I understand the systems affected from a wheel base adjustment are all Ford-supplied or Ford approved. The same goes for GM/Chevy.
- frame filler with extra support
- brake lines
- exhaust pipe
- wiring harness
- drive shaft (ether longer or adding u-joints and more segments)
- parking brake cable
- fuel lines
CLICK HERE to watch a video which includes a section covering a 4 foot wheel base stretch. Unfortunately they don't get into every detail concerning the components.
Ford authorizes specific shops for the wheel base modification. The shops have to follow the Ford-approved process in order for the Ford warranty to be maintained. If a non-Ford approved shop modifies the wheelbase, the warranty is voided, hence motor home manufactures send out their chassis to only Ford-approved shops.
It's a big business modifying the wheelbase. The approved shops have it down to a science. I read a couple of complaints of multi-segmented drive shafts being out of balance which made vibration at higher speeds. They are supposed to be balanced and matched, but a shop can make a mistake like anyone else.
Our chassis has an unmodified 158" wheel base which I find comfort in knowing all systems are "standard". If anything goes wrong in later years, I have a much better chance in finding replacement parts from many more sources.