Wheaton Franciscan Healthcare - Franklin Inc: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- Wheaton Franciscan Healthcare - Franklin Inc (EIN 56-2592868)
- Tax period
- 2017-07-01 to 2018-05-31
- Filed
- 2019-04-09
- IRS object ID
- 201930999349300818
- Schema version
- 2017v2.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-04-09T14:30:16-05:00 | ReturnTs |
| Tax Period End | 2018-05-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562592868 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wheaton Franciscan Healthcare - Franklin Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WHEA | BusinessNameControlTxt |
| Phone | 3147338000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 S 27th St | AddressLine1Txt |
| City | Franklin | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53132 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tonya Mershon | PersonNm |
| Person Title | Tax Officer | PersonTitleTxt |
| Signature | 2019-04-09 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERNARD SHERRY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 W RIVER WOODS Pkwy | AddressLine1Txt |
| City | Glendale | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53212 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $93,251,167 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SEE SCHEDULE O | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 569 | TotalEmployeeCnt |
| Total Volunteers | 53 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $826 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,142 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,828 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $86,723,189 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $88,933,807 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,476 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,370 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,122,319 | PYOtherRevenueAmt |
| CY Other Revenue | $4,273,399 | CYOtherRevenueAmt |
| PY Total Revenue | $91,867,126 | PYTotalRevenueAmt |
| CY Total Revenue | $93,223,404 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $9,560 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,901,809 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,512,080 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $49,938,140 | PYOtherExpensesAmt |
| CY Other Expenses | $50,997,783 | CYOtherExpensesAmt |
| PY Total Expenses | $80,849,509 | PYTotalExpensesAmt |
| CY Total Expenses | $78,509,863 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,017,617 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,713,541 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $141,062,240 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $125,009,139 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,053,101 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR MISSION AS PART OF A CATHOLIC HEALTH CARE SYSTEM IS TO FURTHER THE HEALING MINISTRY OF JESUS BY CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF ALL PEOPLE, ESPECIALLY THE POOR, IN THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $47,173,124 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $92,675,045 | RevenueAmt |
| Desc | Wheaton Franciscan Healthcare - Franklin, Inc. is a 44-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. As of 05/31/2018, Wheaton Franciscan Healthcare - Franklin, Inc. provided services for 65,092 outpatient visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. | Desc |
| Total Program Service Expenses | $47,173,124 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | Yes (true) | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 64 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 569 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | Yes (true) | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARA OBRIEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3147338070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11775 BORMAN DRIVE | AddressLine1Txt |
| City | MARYLAND HEIGHTS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63146 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| TRAVIS D ANDERSON | |||||||||
| CHAIR | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $1,367,565 | $44,454 | ||
| TIMOTHY J RICHMAN | |||||||||
| VICE CHAIR | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $407,937 | $45,835 | ||
| JERRY M HARDACRE MD | |||||||||
| SECRETARY/TREASURER | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $421,566 | $45,597 | ||
| SETH R TEIGEN | |||||||||
| BOARD MEMBER - HOSPITAL PRESIDENT | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $247,446 | $35,168 | ||
| JAWWAD KHAN MD | |||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS MAHN MD | |||||||||
| BOARD MEMBER | 1.0 | 49.0 | Yes (X) | $0 | $448,920 | $52,569 | |||
| JIM MAZZULLA MD | |||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| BOBBY WU MD | |||||||||
| BOARD MEMBER | 1.0 | 49.0 | Yes (X) | $0 | $227,691 | $22,790 | |||
| KEVIN J KLUESNER | |||||||||
| BOARD MEMBER | 1.0 | 49.0 | Yes (X) | $0 | $338,950 | $44,158 | |||
| LORI J DARR | |||||||||
| VP-FINANCE WISCONSIN | 5.0 | 45.0 | Yes (X) | $0 | $402,935 | $46,724 | |||
| MUSHIR B HASSAN | |||||||||
| VP-MEDICAL AFFAIRS | 25.0 | 25.0 | $0 | $390,267 | $52,069 | Yes (X) | |||
| DANIEL B ROSS | |||||||||
| VP-MEDICAL AFFAIRS | 50.0 | 0 | $0 | $437,661 | $41,337 | Yes (X) | |||
| MARY E OUIMET | |||||||||
| VP-PATIENT CARE | 50.0 | 0 | $0 | $295,226 | $51,443 | Yes (X) | |||
| SHEILA D GANSEMER | |||||||||
| VP CNO & EXEC DIR MOSH | 50.0 | 0 | $212,138 | $0 | $24,596 | Yes (X) | |||
| MICHAEL F GILLARD | |||||||||
| MGR-PHARMACY | 50.0 | 0 | $162,335 | $0 | $21,710 | Yes (X) | |||
| LEE E JASTROW | |||||||||
| PHARMACIST | 50.0 | 0 | $146,627 | $0 | $9,971 | Yes (X) | |||
| BRIAN D SCHKIRKIE | |||||||||
| PHARMACIST | 50.0 | 0 | $139,972 | $0 | $21,185 | Yes (X) | |||
| STEVEN BALISTRERI | |||||||||
| PHARMACIST | 50.0 | 0 | $139,971 | $0 | $25,898 | Yes (X) | |||
| CHRISTOPHER T EHLENBACH | |||||||||
| PHARMACIST | 50.0 | 0 | $134,796 | $0 | $35,807 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $935,839 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,986,164 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $621,311 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 16 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| PULMONARY AND CRITICAL CARE ASSOC SC | ||||||
| DR AJITKUMAR PAREKH | 5900 S LAKE DR | CUDAHY | WI | 531103171 | PHYSICIAN SERVICES | $211,304 |
| MCKESSON CORPORATION | ||||||
