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ASCENSION LIVING ST FRANCIS PLACE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ASCENSION LIVING ST FRANCIS PLACE (EIN 39-1486775)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201831359349309928
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-15T15:16:44-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391486775EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Wheaton Franciscan Healthcare - Terrace at St Francis IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWHEABusinessNameControlTxt
Phone3147338000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112550 WEBER HILL RD STE 200AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63127ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTonya MershonPersonNm
Person TitleTax OfficerPersonTitleTxt
Signature2018-05-15SignatureDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL GORDON CFOBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line112250 WEBER HILL RD STE 200AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63127ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,412,600GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ASCENSIONLIVING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE SPIRITUALLY CENTERED, HOLISTIC, COMPASSIONATE TRANSITIONAL CARE THAT BRIDGES THE GAP BETWEEN HOSPITAL AND HOME. IN ADDITION, WE ALSO PROVIDE EXTENDED CARE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee148TotalEmployeeCnt
Total Volunteers26TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$912,120PYContributionsGrantsAmt
CY Contributions Grants$17,171CYContributionsGrantsAmt
PY Program Service Revenue$6,964,882PYProgramServiceRevenueAmt
CY Program Service Revenue$13,355,742CYProgramServiceRevenueAmt
PY Investment Income-$23,770PYInvestmentIncomeAmt
CY Investment Income$31CYInvestmentIncomeAmt
PY Other Revenue$17,604PYOtherRevenueAmt
CY Other Revenue$39,656CYOtherRevenueAmt
PY Total Revenue$7,870,836PYTotalRevenueAmt
CY Total Revenue$13,412,600CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,280,736PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,494,295CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,319,473PYOtherExpensesAmt
CY Other Expenses$6,910,801CYOtherExpensesAmt
PY Total Expenses$7,600,209PYTotalExpensesAmt
CY Total Expenses$14,405,096CYTotalExpensesAmt
PY Revenues Less Expenses$270,627PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$992,496CYRevenuesLessExpensesAmt
Total Assets BOY$3,190,179TotalAssetsBOYAmt
Total Assets EOY$11,661,287TotalAssetsEOYAmt
Total Liabilities BOY$1,496,885TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,908,287TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,693,294NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,753,000NetAssetsOrFundBalancesEOYAmt
MissionAS A MEMBER OF ASCENSION HEALTH SENIOR CARE (AHSC), OUR AFFILIATES STRIVE TO LIVE OUT THE HEALING MINISTRY OF JESUS WHILE PROVIDING EXCEPTIONAL AND COMPASSIONATE HEALTHCARE SERVICES THAT PROMOTE THE DIGNITY AND WELL-BEING OF THE PATIENTS AND COMMUNITIES WE SERVE. OUR VISION IS TO BE RECOGNIZED FOR SUPERIOR HEALTHCARE SERVICE, CLINICAL EXCELLENCE, AS THE HEALTHCARE EMPLOYER OF CHOICE, AND THE PREFERRED PARTNER OF PHYSICIANS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$12,070,517ExpenseAmt
Grant$0GrantAmt
Revenue$13,355,742RevenueAmt
DescWHEATON FRANCISCAN HEALTHCARE'S SERVICE TO SOUTHEAST WISCONSIN DATES BACK TO 1879 WHEN THE FRANCISCAN SISTERS BEGAN OPERATING A HEALTH CARE MINISTRY OUT OF A SMALL HOUSE. FIVE YEARS LATER THEY OPENED THEIR FIRST HOSPITAL IN MILWAUKEE - ST. JOSEPH. OVER THE NEXT 100 YEARS, THE SISTERS - KNOWN AS THE WHEATON FRANCISCANS AFTER 1947 - EXPANDED THEIR MILWAUKEE HEALTH CARE MINISTRY AND, IN 1993, PARTNERED WITH THE FELICIAN SISTERS. THROUGH THE UNION OF NUMEROUS SEPARATE BUT COMMON FUNCTIONS INCLUDING BOARDS OF DIRECTORS, MEDICAL GROUPS, AND CORPORATE SERVICES, WHEATON FRANCISCAN HEALTHCARE HAS CREATED A FULLY INTEGRATED REGION THAT ALLOWS IT TO SHARE BEST PRACTICES AND CREATE COST EFFICIENCIES. IN FY2017, THE REGION WAS FURTHER EXPANDED AS A NEW CORPORATE MEMBER OF ASCENSION HEALTH SENIOR CARE. CHARITY CARE IS DEFINED