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FROEDTERT THEDACARE HEALTH INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
FROEDTERT THEDACARE HEALTH INC (EIN 39-2014409)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-12
IRS object ID
202211329349303186
Schema version
2020v4.2
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)
Return2022-05-12T11:07:49-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1191 WEST NATIONWIDE BLVD SUITE 500AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP432152568ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN392014409EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FROEDTERT HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFROEBusinessNameControlTxt
Phone4148053000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19200 W WISCONSIN AVENUEAddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53226ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEFF VAN DE KREEKEPersonNm
Person TitleVP - CORP FINANCE & TREASURYPersonTitleTxt
Phone4148053000PhoneNum
Signature2022-05-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJEFFPersonFirstNm
Person LastVAN DE KREEKEPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMOLLIE P LONGHOUSEPreparerPersonNm
PTINP00294881PTIN
Phone6142492300PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCATHERINE A JACOBSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19200 W WISCONSIN AVENUEAddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53226ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,955,003,536GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FROEDTERT.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionFROEDTERT HEALTH, INC. ADVANCES THE HEALTH OF THE PEOPLE OF THE DIVERSE COMMUNITIES WE SERVE THROUGH EXCEPTIONAL CARE ENHANCED BY INNOVATION AND DISCOVERY.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee13789TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$532,673TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$592,568,162PYProgramServiceRevenueAmt
CY Program Service Revenue$746,994,118CYProgramServiceRevenueAmt
PY Investment Income$50,408,248PYInvestmentIncomeAmt
CY Investment Income$73,778,284CYInvestmentIncomeAmt
PY Other Revenue$32,485,400PYOtherRevenueAmt
CY Other Revenue$60,552,250CYOtherRevenueAmt
PY Total Revenue$675,461,810PYTotalRevenueAmt
CY Total Revenue$881,324,652CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$346,166,522PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$413,968,538CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$273,919,599PYOtherExpensesAmt
CY Other Expenses$375,455,594CYOtherExpensesAmt
PY Total Expenses$620,086,121PYTotalExpensesAmt
CY Total Expenses$789,424,132CYTotalExpensesAmt
PY Revenues Less Expenses$55,375,689PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$91,900,520CYRevenuesLessExpensesAmt
Total Assets BOY$2,857,726,016TotalAssetsBOYAmt
Total Assets EOY$3,415,179,967TotalAssetsEOYAmt
Total Liabilities BOY$1,413,187,183TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,470,493,539TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,444,538,833NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,944,686,428NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFROEDTERT HEALTH, INC. ADVANCES THE HEALTH OF THE PEOPLE OF THE DIVERSE COMMUNITIES WE SERVE THROUGH EXCEPTIONAL CARE ENHANCED BY INNOVATION AND DISCOVERY.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$316,484,418ExpenseAmt
Revenue$309,318,922RevenueAmt
DescHEALTH 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$207,712,454ExpenseAmt
Revenue$207,712,454RevenueAmt
DescHUMAN 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$119,135,624ExpenseAmt
Revenue$129,195,236RevenueAmt
DescOUTPATIENT SERVICES OF FROEDTERT NEIGHBORHOOD HOSPITAL, FROEDTERT HEALTH PHARMACY SOLUTIONS, FROEDTERT HEALTH HOME INRUSION, VERTU RX, WEST BEND SURGERY CENTER, AND FROEDTERT HEALTH PHARMACY.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$99,075,353ExpenseAmt
Revenue$160,855,259RevenueAmt
DescIT SUPPORT EXPENSE - 78,947,012INPATIENT EXPENSE - 774,730EMERGENCY DPT EXPENSE - 19,353,611 TOTAL EXPENSE - 99,075,353 IT SUPPORT REVENUE - 78,947,012INPATIENT REVENUE - 839,861EMERGENCY DPT REVENUE - 20,980,633JT VENTURE REVENUE - 60,087,753 TOTAL REVENUE - 160,855,259Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$99,075,353TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$160,855,259TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$742,407,849TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign OfficeYes (1)ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document477IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee13789EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID DIRKSMEYERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4148053000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1N74 W12501 LEATHERWOOD CTAddressLine1Txt
CityMENOMONEE FALLSCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53051ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JACOBSON CATHERINE
DIRECTOR & CEO/PRESIDENT48.002.00Yes (X)Yes (X)$2,846,002$0$406,494
BEHL MARK
DIRECTOR & EVP/FH COO48.002.00Yes (X)$655,929$0$68,707
BECHTHOLD KURT D
DIRECTOR1.000.00Yes (X)$0$0$0
BERKES MARY BETH
DIRECTOR1.000.00Yes (X)$0$0$0
BLOCK BRUCE T
DIRECTOR1.000.00Yes (X)$0$0$0
CHINI MARC
DIRECTOR1.000.00Yes (X)$0$0$0
CROSBY GRADY
DIRECTOR1.000.00Yes (X)$0$0$0
DEBBINK DIRK
DIRECTOR1.000.00Yes (X)$0$0$0
FORD DEBORAH
DIRECTOR1.000.00Yes (X)$0$0$0
LUBAR DAVID J
DIRECTOR1.000.00Yes (X)$0$0$0
MECKLENBURG GARY A
DIRECTOR1.000.00Yes (X)$0$0$0
OLIVIERI JOSE
DIRECTOR1.000.00Yes (X)$0$0$0
PRINCE JOAN PHD
DIRECTOR1.000.00Yes (X)$0$0$0
SCHLIFSKE JOHN E
DIRECTOR1.000.00Yes (X)$0$0$0
STANEK MARY ELLEN
DIRECTOR1.000.00Yes (X)$0$0$0
FREDRICK JACQUELYN
DIRECTOR & BOD CHAIR1.000.00Yes (X)Yes (X)$0$0$0
SNYDER JUDSON
DIRECTOR & BOD V.CHAIR1.000.00Yes (X)Yes (X)$0$0$0
HAWIG SCOTT
TREASURER50.000.00Yes (X)$1,275,435$0$201,645
MARQUARDT AMY
SECR & SR VP CHIEF LEGAL OFF50.000.00Yes (X)$792,121$0$162,372
BUCK CATHERINE
FMLH PRESIDENT50.000.00$1,055,840$0$31,739Yes (X)
MCCLELLAN NINA
FH CIO50.000.00$803,074$0$50,826Yes (X)
ERICSON ALLEN
CHD PRESIDENT5.0045.00$734,676$0$156,251Yes (X)
POLLARD DENNIS
FH COO50.000.00$703,233$0$15,828Yes (X)
CONLEY ERIC
FMLH PRESIDENT44.006.00$683,205$0$158,346Yes (X)
KLAUCK JAMES
SR VP ANCILLARY SVCS50.000.00$525,354$0$132,243Yes (X)
LUX TERESA
CHD COO5.0045.00$522,964$0$118,306Yes (X)
HUMPHREY ERIC
FH SR VP/CHIEF HR OFFICER50.000.00$470,271$0$144,392Yes (X)
WEBB DIXON RICHELLE
FMLH COO50.000.00$430,461$0$66,215Yes (X)
TRUWIT JONATHON
ENTERPRISE CHIEF MEDICAL OFF50.000.00$1,135,791$0$173,600Yes (X)
OLSON DAVID
SR VP & CHIEF STRATEGY OFF50.000.00$928,825$0$167,506Yes (X)
LODES MARK
VP-POP HEALTH & MED ED50.000.00$748,433$0$106,319Yes (X)
BASILOTTO STEPHEN
FH SR VP/CHIEF EXPERIENCE OFF50.000.00$553,420$0$146,192Yes (X)
STULAC MOTZEL WENDY
VP AMBULATORY SERVICES50.000.00$522,234$0$53,788Yes (X)
BALZER JOHN
FORMER - KEY EMP (VP FAC PLAN)50.000.00$410,007$0$45,538Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$15,797,275TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,406,307TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1317IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDICAL COLLEGE OF WI
8701 WATERTOWN PLANK ROADMILWAUKEEWI53226PROFESSIONAL SERVICE$93,615,817
RIGHTSOURCING INC
PO BOX 515743LOS ANGELESCA900515118PROFESSIONAL SERVICE$6,402,046
MILWAUKEE REGIONAL MEDICAL CENTER
9000 W WISCONSIN AVEMILWAUKEEWI53226PROFESSIONAL SERVICE$4,475,944
HOSPITAL BILLING & COLLECTION
118 LUKENS DRIVENEW CASTLEDE19720PROFESSIONAL SERVICE$3,812,357
OPTIMUM HEALTHCARE IT
PO BOX 741383ATLANTAGA30374PROFESSIONAL SERVICE$3,417,762
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K102CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER MANAGEMENT SUPPORT541900$309,318,922$309,318,922
HUMAN RESOURCES SUPPORT561300$207,712,454$207,712,454
OUTPATIENT REVENUE621400$129,195,236$129,195,236
INFO TECH SUPPORT518210$78,947,012$78,947,012
EMERGENCY DEPT REVENUE621990$20,980,633$20,980,633

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$839,861TotalRevenueColumnAmt
Related Or Exempt Func Income$839,861RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$746,994,118TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,711,573TotalRevenueColumnAmt
Exclusion$39,711,573ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,107,745,595SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,072,170,345SecuritiesAmt
Other$1,508,539OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$35,575,250SecuritiesAmt
Other-$1,508,539OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,066,711TotalRevenueColumnAmt
Exclusion$34,066,711ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
JOINT VENTURE REVENUE621500$60,236,969$60,018,343$218,626
EXCEEDENT REVENUE524292$315,281$314,047$1,234
FieldValueIRS element (for citing)
Other Revenue Total$60,552,250OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$881,324,652TotalRevenueColumnAmt
Related Or Exempt Func Income$807,012,461RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$532,673UnrelatedBusinessRevenueAmt
Exclusion$73,779,518ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$15,202,141TotalAmt
Program Services$15,202,141ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$190,669,350TotalAmt
Program Services$190,669,350ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$48,015,704TotalAmt
Program Services$48,015,704ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$147,564,864TotalAmt
Program Services$147,564,864ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,516,479TotalAmt
Program Services$12,516,479ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,246,381TotalAmt
Management And General$4,246,381ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$454,399TotalAmt
Management And General$454,399ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$3,500TotalAmt
Management And General$3,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$67,235,439TotalAmt
Program Services$67,235,439ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$14,647,299TotalAmt
Program Services$14,647,299ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,966,330TotalAmt
Program Services$1,107,742ProgramServicesAmt
Management And General$9,858,588ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,949,869TotalAmt
Program Services$4,949,869ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,810,693TotalAmt
Program Services$11,676,889ProgramServicesAmt
Management And General$2,133,804ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$356,617TotalAmt
Program Services$179,235ProgramServicesAmt
Management And General$177,382ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,005,361TotalAmt
Program Services$1,005,361ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,594,600TotalAmt
Program Services$11,594,600ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$32,279,796TotalAmt
Program Services$32,279,796ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,065,165TotalAmt
Program Services$10,065,165ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
AFFILIATED SUPPORT$130,003,677$126,854,415$3,149,262
SOFTWARE LICENSES & TRA$37,062,116$37,062,116
ADMINISTRATIVE EXPENSES$9,688,369$9,688,369
REPAIRS AND MAINTENANCE$9,630,341$9,630,341

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$17,455,642TotalAmt
Program Services$151,044ProgramServicesAmt
Management And General$17,304,598ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$789,424,132TotalAmt
Program Services$742,407,849ProgramServicesAmt
Management And General$47,016,283ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,162BOYAmt
EOY$8,462EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$250,617,648BOYAmt
EOY$125,013,472EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,628,842BOYAmt
EOY$20,324,733EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$8,791,452BOYAmt
EOY-$61,799,109EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$15,991,871BOYAmt
EOY$17,181,784EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$20,159,815BOYAmt
EOY$24,651,615EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$589,350,131LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$216,457,495LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$380,671,616BOYAmt
EOY$372,892,636EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,686,803,942BOYAmt
EOY$2,277,364,053EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,153,865EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$232,573,998BOYAmt
EOY$314,485,516EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$247,478,670BOYAmt
EOY$323,902,940EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,857,726,016BOYAmt
EOY$3,415,179,967EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$215,698,598BOYAmt
EOY$250,943,655EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$667,511,739BOYAmt
EOY$657,884,389EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$401,603BOYAmt
EOY$241,443EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$529,575,243BOYAmt
EOY$561,424,052EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,413,187,183BOYAmt
EOY$1,470,493,539EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,444,538,833BOYAmt
EOY$1,944,686,428EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,444,538,833BOYAmt
EOY$1,944,686,428EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,857,726,016BOYAmt
EOY$3,415,179,967EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$91,900,520ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$262,079,365NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$146,167,710OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations4SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
FROEDTERT MEMORIAL LUTHERAN HOSPITAL
3961059703Yes (1)$414,530,114$0
COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS
3909870253Yes (1)$38,058,495$0
ST JOSEPH'S COMMUNITY HOSPITAL
3908063023Yes (1)$18,519,223$0
F&MCW COMMUNITY PHYSICIANS
27204261030$46,906,442$0
FieldValueIRS element (for citing)
Supported Organizations Total4SupportedOrganizationsTotalCnt
Support Sum$518,014,274SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing Doc0ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (1)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (1)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (1)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (1)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART-IV LINE-SECTION A LINE 1DESCRIPTION OF HOW SUPPORTED ORGANIZATIONS ARE DESIGNATED: FROEDTERT HEALTH, INC., HAS FIVE 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 3ROLE 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 3AORGANIZATION 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 3BROLE 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.

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$3,500DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$3,500TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationSECTION PART II-B INCLUDED IS DIRECT STATE LOBBYING AND EXPENSES, AND A DEMINIMIS AMOUNT OF DIRECT FEDERAL LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,414,161OtherCostOrOtherBasisAmt
Book Value$18,414,161BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,389,789OtherCostOrOtherBasisAmt
Depreciation$10,913,642DepreciationAmt
Book Value$45,476,147BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,562,679OtherCostOrOtherBasisAmt
Depreciation$18,570,974DepreciationAmt
Book Value$36,991,705BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$197,233,141OtherCostOrOtherBasisAmt
Depreciation$130,971,966DepreciationAmt
Book Value$66,261,175BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$261,750,361OtherCostOrOtherBasisAmt
Depreciation$56,000,913DepreciationAmt
Book Value$205,749,448BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$372,892,636TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (23 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
WI RENAL CARE GROUP$4,928,873C
RYAN PEWAUKEE$903,750C
FITNESS DEV ASSOC.$647,653C
MKE CTR FOR DIAGNOSTIC$8,484,211C
UPPER MW CONSOL$200,000C
REAL ESTATE VENTURES$5,975,633C
INVEST IN HEALTHECO$6,100,000C
INVEST IN HOLY FAMILY$41,649,093C
MIDWEST DIALYSIS, LLC$10,671,437C
HORIZON HOME CARE & HOSPICE$12,906,742C
ACO$264,096C
NETWORK HEALTH PLAN$120,260,865C
NX LEVEL$606,359C
CIN$7,786,805C
FROEDTERT SOUTH$86,545,000C
NEW ENGLAND RE$100,000C
AVIA HOLDINGS$2,950,000C
XHEALTH$1,049,999C
RX REVU$250,000C
ABUNDUNT VENTURE$1,500,000C
HELUS/RX REVU$25,000C
CHARACTER VC$180,000C
SILVERCLOUD HEALTH$500,000C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$314,485,516TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
COLLATERAL HELD FOR SECURITIES$279,018,242
SENIOR MANAGEMENT DEFERRED$44,884,698
FieldValueIRS element (for citing)
Total Book Value Other Assets$323,902,940TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
FAIR VALUE OF INTEREST RATE SWAPS$42,863,184
LEASE OBLIGATIONS$164,450,732
OTHER LONG TERM LIABILITIES$75,091,894
PAYABLES UNDER SECURITIES LENDING$279,018,242
FieldValueIRS element (for citing)
Total Liability$561,424,052TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2021 AND 2020, FROEDTERT HEALTH DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegionTxt
Offices1OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConductedTxt
Region Total Expenditures$9,623,580RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office1TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$9,623,580SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$9,623,580TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance Budget0FinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,142TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$79,142NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,090,830TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$144,136DirectOffsettingRevenueAmt
Net Community Benefit Expns$946,694NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,169,972TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$144,136DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,025,836NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,683TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,683NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,621TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,621NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,304TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$51,304NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,221,276TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$144,136DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,077,140NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$194TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$194NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$86TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$86NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$280TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$280NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$235,109BadDebtExpenseAmt
Reimbursed By Medicare$641,457ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$1,414,560CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$773,103MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtSubordinate Hospital EINSubordinateHospitalEINLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
FH NEIGHBORHOOD HOSPITAL LLC - NB
14805 S MOORLAND RDNEW BERLINWI53151HTTPS://WWW.FROEDTERT.COM/LOCATIONS/HO843381796Yes (X)Yes (X)Yes (X)DBA FROEDTERT COMMUNITY HOSPITAL NEW BERLIN
FH NEIGHBORHOOD HOSPITAL LLC - PEW
2209 PEWAUKEE RDPEWAUKEEWI53072HTTPS://WWW.FROEDTERT.COM/LOCATIONS/HO843381796Yes (X)Yes (X)Yes (X)DBA FROEDTERT COMMUNITY HOSPITAL PEWAUKEE

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FH NEIGHBORHOOD HOSPITALS LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility2FacilityNum
First Licensed CY Or PYYes (1)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYYes (1)TaxExemptHospitalCYOrPYInd
CHNA Conducted0CHNAConductedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.FROEDTERT.COM/FINANCIAL-SERVICESFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.FROEDTERT.COM/FINANCIAL-SERVICESFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSAME AS 16A & BFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FH NEIGHBORHOOD HOSPITALS LLCPART V, SECTION B, LINE 2: FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC CURRENTLY CONSISTS OF FROEDTERT COMMUNITY HOSPITAL- NEW BERLIN AND FROEDTERT COMMUNITY HOSPITAL- PEWAUKEE WHICH OPENED IN NOVEMBER AND DECEMBER OF 2020. AN ADDITIONAL TWO HOSPITALS, FROEDTERT COMMUNITY HOSPITAL- OAK CREEK AND FROEDTERT COMMUNITY HOSPITAL- MEQUON, WILL OPEN IN JANUARY AND FEBRUARY OF 2022. ALL FOUR HOSPITALS WILL 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 FULL CHNA AND IMPLEMENTATION STRATEGY IS PLANNED TO BE COMPLETED AFTER FROEDTERT COMMUNITY HOSPITAL- MEQUON OPENS AND BEFORE THE REQUIRED THREE YEAR DEADLINE.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. COMMUNITY ENGAGEMENT AND FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC HAVE DEDICATED EMPLOYEES AND BUDGETED FUNDS TOWARD SERVING THE NEEDS OF THE FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC COMMUNITIES. COMMUNITY HEALTH EDUCATION AND OUTREACH PROGRAMS (CHRONIC DISEASE)FY2021 OUTCOMES/PROGRESS:- 30 INDIVIDUALS SERVED AT THE CARS & COOKOUT HEALTH FAIR- ALL COMMUNITY EDUCATION CLASSES WERE VIRTUAL IN FY21. THERE WAS AN OVERALL TOTAL OF 1,102 PEOPLE SERVED WITH APPROXIMATELY 3 INDIVIDUALS SERVED AT FROEDTERT COMMUNITY HOSPITAL- NEW BERLIN AND FROEDTERT COMMUNITY HOSPITAL- PEWAUKEE.- ALL SPEAKERS BUREAU OPPORTUNITIES WERE VIRTUAL IN FY21. THERE WAS AN OVERALL TOTAL OF 626 PEOPLE SERVED WITH APPROXIMATELY 2 INDIVIDUALS SERVED AT FROEDTERT COMMUNITY HOSPITAL- NEW BERLIN AND FROEDTERT COMMUNITY HOSPITAL- PEWAUKEE.- ALL SUPPORT GROUPS WERE VIRTUAL IN FY21. THERE WAS AN OVERALL TOTAL OF 565 PEOPLE SERVED WITH APPROXIMATELY 2 INDIVIDUALS SERVED AT FROEDTERT COMMUNITY HOSPITAL- NEW BERLIN AND FROEDTERT COMMUNITY HOSPITAL- PEWAUKEE.DRUG COLLECTION (AODA/MENTAL HEALTH)AS PART OF OUR COMMITMENT TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITY AND ADDRESS DRUG/HEROIN ADDICTION IN OUR COMMUNITIES, 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 2021 OUTCOMES/PROGRESS: AT THE COLLECTIONS, AREA RESIDENTS DROPPED OFF 1,240 POUNDS OF PRESCRIPTION AND OVER- THE- COUNTER MEDICATIONS AND 432 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 OFFERS FLU CLINICS FOR UNINSURED POPULATIONS.FY 2021 OUTCOMES/PROGRESS: - DURING THE FALL OF FISCAL YEAR 2021, 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. SEXUAL ASSAULT NURSE EXAMINER (SANE) AVAILABLE 24 HOURS A DAY (ACCESS TO CARE AND NAVIGATION)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 COMMUNITY HOSPITAL- NEW BERLIN AND FROEDTERT COMMUNITY HOSPITAL- PEWAUKEE FOR COMPREHENSIVE, COMPASSIONATE CARE. SANE STAFF ARE REGISTERED NURSES WITH ADVANCED TRAINING IN MEDICAL- FORENSIC EXAMINATION AND IN THE PSYCHOLOGICAL AND EMOTIONAL TRAUMA PATIENTS 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 FY2021 OUTCOMES/PROGRESS:- SANE NURSES SCREENED 21 PATIENTS AND PROVIDED REFERRALS AND CASE MANAGEMENT AFTER INITIAL CONSULTATION.
PART V, 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.
PART V, LINE 13H:OUT OF POCKET MAXIMUM DISCOUNT
PART V, LINE 20E:WE REQUEST ADDITIONAL DOCUMENTATION WHEN AN INDIVIDUAL HAS SUBMITTED AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION.

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, 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 I, 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 I, LINE 7F:TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25 COLUMN (A) IS $788,455,420. 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 AND FROEDTERT COMMUNITY HOSPITAL- PEWAUKEE), 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 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 FY20 PRIMARY SERVICE AREACOMMERCIAL/MANAGED CARE 26.1%MEDICAID 10.0%MEDICARE 60.8%OTHER GOVERNMENT 0.9%OTHER/SELF PAY 2.1% SOURCE: INTELERE 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 FY21 Q3 PRIMARY SERVICE AREACOMMERCIAL/MANAGED CARE 26.6%MEDICAID 10.2%MEDICARE 60.9%OTHER GOVERNMENT 0.9%OTHER/SELF PAY 1.4% SOURCE: INTELERE 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 NEW BERLIN COMMUNITY HOSPITAL PAYER SOURCE FY20 PRIMARY SERVICE AREACOMMERCIAL/MANAGED CARE 28.5%MEDICAID 8.4%MEDICARE 59.88%OTHER GOVERNMENT 0.5%OTHER/SELF PAY 2.7% SOURCE: INTELEREFROEDTERT NEW BERLIN 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 FY21 Q3 PRIMARY SERVICE AREACOMMERCIAL/MANAGED CARE 30.5%MEDICAID 7.7%MEDICARE 59.5%OTHER GOVERNMENT 1.0%OTHER/SELF PAY 1.4% SOURCE: INTELERE
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.
PART VI, LINE 6:6. AFFILIATED HEALTH SYSTEMFROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC (FROEDTERT COMMUNITY HOSPITAL NEW BERLIN AND FROEDTERT COMMUNITY HOSPITAL- PEWAUKEE), 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, 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 $162 MILLION IN UNCOMPENSATED SERVICES. BEYOND PROVIDING CARE FOR THE UNINSURED/UNDERINSURED PATIENTS, WE CONTRIBUTED $109 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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 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
JACOBSON CATHERINE
DIRECTOR & CEO/PRESIDENT$1,421,093$0$1,004,803$0$420,106$0$373,599$0$32,895$0$3,252,496$0$416,768$0
HAWIG SCOTT
TREASURER$747,717$0$323,453$0$204,265$0$170,230$0$31,415$0$1,477,080$0$182,597$0
TRUWIT JONATHON
ENTERPRISE CHIEF MEDICAL OFF$635,847$0$299,180$0$200,764$0$148,900$0$24,700$0$1,309,391$0$173,640$0
OLSON DAVID
SR VP & CHIEF STRATEGY OFF$553,638$0$234,837$0$140,350$0$133,166$0$34,340$0$1,096,331$0$115,448$0
BUCK CATHERINE
FMLH PRESIDENT$293,940$0$439,234$0$322,666$0$22,550$0$9,189$0$1,087,579$0$166,541$0
MARQUARDT AMY
SECR & SR VP CHIEF LEGAL OFF$541,010$0$228,735$0$22,376$0$130,145$0$32,227$0$954,493$0$0$0
ERICSON ALLEN
CHD PRESIDENT$507,482$0$82,804$0$144,390$0$123,724$0$32,527$0$890,927$0$121,768$0
LODES MARK
VP-POP HEALTH & MED ED$503,506$0$73,200$0$171,727$0$72,844$0$33,475$0$854,752$0$150,679$0
MCCLELLAN NINA
FH CIO$163,500$0$0$0$639,574$0$45,316$0$5,510$0$853,900$0$241,835$0
CONLEY ERIC
FMLH PRESIDENT$545,710$0$135,000$0$2,495$0$126,339$0$32,007$0$841,551$0$0$0
BEHL MARK
DIRECTOR & EVP/FH COO$339,894$0$284,076$0$31,959$0$62,597$0$6,110$0$724,636$0$0$0
POLLARD DENNIS
FH COO$250,580$0$389,528$0$63,125$0$5,500$0$10,328$0$719,061$0$0$0
BASILOTTO STEPHEN
FH SR VP/CHIEF EXPERIENCE OFF$457,538$0$74,739$0$21,143$0$113,693$0$32,499$0$699,612$0$0$0
KLAUCK JAMES
SR VP ANCILLARY SVCS$369,547$0$61,533$0$94,274$0$99,156$0$33,087$0$657,597$0$71,821$0
LUX TERESA
CHD COO$399,466$0$65,752$0$57,746$0$103,887$0$14,419$0$641,270$0$36,228$0
HUMPHREY ERIC
FH SR VP/CHIEF HR OFFICER$467,526$0$0$0$2,745$0$111,810$0$32,582$0$614,663$0$0$0
STULAC MOTZEL WENDY
VP AMBULATORY SERVICES$207,086$0$50,000$0$265,148$0$36,649$0$17,139$0$576,022$0$177,195$0
WEBB DIXON RICHELLE
FMLH COO$295,791$0$107,852$0$26,818$0$45,468$0$20,747$0$496,676$0$0$0
BALZER JOHN
FORMER - KEY EMP (VP FAC PLAN)$288,033$0$42,959$0$79,015$0$22,550$0$22,988$0$455,545$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AHOUSING: BEHL, MARK - $17,262 ($11,836 ACTUAL + $5,426 GROSS UP) WEBB DIXON, RICHELLE - $19,212 ($13,117 ACTUAL + $6,095 GROSS UP) SOCIAL CLUB DUES: JACOBSON, CATHERINE - $4,705 HEALTH AND FITNESS (STANDARD EMPLOYEE BENEFIT): BUCK, CATHERINE - $40 KLAUCK, JAMES - $80
PART I, LINES 4A-BSEVERANCE: MCCLELLAN, NINA - $389,936 STULAC MOTZEL, WENDY - $85,188 457(F) DISTRIBUTIONS: ERICSON, ALLEN - $121,768 HAWIG, SCOTT - $182,597 JACOBSON, CATHERINE - $416,768 KLAUCK, JAMES - $71,821 LODES, MARK - $150,679 LUX, TERESA - $36,228 MCCLELLAN, NINA - $241,835 OLSON, DAVID - $115,448 STULAC MOTZEL, WENDY - $177,195 TRUWIT, JONATHON - $173,640 NON-QUALIFIED DISTRIBUTIONS: BUCK, CATHERINE - $239,442 (OF WHICH $166,541 WAS REPORTED AS DEFERRED ON A PRIOR FORM 990) POLLARD, DENNIS - $52,070 (OF WHICH $0 WAS REPORTED AS DEFERRED ON A PRIOR FORM 990) 457(F) PLAN PARTICIPANTS: BASILOTTO, STEPHEN BEHL, MARK CONLEY, ERIC ERICSON, ALLEN HAWIG, SCOTT HUMPHREY, ERIC JACOBSON, CATHERINE KLAUCK, JAMES LODES, MARK LUX, TERESA MARQUARDT, AMY MCCLELLAN, NINA OLSON, DAVID STULAC MOTZEL, WENDY TRUWIT, JONATHON WEBB DIXON, RICHELLE NON-QUALIFIED PARTICIPANTS: BUCK, CATHERINE POLLARD, DENNIS
PART I, LINE 7BONUS 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WISCONSIN HEALTH AND EDUCATION AUTHORITY
A39133785597710B6D92012-10-11$167,195,354SEE PART VI000
WISCONSIN HEALTH AND EDUCATION AUTHORITY
B39133785597712DWA02017-04-20$272,670,229SEE PART VI000
WISCONSIN HEALTH AND EDUCATION AUTHORITY
C39133785597712D8U32021-06-24$69,375,000SEE PART VI000
WISCONSIN HEALTH AND EDUCATION AUTHORITY
D39133785597712D8W92021-06-24$80,835,000SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndUnspentUnspentAmt
A$4,780,000$168,720,537$1,689,952$118,390,733$48,639,8522016Yes (1)Yes (1)Yes (1)Yes (1)
B$18,370,000$272,795,372$2,053,047$20,275,833$250,466,4922019Yes (1)Yes (1)Yes (1)Yes (1)
C$69,375,000$533,289$68,650,0002021Yes (1)00Yes (1)$191,711
D$80,835,000$616,950$80,000,0002021Yes (1)00Yes (1)$218,050

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)0Yes (1)Yes (1)0.000200.0002000Yes (1)
B0Yes (1)0Yes (1)Yes (1)0.003800.0038000Yes (1)
C0Yes (1)0Yes (1)Yes (1)0.004800.0048000Yes (1)
D000Yes (1)Yes (1)0.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
A000Yes (1)0000Yes (1)
(no name)
B0Yes (1)000000Yes (1)
MORGAN STANLEY
C0Yes (1)00Yes (1)Yes (1)00Yes (1)26.100000000000Yes (1)0
BARCLAYS
D0Yes (1)00Yes (1)Yes (1)00Yes (1)27.300000000000Yes (1)0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, COLUMN F:BOND A: 2012A - BOND ISSUE PROVIDED FUNDS TO REFUND PRIOR BOND ISSUES WITH ISSUE DATES OF SEPTEMBER 15, 2001 & FEBRUARY 5, 2003 AND CONSTRUCTION OF THE FROEDTERT HOSPITAL CENTER FOR ADVANCED CARE. BOND B: 2017A - BOND ISSUE PROVIDED FUNDS TO REFUND PRIOR BOND ISSUES WITH ISSUE DATES OF OCTOBER 22, 2009 (2009C) AND DECEMBER 11, 2013 (2013AB) AND PAY OR REIMBURSE COSTS OF ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING CERTAIN HOSPITAL FACILITIES INCLUDING, BUT NOT LIMITED TO, A NEW INTEGRATED PROCEDURAL PLATFORM AT FROEDTERT MEMORIAL LUTHERAN HOSPITAL. BOND C: 2021A - BOND ISSUE ISSUE PROVIDED FUNDS TO REFUND PRIOR BOND WITH ISSUE DATE OF DECEMBER 11, 2013 (2013AB). BOND D: 2021B - BOND ISSUE ISSUE PROVIDED FUNDS TO REFUND PRIOR BOND WITH ISSUE DATE OF APRIL 27, 2017 (2017B).
