2018-05-14T10:49:26-05:00 2017-06-30 390859910 Baker Tilly Virchow Krause LLP 205 N Michigan Ave 2800 Chicago IL 606015927 990 2016-07-01 363262111 Wheaton Franciscan Services Inc WHEA 6309096600 26 W171 Roosevelt Rd Wheaton IL 60187 John D Oliverio President and CEO 6309096600 2018-05-10 1 Mark Heroux P00959793 3127298000 2018-05-10 2016 2022-09-23 18:48:47Z John D Oliverio 26 W171 Roosevelt Rd Wheaton IL 60187 43398134 0 0928 X none X 1983 IL WFSI IS THE PARENT ORGANIZATION THAT PROVIDES OVERSIGHT AND SUPPORT TO ITS SYSTEM OF RELATED ORGANIZATIONS. 3 2 89 2 0 0 30316 0 201440375 4107801 5079883 802563 15085242 551939 221635816 5462303 340521 2500 0 0 128347369 3892685 0 0 0 100816811 1323127 229504701 5218312 -7868885 243991 149304861 236613864 113360904 207550726 35943957 29063138 To manage and direct the transition and winding up of the affairs of Wheaton Franciscan Healthcare System and Franciscan Ministries, Inc. 0 0 5037657 2500 4107801 WHEATON FRANCISCAN SERVICES, INC. (WFSI) was a Catholic, not-for-profit health care and housing organization serving at sites in Wisconsin, Iowa, Illinois, and Colorado. After a period of discernment, the decision was made that these organizations would be best served under new sponsorship. Beginning in February 2016 and still continuing, transfers to new sponsors become effective upon final negotiation of definitive agreements and all required approvals. 5037657 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 341 0 1 89 1 0 1 CJ 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X Lisa Flanigan 6309096600 26 W 171 Roosevelt Rd Wheaton IL 60187 John Oliverio President 40.00 10.00 X X 3345565 0 59309 Sr Margaret Grempka Chair-Director 10.00 10.00 X X 0 0 0 Sr Melanie Paradis Secretary-Treasurer 10.00 10.00 X X 0 0 0 James Gresham Sr. VP Continuing Care Services 40.00 10.00 X 364264 0 386515 Rita Hanson-Melzer MD System Chief Medical Officer 10.00 40.00 X 763822 0 554322 Kathleen Yosko President/Ceo-Marianjoy 40.00 10.00 X 254081 0 2767 Susan Dillberg President/CEO FMI 40.00 10.00 X 337352 0 254693 Joseph Volpe VP Materials Management 40.00 10.00 X 299950 0 7978 Jonathan Sohn Sr. VP and Chief Financial Officer 40.00 10.00 X 41263 0 2432 Therese Rocole Sr. VP Mission Services 40.00 10.00 X 18456 0 237 Julie Swiderski Sr. VP Strategic Iniatives 40.00 10.00 X 20886 0 2455 Sarah Herzog Asst. Director 40.00 10.00 X 245392 0 14510 Michael Lepore Sr. VP and Chief Operating Officer 40.00 10.00 X 877156 0 777268 Gregory Smith Sr. VP and Chief Info Officer 40.00 10.00 X 991525 0 968338 Brenda Bowers Sr. VP Org Change & Leader Dev 40.00 10.00 X 554612 0 465788 Wayne Frangesch Sr VP Human Resources 40.00 10.00 X 578994 0 828682 8693318 0 4325294 22 1 1 0 Brooksource PO BOX 55767 Indianapolis IN 46205 Temp Service/Consulting 1905085 Allscripts Healthcare LLC 24630 Network Place Chicago IL 60673 Consulting 1020787 Teksystems PO BOX 198568 Atlanta GA 30384 Consulting/Temp Help 838342 Mercer Human Resource Consult PO BOX 730212 Dallas TX TX 75373 HR Consulting 632035 Paragon Development Systems PO BOX 88079 Milwaukee WI 53288 Consulting 521432 30 Support Service Revenue 561000 4107801 4107801 4107801 965426 965426 37772968 37935831 -162863 -162863 -162863 FSA Forfeitures 900099 515621 515621 Int Interco Loans 900099 36318 36318 551939 5462303 4659740 0 802563 X 2500 2500 754538 754538 1600896 1600896 1437028 1437028 100223 100223 57505 57505 68650 68650 48949 48949 5551 5551 26193 26193 5449 5449 590 590 1092440 1092440 Hospitality 13511 13511 Consulting 4044 4044 