AS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO THOSE WHO CANNOT AFFORD TO PAY AND WHO MEET ALL CRITERIA FOR FINANCIAL ASSISTANCE. CHARITY CARE IS BASED ON ACTUAL COSTS, NOT CHARGES, AND DOES NOT INCLUDE BAD DEBT. UNREIMBURSED COST OF PUBLIC PROGRAMS: $2,702,420 IS DEFINED AS THE SHORTFALL EXPERIENCED WHEN PAYMENTS RECEIVED ARE BELOW THE COST OF TREATING PUBLIC BENEFICIARIES THROUGH MEDICAID AND OTHER LOCAL PUBLIC PROGRAMS. A TOTAL OF $11,276 IN THE FOLLOWING TYPES OF COMMUNITY SERVICES BENEFITS WERE PROVIDED DURING FY 2017: COMMUNITY HEALTH IMPROVEMENT SERVICES ARE DEFINED AS CLINICAL AND NON-CLINICAL SERVICES DESIGNED TO IMPROVE COMMUNITY HEALTH, WHICH ARE PROVIDED TO THE COMMUNITY FOR FREE OR FOR FEES THAT DID NOT COVER COSTS. FINANCIAL CONTRIBUTIONS ARE DEFINED AS CONTRIBUTIONS, INCLUDING CASH, NON-CASH ITEMS SUCH AS FOOD, FURNITURE, EQUIPMENT, SUPPLIES, AND LOANED STAFF FOR VOLUNTEER AND CHARITABLE PURPOSES, MADE TO INDIVIDUALS, COMMUNITY GROUPS, OR NONPROFIT ORGANIZATIONS FOR CHARITABLE PURPOSES. HEALTH PROFESSIONS EDUCATION IS DEFINED AS DIRECT COSTS INCURRED FOR ACCREDITED TRAINING AND EDUCATION PROGRAMS FOR PHYSICIANS, NURSES, ALLIED HEALTH PROFESSIONALS AND TECHNICIANS (DOES NOT INCLUDE ONGOING EDUCATION FOR STAFF). COMMUNITY BUILDING ACTIVITIES ARE DEFINED AS PROGRAMS THAT, WHILE NOT DIRECTLY RELATED TO HEALTH CARE, PROVIDE OPPORTUNITIES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL ISSUES. COSTS FOR THESE ACTIVITIES INCLUDE CASH AND IN-KIND DONATIONS. COMMUNITY BENEFIT OPERATIONS ARE DEFINED AS COSTS ASSOCIATED WITH DEDICATED STAFF AND COMMUNITY HEALTH NEEDS AND/OR ASSETS ASSESSMENT, AS WELL AS OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS. WHEATON FRANCISCAN TRANSITIONAL CARE FACILITIES (SOUTHEAST WISCONSIN) FRANCISCAN WOODS, A 120-BED SKILLED CARE NURSING HOME AND THE TERRACE AT ST. FRANCIS, AN 81-BED SKILLED CARE NURSING HOME, BOTH MEET COMMUNITY NEEDS FOR SERVICES BETWEEN HOSPITAL AND HOME, AND IS DESIGNED FOR PEOPLE WHO NEED CARE FOR A FEW DAYS OR WEEKS AFTER DISCHARGE FROM THE HOSPITAL BUT ARE NOT YET FULLY ABLE TO RESUME THEIR NORMAL ROUTINE. IT CAN INVOLVE THE PROVISION OF COMPLEX PATIENT CARE SERVICES INCLUDING INTRAVENOUS (IV) MEDICATIONS, FEEDING TUBES, INTRAVENOUS NUTRITION, BLOOD TRANSFUSIONS, DIALYSIS, AND POST-OPERATIVE RECOVERY. THE SKILLED NURSES ARE ALSO TRAINED IN CANCER CARE, PALLIATIVE CARE, RESPIRATORY, REHABILITATIVE CARE, AND WOUND CARE. TRANSITIONAL CARE THROUGH WHEATON FRANCISCAN HEALTHCARE OFFERS ADVANTAGES THAT NO OTHER PROVIDER CAN MATCH. HOSPITAL-BASED MEDICAL DIRECTORS AND CONSULTING SPECIALISTS PROVIDE EXTENSIVE PHYSICIAN INVOLVEMENT. OUTSTANDING CLINICAL CARE IS PROVIDED BY TEAMS OF SPECIALLY EDUCATED NURSES, THERAPISTS, AND OTHER HEALTH CARE PROFESSIONALS. THE INTEGRATED HEALTH CARE NETWORK ENSURES READY ACCESS TO HOSPITAL, HOME HEALTH, OUTPATIENT, PHYSICIAN, AND CARE MANAGEMENT SERVICES. SPIRITUAL SUPPORT IS OFFERED TO ALL PATIENTS AND THEIR LOVED ONES, AND COMPREHENSIVE EDUCATION HELPS PREPARE PATIENTS AND THEIR FAMILIES FOR CONTINUED PROGRESS AFTER DISCHARGE. THE TRANSITIONAL CARE PROGRAM IS FORTUNATE TO RECEIVE SUPPORT FOR VARIOUS ENRICHMENT PROGRAMS FROM THE WHEATON FRANCISCAN HEALTHCARE-CIRCLE OF LIFE FOUNDATION.Desc
Total Program Service Expenses$12,070,517TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee148EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELIZABETH A RITTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4144653542PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 WEST RIVER WOODS PARKWAYAddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53212ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANDREA OHMAN
EX-OFFCIO40.00.0Yes (X)Yes (X)$0$71,257$1,687
DAVID WARD
VICE CHAIR1.03.0Yes (X)Yes (X)$0$0$0
KARI KLASEN
SECRETARY (END 2/2017)1.040.0Yes (X)Yes (X)$0$125,825$44,257
JONATHAN SOHN
TREASURER1.045.0Yes (X)Yes (X)$0$707,247$95,164
Tracy A Rogers
DIRECTOR1.040.0Yes (X)$0$1,380,803$41,883
MARK CHARBOGIAN
DIRECTOR (END 12/2016)1.039.0Yes (X)$0$158,246$46,106
LINDA CZERNICKI
DIRECTOR1.03.0Yes (X)$0$0$0
JASON KAYZAR
DIRECTOR1.03.0Yes (X)$0$0$0
SURESH MISRA MD
DIRECTOR1.03.0Yes (X)$0$0$0
RICK ROMANSHEK
DIRECTOR1.03.0Yes (X)$0$0$0