PART II, LINE 3, COLUMN A:THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS OF THE ISSUE IS THE INTEREST EARNED ON THE INVESTMENT OF $1,525,183.
PART II, LINE 3 COLUMN B:THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS OF THE ISSUE IS THE INTEREST EARNED ON THE INVESTMENT OF $125,143.
PART II, LINE 11, COLUMNS A, B, C, & D:THE OTHER SPENT PROCEEDS RELATE TO THE REFUNDING PROCEEDS OF THE ISSUES 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 5 AND PART V, LINE 2FROEDTERT 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. AND COMMUNITY OUTPATIENT HEALTH SERVICES OF MENOMONEE FALLS, 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 III, LINE 2FROEDTERT HEALTH, INC. OWNS AND OPERATES A SMALL-SCALE ACUTE NEIGHBORHOOD HOSPITAL WITH MULTIPLE LOCATIONS DESIGNED TO TREAT MEDICAL EMERGENCIES THAT REQUIRE ATTENTION BEYOND AN URGENT CARE CLINIC'S CAPABILITY, AND WHICH GENERATE OUTPATIENT, INPATIENT, AND EMERGENCY DEPARTMENT REVENUE AND EXPENSES.
FORM 990, PART VI, SECTION A, LINE 2BUSINESS 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 A, LINE 4THE BYLAWS WERE AMENDED TO SPECIFY THAT THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS SHALL SERVE AS AN OFFICER OF THE CORPORATION; AND TO SPECIFY THAT THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS IS ELIGIBLE TO SERVE A FOURTH THREE-YEAR TERM ON THE BOARD OF DIRECTORS AS AN EX-OFFICIO, VOTING MEMBER OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BFORM 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. FINANCE COMMITTEE AND BOARD OF DIRECTORS. FINALLY, THE 990 IS FILED AS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 12CEXPLANATION 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) AND PRIVACY OFFICER, 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 DETEMINED 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 15LINE 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 19OTHER 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 IX, LINE 11GPURCHASED SERVICES MEDICAL: PROGRAM SERVICE EXPENSES 8,439,742. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,439,742. CONSULTING & PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 16,807,730. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,807,730. PURCHASED SERVICES GENERAL: PROGRAM SERVICE EXPENSES 41,987,967. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,987,967.
FORM 990, PART XI, LINE 9:CHG IN ACC PENSION OTHER THAN NET PER BENEFIT COST 1,410,000. CONTRIBUTED CAPITAL NETWORK HEALTH PLAN -3,142,975. TRANSFER TO HEALTH SYSTEM 143,122,005. UNRESTRICTED CAPITAL CONTRIBUTIONS/DISTRIBUTIONS 5,350,000. CLOSING OPERATIONS WAUKESHA SURGERY CTR -571,320.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
INCEPTION HEALTH LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226202636740HLTHCARE SVCSWI$4,080,346$15,010,075FRDTERT HLTH
INTEGRATED HOLDINGS LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226474146678INVST HOLD COWI$0$121,964FRDTERT HLTH
EXCEEDENT LLC
W129 N7055 NORTHFIELD DRIVEMENOMONEE FALLSWI53051475622344HLTHCARE ADMWI$4,014,099$2,541,086FRDTERT HLTH
FROEDTERT HEALTH PHARMACY SOLUTIONS LLC
N86 W12999 NIGHTINGALE WAYMENOMONEE FALLSWI53051834272550PHCY MGT COWI$0$0FRDTERT HLTH
WAUKESHA SURGERY CENTER LLC
2400 GOLF ROADPEWAUKEEWI53072811166201HLTHCARE SVCSWI$693,640$0FRDTERT HLTH
INCEPTION HEALTH OPERATIONS LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226HLTHCARE SVCSWI$0$0FRDTERT HLTH
INCEPTION HEALTH INVESTMENTS LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226INVST HOLD COWI$0$0FRDTERT HLTH
FROEDTERT HEALTH ASC ENTERPRISE LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226832280144ASC MGT COWI$0-$13,003FRDTERT HLTH
FROEDTERT HEALTH HOME INFUSION LLC
N86 W12999 NIGHTINGALE WAYMENOMONEE FALLSWI53051834425449HLTHCARE SVCSWI$20,904,061$4,949,290FRDTERT HLTH
FROEDTERT HEALTH PHARMACY LLC
N86 W12999 NIGHTINGALE WAYMENOMONEE FALLSWI53051834360574HLTHCARE SVCSWI$116,296,271$9,067,842FRDTERT HLTH
FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL
9200 W WISCONSIN AVEMILWAUKEEWI53226843381796HLTHCARE SVCSWI$6,415,911$21,290,572FRDTERT HLTH
WEST BEND SURGERY CENTER LLC
3212 PLEASANT VALLEY ROADWEST BENDWI53095391954169HLTHCARE SVCSWI$7,942,939$17,112,371FRDTERT HLTH
VERTU RX LLC
N86 W12999 NIGHTINGALE WAYMENOMONEE FALLSWI53051843383433HLTHCARE SVCSWI$936,629$50,000FRDTERT HLTH
FROEDTERT HEALTH WORKFORCE HEALTH LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226842528774HLTHCARE SVCSWI$0$0FRDTERT HLTH
FROEDTERT HEALTH RE VENTURES-PEWAUKEE
9200 W WISCONSIN AVEMILWAUKEEWI53226HLTHCARE SVCSWI$0$0FRDTERT HLTH
INCEPTION HEALTH SERVICES LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226HLTHCARE SVCSWI$0$0FRDTERT HLTH
BFHFM LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226862031621HLTHCARE SVCSWI$0$0FRDTERT HLTH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
FROEDTERT MEMORIAL LUTHERAN HOSPITAL
9200 W WISCONSIN AVEMILWAUKEEWI53226396105970HOSPITALWI501 (C) (3)3FRDTERT HLTHYes (1)
COMMUNITY MEMORIAL HOSPITAL OF MF
W180 N8085 TOWN HALL ROADMENOMONEE FALLSWI53051390987025HOSPITALWI501 (C) (3)3FRDTERT HLTHYes (1)
ST JOSEPH'S COMMUNITY HOSPITAL OF WB
3200 PLEASANT VALLEY ROADWEST BENDWI53095390806302HOSPITALWI501 (C) (3)3FRDTERT HLTHYes (1)
ST JOSEPH'S COMMUNITY FOUNDATION
3200 PLEASANT VALLEY ROADWEST BENDWI53095392034296HLTH/WELFAREWI501 (C) (3)LN 7ST JOSEPH'S0
FROEDTERT HOSPITAL FOUNDATION INC
9200 W WISCONSIN AVEMILWAUKEEWI53226391431192HLTH/WELFAREWI501 (C) (3)LN 7FRDTERT HLTH0
COMMUNITY MEMORIAL FOUNDATION OF MF
W180 N8085 TOWN HALL ROADMENOMONEE FALLSWI53051391635057HLTH/WELFAREWI501 (C) (3)LN 10COMM MEM HOS0
COMMUNITY OUTPATIENT HEALTH SERVICES
W180 N8085 TOWN HALL ROADMENOMONEE FALLSWI53051391743056MED/DENT SVCSWI501 (C) (3)3COMM MEM HOS0
QHS 1 INC
9200 W WISCONSIN AVEMILWAUKEEWI53226202636686HLTHCARE SVCWI501 (C) (3)LN 12AFRDTERT HLTHYes (1)
HOLY FAMILY MEMORIAL INC
2300 WESTERN AVEMANITOWOCWI54221390806395HOSPITALWI501 (C) (3)3FRDTERT HLTHYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
FROEDTERT SURGERY CENTER LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226201499345SURGERY CENTERWIFRDTERT HEALTHRELATED$1,771,267$5,478,349000.51000
FMLH MCW REAL ESTATE VENTURES LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226260629591REAL ESTATEWIFRDTERT HEALTHRELATED$319,935$11,257,5580Yes (1)0.50000
WISCONSIN DIAGNOSTIC LABORATORIES LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226391896819LAB SERVICESWIFRDTERT HEALTHRELATED$44,892,393$110,821,207000.96000
D1 SPORTS TRAINING OF MILWAUKEE LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226473322294SPORTS MEDICINEWIFRDTERT HEALTHRELATED000.51000
DREXEL TOWN SQUARE SURGERY CENTER LLC
7901 S 6TH STREETOAK CREEKWI53154814904300SURGERY CENTERWIFRDTERT HEALTHRELATED-$1,218,452$1,834,667000.51000
MENOMONEE FALLS AMBULATORY SURGERY CTR
W180 N8045 TOWN HALL ROADMENOMONEE FALLSWI53051391745697SURGERY CENTERWIFRDTERT HEALTHRELATED$50,455$9,460,4430Yes (1)0.99000
THP-FROEDTERT HEALTH VENTURES LLC
1415 LOUISIANA STREETHOUSTONTX77002823559342HEALTH CARETXFRDTERT HEALTHRELATED000.51000
FROEDTERT & THE MCW NETWORK LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226814382585HEALTH CAREWIFRDTERT HEALTHRELATED$6,003,101$3,752,152Yes (1)Yes (1)0.50000
FROEDTERT & THE MCW ACO LLC
8710 WATERTOWN PLANK RDMILWAUKEEWI53226833159534HEALTH CAREWIFRDTERT HEALTHRELATED$22$264,6030Yes (1)0.50000
FHHP LLC
9200 W WISCONSIN AVEMILWAUKEEWI53226452221564HEALTH CAREWIFRDTERT HEALTHRELATED000.60000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
HART'S MILLS INSURANCE COMPANY
62 FORUM LANE 3RD FLOORGRAND CAYMANCJ981311808SELF-INSURANCECJFROEDTERT HLTHC$1,703,650$25,393,3311.00000Yes (1)
HOLY FAMILY HEALTH SERVICES INC
391572253PHARMACYFROEDTERT HLTHC$120,101$1,777,1160.8000001650 S 41ST STREETMANITOWOCWI54220WI
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
C$152,711,497FMV
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
O$2,303,501FMV
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
Q$414,630,114FMV
FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC
S$615,373,310FMV
COMMUNITY MEMORIAL HOSPITAL OF MF INC
C$3,209,062FMV
COMMUNITY MEMORIAL HOSPITAL OF MF INC
Q$38,058,495FMV
COMMUNITY MEMORIAL HOSPITAL OF MF INC
S$112,694,726FMV
ST JOSEPH'S COMMUNITY HOSPITAL OF WB INC
C$9,578,044FMV
ST JOSEPH'S COMMUNITY HOSPITAL OF WB INC
Q$18,519,223FMV
ST JOSEPH'S COMMUNITY HOSPITAL OF WB INC
S$64,839,557FMV
FROEDTERT HEALTH HOME INFUSION LLC
C$8,101,758FMV
FROEDTERT HEALTH HOME INFUSION LLC
S$1,221,274FMV