COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC (EIN 39-0987025)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-08
IRS object ID: 201511289349302061
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-08T13:14:03-07:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	191 W Nationwide Blvd Suite 500	AddressLine1
City	Columbus	City
State	OH	State
ZIP Code	43215	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390987025	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Community Memorial Hospital of Menomonee	BusinessNameLine1
Business Name Line2	Falls Inc	BusinessNameLine2

Field	Value	IRS element (for citing)
Business Name Control	COMM	BusinessNameControlTxt
Phone	4147770960	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	W180 N8085 Town Hall Road	AddressLine1
City	Menomonee Falls	City
State	WI	State
ZIP Code	53051	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Scott R Hawig	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2015-05-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Mollie Longhouse	PreparerPersonNm
PTIN	P00294881	PTIN
Phone	6142492300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Jacobson Catherine A	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	W180 N8085 Town Hall Road	AddressLine1
City	Menomonee Falls	City
State	WI	State
ZIP Code	53051	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$189,319,330	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.froedtert.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1959	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	Community Memorial Hospital advances the health of the communities we serve through exceptional care enhanced by innovation and discovery.	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	1443	TotalEmployeeCnt
Total Volunteers	235	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
CY Contributions Grants	$193,539	CYContributionsGrantsAmt
PY Program Service Revenue	$178,272,452	PYProgramServiceRevenueAmt
CY Program Service Revenue	$180,019,335	CYProgramServiceRevenueAmt
PY Investment Income	$6,461,842	PYInvestmentIncomeAmt
CY Investment Income	$1,687,780	CYInvestmentIncomeAmt
PY Other Revenue	$10,155,074	PYOtherRevenueAmt
CY Other Revenue	$7,174,158	CYOtherRevenueAmt
PY Total Revenue	$194,889,368	PYTotalRevenueAmt
CY Total Revenue	$189,074,812	CYTotalRevenueAmt
PY Grants And Similar Paid	$49,964	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$60,042	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$67,273,584	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$66,370,728	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$255,229	CYTotalFundraisingExpenseAmt
PY Other Expenses	$109,874,721	PYOtherExpensesAmt
CY Other Expenses	$132,210,218	CYOtherExpensesAmt
PY Total Expenses	$177,198,269	PYTotalExpensesAmt
CY Total Expenses	$198,640,988	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,691,099	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$9,566,176	CYRevenuesLessExpensesAmt
Total Assets BOY	$321,723,931	TotalAssetsBOYAmt
Total Assets EOY	$142,934,547	TotalAssetsEOYAmt
Total Liabilities BOY	$135,901,625	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$45,002,703	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$185,822,306	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$97,931,844	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Community Memorial Hospital advances the health of the communities we serve through exceptional care enhanced by innovation and discovery.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$88,267,894	ExpenseAmt
Revenue	$103,292,010	RevenueAmt
Desc	Inpatient Services:Community Memorial Hospital was founded in 1964 by citizens of the community it serves. The hospital is accredited by The Joint Commission. Combining next-generation technology with personalized care, Community Memorial Hospital strives to enhance and improve the quality of life in Waukesha, Washington, Milwaukee and Ozaukee counties. Community Memorial Hospital is approved for 237 beds of which 202 are staffed and had 8,603 patient admissions and 38,889 patient days related to a wide range of inpatient services, including hospitalist services, general surgery, internal medicine, rehabilitation services, psychiatry, obstetrics and maternity care, cardiology, and other specialty care for the twelve months ended June 30, 2014.Community Memorial Hospital's Heart and Vascular Center is nationally recognized for its excellent outcomes and superior service to patients. At the Heart and Vascular Center, dedicated physicians work as a team with cardiac nurses and other specialized staff to provide the full spectrum of heart care services, from diagnostic tests and surgical procedures to cardiac rehabilitation. Our extensive system of heart and vascular specialists collaborate to ensure that patients receive comprehensive, high-quality care. Our partnership with Froedtert & The Medical College of Wisconsin allow us to offer patients the most advanced surgical and non-surgical treatments available. During fiscal year 2014, Community Memorial had 10,298 cardiology procedures. Community Memorial Hospital's Cancer Care Center is accredited by the American College of Surgeons Commission on Cancer and the American College of Radiology. As a select location in the Froedtert & The Medical College of Wisconsin Cancer Network, Community Memorial provides the excellent care to which patients are accustomed, while offering access to the specialty expertise of Froedtert Hospital, eastern Wisconsin's only academic medical center. Through a connection to Froedtert Hospital, patients at Community Memorial have access to expanded services: nationally and internationally known specialists who focus on specific cancers, advanced treatments and technologies, and clinical trials that may provide further options. Medical College of Wisconsin cancer specialists are joined by radiation therapists, oncology nurses, genetic counselors, registered dietitians, psycho-oncology specialists, and support service specialists at Community Memorial Hospital's Cancer Care Center all of whom are keenly attuned to the needs, hopes and fears of cancer patients. Each patient's care is coordinated with specialists from many areas of Community Memorial Hospital, who help and support patients and their families through the physical, emotional and economic phases of treatment. By combining clinical research methods with the most advanced treatments, our doctors are battling cancer from every angle possible giving patients a stronger reason to believe in a full recovery. During fiscal year 2014, Community Memorial had 789 cancer registry cases.At Community Memorial Hospitals Birthing Center, we are committed to relationship-centered birthing care. The Birthing Center includes 13 specialty equipped rooms and provides the full spectrum of prenatal services for both normal and high-risk pregnancies. The Level II Neonatal Intensive Care Unit has the technology needed to provide long-term care for babies. During fiscal year 2014, Community Memorial had 978 births.In addition to the cardiac, cancer care and birthing services noted above, the Hospital provided a variety of inpatient ancillary treatments and procedures during the fiscal year including but not limited to the following: Surgeries: 3,372 Laboratory Tests: 355,356 CT Scans: 3,975 MRIs: 612 Nuclear Medicine Scans: 302 Ultrasounds: 1,799	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$54,252,485	ExpenseAmt
Revenue	$63,486,825	RevenueAmt
Desc	Outpatient Services:Community Memorial had 90,107 outpatient visits in the twelve months ended June 30, 2014. Community offers a wide variety of ancillary, specialty and subspecialty services including but not limited to the following: - Allergy/Immunology - Cardiology - Clinical Genetics - Dermatology - Electrophysiology - Endocrinology - Family Practice - Gastroenterology - Gerontology - Gynecologic Oncology - Gynecology - Hand Surgery - Hematology - Infectious Disease - Internal Medicine - Interventional Radiology - Magnetic Resonance Imaging - Neonatology - Nephrology - Neurosurgery - Nuclear Medicine - Occupational Medicine - Oncology - Ophthalmology - Oral Surgery - Otolaryngology - Pathology - Pediatrics - Pedodontics - Perinatology - Periodontics - Physical Medicine and Rehabilitation - Plastic/Reconstructive Surgery - Podiatry - Psychiatry - Psychology - Pulmonary Medicine - Radiology - Radiation Oncology - Rheumatology - Thoracic Surgery - Urology - Vascular Surgery	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$11,314,631	ExpenseAmt
Revenue	$13,240,500	RevenueAmt
Desc	Emergency Services:Community Memorials Emergency Department is a Level III Trauma Center and provides care for individuals with emergent, urgent, and non-urgent problems. During fiscal year 2014, the emergency department had 21,547 emergency visits, with patients receiving expert care from board-certified emergency physicians and nurses certified in Advanced Cardiac Life Support, stroke and trauma care. Our Emergency Department is strengthened by the availability of and access to highly trained specialists in trauma, neurosurgery, cardiology, cardiothoracic surgery including robotic surgery, orthopaedics, respiratory, obstetrics, gynecology, psychiatry and other specialties when the need arises.Community Memorial Hospital is a Certified Advanced Primary Stroke Center, the highest level of stroke care recognized by the Joint Commission, demonstrating its ability to provide care from a multi-disciplinary team of neurologists, neurosurgeons, emergency department specialists, radiologists, nurses, therapists, pharmacists, technicians and more all working in a coordinated, collaborative system. With our new telestroke technology (secure videoconferencing), our physicians are able to consult in real-time with board-certified stroke neurologists from the Froedtert & The Medical College of Wisconsin academic medical center. This technology allows for faster diagnosis and treatment of stroke patients.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$6,605,610	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$60,042	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$7,729,954	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$160,440,620	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	Yes (true)	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	225	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1443	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Form990 T Filed	false	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Excess Business Holdings	false	ExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	David Dirksmeyer	PersonNm
Phone	4147770960	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	N74W127501 Leatherwood Ct	AddressLine1
