2018-05-15T15:19:09-05:00 2017-06-30 990 2016-07-01 391264986 Wheaton Franciscan Healthcare - All Saints Inc WHEA 3147338000 3801 Spring Street Racine WI 53405 Tonya Mershon Tax Officer 2018-05-15 2016 2022-09-23 18:48:47Z Bernard Sherry Sr VP 400 W River Woods Pkwy Glendale WI 53212 394748557 false 0928 X www.mywheaton.org X 1974 WI To improve the health and well-being of all people in the communities we serve. 8 2 3380 538 699661 227821 175258 1353263 383275046 375125573 -391279 65829 25517871 10002094 408576896 386546759 35493 35586 0 155221978 127901661 0 0 530300 217996020 202033745 373253491 329970992 35323405 56575767 509240478 617303065 34410575 100955304 474829903 516347761 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. false false 196537876 35586 381138855 Part of Ascension Wisconsin, Wheaton Franciscan Healthcare - All Saints, located in Racine, Wisconsin, was formed in 1987 as a not-for-profit corporation owned by St. Luke's Memorial Hospital, Inc. and St. Mary's Medical Center. For more than 100 years prior, these two facilities had been serving the health care needs of Racine in the Episcopal (St. Luke's) and Catholic (St. Mary's) traditions upon which they were founded. In 1991, the two organizations officially affiliated under the same parent organization. The hospital is Racine County's premiere health care provider operating through a network of multi-specialty and primary care physician offices and a medical center delivering care. The Spring Street Campus is All Saints' main campus which houses a 314-bed general acute-care facility providing women's and children's services, general and orthopedic surgery, comprehensive cardiac care including cardiothoracic surgery, cancer care, general medicine, neurology/neurosurgery, a CARF-accredited inpatient rehabilitation program, and outpatient rehabilitation services. In 2016, All Saints opened a newly expanded 32,000 square foot Cancer Center that more than doubled the former space and includes medical and radiation oncology. All Saints offers onsite chemotherapy, infusion therapy, and radiation oncology using TrueBeam technology. All Saints acquired a da Vinci Robotic Surgical System in 2013, and a year later added two 3D Mammography/tomosynthesis technology units. The Spring Street Campus also includes a Level III Perinatal Center and the only Level III Neonatal Intensive Care Unit in Racine and Kenosha counties, has a dedicated cardiovascular institute, emergency care center, walk-in care, medical office buildings, a daycare facility for All Saints employees, and has been designated an Advanced Primary Stroke Center. All Saints also operates the Wisconsin Avenue Campus. This 239-bed hospital specializes in inpatient and outpatient mental health and addiction services for children, adolescents, and adults. Lakeshore Manor, part of the Wisconsin Avenue Campus, is a long-term and transitional care facility providing an additional 50 licensed beds, and has been recognized as a Top Nursing Home by U.S. News and World Report for multiple consecutive years. 196537876 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 0 0 3380 true true true false false false false false false false false false X 8 2 false false false false true true true true true false false false true true true true true false false false WI X David Mannes Controller 4144653542 400 W River Woods Pkwy Glendale WI 53212 TRAVIS D ANDERSEN CHAIR (start 9/2016) 1.0 43.0 X X 0 1214959 43221 Susan Boland PRESIDENT/VICE CHAIR (end 4/2017) 1.0 39.0 X X 0 490242 62720 Timothy Richman Director (start 9/2016) 1.0 39.0 X 0 239189 39828 SALEEM AMAN MD DIRECTOR (end 9/2016) 1.0 39.0 X 0 486378 49207 MANFRED CHIANG MD DIRECTOR (end 9/2016) 1.0 39.0 X 0 625743 46972 PATRICK DIEM DIRECTOR (end 9/2016) 1.0 4.0 X 0 0 0 BETH GRIFFIN MD DIRECTOR (end 9/2016) 1.0 3.0 X 0 0 0 JERRY HARDACRE MD DIRECTOR (end 9/2016) 1.0 39.0 X 0 451384 57570 Jawwad Khan MD DIRECTOR (start 9/2016) 1.0 3.0 X 0 0 0 KEVIN KLUESNER DIRECTOR (start 9/2016) 1.0 66.0 X 0 261820 40319 THOMAS MAHN MD DIRECTOR (end 9/2016) 1.0 39.0 X 0 424895 51695 JAMES MAZZULLA MD DIRECTOR (end 9/2016) 1.0 3.0 X 0 0 0 KEVIN ROCHE DIRECTOR (end 9/2016) 1.0 3.0 X 0 0 0 DANIEL ROSS MD Director (start 9/2016) 37.0 3.0 X 368768 0 44309 BRIAN SMIGELSKI DIRECTOR (end 9/2016) 1.0 3.0 X 0 0 0 DEBRA STANDRIDGE DIRECTOR (end 9/2016) 1.0 39.0 X 0 490937 70359 Robert Stern MD Director (start 9/2016) 1.0 39.0 X 0 320595 48431 Seth Teigen Director (start 9/2016) 1.0 2.0 X 0 0 0 Bobby Wu MD Director (start 9/2016) 1.0 39.0 X 0 232356 24424 PAUL MASON SR VP AND CHIEF OPERATING OFFICER 40.0 0 X 278987 0 53389 David Boman Pharmacy Director 40.0 0 X 172581 0 98061 Leah Borchardt Nurse Practitioner 40.0 0 X 247454 0 35999 Leonid Leybovich Medical Physicist 40.0 0 X 174643 0 31518 MARY OUIMET VP Patient Care 