2015-11-16T09:19:40-06:00 2014-12-31 861065772 Deloitte Tax LLP 111 South Wacker Drive Chicago IL 60606 990 2014-01-01 391442285 Aurora Health Care Inc AURO 4142991775 750 W Virginia St PO Box 341880 Milwaukee WI 532341880 Gail L Hanson CFO 4142991775 2015-11-16 1 Anne Fulton P00941863 3124861000 2014 2016-02-25 16:41:14Z Gail L Hanson 750 W Virginia St PO Box 341880 Milwaukee WI 532341880 1059090104 0 X www.aurorahealthcare.org X 1983 WI Aurora Health Care is an integrated health care provider. 12 10 8622 84 20516409 0 7633160 6567538 917400748 998583004 20280138 21381022 30552478 32225107 975866524 1058756671 0 0 0 0 557534036 557134429 0 0 0 426347066 425448387 983881102 982582816 -8014578 76173855 2132751312 2381664044 4092118232 4384697713 -1959366920 -2003033669 X To promote health, prevent illness, and provide state-of-the art diagnosis and treatment, to improve the quality of health care and health outcomes, and to provide services that are affordable and accessible. 0 0 905565914 1030969977 Provide support services to affiliated health care related organizations, including 14 acute care hospitals, one psychiatric hosptial, a network of 153 physician clinic facilities, home health services, and other health care related services. These organizations serve health care needs throughout eastern Wisconsin and northern Illinois including health promotion, diagnosis, and treatment services. In 2014, the affiliated organizations furnished 435,187 days of inpatient care, 55,292 days of hospice care, 4,433,047 ambulatory care visits, 347,549 emergency care visits, 2,072,104 hospital outpatient visits, 12,285 deliveries, 107,388 surgical procedures, 277,547 home care visits, and 43,640 family service visits. In 2014, the affiliated organizations provided approximately $215.4 million in charity care (forgone charges) for patients who met certain criteria under its charity care policy. See Schedule R for a complete list of affiliated organizations. Additional Aurora community benefit information can be accessed on the Aurora Health Care website. 905565914 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 550 0 1 8622 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 12 10 0 0 1 0 0 0 0 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 Nick Turkal MD CEO, Ex Officio Director 40.00 0.00 X X 3768749 0 298507 John Anderson MD Director 1.00 0.00 X 42800 0 0 Joanne Bauer Director 1.00 0.00 X 9600 0 0 Thomas Bolger Director 1.00 0.00 X 44300 0 0 John Daniels Jr Director 1.00 0.00 X X 36800 0 0 Joanne Disch Director 1.00 0.00 X 35300 0 0 Nannette Gardetto Director 1.00 0.00 X 28100 0 0 Charles Harvey Director 1.00 0.00 X 32300 0 0 Daniel Minahan Director 1.00 0.00 X 36300 0 0 Timothy Sullivan Director 1.00 0.00 X 35200 0 0 Richard Weiss Director 1.00 0.00 X 43300 0 0 Christopher White Director 1.00 0.00 X 35300 0 0 Gail Hanson CFO, Treasurer 40.00 0.00 X 1342007 0 134085 Rachelle Hart General Counsel, Assistant Secretary 40.00 0.00 X 558771 0 38630 Michael Lappin Chief Administrative Officer, Secretary 40.00 0.00 X 1295669 0 118721 Gerald Colman COO 40.00 0.00 X 857699 0 102086 Stephen Bablitch Chief of Strategic Business Affairs 40.00 0.00 X 2035023 0 180714 Jeffrey Bailet MD Executive VP & President Medical Group 40.00 0.00 X 1093926 0 145816 Michael Brophy Chief of Staff Communications Officer 40.00 0.00 X 727113 0 102375 Patrick Falvey Executive VP & Chief Integration Officer 40.00 0.00 X 612893 0 93084 Cristy Garcia-Thomas Executive VP President Foundation 40.00 0.00 X 426383 0 78522 Brad Hahn Executive VP Finance 40.00 0.00 X 715784 0 89552 Gerald Janis Senior VP Strategic Planning 40.00 0.00 X 334201 0 35353 Philip Loftus Chief Information Officer 40.00 0.00 X 1059554 0 110277 Mary Kingston Executive VP Chief Nursing Officer 40.00 0.00 X 600162 0 96454 Richard Klein Executive VP Enterprise Business Group 40.00 0.00 X 754465 0 116596 Cindy Moon-Mogush Senior VP Communications 40.00 0.00 X 345975 0 49030 Dennis Potts Executive VP South Region 40.00 0.00 X 817599 0 119681 Jeffrey Smith MD Executive VP & Deputy Chief Clinical Officer 40.00 0.00 X 561729 0 91786 Amy Rislov Chief HR Officer 40.00 0.00 X 453275 0 82999 Rachel Roller Senior VP Government & Community Relations 40.00 0.00 X 284344 0 19817 Ruric Anderson MD Senior VP Academic Affairs 0.00 40.00 X 0 467179 38076 Jeff Dalen-Bard President Patient Service Market 0.00 40.00 X 0 361106 37380 Eugene Monroe MD Executive VP & President Medical Group 0.00 40.00 X 0 999952 43084 Bruce Van Cleave MD Physician Leadership Coach (Former COO) 20.00 0.00 X 971689 0 40050 James Weese MD VP Cancer Clinical Program 40.00 0.00 X 648286 0 43085 Titus Muzi Jr Senior VP Managed Care Contracting 40.00 0.00 X 559604 0 38630 Barbara Bigler President ACL 40.00 0.00 X 473587 0 43085 David Yeager Senior VP Finance South 40.00 0.00 X 472691 0 35549 Susan Ela COO (Former) 0.00 0.00 X 295099 0 0 Michael Laird President AMC Grafton (Former) 0.00 0.00 X 361833 0 7853 John Zorbini Chief Human Resources Officer (Former) 0.00 0.00 X 820295 0 4860 23627705 1828237 2435737 472 1 1 0 Crothall Services Group 9905 South 13th Street Milwaukee WI 53022 Laundry Services 10498583 Medspeed LLC 650 West Grand Avenue Suite 316 Elmhurst IL 60126 Courier Services 4561160 Great Lakes Pathologists SC 8901 West Lincoln Avenue West Allis WI 53227 Specialists Fees 4284752 Navigant Consulting Inc 4511 Paysphere Circle Chicago IL 60674 Professional Consulting 3426526 Benefit Services Group N25 W23050 Paul Road Pewaukee WI 53072 Professional Consulting 2072737 57 6567538 6567538 Support Services 561000 807266851 786750442 20516409 Net Patient Revenue 900099 189980437 189980437 Cafeteria Sales 722210 623024 623024 Medical Services Fees 900099 618291 618291 94401 94401 998583004 21219156 21219156 495299 333433 161866 161866 161866 Electronic Health Reco 900099 24882230 24882230 EAP Revenue 812900 1981382 1981382 Deferred Grant Revenue 541610 1652229 1652229 3709266 3709266 32225107 1058756671 1009668678 20516409 22004046 22150478 22150478 1477227 1477227 420357505 417454682 2902823 11752669 11747372 5297 74462451 73752988 709463 26934099 26724505 209594 3424802 3424802 1106155 1106155 336792 336792 52955237 51649599 1305638 11020942 21419 10999523 20318897 20271457 47440 27232901 15955460 11277441 2702246 2672660 29586 2732393 1050269 1682124 53380696 59889203 -6508507 30995337 4183906 26811431 68445826 73215613 -4769787 509776 472771 37005 Equipment and maintenan 79710955 79510551 200404 Medical and other suppl 49606399 49418890 187509 Other expenses 15767549 7505336 8262213 Hospital assessment tax 5201484 5201484 982582816 905565914 77016902 0 3166 4000 1112412471 1437228442 61598854 68068588 10749695 11103112 23616108 40547402 1120401293 586161050 539313895 534240243 97214857 109046754 121107253 28665390 166735013 152760113 2132751312 2381664044 297856103 423353288 0 65194441 1390799108 1353974699 20900962 203484900 0 6808846 2382562059 2331881539 4092118232 4384697713 X -2018803688 -2061937356 54554307 56431144 4882461 2472543 -1959366920 -2003033669 2132751312 2381664044 X 76173855 4657006 -124497610 X 0 1 X 1 1 1 X X 15 Visiting Nurse Association of Wisconsin Inc 390806180 9 1 14731552 0 Aurora UW Academic Medical Group 391136738 9 1 1217313 0 Aurora Health Care Metro Inc 390806181 3 1 255685288 0 Aurora Health Care Southern Lakes Inc 390806347 3 1 79410882 0 Aurora Health Care Central Inc 390930748 3 0 25748419 0 Aurora Psychiatric Hospital Inc 390872192 3 0 4914800 0 Aurora Medical Center of Washington County Inc 391150165 3 0 10690088 0 Aurora Health Care North Inc 391211629 3 1 10964759 0 West Allis Memorial Hospital Inc 391022464 3 0 45687019 0 Aurora Family Service Inc 390806174 9 1 157332 0 Aurora Medical Center of Oshkosh Inc 391027676 3 0 20317025 0 Aurora Medical Group Inc 391678306 3 1 124330203 0 Kradwell School Inc 261516765 2 0 227033 0 Aurora Advanced Healthcare Inc 391595302 9 1 42323510 0 AMG Illinois Ltd 264041287 3 0 2086189 0 15 638491412 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 Part IV, Section D, Line 3: The supported organizations participate in a pooled investment program with the organization. The organization's investment policies are overseen by the organization's investment committee, which makes decisions on both the policies and directing the use of the organizations' income and assets. The membership of the organization's investment committee includes one member who is in an officer position and has a significant role at the organization as well as at each of the organization's supported organizations. Through this overlap, each of the supported organizations had a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the year. Part IV, Section E, Line 3a: Under the organizational documents of each of the supported organizations, the organization has the right to designate the directors of each of the supported organizations. Part IV, Section E, Line 3b: In addition to the right to designate the directors of each of the supported organizations, approval of the organization is required for the amendment or restatement of any of supported organizations' governing documents. In addition, each of the supporting organizations is subject to the policies adopted by the organization's board of directors (e.g. the conflict of interest policy). 1 0 0 1 0 0 1 336792 0 0 336792 0 Part II-B, Line 1: Aurora Health Care, Inc. is involved in direct and indirect political 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. 28082424 40293 1783343 624307 29281753 73995021 28054 5450477 51391128 28082424 69984672 96566 8716693 4802910 73995021 67923631 65118 2749778 753855 69984672 81551054 449238 6810509 20887170 67923631 0.63000 0.37000 0 1 1 35460528 35460528 331305963 48019630 283286333 31653711 11580602 20073109 709489718 526328988 183160730 12491373 231830 12259543 534240243 Due from Affiliates 61694175 Funds Held by Aurora Foundation 58903687 Other Non-Current Assets 32162251 152760113 Due to Affiliates 2056279644 Projected Benefit Obligation 259899357 Other Long-Term Liabilities 15702538 2331881539 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 2014. Central America and the Caribbean 0 0 Program Services Professional and General Liability Insurance 5261186 Central America and the Caribbean 0 0 Organizational Costs 24469 Central America and the Caribbean 0 0 Investment in Health Care Re, Ltd. 214763 0 0 0 0 0 0 5500418 0 5500418 0 0 1 0 0 0 1 1 X 1 X 250.000000000000 0 1 1 1 0 1 1 1469755 1469755 0.00150 13771088 6202006 7569082 0.00770 762760 691006 71754 0.00010 16003603 6893012 9110591 0.00930 118 970 353084 353084 0.00040 47 100 487488 487488 0.00050 81 810 319967 319967 0.00030 246 1880 1160539 1160539 0.00120 246 1880 17164142 6893012 10271130 0.01050 1 135745 26893540 41402333 -14508793 X 1 1 1 1 Aurora Medical Center Grafton 975 Port Washington Road Grafton WI 53024 www.aurorahealthcare.org 317 X X X Cancer Center Aurora Medical Center Grafton 1 0 0 1 X X X X X X X X X 14 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 X X X X X X 1 X 0 X X X X 1 X 0 0 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 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 Aurora St. Luke's South ShoreAurora Sinai Medical CenterAurora Psychiatric HospitalAurora West Allis Medical CenterAurora Memorial Hospital of BurlingtonAurora Medical Center KenoshaAurora Medical Center SummitAurora Medical Center GraftonAurora Medical Center Washington County Aurora Medical Center Grafton Part V, Section B, Line 11: Aurora Medical Center Grafton addressed significant health needs in 2014 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. 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. Part V, Section B, Line 16 Financial Assistance Policy Website Availability Aurora Medical Center Grafton Part V, Section B, line 16a website: www.aurorahealthcare.org/patients-visitors/financial-assistance Aurora Medical Center Grafton Part V, Section B, line 16b website: www.aurorahealthcare.org/patients-visitors/financial-assistance Aurora Medical Center Grafton Part V, Section B, line 16c website: www.aurorahealthcare.org/patients-visitors/financial-assistance 2 Aurora Medical Center Grafton Surgery 2999 North Mayfair Road Wauwatosa WI 53222 Surgery Center Aurora Medical Center Grafton Rehab 2999 North Mayfair Road Wauwatosa WI 53222 Rehabilitation Center Part I, Line 6a Aurora Medical Center Grafton published an individual community benefit report in 2014. It is available for review at ahc.aurorahealthcare.org/aboutus/community-benefits. Part I, Line 7f Aurora Medical Center Grafton is a disregarded entity for tax purposes and therefore is included with Aurora Health Care, Inc., its corporate parent. The community benefit percentage would be much higher if it was calculated using only the hospital's expenses rather than including all of the expenses of the parent entity. Part II, Community Building Activities: Aurora Medical Center Grafton 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 13 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 the hospital included on Schedule H, 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; identify themes, trends, and disparities; and 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 2014. 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 Medical Center Grafton primarily serves the residents of Ozaukee county, with some extension into Milwaukee, Waukesha, Washington and Sheboygan counties. Part VI, Line 5: Supported INVEST Healthy People Ozaukee County Coalition and the Amereican Heart Association Heartsaver Basic Life Support training and certification for students at Grafton High School. 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 X 1 1 X X X X X X 1 1 0 0 0 0 0 1 0 Nick Turkal MD CEO, Ex Officio Director 1210028 0 1548618 0 1010103 0 279392 0 19115 0 4067256 0 217029 0 Gail Hanson CFO, Treasurer 590087 0 452925 0 298995 0 120901 0 13184 0 1476092 0 78772 0 Rachelle Hart General Counsel, Assistant Secretary 404599 0 151354 0 2818 0 19500 0 19130 0 597401 0 0 0 Michael Lappin Chief Administrative Officer, Secret 551556 0 376766 0 367347 0 99592 0 19129 0 1414390 0 64645 0 Gerald Colman COO 665736 0 65000 0 126963 0 86625 0 15461 0 959785 0 0 0 Stephen Bablitch Chief of Strategic Business Affairs 650720 0 655446 0 728857 0 161584 0 19130 0 2215737 0 122479 0 Jeffrey Bailet MD Executive VP & President Medical Gro 654968 0 429194 0 9764 0 126686 0 19130 0 1239742 0 82370 0 Michael Brophy Chief of Staff Communications Office 389499 0 302149 0 35465 0 90217 0 12158 0 829488 0 54854 0 Patrick Falvey Executive VP & Chief Integration Off 401514 0 209642 0 1737 0 75204 0 17880 0 705977 0 41750 0 Cristy Garcia-Thomas Executive VP President Foundation 280691 0 143907 0 1785 0 60642 0 17880 0 504905 0 34640 0 Brad Hahn Executive VP Finance 454379 0 256934 0 4471 0 76792 0 12760 0 805336 0 53376 0 Gerald Janis Senior VP Strategic Planning 236201 0 94891 0 3109 0 29341 0 6012 0 369554 0 0 0 Philip Loftus Chief Information Officer 492822 0 367141 0 199591 0 103950 0 6327 0 1169831 0 65846 0 Mary Kingston Executive VP Chief Nursing Officer 379768 0 215970 0 4424 0 83510 0 12944 0 696616 0 43335 0 Richard Klein Executive VP Enterprise Business Gro 478486 0 271199 0 4780 0 97466 0 19130 0 871061 0 56745 0 Cindy Moon-Mogush Senior VP Communications 263425 0 80869 0 1681 0 29900 0 19130 0 395005 0 0 0 Dennis Potts Executive VP South Region 549951 0 262059 0 5589 0 106496 0 13185 0 937280 0 57617 0 Jeffrey Smith MD Executive VP & Deputy Chief Clinical 370781 0 151288 0 39660 0 72656 0 19130 0 653515 0 0 0 Amy Rislov Chief HR Officer 339507 0 98307 0 15461 0 64469 0 18530 0 536274 0 0 0 Rachel Roller Senior VP Government & Community Rel 204646 0 79305 0 393 0 19466 0 351 0 304161 0 0 0 Ruric Anderson MD Senior VP Academic Affairs 0 345664 0 119642 0 1873 0 18970 0 19106 0 505255 0 0 Jeff Dalen-Bard President Patient Service Market 0 262115 0 97420 0 1571 0 19500 0 17880 0 398486 0 0 Eugene Monroe MD Executive VP & President Medical Gro 0 670284 0 318647 0 11021 0 29900 0 13184 0 1043036 0 0 Bruce Van Cleave MD Physician Leadership Coach (Former C 349516 0 487596 0 134577 0 29900 0 10150 0 1011739 0 89355 0 James Weese MD VP Cancer Clinical Program 479617 0 156388 0 12281 0 29900 0 13185 0 691371 0 0 0 Titus Muzi Jr Senior VP Managed Care Contracting 451070 0 105855 0 2679 0 19500 0 19130 0 598234 0 0 0 Barbara Bigler President ACL 297849 0 173852 0 1886 0 29900 0 13185 0 516672 0 0 0 David Yeager Senior VP Finance South 339204 0 127579 0 5908 0 23614 0 11935 0 508240 0 0 0 Susan Ela COO (Former) -2355 0 0 0 297454 0 0 0 0 0 295099 0 0 0 Michael Laird President AMC Grafton (Former) 89534 0 117448 0 154851 0 3012 0 4841 0 369686 0 0 0 John Zorbini Chief Human Resources Officer (Forme 61164 0 279244 0 479887 0 2859 0 2001 0 825155 0 56447 0 Part I, Line 1a Health or social club dues are for business club memberships, which are strictly related for business use only, per organization's written policy. Part I, Lines 4a-b The following former employees received payments during the 2014 year specifically related to severance agreements: Susan Ela - $288,252.80 Michael Laird - $144,996.80 John Zorbini - $352,010.40 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 payouts in 2014 as follows: Nick Turkal, MD. - $217,029 Stephen Bablitch - $122,479 Jeffrey Bailet - $82,370 Michael Brophy - $54,854 Patrick Falvey - $41,750 Cristy Garcia-Thomas - $34,640 Brad Hahn - $53,376 Gail Hanson - $78,772 MaryBeth Kingson - $43,335 Richard Klein - $56,745 Michael Lappin - $64,645 Philip Loftus - $65,846 Dennis Potts - $57,617 Bruce VanCleave - $89,355 John Zorbini - $56,447 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. A WI Health & Ed Facilities Authority 391337855 97710JAB1 2008-11-14 160000000 See Part VI, Supplemental Information 0 0 0 B WI Health & Ed Facilities Authority 391337855 97710BLE0 2009-09-10 160043815 See Part VI, Supplemental Information 0 0 0 C WI Health & Ed Facilities Authority 391337855 97710BRN4 2010-01-28 224132256 See Part VI, Supplemental Information 0 0 0 D WI Health & Ed Facilities Authority 391337855 97710BZS4 2010-12-09 153375977 See Part VI, Supplemental Information 0 0 0 A 160000000 1242380 590379 158167241 2010 0 0 1 1 B 2975000 160174488 16002486 2434487 30000000 111609327 2010 1 0 1 1 C 15010000 224722562 15813833 3443256 205000000 2010 0 0 1 1 D 49795000 153375977 1884882 19215263 132275832 2010 1 0 1 1 A 1 1 1 1 1 1 0.02390 0.02390 1 1 0.01400 1 1 B 1 1 1 1 1 1 0.02150 0.02150 1 0 1 C 1 1 1 1 1 1 0.02400 0.02400 1 1 0.01100 0 1 D 1 1 1 1 1 1 0.00940 0.00940 1 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Part 1, Line A(c): CUSIP numbers include all of the following: 97710JAB1, 97710JAC9, 97710JAD7, 97710JAA3, 97710KAA0. Part I, Line A(f): To reimburse the organization for various building additions, renovations and improvements, land acquisitions and equipment acquisitions at various hospital and clinic facilities. Part I, Line B(f): To refund a portion of the Wisconsin Health and Educational Facilities Authority Revenue Bonds, Series 1997 (issued October 1, 1997) and to pay for or reimburse the organization for construction of a hospital facility. Part I, Line C(f): To reimburse the organization for various building additions, renovations and improvements, land acquisitions and equipment acquisitions at various hospital and clinic facilities. Part I, Line D(f): To refund a portion of the Wisconsin Health and Educational Facilities Authority Revenue Bonds, (Series 1996 AMG, Series 1996 ASMC and Series 1999A AHC) and to pay for or reimburse the organization for construction of a hospital facility. Part I Continuation, Line A(f): To refund the Wisconsin Health and Educational Facilities Authority Revenue Bonds, Series 2000 (Aurora Receivables SPE, LLC) Periodic Auction Reset Securities. Part 1 Continuation, Line B(c): CUSIP numbers include all of the following: 99710BM66, 97710MB82, 97710BN24, 97710BN40. Part I Continuation, Line B(f): To refund a portion of the Wisconsin Health and Educational Facilities Authority Revenue Bonds, (Series 1996 AMG, Series Series 1999A AHC, 1999B AHC, 2006A AHC, 2006B AHC, 2006C AHC) and to refund all for Series 1996 ASMC. To reimburse the organization for construction costs, renovations and improvements, and equipment acquisitions and installations. Part I Continuation, Line C(f): To refund a portion of the Wisconsin Health and Educational Facilities Authority Revenue Bonds, Series 2003 (issued August 25, 2003) and to pay for or reimburse the organization for construction of a hospital facility. Part II, Line 3B: Differences between the total proceeds (Part II, Line 3) and the issue price (Part I, Line B(e)) are due to investment earnings on debt service reserve funds. Part II, Line 3C: Differences between the total proceeds (Part II, Line 3) and the issue price (Part I, Line C(e)) are due to investment earnings on debt service reserve funds. Part II, Line 4B The amount shown consists of $15,712,355 in debt service reserve funds and $290,131 of debt service sinking funds. Part II, Line 4C The amount shown consists of $15,716,450 in debt service reserve funds and $97,383 of debt service sinking funds. Part III, Line 7: Aurora monitors the private use of its bond-financed assets and routinely takes steps to limit private use. Aurora does not separately track private payments and private security; rather it assumes such tests will be met and manages compliance through this private use monitoring. Based solely on such assumption, Aurora has responded yes to this question. Part III, Line 8b: For purposes of responding to this question, Aurora has assumed that all recorded dispositions of bond-financed assets have been made to non-exempt persons. As a result, the amounts reported include routine dispositions in the ordinary course of business at the end of an asset's useful life. Part III, Line 8c: When there is an anticipated transfer to a non-exempt entity, Aurora has a system in place and routinely works with counsel to take the appropriate remedial action prior to such transfer. In most cases, an appropriate action is taken. However, if Aurora discovers that a transfer has not been remediated, Aurora has procedures in place and works with counsel to engage in the VCAP process. We have reached agreement for each of the situations that gave rise to the voluntary disclosure under the VCAP process. A WI Health & Ed Facilities Authority 391337855 97712CAA6 2010-12-09 103405000 See Part VI, Supplemental Information 0 0 0 B WI Health & Ed Facilities Authority 391337855 97710BM66 2012-02-07 394216556 See Part VI, Supplemental Information 0 0 0 C WI Health & Ed Facilities Authority 391337855 97712DCY0 2013-08-15 114234129 See Part VI, Supplemental Information 0 0 0 A 325000 103405000 758880 54536 102591584 1 0 1 1 B 5675000 394216556 3320826 630325 56678968 333586437 2012 1 0 1 1 C 114234129 1539192 1200000 111494938 2013 1 0 1 1 B 1 1 1 1 1 1 0.02590 0.02590 1 1 0.03900 1 1 C 1 1 1 1 1 1 0.01250 0.01250 1 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 Form 990, Part VI, Section A, line 4 The Articles of Incorporation were amended to reflect the change from a Type II to a Type III-Functionally Integrated supporting organization. Form 990, Part VI, Section B, line 11 The 2014 Form 990 was reviewed by the senior management of AHC and the chair of the audit committee. A copy of the final return was made available to the AHC Board of Directors. 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 restiction 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 2014: AHC's CEO and the CEO's executive team (the CEO's direct reports) have their compensation reviewed annually by the Compensation Committee of the AHC Board of Directors, which is vested with board-delegated powers to act on behalf of the board with respect to compensation matters in reviewing and establishing compensation for the CEO and the CEO's executive team. The Committee uses a process which is intended to create the presumption that payment of compensation to these persons constitutes reasonable compensation, defined as amounts that are within the range of compensation paid to similarly qualified persons in functionally-comparable positions at similarly-situated organizations. In this process, no member of the Committee who has a conflict of interest with respect to the compensation arrangement at issue is permitted to participate in the review and approval of that compensation arrangement. The Compensation Committee retains and consults with an independent compensation consultant who prepares a customized market-based analysis for the Committee regarding amounts paid to similarly-qualified persons in functionally-comparable positions at similarly-situated organizations. The Committee uses the market-based analysis provided by the consultant, and where appropriate, performance review and compensation recommendations, to establish market-based compensation for the CEO and the CEO's executive team. After making its compensation decisions, the Committee documents its deliberations and decisions in AHC's written or electronic books and records. Key employees and all other employees have their compensation reviewed and approved by their leader annually 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 Aurora Health Care, Inc. are on file with the State of Wisconsin, Department of Financial Institutions. The financial statements 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. -124,497,610. Aurora Liability Assurance Ltd 23 Lime Tree Bay Avenue Grand Cayman CJ KY1-102 980413631 Professional Liability Insurance CJ 11307233 56623220 N/A Aurora Medical Center Grafton LLC 975 Port Washington Road Grafton WI 53024 272953799 Hospital WI 190704556 356618325 N/A Aurora Medical Group Inc 3031 West Montana Street Milwaukee WI 53215 391678306 Physician Services WI 501(c)(3) Line 3 Aurora Health Care Inc 1 Aurora Health Care Metro Inc 2900 West Oklahoma Avenue Milwaukee WI 53215 390806181 Hospital WI 501(c)(3) Line 3 Aurora Health Care Inc 1 Aurora Health Care Central Inc 2636 Eastern Avenue Plymouth WI 53073 390930748 Hospital WI 501(c)(3) Line 3 Aurora Health Care Metro Inc 1 Aurora Psychiatric Hospital Inc 1220 Dewey Avenue Wauwatosa WI 53213 390872192 Hospital WI 501(c)(3) Line 3 Aurora Health Care Metro Inc 1 Aurora Health Foundation Inc 750 West Virginia Street Milwaukee WI 53204 930828294 Foundation WI 501(c)(3) Line 7 Aurora Health Care Central Inc 1 Aurora Health Care Southern Lakes Inc 252 McHenry Street Burlington WI 53105 390806347 Hospital WI 501(c)(3) Line 3 Aurora Health Care Inc 1 Aurora Medical Center of Oshkosh Inc 855 North Westhaven Drive Oshkosh WI 54904 391027676 Hospital WI 501(c)(3) Line 3 Aurora Health Care North Inc 1 West Allis Memorial Hospital Inc 8901 West Lincoln Avenue West Allis WI 53227 391022464 Hospital WI 501(c)(3) Line 3 Aurora Health Care Metro 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 Medical Center Washington County Inc 1032 East Sumner Street Hartford WI 53027 391150165 Hospital WI 501(c)(3) Line 3 Aurora Health Care Metro Inc 1 Aurora Advanced Healthcare Inc 3003 West Good Hope Road Glendale WI 53209 391595302 Physician Services WI 501(c)(3) Line 9 Aurora Health Care Inc 1 Aurora Health Care North Inc 5000 Memorial Drive Two Rivers WI 54241 391211629 Hospital WI 501(c)(3) Line 3 Aurora Health Care Inc 1 Visiting Nurse Association of Wisconsin Inc 11333 West National Avenue West Allis WI 53227 390806180 Home Care Services WI 501(c)(3) Line 7 Aurora Health Care Inc 1 Aurora Family Service Inc 3200 Highland Boulevard Milwaukee WI 53208 390806174 Social Services WI 501(c)(3) Line 9 Aurora Health Care Inc 1 Aurora UW Academic Medical Group Inc 1020 North 12th Street Milwaukee WI 53233 391136738 Physician Serives WI 501(c)(3) Line 9 Aurora Medical Group 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 AMG Illinois Ltd 3031 West Montana Avenue Milwaukee WI 53215 264041287 Physician Services IL 501(c)(3) Line 3 Aurora Medical Group Inc 1 Aurora Consolidated Labs A Co-Tenancy 8901 West Lincoln Avenue West Allis WI 53227 391898089 Laboratory Services WI Related -792 10686917 0 1 0.93120 North Shore Surgical Center Ltd 7007 Range Line Road Glendale WI 53209 391548024 Surgical Services WI Advanced Healthcare Inc Related 823259 3794511 0 0 0.82350 BayCare Aurora LLC 750 West Virginia Street Milwaukee WI 53204 391947472 Hospital WI Aurora Medical Group Inc Related 66806003 214281436 0 8354 0 0.61880 Waukesha Pain Center LLC 4131 West Loomis Road Suite 300 Greenfield WI 53221 900928071 Physician Services WI N/A N/A 0 0 Aurora GI ASC LLC 2801 West KK River Parkway 1030 Milwaukee WI 53215 461848055 Physician Services WI N/A N/A 0 0 Wisconsin Surgery Center LLC 4131 West Loomis Road Suite 210 Greenfield WI 53221 383661215 Surgical Services WI N/A N/A 0 0 Aurora Health Care Ventures Inc 750 West Virginia Street Milwaukee WI 53204 391513129 For-Profit Company WI C 7441726 131746550 1.00000 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 Nor Door Clinic Building Condominium Association of Unit Owners 750 West Virginia Street Milwaukee WI 53204 Condo Association WI N/A C 1 St Luke's Physician Office Condominium Association Inc 750 West Virginia Street Milwaukee WI 53204 Condo Association WI N/A C 1 Aurora Health Center of Kenosha Condominium Association Inc 750 West Virginia Street Milwaukee WI 53204 Condo Association WI N/A C 1 Aurora Health Center of Oshkosh Condominium Association Inc 750 West Virginia Street Milwaukee WI 53204 Condo Association WI N/A C 1 Health Care Re Ltd 750 West Virginia Street Milwaukee WI 53204 981063814 Health Services CJ C 23 214763 1.00000 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 BayCare Aurora LLC A 2000964 Fair value BayCare Aurora LLC D 61694174 Fair value BayCare Aurora LLC Q 90118319 Cost