Franciscan Aco Inc
Public records show a registered, tax-exempt organization in good standing.
What it says it does
SEE SCHEDULE O
- Income
- $89.0 million
- Spending
- $82.0 million
- Spent on programs
- 100%
- Reserves
- 1.9 months of spending
- Largest source of income
- fees for its services, 87%
- Employees
- 0
- Volunteers
- 0
- Highest pay
- $3.0 million, president and director
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
Fair: 65 out of 100. Higher than 50% of charities in its peer group (health care, $10m to $100m).
Reserves
10 of 35Spendable reserves would cover 1.9 months of spending.
Debt
10 of 20It owes 33% of what it owns.
Living within its means
15 of 15Income exceeded spending by 8% of income.
Income trend
15 of 15Income rose 5% on the year before.
Spending floor
15 of 15100% 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: 95 out of 100. Higher than 39% of charities in its peer group (health care, $10m to $100m).
Independent board
25 of 259 of 10 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
0 of 5Reports no independent review process for its chief executive's pay.
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 (2)
- $50.6 million spent. FRANCISCAN ACO, INC. ("ACO", "FRANCISCAN") WAS FORMED IN 2011, AND WAS THE FIRST AND ONLY PIONEER ACO IN INDIANA AND AMONG THE FIRST IN THE COUNTRY TO PARTNER WITH MEDICARE AS AN ACO. FRANCISCAN ACO PARTICIPATES IN THE MEDICARE SHARED SAVINGS ACO PROGRAM AND NONGOVERNMENTAL VALUE BASED PROGRAMS TO MEET THE NEEDS OF PATIENTS. THE ACO SUPPORTS PATIENTS AND PROVIDERS IN BOTH INDIANA AND ILLINOIS THROUGH THE COLLABORATIVE EFFORTS OF THE FOLLOWING PARTNERS: (A) 12 TAX-EXEMPT HOSPITALS OPERATED, DIRECTLY AND INDIRECTLY, BY FRANCISCAN ALLIANCE, INC.; (B) FRANCISCAN PHYSICIAN NETWORK, A FRANCISCAN ALLIANCE, INC. EMPLOYED MULTI-SPECIALTY GROUP OF PRIMARY AND SPECIALTY-CARE PROVIDERS THROUGHOUT THE STATE OF INDIANA AND ILLINOIS; (C) SPECIALTY PHYSICIANS OF ILLINOIS, LLC, AN EMPLOYED MULTI-SPECIALTY GROUP OF SPECIALTY-CARE PROVIDERS IN ILLINOIS, SERVING FRANCISCAN HEALTH CHICAGO HEIGHTS AND FRANCISCAN HEALTH OLYMPIA FIELDS; (D) INDIANA INTERNAL MEDICINE CONSULTANTS WHICH INCLUDES ST. FRANCIS MEDICAL GROUP, LLC, PROVIDES HEALTHCARE SERVICES TO COMPLEX INTERNAL MEDICINE PATIENTS ACROSS INDIANAPOLIS IN BOTH INPATIENT AND OUTPATIENT SETTINGS; AND (E) OTHER HEALTHCARE PARTNERS INCLUDE MAJOR MULTISPECIALTY ASSOCIATES AND MAJOR HOSPITAL. CURRENTLY FRANCISCAN ACO PARTICIPATES IN THE MEDICARE SHARED SAVINGS PROGRAM (MSSP); ANTHEM MEDICARE ADVANTAGE; HUMANA MEDICARE ADVANTAGE; UNITED HEALTHCARE MEDICARE ADVANTAGE; AND AETNA MEDICARE ADVANTAGE. AS A PARTICIPANT IN CMS (CENTERS FOR MEDICARE & MEDICAID SERVICES) MSSP PROGRAM FOR 2024, FRANCISCAN ACO WAS RESPONSIBLE FOR THE COST AND QUALITY OF CARE FOR APPROXIMATELY 38,000 PATIENTS. RESULTS OF THIS PARTICIPATION SHOWED A QUALITY SCORE OF 90.7%, HIGHER THAN BOTH THE NATIONAL AND STATE AVERAGE. HIGHLIGHTS OF PERFORMANCE INCLUDE MEASURES OF SCREENING FOR FUTURE FALL RISK AND STATIN THERAPY FOR THE PREVENTION AND TREATMENT OF CARDIOVASCULAR DISEASE RESULTS BOTH BEING ABOVE 90%. 2024 PERFORMANCE RESULTED IN FRANCISCAN ACO SAVING CMS APPROXIMATELY $32.8 MILLION DOLLARS. FRANCISCAN ACO THROUGH ITS INTERACTIONS WITH PARTICIPANT PROVIDERS AND HOSPITALS, HELPS TO SUPPORT IMPROVED RATES OF WELLNESS AND PREVENTION ACTIVITIES, SUCH AS YEARLY CHECKUPS AND CANCER SCREENINGS, ALONG WITH BETTER MANAGEMENT FOR CHRONIC DISEASES, SUCH AS DIABETES AND HYPERTENSION. THE ACO WORKS WITH CARE TEAMS, PATIENTS AND FAMILIES THROUGHOUT THE CONTINUUM, WORKING TO IMPROVE CARE COORDINATION, DECREASE AVOIDABLE HOSPITAL ADMISSIONS AND READMISSIONS. THESE ACTIVITIES HELP SUPPORT THE OPPORTUNITY FOR IMPROVED OVERALL PATIENT HEALTH, BETTER QUALITY AND EXPERIENCE OF CARE AND LOWER COSTS OF CARE WHERE APPROPRIATE.
- $31.4 million spent. FRANCISCAN SENIOR HEALTH & WELLNESS, A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE), IS A COMMUNITY-BASED HEALTHCARE PROGRAM CREATED FOR PEOPLE 55 OR OLDER WHO ARE ELIGIBLE FOR NURSING-HOME LEVEL CARE, BUT PREFER TO RECEIVE THEIR CARE IN THEIR OWN FAMILIAR SURROUNDINGS. OUR PROGRAM ENABLES SENIORS TO LIVE AS INDEPENDENTLY AS POSSIBLE BY PROVIDING TRULY ALL-INCLUSIVE SERVICES. IN ADDITION TO ADDRESSING EACH PARTICIPANT'S UNIQUE MEDICAL NEEDS, WE ALSO HELP WITH THE SOCIAL, EMOTIONAL AND PRACTICAL CHALLENGES THAT OLDER ADULTS OFTEN FACE. THROUGH INTERACTIONS WITH PEERS, STIMULATING ACTIVITIES AND OTHER SUPPORTIVE SERVICES, PARTICIPANTS WILL ENJOY A BETTER QUALITY OF LIFE. FRANCISCAN SENIOR HEALTH & WELLNESS IS A MEMBER OF THE NATIONAL PACE ASSOCIATION (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY). THE PACE MODEL OF CARE IS CENTERED AROUND THE BELIEF THAT THE WELL-BEING OF SENIORS WITH CHRONIC CARE NEEDS, AND THEIR FAMILIES, ARE BETTER SERVED IN THEIR OWN COMMUNITIES WHENEVER POSSIBLE.
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? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, 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 October 2017.
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.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.