2017-05-15T10:07:16-05:00 2016-06-30 990 2015-07-01 391570877 WHEATON FRANCISCAN HEALTHCARE ALL SAINTS FOUNDATION INC % ELIZABETH A RITTER WHEA 2626872011 3805-B SPRING STREET Suite 220 RACINE WI 53405 JONATHAN W SOHN CFO 4144653090 2017-05-15 2015 2021-01-29 14:40:06Z BERNARD SHERRY SR VP 400 WEST RIVER WOODS PARKWAY MILWAUKEE WI 53212 2000914 false 0928 X www.wfhealthcare.org X 1986 WI SOLICIT DONATIONS AND FUNDRAISING IN SUPPORT OF All Saints Hospital. 24 15 0 47 0 938567 1464644 0 0 692578 490742 -25919 -28576 1605226 1926810 1242190 449267 0 0 0 0 0 0 0 74782 15110 1316972 464377 288254 1462433 11697665 12689081 303393 155262 11394272 12533819 X AS A MEMBER OF WHEATON FRANCISCAN HEALTHCARE, OUR AFFILIATES STRIVE TO LIVE OUT THE HEALING MINISTRY OF JESUS WHILE PROVIDING EXCEPTIONAL AND COMPASSIONATE HEALTHCARE SERVICES THAT PROMOTE THE DIGNITY AND WELL-BEING OF THE PATIENTS AND COMMUNITIES WE SERVE. OUR VISION IS TO BE RECOGNIZED FOR SUPERIOR HEALTHCARE SERVICE, CLINICAL EXCELLENCE, AS THE HEALTHCARE EMPLOYER OF CHOICE, AND THE PREFERRED PARTNER OF PHYSICIANS. false false 464377 449267 0 WHEATON FRANCISCAN HEALTHCARE IN SOUTHEAST WISCONSIN Wheaton Franciscan Healthcares service to Southeast Wisconsin dates back to 1879 when the Franciscan Sisters began operating a health care ministry out of a small house. Five years later they opened their first hospital in Milwaukee St. Joseph. Over the next 100 years, the Sisters known as the Wheaton Franciscans after 1947 expanded their Milwaukee health care ministry and, in 1993, partnered with the Felician Sisters. Through the union of numerous separate but common functions including Boards of Directors, medical groups, and corporate services, Wheaton Franciscan Healthcare has created a fully integrated region that allows it to share best practices and create cost efficiencies. WHEATON FRANCISCAN HEALTHCARE IN SOUTHEAST WISCONSIN LIST OF ENTITIES Hospitals Wheaton Franciscan, Inc. (Elmbrook Memorial, Midwest Spine and Orthopedic Hospital and Wisconsin Heart Hospital, and St. Joseph Campuses) Wheaton Franciscan Healthcare - All Saints (Spring Street and Wisconsin Ave Campuses) Wheaton Franciscan Healthcare - St. Francis Wheaton Franciscan Healthcare Franklin Midwest Orthopedic Specialty Hospital (joint venture) Wheaton Franciscan Medical Group More than 300 physicians in 50 specialty and primary care locations across SE Wisconsin. Transitional & Extended Care Wheaton Franciscan Healthcare - Franciscan Woods Wheaton Franciscan Healthcare - Lakeshore Manor Wheaton Franciscan Healthcare - The Terrace at St. Francis Outpatient Centers Wheaton Franciscan Brown Deer Campus Wheaton Franciscan Wauwatosa Campus Wheaton Franciscan Healthcare - St. Francis Medical Arts Pavilion Wheaton Franciscan Healthcare St. Francis Outpatient Center Service Lines Wheaton Franciscan Cancer Care Wheaton Franciscan Women and Infants Wheaton Franciscan Diabetes Care Wheaton Franciscan Heart Care Wheaton Franciscan Mental Health and Addiction Care Wheaton Franciscan Orthopedic Care Wheaton Franciscan Rehabilitation Services Wheaton Franciscan Senior Care Midwest Orthopedic Specialty Services Restore Integrated Work Injury Solutions Home Health & Hospice Wheaton Franciscan Home Health Wheaton Franciscan Hospice Wheaton Franciscan Medical Equipment Team Pharmacy Wheaton Franciscan Pharmacy (multiple locations) Laboratory Wheaton Franciscan Laboratory Philanthropic Foundations Wheaton Franciscan Healthcare - All Saints Foundation Wheaton Franciscan Healthcare - Circle of Life Foundation Wheaton Franciscan Healthcare - Foundation for St. Francis and Franklin Wheaton Franciscan - Elmbrook Memorial Foundation Wheaton Franciscan - St. Joseph Foundation WHEATON FRANCISCAN HEALTHCARE COMMUNITY IMPACT IN SOUTHEAST WISCONSIN / 2016 Charity Care: $17,397,237. Charity Care is defined as free or discounted health services provided to those who cannot afford to pay and who meet all criteria for financial assistance. Charity care is based on actual costs, not charges, and does not include bad debt. Unreimbursed Cost of Public Programs: $46,504,102. Unreimbursed cost of public programs is defined as the shortfall experienced when payments received are below the cost of treating public beneficiaries through Medicaid and other local public programs. Community Health Improvement Services: $1,049,972. Community Health Improvement Services are defined as clinical and non-clinical services designed to improve community health, which are provided to the community for free or for fees that did not cover costs. Financial Contributions: $1,467,639. Financial contributions are defined as contributions, including cash, non-cash items such as food, furniture, equipment, supplies, and loaned staff for volunteer and charitable purposes, made to individuals, community groups, or nonprofit organizations for charitable purposes. Health Professions Education: $10,392,557. Health professions education is defined as direct costs incurred for accredited training and education programs for physicians, nurses, allied health professionals and technicians (does not include ongoing education for staff). Community Building Activities: $98,698. Community building activities are defined as programs that, while not directly related to health care, provide opportunities to address the root causes of health problems, such as poverty, homelessness, and environmental issues. Costs for these activities include cash and in-kind donations. Community Benefit Operations: $31,963. Community benefit operations are defined as costs associated with dedicated staff