Totals
- Total revenue
- $32,197,626
- Total expenses
- $37,726,727
- Contributions and grants received
- $286,464
- Grants paid
- $0
- Program service revenue
- $31,890,726
- Investment income
- $0
- Other revenue
- $20,436
- Total assets, end of year
- $21,765,388
- Total liabilities, end of year
- $52,906,475
- Net assets or fund balances, end of year
- -$31,141,087
- Program services expenses (Part IX)
- $32,473,166
- Management and general expenses
- $5,253,561
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $32,473,166
Program services were 86.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1d · Related organizations
$286,464
-
2a · Program service revenue: PATIENT SERVICE AND OTHER REVENUES
total $31,817,223 · related or exempt $31,817,223
-
2b · Program service revenue: CAFETERIA
total $73,503 · excluded $73,503
-
3 · Investment income
total $0
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6a · Gross rents
real property $8,551
-
6c · Rental income or loss
real property $8,551 · personal property $0
-
6d · Net rental income or loss
total $8,551 · excluded $8,551
-
7a · Gross sales of assets other than inventory
other assets $0
-
7c · Gain or loss
other assets $0
-
7d · Net gain or loss
total $0
-
8a · Fundraising events: gross income
$0
-
8b · Fundraising events: direct expenses
$0
-
8c · Net income from fundraising events
total $0
-
9a · Gaming: gross income
$0
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $0
-
10a · Gross sales of inventory
$0
-
10b · Cost of goods sold
$0
-
10c · Net income from sales of inventory
total $0
-
11a · Other revenue: LABORATORY
total $11,885 · unrelated business $11,885
-
11e · Other revenue, total
$11,885
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $0
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $10,491,844 · program services $9,611,045 · management and general $880,799
-
8 · Pension plan contributions
total $454,018 · program services $415,903 · management and general $38,115
-
9 · Other employee benefits
total $2,277,880 · program services $2,086,650 · management and general $191,230
-
10 · Payroll taxes
total $675,535 · program services $618,823 · management and general $56,712
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $0
-
11c · Fees: accounting
total $0
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $0
-
11g · Fees: other
total $1,535,558 · program services $1,495,940 · management and general $39,618
-
12 · Advertising and promotion
total $15,133 · program services $13,618 · management and general $1,515
-
13 · Office expenses
total $21,645 · program services $12,771 · management and general $8,874
-
14 · Information technology
total $22,996 · program services $22,996
-
15 · Royalties
total $0
-
16 · Occupancy
total $29,800 · program services $29,800
-
17 · Travel
total $24,111 · program services $17,478 · management and general $6,633
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $7,088 · program services $4,304 · management and general $2,784
-
20 · Interest
total $803,284 · program services $803,284
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $2,786,543 · program services $2,202,036 · management and general $584,507
-
23 · Insurance
total $262,699 · program services $258,056 · management and general $4,643
-
24a · Other expenses: CORPORATE ASSESSMENT
total $4,101,858 · program services $3,648,339 · management and general $453,519
-
24b · Other expenses: PURCHASED SERVICES
total $5,298,835 · program services $4,030,173 · management and general $1,268,662
-
24c · Other expenses: MEDICAL SUPPLIES/DRUGS
total $3,658,574 · program services $3,617,288 · management and general $41,286
-
