FURP.ORG / PUBLIC DATA EXPLORER

ASCENSION LIVING ST FRANCIS PLACE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ASCENSION LIVING ST FRANCIS PLACE (EIN 39-1486775)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201221369349303272
Schema version
2010v3.7
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)
Timestamp2012-05-15T10:53:05-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391486775EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WHEATON FRANCISCAN HEALTHCARE - TERRACEBusinessNameLine1
Business Name Line2AT ST FRANCIS INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlWHEANameControl
Phone4143893200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13200 SOUTH 20TH STREETAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53215ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJONATHAN W SOHNName
TitleSR VP AND CFOTitle
Date Signed2012-05-15DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts6857701GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.wfhealthcare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionThis organization provides transitional care which bridges the gap between hospital and home. In addition, we also provide extended care.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees131TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6706159ProgramServiceRevenuePriorYear
Program Service Revenue CY6834441ProgramServiceRevenueCY
Investment Income Prior Year680InvestmentIncomePriorYear
Investment Income Current Year538InvestmentIncomeCurrentYear
Other Revenue Prior Year25025OtherRevenuePriorYear
Other Revenue Current Year22722OtherRevenueCurrentYear
Total Revenue Prior Year6731864TotalRevenuePriorYear
Total Revenue Current Year6857701TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4306519SalariesEtcPriorYear
Salaries Etc Current Year4437330SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2387232OtherExpensePriorYear
Other Expenses Current Year2387543OtherExpensesCurrentYear
Total Expenses Prior Year6693751TotalExpensesPriorYear
Total Expenses Current Year6824873TotalExpensesCurrentYear
Revenues Less Expenses Prior Year38113RevenuesLessExpensesPriorYear
Revenues Less Expenses CY32828RevenuesLessExpensesCY
Total Assets BOY2585773TotalAssetsBOY
Total Assets EOY2385271TotalAssetsEOY
Total Liabilities BOY3057405TotalLiabilitiesBOY
Total Liabilities EOY2824075TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-471632NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-438804NetAssetsOrFundBalancesEOY
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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6059780Expense
Revenue6850366Revenue
DescriptionWheaton Franciscan Healthcare IRS Form 990 Part III - Statement of Program Service Accomplishments June 30, 2011 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 18 hospital sites, three transitional and extended-care facilities, two home health agencies, nearly 3,500 physicians, more than 70 clinic sites with 770 employed physicians, and approximately 2,800 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, the Fox Valley, 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). In 2011 Wheaton Franciscan Healthcare in Southeast Wisconsin was recognized as one of the nation's top 25 most efficient, best-performing health care networks by SDI, the nation's premier integrated health network evaluation system. Wheaton Franciscan Healthcare ranked as the top integrated system in Southeast Wisconsin, is among the top 10 in the Midwest, and ranked 23 nationally. 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 also received a 2009 VIP Award from McKesson Technology Solutions for its success in using information technology to enhance patient safety across nine hospital sites and more than 100 physician offices. The VIP Awards are presented annually to organizations that demonstrate vision, innovation and performance in the use of healthcare IT. Wheaton Franciscan Healthcare was one of five health care organizations selected by a panel of experts in the field of health care IT use to receive the award. Please see our full 2011 Annual Report online at: http://www.wfhealthcare.org/Wheaton/Documents/2011AnnualReport.pdf 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: 18 Staffed Hospital beds: 2,114 Long-term Care Facilities: 3 