39.0 1.0 X 249897 0 53579 Timothy Sio VP Operations 40.0 0 X 205116 0 11590 1697446 5238498 863191 112 false true false SODEXO INC & AFFILIATES 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 MAINTENANCE SERVICES 6585885 Medical Solutions LLC 1010 N 102nd Street Suite 300 Omaha NE 68114 Temporary Staffing Services 1856367 HOSPITAL SHARED SERVICES 900 South Broadway Suite 100 DENVER CO 80209 SECURITY 1507862 Medical College of Wisconsin Inc 8701 Watertown Plank Rd Milwaukee WI 53226 Physician Services 1457933 All About Staffing Inc 1000 Sawgrass Corporate Pkwy 6th Floor Sunrise FL 33323 Temporary Staffing Services 1275215 28 X 1352843 420 1353263 NET PATIENT REVENUE 621990 352143547 352143547 GOVERNMENT EHR INCENTIVES 900099 511787 511787 PHARMACY REVENUE 621990 22470239 22470239 0 0 0 0 375125573 62973 62973 484618 484618 0 484618 484618 55856 53000 0 2856 2856 2856 14828738 8148798 6679940 6013282 666658 LITTLE SAINT DAYCARE 624410 189327 189327 CAFETERIA REVENUE 722514 1207228 1207228 FITNESS CLUB 713940 184139 184139 1256842 0 33003 1223839 2837536 386546759 381138855 699661 3354980 35586 35586 745453 745453 96898978 76752157 19849859 296962 6337310 5019683 1298205 19422 16874527 13366047 3456765 51715 7045393 5543488 1480457 21448 67725845 5375 67720470 62890 62890 17750 17750 11076607 10869033 185989 21585 56706 40 56666 1080695 398511 660343 21841 233770 1641 232129 5300348 50046 5250302 69965 39308 18908 11749 64980 48565 16415 17245857 7199365 10045693 799 Medical Supplies 53132573 53132573 Purchased Services 21946599 3224908 18721596 95 Provider Tax 8333383 8333383 Contract Labor 3898462 3712688 185774 11787315 8742629 3016668 28018 329970992 196537876 132902816 530300 8531 7606 275285 425172 54781156 46207205 0 0 0 6139846 7709122 1673011 -25623 265497830 22441635 248174416 243056195 0 0 198188233 319923388 509240478 617303065 23400978 24353714 126593 58174 0 10883004 76543416 34410575 100955304 X 419212154 516201569 55617749 146192 474829903 516347761 509240478 617303065 X 56575767 -15057909 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 17750 17750 false 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 - ALL SAINTS, 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 - ALL SAINTS, 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. 4120000 4120000 216639005 10669321 205969684 54500 40111 14389 36200981 11306146 24894835 8483344 426057 8057287 243056195 NOTE RECEIVABLE Due from Affiliates 310687660 Estimated Settlements from Third-Party Payor 3592112 Gross Other Receivables 5326867 Miscellaneous Assets 316749 319923388 ASBESTOS ABATEMENT LIABILITY Estimated Settlement to Third-Party Payor 4219616 Other Liabilities 2504418 Valuation Allowance 2298505 Due to Affiliates 66643740 Recovery Tail Liability 853307 Accrued Tax Liability 23830 76543416 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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 JUNE 30, 2017. true true X true X true X true true true false true true 4909680 4909680 0.0149 76167409 76143901 23508 0.0001 0 0.0 0 0 81077089 76143901 4933188 0.0150 19 14850 172025 28670 143355 0.0004 3 785 4316282 4316282 0.0131 3 1 1828572 158511 1670061 0.0051 1 36121 36121 0.0001 2 36118 29683 900 28783 0.0001 28 51754 6382683 188081 6194602 0.0188 28 51754 87459772 76331982 11127790 0.0337 0 0.0 1 133 133 0.0000 4 2107 17297 5865 11432 0.0000 1 38 38 0.0000 0 0.0 3 1130 458 458 0.0000 0 0.0 2 84 40028 40028 0.0001 0 0.0 11 3321 57954 5865 52089 0.0002 true 4681957 266802 141362923 150642396 -9279473 X true true 2 1 WFH-ALL SAINTS - SPRING STREET CAMPUS 3801 SPRING ST RACINE WI 53405 HTTP://WWW.MYWHEATON.ORG/ALL-SAINTS/ 123 (WI) X X X X 1 2 WFH-ALL SAINTS - WI AVE CAMPUS 1320 WISCONSIN AVE RACINE WI 53403 HTTP://WWW.MYWHEATON.ORG/ALL-SAINTS/ 123 (WI) X X X 1 1 false false true X X X X X X X X X 15 true true true true X https://www.mywheaton.org/app/files/public/4328/2016-chna-report-all-saints-spring-street.pdf OR htt X X true 15 true https://www.mywheaton.org/app/files/public/4336/2016-chna-implementation-plan-all-saints-spring-stre false true X 200.0 400.0 X X X X true true X X X true X https://www.mywheaton.org/about-wheaton/billing-information/#policy X https://www.mywheaton.org/about-wheaton/billing-information/#policy X https://www.mywheaton.org/about-wheaton/billing-information/#policy X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility 1, 1 Facility 1, 1 - WFH-ALL SAINTS. 