and community health needs and/or assets assessment, as well as other costs associated with community benefit strategy and operations. Research: $74,940. Research is defined as costs incurred for health-related research, such as medical equipment testing, controlled studies of therapeutic protocols, and studies of health care delivery methods. Subsidized Health Services: $2,716,513. Subsidized health services are defined as the negative margin for clinical services that are provided despite a financial loss because of an identified community need that would need to be met by the government or another not-for-profit if it was not offered. The financial losses are so significant that negative margins remain after removing the effects of charity care, bad debt, and Medicaid shortfalls. TOTAL BENEFIT TO THE COMMUNITY IN SOUTHEAST WISCONSIN FOR 2016: $79,733,621. Wheaton Franciscan Healthcare All Saints Foundation Wheaton Franciscan Healthcare All Saints Foundation supports a number of projects affiliated with the hospital. The Foundation solicits philanthropic contributions on behalf of the hospital departments and facilities listed above, and engage in activities to benefit the general community as well. Fundraising efforts help to make many valuable services possible, including free or discounted health care services for low-income individuals, targeted services to senior patients, and scholarships to enhance the professional development of Wheaton Franciscan Healthcare staff. Specific examples of how Wheaton Franciscan Healthcare All Saints Foundation helps meets the needs of the community include: -Hope Fund: The financial burden of cancer can be devastating in most households. In an economically depressed community, an individual who is newly diagnosed with cancer may be forced to decide between taking time from work to receive the medical treatment so desperately needed and continuing to work to put food on the table. They may have to decide between paying the rent or mortgage, the utility bill or buying gas for the car and paying for their treatment. For many who teeter so close to the financial edge, the decision to put family first is often the decision made, thus foregoing or delaying treatment in order to meet living expenses. The Hope Fund was established so no cancer patient has to make this type of decision. Designed to support those diagnosed with cancer, the Hope Fund helps offset expenses that are not supported by other existing benefit programs. With help from the Oncology Navigator and the Social Worker, the patient applies for assistance from the Hope Fund to meet daily needs such as transportation for medical purposes, living expenses, or medical co-payments. The Oncology Navigator works with the Social Worker and patient to thoroughly assess financial need through established criteria. Once approved, funding is granted to meet the designated expenses. -Financial Counseling: Wheaton Franciscan Healthcare All Saints financial counselors help underinsured and uninsured individuals find public sources of health insurance and other assistance to cover their medical expenses. More than 4,000 patients a year receive these services, allowing them to maintain their health with a primary-care physician and reduce their reliance on emergency department visits. -Mental Health and Addiction Programs: These outstanding programs provide mental health and addiction support for all ages. For example, the Fresh Start program a unique partnership with the Racine Unified School District helps grade school children with adjustment difficulties to develop positive behaviors, receive proper medications, and find family-centered support. Positive outcomes include a return to the traditional classroom, continued appropriate behaviors, and academic success in a mainstream setting. -Racine PAD Program: Sudden cardiac arrest (SCA) is one of the leading causes of death in America claiming more than 250,000 lives each year. Although most victims are middle-aged or elderly, it can strike anyone, anywhere, at any time. For every one minute in defibrillation delay, the chance of survival is reduced by 10%. SCA does not have to result in death. If the heart is shocked quickly with a defibrillator, a normal heart rhythm can be restored. The Racine Area Public Access Defibrillator Program (PAD) has been credited for saving many lives in our community over the years. In one case, Gus Schumann collapsed while playing golf 464377 true true false false false false false false false true false false false false false false false true false false true false true false true false false true true true false false false false false false false false true false false false false true false false false true 0 0 0 false false false false false true true false false false false X 24 15 false false false false true true true true true false false true true true true true true false false false WI X ELIZABETH A RITTER 4144653542 400 WEST RIVER WOODS PARKWAY MILWAUKEE WI 53212 X Greg Anderegg Chair - Director 1.0 1.0 X X 0 0 0 Tom Atkinson V Chair / Treasurer - Director 1.0 1.0 X X 0 0 0 Ann Barry Director 1.0 1.0 X 0 0 0 Susan Boland President - Director 1.0 40.0 X X 0 655311 78551 John Crimmings Director 1.0 1.0 X 0 0 0 Patrick Diem Chair / Vice Chair - Director 1.0 1.0 X X 0 0 0 Jennifer Eastman Director 1.0 1.0 X 0 0 0 Dave Eberle Director 1.0 1.0 X 0 0 0 Gene Gasiorkiewicz Director 1.0 1.0 X 0 0 0 Jerry Hardacre MD Director 1.0 40.0 X 0 412845 59985 Art Howell Director 1.0 1.0 X 0 0 0 Herb Katt Director 1.0 1.0 X 0 0 0 Christopher Krizek Executive