Home Health Agencies: 2 Units of Housing: 2,681 Associates: 21,005 Affiliated Physicians: 2,710 Employed Physicians: 770 Emergency Room Visits: 374,436 Newborns: 10,519 Hospital Admissions: 84,924 Hospital Patient Days: 403,808 Skilled Nursing Unit Patient Days: 24,120 Long-term Care Facility Patient Days: 82,110 Hospital Outpatient Visits: 1,972,764 Hospice Days: 19,860 Home Health Visits: 115,253 Medical Group Physician Visits: 2,000,423 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 Wisconsin Wheaton Franciscan - St. Joseph and The Wisconsin Heart Hospital Campuses All Saints Elmbrook Memorial 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 Affinity Health System - Menasha, Wisconsin St. Elizabeth Hospital Mercy Medical Center of Oshkosh Calumet Medical Center Network Health Plan of Wisconsin Affinity Medical Group St. Elizabeth Hospital Foundation Mercy Health Foundation United Hospital System - Kenosha, Wisconsin St. Catherine's Medical Center and Kenosha Medical Center Campuses WHEATON FRANCISCAN HEALTHCARE COMMUNITY IMPACT FOR SYSTEM / 2011 Charity Care: $29,311,248. 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: $89,193,180. 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: $2,921,540. 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: $3,461,030. Financial contributions are defined as contributions, including cash, non-cash items such as food, furniture, equipment, supplies, and loaned staff for volunteer and charitable purposes, made to individuals, community groups, or nonprofit organizations for charitable purposes. Health professions education: $8,788,076. Health professions education is defined as direct costs incurred for accredited training and education programs for physicians, nurses, allied health professionals and technicians (does not include ongoing education for staff). Community building activities: $820,333. Community building activities are defined as programs that, while not directly related to health care, provide opportunities to address the root causes of health problems, such as povertyDescription
Total Program Service Expense6059780TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
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 InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
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
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
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 RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees131NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
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
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
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 VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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Name PersonELIZABETH A SCHINKONamePerson
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 (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Linda Czernicki
Director1.0X
Monica Dannenfelser
Director1.0X
Jason Kayzar
Director1.0X
Suresh Misra MD
Director1.0X
Rick Romanshek
Director1.0X
Patricio Viernes MD
Director1.0X
Sr M Ramona Dombrowski
ViceChair/Vice Pres - Director1.0XX
Stephen Cardamone DO
Secretary - Director40.0XX055931272801
James Gresham
Chair/Sr VP - Director40.0XX026858263147
Richard London MD
Director40.0X014163628246
Jon Sohn
Treasurer - Director40.0XX041872559772
Sharon Povlich
VP Continuing Care40.0013880022877X
ROBIN OWENS
RN-WKND40.0012208133657X
JESSY PETER
RN-WKND40.0011075425523X
William Blum
Sr VP and Chief Financial Offi40.00305272135825X
Jon Wachs
Sr VP and Chief Operating Offi40.00804963309576X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2870125TotalReportableCompFrmRltdOrgs
Total Other Compensation751424TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
STAFFING PARTNERS INC
BOX 88247MILWAUKEEWI53288MEDICAL STAFFING120782
FAVORITE HEALTHCARE STAFFING
PO BOX 803356KANSAS CITYMO64180MEDICAL STAFFING153831
SODEXO
4880 PAYSPHERE CIRCLECHICAGOIL60674FOOD SERVICE MGMT222381
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT CARE REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column6834441TotalRevenueColumn
Related Or Exempt Function Income6834441RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue6834441TotalProgramServiceRevenue