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 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 ORGANIZATIONS THAT PROVIDED INPUT ARE LISTED BELOW. T DENOTES THIS ORGANIZATION REPRESENTS LOW-INCOME POPULATIONS. TT DENOTES THIS ORGANIZATION REPRESENTS MEDICALLY UNDERSERVED POPULATIONS. TTT DENOTES THIS ORGANIZATION REPRESENTS MINORITY POPULATIONS. AURORA HEALTH CARE TTT AURORA HEALTH CARE - WESTERN RACINE COUNTY T,TT,TTT AURORA MEMORIAL HOSPITAL OF BURLINGTON BURLINGTON AREA SCHOOL DISTRICT T,TT,TTT BURLINGTON CHAMBER OF COMMERCE T,TT,TTT BURLINGTON RESCUE SQUAD T,TT CENTRAL RACINE COUNTY HEALTH DEPARTMENT T,TT,TTT CITY OF BURLINGTON FIRE DEPARTMENT HENRY E. ZIMMERMANN, DDS, SC RACINE CITY HEALTH DEPARTMENT T,TT,TTT RACINE FAMILY YMCA T,TT,TTT RACINE POLICE DEPARTMENT T,TT,TTT Schedule H, Part V, Section B, Line 6a Facility 1, 1 Facility 1, 1 - WFH-ALL SAINTS. 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, AND FROEDTERT HEALTH. Schedule H, Part V, Section B, Line 6b Facility 1, 1 Facility 1, 1 - WFH-ALL SAINTS. MILWAUKEE HEALTH CARE PARTNERSHIP WHICH INCLUDES THE FOLLOWING PARTNERS: AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, COLUMBIA ST. MARY'S HEALTH SYSTEM, FROEDTERT HEALTH, PROGRESSIVE COMMUNITY HEALTH CENTERS, MILWAUKEE HEALTH SERVICE, INC., SIXTEENTH STREET COMMUNITY HEALTH CENTERS, MEDICAL COLLEGE OF WISCONSIN, CITY OF MILWAUKEE HEALTH DEPARTMENT, MILWAUKEE COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES, WISCONSIN DEPARTMENT OF HEALTH SERVICES, THE MEDICAL SOCIETY OF MILWAUKEE COUNTY, THE MILWAUKEE FREE CLINIC COMMUNITY COLLABORATIVE, WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK (WISHIN), WISCONSIN HOSPITAL ASSOCIATION, WISCONSIN PRIMARY HEALTH CARE ASSOCIATION. ADDITIONALLY THE RACINE COUNTY HEALTH DEPARTMENT HELPED TO CONDUCT THE CHNA. Schedule H, Part V, Section B, Line 7 Facility 1, 1 Facility 1, 1 - WFH-ALL SAINTS. 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 - WFH-ALL SAINTS. 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: Access to Care -- Assist individuals with access to care -- Provided health education at community events -- Developed community partnerships to address health disparities -- Assisted clients with locating primary care provider Infant Mortality -- Decrease prematurity in Racine County -- Implemented Centering Pregnancy Program -- Provided home visits and care coordination for pregnant women Healthy Lifestyle -- Educate local community on healthy lifestyle topics -- Offered support groups and counseling for clients that are pre-diabetic or diabetic. -- Provided community based health education on smoking cessation, diabetes and hypertension -- Provided clinical nutrition counseling to patients referred by their primary care provider Mental Health -- Promote understanding and awareness -- Collaborated with agencies in Racine County to address mental health concerns -- Provided education on suicide risk, trauma and crisis intervention training Spring Street Campus: 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 All Saints Campus were able to identify the needs that would be most impacted by the site. Explanation on needs identified in CHNA that are not being addressed: The top health needs identified by All Saints leadership team through the community health needs assessment that were not a part of the current implementation plan were as follows: Coverage: Wheaton Franciscan Healthcare- All Saints feels that this significant need is outside of our scope of services. We are committed to focusing efforts on providing access to care to those within our community regardless of their coverage. We will continue to support other initiatives regarding this need in a secondary capacity when necessary. Alcohol and Drug Use: While Wheaton Franciscan Healthcare- All Saints- Wisconsin Avenue understands this growing concern, at the time of assessment, the resources and expertise were not available to address and make a meaningful impact on alcohol and drug use. During the community health needs assessment process, the Milwaukee Health Care Partnership was made aware of several existing strategies through our key informants. Key informants indicated a number of organizations across sectors are already addressing these issues by providing services, and education is in place within the schools. Specific strategies named include needle exchange and Sharps collection programs, public campaigns and media coverage of the issues, prescription drug drop off locations, the Wisconsin Prescription Drug Monitoring Program (PDMP), medication lock boxes sold at cost, the Community Health Improvement Plan, and community capacity building. We are committed to supporting these efforts in a secondary capacity as necessary. Injury and Violence: All Saints- Wisconsin Avenue feels that this significant need is outside of our scope of services. During the community health needs assessment process, All Saints- Wisconsin Avenue was made aware of several existing strategies through our local law enforcement initiatives. Due to the lack of resources and expertise within Wheaton Franciscan Healthcare- All Saints- Wisconsin Avenue in this area, we have committed to supporting