24d · Other expenses: HAF
total $1,528,997 · program services $1,528,997 · management and general $0
-
24e · All other expenses
total $3,730,329 · program services $2,055,665 · management and general $1,674,664
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,100 · end of year $111,019
-
2 · Savings and temporary cash investments
beginning of year $0 · end of year $0
-
3 · Pledges and grants receivable
beginning of year $0 · end of year $0
-
4 · Accounts receivable
beginning of year $4,431,577 · end of year $4,766,091
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
7 · Other notes and loans receivable
beginning of year $0 · end of year $0
-
8 · Inventories for sale or use
beginning of year $770,320 · end of year $813,608
-
9 · Prepaid expenses and deferred charges
beginning of year $0 · end of year $68,638
-
10a · Land, buildings and equipment: cost or other basis
$33,320,954
-
10b · Land, buildings and equipment: accumulated depreciation
$17,679,370
-
10c · Land, buildings and equipment, net
beginning of year $17,447,103 · end of year $15,641,584
-
11 · Investments: publicly traded securities
beginning of year $0 · end of year $0
-
12 · Investments: other securities
beginning of year $83,413 · end of year $83,413
-
13 · Investments: program-related
beginning of year $0 · end of year $0
-
14 · Intangible assets
beginning of year $0 · end of year $0
-
15 · Other assets
beginning of year $973,653 · end of year $281,035
-
17 · Accounts payable and accrued expenses
beginning of year $2,534,464 · end of year $2,453,937
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $0 · end of year $0
-
20 · Tax-exempt bond liabilities
beginning of year $0 · end of year $0
-
21 · Escrow or custodial account liability
beginning of year $0 · end of year $0
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $0 · end of year $0
-
24 · Unsecured notes and loans payable
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $46,784,688 · end of year $50,452,538
-
27 · Net assets without donor restrictions
beginning of year -$25,695,399 · end of year -$31,224,500
-
28 · Net assets with donor restrictions
beginning of year $83,413 · end of year $83,413
Mission and programs · 2022
Mission
SEE SCHEDULE O
-
FRANCISCAN HEALTH RENSSELAER, INC. IS A TWENTY-FIVE BED CRITICAL ACCESS HOSPITAL LOCATED IN RENSSELAER, INDIANA PROVIDING HEALTH ACCESS SERVICES TO THE RESIDENTS OF JASPER AND SURROUNDING COUNTIES. SERVICES PROVIDED INCLUDE INPATIENT AND OUTPATIENT MEDICAL, SURGICAL, EXTENDED CARE, DIAGNOSTIC, EMERGENCY CARE, AS WELL AS THE OPERATION OF TWO RURAL HEALTH CLINICS. SPECIALTY SERVICES INCLUDE CARDIOLOGY, ORTHOPEDICS, UROLOGY, AND ONCOLOGY.
Expenses $32,473,166 · Revenue $31,817,223
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Kevin D LeahyKEVIN D LEAHY
PRESIDENT & TRUSTEE
- Total calculated
- $1,984,539
- From this org
- $0
- From related orgs
- $2,085,355
- Other
- -$100,816
- Hours/week
- 5 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $2,044,355 related
- Bonus
- $0
- Other
- $0 + $41,000 related
- Deferred
- $0 + -$115,737 related
- Nontaxable benefits
- $0 + $14,921 related
- Filer's total
- $0 + $1,984,539 related
-
Terrance WilsonTERRANCE WILSON
FACILITY CEO/PRES OF HOSP DIV
- Total calculated
- $819,677
- From this org
- $0
- From related orgs
- $831,800
- Other
- -$12,123
- Hours/week
- 5 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $804,800 related
- Bonus
- $0
- Other
- $0 + $27,000 related
- Deferred
- $0 + -$32,728 related
- Nontaxable benefits
- $0 + $20,605 related
- Filer's total
- $0 + $819,677 related
-
Agnes TheradyAGNES THERADY
SENIOR VICE PRESIDENT CNO
- Total calculated