Investment Income InvestmentIncome

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Total Revenue Column538TotalRevenueColumn
Exclusion$538ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

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Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

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Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
SCREENING REVENUE9000991496014960
GIFT SHOP REVENUE9000993690$3,690
TV RENTAL/TELEPHONE COMMISSION9000993107$3,107

Miscellaneous Revenue MiscellaneousRevenue

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Total Revenue Column965TotalRevenueColumn
Related Or Exempt Function Income965RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue22722TotalOtherRevenue

Total Revenue TotalRevenue

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Total Revenue Column6857701TotalRevenueColumn
Related Or Exempt Function Income6850366RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,335ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

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Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

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Total0Total

Foreign Grants ForeignGrants

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Total0Total

Benefits To Members BenefitsToMembers

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Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

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Total0Total

Comp Disqual Persons CompDisqualPersons

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Total0Total

Other Salaries And Wages OtherSalariesAndWages

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Total3607481Total
Program Services3329111ProgramServices
Management And General278370ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

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Total202725Total
Program Services187082ProgramServices
Management And General15643ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

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Total359326Total
Program Services331599ProgramServices
Management And General27727ManagementAndGeneral

Payroll Taxes PayrollTaxes

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Total267798Total
Program Services247133ProgramServices
Management And General20665ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total362761Total
Program Services362761ProgramServices

Fees For Services Legal FeesForServicesLegal

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Total0Total

Fees For Services Accounting FeesForServicesAccounting

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Total0Total

Fees For Services Lobbying FeesForServicesLobbying

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Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

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Total0Total

Fees For Services Other FeesForServicesOther

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Total0Total

Advertising Advertising

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Total0Total

Office Expenses OfficeExpenses

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Total860527Total
Program Services817498ProgramServices
Management And General43029ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

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Total0Total

Occupancy Occupancy

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Total135398Total
Program Services135398ProgramServices

Travel Travel

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Total2321Total
Program Services1689ProgramServices
Management And General632ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total115305Total
Management And General115305ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

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Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total147870Total
Program Services140477ProgramServices
Management And General7393ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTHER PURCHASED SERVICE42583938199943840
MANAGEMENT FEES211944211944
BAD DEBT8000080000
MAINTENANCE CONTRACTS4557845033545
ALL OTHER EXPENSE

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6824873Total
Program Services6059780ProgramServices
Management And General765093ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY700BOY
EOY700EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1185031BOY
EOY1100536EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY14874BOY
EOY15497EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1698BOY
EOY3044EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5693006LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4480009LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1360867BOY
EOY1212997EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY22603BOY
EOY52497EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2585773BOY
EOY2385271EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY365532BOY
EOY395987EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2681393BOY
EOY2419519EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10480BOY
EOY8569EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3057405BOY
EOY2824075EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-471632BOY
EOY-438804EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-471632BOY
EOY-438804EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2585773BOY
EOY2385271EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses32828ReconcilationRevenueExpenses
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)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years745869CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years240208CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years441049CurrentTaxYearMinus2Years
Total1427126Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5901309CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6529334CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6724080CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6706159CurrentTaxYearMinus1Year
Current Tax Year6834441CurrentTaxYear
Total32695323Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6647178CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6769542CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7165129CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6706159CurrentTaxYearMinus1Year
Current Tax Year6834441CurrentTaxYear
Total34122449Total
FieldValueIRS element (for citing)
Public Support Total50934122449PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years541CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years107CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years205CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year680CurrentTaxYearMinus1Year
Current Tax Year538CurrentTaxYear
Total2071Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years541CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years107CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years205CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year680CurrentTaxYearMinus1Year
Current Tax Year538CurrentTaxYear
Total2071Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25933CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29014CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27070CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25025CurrentTaxYearMinus1Year
Current Tax Year22722CurrentTaxYear
Total129764Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6673652CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6798663CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7192404CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6731864CurrentTaxYearMinus1Year
Current Tax Year6857701CurrentTaxYear
Total34254284Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99615PublicSupportPercentage509
Prior Year Support Percentage0.99602PriorYearSupportPercentage
Investment Income Percentage0.00006InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00005PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$0OtherActivitiesAmount
Total Lobbying Expenditures IIB0TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE C - OTHER INFORMATIONIdentifier
Return ReferenceSCHEDULE C PART IV IN RESPONSE TO SCH C PT 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 $72,014 Wheaton Franciscan Healthcare - Southeast Wisconsin, Inc. #39-1566865 $32,020 Wheaton Franciscan, Inc. (formerly Wheaton Franciscan Healthcare - St. Joseph, Inc. and The Wisconsin Heart Hospital, Inc.) #39-0816857 $10,381 Wheaton Franciscan Healthcare - St. Francis, Inc. #39-0907740 $7,924 Wheaton Franciscan Healthcare - Elmbrook Memorial, Inc. #39-0853528 $4,012 Wheaton Franciscan Healthcare - All Saints, Inc. #39-1264986 $8,234 Wheaton Franciscan Healthcare - Franklin, Inc. #56-2592868 $1,516 Wheaton Franciscan Home Health and Hospice, Inc. #39-1559428 $ 962 Marianjoy, Inc. #36-3483589 $3,746 Marianjoy Rehabilitation Hospitals and Clinics, Inc. #36-2680776 $11,814 Wheaton Franciscan Healthcare - Iowa, Inc. #42-1177001 $3,746 Covenant Medical Center, Inc. #42-1264647 $27,090 Sartori Hospital, Inc. #42-0758901 $5,146 Mercy Hospital, Inc. #42-1178403 $2,400 TOTAL LOBBYING EXPENSES: $191,005Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2792399OtherCostOrOtherBasis
Depreciation2047147Depreciation
Book Value745252BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis502170OtherCostOrOtherBasis
Depreciation435263Depreciation
Book Value66907BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2398437OtherCostOrOtherBasis
Depreciation1997599Depreciation
Book Value400838BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1212997TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRESIDENT TRUST PAYABLEDescription
Amount$8,569Amount
FieldValueIRS element (for citing)
Total Of Amounts8569TotalOfAmounts

