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      <MissionDescription>AS A MEMBER OF WHEATON FRANCISCAN HEALTHCARE, OUR AFFILIATES STRIVE TO LIVE OUT THE HEALING MINISTRY OF JESUS WHILE PROVIDING EXCEPTIONAL AND COMPASSIONATE HEALTHCARE SERVICES THAT PROMOTE THE DIGNITY AND WELL BEING OF THE PATIENTS AND COMMUNITIES WE SERVE. OUR VISION IS TO BE RECOGNIZED FOR SUPERIOR HEALTHCARE SERVICE, CLINICAL EXCELLENCE, AS THE HEALTHCARE EMPLOYER OF CHOICE, AND THE PREFERRED PARTNER OF PHYSICIANS.</MissionDescription>
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      <Description>Wheaton Franciscan Healthcare IRS Form 990 Part III - Statement of Program Service Accomplishments June 30, 2009 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 17 hospital campuses, four long-term care facilities, two home health agencies, 70 clinic sites, and nearly 2,700 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 2009 Wheaton Franciscan Healthcare was recognized nationally for quality health care, named one of the best performing 50 systems in Thompson Reuters' 100 Top Hospitals: Health Systems Quality/Efficiency Study. 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. WFH is one of five health care organizations selected in July 2009 by a panel of judges - who are considered experts in the field of healthcare IT use - to receive the award. In honor of the achievements, our foundations received a $10,000 grant from McKesson. 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, Inc. 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 Campuses: 17 Staffed Hospital beds: 2,087 Long-term Care Facilities: 4 Home Health Agencies: 2 Units of Housing: 2,681 Associates: 22,229 Affiliated Physicians: 3,019 Employed Physicians: 731 Emergency Room Visits: 356,712 Newborns: 11,409 Hospital Admissions: 89,198 Hospital Patient Days: 423,409 Skilled Nursing Unit Patient Days: 26,882 Long-term Care Facility Patient Days: 150,761 Hospital Outpatient Visits: 1,982,065 Hospice Days: 17,622 Home Health Visits: 84,350 Medical Group Physician Visits: 1,971,809 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 All Saints St. Joseph Elmbrook Memorial The Wisconsin Heart Hospital St. Francis Franklin Marian Franciscan Center 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 AFFILIATIONS INCLUDE: Midwest Orthopedic Specialty Hospital - Franklin, WI Affinity Health System - Menasha, Wisconsin St. Elizabeth Hospital Mercy Medical Center of Oshkosh Calumet Medical Center Franciscan Care and Rehabilitation Center Network Health Plan of Wisconsin Affinity Medical Group St. Elizabeth Hospital Community Foundation United Hospital System - Kenosha, Wisconsin St. Catherine's Medical Center Kenosha Medical Center Wheaton Franciscan Healthcare also joined the Catholic Health Association, the American Hospital Association, the Robert Wood Johnson Foundation, and many other local and national organizations by participating in Cover the Uninsured Week, a national effort to raise awareness of the need for affordable health care coverage for the nearly 46 million Americans without insurance. Since its inception in 2003, Cover the Uninsured Week has educated Americans and called on national leaders to make health care coverage for all a top priority. Our vigorous support for this year's efforts included displays in hospitals, a television phone bank for uninsured patients in collaboration with other health systems and a local TV station, local news media coverage of uninsured individuals, and health promotion fairs. Associates also received fact sheets and daily reflections. Beyond systemwide efforts, each region of WFH worked to bring benefit to our local communities in numerous ways. Highlights of these local efforts are detailed throughout the remainder of this Statement of Program Service Accomplishments. WHEATON FRANCISCAN HEALTHCARE IN SOUTHEAST WISCONSIN Wheaton Franciscan Healthcare's service to Southeast Wisconsin dates back to 1879 when the Franciscan Sisters began operating a health care ministry out of a small house. Five years later they opened their first hospital in Milwaukee - St. Joseph. Over the next 100 years, the Sisters - known as the Wheaton Franciscans after 1947 - expanded their Milwaukee health care ministry and, in 1993, partnered with the Felician Sisters. Through the union of numerous separate but common functions including Boards of Directors, medical groups, and corporate services, Wheaton Franciscan Healthcare has created a fully integrated region that allows it to share best practices and create cost efficiencies. WHEATON FRANCISCAN HEALTHCARE IN SOUTHEAST WISCONSIN LIST OF ENTITIES Hospitals Wheaton Franciscan Healthcare - All Saints Wheaton Franciscan Healthcare - Elmbrook Memorial Wheaton Franciscan Healthcare - St. Francis Wheaton Franciscan Health</Description>
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        <ReportableCompFromRelatedOrgs>377859</ReportableCompFromRelatedOrgs>
        <OtherCompensation>51771</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>Jon Wachs</NamePerson>
        <Title>Chief Administrative Officer</Title>
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        <ReportableCompFromRelatedOrgs>633085</ReportableCompFromRelatedOrgs>
        <OtherCompensation>375398</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>William Blum</NamePerson>
        <Title>CHIEF FINANCIAL OFFICER-WFH</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromRelatedOrgs>695333</ReportableCompFromRelatedOrgs>
        <OtherCompensation>358436</OtherCompensation>
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      <Form990PartVIISectionA>
        <NamePerson>John Oliverio</NamePerson>
        <Title>PRESIDENT &amp; CEO-WFH</Title>
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        <ReportableCompFromRelatedOrgs>1737485</ReportableCompFromRelatedOrgs>
        <OtherCompensation>222799</OtherCompensation>
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      <Form990PartVIISectionA>
        <NamePerson>Jonathan Sohn</NamePerson>
        <Title>Sr VP and CFO -WFH</Title>
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        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromRelatedOrgs>317030</ReportableCompFromRelatedOrgs>
        <OtherCompensation>52325</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Leonid Leybovich</NamePerson>