PATRICIO VIERNES MD
DIRECTOR (END 2/2017)1.03.0Yes (X)$0$0$0
Robin Owens
Registered Nurse45.00$142,827$0$31,082Yes (X)
JAMES GRESHAM
FORMER OFFICER (END 6/2016)0.00.0$0$364,264$1,588Yes (X)
SHARON POVLICH
FORMER OFFICER (END 6/2016)0.040.0$0$109,592$15,541Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$142,827TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,917,234TotReportableCompRltdOrgAmt
Total Other Compensation$277,308TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
SODEXO INC & AFFILIATES
4880 PAYSPHERE CIRCLECHICAGOIL60674FOOD SERVICE MGMT$248,580
CONCEPT REHABILITATION INC
7150 GRANITE CIRCLETOLEDOOH43617THERAPY SERVICES$196,028STE 200
PROFESSIONAL HEALTH CARE SERVICES INC
10827 W LINCOLN AVEWEST ALLISWI53227TEMPORARY STAFFING$122,482
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
All Other Contributions$17,171AllOtherContributionsAmt
Total Contributions$17,171TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSkilled Nursing FacilityDesc
Business621990BusinessCd
Total Revenue Column$13,355,742TotalRevenueColumnAmt
Related Or Exempt Func Income$13,355,742RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,355,742TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$31TotalRevenueColumnAmt
Exclusion$31ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Other Revenue900099$21,786$21,786
Cafeteria Revenue722514$2,705$2,705
GIFT SHOP453220$15,165$15,165

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$39,656OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,412,600TotalRevenueColumnAmt
Related Or Exempt Func Income$13,355,742RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$39,687ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,740,627TotalAmt
Program Services$4,945,641ProgramServicesAmt
Management And General$794,986ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$344,417TotalAmt
Program Services$296,721ProgramServicesAmt
Management And General$47,696ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,006,684TotalAmt
Program Services$867,274ProgramServicesAmt
Management And General$139,410ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$402,567TotalAmt
Program Services$346,818ProgramServicesAmt
Management And General$55,749ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$117,808TotalAmt
Program Services$50,489ProgramServicesAmt
Management And General$67,319ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$29,765TotalAmt
Program Services$10,838ProgramServicesAmt
Management And General$18,927ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,472TotalAmt
Program Services$1,472ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$229,215TotalAmt
Program Services$227,532ProgramServicesAmt
Management And General$1,683ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,004TotalAmt
Program Services$752ProgramServicesAmt
Management And General$6,252ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,298TotalAmt
Program Services$728ProgramServicesAmt
Management And General$570ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$34,307TotalAmt
Management And General$34,307ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$149,990TotalAmt
Program Services$149,990ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$292TotalAmt
Management And General$292ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$2,116,068$2,074,379$41,689
CONTRACT LABOR$1,534,878$1,489,829$45,049
MEDICAL SUPPLIES$1,189,232$1,189,197$35
management fees to affiliates$727,842$727,842

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$771,630TotalAmt
Program Services$418,857ProgramServicesAmt
Management And General$352,773ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,405,096TotalAmt
Program Services$12,070,517ProgramServicesAmt
Management And General$2,334,579ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$700BOYAmt
EOY$3,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$17,171EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$878,899BOYAmt
EOY$2,650,735EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,434BOYAmt
EOY$66,337EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,710,605LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$231,599LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,287,349BOYAmt
