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 Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2021
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) . . . 		    90,427,226 0 90,427,226 2.730 %
b Medicaid (from Worksheet 3, column a) . . . . .     614,377,464 450,988,897 163,388,567 4.930 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     351,581 0 351,581 0.010 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     705,156,271 450,988,897 254,167,374 7.670 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     9,447,251 636,383 8,810,868 0.270 %
f Health professions education (from Worksheet 5) . . .     33,423,712 19,270,181 14,153,531 0.430 %
g Subsidized health services (from Worksheet 6) . . . .     115,994,964 63,241,635 52,753,529 1.590 %
h Research (from Worksheet 7) .     1,874,590 0 1,874,590 0.060 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     454,873 216 454,657 0.010 %
j Total. Other Benefits . .     161,195,390 83,148,415 78,047,175 2.360 %
k Total. Add lines 7d and 7j .     866,351,661 534,137,312 332,214,549 10.030 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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            
2 Economic development            
3 Community support     1,180   1,180 0 %
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy     75   75 0 %
8 Workforce development            
9 Other     52,263 0 52,263 0 %
10 Total     53,518 0 53,518 0 %
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 Healthcare 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
8,596,789
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
970,585,214
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
1,430,684,070
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-460,098,856
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) 2021
Schedule H (Form 990) 2021
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?10Name, 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 and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research 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     A
2 FRANCISCAN HEALTH LAFAYETTE
1701 S CREASY LANE
LAFAYETTE,IN47905
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
15-005096-1 		X X   X     X     A
3 FRANCISCAN HEALTH OLYMPIA FIELDS
20201 SOUTH CRAWFORD AVE
OLYMPIA FIELDS,IL60461
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
0005074 		X X   X     X     A
4 FRANCISCAN HEALTH CROWN POINT
1201 SOUTH MAIN STREET
CROWN POINT,IN46307
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
15-005107-1 		X X   X     X     A
5 FRANCISCAN HEALTH MICHIGAN CITY
3500 FRANCISCAN WAY
MICHIGAN CITY,IN46360
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
15-005015-1 		X X         X X   A
6 FRANCISCAN HEALTH DYER
24 JOLIET STREET
DYER,IN46311
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
15-005080-1 		X X   X     X     A
7 FRANCISCAN HEALTH HAMMOND
5454 HOHMAN AVENUE
HAMMOND,IN46320
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
15-005004-1 		X X   X     X     A
8 FRANCISCAN HEALTH MUNSTER
701 SUPERIOR STREET
MUNSTER,IN46321
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
15-005615-1 		X X   X     X     A
9 FRANCISCAN HEALTH MOORESVILLE
1201 HADLEY ROAD
MOORESVILLE,IN46158
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
14-005052-1 		X X   X   X X     A
10 FRANCISCAN HEALTH CRAWFORDSVILLE
1710 LAFAYETTE ROAD
CRAWFORDSVILLE,IN47933
WWW.FRANCISCANALLIANCE.ORG/HOSPITALS
15-005021-1 		X X         X     A
Schedule H (Form 990) 2021
Page 4
Schedule H (Form 990) 2021
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)
A
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): 		 
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 19
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 19
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    
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) 2021
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Schedule H (Form 990) 2021
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
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 Was widely publicized 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
j
Schedule H (Form 990) 2021
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Schedule H (Form 990) 2021
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2021
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Schedule H (Form 990) 2021
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2021
Page 8
Schedule H (Form 990) 2021
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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 B - SUPPLEMENTAL INFORMATION LINE 3E: PLEASE SEE THE RESPONSE TO SCHEDULE H, PART V, LINE 11 BELOW FOR AN EXPLANATION OF HOW THE HEALTH NEEDS IDENTIFIED IN THE CHNA WERE PRIORITIZED.
LINE 5: INPUT FROM INDIVIDUALS IN THE COMMUNITY TO COLLECT PRIMARY DATA FROM THE HOSPITAL'S SERVICE AREA POPULATION, A SURVEY WAS DESIGNED, FIELDED, AND ANALYZED TO ENSURE THAT THE PERSPECTIVES OF THE RESIDENTS OF THE SERVICE AREA WERE INCLUDED IN THIS ASSESSMENT, THE HOSPITAL USED A RIGOROUS POPULATION-BASED METHODOLOGICAL APPROACH TO COVER THE SERVICE AREA. TO DEVELOP THE SURVEY USED FOR THE CHNA, THE HOSPITAL PARTNERED WITH FACULTY FROM INDIANA-BASED UNIVERSITIES WHO HAD PARTICULAR EXPERTISE IN COMMUNITY-BASED SURVEY RESEARCH. DR. WILLIAM MCCONNELL OF THE UNIVERSITY OF EVANSVILLE SERVED AS THE LEAD RESEARCHER ON THE PROJECT, IN PARTNERSHIP WITH DR. MICHAEL REECE AND DR. CATHERINE SHERWOOD-LAUGHLIN (BOTH OF THE INDIANA UNIVERSITY SCHOOL OF PUBLIC HEALTH). THE UNIVERSITY OF EVANSVILLE CONTRACTED WITH THE CENTER FOR SURVEY RESEARCH (CSR) AT INDIANA UNIVERSITY TO ADMINISTER THIS SURVEY IN TWO PHASES: PHASE I WAS CONDUCTED AS A PAPER SURVEY MAILED TO A RANDOM ADDRESS-BASED SAMPLE AND PHASE II WAS CONDUCTED AS A PAPER SURVEY ADMINISTERED BY THE HOSPITALS TO A CONVENIENCE SAMPLE OF THEIR CHOOSING. THE SURVEY WAS CONDUCTED WITH APPROVAL OF THE INSTITUTIONAL REVIEW BOARD (IRB) OF THE UNIVERSITY OF EVANSVILLE. PLANNING AND DEVELOPMENT FOR THE SURVEY BEGAN IN THE WINTER OF 2017. USING A CONSTRUCT-BASED APPROACH THAT IDENTIFIED THE LEADING AREAS TO BE INCLUDED ON THE SURVEY, THE HOSPITALS AND FACULTY DEVELOPED A SURVEY. THE SURVEY INCLUDED MEASURES THAT HAD BEEN VALIDATED FOR USE IN SIMILAR PROJECTS BY OTHER RESEARCHERS AND ADDITIONAL MEASURES THAT WERE DEVELOPED BY THE PARTNERS FOR SPECIFIC NEEDS OF THIS CHNA. THE SURVEY COVERED TEN MAJOR AREAS. TWO WEIGHTING ADJUSTMENTS WERE MADE TO ENHANCE CONSISTENCY BETWEEN THE SURVEY SAMPLE AND THE CHARACTERISTICS OF THE HOSPITAL'S SERVICE POPULATION. THE FIRST WAS A BASE WEIGHT ADJUSTMENT TO ACCOUNT FOR UNEQUAL PROBABILITIES OF SELECTION WITHIN HOUSEHOLD. THE SECOND WAS A POSTSTRATIFICATION ADJUSTMENT TO THE U.S. CENSUS BUREAU 2012-2016 AMERICAN COMMUNITY SURVEY FIVE-YEAR POPULATION ESTIMATES. THE TWO WEIGHTING ADJUSTMENTS WERE MULTIPLIED TO CALCULATE A PRELIMINARY FINAL WEIGHT FOR EACH HOSPITAL'S CATCHMENT AREA. THESE PRELIMINARY WEIGHTS WERE THEN TRIMMED AND SCALED SO THAT THE FINAL WEIGHTS SUMMED TO THE NUMBER OF RESPONDENTS IN EACH CATCHMENT AREA. THREE TYPES OF FOCUS GROUPS WERE CONDUCTED: - PROFESSIONAL: REPRESENTATIVES FROM ORGANIZATIONS, SERVICES, AND BUSINESSES THAT CONTRIBUTE TO YOUTH AND BEHAVIORAL HEALTH. THESE MEETINGS MAP COMMUNITY ASSETS AND NEEDS IN ADDITION TO DETERMINING POTENTIAL PARTNERS. - INTERNAL: FRANCISCAN HEALTH STAFF FROM ALL DIVISIONS ARE INVITED TO LEARN ABOUT POTENTIAL INTERVENTIONS AND PROVIDE FEEDBACK. - RESIDENT: SMALL GROUPS OF RESIDENTS BROUGHT TOGETHER BY A PARTNER AGENCY WERE ASKED ABOUT STRENGTHS AND CHALLENGES IN COMMUNITIES AS WELL AS THE LIKELIHOOD OF PARTICIPATING IN INTERVENTIONS. INTERNAL FOCUS GROUP - FH CRAWFORDSVILLE - FRANCISCAN HEALTH FOUNDATION, INC. - FRANCISCAN ALLIANCE MISSION (2) - FRANCISCAN ACCOUNTABLE CARE ORGANIZATION ("ACO") - FRANCISCAN PHYSICIAN NETWORK ("FPN") PROFESSIONAL FOCUS GROUP - FH CRAWFORDSVILLE - PURDUE EXTENSION (3) - YOUTH SERVICES BUREAU - CRAWFORDSVILLE COMMUNITY SCHOOL CORPORATION - CRAWFORDSVILLE FIRE DEPARTMENT - NURSE FAMILY PARTNERSHIP (2) - WABASH COLLEGE - CRAWFORDSVILLE PARKS DEPARTMENT - CRAWFORDSVILLE PUBLIC LIBRARY - MONTGOMERY COUNTY HEALTH DEPARTMENT - FRANCISCAN HEALTH (3) - WABASH VALLEY ALLIANCE INTERNAL FOCUS GROUP - FH CROWN POINT PRE-ADMITTING - TRAUMA - NURSE NAVIGATION - CANCER REGISTRY - EMERGENCY DEPARTMENT - ENGINEERING EXTERNAL FOCUS GROUP - FH CROWN POINT - COMMUNITY HEALTHNET - COVERING KIDS AND FAMILIES - METHODIST HOSPITALS - COMMUNITY HEALTH CARE - FRANCISCAN HEALTH (2) - PURDUE UNIVERSITY NORTHWEST - NORTHWEST INDIANA COMMUNITY ACTION - NURSE FAMILY PARTNERSHIP (2) - CROWN POINT SCHOOLS RESIDENT FOCUS GROUP FROM THE FOLLOWING ZIP CODES - FH CROWN POINT - 46303 (5) - 46307 - 46356 INTERNAL FOCUS GROUP - FH DYER - ALVERNO LABORATORY - FRANCISCAN ACO - TOBACCO PREVENTION - VOLUNTEER MANAGEMENT - FRANCISCAN HOME CARE - BEHAVIORAL HEALTH INTERNAL FOCUS GROUP - FH HAMMOND - FRANCISCAN HOME CARE - FRANCISCAN ACO (2) - PRENATAL ASSISTANCE - ADMINISTRATION - WOUND HEALTH/INFUSION (2) - EMERGENCY DEPARTMENT - CARDIOVASCULAR - CASE MANAGEMENT PROFESSIONAL FOCUS GROUP - FH HAMMOND - HEALTHY START - MUNSTER PARKS AND RECREATION - PURDUE EXTENSION (2) - THE INTREPID PHOENIX - FOOD BANK OF NORTHWEST INDIANA (2) - AREA HEALTH EDUCATION CENTER - INDIANA UNIVERSITY NORTHWEST (2) - GIRLS ON THE RUN - HOPE CHRISTIAN CHURCH - INDIANA PARENTING INITIATIVE (2) RESIDENT FOCUS GROUP FROM THE FOLLOWING ZIP CODES - FH HAMMOND - 46321 - 46404 - 46408 (2) - 46311 (2) - 46321 - 46307 (3) - 46375 - 46323 (2) - 46360 - 46410 (2) - 46324 (2) - 46303 - 60411 INTERNAL FOCUS GROUP - FH INDIANAPOLIS - SPIRITUAL CARE (2) - EMERGENCY MEDICAL SERVICES - BUSINESS DEVELOPMENT - EDUCATION SERVICES - MARKETING PROFESSIONAL FOCUS GROUP - FH INDIANAPOLIS - COMMUNITY HEALTH NETWORK (2) - ANTHEM - NURSE FAMILY PARTNERSHIP - WINDROSE HEALTH - INDY SOUTHSIDE QUALITY OF LIFE - YMCA - CITY OF GREENWOOD - INDIANA YOUTH INSTITUTE - AREA HEALTH EDUCATION CENTER - PURDUE EXTENSION - GREATER SOUTHSIDE BUSINESS ALLIANCE RESIDENT FOCUS GROUP FROM THE FOLLOWING ZIP CODES - FH INDIANAPOLIS (BURMESE FOCUS) - 46227 (7) RESIDENT FOCUS GROUP FROM THE FOLLOWING ZIP CODES - FH INDIANAPOLIS (LATINO FOCUS) - UNKNOWN - 46204 - 46235 - 46227 PROFESSIONAL FOCUS GROUP - FH INDIANAPOLIS (BEECH GROVE FOCUS) - BEECH GROVE COMMUNITY SCHOOLS - BEECH GROVE DRUG FREE COALITION INTERNAL FOCUS GROUP - FH LAFAYETTE - REHABILITATION SERVICES - SAFETY - SCHOOL OF NURSING (2) - QUALITY - EMERGENCY MEDICAL SERVICES - MISSION (3) - CASE MANAGEMENT - NUTRITION - NURSING ADMINISTRATION (2) - PALLIATIVE CARE - COMMUNITY EDUCATION - PHARMACY - RADIOLOGY - TRAUMA - LABORATORY PROFESSIONAL FOCUS GROUP - FH LAFAYETTE - NURSE FAMILY PARTNERSHIP - THE VILLAGES - PURDUE UNIVERSITY SCHOOL OF NURSING - AREA IV AGENCY (2) - BOY SCOUTS - NORTH CENTRAL HEALTH SERVICES - PURDUE EXTENSION (3) - RIGGS COMMUNITY HEALTH CENTER - INDIANA UNIVERSITY HEALTH - FRANCISCAN HEALTH (4) - YWCA - BAUER SERVICES - LOCAL WOMEN INFANT CHILDREN'S ("WIC") AGENCY - HEALTHY COMMUNITIES OF CLINTON COUNTY/COVERING KIDS AND FAMILIES - INDIANA YOUTH INSTITUTE - PURDUE EXTENSION-4-H - WABASH VALLEY ALLIANCE - FOOD FINDERS - LTHC HOMELESS SERVICES INTERNAL FOCUS GROUP - FH MICHIGAN CITY - FRANCISCAN HEALTH FOUNDATION, INC. - FPN - EDUCATION - ADMINISTRATION - RISK MANAGEMENT - CLINICAL SUPPORT - SAFETY - INPATIENT THERAPY - MEDICAL ADMINISTRATION - NURSING ADMINISTRATION - FINANCE - HUMAN RESOURCES - SPIRITUAL CARE - CASE MANAGEMENT - RESPITORY CARE - FRANCISCAN ACO - OBSTETRICS - EMERGENCY DEPARTMENT - WOUND HEALTH - PHARMACY - PATIENT ADMINISTRATION - OPERATING ROOM - ICU - QUALITY PROFESSIONAL FOCUS GROUP - FH MICHIGAN CITY - UNITED WAY OF LAPORTE COUNTY - DUNEBROOK - PURDUE EXTENSION (2) - OPEN DOOR (2) - SOUTH CENTRAL SCHOOL DISTRICT - SWANSON CENTER - IVY TECH - BOYS AND GIRLS CLUB - YMCA (2) - FRONTLINE FOUNDATION - WALKER MEDICAL - AREA HEALTH EDUCATION CENTER - UNITY FOUNDATION - LAPORTE COUNTY HEALTH DEPARTMENT INTERNAL FOCUS GROUP - FH MOORESVILLE - EDUCATION - ADMINISTRATION (2) - PATIENT ACCESS - WOMEN AND CHILDREN - MEDICAL STAFF - PARISH NURSING - FPN PROFESSIONAL FOCUS GROUP - FH MOORESVILLE - HEALTHIER MORGAN COUNTY INITIATIVE - PURDUE GLOBAL - BRIDGES OF HOPE - IVY TECH - LIFE SMART YOUTH - UNITED WAY - MDWISE - BOYS AND GIRLS CLUB - MOORESVILLE PARKS DEPARTMENT - MOORESVILLE SCHOOLS YMCA - MORGAN COUNTY SUBSTANCE ABUSE COUNCIL (2) - MORGAN COUNTY HEALTH DEPARTMENT - PEACE RESTORED - JACKSON CENTER - MOORESVILLE CHAMBER OF COMMERCE - REACH FOR YOUTH - GIRL SCOUTS RESIDENT FOCUS GROUP FOCUS GROUP FROM THE FOLLOWING ZIP CODES - FH MOORESVILLE - 46158 (15) - 46168 (4) - 46157 - 46113 (2) - UNKNOWN INTERNAL FOCUS GROUP - FH MUNSTER - EDUCATION - FRANCISCAN HOME CARE PROFESSIONAL FOCUS GROUP - FH OLYMPIA FIELDS - BLOOM TOWNSHIP HIGH SCHOOL - GOVENORS STATE UNIVERSITY (2) - PARK FOREST POLICE - PRAIRIE STATE COLLEGE - SOUTH SUBURBAN FAMILY SHELTER - DISTRICT 163 SCHOOLS (2) - FRANCISCAN HEALTH (3) - DISTRICT 227 SCHOOLS - PREVENT CHILD ABUSE - SOUTH SUBURBAN PADS PROFESSIONAL FOCUS GROUP - FH OLYMPIA FIELDS - RESPOND NOW (2) - FRANCISCAN HEALTH (3) - DISTRICT 227 SCHOOLS (2) - JONES CENTER - DISTRICT 227 SCHOOLS (2) - JONES CENTER
LINE 6A: ALL FACILITIES IN INDIANA, ALL FRANCISCAN ALLIANCE HOSPITAL FACILITIES COLLABORATED IN A STATEWIDE PARTNERSHIP WITH ASCENSION ST. VINCENT HEALTH, INDIANA UNIVERSITY HEALTH, COMMUNITY HEALTH NETWORK, DECONESS HOSPITAL, METHODIST HOSPITAL, COMMUNITY HOSPITAL, GIBSON GENERAL HOSPITAL, HENDRICKS REGIONAL HEALTH, ST. MARY'S HOSPITAL AND WITH EACH FACILITY WITHIN THE FRANCISCAN HEALTH SYSTEM.
LINE 6B: ALL FACILITIES FRANCISCAN HEALTH PARTNERED WITH WARRICK AND VANDERBURG COUNTY HEALTH DEPARTMENTS, KENDRICK FOUNDATION, HEALTHY SOUTHSIDE INITIATIVE, HEALTHY MORGAN COUNTY INTIATIVE, UNIVERSITY OF EVANSVILLE, PURDUE UNIVERSITY, AND INDIANA UNIVERSITY BLOOMINGTON.
LINE 7: ALL FACILITIES ALL CHNA REPORTS ARE AVAILABLE ON FRANCISCAN ALLIANCE'S WEBSITE AT HTTPS://WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH. IN ADDITION, A PRINT COPY IS AVAILABLE FREE OF CHARGE IN EACH HOSPITAL'S ADMINISTRATIVE OFFICE.
LINE 10: ALL FACILITIES ALL IMPLEMENTATION PLANS ARE CONTAINED IN THE CHNA AS 'CHAPTER 6: CALL TO ACTION.' THE REPORTS ARE AVAILABLE ON FRANCISCAN ALLIANCE'S WEBSITE AT HTTPS://WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH
LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT THE TOP HEALTH NEEDS IN A COMMUNITY IS A DIFFICULT PROCESS. MANY POOR HEALTH OUTCOMES, HEALTH DISPARITIES, AND POOR SOCIAL DETERMINANTS OF HEALTH WEIGH HEAVILY ON SEGMENTS OF OUR COMMUNITY. WE ALSO ACKNOWLEDGE THAT THERE ARE MANY STRENGTHS AND POSITIVE GROWTH THAT BALANCE SOME OF THESE CHALLENGES. FRANCISCAN HEALTH DETERMINED THE TOP HEALTH NEEDS BY REVIEWING SECONDARY DATA, SURVEY RESPONSES, AND FEEDBACK FROM INPUT MEETINGS. A CORE TEAM OF SIX STAFF MEMBERS WITH EDUCATION AND EXPERIENCE IN PUBLIC HEALTH WORKED WITH STAFF IN EACH COMMUNITY TO COME TO A CONSENSUS ON THE TOP ISSUES. A COMBINATION OF MULTIVOTE RANKING AND THE HANLON METHOD WERE USED. ONCE A REFINED LIST OF THE TOP TEN ISSUES WAS BROUGHT TO CONSENSUS, EACH STAFF MEMBER RANKED HEALTH ISSUES BASED ON SIZE, SERIOUSNESS, EQUITY, TYPES OF INTERVENTION, AND URGENCY. TO ASSIST WITH INTERVENTION PLANNING, A SECOND SCORE ON THE POTENTIAL FOR FRANCISCAN HEALTH TO PRIORITIZE THE HEALTH ISSUE WAS DETERMINED. SCORING CRITERIA INCLUDED RELATIONSHIP TO ADVERSE CHILDHOOD EXPERIENCES (ACES), INTERNAL CAPACITY, COMMUNITY ACCEPTABILITY, SUSTAINABILITY, AND LONG-TERM IMPACT. USING A MIX OF HANLON AND PEARL TECHNIQUES, THE FRANCISCAN HEALTH COMMUNITY HEALTH TEAM SCORED THE SECONDARY DATA, FEEDBACK MEETING COMMENTS, AND SURVEY DATA TO PRODUCE THE LIST OF TOP HEALTH NEEDS IN THE COMMUNITY. IN DETERMINING COMMUNITY HEALTH INTERVENTIONS FOR THE SELECTED PRIORITY HEALTH NEEDS, HEALTH EQUITY, SUSTAINABILITY, AND AN EMPHASIS ON SOCIAL DETERMINANTS OF HEALTH WERE HEAVILY WEIGHTED. WHILE MOST INTERVENTIONS FOCUS ON INDIVIDUAL LIFESTYLE FACTORS, KNOWLEDGE, SKILLS, AND BEHAVIORS, CONSIDERATION OF THE CULTURAL AND ENVIRONMENTAL CONTEXTS ARE JUST AS IMPORTANT. FRANCISCAN ALLIANCE ACKNOWLEDGES THAT TRUE CHANGE COMES WITH MAJOR SHIFTS IN ALL AREAS. THE FIRST CRITERIA USED TO DETERMINE IMPLEMENTATION STRATEGIES IS THE CONNECTION TO THE SOCIO-ECOLOGICAL MODEL AND SOCIAL DETERMINENTS OF HEALTH. INTERVENTIONS IMPLEMENTED BY FRANCISCAN ALLIANCE ARE PERSON-CENTERED AND DESIGNED TO CREATE LASTING CHANGE. MALCOLM KNOWLES' PRINCIPLES OF ANDRAGOGY PROVIDED THE FRAMEWORK. WHILE THIS MODEL IS BASED ON EDUCATIONAL PROGRAMMING, IT APPLIES TO ALL TYPES OF INTERVENTIONS. FOR EXAMPLE, IN THE PROVISION OF CLINICAL CARE OR MEDICATION ASSISTANCE, PARTICIPANTS NOT ONLY RECEIVE THE CARE OR MEDICATION, THEY ALSO LEARN TO BETTER MANAGE THEIR OWN HEALTH OR ACCESS COMPONENTS OF THE HEALTH SYSTEM OR ASSISTANCE PROGRAM. REFLECTION, TEACH-BACK, AND COMMUNICATION TECHNIQUES ARE UTILIZED TO EMPOWER THE PARTICIPANT TO MOVE BEYOND A ONE-TIME INTERACTION OR ASSISTANCE. FRANCISCAN ALLIANCE USES EVIDENCE-BASED PRACTICES IN PLANNING INTERVENTIONS WHENEVER POSSIBLE, AS THESE PROGRAMS HAVE BEEN THOROUGHLY TESTED AND HAVE PROVEN EFFICACY. WHEN EVIDENCE-BASED PROGRAMS ARE NOT AVAILABLE, BEST PRACTICES AND DOCUMENTED RESEARCH GUIDES THE DEVELOPMENT AND IMPLEMENTATION OF THE INTERVENTION. IMPLEMENTATION ACTIVITIES WILL BE EVALUATED TO THE FULLEST EXTENT. USING THE KIRKPATRICK MODEL (A STANDARDIZED EVALUATION SYSTEM BASED ON REACTION, LEARNING, BEHAVIOR, AND RESULTS) AS A GUIDE, EVALUATION OF NOT ONLY THE PROGRAM, BUT ITS IMPACT AND RESULTS WILL BE REVIEWED. THIS PROCESS ALLOWS FOR CHANGES TO BE MADE TO IMPROVE THE PROGRAM ON AN ONGOING BASIS. WHILE IT CAN BE DIFFICULT TO DETERMINE THE EXACT CAUSE OF INDIVIDUAL BEHAVIORAL CHANGE, BIOMETRICS, POST-FOLLOW UP SURVEYS, AND OTHER METHODS WERE USED TO CAPTURE QUALITATIVE AND QUANTITATIVE DATA.
LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT CON'T CHILDHOOD TRAUMA SPURS TOXIC STRESS RESPONSES THAT CAUSE BOTH IMMEDIATE AND LONG-TERM PHYSICAL AND EMOTIONAL HARMS AND CAN POTENTIALLY BE FATAL. AN ANALYSIS BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION HAS FOUND THAT AT LEAST FIVE OF THE TOP 10 LEADING CAUSES OF DEATH ARE ASSOCIATED WITH ADVERSE CHILDHOOD EXPERIENCES (ACES) SUCH AS EXPERIENCING ABUSE, WITNESSING VIOLENCE OR SUBSTANCE ABUSE IN THE HOME AND HAVING A PARENT IN JAIL. PREVENTING ACES CAN REDUCE HEART DISEASE, CANCER, RESPIRATORY DISEASE, DIABETES AND SUICIDE. FRANCISCAN ALLIANCE HAS PARTNERED WITH AN ONLINE COMMUNITY PLATFORM, ACES CONNECTION, TO GENERATE AWARENESS, ENGAGEMENT, AND DISCUSSION REGARDING CHILDHOOD ADVERSITY. THIS PARTNERSHIP IS A COMPONENT OF FRANCISCAN ALLIANCE'S AWARENESS INITIATIVE TO PROVIDE COMMUNITY MEMBERS WITH FREE RESOURCES TO BUILD A SELF-HEALING, TRAUMA-INFORMED COMMUNITY. FRANCISCAN ALLIANCE'S HOPES TO EDUCATE COMMUNITY MEMBERS TO: "GET DATA. GET TRAINED. GET INVOLVED." FRANCISCAN ALLIANCE HAS ALSO PARTNERED WITH BROADSTREET TO CREATE NATIONALLY AVAILABLE DASHBOARDS FOR ACES RISK IN CHILDREN. THE ACES RISK IN CHILDREN DASHBOARDS WILL PROVIDE DATA THAT PERTAINS TO ACE FOR A SELECTED LOCATION. DASHBOARD INSIGHTS INCLUDE THINGS LIKE MENTAL HEALTH OR INCARCERATION RISKS IN A GIVEN COMMUNITY WHICH AIDS IN CULTIVATING A STORY ABOUT EACH COMMUNITY TO SEE RISK FACTORS AND SOCIAL DETERMINANTS. THE HOPE IS THAT COMMUNITIES WILL BE ABLE TO USE THESE DASHBOARD TO PROVIDE GUIDANCE IN THE DIRECTION OF WHAT PUBLIC HEALTH AREAS TO ADDRESS. FRANCISCAN ALLIANCE IS ALSO A FOUNDING PARTNER OF THE ACES INDIANA COALITION, A TEAM OF AGENCIES, ORGANIZATIONS, AND INDIVIDUALS WORKING TOGETHER TO REDUCE ADVERSE OUTCOMES OF ACES. FRANCISCAN ALLIANCE HAS MADE THE INVESTMENT TO HAVE SEVEN TEAM MEMBERS CERTIFIED AS ACE INTERFACE MASTERS ALLOWS THEM TO CONDUCT ACES TRAINING AND PRESENTATIONS ON THE RESEARCH WITHIN ITS COMMUNITIES. ACCORDING TO ACE STUDY RESEARCH, PREVENTION IS THE GREATEST OPPORTUNITY TO IMPROVE THE OVERALL WELL-BEING OF POPULATIONS. OUR TRAINING PROGRAMS ARE DESIGNED TO PROMOTE UNDERSTANDING AND IMPROVE COMMUNITY OUTCOMES THROUGH HEALING PROCESSES, INTERVENTIONS, AND EDUCATION AND FRANCISCAN ALLIANCE IS COMMITTED TO ADVANCING THIS EDUCATION THROUGHOUT ITS COMMUNITIES. THE FRANCISCAN ALLIANCE HOSPITALS MADE THE FOLLOWING PROGRESS DURING 2021 IN ADDRESSING THE IDENTIFIED COMMUNITY HEALTH NEEDS FROM ITS MOST RECENT CHNA: FRANCISCAN HEALTH CRAWFORDSVILLE TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - CHILD ABUSE AND NEGLECT - SUBSTANCE ABUSE - FOOD INSECURITY - ADULT MENTAL HEALTH - YOUTH SUPPORT SERVICES - ACCESS TO HEALTH SERVICES - PHYSICAL ACTIVITY AND NUTRITION - TOBACCO/LUNG CANCER - SEXUALLY TRANSMITTED INFECTIONS - HEART DISEASE THERE IS A SIGNIFICANT LINK BETWEEN EIGHT OF THESE ISSUES AND ADVERSE CHILDHOOD EXPERIENCES ("ACES"). THEREFORE, THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED (WITH 2021 PROGRESS INDICATED): - FACILITATE ACES CONNECTION COMMUNITY PAGES: ACHIEVED IN 2021 - PROVIDE FACT SHEETS, ARTICLES, AND OTHER FREE RESOURCES: ACHIEVED IN 2021 - OFFER FREE SCREENINGS OF RESILIENCE FILM: ACHIEVED IN 2021 - COORDINATE TRAINING OPPORTUNITIES FOR PROFESSIONALS: ACHIEVED IN 2021 - DEVELOP COMMUNITY RESILIENCY COALITION: ACHIEVED IN 2021 - PROVIDE HEALING ACTIVITIES: THIS WAS MET IN 2021, WITH A SLIGHT CHANGE DUE TO COVID. FAMILY EDUCATION/STRESS REDUCTION KITS WERE DISTRIBUTED TO VULNERABLE FAMILIES TO ASSIST IN COPING WITH THE PANDEMIC. - LOCAL PROJECT: DUE TO COVID, THE LOCAL PROJECT WAS NOT ABLE TO BE COMPLETED. THE FUNDS ALLOCATED FOR THIS WERE REDIRECTED TO FAMILY EDUCATION/STRESS REDUCTION KITS. VIRTUAL EDUCATION FOR PROFESSIONALS AND FAMILIES WERE OFFERED TO PROVIDE ADDITIONAL SUPPORT. THIS FOLLOWS THE SAME INTENTION AS THE ORIGINAL PROJECT. THE PROGRAM WILL CONTINUE IN 2022. FRANCISCAN HEALTH CROWN POINT TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - CHILD ABUSE AND NEGLECT - INFANT MORTALITY - UNINSURED/UNDERINSURED RATES - ADULT MENTAL HEALTH - FOOD INSECURITY - FAMILY SUPPORT SERVICES - SUBSTANCE ABUSE - RESPIRATORY DISEASES - PHYSICAL ACTIVITY AND NUTRITION - TRANSPORTATION THERE IS A SIGNIFICANT LINK BETWEEN EIGHT OF THESE ISSUES AND ADVERSE CHILDHOOD EXPERIENCES ("ACES"). THEREFORE, THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED (WITH 2021 PROGRESS INDICATED): - FACILITATE ACES CONNECTION COMMUNITY PAGES: ACHIEVED IN 2021 - PROVIDE FACT SHEETS, ARTICLES, AND OTHER FREE RESOURCES: ACHIEVED IN 2021 - OFFER FREE SCREENINGS OF RESILIENCE FILM: ACHIEVED IN 2021 - COORDINATE TRAINING OPPORTUNITIES FOR PROFESSIONALS: ACHIEVED IN 2021 - DEVELOP COMMUNITY RESILIENCY COALITION: ACHIEVED IN 2021 - PROVIDE HEALING ACTIVITIES: THIS WAS MET IN 2021, WITH A SLIGHT CHANGE DUE TO COVID. FAMILY EDUCATION/STRESS REDUCTION KITS WERE DISTRIBUTED TO VULNERABLE FAMILIES TO ASSIST IN COPING WITH THE PANDEMIC. - LOCAL PROJECT: THE LOCAL PROJECT WAS COMPLETED IN 2021, WITH MODIFICATIONS DUE TO COVID. A VIRTUAL VERSION OF THE PROGRAM WAS OFFERED WITH SUCCESSFUL OUTCOMES, BUT A MUCH SMALLER GROUP OF PARTICIPANTS. THE PROGRAM WILL CONTINUE IN A VIRTUAL FORMAT IN 2022.
LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT CON'T FRANCISCAN HEALTH HAMMOND, FRANCISCAN HEALTH MUNSTER, AND FRANCISCAN HEALTH DYER TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - CHILD ABUSE AND NEGLECT - INFANT MORTALITY - UNINSURED/UNDERINSURED RATES - ADULT MENTAL HEALTH - FOOD INSECURITY - FAMILY SUPPORT SERVICES - SUBSTANCE ABUSE - RESPIRATORY DISEASES - PHYSICAL ACTIVITY AND NUTRITION - TRANSPORTATION THERE IS A SIGNIFICANT LINK BETWEEN EIGHT OF THESE ISSUES AND ADVERSE CHILDHOOD EXPERIENCES ("ACES"). THEREFORE, THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED (WITH 2021 PROGRESS INDICATED): - FACILITATE ACES CONNECTION COMMUNITY PAGES: ACHIEVED IN 2021 - PROVIDE FACT SHEETS, ARTICLES, AND OTHER FREE RESOURCES: ACHIEVED IN 2021 - COORDINATE TRAINING OPPORTUNITIES FOR PROFESSIONALS: ACHIEVED IN 2021 - DEVELOP COMMUNITY RESILIENCY COALITION: ACHIEVED IN 2021 - PROVIDE HEALING ACTIVITIES: THIS WAS MET IN 2021, WITH A SLIGHT CHANGE DUE TO COVID. FAMILY EDUCATION/STRESS REDUCTION KITS WERE DISTRIBUTED TO VULNERABLE FAMILIES TO ASSIST IN COPING WITH THE PANDEMIC. - LOCAL PROJECT: TRAUMA INFORMED EDUCATION WITH EDGGERS MIDDLE SCHOOL: THIS PROJECT WAS NOT COMPLETED AS PLANNED DUE TO COVID. HOWEVER, RESOURCES FOR TEACHERS, STAFF, PARENTS, AND STUDENTS WERE PROVIDED TO ASSIST WITH THE STRESS AND TRAUMA OF THE PANDEMIC. FUNDS ALLOCATED TOWARDS THIS ACTIVITY WERE USED FOR ADDITIONAL FAMILY EDUCATION/STRESS REDUCTION KITS. IN ADDITION, WATER BOTTLES FOR CHILDREN WERE PROVIDED DUE TO THE CLOSURE OF WATER FOUNTAINS. FRANCSICAN HEALTH INDIANAPOLIS TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - INFANT MORTALITY - ADULT MENTAL HEALTH - SUBSTANCE ABUSE - PUBLIC SAFETY - PEDIATRIC MENTAL HEALTH - ACCESS TO HEALTH SERVICES - PHYSICAL ACTIVITY AND NUTRITION - UNINTENTIONAL INJURY - TOBACCO USE - TRANSPORTATION THERE IS A SIGNIFICANT LINK BETWEEN EIGHT OF THESE ISSUES AND ADVERSE CHILDHOOD EXPERIENCES ("ACES"). THEREFORE, THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED (WITH 2021 PROGRESS INDICATED): - FACILITATE ACES CONNECTION COMMUNITY PAGES: ACHIEVED IN 2021 - PROVIDE FACT SHEETS, ARTICLES, AND OTHER FREE RESOURCES: ACHIEVED IN 2021 - OFFER FREE SCREENINGS OF RESILIENCE FILM: ACHIEVED IN 2021. DUE TO COVID, THE ANTICIPATED NUMBER OF SHOWINGS WERE NOT POSSIBLE. HOWEVER, A VIRTUAL SHOWING DID ALLOW FOR THE NUMBER OF ANTICIPATED INDIVIDUALS TO BE SERVED. - COORDINATE TRAINING OPPORTUNITIES FOR PROFESSIONALS: ACHIEVED IN 2021 - DEVELOP COMMUNITY RESILIENCY COALITION: ACHIEVED IN 2021 - PROVIDE HEALING ACTIVITIES: THIS WAS MET IN 2021, WITH A SLIGHT CHANGE DUE TO COVID. FAMILY EDUCATION/STRESS REDUCTION KITS WERE DISTRIBUTED TO VULNERABLE FAMILIES TO ASSIST IN COPING WITH THE PANDEMIC. - LOCAL PROJECT: DUE TO COVID, THIS PROJECT WAS NOT COMPLETED. FUNDS ALLOCATED TO THIS PROJECT WERE USED FOR RELIEF PROJECTS FOR THE BURMESE COMMUNITY. THIS INLCUDED DISTRIBUTION OF FOOD, HYGIENE SUPPLIES, SCHOOL SUPPLIES, AND YOUTH VACCINES. COVID GREATLY DISTRUPTED FINANCIAL RESOURCES AND THESE EFFORTS ASSISTED THE MOST VULNERABLE FAMILIES. THE PROJECT WILL NOT CONTINUE IN 2021 AS PLANNED BECAUSE OF CONTINUED RESTRICTIONS RELATED TO THE PANDEMIC. IN FALL 2021, A CAREER CONFERENCE FOR THE SAME TARGET POPULATION WILL BE HELD WITH TRAUMA RELATED RESOURCES INTIGRATED INTO THE CONTENT. FRANCSICAN HEALTH LAFAYETTE TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - FAMILY POVERTY - INFANT MORTALITY - YOUTH MENTAL HEALTH - SUBSTANCE ABUSE - ADULT MENTAL HEALTLH - FOOD INSECURITY - HOMELESSNESS - AFFORDABLE HEALTH CARE - TOBACCO USE - PHYSICAL ACTIVITY AND NUTRITION - QUALITY THERE IS A SIGNIFICANT LINK BETWEEN EIGHT OF THESE ISSUES AND ADVERSE CHILDHOOD EXPERIENCES ("ACES"). THEREFORE, THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED (WITH 2021 PROGRESS INDICATED): - FACILITATE ACES CONNECTION COMMUNITY PAGES: ACHIEVED IN 2021 - PROVIDE FACT SHEETS, ARTICLES, AND OTHER FREE RESOURCES: ACHIEVED IN 2021 - OFFER FREE SCREENINGS OF RESILIENCE FILM: ACHIEVED IN 2021 - COORDINATE TRAINING OPPORTUNITIES FOR PROFESSIONALS: ACHIEVED IN 2021 - DEVELOP COMMUNITY RESILIENCY COALITION: ACHIEVED IN 2021 - PROVIDE HEALING ACTIVITIES: THIS WAS MET IN 2021, WITH A SLIGHT CHANGE DUE TO COVID. FAMILY EDUCATION/STRESS REDUCTION KITS WERE DISTRIBUTED TO VULNERABLE FAMILIES TO ASSIST IN COPING WITH THE PANDEMIC. - LOCAL PROJECT: EMPATH, A MULTI HEALTH SYSTEM APPROACH TO FINDING APPROPRIATE CARE FOR THOSE WITH MENTAL HEALTH ISSUES: ACHIEVED IN 2021 FRANCISCAN HEALTH MICHIGAN CITY TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - PEDIATRIC MENTAL HEALTH - ADULT MENTAL HEALTH - CHILD ABUSE AND NEGLECT - FOOD INSECURITY - SUBSTANCE ABUSE - CANCER - SOCIAL SUPPORTS - PHYSICAL ACTIVITY AND NUTRITION - TOBACCO USE - TRANSPORTATION THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED (WITH 2021 PROGRESS INDICATED): - LOCAL PROJECT: FOOD PHARMACY: ACHIEVED IN 2021
LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT CON'T FRANCISCAN HEALTH MOORESVILLE TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - SUBSTANCE ABUSE - ADULT MENTAL HEALTH - FOOD INSECURITY - PEDIATRIC MENTAL HEALTH - PHYSICAL ACTIVITY AND NUTRITION - PUBLIC SAFETY - CANCER - TOBACCO USE - TRANSPORTATION - AFFORDABLE CHILD CARE THERE IS A SIGNIFICANT LINK BETWEEN EIGHT OF THESE ISSUES AND ADVERSE CHILDHOOD EXPERIENCES ("ACES"). THEREFORE, THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED (WITH 2021 PROGRESS INDICATED): - FACILITATE ACES CONNECTION COMMUNITY PAGES: ACHIEVED IN 2021 - PROVIDE FACT SHEETS, ARTICLES, AND OTHER FREE RESOURCES: ACHIEVED IN 2021 - OFFER FREE SCREENINGS OF RESILIENCE FILM: ACHIEVED IN 2021 - COORDINATE TRAINING OPPORTUNITIES FOR PROFESSIONALS: ACHIEVED IN 2021 - DEVELOP COMMUNITY RESILIENCY COALITION: ACHIEVED IN 2021 - PROVIDE HEALING ACTIVITIES: THIS WAS MET IN 2021, WITH A SLIGHT CHANGE DUE TO COVID. FAMILY EDUCATION/STRESS REDUCTION KITS WERE DISTRIBUTED TO VULNERABLE FAMILIES TO ASSIST IN COPING WITH THE PANDEMIC. - LOCAL PROJECT: TRIPLE PLAY PROGRAM WITH BOYS AND GIRLS CLUB: ACHIEVED IN 2021 WITH CHANGES. DUE TO COVID, THE LOCAL PROJECT WAS NOT ABLE TO BE COMPLETED. THE FUNDS ALLOCATED FOR THIS WERE REDIRECTED TO FAMILY EDUCATION/STRESS REDUCTION KITS. VIRTUAL EDUCATION FOR PROFESSIONALS AND FAMILIES WERE OFFERED TO PROVIDE ADDITIONAL SUPPORT. THIS FOLLOWS THE SAME INTENTION AS THE ORIGINAL PROJECT. THE PROGRAM WILL CONTINUE IN 2022. FRANCISCAN HEALTH OLYMPIA FIELDS TOP HEALTH NEEDS INCLUDE (TOP NEEDS FIRST): - POVERTY - ACCESS TO HEALTH SERVICES - MATERNAL MORBIDITY - UNINSURED/UNDERINSURED - ADULT MENTAL HEALTH - YOUTH SOCIAL SUPPORTS - PUBLIC SAFETY/GUN VIOLENCE - CANCER - RESPIRATORY DISEASES - TRANSPORTATION THERE IS A SIGNIFICANT LINK BETWEEN EIGHT OF THESE ISSUES AND ADVERSE CHILDHOOD EXPERIENCES ("ACES"). THEREFORE, THE FOLLOWING IMPLEMENTATION STRATEGIES WILL BE USED, WITH 2021 PROGRESS INDICATED: - FACILITATE ACES CONNECTION COMMUNITY PAGES: ACHIEVED IN 2021 - PROVIDE FACT SHEETS, ARTICLES, AND OTHER FREE RESOURCES: ACHIEVED IN 2021 - OFFER FREE SCREENINGS OF RESILIENCE FILM: ACHIEVED IN 2021 - COORDINATE TRAINING OPPORTUNITIES FOR PROFESSIONALS: ACHIEVED IN 2021 - DEVELOP COMMUNITY RESILIENCY COALITION: ACHIEVED IN 2021 - PROVIDE HEALING ACTIVITIES: THIS WAS MET IN 2021, WITH A SLIGHT CHANGE DUE TO COVID. FAMILY EDUCATION/STRESS REDUCTION KITS WERE DISTRIBUTED TO VULNERABLE FAMILIES TO ASSIST IN COPING WITH THE PANDEMIC. - LOCAL PROJECT: JONES CENTER PARTNERSHIP: YOUTH BEHAVIORAL HEALTH SERVICES AND EDUCATION PROVIDED TO LOW INCOME FAMILIES: DUE TO COVID, THE LOCAL PROJECT WAS NOT ABLE TO BE COMPLETED. THE FUNDS ALLOCATED FOR THIS WERE REDIRECTED TO FAMILY EDUCATION/STRESS REDUCTION KITS. VIRTUAL EDUCATION FOR PROFESSIONALS AND FAMILIES WERE OFFERED TO PROVIDE ADDITIONAL SUPPORT. THIS FOLLOWS THE SAME INTENTION AS THE ORIGINAL PROJECT. THE PROGRAM WILL CONTINUE IN 2022.
LINE 15 AND 16: ALL FACILITIES THROUGH FRANCISCAN ALLIANCE, INC. ("FRANCISCAN"), WE CONTINUE THE HEALING MINISTRY OF CHRIST IN A CATHOLIC HEALTH CARE SYSTEM THAT UPHOLDS THE MORAL VALUES AND TEACHINGS OF THE CATHOLIC CHURCH. CENTRAL CONCERNS OF THIS CORPORATE MINISTRY INCLUDE COMPASSION FOR THOSE IN NEED, RESPECT FOR LIFE AND THE DIGNITY OF PERSONS. FRANCISCAN BELIEVES IN THE DIGNITY, UNIQUENESS, AND WORTH OF EACH INDIVIDUAL AND, WITHIN THE LIMITS OF OUR RESOURCES, FRANCISCAN OFFERS A COMPREHENSIVE RANGE OF HEALTH CARE SERVICES TO ALL REGARDLESS OF RACE, CREED, COLOR, SEX, NATIONAL ORIGIN, HANDICAP OR AN INDIVIDUAL'S FINANCIAL CAPABILITY. IN LIGHT OF THIS BELIEF, WE CONSIDER OUR HEALTH CARE SERVICES TO BE REACHING OUT AND RESPONDING, IN A CHRIST-LIKE MANNER, TO THOSE WHO ARE PHYSICALLY, MATERIALLY, OR SPIRITUALLY IN NEED. FRANCISCAN IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE, IN THE FORM OF CHARITY CARE OR UNINSURED DISCOUNTS, TO PERSONS WHO ARE UNINSURED OR UNDERINSURED, WHO ARE INELIGIBLE FOR GOVERNMENTAL OR SOCIAL SERVICE PROGRAMS, AND WHO OTHERWISE ARE UNABLE TO PAY FOR EMERGENCY SERVICES OR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. CONSISTENT WITH OUR MISSION TO DELIVER COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH CARE AND TO ADVOCATE FOR THOSE WHO ARE POOR AND DISENFRANCHISED, FRANCISCAN STRIVES TO ENSURE THE FINANCIAL CAPACITY OF PEOPLE WHO NEED MEDICALLY NECESSARY HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING THAT CARE. FRANCISCAN'S FINANCIAL ASSISTANCE POLICY IS DESIGNED TO ALLOW RELIEF FROM ALL OR PART OF THE CHARGES RELATED TO EMERGENCY OR MEDICALLY NECESSARY HEALTH CARE SERVICES THAT EXCEED A PATIENT'S REASONABLE ABILITY TO PAY. IN ORDER TO ENSURE TRANSPARENCY, CONSISTENCY AND FAIRNESS, WE ASK PATIENTS TO COOPERATE BY PROVIDING NECESSARY INFORMATION TO DETERMINE THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. FOR PATIENTS NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE, FRANCISCAN COMMUNICATES THE AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY THROUGH THE FOLLOWING MEANS: 1. FRANCISCAN COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN APPROPRIATE CARE SETTINGS SUCH AS EMERGENCY DEPARTMENTS, ADMITTING/REGISTRATION AREAS, BILLING OFFICES, OUTPATIENT SERVICE SETTINGS, AND ON OUR HOSPITALS' WEBSITES. SIGNS/POSTINGS INFORM PATIENTS THAT FREE OR REDUCED COST CARE MAY BE AVAILABLE TO QUALIFYING PATIENTS WHO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. 2. BROCHURES SUMMARIZING OUR FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE THROUGHOUT EACH FRANCISCAN HOSPITAL. 3. FINANCIAL COUNSELORS AND BUSINESS OFFICE PERSONNEL ARE AVAILABLE TO HELP PATIENTS UNDERSTAND AND APPLY FOR LOCAL, STATE, FEDERAL HEALTH CARE, AND HEALTH INSURANCE EXCHANGE PROGRAMS AND FRANCISCAN'S FINANCIAL ASSISTANCE PROGRAMS. 4. ALL BILLS AND STATEMENTS FOR SERVICES INFORM UNINSURED PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. 5. PATIENTS/GUARANTORS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE APPLICATION BY CALLING THE FRANCISCAN BILLING OFFICE OR DOWNLOADING A COPY AT NO COST FROM FRANCISCAN HOSPITAL'S WEBSITES. 6. PATIENTS/GUARANTORS CAN REQUEST FINANCIAL ASSISTANCE INFORMATION BY CALLING FRANCISCAN'S BILLING OFFICE PHONE LINE ON A 24-HOUR BASIS. 7. INDIVIDUALS OTHER THAN THE PATIENT, SUCH AS THE PATIENT'S PHYSICIAN, FAMILY MEMBERS, COMMUNITY OR RELIGIOUS GROUPS, SOCIAL SERVICES, OR HOSPITAL PERSONNEL MAY MAKE REQUESTS FOR FINANCIAL ASSISTANCE ON THE PATIENT'S BEHALF, SUBJECT TO APPLICABLE PRIVACY LAWS. 8. PRIOR TO TRANSFER TO A COLLECTION AGENCY, FRANCISCAN SENDS A MINIMUM OF 4 STATEMENTS AND MAKES 6 PHONE CALL ATTEMPTS TO CONTACT THE PATIENT/GUARANTOR AT THE ADDRESS AND PHONE NUMBER PROVIDED BY THE PATIENT/GUARANTOR. STATEMENTS AND COMMUNICATIONS INFORM THE PATIENT OF THE AMOUNT DUE AND IF THEY CANNOT PAY THEIR BALANCE THE AVAILABILITY OF FINANCIAL ASSISTANCE. A PATIENT'S QUALIFICATION FOR CHARITY CARE IS DETERMINED THROUGH A FINANCIAL ASSISTANCE APPLICATION AND SCREENING PROCESS. PATIENTS WHO MAY QUALIFY FOR MEDICAID OR ANY OTHER GOVERNMENTAL ASSISTANCE MUST BE DENIED COVERAGE OR ASSISTANCE FROM THOSE GOVERNMENTAL PROGRAMS PRIOR TO RECEIVING APPROVAL FOR CHARITY CARE. AS SUCH, FRANCISCAN OFFERS PATIENTS ASSISTANCE IN APPLYING OR ENROLLING IN SUCH PROGRAMS. A PATIENT WILL NEED TO FILL OUT, SIGN, AND SUBMIT THE FINANCIAL ASSISTANCE APPLICATION ALONG WITH ALL REQUESTED DOCUMENTATION OF INCOME, EXPENSES, ASSETS, AND LIABILITIES. FRANCISCAN'S BILLING OFFICE WILL PLACE THE PATIENT'S ACCOUNT ON HOLD ONCE A FINANCIAL ASSISTANCE APPLICATION HAS BEEN REQUESTED AND UNTIL A FINANCIAL ASSISTANCE DETERMINATION IS MADE. APPLICANTS ARE TREATED WITH DIGNITY AND RESPECT THROUGHOUT THE FINANCIAL ASSISTANCE PROCESS AND ALL INFORMATION/MATERIALS RECEIVED ARE CONFIDENTIALLY MAINTAINED. FRANCISCAN ALSO UTILIZES AN EXTERNAL VENDOR, SERVICE, OR DATA SOURCE THAT PROVIDES INFORMATION ON A PATIENT'S OR GUARANTOR'S ABILITY TO PAY (I.E. CREDIT SCORING). ELIGIBILITY FOR CHARITY CARE MAY BE DETERMINED AT ANY POINT IN THE COLLECTIONS CYCLE (I.E. PRIOR TO THE PROVISION OF SERVICES, DURING THE NORMAL COLLECTIONS CYCLE, OR MAY BE USED TO RE-CLASSIFY ACCOUNTS AFTER THEY HAVE BEEN DEEMED UNCOLLECTIBLE AND SUBSEQUENTLY RETURNED FROM A THIRD PARTY COLLECTION AGENCY). ONCE APPROVED, THE PATIENT WILL REMAIN ELIGIBLE FOR CHARITY CARE FOR A MAXIMUM OF FOUR MONTHS. THE ELIGIBILITY PERIOD WILL BEGIN FROM THE DATE OF THE PATIENT'S APPROVAL OF CHARITY CARE. CHARITY CARE DISCOUNTS WILL BE GIVEN FOR CURRENT OPEN ACCOUNTS AND THE FOLLOWING FOUR MONTHS OF EMERGENCY SERVICES OR MEDICALLY NECESSARY CARE. AFTER THE ELIGIBILITY PERIOD HAS ELAPSED, THE PATIENT MUST REAPPLY FOR FINANCIAL ASSISTANCE.
LINES 16A, 16B, AND 16C: ALL FACILITIES THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT THE FOLLOWING ADDRESS: HTTPS://STATEMENTS.FRANCISCANALLIANCE.ORG/INFO/FINANCIALASSISTANCE.ASPX
LINE 22: FRANCISCAN HEALTH OLYMPIA FIELDS FRANCISCAN HEALTH OLYMPIA FIELDS COMPUTES THE MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS BASED ON THE ILLINOIS UNINSURED DISCOUNT ACT. UNDER THIS ACT, ILLINOIS FACILITIES CANNOT CHARGE GREATER THAN 135% OF COST. THIS METHOD RESULTS IN A LARGER DISCOUNT THAN THAT DETERMINED BY THE FEDERAL CALCULATION.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2021
Page 9
Schedule H (Form 990) 2021
Page 9
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?188
Name and address Type of Facility (describe)
1 INDIANA HEART PHYSICIANS
5330 E STOP 11 RD
INDIANAPOLIS,IN462376345 		PHYSICIAN PRACTICE
2 FPN OBSTETRICS & GYNECOLOGY
3920 ST FRANCIS WAY
LAFAYETTE,IN479054917 		PHYSICIAN PRACTICE
3 FPN ONCOLOGY HEMATOLOGY
1701 S CREASY LN
LAFAYETTE,IN479054972 		PHYSICIAN PRACTICE
4 FRANCISCAN HAMMOND CLINIC
7905 CALUMET AVE
MUNSTER,IN463212549 		SPECIALTY CENTER/URGENT CARE
5 FPN HP FW
3500 FRANCISCAN WAY
MICHIGAN CITY,IN463600021 		PHYSICIAN PRACTICE
6 SPECIALTY PHYSICIANS OF ILLINOIS
3700 W 203RD ST
OLYMPIA FIELDS,IL60461 		PHYSICIAN PRACTICE
7 SPECIALTY PHYSICIANS OF ILLINOIS
20201 S CRAWFORD AVE
OLYMPIA FIELDS,IL604611010 		PHYSICIAN PRACTICE
8 FPN PSYCHIATRIC SPECIALISTS
5230 E STOP 11 RD
INDIANAPOLIS,IN462376401 		PHYSICIAN PRACTICE
9 MICHIGAN CITY COOLSPRING HEALTH CENTER
1225 E COOLSPRING AVE
MICHIGAN CITY,IN463606312 		PHYSICIAN PRACTICE
10 FPN MEDICAL PAVILION SOUTH
2150 GETTLER ST
DYER,IN463112381 		MEDICAL PAVILION
11 FRANCISCAN HEALTH CANCER CENTER MULTI DI
811 S EMERSON AVE
INDIANAPOLIS,IN462378601 		PHYSICIAN PRACTICE
12 FPN ORTHOPEDIC SPECIALISTS
5255 E STOP 11 RD
INDIANAPOLIS,IN462376341 		PHYSICIAN PRACTICE
13 DYER OUT PATIENT REHAB
24 JOLIET ST
DYER,IN463111705 		PHYSICIAN PRACTICE
14 FPN ILLINOIS
SUITE 120
PLAINFIELD,IN461682817 		PHYSICIAN PRACTICE
15 FRANCISCAN MEDICAL SPECIALISTS
761 45TH AVE
MUNSTER,IN463212899 		PHYSICIAN PRACTICE
16 WOODLAND HEALTH CENTER
8865 W 400 N
MICHIGAN CITY,IN463609010 		PHYSICIAN PRACTICE
17 FRANCISCAN HEALTH MUNSTER
701 SUPERIOR AVE
MUNSTER,IN463214037 		ONCOLOGY
18 COLUMBUS PRIMARY & SPECIALTY CARE
123 2ND ST
COLUMBUS,IN472016705 		PHYSICIAN PRACTICE
19 FRANCISCAN HAMMOND CLINIC
9800 VALPARAISO DR
MUNSTER,IN463214040 		FAMILY WELLNESS CENTER
20 FPN STONES CROSSING
1703 W STONES CROSSING RD
GREENWOOD,IN461438558 		PHYSICIAN PRACTICE
21 FPN CP CARDIOLOGY
1205 S MAIN ST STE 101
CROWN POINT,IN463073677 		PHYSICIAN PRACTICE
22 FRANCISCAN PHYSICIAN NETWORK
SUITE D
GREENWOOD,IN461431082 		PHYSICIAN PRACTICE
23 FRANCISCAN MEDICAL SPECIALISTS
919 MAIN ST STE 101
DYER,IN463113717 		PHYSICIAN PRACTICE
24 ORTHOPEDIC SPECIALISTS
5255 E STOP 11 RD
INDIANAPOLIS,IN462376341 		PHYSICIAN PRACTICE
25 FPN CROWN POINT
1201 S MAIN ST
CROWN POINT,IN463078481 		PHYSICIAN PRACTICE
26 FPN CP SPECIALTY CENTER
1205 S MAIN ST STE 201
CROWN POINT,IN463073677 		PHYSICIAN PRACTICE
27 JOINT REPLACEMENT SURGEONS
1199 HADLEY RD
MOORESVILLE,IN461581788 		PHYSICIAN PRACTICE
28 FPN DERMATOLOGY FAMILY MEDICINE & PEDS
915 SAGAMORE PARKWAY WEST
LAFAYETTE,IN479061443 		PHYSICIAN PRACTICE
29 ST FRANCIS WAY MEDICAL BUILDING LAFAYETT
3900 ST FRANCIS WAY
LAFAYETTE,IN479054940 		PHYSICIAN PRACTICE
30 INDY SOUTHSIDE SURGICAL
5255 E STOP 11 RD STE 450
INDIANAPOLIS,IN462376342 		PHYSICIAN PRACTICE
31 FRANCISCAN PHYSICIAN NETWORK
SUITE 250
INDIANAPOLIS,IN462376343 		PHYSICIAN PRACTICE
32 FPN CP VALPARAISO CLINIC
2421 LAPORTE AVE
VALPARAISO,IN463836914 		PHYSICIAN PRACTICE
33 FPN CROWN POINT PEDIATRIC HEALTH CENTER
1141 S INDIANA AVE
CROWN POINT,IN463077205 		PHYSICIAN PRACTICE
34 FPN CROWN POINT EXPRESS CARE
12800 MISSISSIPPI PKWY
CROWN POINT,IN463076902 		EXPRESS CARE CLINIC
35 NEUROSURGICAL SPECIALISTS
8051 S EMERSON AVE
INDIANAPOLIS,IN462378630 		PHYSICIAN PRACTICE
36 FRANCISCAN HEALTH HAMMOND
5454 HOHMAN AVE
HAMMOND,IN463201931 		PHYSICIAN PRACTICE
37 DIGESTIVE HEALTHCARE SPECIALISTS
SUITE 155
MICHIGAN CITY,IN463609010 		PHYSICIAN PRACTICE
38 FPN COOLSPRING HEALTH CENTER
SUITE 200
MICHIGAN CITY,IN463606312 		PHYSICIAN PRACTICE
39 SPECIALTY PHYSICIANS OF ILLINOIS
3800 W 203RD ST
OLYMPIA FIELDS,IL604611185 		PHYSICIAN PRACTICE
40 MOORESVILLE FAMILY CARE
1001 HADLEY RD
MOORESVILLE,IN461581883 		PHYSICIAN PRACTICE
41 FPN SURGICAL SPECIALISTS
1630 LAFAYETTE RD
CRAWFORDSVILLE,IN479331092 		PHYSICIAN PRACTICE
42 FPN EXPRESS CARE & IMAGING CENTER
909 SAGAMORE PKWY W
LAFAYETTE,IN479061443 		PHYSICIAN PRACTICE
43 FRANCISCAN HEALTH FAMILY MEDICINE CENTER
SUITE 250
INDIANAPOLIS,IN462376399 		PHYSICIAN PRACTICE
44 MOORESVILLE SURGERY & ENDOSCOPY CENTER
1215 HADLEY RD STE 205
MOORESVILLE,IN461582905 		SURGERY / ENDOSCOPY CENTER
45 PEDIATRIC ASSOCIATES OF GREENWOOD
900 AVERITT RD
GREENWOOD,IN461439540 		PHYSICIAN PRACTICE
46 FRANCISCAN PHYSICIAN NETWORK
SUITE 200
CRAWFORDSVILLE,IN479331092 		PHYSICIAN PRACTICE
47 FPN INDIANAPOLIS
SUITE 150
INDIANAPOLIS,IN462376399 		PHYSICIAN PRACTICE
48 CARMEL FAMILY MEDICINE
12188B N MERIDIAN ST STE 250
CARMEL,IN460324901 		PHYSICIAN PRACTICE
49 INDIANA HEART PHYSICIANS
1201 HADLEY RD
MOORESVILLE,IN461581737 		PHYSICIAN PRACTICE
50 MADISON AVE FAMILY MEDICINE
747 E COUNTY LINE RD
GREENWOOD,IN461431082 		PHYSICIAN PRACTICE
51 THE ENDOSCOPY CENTER AT ST FRANCIS
8051 S EMERSON AVE
INDIANAPOLIS,IN462378667 		ENDOSCOPY CENTER
52 FRANCISCAN IMMEDIATE CARE THOMPSON
5210 E THOMPSON RD
INDIANAPOLIS,IN462372085 		IMMEDIATE CARE
53 INDIANAPOLIS MADISON AVE FRANCISCAN
EXPRESS CARE 1001 N MADISON AVE
GREENWOOD,IN461424135 		IMMEDIATE CARE
54 FPN BROADWAY HEALTH CENTER
9470 BROADWAY
CROWN POINT,IN463075722 		PHYSICIAN PRACTICE
55 FPN SA SV MULTI
7310 W LINCOLN HIGHWAY
CROWN POINT,IN463079528 		PHYSICIAN PRACTICE
56 FRANCISCAN PHYSICIAN NETWORK
SUITE 2B
MICHIGAN CITY,IN463606312 		PHYSICIAN PRACTICE
57 FPN CP CHESTERTON NEURO
770 INDIAN BOUNDARY RD
CHESTERTON,IN463041519 		PHYSICIAN PRACTICE
58 PHYSICIAN OFFICE WINFIELD HEALTH CENTER
11161 RANDOLPH ST
CROWN POINT,IN463078564 		PHYSICIAN PRACTICE
59 SOUTHPORT FP AND SPORTS MEDICINE
7825 MCFARLAND LN STE A
INDIANAPOLIS,IN462373630 		PHYSICIAN PRACTICE
60 FPN CRAWFORDSVILLE
1710 LAFAYETTE RD
CRAWFORDSVILLE,IN479331033 		PHYSICIAN PRACTICE
61 BEECH GROVE FAMILY MEDICINE
2030 CHURCHMAN AVE
BEECH GROVE,IN461071044 		PHYSICIAN PRACTICE
62 FPN HP MC EXPRESS CARE
4111 FRANKLIN ST
MICHIGAN CITY,IN463607803 		PHYSICIAN PRACTICE
63 HEARTLAND INTERNAL MEDICINE
10701 ALLIANCE DR STE A
CAMBY,IN461138837 		PHYSICIAN PRACTICE
64 FPN OMNI FAMILY HEALTH CENTER
221 US HWY 41
SCHERERVILLE,IN463751278 		PHYSICIAN PRACTICE
65 OMNI PHYSICIAN SUITES
SUITE I
SCHERERVILLE,IN463751278 		PHYSICIAN PRACTICE
66 FPN HP FS INTERNAL MED
3723 FRANKLIN ST
MICHIGAN CITY,IN463607310 		PHYSICIAN PRACTICE
67 SOUTHEAST FAMILY MEDICINE
965 EMERSON PKWY
GREENWOOD,IN461436273 		PHYSICIAN PRACTICE
68 COUNTY LINE PEDIATRICS
747 E COUNTY LINE RD
GREENWOOD,IN461431050 		PHYSICIAN PRACTICE
69 FPN SOUTHSIDE FAMILY PRACTICE CRAWFORDSV
1640 CRAWFORDSVILLE SQUARE DR
CRAWFORDSVILLE,IN479333800 		PHYSICIAN PRACTICE
70 FRANCISCAN MEDICAL SPECIALISTS
5529 HOHMAN AVE
HAMMOND,IN463201936 		PHYSICIAN PRACTICE
71 CROWN POINT MEDICAL OFFICE
297 W FRANCISCAN DR
CROWN POINT,IN463074859 		PHYSICIAN PRACTICE
72 LAFAYETTE FRANCISCAN HEALTHY LIVING CLIN
1116 N 16TH ST
LAFAYETTE,IN479042119 		PHYSICIAN PRACTICE
73 ORTHOPEDIC SPECIALISTS
5255 E STOP 11 RD
INDIANAPOLIS,IN462376341 		PHYSICIAN PRACTICE
74 ST JOHN FAMILY SERVICES
10860 MAPLE LANE
SAINT JOHN,IN463738418 		PHYSICIAN PRACTICE
75 FPN DYER FAMILY HEALTH CENTER
840 RICHARD RD
DYER,IN463111994 		PHYSICIAN PRACTICE
76 FRANKLIN TOWNSHIP FAMILY MEDICINE
8325 E SOUTHPORT RD
INDIANAPOLIS,IN462596805 		PHYSICIAN PRACTICE
77 FRANCISCAN HEALTH WEIGHT LOSS CENTER
SUITE 190
INDIANAPOLIS,IN462376399 		PHYSICIAN PRACTICE
78 FRANCISCAN PHYSICIAN NETWORK
SUITE 260
DYER,IN463112381 		PHYSICIAN PRACTICE
79 FRANCISCAN HEALTH CITYWAY
426 S ALABAMA ST
INDIANAPOLIS,IN462253301 		PHYSICIAN PRACTICE
80 FPN RENSSELAER MED CTR - FM & GEN SURGER
118 W DREXEL PKWY
RENSSELAER,IN479787344 		PHYSICIAN PRACTICE
81 PLAINFIELD MEDICAL CENTER
315 DAN JONES RD
PLAINFIELD,IN461682817 		PHYSICIAN PRACTICE
82 VASCULAR
5255 E STOP 11 RD STE 430
INDIANAPOLIS,IN462376341 		PHYSICIAN PRACTICE
83 FPN 400 NORTH HEALTH CENTER
8733 W 400 N
MICHIGAN CITY,IN463609330 		PHYSICIAN PRACTICE
84 LAFAYETTE FERRY STREET MEDICAL BUILDING
2708 FERRY ST
LAFAYETTE,IN479043021 		PHYSICIAN PRACTICE
85 FPN MICHIGAN CITY
8955 W 400 NORTH
MICHIGAN CITY,IN463609330 		PHYSICIAN PRACTICE
86 PLAINFIELD FAMILY MEDICINE
SUITE 150
PLAINFIELD,IN461682848 		PHYSICIAN PRACTICE
87 GREENWOOD PARKE FAMILY MEDICINE
701 E COUNTYLINE RD
GREENWOOD,IN461431071 		SLEEP CENTER
88 FPN SOUTH 31 FAMILY CARE
610 E SOUTHPORT RD
INDIANAPOLIS,IN462278592 		PHYSICIAN PRACTICE
89 FPN CEDAR LAKE HEALTH CENTER
6831 133RD AVE
CEDAR LAKE,IN463039998 		PHYSICIAN PRACTICE
90 INDIANAPOLIS WORKING WELL ALABAMA STREET
325 S ALABAMA ST
INDIANAPOLIS,IN462043710 		EXPRESS CARE CLINIC
91 OLYMPIA FIELDS COMPREHENSIVE CANCER INST
3900 W 203RD ST
OLYMPIA FIELDS,IL604611183 		PHYSICIAN PRACTICE
92 CHICAGO HEIGHTS PROFESSIONAL BUILDING
30 E 15TH ST STE 202
CHICAGO HEIGHTS,IL604113476 		RESIDENCY CLINIC
93 FPN LOWELL HEALTH CENTER
4500 WEST 181ST AVE
LOWELL,IN463560017 		PHYSICIAN PRACTICE
94 KENDRICK FAMILY MEDICINE
1001 HADLEY RD STE 101
MOORESVILLE,IN461581884 		PHYSICIAN PRACTICE
95 FPN RHEUMATOLOGY
SUITE 320
INDIANAPOLIS,IN462376341 		PHYSICIAN PRACTICE
96 FPN CROWN POINT INTERNAL MEDICINE AND SP
SUITE 201
CROWN POINT,IN463073677 		PHYSICIAN PRACTICE
97 MOORESVILLE FAMILY CARE
1001 HADLEY RD
MOORESVILLE,IN461581883 		PHYSICIAN PRACTICE
98 FPN ILLINOIS
SUITE 201
OLYMPIA FIELDS,IL604611182 		PHYSICIAN PRACTICE
99 FPN OF ILLINOIS EXPRESS CARE
20180 S LAGRANGE RD
FRANKFORT,IL604233153 		EXPRESS CARE CLINIC
100 TINLEY PARK WALK-IN CLINIC
16650 HARLEM AVE STE 1
TINLEY PARK,IL604771847 		PHYSICIAN PRACTICE
101 FPN INDY SOUTHSIDE FAMILY MEDICINE
4018 EAST SOUTHPORT RD
INDIANAPOLIS,IN462373223 		PHYSICIAN PRACTICE
102 MATTESON HEALTH CENTER
20939 S CICERO AVE
MATTESON,IL604431620 		PHYSICIAN PRACTICE
103 HOBART EXPRESS CARE & WORKING WELL
101 W 61ST AVE
HOBART,IN463426449 		PHYSICIAN PRACTICE
104 WHITE OAK PROFESSIONAL BUILDING
1644 45TH ST
MUNSTER,IN463213970 		PHYSICIAN PRACTICE
105 DUNELAND HEALTH AND WELLNESS
810 MICHAEL DR
CHESTERTON,IN463042695 		PHYSICIAN PRACTICE
106 FRANCISCAN BEHAVIORAL HEALTH CENTER CROW
SUITE C
CROWN POINT,IN463072048 		PHYSICIAN PRACTICE
107 FPN CROWN POINT NORTH
2050 N MAIN ST
CROWN POINT,IN463072048 		PHYSICIAN PRACTICE
108 FPN HAMMOND FAMILY HEALTH CENTER
5500 HOHMAN AVE STE 2A
HAMMOND,IN463201942 		PHYSICIAN PRACTICE
109 FRANCISCAN HEALTH RENSSELAER
1104 E GRACE ST
RENSSELAER,IN479783211 		PHYSICIAN PRACTICE
110 LAPORTE LEGACY HILLS HEALTH CENTER
309 W JOHNSON RD
LAPORTE,IN463501943 		PHYSICIAN PRACTICE
111 FPN GYNECOLOGIC ONCOLOGY
SUITE 104
INDIANAPOLIS,IN462378601 		PHYSICIAN PRACTICE
112 CRAWFORDSVILLE EAST SIDE FAMILY MEDICINE
2056 LEBANON RD
CRAWFORDSVILLE,IN479332143 		PHYSICIAN PRACTICE
113 CRAWFORDSVILLE ATHENS OUTPATIENT CENTER
1660 LAFAYETTE RD STE 300
LAFAYETTE,IN479334601 		PHYSICIAN PRACTICE
114 FRANCISCAN PHYSICIAN NETWORK
SUITE A
GREENWOOD,IN461429425 		PHYSICIAN PRACTICE
115 CRAWFORDSVILLE FRANCISCAN HEALTH LIVING
1704 LAFAYETTE RD
LAFAYETTE,IN479331071 		PHYSICIAN PRACTICE
116 FPN MONTICELLO MEDICAL CENTER
826 N 6TH ST
MONTICELLO,IN479601752 		MEDICAL PRACTICE
117 FPN COLUMBUS SPECIALTY CENTER
4035 MIMOSA DR
COLUMBUS,IN472017200 		PHYSICIAN PRACTICE
118 FPN INDIANA HEART PHYSICIANS SHELBYVILLE
2451 INTELLIPLEX DR
SHELBYVILLE,IN461768580 		CARDIOVASCULAR
119 FPN AFTER-HOURS CLINIC INDY SOUTH
7855 S EMERSON AVE
INDIANAPOLIS,IN462378669 		PHYSICIAN PRACTICE
120 GREENWOOD SPRINGS MEDICAL BUILDING
1040 GREENWOOD SPRINGS BLVD
GREENWOOD,IN461437975 		PHYSICIAN PRACTICE
121 MERRILLVILLE INFUSION CENTER
300 W 80TH PL
MERRILLVILLE,IN464105476 		PHYSICIAN PRACTICE
122 VASCULAR CENTER OF THE GREAT LAKES
SUITE 175
MICHIGAN CITY,IN463609010 		PHYSICIAN PRACTICE
123 DUNELAND HEALTH & WELLNESS INSTITUTE - C
SUITE I
CHESTERTON,IN463042695 		PHYSICIAN PRACTICE
124 FRANCISCAN EXPRESSCARE RENSSELAER
919 E GRACE ST
RENSSELAER,IN479783207 		EXPRESSCARE
125 FAMILY MEDICINE SHELBYVILLE
SUITE 220
SHELBYVILLE,IN461768581 		PHYSICIAN PRACTICE
126 VALPARAISO EXPRESSCARE & WORKING WELL
2307 LAPORTE AVE STE 8
VALPARAISO,IN463836997 		PHYSICIAN PRACTICE
127 FPN ST CLARE CLINIC INTERNAL MEDICINE
1121 S INDIANA AVE
CROWN POINT,IN463077205 		PHYSICIAN PRACTICE
128 FRANCISCAN WORKINGWELL ST JOHN
8345 WICKER AVE
SAINT JOHN,IN463738879 		PHYSICIAN PRACTICE
129 FPN LAKE RIDGE FAMILY HEALTH CENTER
1573 NORTH CLINE AVE
GRIFFITH,IN463191567 		PHYSICIAN PRACTICE
130 FPN CP MUNSTER NEURO RADIOLOGY PT
759 45TH AVE
MUNSTER,IN463212939 		ORTHO/PT
131 FPN MICHIGAN CITY
SUITE 165
MICHIGAN CITY,IN463609010 		PHYSICIAN PRACTICE
132 FRANCISCAN EXPRESSCARE PORTAGE
3283 WILLOW CREEK RD
PORTAGE,IN463685054 		PHYSICIAN PRACTICE
133 FPN MICHIGAN CITY
SUITE 105
MICHIGAN CITY,IN463609223 		PHYSICIAN PRACTICE
134 GREENWOOD MERIDIAN PARKE MEDICAL BUILDIN
362 MERIDIAN PARKE LN
GREENWOOD,IN461429425 		PHYSICIAN PRACTICE
135 LAPORTE MEDICAL GROUP SURGICAL CENTER
900 I ST STE FL2
LAPORTE,IN463505533 		PHYSICIAN PRACTICE
136 FPN CROWN POINT CLINIC
757 45TH AVE
MUNSTER,IN463212911 		SKILLED NURSING
137 ORTHOPEDIC SPECIALISTS
5255 E STOP 11 RD
INDIANAPOLIS,IN462376341 		PHYSICIAN PRACTICE
138 FPN CARDIOLOGY LOGANSPORT
1201 MICHIGAN AVE STE LL50
LOGANSPORT,IN469471562 		PHYSICIAN PRACTICE
139 CONFIDENTIAL CARE LTD
720 45TH ST
MUNSTER,IN463212818 		PHYSICIAN PRACTICE
140 YMCA LAFAYETTE
3001 S CREASY LN
LAFAYETTE,IN479055206 		PHYSICIAN PRACTICE
141 ST FRANCIS HEART CENTER
1ST FL
INDIANAPOLIS,IN462378601 		PHYSICIAN PRACTICE
142 OLYMPIA FIELDS PAVILION
20121 S CRAWFORD AVE
OLYMPIA FIELDS,IL604611009 		PHYSICIAN PRACTICE
143 INDIANA PACKERS EMPLOYEE HEALTH CLINIC
1165 NORTH US 421
DELPHI,IN469238722 		PHYSICIAN PRACTICE
144 PUTNAM COUNTY HOSPITAL
1542 S BLOOMINGTON ST
GREENCASTLE,IN461352212 		PHYSICIAN PRACTICE
145 HOMEWOOD HEALTH CENTER
18636 DIXIE HWY
HOMEWOOD,IL604303741 		PHYSICIAN PRACTICE
146 FPN SPECIALTY CLINIC LAFAYETTE
SUITE 200
LAFAYETTE,IN479054940 		PHYSICIAN PRACTICE
147 DECATUR COUNTY MEMORIAL HOSPITAL
720 N LINCOLN ST
GREENSBURG,IN472401327 		PHYSICIAN PRACTICE
148 SPECIALTY PHYSICIANS OF ILLINOIS
344 VICTORY DR
PARK FOREST,IL604662003 		PHYSICIAN PRACTICE
149 DUNELAND HEALTH & WELLNESS INSTITUTE - C
SUITE 200
CHESTERTON,IN463041519 		PHYSICIAN PRACTICE
150 HAMMOND FAMILY HEALTH CENTER
5530 HOHMAN AVE
HAMMOND,IN463201935 		PHYSICIAN PRACTICE
151 FPN SOUTHSIDE FAMILY MEDICINE CRAWFORDSV
SUITE 400
CRAWFORDSVILLE,IN479331095 		PHYSICIAN PRACTICE
152 FRANCISCAN HEALTH BREAST DIAGNOSTIC CENT
1345 UNITY PL STE 220
LAFAYETTE,IN479055761 		PHYSICIAN PRACTICE
153 FPN PSYCHIATRIC SPECIALISTS
5210 E THOMPSON RD
INDIANAPOLIS,IN462372085 		PHYSICIAN PRACTICE
154 FRANKLIN JEFFERSON STREET MEDICAL BUILDI
1300 W JEFFERSON ST
FRANKLIN,IN461319121 		PHYSICIAN PRACTICE
155 FRANCISCAN HEALTH COLLABORATIVE CARE CLI
SUITE 103
MOORESVILLE,IN461581884 		PHYSICIAN PRACTICE
156 DUNELAND HEALTH & WELLNESS INSTITUTE - C
SUITE K
CHESTERTON,IN463042695 		PHYSICIAN PRACTICE
157 DUNELAND HEALTH & WELLNESS INSTITUTE - C
SUITE A
CHESTERTON,IN463042695 		PHYSICIAN PRACTICE
158 FPN ILLINOIS
275 WEST 201ST ST
CHICAGO HEIGHTS,IL604111742 		PHYSICIAN PRACTICE
159 FPN LAFAYETTE
SUITE 213
LAFAYETTE,IN479054938 		PHYSICIAN PRACTICE
160 FPN VALPARAISO SPECIALTY HEALTH CENTER
2590 MORTHLAND DR
VALPARAISO,IN463856701 		PHYSICIAN PRACTICE
161 GREENWOOD PHYSICIAN OFFICE
107 N STATE RD 135 STE 103
GREENWOOD,IN461421352 		PHYSICIAN PRACTICE
162 FPN SPECIALTY CLINIC LAFAYETTE
SUITE 200
LAFAYETTE,IN479054940 		PHYSICIAN PRACTICE
163 FAMILY MEDICINE SHELBYVILLE
SUITE 250
SHELBYVILLE,IN461768580 		PHYSICIAN PRACTICE
164 FPN RHEUMATOLOGY
SUITE D
FRANKLIN,IN461319121 		PHYSICIAN PRACTICE
165 HEALTH&WELLNESS UNIVERSITY OF ST FRANCIS
1516 LEESBURG RD
FORT WAYNE,IN468082535 		PHYSICIAN PRACTICE
166 FPN ST CLARE CLINIC
1121 S INDIANA AVE
CROWN POINT,IN463077205 		PHYSICIAN PRACTICE
167 CENTER FOR WOMEN MOORESVILLE
1205 HADLEY RD
MOORESVILLE,IN461581737 		PHYSICIAN PRACTICE
168 WORKING WELL MADISON AVE
300 S MADISON AVE
GREENWOOD,IN461423151 		PHYSICIAN PRACTICE
169 PURDUE UNIVERSITY SPORTS MEDICINE
900 JOHN R WOODEN DR
WEST LAFAYETTE,IN479072117 		PHYSICIAN PRACTICE
170 FPN INDY SOUTHSIDE SURGICAL
1203 HADLEY RD STE 204
MOORESVILLE,IN461581885 		PHYSICIAN PRACTICE
171 FPN COOLSPRING HEALTH CENTER
SUITE 1-A
MICHIGAN CITY,IN463606312 		PHYSICIAN PRACTICE
172 FRANCISCAN BROOK HEALTH CENTER
420 E MAIN ST
BROOK,IN479228715 		PHYSICIAN PRACTICE
173 DEFRIES CHIROPRACTIC CENTER
492 S BIERMA ST
WHEATFIELD,IN463926004 		PHYSICIAN PRACTICE
174 ORTHOPEDIC FOOT & ANKLE SURGEONS
1199 HADLEY RD
MOORESVILLE,IN461581788 		PHYSICIAN PRACTICE
175 FPN LAFAYETTE
SUITE 110
LAFAYETTE,IN479054917 		PHYSICIAN PRACTICE
176 FPN ILLINOIS
333 DIXIE HWY
CHICAGO HEIGHTS,IL60411 		PHYSICIAN PRACTICE
177 FAMILY AND INTERNAL MEDICINE JOHNSON MEM
1125 W JEFFERSON ST
FRANKLIN,IN461312140 		PHYSICIAN PRACTICE
178 LAFAYETTE HUNTERS PLAZA BUILDING
3218 DAUGHERTY DR STE 140
LAFAYETTE,IN479093997 		PHYSICIAN PRACTICE
179 FPN ILLINOIS
SUITE 301
OLYMPIA FIELDS,IL604611182 		PHYSICIAN PRACTICE
180 KENDRICK COLON & RECTAL CENTER
5255 E STOP 11 RD
INDIANAPOLIS,IN462376343 		PHYSICIAN PRACTICE
181 FPN LAFAYETTE
SUITE 100A
LAFAYETTE,IN479055206 		PHYSICIAN PRACTICE
182 INDIANA HEART PHYSICIANS
49 BILLS BLVD
MARTINSVILLE,IN461513354 		PHYSICIAN PRACTICE
183 WOUND CARE CENTER
301 W HOMER STREET
MICHIGAN CITY,IN463604358 		PHYSICIAN PRACTICE
184 DOUGLAS PARK MEDICAL CENTER
3831 HOHMAN AVE
HAMMOND,IN463271160 		PHYSICIAN PRACTICE
185 FMS PHYSICIAN OFFICE SCHERERVILLE
2001 US HWY 41
SCHERERVILLE,IN463752892 		PT/SPEC CENTER
186 FRANCISCAN IMMEDIATE CARE
14641 THATCHER LANE
CARMEL,IN460321563 		IMMEDIATE CARE
187 ST FRANCIS IMMEDIATE CARE CENTER
SUITE E01
CARMEL,IN460321563 		IMMEDIATE CARE
188 FPN FAMILY MEDICINE KENSINGTON
3875 KENSINGTON DR
LAFAYETTE,IN479054162 		PHYSICIAN PRACTICE
Schedule H (Form 990) 2021
Page 10
Schedule H (Form 990) 2021
Page 10
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
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 THE FRANCISCAN ALLIANCE SERVES A LARGE GEOGRAPHIC AREA WHICH INCLUDES 18 COUNTIES IN INDIANA (BENTON, CARROLL, FOUNTAIN, HAMILTON, JASPER, JOHNSON, LAKE, LAPORTE, MARION, MONTGOMERY, MORGAN, NEWTON, PORTER, SHELBY, STARKE, TIPPECANOE, WARREN, AND WHITE) AND 3 COUNTIES IN ILLINOIS (COOK, KANKAKEE, AND WILL). THE POPULATION OF THE COMMUNITIES THAT WE SERVE WAS ESTIMATED CLOSE TO 3.98 MILLION PEOPLE WITH AN AVERAGE HOUSEHOLD INCOME ABOVE $69,900 IN 2022. FOR THESE COMMUNITIES, THE PERCENTAGE OF RESIDENTS BELOW THE FEDERAL POVERTY LEVEL WAS ESTIMATED AT 12.3%. THE PERCENTAGE OF INPATIENTS FROM THESE COMMUNITIES WHO WERE SERVED BY MEDICAID WAS 22.1% AND THE PERCENTAGE OF INPATIENTS FROM THESE COMMUNITIES WHO WERE UNINSURED WAS APPROXIMATELY 3.3%. IN COMPARISON, THE PERCENTAGES OF MEDICAID AND UNINSURED INPATIENTS TREATED BY THE HOSPITALS OF THE FRANCISCAN ALLIANCE WERE 22.0% AND 1.3% RESPECTIVELY IN 2021. THERE ARE 58 OTHER HOSPITALS THAT SERVE THESE COMMUNITIES AS WELL. FOR PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND COMMUNITY HEALTH IMPROVEMENT PLANS, THE 'COMMUNITY' HAS MORE RESTRICTIVE BOUNDARIES THAN LISTED ABOVE. BECAUSE MOST HOSPITALS ARE IN AREAS OF THE MOST VULNERABLE OF THE POPULATION. BY BEING MORE STRATEGIC ABOUT SPECIFIC CITIES, TOWNS, ZIP CODES, COUNTIES, OR VILLAGES, THE INTENT OF THE COMMUNITY BENEFIT REGULATION IS HONORED, CONCENTRATING SERVICES AND RESOURCES IN THE MOST CHALLENGED AREAS. ------------------------------------------------ SCHEDULE H, PART VI, ITEM 5 & PART I, LINE 6A OTHER INFORMATION IN RESPONSE TO THE COVID-19 PANDEMIC, FRANCISCAN ALLIANCE AND ITS AFFILIATES EXPENDED CONSIDERABLE RESOURCES TO TREAT THE INFLUX OF PATIENTS WITH, OR WHO WERE PRESUMED TO HAVE, COVID-19 ("COVID-19 PATIENTS") AND TO PROTECT PATIENTS AND EMPLOYEES FROM THE VIRUS. THE FOLLOWING IS A SUBSET OF THE COMMUNITY BENEFIT TYPE MEASURES FRANCISCAN TOOK TO RESPOND TO THE COVID-19 PANDEMIC WITH THE VAST MAJORITY OF THE COSTS NOT COVERED OR NOT REIMBURSED BY FEDERAL OR STATE GOVERNMENT GRANTS OR SUPPLEMENTAL AID PROGRAMS. WITH THE ONSET OF THE COVID-19 PANDEMIC, AND FOR MANY MONTHS THEREAFTER, FRANCISCAN ALLIANCE QUICKLY FACED AN IMMEDIATE, LARGE SCALE HUMAN RESOURCE AND PERSONAL PROTECTIVE SUPPLY NEED THAT DID NOT PREVIOUSLY EXIST. HUNDREDS OF EMPLOYEE POSITIONS WERE IMMEDIATELY REQUIRED FOR FRANCISCAN TO TREAT COVID-19 PATIENTS, TO PREVENT THE FURTHER SPREAD OF COVID-19, AND TO CREATE PERSONAL PROTECTIVE EQUIPMENT AND SANITIZER THAT WAS NOT AVAILABLE IN THE MARKET. IN THE EARLY ONSET OF COVID-19, FRANCISCAN ALLIANCE QUICKLY MADE A SIZABLE INVESTMENT IN VIRTUAL AND TELEHEALTH CAPABILITIES SUCH AS DEVELOPING ITS HOSPITAL AT HOME PROGRAM AND COVID-19 CARE AT HOME MONITORING DISCHARGE KITS. FRANCISCAN QUICKLY EXPANDED ITS ONLINE VIRTUAL PHYSICIAN AND PROVIDER VISIT CAPABILITIES AS CHRONIC HEALTHCARE CONDITIONS NEEDED TO BE MANAGED. FRANCISCAN ALSO DEVELOPED AN ONLINE COVID-19 INFORMATION AND RESOURCES WEBSITE CHANNEL WHICH INCLUDES AN ONLINE COVID-19 PATIENT ASSESSMENT PROGRAM TO IDENTIFY THE NEED AND LOCATION OF FURTHER TESTING OR CARE AS WELL AS ONLINE VIDEOS PREPARED BY FRANCISCAN'S HEALTHCARE PROVIDERS DESCRIBING COVID-19 SIGNS/SYMPTOMS, PREVENTION MEASURES, TOOLS FOR CHILDREN TO GET USED TO MASK WEARING, HOME TREATMENT PROGRAMS, BENEFITS AND MYTHS OF THE COVID-19 VACCINE, ETC. FRANCISCAN HAS NUMEROUS COVID-19 VACCINATION LOCATIONS THROUGHOUT THE STATES OF INDIANA AND ILLINOIS TO HELP FLATTEN THE SPREAD OF THE VIRUS. FRANCISCAN WAS ONE OF A FEW ORGANIZATIONS ACROSS THE COUNTRY THAT PARTICIPATED IN THE NATIONAL STUDY OF COVID-19 CONVALESCENT PLASMA AND FRANCISCAN CONTINUES TO BE A LEADER IN WORKING WITH RECOVERED PATIENTS TO DONATE THEIR BLOOD PLASMA THAT IS USED TO CARE FOR THOSE SUFFERING FROM SEVERE EFFECTS OF COVID-19. FRANCISCAN PHYSICIAN NETWORK HAS NUMEROUS COVID-19 LONG HAUL CLINICS THROUGHOUT INDIANA AND ILLINOIS THAT SUPPORT PATIENTS HAVING LONG-TERM SYMPTOMS. AS PART OF THE NATIONAL RESPONSE TO PROTECT THE PUBLIC AND CONSERVE PERSONAL PROTECTIVE RESOURCES, HEALTHCARE PROCEDURES THAT WERE SCHEDULABLE AND NONURGENT WERE POSTPONED OR CANCELLED PRIMARILY FROM MID-MARCH 2020 THROUGH IN SOME CASES, BASED ON FRANCISCAN'S MARKET, JUNE 2020. DURING THIS PERIOD, FRANCISCAN ALLIANCE MADE THE DECISION TO NOT TERMINATE OR FURLOUGH EMPLOYEES SINCE THE ORGANIZATION VIEWED SUPPORTING ITS COWORKERS AS ANOTHER KEY COMPONENT IN FURTHER SUPPORTING THE COMMUNITIES IT IS A PART OF. SHORTLY INTO THE COVID-19 PANDEMIC, FRANCISCAN ALLIANCE'S CONSTRUCTION COMPANY, TONN & BLANK CONSTRUCTION, MOBILIZED TO BUILD TEMPORARY TRIAGE UNITS EXTERNALLY PLACED ON THE CAMPUSES OF ALL FRANCISCAN'S HOSPITALS SO IT COULD TEST AND TREAT COVID-19 PATIENTS. THIS DESIGN WAS SHARED, AT NO COST, STATE-WIDE WITH OTHER HEALTHCARE SYSTEMS IN AN EFFORT TO BE A COMMUNITY RESOURCE FOR THE CRISIS. BECAUSE PERSONAL PROTECTIVE EQUIPMENT WAS IN LIMITED SUPPLY FOR THE NEED THAT WAS REQUIRED, THE ORGANIZATION INTERNALLY PRODUCED OVER 10,000 FACE SHIELDS, OVER 50,000 SURGICAL GOWNS, AND THOUSANDS OF GALLONS OF SANITIZER. WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH REFLECTS FRANCISCAN'S MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION." 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:
SCHEDULE H, PART VI, ITEM 5 & PART I, LINE 6A CON'T - INPATIENT HOSPITAL SERVICES INCLUDING: MEDICAL SERVICES, SURGICAL SERVICES, INTENSIVE CARE SERVICES, TELEMETRY SERVICES, OBSTETRICS SERVICES, PEDIATRICS SERVICES, NEONATAL INTENSIVE CARE SERVICES, ACUTE REHABILITATION SERVICES, ONCOLOGY SERVICES, BONE MARROW TRANSPLANT SERVICES, GENERAL SURGERY SERVICES, CARDIAC SURGERY SERVICES, VASCULAR SERVICES, PULMONARY SERVICES, INTERVENTIONAL RADIOLOGY, ORTHOPEDICS, JOINT AND SPINE CARE, GASTROINTESTINAL CARE, NEUROSCIENCES SERVICES, COLON AND RECTAL SERVICES, ANESTHESIA SERVICES, HOSPICE SERVICES, INPATIENT PSYCHIATRIC CARE, RESIDENTIAL TREATMENT PROGRAM FOR ADOLESCENTS, ETC. - EMERGENCY SERVICES INCLUDING: 24 HOUR EMERGENCY ROOM SERVICES, AMBULANCE SERVICES, IMMEDIATE CARE SERVICES, ADVANCED LIFE SUPPORT SERVICES, BASIC LIFE SUPPORT SERVICES, BEHAVIORAL HEALTH EMERGENCY CONSULTATION SERVICES, 24-HOUR CRISIS AND REFERRAL HOTLINE, TRAUMA SERVICES, ETC. - OUTPATIENT SERVICES INCLUDING: LABORATORY SERVICES, PHYSICAL THERAPY SERVICES, OCCUPATIONAL THERAPY SERVICES, SPEECH THERAPY SERVICES, GENERAL RADIOLOGY SERVICES, COMPUTED TOMOGRAPHY SERVICES, MAGNETIC RESONANCE IMAGING (MRI), NUCLEAR MEDICINE SERVICES, MAMMOGRAPHY SERVICES, ANGIOGRAPHY SERVICES, NEURODIAGNOSTICS SERVICES, GASTRO/INTESTINAL SERVICES, SLEEP LABORATORY, PULMONARY SERVICES, OUTPATIENT SURGERY, CARDIAC TESTING, ELECTROCARDIOGRAM (EKG) SERVICES, MEDICAL ONCOLOGY SERVICES, RADIATION ONCOLOGY SERVICES, PHARMACY, OCCUPATIONAL MEDICINE SERVICES, CARDIAC/PULMONARY REHABILITATION SERVICES, CONGESTIVE HEART FAILURE CLINIC, WOUND HEALING AND PREVENTION, NUTRITIONAL COUNSELING, DIABETES MANAGEMENT, BARIATRIC SERVICES, PAIN MANAGEMENT, SOCIAL SERVICES, PALLIATIVE CARE, SPORTS MEDICINE, BEHAVIORAL HEALTH, STROKE SERVICES, HOME HEALTH SERVICES, SKILLED NURSING SERVICES, SOCIAL SERVICES, DURABLE MEDICAL EQUIPMENT. - 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 WITH A 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 ETHNICITY, FAITH BACKGROUND, OR ABILITY TO PAY. - LEVEL III NICU - AMBULANCE SERVICE - PHYSICIAN SERVICES - INPATIENT PSYCHIATRIC UNITS - HEALTH AND WELLNESS CENTERS AND HEALTHY LIVING EDUCATION CENTERS - CLINICAL CARE COORDINATORS TO SUPPORT FRANCISCAN'S VARIOUS ACCOUNTABLE CARE ORGANIZATIONS WHICH ARE DESIGNED TO IMPROVE QUALITY AND REDUCE COST. - FRANCISCAN SENIOR HEALTH & WELLNESS IS A COMPLETE HEALTH CARE SOLUTION FOR SENIORS WHO WANT TO REMAIN AT HOME. OUR PROGRAM ENABLES SENIORS TO LIVE AS INDEPENDENTLY AS POSSIBLE BY PROVIDING TRULY ALL-INCLUSIVE SERVICES. FRANCISCAN SENIOR HEALTH & WELLNESS IS A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE), A COMMUNITY-BASED HEALTHCARE PROGRAM CREATED FOR PEOPLE 55 OR OLDER WHO ARE ELIGIBLE FOR NURSING-HOME LEVEL CARE BUT PREFER TO RECEIVE THEIR CARE IN THEIR OWN FAMILIAR SURROUNDINGS. THE FRANCISCAN SENIOR HEALTH & WELLNESS - PACE PROGRAM DELIVERS ALL THE SERVICES NEEDED TO KEEP PEOPLE HEALTHY, SAFE AND COMFORTABLE IN THE PLACE THEY CALL HOME. COVERED BENEFITS INCLUDE: - PRIMARY MEDICAL AND NURSING CARE - OCCUPATIONAL, PHYSICAL, AND SPEECH THERAPY - MEDICATIONS AND DURABLE MEDICAL EQUIPMENT - LABORATORY AND DIAGNOSTIC SERVICES - ALL NECESSARY PRESCRIPTION DRUGS - SKILLED HOME CARE AND PERSONAL CARE AIDES - HOSPITALIZATION AND SKILLED NURSING FACILITY CARE - CARE FROM MEDICAL SPECIALISTS IN CARDIOLOGY, NEPHROLOGY, OPHTHALMOLOGY, DERMATOLOGY, ORTHOPEDICS, SURGERY, PODIATRY AND MORE - MEDICALLY NECESSARY TRANSPORTATION OUR BROAD RANGE OF SERVICE PROVIDERS, INCLUDING DOCTORS, NURSES, PHARMACISTS, THERAPISTS AND PERSONAL CARE AIDES ARE READILY ACCESSIBLE. THROUGH THESE MEDICAL SERVICES, WE CAN MANAGE THE CARE OF AN AGING LOVED ONE, AND HELP AVOID THE ILLNESSES AND HOSPITALIZATIONS THAT SENIORS OFTEN FACE. IN ADDITION TO ADDRESSING EACH PARTICIPANT'S UNIQUE MEDICAL NEEDS, FRANCISCAN SENIOR HEALTH & WELLNESS ALSO HELPS WITH THE SOCIAL, EMOTIONAL, AND PRACTICAL CHALLENGES THAT OLDER ADULTS OFTEN FACE. THROUGH INTERACTIONS WITH PEERS, STIMULATIVE ACTIVITIES AND OTHER SUPPORTIVE SERVICES, PARTICIPANTS WILL ENJOY A BETTER QUALITY OF LIFE. - THE MATCLINIC IS DEDICATED TO HELPING PEOPLE RECOVER FROM ADDICTION TO OPIOIDS THROUGH ACCESS TO MEDICATION ASSISTED TREATMENT (MAT). OPIOIDS INCLUDE PRESCRIPTION PAIN MEDICATIONS SUCH AS CODEINE, PERCOCET, VICODIN, OXYCONTIN, HYDROCODONE AND DEMEROL, AS WELL AS ILLICIT STREET OPIOIDS LIKE HEROIN AND FENTANYL. MEDICATION ASSISTED TREATMENT COMBINES PRESCRIPTION MEDICATIONS SUCH AS NALTREXONE (I.E. VIVITROL) AND BUPRENORPHINE (I.E. SUBOXONE, SUBLOCADE, ETC) AND OTHER BUPRENORPHINE BASED MEDICATIONS WITH BEHAVIORAL THERAPY TO TREAT OPIOID ADDICTION. MATCLINICS HELP PATIENTS OVERCOME THE PHYSICAL, EMOTIONAL AND SOCIAL BARRIERS ASSOCIATED WITH RECOVERY. - BEHAVIORAL HEALTH SERVICES AT FRANCISCAN HEALTH DYER TOUCHES ALL FACETS OF EMOTIONAL, MENTAL HEALTH, BEHAVIORAL HEALTH AND CHEMICAL DEPENDENCY PROBLEMS. WE OFFER TREATMENTS IN PSYCHIATRIC DISORDERS, SUBSTANCE ABUSE AND ADDICTION, FAMILY CONFLICTS, AND EMOTIONAL DISORDERS, INCLUDING TESTING FOR PSYCHOLOGICAL DISORDERS AND CONSULTATIONS. OUR BEHAVIORAL HEALTH SERVICES AND PROGRAMS ARE TAILORED TO MEET THE NEEDS OF ADULTS, ADOLESCENTS AND CHILDREN WITH BOTH INDIVIDUAL AND GROUP BEHAVIORAL THERAPY AND COUNSELING OPTIONS. AFTERCARE AND LONG-TERM RECOVERY PROGRAMS ARE ADDITIONAL, CRITICAL ASPECTS OF OUR BEHAVIORAL HEALTH SERVICES. - THE ST. FRANCIS CENTER RESIDENTIAL TREATMENT PROGRAM FOR ADOLESCENTS BASED AT FRANCISCAN HEALTH DYER, IS AN ADOLESCENT RESIDENTIAL TREATMENT PROGRAM FOR MALE AND FEMALE YOUTHS, AGES 12 THROUGH 18, WHO WOULD BE UNSUCCESSFUL WITHOUT A HIGHLY STRUCTURED AND CONTROLLED ENVIRONMENT. THE ST. FRANCIS CENTER OFFERS TWO LEVELS OF CARE IN A NURTURING, THERAPEUTIC AND SECURE ENVIRONMENT. THE PROGRAM IS DESIGNED TO ASSIST ADOLESCENTS IN DEVELOPING THE NECESSARY SKILLS TO FUNCTION AGE-APPROPRIATELY AND SUCCESSFULLY ON A DAILY BASIS SO THEY CAN REINTEGRATE WITH THE COMMUNITY AND THEIR FAMILIES. IT IS OUR BELIEF THAT SUCCESS IS OFTEN DEPENDENT ON FAMILY INVOLVEMENT. THEREFORE, FAMILIES ARE ENCOURAGED TO TAKE AN ACTIVE ROLE IN THE TREATMENT WITH FAMILY SESSIONS ROUTINELY SCHEDULED. - THE EMPATH UNIT AT FRANCISCAN HEALTH LAFAYETTE EAST IS FOCUSED ON TREATING AND STABILIZING PATIENTS EXPERIENCING A PSYCHIATRIC CRISIS. THIS TRAUMA-INFORMED TEAM COLLABORATES WITH COMMUNITY RESOURCES TO CONNECT PATIENTS WITH THE BEHAVIORAL HEALTH CARE THAT IS RIGHT FOR THEM. - LOCATED AT FRANCISCAN HEALTH CRAWFORDSVILLE, THE GENERATIONS PROGRAM SERVES SENIORS 55 AND OLDER THROUGHOUT INDIANA AND EASTERN ILLINOIS WHO ARE EXPERIENCING DEMENTIA OR ALZHEIMER'S DISEASE OR EXHIBITING INCONSISTENT, DISRUPTIVE, UNPREDICTABLE OR EVEN SUICIDAL BEHAVIOR. - NEONATAL INTENSIVE CARE SERVICES OFFERS ADVANCED PROCEDURES, TECHNOLOGY AND EXPERTISE TO GIVE VERY SMALL OR VERY ILL NEWBORNS THE BEST CHANCE FOR A HEALTHY START IN LIFE. OUR TEAM OF DOCTORS, NURSES AND OTHER HEALTH PROFESSIONALS DEMONSTRATES THE GENUINE CARING, WARMTH AND SINCERITY THAT BRING OUR MISSION OF SERVICE TO LIFE AND OFFER REASSURANCE AND CONFIDENCE TO PARENTS AND REFERRING PHYSICIANS ALIKE.
SCHEDULE H, PART VI, ITEM 5 & PART I, LINE 6A CON'T - PALLIATIVE CARE SERVICES ASSIST PATIENTS AND FAMILIES IN MAKING COMPLEX MEDICAL DECISIONS BY PROVIDING A GOOD UNDERSTANDING OF THE PATIENT'S PRESENT CONDITION, COORDINATING AND COMMUNICATING CARE WITH PHYSICIANS, ADVOCATING FOR PATIENTS' WISHES, AND HELPING THEM TO ACHIEVE A SENSE OF CONTROL OVER THEIR MEDICAL CARE. PALLIATIVE CARE IS OFFERED REGARDLESS OF THE STAGE OF DISEASE OR THE NEED FOR OTHER THERAPIES AND CAN BE PROVIDED CONCURRENTLY WITH LIFE-PROLONGING CARE OR AS THE MAIN FOCUS OF CARE. - CLINICS FOR THE UNINSURED INCLUDE THE ST. CLARE HEALTH CLINIC AND DR. JOHN LANMAN CLINIC. THESE CLINICS PROVIDE PRIMARY CARE FOR NON-EMERGENCY SERVICES WITH AN EMPHASIS ON PREVENTION, EARLY DETECTION, PATIENT EDUCATION, PHYSICAL EXAMS AND HEALTH SCREENINGS. THE CLINIC ALSO SERVES THOSE WHO ENDURE HARDSHIP TO ACCESS QUALITY HEALTH CARE. - EMERGENCY SERVICES PROVIDE OUR COMMUNITIES WITH STATE-OF-THE-ART EMERGENCY FACILITIES, OPEN 24-HOURS A DAY, SEVEN DAYS A WEEK. EQUIPPED WITH ADVANCED MEDICAL TECHNOLOGY, OUR EMERGENCY TEAM OF SPECIALLY TRAINED PHYSICIANS AND NURSES TREAT THEIR PATIENTS FOR TRAUMA, STROKE, CARDIAC, AND OTHER LIFE-THREATENING CONDITIONS IN ADULTS AND CHILDREN. - INDIGENT HEALTH CARE CLINICS - AT FRANCISCAN HOSPICE HOUSE, PATIENTS RECEIVE SPECIALIZED CARE AND RESPITE CARE FOR FAMILIES WHILE BEING PROVIDED ALL THE COMFORTS OF HOME. FROM ROOMS THAT ARE LARGE, PRIVATE AND PET-FRIENDLY TO A GARDEN THAT'S JUST RIGHT FOR PRAYER, CONTEMPLATION OR QUIET CONVERSATION, THE SERVICES AND AMENITIES AT THE FRANCISCAN HOSPICE HOUSE WERE DESIGNED WITH PATIENT COMFORT IN MIND. FRANCISCAN HOSPICE HOUSE WAS ENVISIONED AS A COMPLEMENT TO THE EXCEPTIONAL HOME HEALTH, HOSPICE AND PALLIATIVE CARE SERVICES THAT FRANCISCAN HEALTH AND FRANCISCAN VNS HAVE PROVIDED TO FAMILIES IN SOUTH-CENTRAL INDIANA FOR MORE THAN TWO DECADES. FRANCISCAN HOSPICE HOUSE OFFERS 16 PRIVATE ROOMS FOR PATIENTS AND FAMILIES, A LARGE COMMON AREA FOR FAMILIES, A WELL-EQUIPPED KITCHEN WITH DINING ROOM, A CHAPEL AND PRAYER GARDEN, AND HIGH-QUALITY, HOLISTIC MEDICAL CARE FOR ALL PATIENTS-REGARDLESS OF THEIR FINANCIAL SITUATIONS-AND SUPPORT FOR THEIR FAMILIES. - HEALTH AND WELLNESS CENTERS AND HEALTHY LIVING EDUCATION CENTERS. - COMMUNITY OUTREACH AND EDUCATION PROGRAMS INCLUDING: HEALTH FAIRS, FREE HEALTH SCREENINGS, FREE IMMUNIZATIONS, FREE BREAST HEALTH SCREENING SERVICES, FREE PROSTRATE SCREENINGS, FREE SKIN CANCER SCREENINGS, FREE CERVICAL CANCER SCREENINGS, FREE GLUCOSE SCREENINGS, FREE CHOLESTEROL SCREENINGS, FREE BONE DENSITY SCREENINGS, FREE LUNG SCREENINGS, FREE SPA SERVICES FOR CANCER PATIENTS, ONLINE HEALTH CONDITION ASSESSMENT TOOLS, COLORECTAL SCREENINGS, CANCER PREVENTION ACTIVITIES, CANCER SURVIVOR PROGRAMS AND RETREATS, CANCER & HEART CARE CLINICAL SYMPOSIUMS, HEALTH CARE DECISION-MAKING SESSIONS, SENIOR HEALTH EDUCATION, DIABETES MANAGEMENT EDUCATION AND ACTIVITIES, PAIN MANAGEMENT SEMINARS AND ACTIVITIES, CARDIAC RISK FACTORS EDUCATIONAL SESSIONS AND ONLINE TOOLS, HOSPICE AND PALLIATIVE CARE COUNSELING AND EDUCATION SERVICES, ALZHEIMER SUPPORT SERVICES, BEHAVIORAL HEALTH COMMUNITY EDUCATION, SMOKING CESSATION PROGRAMS, MOBILE DENTAL CLINICS, BASIC LIFE-SAVING SKILLS PROGRAMS, CHILDREN'S HEALTH NEEDS ACTIVITIES, CHILDHOOD OBESITY ACTIVITIES, WEIGHT LOSS EDUCATION, ORGAN AND TISSUE DONATION FAIRS, VOLUNTEER ADVOCATES FOR SENIORS, PARENTING PROGRAMS, RESIDENTIAL SUPPORT PROGRAM FOR PREGNANT GIRLS, PRENATAL 'BABY SHOWERS', ATHLETIC TRAINING FOR SCHOOLS AND VARIOUS MARATHONS, ORTHOPEDIC ROAD SHOWS, FLU VACCINATIONS, COVID VACCINATIONS, CHILD SEAT SAFETY PROGRAMS, BEREAVEMENT SUPPORT GROUPS, COMMUNITY EDUCATION LECTURES, INDIGENT PRESCRIPTION PROGRAMS, SEX CAN WAIT PROGRAMS, CAREGIVERS EDUCATION SYMPOSIUMS, HEALTH CAREER DAYS, ARTHRITIS EXERCISE GROUP, BABYSITTING COURSE, PREPARED CHILDBIRTH PROGRAMS, FOOD SHARE PROGRAMS, NUTRITIONAL COUNSELING FOR GRADE SCHOOLS AND SENIORS, SENIOR PROMISE PROGRAM, ENHANCE FITNESS PROGRAMS, MEDICATION TAKE BACK PROGRAMS, FALL PREVENTION PROGRAMS, SUICIDE PREVENTION TRAINING, WALK WITH A DOC PROGRAM, INFANT SAFE SLEEP PROGRAMS, COMMUNITY PARAMEDICINE PROGRAM, ASTHMA SCHOOL EDUCATION PROGRAM, ADOLESCENTS COPING WITH DEPRESSION PROGRAMS, PET THERAPY PROGRAM, ETC. - SOCIAL SERVICES INCLUDING: PASTORAL CARE, EUCHARISTIC MINISTRY PROGRAM, NO ONE DIES ALONE PROGRAMS, GRIEVANCE SUPPORT PROGRAMS FOR CHILDREN, LANGUAGE INTERPRETER SERVICES, DEAF INTERPRETER SERVICES, TRANSPORTATION FOR THE INDIGENT, ENROLLMENT ASSISTANCE IN MEDICAID AND HEALTH INSURANCE EXCHANGES, CHRISTIAN LEGAL CLINIC, TRANSPORTATION SERVICE FOR INDIGENT PATIENTS, ETC. - MEDICAL EDUCATION INCLUDING: PHYSICIAN RESIDENCY PROGRAMS, FAMILY MEDICINE RESIDENCY PROGRAM, EMERGENCY ROOM PHYSICIAN RESIDENCY PROGRAM, PHARMACY RESIDENCY PROGRAM, MEDICAL STUDENT TRAINING PROGRAM, ST. ELIZABETH SCHOOL OF NURSING PROGRAM, ADVANCE NURSING CONTINUING EDUCATION, NURSING CLINICAL ROTATIONS, PHLEBOTOMY TRAINING PROGRAM, RESPIRATORY THERAPY TRAINING, REHABILATIVE TRAINING, MEDICAL ASSISTANCE TRAINING, MEDICAL TECHNOLOGY TRAINING PROGRAMS, HIGH SCHOOL CAREER DAYS, SCHOOL OF ECHOCARDIOGRAPHY, SURGICAL TECHNICIAN EXTERNSHIPS, SOCIAL WORKER INTERNSHIPS, HOME HEALTH STUDENT TRAINING, INTERN & RESIDENT TRAINING FOR MIDWESTERN UNIVERSITY, OPERATING ROOM TECHNOLOGY TRAINING, ETC. - RESEARCH PROGRAMS INCLUDING: CANCER GENOME PROJECT, CARDIAC RESEARCH, HLA-VASCULAR BIOLOGY RESEARCH, CLINICAL TRIALS, PLAQUE FORMATION STUDIES, HEART FAILURE AND LIPD TRIALS, USE OF DRUG ELUTING STENTS STUDIES, PROJECT GRACE PROGRAM, OPIOID TREATMENT PROGRAMS, ETC. AGAIN, PLEASE VISIT WWW.FRANCISCANHEALTH.ORG/COMMUNITY HEALTH FOR FURTHER DETAILS. FRANCISCAN CONTINUES TO PROVIDE ACCESS TO HEALTH CARE SERVICES AND A WIDE VARIETY OF COMMUNITY EDUCATION/HEALTH AND WELLNESS PROGRAMS. ALL OF OUR FACILITIES REACH OUT TO THEIR COMMUNITIES BY PROVIDING ACCESS TO FREE, PUBLIC WEB SITES AND ONLINE RESOURCES. EACH WEB SITE PROVIDES THE LATEST MEDICAL INFORMATION TO VISITORS, IN A BI-LINGUAL FORMAT, THROUGH THE USE OF INTERACTIVE A TO Z HEALTH LIBRARIES. THERE ARE ONLINE CENTERS THAT FOCUS ON INFORMATION RELATED TO MEDICAL CONDITIONS IN SPECIALTY AREAS SUCH AS THE HEART, BONES, KIDNEYS AND NERVES. THEY FURTHER OFFER CONDITION AND DISEASE-SPECIFIC INFORMATION ON TOPICS LIKE CANCER, PREGNANCY AND GERIATRICS THAT PROVIDE ILLUSTRATIONS, GRAPHICS AND NARRATED VIDEOS. THE WEB SITES ALSO PROVIDE UNLIMITED FREE ACCESS TO ONLINE HEALTH RISK ASSESSMENT TOOLS SUCH AS THE HEART RISK ASSESSMENT THAT USES AN ESTABLISHED ALGORITHM TO CALCULATE RISK FACTORS FOR HEART ATTACK BASED UPON USER-ENTERED PARAMETERS. THE SITES ALSO OFFER CONDITION-SPECIFIC RECOMMENDATIONS FOR MANAGING CHRONIC ILLNESSES AND CONDITIONS SUCH AS DIABETES, HIGH BLOOD PRESSURE AND ASTHMA, AMONG OTHERS. FINALLY, THE SITES HAVE HEALTHY LIVING SECTIONS THAT OFFER TIPS AND SUGGESTIONS ON BEGINNING AND MAINTAINING DIET AND EXERCISE REGIMENTS TO OPTIMIZE HEALTHY LIFESTYLES. OUR