2015-05-14T16:18:16-05:00 2014-06-30 990 2013-07-01 390907740 WHEATON FRANCISCAN HEALTHCARE ST FRANCIS INC % ELIZABETH A RITTER WHEA 4146475000 3237 SOUTH 16TH STREET Suite MILWAUKEE WI 53215 JONATHAN W SOHN SR VP AND CFO 2015-05-15 2013 2016-04-25 22:37:26Z John Oliverio 400 W River Woods Parkway Glendale WI 53212 192381634 false 0928 X www.wfhealthcare.org X 1946 WI TO PROVIDE INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO INDIVIDUALS LOCATED IN SOUTHEAST WISCONSIN 15 5 1491 189 0 79841 24280 188102085 189204966 43693 30405 4693265 3121983 192918884 192381634 0 90732 0 0 76558049 79716036 0 0 107929 109793436 106273356 186351485 186080124 6567399 6301510 129932342 132438224 132658774 144229647 -2726432 -11791423 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 166910299 90732 190644964 Wheaton Franciscan Healthcare IRS Form 990 Part III - Statement of Program Service Accomplishments June 30, 2014 WHEATON FRANCISCAN SERVICES, INC. (WFSI) is a Catholic, not-for-profit health care and housing organization serving at sites in Wisconsin, Iowa, Illinois, and Colorado. The System includes 14 hospital sites, three transitional and extended-care facilities, two home health agencies, more than 2,500 physicians, more than 70 clinic sites with 508 employed physicians, and 2,620 units of assisted living and other housing, and the corporate services offices in Wheaton, Illinois, and Glendale, Wisconsin. Started more than 130 years ago and formally incorporated in 1983, WFSI is committed to living out the Mission and Values of its Sponsors, the Wheaton Franciscan Sisters, by providing excellent and compassionate health care and housing services to all, regardless of their ability to pay. WFSI was incorporated in 1983 to preserve and strengthen Judeo-Christian values, provide a framework for lay expertise and involvement, respond to an increasingly complex environment, ensure continuity of Franciscan sponsorship, and assure viability and excellence throughout the organization. As a not-for-profit organization, WFSI reinvests all net income into the communities it serves. Its multiple entities are dedicated to delivering quality health care to patients and residents through highly-trained staff, advanced technology, and superior and compassionate service; caring for each person's body, mind, and spirit with respect and dignity; working to improve the health of the communities; and ensuring health care access for everyone. WFSI is organized into market-based regional holding companies organized in the Southeast, Wisconsin region, as well as other regional holding companies conducting services in Illinois, Iowa, and Colorado. The System's housing and spiritual development services are organized under the holding company name of Franciscan Ministries, Inc. Since 2006, the "doing business as" name for WFSI's health care ministry has been Wheaton Franciscan Healthcare (WFH). 2013 marked the 12th consecutive year Wheaton Franciscan Healthcare in Southeast Wisconsin was named one of the top 100 most efficient, best performing health care networks in the nation, according to IMS (formerly SDI), the nation's premier integrated health network (IHN) evaluation system. The top 100 ranking is based on integration in areas such as managed care, information systems, and physician affiliations. Wheaton Franciscan Healthcare scored above the nation's top 100 integrated health networks' average score in the areas of hospital utilization, physician participation, services and access, outpatient utilization, integration, and integrated technology. Other national recognitions include being named one of the best performing 50 systems in Thompson Reuters' 100 Top Hospitals: Health Systems Quality/Efficiency Study in 2009. Wheaton Franciscan Healthcare has been recognized for its dedication to patient privacy and is now a FairWarning Ready Certified Care Provider. Wheaton received the certification for taking cutting-edge measures to ensure sensitive patient information is protected at all times, and patient privacy monitoring is one of the essentials. Wheaton Franciscan Healthcare is also a recipient of the ECRI Institute's Healthcare Supply Chain Achievement Award. The award honors organizations that demonstrate excellence in overall cost management and in adopting best practice solutions in supply chain processes. Wheaton is one of five health care organizations nationwide to be honored. Wheaton Franciscan Healthcare has also received a 2009 VIP Award from McKesson Technology Solutions for its success in using information technology to enhance patient safety across nine hospital sites and more than 100 physician offices. The VIP Awards are presented annually to organizations that demonstrate vision, innovation and performance in the use of healthcare IT. Wheaton Franciscan Healthcare was one of five health care organizations selected by a panel of experts in the field of health care IT use to receive the award. Please see our full June 30, 2014 Annual Report online at: www.WheatonAnnualReport.org CORPORATE STRUCTURE: Parent Company: Wheaton Franciscan Services, Inc. DBA Wheaton Franciscan Healthcare Health care ministry: Wheaton Franciscan Healthcare Housing ministry: Franciscan Ministries, Inc. Health Care Mission: Wheaton Franciscan Healthcare is committed to living out the healing ministry of Jesus by providing exceptional and compassionate health care service that promotes the dignity and well being of the people we serve. Health Care Vision: Our health ministries will be recognized in each community we serve for superior and compassionate patient service, clinical excellence, as the health care employer of choice, and the preferred partner of physicians. Housing Mission: Franciscan Ministries is committed to providing quality and affordable housing in a compassionate environment that promotes wholeness of life within ourselves and the communities we serve. Housing Vision: Our housing ministries will be recognized for excellence in property management and a well-integrated network of support services that provide hope, growth, and opportunity. Values: Our common Values, which flow from our Mission and Catholic tradition, must have meaning for every one of us. Through them we put the healing ministry of Jesus into practice throughout the Wheaton Franciscan System. Respect: We value each person as sacred, created in the image and likeness of God, which gives worth and meaning to each person's life. Integrity: We value honesty and words and actions that build trust. Development: We value personal and professional growth that combines the physical, emotional, spiritual and relational aspects of life and work. Excellence: We value superior performance in our work and service. Stewardship: We value our responsibility to use human, financial, and natural resources entrusted to us for the common good, with special concern for those who are poor. WHEATON FRANCISCAN HEALTHCARE Wheaton Franciscan Services, Inc.'s health care division, doing business as Wheaton Franciscan Healthcare (WFH), consists of facilities in Illinois, Iowa, and Wisconsin. SYSTEM STATISTICS Hospital Sites: 14 Staffed Hospital beds: 1,656 Long-term Care Facilities: 3 Home Health Agencies: 2 Units of Housing: 2,620 Associates: 17,329 Affiliated Physicians: 2,071 Employed Physicians: 508 Emergency Room Visits: 330,046 Newborns: 8,268 Hospital Admissions: 63,724 Hospital Patient Days: 310,743 Skilled Nursing Unit Patient Days: 20,541 Long-term Care Facility Patient Days: 80,394 Hospital Outpatient Visits: 1,580,000 Hospice Days: 24,895 Home Health Visits: 147,588 Medical Group Physician Visits: 1,499,276 WFH ORGANIZATIONS Iowa Covenant Medical Center, Inc. Mercy Hospital of Franciscan Sisters, Inc. Sartori Memorial Hospital, Inc. Covenant Clinic Covenant Foundation, Inc. Sartori Health Care Foundation, Inc. Illinois Marianjoy Rehabilitation Hospital and Clinics Marianjoy Medical Group Marianjoy Foundation OSF Services Canticle Ministries Upendo Village Wisconsin Wheaton Franciscan - Elmbrook Memorial, Midwest Spine and Orthopedic Hospital and Wisconsin Heart Hospital, and St. Joseph Campuses All Saints St. Francis Franklin Franciscan Woods The Terrace at St. Francis Wheaton Franciscan Home Health Wheaton Franciscan Hospice Wheaton Franciscan Laboratories Wheaton Franciscan Medical Group All Saints Foundation Volunteers in Partnership with Wheaton Franciscan Healthcare-All Saints St. Joseph Foundation Elmbrook Memorial Foundation Circle of Life Foundation The Foundation for St. Francis and Franklin AFFILIATIONS INCLUDE: Midwest Orthopedic Specialty Hospital - Franklin, WI United Hospital System - Kenosha, Wisconsin St. Catherine's Medical Center and Kenosha Medical Center Campuses WHEATON FRANCISCAN HEALTHCARE COMMUNITY IMPACT FOR SYSTEM / June 30, 2014 Charity Care: $49,483,474. 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: $112,279,484. 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: $3,828,948. 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: $2,961,387. Financial contributions are defined as contributions, including cash, non-cash items such as food, furniture, equipment, supplies, and 166910299 true true false true false false false false false true false false false true false false true false false true false true false false false true true false false true false false false false false false true true false false false false false true true true false false true 0 0 1491 true false false false false false false false false false false X 15 5 false false false false true true true true true false true true true true true true true true false false false WI X ELIZABETH A RITTER 4144653542 400 W RIVER WOODS PARKWAY MILWAUKEE WI 53212 X Saleem Aman MD Director 1.0 40.0 X 0 672361 53626 John Andreoli Director 1.0 1.0 X 0 0 0 David Ashpole MD Director 1.0 40.0 X 0 389347 22815 Susan Boland Pres South Mrkt and President 1.0 40.0 X X 0 475795 60559 Kumari Chintamaneni MD Secretary / Treasurer - Direct 1.0 40.0 X X 0 594353 32234 Patrick Diem Director 1.0 1.0 X 0 0 0 Sr M Ramona Dombrowski Director 1.0 1.0 X 0 0 0 Jerry Hardacre MD Director 1.0 40.0 X 0 389747 49316 Neal Harmelink MD Director 1.0 1.0 X 0 0 0 Charles Klein MD Director 1.0 1.0 X 0 0 0 Daniel Mattes Pres Cntrl Mrkt and President/ 1.0 40.0 X X 0 526031 26203 Donald Roach MD Director 1.0 40.0 X 0 250019 37036 Kevin Roche Director 1.0 1.0 X 0 0 0 Brian Smigelski Director 1.0 1.0 X 0 0 0 Debra Standridge Pres Nrth Mrkt and President/C 1.0 40.0 X X 0 534470 76233 Michelle Graham MD VP Medical Affairs Central Mar 1.0 40.0 X 0 322640 25447 Marlene James ADMIN DIR-MED IMAGING SRVCS 40.0 1.0 X 138417 0 25521 Andrew Pesch Pharmacist 40.0 1.0 X 145516 0 27712 Marilyn Spenner VP-PATIENT CARE SRVCS-SFH 40.0 1.0 X 179959 0 18111 Christopher Trznadel ADMIN DIR-PT CARE SRVCS OPS 40.0 1.0 X 147380 0 7623 Eunice Walker DIRECTOR - PHARMACY 40.0 1.0 X 169477 0 58445 James Burhop MD Director 1.0 40.0 X 0 121342 6886 Kenneth Buser Director 1.0 40.0 X 0 536357 155538 Daniel Donovan DO Director 1.0 40.0 X 0 241544 35551 John Jack Manley MD Director 1.0 40.0 X 0 401799 55413 John Oliverio Director 1.0 40.0 X 0 2716469 229687 Nicholas Omdahl MD Director 1.0 40.0 X 0 199012 39918 Eduardo Paz MD Director 1.0 40.0 X 0 337718 27785 Tod Poremski MD Director 1.0 40.0 X 0 271739 22225 Kenneth Redlin MD Director 1.0 40.0 X 0 254523 25910 Jonathan W Sohn Director 1.0 40.0 X 0 615429 80026 Robert Stern MD Director 1.0 40.0 X 0 339591 40592 780749 10190286 1240412 42 true true false JP CULLEN AND SONS INC 330 EAST DELAVAN DRIVE JANESVILLE WI 53546 CONSTRUCTION 4703718 RILEY CONSTRUCTION COMPANY 5301 99th Ave KENOSHA WI 53144 CONSTRUCTION 3107224 ALL ABOUT STAFFING 1000 SAWGRASS CORPORATE PKWY 6th f SUNRISE FL 33323 MEDICAL SUPPORT 1804444 ARAMARK CTS 12483 COLLECTIONS CTR DRIVE CHICAGO IL 60693 Maintenance Services 1473381 MIDWEST ANESTHESIA SERVICES SC 4555 WEST SCHROEDER DRIVE MILWAUKEE WI 53223 Medical Support 1113707 25 14280 10000 24280 PATIENT SERVICES 900099 126413963 126413963 MEDICARE MEDICAID PAYMENTS 900099 62791003 62791003 189204966 27373 27373 0 0 636947 636947 0 636947 636947 3032 3032 3032 3032 0 0 0 CAFETERIA RECEIPTS 722514 780714 780714 ELECTRONIC HEALTH RECORD 900099 1105815 1105815 GIFT SHOP 453220 116259 116259 482248 334183 148065 2485036 192381634 190644964 1712390 0 0 90732 90732 0 0 65171 65171 64055524 63996141 59383 2442912 2442912 8720708 8720708 4431721 4431721 0 0 0 11730 11730 0 0 8269534 8269534 15004 1513 13491 3629977 3617786 12191 0 0 3416282 3416282 62875 58594 4281 0 29284 29284 117661 117661 828000 828000 10980400 10979650 750 0 MEDICAL/SURGICAL SUPPLIES 31653479 31653479 MANAGEMENT FEES 25617599 7501364 18116235 BAD DEBT 8799132 8799132 HOSPITAL ASSESSMENT T19 5904178 5904178 6938221 6920388 17833 186080124 166910299 19061896 107929 -122905 -122897 0 0 0 0 27920734 24813236 0 0 0 0 0 0 3406699 3269209 27935 72210 231637253 134832398 91525773 