,823	FMV
(4) FRANCISCAN PHYSICIANS REAL PROPERTY LLC	C	2,112,964	FMV
(5) FRANCISCAN SURGERY CENTER LLC	C	6,087,130	FMV
(6) MAJOR HOSPITAL CARDIAC DIAGNOSTICS LLC	C	150,000	FMV
(7) ST FRANCIS IMAGING CENTER (GREENWOOD) LLC	C	711,000	FMV
(8) ST FRANCIS MOORESVILLE SURGERY CENTER LLC	C	1,050,000	FMV
(9) ST FRANCIS RADIATION THERAPY CENTERS LLC	C	4,866,117	FMV
(10) TONN AND BLANK CONSTRUCTION LLC	M	29,419,195	FMV
(11) TONN AND BLANK CONSTRUCTION LLC	C	571,447	FMV
(12) FRANCISCAN PHYSICIANS REAL PROPERTY LLC	K	2,585,135	FMV

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	20,487
6	Total number of volunteers (estimate if necessary) .............	6	2,108
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	7,245,372
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	1,289,207

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	7,420,568	5,479,482
9	Program service revenue (Part VIII, line 2g) .........	2,255,270,155	2,532,599,050
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	86,918,390	80,546,006
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	11,057,705	6,667,468
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	2,360,666,818	2,625,292,006
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	60,338	1,643,789
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,137,443,940	1,229,925,169
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	143,488	0
b	Total fundraising expenses (Part IX, column (D), line 25) 123,752
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,076,589,218	1,256,899,742
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,214,236,984	2,488,468,700
19	Revenue less expenses. Subtract line 18 from line 12.......	146,429,834	136,823,306
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,793,872,644	4,008,931,900
21	Total liabilities (Part X, line 26).............	1,956,026,290	2,092,819,331
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,837,846,354	1,916,112,569

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,174,914,947 including grants of $ 1,643,789 ) (Revenue $ 2,522,660,037 )
	For over 135 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 operates thirteen hospital campuses (two in Illinois and eleven in Indiana) along with numerous physician clinics and ancillary services centers and offers numerous community health improvement programs that is further described below. In 2012, Franciscan admitted approximately 90,000 inpatients and recorded over 413,000 inpatient days, 420,000 emergency room visits, and provided over $524 million in charity care and other community benefits which includes Medicaid and Medicare shortfalls at cost. Franciscan provides significant benefits that reflect the organization's commitment to healthcare and the communities it is privileged to serve. We break community benefits down into two primary categories: a) benefits for the poor and underserved which includes the cost of providing programs and services to persons who are economically poor or are medically indigent and cannot afford to pay for health care services because they have inadequate resources and/or are uninsured or underinsured and b) benefits for the broader community which includes the cost of providing programs and services aimed at persons and groups for reasons other than poverty (however it may include needy populations that may not qualify as poor but need special services and support) or broader populations who benefit from healthy community initiatives with the provision of these programs and services not intended to be financially self-supporting. In 2012, Franciscan provided over $524 million in quantifiable community benefits which included: Benefits for the Poor: Charity Care $83,775,331 Unpaid Costs of Medicaid $92,536,775 Community Services $4,252,504 Other Public Programs $4,134,629 _______________ Subtotal $184,699,239 Benefits for the Community: Unpaid Costs of Medicare $250,738,928 Other Community Benefits $54,206,499 Bad Debt $34,552,073 _____________ Subtotal $339,497,500 Total $524,196,739 "Our Giving Journal" at www.FranciscanAlliance.org/CommunityBenefit reflects Franciscan's mission of "Continuing Christ's Ministry in Our Franciscan Tradition" along with a report of our community benefit activities. 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, 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 Health 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. - Primary Care and Specialty Care Physician Clinics. - Indigent Health Care Clinics. - Health and Wellness Centers and Healthy Living Education Centers. - Community Outreach and Education Programs including: Health Fairs, Free Health Screenings, 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 Spa Services for Cancer Patients, Online Health Condition Assessment Tools, Cancer Prevention Activities, Cancer Survivor Programs and Retreats, 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, Smoking Cessation Programs, Basic Life-Saving Skills Programs, Children's Health Needs Activities, Childhood Obesity Activities, Weight Loss Education, Organ and Tissue Donation Fairs, Volunteer Advocates for Seniors, Parenting Programs, Residential Support Program for Pregnant Girls, Prenatal 'Baby Showers', Athletic Training (Schools and Various Marathons), Orthopedic Road Shows, Flu Vaccinations, Child Seat Safety Programs, Bereavement Support Groups, Community Education Lectures, Indigent Prescription Programs, Sex Can Wait Programs, Caregivers Education Symposiums, Health Career Days, Arthritis Exercise Group, Babysitting Course, Prepared Childbirth Programs, Food Share Programs, Nutritional Counseling for Grade Schools and Seniors, etc. - Social Services including: Pastoral Care, Eucharistic Ministry Program, No One Dies Alone Programs, Language Interpreter Services, Deaf Interpreter Services, Transportation for the Indigent, enrollment assistance in Medicaid, 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, Medical Assistance Training, Medical Technology Training Programs, OR Technology Training, etc. - Research Programs including - Cancer Genome Project, Cardiac Research, HLA-Vascular Biology Research, Clinical Trails, Plaque Formation Studies, Use of Drug Eluting Stents Studies, etc. Again, please visit "Our Giving Journal" at www.FranciscanAlliance.org/CommunityBenefit for further details.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,174,914,947

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	10,998,466	0	3,664,165

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		5,386,823
e	Government grants (contributions)1e		12,222

f	All other contributions, gifts, grants, and similar amounts not included above1f		80,437

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			5,479,482
			Business Code
2a	PATIENT AND OTHER REVENUES		900099	2,365,992,091	2,365,992,091	0	0
b	PREMIUM REVENUE		900099	103,468,980	103,468,980	0	0
c	LAUNDRY		812300	2,349,946	0	2,349,946	0
d	PHARMACY		446110	55,617,920	53,414,878	913,597	1,289,445
e	CAFETERIA		722514	5,170,113	0	0	5,170,113
f	All other program service revenue .
g	Total. Add lines 2a–2f........			2,532,599,050
3	Investment income (including dividends, interest, and other similar amounts).......			81,576,338		242,336	81,334,002
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	7,406,205
b	Less: rental expenses	4,504,527
c	Rental income or (loss)	2,901,678	0
d	Net rental income or (loss).......			2,901,678			2,901,678
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	19,779	9,215,591
b	Less: cost or other basis and sales expenses	18,750	10,246,952
c	Gain or (loss)	1,029	-1,031,361
d	Net gain or (loss)..........			-1,030,332			-1,030,332
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a		307,160
b	Less: cost of goods sold ..b		280,863
c	Net income or (loss) from sales of inventory..			26,297			26,297
Miscellaneous Revenue			Business Code
11a	OTHER OPERATING REVENUE		900099	3,739,493		3,739,493
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			3,739,493
12	Total revenue. See Instructions......			2,625,292,006	2,522,875,949	7,245,372	89,691,203


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			0	1	0
2	Savings and temporary cash investments .........			154,566,684	2	176,023,495
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			313,901,189	4	336,243,013
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			206,803	7	265,852
8	Inventories for sale or use ..............			36,330,201	8	39,770,923
9	Prepaid expenses and deferred charges ..........			51,352,023	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,806,764,976
b	Less: accumulated depreciation .....	10b	1,269,996,478	1,472,740,050	10c	1,536,768,498
11	Investments—publicly traded securities ..........			1,531,323,211	11	1,556,826,786
12	Investments—other securities. See Part IV, line 11 .....			124,034,580	12	134,488,493
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............			27,828,383	14	39,900,666
15	Other assets. See Part IV, line 11 ...........			81,589,520	15	188,644,174
16	Total assets. Add lines 1 through 15 (must equal line 34)......			3,793,872,644	16	4,008,931,900
17	Accounts payable and accrued expenses .........			218,401,833	17	152,558,456
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			1,120,603,835	20	1,091,522,183
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			8,467,438	24	4,616,535
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			608,553,184	25	844,122,157
26	Total liabilities. Add lines 17 through 25.........			1,956,026,290	26	2,092,819,331
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			1,818,403,962	27	1,909,434,724
28	Temporarily restricted net assets ...........			10,215,536	28	612,232
29	Permanently restricted net assets ...........			9,226,856	29	6,065,613
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			1,837,846,354	33	1,916,112,569
34	Total liabilities and net assets/fund balances ........			3,793,872,644	34	4,008,931,900

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No