HOSPITALS PROVIDE URGENT CARE CLINICS WITHIN THE COMMUNITIES THEY SERVE TO HELP MINIMIZE THE COST OF NON-CRITICAL, EMERGENT MEDICAL CARE. WE ENGAGE IN A TREMENDOUS AMOUNT OF UNIVERSITY-AFFILIATED MEDICAL EDUCATION AND TRAINING PROGRAMS INCLUDING BUT NOT LIMITED TO: ALL LEVELS OF NURSING (LPN, ASN, BSN AND MSN), PHARMACY, EMERGENCY MEDICAL TECHNICIANS AND PARAMEDICS, RESPIRATORY THERAPISTS, PHYSICAL/OCCUPATIONAL/SPEECH THERAPISTS AND INTERNSHIPS/RESIDENCIES FOR PHYSICIANS. WE ALSO PROVIDE CONTINUING MEDICAL EDUCATION PROGRAMS. SEVERAL OF OUR HOSPITALS PARTICIPATE IN CLINICAL TRIALS, MEDICAL RESEARCH PROGRAMS AND PHARMACEUTICAL TRIALS. MOREOVER, THERE ARE OTHER FACTORS THAT DEMONSTRATE THAT FRANCISCAN IS OPERATED FOR A PUBLIC RATHER THAN A PRIVATE INTEREST. FRANCISCAN'S GOVERNING BODY IS COMPOSED OF INDEPENDENT MEMBERS REPRESENTING THE BROAD COMMUNITY SERVED BY FRANCISCAN. MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO QUALIFIED PHYSICIANS. FRANCISCAN USES ANY SURPLUS OF REVENUES OVER EXPENSES FOR IMPROVEMENTS IN PATIENT CARE, TO EXPAND AND REPLACE FACILITIES AND EQUIPMENT, FOR THE AMORTIZATION OF INDEBTEDNESS, AND FOR MEDICAL TRAINING, EDUCATION, AND RESEARCH. FRANCISCAN ALLIANCE, INC. AND ITS ACCOUNTABLE CARE ORGANIZATION ("ACO") WAS THE FIRST AND ONLY PIONEER ACO IN INDIANA AND AMONG THE FIRST IN THE COUNTRY TO PARTNER WITH MEDICARE AS AN ACO. FRANCISCAN ALSO PARTICIPATES IN VARIOUS MEDICARE SHARED SAVINGS ACO PROGRAMS AND NONGOVERNMENTAL ACO PROGRAMS. FORMED IN 2011, FRANCISCAN ACOS PROVIDE COORDINATED, COMPREHENSIVE CARE ACROSS HOSPITALS, PHYSICIAN PRACTICES, AND OTHER HEALTHCARE PROVIDERS, WITH THE AIM OF BRINGING DOWN THE OVERALL COSTS OF MEDICAL CARE AND IMPROVING THE HEALTH OF PATIENTS ATTRIBUTED TO THE ACOS. UNDER THE ACO MODEL, ATTRIBUTED MEDICARE BENEFICIARIES MAINTAIN THE ABILITY TO SEE ANY DOCTOR OR HEALTHCARE PROVIDER, AS WELL AS THE FULL BENEFITS ASSOCIATED WITH TRADITIONAL MEDICARE, BUT WITH THE ADDED BENEFIT OF A MORE COORDINATED CARE EXPERIENCE. THIS INCLUDES COORDINATION OF PREVENTIVE HEALTH SERVICES
SCHEDULE H, PART VI, ITEM 6 ROLE OF AFFILIATES EVERY HOSPITAL WITHIN OUR SYSTEM HAS THE DEGREE OF AUTONOMY AND FLEXIBILITY TO MEET THE NEEDS OF THE COMMUNITIES IT SERVES. THE CORPORATE COMMUNITY HEALTH IMPROVEMENT DIRECTOR PROVIDES COMMUNITY HEALTH DATA, INCLUDING INFORMATION RELATED TO SOCIAL DETERMINANTS OF HEALTH AND EMERGING PUBLIC HEALTH NEEDS TO LOCAL FACILITY STAFF ON A REGULAR BASIS FOR CONSIDERATION OF LOCAL ACTIVITY. THE CORPORATE DIRECTOR ALSO ORGANIZES A THOROUGH COMMUNITY HEALTH NEEDS ASSESSMENT AND PROVIDES CONSULTATION TO LOCAL STAFF ON THE IMPLEMENTATION PLAN. THE INDIVIDUAL AND REGIONAL COMMUNITY BENEFIT PLANS ARE DESIGNED TO BE PART OF AN OVERALL FRANCISCAN SYSTEM VISION TO PROVIDE FOR THE ONGOING HEALTHCARE NEEDS OF THE COMMUNITIES WE ARE PRIVILEGED TO SERVE.
SCHEDULE H, PART I, LINE 3B IN ADDITION TO USING FEDERAL POVERTY GUIDELINES AS A FACTOR IN DETERMINING ELIGIBILITY FOR DISCOUNTED CARE, FOR UNINSURED PATIENTS, FRANCISCAN WILL PROVIDE AN UNINSURED PATIENT DISCOUNT FOR EMERGENCY SERVICES OR MEDICALLY NECESSARY SERVICES PERFORMED AT ITS HOSPITAL LOCATIONS. THE UNINSURED PATIENT DISCOUNT IS BASED ON THE AVERAGE RATE OF THE RESPECTIVE FRANCISCAN HOSPITAL FACILITY'S AVERAGE RATES FOR PRIVATE HEALTH PAYERS, INCLUDING MEDICARE. FRANCISCAN FACILITIES MAY OFFER ADDITIONAL DISCOUNTS BASED ON THE FACTS AND CIRCUMSTANCES UNIQUE TO THEIR LOCAL MARKETS. THIS DISCOUNT SHALL NOT BE COMBINED WITH OTHER FACILITY DISCOUNTS, EXCEPT FOR A PROMPT PAY DISCOUNT, IF AVAILABLE. NO DISCOUNT SHALL BE PROVIDED THAT VIOLATES ANY LAWS OR GOVERNMENT REGULATIONS. FRANCISCAN WILL IDENTIFY UNINSURED PATIENTS DURING THE REGISTRATION AND/OR ADMISSIONS PROCESS. THE UNINSURED DISCOUNT IS APPLIED AUTOMATICALLY BY THE RECEIVABLE SYSTEM AT THE TIME OF INITIAL BILL. ALL STATEMENTS TO PATIENTS WILL INDICATE THE ADJUSTMENT AND THE REVISED PATIENT BALANCE. THE UNINSURED DISCOUNT IS A CONTRACTUAL DISCOUNT AND IS NOT CONSIDERED A CHARITY CARE WRITE OFF UNLESS THE PATIENT ALSO QUALIFIES FOR CHARITY CARE. UNINSURED PATIENT DISCOUNTS WILL NOT BE REVERSED DUE TO NONPAYMENT OF AN ACCOUNT. IF, AT ANY TIME, FRANCISCAN BECOMES AWARE THAT A PREVIOUSLY IDENTIFIED UNINSURED PATIENT WAS IN FACT COVERED BY INSURANCE AT THE TIME OF SERVICE, FRANCISCAN WILL REVOKE THE UNINSURED DISCOUNT AND ISSUE A REVISED STATEMENT TO THE PATIENT AND THE ASSOCIATED INSURANCE PROVIDER. PATIENTS THAT ARE STILL NOT ABLE TO PAY THE BALANCE AFTER THE UNINSURED DISCOUNT ARE ABLE TO APPLY FOR A CHARITY CARE WRITE OFF OR A MEDICAL FINANCIAL HARDSHIP ADJUSTMENT.
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES FOLLOWING NATIONAL GUIDANCE ON COMMUNITY BUILDING, ACTIVITIES RELATED TO SOCIAL DETERMINANTS ARE REPRESENTED IN OTHER CATEGORIES. FRANCISCAN ALLIANCE DOES ENGAGE IN COMMUNITY BUILDING THROUGH VARIOUS PARTNERSHIP EFFORTS. FRANCISCAN ALLIANCE DOES ENGAGE IN REDUCING BARRIERS TO HEALTH CARE ACCESS. MOST ACTIVITIES IN THIS AREA ARE INCLUDED IN THE FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT CATEGORIES. EXAMPLES INCLUDE: FREE OR LOW COST HEALTH SCREENING IN SPECIFIC NEIGHBORHOODS, IMMUNIZATION SERVICES, PRESCRIPTION MEDICATION ASSISTANCE PROGRAMS, ENROLLMENT ASSISTANCE IN MEDICAID, FOOD ASSISTANCE, TRANSPORTATION ASSISTANCE, AND REFERRAL ASSISTANCE. ADDITIONALLY, SEVERAL OF OUR HOSPITALS HAVE BEEN IDENTIFIED BY THE FEDERAL GOVERNMENT AS DESIGNATED REGIONAL MEDICATION DISTRIBUTION SITES IN THE EVENT OF A NATIONAL DISASTER OR EPIDEMIC/PANDEMIC. RESPONDING TO FEDERAL, STATE, AND LOCAL NEEDS IN THE EVENT OF NATIONAL OR LOCAL DISASTERS OR EPIDEMIC/PANDEMICS, WE COLLABORATE AND COORDINATE OUR EFFORTS WITH MANY CIVIC AND OTHER AGENCIES TO ENSURE THAT THOSE NEEDS WILL BE MET SHOULD DISASTER STRIKE.
SCHEDULE H, PART III, LINE 2 THROUGHOUT THE YEAR, 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. ----------------------------------------- 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 NOR CHOOSE TO ENROLL IN THE STATE'S MEDICAID PROGRAM. ALSO, AS FURTHER DESCRIBED IN HFMA STATEMENT NO. 15, THE APPROPRIATE CLASSIFICATION OF CHARITY CARE AND BAD DEBT IS OFTEN DIFFICULT. THE URGENCY OF SOME TREATMENTS, AS WELL AS CERTAIN FEDERAL REGULATIONS, OFTEN REQUIRES THE PROVISION OF SERVICE WITHOUT CONSIDERATION OF THE PATIENT'S ABILITY TO PAY. SOME PATIENTS HAVE COMPLEX MEDICAL CONDITIONS WITH UNPREDICTABLE TREATMENT NEEDS. FOR THESE AND OTHER REASONS, FRANCISCAN BELIEVES, A PORTION OF ITS BAD DEBT EXPENSE AS REPORTED ON LINE 2 OF PART III REPRESENTS CHARITY CARE DELIVERED TO INDIVIDUALS IN THE COMMUNITIES IT SERVES CONSISTENT WITH ITS CHARITABLE HEALTHCARE MISSION. -------------------------------------- SCHEDULE H, PART III, LINE 4 THE CORPORATION'S UNCOLLECTIBLE AMOUNTS DUE FROM PATIENTS FOOTNOTE FROM ITS AUDITED FINANCIAL STATEMENTS IS AS FOLLOWS: THE CORPORATION ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE TO PATIENTS WHICH IS NOT REPORTED IN THE SUMMARY OF QUANTIFIABLE COMMUNITY BENEFITS. EFFECTIVE JANUARY 1, 2018, THE CORPORATION ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARD UPDATE ("ASU") 2014-9, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) WHICH REQUIRES REVENUE TO BE RECOGNIZED IN AN AMOUNT THAT REFLECTS THE CONSIDERATION THE ENTITY EXPECTS TO BE ENTITLED TO IN AN EXCHANGE FOR GOODS OR SERVICES. ADOPTION OF THIS ASU DOES NOT ALLOW THE SEPARATE REPORTING OF THE UNCOLLECTIBLE AMOUNTS DUE FROM PATIENTS; HOWEVER, THE IDENTIFICATION OF THIS AMOUNT IS NEEDED FOR OTHER PURPOSES INCLUDING GOVERNMENTAL REPORTING AND REIMBURSEMENT CALCULATIONS. THE CORPORATION HAS A SYSTEM-WIDE CHARITY CARE AND UNINSURED DISCOUNT POLICY THAT INCLUDES ADMINISTRATIVE PROCEDURES FOR QUALIFYING AND ENROLLING PATIENTS FOR CHARITY CARE OR UNINSURED/UNDERINSURED DISCOUNTS. THE CORPORATION ALSO USES VARIOUS ANALYTICAL PROGRAMS TO ASSESS A PATIENT'S ABILITY TO PAY AND IT UTILIZES NUMEROUS MECHANISMS TO INFORM AND EDUCATE PATIENTS ABOUT FINANCIAL ASSISTANCE. DESPITE THESE RIGOROUS EFFORTS, PATIENTS WHO NEED SUBSIDIZED CARE MAY NOT SEEK THIS ASSISTANCE NOR CHOOSE TO ENROLL IN MEDICAID OR OTHER FINANCIAL ASSISTANCE PROGRAMS. FOR THESE AND OTHER REASONS, THE CORPORATION BELIEVES A PORTION OF ITS UNCOLLECTIBLE AMOUNTS DUE FROM PATIENTS REPRESENTS CHARITY CARE DELIVERED TO INDIVIDUALS IN THE COMMUNITIES IT SERVES CONSISTENT WITH ITS CHARITABLE HEALTH CARE MISSION. DURING THE YEARS ENDED DECEMBER 31, 2021 AND 2020, THE CORPORATION INCURRED APPROXIMATELY $34.5 MILLION AND $18.3 MILLION, RESPECTIVELY, AS UNCOLLECTIBLE AMOUNTS DUE FROM PATIENTS BASED ON ACCUMULATED CHARGES. ------------------------------------------------ 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. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO NOT APPLY.
SCHEDULE H, PART IV NAME OF ENTITY: MOORESVILLE ENDOSCOPY CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: ENDOSCOPY SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: INDIANA SLEEP CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: SLEEP CENTER ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: FRANCISCAN SURGERY CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: SURGICAL SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.8474576 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 49.1525424 NAME OF ENTITY: SOUTH EMERSON SURGERY CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: SURGICAL SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: ST FRANCIS MOORESVILLE SURGERY CENTER LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: SURGICAL SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: ST FRANCIS RADIATION THERAPY CENTERS LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: RADIATION THERAPY SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 87.83622 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 12.16378 NAME OF ENTITY: SOUTH INDY MRI & REHAB SERVICES LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: MRI SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: ST FRANCIS IMAGING CENTER (GREENWOOD) LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: IMAGING SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 60.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 40.00000 NAME OF ENTITY: THE ENDOSCOPY CENTER AT ST FRANCIS LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: ENDOSCOPY SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 50.00000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 50.00000 NAME OF ENTITY: INDIANA INTERNAL MEDICINE CONSULTANTS LLC DESCRIPTION OF PRIMARY ACTIVITY OF ENTITY: INTERNAL MEDICINE SERVICES ORGANIZATION'S PROFIT % OR STOCK OWNERSHIP %: 49.000000 OFFICERS, DIRECTORS, TRUSTEES. ETC. PROFIT % OR STOCK OWNERSHIP %: 0 PHYSICIANS' PROFIT % OR STOCK OWNERSHIP %: 51.000000 FILING OF COMMUNITY BENEFIT REPORT IL, IN
Schedule H (Form 990) 2021
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