EOY$2,479,006EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,797BOYAmt
EOY$6,445,038EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,190,179BOYAmt
EOY$11,661,287EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$568,035BOYAmt
EOY$2,769,900EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$918,253BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,597BOYAmt
EOY$3,138,387EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,496,885BOYAmt
EOY$5,908,287EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,693,294BOYAmt
EOY$5,735,829EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$17,171EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,693,294BOYAmt
EOY$5,753,000EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,190,179BOYAmt
EOY$11,661,287EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$992,496ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$5,052,202OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$775,288CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$711,298CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$376,416CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$912,120CurrentTaxYearMinus1YearAmt
Current Tax Year$17,171CurrentTaxYearAmt
Total$2,792,293TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,823,880CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,056,013CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,919,249CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,964,882CurrentTaxYearMinus1YearAmt
Current Tax Year$13,355,742CurrentTaxYearAmt
Total$41,119,766TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,599,168CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,767,311CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,295,665CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,877,002CurrentTaxYearMinus1YearAmt
Current Tax Year$13,372,913CurrentTaxYearAmt
Total$43,912,059TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$43,912,059PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$160CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$258CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$154CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$65CurrentTaxYearMinus1YearAmt
Current Tax Year$31CurrentTaxYearAmt
Total$668TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$160CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$258CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$154CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$65CurrentTaxYearMinus1YearAmt
Current Tax Year$31CurrentTaxYearAmt
Total$668TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,307CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,388CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,223CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,604CurrentTaxYearMinus1YearAmt
Current Tax Year$39,656CurrentTaxYearAmt
Total$125,178TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,620,635CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,787,957CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,322,042CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,894,671CurrentTaxYearMinus1YearAmt
Current Tax Year$13,412,600CurrentTaxYearAmt
Total$44,037,905TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9971PublicSupportCY509Pct
Public Support PY5090.9976PublicSupportPY509Pct
Investment Income CY0.0000InvestmentIncomeCYPct
Investment Income PY0.0InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - OTHER INCOME, COLUMN A - 21307.0, COLUMN B - 20388.0, COLUMN C - 26223.0, COLUMN D - 17604.0, COLUMN E - 21786.0, COLUMN F - 107308.0; DESCRIPTION - CAFETERIA, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 2705.0, COLUMN F - 2705.0; DESCRIPTION - GIFT SHOP, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 15165.0, COLUMN F - 15165.0;ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,758,435OtherCostOrOtherBasisAmt
Depreciation$118,481DepreciationAmt
Book Value$1,639,954BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$373,010OtherCostOrOtherBasisAmt
Depreciation$94,985DepreciationAmt
