WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN INC (EIN 39-1568865)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201331359349303258
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T11:31:23-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391568865EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WHEATON FRANCISCAN HEALTHCARE SOUTHEASTBusinessNameLine1
Business Name Line2WISCONSIN INCBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% ELIZABETH A RITTERInCareOfName
Name ControlWHEANameControl
Phone4144653000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 WEST RIVER WOODS PARKWAYAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53212ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJONATHAN W SOHNName
TitleSENIOR VP AND CFOTitle
Date Signed2013-05-15DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN OLIVERIONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1400 WEST RIVER WOODS PARKWAYAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53212ZIPCode
FieldValueIRS element (for citing)
Gross Receipts578297883GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.wfhealthcare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTHE PRIMARY MISSION OF WFH SE WI INC IS TO PROVIDE OVERSIGHT AND ADMINISTRATIVE SUPPORT TO THOSE ORGANIZATIONS SUPPORTED BY THIS REGIONAL HOLDING COMPANY.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees1725TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI406525TotalGrossUBI
Net Unrelated Business Txbl Income-99214NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1202829ContributionsGrantsPriorYear
Contributions Grants Current Year1433682ContributionsGrantsCurrentYear
Program Service Revenue Prior Year200988398ProgramServiceRevenuePriorYear
Program Service Revenue CY214537959ProgramServiceRevenueCY
Investment Income Prior Year8448798InvestmentIncomePriorYear
Investment Income Current Year10230657InvestmentIncomeCurrentYear
Other Revenue Prior Year6822010OtherRevenuePriorYear
Other Revenue Current Year14206231OtherRevenueCurrentYear
Total Revenue Prior Year217462035TotalRevenuePriorYear
Total Revenue Current Year240408529TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1865613GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2811344GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year52461443SalariesEtcPriorYear
Salaries Etc Current Year49876087SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year162758674OtherExpensePriorYear
Other Expenses Current Year175562700OtherExpensesCurrentYear
Total Expenses Prior Year217085730TotalExpensesPriorYear
Total Expenses Current Year228250131TotalExpensesCurrentYear
Revenues Less Expenses Prior Year376305RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12158398RevenuesLessExpensesCY
Total Assets BOY592464631TotalAssetsBOY
Total Assets EOY576661322TotalAssetsEOY
Total Liabilities BOY705220996TotalLiabilitiesBOY
Total Liabilities EOY659377120TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-112756365NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-82715798NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAS 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.MissionDescription
Significant New Program ServicestrueSignificantNewProgramServices
Significant ChangefalseSignificantChange
Activity Code561000ActivityCode
Expense23321874Expense
Grants2811344Grants
Revenue228107442Revenue
DescriptionWheaton Franciscan Healthcare IRS Form 990 Part III - Statement of Program Service Accomplishments June 30, 2012 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 15 hospital sites*, three transitional and extended-care facilities, two home health agencies, more than 3,000 physicians, more than 70 clinic sites with 610 employed physicians, and approximately 2,620 units of assisted living and other housing, and the corporate services offices in Wheaton, Illinois, and Glendale, Wisconsin. Started more than 125 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). 2012 marked the 11th consecutive year Wheaton Franciscan Healthcare in Southeast Wisconsin has been 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. Wheaton Franciscan Healthcare is ranked 32nd and is the top system in Southeast Wisconsin. 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 is a recent 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 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. *The interest in Affinity Health System was sold to Ministry Healthcare in February 2012 and as such statistics related to that system have not been included in this filing. Please see our full 2012 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: 15 Staffed Hospital beds: 1,794 Long-term Care Facilities: 3 Home Health Agencies: 2 Units of Housing: 2,620 Associates: 17,143 Affiliated Physicians: 2,424 Employed Physicians: 610 Emergency Room Visits: 345,145 Newborns: 8,677 Hospital Admissions: 72,335 Hospital Patient Days: 348,751 Skilled Nursing Unit Patient Days: 24,057 Long-term Care Facility Patient Days: 83,512 Hospital Outpatient Visits: 1,696,550 Hospice Days: 22,324 Home Health Visits: 117,452 Medical Group Physician Visits: 1,540,488 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. Covenant Regional Services, Inc. Illinois Marianjoy Rehabilitation Hospital and Clinics Marianjoy Medical Group Marianjoy Foundation RUSH OAK PARK HOSPITAL, Inc. OSF Services Canticle Ministries Clara Pfaender Fund Upendo Village Wisconsin Wheaton Franciscan - Elmbrook Memorial, St. Joseph, and The Wisconsin Heart Hospital 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 / 2012 Charity Care: $37,795,590. 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: $91,349,958. 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: $3,900,044. 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: $2,687,567. Financial contributions are defined as contributions, including cash, non-cash items such as food, furniture, equipment, supplies, and loaned staff for volunteerDescription
Total Program Service Expense23321874TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1725NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonELIZABETH A RITTERNamePerson