- $506,399
- From this org
- $0
- From related orgs
- $473,178
- Other
- $33,221
- Hours/week
- 5 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $458,984 related
- Bonus
- $0
- Other
- $0 + $14,194 related
- Deferred
- $0 + $18,300 related
- Nontaxable benefits
- $0 + $14,921 related
- Filer's total
- $0 + $506,399 related
-
Kari L GoodmanKARI L GOODMAN
DIRECTOR PATIENT CARE SERVICES
- Total calculated
- $152,140
- From this org
- $137,807
- From related orgs
- $0
- Other
- $14,333
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $137,807
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $14,333
- Filer's total
- $152,140
-
Susan L HookerSUSAN L HOOKER
MANAGER PHARMACY SERVICES
- Total calculated
- $148,048
- From this org
- $132,810
- From related orgs
- $0
- Other
- $15,238
- Hours/week
- 40
-
Amy J SignmanAMY J SIGNMAN
REGISTERED NURSE
- Total calculated
- $134,848
- From this org
- $127,341
- From related orgs
- $0
- Other
- $7,507
- Hours/week
- 40
-
Cynthia J ReedCYNTHIA J REED
IMAGING MANAGER
- Total calculated
- $129,185
- From this org
- $113,461
- From related orgs
- $0
- Other
- $15,724
- Hours/week
- 40
-
Erin A WilliamsonERIN A WILLIAMSON
MANAGER THERAPY SERVICES
- Total calculated
- $124,414
- From this org
- $109,155
- From related orgs
- $0
- Other
- $15,259
- Hours/week
- 40
-
Sister Jane Marie KleinSISTER JANE MARIE KLEIN
CHAIR & TRUSTEE
- Total calculated
- $0
- Hours/week
- 5 + 55 related
-
Sister M Ann Kathleen MagieraSISTER M ANN KATHLEEN MAGIERA
TREASURER & TRUSTEE
- Total calculated
- $0
- Hours/week
- 5 + 50 related
-
Sister M Madonna RougeauSISTER M MADONNA ROUGEAU
TRUSTEE
- Total calculated
- $0
- Hours/week
- 5 + 50 related
-
Sister Lethia Marie LeveilleSISTER LETHIA MARIE LEVEILLE
SECRETARY & TRUSTEE
- Total calculated
- $0
- Hours/week
- 5 + 55 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- SCHEDULE J, PART I, LINE 3
- FRANCISCAN HEALTH RENSSELAER, INC. DOES NOT COMPENSATE ITS PRESIDENT.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HEALTH SRVCS · IN
Directly controlled by NA
-
501(C)(3) · CAPTIVE INS · VT
Directly controlled by FRANCISCAN
-
SISTERS OF ST FRANCIS OF PERPETUAL ADOR
501(C)(3) · RELIGIOUS · IN
Directly controlled by NA
-
ST ALEXIS HOSPITAL ASSOCIATION
501(C)(3) · SUPPORT ALEXA · OH
Directly controlled by FRANCISCAN
-
501(C)(3) · HOME HEALTH · IN
Directly controlled by FRANCISCAN
-
FRANCISCAN HEALTH FOUNDATION INC
501(C)(3) · FUNDRAISING · IN
Directly controlled by FRANCISCAN
-
501(C)(3) · HEALTHCARE · IN
Directly controlled by FRANCISCAN
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
FRANCISCAN SURGERY CENTER LLC
N/A · MEDICAL SERVICES · IN
Directly controlled by NA
-
ST FRANCIS RADIATION THERAPY CENTERS
N/A · MEDICAL SERVICES · IN
Directly controlled by NA
-
ST FRANCIS IMAGING CTR (GREENWOOD)
N/A · IMAGING SERVICES · IN
Directly controlled by NA
-
TONN AND BLANK CONSTRUCTION LLC
N/A · CONSTRUCTION · IN
Directly controlled by NA
-
MAJOR HOSP CARDIAC DIAGNOSTICS LLC
N/A · MEDICAL SERVICES · IN
Directly controlled by NA
-
ST FRANCIS MOORESVILLE SURGERY CENTER
N/A · MEDICAL SERVICES · IN
Directly controlled by NA
-
FRANCISCAN ORTHOPEDIC SURGERY CENTER
N/A · MEDICAL SERVICES · IN
Directly controlled by NA
-
MOORESEVILLE ENDOSCOPY CENTER LLC
N/A · MEDICAL SERVICES · IN
Directly controlled by NA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
FRANCISCAN HOLDING CORPORATION
C CORP · HOLDING CO. · IN
Directly controlled by NA
-
SAGAMORE SURGICAL SERVICES INC
S CORP · MEDICAL SERVICES · IN
Directly controlled by NA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333199349322333
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