Book Value$278,025BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$579,160OtherCostOrOtherBasisAmt
Depreciation$18,133DepreciationAmt
Book Value$561,027BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,479,006TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
OTHER ASSETS
DUE FROM AFFILIATES$6,438,186
OTHER RECEIVABLES$6,852
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,445,038TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
RESIDENT TRUST PAYABLE
DUE TO AFFILIATES$2,466,715
Net Long-Term Debt$575,381
Savings Plan Payable$70,515
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS$25,776
FieldValueIRS element (for citing)
Total Liability$3,138,387TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationThe 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KARI KLASEN
SECRETARY (END 2/2017)$0$110,982$0$14,288$0$555$0$9,265$0$34,992$0$170,082$0$0
JONATHAN SOHN
TREASURER$0$487,399$0$206,003$0$13,845$0$67,575$0$27,589$0$802,411$0$0
Tracy A Rogers
DIRECTOR$0$717,307$0$547,153$0$116,343$0$15,900$0$25,983$0$1,422,686$0$0
MARK CHARBOGIAN
DIRECTOR (END 12/2016)$0$153,400$0$0$0$4,846$0$21,060$0$25,046$0$204,352$0$0
JAMES GRESHAM
FORMER OFFICER (END 6/2016)$0$155,378$0$0$0$208,886$0$0$0$1,588$0$365,852$0$0
SHARON POVLICH
FORMER OFFICER (END 6/2016)$0$108,152$0$0$0$1,440$0$9,889$0$5,652$0$125,133$0$0
Robin Owens
Registered Nurse$142,769$0$0$0$58$0$13,807$0$17,275$0$173,909$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationASCENSION HEALTH SENIOR CARE, A RELATED ORGANIZATION OF WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST. FRANCIS, INC. USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO: - 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 paymentThe following individual(s) received severance payments from the organization or a related organization during calendar year 2016: JAMES GRESHAM - $192,459
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planEligible 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. The following individuals received payment from the supplemental nonqualified retirement plan in the amount as noted during calendar year 2016: Jonathan Sohn - $9,620.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 1a PART V LINE 1A AND PART VII SEC B LINES 1-2WHEATON 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 OFFICIALIn determining the compensation of the Organization's top management official, the process performed by Ascension Health Senior Care, a related organization of Wheaton Franciscan Healthcare - Terrace at St. Francis, 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 top management official 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 OFFICERSIN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS, THE PROCESS PERFORMED BY Ascension Health Senior Care, A RELATED ORGANIZATION OF Wheaton Franciscan Healthcare - Terrace at St. Francis, 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 stockholdersWHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST FRANCIS, INC. HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH SENIOR CARE.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyWHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST FRANCIS, INC. HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH SENIOR CARE, WHO HAS THE ABILITY TO APPOINT AND REMOVE DIRECTORS AND EXECUTIVE OFFICERS OF WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST. FRANCIS, INC.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersASCENSION HEALTH SENIOR CARE, D.B.A. ASCENSION SENIOR LIVING, HAS DESIGNED A SYSTEM AUTHORITY MATRIX WHICH ASSIGNS AUTHORITY FOR KEY DECISIONS THAT ARE NECESSARY IN THE OPERATION OF THE SYSTEM. SPECIFIC AREAS THAT ARE IDENTIFIED IN THE AUTHORITY MATRIX ARE: NEW ORGANIZATIONS & MAJOR TRANSACTIONS; APPOINTMENT/REMOVALS/EVALUATION DEBT LIMITS; STRATEGIC & FINANCIAL PLANS; ASSETS; SYSTEM POLICIES & PROCEDURES. THESE AREAS ARE SUBJECT TO CERTAIN LEVELS OF APPROVAL BY ASCENSION PER THE SYSTEM AUTHORITY MATRIX.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyDURING 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 policyThe 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 publicTHE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST.