Telephone Number4144653542TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 WEST RIVER WOODS PARKWAYAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53212ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (49 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationFormerFormer
Joseph Battista MD
Director40.0X52973422042
Timothy LeSage MD
Director40.0X69082743530
John Lopez MD
Director40.0X25530244873
James Mazzulla MD
Director40.0X49474537915
John Oliverio
Chair - Director40.0X2520506161546X
Eduardo Paz MD
Director40.0X21345730427
Daniel Ross MD
Director40.0X28527645646
Steven Ryder MD
Director40.0X53236539886
Carmen Terlizzi III MD
Director40.0X39869139993
Deborah Blanks
Director1.0X
Edward Cichurski
Director1.0X
David Engstrand MD
Director1.0X
Raymond Manista
Director1.0X
Kevin McCabe
Director1.0X
Nico Meiland
Secretary - Director1.0XX
Leonard Quadracci MD
Director1.0X
Jim Small
Director1.0X
Sr Clarette Stryzewski
ViceChair - Director1.0XX
Glenn Wilder
Director1.0X
Brenda Bowers
Sr VP Org Change & Leader Dev40.029524642053X
Kenneth Buser
President South Market40.0571420101956X
Richard Canter
Sr VP Strategy and Corp Affair40.075217290044X
Stephen Cardamone DO
Sr VP and Chief Medical Office40.0678713273740X
Coreen Dicus-Johnson
Sr VP Physician and Revenue Op40.044519760242X
Wayne Frangesch
Sr VP Human Resources40.039149062266X
James Gresham
Sr VP Continuing Care Services40.028921173942X
Sarah Herzog
Sr VP General Counsel40.039840258356X
Michael Lepore
Sr VP and Chief Operating Offi40.053718579559X
Daniel Mattes
President - Central Market40.039820269017X
Therese Rocole
Sr VP Mission Services40.024438236842X
Gregory Smith
Sr VP and Chief Info Officer40.0438602257033X
Jon Sohn
Sr VP and Chief Financial Offi40.051213869026X
Debra Standridge
President - North Market40.044032760302X
Ronald Boecker
VP FACILITIES OPERATIONS40.036113X173583
Mark Herder
VP REVENUE CYCLE40.059368X177796
Timothy Masek
VP WFMG FINANCE40.030751X252253
James Moore
VP - ACCOUNTING40.0135234X214155
Caroline Roland
WSST RN SPCLTY-ACUTE40.023098X170426
William Blum
CHIEF FINANCIAL OFFICER-WFH40.02266695700X
Susan Boland
Director40.036332848104X
Robert De Vita
COO WFMG40.014765115263X
Stephen Flox MD
Director40.041821640755X
Karen Gotwalt MD
Director40.022121838060X
Jerry Hardacre MD
Physician Employee40.035787451328X
Steven Johnson MD
Director40.055599858668X
Norma McCutcheon
SVP-OPERATIONS-NORTH MARKET40.01050742991X
Loren Meyer MD
Director40.03168198060X
Jon Wachs
SVP - CHIEF OPERATIONS OFFICER40.046120211838X
Kaye-Eileen Willard MD
Director40.021024730952X
FieldValueIRS element (for citing)
Total Reportable Comp From Org988213TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs15697886TotalReportableCompFrmRltdOrgs
Total Other Compensation2396519TotalOtherCompensation
Number Individuals GT100 K37NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AHC INC
13575 HEATHCOTE BLVD STE 300GAINESVILLEVA20155BILLING COLLECTION3819771
JIGSAW LLC
710 N PLANKINGON AVE 9TH FLRMILWAUKEEWI53203GRAPHIC ARTS5003940
MEDE ANALYTICS
5858 HORTON STREET STE 475EMERYVILLECA94608BUSINESS CONSULTANT1710502
OUTSOURCE INC
W237 N2920 WOODGATE ROADPEWAUKEEWI53072BILLING/COLLECTION1004808
NCO FINANCIAL SYSTEMSINC
24866 NETWORK PLACECHICAGOIL60673BILLING/COLLECTION960097
FieldValueIRS element (for citing)
Number Of Contractors GT100 K40NumberOfContractorsGT100K
Related Organizations85866RelatedOrganizations
Government Grants168590GovernmentGrants
All Other Contributions1179226AllOtherContributions
Total Contributions1433682TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
SUPPORT SERVICES56100020789036720781652373844
LAUNDRY SERVICES81230064778016145120332681
INTERCOMPANY RENT900099169791169791
FieldValueIRS element (for citing)
Total Program Service Revenue214537959TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6291852TotalRevenueColumn
Exclusion$6,291,852ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real230223Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real230223Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column230223TotalRevenueColumn
Exclusion$230,223ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities341828159Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities337889354Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3938805Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3938805TotalRevenueColumn
Exclusion$3,938,805ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
JOINT VENTURE REVENUE90009977853247785324
PURCHASED SERVICE REVENUE MOSH90009936981923698192
MEDICAL RECORDS REVENUE900099625990625990

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1866502TotalRevenueColumn
Related Or Exempt Function Income1866502RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue13976008TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column240408529TotalRevenueColumn
Related Or Exempt Function Income228107442RelatedOrExemptFunctionIncome
Unrelated Business Revenue406525UnrelatedBusinessRevenue
Exclusion$10,460,880ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2811344Total
Program Services2811344ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total38693453Total
Program Services8919121ProgramServices
Management And General29774332ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2406804Total
Program Services554786ProgramServices
Management And General1852018ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4951090Total
Program Services1141262ProgramServices
Management And General3809828ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3824740Total
Program Services881630ProgramServices
Management And General2943110ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3500Total
Management And General3500ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total679530Total
Management And General679530ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5925814Total
Program Services1936734ProgramServices
Management And General3989080ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5802901Total
Program Services2305ProgramServices
Management And General5800596ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6429379Total
Program Services2792004ProgramServices
Management And General3637375ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1911621Total
Program Services747097ProgramServices
