2023-05-11T11:22:54-05:00 2022-06-30 135565207 KPMG LLP 191 WEST NATIONWIDE BLVD SUITE 500 COLUMBUS OH 432152568 990 2021-07-01 392014409 FROEDTERT HEALTH INC FROE 4148053000 9200 W WISCONSIN AVENUE MILWAUKEE WI 53226 ALICIA M MAITLAND SVP - FINANCE 4148053000 2023-05-09 1 ALICIA MAITLAND XXX-XX-XXXX MOLLIE P LONGHOUSE P00294881 6142492300 2023-05-09 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z CATHARINE A JACOBSON 9200 W WISCONSIN AVENUE MILWAUKEE WI 53226 2122115841 0 X WWW.FROEDTERT.COM X 2001 WI FROEDTERT HEALTH, INC. ADVANCES THE HEALTH OF THE PEOPLE OF THE DIVERSE COMMUNITIES WE SERVE THROUGH EXCEPTIONAL CARE ENHANCED BY INNOVATION AND DISCOVERY. 18 16 14718 17 3446012 0 0 0 746994118 828107584 73778284 107572641 60552250 20109301 881324652 955789526 0 0 0 0 413968538 454798801 0 0 0 375455594 388909251 789424132 843708052 91900520 112081474 3415179967 3249193885 1470493539 1384576929 1944686428 1864616956 X FROEDTERT HEALTH, INC. ADVANCES THE HEALTH OF THE PEOPLE OF THE DIVERSE COMMUNITIES WE SERVE THROUGH EXCEPTIONAL CARE ENHANCED BY INNOVATION AND DISCOVERY. 0 0 283793217 308017928 HEALTH CARE MANAGEMENT SERVICES IN SUPPORT OF FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC., COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, INC., ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC., FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, FROEDTERT HEALTH PHARMACY SOLUTIONS, FROEDTERT HEALTH HOME INFUSION, VERTU RX, FROEDTERT HEALTH PHARMACY, AND FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS. 237726334 237726334 HUMAN RESOURCE/STAFF SUPPORT TO FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC., COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, INC., ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC., FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, FROEDTERT HEALTH PHARMACY SOLUTIONS, FROEDTERT HEALTH HOME INFUSION, VERTU RX, FROEDTERT HEALTH PHARMACY, AND FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS. 118594782 129760642 OUTPATIENT REVENUE AND EXPENSE OF FROEDTERT NEIGHBORHOOD HOSPITAL, FROEDTERT HEALTH PHARMACY SOLUTIONS, FROEDTERT HEALTH HOME INFUSION, VERTU RX, WEST BEND SURGERY CENTER, AND FROEDTERT HEALTH PHARMACY. 147616035 172503732 IT SUPPORT EXPENSE - 94,651,893INPATIENT EXPENSE - 2,331,848EMERGENCY DPT EXPENSE - 50,632,294 TOTAL EXPENSE - 147,616,035 IT SUPPORT REVENUE - 94,651,893INPATIENT REVENUE - 2,551,394EMERGENCY DPT REVENUE - 55,399,393JT VENTURE REVENUE - 19,901,052 TOTAL REVENUE - 172,503,732 147616035 172503732 787730368 1 0 0 1 0 0 0 0 1 0 1 0 1 1 1 1 0 1 0 1 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 476 0 1 14718 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 18 16 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WI X X DAVID DIRKSMEYER 4148053000 N74 W12501 LEATHERWOOD CT MENOMONEE FALLS WI 53051 JACOBSON CATHERINE DIRECTOR & CEO/PRESIDENT 48.00 2.00 X X 3449724 0 418859 BEHL MARK DIRECTOR & EVP/FH COO 48.00 2.00 X 1424699 0 200708 BECHTHOLD KURT D DIRECTOR 1.00 0.00 X 0 0 0 BERKES MARY BETH DIRECTOR 1.00 0.00 X 0 0 0 BLOCK BRUCE T DIRECTOR 1.00 0.00 X 0 0 0 CHINI MARC DIRECTOR 1.00 0.00 X 0 0 0 CLARKE ROBERT DIRECTOR (STARTED 7/21) 1.00 0.00 X 0 0 0 CROSBY GRADY DIRECTOR 1.00 0.00 X 0 0 0 DEBBINK DIRK DIRECTOR 1.00 0.00 X 0 0 0 FORD DEBORAH DIRECTOR 1.00 0.00 X 0 0 0 JAVERI GOKHALE ADITI DIRECTOR (STARTED 12/21) 1.00 0.00 X 0 0 0 LUBAR DAVID J DIRECTOR 1.00 0.00 X 0 0 0 MECKLENBURG GARY A DIRECTOR 1.00 0.00 X 0 0 0 OLIVIERI JOSE DIRECTOR 1.00 0.00 X 0 0 0 PRINCE JOAN PHD DIRECTOR 1.00 0.00 X 0 0 0 SCHLIFSKE JOHN E DIRECTOR (TERMED 12/21) 1.00 0.00 X 0 0 0 STANEK MARY ELLEN DIRECTOR 1.00 0.00 X 0 0 0 FREDRICK JACQUELYN DIRECTOR & BOD CHAIR 1.00 0.00 X X 0 0 0 SNYDER JUDSON DIRECTOR & BOD V.CHAIR 1.00 0.00 X X 0 0 0 HAWIG SCOTT TREASURER 50.00 0.00 X 1769083 0 229005 MARQUARDT AMY SECR & SR VP CHIEF LEGAL OFF 50.00 0.00 X 1071872 0 165877 HUMPHREY ERIC FH SR VP/CHIEF HR OFFICER 50.00 0.00 X 1129401 0 156333 CONLEY ERIC FMLH PRESIDENT 5.00 45.00 X 1040593 0 178101 ERICSON ALLEN CHD PRESIDENT 5.00 45.00 X 1014073 0 159822 WEBB DIXON RICHELLE FMLH COO 50.00 0.00 X 815669 0 153360 KLAUCK JAMES SR VP ANCILLARY SVCS 50.00 0.00 X 741315 0 138283 LUX TERESA CHD COO 5.00 45.00 X 755254 0 120025 JACOB SONY FH CIO 50.00 0.00 X 688224 0 132904 TRUWIT JONATHON ENTERPRISE CHIEF MEDICAL OFF 50.00 0.00 X 2161032 0 149094 OLSON DAVID SR VP & CHIEF STRATEGY OFF 50.00 0.00 X 1157813 0 169723 LODES MARK VP-POP HEALTH & MED ED 50.00 0.00 X 992765 0 107365 BASILOTTO STEPHEN FH SR VP/CHIEF EXPERIENCE OFF 50.00 0.00 X 856067 0 150845 CEELEN JOHN PAST SR VP FINANCE 50.00 0.00 X 794630 0 22804 BALZER JOHN FORMER - KEY EMP (VP FAC PLAN) 50.00 0.00 X 440609 0 31246 MCCLELLAN NINA FORMER - KEY EMP (FH CIO) 50.00 0.00 X 165927 0 4132 20468750 0 2688486 1833 1 1 0 MEDICAL COLLEGE OF WI 8701 WATERTOWN PLANK ROAD MILWAUKEE WI 53226 PROFESSIONAL SERVICE 253378594 RIGHTSOURCING INC PO BOX 515743 LOS ANGELES CA 900515118 PROFESSIONAL SERVICE 29534034 MILWAUKEE REGIONAL MEDICAL CENTER-FLIGHT 2661 AVIATION ROAD WAUKESHA WI 53188 PROFESSIONAL SERVICE 18449838 MA MORTENSON 115 S 84TH ST SUITE 400 MILWAUKEE WI 53214 PROFESSIONAL SERVICE 11151408 RYAN COMPANIES US INC 533 S THIRD ST SUITE 100 MINNEAPOLIS MN 55415 PROFESSIONAL SERVICE 10590375 176 OTHER MANAGEMENT SUPPORT 541900 308017928 308017928 HUMAN RESOURCES SUPPORT 561300 237726334 237726334 OUTPATIENT REVENUE 621400 129760642 129760642 INFO TECH SUPPORT 518210 94651893 94651893 EMERGENCY DEPT REVENUE 621990 55399393 55399393 2551394 2551394 828107584 47589746 47589746 1226309210 1166326315 59982895 59982895 59982895 JOINT VENTURE REVENUE 621500 20109072 16663134 3445938 EXCEEDENT REVENUE 524292 229 74 155 20109301 955789526 844770718 3446012 107572796 17740745 17740745 197772272 197772272 53346875 53346875 170950294 170950294 14988615 14988615 3500404 3500404 520672 520672 2000 2000 64736025 64736025 15627612 15627612 12555027 1616252 10938775 3460880 3460880 15492483 13197877 2294606 622583 330555 292028 977096 977096 11137140 11137140 39740764 39740764 12904798 12904798 AFFILIATED SUPPORT 125765879 121612148 4153731 SOFTWARE LICENSES & TRA 36263946 