96804855 0 0 0 0 0 0 5300000 4770000 1874106 2831611 129932342 132438224 124434633 138786642 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8224141 5443005 132658774 144229647 X -2855212 -11920046 128780 128623 0 0 -2726432 -11791423 129932342 132438224 X 6301510 -15366501 X false true X true false X false false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 11730 false false true 11730 false Sch C Part II-B Line 1i Wheaton Franciscan Healthcare and Franciscan Ministries are part of a controlled group of healthcare and housing organizations that are related through a common parent organization. Certain entities within this controlled group engage in limited lobbying activities that benefit each organization collectively. Wheaton Franciscan Healthcare employs one full time Vice President of Strategic Planning and Government Relations whose duties include a portion of lobbying activities. These lobbying activities approximate 20% of total annual salary. A benefits factor of 25% is added, and the total is allocated amongst the organizations receiving the benefit of these services. The lobbying activities include such things as preservation of Medicare and Medicaid funding; monitoring federal legislation that may impact the organization; participating in and coordinating visits with elected officials; coordinating advocacy activities in conjunction with relevant trade associations; and providing awareness on specific state related legislative issues when the need arises (e.g.: state hospital assessment legislation in Wisconsin). The portion of direct expenses related to annual employee business travel to Washington DC or other locations, in order to lobby for issues important to healthcare providers and patients, have been included if applicable. Finally, any trade association dues containing a percentage portion allocable to lobbying activities, has been added or estimated, as appropriate. Wheaton Franciscan Healthcare - St. Francis, Inc. #39-0907740 $11,730 853355 853355 118133080 58182836 59950244 2859804 2824925 34879 58874037 40917844 17956193 50916977 32906793 18010184 96804855 0 DUE TO THIRD PARTY PAYOR 2341626 DUE TO RELATED ORGANIZATION 2155049 LONG TERM FIN 47 LIABILITY 946330 5443005 183555190 183555190 8826444 8826444 192381634 177280992 177280992 8799132 8799132 186080124 SCHEDULE D, PART XI, LINE 4b NET GAIN(LOSS) FROM SALES OF ASSETS OTHER THAN INVENTORY 3,032 DONATION INCOME-RESTRICTED ASSETS 24,280 BAD DEBT ALLOWANCE INCLUDED IN REVENUE ON AUDITED REPORT, BUT REPORTED IN PART IX LINE 24c IN THE 990 EXPENSES. 8,799,132 FOR A TOTAL ADJUSTMENT IN SCHEDULE D, PART XI, LINE 4b. 8,826,444 SCHEDULE D, PART XII, LINE 4b BAD DEBT ALLOWANCE 8,799,132 WAS INCLUDED ON REVENUE IN THE AUDITED REPORT, BUT REPORTED IN PART IX LINE 24c IN THE 990 EXPENSES. true Sub-Saharan Africa Program Services DONATED MED SUPPLIES 90732 90732 90732 HOSPITAL MISSION SISTERS Sub-Saharan Africa 90732 MED SUPPLIES FMV false false false false false false Schedule F Supplemental Information Form 990 Schedule F Part I Line 2 Wheaton Franciscan Healthcare and Franciscan Ministries maintain 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. true true true X true X true true true false true true 6397174 6397174 0.03610 43685652 31503342 12182310 0.06870 50082826 31503342 18579484 0.10480 3380 3380 153823 134172 19651 0.00010 6282515 4577165 1705350 0.00960 95695 95695 0.00050 6535413 4711337 1824076 0.01020 56618239 36214679 20403560 0.11500 true 8799132 45916611 51834330 -5917719 X true true 1 1 ST FRANCIS HOSPITAL 3237 SOUTH 16TH STREET MILWAUKEE WI 53215 HTTP://WWW.MYWHEATON.ORG/ST-FRANCIS 75 X X X SCHOOL OF ULTRASOUND 1 ST FRANCIS HOSPITAL 1 true X X X X X X X X X X 12 true true true X www.mywheaton.org X X X X X X X X X X X false false true true 200. true 400. true X X X X X X X true true X X X true false X true X false false SEE REFERENCES BELOW Schedule H Part V Section B Line 1j, 3, 4, 6i, and 7 Wheaton Franciscan Healthcare's Community Health Needs Reports provide additional detailed information in response to many of the Schedule H questions on our Community Health Needs Assessments and Implementation Plans. These reports can be directly accessed at the following websites: Wisconsin Hospital Facilities: Please go to www.mywheaton.org and select "About Wheaton" then "Community Impact". At the bottom of this page there will be a link to each of our hospitals. Select the applicable hospital, and to the left select "Community Needs Assessment". There are two reports available for each hospital facility; "Health Needs Report - Assessment of our Community" and "Answering the Call - Meeting our Community Needs". There are also various City and County reports, Health Survey reports, Secondary Data reports, and Key Informant Interview reports that support the findings in the final assessments and implementation plans. Iowa Hospital Facilities: Please go to www.wheatoniowa.org and select "About Us", then "Community Benefit Report", then "Community Health Needs Assessment". One fully summarized report is accessible for each of the three Iowa Hospital Facilities that contains detailed information on the Community Health Needs Assessment, Implementation Plan, and all supporting data. Illinois Hospital Facilities: Please go to www.marianjoy.org and select "About Us" then "Community Benefits". All detailed information on the Community Health Needs Assessment and Implementation Strategy, which is presented in a Illinois State required format, can be obtained by selecting "Marianjoy 2014 Community Benefits and Needs Assessment". Schedule H Part V Section B Line 4 Wheaton Franciscan Healthcare collaborated with several other area hospitals as part of its Community Health Needs Assessment process. Please reference the Community Health Needs Reports directly (website information provided above) for detailed information as to hospital participants for each of our hospital facilities. Schedule H Part V Section B Line 5c and 6c-6d Several reports applicable to our Wisconsin Hospital Facilities are available at the Milwaukee Health Care Partnership's (MHCP) website at http://mkehcp.org/publications. MHCP is a public / private consortium dedicated to improving health care coverage, access, and care coordination for underserved populations in Milwaukee County, with the goals of improving health outcomes, eliminating disparities, and reducing the total cost of care. MHCP lead the effort that enabled Wheaton Franciscan Healthcare to collaborate with several other health care providers in our geographical region in order to develop and execute a community-wide plan. Several reports are available, including the Milwaukee County Community Health Survey, Key Informant Interview Report, Secondary Data Report, and an Executive Summary of Milwaukee Health Partnership's own Community Health Needs Assessment. While the Community Health Needs Assessments for Wheaton Franciscan Healthcare are not directly assessable from this website, links back to each participant's own website are provided, through which these can be obtained. Wheaton Franciscan Healthcare in Racine County collaborated with multiple members of the community to develop its Community Health Needs Assessment Report and Implementation Plan. Various meetings were held with key stakeholders in the community, including the public health department, to plan and develop activities that are currently being carried out through collaborative efforts to address the needs of the community. A list of partners is provided in our published implementation plan available at www.mywheaton.org by selecting "About Wheaton" then "Community Impact". Wheaton Franciscan Healthcare in Waukesha County collaborated with multiple members of the community to develop its Community Health Needs Assessment Report and Implementation Plan. Various meetings were held with key stakeholders in the community, including the public health department, to plan and develop activities that are currently being carried out through collaborative efforts to address the needs of the community. A list of partners is provided in our published implementation plan, available at www.mywheaton.org by selecting "About Wheaton" then "Community Impact". In addition to these efforts, Wheaton Franciscan Healthcare was involved in the development of the Waukesha County Community Health Improvement Plan and Process (CHIPP) efforts, where hospital leaders throughout Waukesha County were a key partner in identifying activities to be carried out by members of the work group. Schedule H Part V Section B Line 12i Wheaton Franciscan Healthcare's Financial Assistance Policy reviews assets, and limits the equity in a patient's home to no more than $150,000 and also limits liquid assets (such as cash in bank accounts) to no more than $50,000. Beyond that, assets for patients who will potentially qualify under our Financial Assistance Policy are not reviewed in detail. Additionally, provided that a Medicare patient shows financial need, they are eligible for charity care on any out of pocket expenses they may incur. Schedule H Part V Section B Line 14g Wheaton Franciscan Healthcare takes several proactive approaches to make our patients aware of our financial assistance policy. In addition to our policy being posted on our website and available to anyone who requests one, there is abundant signage throughout all of our facilities explaining our financial assistance policy and how to obtain the actual policy, if so desired. Notices regarding the availability of financial assistance are displayed in highly visible locations where there is a significant volume of inpatient or outpatient traffic such as in patient admitting and registration areas (both inpatient and outpatient settings), physician offices, and emergency departments. Brochures describing the policy are available in the same locations, and the policy is discussed at the time of registration or pre-registration for those identified with a need. Lastly, our patient statements also include notifications about the availability of financial assistance and a phone number to call for more information. Schedule H Part V Section B Lines 15-18: Internal policies would not support any actions listed in Schedule H Section B Lines 16-17 commencing until after a patient's eligibility under our financial assistance policy is determined. However, Wheaton Franciscan Healthcare performs credit agency reporting and commencements of lawsuits on an as needed basis, but only after a patient's eligibility under our financial assistance policy can be determined. Please note, Wheaton Franciscan Healthcare's regular practices include performing all items as listed in Question #18 prior to sending an account to collection, but because Questions 16-17 have been left blank, our interpretation of Question 18 is that it does not apply and therefore it has also been left blank. 6 WHEATON FRANCISCAN HEALTHCARE-ST FRANCIS 2025 W OKLAHOMA AVE MILWAUKEE WI 53215 OUTPATIENT CLINIC WHEATON FRANCISCAN HEALTHCARE-ST FRANCIS 7410 W RAWSON AVE FRANKLIN WI 53132 OUTPATIENT CLINIC CANCER CARE WHEATON FRANCISCAN HEALTHCARE ST FRANCIS 3330 S 16th Street Milwaukee WI 53215 EDUCATION BUILDING WHEATON FRANCISCAN HEALTHCARE ST FRANCIS 3267 S 16TH STREET MILWAUKEE WI 53215 MEDICAL OFFICE BUILDING WHEATON FRANCISCAN HEALTHCARE ST FRANCIS 3201 S 16TH STREET MILWAUKEE WI 53215 MEDICAL OFFICE BUILDING ST FRANCIS OUTPATIENT CENTER 3237 SOUTH 16TH ST MILWAUKEE WI 53215 OUTPATIENT CENTER SEE REFERENCES BELOW Schedule H Part 1 Line 6a The Annual Report that outlines the Hospital's community benefit information is contained in a report prepared by the system, Wheaton Franciscan Services, Inc. (FEIN #36-3262111) which is the ultimate parent organization of an integrated health care system operated in Wisconsin, Illinois, Iowa, and Colorado. For more information, please see our annual report at www.mywheaton.org. It is available under "About Wheaton" by selecting "Community Impact," and scrolling down to "View Our Annual Report". Schedule H Part 1 Line 7 Community Benefit amounts are reported using total actual costs per the hospital's managerial accounting system in use, which includes all patient segments including inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, Medicare HMO, uninsured, and self-pay patients. Medicare is reported using the most recently filed cost report at the time the Annual Report and related community benefit information is published. Amounts are compiled using a software application recommended by the Catholic Health Association because it has the ability to provide the information in a format suitable for Schedule H presentation. After the data is entered by the Site Finance Directors, its accuracy is verified by employees who are trained in community benefit reporting, and then approved by the Chief Financial Officer and the President/CEO of the organization. After amounts are verified and approved, community benefit amounts become finalized. Wheaton Franciscan Healthcare complies with Illinois state law which requires reporting to the Attorney General's Office. Additionally, Wheaton Franciscan Healthcare voluntarily reports community benefit information in Wisconsin and Iowa by making the information readily available on certain websites. Finally, the information is compiled with the assistance of the software, for presentation in IRS Forms 990 Schedule H and Statement of Program Service Accomplishments Part III. Schedule H Part 1 Line 7 Column f Wheaton Franciscan Healthcare organizations follow guidelines established by the Catholic Health Association, who recommends that bad debt expense not be included in community benefit amounts. As a result of this applied methodology, a total amount of $8,799,132 has not been included in the denominator of the calculation that determines the percentages reported on Schedule H Line 7 Column f. Schedule H Part 1 Line 7g In the Southeast Wisconsin and Marianjoy regions, physician clinics are operated by a separate legal entity and are therefore not included in Community Benefit amounts on hospital 990's. In the Iowa region, clinic operations are included as a department of the hospital, Covenant Medical Center, Inc. Clinic operations for the Iowa clinics are included only in the community benefit reporting of charity care, government sponsored health care, and Medicare shortfall. Therefore, for all entities, including Covenant Medical Center, Inc., costs related to physician clinics are not included in subsidized health services reported on Schedule H Part I Line 7g. Schedule H Part III Section A Lines 1-4 As part of an annual process, affiliates of Wheaton Franciscan Healthcare complete a consolidated audit each year, which for June 30, 2014, contained a footnote on Bad Debt which appeared under item (4) "Net Patient Service Revenue" on page 15-16 of the attached audited financial statements. Note that while FASB ASU 2011-07 requires certain organizations present bad debt as a reduction from patient service revenue for financial statement presentation, for IRS Form 990 presentation, these amounts are classified as bad debt expense. It is the practice of Wheaton Franciscan Healthcare to record actual bad debt expense for each organization at the time the amount due is determined to be uncollectible, and thus written off. With the onset of presumptive care effective July 1, 2011, practices are now in place to retroactively determine a patient's eligibility under Wheaton's Charity Care Policy, and remove those amounts from bad debt expense in order to correctly show these patients as charity care. Wheaton Franciscan Healthcare's position is therefore that none of the patients resulting in uncollectible accounts would have qualified as charity care patients as this determination is made at the time of admission, and corrective action is taken based on presumptive care. Bad debt expense is only determined after many months of collection efforts, and for this reason Part III Section A Line 3 is reported at zero. Additionally, since the organization follows guidelines established by the Catholic Health Association and the related state counterpart in Wisconsin, Iowa, or Illinois as appropriate, Wheaton Franciscan Healthcare does not include any form of bad debt expense in its annual reporting of community benefit amounts. Schedule H Part III Section B Line 6-8 Schedule H Part III Section B Line 6 reports "allowable costs of care" as taken from the most recently filed Medicare cost report available at the time the Community Benefit Report is published. The Medicare cost report calculates its allowable total costs based on applicable Medicare regulations. Medicare and Medicaid cost is determined using individual cost center cost-to-charge ratios. This cost to charge ratio is determined using all payer cost and all payer charges. The cost to charge ratio is applied to the actual Medicare and Medicaid charges to determine the Medicare and Medicaid cost. This organization has adopted the cost and charge practices as recommended by the Catholic Health Association and the Wisconsin, Iowa, or Illinois Hospital Association as applicable, and therefore, does not count any Medicare shortfall numbers in its annual reporting of Community Benefit amounts. While we are not allowed to report Medicare HMO shortfalls as a component of the total Medicare shortfall reported on Schedule H Part III Section B Line 7 based on currently written IRS instructions, it is noteworthy to mention that had we been allowed to include Medicare HMO, our shortfall would have changed by $(3,731,608), for a total adjusted Medicare Shortfall (including Medicare HMO) of $(9,649,327). Schedule H Part III Section C Line 9b Wheaton Franciscan Healthcare has a policy that outlines all collection practices for patients who are known to qualify for government programs and for our charity care program. We make every attempt to assist the patient in enrolling in government insurance plans or our own charity care program allowing for free or discounted care. If the patient does not qualify for any type of aid or charity care, declines to establish a reasonable payment plan or pay the liability, the patient will be moved into a bad debt status, and the account is sent to a collection agency. This does not occur before the patient has received several notices and a final written warning. Schedule H Part V Section A and Section C Affiliates of Wheaton Franciscan Healthcare have defined and reported "hospital facilities" to include only those bricks and mortar buildings that actually have inpatient beds, in addition to meeting all other criteria under Wisconsin, Iowa, or Illinois state laws, as applicable, required for hospital licensing. Although there are other facilities within our system built to hospital standards, performing hospital-based billing, and conforming to other "hospital" standards under state law, until there is further guidance from the IRS, these facilities have been reported in Section C, due to their lack of having state certified inpatient beds. Schedule H Part VI Line 2 Wheaton Franciscan Healthcare assesses the needs of the communities it serves by reviewing admission and discharge data, analyzing information from the community health departments and other community leaders, and by aligning our services with the Healthy People 2020 and other current year