this need in a secondary capacity as necessary. Wisconsin Avenue Campus: 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 with work within the All Saints Campus were able to identify the needs that would be most impacted by the site. The top health needs identified by All Saints leadership team through the community health needs assessment that were not a part of the current implementation plan were as follows: Alcohol and Drug Use: While Wheaton Franciscan Healthcare- All Saints- Wisconsin Avenue understands this growing concern, at the time of assessment, the resources and expertise were not available to address and make a meaningful impact on alcohol and drug use. During the community health needs assessment process, the Milwaukee Health Care Partnership was made aware of several existing strategies through our key informants. Key informants indicated a number of organizations across sectors are already addressing these issues by providing services, and education is in place within the schools. Specific strategies named include needle exchange and Sharps collection programs, public campaigns and media coverage of the issues, prescription drug drop off locations, the Wisconsin Prescription Drug Monitoring Program (PDMP), medication lock boxes sold at cost, the Community Health Improvement Plan, and community capacity building. We are committed to supporting these efforts in a secondary capacity as necessary. Injury and Violence: All Saints- Wisconsin Avenue feels that this significant need is outside of our scope of services. During the community health needs assessment process, All Saints- Wisconsin Avenue was made aware of several existing strategies through our local law enforcement initiatives. Due to the lack of resources and expertise within Wheaton Franciscan Healthcare- All Saints- Wisconsin Avenue in this area, we have committed to supporting this need in a secondary capacity as necessary. Infant Mortality: Wheaton Franciscan Healthcare All Saints- Wisconsin Ave. is aware that our Spring Street campus focused on Infant Mortality as a community need to address. We are committed to supporting Spring Street Campus in a secondary capacity when necessary. Schedule H, Part V, Section B, Line 16 Facility 1, 1 Facility 1, 1 - WFH-ALL SAINTS. The filing organization takes several proactive approaches to make 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 inpatient and outpatient admitting and registration areas, 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. 0 WFH-ALL SAINTS CARDIOVASCULAR INSTITUTE 3803 SPRING STREET RACINE WI 53405 CARDIOVASCULAR INSTITUTE WFH-ALL SAINTS WPOB A & B 3805 SPRING STREET RACINE WI 53405 PROFESSIONAL OFFICE BUILDING WFH-ALL SAINTS SPRING ST CLINIC 3807 SPRING STREET RACINE WI 53405 CLINIC WFH-ALL SAINTS ST LUKE HLTH PAVILION 3821 SPRING STREET RACINE WI 53405 HEALTH PAVILION WFH-ALL SAINTS MOB 1244 WISCONSIN AVE RACINE WI 53403 MEDICAL OFFICE BUILDING WFH-ALL SAINTS ATRIUM MOB 3811 SPRING STREET RACINE WI 53405 MEDICAL OFFICE BUILDING WFH-ALL SAINTS PCP SITE 10340 WASHINGTON AVE STURTEVANT WI 53177 CLINIC WFH-ALL SAINTS SOUTHSIDE CLINIC 4328 OLD GREEN BAY ROAD MOUNT PLEASANT WI 53403 CLINIC WFH-FAMILY CARE CENTER 2400 WEST VILLARD AVENUE MILWAUKEE WI 53209 CARE CENTER Schedule H, Part I, Line 7 Detail on Community Benefit Reporting COMMUNITY BENEFIT AMOUNTS ARE COMPILED USING TOTAL ACTUAL COSTS PER THE HOSPITAL'S MANAGERIAL ACCOUNTING SYSTEM IN USE, WHICH INCLUDES ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, MEDICARE HMO, UNINSURED, AND SELF-PAY PATIENTS. MEDICARE IS REPORTED USING THE MOST RECENTLY FILED COST REPORT AT THE TIME THE ANNUAL REPORT AND RELATED COMMUNITY BENEFIT INFORMATION IS PUBLISHED. COMMUNITY BENEFIT AMOUNTS WERE DETERMINED FOR EXTERNAL REPORTING PURPOSES, AND AMOUNTS ARE SUMMARIZED USING A SOFTWARE APPLICATION RECOMMENDED BY THE CATHOLIC HEALTH ASSOCIATION BECAUSE IT HAS THE ABILITY TO PROVIDE THE INFORMATION IN A FORMAT SUITABLE FOR SCHEDULE H PRESENTATION. The organization also VOLUNTARILY REPORTS COMMUNITY BENEFIT INFORMATION IN WISCONSIN BY REPORTING THE INFORMATION TO THE WISCONSIN HOSPITAL ASSOCIATION. Schedule H, Part V, Section B, Line 17 Billing and Collection Policy During tax year 2017, the organization learned via verbal comments of IRS agents at public events that the IRS intends that the "readily obtainable" standard in the 501(r) regulations for the AGB calculation and billing and collection policy is only met if those items are posted to the organization's web site. The organization had interpreted that web posting standard to be a safe harbor after consulting with external counsel and tax advisors, and timely took other steps to make the information readily obtainable. Consequently, the organization does not believe its decision to not post these documents