Franciscan Alliance Inc
Public records show a registered, tax-exempt organization in good standing.
What it says it does
SEE SCHEDULE O
- Income
- $3.8 billion
- Spending
- $3.7 billion
- Spent on programs
- 85%
- Reserves
- 7.4 months of spending
- Largest source of income
- fees for its services, 96%
- Employees
- 23,290
- Volunteers
- 524
- Highest pay
- $3.0 million, president and trustee
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Good: 80 out of 100. Higher than 73% of charities in its peer group (health care, over $100m).
Reserves
28 of 35Spendable reserves would cover 7.4 months of spending.
Debt
10 of 20It owes 31% of what it owns.
Living within its means
12 of 15Income exceeded spending by 1% of income.
Income trend
15 of 15Income rose 7% on the year before.
Spending floor
15 of 1585% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 53% of charities in its peer group (health care, over $100m).
Independent board
25 of 2515 of 17 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $3.2 billion spent. FOR OVER 145 YEARS, FRANCISCAN ALLIANCE, INC. ("FRANCISCAN") HAS ENDEAVORED TO STAY TRUE TO OUR FOUNDING MISSION OF CARING FOR PATIENTS WHO COME THROUGH OUR DOORS AND WE CONTINUE TO LOOK FOR OPPORTUNITIES TO SERVE OUR COMMUNITIES THROUGH THE VERY BEST IN MEDICAL CARE AND SERVICE TO THE LESS FORTUNATE AMONG US. FRANCISCAN'S PURPOSE IS TO CONTINUE THE HEALING MINISTRY OF CHRIST IN ACCORDANCE WITH THE TEACHINGS, TRADITIONS AND LAWS OF THE CHURCH, THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS (THE "ERD"), THE MISSION, PHILOSOPHY OF CARE, VALUES AND CATHOLIC IDENTITY OF THE SISTERS OF ST. FRANCIS OF PERPETUAL ADORATION, AND IN PARTNERSHIP WITH OTHERS TO PROVIDE A CONTINUUM OF HEALTH CARE SERVICES; TO OPERATE EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSE WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; AND TO ENGAGE IN ACTIVITIES RELATING TO THE AFOREMENTIONED PURPOSES; TO CARRY ON EDUCATIONAL ACTIVITIES RELATED TO THE PROMOTION OF HEALTH; TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO HEALTH CARE; TO PARTICIPATE IN ACTIVITIES DESIGNED AND CONDUCTED TO PROMOTE THE GENERAL HEALTH OF THOSE SERVED BY FRANCISCAN; AND TO ENGAGE IN ANY LAWFUL ACT OR ACTIVITY FOR WHICH A NOT-FOR-PROFIT CORPORATION MAY BE ORGANIZED UNDER THE LAWS OF THE STATE OF INDIANA. SUBJECT TO THE LIMITATIONS SET FORTH HEREIN AND CONSISTENT WITH THE CORPORATION BEING ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES. FRANCISCAN DIRECTLY OR INDIRECTLY OPERATES 12 HOSPITAL CAMPUSES (ONE IN ILLINOIS AND 11 IN INDIANA) ALONG WITH NUMEROUS PHYSICIAN CLINICS AND ANCILLARY SERVICES CENTERS AND OFFERS NUMEROUS COMMUNITY HEALTH IMPROVEMENT PROGRAMS THAT ARE FURTHER DESCRIBED IN SCHEDULE H, PART VI, ITEM 5 AND SCHEDULE H, PART I, LINE 6A. IN 2024, FRANCISCAN SERVED ABOUT 2 MILLION PERSONS AND PROVIDED OVER $903 MILLION IN CHARITY CARE AND OTHER COMMUNITY BENEFITS. FRANCISCAN PROVIDES SIGNIFICANT BENEFITS THAT REFLECT THE ORGANIZATION'S COMMITMENT TO HEALTHCARE AND THE COMMUNITIES IT IS PRIVILEGED TO SERVE. IN 2024, FRANCISCAN PROVIDED COMMUNITY BENEFITS WHICH INCLUDED: UNREIMBURSED COSTS OF MEDICAID AND OTHER INDIGENT CARE PROGRAMS $ 179,268,386 COST OF CHARITY CARE PROVIDED $ 60,284,372 OTHER BENEFITS FOR THE POOR AND UNDERSERVED $ 3,526,439 SUBSIDIZED HEALTH SERVICES $ 55,345,243 HEALTH PROFESSIONS EDUCATION $ 16,339,250 COMMUNITY HEALTH IMPROVEMENT SERVICES $ 7,113,696 FINANCIAL AND IN-KIND CONTRIBUTIONS $ 6,534,978 RESEARCH $ 1,559,765 COMMUNITY BENEFIT OPERATIONS $ 259,534 UNREIMBURSED COSTS OF MEDICARE $ 596,629,796 TOTAL $ 926,861,459 PLEASE VIEW WWW.FRANCISCANHEALTH.ORG/ABOUT/WHO-WE-ARE WHICH REFLECTS OUR MISSION OF "CONTINUING CHRIST'S MINISTRY IN OUR FRANCISCAN TRADITION" AS WELL AS WWW.FRANCISCANHEALTH.ORG/COMMUNITYHEALTH FOR FRANCISCAN'S COMMUNITY BENEFIT AND COMMUNITY HEALTH ASSESSMENTS. ALTHOUGH IT IS NOT ALL INCLUSIVE OF THE MANY BENEFITS PROVIDED BY FRANCISCAN IT DOES PORTRAY THE SIGNIFICANT BENEFITS THAT REFLECT OUR COMMITMENT TO HEALTHCARE AND THE COMMUNITIES WE ARE PRIVILEGED TO SERVE. PLEASE SEE THE RESPONSE TO SCHEDULE H, PART VI, ITEM 5 AND SCHEDULE H, PART I, LINE 6A FOR A DETAILED DESCRIPTION OF THE MANY CLINICAL SERVICES AS WELL AS POPULATION HEALTH IMPROVEMENT AND COMMUNITY OUTREACH ACTIVITIES OFFERED BY ONE OR MORE OF FRANCISCAN'S HEALTHCARE FACILITIES. PLEASE SEE THE RESPONSE TO SCHEDULE H, PART VI, ITEM 5 AND SCHEDULE H, PART I, LINE 6A FOR A DETAILED DESCRIPTION OF THE MANY CLINICAL SERVICES AS WELL AS POPULATION HEALTH IMPROVEMENT AND COMMUNITY OUTREACH ACTIVITIES OFFERED BY ONE OR MORE OF FRANCISCAN'S HEALTHCARE FACILITIES.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.
Are donations tax-deductible? Worth knowing.
Not individually listed by the IRS as eligible, which is usual for churches. The master file records contributions to it as deductible.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since March 1946.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.
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