        <Title>CHIEF CLINIC MEDICAL PHYSICIST</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>193178</ReportableCompFromOrganization>
        <OtherCompensation>30476</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert Umhoefer</NamePerson>
        <Title>DIR-OUTPATIENT PHARMACIES</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
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        <ReportableCompFromOrganization>141015</ReportableCompFromOrganization>
        <OtherCompensation>34649</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>Pauline Maclean</NamePerson>
        <Title>MGR-CLINICAL</Title>
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        <ReportableCompFromOrganization>103005</ReportableCompFromOrganization>
        <OtherCompensation>9880</OtherCompensation>
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      <Form990PartVIISectionA>
        <NamePerson>Rose Fowler</NamePerson>
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        <ReportableCompFromOrganization>169679</ReportableCompFromOrganization>
        <OtherCompensation>37063</OtherCompensation>
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        <NamePerson>Paul Mason</NamePerson>
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        <ReportableCompFromOrganization>152484</ReportableCompFromOrganization>
        <OtherCompensation>37186</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>Richard Clark MD</NamePerson>
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        <OtherCompensation>42337</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>Stephen Flox MD</NamePerson>
        <Title>Physician Employee</Title>
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        <Former>X</Former>
        <ReportableCompFromRelatedOrgs>526903</ReportableCompFromRelatedOrgs>
        <OtherCompensation>48572</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>Jerry Hardacre MD</NamePerson>
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        <ReportableCompFromRelatedOrgs>399071</ReportableCompFromRelatedOrgs>
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        <OtherCompensation>60935</OtherCompensation>
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        <OtherCompensation>42391</OtherCompensation>
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        <NamePerson>Richard Pierce-Ruhland MD</NamePerson>
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        <OtherCompensation>43991</OtherCompensation>
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        <NamePerson>Steven Ryder MD</NamePerson>
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        <OtherCompensation>41502</OtherCompensation>
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        <NamePerson>Joseph Wilczynski MD</NamePerson>
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        <OtherCompensation>50157</OtherCompensation>
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        <OtherCompensation>37955</OtherCompensation>
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        <OtherCompensation>78111</OtherCompensation>
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      <TotalReportableCompFrmRltdOrgs>11835909</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>2292977</TotalOtherCompensation>
      <NumberIndividualsGT100K>53</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
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        <AddressOfContractor>
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      <ContractorCompensation>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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        <TotalRevenueColumn>0</TotalRevenueColumn>
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      <GrossRents>
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      </ForeignGrants>
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      <FeesForServicesManagement>
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      <FeesForServicesAccounting>
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      <FeesForServicesLobbying>
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      </FeesForServicesLobbying>
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      <FeesForServicesInvstMgmntFees>
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        <ProgramServices>1760</ProgramServices>
        <ManagementAndGeneral>3263</ManagementAndGeneral>
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      </InformationTechnology>
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        <ProgramServices>6320600</ProgramServices>
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      <TravelEntrtnmntPublicOfficials>
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      <OtherExpenses>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>295269539</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
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        </ContributorAddressUS>
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      </ContributorInfo>
    </IRS990ScheduleB>
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      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>0</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>14012</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Other Activities</Identifier>
        <ReturnReference>Sch C, Pt II-B, Line 1i</ReturnReference>
        <Explanation>Wheaton Franciscan Healthcare and Franciscan Ministries are part of a controlled group of healthcare and housing organizations that are related through a common parent organization. Certain entities within this controlled group engage in limited lobbying activities that benefit each organization collectively. Wheaton Franciscan Healthcare employs one full time Vice President of Strategic Planning and Government Relations whose duties include a portion of lobbying activities. These lobbying activities approximate 20% of total annual salary. A benefits factor of 25% is added, and the total is allocated amongst the organizations receiving the benefit of these services. The lobbying activities include such things as preservation of Medicare and Medicaid funding; monitoring federal legislation that may impact the organization; participating in and coordinating visits with elected officials; coordinating advocacy activities in conjunction with relevant trade associations; and providing awareness on specific state related legislative issues when the need arises (e.g.: state hospital assessment legislation in Wisconsin). The portion of direct expenses related to annual employee business travel to Washington DC or other locations, in order to lobby for issues important to healthcare providers and patients, have been included if applicable. Finally, any trade association dues containing a percentage portion allocable to lobbying activities, has been added or estimated, as appropriate. 