| 1 POST ST | SUITE 2150 | SAN FRANCISCO | CA | 94104 | PHARMACY DISTRIBUTION SERVICES | $158,528 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $11,828 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $11,828 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $88,933,807 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $88,933,807 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $88,933,807 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,370 | TotalRevenueColumnAmt |
| Exclusion | $4,370 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $160,948 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $160,948 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $160,948 | TotalRevenueColumnAmt |
| Exclusion | $160,948 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $73,836 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $27,763 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,073 | TotalRevenueColumnAmt |
| Exclusion | $46,073 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFTERIA/VENDING REVENUE | 722514 | $325,114 | $325,114 |
| MEDICAL RECORDS FEE | 900099 | $26 | $26 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,741,238 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,741,238 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,066,378 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $93,223,404 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $92,675,045 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $536,531 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,603,730 | TotalAmt |
| Program Services | $20,647,001 | ProgramServicesAmt |
| Management And General | $956,729 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,332,280 | TotalAmt |
| Program Services | $4,140,423 | ProgramServicesAmt |
| Management And General | $191,857 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,576,070 | TotalAmt |
| Program Services | $1,506,273 | ProgramServicesAmt |
| Management And General | $69,797 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,699 | TotalAmt |
| Management And General | $5,699 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $331,856 | TotalAmt |
| Program Services | $155,532 | ProgramServicesAmt |
| Management And General | $176,324 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,028 | TotalAmt |
| Program Services | $1,213 | ProgramServicesAmt |
| Management And General | $10,815 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,201 | TotalAmt |
| Program Services | $130,525 | ProgramServicesAmt |
| Management And General | $38,676 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,416 | TotalAmt |
| Program Services | $4,416 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,694,998 | TotalAmt |
| Program Services | $614 | ProgramServicesAmt |
| Management And General | $1,694,384 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,751 | TotalAmt |
| Program Services | $1,169 | ProgramServicesAmt |
| Management And General | $1,582 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,232 | TotalAmt |
| Program Services | $14,830 | ProgramServicesAmt |
| Management And General | $2,402 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,769,761 | TotalAmt |
| Program Services | $3,115,019 | ProgramServicesAmt |
| Management And General | $2,654,742 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $12,787,923 | $12,882,264 | -$94,341 |
| MANAGEMENT FEE TO AFFILIATE | $10,922,865 | $10,922,865 | |
| CORPORATE ALLOCATIONS | $8,439,698 | $8,439,698 | |
| PROVIDER TAX | $1,895,439 | $1,895,439 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,943,916 | TotalAmt |
| Program Services | $2,678,406 | ProgramServicesAmt |
| Management And General | $6,265,510 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,509,863 | TotalAmt |
| Program Services | $47,173,124 | ProgramServicesAmt |
| Management And General | $31,336,739 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,674 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,925,474 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,373,664 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,686,526 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,080,250 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,062,240 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,319,528 | BOYAmt |
| EOY | $0 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,689,611 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,009,139 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,045,105 | BOYAmt |
| EOY | $0 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,996 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,053,101 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,062,240 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $14,713,541 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$30,766,642 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $5,699 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,699 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. |
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. WHEATON FRANCISCAN HEALTHCARE- FRANKLIN, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. |
Schedule D IRS990ScheduleD
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc |
|---|
| Estimated Settlement to Third-Party Payor |
| Other Liability |
| Net Long-Term Debt |
| Other Noncurrent Liabilities |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF MAY 31, 2018. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $821,788 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $821,788 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0105 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,615,325 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,006,681 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,608,644 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0460 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $12,437,113 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,006,681 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,430,432 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0564 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,180 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,372 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $108,372 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0014 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $89,998 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $89,998 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0011 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,474 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,474 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $271,024 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $271,024 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0035 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $12,708,137 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,006,681 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,701,456 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0599 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,361 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,361 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $15,361 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,361 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,353,059 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $30,657,842 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $39,031,901 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,374,059 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASCENSION SE WISCONSIN HOSPITAL-FRANKLIN CAMPUS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 S 27TH STREET | AddressLine1Txt |
| City | FRANKLIN | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53132 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://healthcare.ascension.org/Locations/Wisconsin/WIWHE/Franklin-Ascension-SE-Wisconsin-Hospital- | WebsiteAddressTxt |
| State License | 314(WI) | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://healthcare.ascension.org/Locations/Wisconsin/WIWHE/Franklin-Ascension-SE-Wisconsin-Hospital- | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://healthcare.ascension.org/Locations/Wisconsin/WIWHE/Franklin-Ascension-SE-Wisconsin-Hospital- | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PT VI | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PT VI | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PT VI | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. |
| Schedule H, Part V, Section B, Line 5 Facility 1, 1 | Facility 1, 1 - WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC.. WHEATON FRANCISCAN HEALTHCARE PARTNERED WITH THE MILWAUKEE HEALTH CARE PARTNERSHIP WHICH INCLUDES AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, COLUMBIA ST. MARY'S HEALTH SYSTEM, FROEDTERT HEALTH AND PUBLIC HEALTH DEPARTMENTS TO COLLABORATIVELY CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. THIRD-PARTY ORGANIZATIONS, JKV RESEARCH, LLC AND CENTER FOR URBAN POPULATION HEALTH WERE CONTRACTED TO HELP CONDUCT THE ASSESSMENT. THE ASSESSMENT CONSISTED OF 3 KEY PROCESSES IN ORDER TO OBTAIN DATA, A TELEPHONE HEALTH SURVEY, SECONDARY DATA RESEARCH AND KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. A TOTAL OF 1,967 TELEPHONE INTERVIEWS WERE COMPLETED BETWEEN MARCH 16 AND JULY 14, 2015 FOR MILWAUKEE COUNTY INCLUDING 1,200 INTERVIEWS DURING THE SAME TIMEFRAME FOR THE CITY OF MILWAUKEE; 400 TELEPHONE INTERVIEWS WERE COMPLETED BETWEEN FEBRUARY 2 AND FEBRUARY 23, 2015 FOR WAUKESHA COUNTY; AND 1,967 TELEPHONE INTERVIEWS WERE COMPLETED BETWEEN FEBRUARY 2 AND MARCH 3, 2015 FOR RACINE COUNTY INCLUDING 400 INTERVIEWS DURING THE SAME TIMEFRAME FOR THE CITY OF RACINE. THE THIRD PIECE OF THE ASSESSMENT PROCESS WAS CONDUCTING INTERVIEWS AND FOCUS GROUPS WITH KEY STAKEHOLDERS IN THE COMMUNITY IN THE SPRING AND SUMMER OF 2015. A LIST OF THE ORGANIZATIONS THAT PROVIDE INPUT ARE LISTED BELOW. EACH OF THESE ORGANIZATIONS SERVES THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. * UNITED WAY OF GREATER MILWAUKEE * CITY OF MILWAUKEE HEALTH DEPARTMENT * NORTH SHORE HEALTH DEPARTMENT * MILWAUKEE COUNTY OF HEALTH AND HUMAN SERVICES * CHILDREN'S HEALTH ALLIANCE OF WISCONSIN * NORTH SHORE HEALTH DEPARTMENT * UNITED COMMUNITY CENTER * THE FAYE MCBEATH FOUNDATION * AIDS RESOURCE CENTER OF WISCONSIN * COMMUNITY SERVICES FOR CHILDREN'S HOSPITAL AND HEALTH SYSTEM * CHILDREN'S HOSPITAL OF WISCONSIN * WISCONSIN DEPARTMENT OF PUBLIC HEALTH SERVICES * GREATER MILWAUKEE FOUNDATION * MILWAUKEE COMMON COUNCIL * WAUWATOSA HEALTH DEPARTMENT * HELEN BADER FOUNDATION * BLACK HEALTH COALITION OF WISCONSIN * MEDICAL COLLEGE OF WISCONSIN INSTITUTE FOR HEALTH AND SOCIETY * WEST ALLIS AND WEST MILWAUKEE HEALTH DEPARTMENT * SOUTH MILWAUKEE HEALTH DEPARTMENT * UW-MILWAUKEE JOSEPH J. ZILBER SCHOOL OF PUBLIC HEALTH * YWCA MILWAUKEE * HALES CORNERS HEALTH DEPARTMENT * MEDICAL SOCIETY OF MILWAUKEE COUNTY * OAK CREEK HEALTH DEPARTMENT * GREENFIELD HEALTH DEPARTMENT * SAINT FRANCIS HEALTH DEPARTMENT * GREENDALE HEALTH DEPARTMENT * UNCOM (UNITED NEIGHBORHOOD CENTERS OF MILWAUKEE * MILWAUKEE ORAL HEALTH TASK FORCE * COLUMBIA ST. MARY'S * MILWAUKEE HEALTH CARE PARTNERSHIP * LINDSAY HEIGHTS HEALTH ALLIANCE * COMMUNITY ADVOCATES * CUDAHY HEALTH DEPARTMENT * YMCA OF METRO MILWAUKEE * LATINO HEALTH COALITION * BOYS AND GIRLS CLUB OF GREATER MILWAUKEE * STAFF HOUSING AUTHORITY OF THE CITY OF MILWAUKEE * RESIDENTS FROM PARKLAWN AND HIGHLAND GARDENS |
| Schedule H, Part V, Section B, Line 6a Facility 1, 1 | Facility 1, 1 - WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC.. FOR ALL OUR HOSPITAL FACILITIES, OUR COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: AURORA HEALTH CARE CHILDREN'S HOSPITAL OF WISCONSIN COLUMBIA ST. MARY'S HEALTH SYSTEM FROEDTERT HEALTH. |
| Schedule H, Part V, Section B, Line 7 Facility 1, 1 | Facility 1, 1 - WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC.. SEVERAL REPORTS APPLICABLE TO OUR WISCONSIN HOSPITAL FACILITIES ARE AVAILABLE AT THE MILWAUKEE HEALTH CARE PARTNERSHIP'S (MHCP) WEBSITE AT HTTP://MKEHCP.ORG/PUBLICATIONS. MHCP IS A PUBLIC / PRIVATE CONSORTIUM DEDICATED TO IMPROVING HEALTH CARE COVERAGE, ACCESS, AND CARE COORDINATION FOR UNDERSERVED POPULATIONS IN MILWAUKEE COUNTY, WITH THE GOALS OF IMPROVING HEALTH OUTCOMES, ELIMINATING DISPARITIES, AND REDUCING THE TOTAL COST OF CARE. |
| Schedule H, Part V, Section B, Line 11 Facility 1, 1 | Facility 1, 1 - WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC.. USING THE CHNA COMPLETED IN JUNE 2016, THE HOSPITAL DEVELOPED, ADOPTED, AND WORKED ON EXECUTING A THREE-YEAR IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY COMMUNITY HEALTH NEEDS. IN FISCAL YEAR 2017 (TAX YEAR 2016), THE HOSPITAL IMPLEMENTED THE FOLLOWING PLAN TO ADDRESS THE PRIORITY NEEDS: AODA -- PROVIDED EDUCATION ON MEDICATION DISPOSAL HEALTHY LIFESTYLE -- PROVIDED EDUCATION TO COMMUNITY ON BLOOD PRESSURE, NUTRITION, MENTAL HEALTH, STRESS REDUCTION, HEART DISEASE AND STROKE -- HOSTED A COMMUNITY COUCH TO 5K PROGRAM EXPLANATION ON NEEDS IDENTIFIED IN CHNA THAT ARE NOT BEING ADDRESSED: WHILE OUR ORGANIZATION UNDERSTANDS THE IMPORTANCE OF MEETING ALL OF THE NEEDS OF THE COMMUNITY, AN IN DEPTH ASSESSMENT WAS COMPLETED IN WHICH THE KEY LEADERS, INVOLVED IN THE DAY TO DAY WORK WITHIN THE FRANKLIN FACILITY, WERE ABLE TO IDENTIFY THE NEEDS THAT WOULD BE MOST IMPACTED BY THE SITE. THE TOP HEALTH NEEDS IDENTIFIED BY THE FRANKLIN LEADERSHIP TEAM THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT WERE NOT A PART OF THE CURRENT IMPLEMENTATION PLAN WERE AS FOLLOWS: * ACCESS TO CARE/COVERAGE: WHEATON FRANCISCAN HEALTHCARE - FRANKLIN IS AWARE THAT OTHER FACILITIES WITHIN OUR ORGANIZATION THAT SERVE THE MILWAUKEE AND RACINE POPULATION, ST. JOSEPH CAMPUS AND ALL SAINTS CAMPUS, CURRENTLY FOCUS THEIR EFFORTS AND INCLUDE ACCESS TO CARE ON THEIR 2016 IMPLEMENTATION PLAN. THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE MILWAUKEE HEALTH CARE PARTNERSHIP WAS ALSO MADE AWARE OF EXISTING STRATEGIES THROUGH OUR KEY INFORMANTS. EXISTING STRATEGIES LISTED BY THE INTERVIEWEES INCLUDED FREE CLINICS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), THE MILWAUKEE HEALTH CARE PARTNERSHIP, EMPLOYEE WELLNESS PROGRAMS, EMERGENCY MEDICAL SERVICES, COMMUNITY PARAMEDICINE, 2-1-1, THE MILWAUKEE ENROLLMENT NETWORK, COMMUNITY HEALTH WORKERS AND NAVIGATORS, NATURAL HEALTH OPTIONS, EXERCISE AND NUTRITION CLASSES, AND OTHER HEALTH-RELATED WORKSHOPS. WE ARE COMMITTED TO SUPPORTING ST. JOSEPH CAMPUS AS WELL AS ALL SAINTS AND THE OTHER RESOURCES THAT ARE ADDRESSING THIS NEED IN A SECONDARY CAPACITY WHEN NECESSARY. * HIGH CHOLESTEROL: WHEATON FRANCISCAN HEALTHCARE - FRANKLIN UNDERSTANDS THIS GROWING CONCERN, AND WE BELIEVE THAT HIGH CHOLESTEROL FALLS UNDER THE REALM OF OUR FOCUS ON A HEALTHY LIFESTYLE THROUGH OUR EFFORTS FOCUSING ON OBESITY. ALTHOUGH HIGH CHOLESTEROL IS NOT A SINGLED-OUT FOCUS ON THE 2016 IMPLEMENTATION PLAN, WE ARE AWARE OF OTHER EFFORTS THROUGHOUT THE COMMUNITY TO SUPPORT THIS CONCERN. * MENTAL AND BEHAVIORAL HEALTH: WHILE WHEATON FRANCISCAN HEALTHCARE - FRANKLIN UNDERSTANDS THIS GROWING CONCERN, AT THE TIME OF ASSESSMENT, THE RESOURCES AND EXPERTISE WERE NOT AVAILABLE TO ADDRESS AND MAKE A MEANINGFUL IMPACT ON MENTAL AND BEHAVIORAL HEALTH. DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, THE MILWAUKEE HEALTH CARE PARTNERSHIP WAS MADE AWARE OF SEVERAL EXISTING STRATEGIES THROUGH OUR KEY INFORMANTS SUCH AS: INPATIENT AND OUTPATIENT MENTAL HEALTH SERVICES; INCREASED BULLYING AWARENESS; HOUSING FIRST STRATEGY; COMMUNITY BEHAVIORAL HEALTH REDESIGN (UNDERWAY); MILWAUKEE CENTER FOR INDEPENDENCE PROGRAMMING THAT MANAGES MEDICATION AND RE-INTEGRATES PEOPLE WITH MENTAL HEALTH ISSUES INTO THE COMMUNITY, JOBS, AND HOUSING; CRISIS INTERVENTION TRAINING FOR EMPLOYEES; EFFORTS WITHIN SCHOOLS AND SCHOOL-COMMUNITY PARTNERSHIPS; MENTAL AND BEHAVIORAL HEALTH TASK FORCES; IMPLEMENTING TRAUMA-INFORMED CARE; AND MORE MENTAL HEALTH PROVIDERS BEING ADDED IN THE COMMUNITY. WE WILL CONTINUE TO SUPPORT THESE EFFORTS IN A SECONDARY CAPACITY AS NECESSARY. |
| Schedule H, Part V, Section B, Line 16 Facility 1, 1 | Facility 1, 1 - WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC.. WHEATON FRANCISCAN HEALTHCARE TAKES SEVERAL PROACTIVE APPROACHES TO MAKE OUR PATIENTS AWARE OF OUR FINANCIAL ASSISTANCE POLICY. IN ADDITION TO OUR POLICY BEING POSTED ON OUR WEBSITE AND AVAILABLE TO ANYONE WHO REQUESTS ONE, THERE IS ABUNDANT SIGNAGE THROUGHOUT OUR FACILITY EXPLAINING OUR FINANCIAL ASSISTANCE POLICY AND HOW TO OBTAIN THE ACTUAL POLICY, IF DESIRED. NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE DISPLAYED IN HIGHLY VISIBLE LOCATIONS WHERE THERE IS A SIGNIFICANT VOLUME OF INPATIENT OR OUTPATIENT TRAFFIC SUCH AS IN PATIENT ADMITTING AND REGISTRATION AREAS (BOTH INPATIENT AND OUTPATIENT SETTINGS), PHYSICIAN OFFICES, AND EMERGENCY DEPARTMENTS. BROCHURES DESCRIBING THE POLICY ARE AVAILABLE IN THE SAME LOCATIONS, AND THE POLICY IS DISCUSSED AT THE TIME OF REGISTRATION OR PRE-REGISTRATION, ADMISSION, DISCHARGE, AND WITH BILLING FOR THOSE IDENTIFIED WITH A NEED. PATIENTS WHO CALL AND EXPRESS A FINANCIAL HARDSHIP WITH PAYING THEIR BILL WILL BE ASSISTED BY A CUSTOMER SERVICE REPRESENTATIVE, WHO WILL ASSIST THE PATIENT IN SETTING UP AN APPOINTMENT TO MEET WITH A FINANCIAL ADVOCATE WHO WILL GO OVER THE FINANCIAL ASSISTANCE POLICY IN DETAIL, GET THE FINANCIAL ASSISTANCE APPLICATION PROCESS STARTED, AND EDUCATE THE PATIENT REGARDING ANY QUESTIONS THEY MAY HAVE. LASTLY, OUR PATIENT STATEMENTS ALSO INCLUDE NOTIFICATIONS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND A PHONE NUMBER TO CALL FOR MORE INFORMATION. ADDITIONALLY, OUR FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON OUR WEBSITE, HTTPS://WWW.MYWHEATON.ORG/ABOUT-WHEATON/BILLING-INFORMATION/#POLICY. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION HAVE BEEN TRANSLATED INTO 8 LANGUAGES: ENGLISH, SPANISH, CHINESE, HMONG, LAOTIAN, ARABIC, RUSSIAN, AND SERBIAN/CROATIAN. IN THE CASE OF OUR PLAIN LANGUAGE SUMMARY, A 9TH LANGUAGE (TELUGU) IS AVAILABLE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHEATON FRANCISCAN HEALTHCARE - FRANKLIN Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9969 S 27TH STREET | AddressLine1Txt |
| City | FRANKLIN | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53132 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | MEDICAL OFFICE BUILDING | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (19 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 16a THE FAP APPLICATION WAS WIDELY AVAILABLE ON WEBSITE | https://healthcare.ascension.org/Locations/Wisconsin/WIWHE/Franklin-Ascension-SE-Wisconsin-Hospital-Franklin-Campus/Financial-Assistance |
| Schedule H, Part V, Section B, Line 16b THE FAP APPLICATION WAS WIDELY AVAILABLE ON WEBSITE | https://healthcare.ascension.org/Locations/Wisconsin/WIWHE/Franklin-Ascension-SE-Wisconsin-Hospital-Franklin-Campus/Financial-Assistance |
| Schedule H, Part V, Section B, Line 16c A PLAIN LANGUAGE SUMMARY OF THE FAP WEBSITE | https://healthcare.ascension.org/Locations/Wisconsin/WIWHE/Franklin-Ascension-SE-Wisconsin-Hospital-Franklin-Campus/Financial-Assistance |
| Schedule H, Part I, Line 7g Subsidized Health Services | WHEATON FRANCISCAN HEALTHCARE HAS A SEPARATELY ORGANIZED ENTITY, ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN, INC. (F/K/A WHEATON FRANCISCAN MEDICAL GROUP, INC.) WHERE ALL PHYSICIAN CLINIC COSTS ARE GROUPED. THE HOSPITAL HAS THEREFORE NOT INCLUDED ANY PHYSICIAN CLINIC COSTS IN SUBSIDIZED HEALTH SERVICES. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. |
| Schedule H, Part II Community Building Activities | IN THE AREA OF COMMUNITY BUILDING, WHEATON FRANCISCAN HEALTHCARE-FRANKLIN, INC. PROVIDES JOB SHADOWING OPPORTUNITIES IN HEALTH CARE CAREERS TO FRANKLIN HIGH SCHOOL. THE JOB SHADOWING OPPORTUNITY FOCUSES ON PROFESSIONAL ROLES AND WORK RESPONSIBILITIES WITHIN A HEALTH CARE SYSTEM. ACCORDING TO THE COUNTY HEALTH RANKINGS, EMPLOYMENT PROVIDES INCOME AND, OFTEN, BENEFITS THAT CAN SUPPORT HEALTHY LIFESTYLE CHOICES. UNEMPLOYMENT AND UNDER EMPLOYMENT LIMIT THESE CHOICES, AND NEGATIVELY AFFECT BOTH QUALITY OF LIFE AND HEALTH OVERALL. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2018 WAS $4,364,706 AT CHARGES, ($1,353,059 AT COST). |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | THE ORGANIZATION IS PART OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSES THE BAD DEBT EXPENSE IS LOCATED ON PAGE 21. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE EXPENSE TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | THE ORGANIZATION FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED. |
| Schedule H, Part V, Section B, Line 16a FAP website | 1 - ASCENSION SE WISCONSIN HOSPITAL-FRANKLIN CAMPUS: Line 16a URL: SEE PT VI; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | 1 - ASCENSION SE WISCONSIN HOSPITAL-FRANKLIN CAMPUS: Line 16b URL: SEE PT VI; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | 1 - ASCENSION SE WISCONSIN HOSPITAL-FRANKLIN CAMPUS: Line 16c URL: SEE PT VI; |
| Schedule H, Part VI, Line 2 Needs assessment | IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B, FRANKLIN HOSPITAL USES BOTH HOSPITAL DATA AND RELIABLE, THIRD PARTY REPORTS, INCLUDING DATA FROM GOVERNMENT SOURCES, TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. THESE REPORTS PROVIDE INFORMATION ABOUT KEY HEALTH, SOCIOECONOMIC, AND DEMOGRAPHIC INDICATORS THAT POINT TO AREAS OF NEED. FRANKLIN HOSPITAL UTILIZES THIS INFORMATION TO DETERMINE DEVELOP PROGRAMS AND SERVICES TO BE PROVIDED FOR THE COMMUNITY. THESE NEEDS AND INITIATIVES ARE PRESENTED TO SENIOR LEADERSHIP AND BOARD MEMBERS TO ENSURE THE FINDINGS ARE CONSIDERED IN DEVELOPING THE ORGANIZATION'S STRATEGY, POLICY DEVELOPMENT, AND INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | WHEATON FRANCISCAN HEALTHCARE - FRANKLIN IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL (OR HEALTH SYSTEM), IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, WHEATON FRANCISCAN HEALTHCARE - FRANKLIN'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; WHEATON FRANCISCAN HEALTHCARE - FRANKLIN PROVIDES FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 400% OF THE FEDERAL POVERTY LEVEL. WHEATON FRANCISCAN HEALTHCARE - FRANKLIN WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE AT HTTPS://WWW.MYWHEATON.ORG/ABOUT-WHEATON/BILLING-INFORMATION/#POLICY WHEATON FRANCISCAN HEALTHCARE - FRANKLIN MAKES PAPER COPIES OF ANY OF THESE DOCUMENTS AVAILABLE UPON REQUEST. - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. WHEATON FRANCISCAN HEALTHCARE - FRANKLIN INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION CAN BE OBTAINED. WHEATON FRANCISCAN HEALTHCARE - FRANKLIN ALSO INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS. |
| Schedule H, Part VI, Line 4 Community information | PLEASE SEE DETAILED INFORMATION PROVIDED AT SCHEDULE H PART V SECTION B LINES 1-12 AND PART VI LINE 5. |
| Schedule H, Part VI, Line 5 Promotion of community health | WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC. GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF THE GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA; WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. SURPLUS FUNDS ARE PROVIDED TO FUND IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH BY DONATIONS FROM WHEATON FRANCISCAN HEALTHCARE - FOUNDATION FOR ST. FRANCIS AND FRANKLIN, INC. PLEASE ALSO SEE PART III FOR COMMUNITY ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION, AS WELL AS A COMPILATION OF REGIONAL CHARITY CARE INFORMATION. |
| Schedule H, Part VI, Line 6 Affiliated health care system | WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC. IS AN AFFILIATE OF WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN, INC. AND ASCENSION HEALTH. THE HOSPITAL'S AFFILIATES ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, RESEARCH, HOME HEALTH, DURABLE MEDICAL EQUIPMENT AND SENIOR FACILITIES). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 23 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC. PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES IN THE SOUTHEAST WISCONSIN AREA, OFTENTIMES REGARDLESS OF THE PERSON'S ABILITY TO PAY, BECAUSE IT IS OUR MISSION TO IMPROVE THE LIVES OF THOSE IN THE COMMUNITIES WE SERVE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRAVIS D ANDERSON | ||||||||||||||
| CHAIR | $0 | $563,166 | $0 | $701,999 | $0 | $102,400 | $0 | $13,500 | $0 | $30,954 | $0 | $1,412,019 | $0 | $0 |
| TIMOTHY J RICHMAN | ||||||||||||||
| VICE CHAIR | $0 | $316,516 | $0 | $68,793 | $0 | $22,628 | $0 | $14,135 | $0 | $31,700 | $0 | $453,772 | $0 | $0 |
| JERRY M HARDACRE MD | ||||||||||||||
| SECRETARY/TREASURER | $0 | $402,548 | $0 | $14,388 | $0 | $4,630 | $0 | $17,550 | $0 | $28,047 | $0 | $467,163 | $0 | $0 |
| SETH R TEIGEN | ||||||||||||||
| BOARD MEMBER - HOSPITAL PRESIDENT | $0 | $221,657 | $0 | $0 | $0 | $25,789 | $0 | $12,168 | $0 | $23,000 | $0 | $282,614 | $0 | $0 |
| THOMAS MAHN MD | ||||||||||||||
| BOARD MEMBER | $0 | $418,970 | $0 | $17,866 | $0 | $12,084 | $0 | $16,200 | $0 | $36,369 | $0 | $501,489 | $0 | $0 |
| BOBBY WU MD | ||||||||||||||
| BOARD MEMBER | $0 | $201,748 | $0 | $25,428 | $0 | $515 | $0 | $9,997 | $0 | $12,793 | $0 | $250,481 | $0 | $0 |
| KEVIN J KLUESNER | ||||||||||||||
| BOARD MEMBER | $0 | $257,247 | $0 | $58,967 | $0 | $22,736 | $0 | $16,100 | $0 | $28,058 | $0 | $383,108 | $0 | $0 |
| LORI J DARR | ||||||||||||||
| VP-FINANCE WISCONSIN | $0 | $282,993 | $0 | $63,992 | $0 | $55,950 | $0 | $14,850 | $0 | $31,874 | $0 | $449,659 | $0 | $0 |
| MUSHIR B HASSAN | ||||||||||||||
| VP-MEDICAL AFFAIRS | $0 | $187,723 | $0 | $201,189 | $0 | $1,355 | $0 | $16,582 | $0 | $35,487 | $0 | $442,336 | $0 | $0 |
| DANIEL B ROSS | ||||||||||||||
| VP-MEDICAL AFFAIRS | $0 | $342,825 | $0 | $76,352 | $0 | $18,484 | $0 | $17,550 | $0 | $23,787 | $0 | $478,998 | $0 | $0 |
| MARY E OUIMET | ||||||||||||||
| VP-PATIENT CARE | $0 | $232,440 | $0 | $53,094 | $0 | $9,692 | $0 | $16,653 | $0 | $34,790 | $0 | $346,669 | $0 | $0 |
| SHEILA D GANSEMER | ||||||||||||||
| VP CNO & EXEC DIR MOSH | $166,782 | $0 | $37,259 | $0 | $8,097 | $0 | $12,330 | $0 | $12,266 | $0 | $236,734 | $0 | $0 | $0 |
| MICHAEL F GILLARD | ||||||||||||||
| MGR-PHARMACY | $149,390 | $0 | $6,060 | $0 | $6,885 | $0 | $8,679 | $0 | $13,031 | $0 | $184,045 | $0 | $0 | $0 |
| LEE E JASTROW | ||||||||||||||
| PHARMACIST | $146,415 | $0 | $0 | $0 | $212 | $0 | $7,879 | $0 | $2,092 | $0 | $156,598 | $0 | $0 | $0 |
| BRIAN D SCHKIRKIE | ||||||||||||||
| PHARMACIST | $139,652 | $0 | $0 | $0 | $320 | $0 | $9,055 | $0 | $12,130 | $0 | $161,157 | $0 | $0 | $0 |
| STEVEN BALISTRERI | ||||||||||||||
| PHARMACIST | $139,257 | $0 | $0 | $0 | $714 | $0 | $8,859 | $0 | $17,039 | $0 | $165,869 | $0 | $0 | $0 |
| CHRISTOPHER T EHLENBACH | ||||||||||||||
| PHARMACIST | $134,228 | $0 | $0 | $0 | $568 | $0 | $8,565 | $0 | $27,242 | $0 | $170,603 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN, INC., A RELATED ORGANIZATION OF WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No individuals received current year distributions. |
Schedule N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | CASH/AR/INVENTORY/FIXED ASSETS | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2018-05-31 | DistributionDt |
| Fair Market Value Of Asset | $119,963,344 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | NET BOOK VALUE | MethodOfFMVDeterminationTxt |
| EIN | 390816857 | EIN |
| Person | ASCENSION SE WISCONSIN HOSPITAL INC | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5000 W CHAMBERS STREET | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(C)(3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | false | DirectorOfSuccessorInd |
| Employee Of Successor | false | EmployeeOfSuccessorInd |
| Owner Of Successor | false | OwnerOfSuccessorInd |
| Receive Compensation | false | ReceiveCompensationInd |
| Assets Distributed | Yes (true) | AssetsDistributedInd |
| Required To Notify AG | Yes (true) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (true) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (true) | LiabilitiesPaidInd |
| Bonds Outstanding | false | BondsOutstandingInd |
| Director Of Successor2 | false | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | false | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT, THE PROCESS PERFORMED BY WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN, INC., A RELATED ORGANIZATION OF WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC. INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS PERFORMED BY WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN, INC., A RELATED ORGANIZATION OF WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC. INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC. HAS A SINGLE CORPORATE MEMBER, WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN, INC. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC. HAS A SINGLE CORPORATE MEMBER, WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN, INC., WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO WHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC.'S FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN, INC. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. |
| Form 990, Part VI, Line 12c Conflict of interest policy | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Other Revenue - Total Revenue: 3741238, Related or Exempt Function Revenue: 3741238, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Expenses | Purchased Services - Total Expense: 5840692, Program Service Expense: 716575, Management and General Expenses: 5124117, Fundraising Expenses: ; MISCELLANEOUS EXPENSES - Total Expense: 66071, Program Service Expense: 6219, Management and General Expenses: 59852, Fundraising Expenses: ; Physician Fees to Affiliate - Total Expense: 1062012, Program Service Expense: , Management and General Expenses: 1062012, Fundraising Expenses: ; Contract Labor - Total Expense: 995928, Program Service Expense: 995928, Management and General Expenses: , Fundraising Expenses: ; Minor Equipment - Total Expense: 104385, Program Service Expense: 103010, Management and General Expenses: 1375, Fundraising Expenses: ; Equipment Lease - Total Expense: 99484, Program Service Expense: 99484, Management and General Expenses: , Fundraising Expenses: ; Possible Donation Expense - Review - Total Expense: 37167, Program Service Expense: 27005, Management and General Expenses: 10162, Fundraising Expenses: ; Other Non Medical Supplies - Total Expense: 157467, Program Service Expense: 213229, Management and General Expenses: -55762, Fundraising Expenses: ; Dues - Total Expense: 28381, Program Service Expense: 985, Management and General Expenses: 27396, Fundraising Expenses: ; Maintenance & Repairs - Total Expense: 22578, Program Service Expense: 21368, Management and General Expenses: 1210, Fundraising Expenses: ; Licenses & Permits - Total Expense: 52457, Program Service Expense: 22363, Management and General Expenses: 30094, Fundraising Expenses: ; Books & Subscriptions - Total Expense: 6882, Program Service Expense: 1828, Management and General Expenses: 5054, Fundraising Expenses: ; CORPORATE EXPENSES - Total Expense: 470412, Program Service Expense: 470412, Management and General Expenses: , Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | TRANSFERS WITH ALPHA FUND - -34553420; TRANFER TO ASCENSION SE WISCONSIN, INC. - 3786778; |
| FORM 990, PAGE 1, ITEM J ENTITY WEBSITE | https://healthcare.ascension.org/Locations/Wisconsin/WIWHE/Franklin-Ascension-SE-Wisconsin-Hospital-Franklin-Campus |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (50 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Business Name Line2DisregardedEntityName/BusinessNameLine2Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AFFINITY HEALTH SYSTEM | |||||||||||||
| 1570 MIDWAY PLACE | MENASHA | WI | 54952 | 391568866 | HEALTH SYSTEM | IL | 501(c)(3) | Type II | MINISTRY HEALTH CARE INC | Yes (true) | |||
| AGAPE COMMUNITY CENTER OF MILWAUKEE INC | |||||||||||||
| 6100 NORTH 42ND STREET | MILWAUKEE | WI | 53209 | 391461846 | COMMUNITY CENTER | WI | 501(c)(3) | 7 | MINISTRY HEALTH CARE INC | Yes (true) | |||
| ASCENSION ALL SAINTS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ALL SA | |||||||||||||
| 3801 SPRING STREET | RACINE | WI | 53405 | 391264986 | HOSPITAL | WI | 501(c)(3) | 3 | WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC | Yes (true) | INTS INC) | ||
| ASCENSION CALUMET HOSPITAL INC | |||||||||||||
| 614 MEMORIAL DRIVE | CHILTON | WI | 53014 | 390905385 | HOSPITAL | WI | 501(c)(3) | 3 | MINISTRY HEALTH CARE INC | Yes (true) | |||
| ASCENSION EAGLE RIVER HOSPITAL INC | |||||||||||||
| 201 HOSPITAL ROAD | EAGLE RIVER | WI | 54521 | 390985690 | HOSPITAL | WI | 501(c)(3) | 3 | MINISTRY HEALTH CARE INC | Yes (true) | |||
| ASCENSION GOOD SAMARITAN HOSPITAL INC | |||||||||||||
| 601 SOUTH CENTER AVENUE | MERRILL | WI | 54452 | 390808503 | HOSPITAL | WI | 501(c)(3) | 3 | MINISTRY HEALTH CARE INC | Yes (true) | |||
| ASCENSION HEALTH ALLIANCE | |||||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 453358926 | NATIONAL HEALTH | MO | 501(c)(3) | Type I | NA | false | |||
| ASCENSION HEALTH | |||||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 311662309 | NATIONAL HEALTH | MO | 501(c)(3) | Type I | ASCENSION HEALTH ALLIANCE | false | |||
| ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC (FKA NETWORK HEALTH SYSTEM | |||||||||||||
| 1570 APPLETON RD | MENASHA | WI | 54952 | 391127163 | CLINICAL HEALTHCARE SERVICES | WI | 501(c)(3) | 3 | AFFINITY HEALTH SYSTEM | Yes (true) | INC) | ||
| ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN INC (FKA MINISTRY MEDICAL GROUP | |||||||||||||
| 824 ILLINOIS AVENUE | STEVENS POINT | WI | 54481 | 391965593 | MEDICAL GROUP | WI | 501(c)(3) | Type III-FI | MINISTRY HEALTH CARE INC | Yes (true) | INC) | ||
| ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC (FKA WHEATON FRANCISCAN MED | |||||||||||||
| 400 WEST RIVER WOODS PARKWAY | GLENDALE | WI | 53212 | 391791586 | MEDICAL GROUP | WI | 501(c)(3) | 3 | WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC | Yes (true) | ICAL GROUP INC) | ||
| ASCENSION NE WISCONSIN INC (FKA ST ELIZABETH HOSPITAL INC) | |||||||||||||
| 1506 S ONEIDA STREET | APPLETON | WI | 54915 | 390816818 | HOSPITAL | WI | 501(c)(3) | 3 | MINISTRY HEALTH CARE INC | Yes (true) | |||
| ASCENSION OUR LADY OF VICTORY HOSPITAL INC | |||||||||||||
| 1120 PINE STREET | STANLEY | WI | 54768 | 390807065 | HOSPITAL | WI | 501(c)(3) | 3 | MINISTRY HEALTH CARE INC | Yes (true) | |||
| ASCENSION SACRED HEART-STMARY'S HOSPITALS INC | |||||||||||||
| PO BOX 347 | STEVENS POINT | WI | 54481 | 391390638 | HOSPITAL | WI | 501(c)(3) | 3 | MINISTRY HEALTH CARE INC | Yes (true) | |||
| ASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC) | |||||||||||||
| 5000 WEST CHAMBERS STREET | MILWAUKEE | WI | 53210 | 390816857 | HOSPITAL | WI | 501(c)(3) | 3 | WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC | Yes (true) | |||
| ASCENSION ST CLARE'S HOSPITAL INC | |||||||||||||
| 3400 MINISTRY PARKWAY | WESTON | WI | 54476 | 721531917 | HOSPITAL | WI | 501(c)(3) | 3 | MINISTRY HEALTH CARE INC | Yes (true) | |||
| ASCENSION ST FRANCIS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ST FRA | |||||||||||||
| 3237 SOUTH 16TH STREET | MILWAUKEE | WI | 53215 | 390907740 | HOSPITAL | WI | 501(c)(3) | 3 | WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC | Yes (true) | NCIS INC) | ||
| ASCENSION ST MICHAEL'S HOSPITAL INC | |||||||||||||
| 900 ILLINOIS AVENUE | STEVENS POINT | WI | 54481 | 390808443 | HOSPITAL | WI | 501(c)(3) | 3 | MINISTRY HEALTH CARE INC | Yes (true) | |||
| ASCENSION WISCONSIN LABORATORIES INC (FKA WHEATON FRANCISCAN LABORATORIES I | |||||||||||||
| 3237 SOUTH 16TH STREET | MILWAUKEE | WI | 53215 | 391701402 | LABORATORY | WI | 501(c)(3) | 10 | WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC | Yes (true) | NC) | ||
| ASCENSION WISCONSIN PHARMACYINC (FKA WHEATON FRANCISCAN HEALTHCARE-PHARMACY | |||||||||||||
| 19525 WEST NORTH AVENUE | BROOKFIELD | WI | 53005 | 391613624 | PHARMACY | WI | 501(c)(3) | 10 | WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC | Yes (true) | ENTERPRISES AND FRANCISCAN WOODS INC) | ||
| CATALPA HEALTH INC | |||||||||||||
| N4642 COUNTY N | APPLETON | WI | 54914 | 454681563 | BEHAVIORAL HEALTH SERVICES | WI | 501(c)(3) | 3 | AFFINITY HEALTH SYSTEM | Yes (true) | |||
| COLUMBIA COLLEGE OF NURSING Inc | |||||||||||||
| 4425 NORTH PORT WASHINGTON ROAD | GLENDALE | WI | 53212 | 391596986 | COLLEGE | WI | 501(c)(3) | 2 | COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC | Yes (true) | |||
| COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC | |||||||||||||
| 4425 NORTH PORT WASHINGTON ROAD | GLENDALE | WI | 53212 | 390806315 | HOSPITAL | WI | 501(c)(3) | 3 | COLUMBIA ST MARY'S INC | Yes (true) | |||
| COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC | |||||||||||||
| 4425 NORTH PORT WASHINGTON ROAD | GLENDALE | WI | 53212 | 390807063 | HOSPITAL | WI | 501(c)(3) | 3 | COLUMBIA ST MARY'S INC | Yes (true) | |||
| COLUMBIA ST MARY'S INC | |||||||||||||
| 4425 NORTH PORT WASHINGTON ROAD | GLENDALE | WI | 53212 | 391834639 | PARENT CORPORATION | WI | 501(c)(3) | Type I | ASCENSION HEALTH | false | |||
| DR KATE NEWCOMB CONVALESCENT CENTER INC | |||||||||||||
| PO BOX 829 | WOODRUFF | WI | 54568 | 391357365 | NURSING/ASSISTED LIVING SERVICES | WI | 501(c)(3) | 10 | HOWARD YOUNG HEALTH CARE INC | Yes (true) | |||
| FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD Inc | |||||||||||||
| 611 SAINT JOSEPH AVENUE | MARSHFIELD | WI | 54449 | 391684957 | FOUNDATION | WI | 501(c)(3) | Type I | SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC | Yes (true) | |||
| FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC | |||||||||||||
| 3400 MINISTRY PARKWAY | WESTON | WI | 54476 | 753193633 | FOUNDATION | WI | 501(c)(3) | Type I | ASCENSION ST CLARE'S HOSPITAL INC | Yes (true) | |||
| GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC | |||||||||||||
| 601 SOUTH CENTER AVENUE | MERRILL | WI | 54452 | 391627755 | FOUNDATION | WI | 501(c)(3) | Type I | ASCENSION GOOD SAMARITAN HOSPITAL INC | Yes (true) | |||
| HOWARD YOUNG HEALTH CARE INC | |||||||||||||
| 240 MAPLE STREET | WOODRUFF | WI | 54568 | 391499115 | HOME OFFICE | WI | 501(c)(3) | Type II | MINISTRY HEALTH CARE INC | Yes (true) | |||
| MERCY HEALTH FOUNDATION INC | |||||||||||||
| PO BOX 3370 | OSHKOSH | WI | 54903 | 237140261 | FOUNDATION | WI | 501(c)(3) | 10 | AFFINITY HEALTH SYSTEM | Yes (true) | |||
| MERCY MEDICAL CENTER OF OSHKOSH INC | |||||||||||||
| 500 S OAKWOOD ROAD | OSHKOSH | WI | 54904 | 390806268 | HOSPITAL | WI | 501(c)(3) | 3 | MINISTRY HEALTH CARE INC | Yes (true) | |||
| METRO PHYSICIANS INC | |||||||||||||
| 400 WEST RIVER WOODS PARKWAY | GLENDALE | WI | 53212 | 943436893 | Medical Group | WI | 501(c)(3) | 3 | ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC (FKA WHEATON FRANCISCAN MED | Yes (true) | ICAL GROUP INC) | ||
| MINISTRY HEALTH CARE INC | |||||||||||||
| 10925 W LAKE PARK DR STE 100 | MILWAUKEE | WI | 53224 | 391490371 | PARENT CORPORATION | WI | 501(c)(3) | Type II | ASCENSION HEALTH | false | |||
| MINISTRY WEIGHT MANAGEMENT INC | |||||||||||||
| 2251 NORTH SHORE DRIVE | RHINELANDER | WI | 54501 | 391829015 | SPECIALTY HEALTH SERVICES | WI | 501(c)(3) | 3 | ASCENSION SACRED HEART-STMARY'S HOSPITALS INC | Yes (true) | |||
| SACRED HEART REHABILITATION INSTITUTE Inc | |||||||||||||
| 4425 NORTH PORT WASHINGTON ROAD | GLENDALE | WI | 53212 | 390902199 | REHAB SERVICES | WI | 501(c)(3) | 3 | COLUMBIA ST MARY'S INC | Yes (true) | |||
| SAINT ELIZABETH'S HOSPITAL OF WABASHA INC | |||||||||||||
| 1200 GRANT BLVD WEST | WABASHA | MN | 55981 | 410693877 | HOSPITAL | MN | 501(c)(3) | 3 | MINISTRY HEALTH CARE INC | Yes (true) | |||
| SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC | |||||||||||||
| 611 SAINT JOSEPH AVENUE | MARSHFIELD | WI | 54449 | 391847631 | HOSPITAL | WI | 501(c)(3) | 3 | MINISTRY HEALTH CARE INC | Yes (true) | |||
| SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC | |||||||||||||
| 900 ILLINOIS AVENUE | STEVENS POINT | WI | 54481 | 391657410 | FOUNDATION | WI | 501(c)(3) | Type I | ASCENSION ST MICHAEL'S HOSPITAL INC | Yes (true) | |||
| ST ELIZABETH HOSPITAL FOUNDATION INC | |||||||||||||
| 1506 S ONEIDA STREET | APPLETON | WI | 54915 | 391256677 | FOUNDATION | WI | 501(c)(3) | 7 | AFFINITY HEALTH SYSTEM | Yes (true) | |||
| THE HOWARD YOUNG MEDICAL CENTER INC | |||||||||||||
| 240 MAPLE STREET | WOODRUFF | WI | 54568 | 390873606 | HOSPITAL | WI | 501(c)(3) | 3 | MINISTRY HEALTH CARE INC | Yes (true) | |||
| VOLUNTEERS IN PARTNERSHIP WITH WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS INC | |||||||||||||
| 3807 SPRING STREET | RACINE | WI | 53405 | 930838390 | FOUNDATION | WI | 501(c)(3) | 10 | ASCENSION ALL SAINTS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ALL SA | Yes (true) | INTS INC) | ||
| WHEATON FRANCISCAN - ELMBROOK MEMORIAL FOUNDATION INC | |||||||||||||
| 3237 SOUTH 16TH STREET | MILWAUKEE | WI | 53215 | 392028808 | FOUNDATION | WI | 501(c)(3) | Type I | ASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC) | Yes (true) | |||
| WHEATON FRANCISCAN - ST JOSEPH FOUNDATION INC | |||||||||||||
| 5000 WEST CHAMBERS STREET | MILWAUKEE | WI | 53210 | 391636804 | FOUNDATION | WI | 501(c)(3) | Type I | ASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC) | Yes (true) | |||
| WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC | |||||||||||||
| 400 WEST RIVER WOODS PARKWAY | GLENDALE | WI | 53212 | 391568865 | PARENT CORPORATION | IL | 501(c)(3) | Type III-FI | ASCENSION HEALTH | false | |||
| WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS FOUNDATION INC | |||||||||||||
| 3805B SPRING STREET | RACINE | WI | 53405 | 391570877 | FOUNDATION | WI | 501(c)(3) | 7 | ASCENSION ALL SAINTS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ALL SA | Yes (true) | INTS INC) | ||
| WHEATON FRANCISCAN HEALTHCARE-CIRCLE OF LIFE FOUNDATION INC | |||||||||||||
| 4300 BROWN DEER ROAD | BROWN DER | WI | 53223 | 562426294 | FOUNDATION | WI | 501(c)(3) | Type I | ASCENSION WISCONSIN PHARMACY INC (FKA WHEATON FRANCISCAN HEALTHCARE-PHARMAC | Yes (true) | Y ENTERPRISES & FRANCISCAN WOODS INC) | SUITE 250 | |
| WHEATON FRANCISCAN HEALTHCARE - ELMBROOK MEMORIAL AUXILIARY | |||||||||||||
| 19333 WEST NORTH AVENUE | BROOKFIELD | WI | 53045 | 396068950 | AUXILIARY | WI | 501(c)(3) | Type III-FI | ASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC) | Yes (true) | |||
| WHEATON FRANCISCAN HEALTHCARE - FOUNDATION FOR ST FRANCIS AND FRANKLIN INC | |||||||||||||
| 3237 SOUTH 16TH STREET | MILWAUKEE | WI | 53215 | 320135258 | FOUNDATION | WI | 501(c)(3) | Type I | ASCENSION ST FRANCIS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ST FRA | Yes (true) | NCIS INC) | ||
| WISCONSIN PSYCHOANALYTIC FOUNDATION INC | |||||||||||||
| 2323 NORTH LAKE DRIVE | MILWAUKEE | WI | 53211 | 391377923 | FOUNDATION | WI | 501(c)(3) | 7 | COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC | Yes (true) | 1ST FLOOR | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TWINMED LLP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 W College Ave Suite 3B | AddressLine1Txt |
| City | Appleton | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54911 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391180341 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| PROSPECT MEDICAL COMMONS CONDOMINIUM ASSOCIATION INC | |||||||||
| 4425 N PORT WASHINGTON RD | GLENDALE | WI | 53212 | 208042108 | CONDO ASSOCIATION | WI | NA | C Corporation | Yes (true) |
| FRANKLIN MEDICAL OFFICE BUILDING CONDOMINIUM ASSOCIATION INC | |||||||||
| 400 WEST RIVER WOODS PARKWAY | GLENDALE | WI | 53212 | 341983857 | CONDO ASSOCIATION | WI | NA | C Corporation | Yes (true) |
| WHEATON FRANCISCAN HOLDINGS INC | |||||||||
| 400 WEST RIVER WOODS PARKWAY | GLENDALE | WI | 53212 | 391836357 | HOLDING CO | WI | NA | C Corporation | Yes (true) |
| WHEATON FRANCISCAN PROVIDER NETWORK INC | |||||||||
| 400 WEST RIVER WOODS PARKWAY | GLENDALE | WI | 53212 | 391952140 | PROVIDER CONTRACT | WI | NA | C Corporation | Yes (true) |
| MADISON MEDICAL AFFILIATES INC | |||||||||
| 4425 N PORT WASHINGTON RD | GLENDALE | WI | 53212 | 391855720 | HEALTHCARE | WI | NA | C Corporation | Yes (true) |
| WHEATON WAY CONDOMINIUM OWNERS ASSOCIATION INC | |||||||||
| 10101 SOUTH 27TH STREET | FRANKLIN | WI | 53123 | 300659830 | CONDO ASSOCIATION | WI | NA | C Corporation | Yes (true) |
| WHEATON FRANCISCAN ENTERPRISES INC | |||||||||
| 400 WEST RIVER WOODS PARKWAY | GLENDALE | WI | 53212 | 391985204 | HOLDING CO | WI | NA | C Corporation | Yes (true) |
| WHEATON FRANCISCAN MEDICAL GROUP - SUSSEX INC | |||||||||
| 400 WEST RIVER WOODS PARKWAY | GLENDALE | WI | 53212 | 391361100 | HEALTHCARE | WI | NA | C Corporation | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Business Name Line2OtherOrganizationName/BusinessNameLine2Txt | Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|---|
| ASCENSION ALL SAINTS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ALL SA | |||
| INTS INC) | L | $410,444 | FAIR MARKET VALUE |
| ASCENSION ALL SAINTS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ALL SA | |||
| INTS INC) | Q | $1,528,345 | FAIR MARKET VALUE |
| ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC (FKA WHEATON FRANCISCAN MED | |||
| ICAL GROUP INC) | L | $1,260,550 | FAIR MARKET VALUE |
| ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC (FKA WHEATON FRANCISCAN MED | |||
| ICAL GROUP INC) | Q | $659,853 | FAIR MARKET VALUE |
| ASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC) | |||
| L | $295,928 | FAIR MARKET VALUE | |
| ASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC) | |||
| Q | $55,018 | FAIR MARKET VALUE | |
| ASCENSION SE WISCONSIN HOSPITAL INC (FKA WHEATON FRANCISCAN INC) | |||
| S | $3,786,778 | FAIR MARKET VALUE | |
| ASCENSION ST FRANCIS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ST FRA | |||
| NCIS INC) | L | $86,635 | FAIR MARKET VALUE |
| ASCENSION ST FRANCIS HOSPITAL INC (FKA WHEATON FRANCISCAN HEALTHCARE-ST FRA | |||
| NCIS INC) | Q | $50,946 | FAIR MARKET VALUE |
| ASCENSION WISCONSIN LABORATORIES INC (FKA WHEATON FRANCISCAN LABORATORIES I | |||
| NC) | Q | $70,897 | FAIR MARKET VALUE |