2016-11-15T19:29:53-06:00 2015-12-31 861065772 Deloitte Tax LLP 555 E Wells Street Suite 1400 Milwaukee WI 53202 990 2015-01-01 611649250 Aurora Health Care Inc Group Return AURO 4142991775 750 W Virginia St PO Box 341880 Milwaukee WI 532341880 Gail L Hanson CFO 4142991775 2016-11-15 Jeffrey Barth P00357102 4142713000 2015 2017-02-10 21:41:12Z Gail L Hanson 750 W Virginia St PO Box 341880 Milwaukee WI 532341880 4511407904 1 0 5709 X www.aurorahealthcare.org X Aurora Health Care is an integrated health care provider. 94 16 28446 2466 5238462 283478 1683655 4378801 3950986624 4422369689 1388454 -9196369 36634525 55962765 3990693258 4473514886 0 0 0 0 1922669320 2114295793 0 0 0 1671933845 1965242855 3594603165 4079538648 396090093 393976238 4173991008 4951813752 427941975 466360505 3746049033 4485453247 To promote health, prevent illness, provide state-of-the art diagnosis and treatment. Aurora is committed to improving the quality of health care and health outcomes, and providing services that are affordable and accessible. 0 0 3317544086 4456162446 The organizations included in this group return provide health promotion, diagnosis and treatment services to the residents of Eastern Wisconsin. Such services include cardiology, cancer treatment, hyperbaric medicine, neuroscience, 24-hour emergency care, general surgery, orthopaedics, women's health and obstetrics, digestive diseases, geriatric services, physical rehabilitation, mental health, substance abuse, ambulatory care, home health care, home hospice care, IV therapy and pharmaceuticals, respiratory therapy, medical equipment on a per-use basis, and medical education and teaching oversight. 3317544086 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 987 0 1 28446 1 1 1 0 0 0 0 0 0 0 0 0 X 94 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X Aurora Health Care Inc 4142991775 750 West Virginia Street Milwaukee WI 53204 Eugene Monroe MD President-AAH, Director-AAH,AMG,AMCG 55.00 0.00 X X 1114813 0 141093 John Konkel MD Chair - AAH, Director - AAH 55.00 0.00 X X 1211195 0 42466 Jeffrey Bahr MD Director - AAH 55.00 0.00 X 547965 0 38052 William Ebinger MD Director - AAH 55.00 0.00 X 395354 0 48658 Scott Fenske MD Director - AAH 55.00 0.00 X 373307 0 48657 Rajeev Jain MD Director - AAH 55.00 0.00 X 694808 0 48657 Jeffrey Katt MD Director - AAH 55.00 0.00 X 499703 0 48242 Scott Kenitz OD Director - AAH 55.00 0.00 X 275089 0 48452 Anne Mattson MD Vice Chair - AAH, Director - AAH 55.00 0.00 X X 346685 0 21471 Shaibal Mazumdar MD Director - AAH 55.00 0.00 X 967645 0 38257 Thomas Puetz MD Director - AAH 55.00 0.00 X 907145 0 38257 Basil Salaymeh MD Director - AAH, AMCG 55.00 0.00 X 744362 0 48112 Daniel Thompson MD Director - AAH 55.00 0.00 X 247376 0 48052 David Graebner Director & Hospital President - AMSCS 55.00 0.00 X 411770 0 48644 Peter Carlson President - APH, Director - APH 55.00 0.00 X X 422783 0 42452 Ray Darcey President - AVNA, Director - AVNA 55.00 0.00 X X 412754 0 25000 Ruric Anderson President - AUWAMG, Director - AUWAMG 55.00 0.00 X X 562731 0 64127 Jeff Dalen-Bard Pres-AMCMC,AMCO Dir-AHCM,AHCSL,AMCMC,AMCO,AMCG 55.00 0.00 X X 548978 0 71255 Sandra Ewald Asst. Treas - AMCMC, AMCO Director - AMCO 1.00 55.00 X X 0 516370 35953 Carrie Killoran Director - AMCSC, AMCWC, AMCG 1.00 55.00 X 0 612891 19725 David Yeager Asst. Treas. - AMCG,AHCSL,SMCSC,AMCWC Dir. - AVNA 1.00 55.00 X X 0 524312 42416 Jeffrey Bailet MD President - AMG, Director - AMG,AAH,LMC 1.00 55.00 X X 0 1256255 152599 Patrick Falvey Vice Chair & Sec. - AVNA, VP - LMC, Director-AVNA 1.00 55.00 X X 0 729034 99745 Mary Beth Kingston Director - AHCM,AMCMC,AHCSL,AVNA 1.00 55.00 X 0 701096 101348 Jeffrey Smith MD Director - AHCM,AMCMC,AHCSL,AUWAMG 1.00 32.00 X 0 599408 28322 Dennis Potts Pres.& Director-AHCM,AHCSL,AMCSC,AMCWC,APH,AMCG 1.00 55.00 X X 0 1003038 129548 Gerald Colman Director - AMCWC, AMCO 1.00 55.00 X 0 1323866 159263 Gail Hanson Treasurer - Multiple, Director - AMCMC, AAH 1.00 55.00 X X 0 1551429 140870 Amy Rislov Director - AUWAMG 1.00 55.00 X 0 588811 93614 Alfred Capelli MD Director - AMG 55.00 0.00 X 605431 0 30478 Andrea Gavin MD Secretary/Treas & Director - AMG 55.00 0.00 X X 389677 0 42130 Daniel O'Hair MD Director - AMG 55.00 0.00 X 1141858 0 48607 Danish Siddiqui MD Director - AUWAMG 55.00 0.00 X 559333 0 38257 David Ulery MD Director - AMG 55.00 0.00 X 208942 0 40105 David Weidig MD Director - AVNA 55.00 0.00 X 363141 0 41687 Dennis Baumgardner MD Director - AUWAMG 55.00 0.00 X 231376 0 44434 Diane Gerlach DO Director - AMG 55.00 0.00 X 164146 0 33079 Ellen Danto-Nocton MD Director - AUWAMG 55.00 0.00 X 212913 0 20965 Frank LaVora DPM Director - AMG 55.00 0.00 X 493602 0 30407 Jackie Tillett CNM ND Director - AUWAMG 55.00 0.00 X 136474 0 35299 Jacob Bidwell MD Director - AUWAMG 55.00 0.00 X 346531 0 38257 John Brill MD Director - AUWAMG 55.00 0.00 X 310630 0 38257 Joseph Majewski MD Director - AMG 55.00 0.00 X 710341 0 42466 Kenneth Saydel DO Director - WAMH 55.00 0.00 X 357484 0 42466 Mary Hook RN PhD Director - WAMH 55.00 0.00 X 128492 0 15043 Michael Malone MD Director - AVNA 1.00 55.00 X 0 267203 48136 Nan Nelson Asst. Treas. - AHCM & APH, Director - APH 1.00 55.00 X X 0 513907 20783 Natasha Hernandez MD Director - AUWAMG 55.00 0.00 X 419890 0 38052 Patrick Daly MD Director - AMG 55.00 0.00 X 536682 0 48657 Paul Coogan MD Director - AHCM 55.00 0.00 X 510708 0 38257 Scott Hardin MD Director - AHCM, AHCSL, AMCMC 55.00 0.00 X 440539 0 27017 Corey Shamah MD Director - AAH 55.00 0.00 X 820927 0 38002 Jeffrey Stearns MD Director - AUWAMG 55.00 0.00 X 187505 0 18936 Neil Guenther MD Director - AHCM 1.00 0.00 X 0 0 0 Joseph Kempen MD Director - AHCM & WAMH 1.00 0.00 X 0 0 0 Jeffrey Eckrich Vice Chair & Director - WAMH 1.00 0.00 X X 0 0 0 Chris Kraemer Director - WAMH 1.00 0.00 X 0 0 0 Wayne Clark Chair & Director - WAMH 1.00 0.00 X X 0 0 0 Glenda Lee MD Director - WAMH 1.00 0.00 X 0 0 0 Charles Wikenhauser Director - WAMH 1.00 0.00 X 0 0 0 Paul Ziehler Director - WAMH 1.00 0.00 X 0 0 0 Rev Susan Lockman Secretary/Treasurer & Director - WAMH 1.00 0.00 X X 0 0 0 Helen Feuling Director - WAMH 1.00 0.00 X 0 0 0 Robert Figueroa Director - WAMH 1.00 0.00 X 0 0 0 Byron Crouse MD Director - AUWAMG 1.00 0.00 X 0 0 0 Elizabeth Petty Director - AUWAMG 1.00 0.00 X 0 0 0 Richard Kellar President - AWAMC 55.00 0.00 X 495711 0 42426 Steve Huser Asst. Treas. - AMCMC, AMCO 1.00 55.00 X 0 372318 46355 Michael Lappin Secretary/ Assistant Secretary - Multiple 1.00 55.00 X 0 1133020 129368 Rachelle Hart Assistant Secretary - Multiple 1.00 55.00 X 0 624965 38257 Stuart Arnett Asst. Treasurer - AAH, AUWAMG 1.00 55.00 X 0 393741 48452 Marie Golanowski Hospital President - ASLMC 55.00 0.00 X 593736 0 42376 Carolyn Glocka Hospital President - ASLSS, ASMC 55.00 0.00 X 503532 0 35834 Randall Lambrecht SVP Research 0.00 55.00 X 0 421285 30632 Cathie Kocourek President - AMCMC 55.00 0.00 X 348033 0 42466 Michael Bergman Patient Service Market President 0.00 55.00 X 0 409804 38207 Stephen Francaviglia Patient Service Market President 0.00 55.00 X 0 584730 41478 Lisa Just Patient Service Market President 0.00 55.00 X 0 470571 48657 Doug Koch Patient Service Market President 0.00 55.00 X 0 436930 38257 John Newman Hospital President - AMCO 55.00 0.00 X 329577 0 18701 Venkata Thota MD Chief Medical Officer - Walworth/ Burlington 1.00 55.00 X 0 658268 48658 Timothy Lineberry MD Chief Medical Officer - GB/ Manitowoc 1.00 55.00 X 0 425983 23779 Andrew McDonagh MD Chief Medical Officer - AWAMC 55.00 0.00 X 397497 0 48657 Douglas McManus MD Chief Medical Officer - Milwaukee North 55.00 0.00 X 581757 0 42286 Sylvia Meltzer MD Chief Medical Officer - Pop Health & Risk 1.00 55.00 X 0 472883 35472 Tedmond O'Reilly MD Chief Medical Officer - AMCG/ AMCWC 55.00 0.00 X 324191 0 48658 Robert Stuart MD Chief Medical Officer - Waukesha/ Jefferson 1.00 55.00 X 0 430792 48657 Hsieng Su MD Chief Medical Officer - ASLMC 55.00 0.00 X 424201 0 25553 Anu Vijayakumar MD Chief Medical Officer - ASMC/ ASLMC 55.00 0.00 X 290172 0 24983 Mark Wichman MD Physician Surgery Ortho 55.00 0.00 X 2277498 0 38052 Tanvir Bajwa MD Physician Cardio Intvl 55.00 0.00 X 1974010 0 48657 Joel Wallskog MD Physician Surgery Ortho 55.00 0.00 X 1973841 0 38257 Amin Bardai Kassam MD Physician Surgery Neurology 55.00 0.00 X 2177729 0 26332 Anthony Ricci MD Physician Surgery Ortho 55.00 0.00 X 1860346 0 38258 Brad Hahn President, Asst. Treas., Director (Former) 0.00 0.00 X 0 772843 0 34512916 17795753 3950809 2461 1 1 0 BayCare Clinic LLP 164 North Broadway Green Bay WI 54303 Healthcare Services 5581306 Poblocki Paving Corporation 525 S 116th Street Milwaukee WI 53214 Asphalt Paving Serives 3074491 Milwaukee Regional Medical Center Inc 999 N 92nd Street Milwaukee WI 53226 Healthcare Services 2942437 Davita PO Box 8500 Philadelphia PA 19178 Dialysis Services 2632132 Building Service Inc W222 N630 Cheaney Road Waukesha WI 53186 Building Contractor 2458924 128 803921 3574880 4378801 Program Services 900099 4330746519 4330746519 Hospital Services 900099 63318094 63318094 Rental Income 531120 11619814 8354 11611460 Cafeteria Sales 722210 10550194 10550194 Membership Sales 713940 1184899 1184899 4950169 2721390 2228779 4422369689 -2077772 -2077772 11337865 18456462 -7118597 -7118597 -7118597 39253054 19436556 19816498 19816498 Other Revenue 900099 30843388 27842059 3001329 Support Services 900099 5302879 5302879 36146267 4473514886 4450932338 5238462 12965285 33740073 26694102 7045971 772843 772843 1677940780 1604198130 73742650 431030 416359 14671 305568532 291353072 14215460 95842535 91396666 4445869 47206 47206 48715 48715 134775886 113078015 21697871 5595687 652261 4943426 23222324 21865024 1357300 105477457 102188609 3288848 4480975 4000268 480707 8684188 8100011 584177 1811416 2451035 -639619 766512174 144801913 621710261 138566496 139898215 -1331719 17902888 17881546 21342 Medical and Other Suppl 584488478 583439135 1049343 Hospital Tax Assessment 84894162 84894162 0 Equipment Rental and Ma 66532259 59780396 6751863 22202544 20455167 1747377 4079538648 3317544086 761994562 0 144539 153799 2050917303 2235879561 532817572 710836821 31213627 36239978 7903635 10552352 2912967659 1445224806 1110499087 1467742853 402188 393995 10125391 7495150 429967666 482519243 4173991008 4951813752 360474384 381035107 253032 4188607 238631 239626 66975928 80897165 427941975 466360505 X 3584752606 4300676049 145464414 166213341 15832013 18563857 3746049033 4485453247 4173991008 4951813752 X 393976238 345427976 X 0 1 X 1 1 1 X 0.99850 0.00000 Schedule A, Part I: The following legal entities included in this group return are covered under 170(b)(1)(A)(iii): Aurora Health Care Metro, Inc. Aurora Health Care Southern Lakes, Inc. Aurora Psychiatric Hospital, Inc. Aurora Health Care Central, Inc. West Allis Memorial Hospital, Inc. Aurora Medical Center of Oshkosh, Inc. Aurora Medical Center of Washington County, Inc. Aurora Health Care North, Inc. Aurora Medical Group, Inc. Aurora Medical Center Grafton, LLC The following legal entities included in this group return are covered under 509(a)(2): Visiting Nurse Association of Wisconsin, Inc. Aurora Advanced Healthcare, Inc. Aurora UW Academic Medical Group, Inc. Schedule A, Part III Line 1 - column: (a) 500,772; (b) 149,620; (c) 340,424; (d) 1,154,409; (e) 1,221,496; (f) 3,366,721 Line 2 - column: (a) 430,413,445; (b) 374,863,517; (c) 370,001,187; (d) 478,786,130; (e) 506,064,277; (f) 2,160,128,556 Line 6 - column: (a) 430,914,217; (b) 375,013,137; (c) 370,341,611; (d) 479,940,539; (e) 507,285,773; (f) 2,163,495,277 Line 8 - column: (f) 2,163,495,277 Line 9 - column: (a) 430,914,217; (b) 375,013,137; (c) 370,341,611; (d) 479,940,539; (e) 507,285,773; (f) 2,163,495,277 Line 10a - column: (d) 22,903; (e) 86,851; (f) 109,754 Line 10c - column: (d) 22,903; (e) 86,851; (f) 109,754 Line 12 - column: (b) 43,153; (c) 1,426; (d) 2,975,013; (e) 4,557,983; (f) 7,577,575 Line 13 - column: (a) 430,914,217; (b) 375,056,290; (c) 370,343,037; (d) 482,938,455; (e) 511,930,607; (f) 2,171,182,606 Line 15: 99.65% Line 16: 99.85% Line 17: .01% Line 19a: X 0 0 0 1 0 0 1 48976 0 0 48976 0 Part II-B, Line 1: The hospital organizations included in this group return support indirect lobbying activities related to issues impacting health care financing, health care delivery and community health initiatives, in an effort toward improvement of health care in Wisconsin through its payment dues to the American Hospital Association. 604036 11391 0 615427 584451 22335 2750 604036 536809 53142 5500 584451 469430 42308 30786 5715 536809 448917 20513 469430 0.56000 0.44000 0 1 1 55714109 55714109 1931558608 921821382 1009737226 114722403 45492747 69229656 726954677 472105570 254849107 84017862 5805107 78212755 1467742853 Due from Affiliates 59442634 Funds held by Aurora Foundation 180140099 Investment in Joint Ventures 196174365 Funds Held by Community Foundation 4501810 Investment in Lab Co-Tenancy 4722582 Other Assets 16469626 US Bank Escrow Account 5001428 Tuition Loan Forgiveness 2073043 Third Party Payor Receivable 7134479 Notes Receivable - Provider/ Physician 6859177 482519243 Asset Retirement Obligation 1244968 Long-Term Capital Lease 35404687 Deferred Rent 2973488 Unfunded Pension Liability 8340372 Other Liabilities 6697134 Provider Retention Liability 24577670 Deferred Gain 1658846 80897165 X Part V, Line 4: Endowment funds are used to support programs and services offered by Aurora Health Care, Inc. and its affiliates. Part X, Line 2: Aurora evaluates its uncertain tax positions on an annual basis. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. There have been no uncertain tax positions recorded in 2015. 1 1 X 1 X 250.000000000000 0 1 1 1 0 1 1 21681936 0 21681936 0.00850 455114391 380378672 74735719 0.02940 13147247 9879403 3267844 0.00130 489943574 390258075 99685499 0.03920 901 301396 7016132 215833 6800299 0.00270 274 11128 33357887 11944592 21413295 0.00840 114 6512 6189395 31273 6158122 0.00240 0 458 101834 7478841 52879 7425962 0.00290 1747 420870 54042255 12244577 41797678 0.01640 1747 420870 543985829 402502652 141483177 0.05560 28 817 21280 21280 0.00000 16 327 7200 7200 0.00000 1 25 250 250 0.00000 18 40647 8222 8222 0.00000 5 1900 4491 4491 0.00000 46 3151 22285 22285 0.00000 114 46867 63728 63728 1 17205080 0 504046817 599874088 -95827271 X 1 1 15 1 Aurora St Luke's Medical Center 2900 West Oklahoma Avenue Milwaukee WI 53215 www.aurorahealthcare.org 160 Aurora Health Care Metro Inc 390806181 X X X X X A 2 Aurora St Luke's Medical Center South Shore 5900 South Lake Drive Cudahy WI 53110 www.aurorahealthcare.org 16 Aurora Health Care Metro Inc 390806181 X X X A 3 Aurora Sinai Medical Center 945 North 12th Street Milwaukee WI 53233 www.aurorahealthcare.org 74 Aurora Health Care Metro Inc 390806181 X X X X A 4 Aurora Medical Center Kenosha 10400 75th Street Kenosha WI 53142 www.aurorahealthcare.org 1001 Aurora Health Care Southern Lakes Inc 390806347 X X X Inpatient Rehab Unit A 5 Aurora Lakeland Medical Center W3985 County Road NN Elkhorn WI 53121 www.aurorahealthcare.org 132 Aurora Health Care Southern Lakes Inc 390806347 X X X Inpatient Rehab Unit A 6 Aurora Memorial Hospital of Burlington 252 McHenry Street Burlington WI 53105 www.aurorahealthcare.org 14 Aurora Health Care Southern Lakes Inc 390806347 X X X A 7 Aurora Medical Center Summit 36500 Aurora Drive Summit WI 53066 www.aurorahealthcare.org 316 Aurora Health Care Southern Lakes Inc 390806347 X X X A 8 Aurora BayCare Medical Center 2845 Greenbrier Road Green Bay WI 54311 www.aurorahealthcare.org 301 Aurora Medical Group Inc 391678306 X X X X X A 9 Aurora West Allis Medical Center 8901 West Lincoln Avenue West Allis WI 53227 www.aurorahealthcare.org 149 West Allis Memorial Hospital Inc 391022464 X X X A 10 Aurora Sheboygan Medical Center 2629 North 7th Street Sheyboygan WI 53083 www.aurorahealthcare.org 38 Aurora Health Care Central Inc 390930748 X X X Rehab/ Sleep Disorders A 11 Aurora Medical Center Washington County 1032 East Sumner Street Hartford WI 53027 www.aurorahealthcare.org 195 Aurora Medical Center Washington County 391150165 X X X A 12 Aurora Psychiatric Hospital 1220 Dewey Avenue Wauwatosa WI 53213 www.aurorahealthcare.org 164 Aurora Psychiatric Hospital Inc 390872192 X Psychiatric A 13 Aurora Medical Center of Manitowoc County 5000 Memorial Drive Two Rivers WI 54241 www.aurorahealthcare.org 85 Aurora Health Care North Inc 391211629 X X X A 14 Aurora Medical Center Oshkosh 855 North Westhaven Drive Oshkosh WI 54904 www.aurorahealthcare.org 307 Aurora Medical Center of Oshkosh Inc 391027676 X X X A 15 Aurora Medical Center Grafton 975 Port Washington Road Grafton WI 53024 www.aurorahealthcare.org 317 Aurora Medical Center Grafton LLC 272953799 X X X A Facility Reporting Group - A 0 0 1 X X X X X X X X X 15 1 1 0 1 X ahc.aurorahealthcare.org/aboutus/community-benefits X 1 14 1 ahc.aurorahealthcare.org/aboutus/community-benefits 0 0 1 X 250.000000000000 X X X X 1 1 X X X 1 X www.aurorahealthcare.org/patients-visitors/financial-assistance X www.aurorahealthcare.org/patients-visitors/financial-assistance X www.aurorahealthcare.org/patients-visitors/financial-assistance X X X X 1 X 0 X X X X 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: Aurora St. Luke's Medical Center, - Facility 2: Aurora St. Luke's Medical Center South Shore, - Facility 3: Aurora Sinai Medical Center, - Facility 4: Aurora Medical Center Kenosha, - Facility 5: Aurora Lakeland Medical Center, - Facility 6: Aurora Memorial Hospital of Burlington, - Facility 7: Aurora Medical Center Summit, - Facility 8: Aurora BayCare Medical Center, - Facility 9: Aurora West Allis Medical Center, - Facility 10: Aurora Sheboygan Medical Center, - Facility 11: Aurora Medical Center Washington County, - Facility 12: Aurora Psychiatric Hospital, - Facility 13: Aurora Medical Center of Manitowoc County, - Facility 14: Aurora Medical Center Oshkosh, - Facility 15: Aurora Medical Center Grafton Group A-Facility 1 -- Aurora St. Luke's Medical Center Part V, Section B, line 5: For all hospitals included in this group return, the key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health. Group A-Facility 1 -- Aurora St. Luke's Medical Center Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 1 -- Aurora St. Luke's Medical Center Part V, Section B, line 11: Aurora St. Luke's Medical Center addressed significant health needs as follows: To improve access to appropriate services for uninsured persons and Medicaid-eligible patients, the hospital provided patients with information on the benefits of receiving routine primary care in a "health home" program. To improve coverage for all uninsured persons, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. The hospital also established a connection between social service and nurse practitioners to better monitor and manag patients with chronic disease. Group A-Facility 1 -- Aurora St. Luke's Medical Center Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Group A-Facility 2 -- Aurora St. Luke's Medical Center South S Part V, Section B, line 5: For all hospitals included in this group return, the key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health. Group A-Facility 2 -- Aurora St. Luke's Medical Center South S Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 2 -- Aurora St. Luke's Medical Center South S Part V, Section B, line 11: Aurora St. Luke's Medical Center South Shore addressed significant health needs as follows: To improve access and coverage for uninsured and Medicaid-eligible patients, the hospital developed an information kit for target populations to promote the benefits of primary and preventive care and became established with a "health home". To improve coverage to uninsured and Medicaid-eligible patients, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. The Parich nurses also assisted community members with accessing the Marketplace (the health insurance exchange). The hospital continues to have physicians serve on the Cudahy and Oak Creek Board of Health and Service as medical advisors for the Cudahy and Oak Creek Health Department. Group A-Facility 2 -- Aurora St. Luke's Medical Center South S Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Group A-Facility 3 -- Aurora Sinai Medical Center Part V, Section B, line 5: For all hospitals included in this group return, the key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health. Group A-Facility 3 -- Aurora Sinai Medical Center Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 3 -- Aurora Sinai Medical Center Part V, Section B, line 11: Aurora Sinai Medical Center addressed significant health needs as follows: To improve access and coverage for uninsured and Medicaid-eligible patients, the hospital provided an information kit to Medicaid-eligible and uninsured patients. To improve coverage to uninsured and Medicaid-eligible patients, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. The hospital also provided counseling and mental health services to pregnant families and victims of sexual assualt/ domestic violence by providing home-based education, information, counseling, and referral to medical and other community resources to ensure a healthy pregnancy and healthy birth. Group A-Facility 3 -- Aurora Sinai Medical Center Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Group A-Facility 4 -- Aurora Medical Center Kenosha Part V, Section B, line 5: For all hospitals included in this group return, the key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health. Group A-Facility 4 -- Aurora Medical Center Kenosha Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 4 -- Aurora Medical Center Kenosha Part V, Section B, line 11: Aurora Medical Center Kenosha addressed significant health needs as follows: To improve access to appropriate services for uninsured and Medicaid-eligible patients, the hospital provided patients with information on the benefits of receiving routine primary and dental care in a "health home" at Kenosha Community Health Center. To improve coverage to uninsured and Medicaid-eligible patients, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. The hospital also expanded community awareness of special needs of frail elderly through outreach services including community health screenings and education for early detection and intervention. Group A-Facility 4 -- Aurora Medical Center Kenosha Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Group A-Facility 5 -- Aurora Lakeland Medical Center Part V, Section B, line 5: For all hospitals included in this group return, the key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health. Group A-Facility 5 -- Aurora Lakeland Medical Center Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 5 -- Aurora Lakeland Medical Center Part V, Section B, line 11: Aurora Lakeland Medical Center addressed significant health needs as follows: To improve access to appropriate services for uninsured and Medicaid-eligible patients, the hospital provided patients with resources through the "Better Together Fund" for the free clinic in Walworth County to support expansion of primary care and behavioral health services. To improve coverage to uninsured and Medicaid-eligible patients, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. The hospital also offered free screenings for blood pressure and Body Mass Index (BMI) at a variety of community events, including the Walworth County Fair. Group A-Facility 5 -- Aurora Lakeland Medical Center Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Group A-Facility 6 -- Aurora Memorial Hospital of Burlington Part V, Section B, line 5: For all hospitals included in this group return, the key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health. Group A-Facility 6 -- Aurora Memorial Hospital of Burlington Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 6 -- Aurora Memorial Hospital of Burlington Part V, Section B, line 11: Aurora Memorial Hospital of Burlington addressed significant health needs as follows: To improve access to appropriate services for uninsured and Medicaid-eligible patients, the hospital established a branch site for the Health Care Network (HCN) at the Wester Racine County Health Departments, which is located near the hospital camput. To improve coverage to uninsured and Medicaid-eligible patients, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. The hospital also addressed health risk behaviors by working with community partners to implement medication collection boxes at conveniently accessible sites in the community to enable residents to despose of unused, unneeded or expired prescription medication and over-the-counter drugs (or other substances). Group A-Facility 6 -- Aurora Memorial Hospital of Burlington Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Group A-Facility 7 -- Aurora Medical Center Summit Part V, Section B, line 5: For all hospitals included in this group return, the key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health. Group A-Facility 7 -- Aurora Medical Center Summit Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 7 -- Aurora Medical Center Summit Part V, Section B, line 11: Aurora Medical Center Summit addressed significant health needs as follows: To improve access to appropriate services for uninsured and Medicaid-eligible patients,the hospital ensured access to the Lake Area Free Clinic for follow-up care and understanding of benefits of primary and preventive care. To improve coverage to uninsured and Medicaid-eligible patients, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. The hospital also strengthened their partnership with Stillwaters Cancer Support Services to ensure that persons living with cancer - and their families - had access to support services. To support and assure the safety of youth and student athletes in athletic programs, the hospital offered reduced-cost youth sports physicals and free baseline concussion screenings. Group A-Facility 7 -- Aurora Medical Center Summit Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Group A-Facility 8 -- Aurora BayCare Medical Center Part V, Section B, line 5: For all hospitals included in this group return, the key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health. Group A-Facility 8 -- Aurora BayCare Medical Center Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 8 -- Aurora BayCare Medical Center Part V, Section B, line 11: Aurora BayCare Medical Center addressed significant health needs as follows: To improve access to appropriate services for uninsured and Medicaid-eligible patients, the hospital provided a full-time, bilingual pediatrician who provides medical care for children whose families do not have the resources to pay for health services. To improve coverage to uninsured and Medicaid-eligible patients, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. The hospital also promoted Living Well with Chronic Disease, a program designed to help self-manage chronic diseases. To support and protect student athletes in Brown County, the hospital provided reduced-cost youth sports physicals and free baseline concussion screenings for every student who wished to take part. Group A-Facility 8 -- Aurora BayCare Medical Center Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Group A-Facility 9 -- Aurora West Allis Medical Center Part V, Section B, line 5: For all hospitals included in this group return, the key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health. Group A-Facility 9 -- Aurora West Allis Medical Center Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 9 -- Aurora West Allis Medical Center Part V, Section B, line 11: Aurora West Allis Medical Center addressed significant health needs as follows: To improve access to appropriate services for uninsured and Medicaid-eligible patients, the hospital provided staff assistance to navigate uninsured patients to medical homes in the Milwaukee area. To improve coverage to uninsured and Medicaid-eligible patients, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. To ensure a continuum of patient-centered, community based care the older adult population, the hospital expanded the capacity of their hospital-sponsored Senior Resource Nurse Program by adding a second full-time geriatric resource nurse. Group A-Facility 9 -- Aurora West Allis Medical Center Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Group A-Facility 10 -- Aurora Sheboygan Memorial Medical Center Part V, Section B, line 5: For all hospitals included in this group return, the key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health. Group A-Facility 10 -- Aurora Sheboygan Memorial Medical Center Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 10 -- Aurora Sheboygan Memorial Medical Center Part V, Section B, line 11: Aurora Sheboygan Memorial Medical Center addressed significant health needs as follows: To improve access to appropriate services for uninsured and Medicaid-eligible patients, the hospital provided patients with information on the benefits of receiving routine primary care in a "health home" program. To improve coverage to uninsured and Medicaid-eligible patients, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. The hospital also advanced knowledge and awareness of risk factors, warning signs and treatment of strokes by partnering with the Sheboygan Area School District to provide education in 35 schools and provided free blood pressure screening at community talks. To support nutrituion and physical activity in Sheboygan County, the hospital developed and off-site Wellness Center to address health and fitness needs of adults. Group A-Facility 10 -- Aurora Sheboygan Memorial Medical Center Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Group A-Facility 11 -- Aurora Medical Center Washington County Part V, Section B, line 5: For all hospitals included in this group return, the key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health. Group A-Facility 11 -- Aurora Medical Center Washington County Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 11 -- Aurora Medical Center Washington County Part V, Section B, line 11: Aurora Medical Center Washington County addressed significant health needs as follows: To improve access to appropriate services for uninsured and Medicaid-eligible patients, the hospital provided patients with information on the benefits of receiving routine primary care in a "health home" program. To improve coverage to uninsured and Medicaid-eligible patients, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. The hospital also provided resources through the Better Together Fund for the free clinic(s) in Washington County to support expansion of primary care and behavioral health services. To support and protect student athletes in Washington County, the hospital provided education and screenings at public events, and worked collaborately with coaches to manage and administer the initial treatment of athletic injuries. Group A-Facility 11 -- Aurora Medical Center Washington County Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Group A-Facility 12 -- Aurora Psychiatric Hospital Part V, Section B, line 5: For all hospitals included in this group return, the key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health. Group A-Facility 12 -- Aurora Psychiatric Hospital Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 12 -- Aurora Psychiatric Hospital Part V, Section B, line 11: Aurora Psychiatric Hospital addressed significant health needs as follows: To improve access to appropriate services for uninsured and Medicaid-eligible patients, the hospital provided patients with information on the benefits of receiving routine primary care in a "health home" program. To improve coverage to uninsured and Medicaid-eligible patients, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. The hospital also provided a continuing education series of eight lectures to enhance knowledge in specialized areas of mental health. Group A-Facility 12 -- Aurora Psychiatric Hospital Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Group A-Facility 13 -- Aurora Medical Center of Manitowoc Count Part V, Section B, line 5: For all hospitals included in this group return, the key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health. Group A-Facility 13 -- Aurora Medical Center of Manitowoc Count Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 13 -- Aurora Medical Center of Manitowoc Count Part V, Section B, line 11: Aurora Medical Center of Manitowoc County addressed significant health needs as follows: To improve access to appropriate services for uninsured and Medicaid-eligible patients, the hospital provided referral and navagation support to uninsured person seen in the emergency department wo will benefit from the urgent and primary care services available to the Community Clinic of Manitowoc County. To improve coverage to uninsured and Medicaid-eligible patients, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. The hospital also provided free community presentations and seminars on physical health and fitness and prevention of sports injuries featuring cardiac and orthopedic physicians, as well as rehabilitation specialists. Group A-Facility 13 -- Aurora Medical Center of Manitowoc Count Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Group A-Facility 14 -- Aurora Medical Center Oshkosh Part V, Section B, line 5: For all hospitals included in this group return, the key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health. Group A-Facility 14 -- Aurora Medical Center Oshkosh Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 14 -- Aurora Medical Center Oshkosh Part V, Section B, line 11: Aurora Medical Center Oshkosh addressed significant health needs as follows: To improve access to appropriate services for uninsured and Medicaid-eligible patients, the hospital continued to be an active financial donor to the Living Healthy Community Clinic (LHCC), including donating lab and basic diagnostic services to patients referred to from LHCC. To improve coverage to uninsured and Medicaid-eligible patients, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. The hospital also established metrics for long-term evaluation of reduction of the prevalence of obesity in the youth and adult populations. Group A-Facility 14 -- Aurora Medical Center Oshkosh Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Group A-Facility 15 -- Aurora Medical Center Grafton Part V, Section B, line 5: The key participants in the process included the health officers for the local health departments as well as leaders of academic centers, health coalitions, foundations, and community orgranizations focused on a range of public health issues and/or health disparities. Key participants were asked to rank the top three to five major health-related issues for their county based on the focus areas outlined in the Wisconsin State Health Plan, Healthiest Wisconsin 2020. For each top-ranked health topic, the participant was asked to specify existing strategies to address issues, barriers, or challenges; additional strategies needed; and key groups the hospitals could collaborate with to improve community health Group A-Facility 15 -- Aurora Medical Center Grafton Part V, Section B, line 6a: The hospital facilities included in the CHNA report include: Aurora St. Luke's Medical Center - CHNA conducted in 2013Aurora St. Luke's South Shore - CHNA conducted in 2013Aurora Sinai Medical Center - CHNA conducted in 2013Aurora Psychiatric Hospital - CHNA conducted in 2013Aurora West Allis Medical Center - CHNA conducted in 2013Aurora Memorial Hospital of Burlington - CHNA conducted in 2015Aurora Medical Center Kenosha - CHNA conducted in 2014Aurora Medical Center Summit - CHNA conducted in 2015Aurora Medical Center Grafton - CHNA conducted in 2014Aurora Medical Center Washington County - CHNA conducted in 2014Aurora Lakeland Medical Center - CHNA conducted in 2014Aurora BayCare Medical Center - CHNA conducted in 2015Aurora Medical Center of Manitowoc County - CHNA conducted in 2013Aurora Medical Center Oshkosh - CHNA conducted in 2015Aurora Sheboygan Memorial Medical Center - CHNA conducted in 2015 Group A-Facility 15 -- Aurora Medical Center Grafton Part V, Section B, line 11: Aurora Medical Center Grafton addressed significant health needs as follows: To improve access to appropriate services for uninsured and Medicaid-eligible patients, the hospital provided patients with information on the benefits of receiving routine primary care in a "health home" program. To improve coverage to uninsured and Medicaid-eligible patients, the hospital actively screened all uninsured patients for financial assistance programs including Aurora's Helping Hand Patient Financial Assistance program, and other safety net programs for which they qualify, and assisted with the application process. The hospital also participated in educating school counselors, teachers and parents about the signs of underage drinking and alcohol abuse to fulfill its role in supporting the INVEST Committee. To support and protect student athletes in Ozaukee County, Aurora Medical Center Grafton provided reduced-cost (or free) sports physical and baseline concussion screenings for every student who wished to take part. Group A-Facility 15 -- Aurora Medical Center Grafton Part V, Section B, line 22d: The maximum amount that can be billed to FAP-eligible individuals is 55% of the gross charges, which represents the inverse average of the three lowest negotiated commercial insurance rates. Part V, Section B, Line 13H Helping Hands requires that an individual applies for financial assistance within 240 days of the 1st billing statement. 10 1 - Franklin Urgent Care 9200 West Loomis Road Franklin WI 53132 Outpatient Physician Clinic 2 - Franklin Imaging Center 9200 West Loomis Road Franklin WI 53132 Outpatient Physician Clinic 3 - Aurora Rehabilitation Center 2000 East Layton Avenue St Francis WI 53221 Outpatient Rehab Center 4 - Aurora Rehabilitation Center 3738 South 60th Street Milwaukee WI 53220 Outpatient Rehab Center 5 - Aurora Rehabilitation Center 4111 West Mitchell Street Milwaukee WI 53204 Outpatient Rehab Center 6 - Aurora Rehabilitation Center 9200 West Loomis Road Milwaukee WI 53132 Outpatient Rehab Center 7 - Aurora Wiselives Clinic 8320 West Bluemound Road Wauwatosa WI 53213 Outpatient Physician Clinic 8 - Walkers Point Community Clinic 130 West Bruce Street Milwaukee WI 53204 Outpatient Physician Clinic 9 - Sports Medicine Institute 6255 North Santa Monica Boulevard Whitefish Bay WI 53217 Physical Therapy Rehab 10 - Sports Medicine Institute 19601 West Bluemound Road Brookfield WI 53045 Physical Therapy Rehab Part I, Line 7: The cost-to-charge ratio was derived from Worksheet 2. Part I, Line 6A The hospital organizations included in this group return published an individual community benefit report in 2015. It is available for review at ahc.aurorahealthcare.org/aboutus/community-benefits. Part I, Line 7f The community benefit percentage is calculated using the total expenses of all hospital subordinates included in this group return. Part II, Community Building Activities: The hospital organizations included in this group return aligned financial and in-kind resources to state and local health department initiatives and participated in community task forces for disease control and prevention and other priority health initiatives. The hospital partnered with schools, faith communities, economic and job-creation councils, law enforcement and other nonprofit charitable and civic organizations to contribute to community capacity for addressing socio-economic factors associated with health, safety, security, health disparities, and/or workforce development. Part III, Line 2: Bad debt is allocated based on the ratio of Patient Care cost to charges. Part III, Line 4: Reported on Page 14 of the Independent Auditors' Report. Part III, Line 8: All of the shortfall on line 7 should be treated as community benefit. The amount reported on line 6 utilizes the cost to charge ratio of the most recently filed cost reports for the hospitals included in this group return. Part III, Line 9b: Specific to the uninsured and medically-indigent patient populations, the organization's practice is to thoroughly evaluate the patient's ability to pay. For the uninsured patient, an assessment of income and family size is compared to the Federal Poverty Limits to determine the percentage of discount. The medically-indigent patient is offered the same review of ability to pay with the added review of assets. Patients are expected to repay the residual debt at an amount that does not exceed 10% of the gross household income. After five years of payments, the remaining balance is forgiven. Part VI, Line 2: Since 2003, Aurora Health Care, Inc., the corporate parent of all entities included in this group return, has collaborated with local health departments to survey residents on their health status and habits and to gather information based on behavioral and lifestyle habits, health conditions, risk factors, and demographics; to identify themes, trends, and disparities; and to compare to state and national measurements. These reports have been part of a comprehensive survey of eastern Wisconsin to identify areas of greatest need and produce a report of findings that is shared with each community at-large. The findings of the surveys are an instrument through which the municipal health departments engage community participation to generate community health improvement plans aligned with Healthy Wisconsin 2010 and Healthy Wisconsin 2020. During 2011, eight of Aurora's hospitals formed partnerships with other health systems to conduct the most recent surveys in 2015. Part VI, Line 3: The organization's patient financial advocates meet with every patient or patient's family who presents for services and has no insurance, with the purpose of sharing options for coverage under federal, state or local government programs, as well as AHC's internal patient financial assistance program. The patient financial advocate will assist the patient and/or patient's family in preparing the paperwork to apply for any government coverage and/or Aurora's internal financial assistance. Notices regarding the eligibility for assistance under federal, state, or local government programs, or under the organization's financial assistance program are also posted in the emergency rooms, admissions offices, and waiting areas. Part VI, Line 4: Aurora Health Care Metro, Inc. (three hospitals) and Aurora Psychiatric Hospital, Inc. serving the residents of Milwaukee County. Milwaukee is the largest city in both Milwaukee County and Wisconsin and is among the 30-most populous cities in the United States. According to the 2010 census, Milwaukee County had a total population of 947,735, of which 27% are African American and 13.3% are persons of Hispanic or Latino origin. The city is a business, transportation, cultural and academic hub for the state, however it also has concentrated areas of poverty and unemployment; these areas have the most pronounced health disparities. In Milwaukee County, property and violent crime levels tend to be much higher than the Wisconsin average.Aurora Health Care Southern Lakes, Inc. (four hospitals) serving the rural and urban populations in Racine, Kenosha, Walworth and Waukesha counties. Racine County has a population of 195,408 people, of which 11.1% are African-American and 11.5% are Hispanic or Latino, with a median household income of $54,356. Walworth County has a population of 102,310 people, of which .9% is African-American and 10.3% are Hispanic or Latino, with a median household income of $54,443. Kenosha County has a population of 166,373 people, of which 6.7% are African-American and 11.7% are Hispanic or Latino, with a median household income of $55,117. Walworth County has a population of 102,228, of which 1% is African-American and 10.3 percent are Hispanic or Latino, with a median household income of $55,237. Waukesha County has a population of 390,891, of which 1.3% is Black or African American and 4.1% are Hispanic or Latino with a median household income of $55,237.Aurora Health Care North, Inc. (one hospital) serving the rural population of Manitowoc County. The population of Manitowoc County is 81,442 and the median age is 37.2; the 65-and-older population is 16.8%. The median household income in Manitowoc County is $47,298.Aurora Medical Center in Oshkosh (one hospital) serving both rural and urban populations in Winnebago County. The county is home has a population of 166,994 and has a median household income is $50,974. Median age is 37.9. According to the 2010 Census, the racial makeup of Winnebago County is 92.5% White, 3.5% Hispanic or Latino, 2.3% Asian, 1.8% Black or African American.Aurora Health Care Central, Inc. (one hospital) serving both rural and urban populations in Sheboygan County. The population of the primary service area is 115,377, of which 5.5% are Hispanic or Latino, 4.7% are Asian, 1.5% are African-American. Aurora Medical Center of Washington County, Inc. (one hospital) serving a rural population of 131,840. The median household income is $66,485, which is higher than the state average of Wisconsin.West Allis Memorial Hospital, Inc.(one hospital) serving an urban and suburban population in western Milwaukee County. The total population of the primary service area is approximately 64,617, of which 9.6% are Hispanic or Latino, 3.6% are African-American, and 2% are Asian.Aurora Medical Center in Grafton (one hospital, both rural and suburban) primarily serves the residents of Ozaukee County, with some extension into the Milwaukee, Waukesha, Washington, and Sheboygan counties. According to U.S. Census 2010, Ozaukee County has a population of 86,429 people, of which 1.4% is Black and 2.3% are Hispanic or Latino. The median household income in Ozaukee County far exceeds the state at $75,854. This hospital is an entirely "green" hospital. Part VI, Line 5: The various hospitals included in this group return provided support for free clinics and FQHCs that include Racine Health Care Network, Kenosha Community Health Center, Lake Country Free Clinic in Waukesha County, and the free clinic in Walworth County; provided geriatric-certified Senior Resource Nurses for three counties (home visits) and a Parish Nurse program in Racine, Walworth, Kenosha and Milwaukee Counties; trainings and equipment maintenance for EMS teams in four counties; Free Mammogram program for un- and under-insured women; Sexual Assault Nurse Examiner program; provided supplies and equipment for the Touched Twice Clinic held in Whitewater; supported Kenosha County action plan for the Lifecourse Initiative for Healthy Families (eliminating racial disparities in birth outcomes); provided support for Living Healthy Community Clinic, which included lab and diagnostics, medical waste removal, outside maintenance and pharmacy discounts. Part VI, Line 6: Aurora Health Care Inc.'s integrated health care system includes hospitals, physician groups and clinics, pharmacies, home care, home hospice, and social services throughout eastern Wisconsin and northern Illinois, providing inpatient care, outpatient and ambulatory services, urgent care, primary care and specialist services for the diverse populations of the communities in which they reside. Part VI, Line 7, Reports Filed With States WI 1 X X X X X X 0 1 0 0 0 0 0 1 0 Eugene Monroe MD President-AAH, Director-AAH,AMG,AMCG 708748 0 393760 0 12305 0 128752 0 12341 0 1255906 0 0 0 John Konkel MD Chair - AAH, Director - AAH 1075506 0 77155 0 58534 0 30125 0 12341 0 1253661 0 0 0 Jeffrey Bahr MD Director - AAH 395622 0 0 0 152343 0 19725 0 18327 0 586017 0 0 0 William Ebinger MD Director - AAH 297839 0 0 0 97515 0 30125 0 18533 0 444012 0 0 0 Scott Fenske MD Director - AAH 289176 0 0 0 84131 0 30125 0 18532 0 421964 0 0 0 Rajeev Jain MD Director - AAH 555935 0 0 0 138873 0 30125 0 18532 0 743465 0 0 0 Jeffrey Katt MD Director - AAH 366316 0 0 0 133387 0 29915 0 18327 0 547945 0 0 0 Scott Kenitz OD Director - AAH 169785 0 0 0 105304 0 30125 0 18327 0 323541 0 0 0 Anne Mattson MD Vice Chair - AAH, Director - AAH 298810 0 0 0 47875 0 19725 0 1746 0 368156 0 0 0 Shaibal Mazumdar MD Director - AAH 873253 0 0 0 94392 0 19725 0 18532 0 1005902 0 0 0 Thomas Puetz MD Director - AAH 804322 0 0 0 102823 0 19725 0 18532 0 945402 0 0 0 Basil Salaymeh MD Director - AAH, AMCG 544274 0 0 0 200088 0 29580 0 18532 0 792474 0 0 0 Daniel Thompson MD Director - AAH 117163 0 0 0 130213 0 29520 0 18532 0 295428 0 0 0 David Graebner Director & Hospital President - AMSC 292914 0 113867 0 4989 0 30125 0 18519 0 460414 0 0 0 Peter Carlson President - APH, Director - APH 301732 0 118435 0 2616 0 30125 0 12327 0 465235 0 0 0 Ray Darcey President - AVNA, Director - AVNA 312926 0 92022 0 7806 0 19180 0 5820 0 437754 0 0 0 Ruric Anderson President - AUWAMG, Director - AUWAM 420827 0 138322 0 3582 0 45594 0 18533 0 626858 0 0 0 Jeff Dalen-Bard Pres-AMCMC,AMCO Dir-AHCM,AHCSL,AMCMC 396081 0 131420 0 21477 0 52773 0 18482 0 620233 0 0 0 Sandra Ewald Asst. Treas - AMCMC, AMCO Director - 0 361072 0 152349 0 2949 0 30125 0 5828 0 552323 0 0 Carrie Killoran Director - AMCSC, AMCWC, AMCG 0 425105 0 186819 0 967 0 19725 0 0 0 632616 0 0 David Yeager Asst. Treas. - AMCG,AHCSL,SMCSC,AMCW 0 365655 0 150831 0 7826 0 30125 0 12291 0 566728 0 0 Jeffrey Bailet MD President - AMG, Director - AMG,AAH, 0 708377 0 541547 0 6331 0 134067 0 18532 0 1408854 0 96786 Patrick Falvey Vice Chair & Sec. - AVNA, VP - LMC, 0 430067 0 295243 0 3724 0 81263 0 18482 0 828779 0 55704 Mary Beth Kingston Director - AHCM,AMCMC,AHCSL,AVNA 0 407851 0 285709 0 7536 0 89007 0 12341 0 802444 0 54600 Jeffrey Smith MD Director - AHCM,AMCMC,AHCSL,AUWAMG 0 249499 0 240827 0 109082 0 18688 0 9634 0 627730 0 53126 Dennis Potts Pres.& Director-AHCM,AHCSL,AMCSC,AMC 0 592402 0 401062 0 9574 0 117207 0 12341 0 1132586 0 76596 Gerald Colman Director - AMCWC, AMCO 0 808987 0 510996 0 3883 0 140731 0 18532 0 1483129 0 70493 Gail Hanson Treasurer - Multiple, Director - AMC 0 639483 0 574264 0 337682 0 128529 0 12341 0 1692299 0 91001 Amy Rislov Director - AUWAMG 0 388994 0 196885 0 2932 0 75132 0 18482 0 682425 0 44969 Alfred Capelli MD Director - AMG 400256 0 0 0 205175 0 30125 0 353 0 635909 0 0 0 Andrea Gavin MD Secretary/Treas & Director - AMG 298336 0 53475 0 37866 0 30125 0 12005 0 431807 0 0 0 Daniel O'Hair MD Director - AMG 873874 0 0 0 267984 0 30125 0 18482 0 1190465 0 0 0 Danish Siddiqui MD Director - AUWAMG 487991 0 0 0 71342 0 19725 0 18532 0 597590 0 0 0 David Ulery MD Director - AMG 134441 0 0 0 74501 0 27764 0 12341 0 249047 0 0 0 David Weidig MD Director - AVNA 310893 0 0 0 52248 0 30125 0 11562 0 404828 0 0 0 Dennis Baumgardner MD Director - AUWAMG 203080 0 24259 0 4037 0 25901 0 18533 0 275810 0 0 0 Diane Gerlach DO Director - AMG 108007 0 0 0 56139 0 14547 0 18532 0 197225 0 0 0 Ellen Danto-Nocton MD Director - AUWAMG 161024 0 0 0 51889 0 20965 0 0 0 233878 0 0 0 Frank LaVora DPM Director - AMG 380701 0 47158 0 65743 0 11925 0 18482 0 524009 0 0 0 Jackie Tillett CNM ND Director - AUWAMG 117333 0 15802 0 3339 0 16817 0 18482 0 171773 0 0 0 Jacob Bidwell MD Director - AUWAMG 257543 0 0 0 88988 0 19725 0 18532 0 384788 0 0 0 John Brill MD Director - AUWAMG 264990 0 0 0 45640 0 19725 0 18532 0 348887 0 0 0 Joseph Majewski MD Director - AMG 516920 0 0 0 193421 0 30125 0 12341 0 752807 0 0 0 Kenneth Saydel DO Director - WAMH 288518 0 0 0 68966 0 30125 0 12341 0 399950 0 0 0 Michael Malone MD Director - AVNA 0 234673 0 28529 0 4001 0 29604 0 18532 0 315339 0 0 Nan Nelson Asst. Treas. - AHCM & APH, Director 0 366723 0 145315 0 1869 0 19725 0 1058 0 534690 0 0 Natasha Hernandez MD Director - AUWAMG 408260 0 0 0 11630 0 19725 0 18327 0 457942 0 0 0 Patrick Daly MD Director - AMG 402092 0 0 0 134590 0 30125 0 18532 0 585339 0 0 0 Paul Coogan MD Director - AHCM 387686 0 0 0 123022 0 19725 0 18532 0 548965 0 0 0 Scott Hardin MD Director - AHCM, AHCSL, AMCMC 391244 0 46151 0 3144 0 7800 0 19217 0 467556 0 0 0 Corey Shamah MD Director - AAH 682039 0 0 0 138888 0 19725 0 18277 0 858929 0 0 0 Jeffrey Stearns MD Director - AUWAMG 118740 0 8121 0 60644 0 18556 0 380 0 206441 0 0 0 Richard Kellar President - AWAMC 345953 0 143295 0 6463 0 30125 0 12301 0 538137 0 0 0 Steve Huser Asst. Treas. - AMCMC, AMCO 0 264697 0 102935 0 4686 0 30125 0 16230 0 418673 0 0 Michael Lappin Secretary/ Assistant Secretary - Mul 0 605878 0 522312 0 4830 0 110836 0 18532 0 1262388 0 82042 Rachelle Hart Assistant Secretary - Multiple 0 435485 0 185068 0 4412 0 19725 0 18532 0 663222 0 0 Stuart Arnett Asst. Treasurer - AAH, AUWAMG 0 282905 0 105988 0 4848 0 30125 0 18327 0 442193 0 0 Marie Golanowski Hospital President - ASLMC 417347 0 163883 0 12506 0 30125 0 12251 0 636112 0 0 0 Carolyn Glocka Hospital President - ASLSS, ASMC 350266 0 143396 0 9870 0 29618 0 6216 0 539366 0 0 0 Randall Lambrecht SVP Research 0 299495 0 117435 0 4355 0 30125 0 507 0 451917 0 0 Cathie Kocourek President - AMCMC 241939 0 100464 0 5630 0 30125 0 12341 0 390499 0 0 0 Michael Bergman Patient Service Market President 0 277515 0 130122 0 2167 0 19725 0 18482 0 448011 0 0 Stephen Francaviglia Patient Service Market President 0 428508 0 149784 0 6438 0 30125 0 11353 0 626208 0 0 Lisa Just Patient Service Market President 0 316866 0 148487 0 5218 0 30125 0 18532 0 519228 0 0 Doug Koch Patient Service Market President 0 310625 0 118733 0 7572 0 19725 0 18532 0 475187 0 0 John Newman Hospital President - AMCO 228197 0 0 0 101380 0 6523 0 12178 0 348278 0 0 0 Venkata Thota MD Chief Medical Officer - Walworth/ Bu 0 373875 0 145229 0 139164 0 30125 0 18533 0 706926 0 0 Timothy Lineberry MD Chief Medical Officer - GB/ Manitowo 0 354950 0 60061 0 10972 0 5452 0 18327 0 449762 0 0 Andrew McDonagh MD Chief Medical Officer - AWAMC 294632 0 98225 0 4640 0 30125 0 18532 0 446154 0 0 0 Douglas McManus MD Chief Medical Officer - Milwaukee No 397223 0 172224 0 12310 0 30125 0 12161 0 624043 0 0 0 Sylvia Meltzer MD Chief Medical Officer - Pop Health & 0 397158 0 52695 0 23030 0 29652 0 5820 0 508355 0 0 Tedmond O'Reilly MD Chief Medical Officer - AMCG/ AMCWC 263841 0 39200 0 21150 0 30125 0 18533 0 372849 0 0 0 Robert Stuart MD Chief Medical Officer - Waukesha/ Je 0 303843 0 121501 0 5448 0 30125 0 18532 0 479449 0 0 Hsieng Su MD Chief Medical Officer - ASLMC 325831 0 96905 0 1465 0 19725 0 5828 0 449754 0 0 0 Anu Vijayakumar MD Chief Medical Officer - ASMC/ ASLMC 262265 0 0 0 27907 0 19155 0 5828 0 315155 0 0 0 Mark Wichman MD Physician Surgery Ortho 1918740 0 0 0 358758 0 19725 0 18327 0 2315550 0 0 0 Tanvir Bajwa MD Physician Cardio Intvl 1965330 0 0 0 8680 0 30125 0 18532 0 2022667 0 0 0 Joel Wallskog MD Physician Surgery Ortho 1738620 0 0 0 235221 0 19725 0 18532 0 2012098 0 0 0 Amin Bardai Kassam MD Physician Surgery Neurology 1652495 0 0 0 525234 0 7800 0 18532 0 2204061 0 0 0 Anthony Ricci MD Physician Surgery Ortho 1028372 0 0 0 831974 0 19725 0 18533 0 1898604 0 0 0 Brad Hahn President, Asst. Treas., Director (F 0 552664 0 0 0 220179 0 0 0 0 0 772843 0 65092 Part I, Line 4b Aurora Health Care, Inc. established the Aurora Health Care, Inc. Supplemental Executive Retirement Plan (the "Plan") to retain and attract key personnel by providing them with additional retirement income. The following employees participated in the Plan and received contributions in 2015 as follows: Gail Hanson - $91,001 Michael Lappin - $82,042 Jeffrey Bailet - $96,786 Patrick Falvey - $55,704 Brad Hahn - $65,092 Mary Beth Kingston - $54,600 Jeffrey Smith - $53,126 Dennis Potts - $76,596 Amy Rislov - $44,969 Part I, Line 7 Written incentive compensation plans for certain management levels are awarded based on the organization's annual patient experience, care management, and financial performance results. Written incentive compensation plans for certain physician groups are awarded based on the organization's annual patient experience, care management, certification of electronic health records, and financial performance results. Melinda Bonilla-Puetz MD Board Member Spouse 115522 Wages from Aurora Advanced Healthcare. 0 Form 990, Part VI, Section A, line 6 The organizations included in this group return are all non-stock, nonprofit corporations, with a sole member of Aurora Health Care, Inc., EIN 39-1442285. Form 990, Part VI, Section A, line 7a The CEO of Aurora Health Care, Inc. may recommend members of the governing bodies of the organizations included in this group return. All board members of the organizations included in this group return must be approved by the Board of Aurora Health Care, Inc. Form 990, Part VI, Section A, line 7b Certain decisions of the governing bodies of the organizations included in this group return are subject to approval by Aurora Health Care, Inc. Form 990, Part VI, Section B, line 11 The 2015 Form 990 was reviewed by the Chair of the Audit Committee of Aurora Health Care's Board of Directors. The governing bodies of the organizations in this group return have approved the review of the Form 990 by the Audit Committee as Aurora Health Care, Inc. has financial oversight over the operations of the organizations included in this group return. Senior management of Aurora Health Care also reviewed the Form 990. Form 990, Part VI, Section B, line 12c Officers, directors and key employees are required to complete a Conflict of Interest Statement on an annual basis. AHC Leadership reviews these statements for compliance with the established policy. When a conflict is discovered, the governing body determines if such conflict warrants a restriction on the capacity of the board member or key employee involved (e.g. recusal from decision-making or utilizing another method of non-participation in an activity). Form 990, Part VI, Section B, line 15 The following compensation review process was conducted in 2015: The CEO and the CEO's executive team have their compensation reviewed anually by the Compensation Committee of the AHC Board of Directors. All other employees have their compensation reveiwed and approved by their leader within market-based guidelines prescribed by the organization's Human Resources function. These market-based guidelines are established using applicable comparability data and similar compensation metrics that are based on similarly-qualified persons in functionally-comparable positions at similarly-situated organizations. Documentation and recordkeeping for these deliberations and decisions are maintained. Form 990, Part VI, Section C, line 19 The Articles of Incorporation for all organizations included in this group return are on file with the State of Wisconsin, Department of Financial Institutions. The financial statements of most organizations included in this group return are also on file with the State of Wisconsin, Department of Financial Institutions. The conflict of interest policy is available upon request. Form 990, Part XI, line 9: Equity transfers among affiliates & change in foundation equity interest. 345,427,976. Midwest Area Physicians LLC 750 West Virginia Street Milwaukee WI 53204 264323839 Physician Services WI 4954874 11937 Aurora Medical Group Inc Aurora Quick Care LLC 750 West Virginia Street Milwaukee WI 53204 200580790 Health Services WI 2628189 315034 Aurora Medical Group Inc Aurora Research Institute LLC 750 West Virginia Street Milwaukee WI 53204 464361213 Research Services WI 11985177 36329058 Aurora Health Care Metro Inc Lakeshore Medical Clinic LLC 750 West Virginia Street Milwaukee WI 53204 391696443 Physician Services WI 238648624 18395390 Aurora Medical Group Inc AMG Illinois Ltd 3031 West Montana Street Milwaukee WI 53215 264041287 Physician Services IL 501(c)(3) Line 3 Aurora Medical Group Inc 1 Kradwell School Inc 1220 Dewey Avenue Wauwatosa WI 53213 261516765 School WI 501(c)(3) Line 2 Aurora Psychiatric Hospital Inc 1 Aurora Health Foundation Inc 750 West Virginia Street Milwaukee WI 53204 930828294 Fundraising WI 501(c)(3) Line 7 Aurora Health Care Central Inc 1 Aurora Health Care Inc 750 West Virginia Street Milwaukee WI 53204 391442285 Support Services WI 501(c)(3) Line 11c, III-FI N/A 0 Aurora Family Service Inc 3200 Highland Boulevard Milwaukee WI 53233 390806174 Social Services WI 501(c)(3) Line 9 Aurora Health Care Inc 1 Aurora Health Care Foundation Inc 750 West Virginia Street Milwaukee WI 53204 396044569 Fund Raising WI 501(c)(3) Line 7 Aurora Health Care Inc 1 BayCare Aurora LLC 750 West Virginia Street Milwaukee WI 53204 391947472 Hospital WI Aurora Medical Group Inc Related 64004455 227690323 0 8354 0 0.61880 Aurora Consolidated Labs A Co-Tenancy 8901 West Lincoln Avenue Milwaukee WI 53227 391898089 Laboratory Services WI N/A North Shore Surgical Center Ltd 7007 Range Line Road Glendale WI 53209 391548024 Surgical Services WI N/A Wisconsin Surgery Center LLC 4131 West Loomis Road Suite 210 Greenfield WI 53221 383661215 Surgical Services WI N/A Aurora GI ASC LLC 2801 West KK River Parkway 1030 Milwaukee WI 53215 461848055 Physician Services WI N/A Waukesha Pain Center LLC 4131 West Loomis Road Suite 300 Greenfield WI 53221 900928071 Physician Services WI N/A Nor Door Clinic Building Condominium Association of Unit Owners 750 West Virginia Street Milwaukee WI 53204 Condo Association WI Aurora Medical Group Inc C 1.00000 1 St Luke's Physician Office Condominium Association Inc 750 West Virginia Street Milwaukee WI 53204 Condo Association WI Aurora Health Care Metro Inc C 1.00000 1 Aurora Health Center Kenosha Condominium Association Inc 750 West Virginia Street Milwaukee WI 53204 Condo Association WI Aurora Health Care Southern Lakes Inc C 1.00000 1 Aurora Health Center Oshkosh Condominium Association Inc 750 West Virginia Street Milwaukee WI 53204 Condo Association WI Aurora Medical Group Inc C 1.00000 1 Aurora Health Care Ventures Inc 750 West Virginia Street Milwaukee WI 53204 391513129 For-Profit Company WI N/A C 1 Aurora Health Network Inc 750 West Virginia Street Milwaukee WI 53204 391817175 Inactive WI N/A C 1 Aurora Pharmacy Inc 750 West Virginia Street Milwaukee WI 53204 391733325 Retail Pharmacy WI N/A C 1 Diversified Care Inc 4811 South 76th Street Greenfield WI 53220 391609054 Temporary Staffing Agency WI N/A C 1 Aurora Retail Stores Inc 750 West Virginia Street Milwaukee WI 53204 391722937 Inactive WI N/A C 1 Advanced Healthcare Inc 3003 West Good Hope Road Glendale WI 53209 391195501 Physician Services WI N/A C 1 LMC Inc 750 West Virginia Street Milwaukee WI 53204 472374743 Health Services WI N/A C 1 Aurora Health Care Medical Group Inc 750 West Virginia Street Milwaukee WI 53204 474167075 Physician Services WI C 1.00000 1 Health Care Re Ltd 750 West Virginia Street Milwaukee WI 53204 981063814 Health Services CJ N/A C 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 Aurora Health Care Inc P 761961460 Actual Cost Kradwell School Inc Q 260996 Actual Cost Visiting Nurse Association of Wisconsin Inc 750 West Virginia Street Milwaukee WI 53204 390806180 VISI Aurora Health Care Metro Inc 750 West Virginia Street Milwaukee WI 53204 390806181 AURO Aurora Health Care Southern Lakes Inc 750 West Virginia Street Milwaukee WI 53204 390806347 AURO Aurora Psychiatric Hospital Inc 750 West Virginia Street Milwaukee WI 53204 390872192 AURO Aurora Health Care Central Inc 750 West Virginia Street Milwaukee WI 53204 390930748 AURO West Allis Memorial Hospital Inc 750 West Virginia Street Milwaukee WI 53204 391022464 WEST Aurora Medical Center of Oshkosh Inc 750 West Virginia Street Milwaukee WI 53204 391027676 AURO Aurora UW Academic Medical Group Inc 750 West Virginia Street Milwaukee WI 53204 391136738 AURO Aurora Medical Center of Washington County Inc 750 West Virginia Street Milwaukee WI 53204 391150165 AURO Aurora Health Care North Inc 750 West Virginia Street Milwaukee WI 53204 391211629 AURO Aurora Advanced Healthcare Inc 750 West Virginia Street Milwaukee WI 53204 391595302 AURO Aurora Medical Group Inc 750 West Virginia Street Milwaukee WI 53204 391678306 AURO Aurora Medical Center Grafton LLC 750 West Virginia Street Milwaukee WI 53204 272953799 AURO