Membership Dues 245 245 5218312 5037657 180655 0 112519 50277595 6514313 77850 4894408 14294407 202073 130387 2433549 245309 0 2188240 82580169 211333540 7912814 1760248 3640162 149304861 236613864 66311742 10851409 47049162 196699317 113360904 207550726 X 35943957 29063138 35943957 29063138 149304861 236613864 X 243991 -240297 -6884513 X 0 0 0 X X 38 SET Ministry 391618277 10 0 0 0 ST CATHERINE'S HOSPITAL INC 390855075 3 0 0 0 UPENDO VILLAGE NFP 331007368 10 0 0 0 ASSISI HOMES - BATAVIA APARTMENTS INC 363914084 10 0 0 0 ASSISI HOMES - COLONY PARK INC 364039278 10 0 0 0 ASSISI HOMES - CONSTITUTION HOUSE INC 364049150 10 0 0 0 ASSISI HOMES - JEFFERSON COURT INC 391771526 10 0 0 0 ASSISI HOMES - KENOSHA INC 391814815 10 0 0 0 ASSISI HOMES - SAXONY INC 391790498 10 0 0 0 ASSISI HOMES OF GURNEE INC 363942336 10 0 0 0 ASSISI HOMES OF ILLINOIS INC 363803443 10 0 0 0 Assisi HOMES OF NEENAH INC 363767250 10 0 0 0 CANTICLE PLACE INC 363957850 10 0 0 0 CATHERINE MARIAN HOUSING INC 391657098 10 0 0 0 CLARE GARDENS INC 237200039 10 0 0 0 CLARE OF ASSISI HOMES-WESTMINSTER INC 742740978 10 0 0 0 DAYSPRING VILLA INC 363933908 10 0 0 0 FRANCIS HEIGHTS INC 840626174 10 0 0 0 MARIAN HOUSING CENTER INC 391515867 10 0 0 0 MARIAN PARK INC 362750105 10 0 0 0 RIDGEWAY PLACE INC 421416064 10 0 0 0 VILLA MARIA INC 841347868 10 0 0 0 Alexandria Manor 475177987 10 0 0 0 Indianapolis Manor I 475178092 10 0 0 0 Kokomo Manor 475189624 10 0 0 0 Indianapolis Manor 2 475178185 10 0 0 0 Paducah Ministries 1 475203278 10 0 0 0 Princeton Ministries 4 475202983 10 0 0 0 Richardson Ministries 475202868 10 0 0 0 Effingham Ministries 475190275 10 0 0 0 Moline Ministries 1 475216971 10 0 0 0 Moline Ministries 2 475217175 10 0 0 0 Lake Wales Ministries 475190723 10 0 0 0 Pendleton Ministries 2 475247951 10 0 0 0 Tucson Ministries 475239406 10 0 0 0 Phoenix Ministries 3 475217326 10 0 0 0 Davenport Ministries 475227048 10 0 0 0 ASSISI HOMES LASALLE MANOR INC 800623447 10 0 0 0 38 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 X 1 1 Part IV, Section A, Line 1: Supported organizations are not normally listed by name in the governing documents. Wheaton Franciscan Services, Inc. is a Tier I parent organization, and due to long-standing historical relationships as well as relationships that are officially delineated in our organizational chart, supports all organizations at the Tier II and Tier III level that are not themselves supporting organizations. Wheaton Franciscan Services, Inc. provides this support by way of corporate oversight and related administrative and program services such as Investment and Treasury Services among many others, which result in monetary equity transfers and intercompany journal entries that provide "support". Part IV, Section A, Line 6: Wheaton Franciscan Services, Inc. is a Tier I parent organization that is part of a controlled group As such, it is common to have intercompany journal entries that result in support being provided to other supporting organizations within the group that may provide additional support to one or more of the same supported organization. Part IV, Section D, Line 3: Under the direction of the parent organization Wheaton Franciscan Services, Inc., the common boards of certain supported organizations along with their investment committees, investment managers, and other committees overseeing various functions, have input on all investment policies and decisions as they relate to the group of controlled organizations making up Wheaton Franciscan. Due to the number of supported organizations, not all supported organizations participate in these decisions. Part IV, Section E, Line 3a-3b: Wheaton Franciscan Services, Inc. and its supported organizations have several members of its governing bodies that serve on common boards. These members hold reserved powers that include, but are not limited to, the election of members of the governing body and election of officers, approval of certain financial expenditures in accordance with policies, and approval of budgets and strategic plans. These approvals are based on recommendations from the governing body. 1100074 1100074 1333475 245309 1088166 2188240 Due to/from related orgs 196699317 196699317 1 Central America and the Caribbean 1 2 Program Services Financial 123114 1 2 0 0 1 2 123114 0 123114 1 0 1 0 0 0 X X X X X 1 1 X X X X 1 1 0 0 0 0 0 0 0 John Oliverio President 1040943 0 1463000 0 841622 0 0 0 59309 0 3404874 0 0 0 James Gresham Sr. VP Continuing Care Services 347837 0 0 0 16427 0 384927 0 1588 0 750779 0 0 0 Rita Hanson-Melzer MD System Chief Medical Officer 544495 0 201248 0 18079 0 531877 0 22445 0 1318144 0 0 0 Kathleen Yosko President/Ceo-Marianjoy 110328 0 138800 0 4953 0 0 0 2767 0 256848 0 0 0 Susan Dillberg President/CEO FMI 245423 0 70500 0 21429 0 234998 0 19695 0 592045 0 0 0 Joseph Volpe VP Materials Management 253366 0 45240 0 1344 0 0 0 7978 0 307928 0 0 0 Sarah Herzog Asst. Director 117457 0 123200 0 4735 0 10025 0 4485 0 259902 0 0 0 Michael Lepore Sr. VP and Chief Operating Officer 664126 0 190400 0 22630 0 767402 0 9866 0 1654424 0 0 0 Gregory Smith Sr. VP and Chief Info Officer 491252 0 157500 0 342773 0 942125 0 26213 0 1959863 0 0 0 Brenda Bowers Sr. VP Org Change & Leader Dev 428668 0 109550 0 16394 0 462639 0 3149 0 1020400 0 0 0 Wayne Frangesch Sr VP Human Resources 387091 0 181122 0 10781 0 803847 0 24835 0 1407676 0 0 0 Schedule J, Part I, Line 1a: During calendar year 2016, certain officers and/or directors of Wheaton Franciscan affiliates were provided an executive flexible spending account in the amount of $5,000 annually. The account provides access to funds for expenses incurred for business-related spousal travel, financial counseling, tax preparation, estate planning, club membership fees, holistic health and wellness, and/or unreimbursed medical or denatl expenses. The individual is required to substantiate each item reimbursed and the amount used each year is fully taxable. John Oliverio, our top Executive Official through March 1, 2016, was provided housing in Milwaukee, Wisconsin as he was required to be available at both the Wisconsin and Illinois corporate locations. This housing was paid for by Wheaton Franciscan Healthcare as a nontaxable benefit, and due to the nature of housing, may contain personal usage. The value of this housing is included as an element of the total compensation reported for Mr. Oliverio on Schedule J. Effective September 2016, the housing unit was sold to an unrelated party due to a corporate transfer and reorganization that took place. Schedule J, Part I, Line 4a: Reportable compensation of Brenda Bowers includes $231,312 in severance payments paid during calendar year 2016. Reportable compensation of James Gresham includes $192,459 in severance payments paid during calendar year 2016. Reportable compensation of Michael LePore includes $383,701 in severance payments paid during calendar year 2016. Reportable compensation of Rita Melzer includes $177,291 in severance payments paid during calendar year 2016. Reportable compensation of Gregory Smith includes $330,354 in severance payments paid during calendar year 2016. Schedule J, Part I, Line 4b: Wheaton Franciscan Services, Inc., the former parent organization of Wheaton Franciscan Healthcare, established the Non-Qualified Benefit Restoration Plan to provide certain employees with benefits they were unable to receive under the qualified plan because of limitations on such qualified plans under Sections 401(a)(17) and 415(b) of the Internal Revenue Code. This Plan is intended to satisfy the short-term deferral exception under Code Section 409(a). Accordingly, the Participant's Plan accruals are calculated as of the last day of each Plan Year and Paid as a taxable distribution to the Participant in that Plan Year. For calendar Year 2016, the following employees received eligible benefits under the plan: John Oliverio, Chief Executive Officer, received a 2016 taxable payout of $812,610. Greg Smith, chief Information Officer, received a 2016 taxable payout of $330, 354. Schedule J, Part II, Column C: Retirement and Other Deferred Compensation of Brenda Bowers includes $462,639 in accrued severance payments to be paid as wages in a future year. Retirement and Other Deferred Compensation of Sue Dillberg includes $234,998 in accrued severance payments to be paid as wages in a future year. Retirement and Other Deferred Compensation of Wayne Frangesch includes $803,847 in accrued severance payments to be paid as wages in a future year. Retirement and Other Deferred Compensation of James Gresham includes $384,927 in accrued severance payments to be paid as wages in a future year. Retirement and Other Deferred Compensation of Mike Lepore includes $767,402 in accrued severance payments to be paid as wages in a future year. Retirement and Other Deferred Compensation of Rita Melzer includes $531,877 in accrued severance payments to be paid as wages in a future year. Retirement and Other Deferred Compensation of Gregory Smith includes $911,521 in accrued severance payments to be paid as wages in a future year. Form 990, Part VI, Section A, line 6 WFSI has one member, the individuals that serve as the Provincial Directress and the Provincial Councilors of the Wheaton Franciscan Sisters, which holds several reserved powers over WFSI. These reserved powers include, but are not limited to, the election of members of the governing body and election of officers, and amendments to governing documents; these approvals are based on recommendations from the governing body. Form 990, Part VI, Section A, line 7a WFSI has one member, the individuals that serve as the Provincial Directress and the Provincial Councilors of the Wheaton Franciscan Sisters, which holds several reserved powers over WFSI. These reserved powers include, but are not limited to, the election of members of the governing body and election of officers, and amendments to governing documents; these approvals are based on recommendations from the governing body. Form 990, Part VI, Section A, line 7b WFSI has one member, the individuals that serve as the Provincial Directress and the Provincial Councilors of the Wheaton Franciscan Sisters, which holds several reserved powers over WFSI. These reserved powers include, but are not limited to, the election of members of the governing body and election of officers, and amendments to governing documents; these approvals are based on recommendations from the governing body. Form 990, Part VI, Section B, line 11b The auditing firm prepares Forms 990, 990-T and associated state filings. When complete, the return is reviewed by the Finance Manager who focuses on income statement and balance sheet items and schedules where transactions of this type might be reported. If discrepancies are found, the item will be corrected. Once all levels of review by both the auditing firm and the finance department have been completed, the finance manager will schedule an appointment with the signer of the returns, the CEO and President. Form 990, Part VI, Section B, line 12c The organization has a Conflict of Interest policy which states that if at any time, an officer or a director become aware that the board may discuss or act upon any transaction or arrangement which may have any bearing of any kind upon, or may relate in any manner to, a financial interest of the individual, the financial interest must be disclosed. All associates of the organization must disclose a potential conflict of interest any time one arises. The disclosures are reviewed and a determination is made as to whether a conflict of interest exists and how it might be managed. Form 990, Part VI, Section B, line 15a The compensation of the CEO, Executive Director, or Other top official paid by the filing organization is reviewed and approved on an annual basis by the Executive Committee of the Wheaton Franciscan Services Board of Directors, an independent board, acting in a manner consistent with its conflicts of interest policy. The board's decision is informed by an opinion on market comparable compensation data provided to the board by an independent compensation expert. The organization maintains contemporaneous documentation of the substantiation of the deliberation and decision by the board. Form 990, Part VI, Section C, line 19 Organizations that were affiliates of Wheaton Franciscan Services Inc. during the fiscal year ending June 30, 2017 provided upon request certain documents including our financial statements, conflict of interest policy, and governing documents that support our tax exempt status, including, but not limited to, articles of incorporation and bylaws. Form 990, Part IX, Line 9: CERTAIN EMPLOYEE BENEFITS FOR FORMER AFFILIATED ORGANIZATIONS WERE CENTRALLY MANAGED BY WHEATON FRANCISCAN SERVICES, INC. THROUGH THE RUN OUT PERIOD OF JUNE 30, 2017 AND ARE REFLECTED ON LINE 9. Form 990, Part XI, line 9: Funds Transfer -10,000,000. Change in Equity Transfer PPIC 743,238. change in Equity Transfer WFIC 133,735. Funds Transfer - FMI 1,935,920. Write off Ridgeway Loan -1,958,311. Change in Equity upon merger 2,260,903. Rounding 2. DISCLOSURE STATEMENT TO FORMS 5471: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF INTERNAL REVENUE CODE SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF US PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 3, 4, AND/OR 5 FILER WITH RESPECT TO WHEATON FRANCISCAN INSURANCE COMPANY, FEIN #98-0691609. THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 WITH RESPECT TO THE FOREIGN CORPORATION ON THE TAXPAYER'S BEHALF BY THE US TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: WHEATON FRANCISCAN SERVICES, INC. ADDRESS: 26 W171 ROOSEVELT ROAD, WHEATON IL 60187 FEIN NUMBER OF US TAX RETURN WITH WHICH FORM 5471 WAS FILED: 36-3262111 IRS SERVICE CENTER WHERE US TAX RETURN WAS OR WILL BE FILED: E-FILED Wheaton Franciscan Sisters Foundation (1) PO BOX 667 Wheaton IL 60187 391471463 Holding Company WI 501(c)(3) Line 12c, III-FI WFSI 1 Franciscan Sisters Charitable Fund of CO (2) 2626 Osceola Street Denver CO 80212 840733072 Auxiliary CO 501(C )(3) Line 7 WF Sisters Fndn Inc 0 