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 $62,671 Wheaton Franciscan Healthcare - Southeast Wisconsin, Inc. #39-1566865 $31,571 Wheaton Franciscan, Inc. (formerly Wheaton Franciscan Healthcare - St. Joseph, Inc. and The Wisconsin Heart Hospital, Inc.) #39-0816857 $16,252 Wheaton Franciscan Healthcare - St. Francis, Inc. #39-0907740 #13,312 Wheaton Franciscan Healthcare - Elmbrook Memorial, Inc. #39-0853528 $6,739 Wheaton Franciscan Healthcare - All Saints, Inc. #39-1264986 $14,012 Wheaton Franciscan Healthcare - Franklin, Inc. #56-2592868 $1,530 Wheaton Franciscan Home Health and Hospice, Inc. #39-1559428 $1,726 Marianjoy, Inc. #36-3483589 $3,750 Marianjoy Rehabilitation Hospitals and Clinics, Inc. #36-2680776 $13,364 Wheaton Franciscan Healthcare - Iowa, Inc. #42-1177001 $3,750 Covenant Medical Center, Inc. #42-1264647 $25,385 Sartori Hospital, Inc. #42-0758901 $5,270 Mercy Hospital, Inc. #42-1178403 $2,354 TOTAL LOBBYING EXPENSES: $201,686</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
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      <HeldWorksOfArtAmts />
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        <BookValue>3074414</BookValue>
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        <BookValue>160051401</BookValue>
      </Buildings>
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        <Depreciation>1366110</Depreciation>
        <BookValue>0</BookValue>
      </LeaseholdImprovements>
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      </Equipment>
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        <Depreciation>8721556</Depreciation>
        <BookValue>7931056</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>183964769</TotalOfBookValueLandBuildings>
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        <Description>ACCOUNTS REC OTHER</Description>
        <BookValue>64601057</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>NOTE RECEIVABLE</Description>
        <BookValue>251472</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INVESTMENT IN STOCKS</Description>
        <BookValue>141334</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>SPECIFIC FUND CHECKING</Description>
        <BookValue>77356</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>LAKESHORE MANOR</Description>
        <BookValue>4809</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>65076028</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO THIRD PARTY PAYORS</Description>
        <Amount>1593593</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASBESTOS ABATEMENT LIABILITY</Description>
        <Amount>1897235</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>3490828</TotalOfAmounts>
      <TotalRevenue>372775894</TotalRevenue>
      <TotalExpenses>354639801</TotalExpenses>
      <ExcessOrDeficitForYear>18136093</ExcessOrDeficitForYear>
      <PriorPeriodAdjustments>30288</PriorPeriodAdjustments>
      <OtherAmount>27147481</OtherAmount>
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      <RevenueSubtotal>362711023</RevenueSubtotal>
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      <RevenueNotRptdOnFinStmt>1064871</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>372775894</TotalRevenuePerForm990>
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        <Identifier>Schedule D Net Assets, Revenue, and Expense Reconciliations</Identifier>
        <Explanation>Affiliates of Wheaton Franciscan Healthcare have a consolidated audit prepared for the entire controlled group of healthcare providers. Because of this, certain parts of this IRS Form 990 regarding individually prepared audits have been answered accordingly and per IRS instructions. Normally, Affiliates of Wheaton Franciscan Healthcare will use an internally prepared document, that breaks the consolidated audit down to the entity level, and tie each 990 accordingly. However, for external reporting purposes, certain reclassifications were made to correct for hospital based billing issues. As such, Part XI Line 8 was utilized so that ending net assets would tie out after the following reclassifications were made: 1) We increased revenues in the amount of 10,064,871 which represented hospital based billing revenues which was originally recorded at Wheaton Franciscan Medical Group (39-1791586). 2) We increased expenses in the amount of 37,212,352 which represented hospital based billing expenses which was originally recorded at Wheaton Franciscan Medical Group (39-1791586). 3) We reduced revenues in the amount of 30,288 which relates to a prior period adjustment regarding a restricted liability account. Reconciliation of Ending Net Assets: Beginning Assets: $254,161,626 + Net Gain Per AFS: $45,313,863 + Hospital Based Billing Reduction $-27,147,481 + Prior Period Adjustment (Conversion) $4,801,297 + Prior Period Adjustment (Restricted Liability) $-30,288 Ending Net Assets $277,099,017</Explanation>
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      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
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        <PercentOfTotalExpense>0.00860</PercentOfTotalExpense>
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        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
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      <HealthProfessionsEducation>
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        <NetCommunityBenefitExpense>1915</NetCommunityBenefitExpense>
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        <NetCommunityBuildingExpense>487</NetCommunityBuildingExpense>
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        <NetCommunityBuildingExpense>7633</NetCommunityBuildingExpense>
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      <WorkforceDevelopment>
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        <NetCommunityBuildingExpense>2436</NetCommunityBuildingExpense>