Form 990, Part VII, Section A, Line 1a, Column (B) PART V, COLUMN BMINISTRIES THAT WERE AFFILIATES OF WHEATON FRANCISCAN HEALTHCARE DURING THE FISCAL YEAR ENDING JUNE 30, 2017 OPERATED AS A CONTROLLED GROUP OF RELATED HEALTHCARE ORGANIZATIONS. AS SUCH, MANY EMPLOYEES WHO ARE AT THE DIRECTOR LEVEL OR ABOVE, OR WHO ARE OFFICERS AND/OR DIRECTORS OF ORGANIZATIONS WHERE WHEATON HAS COMMON BOARDS AND OTHER OVERLAPS IN COMMITTEE REPRESENTATIONS, SPEND SIGNIFICANT TIME DEVOTED TO TASKS NOT ONLY FOR THE FILING ORGANIZATION, BUT ALSO FOR RELATED ORGANIZATIONS. WHILE THERE IS NO OFFICIAL TIME STUDY TRACKING THAT IS DONE, IT IS ESTIMATED THAT FOR EACH EMPLOYEE, TASKS DEVOTED TO RELATED ORGANIZATIONS COULD APPROXIMATE UP TO 80% OR MORE OF TOTAL HOURS.
Form 990, Part VIII, Line 2f Other Program Service RevenueNet Patient Revenue - Total Revenue: 0, Related or Exempt Function Revenue: , Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesNET ASSET TRANSFERS WITH AFFILIATES - 5052202;
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTSThe activity of WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST. FRANCIS, INC. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST. FRANCIS, INC. is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of WHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST. FRANCIS, INC.
Form 990, Part XII, Line 2c oversight of audit or selection of independent accountantWHEATON FRANCISCAN HEALTHCARE - TERRACE AT ST. FRANCIS, 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.
DISCLOSURE STATEMENT RELATED TO FORMS 5471INFORMATION RETURN OF US PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS FILED ON BEHALF OF THE TAXPAYER 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 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER 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
CORE FORM - ADDRESS GENERAL INFORMATION-C-ADDRESSTHE PHYSICAL ADDRESS OF 39-1486775 WHEATON FRANCISCAN HEALTHCARE-TERRACE AT ST. FRANCIS INC. IS: 3200 SOUTH 20TH STREET, MILWAUKEE, WI, 53215. THE ADDRESS LISTED ON PAGE 1 ON THIS RETURN IS FOR MAILING PURPOSES ONLY.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxtAddress Line2USAddress/AddressLine2Txt
ASCENSION HEALTH ALLIANCE
PO BOX 45998St LouisMO63145453358926NATIONAL HEALTH SYSTEMMO501(c)(3)NAfalse
ASCENSION HEALTH
PO BOX 45998St LouisMO63145311662309NATIONAL HEALTH SYSTEMMO501(c)(3)ASCENSION HEALTH ALLIANCEfalse
ASCENSION HEALTH SENIOR CARE
12250 Weber Hill RoadSt LouisMO63127431227406PARENT COMPANYMO501(c)(3)ASCENSION HEALTHfalse
ALEXIAN VILLAGE OF MILWAUKEE INC
9301 N 76th StreetMilwaukeeWI53223391351584CONTINUING CARE RETIREMENT COMMUNITYWI501(c)(3)ASCENSION HEALTH SENIOR CAREYes (true)10
ALEXIAN VILLAGE OF TENNESSEE
437 Alexian WaySignal MountainTN37377621136742CONTINUING CARE RETIREMENT COMMUNITYTN501(c)(3)ASCENSION HEALTH SENIOR CAREYes (true)10
ALEXIAN BROTHERS COMMUNITY SERVICES
425 Cumberland St Suite 110ChattanoogaTN37404364344423PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICESTN501(c)(3)ASCENSION HEALTH SENIOR CAREYes (true)10
ALEXIAN BROTHERS LANSDOWNE VILLAGE