Set Ministry Inc (3) 2977 North 50th Street Milwaukee WI 53210 391618277 Social Work WI 501(C )(3) Line 10 WF Sisters Fndn Inc 0 St Catherine's Hospital Inc (4) 9555 76th Street Pleasant Prairie WI 53158 390855075 Hospital WI 501(C )(3) Line 3 WF Sisters Fndn Inc 0 UHS Inc (4) 6308 Eighth Avenue Kenosha WI 53143 391956749 Hospital WI 501(C )(3) Line 3 NONE 0 Upendo Village NFP (5) PO Box 3570 Lisle IL 60532 331007368 HIV Support IL 501(C )(3) Line 10 WF Sisters Fndn Inc 0 Assisi Homes- Batavia Apartments Inc (6) 1259 East Wilson Street Batavia IL 60510 363914084 Housing IL 501(C )(3) Line 10 FMI 0 Assisi Homes- Colony Park Inc (6) 550 East Thornhill Drive Carol Stream IL 60188 364039278 Housing IL 501(C )(3) Line 10 FMI 0 Assisi Homes- Constitution House Inc (6) 401 North Constitution Drive Aurora IL 60506 364049150 Housing IL 501(C )(3) Line 10 FMI 0 Assisi Homes- Jefferson Court Inc (6) 415 East Knapp Street Milwaukee WI 53202 391771526 Housing WI 501(C )(3) Line 10 FMI 0 Assisi Homes- Kenosha Inc (6) 1860 27th Avenue Kenosha WI 53140 391814815 Housing WI 501(C )(3) Line 10 FMI 0 Assisi Homes- Saxony Inc 1876 22nd Avenue Kenosha WI 53140 391790498 Housing WI 501(C )(3) Line 10 FMI 0 Assisi Homes of Gurnee Inc (6) 3495 West Grand Avenue Gurnee IL 60031 363942336 Housing IL 501(C )(3) Line 10 FMI 0 Assisi Homes of Illinois Inc (7) 2126 West Roosevelt Road Wheaton IL 60187 363803443 Housing IL 501(C )(3) Line 10 FMI 0 Assisi Homes of Neenah Inc (6) 210 Byrd Avenue Neenah WI 54946 363767250 Housing WI 501(C )(3) Line 10 FMI 0 Canticle Place Inc (6) 26 W 171 Roosevelt Rd Wheaton IL 601870667 363957850 Housing IL 501(C )(3) Line 10 FMI 0 Catherine Marian Housing Inc (8) 806 South Wisconsin Avenue Racine WI 53403 391657098 Housing WI 501(C )(3) Line 10 FMI 0 Clare Gardens Inc (9) 2626 Osceola Street Denver CO 80212 237200039 Housing CO 501(C )(3) Line 10 FMI 0 Clare of Assisi Homes-Westminster Inc (9) 2451 West 82nd Place Westminster CO 80031 742740978 Housing CO 501(C )(3) Line 10 FMI 0 Dayspring Villa Inc (10) 3777 West 26th Avenue Denver CO 80211 363933908 Housing CO 501(C )(3) Line 10 FMI 0 Francis Heights Inc (9) 2626 Osceola Street Denver CO 80212 840626174 Housing CO 501(C )(3) Line 10 FMI 0 Marian Housing Center Inc (8) 4105 Spring Street Racine WI 53405 391515867 Housing WI 501(C )(3) Line 10 FMI 0 Marian Park Inc (6) 2126 West Roosevelt Road Wheaton IL 60187 362750105 Housing IL 501(C )(3) Line 10 FMI 0 Ridgeway Place Inc (11) 155 East Ridgeway Avenue Waterloo IA 50702 421416064 Housing IA 501(C )(3) Line 10 FMI 0 Villa Maria Inc (9) 2461 West 82nd Place Westminster CO 80031 841347868 Housing CO 501(C )(3) Line 10 FMI 0 Assisi Homes LaSalle Manor Inc (6) 26 W 171 Roosevelt Rd Wheaton IL 60187 800623447 Housing IL 501(C )(3) Line 10 FMI 0 Alexandria Manor Inc (6) 600 East Jackson St Unit M-50 Alexandria IN 46001 475177987 HOUSING IN 501(C )(3) Line 10 FMI 0 Indianapolis Manor 1 Inc (6) 7950 Harcourt Rd Indianapolis IN 46260 475178092 HOUSING IN 501(C )(3) Line 10 FMI 0 Kokomo Manor Inc (6) 510 Elk Dr Kokomo IN 46902 475189624 HOUSING IN 501(C )(3) Line 10 FMI 0 Indianapolis Manor 2 Inc (6) 1840 Perkins Ave Indianapolis IN 46203 475178185 HOUSING IN 501(C )(3) Line 10 FMI 0 Princeton Ministries 4 Inc (9) 655 Grace Court Princeton KY 42445 475202983 HOUSING KY 501(C )(3) Line 10 FMI 0 Richardson Ministries Inc (12) 500 Rockingham Lane Richardson TX 75080 475202868 HOUSING TX 501(C )(3) Line 10 FMI 0 Effingham Ministries Inc (6) 512 Hendelmeyer Effingham IL 62401 475190275 HOUSING IL 501(C )(3) Line 10 FMI 0 Moline Ministries 1 Inc (6) 4201 22nd Street Moline IL 61265 475216971 HOUSING IL 501(C )(3) Line 10 FMI 0 Moline Ministries 2 Inc (6) 4201 22nd Street Moline IL 61265 475217175 HOUSING IL 501(C )(3) Line 10 FMI 0 Lake Wales Ministries Inc (13) 504 South 4th Street Lake Wales FL 33853 475190723 HOUSING FL 501(C )(3) Line 10 FMI 0 Pendleton Ministries 2 Inc (14) 950 Cherry St G-1 Pendleton SC 29670 475247951 HOUSING SC 501(C )(3) Line 10 FMI 0 Tucson Ministries Inc (15) 4131 North Western Winds Drive Tucson AZ 85705 475239406 HOUSING AZ 501(C )(3) Line 10 FMI 0 Phoenix Ministries 3 Inc 7220 North 27th Ave Phoenix AZ 85051 475217326 HOUSING AZ 501(C )(3) Line 10 FMI 0 Davenport Ministries Inc 7218 Hillandale Rd Apt 1 Davenport IA 52806 475227048 HOUSING IA 501(C )(3) Line 10 FMI 0 Franciscan Ministries Inc 26 W171 Roosevelt Road Wheaton IL 60187 363259684 Holding Company IL 501(c)(3) Line 12c, III-FI WFSI 1 Paducah Ministries 1 Inc (9) 650 College Ave 77 Paducah KY 42001 475203278 Housing KY 501(c)(3) Line 10 FMI 0 Wheaton Franciscan Insurance Company (16) PO BOX 69 GT Georgetown Grand Cayman CJ 980691609 Financial CJ WFSI 1.00000 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 Wheaton Franciscan Sisters Foundation Inc P 71329 Corp Assess Wheaton Franciscan Insurance Company S 133735 FMV Sch R, Part II footnote 1: (1) Effective 6/30/2017, Wheaton Franciscan Sisters Foundation Inc. was merged into Wheaton Franciscan Services Inc. (2) Effective 3/24/2016, Wheaton Franciscan Sisters Foundation Inc. withdrew as the corporate member. (3) Effective 12/31/2016, Wheaton Franciscan Sisters Foundation Inc. withdrew as the corporate member. (4) Effective 10/26/2016, the change in control and affiliation between Wheaton Franciscan Services Inc and United were completed. (5) Effective 06/30/2017, Wheaton Franciscan Sisters Foundation Inc. withdrew as the corporate member. (6) Effective 2/1/17, these Franciscan Ministries organizations were transferred to Mercy Housing of Colorado and as a result ceased to be related as of this date. (7) Effective 8/1/16, this Franciscan Ministries organization was transferred to Mercy Housing of Colorado and as a result ceased to be related as of this date. (8) Effective 3/31/16, Franciscan Ministries Inc withdrew as collaborative member. (9) Effective 7/1/16, these Franciscan Ministries organizations were transferred to Mercy Housing of Colorado and as a result ceased to be related as of this date. (10) Effective 8/1/16, Dayspring Villa was sold to Capella Living Solutions. (11) Effective 2/24/17, Ridgeway Place Inc ceased operations. (12) Effective 11/1/16, this Franciscan Ministries organization was transferred to Mercy Housing of Colorado and as a result ceased to be related as of this date. (13) Effective 1/1/17, this Franciscan Ministries organization was transferred to Mercy Housing of Colorado and as a result ceased to be related as of this date. (14) Effective 4/1/17, this Franciscan Ministries organization was transferred to Mercy Housing of Colorado and as a result ceased to be related as of this date. (15) Effective 6/1/17, this Franciscan Ministries organization was transferred to Mercy Housing of Colorado and as a result ceased to be related as of this date. (16) Effective 3/3/17, Wheaton Franciscan Insurance Company was liquidated. Sch R, Part II footnote 2: Direct Controlling entity full name: WFSI - Wheaton Franciscan Service Incorporated WF Sisters Fndn - Wheaton Franciscan Sisters Foundation FMI - Franciscan Ministries Incorporated