Director - Director 1.0 40.0 X X 0 152869 46106 Jim Ladwig Director 1.0 1.0 X 0 0 0 Russ Lein Director 1.0 1.0 X 0 0 0 Mark Lewis Director 1.0 1.0 X 0 0 0 Michael Manske MD Director 1.0 1.0 X 0 0 0 Tom Marini Director 1.0 1.0 X 0 0 0 Paul Mason Director 1.0 40.0 X 0 360316 58376 Lisa Olesen Secretary - Director 1.0 1.0 X X 0 0 0 Steve Oppeneer Director 1.0 1.0 X 0 0 0 Mary Ouimet Director 1.0 40.0 X 0 320255 57805 Dan Pettit Treasurer - Director 1.0 1.0 X X 0 0 0 Tom Schuster Director 1.0 1.0 X 0 0 0 0 1901596 300823 0 false true false 0 89089 267090 1108465 40018 1464644 0 490742 490742 0 0 0 0 0 0 37067 89089 73185 -36118 -36118 8461 919 7542 7542 0 0 1926810 462166 325352 325352 107415 107415 16500 16500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMUNITY SUPPORT 15110 15110 464377 464377 0 0 0 0 271622 317003 501160 956254 0 0 0 0 0 0 0 0 0 0 5137 0 0 10801124 11287271 0 0 0 0 0 0 118622 128553 11697665 12689081 303393 155262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303393 155262 X 5479429 5267683 4736944 5876422 1177899 1389714 11394272 12533819 11697665 12689081 X 1462433 -322886 X X false true X true false X 756258 999654 938890 938567 1464644 5098013 0 0 756258 999654 938890 938567 1464644 5098013 1073167 4024846 281664 361254 532557 692578 490742 2358795 -16965 -13740 -22169 -25919 -28576 -107369 0 7349439 0.54764 0.50240 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1177899 183209 46886 16440 1841 1389713 956024 169106 52769 1177899 717874 204838 34040 728 956024 541078 174859 20289 18352 717874 451869 104593 13750 22332 6802 541078 1.00000 false false Use of Endowment Funds Permanent (true) endowments are endowment funds that are maintained to provide a permanent source of income, with the stipulation that principal must be invested and kept intact in perpetuity, while only the income generated can be used by the organization. true Central America and the Caribbean Program Services MISSION TRIP GUATAMALA 16500 16500 16500 Grace Church Central America and the Caribbean 14600 CHECK HEARTS IN MOTION Central America and the Caribbean 1900 CHECK false false false false false false Schedule F Supplemental Info Form 990 Schedule F Part I Line 2 Wheaton Franciscan Healthcare maintains files and records to manage the decision-making and assistance process for organizations that it provides community sponsorship dollars or in-kind donations to. Decisions are made by a Community Sponsorship Committee with leaders who hold positions in Diversity, Strategic Planning, Mission Services, Marketing and Philanthropy. The Committee generally strives to sponsor organizations that have missions that align with the mission, vision and values of the organization, with a special focus on world disaster relief and human assistance, in particular as it relates to our healthcare and housing ministries. The committee also looks for certain other criteria when deciding which organizations will receive contributions, including but not limited to supporting healthcare, housing, or other humanitarian needs worldwide, furthering diversity and cultural competency, aligning with other WFH business relationships or service lines, supporting student academic achievement or workforce development initiatives, and finally, supporting environmental green initiatives. Leaders periodically meet with representatives of sponsored organizations to discuss objectives including how dollars will be spent. Additionally, Wheaton Franciscan Healthcare may, at a later date, ask for documentation in order to monitor that funds were spent for their intended purpose. Currently, confirmation letters are sent to sponsored organizations when award dollars or in-kind donations are given, that confirm the dollar amount (or approximate fair market value) awarded and the intended purpose, with a request that the recipient acknowledge receipt of the funds in written correspondence. Files are maintained in the Organizational Change and Leadership Performance Department to include copies of letters of request, award and denial letters, additional documentation if requested, and acknowledgement receipts from sponsored organizations. DERBY NIGHT 109376 78289 31087 0 24343 11142 12200 1500 18166 TENNIS 16780 10800 5980 0 4405 0 0 0 1429 0 126156 89089 37067 0 28748 11142 12200 1500 19595 73185 -36118 true WFH - All Saints Inc 3801 Spring Street Racine WI 53405 391264986 501(c)(3) 128756 Support programs Marquette University Shroeder Hlth Complex Milwaukee WI 53201 390806251 501(c)(3) 25000 Simulation Lab Upendo Village NFP PO Box 667 Wheaton IL 601870667 331007368 501(c)(3) 18500 Contribution Health Care Network Inc 904 State Street Racine WI 53405 421299913 501(c)(3) 5200 Contribution HOMELESS ASSISTANCE LEADERSHIP 2000 DEKOVEN AVE UNIT 1 RACINE WI 53403 202041432 501(c)(3) 21000 CONTRIBUTION Volunteers in Pship with WFH-All Saints Inc 3807 Spring Street Racine WI 53405 930838390 501(c)(3) 18000 Contribution ANGELS YOUTH FOOTBALL ASSC 1200 Park Ave Racine WI 53403 473430916 NONPROFIT 7500 CONTRIBUTION DOUGLAS KARGE & ASSOC 8910 Gittings Rd Racine WI 53406 12730 REIMBURSEMENT RACINE UNIFIED SCHOOL DISTRICT 3109 MT PLEASANT ST RACINE WI 53404 465503578 501(c)(3) 26500 CONTRIBUTION ST MONICAS SENIOR LIVING INC 3920 N GREEN BAY RD RACINE WI 53404 391137868 501(c)(3) 10000 CONTRIBUTION WATERFORD YOUTH FOOTBALL BOOSTER CLUB 234 N River Road Burlington WI 53105 391930940 NONPROFIT 6000 CONTRIBUTION 10 1 HOPE GRANT 18 27342 Nursing Scholarships 47 90915 School of Radiology Scholarships 11 16500 SCHEDULE I SUPPLEMENTAL INFORMATION Schedule I Part I Line 2 Wheaton Franciscan Healthcare maintains files and records to manage the decision-making and award process for organizations that it provides community sponsorship dollars to. Decisions are made by a Community Sponsorship Committee with leaders who hold positions in Diversity, Strategic Planning, Mission Services, Marketing and Philanthropy. The Committee generally strives to sponsor organizations that have missions that align with the mission, vision and values of Wheaton Franciscan Healthcare. The committee also looks for certain other criteria when deciding which organizations will receive contributions, including but not limited to supporting healthcare related activities within the Southeast Wisconsin, Iowa, and Illinois markets, supporting programming that work to further diversity and cultural competency, aligning with other WFH business relationships or service lines, supporting student academic achievement or workforce development initiatives, and finally, supporting environmental green initiatives. Leaders periodically meet with representatives of sponsored organizations to discuss objectives including how dollars will be spent. Additionally, Wheaton Franciscan Healthcare may, at a later date, ask for documentation in order to monitor that funds were spent for their intended purpose. Currently, confirmation letters are sent to sponsored organizations when award dollars are given, that confirm the dollar amount awarded and the intended purpose, with a request that the recipient acknowledge receipt of the funds in written correspondence. Files are maintained in the Organizational Change and Leadership Performance Department to include copies of letters of request, award and denial letters, additional documentation if requested, and acknowledgement receipts from sponsored organizations. false false false false false false false false false Susan Boland President - Director 0 444213 0 198000 0 13098 0 63318 0 15233 0 733862 0 0 Jerry Hardacre MD Director 0 410881 0 0 1964 0 26792 0 33193 0 472830 0 0 Christopher Krizek Executive Director - Director 0 142126 0 9830 0 913 0 10570 0 35536 0 198975 0 0 Paul Mason Director 0 272326 0 86500 0 1490 0 27055 0 31321 0 418692 0 0 Mary Ouimet Director 0 243229 0 76400 0 626 0 27256 0 30549 0 378060 0 0 X RAFFLE AND SILENT AUCTION ITEMS 105 40018 DONOR VALUE 0 false true true SCHEDULE M SUPPLEMENTAL INFORMATION Schedule M Part I Line 25 Col B Affiliates of Wheaton Franciscan Healthcare report the number of items donated (rather than the number of donations) related to items donated for special events, raffles, and silent auctions. Schedule M Part I Lines 32a-b Affiliates of Wheaton Franciscan Healthcare on occasion use volunteers or employees of related organizations to assist in conducting special events or performing other foundation duties as warranted. These duties can include, but are not limited to, processing non cash contributions. Schedule M Part I Line 33 and Sch M Part I Line 25 Col C Affiliates of Wheaton Franciscan Healthcare have reported the fair market value established by the donor on the date the item was donated. Please note there are limited exceptions to this practice, such as when the donor provides no value, the value looks materially out of line, or the item is very difficult to place a value upon. SCHEDULE O SUPPLEMENTAL INFORMATION Part IV Lines 12a-12b and Part XII Lines 2a-2c: Effective March 1, 2016, Wheaton Franciscan Healthcare organizations in the SE WI region were transferred to Ascension Health. As such, all SE WI organization have been included in the consolidated Ascension audit report for the period March 1, 2016 June 30, 2016, and we have therefore answered NO, YES accordingly. Part V Line 1a and Part VII Section B Line 1-2: Wheaton Franciscan Healthcare streamlined their reporting of IRS Forms 1099-MISC so that most 1099-MISC are now reported using the FEIN number of the parent organization or of a related organization. The actual expense continues to be paid by, or transferred to, the individual entity which is normally a subsidiary or related organization to the organization(s) issuing the 1099. For this reason, the reader may notice on some 990s that there are top 5 independent contractors reported, but no 1099s are reported. Likewise on the 990s of the organization(s) reporting number of 1099s, there may be a disproportionate share of 1099s reported as compared with the actual expenses and top 5 independent contractors reported. Part VI Section A Line 6-8b: Wheaton Franciscan Healthcare All Saints Foundation, Inc. has one member which holds several reserved powers over the entity. These reserved powers include, but are not limited to, the election of members of the governing body and election of the board chair, approval of certain financial expenditures in accordance with policy, and approval of strategic plans; these approvals are based on recommendations from the governing body. Part VI Section B Lines 11a and 11b: Ministries that were affiliates of Wheaton Franciscan Healthcare during the fiscal year ending June 30, 2016 used a multiple-level review process on all IRS Forms 990 to ensure accurate and timely filing for all organizations. Under the direction of the Tax Manager, the Accounting Departments in each region prepare Forms 990, 990-T, and associated state filings. When complete, the return is first reviewed by a Senior-Level (or higher) associate in the Finance Department, who focuses on income statement and balance sheet items, and schedules where transactions of this type might be reported. If discrepancies are found, the item will be corrected prior to the next step in the review process. Once cleared through Finance, the return is provided to the Tax Department, where the Tax Manager concentrates primarily on consistency of reporting between all returns, accuracy of tax related information, and narrative explanation of any outliers. Again, any problems or questions are investigated and corrected. Depending on the level of complexity of the year in question, as well as the individual issues specific to that filing, certain returns may be selected for outside review by a public accounting firm. This decision will vary from year to year based on many factors, and sometimes outside review is not utilized at all. Also, certain schedules, such as Schedule H or Schedule J may be reviewed by committees, such as the Community Benefit Team or the Compensation Committee in selected years. The board has also asked for formal presentations on various 990 topics over the years. This decision will vary from year to year, again based on many factors. Once all levels of review have been completed, the Tax Manager (or the designated employee in the applicable region) will schedule an appointment with the signer of the 990. This is normally a Senior Vice President or CFO of the applicable region, who will perform an additional, normally high level review prior to signing the return. Once signed, the return is cleared to provide to members of the Board of Directors, who at a later date but prior to efiling, are provided access to all 990s throughout their assigned region via an online portal. Additionally, as a courtesy, any individual who is listed on any 990 as a reportable individual will also receive access to the portal, where they can view the 990 if they so choose, prior to it being filed with the IRS. Part VI Section B Lines 12a 12c: The organization has a Conflict of Interest policy which states that if at any time, an officer or a director become aware that the board may discuss or act upon any transaction or arrangement which may have any bearing of any kind upon, or may relate in any manner to, a financial interest of the individual, the financial interest must be disclosed. All associates of the organization must disclose a potential conflict of interest any time one arises. The disclosures are reviewed and a determination is made as to whether a conflict of interest exists and how it might be managed. Additionally, as part of an annual process, conflict of interest questionnaires are sent out to all Officers, Directors, and other individuals in key positions using software designed to capture this information. The responses are analyzed in order to determine information on potential conflicts, as well as information on business and family relationships and other disclosures required to be made on IRS Forms 990. Responses to these questions are reviewed by the Vice President of Compliance and the Manager of Tax Compliance, and follow up action, if any, is documented within the software. Non-responders are reminded of their outstanding disclosure requirement automatically through the software system. Responses to questions continue to be reviewed and documented throughout this time period. Approximately 1 month prior to the filing deadline of IRS Form 990, responses to date are compiled. Any response requiring disclosure is entered into the information return. The remaining non responder names are determined, and a letter, along with the actual Conflict of Interest Policy, is sent to the Chairperson of each board. The letter lists current non responders, as well as any Officer or Board member that has disclosed a financial interest that might pose a potential conflict of interest. Depending upon the nature of the financial interest and work done by the board, several actions may be considered first, the board member with a financial interest would need to voluntarily excuse him or herself from the deliberations and/or voting on such a matter. If not, the board may, if necessary, determine that the subjects financial interest was an actual conflict of interest, in which case the board member would be informed by the board Chairperson that he or she would not be allowed to vote in any such matters due to this real or perceived conflict of interest. Minutes of the board meeting would document this decision process, and reflect whatever action(s) are ultimately taken. The board chairperson is also required to discuss with non responders the repercussions of not responding, and require the board member to complete the annual conflict of interest disclosure questions before being allowed to continue in any board matters. If the board member refuses, the Chairperson has the authority to determine the appropriate action, including, but not limited to prohibiting them from participating in deliberations, preventing them from voting, and/or removing them as a board member. Part VI Section C Line 19: Ministries that were affiliates of Wheaton Franciscan Healthcare during the fiscal year ending June 30, 2016 provided upon request certain documents including our financial statements, conflict of interest policy, and governing documents that support our tax exempt status, including, but not limited to, articles of incorporation and bylaws. During fiscal 2016, all ministries were transferred to new parent organizations and all organizations are currently working on policy review and implementation in order to adopt and streamline existing policies to those of the new parent. Part VII Column B: Ministries that were affiliates of Wheaton Franciscan Healthcare during the fiscal year ending June 30, 2016 operated as a controlled group of related healthcare organizations. As such, many employees who are at the Director level or above, or who are Officers and/or Directors of organizations where Wheaton has common boards and other overlaps in committee representations, spend significant time devoted to tasks not only for the filing organization, but also for related organizations. While there is no official time study tracking that is done, it is estimated that for each employee, tasks devoted to related organizations could approximate up to 80% or more of total hours. Disclosure Statement Related to Forms 5471: Information return of US persons with respect to certain foreign corporations filed on behalf of the taxpayer Under the constructive ownership rules of Internal Revenue Code Sections 958(a) and (b), the taxpayer is required to file Forms 5471, Information Return of US persons with respect to certain foreign corporations, as a category 5 filer with respect to certain controlled foreign corporations (cfcs). These filing requirements are or will be Wheaton Franciscan Services Inc (4) 26 W 171 ROOSEVELT RD WHEATON IL 60187 363262111 PARENT CORP IL 501(c)(3) 11 - III-FI NA false Ascension Health Alliance (2) PO Box 45998 St Louis MO 63145 453358926 National Heal MO 501(c)(3) 11-I NA false Ascension Health (2) PO Box 45998 St Louis MO 63145 311662309 National Heal MO 501(c)(3) 11-I Ascension He false WFH - Southeast Wisconsin Inc (2) 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391568865 HOLDING CO IL 501(c)(3) 11 - III-FI WFSIAscensi false WFH - All Saints Inc (2) 3801 SPRING STREET RACINE WI 53405 391264986 HOSPITAL WI 501(c)(3) 3 WFH-SE WI false WFH - All Saints Foundation Inc (2) 3805B SPRING STREET RACINE WI 53405 391570877 FOUNDATION WI 501(c)(3) 11 - I (7) WFH-AS INC false Vlntrs in Pnrshp w WFH-All Saints (2) 3807 SPRING STREET RACINE WI 53405 930838390 FOUNDATION WI 501(c)(3) 11 - III-NF WFH-AS INC false WFH - Circle of Life Foundation (2) 4300 WEST BROWN DEER RD STE 250 BROWN DEER WI 53223 562426294 FOUNDATION WI 501(c)(3) 11 - I WFH-PE false WF Home Health & Hospice Inc (2) 3070 NORTH 51ST STREET STE 406 MILWAUKEE WI 53210 391559428 HOME HLTH WI 501(c)(3) 3 WFH-SE WI false WF Medical Group Inc (2) 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391791586 MED GROUP WI 501(c)(3) 3 WFH-SE WI false WF - Elmbrook Memorial Fndn Inc (2) 19333 WEST NORTH AVENUE BROOKFIELD WI 53045 392028808 FOUNDATION WI 501(c)(3) 11 - I WF INC false WF Laboratories Inc (2) 3237 SOUTH 16TH STREET MILWAUKEE WI 53215 391701402 LABORATORY WI 501(c)(3) 9 WFH-SE WI false WFH - Pharmacy Ent & Fran Woods (2) 19525 WEST NORTH AVENUE BROOKFIELD WI 53005 391613624 PHARMACY WI 501(c)(3) 9 WFH-SE WI false WFH - St Francis Inc (2) 3237 SOUTH 16TH STREET MILWAUKEE WI 53215 390907740 HOSPITAL WI 501(c)(3) 3 WFH-SE WI false WF - St Joseph Foundation Inc (2) 5000 WEST CHAMBERS STREET MILWAUKEE WI 53210 391636804 FOUNDATION WI 501(c)(3) 11 - I WF INC false Wheaton Franciscan Inc (2) 5000 WEST CHAMBERS STREET MILWAUKEE WI 53210 390816857 HOSPITAL WI 501(c)(3) 3 WFH-SE WI false WFH - Fndn for St Francis & Franklin (2) 3237 SOUTH 16TH STREET MILWAUKEE WI 53215 320135258 FOUNDATION WI 501(c)(3) 11 - I WFH-SFH false WFH - Elmbrook Memorial Auxiliary (2) 19333 WEST NORTH AVENUE BROOKFIELD WI 53045 396068950 AUXILIARY WI 501(c)(3) 11 - III-FI WF INC false WFH - Terrace at St Francis Inc (2) 3200 SOUTH 20TH STREET MILWAUKEE WI 53215 391486775 NURSING HOME WI 501(c)(3) 9 WFH-SE WI false WFH - Franklin Inc (2) 10101 SOUTH 27TH STREET FRANKLIN WI 53132 562592868 HOSPITAL WI 501(c)(3) 3 WFH-SE WI false Metro Physicians Inc (2) 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 943436893 MED GROUP WI 501(c)(3) 3 WFMG false Marianjoy Inc (1) 26 W 171 ROOSEVELT RD WHEATON IL 60187 363483589 HOLDING CO IL 501(c)(3) 11 - III-FI WFSI false Marianjoy Foundation Inc (1) 26 W 171 ROOSEVELT RD WHEATON IL 60187 352165613 FOUNDATION IL 501(c)(3) 7 MJ HOSP false Marianjoy Rehab Center Auxiliary (1) 26 W 171 ROOSEVELT RD WHEATON IL 60187 363896976 AUXILIARY IL 501(c)(3) 11 - I MJ HOSP false Marianjoy Rehab Hospital & Clinics (1) 26 W 171 ROOSEVELT RD WHEATON IL 60187 362680776 REHAB HOSPITA IL 501(c)(3) 3 MARIANJOY false Rehabilitation Medicine Clinic (1) 26 W 171 ROOSEVELT RD WHEATON IL 60187 363236791 MEDICAL GRP IL 501(c)(3) 3 MARIANJOY false WF Sisters Fndn (fka OSF) (4) (6) PO Box 667 WHEATON IL 601870667 391471463 HOLDING CO WI 501(c)(3) 11 - III-FI WFSI false Canticle Ministries Inc (4) (7) PO Box 667 WHEATON IL 601870667 364091836 HOUSING/ADVCY IL 501(c)(3) 7 OSF SVCS INC false Fran Sisters Charitable Fund of CO (5) 2626 OSCEOLA STREET DENVER CO 80212 840733072 AUXILIARY CO 501(c)(3) 7 OSF SVCS INC false SET Ministry Inc (9) 2977 NORTH 50TH STREET MILWAUKEE WI 53210 391618277 SOCIAL WORK WI 501(c)(3) 9 OSF SVCS INC false St Catherines Hospital Inc (4) (26) 9555 76TH STREET PLEASANT PRAIRIE WI 53158 390855075 HOSPITAL WI 501(c)(3) 3 OSF SVCS INC false UHS Inc (4) (8) (26) 6308 EIGHTH AVENUE KENOSHA WI 53143 391956749 HOSPITAL WI 501(c)(3) 3 NONE false Upendo Village NFP (4) PO Box 667 WHEATON IL 601870667 331007368 HIV SUPPORT IL 501(c)(3) 9 OSF SVCS INC false WF Healthcare - Iowa Inc (3) 3421 WEST NINTH STREET WATERLOO IA 50702 421177001 HOLDING CO IA 501(c)(3) 11 - III-FI WFSI false Covenant Foundation Inc (3) 3421 WEST NINTH STREET WATERLOO IA 50702 421295784 FOUNDATION IA 501(c)(3) 9 COV MED CTR false Covenant Medical Center Inc (3) 3421 WEST NINTH STREET WATERLOO IA 50702 421264647 HOSPITAL IA 501(c)(3) 