36263946 SUBSCRIPTIONS 18815764 18815764 REPAIRS AND MAINTENANCE 11161005 11161005 15625173 165469 15459704 843708052 787730368 55977684 0 8462 9312 125013472 95368779 0 0 20324733 26256386 0 0 0 0 -61799109 75870662 17181784 21353477 24651615 26013140 648862478 258770704 372892636 390091774 2277364053 2082792723 1153865 13128 314485516 256744106 0 4425830 323902940 270254568 3415179967 3249193885 250943655 272761795 0 0 0 0 657884389 646237947 241443 149574 0 0 0 0 0 0 561424052 465427613 1470493539 1384576929 X 1944686428 1864616956 0 0 1944686428 1864616956 3415179967 3249193885 X 112081474 -326315933 134164987 X 0 1 X 1 0 X X 4 FROEDTERT MEMORIAL LUTHERAN HOSPITAL 396105970 3 1 427110379 0 COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS 390987025 3 1 38348040 0 ST JOSEPH'S COMMUNITY HOSPITAL 390806302 3 1 19005388 0 F&MCW COMMUNITY PHYSICIANS 272042610 3 0 51934937 0 4 536398744 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART-IV LINE-SECTION A LINE 1 DESCRIPTION OF HOW SUPPORTED ORGANIZATIONS ARE DESIGNATED: FROEDTERT HEALTH, INC., HAS FOUR SUPPORTED ORGANIZATIONS. FROEDTERT MEMORIAL LUTHERAN HOSPITAL, COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, AND ST. JOSEPH'S COMMUNITY HOSPITAL ARE LISTED BY NAME AS SUPPORTED ORGANIZATIONS IN FROEDTERT HEALTH, INC.'S BYLAWS. FROEDTERT HEALTH, INC. IS A MEMBER OF FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC. (CP), A PHYSICIAN ORGANIZATION WITH WHICH FROEDTERT HEALTH, INC. HAS HAD A HISTORIC AND CONTINUING RELATIONSHIP. THIS HISTORIC AND CONTINUING RELATIONSHIP IS DEMONSTRATED BY THE FACT THAT FROEDTERT HEALTH, INC. HAS SUPPORTED CP BY PERFORMING VARIOUS FUNCTIONS FOR AND ON BEHALF OF CP, FURTHERING CP'S EXEMPT CHARITABLE HEALTH CARE ACTIVITIES. THIS CLOSE BUSINESS RELATIONSHIP BETWEEN FROEDTERT HEALTH, INC. AND CP OVER THE YEARS HAS RESULTED IN A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN THE TWO ORGANIZATIONS. PART-IV LINE-SECTION D LINE 3 ROLE THE ORGANIZATION'S SUPPORTED ORGANIZATIONS PLAYED IN INVESTMENT POLICY: THE SUPPORTED ORGANIZATIONS OF FROEDTERT HEALTH, INC. EACH HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES OF THE ORGANIZATION AND IN THE USE OF FROEDTERT HEALTH, INC.'S INCOME AND ASSETS. THE SUPPORTED ORGANIZATIONS HAVE A COMMONALITY OF MANAGEMENT WITH FROEDTERT HEALTH, INC. AND THEREFORE, FROEDTERT HEALTH, INC. IS RESPONSIVE TO THE NEEDS OF THE SUPPORTED ORGANIZATIONS. PART-IV LINE-SECTION E LINE 3A ORGANIZATION HAS POWER TO APPOINT OR ELECT GOVERNING PERSONS: FROEDTERT HEALTH, INC. HAS THE POWER TO APPOINT OR ELECT A MAJORITY OF OFFICERS, DIRECTORS, OR TRUSTEES OF ITS SUPPORTED ORGANIZATIONS. IN THE CASE OF CP, FROEDTERT HEALTH, INC. APPOINTS 50% OF THE CP BOARD AND FROEDTERT HEALTH, INC. MAINTAINS A NUMBER OF RESERVED POWERS WITH RESPECT TO THE OPERATIONS OF CP. PART-IV LINE-SECTION E LINE 3B ROLE PLAYED IN MANAGEMENT OF POLICIES, PROGRAMS, & ACTIVITIES: FROEDTERT HEALTH, INC. EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF ITS SUPPORTED ORGANIZATIONS. FROEDTERT HEALTH EMPLOYEES SERVE AS MEMBERS OF THE BOARDS OF THE SUPPORTED ORGANIZATIONS, AND FROEDTERT HEALTH ALSO HAS A NUMBER OF RESERVED POWERS OVER THE SUPPORTED ORGANIZATIONS. WITH RESPECT TO FROEDTERT MEMORIAL LUTHERAN HOSPITAL, COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, AND ST. JOSEPH'S COMMUNITY HOSPITAL, FROEDTERT HEALTH MAINTAINS THE RIGHT TO REMOVE THE PRESIDENT OF EACH ORGANIZATION AND APPROVE THE SUCCESSOR; APPROVAL RIGHTS REGARDING FINANCIAL MATTERS SUCH AS STRATEGIC PLANS, BUDGETS, DEBT OBLIGATIONS; APPROVAL RIGHTS OVER CHANGES TO EACH ORGANIZATION'S BYLAWS AND ARTICLES OF INCORPORATION; AND APPROVAL RIGHTS OVER DECISIONS WHICH MATERIALLY IMPACT THE ASSETS OF EACH ORGANIZATION. EACH OF THESE RESERVED POWERS IS IN FACT EXERCISED BY FROEDTERT HEALTH. IN REGARDS TO CP, FROEDTERT HEALTH HAS A 50% MEMBERSHIP INTEREST IN CP. FROEDTERT HEALTH APPOINTS 50% OF CP'S BOARD OF DIRECTORS. ONE OF THE FROEDTERT HEALTH'S APPOINTED BOARD MEMBERS SERVES AS EITHER THE CHAIRPERSON OF THE CP BOARD OF DIRECTORS OR THE VICE CHAIRPERSON OF THE BOARD OF DIRECTORS. FROEDTERT HEALTH HAS A NUMBER OF RESERVED POWERS WITH RESPECT TO CP WHICH INCLUDE THE RIGHT TO APPROVE FINANCIAL MATTERS SUCH AS STRATEGIC PLANS, OPERATING AND CAPITAL BUDGETS (AND MATERIAL DEVIATIONS THEREFROM) AND DEBT OBLIGATIONS; THE RIGHT TO APPROVE THE ENGAGEMENT OF AUDITORS; AND THE RIGHT TO NEGOTIATE AND EXECUTE MANAGED CARE CONTRACTS FOR AND ON BEHALF OF CP. IN ADDITION TO THESE SPECIFICALLY RESERVED AUTHORITIES, FROEDTERT HEALTH EQUALLY SHARES VARIOUS OTHER JOINT POWERS WITH THE OTHER 50% MEMBER WHICH INCLUDE THE APPROVAL OF GOVERNANCE RELATED MATTERS SUCH AS CHANGES TO CP'S BYLAWS AND ARTICLES OF INCORPORATION; APPROVAL OF THE MISSION AND GOALS OF CP ALONG WITH FINAL METRICS USED IN DETERMINING GOAL PERFORMANCE; APPROVAL OF ANY MERGER, DISSOLUTION AND CAPITAL ACQUISTION; AND APPROVAL OF THE APPOINTMENT OF CP'S PRESIDENT. 0 1 0 0 0 0 1 2000 0 0 2000 0 PART II-B, LINE 1: SECTION PART II-B INCLUDED IS DIRECT STATE LOBBYING AND EXPENSES, AND A DEMINIMIS AMOUNT OF DIRECT FEDERAL LOBBYING. 0 1 X 20364797 20364797 68065716 13120353 54945363 60631291 21544181 39087110 245842110 157435311 88406799 253958564 66670859 187287705 390091774 WI RENAL CARE GROUP 3995316 C FITNESS DEV ASSOC. 