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      <AmountAttributableTo>0</AmountAttributableTo>
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      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
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        <Name>
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        </Name>
        <Address>
          <AddressLine1>818 6th St</AddressLine1>
          <City>Racine</City>
          <State>WI</State>
          <ZIPCode>53405</ZIPCode>
        </Address>
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      <Form990ScheduleHPartVI>
        <OtherInformation>Sch H, Pt I, 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. Sch H, Part I, 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, and select the link for "Spirit of Compassion; View the Wheaton Franciscan Healthcare Annual Report". It is also available under "About Us"; click on "Annual Report". Schedule H Part 1 Line 7 Community Benefit amounts are reported using total actual costs per the hospital's managerial accounting system in use, which includes all patient segments including inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, Medicare HMO, uninsured, and self pay patients. Amounts are compiled using a software application recommended by the American Hospital 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, it's accuracy is verified by employees who are trained in community benefit reporting. Additionally, the Director of Healthcare Reform and the Vice President of Government Relations also review the community benefit amounts with the President/CEO of the organization. Once amounts are verified and approved, community benefit amounts become finalized, and are reported periodically as required by Illinois state law. Additionally, Wheaton Franciscan Healthcare voluntarily reports community benefit information to Wisconsin and Iowa by making the information readily available on certain websites. Finally, the information is compiled with the assistance of the software, for presentation in IRS Forms 990 Schedule H and Statement of Program Service Accomplishments Part III. Schedule H Part 1 Line 7 Column f Wheaton Franciscan Healthcare organizations follow guidelines established by the Catholic Health Association, which recommends that bad debt expense not be included in community benefit amounts. As a result of this applied methodology, a total amount of $ 26,225,333 has not been included in the calculation of the percentages reported on Schedule H Line 7 Column f. Schedule H Part 1 Line 7g Affiliates of Wheaton Franciscan Healthcare routinely organize physician clinics into separate legal entities with the exception of the Iowa region, which includes clinic operations in 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 Line 4 As part of an annual process, affiliates of Wheaton Franciscan Healthcare complete a consolidated audit each year which does not provide any specific information as to the calculation and recording of bad debt expense. However, 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. 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. It is also the position of Wheaton Franciscan Healthcare 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. Bad debt expense is determined after many months of collection efforts, and for this reason Part III Section A Line 3 is reported as none (ie at zero). Schedule H Part III Section B Line 8 Schedule H Part III Section B Line 6 reports "allowable costs of care" as taken from the most recently completed as-filed Medicare cost report. The Medicare cost report calculates its allowable costs based on applicable Medicare regulations, using individual cost center cost-to-charge ratios. Note this cost can be substantially different than the Medicare shortfall amounts that are footnoted in our annual community benefit report, because costs for this purpose are computed by using total actual costs per the managerial accounting system in use, which includes Medicare HMO (in addition to straight Medicare) among other differences. 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, regardless of the method upon which the shortfall numbers were determined, in its annual reporting of Community Benefit amounts. Schedule H Part III Section C Line 9b Wheaton Franciscan Healthcare's Payment for Services Policy outlines all collection practices for patients who are known to qualify for government programs and for our charity care program. We make every attempt to assist the patient in enrolling in government insurance plans or our own charity care program allowing for free or discounted care. If the patient does not qualify for any type of aid or charity care, declines to establish a reasonable payment plan or pay the liability, the patient will be moved into a bad debt status, and the account is sent to a collection agency. This does not occur before the patient has received several notices and a final written warning. Schedule H Part VI Line 2 Wheaton Franciscan Healthcare assesses the needs of the communities it serves by reviewing admission and discharge data, analyzing information from the community health departments and other community leaders, and by aligning our services with the Health People 2010 and other current year initiatives. Schedule H Part VI Line 3 Wheaton Franciscan Healthcare provides its patients with several opportunities to gain knowledge and awareness of its Community Care (Charity Care/Financial Assistance) program. Notices regarding the availability of financial assistance are displayed in highly visible locations where there is a significant volume of inpatient or outpatient traffic such as: patient admitting and registration areas in both inpatient and outpatient settings, physician offices, and emergency departments. Additionally, brochures describing the policy are available upon request in the same locations and on Wheaton Franciscan Healthcare's website. The policy is also discussed at the time of registration or pre-registration for all inpatient procedures. Schedule H Part VI Line 4 Please see detailed information provided at Schedule H Part VI Line 6 Schedule H Part VI Line 5 Community Building Activities are an important part of the community benefits provided by the Hospital. The primary purpose of community building is to improve the health in the community. Donations of time and resources to community-based activities like triathlons support community-based efforts to improve the health of community residents. Additionally, by supporting community activities, the hospital becomes a partner with the citizens it serves - in their health and in their lives. The Community Building Activities supported by the hospital benefit the community served more than they benefit the hospital, and are not conducted for marketing purposes. Supporting economic growth and development in the area, the hospital assists the community in having viable employers for the citizens. Sch H, Pt VI, Line 6: Wheaton Franciscan Healthcare WHEATON FRANCISCAN HEALTHCARE IN SOUTHEAST WISCONSIN Wheaton Franciscan Healthcare's service to Southeast Wisconsin dates back to 1879 when the Franciscan Sisters began operating a health care ministry out of a small house. Five years later they opened their first hospital in Milwaukee - St. Joseph. Over the next 100 years, the Sisters - known as the Wheaton Franciscans after 1947 - expanded their Milwaukee health care ministry and, in 1993, partnered with the Felician Sisters. Through the union of numer</OtherInformation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Richard Clark MD</NamePerson>
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        <NamePerson>Stephen Flox MD</NamePerson>
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        <NamePerson>Jerry Hardacre MD</NamePerson>
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        <NamePerson>Steven Johnson MD</NamePerson>
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        <NontaxableBenefitsRelatedOrgs>36049</NontaxableBenefitsRelatedOrgs>
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        <NamePerson>Richard Odders MD</NamePerson>
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        <DeferredCompRelatedOrgs>24882</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>17509</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>406064</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Richard Pierce-Ruhland MD</NamePerson>
        <CompBasedOnRelatedOrgs>291221</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>2615</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>24755</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>19236</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>337827</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Steven Ryder MD</NamePerson>
        <CompBasedOnRelatedOrgs>614175</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>2804</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>23631</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>17871</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>658481</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Joseph Wilczynski MD</NamePerson>
        <CompBasedOnRelatedOrgs>410314</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>18587</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>27236</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>22921</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>479058</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kaye-Eileen Willard MD</NamePerson>
        <CompBasedOnRelatedOrgs>245388</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>4896</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>19024</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>18931</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>288239</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Loren Meyer MD</NamePerson>
        <CompBasedOnRelatedOrgs>395067</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>75400</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>8164</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>49294</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>28817</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>556742</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Leonid Leybovich</NamePerson>
        <BaseCompensationFilingOrg>192022</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>1156</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>14330</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16146</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>223654</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Robert Umhoefer</NamePerson>
        <BaseCompensationFilingOrg>140759</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>256</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>31592</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>3057</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>175664</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Rose Fowler</NamePerson>
        <BaseCompensationFilingOrg>145703</BaseCompensationFilingOrg>
        <BonusFilingOrg>23800</BonusFilingOrg>
        <OtherCompensationFilingOrg>176</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>19085</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17978</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>206742</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Paul Mason</NamePerson>
        <BaseCompensationFilingOrg>127934</BaseCompensationFilingOrg>
        <BonusFilingOrg>24400</BonusFilingOrg>
        <OtherCompensationFilingOrg>150</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>15440</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21746</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>189670</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stephen Cardamone DO</NamePerson>
        <CompBasedOnRelatedOrgs>388544</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>129200</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>12242</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>52482</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>22335</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>604803</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jon Wachs</NamePerson>
        <CompBasedOnRelatedOrgs>462093</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>150000</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>20992</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>320249</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>55149</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>1008483</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>William Blum</NamePerson>
        <CompBasedOnRelatedOrgs>546079</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>130400</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>18854</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>319560</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>38876</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>1053769</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mary Ouimet</NamePerson>
        <BaseCompensationFilingOrg>162942</BaseCompensationFilingOrg>
        <BonusFilingOrg>28900</BonusFilingOrg>
        <OtherCompensationFilingOrg>143</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>19803</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>27295</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>239083</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>David Ashpole MD</NamePerson>
        <CompBasedOnRelatedOrgs>541820</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>3613</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>13450</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>33054</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>591937</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Daniel Donovan DO</NamePerson>
        <CompBasedOnRelatedOrgs>368463</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>3261</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>22382</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>21264</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>415370</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>John Jack Manley MD</NamePerson>
        <CompBasedOnRelatedOrgs>551700</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>22130</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>13450</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>33332</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>620612</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Tod Poremski MD</NamePerson>
        <CompBasedOnRelatedOrgs>266841</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>1685</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>13098</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>11249</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>292873</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Daniel Mattes</NamePerson>
        <CompBasedOnRelatedOrgs>270082</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>77000</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>12297</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>38043</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>26117</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>423539</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Debra Standridge</NamePerson>
        <CompBasedOnRelatedOrgs>346706</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>97200</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>13264</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>36396</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>23399</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>516965</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Robert Stern MD</NamePerson>
        <CompBasedOnRelatedOrgs>151740</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>1014</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>8465</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>14136</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>175355</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>John Oliverio</NamePerson>
        <CompBasedOnRelatedOrgs>897790</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>477700</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>361995</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>158482</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>64317</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>1960284</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kenneth Buser</NamePerson>
        <CompBasedOnRelatedOrgs>472682</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>134300</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>23306</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>62661</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>44211</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>737160</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Nicholas Omdahl MD</NamePerson>
        <BaseCompensationFilingOrg>423396</BaseCompensationFilingOrg>
        <BonusFilingOrg>29294</BonusFilingOrg>
        <DeferredCompFilingOrg>19192</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>22287</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>494169</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Susan Boland</NamePerson>
        <CompBasedOnRelatedOrgs>280443</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>86500</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>10916</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>36404</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>15367</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>429630</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jonathan Sohn</NamePerson>
        <CompBasedOnRelatedOrgs>243527</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>63000</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>10503</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>24604</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>27721</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>369355</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>FORM 990 SCHEDULE J</Identifier>
        <ReturnReference>Sch J, Part I, Lines 3-4</ReturnReference>
        <Explanation>IRS FORM 990 SCHEDULE J, PART I, LINE 3: THE COMPENSATION OF THE FILING ORGANIZATION'S CEO AND/OR 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. IRS FORM 990 SCHEDULE J, PART I, LINE 4b: John Oliverio received a 2009 taxable payout of $346,993 related to a supplemental nonqualified retirement plan known as the Wheaton Franciscan Services Benefit Restoration Plan.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Matthew Flox</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Son of Stephen Flox</Relationship>
        <AmountOfTransaction>26684</AmountOfTransaction>
        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990 SCHEDULE O</Identifier>
        <ReturnReference>OTHER INFORMATION</ReturnReference>
        <Explanation>Form 990, Pt VI, Line 2: Board member Neal Harmelink has a business relationship with another board member, Gary Swart. Board member Gary Swart has a business relationship with another board member, Neal Harmelink. Form 990, Pt VI, Line 6-7b: WFH-All Saints has one member which holds several reserved powers over WFH-All Saints. 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, Pt VI, Line 10: 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, Pt VI, Line 11: 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 have 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 level - 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, Pt VI Lines 12a-12c: As part of the annual process, conflict of interest questionnaires are sent out to all Officers, Directors, and other individuals in key positions in order to capture 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 questionnaires are reviewed weekly by the Vice President of Compliance, the Manager of Tax Compliance, and the Manager of Legal Services. Responses to questions are documented in a spreadsheet for follow up at a later time. After an approximate 6 week time frame, names of all non responders are compiled, and these individuals receive either an email or letter with a duplicate questionnaire, asking them once again to complete the information. Responses to questionnaires 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 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 questionnaire 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. Form 990, Pt VI, Lines 15a-15b: 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 SCHEDULE O</Identifier>
        <ReturnReference>COMPENSATION LINE 15 CONTINUED</ReturnReference>
        <Explanation>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, Pt VI, 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. Schedule R Footnotes: (1) Wheaton Franciscan Laboratories, Inc. was granted exempt status on 10/14/09 retroactive to 6/30/08. (2) Metro Physicians, Inc. was granted exempt status on 02/01/10 retroactive to 08/15/08. (3) Wheaton Franciscan Healthcare-Pharmacy Enterprises and Franciscan Woods, Inc. (formerly known as Wheaton Franciscan Healthcare-Marian Franciscan Center, Inc.) sold the assets of one of its skilled nursing care divisions to an unrelated third party on 09/30/09. (5) Effective 06/30/2009, The Wisconsin Heart Hospital Inc was merged with Wheaton Franciscan Healthcare - St Joseph, Inc.and the surviving corporation changed it's legal name to Wheaton Franciscan, Inc. The following entities are listed with NO DCE and the reason they are classifed as such: -Synergon Health System Inc: Two entities are involved (Rush Presbyterian and OSF Services Inc) but since neither has the ability to appoint a majority of the board, neither organization "controls". -UHS Inc: KHMC Community Board and OSF Services Inc are involved, but neither appoints a majority of board and KHMC is not an entity, it is a community board, so neither body "controls".</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WHEATON FRANCISCAN SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>26 W 171 ROOSEVELT RD</AddressLine1>
          <City>WHEATON</City>
          <State>IL</State>
          <ZIPCode>60187</ZIPCode>
        </AddressUS>
        <EIN>363262111</EIN>
        <PrimaryActivities>PARENT CORP</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AFFINITY HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1570 MIDWAY PLACE</AddressLine1>
          <City>MENASHA</City>
          <State>WI</State>
          <ZIPCode>54942</ZIPCode>
        </AddressUS>
        <EIN>391638765</EIN>
        <PrimaryActivities>HOLDING CO</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>WFSIMHC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AUXILIARY OF ST ELIZABETH HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1506 SOUTH ONEIDA STREET</AddressLine1>
          <City>APPLETON</City>
          <State>WI</State>
          <ZIPCode>54915</ZIPCode>
        </AddressUS>
        <EIN>396077331</EIN>
        <PrimaryActivities>AUXILIARY</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - III-O</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST ELIZ HOSP</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CALUMET MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>614 MEMORIAL DRIVE</AddressLine1>
          <City>CHILTON</City>
          <State>WI</State>
          <ZIPCode>53014</ZIPCode>
        </AddressUS>
        <EIN>390905385</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AFF HLTH SYS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>MERCY MEDICAL CENTER OF OSHKOSH INC</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>CLARA PFAENDER FUND INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO Box 667</AddressLine1>
          <City>WHEATON</City>
          <State>IL</State>
          <ZIPCode>601870667</ZIPCode>
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        <DirectControllingEntityName>
          <BusinessNameLine1>OSF SVCS INC</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN SISTERS CHARITABLE FUND OF CO</BusinessNameLine1>
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          <AddressLine1>2626 OSCEOLA STREET</AddressLine1>
          <City>DENVER</City>
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          <ZIPCode>80212</ZIPCode>
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        <EIN>840733072</EIN>
        <PrimaryActivities>AUXILIARY</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
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          <BusinessNameLine1>OSF SVCS INC</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>RUSH OAK PARK HOSPITAL INC</BusinessNameLine1>
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          <AddressLine1>520 SOUTH MAPLE AVENUE</AddressLine1>
          <City>OAK PARK</City>
          <State>IL</State>
          <ZIPCode>60304</ZIPCode>
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        <LegalDomicileState>IL</LegalDomicileState>
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          <BusinessNameLine1>OSF SVCS INC</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>SET MINISTRY INC</BusinessNameLine1>
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          <AddressLine1>2977 NORTH 50TH STREET</AddressLine1>
          <City>MILWAUKEE</City>