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 (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBonus Related OrgsBonusRelatedOrgs
William Blum
0226829784431293256500044109778443
Stephen Cardamone DO
04182561455651167216340632113126500
James Gresham
021089416488574865661033172941200
Richard London MD
013981318239950182960169882
ROBIN OWENS
012184823311552221050155738
Sharon Povlich
012563019701130911568016167711200
Jon Sohn
0319722106033212027652047849788400
Jon Wachs
0527805129458257089524870111453998346147700

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE J COMPENSATION 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 William Blum includes $228,005 in severance payments made during calendar year 2010. SCHEDULE J, PART I, LINE 4b Jon Wachs received a 2010 taxable payout of $98,329 related to a supplemental nonqualified retirement plan known as the Wheaton Franciscan Services Benefit Restoration Plan. William Blum received a 2010 taxable payout of $78,443 related to a supplemental nonqualified retirement plan known as the Wheaton Franciscan Services Benefit Restoration Plan.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE OSUPPLEMENTAL INFORMATIONFORM 990, PART VI, SECTION A, LINES 6-8b WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST. FRANCIS has two classes of members which hold several reserved powers over WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST. FRANCIS. 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. FORM 990, PART VI, SECTION B, LINES 10a-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. FORM 990, PART VI, SECTION B, LINES 11a-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. This is a cursory review, where the 990 is explained at a high level by management representatives, and any questions or concerns that the board has can be addressed. At a later date and prior to efiling, the full board is provided access to all 990's and 990-T'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 (and accompanying 990-T if any) is explained at a high level, and board questions or concerns are addressed. Members of the full board are provided access to all 990's and 990-T's within that region prior to efiling via an online portal. FORM 990, PART VI, SECTION B, LINES 12a-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. Also at this date, 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 after two attempts, 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 OOTHER INFORMATIONFORM 990, PART VI, SECTION B, LINES 15a-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. 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. FORM 990, 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. FORM 990, PART VII, COLUMN B Wheaton Franciscan Healthcare and Franciscan Ministries are a controlled group of related healthcare and housing organizations. As such, many employees who are at the Vice President 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% of total hours. DISCLOSURE STATEMENT RELATED TO FORMS 5471 INFO RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS FILED ON BEHALF OF THE TAXPAYER UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. 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 U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: WHEATON FRANCISCAN SERVICES, INC. ADDRESS: 26 W171 ROOSEVELT ROAD, WHEATON, IL 60187 IDENTIFYING NUMBER OF U.S. TAX RETURN WITH WHICH THE FORMS 5471 WERE OR WILL BE FILED: 36-3262111 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (73 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
WHEATON FRANCISCAN SERVICES INC
26 W 171 ROOSEVELT RDWHEATONIL60187363262111PARENT CORPIL501(c)(3)11 - III-FINA
AFFINITY HEALTH SYSTEM
1570 MIDWAY PLACEMENASHAWI54942391638765HOLDING COIL501(c)(3)11 - IWFSIMHC
AUXILIARY OF ST ELIZABETH HOSPITAL INC
1506 SOUTH ONEIDA STREETAPPLETONWI54915396077331AUXILIARYWI501(c)(3)11 - III-OST ELIZ HOSP
CALUMET MEDICAL CENTER INC
614 MEMORIAL DRIVECHILTONWI53014390905385HOSPITALWI501(c)(3)3AFF HLTH SYS
MERCY MEDICAL CENTER OF OSHKOSH INC
500 SOUTH OAKWOOD ROADOSHKOSHWI54904390806268HOSPITALWI501(c)(3)3AFF HLTH SYS
NETWORK HEALTH SYSTEM INC
1570 MIDWAY PLACEMENASHAWI54942391127163MED GROUPWI501(c)(3)3AFF HLTH SYS
ST ELIZABETH HOSPITAL COMMUNITY FNDN INC
1506 SOUTH ONEIDA STREETAPPLETONWI54915391256677FOUNDATIONWI501(c)(3)11 - IAFF HLTH SYS
ST ELIZABETH HOSPITAL INC
1506 SOUTH ONEIDA STREETAPPLETONWI54915390816818HOSPITALWI501(c)(3)3AFF HLTH SYS
WFH - SOUTHEAST WISCONSIN INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391568865HOLDING COIL501(c)(3)11 - III-FIWFSI
WFH - ALL SAINTS INC
3801 SPRING STREETRACINEWI53405391264986HOSPITALWI501(c)(3)3WFH-SE WI
WFH - ALL SAINTS FOUNDATION INC
1320 WISCONSIN AVENUERACINEWI53403391570877FOUNDATIONWI501(c)(3)11 - IWFH-AS INC
VOLUNTEERS IN PTNRSHIP WITH WFH-AS INC
3801 SPRING STREETRACINEWI53405930838390FOUNDATIONWI501(c)(3)11 - III-OWFH-AS INC
WFH - CIRCLE OF LIFE FOUNDATION INC
13950 WEST CAPITOL DRIVEBROOKFIELDWI53005562426294FOUNDATIONWI501(c)(3)11 - IWFH-PE
WHEATON FRAN HOME HEALTH & HOSPICE INC
3070 NORTH 51ST STREET STE 406MILWAUKEEWI53210391559428HOME HLTHWI501(c)(3)3WFH-SE WI
WHEATON FRANCISCAN MEDICAL GROUP INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391791586MED GROUPWI501(c)(3)3WFH-SE WI
WHEATON FRANCISCAN -ELMBROOK FNDN (1)
19333 WEST NORTH AVENUEBROOKFIELDWI53045392028808FOUNDATIONWI501(c)(3)11 - IWF INC
WHEATON FRANCISCAN INC (2)
19333 WEST NORTH AVENUEBROOKFIELDWI53045390853528HOSPITALWI501(c)(3)3WFH-SE WI
WHEATON FRANCISCAN LABORATORIES INC
11020 WEST PLANK COURTWAUWATOSAWI53226391701402LABORATORYWI501(c)(3)9WFH-SE WI
WFH PHARMACY ENT AND FRAN WOODS INC
13950 WEST CAPITOL DRIVEBROOKFIELDWI53005391613624PHARMACYWI501(c)(3)9WFH-SE WI
WFH - ST FRANCIS INC
3237 SOUTH 16TH STREETMILWAUKEEWI53215390907740HOSPITALWI501(c)(3)3WFH-SE WI
WF - ST JOSEPH FOUNDATION INC
5000 WEST CHAMBERS STREETMILWAUKEEWI53210391636804FOUNDATIONWI501(c)(3)11 - IWF INC
WHEATON FRANCISCAN INC
5000 WEST CHAMBERS STREETMILWAUKEEWI53210390816857HOSPITALWI501(c)(3)3WFH-SE WI
WFH-THE WISCONSIN HEART HOSPITAL INC (3)
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391220690FOUNDATIONWI501(c)(3)11 - IWFH-SE WI
WFH-FNDN FOR ST FRANCIS AND FRANKLIN INC
3237 SOUTH 16TH STREETMILWAUKEEWI53215320135258FOUNDATIONWI501(c)(3)11 - IWFH-SFH
WFH - FRANKLIN INC
10101 SOUTH 27TH STREETFRANKLINWI53132562592868HOSPITALWI501(c)(3)3WFH-SE WI
WHEATON WAY CONDO OWNERS ASSCN INC
10101 SOUTH 27TH STREETFRANKLINWI53132300659830CONDO ASSCNWIN/AN/AWFH-FRKLN
METRO PHYSICIANS INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212943436893MED GROUPWI501(c)(3)3WFMG
MARIANJOY INC
26 W 171 ROOSEVELT RDWHEATONIL60187363483589HOLDING COIL501(c)(3)11 - III-FIWFSI
MARIANJOY FOUNDATION INC
26 W 171 ROOSEVELT RDWHEATONIL60187352165613FOUNDATIONIL501(c)(3)7MJ HOSP
MARIANJOY REHAB CENTER AUXILIARY INC
26 W 171 ROOSEVELT RDWHEATONIL60187363896976AUXILIARYIL501(c)(3)11 - IMJ HOSP
MARIANJOY REHAB HOSPITAL & CLINICS INC
26 W 171 ROOSEVELT RDWHEATONIL60187362680776REHAB HOSPITAIL501(c)(3)3MARIANJOY
REHABILITATION MEDICINE CLINIC INC
26 W 171 ROOSEVELT RDWHEATONIL60187363236791MEDICAL GRPIL501(c)(3)3MARIANJOY
OSF SERVICES INC
PO Box 667WHEATONIL601870667391471463HOLDING COWI501(c)(3)11 - III-FIWFSI
CANTICLE MINISTRIES INC
PO Box 667WHEATONIL601870667364091836HOUSING/ADVCYIL501(c)(3)7OSF SVCS INC
CLARA PFAENDER FUND INC
PO Box 667WHEATONIL601870667363353311SPONSORSHIPIL501(c)(3)11 - III-OOSF SVCS INC
FRANCISCAN SISTERS CHARITABLE FUND OF CO
2626 OSCEOLA STREETDENVERCO80212840733072AUXILIARYCO501(c)(3)7OSF SVCS INC
RUSH OAK PARK HOSPITAL INC
520 SOUTH MAPLE AVENUEOAK PARKIL60304362183812HOSPITALIL501(c)(3)3OSF SVCS INC
SET MINISTRY INC
2977 NORTH 50TH STREETMILWAUKEEWI53210391618277SOCIAL WORKWI501(c)(3)9OSF SVCS INC
ST CATHERINE'S HOSPITAL INC
9555 76TH STREETPLEASANT PRAIRIEWI53158390855075HOSPITALWI501(c)(3)3OSF SVCS INC
SYNERGON HEALTH SYSTEM INC (5)
520 SOUTH MAPLE AVENUEOAK PARKIL60304363739067HOSPITALIL501(c)(3)3NONE
UHS INC (6)
6308 EIGHTH AVENUEKENOSHAWI53143391956749HOSPITALWI501(c)(3)3NONE
WFH - IOWA INC
3421 WEST NINTH STREETWATERLOOIA50702421177001HOLDING COIA501(c)(3)11 - III-FIWFSI
COVENANT FOUNDATION INC
3421 WEST NINTH STREETWATERLOOIA50702421295784FOUNDATIONIA501(c)(3)9COV MED CTR
COVENANT MEDICAL CENTER INC
3421 WEST NINTH STREETWATERLOOIA50702421264647HOSPITALIA501(c)(3)3WFH-IOWA
MERCY HOSPITAL OF FRANCISCAN SISTERS INC
3421 WEST NINTH STREETWATERLOOIA50702421178403HOSPITALIA501(c)(3)3WFH-IOWA
NE IOWA REAL ESTATE INVESTMENTS LTD
3421 WEST NINTH STREETWATERLOOIA50702421207432HOLDING COIA501(c)(2)N/AWFH-IOWA
SARTORI HEALTH CARE FOUNDATION INC
3421 WEST NINTH STREETWATERLOOIA50702421240996FOUNDATIONIA501(c)(3)11 - ISARTORI HOSP
SARTORI MEMORIAL HOSPITAL INC
515 COLLEGE STREETCEDAR FALLSIA50613420758901HOSPITALIA501(c)(3)3WFH-IOWA
FRANCISCAN MINISTRIES INC
26W171 ROOSEVELT ROADWHEATONIL601870667363259684HOLDING COIL501(c)(3)11 - III-FIWFSI
ASSISI HOMES - BATAVIA APARTMENTS INC
1259 EAST WILSON STREETBATAVIAIL60510363914084HOUSINGIL501(c)(3)9FMI
ASSISI HOMES - COLONY PARK INC
550 EAST THORNHILL DRIVECAROL STREAMIL60188364039278HOUSINGIL501(c)(3)9FMI
ASSISI HOMES - CONSTITUTION HOUSE INC
401 NORTH CONSTITUTION DRIVEAURORAIL60506364049150HOUSINGIL501(c)(3)9FMI
ASSISI HOMES - JEFFERSON COURT INC
415 EAST KNAPP STREETMILWAUKEEWI53202391771526HOUSINGWI501(c)(3)9FMI
ASSISI HOMES - KENOSHA INC
1860 27TH AVENUEKENOSHAWI53140391814815HOUSINGWI501(c)(3)9FMI
ASSISI HOMES - SAXONY INC
1876 22ND AVENUEKENOSHAWI53140391790498HOUSINGWI501(c)(3)9FMI
ASSISI HOMES OF GURNEE INC
3495 WEST GRAND AVENUEGURNEEIL60031363942336HOUSINGIL501(c)(3)9FMI
ASSISI HOMES OF ILLINOIS INC
2126 WEST ROOSEVELT ROADWHEATONIL60187363803443HOUSINGIL501(c)(3)9FMI
Assisi HOMES OF NEENAH INC
210 BYRD AVENUENEENAHWI54946363767250HOUSINGWI501(c)(3)9FMI
CANTICLE PLACE INC
26W171 ROOSEVELT ROADWHEATONIL601870667363957850HOUSINGIL501(c)(3)9FMI
CATHERINE MARIAN HOUSING INC
806 SOUTH WISCONSIN AVENUERACINEWI53403391657098HOUSINGWI501(c)(3)9FMI
CLARE GARDENS INC
2626 OSCEOLA STREETDENVERCO80212237200039HOUSINGCO501(c)(3)9FMI
CLARE OF ASSISI HOMES-WESTMINSTER INC
2451 WEST 82ND PLACEWESTMINSTERCO80031742740978HOUSINGCO501(c)(3)9FMI
DAYSPRING VILLA INC
3777 WEST 26TH AVENUEDENVERCO80211363933908HOUSINGCO501(c)(3)9FMI
FRANCIS HEIGHTS INC
2626 OSCEOLA STREETDENVERCO80212840626174HOUSINGCO501(c)(3)9FMI
FRANCISCAN MINISTRIES COMMUNITY FNDN INC
26W171 ROOSEVELT ROADWHEATONIL601870667364456204FOUNDATIONIL501(c)(3)11 - IIFMI
FRANCISCAN SENIORS KENOSHA INC
1920 27TH AVENUEKENOSHAWI53140391821568HOUSINGWI501(c)(3)9FMI
MARIAN HOUSING CENTER INC
4105 SPRING STREETRACINEWI53405391515867HOUSINGWI501(c)(3)9FMI
MARIAN PARK INC
2126 WEST ROOSEVELT ROADWHEATONIL60187362750105HOUSINGIL501(c)(3)9FMI
RIDGEWAY PLACE INC
155 EAST RIDGEWAY AVENUEWATERLOOIA50702421416064HOUSINGIA501(c)(3)9FMI
STARVED ROCK-LASALLE MANOR INC
1135 10TH STREETLASALLEIL61301363796933HOUSINGIL501(c)(3)9FMI
VILLA MARIA INC
2461 WEST 82ND PLACEWESTMINSTERCO80031841347868HOUSINGCO501(c)(3)9FMI
VILLA ST CLARE INC
130 BYRD AVENUENEENAHWI54946391769395HOUSINGWI501(c)(3)9FMI
ASSISI HOMES LASALLE MANOR INC (4)
26W171 ROOSEVELT ROADWHEATONIL601890795800623447HOUSINGIL501(c)(3)9FMI

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KENOSHA SNR
PO BOX 667WHEATONIL60187391801541HOUSINGWIFR SNRS
STARVED ROCK
PO BOX 667WHEATONIL60187363811835HOUSINGILSRLM INC

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityLegal 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 HOLD INCC CORP
WHEATON FRANCISCAN HOLDINGS INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391836357HOLDING COWIWFH-SE WIC CORP
WHEATON FRANCISCAN MED GRP-SUSSEX INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391361100MED GROUPWIWF HOLD INCC CORP
WHEATON FRANCISCAN PROVIDER NETWORK INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391952140ADMIN SUPPORTWIWFH-SE WIC CORP
COVENANT REGIONAL SERVICES INC
3421 WEST NINTH STREETWATERLOOIA50702421189805PHARMACYIAWFH-IOWAC CORP
WHEATON FRANCISCAN INSURANCE COMPANY
980691609FINANCIALWFSIUK
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierSCHEDULE R FOOTNOTESIdentifier
Return ReferenceFORM 990 - SCHEDULE R, PART V, PART IIReturnReference
Explanation(1) Wheaton Franciscan Healthcare - Elmbrook Memorial Foundation, Inc. changed its legal name to Wheaton Franciscan - Elmbrook Memorial Foundation, Inc. effective July 1, 2011. (2) On July 1, 2011, Wheaton Franciscan Healthcare - Elmbrook Memorial, Inc. (FEIN #39-0853528) was merged into Wheaton Franciscan, Inc. (FEIN 39-0816857). As a result of this merger, Wheaton Franciscan, Inc. f/k/a Wheaton Franciscan Healthcare - Elmbrook Memorial, Inc. (FEIN #39-0853528) ceased to exist and will file its final IRS Form 990 for the fiscal year ending June 30, 2011. (3) Wheaton Franciscan Healthcare - The Wisconsin Heart Hospital, Inc. f/k/a St Michael Hospital Community Foundation, Inc. (FEIN #39-1220690) was dissolved effective December 21, 2010 and as such, will file its final IRS Form 990 for tax year 2010. (4) Assisi Homes - LaSalle Manor, Inc. was formed on July 8, 2010 and was granted tax exempt status on February 14, 2011 retroactive to July 8th. (5) 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". (6) 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".Explanation