714109 C MKE CTR FOR DIAGNOSTIC 7576157 C UPPER MW CONSOL 200000 C REAL ESTATE VENTURES 6332050 C INVEST IN HEALTHECO 8650002 C MIDWEST DIALYSIS, LLC 10157091 C ACO 399201 C NETWORK HEALTH PLAN 109256971 C HORIZON HOME CARE & HOSPICE 14403939 C NX LEVEL 569543 C CIN 9734018 C FROEDTERT SOUTH 76759000 C NEW ENGLAND RE 100000 C AVIA HOLDINGS 2950000 C XHEALTH 1299998 C RX REVU 250000 C ABUNDUNT VENTURE 1500000 C HELUS/RX REVU 25000 C CHARACTER VC 637397 C LENA 90000 C 1EQ 244314 C ARASCOPE 400000 C SILVERCLOUD HEALTH 500000 C 256744106 COLLATERAL HELD FOR SECURITIES 229713598 SENIOR MANAGEMENT DEFERRED 40540970 270254568 FAIR VALUE OF INTEREST RATE SWAPS 18658830 LEASE OBLIGATIONS 158607877 OTHER LONG TERM LIABILITIES 58447308 PAYABLES UNDER SECURITIES LENDING 229713598 465427613 X PART IV, LINE 2B: EXPLANATION OF ESCROW ACCOUNT LIABILITY ESCROW ACCOUNT LIABILITY CONSISTS OF FUNDS SEPARATELY DEPOSITED AND MAINTAINED WITH EXCEEDENT, LLC TO BE USED IN THIRD PARTY ADMINISTRATION OF HEALTH CARE CLAIMS. PART X, LINE 2: FROEDTERT HEALTH, INC. APPLIES ASC NO. 740, INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS. ASC NO. 740 PRESCRIBES A MORE-LIKELY THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. UNDER ASC NO. 740, TAX POSITIONS WILL BE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND WILL PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. AS OF JUNE 30, 2022 AND 2021, FROEDTERT HEALTH DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS. CENTRAL AMERICA AND THE CARIBBEAN 1 0 INVESTMENTS 12227628 1 0 0 0 1 0 12227628 0 12227628 1 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 1 X 1 X 250.000000000000 1 X 1 0 1 1 38281 0 38281 0.00000 2949137 789389 2159748 0.00260 0 0 2987418 789389 2198029 0.00260 14 1198 83333 0 83333 0.00010 1 15 50064 0 50064 0.00010 0 0 0 0 0 0 0 0 6 2657 70429 0 70429 0.00010 21 3870 203826 203826 0.00030 21 3870 3191244 789389 2401855 0.00290 1 1748 1748 0.00000 1 14891 14891 0.00000 1 515 3063 3063 0.00000 3 515 19702 19702 0.00000 0 1099132 1913445 3515290 -1601845 X 1 1 4 1 FH NEIGHBORHOOD HOSPITAL LLC - NB 4805 S MOORLAND RD NEW BERLIN WI 53151 HTTPS://WWW.FROEDTERT.COM/LOCATIONS/HO X X X DBA FROEDTERT COMMUNITY HOSPITAL NEW BERLIN 2 FH NEIGHBORHOOD HOSPITAL LLC - PEW 209 PEWAUKEE RD PEWAUKEE WI 53072 HTTPS://WWW.FROEDTERT.COM/LOCATIONS/HO X X X DBA FROEDTERT COMMUNITY HOSPITAL PEWAUKEE 3 FH NEIGHBORHOOD HOSPITAL LLC - OC 7901 S 6TH ST OAK CREEK WI 53154 HTTPS://WWW.FROEDTERT.COM/LOCATIONS/HO X X X DBA FROEDTERT COMMUNITY HOSPITAL OAK CREEK 4 FH NEIGHBORHOOD HOSPITAL LLC - MEQ 11421 N PORT WASHINGTON ROAD MEQUON WI 53092 HTTPS://WWW.FROEDTERT.COM/LOCATIONS/HO X X X DBA FROEDTERT COMMUNITY HOSPITAL MEQUON FH NEIGHBORHOOD HOSPITALS LLC 1 1 0 0 1 X 250.000000000000 400.000000000000 X X X X X X X 1 1 X X X 1 X WWW.FROEDTERT.COM/FINANCIAL-SERVICES X WWW.FROEDTERT.COM/FINANCIAL-SERVICES X SAME AS 16A & B X X X X X X 1 X 0 X X X X X 1 X 0 0 FH NEIGHBORHOOD HOSPITALS LLC PART V, SECTION B, LINE 2: FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, PART OF THE FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN HEALTH NETWORK, INCLUDES LOCATIONS IN MEQUON, NEW BERLIN, OAK CREEK AND PEWAUKEE. EACH LICENSED, ACCREDITED, ACUTE-CARE FACILITY PROVIDES HIGH-QUALITY CARE CLOSE TO HOME IN A SMALL-SCALE HOSPITAL SETTING AND FEATURES AN EMERGENCY DEPARTMENT, INPATIENT BEDS, LABORATORY, PHARMACY AND IMAGING SERVICES. FROEDTERT COMMUNITY HOSPITAL- NEW BERLIN AND FROEDTERT COMMUNITY HOSPITAL- PEWAUKEE BOTH OPENED IN NOVEMBER AND DECEMBER OF 2020. FROEDTERT COMMUNITY HOSPITAL- OAK CREEK OPENED IN JANUARY OF 2022 AND FROEDTERT COMMUNITY HOSPITAL- MEQUON OPENED IN FEBRUARY OF 2022. ALL FOUR HOSPITALS SHARE ONE EMPLOYER IDENTIFICATION NUMBER.AT THE TIME OF FILING THIS SCHEDULE H 990, FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC WAS NOT REQUIRED TO CONDUCT AND APPROVE A COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. A CHNA WILL BE CONDUCTED IN THE SUMMER AND FALL OF 2022 WITH APPROVAL OF THE CHNA IN MAY OF 2023 AND THE IMPLEMENTATION STRATEGY IN AUGUST OF 2023. HOWEVER, KEY PROGRAMS, STRATEGIES AND DEDICATED HOSPITAL RESOURCES INTENDED TO ADDRESS IDENTIFIED SIGNIFICANT COMMUNITY HEALTH NEEDS WERE IMPLEMENTED IN THE FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC SERVICE AREA. FROEDTERT HEALTH COMMUNITY ENGAGEMENT AND FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC HAVE DEDICATED EMPLOYEES AND BUDGETED FUNDS THAT WENT TOWARDS SERVING THE NEEDS OF THE FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC COMMUNITIES. COMMUNITY HEALTH EDUCATION AND OUTREACH PROGRAMS (CHRONIC DISEASE)FY2022 OUTCOMES/PROGRESS:- 210 INDIVIDUALS SERVED AT THE GRAFTON AND THIENSVILLE FARMER'S MARKETS.- 47 INDIVIDUALS WERE SERVED FOR THE ACTIVE PARKS PROGRAM IN OZAUKEE COUNTY.- ALL COMMUNITY EDUCATION CLASSES WERE VIRTUAL IN FY22. THERE WAS AN OVERALL TOTAL OF 622 PEOPLE SERVED WITH APPROXIMATELY 4 INDIVIDUALS SERVED FOR THE FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC.- ALL SUPPORT GROUPS WERE VIRTUAL IN FY22. THERE WAS AN OVERALL TOTAL OF 443 PEOPLE SERVED WITH APPROXIMATELY 3 INDIVIDUALS SERVED FOR THE FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC.COMMUNITY HEALTH EDUCATION AND OUTREACH PROGRAMS (BEHAVIORAL HEALTH) FY2022 OUTCOMES/PROGRESS:- 75 INDIVIDUALS WERE EDUCATED ABOUT SOCIAL ISOLATION AND LONELINESS AND 24 WERE SCREENED AT THE OZAUKEE COUNTY SENIOR CONFERENCE.- 602 INDIVIDUALS WERE SERVED FOR THE OZAUKEE COUNTY SCREEN FREE WEEK EVENT.DRUG COLLECTION (BEHAVIORAL HEALTH)AS PART OF OUR COMMITMENT TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITY AND ADDRESS DRUG/HEROIN ADDICTION IN OUR COMMUNITIES, FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC (FROEDTERT COMMUNITY HOSPITAL- NEW BERLIN) PARTNERED WITH WAUKESHA COUNTY DRUG FREE COMMUNITIES COALITION, AND THE NEW BERLIN POLICE DEPARTMENT TO HOST A DRUG COLLECTION. FY 2022 OUTCOMES/PROGRESS: AT THE COLLECTIONS, AREA RESIDENTS DROPPED OFF 1,126 POUNDS OF PRESCRIPTION AND OVER-THE-COUNTER MEDICATIONS AND 644 AREA HOUSEHOLDS PARTICIPATED IN THE COLLECTION. THIS YEAR, LEADERS AND STAFF DEDICATED OVER 100 IN-KIND HOURS TO MAKE THE COLLECTIONS POSSIBLE. FLU CLINICS (CHRONIC DISEASE)FROEDTERT COMMUNITY HOSPITAL- NEW BERLIN AND FROEDTERT COMMUNITY HOSPITAL- PEWAUKEE OFFER FLU CLINICS FOR UNINSURED POPULATIONS.FY 2022 OUTCOMES/PROGRESS: - DURING THE FALL OF FISCAL YEAR 2022, 12 PEOPLE WERE IMMUNIZED AT THE NEW BERLIN FOOD PANTRY. THE CLINIC WAS STAFFED BY HOSPITAL PHARMACISTS AND SUPPORT STAFF WHO WERE CERTIFIED BY THE STATE TO ADMINISTER IMMUNIZATIONS. - DURING THE FALL OF FISCAL YEAR 2022, 11 PEOPLE WERE IMMUNIZED AT THE PEWAUKEE FOOD PANTRY. THE CLINIC WAS STAFFED BY HOSPITAL PHARMACISTS AND SUPPORT STAFF WHO WERE CERTIFIED BY THE STATE TO ADMINISTER IMMUNIZATIONS. SAFETY SATURDAYS/NATIONAL NIGHT OUT (INJURY)FY 2022 OUTCOMES/PROGRESS: - 360 INDIVIDUALS WERE SERVED FOR THE NEW BERLIN SAFETY SATURDAY EVENT.- 450 INDIVIDUALS WERE SERVED FOR NATIONAL NIGHT OUT IN OAK CREEK.HEALTH CARE CAREER EXPLORATION (WORKFORCE DEVELOPMENT)HIGH SCHOOL HEALTH CARE EXPLORATION ARE PROGRAMS THAT WE OFFER TO SHOWCASE HEALTHCARE CAREERS TO MIDDLE AND HIGH SCHOOL STUDENTS. PARTNERED WITH JUNIOR ACHIEVEMENT BY PROVIDING HEALTH CARE PROFESSIONALS TO SPEAK AT THEIR CAREER DAYS.FY 2022 OUTCOMES/PROGRESS:- FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC (FROEDTERT COMMUNITY HOSPITAL- NEW BERLIN) PROVIDED INFORMATION ON HEALTH CARE CAREERS TO 156 JUNIOR ACHIEVEMENT STUDENTS AND 5 STAFF VOLUNTEERED THEIR TIME TO PROVIDE EDUCATION. - FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC (FROEDTERT COMMUNITY HOSPITAL- PEWAUKEE) PROVIDED INFORMATION ON HEALTH CARE CAREERS TO 359 JUNIOR ACHIEVEMENT STUDENTS. 10 STAFF VOLUNTEERED THEIR TIME TO PROVIDE EDUCATION.- PROVIDED INTERNSHIPS AND PRECEPTOR PROGRAM GUIDANCE TO 15 NON-NURSING STUDENTSSEXUAL ASSAULT NURSE EXAMINER (SANE) AVAILABLE 24 HOURS A DAY (ACCESS TO CARE AND NAVIGATION/VIOLENCE)WHEN EMERGENCIES TAKE ON THE EVEN MORE TRAUMATIC ELEMENT OF SEXUAL ASSAULT, THE SPECIALLY TRAINED SANE PROGRAM STAFF HAS CREATED A SAFE HAVEN AT FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC FOR COMPREHENSIVE, COMPASSIONATE CARE. SANE STAFF ARE REGISTERED NURSES WITH ADVANCED TRAINING IN MEDICAL-FORENSIC EXAMINATION AND IN THE PSYCHOLOGICAL AND EMOTIONAL TRAUMA PATIENT'S EXPERIENCE. THEY CARE FOR VICTIMS OF ALL AGES, RACES AND POPULATIONS TO PROVIDE TIMELY EMOTIONAL SUPPORT. SANE NURSES ARE AVAILABLE TO SPEAK TO GROUPS AND ORGANIZATIONS. THEY ARE ALSO ABLE TO SERVE AS EXPERT WITNESSES IF CALLED TO TESTIFY AT A TRIAL. SERVICES PROVIDED:- PHYSICAL EXAMINATION AND WELLNESS CHECK - COLLECTION OF MEDICAL-FORENSIC EVIDENCE - ASSISTANCE WITH REPORTING THE CRIME TO POLICE, WHEN REQUESTED (MANDATORY REPORTING FOR CHILDREN) - ASSISTANCE WITH CONCERNS ABOUT SEXUALLY TRANSMITTED INFECTION AND PREGNANCY - ASSISTANCE WITH SAFETY PLANNING - DEVELOPMENT OF A MEDICAL FOLLOW-UP PLAN FY2022 OUTCOMES/PROGRESS:- SANE NURSES SCREENED 30 TOTAL PATIENTS AND PROVIDED REFERRALS AND CASE MANAGEMENT AFTER INITIAL CONSULTATION.- NEW BERLIN: 22; OAK CREEK: 5; PEWAUKEE: 3; MEQUON: 0DRIVESFY2022 OUTCOMES/PROGRESS:BLOOD DRIVE: 10 INDIVIDUALS DONATED BLOOD AT THE NEW BERLIN BLOOD DRIVE.HOLIDAY DRIVE: 22 ITEMS COLLECTED AT FROEDTERT COMMUNITY HOSPITAL- PEWAUKEE & 30 ITEMS COLLECTED AT FROEDTERT COMMUNITY HOSPITAL- NEW BERLINHEALTHY SHELVES: OVER 300 ITEMS COLLECTED BY ALL FROEDTERT COMMUNITY HOSPITALS. FH NEIGHBORHOOD HOSPITALS LLC PART V, SECTION B, LINE 13B: IN ALIGNMENT WITH THE FROEDTERT HEALTH FINANCIAL ASSISTANCE POLICY FH NEIGHBORHOOD HOSPITALS LLC RESERVES THE RIGHT TO REVIEW EACH APPLICATION FOR FINANCIAL ASSISTANCE ON ITS OWN MERITS AND TO CONSIDER OTHER EXTENUATING CIRCUMSTANCES IN THE DECISION TO APPROVE OR DENY A PATIENT'S APPLICATION FOR FINANCIAL ASSISTANCE. THE APPLICANT'S GROSS FAMILY INCOME WILL BE DETERMINED USING MODIFIED ADJUSTED GROSS INCOME (MAGI). MODIFIED ADJUSTED GROSS INCOME INCLUDES BOTH EARNED INCOME AND PASSIVE INCOME RECEIVED AND COMPARED TO THE ANNUAL FEDERAL POVERTY GUIDELINES SET FORTH BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. A PATIENT WHO HAS AN ANNUAL GROSS INCOME EQUAL TO OR LESS THAN 400% OF THE CURRENT YEAR'S POVERTY GUIDELINES WILL NOT PAY MORE THAN 15% OF THEIR ANNUAL GROSS INCOME ON ANY SINGLE ACCOUNT DURING THE APPROVED ELIGIBILITY TIMEFRAME. PATIENTS WHO MEET THE REQUIREMENTS AND HAVE A GROSS INCOME EQUAL OR LESS THAN 250% OF THE FPL MAY QUALIFY FOR A 100% DISCOUNT. PATIENTS WHO MEET THE REQUIREMENTS AND HAVE A GROSS INCOME BETWEEN 250% AND 400% OF THE FPL MAY QUALIFY FOR A DISCOUNT ON A SLIDING SCALE. IN ADDITION TO INCOME, FH NEIGHBORHOOD HOSPITALS LLC ALSO TAKES CERTAIN ASSETS INTO CONSIDERATION. ASSETS PROTECTED FROM FINANCIAL EVALUATION INCLUDE A HOUSEHOLD'S RETIREMENT ASSETS, HOME EQUITY, AND A PORTION OF CASH AND SAVINGS ASSETS. FH NEIGHBORHOOD HOSPITALS LLC PART V, SECTION B, LINE 13H: OUT OF POCKET MAXIMUM DISCOUNT FH NEIGHBORHOOD HOSPITALS LLC PART V, SECTION B, LINE 20E: WE REQUEST ADDITIONAL DOCUMENTATION WHEN AN INDIVIDUAL HAS SUBMITTED AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION. PART 1, LINE 3C IN ALIGNMENT WITH THE FROEDTERT HEALTH, INC. FINANCIAL ASSISTANCE POLICY FH NEIGHBORHOOD HOSPITALS LLC RESERVES THE RIGHT TO REVIEW EACH APPLICATION FOR FINANCIAL ASSISTANCE ON ITS OWN MERITS AND TO CONSIDER OTHER EXTENUATING CIRCUMSTANCES IN THE DECISION TO APPROVE OR DENY A PATIENT'S APPLICATION FOR FINANCIAL ASSISTANCE. THE APPLICANT'S GROSS FAMILY INCOME WILL BE COMPARED TO THE ANNUAL FEDERAL POVERTY GUIDELINES SET FORTH BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. A PATIENT WHO HAS AN ANNUAL GROSS INCOME EQUAL TO OR LESS THAN 400% OF THE CURRENT YEAR'S POVERTY GUIDELINES WILL NOT PAY MORE THAN 15% OF THEIR ANNUAL GROSS INCOME ON ANY SINGLE ACCOUNT DURING THE APPROVED ELIGIBILITY TIMEFRAME. PATIENTS WHO MEET THE REQUIREMENTS AND HAVE A GROSS INCOME EQUAL OR LESS THAN 250% OF THE FPG MAY QUALIFY FOR A 100% DISCOUNT. PATIENTS WHO MEET THE REQUIREMENTS AND HAVE A GROSS INCOME BETWEEN 250% AND 400% OF THE FPG MAY QUALIFY FOR A DISCOUNT ON A SLIDING SCALE. IN ADDITION TO INCOME, FH NEIGHBORHOOD HOSPITALS LLC ALSO TAKES CERTAIN ASSETS INTO CONSIDERATION. ASSETS PROTECTED FROM FINANCIAL EVALUATION INCLUDE A PORTION OF A HOUSEHOLD'S RETIREMENT ASSETS, CASH, SAVINGS ASSETS AND HOME EQUITY. PART 1, LINE 6A EVERY YEAR, FROEDTERT HEALTH PRODUCES AN ANNUAL REPORT TO THE COMMUNITY HIGHLIGHTING COMMUNITY OUTREACH PROGRAMS, PATIENT IMPACT STORIES AND INVESTMENTS IN THE COMMUNITIES WE SERVE. THE REPORT IS MAILED TO OVER 150 AREA NON-PROFITS, CHAMBERS OF COMMERCE, HOSPITAL PARTNERS, FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC BOARD OF DIRECTORS, FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC LEADERS AND STAFF, GOVERNMENT OFFICIALS, BUSINESS LEADERS AND OTHER COMMUNITY MEMBERS. A COPY OF THE MOST RECENT REPORT CAN BE FOUND AT HTTPS://WWW.FROEDTERT.COM/ABOUT/ANNUAL-REPORTS PART 1, LINE 7F TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25 COLUMN (A) IS $843,708,052. THIS INCLUDES THE EXPENSES FOR ALL ACTIVITIES OF FROEDTERT HEALTH, INC. (NOT JUST RELATED TO THE COMMUNITY HOSPITALS). THEREFORE, THE PERCENTAGES