          <State>WI</State>
          <ZIPCode>53210</ZIPCode>
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        <LegalDomicileState>WI</LegalDomicileState>
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          <BusinessNameLine1>OSF SVCS INC</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST CATHERINE'S HOSPITAL INC</BusinessNameLine1>
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          <AddressLine1>9555 76TH STREET</AddressLine1>
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          <State>WI</State>
          <ZIPCode>53158</ZIPCode>
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          <BusinessNameLine1>SYNERGON HEALTH SYSTEM INC</BusinessNameLine1>
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          <AddressLine1>520 SOUTH MAPLE AVENUE</AddressLine1>
          <City>OAK PARK</City>
          <State>IL</State>
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          <BusinessNameLine1>UHS INC</BusinessNameLine1>
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          <AddressLine1>6308 EIGHTH AVENUE</AddressLine1>
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          <State>WI</State>
          <ZIPCode>53143</ZIPCode>
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          <BusinessNameLine1>WFH - IOWA INC</BusinessNameLine1>
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          <AddressLine1>3421 WEST NINTH STREET</AddressLine1>
          <City>WATERLOO</City>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>COVENANT FOUNDATION INC</BusinessNameLine1>
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          <AddressLine1>3421 WEST NINTH STREET</AddressLine1>
          <City>WATERLOO</City>
          <State>IA</State>
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          <BusinessNameLine1>COV MED CTR</BusinessNameLine1>
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          <BusinessNameLine1>COVENANT MEDICAL CENTER INC</BusinessNameLine1>
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          <AddressLine1>3421 WEST NINTH STREET</AddressLine1>
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          <BusinessNameLine1>WFH-IOWA</BusinessNameLine1>
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          <BusinessNameLine1>MERCY HOSPITAL OF FRANCISCAN SISTERS INC</BusinessNameLine1>
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          <AddressLine1>3421 WEST NINTH STREET</AddressLine1>
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          <BusinessNameLine1>NE IOWA REAL ESTATE INVESTMENTS LTD</BusinessNameLine1>
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          <AddressLine1>3421 WEST NINTH STREET</AddressLine1>
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          <BusinessNameLine1>SARTORI HEALTH CARE FOUNDATION INC</BusinessNameLine1>
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          <AddressLine1>3421 WEST NINTH STREET</AddressLine1>
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          <BusinessNameLine1>SARTORI MEMORIAL HOSPITAL INC</BusinessNameLine1>
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          <BusinessNameLine1>FRANCISCAN MINISTRIES INC</BusinessNameLine1>
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          <BusinessNameLine1>ASSISI HOMES - BATAVIA APARTMENTS INC</BusinessNameLine1>
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          <BusinessNameLine1>ASSISI HOMES - COLONY PARK INC</BusinessNameLine1>
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          <BusinessNameLine1>ASSISI HOMES - KENOSHA INC</BusinessNameLine1>
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          <BusinessNameLine1>ASSISI HOMES - SAXONY INC</BusinessNameLine1>
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          <BusinessNameLine1>ASSISI HOMES OF GURNEE INC</BusinessNameLine1>
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          <BusinessNameLine1>ASSISI HOMES OF ILLINOIS INC</BusinessNameLine1>
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          <BusinessNameLine1>Assisi HOMES OF NEENAH INC</BusinessNameLine1>
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          <BusinessNameLine1>CANTICLE PLACE INC</BusinessNameLine1>
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          <AddressLine1>26W171 ROOSEVELT ROAD</AddressLine1>
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          <BusinessNameLine1>CATHERINE MARIAN HOUSING INC</BusinessNameLine1>
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          <BusinessNameLine1>FMI</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>CLARE GARDENS INC</BusinessNameLine1>
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          <AddressLine1>2626 OSCEOLA STREET</AddressLine1>
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          <BusinessNameLine1>FMI</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>CLARE OF ASSISI HOMES-WESTMINSTER INC</BusinessNameLine1>
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          <AddressLine1>2451 WEST 82ND PLACE</AddressLine1>
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          <ZIPCode>80031</ZIPCode>
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          <BusinessNameLine1>FMI</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>DAYSPRING VILLA INC</BusinessNameLine1>
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          <AddressLine1>3777 WEST 26TH AVENUE</AddressLine1>
          <City>DENVER</City>
          <State>CO</State>
          <ZIPCode>80211</ZIPCode>
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          <BusinessNameLine1>FMI</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCIS HEIGHTS INC</BusinessNameLine1>
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          <AddressLine1>2626 OSCEOLA STREET</AddressLine1>
          <City>DENVER</City>
          <State>CO</State>
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          <BusinessNameLine1>FMI</BusinessNameLine1>
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          <BusinessNameLine1>FRANCISCAN MINISTRIES COMMUNITY FNDN INC</BusinessNameLine1>
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          <AddressLine1>26W171 ROOSEVELT ROAD</AddressLine1>
          <City>WHEATON</City>
          <State>IL</State>
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