Management And General1164524ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total221757Total
Program Services51071ProgramServices
Management And General170686ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total21677Total
Program Services13769ProgramServices
Management And General7908ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total15085568Total
Management And General15085568ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1283983Total
Program Services3079ProgramServices
Management And General1280904ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total32806Total
Management And General32806ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
MANAGEMENT FEES122661294122661294
OTHER PURCHASED SERVICES13412867108735002539367
OTHER EXPENSES1380146472599907547
MEMBERSHIP FEE70985768909920758

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total228250131Total
Program Services23321874ProgramServices
Management And General204928257ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1336BOY
EOY1336EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1062228BOY
EOY217689501EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY8252BOY
EOY1852EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1036232BOY
EOY5652869EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis65033456LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22754159LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY43329403BOY
EOY42279297EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY18778604BOY
EOY40301056EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY528248576BOY
EOY270735411EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY592464631BOY
EOY576661322EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY400386048BOY
EOY356464687EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY304834948BOY
EOY302912433EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY705220996BOY
EOY659377120EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-112781250BOY
EOY-82715798EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY24885BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-112756365BOY
EOY-82715798EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY592464631BOY
EOY576661322EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses12158398ReconcilationRevenueExpenses
Reconcilation Other Changes17882169ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (9 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
WFH - WHEATON FRANCISCAN INC
39081685703falsetruetrue$36,492,999
WFH - ST FRANCIS INC
39090774003falsetruetrue$12,596,856
WFH - FRANKLIN INC
56259286803falsetruetrue$1,629,684
WFH PHARMACY ENT AND FRAN WOODS INC
39161362409falsetruetrue$486,552
WFH - TERRACE AT ST FRANCIS INC
39148677509falsetruetrue$86,820
WFH - HOME HEALTH AND HOSPICE INC
39155942803falsetruetrue$214,536
WHEATON FRANCISCAN MEDICAL GROUP INC
39179158603falsetruetrue$6,211,610
WHEATON FRANCISCAN LABORATORIES INC
39170140209falsetruetrue$5,453,308
WFH - ALL SAINTS INC
39126498603falsetruetrue$28,118,760
FieldValueIRS element (for citing)
Total Number Of Supported Orgs9TotalNumberOfSupportedOrgs
Sum Of Amounts91291125SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$4,636GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$33,940DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Total Lobbying Expenditures IIB38576TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER ACTIVITIES - LOBBYINGIdentifier
Return ReferenceSCHEDULE C PART II-B LINE 1IReturnReference
ExplanationWheaton 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. Lobbying expenses incurred by each organization directly, are reflected on their respective IRS Form 990, and can be summarized as follows: Wheaton Franciscan Services, Inc. #36-3262111 $69,998 Wheaton Franciscan Healthcare - Southeast Wisconsin, Inc. #39-1566865 $38,576 Wheaton Franciscan, Inc. #39-0816857 $17,457 Wheaton Franciscan Healthcare - St. Francis, Inc. #39-0907740 $9,611 Wheaton Franciscan Healthcare - All Saints, Inc. #39-1264986 $10,004 Wheaton Franciscan Healthcare - Franklin, Inc. #56-2592868 $1,838 Wheaton Franciscan Home Health and Hospice, Inc. #39-1559428 $1,407 Marianjoy, Inc. #36-3483589 $4,242 Marianjoy Rehabilitation Hospitals and Clinics, Inc. #36-2680776 $12,138 Wheaton Franciscan Healthcare - Iowa, Inc. #42-1177001 $4,243 Covenant Medical Center, Inc. #42-1264647 $24,944 Sartori Hospital, Inc. #42-0758901 $4,516 Mercy Hospital, Inc. #42-1178403 $2,008 TOTAL LOBBYING EXPENSES: $200,982Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis29739226OtherCostOrOtherBasis
Book Value29739226BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17635318OtherCostOrOtherBasis
Depreciation7780165Depreciation
Book Value9855153BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis383270OtherCostOrOtherBasis
Depreciation361448Depreciation
Book Value21822BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16181440OtherCostOrOtherBasis
Depreciation14163962Depreciation
Book Value2017478BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1094202OtherCostOrOtherBasis
Depreciation448584Depreciation
Book Value645618BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings42279297TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT MIDWEST ORTHOPEDIC21473272C
INVESTMENT WF HOLDINGS18650000C
INVESTMENT WF ENTERPRISES128604C
INVESTMENT CYCLOTRON49180C
FieldValueIRS element (for citing)
Total Of Book Value Program Related40301056TotalOfBookValueProgramRelated

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
AR AFFILIATED ORGANIZATIONS260102676
ACCOUNTS RECEIVABLE OTHER2408358
OTHER ASSETS8137793
NOTE RECEIVABLES AFFILIATES86584
FieldValueIRS element (for citing)
Total Book Value Other Assets270735411TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCTS PAYABLE AFFILIATED ORGSDescription
Amount$302,912,433Amount
FieldValueIRS element (for citing)
Total Of Amounts302912433TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigentfalseFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense36591TotalCommunityBenefitExpense
Net Community Benefit Expense36591NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense1610642TotalCommunityBenefitExpense
Direct Offsetting Revenue522935DirectOffsettingRevenue
Net Community Benefit Expense1087707NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense-519684TotalCommunityBenefitExpense
Direct Offsetting Revenue324694DirectOffsettingRevenue
Net Community Benefit Expense-844378NetCommunityBenefitExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1127549TotalCommunityBenefitExpense
Direct Offsetting Revenue847629DirectOffsettingRevenue
Net Community Benefit Expense279920NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4633TotalCommunityBenefitExpense
Direct Offsetting Revenue3487DirectOffsettingRevenue
Net Community Benefit Expense1146NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4633TotalCommunityBenefitExpense
Direct Offsetting Revenue3487DirectOffsettingRevenue
Net Community Benefit Expense1146NetCommunityBenefitExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1132182TotalCommunityBenefitExpense
Direct Offsetting Revenue851116DirectOffsettingRevenue
Net Community Benefit Expense281066NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$743,279BadDebtExpenseAmount
Amount Reimbursed By Medicare7053972AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare7205048CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-151076MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1MOSHBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityOrthopedic HospitalDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.50000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Midwest Orthopedic Specialty HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line110101 S 27th St 2nd FloorAddressLine1
CityFranklinCity
StateWIState
ZIP Code53132ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
OtherOrthopedic Orthopedic RotationOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Midwest Orthopedic Specialty HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferenceSchedule H - See References BelowReturnReference
ExplanationSchedule H Part 1 Line 4 Wheaton Franciscan Healthcare's generous Payment for Services Policy specifies that for uninsured patients whose income is at or below 400% of the Federal Poverty Income Guidelines, the maximum out-of-pocket liability that Wheaton Franciscan Healthcare will charge for medically necessary services shall not exceed 15% of gross household income. This also applies to patients who are underinsured whose income is at or below 300% of the Federal Poverty Income Guidelines. Free or discounted care is available to those who meet requirements including income level, family size, and assets. 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. which is the ultimate parent organization of an integrated health care system operated in Wisconsin, Illinois, and Iowa. For more information, please see our annual report at www.mywheaton.org. It is available under "About Us" by clicking on "Community Impact," and scrolling down to "For more information." 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 are 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. Please note that Wheaton Franciscan Healthcare - Southeast Wisconsin, Inc. has reported the community benefit related to its 50% interest in Midwest Orthopedic Specialty Hospital, LLC, a hospital facility. So although the hospital's 50% portion of community benefit has been reported on this filer's 990, the denominator in the community benefit percentage has used 100% of Wheaton Franciscan Healthcare - Southeast Wisconsin's expenses, causing the overall percentage of community benefit reported on Line 7 to look artificially low. 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 $ 236,426 has not been included in the calculation of 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, 2012, contained the following footnote disclosure related to bad debt reporting: "In July 2011, the FASB issued ASU 2011-07, Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities. ASU 2011-07 requires that entities that recognize significant amounts of patient service revenue at the time the services are rendered, even though they do not assess the patient's ability to pay, must present the provision for bad debts related to patient service revenue as a deduction from patient service revenue (net of contractual allowances and discounts) on their consolidated statements of operations. All other entities would continue to present the provision for bad debts as an operating expense. In addition, there are enhanced disclosures about the entities policies for recognizing revenue and assessing bad debts. The ASU also requires disclosures of patient service revenue as well as qualitative and quantitative information about changes in the allowance for doubtful accounts. The disclosure requirements are applicable for WFSI effective for fiscal years ending after December 15, 2012, with early adoption permitted. WFSI has elected to early adopt the provisions of this ASU. The provision for uncollectible accounts on the accompanying consolidated statements of operations for the years ended June 30, 2012 and June 30, 2011 have been presented on a separate line as a deduction from net patient service revenue (net of contractual allowances and discounts) to reflect the retrospective application of ASU 2011-07." 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 as none (ie at zero). Because Wheaton Franciscan Healthcare - Southeast Wisconsin, Inc. has a 50% interest in Midwest Orthopedic Specialty Hospital, LLC, a hospital facility, this 990 also reports one half of bad debt amounts reported by the LLC for the calendar year ending December 31, 2011, the year that falls within our fiscal year end reporting year. This amount of bad debt has been added only to Schedule H, and not in the core form expense section. 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. WFH - SE WI, Inc. has a 50% interest in Midwest Orthopedic Specialty Hospital, LLC, a hospital facility that has a different year end for cost reporting. As such, this 990 reports 50% of the Medicare Shortfall figures using the cost reporting period for calendar year 2011, the year that falls within our fiscal reporting year ending June 30, 2012. 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. Schedule H Part III Section C Line 9b Wheaton Franciscan Healthcare hExplanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (17 entries)

Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
WISCONSIN PRIMARY HEALTH CARE ASSOCIATION
4600 AMERICAN PARKWAYSUITE 204MADISONWI53718391180475501(c)(3)200000DONATION
SET MINISTRY INC
2977 N 50TH STREETMILWAUKEEWI53210391618277501(c)(3)21451DONATION
CLARA PFAENDER FUND INC
PO BOX 667WHEATONIL601870667391618277501(c)(3)1616625DONATION
CITY OF MILWAUKEE HEALTH DEPARTMENT
841 NORTH BROADWAY 3RD FLOORMILWAUKEEWI5320239600553215000DONATION
AMERICAN CANCER SOCIETY
N19W24350 RIVERWOOD DRIVEPEWAUKEEWI53072410724036501(c)(3)10600DONATION
UNITED WAY OF GREATER MILWAUKEE
225 WEST VINE STREETMILWAUKEEWI53207390806190501(c)(3)201000DONATION
SOUTHEAST WI COMMON GROUND
833 W WISCONSIN AVENUEMILWAUKEEWI53233201545634501(c)(3)15000DONATION
UWM FOUNDATION
1440 EAST NORTH AVENUEMILWAUKEEWI53202237337744501(c)(3)6250DONATION
HISPANIC PROFESSIONALS OF GREATER MILWAUKEE
614 W NATIONAL AVEMILWAUKEEWI53204900098434501(c)(3)6000DONATION
YMCA OF METRO MILWAUKEE
161 W WISCONSIN AVE STE 4000MILWAUKEEWI53203390806314501(c)(3)31300DONATION
FELICIAN SISTERS
871 MERCER ROADBEAVER FALLSPA15010271282473501(c)(3)88075DONATION
ZOOLOGICAL SOCIETY OF MILWAUKEE COUNTY
10005 W BLUE MOUND ROADMILWAUKEEWI53226396077242501(C)(3)5500DONATION
RACINE AREA SOCCER ASSOCIATION
PO BOX 370FRANKSVILLEWI53126391316634501(c)(3)25000DONATION
WFH-CIRCLE OF LIFE FOUNDATION INC
4300 W BROWN DEER ROADBROWN DEERWI53223562426294501(C)(3)13225DONATION
WFH ELMBROOK MEMORIAL FOUNDATION INC
19333 WEST NORTH AVENUEBROOKFIELDWI53045390853528501(C)(3)54562DONATION
WFH ST JOSEPH FOUNDATION INC
5000 WEST CHAMBERS STREETMILWAUKEEWI53210391636804501(C)(3)224882DONATION
WFH FNDN FOR ST FRANCIS AND FRANKLIN INC
3237 SOUTH 16TH STREETMILWAUKEEWI53215320135258501(C)(3)106408DONATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants17TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchedule IIdentifier
Return ReferencePart 1 Line 2ReturnReference
ExplanationWheaton Franciscan Healthcare and Franciscan Ministries maintain 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 and/or Franciscan Ministries. The committee also looks for certain other criteria when deciding which organizations will receive contributions, including but not limited to supporting healthcare or housing 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. 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 along with acknowledgement receipts from sponsored organizations.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (39 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBonus Related OrgsBonusRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Ronald Boecker
141073318007101228123832209696
Mark Herder
16544111800555913150237237164
Timothy Masek
206866451002871315917592283004
James Moore
21399416110176933465349389
Caroline Roland
1700313951188811210193524
Joseph Battista MD
5243785356131568886551776
William Blum
2266695700232369
Susan Boland
30267911249324261567841143249400
Brenda Bowers
21430913537221191993433729967400
Kenneth Buser
47190420416528004915667337679100
Richard Canter
513578151945895631088842216223400
Stephen Cardamone DO
4614261518761781211959952453202100
Robert De Vita
14765174377826162914162914
Coreen Dicus-Johnson
315581122163383326409505439117400
Stephen Flox MD
41269455222133119424458971
Wayne Frangesch
274499128913519027076453756104100
Karen Gotwalt MD
21999012281926018800259278
James Gresham
2181791973267412653036315351300
Jerry Hardacre MD
3570018732133129997409202
Sarah Herzog
28550962933027128085456758106600
Steven Johnson MD
54927767212133037338614666
Michael Lepore
401894214913111648443616744113800
Timothy LeSage MD
68913616912088922641734357
John Lopez MD
2548594432092723946300175
Daniel Mattes
31179712705398302918746721973700
James Mazzulla MD
49118935561315624759532660
Norma McCutcheon
10364014342991108065108065
Loren Meyer MD
31603578413176743324879
John Oliverio
95277490523299519620272682052662500
Eduardo Paz MD
2129425151149018937243884
Therese Rocole
1774771070528781806128122456200
Daniel Ross MD
28357916972129924347330922
Steven Ryder MD
5221901017521116187705722517310
Gregory Smith
3066451465722516931864695635117300
Jon Sohn
363798155403939629630581164132800
Debra Standridge
38350811119338802642250062945700
Carmen Terlizzi III MD
39766910221315626837438684
Jon Wachs
30992815127411838473040
Kaye-Eileen Willard MD
20698332641782413128241199

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE J - SUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceVARIOUS - SEE REFERENCES BELOWReturnReference
ExplanationSchedule J Part I Line 3 The compensation of the filing organization's CEO and/or the Executive Director is determined at the parent organization level, using the process described in Schedule O related to Part VI Section B Line 15. The parent organization, Wheaton Franciscan Services, Inc. (FEIN: 36-3262111) uses a compensation committee, independent compensation consultants, and compensation surveys and studies to determine appropriate levels of compensation that are reflective of fair market value. All compensation is approved by the board and/or compensation committee Schedule J Part I Line 4a: Reportable compensation of Bill Blum includes $226,669 in severance payments made during calendar year 2011. Reportable compensation of Robert DeVita includes $147,651 in severance payments made during calendar year 2011. Reportable compensation of Norma McCutcheon includes $103,640 in severance payments made during calendar year 2011. Reportable compensation of Loren Meyer includes $316,035 in severance payments made during calendar year 2011. Reportable compensation of James Moore includes $175,359 in severance payments made during calendar year 2011. Reportable compensation of Jon Wachs includes $309,928 in severance payments made during calendar year 2011. Schedule J Part I Line 4b. John Oliverio received a 2011 taxable payout of $887,366 related to a supplemental nonqualified retirement plan known as the Wheaton Franciscan Services Benefit Restoration Plan. Jon Wachs received a 2011 taxable payout of $146,835 related to a supplemental nonqualified retirement plan known as the Wheaton Franciscan Services Benefit Restoration Plan. Steven Ryder received a 2011 taxable payout of $7,310 related to a supplemental nonqualified retirement plan under IRC Section 457(f). IRS Form 990 Part VII Section A Col F and Schedule J Part II Column D Nontaxable benefits of Stephen Cardamone include $193,880 in accrued severance payments to be paid as wages in a future year. Nontaxable benefits of Mark Herder include $42,078 in accrued severance payments to be paid as wages in a future year. Nontaxable benefits of James Moore include $23,739 in accrued severance payments to be paid as wages in a future year.Explanation

Schedule L IRS990ScheduleL

FieldValueIRS element (for citing)
Total Balance Due0TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
James Mazzulla MD
Own 50% FEAP of Milw, LLC703998Rental Incomefalse
Carmen Terlizzi III MD
Own 13% Burleigh MOB JV310825Rental Incomefalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE O 1 OF 2OTHER INFORMATIONPart III LINE 2 EFFECTIVE JANUARY 1, 2012 WFH - SE WI, INC. ACQUIRED A 50 % INTEREST IN MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC. FOR ADDITIONAL DETAILS, PLEASE SEE PART VI SECTION A LINE 4 AND SCHEDULE H. PART V Line 1a and Part VII Section B Line 1-2 Effective for calendar year 2011 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 possibly 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 4 Effective January 1, 2012, the organizational documents of Midwest Orthopedic Specialty Hospital, LLC were updated to reflect a transfer in the 50% of the company's membership from Wheaton Franciscan Holdings, Inc. to its sole stockholder, Wheaton Franciscan Healthcare - Southeast Wisconsin, Inc. PART VI SECTION A LINE 6-8(b) Wheaton Franciscan Healthcare - Southeast Wisconsin, Inc. has two classes of members which hold several reserved powers over Wheaton Franciscan Healthcare - Southeast Wisconsin, 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 A LINE 10(a)-10(b) 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 A LINE 11(a)-11(b) 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 efling, 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 LINE 12(a)-12(c) 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.
SCHEDULE O 2 OF 2OTHER INFORMATIONPART VI SECTION B LINE 15(a)-15(b) The compensation of the CEO of Wheaton Franciscan Services Inc. (WFSI) and other officers and key employees of the filing organization is reviewed and approved on an annual basis by the Executive Committee of the WFSI Board of Directors, an independent board, acting in a manner consistent with its conflicts of interest policy. The board's decision is informed by an opinion on market comparable compensation data provided to the board by an independent compensation expert. The organization maintains contemporaneous documentation of the substantiation of the deliberation and decision by the board. Wheaton Franciscan Medical Group The compensation for the organization's President and other officers and key management employees is reviewed and approved on an annual basis, as part of the WFSI Executive Compensation Plan, by the Executive Committee of the Wheaton Franciscan Services, Inc. Board of Directors (the "Executive Committee of the WFSI Board"), an independent board, acting in a manner consistent with its conflicts of interest policy. The WFSI Board's decision is informed by an opinion on market comparable compensation data provided to the WFSI Board by an independent compensation expert. The WFSI Board maintains contemporaneous documentation of the substantiation of the deliberation and decisions it makes. With respect to the organization's officers and/or key employees that are practicing physicians, the Wheaton Franciscan Medical Group (WFMG) Physician Compensation Plan is also reviewed and approved on an annual basis by the Executive Committee of the WFSI Board, an independent board, acting in a manner consistent with its conflicts of interest policy. The Executive Committee of the WFSI Board's decision on the organization's physician compensation plan is informed by an opinion on market comparable physician compensation data provided to the board committee by an independent physician compensation expert. The Executive Committee of the WFSI Board maintains contemporaneous documentation of the substantiation of the deliberation and decisions it makes. For those officer and/or key employee physicians that are paid for their services other than pursuant to the WFSI Executive Compensation Plan or the WFMG Physician Compensation Plan, the compensation terms of the written contract with the physician are approved by either the WFSI Board of Directors, the WFSI CEO or by the WFMG President, in accordance with the level of authority delegated to the same by the WFSI Board of Directors in accordance with its financial transactions policy. In each case, decisions are made in accordance with the organization's conflict of interest requirements. Also, in each case, the compensation paid pursuant to a contract is determined with reference to market comparable information. Organizational policy requires that contemporaneous documentation of the same be maintained. Metro Physicians The compensation for the President and other officers and key employees of the organization was reviewed and approved by the Wheaton Franciscan Services, Inc. Board of Directors, an independent board, acting in a manner consistent with its conflicts of interest policy. The board's decision was informed by an opinion on market comparable compensation data provided to the board by an independent compensation expert. The organization maintained contemporaneous documentation of the substantiation of the deliberation and decision by the board. PART VI SECTION B LINE 16(a)-16(b) Wheaton Franciscan Healthcare - Southeast Wisconsin, Inc. participated in several joint ventures in furtherance of its exempt activities. Wheaton Franciscan Healthcare has several policies that govern entering into joint venture relationships and all governing documents of such joint ventures do include one or more safeguards to protect the tax-exempt status of Wheaton Franciscan Healthcare - Southeast Wisconsin, Inc. 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), the parent corporation of Wheaton Franciscan Healthcare and Franciscan Ministries affiliates 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). The financial statements are uploaded each quarter to the website, and along with other information provided at the bond's inception, are available for viewing by the general public. PART VII COLUMN C Wheaton Franciscan Healthcare and Franciscan Ministries are a controlled group of related healthcare and housing 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, 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. PART XI LINE 5 Investment in Midwest Orthopedic Specialty Hospital FEIN #80-0337676 $17,882,169 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 satisfied through the filing of Forms 5471 for these cfcs by other US taxpayers identified below who have the same filing requirement. Taxpayer name: Wheaton Franciscan Services, Inc. Address: 26 w171 Roosevelt Road, Wheaton IL 60187 FEIN number of US Tax return with which form 5471 was filed: 36-3262111 IRS Service Center where US Tax return was or will be filed: e-filed

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1WHEATON FRANCISCAN MED EQUIP TEAM LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13070 NORTH 51ST STREET STE 406AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53210ZIPCode
FieldValueIRS element (for citing)
EIN391906167EIN
Primary ActivitiesMEDICAL EQUIPPrimaryActivities
Legal Domicile StateWILegalDomicileState
Total Income1231253TotalIncome
EOY Assets161500EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WFH-SE WIBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (72 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
WHEATON FRANCISCAN SERVICES INC
26 W 171 ROOSEVELT RDWHEATONIL60187363262111PARENT CORPIL501(c)(3)11 - III-FINAfalse
AFFINITY HEALTH SYSTEM (1)
1570 MIDWAY PLACEMENASHAWI54942391638765HOLDING COIL501(c)(3)11 - IWFSIMHCfalse
AUXILIARY OF ST ELIZABETH HOSP INC (1)
1506 SOUTH ONEIDA STREETAPPLETONWI54915396077331AUXILIARYWI501(c)(3)11 - III-OST ELIZ HOSPfalse
CALUMET MEDICAL CENTER INC (1)
614 MEMORIAL DRIVECHILTONWI53014390905385HOSPITALWI501(c)(3)3AFF HLTH SYSfalse
MERCY MEDICAL CENTER OF OSHKOSH INC (1)
500 SOUTH OAKWOOD ROADOSHKOSHWI54904390806268HOSPITALWI501(c)(3)3AFF HLTH SYSfalse
NETWORK HEALTH SYSTEM INC (1)
1570 MIDWAY PLACEMENASHAWI54942391127163MED GROUPWI501(c)(3)3AFF HLTH SYSfalse
ST ELIZABETH HOSPITAL COMM FNDN INC(1)
1506 SOUTH ONEIDA STREETAPPLETONWI54915391256677FOUNDATIONWI501(c)(3)11 - IAFF HLTH SYSfalse
ST ELIZABETH HOSPITAL INC (1)
1506 SOUTH ONEIDA STREETAPPLETONWI54915390816818HOSPITALWI501(c)(3)3AFF HLTH SYSfalse
WFH - ALL SAINTS INC
3801 SPRING STREETRACINEWI53405391264986HOSPITALWI501(c)(3)3WFH-SE WItrue
WFH - ALL SAINTS FOUNDATION INC
3805B SPRING STREETRACINEWI53405391570877FOUNDATIONWI501(c)(3)11 - IWFH-AS INCfalse
VOLUNTEERS IN PTNRSHIP WITH WFH-AS INC
3801 SPRING STREETRACINEWI53405930838390FOUNDATIONWI501(c)(3)11 - III-OWFH-AS INCfalse
WFH - CIRCLE OF LIFE FOUNDATION INC
4300 WEST BROWN DEER RD STE250BROWN DEERWI53223562426294FOUNDATIONWI501(c)(3)11 - IWFH-PEfalse
WHEATON FRAN HOME HEALTH & HOSPICE INC
3070 NORTH 51ST STREET STE 406MILWAUKEEWI53210391559428HOME HLTHWI501(c)(3)3WFH-SE WItrue
WHEATON FRANCISCAN MEDICAL GROUP INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391791586MED GROUPWI501(c)(3)3WFH-SE WItrue
WHEATON FRANCISCAN -ELMBROOK FNDN
19333 WEST NORTH AVENUEBROOKFIELDWI53045392028808FOUNDATIONWI501(c)(3)11 - IWF INCfalse
WHEATON FRANCISCAN LABORATORIES INC
3237 SOUTH 16TH STREETMILWAUKEEWI53215391701402LABORATORYWI501(c)(3)9WFH-SE WItrue
WFH PHARMACY ENT AND FRAN WOODS INC
4300 WEST BROWN DEER RD 2ND FLRBROWN DEERWI53223391613624PHARMACYWI501(c)(3)9WFH-SE WItrue
WFH - ST FRANCIS INC
3237 SOUTH 16TH STREETMILWAUKEEWI53215390907740HOSPITALWI501(c)(3)3WFH-SE WItrue
WF - ST JOSEPH FOUNDATION INC
5000 WEST CHAMBERS STREETMILWAUKEEWI53210391636804FOUNDATIONWI501(c)(3)11 - IWF INCfalse
WHEATON FRANCISCAN INC
5000 WEST CHAMBERS STREETMILWAUKEEWI53210390816857HOSPITALWI501(c)(3)3WFH-SE WItrue
WFH-FNDN FOR ST FRANCIS AND FRANKLIN INC
3237 SOUTH 16TH STREETMILWAUKEEWI53215320135258FOUNDATIONWI501(c)(3)11 - IWFH-SFHfalse
WFH - TERRACE AT ST FRANCIS INC
3200 SOUTH 20TH STREETMILWAUKEEWI53215391486775NURSING HOMEWI501(c)(3)9WFH-SE WItrue
WFH - FRANKLIN INC
10101 SOUTH 27TH STREETFRANKLINWI53132562592868HOSPITALWI501(c)(3)3WFH-SE WItrue
WHEATON WAY CONDO OWNERS ASSCN INC
10101 SOUTH 27TH STREETFRANKLINWI53132300659830CONDO ASSCNWIN/AN/AWFH-FRKLNfalse
METRO PHYSICIANS INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212943436893MED GROUPWI501(c)(3)3WFMGfalse
MARIANJOY INC
26 W 171 ROOSEVELT RDWHEATONIL60187363483589HOLDING COIL501(c)(3)11 - III-FIWFSIfalse
MARIANJOY FOUNDATION INC
26 W 171 ROOSEVELT RDWHEATONIL60187352165613FOUNDATIONIL501(c)(3)7MJ HOSPfalse
MARIANJOY REHAB CENTER AUXILIARY INC
26 W 171 ROOSEVELT RDWHEATONIL60187363896976AUXILIARYIL501(c)(3)11 - IMJ HOSPfalse
MARIANJOY REHAB HOSPITAL & CLINICS INC
26 W 171 ROOSEVELT RDWHEATONIL60187362680776REHAB HOSPITAIL501(c)(3)3MARIANJOYfalse
REHABILITATION MEDICINE CLINIC INC
26 W 171 ROOSEVELT RDWHEATONIL60187363236791MEDICAL GRPIL501(c)(3)3MARIANJOYfalse
OSF SERVICES INC
PO Box 667WHEATONIL601870667391471463HOLDING COWI501(c)(3)11 - III-FIWFSIfalse
CANTICLE MINISTRIES INC
PO Box 667WHEATONIL601870667364091836HOUSING/ADVCYIL501(c)(3)7OSF SVCS INCfalse
CLARA PFAENDER FUND INC (2)
PO Box 667WHEATONIL601870667363353311SPONSORSHIPIL501(c)(3)11 - III-OOSF SVCS INCfalse
FRANCISCAN SISTERS CHARITABLE FUND OF CO
2626 OSCEOLA STREETDENVERCO80212840733072AUXILIARYCO501(c)(3)7OSF SVCS INCfalse
RUSH OAK PARK HOSPITAL INC
520 SOUTH MAPLE AVENUEOAK PARKIL60304362183812HOSPITALIL501(c)(3)3OSF SVCS INCfalse
SET MINISTRY INC
2977 NORTH 50TH STREETMILWAUKEEWI53210391618277SOCIAL WORKWI501(c)(3)9OSF SVCS INCfalse
ST CATHERINE'S HOSPITAL INC
9555 76TH STREETPLEASANT PRAIRIEWI53158390855075HOSPITALWI501(c)(3)3OSF SVCS INCfalse
SYNERGON HEALTH SYSTEM INC (6)
520 SOUTH MAPLE AVENUEOAK PARKIL60304363739067HOSPITALIL501(c)(3)3NONEfalse
UHS INC (7)
6308 EIGHTH AVENUEKENOSHAWI53143391956749HOSPITALWI501(c)(3)3NONEfalse
UPENDO VILLAGE NFP (3)
PO Box 667WHEATONIL601870667331007368HIV SUPPORTIL501(c)(3)9OSF SVCS INCfalse
WFH - IOWA INC
3421 WEST NINTH STREETWATERLOOIA50702421177001HOLDING COIA501(c)(3)11 - III-FIWFSIfalse
COVENANT FOUNDATION INC
3421 WEST NINTH STREETWATERLOOIA50702421295784FOUNDATIONIA501(c)(3)9COV MED CTRfalse
COVENANT MEDICAL CENTER INC
3421 WEST NINTH STREETWATERLOOIA50702421264647HOSPITALIA501(c)(3)3WFH-IOWAfalse
MERCY HOSPITAL OF FRANCISCAN SISTERS INC
3421 WEST NINTH STREETWATERLOOIA50702421178403HOSPITALIA501(c)(3)3WFH-IOWAfalse
NE IOWA REAL ESTATE INVESTMENTS LTD
3421 WEST NINTH STREETWATERLOOIA50702421207432HOLDING COIA501(c)(2)N/AWFH-IOWAfalse
SARTORI HEALTH CARE FOUNDATION INC
3421 WEST NINTH STREETWATERLOOIA50702421240996FOUNDATIONIA501(c)(3)11 - ISARTORI HOSPfalse
SARTORI MEMORIAL HOSPITAL INC
515 COLLEGE STREETCEDAR FALLSIA50613420758901HOSPITALIA501(c)(3)3WFH-IOWAfalse
FRANCISCAN MINISTRIES INC
26W171 ROOSEVELT ROADWHEATONIL601870667363259684HOLDING COIL501(c)(3)11 - III-FIWFSIfalse
ASSISI HOMES - BATAVIA APARTMENTS INC
1259 EAST WILSON STREETBATAVIAIL60510363914084HOUSINGIL501(c)(3)9FMIfalse
ASSISI HOMES - COLONY PARK INC
550 EAST THORNHILL DRIVECAROL STREAMIL60188364039278HOUSINGIL501(c)(3)9FMIfalse
ASSISI HOMES - CONSTITUTION HOUSE INC
401 NORTH CONSTITUTION DRIVEAURORAIL60506364049150HOUSINGIL501(c)(3)9FMIfalse
ASSISI HOMES - JEFFERSON COURT INC
415 EAST KNAPP STREETMILWAUKEEWI53202391771526HOUSINGWI501(c)(3)9FMIfalse
ASSISI HOMES - KENOSHA INC
1860 27TH AVENUEKENOSHAWI53140391814815HOUSINGWI501(c)(3)9FMIfalse
ASSISI HOMES - SAXONY INC
1876 22ND AVENUEKENOSHAWI53140391790498HOUSINGWI501(c)(3)9FMIfalse
ASSISI HOMES OF GURNEE INC
3495 WEST GRAND AVENUEGURNEEIL60031363942336HOUSINGIL501(c)(3)9FMIfalse
ASSISI HOMES OF ILLINOIS INC
2126 WEST ROOSEVELT ROADWHEATONIL60187363803443HOUSINGIL501(c)(3)9FMIfalse
Assisi HOMES OF NEENAH INC
210 BYRD AVENUENEENAHWI54946363767250HOUSINGWI501(c)(3)9FMIfalse
CANTICLE PLACE INC
26W171 ROOSEVELT ROADWHEATONIL601870667363957850HOUSINGIL501(c)(3)9FMIfalse
CATHERINE MARIAN HOUSING INC
806 SOUTH WISCONSIN AVENUERACINEWI53403391657098HOUSINGWI501(c)(3)9FMIfalse
CLARE GARDENS INC
2626 OSCEOLA STREETDENVERCO80212237200039HOUSINGCO501(c)(3)9FMIfalse
CLARE OF ASSISI HOMES-WESTMINSTER INC
2451 WEST 82ND PLACEWESTMINSTERCO80031742740978HOUSINGCO501(c)(3)9FMIfalse
DAYSPRING VILLA INC
3777 WEST 26TH AVENUEDENVERCO80211363933908HOUSINGCO501(c)(3)9FMIfalse
FRANCIS HEIGHTS INC
2626 OSCEOLA STREETDENVERCO80212840626174HOUSINGCO501(c)(3)9FMIfalse
FRANCISCAN MINISTRIES COMMUNITY FNDN INC
26W171 ROOSEVELT ROADWHEATONIL601870667364456204FOUNDATIONIL501(c)(3)11 - IIFMIfalse
FRANCISCAN SENIORS KENOSHA INC (4)
1920 27TH AVENUEKENOSHAWI53140391821568HOUSINGWI501(c)(3)9FMIfalse
MARIAN HOUSING CENTER INC
4105 SPRING STREETRACINEWI53405391515867HOUSINGWI501(c)(3)9FMIfalse
MARIAN PARK INC
2126 WEST ROOSEVELT ROADWHEATONIL60187362750105HOUSINGIL501(c)(3)9FMIfalse
RIDGEWAY PLACE INC
155 EAST RIDGEWAY AVENUEWATERLOOIA50702421416064HOUSINGIA501(c)(3)9FMIfalse
STARVED ROCK-LASALLE MANOR INC (5)
1135 10TH STREETLASALLEIL61301363796933HOUSINGIL501(c)(3)9FMIfalse
VILLA MARIA INC
2461 WEST 82ND PLACEWESTMINSTERCO80031841347868HOUSINGCO501(c)(3)9FMIfalse
VILLA ST CLARE INC
130 BYRD AVENUENEENAHWI54946391769395HOUSINGWI501(c)(3)9FMIfalse
ASSISI HOMES LASALLE MANOR INC
26W171 ROOSEVELT ROADWHEATONIL601890795800623447HOUSINGIL501(c)(3)9FMIfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Code VCodeVAmount
KENOSHA SNR(4)
PO BOX 667WHEATONIL60187391801541HOUSINGWIFR SNRS$0
STARVED ROCK
PO BOX 667WHEATONIL60187363811835HOUSINGILSRLM INC$0

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile Foreign CountryLegalDomicileForeignCountry
NETWORK HEALTH INSURANCE CORPORATION
1570 MIDWAY PLACEMENASHAWI54942392020474INSURANCE COWINETWK HLTH SYC CORP
NETWORK HEALTH PLAN
1570 MIDWAY PLACEMENASHAWI54942391442058HLTH MAINT ORGWINETWK HLTH SYC CORP
WHEATON FRANCISCAN ENTERPRISES INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391985204HOLDING COWIWF HOLDINGS INCC CORP
WHEATON FRANCISCAN HOLDINGS INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391836357HOLDING COWIWFH-SE WIC CORP15651665353311881.00000
WHEATON FRANCISCAN MED GRP-SUSSEX INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391361100MED GROUPWIWF HOLDINGS INCC CORP
WHEATON FRANCISCAN PROVIDER NETWORK INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391952140ADMIN SUPPORTWIWFH-SE WIC CORP6960968261.00000
COVENANT REGIONAL SERVICES INC (8)
3421 WEST NINTH STREETWATERLOOIA50702421189805PHARMACYIAWFH-IOWAC CORP
WHEATON FRANCISCAN INSURANCE COMPANY
980691609FINANCIALWFSIUK
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
WFH-TERRACE AT ST FRANCIS
P211932FMV
WFH-PHARMACY ENT AND FRAN WOODS INC
D86584FMV
WFH-PHARMACY ENT AND FRAN WOODS INC
AI7554FMV
WHEATON FRANCISCAN INC
P88916604FMV
WFH-ST FRANCIS INC
P25877004FMV
WFH-FRANKLIN INC
P3978000FMV
WFH-ALL SAINTS INC
P69359568FMV
WFH-PHARMACY ENT AND FRAN WOODS INC
P1187652FMV
WHEATON FRAN HOME HEALTH & HOSPICE INC
P523668FMV
WHEATON FRANCISCAN MEDICAL GROUP INC
P15993432FMV
WHEATON FRANCISCAN MEDICAL GROUP INC
N419054FMV
WHEATON FRANCISCAN LABORATORIES
N5453308FMV
WFH-ST FRANCIS INC
N1995684FMV
WHEATON FRANCISCAN INC
N36531FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierSCHEDULE R FOOTNOTESIdentifier
Return ReferenceFORM 990 PART V, SCHEDULE R, SCH R-1, PART IIReturnReference
Explanation(1) Wheaton Franciscan Healthcare's 50% interest in Affinity Healthcare was sold to Ministry Healthcare on February 8, 2012. As such, this is the last fiscal year these Affinity organizations will be reported as related organizations. (2) Effective June 30, 2012, Clara Pfaender Fund Inc. was merged with Wheaton Franciscan Services, Inc. (FEIN #36-3262111). (3) Upendo Village NFP joined the Wheaton Franciscan Healthcare system under O.S.F. Services, Inc. effective November 17, 2011. (4) Franciscan Seniors, Kenosha, Inc. sold its interest in Kenosha Seniors Limited Partnership effective August 31, 2011 and subsequently dissolved effective March 29, 2012. (5) Starved Rock - LaSalle Manor, Inc. was dissolved effective June 12, 2012. (6) 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". (7) 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". (8) Covenant Regional Services, Inc. was dissolved effective September 30, 2011.Explanation

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