12250 Weber Hill RoadST LOUISMO63127431470362SKILLED NURSING FACILITYMO501(c)(3)ASCENSION HEALTH SENIOR CAREYes (true)10SUITE 200
ALEXIAN BROTHERS SHERBROOKE VILLAGE
4005 Ripa AvenueSt LouisMO63125431592502SKILLED NURSING FACILITYMO501(c)(3)ASCENSION HEALTH SENIOR CAREYes (true)10
SETON MANOR INC
1000 Seton DriveOrwigsburgPA17961232960726SKILLED NURSING FACILITYPA501(c)(3)ASCENSION HEALTH SENIOR CAREYes (true)10
OUR LADY OF PEACE INC
5285 Lewiston RoadLewistonNY14092161608735SKILLED NURSING FACILITYNY501(c)(3)ASCENSION HEALTH SENIOR CAREYes (true)10
BORGESS NURSING HOME INC
3057 Gull RoadKalamazooMI49048382555589SKILLED NURSING FACILITYMI501(c)(3)ASCENSION HEALTH SENIOR CAREYes (true)10
ST JOSEPH'S MINISTRIES INC
331 S Seton AvenueEmmitsburgMD21727521835288SKILLED NURSING FACILITYMD501(c)(3)ASCENSION HEALTH SENIOR CAREYes (true)10
CARONDELET LONG-TERM CARE FACILITIES INC
621 Carondelet DriveKansas CityMO64114742505427SKILLED NURSING FACILITYMO501(c)(3)ASCENSION HEALTH SENIOR CAREYes (true)10
ST CATHERINE'S LABOURE MANOR
1750 Stockton StreetJacksonvilleFL32204591878316SKILLED NURSING FACILITYFL501(c)(3)ASCENSION HEALTH SENIOR CAREYes (true)3
PROVIDENCE PARK INC
300 W Highway 6WacoTX76712611759304SKILLED NURSING FACILITYTX501(c)(3)ASCENSION HEALTH SENIOR CAREYes (true)3
VIA CHRISTI VILLAGES INC
2622 W Centra Suite 100WichitaKS67203480559086MANAGEMENT COMPANYKS501(c)(3)ASCENSION HEALTH SENIOR CAREYes (true)
VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC
2622 W Centra Suite 100WichitaKS67203481236589PACE (SNF)KS501(c)(3)VIA CHRISTI VILLAGES INCYes (true)10
VIA CHRISTI VILLAGE PONCA CITY INC
1601 Academy RoadPonca CityOK74604731153337RETIREMENT COMMUNITYOK501(c)(3)VIA CHRISTI VILLAGES INCYes (true)10
VIA CHRISTI VILLAGE HAYS INC
2225 Canterbury DriveHaysKS67601202828680RETIREMENT COMMUNITYKS501(c)(3)VIA CHRISTI VILLAGES INCYes (true)10
VIA CHRISTI VILLAGE MCLEAN INC
777 N McLean BlvdMcLeanKS67203481247723RETIREMENT COMMUNITYKS501(c)(3)VIA CHRISTI VILLAGES INCYes (true)10
CORNERSTONE ASSISTED LIVING INC
2622 W Centra Suite 100WichitaKS67203481241079RETIREMENT COMMUNITYKS501(c)(3)VIA CHRISTI VILLAGES INCYes (true)10
VIA CHRISTI VILLAGE MANHATTAN INC
2800 Willow Grove RoadManhattanKS66502481078862RETIREMENT COMMUNITYKS501(c)(3)VIA CHRISTI VILLAGES INCYes (true)10
VIA CHRISTI VILLAGE GEORGETOWN INC
1655 S GeorgetownGeorgetownKS67218481129325RETIREMENT COMMUNITYKS501(c)(3)VIA CHRISTI VILLAGES INCYes (true)10
VIA CHRISTI VILLAGE PITTSBURG INC
1502 E Centennial DrivePittsburgKS66762743070971RETIREMENT COMMUNITYKS501(c)(3)VIA CHRISTI VILLAGES INCYes (true)10
NAZARETH HALL
1475EL PASOTX79903742387843RETIREMENT COMMUNITYTX501(c)(3)ASCENSION HEALTH SENIOR CAREYes (true)10

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ALEXIAN BROTHERS CORPUS CHRISTI HOUSING PROJECT LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13900 SOUTH GRANDAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63118ZIPCd
FieldValueIRS element (for citing)
EIN943465394EIN
Primary ActivitiesHOUSINGPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorporationEntityTypeTxt
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd