STRATEGY STUDIO / PUBLIC DATA EXPLORER

FROEDTERT SOUTH INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
FROEDTERT SOUTH INC (EIN 39-0816845)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-06
IRS object ID
202101269349301545
Schema version
2019v5.2
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)
Return2021-05-06T13:18:48-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12237AddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP543072237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390816845EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FROEDTERT SOUTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFROEBusinessNameControlTxt
Phone2625778113PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16308 8TH AVENUEAddressLine1Txt
CityKENOSHACityNm
State AbbreviationWIStateAbbreviationCd
ZIP531435082ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS J KELLEYPersonNm
Person TitleVP & CFOPersonTitleTxt
Phone2625778113PhoneNum
Signature2021-05-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRI REXRODE CPA MSTPreparerPersonNm
PTINP00096513PTIN
Phone9206620016PhoneNum
Preparation2021-05-04PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS J KELLEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16308 8TH AVENUEAddressLine1Txt
CityKENOSHACityNm
State AbbreviationWIStateAbbreviationCd
ZIP531435082ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$594,010,632GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FROEDTERTSOUTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1910FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionFROEDTERT SOUTH, INC. IS COMMITTED TO LIVING OUT THE HEALING MINISTRIES OF THE JUDEO-CHRISTIAN FAITHS BY PROVIDING EXCEPTIONAL AND COMPASSIONATE HEALTHCARE SERVICES THAT PROMOTES THE DIGNITY AND WELL-BEING OF THE PEOPLE WE SERVE. THIS IS OUR MISSION AND OUR REASON FOR BEING. WE STRIVE TO RECRUIT AND RETAIN THE BEST PHYSICIANS AND STAFF AND PURCHASE THE BEST DIAGNOSTIC AND CURATIVE MEDICAL EQUIPMENT THAT OUR FINANCIAL RESOURCES WILL PERMIT. WE ALSO STRIVE TO BE ACCESSIBLE TO ALL MEMBERS OF OUR COMMUNITY WITH EMERGENT AND URGENT HEALTHCARE NEEDS, IRRESPECTIVE OF THEIR ABILITY TO PAY. THIS IS OUR COMMITTMENT TO THE QUALITY, ACCESSIBILITY AND AFFORDABILITY FUNDAMENTALS AFFECTING THE DELIVERY OF HEALTHCARE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee2887TotalEmployeeCnt
Total Volunteers109TotalVolunteersCnt
Total Gross UBI$154,375TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$561,278PYContributionsGrantsAmt
CY Contributions Grants$212,098CYContributionsGrantsAmt
PY Program Service Revenue$338,796,713PYProgramServiceRevenueAmt
CY Program Service Revenue$326,901,041CYProgramServiceRevenueAmt
PY Investment Income$3,891,012PYInvestmentIncomeAmt
CY Investment Income$1,246,764CYInvestmentIncomeAmt
PY Other Revenue-$17,099PYOtherRevenueAmt
CY Other Revenue-$35,203CYOtherRevenueAmt
PY Total Revenue$343,231,904PYTotalRevenueAmt
CY Total Revenue$328,324,700CYTotalRevenueAmt
PY Grants And Similar Paid$3,125PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$14,300CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$171,936,148PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$175,968,457CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$156,466,444PYOtherExpensesAmt
CY Other Expenses$159,421,778CYOtherExpensesAmt
PY Total Expenses$328,405,717PYTotalExpensesAmt
CY Total Expenses$335,404,535CYTotalExpensesAmt
PY Revenues Less Expenses$14,826,187PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$7,079,835CYRevenuesLessExpensesAmt
Total Assets BOY$533,648,652TotalAssetsBOYAmt
Total Assets EOY$529,495,112TotalAssetsEOYAmt
Total Liabilities BOY$94,289,723TotalLiabilitiesBOYAmt
Total Liabilities EOY$82,513,565TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$439,358,929NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$446,981,547NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFROEDTERT SOUTH, INC. IS A COMPREHENSIVE REGIONAL HEALTHCARE SYSTEM THAT HAS SERVED SOUTHEASTERN WISCONSIN AND NORTHERN ILLINOIS COMMUNITIES FOR MORE THAN 100 YEARS. FROEDTERT SOUTH PROVIDES SERVICES PRIMARILY THROUGH THE FROEDTERT KENOSHA HOSPITAL AND THE FROEDTERT PLEASANT PRAIRIE HOSPITAL AND SEVERAL OTHER CLINIC LOCATIONS.WE, AT FROEDTERT SOUTH, ARE COMMITTED TO LIVING OUT THE HEALING MINISTRIES OF THE JUDEO-CHRISTIAN FAITHS BY PROVIDING EXCEPTIONAL AND COMPASSIONATE HEALTHCARE SERVICES THAT PROMOTES THE DIGNITY AND WELL BEING OF THE PEOPLE WE SERVE. THIS IS OUR MISSION AND OUR REASON FOR BEING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$280,005,759ExpenseAmt
Grant$14,300GrantAmt
Revenue$326,746,666RevenueAmt
DescACUTE CARE HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO ITS COMMUNITY. 2019 CHARITY CARE $3,793,145 CHARITY CARE IS DEFINED AS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO THOSE WHO CANNOT AFFORD TO PAY AND WHO MEET ALL CRITERIA FOR FINANCIAL ASSISTANCE. CHARITY CARE IS BASED ON ACTUAL COSTS, NOT CHARGES, AND DOES NOT INCLUDE BAD DEBT. UNREIMBURSED COST OF PUBLIC PROGRAMS $30,231,948. UNREIMBURSED COST OF PUBLIC PROGRAMS IS DEFINED AS THE SHORTFALL EXPERIENCED WHEN PAYMENTS RECEIVED ARE BELOW THE COST OF TREATING PUBLIC BENEFICIARIES THROUGH MEDICAID AND OTHER LOCAL PUBLIC PROGRAMS. COMMUNITY HEALTH IMPROVEMENT SERVICES $840,427. COMMUNITY HEALTH IMPROVEMENT SERVICES ARE DEFINED AS CLINICAL AND NON-CLINICAL SERVICES DESIGNED TO IMPROVE COMMUNITY HEALTH, WHICH ARE PROVIDED TO THE COMMUNITY FOR FREE OR FOR FEES THAT DID NOT COVER COSTS. FINANCIAL CONTRIBUTIONS $295,729. FINANCIAL CONTRIBUTIONS ARE DEFINED AS CONTRIBUTIONS, INCLUDING CASH, NON-CASH ITEMS SUCH AS FOOD, FURNITURE, EQUIPMENT, SUPPLIES, AND LOANED STAFF FOR VOLUNTEER AND CHARITABLE PURPOSES, MADE TO INDIVIDUALS, COMMUNITY GROUPS, OR NONPROFIT ORGANIZATIONS FOR CHARITABLE PURPOSES. HEALTH PROFESSIONS EDUCATION $3,329. HEALTH PROFESSIONS EDUCATION IS DEFINED AS DIRECT COSTS INCURRED FOR ACCREDITED TRAINING AND EDUCATION PROGRAMS FOR PHYSICIANS, NURSES, ALLIED HEALTH PROFESSIONALS AND TECHNICIANS (DOES NOT INCLUDE ONGOING EDUCATION FOR STAFF). COMMUNITY BUILDING ACTIVITIES $350,157. COMMUNITY BUILDING ACTIVITIES ARE DEFINED AS PROGRAMS THAT, WHILE NOT DIRECTLY RELATED TO HEALTH CARE, PROVIDE OPPORTUNITIES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL ISSUES. COSTS FOR THESE ACTIVITIES INCLUDE CASH AND IN-KIND DONATIONS. COMMUNITY BENEFIT OPERATIONS $6,659. COMMUNITY BENEFIT OPERATIONS ARE DEFINED AS COSTS ASSOCIATED WITH DEDICATED STAFF AND COMMUNITY HEALTH NEEDS AND/OR ASSETS ASSESSMENT, AS WELL AS, OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS. TOTAL BENEFIT TO THE COMMUNITY FOR 2019 $35,521,394.Desc
Total Program Service Expenses$280,005,759TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
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 EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document75IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2887EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
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 Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JENS EMERSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2625778113PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16308 8TH AVENUEAddressLine1Txt
CityKENOSHACityNm
State AbbreviationWIStateAbbreviationCd
ZIP531435082ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeInd
RICHARD O SCHMIDT JR
PRESIDENT/CEO/DIRECTOR45.002.00Yes (X)Yes (X)$1,426,039$0$147,453
DAVID KNIGHT
PHYSICIAN40.00$1,282,764$0$23,284Yes (X)
NEIL BHAMB
PHYSICIAN40.00$799,421$0$33,780Yes (X)
NEIL SHEPLER
PHYSICIAN40.00$748,677$0$43,039Yes (X)
KEVIN FULLIN
PHYSICIAN40.00$681,303$0$35,964Yes (X)
MARIO GARRETTO MD
DIRECTOR/PHYSICIAN40.00Yes (X)$664,081$0$37,202
PHILLIP CHUNG
PHYSICIAN40.00$646,524$0$37,229Yes (X)
SUSAN VENTURA
SVP/COO45.00$617,643$0$55,430Yes (X)
LINDA WOHLGEMUTH
ASST SECRETARY/SVP-COO45.00Yes (X)$616,584$0$55,077
THOMAS KELLEY
ASST TREASURER/VP-CFO45.00Yes (X)$565,721$0$72,188
THOMAS AMBRO MD
DIRECTOR/PHYSICIAN40.00Yes (X)$340,026$0$52,744
DR F GREGORY CAMPBELL
CHAIRMAN2.002.00Yes (X)Yes (X)$0$0$0
TODD BATTLE
DIRECTOR2.00Yes (X)Yes (X)$0$0$0
ROBERT LEE JR
DIRECTOR2.00Yes (X)Yes (X)$0$0$0
THOMAS P MAHONEY
DIRECTOR2.00Yes (X)Yes (X)$0$0$0
HAROLD W MAYER
DIRECTOR2.00Yes (X)Yes (X)$0$0$0
DAVID R RILEY
DIRECTOR2.00Yes (X)Yes (X)$0$0$0
MIKE GENTILE
DIRECTOR2.00Yes (X)$0$0$0
CATHERINE JACOBSON
DIRECTOR2.002.00Yes (X)$0$0$0
MICHAEL PITTS
DIRECTOR2.00Yes (X)$0$0$0
DEAN THOMAS
DIRECTOR2.002.00Yes (X)$0$0$0
GARY ZAID MD
DIRECTOR/PHYSICIAN2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,388,783TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$593,390TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K172IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
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
RILEY CONSTRUCTION
5301 99TH AVEKENOSHAWI53144BUILDING CONSTRUCTION$23,665,766
AEROTEK COMMERCIAL STAFFING
PO BOX 198531ATLANTAGA30384STAFFING$3,311,245
ALLSCRIPTS HEALTHCARE
24630 NETWORK PLACECHICAGOIL60673IS SERVICES$2,631,395
FUSION MEDICAL STAFFING
PO BOX 82674LINCOLNNE68501STAFFING$1,842,340
INFINITY HEALTHCARE
7032 COLLECTION CENTERCHICAGOIL60693MEDICAL$1,632,919
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K53CntrctRcvdGreaterThan100KCnt
Fundraising$49,685FundraisingAmt
All Other Contributions$162,413AllOtherContributionsAmt
Total Contributions$212,098TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE623000$314,295,560$314,295,560
OTHER OPERATING REVENUE623990$12,444,402$12,290,027$154,375
MEDICAL OFFICE RENTAL900099$161,079$161,079
FieldValueIRS element (for citing)
Total Program Service Revenue$326,901,041TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,685,099TotalRevenueColumnAmt
Exclusion$2,685,099ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$264,157,954SecuritiesAmt
Other$22,300OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$263,918,589SecuritiesAmt
Other$1,700,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$239,365SecuritiesAmt
Other-$1,677,700OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,438,335TotalRevenueColumnAmt
Exclusion-$1,438,335ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$18,065FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$49,685ContriRptFundraisingEventAmt
Fundraising Direct Expenses$65,695FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$47,630TotalRevenueColumnAmt
Exclusion-$47,630ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$14,075GamingGrossIncomeAmt
Gaming Direct Expenses$1,648GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,427TotalRevenueColumnAmt
Exclusion$12,427ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$328,324,700TotalRevenueColumnAmt
Related Or Exempt Func Income$326,746,666RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$154,375UnrelatedBusinessRevenueAmt
Exclusion$1,211,561ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$14,300TotalAmt
Program Services$14,300ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,091,388TotalAmt
Program Services$4,178,879ProgramServicesAmt
Management And General$912,509ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$135,566,431TotalAmt
Program Services$113,076,828ProgramServicesAmt
Management And General$22,489,603ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,398,838TotalAmt
Program Services$4,267,711ProgramServicesAmt
Management And General$2,131,127ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,763,098TotalAmt
Program Services$11,653,767ProgramServicesAmt
Management And General$8,109,331ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,148,702TotalAmt
Program Services$7,628,985ProgramServicesAmt
Management And General$1,519,717ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$236,895TotalAmt
Management And General$236,895ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$105,000TotalAmt
Management And General$105,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,633,655TotalAmt
Program Services$26,668,684ProgramServicesAmt
Management And General$2,964,971ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$391,283TotalAmt
Program Services$82,607ProgramServicesAmt
Management And General$308,676ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,405,679TotalAmt
Program Services$824,007ProgramServicesAmt
Management And General$581,672ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,107,145TotalAmt
Program Services$2,185,136ProgramServicesAmt
Management And General$8,922,009ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,361,502TotalAmt
Program Services$6,212,818ProgramServicesAmt
Management And General$148,684ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$473,522TotalAmt
Program Services$155,219ProgramServicesAmt
Management And General$318,303ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$26,356,975TotalAmt
Program Services$23,721,278ProgramServicesAmt
Management And General$2,635,697ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$972,261TotalAmt
Program Services$268,666ProgramServicesAmt
Management And General$703,595ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$31,964,362$30,937,724$1,026,638
DRUGS$27,773,355$27,773,355
BAD DEBTS$8,047,119$8,047,119
PROVIDER TAX ASSESSMENT$6,865,688$6,865,688

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,727,337TotalAmt
Program Services$5,442,988ProgramServicesAmt
Management And General$2,284,349ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$335,404,535TotalAmt
Program Services$280,005,759ProgramServicesAmt
Management And General$55,398,776ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,083,525BOYAmt
EOY$50,205,435EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$52,259,843BOYAmt
EOY$44,414,533EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$10,000,000BOYAmt
EOY$5,000,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,867,944BOYAmt
EOY$7,539,542EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,400,325BOYAmt
EOY$6,822,229EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$563,064,503LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$313,623,385LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$249,768,545BOYAmt
EOY$249,441,118EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$168,268,124BOYAmt
EOY$149,690,755EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,000,346BOYAmt
EOY$16,381,500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$533,648,652BOYAmt
EOY$529,495,112EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,592,420BOYAmt
EOY$30,377,565EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$10,000,000BOYAmt
EOY$5,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,697,303BOYAmt
EOY$47,136,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$94,289,723BOYAmt
EOY$82,513,565EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$436,933,535BOYAmt
EOY$444,453,156EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,425,394BOYAmt
EOY$2,528,391EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$439,358,929BOYAmt
EOY$446,981,547EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$533,648,652BOYAmt
EOY$529,495,112EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$7,079,835ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,104,233NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$13,598,220OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,425,394BeginningYearBalanceAmt
Investment Earnings Or Losses$117,297InvestmentEarningsOrLossesAmt
Other Expenditures$14,300OtherExpendituresAmt
End Year Balance$2,528,391EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,360,682BeginningYearBalanceAmt
Investment Earnings Or Losses$67,837InvestmentEarningsOrLossesAmt
Other Expenditures$3,125OtherExpendituresAmt
End Year Balance$2,425,394EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,296,413BeginningYearBalanceAmt
Investment Earnings Or Losses$76,069InvestmentEarningsOrLossesAmt
Other Expenditures$11,800OtherExpendituresAmt
End Year Balance$2,360,682EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,168,810BeginningYearBalanceAmt
Investment Earnings Or Losses$136,903InvestmentEarningsOrLossesAmt
Other Expenditures$9,300OtherExpendituresAmt
End Year Balance$2,296,413EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,050,490BeginningYearBalanceAmt
Investment Earnings Or Losses$125,683InvestmentEarningsOrLossesAmt
Other Expenditures$7,363OtherExpendituresAmt
End Year Balance$2,168,810EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.60120PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.39880TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,348,877OtherCostOrOtherBasisAmt
Book Value$17,348,877BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$385,457,326OtherCostOrOtherBasisAmt
Depreciation$195,672,747DepreciationAmt
Book Value$189,784,579BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$154,757,296OtherCostOrOtherBasisAmt
Depreciation$117,950,638DepreciationAmt
Book Value$36,806,658BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,501,004OtherCostOrOtherBasisAmt
Book Value$5,501,004BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$249,441,118TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DEFERRED COMPENSATION$22,030,544
PENSION LIABILITY$25,105,456
FieldValueIRS element (for citing)
Total Liability$47,136,000TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$334,965,734TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,104,233NetUnrealizedGainsInvstAmt
Other Revenue$5,536,801OtherRevenueAmt
Revenue Not Reported$6,641,034RevenueNotReportedAmt
Revenue Subtotal$328,324,700RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$328,324,700TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$327,343,116TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$327,343,116ExpensesSubtotalAmt
Other Expenses Not Included$8,061,419OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$8,061,419ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$335,404,535TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:TEMPORARILY RESTRICTED NET ASSETS ARE RESTRICTED FOR EDUCATION SCHOLARSHIP GRANTS AND VARIOUS HEALTH CARE PROGRAMS. PERMANENTLY RESTRICTED NET ASSETS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE FOR HOSPITAL DEVELOPMENT.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN PENSION OBLIGATION OTHER THAN PENSION EXPENSE 5,641,437. SCHOLARSHIPS INCLUDED IN INCOME -14,300. BAD DEBT EXPENSE -8,047,119. PERIODIC BENEFIT COST 7,956,783.
PART XII, LINE 4B - OTHER ADJUSTMENTS:SCHOLARSHIPS INCLUDED IN INCOME 14,300. BAD DEBT EXPENSE 8,047,119.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$67,750GrossReceiptsEvent1Amt
Charitable Contri Event1$49,685CharitableContriEvent1Amt
Gross Revenue Event1$18,065GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,938NonCashPrizesEvent1Amt
Food And Beverage Event1$43,323FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$20,434OtherDirectExpensesEvent1Amt
Gross Receipts Total$67,750GrossReceiptsTotalAmt
Charitable Contributions Tot$49,685CharitableContributionsTotAmt
Gross Revenue Total Events$18,065GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,938NonCashPrizesTotalEventsAmt
Food And Beverage Total Events$43,323FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$20,434OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$65,695DirectExpenseSummaryEventsAmt
Net Income Summary-$47,630NetIncomeSummaryAmt

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 BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
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$3,793,145TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,793,145NetCommunityBenefitExpnsAmt
Total Expense0.01160TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,043,097TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,811,149DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,231,948NetCommunityBenefitExpnsAmt
Total Expense0.09240TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,836,242TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,811,149DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,025,093NetCommunityBenefitExpnsAmt
Total Expense0.10400TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$847,086TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$847,086NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,329TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,329NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$295,729TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$295,729NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,146,144TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,146,144NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$56,982,386TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,811,149DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,171,237NetCommunityBenefitExpnsAmt
Total Expense0.10750TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,329TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,329NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$274,752TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$274,752NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$57,415TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$57,415NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,661TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,661NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$350,157TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$350,157NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,770,899BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$50,027,770ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$72,154,419CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$22,126,649MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
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 AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsInd
FROEDTERT KENOSHA HOSPITAL
16308 8TH AVENUEKENOSHAWI53143WWW.FROEDTERTSOUTH.COM22Yes (X)Yes (X)Yes (X)
FROEDTERT PLEASANT PRAIRIE HOSPITAL
29555 76TH STREETPLEASANT PRAIRIEWI53158WWW.FROEDTERTSOUTH.COM305Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctIncome Level CriteriaIncomeLevelCriteriaIndAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
FROEDTERT KENOSHA HOSPITAL
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)SEE PART V, PAGE 8Yes (X)Yes (X)Yes (1)19Yes (1)SEE PART V, PAGE 80Yes (1)Yes (X)250.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTP://WWW.FROEDTERTSOUTH.COM/PATIENTS-VISITORS/BILLING/Yes (X)HTTP://WWW.FROEDTERTSOUTH.COM/PATIENTS-VISITORS/BILLING/Yes (X)HTTP://WWW.FROEDTERTSOUTH.COM/PATIENTS-VISITORS/BILLING/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
FROEDTERT PLEASANT PRAIRIE HOSPITAL
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)SEE PART V, PAGE 8Yes (X)Yes (X)Yes (1)19Yes (1)SEE PART V, PAGE 80Yes (1)Yes (X)250.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTP://WWW.FROEDTERTSOUTH.COM/PATIENTS-VISITORS/BILLING/Yes (X)HTTP://WWW.FROEDTERTSOUTH.COM/PATIENTS-VISITORS/BILLING/Yes (X)HTTP://WWW.FROEDTERTSOUTH.COM/PATIENTS-VISITORS/BILLING/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FROEDTERT KENOSHA HOSPITALPART V, SECTION B, LINE 5: AS PART OF THE CHNA PROCESS, 25 INTERVIEWS AND TWO FOCUS GROUPS, A TOTAL OF 39 KEY INFORMANTS WERE CONDUCTED WITH KEY INFORMANTS IN KENOSHA COUNTY WHO WERE IDENTIFIED BY THE KENOSHA COUNTY DIVISION OF HEALTH, FROEDTERT SOUTH, AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, KENOSHA COMMUNITY HEALTH CENTER, AND UNITED WAY OF KENOSHA COUNTY. AMONG THE KEY INFORMANTS WERE LEADERS FROM PUBLIC HEALTH, EDUCATION, AND COMMUNITY ORGANIZATIONS. THESE KEY INFORMANTS REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. THE INTERVIEWERS USED A STANDARD INTERVIEW SCRIPT THAT INCLUDED THE FOLLOWING ELEMENTS: RANKING OF UP TO FIVE PUBLIC HEALTH ISSUES, BASED ON THE FOCUS AREAS PRESENTED IN WISCONSIN'S STATE HEALTH PLAN, THAT ARE THE MOST IMPORTANT ISSUES FOR THE COUNTY; AND FOR THOSE FIVE PUBLIC HEALTH ISSUES: O EXISTING STRATEGIES TO ADDRESS THE ISSUE. O BARRIERS AND CHALLENGES TO ADDRESSING THE ISSUE. O ADDITIONAL STRATEGIES NEEDED. O KEY GROUPS IN THE COMMUNITY THAT HOSPITALS SHOULD PARTNER WITH TO IMPROVE COMMUNITY HEALTH. O IDENTIFICATION OF SUBGROUPS OR SUBPOPULATIONS WHERE EFFORTS COULD BE TARGETED. O WAYS EFFORTS CAN BE TARGETED TOWARD EACH SUBGROUP OR SUBPOPULATION. ALL INFORMANTS WERE MADE AWARE THAT PARTICIPATION WAS VOLUNTARY AND THAT RESPONSES WOULD BE SHARED WITH THE CENTER FOR URBAN POPULATION HEALTH FOR ANALYSIS AND REPORTING. BASED ON THE SUMMARIES PROVIDED TO THE CENTER FOR URBAN POPULATION HEALTH, THE REPORT PRESENTS THE RESULTS OF THE 2019 KEY INFORMANT INTERVIEWS FOR KENOSHA COUNTY.
FROEDTERT PLEASANT PRAIRIE HOSPITALPART V, SECTION B, LINE 5: AS PART OF THE CHNA PROCESS, 25 INTERVIEWS AND TWO FOCUS GROUPS, A TOTAL OF 39 KEY INFORMANTS WERE CONDUCTED WITH KEY INFORMANTS IN KENOSHA COUNTY WHO WERE IDENTIFIED BY THE KENOSHA COUNTY DIVISION OF HEALTH, FROEDTERT SOUTH, AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, KENOSHA COMMUNITY HEALTH CENTER, AND UNITED WAY OF KENOSHA COUNTY. AMONG THE KEY INFORMANTS WERE LEADERS FROM PUBLIC HEALTH, EDUCATION, AND COMMUNITY ORGANIZATIONS. THESE KEY INFORMANTS REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. THE INTERVIEWERS USED A STANDARD INTERVIEW SCRIPT THAT INCLUDED THE FOLLOWING ELEMENTS: RANKING OF UP TO FIVE PUBLIC HEALTH ISSUES, BASED ON THE FOCUS AREAS PRESENTED IN WISCONSIN'S STATE HEALTH PLAN, THAT ARE THE MOST IMPORTANT ISSUES FOR THE COUNTY; AND FOR THOSE FIVE PUBLIC HEALTH ISSUES: O EXISTING STRATEGIES TO ADDRESS THE ISSUE. O BARRIERS AND CHALLENGES TO ADDRESSING THE ISSUE. O ADDITIONAL STRATEGIES NEEDED. O KEY GROUPS IN THE COMMUNITY THAT HOSPITALS SHOULD PARTNER WITH TO IMPROVE COMMUNITY HEALTH. O IDENTIFICATION OF SUBGROUPS OR SUBPOPULATIONS WHERE EFFORTS COULD BE TARGETED. O WAYS EFFORTS CAN BE TARGETED TOWARD EACH SUBGROUP OR SUBPOPULATION. ALL INFORMANTS WERE MADE AWARE THAT PARTICIPATION WAS VOLUNTARY AND THAT RESPONSES WOULD BE SHARED WITH THE CENTER FOR URBAN POPULATION HEALTH FOR ANALYSIS AND REPORTING. BASED ON THE SUMMARIES PROVIDED TO THE CENTER FOR URBAN POPULATION HEALTH, THE REPORT PRESENTS THE RESULTS OF THE 2019 KEY INFORMANT INTERVIEWS FOR KENOSHA COUNTY.
FROEDTERT KENOSHA HOSPITALPART V, SECTION B, LINE 6A: AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, AND FROEDTERT PLEASANT PRAIRIE HOSPITAL
FROEDTERT PLEASANT PRAIRIE HOSPITALPART V, SECTION B, LINE 6A: AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, AND FROEDTERT KENOSHA HOSPITAL
FROEDTERT KENOSHA HOSPITALPART V, SECTION B, LINE 6B: AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, UNITED WAY OF KENOSHA COUNTY, FROEDTERT PLEASANT PRAIRIE HOSPITAL, AND KENOSHA COUNTY PUBLIC HEALTH DEPARTMENT ALONG WITH JKV RESEARCH, LLC, AND CENTER FOR URBAN POPULATION HEALTHFROEDTERT KENOSHA HOSPITAL:PART V, SECTION B, LINE 7A:HTTP://WWW.FROEDTERTSOUTH.COM/ABOUT/COMMUNITY-BENEFITS/
FROEDTERT PLEASANT PRAIRIE HOSPITALPART V, SECTION B, LINE 6B: AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, UNITED WAY OF KENOSHA COUNTY, FROEDTERT KENOSHA HOSPITAL, AND KENOSHA COUNTY PUBLIC HEALTH DEPARTMENT ALONG WITH JKV RESEARCH, LLC, AND CENTER FOR URBAN POPULATION HEALTHFROEDTERT PLEASANT PRAIRIE HOSPITAL:PART V, SECTION B, LINE 7A:HTTP://WWW.FROEDTERTSOUTH.COM/ABOUT/COMMUNITY-BENEFITS/
FROEDTERT KENOSHA HOSPITALPART V, SECTION B, LINE 7D: FROEDTERT SOUTH WORKED IN COLLABORATION WITH SEVERAL UNRELATED HOSPITAL ORGANIZATIONS FACILITIES, GOVERNMENTAL DEPARTMENTS, AND NONPROFIT ORGANIZATIONS, INCLUDING AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, AND THE KENOSHA COMMUNITY HEALTH CENTER TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR CALENDAR YEARS 2020 THROUGH 2022, AND ADOPTED AN IMPLEMENTATION STRATEGY TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PRIOR TO THE EXTENDED DEADLINE DATE OF DECEMBER 31, 2020 (AS EXTENDED BY THE IRS PURSUANT TO NOTICE 2020-56). CONSISTENT WITH THE REQUIREMENTS OF SECTION 501(R)(3), FROEDTERT SOUTH'S CHNA [1] DEFINED THE COMMUNITY IT SERVES, [2] ASSESSED THE HEALTH NEEDS OF THE KENOSHA COUNTY COMMUNITY, [3] INCLUDED SIGNIFICANT FEEDBACK FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE KENOSHA COUNTY COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, [4] WAS DOCUMENTED IN A WRITTEN REPORT THAT WAS ADOPTED FOR THE HOSPITAL FACILITY AND [5] WAS MADE WIDELY AVAILABLE TO THE PUBLIC IN PAPER FORMAT AT THE HOSPITAL FACILITIES, FOR PUBLIC INSPECTION, AND UPON REQUEST PRIOR TO THE EXTENDED DEADLINE DATE OF DECEMBER 31, 2020. HOWEVER, FROEDTERT SOUTH WAS UNABLE TO MAKE THE CHNA WIDELY AVAILABLE, VIA THE FROEDTERT SOUTH WEBSITE UNTIL SHORTLY AFTER THE DECEMBER 31, 2020, DATE RESULTING FROM A REBUILD OF ITS FACILITY WEBSITE, WHICH DID NOT GO LIVE UNTIL SHORTLY AFTER THE EXTENDED DEADLINE DATE. HAVING SAID THAT, CHNA SURVEY AND REPORT FOR CALENDAR YEARS 2020 THROUGH 2022 CONDUCTED WITH AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, AND THE KENOSHA COMMUNITY HEALTH CENTER WAS PUBLISHED AND MADE WIDELY AVAILABLE VIA THEIR RESPECTIVE WEBSITES ON, OR BEFORE, DECEMBER 31, 2020.FROEDTERT KENOSHA HOSPITAL:PART V, SECTION B, LINE 10A:HTTP://WWW.FROEDTERTSOUTH.COM/ABOUT/COMMUNITY-BENEFITS/
FROEDTERT PLEASANT PRAIRIE HOSPITALPART V, SECTION B, LINE 7D: FROEDTERT SOUTH WORKED IN COLLABORATION WITH SEVERAL UNRELATED HOSPITAL ORGANIZATIONS FACILITIES, GOVERNMENTAL DEPARTMENTS, AND NONPROFIT ORGANIZATIONS, INCLUDING AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, AND THE KENOSHA COMMUNITY HEALTH CENTER TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR CALENDAR YEARS 2020 THROUGH 2022, AND ADOPTED AN IMPLEMENTATION STRATEGY TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PRIOR TO THE EXTENDED DEADLINE DATE OF DECEMBER 31, 2020 (AS EXTENDED BY THE IRS PURSUANT TO NOTICE 2020-56). CONSISTENT WITH THE REQUIREMENTS OF SECTION 501(R)(3), FROEDTERT SOUTH'S CHNA [1] DEFINED THE COMMUNITY IT SERVES, [2] ASSESSED THE HEALTH NEEDS OF THE KENOSHA COUNTY COMMUNITY, [3] INCLUDED SIGNIFICANT FEEDBACK FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE KENOSHA COUNTY COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, [4] WAS DOCUMENTED IN A WRITTEN REPORT THAT WAS ADOPTED FOR THE HOSPITAL FACILITY AND [5] WAS MADE WIDELY AVAILABLE TO THE PUBLIC IN PAPER FORMAT AT THE HOSPITAL FACILITIES, FOR PUBLIC INSPECTION, AND UPON REQUEST PRIOR TO THE EXTENDED DEADLINE DATE OF DECEMBER 31, 2020. HOWEVER, FROEDTERT SOUTH WAS UNABLE TO MAKE THE CHNA WIDELY AVAILABLE, VIA THE FROEDTERT SOUTH WEBSITE UNTIL SHORTLY AFTER THE DECEMBER 31, 2020, DATE RESULTING FROM A REBUILD OF ITS FACILITY WEBSITE, WHICH DID NOT GO LIVE UNTIL SHORTLY AFTER THE EXTENDED DEADLINE DATE. HAVING SAID THAT, CHNA SURVEY AND REPORT FOR CALENDAR YEARS 2020 THROUGH 2022 CONDUCTED WITH AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, AND THE KENOSHA COMMUNITY HEALTH CENTER WAS PUBLISHED AND MADE WIDELY AVAILABLE VIA THEIR RESPECTIVE WEBSITES ON, OR BEFORE, DECEMBER 31, 2020.FROEDTERT PLEASANT PRAIRIE HOSPITAL:PART V, SECTION B, LINE 10A:HTTP://WWW.FROEDTERTSOUTH.COM/ABOUT/COMMUNITY-BENEFITS/
FROEDTERT KENOSHA HOSPITALPART V, SECTION B, LINE 11: USING THESE CRITERIA, FROEDTERT SOUTH PRIORITIZED THE FOLLOWING SIGNIFICANT HEALTH NEEDS TO ADDRESS IN THE 2020-2022 IMPLEMENTATION STRATEGY: REDUCE BARRIERS FOR PATIENTS TO ACCESS CARE.O GOAL: ACCESS AND IMPROVE ACCESS TO CARE FOR MEDICALLY UNDERSERVED AND VULNERABLE GROUPS OF ALL AGES AND POPULATIONS. STRATEGY 1: INCREASE PATIENT CAPACITY WITHIN THE FROEDTERT SOUTH MEDICAL GROUP THROUGH RECRUITMENT AND RETENTION OF PHYSICIANS AND MID-LEVEL PROVIDERS WITHIN THE FROEDTERT SOUTH MEDICAL GROUP. STRATEGY 2: ENHANCE AND EXPAND TELEMEDICINE OPPORTUNITIES. STRATEGY 3: ENHANCE AWARENESS OF AVAILABLE SERVICES OFFERED THROUGH FROEDTERT SOUTH AND THE FROEDTERT SOUTH MEDICAL GROUP. STRATEGY 4: WORK IN COLLABORATION WITH INTERNAL AND EXTERNAL RESOURCES TO ASSIST PATIENTS AS IT RELATES TO DETERMINING ELIGIBILITY FOR MEDICAID, CHIP AND ACA MARKETPLACE ENROLLMENT, INCLUDING SPECIAL ENROLLMENT PERIODS, AND ELIGIBILITY TO ASSIST IN REMOVING BARRIERS TO CARE. FOCUS ON HEALTH OUTREACH AND EDUCATION - CORONAVIRUS/COVID-19 PANDEMIC RESPONSEO GOAL: INCREASE THE AMOUNT OF OUTREACH AND EDUCATION RESOURCES AVAILABLE TO KENOSHA COUNTY RESIDENTS DURING THE COVID-19 PANDEMIC. STRATEGY 1: LAUNCH A DRIVE-THRU COVID-19 TESTING FACILITY TO AID THE COMMUNITY WITH ACCESSIBLE, AND CONVENIENT, COVID-19 TESTING. STRATEGY 2: ENHANCE AND EXPAND TELEMEDICINE OPPORTUNITIES IN ORDER TO PROVIDE NECESSARY CARE FOR PATIENTS WHILE MINIMIZING THE TRANSMISSION RISK OF COVID-19. STRATEGY 3: IMPLEMENT APPROPRIATE PROTOCOLS, INCLUDING A COVID-19 TESTING PROTOCOL FOR PATIENTS SCHEDULED FOR ELECTIVE SURGICAL CASES AND PROCEDURES. STRATEGY 4: DEVELOP A COVID-19 VACCINATION CLINIC TO AID THE KENOSHA COUNTY HEALTH DEPARTMENT IN AN EFFORT TO OBTAIN HERD IMMUNITY WITHIN KENOSHA COUNTY. INCREASE AWARENESS OF PREVENTION METHODS, SCREENINGS, AND CARE FOR CHRONIC DISEASES.O GOAL: EXPAND AND TARGET EDUCATIONAL PROGRAMS TO REACH A LARGER AUDIENCE IN THE AT-RISK POPULATIONS. STRATEGY 1: IMPLEMENT THE EPIC ELECTRONIC HEALTH RECORD TO PROVIDE A GREATER ABILITY TO COMMUNICATE INFORMATION TO PATIENTS OF FROEDTERT SOUTH VIA MYCHART, AND OTHER, SIMILAR MECHANISMS. STRATEGY 2: ENHANCE AND EXPAND THE USE OF RECALL/FOLLOW-UP MECHANISMS TO IMPROVE THE ABILITY FOR FROEDTERT SOUTH TO ENSURE PATIENTS ARE RECEIVING ROUTINE PREVENTATIVE CARE AS RECOMMENDED BY THE U.S. PREVENTATIVE TASK FORCE. STRATEGY 3: INCREASE THE KNOWLEDGE OF HIGH-RISK POPULATIONS ON WAYS TO MANAGE CHRONIC DISEASES.
FROEDTERT PLEASANT PRAIRIE HOSPITALPART V, SECTION B, LINE 11: USING THESE CRITERIA, FROEDTERT SOUTH PRIORITIZED THE FOLLOWING SIGNIFICANT HEALTH NEEDS TO ADDRESS IN THE 2020-2022 IMPLEMENTATION STRATEGY: REDUCE BARRIERS FOR PATIENTS TO ACCESS CARE.O GOAL: ACCESS AND IMPROVE ACCESS TO CARE FOR MEDICALLY UNDERSERVED AND VULNERABLE GROUPS OF ALL AGES AND POPULATIONS. STRATEGY 1: INCREASE PATIENT CAPACITY WITHIN THE FROEDTERT SOUTH MEDICAL GROUP THROUGH RECRUITMENT AND RETENTION OF PHYSICIANS AND MID-LEVEL PROVIDERS WITHIN THE FROEDTERT SOUTH MEDICAL GROUP. STRATEGY 2: ENHANCE AND EXPAND TELEMEDICINE OPPORTUNITIES. STRATEGY 3: ENHANCE AWARENESS OF AVAILABLE SERVICES OFFERED THROUGH FROEDTERT SOUTH AND THE FROEDTERT SOUTH MEDICAL GROUP. STRATEGY 4: WORK IN COLLABORATION WITH INTERNAL AND EXTERNAL RESOURCES TO ASSIST PATIENTS AS IT RELATES TO DETERMINING ELIGIBILITY FOR MEDICAID, CHIP AND ACA MARKETPLACE ENROLLMENT, INCLUDING SPECIAL ENROLLMENT PERIODS, AND ELIGIBILITY TO ASSIST IN REMOVING BARRIERS TO CARE. FOCUS ON HEALTH OUTREACH AND EDUCATION - CORONAVIRUS/COVID-19 PANDEMIC RESPONSEO GOAL: INCREASE THE AMOUNT OF OUTREACH AND EDUCATION RESOURCES AVAILABLE TO KENOSHA COUNTY RESIDENTS DURING THE COVID-19 PANDEMIC. STRATEGY 1: LAUNCH A DRIVE-THRU COVID-19 TESTING FACILITY TO AID THE COMMUNITY WITH ACCESSIBLE, AND CONVENIENT, COVID-19 TESTING. STRATEGY 2: ENHANCE AND EXPAND TELEMEDICINE OPPORTUNITIES IN ORDER TO PROVIDE NECESSARY CARE FOR PATIENTS WHILE MINIMIZING THE TRANSMISSION RISK OF COVID-19. STRATEGY 3: IMPLEMENT APPROPRIATE PROTOCOLS, INCLUDING A COVID-19 TESTING PROTOCOL FOR PATIENTS SCHEDULED FOR ELECTIVE SURGICAL CASES AND PROCEDURES. STRATEGY 4: DEVELOP A COVID-19 VACCINATION CLINIC TO AID THE KENOSHA COUNTY HEALTH DEPARTMENT IN AN EFFORT TO OBTAIN HERD IMMUNITY WITHIN KENOSHA COUNTY. INCREASE AWARENESS OF PREVENTION METHODS, SCREENINGS, AND CARE FOR CHRONIC DISEASES.O GOAL: EXPAND AND TARGET EDUCATIONAL PROGRAMS TO REACH A LARGER AUDIENCE IN THE AT-RISK POPULATIONS. STRATEGY 1: IMPLEMENT THE EPIC ELECTRONIC HEALTH RECORD TO PROVIDE A GREATER ABILITY TO COMMUNICATE INFORMATION TO PATIENTS OF FROEDTERT SOUTH VIA MYCHART, AND OTHER, SIMILAR MECHANISMS. STRATEGY 2: ENHANCE AND EXPAND THE USE OF RECALL/FOLLOW-UP MECHANISMS TO IMPROVE THE ABILITY FOR FROEDTERT SOUTH TO ENSURE PATIENTS ARE RECEIVING ROUTINE PREVENTATIVE CARE AS RECOMMENDED BY THE U.S. PREVENTATIVE TASK FORCE. STRATEGY 3: INCREASE THE KNOWLEDGE OF HIGH-RISK POPULATIONS ON WAYS TO MANAGE CHRONIC DISEASES.
FROEDTERT KENOSHA HOSPITAL:PART V, SECTION B, LINE 22B: PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY WILL NOT BE CHARGED INDIVIDUALLY MORE FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THAN THE AMOUNT GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERAGE FOR SUCH CARE ("AGB"). FURTHERMORE, CHARGES FOR ANY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE PROVIDED TO INDIVIDUALS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY WILL BE LESS THAN THE GROSS CHARGES FOR SUCH SERVICES. THE ORGANIZATION CALCULATES ONE OR MORE AGB PERCENTAGES USING THE "LOOK-BACK METHOD AND INCLUDING MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE ORGANIZATION, ALL INACCORDANCE WITH 501(R). THESE CALCULATIONS ARE MADE AS FOLLOWS:1. THE ORGANIZATION DETERMINES AGB BY MULTIPLYING THE GROSS CHARGES FOR THE APPLICABLE MEDICAL CARE BY THE AGB PERCENTAGE, WHICH IS DETERMINED ANNUALLY BY DIVIDING (A) THE SUM OF THE AMOUNTS FOR ALL OF ITS CLAIMS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE THAT HAVE BEEN ALLOWED DURING THE AGB PERIOD BY MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS AS PRIMARY PAYORS, TOGETHER WITH ANY ASSOCIATED PORTIONS OF THESE CLAIMS PAID BY MEDICARE BENEFICIARIES OR INSURED INDIVIDUALS IN THE FORM OF CO-PAYS, CO-INSURANCE OR DEDUCTIBLES BY (B) THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS.2. "GROSS CHARGES" MEANS THE ORGANIZATION'S FULL, ESTABLISHED PRICE FOR MEDICAL CARE THAT THE ORGANIZATION CONSISTENTLY AND UNIFORMLY CHARGES PATIENTS BEFORE APPLYING ANY CONTRACTUAL ALLOWANCES, DISCOUNTS, OR DEDUCTIONS.3. THE "AGB PERIOD" MEANS EACH PRIOR 12-MONTH PERIOD ENDING ON DECEMBER 31ST.4. THE ORGANIZATION WILL BEGIN TO APPLY THE ANNUALLY DETERMINED AGB PERCENTAGE WITHIN 120 DAYS FOLLOWING THE END OF THE AGB PERIOD THAT WAS USED IN CALCULATION THE AGB PERCENTAGE.5. ANY CAPITALIZED TERMS NOT DEFINED IN THIS DOCUMENT WILL HAVE THE MEANING ASSIGNED TO SUCH TERM IN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.THESE LIMITATIONS ON CHARGES FOR MEDICAL SERVICES SHALL NOT APPLY IF AN INDIVIDUAL HAS NOT SUBMITTED A COMPLETE FINANCIAL ASSISTANCE APPLICATION AS OF THE TIME THE CHARGES ARE BILLED TO SUCH INDIVIDUAL; PROVIDED, HOWEVER, THAT ADJUSTMENTS WILL BE MADE IF AMOUNTS ARE CHARGED IN EXCESS OF THESE LIMITATIONS AND THE INDIVIDUAL IS SUBSEQUENTLY DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE.
FROEDTERT PLEASANT PRAIRIE HOSPITAL:PART V, SECTION B, LINE 22B: PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY WILL NOT BE CHARGED INDIVIDUALLY MORE FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THAN THE AMOUNT GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERAGE FOR SUCH CARE ("AGB"). FURTHERMORE, CHARGES FOR ANY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE PROVIDED TO INDIVIDUALS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY WILL BE LESS THAN THE GROSS CHARGES FOR SUCH SERVICES. THE ORGANIZATION CALCULATES ONE OR MORE AGB PERCENTAGES USING THE "LOOK-BACK METHOD AND INCLUDING MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE ORGANIZATION, ALL INACCORDANCE WITH 501(R). THESE CALCULATIONS ARE MADE AS FOLLOWS:1. THE ORGANIZATION DETERMINES AGB BY MULTIPLYING THE GROSS CHARGES FOR THE APPLICABLE MEDICAL CARE BY THE AGB PERCENTAGE, WHICH IS DETERMINED ANNUALLY BY DIVIDING (A) THE SUM OF THE AMOUNTS FOR ALL OF ITS CLAIMS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE THAT HAVE BEEN ALLOWED DURING THE AGB PERIOD BY MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS AS PRIMARY PAYORS, TOGETHER WITH ANY ASSOCIATED PORTIONS OF THESE CLAIMS PAID BY MEDICARE BENEFICIARIES OR INSURED INDIVIDUALS IN THE FORM OF CO-PAYS, CO-INSURANCE OR DEDUCTIBLES BY (B) THE SUM OF THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS.2. "GROSS CHARGES" MEANS THE ORGANIZATION'S FULL, ESTABLISHED PRICE FOR MEDICAL CARE THAT THE ORGANIZATION CONSISTENTLY AND UNIFORMLY CHARGES PATIENTS BEFORE APPLYING ANY CONTRACTUAL ALLOWANCES, DISCOUNTS, OR DEDUCTIONS.3. THE "AGB PERIOD" MEANS EACH PRIOR 12-MONTH PERIOD ENDING ON DECEMBER 31ST.4. THE ORGANIZATION WILL BEGIN TO APPLY THE ANNUALLY DETERMINED AGB PERCENTAGE WITHIN 120 DAYS FOLLOWING THE END OF THE AGB PERIOD THAT WAS USED IN CALCULATION THE AGB PERCENTAGE.5. ANY CAPITALIZED TERMS NOT DEFINED IN THIS DOCUMENT WILL HAVE THE MEANING ASSIGNED TO SUCH TERM IN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.THESE LIMITATIONS ON CHARGES FOR MEDICAL SERVICES SHALL NOT APPLY IF AN INDIVIDUAL HAS NOT SUBMITTED A COMPLETE FINANCIAL ASSISTANCE APPLICATION AS OF THE TIME THE CHARGES ARE BILLED TO SUCH INDIVIDUAL; PROVIDED, HOWEVER, THAT ADJUSTMENTS WILL BE MADE IF AMOUNTS ARE CHARGED IN EXCESS OF THESE LIMITATIONS AND THE INDIVIDUAL IS SUBSEQUENTLY DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - FROEDTERT SOMERS CLINIC
3400 MARKET LANEKENOSHAWI53144OUTPATIENT PHYSICIAN CLINIC
2 - FROEDTERT PRAIRIE RIDGE
9697 ST CATHERINES DRIVEPLEASANT PRAIRIEWI53158OUTPATIENT PHYSICIAN CLINIC
3 - FROEDTERT PADDOCK LAKE CLINIC
7322 236TH AVENUESALEMWI53168OUTPATIENT PHYSICIAN CLINIC
4 - LAKEVIEW RECPLEX
9900 TERWALL TERRACEPLEASANT PRAIRIEWI53158REHABILITATION CLINIC
5 - YMCA PHYSICAL THERAPY
7101 53RD STREETKENOSHAWI53144REHABILITATION CLINIC
6 - RCW ADMINISTRATIVE BUILDING
5000 68TH AVEKENOSHAWI53144ADMINISTRATIVE BUILDING

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE COST METHOD USED TO CALCULATE THE COST OF THE COMMUNITY BENEFIT PROGRAMS WAS THE COST-TO-CHARGE RATIO. WORKSHEET 2 WAS USED TO CALCULATE THE RATIO OF PATIENT CARE COST TO CHARGES.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $8,047,119.
PART II, COMMUNITY BUILDING ACTIVITIES:MANY STAFF MEMBERS ARE UTILIZED TO PROMOTE THE HEALTH OF THE COMMUNITY AND THE GENERAL WELL-BEING OF THE COMMUNITY WE SERVE. THROUGH OUR EMERGENCY PREPAREDNESS COMMITTEE, STAFF ARE ALWAYS PLANNING AND PREPARING TO BE READY TO MEET THE NEEDS OF THE COMMUNITY AS EVENTS OCCUR. ADDITIONALLY, A VARIETY OF STAFF WORK WITH LOCAL SCHOOLS AND OTHER ORGANIZATIONS TO GIVE TALKS PROMOTING HEALTH AND CAREERS IN HEALTHCARE. A NUMBER OF STAFF MEMBERS ARE INVOLVED IN MENTORING PROGRAMS WITHIN THE LOCAL SCHOOLS. RECOGNIZING THE IMPORTANCE OF SUSTAINING AND GROWING OUR ECONOMY, WE PARTICIPATE IN OUR LOCAL BUSINESS ALLIANCE.
PART III, LINE 2:THE ORGANIZATIONS UTILIZED THE HMFA #15 METHODOLOGY FOR DETERMINING BAD DEBT EXPENSE.
PART III, LINE 3:SINCE THE ORGANIZATION UTILIZES HMFA #15, THERE IS NO PORTION OF THE BAD DEBT THAT WOULD BE CONSIDERED CHARITY CARE.
PART III, LINE 4:MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION EXPERIENCE AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. WORKSHEET A IN THE INSTRUCTIONS WAS USED TO DETERMINE THE COSTING METHODOLOGY.
PART III, LINE 8:SCHEDULE H PART III SECTION B LINE 6 REPORTS "ALLOWABLE COSTS OF CARE" AS TAKEN FROM THE MOST RECENTLY FILED MEDICARE COST REPORT AVAILABLE AT THE TIME THE COMMUNITY BENEFIT REPORT IS PUBLISHED. THE MEDICARE COST REPORT CALCULATES ITS ALLOWABLE TOTAL COSTS BASED ON APPLICABLE MEDICARE REGULATIONS. MEDICARE AND MEDICAID COST IS DETERMINED USING INDIVIDUAL COST CENTER COST-TO-CHARGE RATIOS. THIS COST TO CHARGE RATIO IS DETERMINED USING ALL PAYER COST AND ALL PAYER CHARGES. THE COST TO CHARGE RATIO IS APPLIED TO THE ACTUAL MEDICARE AND MEDICAID CHARGES TO DETERMINE THE MEDICARE AND MEDICAID COST. THIS ORGANIZATION HAS ADOPTED THE COST AND CHARGE PRACTICES AS RECOMMENDED BY THE CATHOLIC HEALTH ASSOCIATION AND THE WISCONSIN, IOWA, OR ILLINOIS HOSPITAL ASSOCIATION AS APPLICABLE, AND THEREFORE, DOES NOT COUNT ANY MEDICARE SHORTFALL NUMBERS IN ITS ANNUAL REPORTING OF COMMUNITY BENEFIT AMOUNTS.
PART III, LINE 9B:OUR COLLECTION PROCESS IS THE SAME FOR ALL PATIENTS. IF A PATIENT EXPRESSES A NEED FOR FINANCIAL ASSISTANCE WE OFFER THE FINANCIAL ASSISTANCE APPLICATION. WE BILL ALL INSURANCES. PATIENT DOES NOT RECEIVE A COPY OF THE BILL UNTIL IT IS THEIR BALANCE. OUR EXTENDED BUSINESS OFFICE SENDS THREE STATEMENTS AND OUR REQUIRED FINAL REQUEST STATEMENT. FROM THIS POINT THE OUTSTANDING BALANCE IS HANDLED BY THE COLLECTION AGENCY. THE ACCOUNT DOES STAY ACTIVE ON OUR FINANCIAL SYSTEM FOR ONE YEAR. AT THAT TIME THE OUTSTANDING BALANCE IS MOVED OVER TO A BAD DEBT STATUS.
PART VI, LINE 2:IN AN EFFORT TO UNDERSTAND AND ASSIST IN ADDRESSING THE NEEDS OF THE COMMUNITY WE SERVE, FROEDTERT SOUTH HAS INVOLVEMENT IN A VARIETY OF COMMUNITY COMMITTEES. FROEDTERT SOUTH HAS MULTIPLE STAFF, MANAGEMENT AND ADMINISTRATIVE LEVEL EMPLOYEES PARTICIPATE IN COMMITTEES THAT ARE SET UP TO ASSESS AND ADDRESS NEEDS IN THE COMMUNITY SUCH AS A HEALTHY LIFESTYLE COMMITTEE, MENTAL HEALTH COMMITTEE, INJURY PREVENTION COMMITTEE, SUICIDE PREVENTION COMMITTEE, INFANT MORTALITY COMMITTEE. THROUGH OUR PARTICIPATION IN COMMUNITY COMMITTEES WE GAIN AN UNDERSTANDING ABOUT THE NEEDS OF THE COMMUNITY AS WELL AS THE OPPORTUNITY TO WORK TOGETHER TO ADDRESS THE NEEDS.
PART VI, LINE 3:WHEN STATEMENTS ARE SENT FROM OUR EXTENDED BUSINESS OFFICE, THERE IS A PHONE NUMBER FOR THE PATIENT TO CALL FOR ASSISTANCE WITH THEIR BALANCES. PATIENTS CALL AND THEY WORK WITH THEM TO SET UP PAYMENT ARRANGEMENTS. IF THEY EXPRESS ANY CONCERNS FOR FINANCIAL NEEDS THEY OFFER TO SEND THEM A COMMUNITY CARE APPLICATION.
PART VI, LINE 4:KENOSHA COUNTY IS A FAST GROWING LAKESHORE COUMMUNITY IN SOUTHEASTERN WISCONSIN. LOCATED BETWEEN CHICAGO AND MILWAUKEE, KENOSHA COUNTY BOASTS A DIVERSE ECONOMY. KENOSHA IS THE FOURTH LARGEST CITY IN THE STATE OF WISCONSIN WITH 100,164 RESIDENTS REPORTED BY THE UNITED STATES CENSUS BUREAU IN THE 2018 POPULATION ESTIMATES. KENOSHA IS NOW THE EIGHTH LARGEST COUNTY IN WISCONSIN IN TERMS OF POPULATION WITH 169,561 RESIDENTS. FROEDTERT SOUTH SERVES PEOPLE IN SOUTHEASTERN WISCONSIN AND NORTHERN ILLINOIS THROUGH ITS TWO HOSPITAL LOCATIONS, FROEDTERT PLEASANT PRAIRIE HOSPITAL AND FROEDTERT KENOSHA HOSPITAL. ADVOCATE AURORA MEDICAL CENTER ALSO HAS A HOSPITAL CAMPUS IN KENOSHA.
PART VI, LINE 5:FROEDTERT SOUTH IS COMMITTED TO IMPROVING THE HEALTH OF OUR PATIENTS AND NEIGHBORS. WE OFFER A VARIETY OF COMMUNITY OUTREACH PROGRAMS TO HELP THE GENERAL PUBLIC MAINTAIN GOOD HEALTH. THESE INCLUDE FREE COMMUNITY EDUCATION SEMINARS, HEALTH SCREENINGS, AND VARIOUS SUPPORT GROUPS.
PART VI, LINE 7, REPORTS FILED WITH STATESWI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient10RecipientCnt
Cash Grant$14,300CashGrantAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
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 Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
RICHARD O SCHMIDT JR
PRESIDENT/CEO/DIRECTOR$973,967$0$428,292$0$23,780$0$119,236$0$28,217$0$1,573,492$0$0$0
DAVID KNIGHT
PHYSICIAN$572,350$0$709,943$0$471$0$19,236$0$4,048$0$1,306,048$0$0$0
NEIL BHAMB
PHYSICIAN$799,139$0$0$0$282$0$19,236$0$14,544$0$833,201$0$0$0
NEIL SHEPLER
PHYSICIAN$255,013$0$491,842$0$1,822$0$19,236$0$23,803$0$791,716$0$0$0
KEVIN FULLIN
PHYSICIAN$664,142$0$17,161$0$0$0$19,236$0$16,728$0$717,267$0$0$0
MARIO GARRETTO MD
DIRECTOR/PHYSICIAN$644,942$0$15,153$0$3,986$0$19,236$0$17,966$0$701,283$0$0$0
PHILLIP CHUNG
PHYSICIAN$608,451$0$37,500$0$573$0$19,236$0$17,993$0$683,753$0$0$0
SUSAN VENTURA
SVP/COO$507,593$0$100,423$0$9,627$0$44,236$0$11,194$0$673,073$0$0$0
LINDA WOHLGEMUTH
ASST SECRETARY/SVP-COO$506,534$0$100,423$0$9,627$0$44,236$0$10,841$0$671,661$0$0$0
THOMAS KELLEY
ASST TREASURER/VP-CFO$503,540$0$61,423$0$758$0$44,236$0$27,952$0$637,909$0$0$0
THOMAS AMBRO MD
DIRECTOR/PHYSICIAN$338,358$0$0$0$1,668$0$19,236$0$33,508$0$392,770$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationINDIVIDUAL ELIGIBLE EMPLOYEES MAY PARTICIPATE IN A 457F PLAN. THE ORGANIZATION DOES NOT CONTRIBUTE TO THIS PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATE IN THE PLAN: RICHARD SCHMIDT, NEIL SHEPLER, SUSAN VENTURA, LINDA WOHLGEMUTH, AND THOMAS KELLEY.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ROBERT LEE
DIRECTOR$276,210SERVICES PROVIDED BY LEE PLUMBING MECHANICAL CONTRACTOR, INC. ROBERT LEE OWNS LEE PLUMBING MECHANICAL CONTRACTOR, INC.0
DAVID RILEY
DIRECTOR$14,755,981SERVICES PROVIDED BY RILEY CONSTRUCTION COMPANY, INC. DAVID RILEY OWNS RILEY CONSTRUCTION COMPANY, INC.0
ROBERT LEE
DIRECTOR$445,513SERVICES PROVIDED BY LEE ELECTRICAL, INC. ROBERT LEE OWNS LEE ELECTRICAL, INC.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7BEACH CLASS A MEMBER OF FROEDTERT SOUTH, INC. SHALL HAVE THE FOLLOWING RIGHTS TO BE EXECUTED ONLY UPON THE MUTUAL AGREEMENT OF BOTH CLASS A MEMBERS: - TO INITIATE, ADOPT AND APPROVE AND AMEND FROEDTERT SOUTH, INC.'S GOVERNING DOCUMENTS; - TO ADOPT, AMEND AND APPROVE THE MISSION, VISION, VALUES, PHILOSOPHY AND OBJECTS OF FROEDTERT SOUTH, INC. - TO APPROVE THE SALE (WHETHER BY DIRECT SALE, LEASE, LEASE FINANCING, PLEDGE OR OTHERWISE) OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF FROEDTERT SOUTH, INC. AND ANY OTHER CONTROLLED CORPORATION, THE PURCHASE (WHETHER BY DIRECT PURCHASE, LEASE, LEASE FINANCING OR OTHERWISE), SALE OR OTHER DISPOSITION OF PROPERTY INVOLVING A MATERIAL DOLLAR AMOUNT, AND ANY LONG-TERM BORROWING (FOR A TERM OF MORE THAN ONE YEAR) BY FROEDTERT SOUTH, INC. OR ANY OTHER CONTROLLED CORPORATION INVOLVING A MATERIAL DOLLAR AMOUNT; - TO APPROVE THE DISSOLUTION, MERGER, CONSOLIDATION, AFFILIATION OR INTEGRATION (OR TRANSACTION OF SIMILAR IMPORT) OF FROEDTERT SOUTH, INC. WITH OR INTO ANY OTHER PERSON, OR TRANSFER OF ANY MEMBERSHIP INTEREST BY ANY CLASS A MEMBER; - TO APPROVE THE FORMATION AND GOVERNANCE OF ANY NEW CORPORATIONS, PARTNERSHIPS, OR JOINT VENTURES (INVOLVING CAPITALIZATION INVOLVING A MATERIAL DOLLAR AMOUNT) IN WHICH FROEDTERT SOUTH, INC. OR ANY OTHER CONTROLLED CORPORATION HAS AN INTEREST THROUGH MEMBERSHIP, VOTING STOCK OR OTHER EQUITY PARTICIPATION.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS REVIEWED BY THE ORGANIZATION'S CEO, CFO AND CONTROLLER PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CFROEDTERT SOUTH'S WRITTEN CONFLICT OF INTEREST POLICY FOR THE BOARD IS REVIEWED ANNUALLY BY EACH BOARD MEMBER, AND ANY POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED AT THAT TIME. THE WRITTEN CONFLICT OF INTEREST POLICY FOR EMPLOYEES IS REVIEWED DURING ORIENTATION AND PERIODICALLY AT ORGANIZATION MEETINGS, AND IS INCORPORATED INTO THE PERFORMANCE STANDARDS OF THEIR ANNUAL EVALUATIONS. IF A CONFLICT ARISES, DEPENDING UPON THE NATURE OF THE FINANCIAL INTEREST AND WORK DONE BY THE BOARD, SEVERAL ACTIONS MAY BE CONSIDERED: THE BOARD MEMBER WITH A FINANCIAL INTEREST WOULD NEED TO VOLUNTARILY EXCUSE HIM OR HERSELF FROM THE DELIBERATIONS OR VOTING ON SUCH A MATTER; OR, IF NECESSARY, THE BOARD WOULD DETERMINE THAT THE SUBJECT'S FINANCIAL INTEREST WAS AN ACTUAL CONFLICT OF INTEREST, IN WHICH CASE THE BOARD MEMBER WOULD BE INFORMED BY THE BOARD CHAIRPERSON THAT HE OR SHE WOULD NOT BE ALLOWED TO VOTE IN ANY SUCH MATTERS DUE TO THIS REAL OR PERCEIVED CONFLICT OF INTEREST. MINUTES OF THE BOARD MEETING WOULD DOCUMENT THIS DECISION PROCESS, AND REFLECT WHATEVER ACTION(S) ARE ULTIMATELY TAKEN.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION FOR THE PRESIDENT, CEO AND GENERAL COUNSEL AND THE COMPENSATION FOR THE VICE PRESIDENTS REPORTING DIRECTLY TO THE PRESIDENT, CEO AND GENERAL COUNSEL ARE DETERMINED BY THE BOARD EXECUTIVE COMMITTEE WHICH SERVES AS THE BOARD COMPENSATION COMMITTEE. THE BOARD COMPENSATION COMMITTEE CONTRACTS WITH THE HEALTHCARE COMPENSATION FIRM NAMED THE GROVES GROUP, LLC, AND HAS UTILIZED THE PRESIDENT OF THE GROVES GROUP, LLC AS THE COMPENSATION CONSULTANT SINCE 2005. THE COMPENSATION CONSULTANT UTILIZES A METHODOLOGY THAT EVALUATES INTERNAL AND EXTERNAL EQUITY AFTER EVALUATING THE RESPONSIBILITIES OF EACH POSITION AND MAKES A RECOMMENDATION TO THE BOARD COMPENSATION COMMITTEE. THE BOARD COMPENSATION COMMITTEE HAS FOLLOWED THE DETAILED RECOMMENDATIONS OF THE COMPENSATION CONSULTANT ANNUALLY SINCE 2005 AND THE COMPENSATION CONSULTANT HAS BEEN RETAINED THROUGH 2019.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN MINIMUM PENSION OBLIGATION 5,641,437. PERIODIC BENEFIT COST 7,956,783.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1FSINC INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16308 8TH AVENUEAddressLine1Txt
CityKENOSHACityNm
State AbbreviationWIStateAbbreviationCd
ZIP53143ZIPCd
FieldValueIRS element (for citing)
EIN391956749EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 12B, IIPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1FROEDTERT SOUTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd