SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
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? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (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) . . . 		    76,134,283 0 76,134,283 3.070 %
b Medicaid (from Worksheet 3, column a) . . . . .     333,084,246 221,873,823 111,210,423 4.480 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     678,209 0 678,209 0.030 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     409,896,738 221,873,823 188,022,915 7.580 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     7,587,680 429,517 7,158,163 0.290 %
f Health professions education (from Worksheet 5) . . .     20,457,533 5,970,576 14,486,957 0.580 %
g Subsidized health services (from Worksheet 6) . . . .     47,534,014 28,542,669 18,991,345 0.770 %
h Research (from Worksheet 7) .     1,277,464 0 1,277,464 0.050 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     1,228,649 9,765 1,218,884 0.050 %
j Total. Other Benefits . .     78,085,340 34,952,527 43,132,813 1.740 %
k Total. Add lines 7d and 7j .     487,982,078 256,826,350 231,155,728 9.320 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
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.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     85   85  
2 Economic development            
3 Community support     90,726   90,726  
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building     72,801 275 72,526  
7 Community health improvement advocacy     9,397   9,397  
8 Workforce development     6,877,899 5,910,535 967,364 0.040 %
9 Other     115,114 23,200 91,914  
10 Total     7,166,022 5,934,010 1,232,012 0.040 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
57,665,569
3
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. ......
3
 
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
713,582,952
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
944,114,838
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-230,531,886
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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) 2015
Schedule H (Form 990) 2015
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?12
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 FRANCISCAN HEALTH INDIANAPOLIS
8111 SOUTH EMERSON AVENUE
INDIANAPOLIS,IN46217
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
11-004972-1 		X X   X   X X      
2 FRANCISCAN HEALTH LAFAYETTE
1701 S CREASY LANE
LAFAYETTE,IN47905
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
15-005096-1 		X X         X      
3 FRANCISCAN HEALTH HAMMOND
5454 HOHMAN AVENUE
HAMMOND,IN46320
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
15-005004-1 		X X   X     X      
4 FRANCISCAN HEALTH OLYMPIA FIELDS
20201 SOUTH CRAWFORD AVE
OLYMPIA FIELDS,IL60461
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
0005074 		X X   X     X      
5 FRANCISCAN HEALTH CROWN POINT
1201 SOUTH MAIN STREET
CROWN POINT,IN46307
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
15-005107-1 		X X         X      
6 FRANCISCAN HEALTH DYER
24 JOLIET STREET
DYER,IN46311
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
15-005080-1 		X X   X     X      
7 FRANCISCAN HEALTH MICHIGAN CITY
301 W HOMER STREET
MICHIGAN CITY,IN46360
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
15-005015-1 		X X   X     X X    
8 FRANCISCAN HEALTH CHICAGO HEIGHTS
1423 CHICAGO ROAD
CHICAGO HEIGHTS,IL60411
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
002436 		X X   X     X      
9 FRANCISCAN HEALTH MOORESVILLE
1201 HADLEY ROAD
MOORESVILLE,IN46158
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
14-005052-1 		X X   X   X X      
10 FRANCISCAN HEALTH MUNSTER
701 SUPERIOR STREET
MUNSTER,IN46321
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
15-005615-1 		X X   X     X      
11 FRANCISCAN HEALTH CRAWFORDSVILLE
1710 LAFAYETTE ROAD
CRAWFORDSVILLE,IN47933
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
15-005021-1 		X X         X      
12 FRANCISCAN HEALTH CARMEL
12188-B N MERIDIAN STREET
CARMEL,IN46032
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
13-012826-1 		X X                
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
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)
FRANCISCAN HEALTH DYER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		6
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V-C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FRANCISCAN HEALTH DYER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Page 6
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

FRANCISCAN HEALTH DYER
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
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)
FRANCISCAN HEALTH HAMMOND
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		3
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V-C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FRANCISCAN HEALTH HAMMOND
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Page 6
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

FRANCISCAN HEALTH HAMMOND
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
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)
FRANCISCAN HEALTH MUNSTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		10
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V-C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FRANCISCAN HEALTH MUNSTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Page 6
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

FRANCISCAN HEALTH MUNSTER
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
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)
FRANCISCAN HEALTH CROWN POINT
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		5
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V-C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FRANCISCAN HEALTH CROWN POINT
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Page 6
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

FRANCISCAN HEALTH CROWN POINT
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
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)
FRANCISCAN HEALTH MICHIGAN CITY
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		7
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V-C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FRANCISCAN HEALTH MICHIGAN CITY
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Page 6
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

FRANCISCAN HEALTH MICHIGAN CITY
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
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)
FRANCISCAN HEALTH CHICAGO HEIGHTS
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		8
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V-C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FRANCISCAN HEALTH CHICAGO HEIGHTS
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Page 6
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

FRANCISCAN HEALTH CHICAGO HEIGHTS
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
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)
FRANCISCAN HEALTH OLYMPIA FIELDS
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		4
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V-C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FRANCISCAN HEALTH OLYMPIA FIELDS
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Page 6
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

FRANCISCAN HEALTH OLYMPIA FIELDS
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
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)
FRANCISCAN HEALTH LAFAYETTE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		2
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V-C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FRANCISCAN HEALTH LAFAYETTE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Page 6
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

FRANCISCAN HEALTH LAFAYETTE
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
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)
FRANCISCAN HEALTH CRAWFORDSVILLE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		11
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V-C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FRANCISCAN HEALTH CRAWFORDSVILLE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Page 6
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

FRANCISCAN HEALTH CRAWFORDSVILLE
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
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)
FRANCISCAN HEALTH INDIANAPOLIS
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V-C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FRANCISCAN HEALTH INDIANAPOLIS
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Page 6
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

FRANCISCAN HEALTH INDIANAPOLIS
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
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)
FRANCISCAN HEALTH MOORESVILLE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		9
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V-C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FRANCISCAN HEALTH MOORESVILLE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Page 6
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

FRANCISCAN HEALTH MOORESVILLE
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
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)
FRANCISCAN HEALTH CARMEL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		12
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V-C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FRANCISCAN HEALTH CARMEL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Page 6
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