3 WFH-IOWA false Mercy Hospital of Fran Sisters Inc (3) 3421 WEST NINTH STREET WATERLOO IA 50702 421178403 HOSPITAL IA 501(c)(3) 3 WFH-IOWA false NE Iowa Real Estate Invsts (3) 3421 WEST NINTH STREET WATERLOO IA 50702 421207432 HOLDING CO IA 501(c)(2) N/A WFH-IOWA false Sartori Health Care Foundation Inc (3) 3421 WEST NINTH STREET WATERLOO IA 50702 421240996 FOUNDATION IA 501(c)(3) 11 - I SARTORI HOSP false Sartori Memorial Hospital Inc (3) 515 COLLEGE STREET CEDAR FALLS IA 50613 420758901 HOSPITAL IA 501(c)(3) 3 WFH-IOWA false Franciscan Ministries Inc (4) 26W171 ROOSEVELT ROAD WHEATON IL 601870667 363259684 HOLDING CO IL 501(c)(3) 11 - III-FI WFSI false Assisi Homes - Batavia Aprtmnts (4) 1259 EAST WILSON STREET BATAVIA IL 60510 363914084 HOUSING IL 501(c)(3) 9 FMI false Assisi Homes - Colony Park Inc (4) 550 EAST THORNHILL DRIVE CAROL STREAM IL 60188 364039278 HOUSING IL 501(c)(3) 9 FMI false Assisi Homes - Cnstn House Inc (4) 401 NORTH CONSTITUTION DRIVE AURORA IL 60506 364049150 HOUSING IL 501(c)(3) 9 FMI false Assisi Homes - Jefferson Court Inc (4) 415 EAST KNAPP STREET MILWAUKEE WI 53202 391771526 HOUSING WI 501(c)(3) 9 FMI false Assisi Homes - Kenosha Inc (4) 1860 27TH AVENUE KENOSHA WI 53140 391814815 HOUSING WI 501(c)(3) 9 FMI false Assisi Homes - Saxony Inc (4) 1876 22ND AVENUE KENOSHA WI 53140 391790498 HOUSING WI 501(c)(3) 9 FMI false Assisi Homes of Gurnee Inc (4) 3495 WEST GRAND AVENUE GURNEE IL 60031 363942336 HOUSING IL 501(c)(3) 9 FMI false Assisi Homes of Illinois Inc (4) 2126 WEST ROOSEVELT ROAD WHEATON IL 60187 363803443 HOUSING IL 501(c)(3) 9 FMI false Assisi Homes of Neenah Inc (4) 210 BYRD AVENUE NEENAH WI 54946 363767250 HOUSING WI 501(c)(3) 9 FMI false Canticle Place Inc (4) 26W171 ROOSEVELT ROAD WHEATON IL 601870667 363957850 HOUSING IL 501(c)(3) 9 FMI false Catherine Marian Housing Inc (4) 806 SOUTH WISCONSIN AVENUE RACINE WI 53403 391657098 HOUSING WI 501(c)(3) 9 FMI false Clare Gardens Inc (4) 2626 OSCEOLA STREET DENVER CO 80212 237200039 HOUSING CO 501(c)(3) 9 FMI false Clare of Assisi Homes - Westminster (4) 2451 WEST 82ND PLACE WESTMINSTER CO 80031 742740978 HOUSING CO 501(c)(3) 9 FMI false Dayspring Villa Inc (4) 3777 WEST 26TH AVENUE DENVER CO 80211 363933908 HOUSING CO 501(c)(3) 9 FMI false Francis Heights Inc (4) 2626 OSCEOLA STREET DENVER CO 80212 840626174 HOUSING CO 501(c)(3) 9 FMI false Franciscan Ministries Comm Fndn (4) (27) 26W171 ROOSEVELT ROAD WHEATON IL 601870667 364456204 FOUNDATION IL 501(c)(3) 11 - I FMI false Marian Housing Center Inc (4) 4105 SPRING STREET RACINE WI 53405 391515867 HOUSING WI 501(c)(3) 9 FMI false Marian Park Inc (4) 2126 WEST ROOSEVELT ROAD WHEATON IL 60187 362750105 HOUSING IL 501(c)(3) 9 FMI false Ridgeway Place Inc (4) 155 EAST RIDGEWAY AVENUE WATERLOO IA 50702 421416064 HOUSING IA 501(c)(3) 9 FMI false Villa Maria Inc (4) 2461 WEST 82ND PLACE WESTMINSTER CO 80031 841347868 HOUSING CO 501(c)(3) 9 FMI false Alexandria Manor Inc (4) (24) 600 East Jackson St Unit M-50 Alexandria IN 46001 475177987 HOUSING IN 501(c)(3) 9 FMI false Indianapolis Manor 1 Inc (4) (10) 7950 Harcourt Rd Indianapolis IN 46260 475178092 HOUSING IN 501(c)(3) 9 FMI false Kokomo Manor Inc (4) (11) 510 Elk Dr Kokomo IN 46902 475189624 HOUSING IN 501(c)(3) 9 FMI false Indianapolis Manor 2 Inc (4) (12) 1840 Perkins Ave Indianapolis IN 46203 475178185 HOUSING IN 501(c)(3) 9 FMI false Paducah Ministries 1 Inc (4) (13) 650 College Ave 77 Paducah KY 42001 475203278 HOUSING KY 501(c)(3) 9 FMI false Princeton Ministries 4 Inc (4) (14) 655 Grace Court Princeton KY 42445 475202983 HOUSING KY 501(c)(3) 9 FMI false Richardson Ministries Inc (4) (15) 500 Rockingham Lane Richardson TX 75080 475202868 HOUSING TX 501(c)(3) 9 FMI false Effingham Ministries Inc (4) (16) 512 Hendelmeyer Effingham IL 62401 475190275 HOUSING IL 501(c)(3) 9 FMI false Moline Ministries 1 Inc (4) (17) 4201 22nd Street Moline IL 61265 475216971 HOUSING IL 501(c)(3) 9 FMI false Moline Ministries 2 Inc (4) (18) 4201 22nd Street Moline IL 61265 475217175 HOUSING IL 501(c)(3) 9 FMI false Lake Wales Ministries Inc (4) (19) 504 South 4th Street Lake Wales FL 33853 475190723 HOUSING FL 501(c)(3) 9 FMI false Pendleton Ministries 2 Inc (4) (20) 950 Cherry St G-1 Pendleton SC 29670 475247951 HOUSING SC 501(c)(3) 9 FMI false Tucson Ministries Inc (4) (21) 4131 North Western Winds Drive Tucson AZ 85705 475239406 HOUSING AZ 501(c)(3) 9 FMI false Phoenix Ministries 3 Inc(4) (22) 7220 North 27th Ave Phoenix AZ 85051 475217326 HOUSING AZ 501(c)(3) 9 FMI false Davenport Ministries Inc (4) (23) 7218 Hillandale Rd Apt 1 Davenport IA 52806 475227048 HOUSING IA 501(c)(3) 9 FMI false Villa St Clare Inc (4) (25) 130 BYRD AVENUE NEENAH WI 54946 391769395 HOUSING WI 501(c)(3) 9 FMI false Assisi Homes - La Salle Manor Inc (4) 26W171 ROOSEVELT ROAD WHEATON IL 601890795 800623447 HOUSING IL 501(c)(3) 9 FMI false Wheaton Franciscan Enterprises Inc (2) 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391985204 HOLDING CO WI WF HOLDINGS INC C CORP false Wheaton Franciscan Holdings Inc (2) 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391836357 HOLDING CO WI WFH-SE WI C CORP false WFMG - Sussex Inc (2) 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391361100 MED GROUP WI WF HOLDINGS INC C CORP false Wheaton Franciscan Prov Network Inc (2 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391952140 PROVIDER CONTRACT WI WFH-SE WI C CORP false FMOB Condo Assoc Inc (2) 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 341983857 CONDO MGMT WI FMOB LLC C CORP false Wheaton Way Condo Owners Assoc Inc (2) 10101 SOUTH 27TH STREET FRANKLIN WI 53132 300659830 CONDO ASSCN WI WFH-FRKLN C CORP false Wheaton Franciscan Insurance Company (4) PO BOX 69 GT GEORGETOWN GRAND CAYMAN CJ 980691609 FINANCIAL UK WFSI Other false false true true false false false false false false false false false true true true true true true SCHEDULE R SUPPLEMENTAL INFORMATION (1) Effective March 1, 2016, organizations in the Marianjoy region were transferred from Wheaton Franciscan Services, Inc. to Northwestern Memorial Healthcare, and as a result, ceased to be related as of this date. (2) Effective March 1, 2016, organizations in the Southeast Wisconsin region were transferred from Wheaton Franciscan Services, Inc. to Ascension Health, and as a result, new organizations became related as of this date. (3) Effective May 1, 2016, organizations in the Iowa region were transferred from Wheaton Franciscan Services, Inc. to Mercy Health Network, and as a result of the SE WI transfer to Ascension Health, ceased to be related as of March 1, 2016. (4) Effective March 1, 2016, organizations in the Wheaton Franciscan Services, Inc. and Wheaton Franciscan Sisters Foundation, Inc. region were transferred to Wheaton Franciscan Sisters Corporation and as a result, ceased to be related as of this date. (5) Effective March 1, 2016, organizations in the Wheaton Franciscan Services, Inc. and Wheaton Franciscan Sisters Foundation, Inc. region were transferred to Wheaton Franciscan Sisters Corporation and were considered unrelated as of this date. Simultaneously with this transfer, Wheaton Franciscan Sisters Foundation, Inc. was removed as the corporate sponsor of Franciscan Sisters of Colorado, Inc., and the organization continued independently. (6) Effective May 4, 2016, O.S.F. Services, Inc. changed its legal name to Wheaton Franciscan Sisters Foundation, Inc. (7) Effective June 9, 2016, Canticle Ministries, Inc. was dissolved, and as such, this will be it's final 990 and the final year it will be reported as a related organization through March 1, 2016. (8) UHS, Inc. is listed without a direct controlling entity because of the two organizations with an interest, KHMC Community Board and Wheaton Franciscan Sisters Foundation, Inc., neither can appoint a majority of the board, and since KHMC is not an entity (it is a community board), neither body "controls". (9) Effective March 1, 2016, organizations in the Wheaton Franciscan Services, Inc. and Wheaton Franciscan Sisters Foundation, Inc. region were transferred to Wheaton Franciscan Sisters Corporation and ceased to be considered related as of this date. Effective December 31, 2016 (after the close of the current reporting year), Wheaton Franciscan Sisters Foundation, Inc. was removed as the corporate sponsor of S.E.T Ministries, Inc., and future of the organization is unknown until a new corporate sponsor is determined. (10) Indianapolis Manor 1, Inc. was incorporated on September 25, 2015 and was granted exempt status effective November 5, 2015. (11) Kokomo Manor, Inc. was incorporated on September 25, 2015 and was granted exempt status effective April 4, 2016. (12) Indianapolis Manor 2, Inc. was incorporated on September 25, 2015 and was granted exempt status effective November 5, 2015. (13) Paducah Ministries 1, Inc. was incorporated on September 25, 2015 and was granted exempt status effective April 15, 2016. (14) Princeton Ministries 4, Inc. was incorporated on September 25, 2015 and was granted exempt status effective March 21, 2016. (15) Richardson Ministries, Inc. was incorporated on September 25, 2015 and was granted exempt status effective January 15, 2016. (16) Effingham Ministries, Inc. was incorporated on September 25, 2015 and was granted exempt status effective December 21, 2015. (17) Moline Ministries 1, Inc. was incorporated on September 25, 2015 and was granted exempt status effective April 6, 2016. (18) Moline Ministries 2, Inc. was incorporated on September 25, 2015 and was granted exempt status effective March 30, 2016. (19) Lake Wales Ministries, Inc. was incorporated on September 25, 2015 and was granted exempt status effective January 7, 2016. (20) Pendleton Ministries 2, Inc. was incorporated on September 29, 2015 and was granted exempt status effective May 12, 2016. (21) Tucson Ministries, Inc. was incorporated on September 25, 2015 and was granted exempt status effective February 3, 2016. (22) Phoenix Ministries 3, Inc. was incorporated on September 25, 2015 and was granted exempt status effective March 16, 2016. (23) Davenport Ministries, Inc. was incorporated on September 29, 2015 and was granted exempt status effective January 15, 2016. (24) Alexandria Manor, Inc. was incorporated on September 25, 2015 and was granted exempt status effective February 2, 2016. (25) Effective January 31, 2016, assets of Villa St. Clare, Inc. were sold to an unrelated party, and the entity will subsequently be dissolved. (26) Effective November 1, 2016 (after the close of the current reporting year), a 25% ownership percentage in UHS, Inc. was transferred from Wheaton Franciscan Sisters Foundation, Inc. to UHS, Inc. making them 100% owner of St Catherine's Hospital, Inc. and United Hospital System, Inc. With the transfer of the SE WI organizations to Ascension Heatlh, the organizations under UHS, Inc. ceased to be considered related as of March 1, 2016. (27) Effective December 22, 2016 (after the close of the current reporting year), Franciscan Ministries Community Foundation, Inc. was dissolved. With the transfer of the SE WI organizations to Ascension Health, this organization ceased to be considered related as of March 1, 2016.