to its web site rises to the level of a failure, nor does it believe the circumstances were either willful or egregious, having otherwise timely taken the steps necessary to attain and continue to maintain compliance with the other requirements related to the billing and collection policy and the AGB, as part of its policies and procedures for ensuring compliance with all aspects of 501(r). However, the organization is making this voluntary disclosure in order to communicate to the IRS the changes it is undertaking in response to the recent IRS informal guidance on this specific point concerning the "readily obtainable" standard, and the fact that the organization has started the work necessary to post its AGB information and billing and collection policy to its web site and will complete those additional postings as soon as reasonably possible. The other web postings required under 501(r) (i.e., those related to the community health needs assessment and the financial assistance policy) were timely completed and continue to remain in place as required. The organization believes its safeguards worked as intended in this case (i.e., the organization has regular communications with a number of external law firms and tax consultants and the timely attention to the recent guidance was supported by the framework of regular access to subject matter experts). These changes are in the process of being incorporated into corporate policies and procedures that apply to the organization. Schedule H, Part I, Line 7g Subsidized Health Services Wheaton Franciscan Healthcare has a separately organized entity, 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, Ascension All Saints Hospital participates in several community coalitions and other collaborative efforts with the community whose purpose is to improve the health of the community. These include Racine Economic Development Corporation, UW-Parkside Foundation Board Meeting, Health Care Network Board Meeting, Higher Expectation Reach Out and Read Program, and United Way of Racine Board of Directors meetings. By working together with other organizations in the community , we expect to have a greater impact on health. According to the County Health Rankings site, with a shared vision and commitment to improved health, working together can yield better results than working alone. Ascension All Saints also provides job shadowing experiences and mentoring programs for Racine Unified High school students and other preparatory schools in Racine. The hospital offers mentoring and observational learning experiences by having an individual assigned to a staff member (or members) for the purpose of gaining insight about various 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. Ascension All Saints Hospital staff support local homeless shelters by providing and serving meals to persons living in poverty. Food insecurity has been shown to be linked to increased risk of chronic diseases, particularly among low income populations. 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 2017 was $13,340,122 at charges, ($4,681,957 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 begins on page 19. 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 filing 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 - WFH-ALL SAINTS - SPRING STREET CAMPUS: Line 16a URL: https://www.mywheaton.org/about-wheaton/billing-information/#policy; Schedule H, Part V, Section B, Line 16b FAP Application website 1 - WFH-ALL SAINTS - SPRING STREET CAMPUS: Line 16b URL: https://www.mywheaton.org/about-wheaton/billing-information/#policy; Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - WFH-ALL SAINTS - SPRING STREET CAMPUS: Line 16c URL: https://www.mywheaton.org/about-wheaton/billing-information/#policy; Schedule H, Part VI, Line 2 Needs assessment In addition to the CHNA reported in Part V, Section B, All Saints 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. All Saints 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 The filing organization 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, our 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 and is provided for tHOSE WHO EARN UP TO 400% OF THE FEDERAL POVERTY LEVEL. The following documents are widELY PUBLICIZEd on the organization's website at: https://www.mywheaton.org/about-wheaton/billing-information/#policy - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY The organization also MAKES PAPER COPIES OF the following 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 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. The organization 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. Signage displayed in the emergency room and admission area also INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY. 