ON PART I, LINE 7 COLUMN F ARE LOW. PART VI, LINE 3 FH NEIGHBORHOOD HOSPITALS LLC INFORMS AND EDUCATES PATIENTS REGARDING FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAM ELIGIBILITY IN A NUMBER OF WAYS. ITS COMMUNICATION EFFORTS ALSO ADDRESS SPECIAL NEEDS OF PATIENTS AND THEIR FAMILIES, SUCH AS HEARING OR VISUAL IMPAIRMENT OR LANGUAGE INTERPRETATION.INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND GOVERNMENT PROGRAMS ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES THROUGH BROCHURES, SIGNAGE AND DIRECT CONTACT WITH FINANCIAL COUNSELORS, SOCIAL WORKERS / CASE MANAGERS AND REGISTRATION STAFF. PATIENT BILLING STATEMENTS ALSO INFORM PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. THE FROEDTERT HEALTH, INC. WEBSITE CONTAINS INFORMATION REGARDING PRICING, HOW TO UNDERSTAND YOUR HOSPITAL BILL, AND HOW TO APPLY FOR FINANCIAL ASSISTANCE. FH NEIGHBORHOOD HOSPITALS LLC HAS MADE FINANCIAL ASSISTANCE FORMS AND INFORMATION AVAILABLE IN SPANISH. FINANCIAL COUNSELORS SCREEN UNINSURED PATIENTS FOR GOVERNMENT PROGRAM ELIGIBILITY AND SOCIAL SERVICES STAFF ARE AVAILABLE TO ASSIST PATIENTS WITH ENROLLMENT PROCESSES. PATIENTS WHO ARE UNINSURED, THOSE COVERED BY GOVERNMENT PROGRAMS AND THOSE WITH LIMITED FINANCIAL MEANS MAY ALSO BE ELIGIBLE FOR CHARITY CARE OR DISCOUNTS THROUGH THE FH NEIGHBORHOOD HOSPITALS LLC'S FINANCIAL ASSISTANCE PROGRAM. FINANCIAL COUNSELORS MAKE EVERY EFFORT TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL ASSISTANCE CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION, OR THE COLLECTION CYCLE. PART VI, LINE 4 4. COMMUNITY INFORMATIONOVERVIEWFROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC (FROEDTERT COMMUNITY HOSPITAL- NEW BERLIN, FROEDTERT COMMUNITY HOSPITAL- PEWAUKEE, FROEDTERT COMMUNITY HOSPITAL- OAK CREEK, AND FROEDTERT COMMUNITY HOSPITAL- MEQUON), PART OF THE FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN HEALTH NETWORK, ARE SMALL-SCALE HOSPITALS PROVIDING PATIENTS HIGH-QUALITY CARE CLOSE TO HOME. AS CMS-CERTIFIED, STATE-LICENSED AND ACCREDITED ACUTE-CARE HOSPITALS, THEY FEATURE AN EMERGENCY DEPARTMENT, INPATIENT BEDS, LABORATORY, PHARMACY AND IMAGING SERVICES. MISSION STATEMENTFROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN ADVANCE THE HEALTH OF THE PEOPLE OF THE DIVERSE COMMUNITIES WE SERVE THROUGH EXCEPTIONAL CARE ENHANCED BY INNOVATION AND DISCOVERY. SERVICE AREA AND DEMOGRAPHICSTHE COMMUNITY IS DEFINED AS NORTHEAST AND SOUTHEAST WAUKESHA COUNTY. ALL PROGRAMS, ACTIVITIES, AND PARTNERSHIPS UNDER THE FUTURE CHNA WILL BE DELIVERED IN WAUKESHA COUNTY. HOWEVER FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC'S TOTAL SERVICE AREA CONSISTS OF WAUKESHA COUNTY AS WELL AS ZIP CODES IN WESTERN MILWAUKEE COUNTY. FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC DETERMINES ITS PRIMARY AND SECONDARY SERVICE AREAS BY COMPLETING AN ANNUAL REVIEW AND ANALYSIS OF HOSPITAL DISCHARGES AND MARKET SHARE ACCORDING TO VARIOUS DETERMINANTS.FROEDTERT COMMUNITY HOSPITAL- PEWAUKEE SERVICE AREA REFLECTS THESE ZIP CODES - 53029 (HARTLAND), 53045 (BROOKFIELD), 53058 (NASHOTAH), 53072 (PEWAUKEE), 53089 (SUSSEX), 53186 (WAUKESHA), 53188 (WAUKESHA), 53056 (MERTON) FROEDTERT COMMUNITY HOSPITAL- NEW BERLIN SERVICE AREA REFLECTS THESE ZIP CODES - 53005 (BROOKFIELD), 53045 (BROOKFIELD), 53051 (MENOMONEE FALLS), 53072 (PEWAUKEE), 53103 (BIG BEND), 53122 (ELM GROVE), 53129 (GREENDALE), 53130 (HALES CORNERS), 53132 (FRANKLIN), 53146 (NEW BERLIN), 53149 (MUKWONAGO), 53150 (MUSKEGO), 53151 (NEW BERLIN), 53185 (WATERFORD), 53186 (WAUKESHA), 53188 (WAUKESHA), 53189 (WAUKESHA), 53213 (MILWAUKEE), 53214 (MILWAUKEE), 53219 (MILWAUKEE), 53220 (MILWAUKEE), 53221 (MILWAUKEE), 53226 (MILWAUKEE), 53227 (MILWAUKEE), 53228 (MILWAUKEE)FROEDTERT COMMUNITY HOSPITAL- OAK CREEK SERVICE AREA REFLECTS THESE ZIP CODES - 53108 (CALEDONIA), 53110 (CUDAHY), 52319 (GREENDALE), 53130 (HALES CORNERS), 53132 (FRANKLIN), 53154 (OAK CREEK), 53172 (SOUTH MILWAUKEE), 53207 (MILWAUKEE), 53220 (MILWAUKEE), 53221 (MILWAUKEE), 53228 (MILWAUKEE), AND 53235 (SAINT FRANCIS)FROEDTERT COMMUNITY HOSPITAL- MEQUON SERVICE AREA REFLECTS THESE ZIP CODES - 53004 (BELGIUM), 53012 (CEDARBURG), 53021 (FREDONIA), 53024 (GRAFTON), 53074 (PORT WASHINGTON), 53080 (SAUKVILLE), 53092 (MEQUON), 53097 (MEQUON), AND 53217 (MILWAUKEE)FROEDTERT NEW BERLIN COMMUNITY HOSPITALHOUSEHOLD INCOME CY20 PRIMARY SERVICE AREAUNDER $24,999 14.44%$25,000-$49,999 19.51%$50,000-$99,999 33.40%$100,000 AND UP 32.65%TOTAL HOUSEHOLDS 242,916FROEDTERT NEW BERLIN COMMUNITY HOSPITAL PAYER SOURCE FY21 PRIMARY SERVICE AREACOMMERCIAL/MANAGED CARE 28.1%MEDICAID 12.4%MEDICARE 57.0%OTHER GOVERMENT 1.1%OTHER/SELF PAY 1.5% SOURCE: WHA FROEDTERT NEW BERLIN COMMUNITY HOSPITAL RACE FY20 PRIMARY SERVICE AREAWHITE 87.38%AFRICAN AMERICAN 2.83%ASIAN/HAWAIIAN/PACIFIC ISLANDER 0.04%NATIVE AMERICA 0.52%TWO OR MORE RACES 2.36%OTHER 2.49%HISPANIC 8.43%TOTAL POPULATION 587,056FROEDTERT NEW BERLIN COMMUNITY HOSPITAL PAYER SOURCE FY22 Q3 PRIMARY SERVICE AREACOMMERCIAL/MANAGED CARE 27.7%MEDICAID 12.1%MEDICARE 57.1%OTHER GOVERMENT 1.3%OTHER/SELF PAY 1.9% SOURCE: WHA FROEDTERT PEWAUKEE COMMUNITY HOSPITALHOUSEHOLD INCOME CY20 PRIMARY SERVICE AREAUNDER $24,999 12.58%$25,000-$49,999 17.27%$50,000-$99,999 29.85%$100,000 AND UP 40.30%TOTAL HOUSEHOLDS 64,696FROEDTERT PEWAUKEE COMMUNITY HOSPITAL PAYER SOURCE FY21 PRIMARY SERVICE AREACOMMERCIAL/MANAGED CARE 31.7%MEDICAID 10.8%MEDICARE 54.6%OTHER GOVERMENT 1.3%OTHER/SELF PAY 1.5% SOURCE: WHAFROEDTERT PEWAUKEE COMMUNITY HOSPITAL RACE FY20 PRIMARY SERVICE AREAWHITE 89.28%AFRICAN AMERICAN 1.81%ASIAN/HAWAIIAN/PACIFIC ISLANDER 0.06%NATIVE AMERICA 0.32%TWO OR MORE RACES 1.93%OTHER 1.89%HISPANIC 7.04%TOTAL POPULATION 162,592FROEDTERT PEWAUKEE COMMUNITY HOSPITAL PAYER SOURCE FY22 Q3 PRIMARY SERVICE AREACOMMERCIAL/MANAGED CARE 31.8%MEDICAID 10.2%MEDICARE 55.3%OTHER GOVERMENT 1.0%OTHER/SELF PAY 1.7% SOURCE: WHAFROEDTERT OAK CREEK COMMUNITY HOSPITAL RACE FY20 PRIMARY SERVICE AREAWHITE 84.90%AFRICAN AMERICAN 3.50%ASIAN/HAWAIIAN/PACIFIC ISLANDER 0.03%NATIVE AMERICA 0.84%TWO OR MORE RACES 2.80%OTHER 3.70%HISPANIC 12.33%TOTAL POPULATION 269,785FROEDTERT OAK CREEK COMMUNITY HOSPITALHOUSEHOLD INCOME CY20 PRIMARY SERVICE AREAUNDER $24,999 16.77%$25,000-$49,999 22.23%$50,000-$99,999 36.05%$100,000 AND UP 24.95%TOTAL HOUSEHOLDS 113,701FROEDTERT MEQUON COMMUNITY HOSPITAL RACE FY20 PRIMARY SERVICE AREAWHITE 91.69%AFRICAN AMERICAN 2.38%ASIAN/HAWAIIAN/PACIFIC ISLANDER 0.02%NATIVE AMERICA 0.27%TWO OR MORE RACES 1.71%OTHER 0.72%HISPANIC 3.31%TOTAL POPULATION 121,428FROEDTERT MEQUON COMMUNITY HOSPITALHOUSEHOLD INCOME CY20 PRIMARY SERVICE AREAUNDER $24,999 9.97%$25,000-$49,999 15.50%$50,000-$99,999 28.27%$100,000 AND UP 46.26%TOTAL HOUSEHOLDS 48,282 PART VI, LINE 5 5. PROMOTION OF COMMUNITY HEALTHTHE FROEDTERT COMMUNITY HOSPITAL-PEWAUKEE COMMUNITY ADVISORY COMMITTEE IS ADVISORY TO FROEDTERT COMMUNITY HOSPITAL MANAGEMENT COMMITTEE. FROEDTERT COMMUNITY HOSPITAL-PEWAUKEE COMMUNITY ADVISORY COMMITTEE WILL SERVE AS THOUGHT LEADERS WHO FACILITATE INFORMATION EXCHANGE BETWEEN FROEDTERT HEALTH AND THE GREATER PEWAUKEE COMMUNITY. THE MEMBERS REPRESENT MULTIPLE SECTORS OF THE COMMUNITY AND INCREASED UNDERSTANDING OF THE ROLE FROEDTERT HEALTH IS SERVING THE COMMUNITY. FUNCTIONS:- TO PROVIDE A LEADERSHIP ROLE IN ADVOCATING COMMUNITY-WIDE RESPONSES TO HEALTHCARE NEEDS IN THE HOSPITAL'S PRIMARY SERVICE AREA.- TO FACILITATE AND SUPPORT COMMUNITY, BUSINESS AND HEALTHCARE PARTNERSHIPS.- TO SERVE AS A LIAISON BETWEEN FROEDTERT HEALTH AND THE COMMUNITY TO PROVIDE A CONDUIT OF INFORMATION ABOUT COMMUNITY INITIATIVES AND NEEDS.- TO ACT AS THOUGHT LEADERS ON BEHALF OF THE COMMUNITY IN MATTERS RELATED TO HEALTH AND SOCIAL DETERMINANTS OF HEALTH.- TO UNDERSTAND AND TO PROVIDE GUIDANCE ON FROEDTERT HEALTH'S COMMUNITY ENGAGEMENT INITIATIVES.- TO UNDERSTAND UNMET HEALTH NEEDS IN THE LOCAL COMMUNITY AND HOW FROEDTERT HEALTH ADDRESSES THOSE NEEDS.- ASSIST IN THE DEVELOPMENT AND OUTCOMES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY IN PARTNERSHIP WITH THE COMMUNITY HOSPITAL'S MANAGEMENT TEAM EVERY THREE YEARS.THE FROEDTERT COMMUNITY HOSPITAL-NEW BERLIN COMMUNITY ADVISORY COMMITTEE IS ADVISORY TO FROEDTERT COMMUNITY HOSPITAL MANAGEMENT COMMITTEE. THE FROEDTERT COMMUNITY HOSPITAL-NEW BERLIN COMMUNITY ADVISORY COMMITTEE WILL SERVE AS THOUGHT LEADERS WHO FACILITATE INFORMATION EXCHANGE BETWEEN FROEDTERT HEALTH AND THE GREATER NEW BERLIN COMMUNITY. THE MEMBERS WILL REPRESENT MULTIPLE SECTORS OF THE COMMUNITY AND INCREASE UNDERSTANDING OF THE ROLE OF FROEDTERT HEALTH IN SERVING THE COMMUNITY. FUNCTIONS:- TO PROVIDE A LEADERSHIP ROLE IN ADVOCATING COMMUNITY-WIDE RESPONSES TO HEALTHCARE NEEDS IN THE HOSPITAL'S PRIMARY SERVICE AREA.- TO FACILITATE AND SUPPORT COMMUNITY, BUSINESS AND HEALTHCARE PARTNERSHIPS.- TO SERVE AS A LIAISON BETWEEN FROEDTERT HEALTH AND THE COMMUNITY TO PROVIDE A CONDUIT OF INFORMATION ABOUT COMMUNITY INITIATIVES AND NEEDS.- TO ACT AS THOUGHT LEADERS ON BEHALF OF THE COMMUNITY IN MATTERS RELATED TO HEALTH AND SOCIAL DETERMINANTS OF HEALTH.- TO UNDERSTAND AND TO PROVIDE GUIDANCE ON FROEDTERT HEALTH'S COMMUNITY ENGAGEMENT INITIATIVES.- TO UNDERSTAND UNMET HEALTH NEEDS IN THE LOCAL COMMUNITY AND HOW FROEDTERT HEALTH ADDRESSES THOSE NEEDS.- ASSIST IN THE DEVELOPMENT AND OUTCOMES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY IN PARTNERSHIP WITH THE COMMUNITY HOSPITAL'S MANAGEMENT TEAM EVERY THREE YEARS.THE FROEDTERT COMMUNITY HOSPITAL-MEQUON COMMUNITY ADVISORY COMMITTEE WILL SERVE AS THOUGHT LEADERS WHO FACILITATE INFORMATION EXCHANGE BETWEEN FROEDTERT HEALTH AND THE GREATER MEQUON COMMUNITY. THE MEMBERS WILL REPRESENT MULTIPLE SECTORS OF THE COMMUNITY AND INCREASE UNDERSTANDING OF THE ROLE OF FROEDTERT HEALTH IN SERVING THE COMMUNITY. FUNCTIONS- TO PROVIDE A LEADERSHIP ROLE IN ADVOCATING COMMUNITY-WIDE RESPONSES TO HEALTHCARE NEEDS IN MEQUON AND SURROUNDING COMMUNITIES.- TO FACILITATE AND SUPPORT COMMUNITY, BUSINESS AND HEALTHCARE PARTNERSHIPS.- TO SERVE AS A LIAISON BETWEEN FROEDTERT HEALTH AND THE COMMUNITY TO PROVIDE A CONDUIT OF INFORMATION ABOUT COMMUNITY INITIATIVES AND NEEDS.- TO ACT AS THOUGHT LEADERS ON BEHALF OF THE COMMUNITY IN MATTERS RELATED TO HEALTH AND SOCIAL DETERMINANTS OF HEALTH.- TO DISSEMINATE INFORMATION ON PROGRAMS AND SERVICES PROVIDED AT FROEDTERT COMMUNITY HOSPITAL-MEQUON TO BENEFIT THE HEALTH OF THE LOCAL CITIZENRY. - TO UNDERSTAND AND TO PROVIDE GUIDANCE ON FROEDTERT HEALTH'S COMMUNITY ENGAGEMENT INITIATIVES.- TO UNDERSTAND UNMET HEALTH NEEDS IN THE LOCAL COMMUNITY AND HOW FROEDTERT HEALTH ADDRESSES THOSE NEEDS.THE FROEDTERT COMMUNITY HOSPITAL-OAK CREEK COMMUNITY ADVISORY COMMITTEE WILL SERVE AS THOUGHT LEADERS WHO FACILITATE INFORMATION EXCHANGE BETWEEN FROEDTERT HEALTH AND THE GREATER OAK CREEK COMMUNITY. THE MEMBERS WILL REPRESENT MULTIPLE SECTORS OF THE COMMUNITY AND INCREASE UNDERSTANDING OF THE ROLE OF FROEDTERT HEALTH IN SERVING THE COMMUNITY. FUNCTIONS- TO PROVIDE A LEADERSHIP ROLE IN ADVOCATING COMMUNITY-WIDE RESPONSES TO HEALTHCARE NEEDS IN OAK CREEK AND SURROUNDING COMMUNITIES.- TO FACILITATE AND SUPPORT COMMUNITY, BUSINESS AND HEALTHCARE PARTNERSHIPS.- TO SERVE AS A LIAISON BETWEEN FROEDTERT HEALTH AND THE COMMUNITY TO PROVIDE A CONDUIT OF INFORMATION ABOUT COMMUNITY INITIATIVES AND NEEDS.- TO ACT AS THOUGHT LEADERS ON BEHALF OF THE COMMUNITY IN MATTERS RELATED TO HEALTH AND SOCIAL DETERMINANTS OF HEALTH.- TO DISSEMINATE INFORMATION ON PROGRAMS AND SERVICES PROVIDED AT FROEDTERT COMMUNITY HOSPITAL-OAK CREEK TO BENEFIT THE HEALTH OF THE LOCAL CITIZENRY. - TO UNDERSTAND AND TO PROVIDE GUIDANCE ON FROEDTERT HEALTH'S COMMUNITY ENGAGEMENT INITIATIVES.- TO UNDERSTAND UNMET HEALTH NEEDS IN THE LOCAL COMMUNITY AND HOW FROEDTERT HEALTH ADDRESSES THOSE NEEDS. PART VI, LINE 6 6. AFFILIATED HEALTH SYSTEMFROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC (FROEDTERT COMMUNITY HOSPITAL- NEW BERLIN, FROEDTERT COMMUNITY HOSPITAL- PEWAUKEE, FROEDTERT COMMUNITY HOSPITAL- OAK CREEK AND FROEDTERT COMMUNITY HOSPITAL- MEQUON), PART OF THE FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN HEALTH NETWORK, ARE SMALL-SCALE HOSPITALS PROVIDING PATIENTS HIGH-QUALITY CARE CLOSE TO HOME. AS CMS-CERTIFIED, STATE-LICENSED AND ACCREDITED ACUTE-CARE HOSPITALS, THEY FEATURE AN EMERGENCY DEPARTMENT, INPATIENT BEDS, LABORATORY, PHARMACY AND IMAGING SERVICES. FROEDTERT MEMORIAL LUTHERAN HOSPITAL, FROEDTERT MENOMONEE FALLS HOSPITAL, FROEDTERT WEST BEND HOSPITALS, FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, AND HOLY FAMILY MEMORIAL MADE SIGNIFICANT INVESTMENTS IN THE HEALTH OF THEIR COMMUNITIES. PATIENTS WHO COULDN'T PAY FOR THEIR MEDICAL CARE RECEIVED MORE THAN $183 MILLION IN UNCOMPENSATED SERVICES. BEYOND PROVIDING CARE FOR THE UNINSURED/UNDERINSURED PATIENTS, WE CONTRIBUTED $129 MILLION TO IMPROVE ACCESS TO CARE, TEACH FUTURE HEALTHCARE PROFESSIONALS, DEVELOP NEW MEDICAL THERAPIES AND PARTICIPATE IN LOCAL PARTNERSHIPS AIMED AT REDUCING HEALTH DISPARITIES.FROEDTERT HEALTH MEMBERS DEVELOP COMMUNITY BENEFIT STRATEGIES AND GOALS BASED ON THE UNIQUE NEEDS OF EACH OF THEIR COMMUNITIES. BY CONDUCTING REGULAR COMMUNITY NEEDS ASSESSMENTS THAT MONITOR CRITICAL PUBLIC HEALTH ISSUES, AND ACTIVELY SEEKING COMMUNITY INPUT, THE HOSPITALS HAVE BUILT IMPORTANT LOCAL RELATIONSHIPS THAT PROVIDE MEANINGFUL OUTREACH PROGRAMS THAT LINK EACH HOSPITAL TO THEIR NEIGHBORS AND PATIENTS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, FROEDTERT HEALTH REINVESTS ITS SURPLUS FUNDS BACK INTO THE COMMUNITY THROUGH PROGRAMS TO SERVE THE POOR AND UNINSURED, TEACH FUTURE HEALTHCARE PROFESSIONALS, DEVELOP NEW MEDICAL THERAPIES, MANAGE CHRONIC CONDITIONS LIKE DIABETES, HEALTH EDUCATION AND PROMOTION INITIATIVES, AND PARTICIPATE IN LOCAL PARTNERSHIPS AIMED AT REDUCING HEALTH DISPARITIES. FOR MORE INFORMATION ABOUT FROEDTERT HEALTH, VISIT WWW.FROEDTERT.COM PART VI, LINE 7 7. STATE FILING OF COMMUNITY BENEFIT REPORTCOMMUNITY BENEFIT DATA IS REPORTED ANNUALLY TO THE WISCONSIN HOSPITAL ASSOCIATION. X X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 JACOBSON CATHERINE DIRECTOR & CEO/PRESIDENT 1468173 0 1497717 0 483834 0 385004 0 33855 0 3868583 0 480246 0 TRUWIT JONATHON ENTERPRISE CHIEF MEDICAL OFF 658300 0 477211 0 1025521 0 131008 0 18086 0 2310126 0 969163 0 HAWIG SCOTT TREASURER 859606 0 673905 0 235572 0 195895 0 33110 0 1998088 0 213362 0 BEHL MARK DIRECTOR & EVP/FH COO 752801 0 649880 0 22018 0 170238 0 30470 0 1625407 0 0 0 OLSON DAVID SR VP & CHIEF STRATEGY OFF 569463 0 418587 0 169763 0 135660 0 34063 0 1327536 0 144336 0 HUMPHREY ERIC FH SR VP/CHIEF HR OFFICER 528824 0 564509 0 36068 0 122928 0 33405 0 1285734 0 33146 0 MARQUARDT AMY SECR & SR VP CHIEF LEGAL OFF 553945 0 407714 0 110213 0 131853 0 34024 0 1237749 0 87775 0 CONLEY ERIC FMLH PRESIDENT 612605 0 406478 0 21510 0 144913 0 33188 0 1218694 0 0 0 ERICSON ALLEN CHD PRESIDENT 520540 0 316434 0 177099 0 125978 0 33844 0 1173895 0 152316 0 LODES MARK VP-POP HEALTH & MED ED 516573 0 279740 0 196452 0 73097 0 34268 0 1100130 0 175284 0 BASILOTTO STEPHEN FH SR VP/CHIEF EXPERIENCE OFF 479190 0 355590 0 21287 0 116708 0 34137 0 1006912 0 0 0 WEBB DIXON RICHELLE FMLH COO 486790 0 297513 0 31366 0 118722 0 34638 0 969029 0 0 0 KLAUCK JAMES SR VP ANCILLARY SVCS 378332 0 236296 0 126687 0 100399 0 37884 0 879598 0 103665 0 LUX TERESA CHD COO 413251 0 251280 0 90723 0 105582 0 14443 0 875279 0 68905 0 JACOB SONY FH CIO 456872 0 210850 0 20502 0 105062 0 27842 0 821128 0 0 0 CEELEN JOHN PAST SR VP FINANCE 69160 0 0 0 725470 0 14192 0 8612 0 817434 0 448200 0 BALZER JOHN FORMER - KEY EMP (VP FAC PLAN) 152396 0 164169 0 124044 0 19442 0 11804 0 471855 0 0 0 MCCLELLAN NINA FORMER - KEY EMP (FH CIO) 0 0 0 0 165927 0 4102 0 30 0 170059 0 0 0 PART I, LINE 1A HOUSING: WEBB DIXON, RICHELLE - $10,019 ($6,500 ACTUAL + $3,519 GROSS UP) HEALTH AND FITNESS (STANDARD EMPLOYEE BENEFIT): KLAUCK, JAMES - $100 PART I, LINES 4A-B SEVERANCE: CEELEN, JOHN - $269,965 MCCLELLAN, NINA - $164,072 457(F) DISTRIBUTIONS: CEELEN, JOHN - $448,200 ERICSON, ALLEN - $152,316 HAWIG, SCOTT - $213,362 HUMPHREY, ERIC - $33,146 JACOBSON, CATHERINE - $480,246 KLAUCK, JAMES - $103,665 LODES, MARK - $175,284 LUX, TERESA - $68,905 MARQUARDT, AMY - $87,775 OLSON, DAVID - $144,336 TRUWIT, JONATHON - $969,163 NON-QUALIFIED DISTRIBUTIONS: TRUWIT, JONATHON - $21,647 (OF WHICH $0 WAS REPORTED AS DEFERRED ON A PRIOR FORM 990) 457(F) PLAN PARTICIPANTS: BASILOTTO, STEPHEN BEHL, MARK CEELEN, JOHN CONLEY, ERIC ERICSON, ALLEN HAWIG, SCOTT HUMPHREY, ERIC JACOB, SONY JACOBSON, CATHERINE KLAUCK, JAMES LODES, MARK LUX, TERESA MARQUARDT, AMY OLSON, DAVID TRUWIT, JONATHON WEBB DIXON, RICHELLE NON-QUALIFIED PARTICIPANTS: TRUWIT, JONATHON PART I, LINE 7 BONUS COMPENSATION IS PAID BASED UPON ATTAINMENT OF SPECIFIC GOALS RELATED TO THE ORGANIZATION'S STRATEGY, SERVICE, QUALITY, AND FINANCIAL STRENGTH. THE AMOUNT OF COMPENSATION IS CALCULATED USING SPECIFIED PERCENTAGES OF BASE SALARY FOR ACHIEVEMENT OF PARTICULAR GOAL LEVELS. HOWEVER, THE BOARD COMMITTEE WHICH ADMINISTERS THE BONUS COMPENSATION PROGRAM HAS DISCRETION OVER WHETHER TO PAY THE BONUS IN ANY GIVEN YEAR OR TO AMEND, CHANGE, OR TERMINATE THE PROGRAM AT ANY TIME. PART II, COLUMN (B)(II): BONUS AND INCENTIVE COMPENSATION AMOUNTS INCLUDE INCENTIVE COMPENSATION PAID. PART II, COLUMN (B)(III): OTHER REPORTABLE COMPENSATION INCLUDES 457(F) DEFERRED COMPENSATION PLAN DISTRIBUTIONS PAID TO INDIVIDUALS, AMOUNTS PAID IN LIEU OF 457(F) DEFERRED COMPENSATION PLAN CONTRIBUTIONS, AND OTHER MISCELLANEOUS COMPENSATION. A WISCONSIN HEALTH AND EDUCATION AUTHORITY 391337855 97710B6D9 2012-10-11 167195354 SEE PART VI 0 0 0 B WISCONSIN HEALTH AND EDUCATION AUTHORITY 391337855 97712DWA0 2017-04-20 272670229 SEE PART VI 0 0 0 C WISCONSIN HEALTH AND EDUCATION AUTHORITY 391337855 97712D8U3 2021-06-24 69375016 SEE PART VI 0 0 0 D WISCONSIN HEALTH AND EDUCATION AUTHORITY 391337855 97712D8W9 2021-06-24 80835011 SEE PART VI 0 0 0 A 5045000 168720537 1689952 118390733 48639852 2016 1 1 1 1 B 25125000 272795372 2053047 20275833 250466492 2019 1 1 1 1 C 3095000 69375016 725000 68650016 2021 1 0 1 1 D 80835011 835000 80000011 2021 1 0 1 1 A 0 1 0 1 1 0.00040 0.00040 0 0 1 B 0 1 0 1 1 0.00390 0.00390 0 0 1 C 0 1 0 1 1 0.00470 0.00470 0 0 1 D 0 0 0 1 1 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 1 0 1 1 MORGAN STANLEY 26.100000000000 1 0 0 0 1 D 0 1 0 0 1 1 BARCLAYS 27.300000000000 1 0 0 0 1 A 1 B 1 C 1 D 1 PART I, COLUMN F: BOND A: 2012A - THE PURPOSE OF THE ISSUE IS TO (I) FINANCE CONSTRUCTION OF THE FROEDTERT HOSPITAL CENTER FOR ADVANCED CARE (II) ADVANCE REFUND SERIES 2003 BONDS ISSUED: 02/05/2003 AND CURRENT REFUND SERIES 2001 BONDS ISSUED: 09/15/2001. BOND B: 2017A - THE PURPOSE OF THE ISSUE IS TO (I) PAY OR REIMBURSE COSTS OF ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING CERTAIN HOSPITAL FACILITIES INCLUDING, BUT NOT LIMITED TO, A NEW INTEGRATED PROCDURAL PLATFORM AT FROEDTERT MEMORIAL LUTHERAN HOSPITAL (II) CURRENT REFUND SERIES 2013B BONDS ISSUED: 12/11/2013 AND ADVANCE REFUND SERIES 2009C BONDS ISSUED: 10/22/2009. BOND C: 2021A - THE PURPOSE OF THE ISSUE IS TO CURRENT REFUND THE SERIES 2013A BONDS ISSUED 12/11/2013. BOND D: 2021B - THE PURPOSE OF THE ISSUE IS TO CURRENT REFUND THE SERIES 2017B BONDS ISSUED: 04/27/2017. PART II, LINE 3, COLUMN A: TOTAL PROCEEDS OF ISSUE DIFFERS FROM ISSUE PRICE DUE TO INTEREST EARNED ON INVESTMENTS OF $1,525,183. PART II, LINE 3, COLUMN B: TOTAL PROCEEDS OF ISSUE DIFFERS FROM ISSUE PRICE DUE TO INTEREST EARNED ON INVESTMENTS OF $125,143. PART II, LINE 3, COLUMN C: TOTAL PROCEEDS OF ISSUE DIFFERS FROM ISSUE PRICE DUE TO INTEREST EARNED ON INVESTMENTS OF $16. PART II, LINE 3, COLUMN D: TOTAL PROCEEDS OF ISSUE DIFFERS FROM ISSUE PRICE DUE TO INTEREST EARNED ON INVESTMENTS OF $11. PART II, LINE 11, COLUMNS A, B, C, & D: THE OTHER SPENT PROCEEDS RELATE TO THE REFUNDING PROCEEDS OF THE ISUES NO LONGER IN ESCROW. PART III, LINE 3D, COLUMNS A, B, C, & D: ALL CONTRACTS ARE ROUTINELY REVIEWED BY IN HOUSE COUNSEL PART IV, LINE 2C, COLUMN A: A REBATE CALCULATION WAS PERFORMED ON 10/01/2017 WITH NO REBATE DUE. PART IV, LINE 2C, COLUMN B: A REBATE CALCULATION WAS PERFORMED ON 4/15/2022 WITH NO REBATE DUE. FORM 990, PART I, LINE 5 AND PART V, LINE 2 FROEDTERT HEALTH, INC. IS THE COMMON LAW EMPLOYER FOR THE FROEDTERT HEALTH SYSTEM WHICH INCLUDES FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC., FROEDTERT HOSPITAL FOUNDATION, INC., COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, INC., COMMUNITY MEMORIAL FOUNDATION OF MENOMONEE FALLS, INC., ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC., ST. JOSEPH'S COMMUNITY FOUNDATION, INC., COMMUNITY OUTPATIENT HEALTH SERVICES OF MENOMONEE FALLS, INC., AND HOLY FAMILY MEMORIAL, INC. CENTRALLY MANAGED CORPORATE ACCOUNTING POLICY EFFECTIVE JULY 1, 2013, FROEDTERT HEALTH, INC. ADOPTED AN INTERNAL ACCOUNTING POLICY FOR CERTAIN BALANCE SHEET AND INCOME STATEMENT MATTERS THAT ARE CENTRALLY MANAGAGED BY FROEDTERT HEALTH AS THE PARENT CORPORATION.THE POLICY STATES THAT ASSETS AND LIABILITIES RELATED TO CENTRALLY MANAGED PROGRAMS WILL BE ACCOUNTED FOR ON THE PARENT CORPORATION'S CONSOLIDATED BALANCE SHEET AND WILL NOT BE ALLOCATED TO ANY OF THE AFFILIATE BALANCE SHEETS. AS A RESULT OF THIS NEW POLICY, FROEDTERT HEALTH, INC.'S BALANCE SHEET NOW INCLUDES LONG TERM INVESTMENTS, LONG TERM DEBT, AND THE RELATED SWAP LIABILITY FOR ALL THE CONSOLIDATED AFFILIATES. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS, DIRECTORS, ETC. DAVID LUBAR AND KURT BECHTOLD - BUSINESS RELATIONSHIP MARY ELLEN STANEK AND JOHN SCHLIFSKE - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS FROEDTERT HEALTH, INC. ACCOUNTING STAFF PREPARE FORM 990 WHICH IS REVIEWED BY FROEDTERT HEALTH, INC. FINANCIAL LEADERS. THE 990 IS THEN REVIEWED BY KPMG, FROEDTERT HEALTH, INC.'S OUTSIDE ACCOUNTING FIRM. NEXT, THE 990 IS PROVIDED TO THE FROEDTERT HEALTH, INC. AUDIT COMMITTEE AND BOARD OF DIRECTORS. FINALLY, THE 990 IS FILED AS REQUIRED. FORM 990, PART VI, SECTION B, LINE 12C EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS ON AN ANNUAL BASIS ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DATA IS COMPILED, AND THE FROEDTERT HEALTH, INC. VICE PRESIDENT-CHIEF COMPLIANCE OFFICER (CCO), THE SENIOR VICE-PRESIDENT-GENERAL COUNSEL AND/OR DELEGATE WILL REVIEW ALL FORMS AND NOTIFICATIONS TO DETERMINE IF ANY CONFLICTS OF INTEREST EXIST IN THE DISCLOSURE DOCUMENTS. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THEN THE INDIVIDUAL MAKING THE DISCLOSURE SHALL BE RELIEVED OF HIS/HER OBLIGATIONS ON BEHALF OF FROEDTERT HEALTH, INC. WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT THAT CREATES THE CONFLICT OF INTEREST. A REPORT OF ALL CONFLICTS OF INTEREST WILL BE MADE BY THE FROEDTERT HEALTH CCO AT LEAST ANNUALLY TO THE FROEDTERT HEALTH, INC. FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A COMPENSATION REVIEW & APPROVAL PROCESS - CEO & TOP MANAGEMENT IN ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO AND TOP MANAGEMENT, INDEPENDENT COMPENSATION CONSULTANTS ARE UTILIZED, COMPENSATION STUDIES ARE COMPLETED TO GATHER COMPARATIVE DATA, PERSONS WITH A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENTS AT ISSUE ARE NOT INVOLVED IN THE DECISION MAKING PROCESS, AND AMOUNTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. IN ADDITION, THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING FOR DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. LINE 15B COMPENSATION REVIEW & APPROVAL PROCESS - OFFICERS & KEY EMPLOYEES IN ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S OFFICERS & KEY EMPLOYEES, INDEPENDENT COMPENSATION CONSULTANTS ARE UTILIZED, COMPENSATION STUDIES ARE COMPLETED TO GATHER COMPARATIVE DATA, PERSONS WITH A CONFLICT OF INTEREST REGARDING THE COMPENSATION ARRANGEMENTS AT ISSUE ARE NOT INVOLVED IN THE DECISION MAKING PROCESS, AND AMOUNTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. IN ADDITION, THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING FOR DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 19 OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE FROEDTERT HEALTH, INC.'S QUARTERLY FINANCIAL INFORMATION IS AVAILABLE TO THE PUBLIC ONLINE THROUGH THE DIGITAL ASSURANCE CORPORATION, INC. WEBSITE. ANYONE CAN REGISTER TO RECEIVE ONGOING ACCESS TO AND NOTIFICATIONS REGARDING FINANCIAL STATEMENTS AT THE ONLINE WEBSITE. ADDITIONALLY, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC THROUGH THE CORPORATE OFFICE UPON REQUEST. FORM 990, PART XI, LINE 9: CHG IN ACC PENSION OTHER THAN NET PER BENEFIT COST -8,897,000. CHANGE IN UNREALIZED GAINS/LOSSES NETWORK HEALTH, INC. -10,618,530. TRANSFER TO HEALTH SYSTEM 153,443,090. UNRESTRICTED CAPITAL CONTRIBUTIONS/DISTRIBUTIONS 237,427. 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