initiatives. Wheaton Franciscan Healthcare has also completed its first Community Health Needs Assessments and Implementation Plans for all its hospital facilities, so please reference Schedule H Part V Section B Lines 1-8 for additional information. Schedule H Part VI Line 3 Wheaton Franciscan Healthcare provides its patients with several opportunities to gain knowledge and awareness of its Community Care (Charity Care/Financial Assistance) program. Notices regarding the availability of financial assistance are displayed in highly visible locations where there is a significant volume of inpatient or outpatient traffic such as: patient admitting and registration areas in both inpatient and outpatient settings, physician offices, and emergency departments. Additionally, brochures describing the policy are available upon request in the same locations and on Wheaton Franciscan Healthcare's website. The policy is also discussed at the time of registration or pre-registration for all inpatient procedures. Schedule H Part VI Line 4 SEE REFERENCES BELOW SCHEDULE H PART VI LINE 5 WHEATON FRANCISCAN HEALTHCARE IN SOUTHEAST WISCONSIN Wheaton Franciscan Healthcare's 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 - Elmbrook Memorial, Midwest Spine and Orthopedic Hospital and Wisconsin Heart Hospital, and St. Joseph Campuses Wheaton Franciscan Healthcare - All Saints 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 Southeast 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 Sports Medicine 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 Wheaton Franciscan - St. Joseph Foundation WHEATON FRANCISCAN HEALTHCARE COMMUNITY IMPACT IN SOUTHEAST WISCONSIN / June 30, 2014 Charity Care: $42,761,509. 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: $99,865,691. 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: $1,419,077. 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: $1,549,366. 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: $3,535,457. 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: $432,633. 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: $51,719. 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. Subsidized Health Services: $8,424,499. 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 June 30, 2014: $158,370,087. WHEATON FRANCISCAN HEALTHCARE IN SE WI ENTITY-SPECIFIC PROFILES Wheaton Franciscan Healthcare - St. Francis (Milwaukee, Wisconsin) Wheaton Franciscan Healthcare - St. Francis, located on Milwaukee's south side, was founded in 1956 by the Felician Sisters, an order of Franciscan nuns based in Chicago, Illinois. In 1993, The Felicians (St. Francis Health Care, Inc.) affiliated with the Wheaton Franciscan Sisters' (Wheaton Franciscan Services Inc. - Milwaukee) division to form Covenant Healthcare System, Inc. When WFSI reorganized in 2006 to form Wheaton Franciscan Healthcare, St. Francis became part of the system's Southeast Wisconsin region and is known today as Wheaton Franciscan Healthcare - St. Francis. Wheaton Franciscan Healthcare - St. Francis is a general acute-care hospital. Specialties include a comprehensive cardiac care program, including full surgical services, heart scanning, catheterization, angioplasty and electrophysiology; full orthopedic services; interventional radiology, including a 3-T MRI; comprehensive neurology and stroke program; women's health services, including obstetrics, a Level II neonatal nursery and prenatal assessment center; 24-hour emergency service and Urgent Care; outpatient services; cancer care; and sports medicine. The newly built Outpatient Center at St. Francis is home to the Center for Neurological Disorders, internationally known for cutting edge treatments for MS and Parkinson's Disease. The Outpatient Center also houses a Neuro Rehab unit, a Sleep Disorders Center and physician offices. St. Francis is a fully accredited Chest Pain Center and an Advanced Primary Stroke Center. The hospital also maintains its Baby-Friendly Hospital designation - one of only 55 hospitals nationwide to do so - from the World Health Organization and the United Nations Children's Fund in recognition of birth facilities promoting successful breastfeeding. St. Francis is a place where new technology and compassionate care are intertwined. Rooted in the Mission of the hospital's founding Felician Sisters, and sustained by the Mission of the Wheaton Franciscans, St. Francis embraces a healing ministry that is patient-centered, reverent, and spiritual. St. Francis is meeting the challenges of a rapidly changing health care environment where those with inadequate health insurance far outnumber those with commercial insurance. Since expanding the Emergency Department to 26 rooms in April 2009, volumes have increased by 20%. Beyond providing exceptional and compassionate health care service on a daily basis, St. Francis extends its healing Mission into the community through numerous programs and resources for all. Community health fairs, free screenings, and health education benefit hundreds of individuals each year. Through the efforts of hospital staff, St. Francis provides community outreach and support through the mission integration activities of the mission committee. Efforts such as the St. Vincent de Paul Meal Program, food drives, Infant and Children Care Fund, and the Mission Closet provide an avenue for associates to actively help those in need. Wheaton Franciscan Healthcare - Foundation for St. Francis and Franklin Wheaton Franciscan Healthcare - Foundation for St. Francis and Franklin supports a number of projects affiliated with WFH - St. Francis and WFH - Franklin. The Foundation solicits philanthropic contributions and grants on behalf of clinical and operational departments and engages in initiatives to benefit the health of our patients and communities. Fundraising efforts help to make many valuable services possible, including medical innovations, community health initiatives, and direct assistance to patients. Specific examples of how the Wheaton Franciscan Healthcare - Foundation for St. Francis and Franklin meets t true true false false false false false false false Saleem Aman MD Director 0 666542 0 4750 0 1069 0 18278 0 35348 0 725987 0 David Ashpole MD Director 0 381797 0 5706 0 1844 0 0 22815 0 412162 0 Susan Boland Pres South Mrkt and President 0 385440 0 80200 0 10155 0 42784 0 17775 0 536354 0 James Burhop MD Director 0 120929 0 0 413 0 0 6886 0 128228 0 Kenneth Buser Director 0 472002 0 48100 0 16255 0 129353 0 26185 0 691895 0 239996 Kumari Chintamaneni MD Secretary / Treasurer - Direct 0 439548 0 150000 0 4805 0 13690 0 18544 0 626587 0 Daniel Donovan DO Director 0 237411 0 2351 0 1782 0 17536 0 18015 0 277095 0 Michelle Graham MD VP Medical Affairs Central Mar 0 274564 0 47800 0 276 0 13642 0 11805 0 348087 0 Jerry Hardacre MD Director 0 388682 0 0 1065 0 22036 0 27280 0 439063 0 Marlene James ADMIN DIR-MED IMAGING SRVCS 127869 0 10125 0 423 0 10969 0 14552 0 163938 0 0 John Jack Manley MD Director 0 394848 0 4328 0 2623 0 18278 0 37135 0 457212 0 Daniel Mattes Pres Cntrl Mrkt and President/ 0 395443 0 118900 0 11688 0 0 26203 0 552234 0 John Oliverio Director 0 992620 0 633600 0 1090249 0 167110 0 62577 0 2946156 0 Nicholas Omdahl MD Director 0 197993 0 0 1019 0 17493 0 22425 0 238930 0 Eduardo Paz MD Director 0 180460 0 156848 0 410 0 13669 0 14116 0 365503 0 Andrew Pesch Pharmacist 145162 0 0 354 0 9658 0 18054 0 173228 0 0 Tod Poremski MD Director 0 194863 0 75838 0 1038 0 13682 0 8543 0 293964 0 Kenneth Redlin MD Director 0 103259 0 151001 0 263 0 18259 0 7651 0 280433 0 Donald Roach MD Director 0 245932 0 2234 0 1853 0 21641 0 15395 0 287055 0 Jonathan W Sohn Director 0 448302 0 150500 0 16627 0 55413 0 24613 0 695455 0 Marilyn Spenner VP-PATIENT CARE SRVCS-SFH 152312 0 27100 0 547 0 14640 0 3471 0 198070 0 0 Debra Standridge Pres Nrth Mrkt and President/C 0 450021 0 69200 0 15249 0 48275 0 27958 0 610703 0 Robert Stern MD Director 0 334339 0 0 5252 0 18298 0 22294 0 380183 0 Christopher Trznadel ADMIN DIR-PT CARE SRVCS OPS 136367 0 10567 0 446 0 7137 0 486 0 155003 0 0 Eunice Walker DIRECTOR - PHARMACY 156088 0 12429 0 960 0 42201 0 16244 0 227922 0 0 VARIOUS - SEE REFERENCES BELOW Schedule J Part I Line 4a: Reportable compensation of Ken Buser includes $239,996 in severance payments made during calendar year 2013. Schedule J Part I Line 4b: Wheaton Franciscan Services, Inc., established the Wheaton Franciscan Services, Inc. Non-Qualified Benefit Restoration Plan to provide selected employees with certain benefits which they are unable to receive under the qualified plan because of limitations on such qualified plans under Sections 401(a)(17) and 415(b) of the Internal Revenue Code. This Plan is intended to satisfy the short-term deferral exception under Code Section 409(a). Accordingly, the Participant's Plan accruals are calculated as of the last day of each Plan Year and paid as a taxable distribution to the Participant in that Plan Year. At this time, there is one long-term senior officials who is eligible for benefits under the plan, John Oliverio, Chief Executive Officer received a 2013 taxable payout of $1,016,267. IRS Form 990 Part VII Section A Col F and Schedule J Part II Column C: Retirement and Other Deferred Compensation of Kenneth Buser includes $79,999 in accrued severance payments to be paid as wages in a future year. Emergency Medicine Specialists SC Neal Harmelink is officer 393291 Emergency Room Management false Kelly Roche Daughter of Kevin Roche 65171 Employement false See References Below Part V Line 1a and Part VII Section B Line 1-2: Effective for calendar year 2011 and beyond 1099-MISC reporting, Wheaton Franciscan Healthcare streamlined their reporting of IRS Forms 1099-MISC so that most 1099-MISC were reported using the FEIN number of the parent organization or of a related organization. The actual expense continues to be either 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 990's that there are top 5 independent contractors reported, but no 1099s are reported. Likewise on the 990's of the organization(s) reporting number of 1099's, there may be a disproportionate share of 1099's reported as compared with the actual expenses of the organization. Part VI Section A Line 6-8b: Wheaton Franciscan Healthcare - St. Francis, Inc. has two classes of members which hold several reserved powers over Wheaton Franciscan Healthcare - St. Francis, Inc. These reserved powers include, but are not limited to, the election of members of the governing body and election of officers, approval of certain financial expenditures in accordance with policy, and approval of budgets and strategic plans; these approvals are based on recommendations from the governing body. Part VI Section B Lines 10a and 10b: Wheaton Franciscan Healthcare and Franciscan Ministries are part of a controlled group of health care and housing providers, controlled under a common parent organization Wheaton Franciscan Services, Inc. Some of these organizations are exempt through the Catholic Group Ruling and other organizations have a stand-alone exemption (IRS determination) letter. As such, these related affiliates have certain policies and procedures that were adopted at the parent level, but are applicable to the entire controlled group of organizations. All policy and procedure matters are handled in a manner to ensure that all activities are consistent with the organization's overall exempt purposes. Please see Schedule R for a full listing of all related affiliate organizations. Part VI Section B Lines 11a and 11b: Affiliates of Wheaton Franciscan Healthcare use a multiple-level review process on all Federal and State information and tax returns to ensure accurate and timely filing for all organizations. Under the direction of the Tax Manager, the Accounting Department prepares Forms 990, 990-T, and associated state filings. When complete, the return is first reviewed by the Accounting Director, who focuses on the income statement and balance sheet items, and all 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 Accounting, the return is provided to the Tax Department, where the Tax Manager and Vice President of Treasury and Risk Management focus their review on consistency of reporting between all returns, accuracy of tax related information, and explanation and understanding 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 K, Schedule H, and Schedule J, may be selected for review by outside bond counsel, a community benefit associate, and/or the compensation committee respectfully and as needed. This decision will vary from year to year, again based on many factors. The Tax Department, upon completion of all levels of review, will schedule an appointment with the Senior Vice President and CFO, who will perform a review prior to signing the return. Once signed, the return is cleared to provide to members of the Board of Directors. The parent organization, Wheaton Franciscan Services, Inc. has designated that the Audit Committee review the parent return in certain years, where the 990 is explained at a high level by management representatives, and any questions or concerns that the Committee has can be addressed. At a later date and prior to efiling, the full board is provided access to all 990's throughout the system via an online portal. A similar process exists at the regional holding company levels - a 990 is selected for review in certain years by the Finance and Operations Committee. Similarly, the 990 is explained at a high level, and Committee questions or concerns are addressed. Members of the full board are provided access to all 990's within that region prior to efiling via an online portal. Part VI Section B Lines 12a - 12c: The organization has a Conflict of Interest policy. Under that policy, if at any time, an officer or director becomes 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 at the time it arises (or beforehand if not in existence at the time of hire). 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 questions 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 for purposes of answering certain questions on IRS Form 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, are documented within the software. After an approximate 3 and again at 6 weeks, names of all non responders are compiled, and these individuals receive either an email or letter reminding them to complete the information. 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 outlines the 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 - 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; or, if necessary, the board would determine that the subject's 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: Affiliates of Wheaton Franciscan Healthcare and Franciscan Ministries provide 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. Requests for information are considered on a case-by-case basis, and this process is outlined in our Public Disclosure Policy. As part of the requirements for tax exempt bond financing, the consolidated financial statements of Wheaton Franciscan Services, Inc. (#36-3262111) are required to be provided each quarter to the Municipal Securities Rule Making Board (MSRB). The vehicle used to accomplish this is through an external website (http://emma.msrb.org/) referred to as "EMMA" (Electronic Municipal Market Access System). 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BATAVIA APARTMENTS INC 1259 EAST WILSON STREET BATAVIA IL 60510 363914084 HOUSING IL 501(c)(3) 9 FMI false ASSISI HOMES - COLONY PARK INC 550 EAST THORNHILL DRIVE CAROL STREAM IL 60188 364039278 HOUSING IL 501(c)(3) 9 FMI false ASSISI HOMES - CONSTITUTION HOUSE INC 401 NORTH CONSTITUTION DRIVE AURORA IL 60506 364049150 HOUSING IL 501(c)(3) 9 FMI false ASSISI HOMES - JEFFERSON COURT INC 415 EAST KNAPP STREET MILWAUKEE WI 53202 391771526 HOUSING WI 501(c)(3) 9 FMI false ASSISI HOMES - KENOSHA INC 1860 27TH AVENUE KENOSHA WI 53140 391814815 HOUSING WI 501(c)(3) 9 FMI false ASSISI HOMES - SAXONY INC 1876 22ND AVENUE KENOSHA WI 53140 391790498 HOUSING WI 501(c)(3) 9 FMI false ASSISI HOMES OF GURNEE INC 3495 WEST GRAND AVENUE GURNEE IL 60031 363942336 HOUSING IL 501(c)(3) 9 FMI false ASSISI HOMES OF ILLINOIS INC 2126 WEST ROOSEVELT ROAD WHEATON IL 60187 363803443 HOUSING IL 501(c)(3) 9 FMI false Assisi HOMES OF NEENAH INC 210 BYRD AVENUE NEENAH WI 54946 363767250 HOUSING WI 501(c)(3) 9 FMI false CANTICLE PLACE INC 26W171 ROOSEVELT ROAD WHEATON IL 601870667 363957850 HOUSING IL 501(c)(3) 9 FMI false CATHERINE MARIAN HOUSING INC 806 SOUTH WISCONSIN AVENUE RACINE WI 53403 391657098 HOUSING WI 501(c)(3) 9 FMI false CLARE GARDENS INC 2626 OSCEOLA STREET DENVER CO 80212 237200039 HOUSING CO 501(c)(3) 9 FMI false CLARE OF ASSISI HOMES-WESTMINSTER INC 2451 WEST 82ND PLACE WESTMINSTER CO 80031 742740978 HOUSING CO 501(c)(3) 9 FMI false DAYSPRING VILLA INC 3777 WEST 26TH AVENUE DENVER CO 80211 363933908 HOUSING CO 501(c)(3) 9 FMI false FRANCIS HEIGHTS INC 2626 OSCEOLA STREET DENVER CO 80212 840626174 HOUSING CO 501(c)(3) 9 FMI false FRANCISCAN MINISTRIES COMMUNITY FNDN INC 26W171 ROOSEVELT ROAD WHEATON IL 601870667 364456204 FOUNDATION IL 501(c)(3) 11 - II FMI false MARIAN HOUSING CENTER INC 4105 SPRING STREET RACINE WI 53405 391515867 HOUSING WI 501(c)(3) 9 FMI false MARIAN PARK INC 2126 WEST ROOSEVELT ROAD WHEATON IL 60187 362750105 HOUSING IL 501(c)(3) 9 FMI false RIDGEWAY PLACE INC 155 EAST RIDGEWAY AVENUE WATERLOO IA 50702 421416064 HOUSING IA 501(c)(3) 9 FMI false VILLA MARIA INC 2461 WEST 82ND PLACE WESTMINSTER CO 80031 841347868 HOUSING CO 501(c)(3) 9 FMI false VILLA ST CLARE INC 130 BYRD AVENUE NEENAH WI 54946 391769395 HOUSING WI 501(c)(3) 9 FMI false ASSISI HOMES LASALLE MANOR INC 26W171 ROOSEVELT ROAD WHEATON IL 601890795 800623447 HOUSING IL 501(c)(3) 9 FMI false WHEATON FRANCISCAN ENTERPRISES INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391985204 HOLDING CO WI WF HOLDINGS INC C CORP false WHEATON FRANCISCAN HOLDINGS INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391836357 HOLDING CO WI WFH-SE WI C CORP false WHEATON FRANCISCAN MED GRP-SUSSEX INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391361100 MED GROUP WI WF HOLDINGS INC C CORP false WHEATON FRANCISCAN PROVIDER NETWORK INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391952140 PROVDR CONTRA WI WFH-SE WI C CORP false WHEATON FRANCISCAN INSURANCE COMPANY 980691609 FINANCIAL UK WFSI false false true true true true false false true true true true true true true true true true true WFH-FNDN FOR ST FRANCIS AND FRANKLIN INC C 14280 FMV FORM 990 - PART V, SCHEDULE R, PART II (1) The sponsorship of Rush Oak Park Hospital, Inc. and Synergon Health System, Inc. were transferred to Rush University Medical Center, Inc. effective October 25, 2013. As such, this is the last fiscal year the two organizations will be listed as related. (2) Synergon Health System Inc is listed with no direct controlling entity because of the two organizations with an interest, Rush Presbyterian and OSF Services Inc, neither can appoint a majority of the board, therefore neither organization "controls". (3) UHS, Inc. is listed without a direct controlling entity because of the two organizations with an interest, KHMC Community Board and OSF Services Inc, neither can appoint a majority of the board, and since KHMC is not an entity (it is a community board), neither body "controls".