FRANCISCAN HEALTH CARMEL
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
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Schedule H (Form 990) 2015
Page 7
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
SCHEDULE H, PART V, SECTION C - SUPPLEMENTAL INFORMATION LINE 5: FRANCISCAN HEALTH DYER, FRANCISCAN HEALTH HAMMOND, FRANCISCAN HEALTH CROWN POINT, FRANCISCAN HEALTH MUNSTER INPUT FROM INDIVIDUALS IN THE COMMUNITY: AN INDEPENDENT, THIRD PARTY WAS RETAINED TO CONDUCT THE COMMUNITY ASSESSMENT AND A PART OF THAT WORK WAS THE FACILITATION OF SEVERAL FOCUS GROUPS DESIGNED TO HAVE IN-PERSON EXCHANGE AND INFORMATION GATHERING ABOUT COMMUNITY HEALTH NEEDS, INCLUDING NEEDS OF LOW INCOME, MINORITIES AND THE UNINSURED. THE FOLLOWING INDIVIDUALS ATTENDED AND CONTRIBUTED TO THAT INFORMATION GATHERING OPPORTUNITY: DR. JANET SEABROOK - EXECUTIVE DIRECTOR, GARY COMMUNITY HEALTH CENTER DR. JANICE ZUNICH, INDIANA UNIVERSITY SCHOOL OF MEDICINE DR. MARK FELDNER, COMMUNITY CARE NETWORK DR. LISA GREEN - CEO, FAMILY CHRISTIAN HEALTH CENTERS JANICE WILSON - CEO, NORTH SHORE HEALTH CENTERS OLGA GONZALES - MANAGER, WOMEN'S CARE CENTER OF NWI TRACY TUCKER - SCHOOL NURSE, EGGERS MIDDLE SCHOOL DUANE DEDALOW - EXECUTIVE DIRECTOR, CATHOLIC CHARITIES DIOCESE OF GARY GORDON JOHNSON - CEO, AMERICAN RED CROSS OF NWI GARY OLUND - PRESIDENT, NORTHWEST INDIANA COMMUNITY ACTION GRACE TALBOT - DIRECTOR, HAMMOND RESCUE MISSION JANE BISBEE - REGIONAL MANAGER, CHILD PROTECTIVE SERVICES LOU MARTINEZ - PRESIDENT, LAKE AREA UNITED WAY GILDA ORANGE - TRUSTEE, NORTH TOWNSHIP TOM DEGUILIO - TOWN MANAGER, MUNSTER LINE 5: FRANCISCAN HEALTH MICHIGAN CITY INPUT FROM INDIVIDUALS IN THE COMMUNITY: A SURVEY OF COMMUNITY OPINION LEADERS WAS CONDUCTED SOLICITING INPUT REGARDING COMMUNITY HEALTH NEEDS. INDIVIDUALS CONTRIBUTING TO THIS INFORMATION RESOURCE INCLUDED: ED MERRION - HOUSING PROGRAM MANAGER, CATHOLIC CHARITIES KATHY DENNIS - COMMISSION ON WOMEN GEORGE KUCKA - PRESIDENT, FAIR MEADOWS HOME HEALTH CENTER TERESE FABBRI - FRIEND OF THE OPEN DOOR HEALTH CENTER FRED MCNULTY - EVP, HR DIMENSIONS DEBORAH CHUGG - EXECUTIVE DIRECTOR, IMAGINATION STATION (BEHAVIORAL MEDICINE) PATRICIA PEASE - ADMINISTRATOR, LAPORTE COUNTY EMERGENCY MEDICAL SERVICES CATHY ELLIS - LIFE CARE CENTER OF VALPARAISO W. FAYE MOORE - VP, MICHIGAN CITY WOMEN'S COMMISSION/NAACP DEBORAH BRIGGS - PROGRAM DIRECTOR, OPEN DOOR ADOLESCENT HEALTH CENTER TYRA WALKER - SAMARITAN CENTER AND LAPORTE COUNTY JAIL CEE TAYLOR - EXECUTIVE DIRECTOR, SAMARITAN COUNSELING CENTER TERRI PHILLIPS - EXECUTIVE DIRECTOR, LIFE CARE OF MICHIGAN CITY (SKILLED NURSING FACILITY) GERRY JONES - EXECUTIVE DIRECTOR, STEPPING STONE SHELTER FOR WOMEN STEVE BIRNTH - EXECUTIVE DIRECTOR, YOUTH SERVICE BUREAU LINE 5: FRANCISCAN HEALTH CHICAGO HEIGHTS, FRANCISCAN HEALTH OLYMPIA FIELDS INPUT FROM INDIVIDUALS IN THE COMMUNITY: A COMMUNITY WIDE SURVEY WAS CONDUCTED BY A THIRD PARTY IN COLLABORATION WITH MANY HOSPITALS COORDINATED BY THE CHICAGO METROPOLITAN HOSPITAL COUNCIL. SUBSEQUENT TO THAT COMMUNITY SURVEY THE SAME THIRD PARTY CONDUCTED A SERIES OF FOCUS GROUPS, SPECIFIC TO EACH PARTICIPATING HOSPITAL, COMPRISED OF INDIVIDUALS REPRESENTING VARIOUS SECTORS OF THE SERVICE AREA POPULATION INCLUDING: PUBLIC HEALTH; LOW INCOME; MINORITIES; MEDICALLY UNDERSERVED; CHRONIC DISEASE SERVICES; AND MORE. INDIVIDUALS PROVIDING INPUT VIA THE FOCUS GROUPS INCLUDED: APOSTLE CARL WHITE, JR. - VICTORY INTERNATIONAL CHRISTIAN MINISTRIES DEBORAH HARPER - COMMUNITY AND ECONOMIC DEVELOPMENT ASSOCIATION, CHICAGO HEIGHTS MARIANNE BITHOS - NATIONAL ALLIANCE ON MENTAL ILLNESS, SOUTH SUBURBS OF CHICAGO MARY PAT AMBROSINO - SOUTHWEST COMMUNITY SERVICES, TINLEY PARK (SERVICES FOR THE DISABLED) YVONNE ORR - SOUTH/SOUTHWEST SUBURBAN UNITED WAY LINE 5: FRANCISCAN HEALTH LAFAYETTE INPUT FROM INDIVIDUALS IN THE COMMUNITY: A COMMUNITY SURVEY WAS CONDUCTED, FOLLOWED BY A REVIEW OF RESULTS BY A CROSS SECTION OF COMMUNITY REPRESENTATIVES. THAT REVIEW RESULTED IN CONDUCTING AN OPINION LEADER SURVEY OF APPROXIMATELY 200 INDIVIDUALS TO ADD MORE INFORMATION REGARDING PRIORITIES. FINALLY, INDIVIDUAL INTERVIEWS WERE CONDUCTED WITH THE FOLLOWING INDIVIDUALS TO FURTHER SOLICIT DIRECT INPUT FROM THEIR RESPECTIVE EXPERIENCES AND KNOWLEDGE: JOHN DENNIS - MAYOR, WEST LAFAYETTE TOM MURTAUGH - PRESIDENT OF THE COUNTY COUNCIL SHEILA KLINKER - INDIANA STATE REPRESENTATIVE RONNIE ALTING - INDIANA STATE SENATOR RANDY TRUITT - INDIANA STATE REPRESENTATIVE BRANDT HERSHMAN - INDIANA STATE SENATOR GARY HENRIOTT - CHAIRMAN AND CEO, HENRIOTT GROUP TRISH HAUBER - HR MANAGER, CATERPILLAR, INC. JULIA COLE - HR MANAGER, SUBARU VERONIQUE LEBLANC - PRESIDENT, RIGGS COMMUNITY HEALTH CENTER PAM BIGGS-REED - CEO, BAUER CENTER (HEAD START AND COUNSELING CENTER) MARILYN REDMON - CEO, RIGHT STEPS CHILD DEVELOPMENT CENTERS RON CRIPE - TIPPECANOE COUNTY HEALTH DEPARTMENT BARRY RICHARDS - BOYS AND GIRLS CLUB JAMES TAYLOR - EXECUTIVE DIRECTOR, UNITED WAY OF GREATER LAFAYETTE AND TIPPECANOE COUNTY JOE SEAMAN - PRESIDENT, GREATER LAFAYETTE CHAMBER OF COMMERCE CHERYL UBELHOR - PROGRAM MANAGER, COMMUNITY FOUNDATION OF GREATER LAFAYETTE SCOTT HANBACK - SUPERINTENDENT, TIPPECANOE SCHOOLS ERIC DAVIS - PRESIDENT, LAFAYETTE CATHOLIC SCHOOL CORP. ROCKY KILLIAN - SUPERINTENDENT, WEST LAFAYETTE SCHOOLS JANE KIRKPATRICK - DEAN, PURDUE SCHOOL OF NURSING ANITA REED - ST. ELIZABETH SCHOOL OF NURSING LINE 5: FRANCISCAN HEALTH CRAWFORDSVILLE INPUT FROM INDIVIDUALS IN THE COMMUNITY: A COMMUNITY WIDE SURVEY WAS CONDUCTED, FOLLOWED BY AN OPINION LEADER SURVEY. THE OPINION LEADERS WERE THEN INTERVIEWED FOR FOCUSED INPUT. THE INDIVIDUALS FROM WHOM INPUT WAS GAINED ARE: ROBERT COOK - ABILITIES SERVICES TODD BARTON - MAYOR, CITY OF CRAWFORDSVILLE FAWN JOHNSON - CRAWFORDSVILLE COMMUNITY CENTER JOANIE CRUM - DIVISION OF FAMILY AND CHILDREN PHIL WRAY - FISH CLOTHES CLOSET/FOOD PANTRY BRENDA DECKARD - FRIENDSHIP KITCHEN/HUB MINISTRIES DENISE MAXWELL - MONTGOMERY COUNTY AMERICAN RED CROSS KELLY TAYLOR - MONTGOMERY COUNTY COMMUNITY FOUNDATION CHERYL KIEM - MONTGOMERY COUNTY COMMUNITY FOUNDATION JAN SEARS - ST. BERNARD CATHOLIC CHURCH DAVE PEACH - WCVL/WIMC/WCDQ (BROADCASTING) JOY DUGAN - PURDUE UNIVERSITY EXTENSION SERVICE DEANNA DURETT - MONTGOMERY COUNTY COMMISSIONER TINA MCGRADY - EDITOR, CRAWFORDSVILLE JOURNAL REVIEW RICH HOLTZ - THE PAPER OF MONTGOMERY COUNTY AMBER REED - MONTGOMERY COUNTY HEALTH DEPARTMENT BILL DOEMEL - MARY LUDWIG FREE CLINIC LINE 5: FRANCISCAN HEALTH INDIANAPOLIS, FRANCISCAN HEALTH MOORESVILLE, FRANCISCAN HEALTH CARMEL INPUT FROM INDIVIDUALS IN THE COMMUNITY: A COMMUNITY SURVEY WAS CONDUCTED FOLLOWED BY A SURVEY OF OPINION LEADERS. ADDITIONALLY, INTERVIEWS WERE CONDUCTED WITH A VARIETY OF COMMUNITY LEADERS AND PEOPLE KNOWLEDGEABLE IN THE AREAS OF PUBLIC HEALTH AND THE NEEDS OF TARGET POPULATIONS. THE INDIVIDUALS