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 The organization's 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 through DONATIONS from supporting organizations. 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 The filing organization 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. The organization PROMOTES THE HEALTH OF THE COMMUNITY BY providing healthcare services in the Southeast Wisconsin area, regardless of the person's ability to pay, because it is our mission to improve the lives of those in the communities we serve. true HOSPITAL SISTERS MISSION OUTREACH CORPORATION INC 4930 LAVERNA ROAD SPRINGFIELD IL 62707 352271729 501(C)(3) 35586 COST MEDICAL SUPPLIES OPERATING SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Wheaton Franciscan Healthcare maintains files and records to manage the decision-making and award process for organizations that it provides community sponsorship dollars to. Decisions are made by a Community Sponsorship Committee with leaders who hold positions in Diversity, Strategic Planning, Mission Services, Marketing and Philanthropy. The Committee generally strives to sponsor organizations that have missions that align with the mission, vision and values of Wheaton Franciscan Healthcare. The committee also looks for certain other criteria when deciding which organizations will receive contributions, including but not limited to supporting healthcare related activities within the Southeast Wisconsin, Iowa, and Illinois markets, supporting programming that work to further diversity and cultural competency, aligning with other WFH business relationships or service lines, supporting student academic achievement or workforce development initiatives, and finally, supporting environmental "green" initiatives. Leaders periodically meet with representatives of sponsored organizations to discuss objectives including how dollars will be spent. Additionally, Wheaton Franciscan Healthcare may, at a later date, ask for documentation in order to monitor that funds were spent for their intended purpose. Currently, confirmation letters are sent to sponsored organizations when award dollars are given, that confirm the dollar amount awarded and the intended purpose, with a request that the recipient acknowledge receipt of the funds in written correspondence. Files are maintained in the Organizational Change and Leadership Performance Department to include copies of letters of request, award and denial letters, additional documentation if requested, and acknowledgement receipts from sponsored organizations. true false false false false false false false false TRAVIS D ANDERSEN CHAIR (start 9/2016) 0 564396 0 517513 0 133050 0 13250 0 29971 0 1258180 0 0 Susan Boland PRESIDENT/VICE CHAIR (end 4/2017) 0 475700 0 0 0 14542 0 48656 0 14064 0 552962 0 0 Timothy Richman Director (start 9/2016) 0 190790 0 37814 0 10585 0 14466 0 25362 0 279017 0 0 SALEEM AMAN MD DIRECTOR (end 9/2016) 0 485056 0 0 0 1322 0 20245 0 28962 0 535585 0 0 MANFRED CHIANG MD DIRECTOR (end 9/2016) 0 604903 0 18750 0 2090 0 14404 0 32568 0 672715 0 0 JERRY HARDACRE MD DIRECTOR (end 9/2016) 0 444853 0 4287 0 2244 0 27060 0 30510 0 508954 0 0 KEVIN KLUESNER DIRECTOR (start 9/2016) 0 232817 0 20208 0 8795 0 13238 0 27081 0 302139 0 0 THOMAS MAHN MD DIRECTOR (end 9/2016) 0 420417 0 1579 0 2899 0 20245 0 31450 0 476590 0 0 DANIEL ROSS MD Director (start 9/2016) 366400 0 0 0 2368 0 26913 0 17396 0 413077 0 0 0 DEBRA STANDRIDGE DIRECTOR (end 9/2016) 0 477538 0 0 0 13399 0 47893 0 22466 0 561296 0 0 Robert Stern MD Director (start 9/2016) 0 315021 0 0 0 5574 0 23625 0 24806 0 369026 0 0 Bobby Wu MD Director (start 9/2016) 0 212622 0 18750 0 984 0 12610 0 11814 0 256780 0 0 PAUL MASON SR VP AND CHIEF OPERATING OFFICER 276851 0 0 0 2136 0 27325 0 26064 0 332376 0 0 0 David Boman Pharmacy Director 168942 0 0 0 3639 0 67680 0 30381 0 270642 0 0 0 Leah Borchardt Nurse Practitioner 242194 0 3750 0 1510 0 13600 0 22399 0 283453 0 0 0 Leonid Leybovich Medical Physicist 173595 0 0 0 1048 0 15321 0 16197 0 206161 0 0 0 MARY OUIMET VP Patient Care 249362 0 0 0 535 0 27256 0 26323 0 303476 0 0 0 Timothy Sio VP Operations 143822 0 0 0 61294 0 10985 0 605 0 216706 0 0 0 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 - All Saints, 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 4a Severance or change-of-control payment The following individual(s) received severance payments from the organization or a related organization: Timothy Sio - $61,095 Form 990, Part V, Line 1a AND PART VII SEC B LINES 1 AND 2 WHEATON FRANCISCAN HEALTHCARE STREAMLINED THEIR REPORTING OF IRS FORMS 1099-MISC SO THAT MOST 1099-MISC ARE NOW REPORTED USING THE FEIN NUMBER OF THE PARENT ORGANIZATION OR OF A RELATED ORGANIZATION. THE ACTUAL EXPENSE CONTINUES TO BE PAID BY, OR TRANSFERRED TO, THE INDIVIDUAL ENTITY WHICH IS NORMALLY A SUBSIDIARY OR RELATED ORGANIZATION TO THE ORGANIZATION(S) ISSUING THE 1099. FOR THIS REASON, THE READER MAY NOTICE ON SOME 990'S THAT THERE ARE TOP 5 INDEPENDENT CONTRACTORS REPORTED, BUT NO 1099S ARE REPORTED. LIKEWISE, ON THE 990'S OF THE ORGANIZATION(S) REPORTING NUMBER OF 1099'S, THERE MAY BE A DISPROPORTIONATE SHARE OF 1099'S REPORTED AS COMPARED WITH THE ACTUAL EXPENSES AND TOP 5 INDEPENDENT CONTRACTORS REPORTED. 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 - ALL SAINTS, 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 - ALL SAINTS, 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 - All Saints, 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 - All Saints, 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 - All Saints, 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 - All Saints, 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 MISC REVENUE - Total Revenue: 1256842, Related or Exempt Function Revenue: , Unrelated Business Revenue: 33003, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1223839; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfer with Alpha Fund - 16454000; EQUITY TRANSFER - -38539108; Transfers with Affiliates - 7027199; Form 990, Part XII, Line 2c AUDIT COMMITTEE Wheaton Franciscan Healthcare-All Saints, Inc. is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole. Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS The activity of WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS, INC. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS, INC. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS, INC.. 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 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 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 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 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 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 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 true AFFINITY HEALTH SYSTEM 1570 MIDWAY PLACE MENASHA WI 54952 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC 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 true Ascension EAGLE RIVER MEMORIAL HOSPITAL INC fka Eagle River Memorial Hospit al Inc 201 HOSPITAL ROAD EAGLE RIVER WI 54521 390985690 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true Ascension GOOD SAMARITAN Hospital Inc fka Good Samaritan Health Center of M errill WI Inc 601 SOUTH CENTER AVENUE MERRILL WI 54452 390808503 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION OUR LADY OF VICTORY HOSPITAL INC fka Our Lady of Victory Hospital Inc 1120 PINE STREET STANLEY WI 54768 390807065 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true Ascension SACRED HEART-STMARY'S HOSPITALS INC fka Sacred Heart-Saint Mary's Hospitals Inc PO BOX 347 STEVENS POINT WI 54481 391390638 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true Ascension St Clare's Hospital Inc fka Saint Clare's Hospital of Weston Inc 3400 MINISTRY PARKWAY WESTON WI 54476 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true Ascension St Michael's Hospital Inc fka Saint Michael's Hospital of Stevens Point Inc 900 ILLINOIS AVENUE STEVENS POINT WI 54481 390808443 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC 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 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 true MINISTRY MEDICAL GROUP INC 824 ILLINOIS AVENUE STEVENS POINT WI 54481 391965593 Medical Group WI 501(c)(3) Type III-FI MINISTRY HEALTH CARE INC 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 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 true ST ELIZABETH HOSPITAL INC 1506 S ONEIDA STREET APPLETON WI 54915 390816818 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true THE HOWARD YOUNG MEDICAL CENTER INC 240 MAPLE STREET WOODRUFF WI 54568 390873606 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true DOOR COUNTY MEMORIAL HOSPITAL Inc 323 SOUTH 18TH AVENUE STURGEON BAY WI 54235 390806324 HOSPITAL (sold 11/2016) WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true Ascension CALUMET Hospital Inc fka Calumet Medical Center Inc 614 MEMORIAL DRIVE CHILTON WI 53014 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true Wheaton Franciscan Healthcare - Franklin Inc 10101 SOUTH 27TH STREET FRANKLIN WI 53132 562592868 HOSPITAL WI 501(c)(3) 3 Wheaton Franciscan Healthcare - Southeast Wisconsin Inc true Wheaton Franciscan Healthcare - Pharmacy Enterprises & Franciscan Woods Inc 19525 WEST NORTH AVENUE BROOKFIELD WI 53005 391613624 PHARMACY WI 501(c)(3) 10 Wheaton Franciscan Healthcare - Southeast Wisconsin Inc true Wheaton Franciscan Healthcare - St Francis Inc 3237 SOUTH 16TH STREET MILWAUKEE WI 53215 390907740 HOSPITAL WI 501(c)(3) 3 Wheaton Franciscan Healthcare - Southeast Wisconsin Inc true Wheaton Franciscan Laboratories Inc 3237 SOUTH 16TH STREET MILWAUKEE WI 53215 391701402 LABORATORY WI 501(c)(3) 10 Wheaton Franciscan Healthcare - Southeast Wisconsin Inc true Wheaton Franciscan Medical Group Inc 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391791586 Medical Group WI 501(c)(3) 3 Wheaton Franciscan Healthcare - Southeast Wisconsin Inc true Wheaton Franciscan Inc 5000 WEST CHAMBERS STREET MILWAUKEE WI 53210 390816857 HOSPITAL WI 501(c)(3) 3 Wheaton Franciscan Healthcare - Southeast Wisconsin Inc true WHEATON FRANCISCAN HOME HEALTH & HOSPICE Inc 3070 North 51st Street Suite 406 MILWAUKEE WI 53210 391559428 HOME HEALTH WI 501(c)(3) 10 Wheaton Franciscan Healthcare - Southeast Wisconsin Inc true CATALPA HEALTH INC N4642 COUNTY N APPLETON WI 54914 454681563 Behavioral Health Services WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true MERCY HEALTH FOUNDATION INC PO BOX 3370 OSHKOSH WI 54903 237140261 FOUNDATION WI 501(c)(3) 10 AFFINITY HEALTH SYSTEM true NETWORK HEALTH SYSTEM INC 1570 APPLETON RD MENASHA WI 54952 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ST ELIZABETH HOSPITAL FOUNDATION INC 1506 S ONEIDA STREET APPLETON WI 54915 391256677 FOUNDATION WI 501(c)(3) 7 AFFINITY HEALTH SYSTEM 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 true 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 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 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 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 true 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 true HOWARD YOUNG FOUNDATION INC 240 MAPLE STREET WOODRUFF WI 54568 391521169 FOUNDATION WI 501(c)(3) 7 HOWARD YOUNG HEALTH CARE INC 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 true Volunteers in Partnership with Wheaton Franciscan Healthcare - All Saints I nc 3807 SPRING STREET RACINE WI 53405 930838390 FOUNDATION WI 501(c)(3) 10 Wheaton Franciscan Healthcare - All Saints Inc true Wheaton Franciscan Healthcare - All Saints Foundation Inc 3805B SPRING STREET RACINE WI 53405 391570877 FOUNDATION WI 501(c)(3) 7 Wheaton Franciscan Healthcare - All Saints Inc true Wheaton Franciscan Healthcare - Circle of Life Foundation Inc 4300 WEST BROWN DEER RD STE 2 BROWN DEER WI 53223 562426294 FOUNDATION WI 501(c)(3) Type I Wheaton Franciscan Healthcare - Pharmacy Enterprises & Franciscan Woods Inc 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 Wheaton Franciscan Healthcare - St Francis Inc true METRO PHYSICIANS INC 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 943436893 Medical Group WI 501(c)(3) 3 Wheaton Franciscan Medical Group true Wheaton Franciscan - ELMBROOK MEMORIAL FOUNDATION Inc 3237 SOUTH 16TH STREET MILWAUKEE WI 53215 392028808 FOUNDATION WI 501(c)(3) Type I Wheaton Franciscan Inc true Wheaton Franciscan - St Joseph Foundation Inc 5000 WEST CHAMBERS STREET MILWAUKEE WI 53210 391636804 FOUNDATION WI 501(c)(3) Type I Wheaton Franciscan Inc true Wheaton Franciscan Healthcare - ELMBROOK MEMORIAL AUXILIARY 19333 WEST NORTH AVENUE BROOKFIELD WI 53045 396068950 AUXILIARY WI 501(c)(3) Type III-FI Wheaton Franciscan Inc true HORIZON HOME CARE & HOSPICE INC 8949 N DEERBROOK TRL BROWN DEER WI 53223 391171298 HOME CARE / HOSPICE WI 501(c)(3) 3 NA false TWINMED LLP 222 W College Ave Suite 3B Appleton WI 54911 391180341 Real Estate WI NA N/A Prospect Medical Commons Condominium Association Inc 4425 N PORT WASHINGTON RD GLENDALE WI 53212 208042108 CONDO ASSOCIATION WI NA C Corporation true Franklin Medical Office Building Condominium Association Inc 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 341983857 CONDO ASSOCIATION WI NA C Corporation true Wheaton Franciscan Holdings Inc 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391836357 HOLDING CO WI NA C Corporation true Wheaton Franciscan Provider Network Inc 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391952140 PROVIDER CONTRACT WI NA C Corporation true Madison Medical Affiliates Inc 4425 N PORT WASHINGTON RD GLENDALE WI 53212 391855720 HEALTHCARE WI NA C Corporation true Wheaton Way Condominium Owners Association Inc 10101 SOUTH 27TH STREET FRANKLIN WI 53123 300659830 CONDO ASSOCIATION WI NA C Corporation true Wheaton Franciscan Enterprises Inc 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391985204 HOLDING CO WI NA C Corporation true Wheaton Franciscan Medical Group - Sussex Inc 400 WEST RIVER WOODS PARKWAY GLENDALE WI 53212 391361100 HEALTHCARE WI NA C Corporation true false true true false false false false false false false false false false false true true true true true Wheaton Franciscan Healthcare - All Saints Foundation Inc C 1296843 FMV Volunteers in Partnership with Wheaton Franciscan Healthcare - All Saints I nc C 56000 FMV Wheaton Franciscan Laboratories Inc P 3032670 Cost Wheaton Franciscan Laboratories Inc Q 161216 Cost