INTERVIEWED INCLUDE THE FOLLOWING: ROBERT LYONS - CHURCH ODYSSEY THOMAS ZOSS - EXECUTIVE DIRECTOR, COMMUNITY FOUNDATION OF MORGAN COUNTY BETTY PEDIGO - SITE MANAGER, ESKENAZI MEDICAL GROUP (A PROVIDER TO LOW INCOME AND MINORITIES) MARJORIE PORTER - EXECUTIVE DIRECTOR, GOOD SHEPHERD CLINIC MARY KAY MITCHELL - HORIZON HOUSE NORMAN CONNELL - BOARD MEMBER, KENDRICK FOUNDATION MICHAEL CROSLEY - EXECUTIVE DIRECTOR, LIFE BRIDGE COMMUNITY JULIA BRILLHART - VP, MAGELLAN HEALTH JONI COLLINS - EXECUTIVE DIRECTOR, MARTIN LUTHER KING COMMUNITY CENTER DENNIS PAYTON - PASTOR, MOORESVILLE FIRST UNITED METHODIST CHURCH DEBRA PAGE - MOORESVILLE SCHOOLS M. CLOUD - SUPERVISOR, NOBLE OF INDIANA JOSEPH DONAHUE - SYCAMORE SERVICES LYDIA RYCHTARCZYK - DIRECTOR, TOMORROW'S PROMISE PRE-SCHOOL PAMELA TAYLOR - EMS, WESTFIELD FIRE DEPARTMENT ADDITIONAL INDIVIDUALS PROVIDING INFORMATION THROUGH MEANS OTHER THAN AN INTERVIEW: MARK LINDENLAUB - EXECUTIVE DIRECTOR, AGING AND COMMUNITY SERVICES OF SO. CENTRAL INDIANA CARLA MARCHBANKS - DIRECTOR, BEECH GROVE SENIOR CITIZENS CENTER RICK WHITTEN - EXECUTIVE DIRECTOR, BOYS AND GIRLS CLUBS OF INDIANAPOLIS ELAISA VAHNIE - EXECUTIVE DIRECTOR, BURMESE AMERICAN COMMUNITY JULIE HEGER - CASE MANAGER, CHILDREN'S BUREAU FRANK MASCARI - CITY-COUNTY COUNCIL MEMBER STEPHEN RINK - TRUSTEE, DECATUR TOWNSHIP NANCY BEALS - DRUG FREE MARION COUNTY BUD SWISHER - EXECUTIVE DIRECTOR, HEALTHIER MORGAN COUNTY INITIATIVE BETH ANN LEACH - EXECUTIVE DIRECTOR, HENDRICKS COUNTY SENIOR SERVICES DOUG BUSH - EXECUTIVE DIRECTOR, INDIANA DENTAL ASSOCIATION ANN ALLEY - DIRECTOR, PRIMARY CARE, INDIANA STATE DEPARTMENT OF HEALTH JANE ZOBEL - SOCIAL WORKER, INDIANAPOLIS PUBLIC SCHOOLS GLENN MOEHLING - VP, INDY HUNGER NETWORK SUE BUROW - RESEARCH COORDINATOR, INDIANA UNIVERSITY PUBLIC POLICY INSTITUTE CONNIE MILLER - PROGRAM COORDINATOR, MARION COUNTY PUBLIC HEALTH DEPARTMENT CHUCK BRANDENBURG - DIRECTOR, UNITED WAY OF CENTRAL INDIANA LINES 6A AND 6B: FRANCISCAN HEALTH DYER, FRANCISCAN HEALTH HAMMOND, FRANCISCAN HEALTH CROWN POINT, FRANCISCAN HEALTH MUNSTER CHNA CONDUCTED WITH ONE OR MORE OTHER FACILITIES: FRANCISCAN HEALTH DYER, FRANCISCAN HEALTH HAMMOND, FRANCISCAN HEALTH CROWN POINT, AND FRANCISCAN HEALTH MUNSTER ARE PART OF FRANCISCAN ALLIANCE, INC. WHO COLLABORATED IN USING THE SAME THIRD PARTY RESOURCE (PROFESSIONAL RESEARCH CONSULTANTS). THESE FACILITIES IN TURN COLLABORATED WITH TWO OTHER HOSPITALS IN
LINE 6A: FRANCISCAN HEALTH LAFAYETTE CHNA CONDUCTED WITH ONE OR MORE OTHER FACILITIES: A COMMUNITY SURVEY WAS CONDUCTED JOINTLY WITH FRANCISCAN HEALTH LAFAYETTE AND INDIANA UNIVERSITY ARNETT HOSPITAL, AS WELL AS WITH SOME ASSISTANCE FROM THE STAFF OF THE COUNTY HEALTH DEPARTMENT. LINES 6A AND 6B: FRANCISCAN HEALTH CHICAGO HEIGHTS, FRANCISCAN HEALTH OLYMPIA FIELDS CHNA CONDUCTED WITH ONE OR MORE OTHER FACILITIES: FRANCISCAN HEALTH CHICAGO HEIGHTS AND FRANCISCAN HEALTH OLYMPIA FIELDS ARE PART OF FRANCISCAN ALLIANCE, INC. WHO COLLABORATED IN USING THE SAME THIRD PARTY RESOURCE (PROFESSIONAL RESEARCH CONSULTANTS). FRANCISCAN HEALTH CHICAGO HEIGHTS AND FRANCISCAN HEALTH OLYMPIA FIELDS COORDINATED WITH A NUMBER OF OTHER HOSPITALS AS PART OF A COORDINATED PROGRAM SPONSORED BY THE METROPOLITAN CHICAGO HOSPITAL COUNCIL USING THE SERVICES OF A THIRD PARTY, PROFESSIONAL RESEARCH CONSULTANTS. LINE 6A: FRANCISCAN HEALTH INDIANAPOLIS, FRANCISCAN HEALTH MOORESVILLE, FRANCISCAN HEALTH CARMEL CHNA CONDUCTED WITH ONE OR MORE OTHER FACILITIES: ALL CHNA RELATED ACTIVITIES WERE A JOINT EFFORT BETWEEN FRANCISCAN HEALTH INDIANAPOLIS, FRANCISCAN HEALTH MOORESVILLE, AND FRANCISCAN HEALTH CARMEL. LINE 7A: ALL FACILITIES ALL 12 HOSPITAL FACILITIES' CHNAS ARE AVAILABLE ON FRANCISCAN ALLIANCE'S WEBSITE AT: HTTPS://WWW.FRANCISCANHEALTH.ORG/CHNA LINE 10: ALL FACILITIES ALL 12 HOSPITAL FACILITIES' IMPLEMENTATION STRATEGIES ARE AVAILABLE ON FRANCISCAN ALLIANCE'S WEBSITE AT: HTTPS://WWW.FRANCISCANHEALTH.ORG/CHNA LINE 11: FRANCISCAN HEALTH DYER, FRANCISCAN HEALTH HAMMOND NEEDS BEING ADDRESSED VIA SPECIFIC CHNA STRATEGIES A. CARDIOVASCULAR HEALTH - IDENTIFY AT RISK PATIENTS AMONG AFRICAN AMERICAN POPULATION AND IMPROVE HEALTH THRU REDUCING RISK BY SCREENING, EDUCATION AND MONITORING OF SCORES OF KEY INDICATORS. B. ADOLESCENT SUBSTANCE ABUSE - IDENTIFY AT-RISK CHILDREN AND PROVIDE INTERVENTIONS TO STOP AND/OR PREVENT ABUSE OF ALCOHOL AND SUBSTANCES. C. LUNG CANCER - REDUCE THE INCIDENCE OF UNTREATABLE LUNG CANCER AMONG LOW-INCOME, AT-RISK POPULATION THRU EARLY SCREENING, EDUCATION AND TREATMENT. D. DIABETES - IMPROVE SELF-MANAGEMENT TO AVOID COMPLICATIONS AMONG LOW INCOME, AT-RISK HISPANIC POPULATION THRU SCREENING, EDUCATION, INDIVIDUAL COUNSELING AND EARLY IDENTIFICATION OF COMPLICATIONS. NEEDS IDENTIFIED BUT NOT SELECTED AMONG CHNA STRATEGIES A. ACCESS TO HEALTH CARE SERVICES - THE HOSPITALS ALREADY OPERATE A COMMUNITY CLINIC (MOTHER MCAULEY CLINIC) TO SERVE UNDER AND UNINSURED; OPERATE PHYSICIAN PRACTICES THAT ACCEPT ALL PATIENTS; EXPECT PROVISIONS OF THE AFFORDABLE CARE ACT WILL IMPROVE ACCESS VIA MEDICAID AND EMPLOYER INSURANCE EXPANSION. B. CANCER OF THE BREAST, CERVIX, COLON AND PROSTATE - IDENTIFIED AS BEING OF HIGHER INCIDENCE AND BEING ADDRESSED THROUGH OTHER, ESTABLISHED PROGRAMS AND THROUGH GRADUALLY IMPROVING UNDERLYING SOCIAL ISSUES. C. CHLAMYDIA INCIDENCE RATE - AS A CATHOLIC ORGANIZATION WE ARE LIMITED BY THE ETHICAL AND RELIGIOUS DIRECTIVES AS TO WHAT WE CAN DO REGARDING THE USE OF CONTRACEPTIVES. D. CHRONIC KIDNEY DISEASE - DEVELOPING A PROGRAM TO IMPROVE DIABETES MANAGEMENT, WHICH IS AN UNDERLYING CAUSE OF KIDNEY DISEASE. E. HIGH USE OF ER - VARIOUS NEW PROGRAMS INITIATED AS PART OF FRANCISCAN'S ACO, ALSO WE OPERATE SEVERAL URGENT CARE CENTERS AND HAVE EXPANDED TO INCLUDE NEW SITES. F. INJURY AND VIOLENCE PREVENTION - WE REGARD THIS AS PRIMARILY A TASK OF THE PUBLIC SECTOR AS WE DO NOT HAVE EXPERTISE OR RESOURCES TO DEVELOP AND SUSTAIN PROGRAMS. G. MATERNAL, INFANT AND CHILD HEALTH - A ROBUST PROGRAM NEEDS NEO-NATAL RESOURCES WE DO NOT HAVE. WE DO ALREADY OFFER SOME SERVICES THROUGH OUR COMMUNITY CLINIC AND THROUGH OUR ST. MONICA HOME FOR UNWED MOTHERS. H. ORAL HEALTH - WE DO NOT HAVE DENTAL SERVICES, STAFF, RESOURCES OR EXPERTISE TO MEET THIS NEED. I. SOCIAL AND ECONOMIC FACTORS - THERE ARE A VARIETY OF CONDITIONS INCLUDING EDUCATION, TRANSPORTATION, EMPLOYMENT, CRIME, ETC., WHICH ARE OBLIGATIONS OF GOVERNMENT TO ADDRESS AS WE DO NOT HAVE NEEDED EXPERTISE, FUNDING, RESOURCES OR EXPERIENCE TO ADDRESS. LINE 11: FRANCISCAN HEALTH MICHIGAN CITY NEEDS BEING ADDRESSED VIA SPECIFIC CHNA STRATEGIES A. ACCESS TO MEDICATIONS - PREVENT ADVERSE IMPACT OF NOT COMPLYING WITH MEDICATION TREATMENT BY INCREASING THE ACCESS TO NEEDED MEDICATIONS. B. DIABETES - INCREASE THE NUMBER OF PEOPLE IN AT-RISK POPULATION RECEIVING EDUCATION AND REFERRALS TO TREATMENT. C. CONGESTIVE HEART FAILURE - IMPROVE OVERALL MANAGEMENT OF CARE AND AVOIDANCE OF ACUTE EPISODES THRU BETTER CONTINUITY OF CARE AMONG PROVIDERS, EDUCATION AND TREATMENT COMPLIANCE. NEEDS IDENTIFIED BUT NOT SELECTED AMONG CHNA STRATEGIES A. ACCESS TO HEALTH SERVICES - THE HOSPITAL ALREADY WORKS CLOSELY WITH ESTABLISHED FEDERALLY QUALIFIED HEALTH CENTERS IN THE COMMUNITY; OPERATES PHYSICIAN PRACTICES THAT ACCEPT ALL PATIENTS; EXPECT THE PROVISIONS OF THE AFFORDABLE CARE ACT TO IMPROVE ACCESS VIA MEDICAID AND EMPLOYER EXPANSION OF INSURANCE COVERAGE. B. MATERNAL INFANT AND CHILD HEALTH - SOME NEEDS ARE SERVED THROUGH WOMEN'S CARE CENTER; LIMITED CAPABILITY IN NEO-NATAL CARE; SHORTAGE OF PHYSICIAN STAFF WITH WHOM TO PARTNER. C. HOMELESSNESS - HOSPITAL DOES NOT HAVE EXPERTISE IN THIS AREA. D. MENTAL HEALTH - LIMITED RESOURCES (NO PSYCHIATRIC SERVICES) PLUS THE EXISTENCE OF SEVERAL OTHER MENTAL HEALTH RESOURCES IN THE COMMUNITY. E. NUTRITION, FITNESS/LIFE STYLE - EXISTING PROGRAMS ADDRESS SOME OF THESE NEEDS PLUS THE PROGRAMS SELECTED FOR DEVELOPMENT (DIABETES AND CARDIOVASCULAR) WILL INCLUDE EMPHASIS ON THESE FACTORS FOR IMPROVED HEALTH. F. TOBACCO USE - EXISTING PROGRAMS ADDRESS THIS NEED PLUS, OTHER COMMUNITY PROGRAMS EMPHASIZE THIS PROBLEM; PLUS, THE HEART FAILURE PROGRAM THAT IS A CHNA SELECTION WILL INCLUDE SMOKING CESSATION. LINE 11: FRANCISCAN HEALTH MUNSTER NEEDS BEING ADDRESSED VIA SPECIFIC CHNA STRATEGIES A. DIABETES - IMPROVE SELF-MANAGEMENT OF DISEASE AMONG AT-RISK HISPANIC POPULATION THRU SCREENING AND EDUCATION. B. COLORECTAL CANCER - REDUCE THE INCIDENCE OF THE DISEASE AND IMPROVE THE TREATMENT AMONG AT-RISK AFRICAN-AMERICAN POPULATION THRU EARLY SCREENING, EDUCATION AND REFERRALS FOR TREATMENT. NEEDS IDENTIFIED BUT NOT SELECTED AMONG CHNA STRATEGIES A. ACCESS TO CARE - FRANCISCAN ALLIANCE ALREADY OPERATES A CLINIC FOR THE UNDER AND UNINSURED POPULATION IN THE GEOGRAPHIC AREA. PRIOR TO JANUARY 2016, THE HOSPITAL DID NOT OPERATE AN ER AND EXPECTED THAT THE PROVISIONS OF THE AFFORDABLE CARE ACT WOULD IMPROVE ACCESS VIA MEDICAID AND EMPLOYER EXPANSION OF INSURANCE COVERAGE. B. PREVENTABLE HOSPITALIZATIONS - FRANCISCAN'S ACO IS WORKING TOWARD ADDRESSING THIS PROBLEM AND THERE ARE OTHER TARGETED PROGRAMS ADDRESSING RE-ADMISSIONS. C. MATERNAL AND CHILD HEALTH - THE HOSPITAL DOES NOT OFFER ANY OBSTETRIC OR PEDIATRIC SERVICES AND THUS, DOES NOT HAVE THE RESOURCES OR EXPERTISE TYPICAL FOR SUCH PROGRAMS. D. ADULT IMMUNIZATIONS - OTHER COMMUNITY RESOURCES AND PHYSICIAN OFFICES ADDRESS THIS NEED. E. ASTHMA - DUE TO OUR LIMITED SERVICES WE DO NOT HAVE THE RESOURCES OR EXPERTISE TYPICAL FOR SUCH PROGRAMS. F. HEALTH EDUCATION - IT WAS DECIDED THAT BROAD-BASED HEALTH EDUCATION IS AVAILABLE FROM MANY SOURCES. HOWEVER, TARGETED HEALTH EDUCATION IN THE AREAS OF DIABETES AND COLON DISEASE WILL BE PART OF THE SELECTED CHNA PROGRAMS PROVIDED. G. SUBSTANCE ABUSE - OTHER PROGRAMS ARE CURRENTLY AVAILABLE IN THE COMMUNITY TO ADDRESS THE NEED. H. ORAL HEALTH - THE HOSPITAL DOES NOT HAVE THE EXPERTISE OR RESOURCES REQUIRED FOR THIS SERVICE. I. NUTRITION, PHYSICAL ACTIVITY/LIFE-STYLE - TARGETED EFFORT WILL BE A PART OF THE DIABETES PROGRAM BEING DEVELOPED; PLUS, OTHER COMMUNITY PROGRAMS ARE VERY ACTIVE REGARDING THIS NEED. J. MENTAL HEALTH - OTHER COMMUNITY SERVICES ARE AVAILABLE AND ANOTHER FRANCISCAN HOSPITAL THAT IS PART OF THIS FORM 990 ALREADY PROVIDES A VARIETY OF INPATIENT AND OUTPATIENT MENTAL HEALTH PROGRAMS. K. HEART DISEASE AND STROKE - EXISTING SERVICES IN OUR HOSPITAL ADDRESS SOME OF THESE NEEDS AND ANOTHER FRANCISCAN HOSPITAL THAT IS PART OF THIS FORM 990 ALREADY OFFERS SERVICES SPECIFIC TO THESE NEEDS AND THEY ARE DEVELOPING MORE TARGETED PROGRAMS IN THEIR CHNA EFFORTS. LINE 11: FRANCISCAN HEALTH CROWN POINT NEEDS BEING ADDRESSED VIA SPECIFIC CHNA STRATEGIES A. DIABETES - IMPROVE SELF-MANAGEMENT OF DISEASE AMONG LOW INCOME POPULATION TO GAIN BETTER COMPLIANCE WITH DISEASE MANAGEMENT THRU SCREENING, EDUCATION AND MONITORING OF KEY INDICATORS. B. CARDIOVASCULAR DISEASE - REDUCE RISK AND INCIDENCE OF DISEASE AMONG LOW-INCOME POPULATION THRU SCREENING, SMOKING CESSATION, IMPROVED HEALTH BEHAVIORS AND MONITORING OF KEY INDICATORS. NEEDS IDENTIFIED BUT NOT SELECTED AMONG CHNA STRATEGIES A. ACCESS TO HEALTH SERVICES - THE HOSPITAL ALREADY OPERATES A CLINIC (ST. CLARE HEALTH CLINIC) TO SERVE THE UNDER AND UNINSURED POPULATION. PEOPLE CAN ALSO ACCESS A FEDERALLY QUALIFIED HEALTH CLINIC IN THE AREA; THE HOSPITAL ALSO OPERATES PHYSICIAN PRACTICES THAT ACCEPT ALL PATIENTS; AND EXPECT THAT THE PROVISIONS OF THE AFFORDABLE CARE ACT WILL IMPROVE ACCESS VIA MEDICA
LINE 11: FRANCISCAN HEALTH LAFAYETTE NEEDS BEING ADDRESSED VIA SPECIFIC CHNA STRATEGIES A. CONGESTIVE HEART FAILURE - REDUCE AVOIDABLE HOSPITAL READMISSIONS THRU IDENTIFICATION OF AT-RISK PATIENTS AND PROVIDING INDIVIDUAL COACHING, COMPLIANCE WITH CARE REGIMEN, IMPROVED HEALTH BEHAVIORS AND BETTER CONTINUITY OF CARE. ADDITIONAL OBJECTIVE IS TO REDUCE AVOIDABLE ER VISITS. B. DIABETES - IMPROVE OVERALL HEALTH AND CARE COMPLIANCE AMONG IDENTIFIED PATIENTS THRU MONITORING OF TIMELY VISITS TO PROVIDERS, EDUCATION, COACHING AND IMPROVED HEALTH BEHAVIORS. AN ADDITIONAL OBJECTIVE IS TO EXPAND OVERALL SCREENING OF THE GENERAL PUBLIC FOR EARLY IDENTIFICATION. C. MATERNAL AND CHILD HEALTH - EXPAND NUMBER OF MOTHERS WHO BREAST FEED UP TO 3 MONTHS POST-PARTUM THRU EDUCATION AND LACTATION COUNSELING. NEEDS IDENTIFIED BUT NOT SELECTED AMONG CHNA STRATEGIES A. OBESITY - EXISTING PROGRAMS ADDRESS ASPECTS OF THIS NEED PLUS, THE CHNA PROGRAMS IN DIABETES AND CONGESTIVE HEART FAILURE SELECTED FOR DEVELOPMENT BY ANOTHER FRANCISCAN HOSPITAL THAT IS PART OF THIS FORM 990, FRANCISCAN ST. ELIZABETH HEALTH-CENTRAL, INCLUDE FOCUS ON THIS NEED. B. SUBSTANCE AND TOBACCO USE - EXISTING COMMUNITY PROGRAMS ADDRESS THESE NEEDS PLUS, THE CHNA PROGRAMS IN DIABETES AND CONGESTIVE HEART FAILURE WILL INCLUDE SMOKING CESSATION EFFORTS. C. PREVENTIVE HEALTH SCREENINGS - A VARIETY OF HEALTH SCREENINGS ARE CONDUCTED BY MANY ORGANIZATIONS, INCLUDING OUR HOSPITAL. D. CHLAMYDIA - AS A CATHOLIC ORGANIZATION WE ARE CONSTRAINED BY OUR ETHICAL AND RELIGIOUS DIRECTIVES FROM DEVELOPING A COMPREHENSIVE PROGRAM. E. MEDICATION ACCESS - OTHER COMMUNITY RESOURCES ADDRESS THIS NEED AND WHILE NOT SELECTED AT THIS TIME, IT WILL BE EXAMINED MORE FULLY IN THE FUTURE. F. PRE-NATAL CARE IN THE FIRST TRIMESTER - IT WAS FELT THAT OTHER AREAS OF NEED WERE OF HIGHER PRIORITY, PARTIALLY DUE TO THE NUMBER OF PEOPLE THAT COULD BENEFIT. G. CANCER AND RESPIRATORY DISEASE - EXISTING PROGRAMS IN OUR HOSPITAL AND IN THE COMMUNITY ALREADY ADDRESS THESE NEEDS. H. GENERAL SOCIAL AND ECONOMIC NEEDS SUCH AS: TRANSPORTATION; EDUCATION; AIR QUALITY; CRIME, ETC., ARE FELT TO BE RESPONSIBILITIES OF THE PUBLIC SECTOR PLUS, WE DO NOT HAVE EXPERTISE, FUNDING OR RESOURCES ADEQUATE TO ADDRESS THESE NEEDS. LINE 11: FRANCISCAN HEALTH CRAWFORDSVILLE NEEDS BEING ADDRESSED VIA SPECIFIC CHNA STRATEGIES A. ACCESS TO CARE - IMPROVE UTILIZATION/ACCESS TO ESTABLISHED LOW-INCOME CLINICS BY MORE EFFECTIVE ER IDENTIFICATION AND REFERRALS AND BY EXPANDING PROVIDER CAPACITY. B. DIABETES - IMPROVE REFERRAL OF IDENTIFIED PATIENTS TO APPROPRIATE CARE TO REDUCE INCIDENCE OF COMPLICATIONS AND IMPROVE SELF-MANAGEMENT THRU EDUCATION AND COACHING. NEEDS IDENTIFIED BUT NOT SELECTED AMONG CHNA STRATEGIES A. PRENATAL CARE - OUR HOSPITAL DOES NOT OPERATE AN OBSTETRICS SERVICE AND THUS, WE HAVE FEW OF THE RESOURCES AND EXPERTISE NECESSARY TO SUPPORT SUCH A PROGRAM. B. ASTHMA - DUE TO OUR SMALL SIZE AND LIMITED STAFF, WE DO NOT HAVE THE RESOURCES NECESSARY TO DEVELOP AN ADEQUATE PROGRAM. C. SMOKING CESSATION - THE OPPORTUNITY TO DEVELOP A COLLABORATIVE PROGRAM COLLAPSED DUE TO A CHANGE IN THE RESOURCES AVAILABLE FROM THAT NON-OWNED/NON-AFFILIATED ENTITY. D. LUNG CANCER - AS WITH SMOKING CESSATION, A PROGRAM UNDER CONSIDERATION COULD NOT BE DEVELOPED DUE TO THE INABILITY OF THE PLANNED COLLABORATOR TO PROVIDE NECESSARY RESOURCES. E. PEDIATRIC ASTHMA - DUE TO OUR SMALL SIZE AND LIMITED STAFF, WE DO NOT HAVE THE RESOURCES NECESSARY TO DEVELOP AN ADEQUATE PROGRAM. F. GENERAL SOCIAL AND ECONOMIC NEEDS SUCH AS: TRANSPORTATION; EDUCATION; AIR QUALITY; CRIME, ETC., ARE FELT TO BE RESPONSIBILITIES OF THE PUBLIC SECTOR PLUS, WE DO NOT HAVE EXPERTISE, FUNDING OR RESOURCES ADEQUATE TO ADDRESS THESE NEEDS. LINE 11: FRANCISCAN HEALTH INDIANAPOLIS NEEDS BEING ADDRESSED VIA SPECIFIC CHNA STRATEGIES A. CARDIOVASCULAR HEALTH - IMPLEMENT PROGRAMS TARGETING 34 - 45 AGE MEN AND WOMEN TO EDUCATE AND MONITOR KEY BIOMETRIC INDICATORS TO IMPROVE HEALTH AMONG THOSE WITH IDENTIFIED RISKS. B. BREAST CANCER - IMPLEMENT PROGRAM TO INCREASE AWARENESS GENERALLY AND TO ENHANCE SELF-EXAM CAPABILITY TO PROMOTE EARLY DETECTION AND TREATMENT. C. LUNG CANCER - ADDRESS EARLY EDUCATION AND HEALTHY BEHAVIORS AMONG CHILDREN BY PROVIDING PROGRAMS WITH SCHOOLS. D. ACCESS TO CARE - PROMOTE AND IMPROVE ACCESS TO APPROPRIATE CARE AMONG A BURMESE POPULATION BY IMPROVING CULTURAL AWARENESS AMONG PROVIDERS, APPROPRIATE USE OF ER'S AND BETTER ACCESS TO AVAILABLE PRIMARY CARE SITES. E. DIABETES - PROMOTE IMPROVED AWARENESS AND SELF-MANAGEMENT AMONG EMPLOYEES OF PARTICIPATING EMPLOYERS AND IDENTIFIED AT-RISK FAMILY UNITS. NEEDS IDENTIFIES BUT NOT SELECTED AMONG CHNA STRATEGIES A. SUBSTANCE ABUSE - OTHER COMMUNITY ORGANIZATIONS HAVE THE RESOURCES AND ESTABLISHED PROGRAMS TO ADDRESS THIS NEED. B. INPATIENT MENTAL HEALTH - WE HAVE LIMITED RESOURCES RELATIVE TO OTHER PROVIDERS AND COMMUNITY RESOURCES. C. IMMUNIZATION AND INFECTIOUS DISEASE - STRONG PROGRAMS IN EXISTENCE AMONG A VARIETY OF COMMUNITY ORGANIZATIONS PLUS, A STRONG PROGRAM IS ALREADY IN PLACE IN OUR VISITING NURSE SERVICE/HOME HEALTH DIVISION. D. INJURY AND VIOLENCE PREVENTION - IT IS FELT THAT THESE NEEDS ARE MORE THE RESPONSIBILITY OF THE PUBLIC SECTOR PLUS, WE LACK THE EXPERTISE, RESOURCES AND FUNDING TO BE EFFECTIVE IN THESE NEEDS. LINE 11: FRANCISCAN HEALTH MOORESVILLE NEEDS BEING ADDRESSED VIA SPECIFIC CHNA STRATEGIES A. CARDIOVASCULAR HEALTH - SAME AS FRANCISCAN HEALTH INDIANAPOLIS BUT DIFFERENT GEOGRAPHIC COVERAGE B. BREAST CANCER - SAME AS FRANCISCAN HEALTH INDIANAPOLIS BUT DIFFERENT GEOGRAPHIC COVERAGE C. LUNG CANCER - SAME AS FRANCISCAN HEALTH INDIANAPOLIS BUT DIFFERENT GEOGRAPHIC COVERAGE D. ACCESS TO CARE - INCREASE CAPACITY OF ESTABLISHED CLINIC TO RESPOND TO NEEDS AMONG LOW-INCOME POPULATION. E. JOINT AND ARTHRITIS CARE - IMPROVE CARE OF POPULATION (ESPECIALLY SENIORS) THRU EDUCATION OFFERINGS, OSTEOPOROSIS SCREENING, AQUATIC OFFERINGS AND APPROPRIATE REFERRALS. NEEDS IDENTIFIED BUT NOT SELECTED AMONG CHNA STRATEGIES SAME AS FRANCISCAN HEALTH INDIANAPOLIS LINE 11: FRANCISCAN HEALTH CARMEL NEEDS BEING ADDRESSED VIA SPECIFIC CHNA STRATEGIES A. JOINT AND ARTHRITIS CARE - SAME AS FRANCISCAN MOORESVILLE BUT DIFFERENT GEOGRAPHIC COVERAGE B. BREAST CANCER - SAME AS FRANCSICAN HEALTH INDIANAPOLIS BUT DIFFERENT GEOGRAPHIC COVERAGE C. ACCESS TO CARE - SAME AS FRANCISCAN HEALTH MOORESVILLE BUT DIFFERENT CLINIC AND GEOGRAPHIC COVERAGE NEEDS IDENTIFIED BUT NOT SELECTED AMONG CHNA STRATEGIES SAME AS FRANCISCAN HEALTH INDIANAPOLIS AND FRANCISCAN HEALTH MOORESVILLE LINES 15 AND 16: ALL FACILITIES THROUGH FRANCISCAN ALLIANCE, INC. ("FRANCISCAN"), WE CONTINUE THE HEALING MINISTRY OF CHRIST IN A CATHOLIC HEALTH CARE SYSTEM THAT UPHOLDS THE MORAL VALUES AND TEACHINGS OF THE CATHOLIC CHURCH. CENTRAL CONCERNS OF THIS CORPORATE MINISTRY INCLUDE COMPASSION FOR THOSE IN NEED, RESPECT FOR LIFE AND THE DIGNITY OF PERSONS. FRANCISCAN BELIEVES IN THE DIGNITY, UNIQUENESS, AND WORTH OF EACH INDIVIDUAL AND, WITHIN THE LIMITS OF OUR RESOURCES, FRANCISCAN OFFERS A COMPREHENSIVE RANGE OF HEALTH CARE SERVICES TO ALL REGARDLESS OF RACE, CREED, COLOR, SEX, NATIONAL ORIGIN, HANDICAP OR AN INDIVIDUAL'S FINANCIAL CAPABILITY. IN LIGHT OF THIS BELIEF, WE CONSIDER OUR HEALTH CARE SERVICES TO BE REACHING OUT AND RESPONDING, IN A CHRIST-LIKE MANNER, TO THOSE WHO ARE PHYSICALLY, MATERIALLY, OR SPIRITUALLY IN NEED. FRANCISCAN IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE, IN THE FORM OF CHARITY CARE OR UNINSURED DISCOUNTS, TO PERSONS WHO ARE UNINSURED OR UNDERINSURED, WHO ARE INELIGIBLE FOR GOVERNMENTAL OR SOCIAL SERVICE PROGRAMS, AND WHO OTHERWISE ARE UNABLE TO PAY FOR EMERGENCY SERVICES OR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. CONSISTENT WITH OUR MISSION TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE AND TO ADVOCATE FOR THOSE WHO ARE POOR AND DISENFRANCHISED, FRANCISCAN STRIVES TO ENSURE THE FINANCIAL CAPACITY OF PEOPLE WHO NEED MEDICALLY NECESSARY HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING THAT CARE. FRANCISCAN'S FINANCIAL ASSISTANCE POLICY IS DESIGNED TO ALLOW RELIEF FROM ALL OR PART OF THE CHARGES RELATED TO EMERGENCY OR MEDICALLY NECESSARY HEALTH CARE SERVICES THAT EXCEED A PATIENT'S REASONABLE ABILITY TO PAY. IN ORDER TO ENSURE TRANSPARENCY, CONSISTENCY AND FAIRNESS, WE ASK PATIENTS TO COOPERATE BY PROVIDING NECESSARY INFORMATION TO DETERMINE THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. FOR PATIENTS NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE, FRANCISCAN COMMUNICATES THE AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY THROUGH THE FOLLOWING MEANS: 1. FRANCISCAN COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN APPROPRIATE CARE SETTINGS SUCH AS EMERGENCY DEPARTMENTS, ADMITTING/REGISTRATION AREAS, BILLING OFFICES, OUTPATIENT SERVICE SETTINGS, AND ON OUR HOSPITALS' WEBSITES. SIGNS/POSTINGS INFORM PATIENTS THAT FREE OR REDUCED COST CARE MAY BE A
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2015
Page 8
Schedule H (Form 990) 2015
Page 8
Part VFacility Information (continued)

Section D. 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?173
Name and address Type of Facility (describe)
1 IIMC
701 E COUNTY LINE ROAD SUITE 101
GREENWOOD,IN46143 		PHYSICIAN PRACTICE a
2 FRANCISCAN SURGERY CENTER
5255 E STOP 11 ROAD SUITE 100
INDIANAPOLIS,IN46237 		AMBULATORY SURGERY CENTER
3 THE ENDOSCOPY CENTER AT ST FRANCIS
8051 S EMERSON AVENUE SUITE 150
INDIANAPOLIS,IN46237 		ENDOSCOPY CENTER
4 ST FRANCIS RADIATION THERAPY CENTERS
8111 S EMERSON AVENUE
INDIANAPOLIS,IN46239 		RADIATION THERAPY
5 FPN MC - ORTHOPEDIC HEALTH PARTNERS
1225 E COOLSPRING AVENUE
MICHIGAN CITY,IN46360 		PHYSICIAN PRACTICE
6 SOUTH EMERSON SURGERY CENTER
8141 S EMERSON AVENUE SUITE C
INDIANAPOLIS,IN46237 		AMBULATORY SURGERY CENTER
7 COOPERATIVE MANAGED CARE SERVICES
9045 RIVER ROAD SUITE 250
INDIANAPOLIS,IN46240 		MANAGED CARE
8 FRANCISCAN ST JAMES HEALTH-HOME HEALTH
1400 OTTO BOULEVARD
CHICAGO HEIGHTS,IL60411 		HOME HEALTH
9 MOORESVILLE SURGERY CENTER
1215 HADLEY ROAD SUITE 100
MOORESVILLE,IN46260 		AMBULATORY SURGERY CENTER
10 FPN ORTHOPEDIC AND SPORTS MEDICINE
1702 LAFAYETTE ROAD
CRAWFORDSVILLE,IN47933 		PHYSICIAN PRACTICE
11 JOINT REPLACEMENT SURGEONS
1199 HADLEY ROAD
MOORESVILLE,IN46158 		PHYSICIAN PRACTICE
12 ONCOLOGY AND HEMATOLOGY SPECIALISTS
8111 S EMERSON AVENUE SUITE 101
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
13 SOUTH INDY MRI AND REHAB
8141 S EMERSON AVENUE SUITE A
INDIANAPOLIS,IN46237 		RADIOLOGY AND PHYSICAL SERVICES
14 MOORESVILLE ENDOSCOPY CENTER
1215 HADLEY ROAD SUITE 101
MOORESVILLE,IN46158 		ENDOSCOPY CENTER
15 FRANCISCAN PHYSICIAN NETWORK
9470 BROADWAY
CROWN POINT,IN46307 		PHYSICIAN PRACTICE
16 FPN NEPHROLOGY FPN PULMONARY
2708 FERRY STREET
LAFAYETTE,IN47904 		PHYSICIAN PRACTICE
17 FRANCISCAN ST JAMES HEALTH -
HEALTH WELLNESS CENTER 100 W 197
CHICAGO HEIGHTS,IL60411 		WELLNESS CENTER
18 PEDIATRIC ASSOCIATES OF GREENWOOD
900 AVERITT ROAD
GREENWOOD,IN46143 		PHYSICIAN PRACTICE
19 FPN DERMATOLOGY FAMILY MEDICINE PEDS
915 SAGAMORE PARKWAY WEST
WEST LAFAYETTE,IN47906 		PHYSICIAN PRACTICE
20 FPN FAMILY & GERIATRIC MEDICINE
3920 ST FRANCIS WAY SUITE 209
LAFAYETTE,IN47905 		PHYSICIAN PRACTICE
21 FRANCISCAN PHYSICIAN NETWORK
1505 SOUTH COURT STREET
CROWN POINT,IN46307 		PHYSICIAN PRACTICE
22 FRANCISCAN PHYSICIAN NETWORK
12800 MISSISSIPPI PARKWAY
CROWN POINT,IN46307 		PHYSICIAN PRACTICE
23 FRANCISCAN PHYSICIAN NETWORK
2421 LAPORTE AVENUE
VALPARAISO,IN46385 		PHYSICIAN PRACTICE
24 AMER HEALTH NETWORK - MUNCIE
3631 N MORRISON ROAD
MUNCIE,IN47304 		PT, IMAGING, SURGERY
25 FPN INTERNAL MEDICINE & SURGICAL SPEC
1630 LAFAYETTE ROAD SUITE 300
CRAWFORDSVILLE,IN47933 		PHYSICIAN PRACTICE
26 FPN - ST ANTHONY WOODLAND HEALTH CENTER
8865 W 400 NORTH
MICHIGAN CITY,IN46360 		PHYSICIAN PRACTICE
27 FPN CARDIOLOGY ELECTROPHYSIOLOGY
3900 SAINT FRANCIS WAY STE 200
LAFAYETTE,IN47905 		PHYSICIAN PRACTICE
28 FPN CRAWFORDSVILLE FAMILY MEDICINE
308 W MARKET STREET
CRAWFORDSVILLE,IN47933 		PHYSICIAN PRACTICE
29 FPN GREENACRES FAMILY MEDICINE
1500 DARLINGTON AVENUE SUITE 300
CRAWFORDSVILLE,IN47933 		PHYSICIAN PRACTICE
30 FRANCISCAN PHYSICIAN NETWORK - MC
1501 WABASH STREET
MICHIGAN CITY,IN46360 		PHYSICIAN PRACTICE
31 FRANCISCAN PHYSICIAN NETWORK
11161 RANDOLPH STREET
CROWN POINT,IN46307 		PHYSICIAN PRACTICE
32 SOUTHPORT FP AND SPORTS MEDICINE
7855 S EMERSON AVENUE SUITE P
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
33 FRANCISCAN PHYSICIAN NETWORK
1201 S MAIN STREET
CROWN POINT,IN46307 		PHYSICIAN PRACTICE
34 IMPACT CENTER
1201 HADLEY ROAD
MOORESVILLE,IN46158 		PHYSICIAN PRACTICE
35 BEECH GROVE FAMILY MEDICINE
2030 CHURCHMAN AVENUE
BEECH GROVE,IN46107 		PHYSICIAN PRACTICE
36 INDIANA SLEEP CENTER
701 E COUNTY LINE ROAD SUITE 207
GREENWOOD,IN46143 		SLEEP CENTER
37 OMNI REHABILITATION
810 MICHAEL DRIVE
CHESTERTON,IN46304 		PHYSICIAN PRACTICE
38 FRANCISCAN PHYSICIAN NETWORK
7310 W LINCOLN HIGHWAY
SCHERERVILLE,IN46307 		PHYSICIAN PRACTICE
39 FPN NORTHRIDGE INTERNAL MEDICINE
1704 LAFAYETTE ROAD SUITE 8
CRAWFORDSVILLE,IN47933 		PHYSICIAN PRACTICE
40 DIABETES AND ENDOCRINOLOGY SPECIALISTS
5230A E STOP 11 ROAD SUITE 150
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
41 FPN - DYER SOUTH FAMILY HEALTH CENTER
14785 WEST 101ST AVENUE
DYER,IN46311 		PHYSICIAN PRACTICE
42 KENDRICK FAMILY MEDICINE
1001 HADLEY ROAD SUITE 101
MOORESVILLE,IN46158 		PHYSICIAN PRACTICE
43 FPN CRAWFORDSVILLE GYNECOLOGY
407 E MARKET STREET SUITE 101
CRAWFORDSVILLE,IN47933 		PHYSICIAN PRACTICE
44 MOORESVILLE FAMILY CARE
1001 HADLEY ROAD SUITE 102
MOORESVILLE,IN46158 		PHYSICIAN PRACTICE
45 AMER HEALTH NETWORK - SLEEP (CARMEL)
12425 OLD MERIDIAN STREET SUITE A-
CARMEL,IN46032 		SLEEP CENTER
46 NEUROSURGICAL SPECIALISTS
8051 S EMERSON AVENUE SUITE 300
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
47 MCFARLAND FAMILY MEDICINE
7825 MCFARLAND LANE SUITE A
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
48 ORTHOPEDIC SPECIALISTS
5255 E STOP 11 RD 300
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
49 AMER HEALTH NETWORK - KOKOMO
2330 S DIXON ROAD
KOKOMO,IN46902 		IMAGING
50 CENTER GROVE FAMILY MEDICINE
362 MERIDIAN PARKE LANE
GREENWOOD,IN46142 		PHYSICIAN PRACTICE
51 SOUTH 31 FAMILY CARE
610 E SOUTHPORT ROAD SUITE 205
INDIANAPOLIS,IN46227 		PHYSICIAN PRACTICE
52 SOUTHEAST FAMILY MEDICINE
965 EMERSON PARKWAY STE J
GREENWOOD,IN46143 		PHYSICIAN PRACTICE
53 FRANCISCAN PHYSICIAN NETWORK
2050 NORTH MAIN STREET
CROWN POINT,IN46307 		PHYSICIAN PRACTICE
54 ST JAMES HEALTH OUTPATIENT PHARMACY
3700 203RD STREET SUITE 108
OLYMPIA FIELDS,IL60461 		PHARMACY
55 FRANKLIN TOWNSHIP FAMILY MEDICINE
8325 E SOUTHPORT ROAD SUITE 100
INDIANAPOLIS,IN46259 		PHYSICIAN PRACTICE
56 FRANCISCAN PHYSICIAN NETWORK LAKE RIDGE
1573 N CLINE AVENUE
GRIFFITH,IN46319 		PHYSICIAN PRACTICE
57 HEARTLAND CROSSING PEDIATRICS
1001 HADLEY RD STE LL 100
MOORESVILLE,IN46158 		PHYSICIAN PRACTICE
58 IRVINGTON FAMILY MEDICINE
5839 E WASHINGTON STREET
INDIANAPOLIS,IN46219 		PHYSICIAN PRACTICE
59 MAJOR HOSPITAL CARDIAC DIAGNOSTICS
150 WEST WASHINGTON STREET
SHELBYVILLE,IN46176 		CARDIOVASCULAR TESTING
60 FPN EASTSIDE FAMILY MEDICINE
2056 LEBANON ROAD
CRAWFORDSVILLE,IN47933 		PHYSICIAN PRACTICE
61 SPINE SPECIALISTS
8051 S EMERSON AVENUE SUITE 360
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
62 MADISON AVE FAMILY MEDICINE
8778 S MADISON AVENUE SUITE 200
INDIANAPOLIS,IN46227 		PHYSICIAN PRACTICE
63 AMER HEALTH NETWORK - PERU
315 W OLD KEY DRIVE IMAGING SUITE
PERU,IN46970 		IMAGING
64 HEARTLAND INTERNAL MEDICINE
10701 ALLIANCE DRIVE
CAMBY,IN46113 		PHYSICIAN PRACTICE
65 FRANCISCAN PHYSICIAN NETWORK
200 3RD COURT SE
DEMOTTE,IN46310 		PHYSICIAN PRACTICE
66 COUNTY LINE PEDIATRICS
747 E COUNTY LINE RD G
GREENWOOD,IN46143 		PHYSICIAN PRACTICE
67 FPN - OMNI FAMILY HEALTH CENTER
221 US HWY 41 SUITE I
SCHERERVILLE,IN46375 		PHYSICIAN PRACTICE
68 FRANCISCAN PHYSICIAN NETWORK
297 WEST FRANCISCAN LANE SUITE 104
CROWN POINT,IN46307 		PHYSICIAN PRACTICE
69 FPN PHYSICAL MEDICINE & REHABILITATION
1012 N 14TH STREET
LAFAYETTE,IN47904 		PHYSICIAN PRACTICE
70 FPN WOMEN'S HEALTH SERVICES
1630 LAFAYETTE ROAD SUITE 200
CRAWFORDSVILLE,IN47933 		PHYSICIAN PRACTICE
71 FPN FAMILY MEDICINE - KENSINGTON
3875 KENSINGTON DRIVE
LAFAYETTE,IN47905 		PHYSICIAN PRACTICE
72 GYNECOLOGIC ONCOLOGY SPECIALISTS
8111 S EMERSON SUITE 204
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
73 FPN NORTHSIDE FAMILY MEDICINE
1660 LAFAYETTE ROAD SUITE 170
CRAWFORDSVILLE,IN47933 		PHYSICIAN PRACTICE
74 PLAINFIELD FAMILY MEDICINE
315 DAN JONES ROAD SUITE 150
PLAINFIELD,IN46168 		PHYSICIAN PRACTICE
75 PSYCHIATRIC SPECIALISTS
610 E SOUTHPORT ROAD SUITE 200
INDIANAPOLIS,IN46227 		PHYSICIAN PRACTICE
76 FRANCISCAN PHYSICIAN NETWORK
10860 MAPLE LANE
SAINT JOHN,IN46373 		PHYSICIAN PRACTICE
77 FPN - DOUGLAS PARK HEALTH CARE
3831 HOHMAN AVENUE
HAMMOND,IN46327 		PHYSICIAN PRACTICE
78 FRANCISCAN ST JAMES HEALTH CENTERS FOR
DIABETES 20201 SOUTH CRAWFORD AVEN
OLYMPIA FIELDS,IL60461 		DIABETES CLINIC
79 PLEASANT VIEW FAMILY MEDICINE
12524 SOUTHEASTERN AVENUE
INDIANAPOLIS,IN46259 		PHYSICIAN PRACTICE
80 FPN - DYER SPECIALTY HEALTH CENTER
24 JOLIET STREET SUITE 101
DYER,IN46311 		PHYSICIAN PRACTICE
81 RHEUMATOLOGY & OSTEOPOROSIS SPECIALISTS
5255 E STOP 11 ROAD SUITE 320
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
82 WEIGHT LOSS SPECIALISTS
5230A E STOP 11 ROAD SUITE 190
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
83 FPN - ST JOHN HEALTH CENTER
10860 MAPLE LANE
ST JOHN,IN46373 		PHYSICIAN PRACTICE
84 FRANCISCAN PHYSICIAN NETWORK - MC
500 W BUFFALO STREET
NEW BUFFALO,MI49117 		PHYSICIAN PRACTICE
85 MOORESVILLE AFTER HOURS CLINIC
1001 HADLEY ROAD SUITE 101
MOORESVILLE,IN46158 		PHYSICIAN PRACTICE
86 FPN GASTROENTEROLOGY
3218 DAUGHERTY DRIVE SUITE 140
LAFAYETTE,IN47909 		PHYSICIAN PRACTICE
87 BREAST SPECIALISTS
8111 S EMERSON 104
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
88 REHABILITATION SPECIALISTS
8051 S EMERSON AVENUE SUITE 250
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
89 MATERNAL FETAL SPECIALISTS
8051 S EMERSON AVENUE SUITE 450B
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
90 PLASTIC & RECONSTRUCTIVE SURGEONS
8051 S EMERSON AVENUE SUITE 450
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
91 ST JAMES COMMUNITY HEALTH CENTER -
BEECHER 989 DIXIE HIGHWAY
BEECHER,IL60401 		PHYSICAL THERAPY SERVICES
92 FPN NEIGHBORHOOD CLINIC
407 E MARKET STREET SUITE 101
CRAWFORDSVILLE,IN47933 		PHYSICIAN PRACTICE
93 FPN - HAMMOND SPECIALTY HEALTH CENTER
5454 HOHMAN AVENUE
HAMMOND,IN46320 		PHYSICIAN PRACTICE
94 FPN FAMILY MEDICINE - MULBERRY
510 WEST JACKSON STREET
MULBERRY,IN46058 		PHYSICIAN PRACTICE
95 FRANCISCAN PHYSICIANS NETWORK - HOMEWOOD
18636 DIXIE HIGHWAY
HOMEWOOD,IL60430 		PHYSICIAN PRACTICE
96 AMER HEALTH NETWORK - SLEEP (MUNCIE)
3631 N MORRISON ROAD
MUNCIE,IN47304 		SLEEP CENTER
97 AMER HEALTH NETWORK - NOBLESVILLE
18051 RIVER AVENUE SUITE 103
NOBLESVILLE,IN46062 		IMAGING
98 MONTICELLO MEDICAL CENTER
826 N 6TH ST
MONTICELLO,IN47960 		MEDICAL PRACTICE
99 FPN FAMILY MEDICINE - MONTICELLO
902 FOXWOOD COURT
MONTICELLO,IN47960 		MEDICAL PRACTICE
100 FRANCISCAN PHYSICIANS HOSPITAL SLEEP CTR
7905 CALUMET AVENUE
MUNSTER,IN463214209 		SLEEP CENTER
101 FRANCISCAN HAMMOND CLINIC
7905 CALUMET AVENUE
MUNSTER,IN46321 		SPECIALTY CENTER/URGENT CARE
102 FRANCISCAN HAMMOND CLINIC
9800 VALPARAISO DRIVE
MUNSTER,IN46321 		FAMILY WELLNESS CENTER
103 FRANCISCAN HAMMOND CLINIC
11355 WEST 97TH LANE
ST JOHN,IN46373 		PRIMARY CARE
104 FRANCISCAN PHYSICIAN NETWORK-CEDAR LAKE
6831 133RD AVENUED
CEDAR LAKE,IN46303 		FAMILY PRACTICE
105 FPN - OB MIDWIFE CENTER
297 WEST FRANCISCAN LANE SUITE 203
CROWN POINT,IN46307 		FAMILY PRACTICE
106 FRANCISCAN ST JAMES HEALTH-FAMILY HEALTH
3700 WEST 203RD STREET SUITE 112
OLYMPIA FIELDS,IL60461 		PHYSICIAN PRACTICE
107 GREENWOOD IMMEDIATE CARE
1001 N MADISON AVENUE
GREENWOOD,IN46142 		IMMEDIATE CARE CENTER
108 FPN HILLSBORO FAMILY MEDICINE
203 EAST MAIN STREET
HILLSBORO,IN47949 		PHYSICIAN PRACTICE
109 FPN CP - CHESTERON NEURO
770 INDIAN BOUNDARY ROAD
CHESTERTON,IN46304 		PHYSICIAN PRACTICE
110 FRANCISCAN PHYSICIAN NETWORK - MC
900 I STREET
LAPORTE,IN46350 		PHYSICIAN PRACTICE
111 HAMMOND CLINIC SPECIALTY CENTER
7905 CALUMET AVENUE
MUNSTER,IN46321 		MULTISPECIALTY/OUTPATIENT FACILITY
112 HAMMOND CLINIC FAMILY WELLNESS CENTER
9800 VALPARAISO DRIVE
MUNSTER,IN46321 		MULTISPEC/OUTPATIENT FACILITY
113 HAMMOND CLINIC ST JOHN
11355 W 97TH LANE
ST JOHN,IN46373 		MULTISPEC/OUTPATIENT FACILITY
114 FRANCISCAN MEDICAL SPECIALISTS
919 MAIN STREET
DYER,IN46311 		PHYSICIAN PRACTICE
115 FRANCISCAN MEDICAL SPECIALISTS
5529 HOHMAN AVENUE
HAMMOND,IN46320 		PHYSICIAN PRACTICE
116 FRANCISCAN MEDICAL SPECIALISTS
1400 S LAKE PARK AVENUE SUITE 305
HOBART,IN46432 		PHYSICIAN PRACTICE
117 FRANCISCAN MEDICAL SPECIALISTS
901 LINCOLN WAY
LAPORTE,IN46350 		PHYSICIAN PRACTICE
118 FRANCISCAN MEDICAL SPECIALISTS
300 W 80TH PLACE
MERRILLVILLE,IN46410 		PHYSICIAN PRACTICE
119 FRANCISCAN MEDICAL SPECIALISTS
1950 45TH STREET
MUNSTER,IN46321 		PHYSICIAN PRACTICE
120 FRANCISCAN MEDICAL SPECIALISTS
761 45TH STREET
MUNSTER,IN46321 		PHYSICIAN PRACTICE
121 FRANCISCAN MEDICAL SPECIALISTS
757 45TH STREET
MUNSTER,IN46321 		HOME INFUSION
122 FRANCISCAN MEDICAL SPECIALISTS
2001 US 41
SCHERERVILLE,IN46375 		PT/SPEC CENTER
123 FRANCISCAN MEDICAL SPECIALISTS
1101 GLENDALE ROAD SUITE 110
VALPARAISO,IN46383 		PHYSICIAN PRACTICE
124 FPN- MICHIGAN CITY EXPRESS CARE
3325 WILLOWCREEK ROAD
PORTAGE,IN46368 		PHYSICIAN PRACTICE
125 FPN - MICHIGAN CITY
2307 LAPORTE AVE STE B
VALPARAISO,IN46383 		PHYSICIAN PRACTICE
126 FPN - MICHIGAN CITY EXPRESS CARE
2590 MORTHDAND DRIVE STE I
VALPARAISO,IN46383 		PHYSICIAN PRACTICE
127 PREMIER HEALTHCARE FOR WOMEN
3774 BAYLEY DRIVE SUITE B
LAFAYETTE,IN47905 		PHYSICIAN PRACTICE
128 FRANCISCAN PHYSICIAN NETWORK
8437 Kennedy Avenue
Highland,IN46322 		Physician Practice
129 FRANCISCAN PHYSICIAN NETWORK
19400 North Creek Drive
Lynwood,IL60411 		Physician Practice
130 FRANCISCAN PHYSICIAN NETWORK
2068 Lucas Parkway
Lowell,IN46350 		Physician Practice
131 FPN - MICHIGAN CITY
610 JEFFERSON AVE
LAPORTE,IN46360 		PHYSICIAN PRACTICE
132 FPN - MICHIGAN CITY
414 LINCOLN WAY
LAPORTE,IN46460 		PHYSICIAN PRACTICE
133 FPN - DYER FAMILY HEALTH CENTER
840 RICHARD ROAD
DYER,IN46311 		PHYSICIAN PRACTICE
134 FPN - HAMMOND FAMILY HEALTH CENTER
5530 HOHMAN AVENUE
HAMMOND,IN46320 		physician practice
135 BEECH GROVE INTERNAL MEDICINE
2030 CHURCHMAN AVENUE SUITE A
BEECH GROVE,IN46107 		physician practice
136 FRANCISCAN MEDICAL SPECIALISTS
9034 COLUMBIA
MUNSTER,IN46321 		PHYSICIAN PRACTICE
137 CARMEL FAMILY MEDICINE
12188 B NORTH MERIDIAN ST 280
CARMEL,IN46032 		PHYSICIAN PRACTICE
138 CENTRAL INDIANA DERMATOLOGY
5255 E STOP 11 ROAD 310
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
139 CENTRAL INDIANA PROCTOLOGY
49 BILLS BLVD
MARTINSVILLE,IN46151 		PHYSICIAN PRACTICE
140 COLUMBUS PRIMARY & SPECIALTY CARE
123 2ND STREET
COLUMBUS,IN47201 		PHYSICIAN PRACTICE
141 FRANCISCAN IMMEDIATE CARE - VILLAGE PARK
14641-1 THATCHER LANE
CARMEL,IN46032 		IMMEDIATE CARE
142 FRANCISCAN IMMEDIATE CARE - THOMPSON
5210 E THOMPSON ROAD
INDIANAPOLIS,IN46237 		IMMEDIATE CARE
143 FRANCISCAN IMMEDIATE CARE - CASTLE KEY
4527 E 82ND STREET
INDIANAPOLIS,IN46250 		IMMEDIATE CARE
144 GREENWOOD PARKE FAMILY MEDICINE
701 E COUNTY LINE ROAD SUITE 204
GREENWOOD,IN46143 		PHYSICIAN PRACTICE
145 GREENWOOD PEDIATRICS
8849 SHELBY ST B1
INDIANAPOLIS,IN46227 		PHYSICIAN PRACTICE
146 INDY SOUTHSIDE FAMILY MEDICINE
4018 E SOUTHPORT RD
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
147 INDY SOUTHSIDE SURGICAL
5255 E STOP 11 450
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
148 KENDRICK COLON & RECTAL CENTER
5255 E STOP 11 RD 250
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
149 KENDRICK INTERNAL MEDICINE
1001 HADLEY ROAD LL050
MOORESVILLE,IN46158 		PHYSICIAN PRACTICE
150 MARTINSVILLE FAMILY & INTERNAL MEDICINE
49 BILLS BLVD
MARTINSVILLE,IN46151 		physician practice
151 MCFARLAND FAMILY MEDICINE
7825 MCFARLAND LANE SUITE A
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
152 MCFARLAND INTERNAL MEDICINE
7825 MCFARLAND LANE SUITE B
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
153 ORTHOPEDIC FOOT & ANKLE SURGEONS
1199 HADLEY ROAD SUITE 300
MOORESVILLE,IN46158 		PHYSICIAN PRACTICE
154 PULMONARY & SLEEP SPECIALISTS
1040 GREENWOOD SPRINGS BLVD
GREENWOOD,IN46143 		PHYSICIAN PRACTICE
155 RHEUMATOLOGY CARE SPECIALISTS
1205 HADLEY ROAD
MOORESVILLE,IN46158 		PHYSICIAN PRACTICE
156 SPORTS MEDICINE SPECIALISTS
315 DAN JONES ROAD 120
PLANFIELD,IN46168 		PHYSICIAN PRACTICE
157 WOUND CARE SPECIALISTS
8111 S EMERSON AVENUE
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
158 WOODLAND CANCER CARE CENTER
8955 W 400 NORTH
MICHIGAN CITY,IN46360 		CANCER CENTER
159 INDIANA HEART PHYSICIANS
5330 E STOP 11 ROAD
INDIANAPOLIS,IN46237 		PHYSICIAN PRACTICE
160 FRANCISCAN PHYSICIANS NETWORK - FMS
759 45TH STREET
MUNSTER,IN46321 		ORTHO/PT
161 LOWELL CLINIC
4500 W 181ST AVE
LOWELL,IN46356 		PHYSICIAN PRACTICE
162 OLYMPIA FIELDS SPI
3900 W 203RD ST
OLYMPIA FIELDS,IL60461 		PHYSICIAN PRACTICE ONCOLOGY, BREAST SURGERY
163 PHYSICAL THERAPY - AQUA WORKING WELL
4111 FRANKLIN STREET
MICHIGAN CITY,IN46360 		PHYSICAL THERAPY
164 CHERRY CREEK
7310 W LINCOLN HIGHWAY
SCHERERVILLE,IN47978 		PHYSICIAN PRACTICE
165 FRANCISCAN IMMEDIATE CENTER
1104 E GRACE ST
RENSSELAER,IN47978 		IMMEDIATE CARE
166 SPECIALTY CENTER
2505 S MAIN STREET
CROWN POINT,IN46307 		PHYSICIAN PRACTICE
167 SKILLED NURSING FACILITY
4904 WAR ADMIRAL DRIVE
INDIANAPOLIS,IN46237 		NURSING FACILITY
168 ST CLARE PRENATAL
1121 S INDIANA
CROWN POINT,IN46307 		PHYSICIAN PRACTICE
169 CITYWAY FAMILY & SPORTS MEDICINE
426 S ALABAMA STREET
INDIANAPOLIS,IN46225 		PHYSICIAN PRACTICE
170 MUNSTER NEUROSURGERY
759 45H STREET
MUNSTER,IN46321 		PHYSICIAN PRACTICE
171 NP OB
1205 S MAIN STREET
MUNSTER,IN46321 		PHYSICIAN PRACTICE
172 MUNSTER DME
7847 CALUMET AVENUE
MUNSTER,IN46321 		PHYSICIAN PRACTICE
173 ST FRANCIS IMAGING CENTER
3147 WEST SMITH VALLEY ROAD
GREENWOOD,IN46143 		IMAGING
Schedule H (Form 990) 2015
Page 9
Schedule H (Form 990) 2015
Page 9
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference 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. The detailed CHNA activities for each of Franciscan's hospitals can be found in Part V of this Schedule H. ------------------------------------------------------------------- SCHEDULE H, PART VI, ITEM 3 FINANCIAL ASSISTANCE POLICY Franciscan's hospitals inform and educate patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under Franciscan's financial assistance and charity care policy. For patients not initially identified as qualifying for financial assistance, Franciscan communicates the availability of charity care and financial assistance in the applicable languages of the hospital community through the following means: 1. Franciscan communicates the availability of financial assistance in appropriate care settings such as emergency departments, admitting/registration areas, billing offices, outpatient service settings, and on our hospitals' websites. Signs/postings inform patients that free or reduced cost care may be available to qualifying patients who complete a financial assistance application. 2. Brochures summarizing our financial assistance programs are available throughout each Franciscan hospital. 3. Financial counselors and business office personnel are available to help patients understand and apply for local, state, federal health care programs; health insurance exchanges; and Franciscan's financial assistance programs. 4. All bills and statements for services inform uninsured patients that financial assistance is available. 5. Patients/guarantors may request a copy of the financial assistance application by calling the Franciscan billing office or downloading a copy at no cost from Franciscan hospital's websites. 6. 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. 7. Franciscan sends 4 statements and makes 6 phone call attempts to contact the patient/guarantor at the address and phone number provided by the patient/guarantor. Statements and communications inform the patient of the amount due and if they cannot pay their balance the availability of financial assistance. ------------------------------------------------ SCHEDULE H, PART VI, ITEM 4 COMMUNITY INFORMATION Franciscan Alliance serves a large geographic area which includes 18 counties in Indiana (Benton, Carroll, Fountain, Hamilton, Jasper, Johnson, Lake, LaPorte, Marion, Montgomery, Morgan, Newton, Porter, Shelby, Starke, Tippacanoe, 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 above $54,000 in 2015. For these communities, the percentage of residents below the federal poverty level was estimated at 16.1%. The percentage of inpatients from these communities who were served by Medicaid was 19.9%. The percentage of inpatients from these communities who were uninsured was approximately 3.2%. In comparison, the percentages of Medicaid and uninsured inpatients treated by the hospitals of the Franciscan Alliance were 19.2% and 2.6% respectively in 2015. There are 55 other hospitals that serve within these communities as well. ------------------------------------------------ SCHEDULE H, PART VI, ITEM 5 & PART I, LINE 6A 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. - Subsidized Healthcare Services offered by Franciscan: - Franciscan has neighborhood health clinics that offer family practice services designed for families without access to affordable health care. The focus is on providing primary and preventive care as well as health education. These clinics offer free immunizations. - Franciscan's Sexual Assault Clinics that provide medical and forensic assistance that is sensitive to the special needs of the victim as well as a victim advocate program and crisis intervention counselors. - Franciscan's Blood and Marrow Transplant program is only one of two programs in Indiana offering full service transplant care and specializes in the treatment of patients with leukemia, Hodgkin's or non-Hodgkin's lymphoma, multiple myeloma, and many other malignancies and blood disorders. - Franciscan's Diabetes Education Centers offer a number of diabetes classes and individualized sessions to help patients take control of their health with a focus on nutritional, exercise, medications, chronic conditions, preconception and pregnancy, blood glucose monitoring, goal setting, problem solving, psychosocial adjustment, detection/treatment of high and low blood sugar, and insulin administration. - Franciscan's Women's and Children's Services include preventive medical care and health screenings to gynecological care, maternity, lactation consultation services, and beyond, Franciscan's facilities focus on keeping women healthy. - Franciscan's Hospice Care Services provide a sense of dignity and compassion to both the patient and their family in caring for patients with a life expectancy of six months or less. Our programs affirm and celebrate life and regard dying as a natural process, recognizing that every person has the right to die with dignity, peace, and comfort regardless of their ethnic, faith background, or ability to pay. - St. Monica Home for pregnant teens offers a medically sound and emotionally healthy environment for a pregnant teen to reside in while waiting for the birth of her baby. Opened in July of 1994 on the FRANCISCAN HEALTH DYE
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 2 Throughout the year, the Corporation estimates this allowance based on the aging of its patient accounts receivable, historical collection experience, and other relevant factors. These factors include changes in the economy and unemployment rates, which has an impact on the number of uninsured and underinsured patients, as well as trends in health care coverage, such as the increased burden of deductibles, copayments, and coinsurance payments to be made by patients with insurance. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, 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 as 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 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 assistance which are detailed under Schedule H, Part VI, item 3. Despite these rigorous efforts, patients who need subsidized care may not seek this assistance 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 2 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 AND the requirements of IRC Section 501(r), Franciscan provides care for all patients covered by Medicare seeking medical care at Franciscan. Such care is provided regardless of whether the reimbursement provided for such services meets or exceeds the costs incurred by Franciscan to provide such services. Like Medicaid, payment rates for Medicare are set by law rather than through a negotiation process 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.
Schedule H (Form 990) 2015
Additional Data


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