City	Menomonee Falls	City
State	WI	State
ZIP Code	53051	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Aggarwal Anil MD
Director	1.00	0.00	Yes (X)	$0	$0	$0
Becker Richard C
Director	1.00	0.00	Yes (X)	$0	$0	$0
Ellis Sharon Q
Director	1.00	1.00	Yes (X)	$0	$0	$0
Fitzgerald Mark
Director	1.00	0.00	Yes (X)	$0	$0	$0
Goldberg MD David F
Dir,VP Med Afrs	50.00	0.00	Yes (X)	$377,948	$0	$70,981
Greco Patricia
Dir,VP Med Afrs	1.00	0.00	Yes (X)	$0	$0	$0
Hackett MD James G
Director	1.00	0.00	Yes (X)	$0	$0	$0
Hart Daniel
Director	1.00	1.00	Yes (X)	$0	$0	$0
Jacobson Catherine A
Dir,FH Pres/CEO	1.00	49.00	Yes (X)	$0	$1,165,252	$232,857
Lux Theresa M
Dir,VP Pt Care	50.00	1.00	Yes (X)	$284,507	$0	$43,937
Mays Cedric
Director	1.00	0.00	Yes (X)	$0	$0	$0
Nelson Eric
Director	1.00	0.00	Yes (X)	$0	$0	$0
Shepherd MD Dennis W
Executive Dir.	1.00	0.00	Yes (X)	$0	$0	$0
Templin Susan
Director	1.00	1.00	Yes (X)	$0	$0	$0
Turtenwald Robyn
Director	1.00	0.00	Yes (X)	$0	$0	$0
White MD Michael G
Director	1.00	0.00	Yes (X)	$0	$0	$0
Bast Ronald R
Dir&Vice Chair	1.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
Pieters Robert B
Dir&Chair	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
Pollard Dennis
Dir&President	1.00	47.00	Yes (X)	$0	$673,914	$123,448	Yes (X)
Specht-Palmert Christine
Dir&Secretary	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
Stadelmann Douglas J
Dir&Secretary	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
Hawig Scott
FH CFO	1.00	49.00		$0	$711,280	$113,726	Yes (X)
Ericson Allen
Chief Operating Officer	5.00	46.00		$0	$405,338	$88,360		Yes (X)
Ehn Diane
VP Qlty & Perf Exc	40.00	0.00		$186,881	$0	$39,859			Yes (X)
Evenson Rock E
VP Pln & Prg Dvlp	50.00	0.00		$224,956	$0	$52,490			Yes (X)
McClure Debra
Nurse Anesthetist	50.00	1.00		$287,867	$0	$17,385			Yes (X)
Newkirk Garret
Pharmacist	40.00	0.00		$174,308	$0	$33,278			Yes (X)
Sanders Paul A
Sr VP, Clncl Srvcs	50.00	0.00		$320,475	$0	$34,858			Yes (X)
VanDeKreeke Jeffrey
Former - Officer (CFO)	0.00	47.00		$0	$405,455	$71,772				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,856,942	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,361,239	TotReportableCompRltdOrgAmt
Total Other Compensation	$922,951	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	60	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Medical College of WI
8701 Watertown Plank	Milwaukee	WI	53206	Physicians & Medical	$5,180,879
Boldt Procurement LLC
2525 N Roemer Rd	Appleton	WI	54911	Contracting	$780,273
United Dynacare
9200 W Wisconsin Ave	Milwaukee	WI	53226	Lab	$730,155
C&A Industries
PO Box 3037	Omaha	NE	68137	Temp Help	$340,236
Fresenius Management
16343 Collections Center Dr	Chicago	IL	60693	Dialysis treatments	$319,025

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Related Organizations	$193,539	RelatedOrganizationsAmt
Noncash Contributions	$26,580	NoncashContributionsAmt
Total Contributions	$193,539	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Emergency/Trauma Revenue	900099	$13,240,500	$13,240,500
Inpatient Revenue	900099	$103,292,010	$103,292,010
Outpatient Revenue	900099	$63,486,825	$63,486,825

Field	Value	IRS element (for citing)
Total Program Service Revenue	$180,019,335	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,781,434	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,754,838	RelatedOrExemptFuncIncomeAmt
Exclusion	$26,596	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$100,030	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$193,684	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$93,654	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$93,654	TotalRevenueColumnAmt
Exclusion	-$93,654	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$99,016	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$50,834	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,182	TotalRevenueColumnAmt
Exclusion	$48,182	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Corporate Allocated Rev	561000	$3,322,327	$3,322,327
Dietary Revenue	561499	$681,020		$681,020
Other Dept Operating Rev	561499	$2,287,740	$2,287,740

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$834,889	TotalRevenueColumnAmt
Related Or Exempt Func Income	$365,049	RelatedOrExemptFuncIncomeAmt
Exclusion	$469,840	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,125,976	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$189,074,812	TotalRevenueColumnAmt
Related Or Exempt Func Income	$187,749,289	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,131,984	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$60,042	TotalAmt
Program Services	$60,042	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$835,249	TotalAmt
Management And General	$835,249	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$61,262,252	TotalAmt
Program Services	$57,970,250	ProgramServicesAmt
Management And General	$3,140,113	ManagementAndGeneralAmt
Fundraising	$151,889	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	-$35,496	TotalAmt
Program Services	-$33,217	ProgramServicesAmt
Management And General	-$2,190	ManagementAndGeneralAmt
Fundraising	-$89	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,308,723	TotalAmt
Program Services	$4,032,103	ProgramServicesAmt
Management And General	$265,848	ManagementAndGeneralAmt
Fundraising	$10,772	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$293,700	TotalAmt
Program Services	$293,700	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$68,878	TotalAmt
Management And General	$68,878	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,970,201	TotalAmt
Program Services	$9,282,453	ProgramServicesAmt
Management And General	$1,680,124	ManagementAndGeneralAmt
Fundraising	$7,624	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$76,444	TotalAmt
Program Services	$4,982	ProgramServicesAmt
Management And General	$71,462	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$988,858	TotalAmt
Program Services	$481,491	ProgramServicesAmt
Management And General	$499,850	ManagementAndGeneralAmt
Fundraising	$7,517	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$429,880	TotalAmt
Program Services	$87,904	ProgramServicesAmt
Management And General	$340,041	ManagementAndGeneralAmt
Fundraising	$1,935	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,363,020	TotalAmt
Program Services	$2,768,370	ProgramServicesAmt
Management And General	$586,734	ManagementAndGeneralAmt
Fundraising	$7,916	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$85,214	TotalAmt
Program Services	$41,972	ProgramServicesAmt
Management And General	$42,857	ManagementAndGeneralAmt
Fundraising	$385	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$140,167	TotalAmt
Program Services	$120,494	ProgramServicesAmt
Management And General	$18,753	ManagementAndGeneralAmt
Fundraising	$920	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,302,049	TotalAmt
Program Services	$1,895,000	ProgramServicesAmt
Management And General	$401,630	ManagementAndGeneralAmt
Fundraising	$5,419	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,827,447	TotalAmt
Program Services	$7,266,576	ProgramServicesAmt
Management And General	$1,540,093	ManagementAndGeneralAmt
Fundraising	$20,778	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,988	TotalAmt
Program Services	$3,988	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Corporate Allocated Expense	$43,310,773	$19,952,006	$23,323,276	$35,491
Medical Supplies	$33,823,135	$33,655,886	$164,006	$3,243
Affil Support - Comm Phys	$21,726,323	$16,924,806	$4,801,517
State Hospital Assessment	$5,183,756	$5,183,756

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$616,385	TotalAmt
Program Services	$448,058	ProgramServicesAmt
Management And General	$166,898	ManagementAndGeneralAmt
Fundraising	$1,429	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$198,640,988	TotalAmt
Program Services	$160,440,620	ProgramServicesAmt
Management And General	$37,945,139	ManagementAndGeneralAmt
Fundraising	$255,229	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,125	BOYAmt
EOY	$7,425	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$26,309,775	BOYAmt
EOY	$7,403,702	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$22,202,533	BOYAmt
EOY	$22,204,635	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$20,000	BOYAmt
EOY	$10,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,877,301	BOYAmt
EOY	$4,014,952	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,630,172	BOYAmt
EOY	$1,187,611	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$192,446,776	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$101,646,037	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$85,300,681	BOYAmt
EOY	$90,800,739	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$127,899,248	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$54,477,096	BOYAmt
EOY	$17,305,483	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$321,723,931	BOYAmt
EOY	$142,934,547	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,485,948	BOYAmt
EOY	$8,119,042	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,199	BOYAmt
EOY	$3,481	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$55,729,972	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$69,681,506	BOYAmt
EOY	$36,880,180	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$135,901,625	BOYAmt
EOY	$45,002,703	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$184,547,067	BOYAmt
EOY	$96,218,364	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,275,239	BOYAmt
EOY	$1,713,480	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$185,822,306	BOYAmt
EOY	$97,931,844	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$321,723,931	BOYAmt
EOY	$142,934,547	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$9,566,176	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$78,324,286	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,105,247	BeginningYearBalanceAmt
Contributions	$456,977	ContributionsAmt
Investment Earnings Or Losses	$638,515	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$450,133	GrantsOrScholarshipsAmt
Other Expenditures	$69,038	OtherExpendituresAmt
End Year Balance	$5,681,568	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,688,829	BeginningYearBalanceAmt
Contributions	$379,734	ContributionsAmt
Investment Earnings Or Losses	$440,545	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$397,266	GrantsOrScholarshipsAmt
Other Expenditures	$6,595	OtherExpendituresAmt
End Year Balance	$5,105,247	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,674,956	BeginningYearBalanceAmt
Contributions	$265,167	ContributionsAmt
Investment Earnings Or Losses	$80,003	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$321,940	GrantsOrScholarshipsAmt
Other Expenditures	$9,357	OtherExpendituresAmt
End Year Balance	$4,688,829	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,094,065	BeginningYearBalanceAmt
Contributions	$1,398,548	ContributionsAmt
Investment Earnings Or Losses	$623,704	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$374,633	GrantsOrScholarshipsAmt
Other Expenditures	$1,066,388	OtherExpendituresAmt
Administrative Expenses	$340	AdministrativeExpensesAmt
End Year Balance	$4,674,956	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,166,213	BeginningYearBalanceAmt
Contributions	$904,863	ContributionsAmt
Investment Earnings Or Losses	$384,524	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$304,571	GrantsOrScholarshipsAmt
Other Expenditures	$56,965	OtherExpendituresAmt
Administrative Expenses	-$1	AdministrativeExpensesAmt
End Year Balance	$4,094,065	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,711	OtherCostOrOtherBasisAmt
Book Value	$80,711	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$111,131,620	OtherCostOrOtherBasisAmt
Depreciation	$47,655,825	DepreciationAmt
Book Value	$63,475,795	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,054,573	OtherCostOrOtherBasisAmt
Depreciation	$1,737,769	DepreciationAmt
Book Value	$316,804	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,894,520	OtherCostOrOtherBasisAmt
Depreciation	$27,397,633	DepreciationAmt
Book Value	$14,496,887	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,285,352	OtherCostOrOtherBasisAmt
Depreciation	$24,854,810	DepreciationAmt
Book Value	$12,430,542	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$90,800,739	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Collateral held for securties loaned
Due from Affiliates	$4,076,430
Employee Receivable	-$505
Executive Deferred Compensation
Froedtert Health Executive 457f
Senior Management Deferred Compensation
Swap Collateral

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$17,305,483	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Due to Affiliates	$4,887,849
Est Settlements - Third Party Payors	$675,139
Pension Liability	$31,317,191
Rounding	$1

Field	Value	IRS element (for citing)
Total Liability	$36,880,180	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4: Intended uses of the endowment fund.

The funds are held by Community Memorial Foundation of Menomonee Falls (CMF), a related organization. The board designated endowment was created to support long range financial needs of Community Memorial Hospital of Menomonee Falls, Inc and its programs.

Part X : FIN48 Footnote

Froedtert Health, Inc. (FH) applies ASC No. 740, Income Taxes, which clarifies the accounting for uncertainty in income taxes recognized in a company's financial statements. ASC No. 740 prescribes a more-likely-than-not recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken. Under ASC No. 740, tax positions are evaluated for recognition, derecognition, and measurement using consistent criteria and provide more information about the uncertainty in income tax assets and liabilities. As of June 30, 2014 and 2013, Community Memorial Hospital of Menomonee Falls does not have an asset or liability recorded for unrecognized tax positions.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agrmt Prof Fundraising Acty	false	AgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	Otis Spunkmeyer Cookies	NameOfEvent1Amt
Gross Receipts Event1	$36,696	GrossReceiptsEvent1Amt
Gross Revenue Event1	$36,696	GrossRevenueEvent1Amt
Food And Beverage Event1	$13,403	FoodAndBeverageEvent1Amt
Name Of Event2	Cheery Cherry Fall Fair	NameOfEvent2Amt
Gross Receipts Event2	$35,221	GrossReceiptsEvent2Amt
Gross Revenue Event2	$35,221	GrossRevenueEvent2Amt
Cash Prizes Event2	$200	CashPrizesEvent2Amt
Non Cash Prizes Event2	$164	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$4,350	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$2,760	FoodAndBeverageEvent2Amt
Entertainment Event2	$500	EntertainmentEvent2Amt
Other Direct Expenses Event2	$6,002	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$19,299	GrossReceiptsOtherEventsAmt
Gross Revenue Other Events	$19,299	GrossRevenueOtherEventsAmt
Food And Beverage Other Events	$4,214	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$8,890	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$91,216	GrossReceiptsTotalAmt
Gross Revenue Total Events	$91,216	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$200	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$164	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$4,350	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$20,377	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$500	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$14,892	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$40,483	DirectExpenseSummaryEventsAmt
Net Income Summary	$50,733	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,789,144	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,789,144	NetCommunityBenefitExpnsAmt
Total Expense	0.00900	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,529,692	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,417,741	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,111,951	NetCommunityBenefitExpnsAmt
Total Expense	0.04590	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,318,836	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,417,741	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,901,095	NetCommunityBenefitExpnsAmt
Total Expense	0.05490	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	46	ActivitiesOrProgramsCnt
Persons Served	13230	PersonsServedCnt
Total Community Benefit Expns	$1,309,581	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,923	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,298,658	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	763	PersonsServedCnt
Total Community Benefit Expns	$656,720	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$656,720	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	1789	PersonsServedCnt
Total Community Benefit Expns	$351,362	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$351,362	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	65	ActivitiesOrProgramsCnt
Persons Served	15782	PersonsServedCnt
Total Community Benefit Expns	$2,317,663	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,923	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,306,740	NetCommunityBenefitExpnsAmt
Total Expense	0.01160	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	65	ActivitiesOrProgramsCnt
Persons Served	15782	PersonsServedCnt
Total Community Benefit Expns	$19,636,499	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,428,664	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,207,835	NetCommunityBenefitExpnsAmt
Total Expense	0.06650	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$10,436	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,436	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,196	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,196	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$10,425	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,425	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	146	PersonsServedCnt
Total Community Benefit Expns	$112,532	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$112,532	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	146	PersonsServedCnt
Total Community Benefit Expns	$140,589	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$140,589	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$5,105,000	BadDebtExpenseAmt
Reimbursed By Medicare	$67,694,774	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$102,664,141	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$34,969,367	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Community Memorial Hospital	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	W180 N8085 Town Hall Road	AddressLine1
City	Menomonee Falls	City
State	WI	State
ZIP Code	53051	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Community Memorial Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V additional notes	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Part V additional notes	OtherWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
Other Needs Addressed	Yes (X)	OtherNeedsAddressedInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Form4720 Filed	false	Form4720FiledInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.0000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Residency	Yes (X)	ResidencyInd
Other Factors	Yes (X)	OtherFactorsInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 3 - Account Input from Person Who Represent the Community	In Fiscal Year 2012, Community Memorial Hospitals Community Outreach Department and Community Outreach Steering Committee conducted key informant interviews with the following non-profit health and human service agencies:Addiction Resource Council of Waukesha CountyAlbrecht Free ClinicCommunity Outreach Health Clinic at Community Memorial Hospital Falls Area Community ServicesGermantown Area Chamber of Commerce Village of Germantown Fire Department Germantown Police Department Germantown Park & Recreation DepartmentGermantown School District Gloria Dei Lutheran Church Hartford Jt 1 School District Hartford Parks and Recreation DepartmentHope Network Inc.Interfaith Caregivers of Washington County Interfaith Senior Programs Waukesha County Menomonee Falls Chamber of CommerceMenomonee Falls Community Education & Recreation Department Menomonee Falls Fire DepartmentMenomonee Falls Police DepartmentMenomonee Falls School District Safe Babies Healthy FamiliesSt. Boniface Food Pantry St. Pauls United Church of Christ Stillwaters Cancer Support ServicesSussex Area Chamber of CommerceSussex Area Outreach ServicesSussex Hamilton School District Tri-County YMCA in Menomonee FallsUniversity of Wisconsin Extension Washington County Washington County Mental Health DepartmentWashington County Public Health DepartmentWaukesha County Community Dental Clinic Waukesha County Mental Health DepartmentWaukesha County Public Health Department
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	Washington County Health Needs Assessment Collaboration:JKV ResearchFroedtert Health Froedtert Health Community Memorial HospitalAurora Health CareColumbia St. Marys Health SystemChildrens Hospital of WisconsinWashington County Public Health DepartmentWaukesha County Health Needs Assessment Collaboration:JKV ResearchFroedtert Health Froedtert Health Community Memorial HospitalAurora Health CareColumbia St. Marys Health SystemProHealth CareWheaton Franciscan HealthcareWaukesha County Public Health DepartmentJKV Research was hired by the participating Health Care Systems and Health Departments to lead the CHNA process for Waukesha, Washington and Milwaukee Counties. The total cost of each CHNA conducted was divided up by each of the participating health systems and health departments. Each health system and health department was assigned to conduct key informant interviews within their service area.
Part V, Line 5c - Description of Making Needs Assessment Widely Available	The full version of the report and other supporting documents can be found on Froedtert Healths website. Waukesha County: http://www.froedterthealth.org/upload/docs/community-memorial/community-giving/Benefit/waukesha-county-community-health-survey-report.pdf Washington County: http://www.froedterthealth.org/upload/docs/community-memorial/community-giving/Benefit/washington-county-community-health-survey-report.pdf Additional Websites:Washington County Public Health Department - http://www.co.washington.wi.us/uploads/docs/washington-county-community-health-survey-report-march-2012.pdf Waukesha County Public Health Department http://www.waukeshacounty.gov/uploadedFiles/Media/PDF/Health_and_Human_Services/Public_Health/2012%20Community%20Health%20Survey%20Report.pdf
Part V, Line 6i - Describe Other Needs Identified	See attached Community Health Improvement Plan for Community Memorial Hospital. The report is available online at www.froedtert.com/community-memorial. OverviewThis Implementation Strategy serves as the community health improvement component of Community Memorial Hospitals community engagement strategy, focusing on Access to Primary and Specialty Care, Chronic Disease Management, Alcohol and Other Drug Abuse and Prevention and Wellness.Community Memorial Hospitals community engagement framework is to improve the quality of life in the communities we serve through health care programs and services that are measurable, accessible, and culturally appropriate.Program: Community Outreach Health Clinic Free Clinic for UninsuredHealth Need: Access to primary and specialty care for uninsured individualsInternal Resources: Lab and Radiology departments, Community Physicians, Case Management, Community Memorial FoundationCommunity Partners: Aurora Advanced Healthcare, Waukesha County Community Health Center, Progressive Community Health Center, Waukesha County Community Dental Clinic, United Way of Waukesha County, United Way of Greater MilwaukeeObjectives/Outcomes: Reduced avoidable Emergency Department visits and admissions for the low income and uninsured, Increase referral process for uninsured populations from CMH Emergency Department to the Outreach Clinic, Provide free or reduced ancillary services to Community Outreach Health clinic patients, Facilitate referrals to Specialty Care physicians and other health professionals, Reduce access barriers for uninsured populations in Washington and Waukesha CountiesProgram: Bobbie Nick Voss Colorectal Cancer Screening ProgramHealth Need: Decrease in blood stool test in past yearInternal Resources: Community Memorial Foundation, Gastroenterologist, Surgical Services, Pathology, Community Outreach Health Clinic Staff and PhysiciansCommunity Partners: Bobbie Nick Voss Charitable FundsObjectives/Outcomes: Increase care navigation and facilitate access for vulnerable populations through health education and colonoscopy screeningsProgram: Subsidized TransportationHealth Need: Affordable and accessible transportationInternal Resources: Emergency Department, Community Engagement, Nursing Administration, Case ManagementCommunity Partners: Personalized Transportation Services, Yellow Cab Taxi, Washington County Shared Ride Taxi, American United, Mobile Medical SpecialistsObjectives/ Outcomes: Provide affordable and accessible medical transportation to individuals at or below 200% Federal Poverty LevelProgram: Prostate Screening ProgramHealth Need: Decrease in Prostate Cancer Screening in the past two years in Washington and Waukesha CountiesInternal Resources: Cancer Center, Community Physicians, Community Engagement, Community Memorial Foundation, Marketing and CommunicationsCommunity Partners: ZERO Mobile non-profit prostate screening organizationObjectives/Outcomes: Increase the amount of men having PSA and Digital exam every two yearsProgram: Community Influenza ClinicsHealth Need: Decrease in populations not receiving the Influenza Vaccination in both Washington and Waukesha Counties lower than state and national averagesInternal Resources: Community Engagement, Community Outreach Health Clinic, Community Memorial Foundation, Outpatient Pharmacy, Hospital LeadershipCommunity Partners; Sussex Food Pantry, St. Boniface Food Pantry, Menomonee Falls Food PantryObjectives/Outcomes: Increase the amount of vulnerable populations receiving the Influenza Vaccination and decrease the amount of Influenza related hospitalizations for Community Outreach Health Clinic patientsProgram: Every 15 Minute ProgramHealth Need: Increase in binge drinking higher than state and national average and increase in population reported driving while under the influence or was a passengerInternal Resources: Emergency Department Staff, Community Engagement, Emergency Preparedness Coordinator, Communications and Marketing, Nursing Administration, Security, Radiology, Community Outreach Steering Committee GrantCommunity Partners: Germantown School District, Menomonee Falls School District, Germantown Police, Fire and EMS, Menomonee Falls Police, Fire and EMS, Flight for LifeObjectives/Outcomes: Increase awareness of dangers related to distracted driving, Increase awareness of distractions related to inattentive driving as measured by post survey, Reduce youth underage drinking and driving, Reduce traffic related impairment accidents and deaths in Washington and Waukesha CountiesProgram: Drug Free Communities Waukesha County Annual Drug CollectionHealth Need: Increase in the misuse of prescription, over the counter and other drugs in Waukesha CountyInternal Resources: Community Outreach Steering Committee Grant, Community Memorial Hospital Campus, Community Engagement, Environmental Services, Pharmacy, Hospital LeadersCommunity Partners: Menomonee Falls Police and Citizen Academy, Cambridge Major Laboratories, ProHealth Care, Drug Enforcement Agency, Waukesha County Drug UnitObjectives/ Outcomes: Reduce prescription drug abuse in Waukesha County, Reduce youth alcohol use in 14-20 year olds, Properly dispose of unused or expired medications, Utilize CMHs Drug Repository program for proper disposal or reutilization of unexpired cancer & chronic disease management medicationsProgram: Community Outreach Health Clinic Diabetes Case Management ProgramHealth Need: Washington County 9% and Waukesha County 7% of population diabeticInternal Partners: Community Outreach Health Clinic Nurse Practitioners, Endocrinologists and Ophthalmologists, COHC Volunteer Clinical Dietician, Community Memorial FoundationCommunity Partners: Tri-County YMCA Diabetes Management Program, Rx Assist Prescription Assistance Program, Progressive Community Health Centers, National Association of Free ClinicsObjectives/Outcomes: Improve Hemoglobin A1c levels to 7% or less and monitor improvement for all pre-diabetic and diabetic patients, Promote a healthy diet for patients to reduce the chances of needing insulin, Educate proper use of insulin and importance of continuous monitoring, Improve physical activity, Decrease Retinopathy in diabetic populationsProgram: Living Well with Chronic ConditionsHealth Need: Washington County 28% and Waukesha County 26% with high blood pressure, Washington County 21% and Waukesha County 25% with high blood cholesterol, Washington County 9% and Waukesha County 7% with diabetesInternal Resources: Community Education Department, Wellness Works, Community Outreach Health Clinic, Community Engagement, Nursing Administration, Communications and Marketing, Community Physicians ClinicsCommunity Partners: Wisconsin Institute for Healthy Aging, Sussex Outreach Services, Menomonee Falls Food Pantry, St. Boniface Food PantryOutcomes/Objectives: Increase COHC patient engagement in self-management of chronic disease, Decrease in ED utilization for chronic disease related visits, Increase in self-management as measured by pre and post survey, Increase communication with physician and medical team, Increase physical activityProgram: Community Memorial Hospital Community GardenHealth Need: Decrease in recommended fruit and vegetable intake in Washington and Waukesha CountiesInternal Resources: Community Engagement, Volunteer Services, Grounds, Community Outreach Health ClinicCommunity Partners: Sussex Food Pantry, St. Boniface Food Pantry, Menomonee Falls Food Pantry, Shady Lane Nursery, Menomonee Falls Community Education and Recreation, UW-Extension Washington County, UW-Extension Waukesha County, Tri-County YMCAObjectives/Outcomes: Promote awareness/education of healthy nutrition, Increase the number of fruit and vegetable intake as measured by the Community Health Needs Assessment in Washington and Waukesha Counties, Provide healthy food options for diabetic and obese populations utilizing the Community Outreach Health Clinic and area food pantries
Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why	Community Memorial Hospitals community health improvement initiatives are targeted for the broad community, especially vulnerable populations (uninsured/underinsured) in the hospitals primary and secondary service areas. Community Memorial Hospitals mission is to advance the health of the communities we serve through exceptional care enhanced by innovation and discovery. The Community Outreach Steering Committee prioritized community health improvement programs, activities and services that reflect the hospitals mission and scope of care: Access to Primary and Specialty Care, AODA, Chronic Disease Management and Health focused Prevention and Wellness programs. The following needs are not being addressed by Community Memorial Hospital:Oral & Dental Health Services: Community Memorial Hospital does not have dedicated resources to provide dental services in Washington and Waukesha Counties. There are other local organizations/dental offices dedicated to improve access to dental care.Teen Pregnancy: United Way, Public Health, Safe Babies Healthy Families, the Hope Network and a number of other community organizations are working on this health issue.Health Literacy and Navigation: Other community organizations are working to increase awareness of health services and health seeking behaviors among low income individuals.Cigarette Use: Community Memorial Hospital supports the Multi-Jurisdictional Coalition of Tobacco Free Community Partnership Dodge, Jefferson and Waukesha Counties.Mental Health: Community Memorial Hospital does not have the dedicated resources. There are other local health and human service agencies and organizations dedicated to this issue.
Part V, Line 12h - Other Factors Used in Determing Amounts Charged Patients	Out of Pocket Maximum Discount
Part V, Line 14g - Other Means Hospital Facility Publicized the Policy	A summary of the Financial Assistance Policy is available on the Community Memorial Hospital website.
Part V, Line 18e - Other Actions Took Before Any Collection Actions	We request additional documentation when an individual has submitted an incomplete financial assistance application.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit Report	Every year, Community Memorial Hospital produces an annual community benefit report highlighting community outreach programs, patient impact stories and investments in the communities we serve. The report is mailed to over 150 area non-profits, chambers of commerce, hospital partners, Community Memorial Hospital Board of Directors, Community Memorial Hospital leaders and staff, government officials, business leaders and other community members. A copy of the 2014 report can be found at www.froedtert.com/community-memorial.
Part I, Line 7 - Explanation of Costing Methodology	Charity Care and certain other community benefits costs were determined by using internal information to reduce the various activities to cost. The costing methodology follows what is laid out in the instructions from the IRS.As a not-for-profit, emergency medical care and other medically necessary care is provided to all, regardless of ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualifies bad debts as a community benefit.
Part I, Line 7, Column F - Explanation of Bad Debt Expense	Our total expense from Form 990, Part IX, line 25, column (A) was $198,640,988. Bad debt expense is included in Form 990, Part VIII, Statement of Revenue, Lines 2a-2c as required by ASU 2011-07, Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities. Therefore, bad debt expense is not included on Form 990, Part IX, Statement of Functional Expenses, Line 25, Column (A).
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	The Hospital provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions and trends. The ratio of patient care cost to charges is applied to the bad debt attributable to patient accounts to calculate the estimated cost of bad debt attributable to patient accounts that is reported on line 2. Discounts and payments on patient accounts are recorded as an adjustment to revenue, not bad debt expense.
Part III, Line 4 - Bad Debt Expense	Patients accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the collectability of patients accounts receivable, Froedtert Health, Inc. (FH) analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, FH analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), FH records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.FH recognizes patient service revenue associated with services provided to patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, FH recognizes revenue on the basis of its standard rates for services provided (or on the basis of discounted rates, if negotiated or provided by policy). On the basis of historical experience, a significant portion of FHs uninsured patients will be unable or unwilling to pay for the services provided. Thus, FH records a significant provision for bad debts related to uninsured patients in the period the services are provided.See also page 26 and 27 of attached financial statements.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	Community Memorial Hospital believes that all of the shortfall should be considered as community benefit. The IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by the hospital in order to continue treating the elderly in our community. The hospital provides emergency medical care or other medically necessary care regardless of this shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries.The costing methodology used to determine the Medicare allowable costs is based on a calculation developed by the American Hospital Association in which the data is derived from the annual filed Medicare cost report.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	In alignment with the Froedtert Health financial assistance policy regarding the billing, collection and support for patients with payment obligations, Community Memorial Hospital makes every effort to adhere to the policy and is committed to implementing and applying the policy for assisting patients with limited means in a professional, consistent manner. Staff members who work closely with patients (including those working in patient registration and admitting, financial assistance, customer service, billing and collections) are trained regularly about these policies with an emphasis on treating all patients with dignity and respect regardless of their insurance or their ability to pay for services.
Part VI - Needs Assessment	In February 2012, Community Memorial Hospital collaborated with JKV Research, LLC along with Aurora Health Care, Childrens Hospital of Wisconsin, Columbia St. Marys Health System, ProHealth Care, Wheaton Franciscan Healthcare, Washington County Health Department and Waukesha County Health Department to conduct a Community Health Needs Assessment (CHNA) in Washington and Waukesha Counties. The research from the needs assessment provides valuable behavioral data, lifestyle habits, and the prevalence of risk factors and disease conditions of Waukesha County residents. CHNA Overview/Objectives: Gather data on behavioral and lifestyle habits of the adult population and household-level data. Gather data on the prevalence of risk factors and disease conditions of the adult population. Compare health data of residents to previous health studies. Compare health data to national and state measurements.CHNA Methodology: 18 minute telephone survey of area residents 400 completions from February 21 through April 3, 2012 Two-fold sampling 1) RDD landline sample of listed & unlisted #s (n=300) Respondents randomly selected based on number of adults in household Weighting based on number of adults and number of residential phone numbers in household 2) Cell phone only sample (n=100) Adult answering the phone designated as the respondent All data post-stratified by age and gender of adult residents as of 2010 Census proportions. Margin of error: 5%In addition to the Washington/Waukesha County Community Health Needs Assessments, Community Memorial Hospital conducted key informant interviews with 35 individuals representing school district representatives, public health officials, non-profit health and human service professionals, churches, police/fire departments, free clinics and business professionals throughout Waukesha and Washington Counties. Following extensive interviews with key community stakeholders, findings from the assessment were categorized into eight areas: Access to Primary and Specialty Care, Chronic Disease Management, Mental Health Services, Prevention and Wellness, Alcohol, Drug, Tobacco, Abuse, Dental Services, Transportation and Other. Of those eight health needs categories, four were identified as the focus for community outreach activities in 2012 through 2016 based on select criteria: Community Health Priorities, Disproportionate Unmet Needs, Public Health Concerns and Scope of Services. The most critically documented health needs were identified: Access to Primary and Specialty Care AODA Prevention and Wellness Chronic Disease ManagementWaukesha County Health Department Community Health Improvement Plan 2012 2016In April 2011, Community Memorial Hospital Community Engagement Staff are active members in the Waukesha County Public Health Departments Community Health Improvement Planning Process (CHIPP). The CHIPP consists of a steering committee representing all health systems in Waukesha County as well as representation from area non-profit health and human service agencies. The steering committees role is to determine the top health priorities in the county and create an implementation plan to address community and health needs for Waukesha County Public Health Department to execute through 2015. Through the work of the CHIPP Steering Committee, three implementation teams were established to determine programs, impact strategies and outcomes to address root causes in Access to Care, Mental Health and Alcohol and Other Drug Abuse in Waukesha County. The following priorities/strategies are currently being executed by the task force and in partnership with Community Memorial Hospital and strategic partners: Access to Care Community Advocate Training Mental Health Waukesha County Jail and Health & Human Services Discharge Coordination of Care Waukesha County Centralized Intake System Emergency Detention Utilization Survey AODA SBIRT Screening Process Naloxone Intervention Program Underage Drinking Diversion Risk Reduction & Adolescent Health Screening Initiative Heroin and Illicit Drug Task ForceThe CHIPP Steering Committee meets semi-annually to review the progress of strategies and outcomes for the identified priority areas. Task Force Teams must provide reports on their progress and address any implementation barriers during each meeting. Through Fiscal Year 2014, all strategies are working towards or have met desired outcome goals.
Part VI - Patient Education of Eligibility for Assistance	Community Memorial Hospital informs and educates patients regarding financial assistance and government program eligibility in a number of ways. Its communication efforts also address special needs of patients and their families, such as hearing or visual impairment or language interpretation.Information on hospital-based financial support policies and government programs are made available to patients during the pre-registration and registration processes through brochures, signage and direct contact with financial counselors, social workers / case managers and registration staff. Patient billing statements also inform patients that financial assistance is available. The Community Memorial Hospital website contains information regarding pricing, how to understand your hospital bill, and how to apply for Financial Assistance. Community Memorial Hospital has made financial assistance forms and information available in Spanish. Financial counselors screen uninsured patients for government program eligibility and social services staff are available to assist patients with enrollment processes. Patients who are uninsured, those covered by government programs and those with limited financial means may also be eligible for charity care or discounts through the Hospital's financial assistance program. Financial counselors make every effort to determine a patient's eligibility prior to or at the time of admission or service. However, determination for financial assistance can be made during any stage of the patient's stay after stabilization, or the collection cycle.
Part VI - Community Information	Since its founding in 1964 by the citizens of the community it serves, Community Memorial Hospital (CMH) has focused on the emerging healthcare and wellness needs of over 400,000 people in the three county region of Waukesha, Washington, and northwest Milwaukee Counties. The area served is generally suburban with an average income of $50,000-$99,999 and a large population on Medicare. There are three additional hospitals (ProHealth Care, Wheaton Franciscan, & Aurora) and one FQCH (Waukesha Community Health Center)serving the community.
Part VI - Community Building Activities	To promote the health of our communities, Community Memorial Hospital participates in numerous community building activities, which are not included elsewhere on Schedule H. These activities include:1) Economic Development: Participation in local chamber of commerce boards focused on economic development to improve the local economy and local job opportunities.2) Community Support: Participation in local emergency preparedness and youth focused coalitions to improve the communities ability to respond to an emergency and to improve the community environment for youth to set them up for greater success.3) Coalition Building: Participation in local community groups and coordination of fundraising for the local United Way Agencies to support others that are addressing health issues that are out of our scope.4) Community Health Improvement Advocacy: Participation in creating the Community Health Improvement Plan with the local health departments to increase collaborative work in our communities.5) Workforce Development: Diversity training and minority internship programs that recruit health professionals in our traditionally underserved communities to diversify our workforce population to better serve our communities.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	Community Memorial Hospitals community health improvement initiatives are targeted for the broad community, especially vulnerable populations (uninsured/underinsured) in the hospitals primary and secondary service areas. Community Memorial Hospitals mission is to advance the health of the communities we serve through exceptional care enhanced by innovation and discovery. The hospitals Community Outreach Steering Committee and Community Engagement staff prioritized community health improvement programs, activities and services that reflect the hospitals mission and scope of care: Access to Primary and Specialty Care, AODA/Mental Health, Chronic Disease Management and Prevention/Wellness.Drug CollectionAs part of our commitment to improve the quality of life in our community and address drug/heroin addiction in our communities, Community Memorial Hospital partnered with Waukesha County Drug Free Communities Coalition to host six drug collections since October 2009. At the collections, area residents dropped off 5,350 pounds of prescription and over-the-counter medications. Over 3,500 area households participated in the collections. This year alone, it took over 25 staff and 100 hours to make the collections possible. Flu ClinicsCommunity Memorial Hospital offers flu clinics for uninsured populations utilizing services at three food pantries and free clinic in Community Memorial Hospitals service area. During the fall of Fiscal Year 2014, 122 people were immunized at four locations with a community benefit value of over $3,000. Each of the clinics was staffed by hospital pharmacists and support staff who were certified by the state to administer immunizations.Athletic Trainer When athletes at Menomonee Falls and Germantown High Schools prepare to compete, there is a Certified Athletic Trainer with them every step of the way. This service is provided by experienced athletic trainers from Community Memorial Hospital.The trainers work at the school each day, working evenings as well as Saturdays to provide training room, practice and event coverage. They prepare athletes for their activities, which might include stretching, taping and treatment as needed. During Fiscal Year 2014, 1,025 students were served at the two high schools with a community benefit value of over $56,000. United Way Employee Giving Campaign Community Memorial Hospital collaborates with United Way of Waukesha County to address community needs in the areas of meeting basic needs, developing self-reliance, strengthening communities and community support. Community Memorial Hospital hosts an annual workplace giving campaign to support all local United Ways. Over 150 hours were spent coordinating the Fiscal Year 2014 campaign. In addition to an employee campaign, Community Memorial Hospital matches donations up to $10,000. Community Health & Wellness Initiative Community GardenCommunity Memorial Hospitals on-campus garden is providing produce to low-income populations residing in the hospitals service area that may not readily have access to fresh vegetables.A community health survey conducted by the hospital in 2012 identified a need for affordable and healthy nutrition options for patients utilizing services in the Community Outreach Health Clinic and clients of three area food pantries.The community garden is a great way to help those who have chronic conditions or access nutritious vegetables through the hospital's community partners. This falls harvest, which included tomatoes, cucumbers, zucchini, peppers and beans, was distributed directly to patients who use the Outreach Clinic and Sussex, Germantown and Menomonee Falls food pantry clients. In Fiscal Year 2014, over 1,300 pounds of produce was donated. Community Outreach Health ClinicThe Community Outreach Health Clinic is a facility where uninsured populations at or below 200% federal poverty level can seek free medical care. The clinic serves people who do not have medical insurance or the ability to pay for medical care. The clinic provides quality, limited medical care with dignity and confidentiality using the services of three part-time paid Nurse Practitioners and over 80 health care volunteers including, physicians, nurses, pharmacists, technicians and other professional staff. In Fiscal Year 2014, the clinic served 1,880 individuals.Community Health ScreeningsCommunity Memorial Hospital offers free blood pressure, skin cancer, prostate cancer and sports injury screenings. With the goal to empower people and the community to make better decisions and take actions to improve and maintain their health, our community health screenings provide much needed access to services for many of our community members. In Fiscal Year 2014, Community Memorial Hospital provided free health screenings for 209 people. Bobbie Nick Voss Colonoscopy ProgramCommunity Memorial Hospital has partnered with Bobbie Nick Voss Charitable Funds since 2008 to provide free colonoscopies to patients (age 50 and above) in the Community Outreach Health Clinic that show signs or symptoms of colorectal related health conditions. In Fiscal Year 2014, 18 patients received a colonoscopy at no cost.Living Well with Chronic ConditionsLiving Well with Chronic Conditions Workshop is a six week series that teaches individuals with chronic conditions to become better self-managers of their health. Topics covered include: techniques to deal with problems such as frustration, fatigue, pain and isolation; appropriate exercise for maintaining and improving strength, flexibility, and endurance; appropriate use of medications; communicating effectively with family, friends and health professionals; nutrition; decision making; and evaluating new treatments. The program is highly interactive and designed to enhance current treatment or disease specific education that patients are already receiving. Community Memorial Hospital offered two, six week workshops in Fiscal Year 2014 helping 27 individuals better manage their symptoms and live a healthier life.ACA Insurance Marketplace and Enrollment AssistanceFroedtert Health (parent company of Community Memorial Hospital) recognized the need to help individuals navigate the new choices available to them through the Affordable Care Acts Insurance Marketplace and Medicaid reforms. Our network of certified application counselors assisted 123 individuals in enrollment in Medicaid and 148 individuals into a Marketplace Insurance Plan. In addition, our certified application counselors answered thousands of phone calls and assisted with questions. Froedtert Health also partnered with the Milwaukee Enrollment Network which represented health systems, free clinics, health departments and other non-profit organizations to reach out to people throughout Milwaukee, Washington and Waukesha Counties in securing adequate and affordable health insurance. Leadership Volunteerism/Community SupportAs an indication of Community Memorial Hospitals executive teams commitment to the community, 75 hospital leaders provided more than 1,000 hours of support to local initiatives, not-for-profit organizations and community events that align with the hospitals mission and directly support identified community needs. Subsidized Transportation ProgramThe Subsidized Medical Transportation Program at Community Memorial Hospital contracts with local transportation organizations in order to provide transportation to and from the hospital service locations for ambulatory/non-ambulatory eligible patients (200% federal poverty level or below) who have difficulty arranging their own transportation and lack the financial resources to purchase transportation. In Fiscal Year 2014, Community Memorial Hospital provided 647 subsidized rides to 412 patients.Community Outreach Steering Committee GrantsCommunity Memorial Hospitals commitment includes grants to local not-for-profit organizations that support community health improvement efforts focused on access to primary care, chronic disease management, mental health and prevention and wellness in the hospitals service area. In 2014, seven local non-profit organizations received grants totaling $50,000 from the Community Outreach Steering Committee. Award recipients include: Citizen Advocates of Washington County (Mental Health/Access to Care) Community Outreach Health Clinic (Access to Care/Chronic Disease Management) NAMI Waukesha County (Mental Health/AODA) Safe Babies Health Families (Access to Care) Tri-County YMCA (Prevention and Chronic Disease Management) Valley View School PTO (Prevention and Wellness) Waukesha County Community Dental Clinic (Access to Care/Dental)Health Care Career AcademyThe Healthcare Career Academy provides qualified students entering their junior or senior year at Menomonee Falls High School, Germantown High School and Sussex Hamilton High School with the opportunity to expand their knowledge base as it relates to a wide array of professional healthcare career options. The th
Part VI - Affilated Health Care System Roles and Promotion	Affiliated Health SystemFroedtert & the Medical College of Wisconsin Community Memorial Hospital, founded in 1964 by the citizens of Menomonee Falls and surrounding communities, is a full-service hospital that specializes in cancer care, heart and vascular care, orthopaedics, womens health and advanced surgical procedures. Community Memorial Hospital is part of the Froedtert & the Medical College of Wisconsin health care network, which also includes Froedtert Memorial Lutheran Hospital, Milwaukee; St Josephs Community Hospital of West Bend; and more than 30 primary and specialty care health centers and clinics.For more information about Froedtert Health, visit www.froedterthealth.org.Promotion of Community HealthThe Community Outreach Steering Committee (COSC), which is a subcommittee of the hospitals Board of Directors, actualizes the mission of Community Memorial Hospital through community benefit activities that improve the quality of life and enhance wellness resources, which meet identified comprehensive health needs of the communities served. The COSC is appointed annually by the hospital president and is advisory to the Community Memorial Hospital Board and Administration. Membership appointments are made each June with members serving one year terms. The COSC meets quarterly and is composed of hospital and board representatives, plus community members representing the various constituencies of the total service area. Functions include: Provide a leadership role in advocating community wide responses to health care needs in the community. Facilitate and support community and health care partnerships. Envision, assess and guide new community benefit opportunities. Identify and describe unmet health needs. Promote universal access to health care. Determine allocation of the Community Outreach Services Fund, which awards $50,000 annually towards area non-profits efforts to improve health disparities focused on Access to Care, Mental Health/AODA, Chronic Disease Management and Prevention and Wellness in the communities Community Memorial Hospital serves.Addressing Needs Through Targeted OutreachCommunity Memorial Hospital develops and executes community outreach programming and activities based on identified community health needs. Since 1990, Community Memorial Hospital conducts needs assessments every three years in order to determine priorities and strategies in addressing community health disparities. Every needs assessment cycle, Community Memorial Hospital Community Engagement staff along with the hospitals COSC develops a Community Health Improvement Plan that is incorporated into the hospitals overall strategic plan to address the most critical needs in the communities we serve. The plan is reviewed annually by the COSC. Community Memorial Hospital Community Outreach staff, leaders and external community partners work collaboratively to develop key goals and strategies to address community health needs. Progress towards community outreach programs/activities and goals are reported quarterly through the COSC, Physician Advisory Council, Leadership Meetings and the Board of Directors. Based on the results from the 2012 Community Health Needs Assessment, programs and activities are focused around the following identified health needs: Access to Primary and Specialty Care AODA Chronic Disease Management Prevention and WellnessFor more information on specific community outreach efforts, please refer to the 2014 Community Benefit Report by going to http://www.froedtert.com/upload/docs/giving/community-benefit/community-benefit-report.pdf Froedtert Health is comprised of Froedtert Hospital in Milwaukee County, Community Memorial Hospital in Waukesha County and St. Josephs Hospital in Washington County, along with our affiliated physician group that practice at satellite clinics around each hospital. Community Memorial Hospital has several independent physicians with privileges to care for patients in our facility. Community Memorial Hospital has an open medical staff and physicians must go through the credentialing process and apply for privileges. CMH has exclusivity rights for certain departments in the hospital, such as Radiology, Emergency and Anesthesia services. Froedtert, Community Memorial and St. Josephs Hospitals made significant investments in the health of their communities. Patients who couldnt pay for their medical care received more than $85 million in uncompensated services. Beyond providing care for the poor, we contributed $72.9 million to improve access to care, teach future healthcare professionals, develop new medical therapies and participate in local partnerships aimed at reducing health disparities.Froedtert Health members develop community benefit strategies and goals based on the unique needs of each of their communities. By conducting regular community needs assessments that monitor critical public health issues, and actively seeking community input, the hospitals have built important local relationships that provide meaningful outreach programs that link each hospital to their neighbors and patients. As a not-for-profit health system, Froedtert Health reinvests its surplus funds back into the community through programs to serve the poor and uninsured, teach future healthcare professionals, develop new medical therapies, manage chronic conditions like diabetes, health education and promotion initiatives, and participate in local partnerships aimed at reducing health disparities. For more information about Froedtert Health, visit www.froedtert.com.
Part VI - States Where Community Benefit Report Filed	WI
Part V - Explanation of Number of Facility Type	Community Memorial Hospital is the only facility listed under this reporting of the IRS Form 990, Schedule H.
Part VI - Additional Information	Community Benefit Data is reported annually to the Wisconsin Hospital Association.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
Community Outreach Health Clinic
W180 N8085 Town Hall Road	Menomonee Falls	WI	53051	391743056	$25,000	$0	Support operations of clinic
Other Grants 5000
9200 W Wisconsin Avenue	Milwaukee	WI	53226		$25,042	$0	Various
United Way of Waukesha County
PO Box 1041	Waukesha	WI	53187	390886376	$10,000	$0	Support organizations mission

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	Organizations submit grant requests to the Community Outreach Steering Committee (the Committee). On a quarterly basis the fund allocations are determined. Each organization selected for funds receives an award letter detailing the expectations and conditions of the grant money. In order to comply with applicable tax laws, regulations and the Community Outreach Services Fund policy, the Community Outreach Services Fund will provide grant support to organizations with the understanding that:1) Grant funds distributed will be used only for the purposes designated in the award letter.2) No funds will be used for any political campaign or to support attempts to influence legislation of any governmental body. 3) If the organization loses exempt status, any unexpended funds will be returned to the Community Outreach Steering Committee.4) Adequate accounting records of the expenditures of funds will be maintained by the organization.5) This is a one time grant distribution. Future funding requests will be considered on a case by case basis. In addition, the Committee includes a Final Report Form with each organizations award letter. The form requires the organization to provide a brief description of the activity and measurable outcomes/benefits, an expenditure report, follow up actions to the Committees recommendations, and future plans. The Committee requests that each organization submit the Final Report Form to the Committee within thirty days after the completion of the project for which the funds were intended or within a maximum of one year from the receipt of funds.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
Ehn Diane
VP Qlty & Perf Exc	$141,475	$44,757	$649	$24,183	$15,676	$226,740
Ericson Allen
Chief Operating Officer							$309,279	$69,156	$26,903	$61,417	$26,943	$493,698
Evenson Rock E
VP Pln & Prg Dvlp	$149,271	$56,931	$18,754	$28,210	$24,280	$277,446
Goldberg MD David F
Dir,VP Med Afrs	$264,593	$94,728	$18,627	$42,000	$28,981	$448,929
Hawig Scott
FH CFO							$490,031	$193,593	$27,656	$87,175	$26,551	$825,006
Jacobson Catherine A
Dir,FH Pres/CEO							$788,962	$374,772	$1,518	$202,750	$30,107	$1,398,109
Lux Theresa M
Dir,VP Pt Care	$198,228	$67,789	$18,490	$33,950	$9,987	$328,444
McClure Debra
Nurse Anesthetist	$271,971		$15,896	$5,875	$11,510	$305,252
Newkirk Garret
Pharmacist	$160,055	$13,950	$303	$9,172	$24,106	$207,586
Pollard Dennis
Dir&President							$422,777	$225,557	$25,580	$96,089	$27,359	$797,362
Sanders Paul A
Sr VP, Clncl Srvcs	$212,136	$99,788	$8,551	$14,714	$20,144	$355,333
VanDeKreeke Jeffrey
Former - Officer (CFO)							$287,555	$98,578	$19,322	$60,000	$11,772	$477,227

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.	Housing:Hawig, Scott - $39,106Social club dues:Pollard, Dennis - $662Gross up social club dues:Pollard, Dennis - $400
Part I, Line 7: Non-Fixed payments not listed above	Certain management employees participate in an incentive compensation plan that includes some non-fixed elements. Upon the attainment of a certain financial threshold, incentive compensation is available for meeting identified goals in the areas of financial performance, operational efficiencies, quality improvements, customer satisfaction, strategic growth and partnership initiatives. In some cases the determination of whether a goal is met is absolute while others require a certain amount of discretion to determine if goal is met. In addition, the incentive compensation includes a purely discretionary component.
Part III, Additional Information	Part II, Column (B)(ii): Bonus and incentive compensation amounts include incentive compensation and amounts paid to individuals in lieu of participation in 457(f) deferred compensation plans.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	WI Renal Care Grou	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	See Part V	RelationshipDescriptionTxt
Transaction	$355,196	TransactionAmt
Transaction	Dialysis services	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	WI Renal Care Group: Former CMH Officer Jeff Van De Kreeke was on Interested Person's management committee.	ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Stone/Calendars/Misc Items	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$26,580	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Donor's FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail (3 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc	DistributionDistributionDt	Fair Market Value Of AssetFairMarketValueOfAssetAmt	Method Of FMV DeterminationMethodOfFMVDeterminationTxt	EINEIN	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	IRC SectionIRCSectionTxt
Froedtert Health Inc
Long Term Investments & Restricted Assets	2013-07-01	$127,918,322	Balance Sheet Basis	392014409	9200 W Wisconsin Avenue	Milwaukee	WI	53226	501(c)(3)
Froedtert Health Inc
Net Long Term Debt	2013-07-01	-$55,488,753	Balance Sheet Basis	392014409	9200 W Wisconsin Avenue	Milwaukee	WI	53226	501(c)(3)
Froedtert Health Inc
Swap Liability	2013-07-01	-$4,558,617	Balance Sheet Basis	392014409	9200 W Wisconsin Avenue	Milwaukee	WI	53226	501(c)(3)

Field	Value	IRS element (for citing)
Director Of Successor2	false	DirectorOfSuccessor2Ind
Employee Of Successor2	false	EmployeeOfSuccessor2Ind
Owner Of Successor2	false	OwnerOfSuccessor2Ind
Receive Compensation2	false	ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sch N, Part III, Additional Information	FormAndLineReferenceDesc
Explanation	Effective July 1, 2013, Froedtert Health Inc., the parent corporation of Community Memorial Hospital, adopted an internal accounting policy for certain balance sheet and income statement matters that are centrally managed at the parent corporation. The policy states that assets and liabilities related to centrally managed programs will be accounted for on the parent corporations consolidated balance sheet and will not be allocated to any affiliate balance sheets. Community Memorial Hospital implemented the new policy effective July 1, 2013 and has transferred all centrally managed assets and liabilities resulting in the disclosure on Schedule N. The charitable operations of Community Memorial Hospital were not impacted by this accounting change.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services Description	OTHER PROGRAM SERVICES 4: As part of operating an acute care hospital and providing health care services to the community, other revenue is derived in the following areas:Corporate Allocated Revenue - revenue passed through from Froedtert Health, a related party.Other Department Operating Revenue - revenue derived from different services through the process of providing patient care and in the normal operation of a medical facility. Included in this category are items such as intercompany revenue from medical and administrative services provided to the other Froedtert Health entities, meaningul use revenue, medical staff application fees, and revenue from classes, pump rentals, and other wellness services.Investment Income - revenue derived from investments in affiliates (Menomonee Falls Ambulatory Surgery Center, Vanguard Health Services, & Community Memorial Foundation).
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	Scott Hawig, Catherine Jacobson, Robert Pieters, Dennis Pollard, Daniel Hart, Sharon Ellis, Susan Templin, and Ronald Bast all have business relationships.
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents	Articles of Incorporation and Bylaws were amended and restated to reflect termination of definitive agreement that created original health care system.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	Froedtert Health, Inc. is the sole member of Community Memorial Hospital of Menomonee Falls, Inc.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	Froedtert Health, Inc., as the member of Community Memorial Hospital of Menomonee Falls, has the final approval of election of all board members.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Froedtert Health, Inc., as the sole member of Community Memorial Hospital of Menomonee Falls, Inc., retains certain reserved powers and authorities with respect to specific governance matters, and strategic and mission-related initiatives of Community Memorial Hospital.
Form 990, Part VI, Line 11b: Form 990 Review Process	Froedtert Health, Inc. accounting staff prepare Form 990 which is reviewed by the Froedtert Health financial leaders and legal counsel. The 990 is then reviewed by KPMG, Froedtert Health's outside accounting firm. Next, the 990 is provided to the Froedtert Health Finance Committee and Board of Directors. Finally, the 990 is filed as required.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	On an annual basis all officers, directors, trustees, key employees are required to complete a conflict of interest disclosure statement. The data is compiled, and the Froedtert Health Vice President-Chief Compliance Officer (CCO), the Senior Vice-President-General Counsel and/or delegate will review all forms and notifications to determine if any conflicts of interest exist in the disclosure documents. If it is determined that a conflict of interest exists, then the person making the disclosure shall be relieved of his/her obligations on behalf of Community Memorial Hospital with respect to the transaction or arrangement that creates the conflict of interest. A report of all conflicts of interest will be made by the CCO at least annually to the Froedtert Health Finance Committee of the Board of Directors.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	Compensation of Top Management is paid by a related organization but a review is performed. In establishing the compensation of the organization's Top Management, independent compensation consultants are utilized, compensation studies are completed to gather comparative data, persons with a conflict of interest regarding the compensation arrangements at issue are not involved in the decision making process, and amounts are reviewed and approved by the Compensation Committee of the FH (the related organization) Board of Directors.In addition, there is contemporaneous documentation and recordkeeping for deliberations and decisions regarding the compensation arrangements.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Froedtert Health, Inc's quarterly financial information is made available to the public online through the Digital Assurance Corporation, Inc. website. Anyone can register to receive ongoing access to and notifications regarding financial statements at the online website. Additionally, Governing Documents and Conflict of Interest Policy are made available to the public through the corporate office upon request.
Other Changes In Net Assets Or Fund Balances - Other Decreases	Capital Contributions = -$2791896
Other Changes In Net Assets Or Fund Balances - Other Decreases	Change in APB other than net periodic benefit = -$5784931
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in Foundation Restricted Net Assets = $438241
Other Changes In Net Assets Or Fund Balances - Other Decreases	Change in Foundation unrestricted net assets = -$210939
Other Changes In Net Assets Or Fund Balances - Other Increases	Other = $25239
Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfer to affiliates = -$70000000
Part IX 24a Corporate Allocations	Froedtert Health allocates its revenues and expenses to Froedtert Memorial Lutheran Hospital, Community Memorial Hospital of Menomonee Falls, St. Joseph's Community Hospital, and Froedtert & The Medical College of Wisconsin Community Physicians. The allocation is calculated by applying an allocation metric to each accounting unit at Froedtert Health, including a flat percentage, percentage of gross revenue to total, percentage of supply expense to total, etc. Each entity then receives its portion of the Froedtert Health allocation on a monthly basis.
Part VII - Section A 1a Columns C-F	Individuals listed as 'former' but receiving compensation during the year is due to the fact the individual is currently, or was during the tax year, still employed by the organization, but is no longer in the role of director, officer, key employee, etc. in the current year. Such individual was reported as such on the organization's 990 in the previous five years.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Inception Health LLC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9200 W Wisconsin Avenue	AddressLine1
City	Milwaukee	City
State	WI	State
ZIP Code	53226	ZIPCode

Field	Value	IRS element (for citing)
EIN	202636740	EIN
Primary Activities	Healthcare Services	PrimaryActivitiesTxt
Legal Domicile State	WI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Froedtert Health Inc	BusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
Froedtert Health Inc
9200 West Wisconsin Avenue	Milwaukee	WI	532263596	392014409	Management Services	WI	501(c)(3)	Ln 11, Type 111	NA	false
Community Outpatient Health Services
W180 N8085 Town Hall Road	Menomonee Falls	WI	53051	391743056	Outpatient Medical and Dental Services	WI	501(c)(3)	3	Community Memorial Hospital of MF	Yes (true)
Community Memorial Foundation
W180 N8085 Town Hall Road	Menomonee Falls	WI	53051	391635057	Health and Welfare promotion	WI	501(c)(3)	Ln 11, Type 1	Community Memorial Hospital of MF	Yes (true)
Froedtert Memorial Lutheran Hospital Inc
9200 West Wisconsin Avenue	Milwuakee	WI	532263522	396105970	Hospital	WI	501(c)(3)	3	Froedtert Health Inc	false
St Josephs Community Hospital Inc
3200 Pleasant Valley Road	West Bend	WI	530953868	390806302	Hospital Care Services	WI	501(c)(3)	3	Froedtert Health Inc	false
St Josephs Community Foundation Inc
3200 Pleasant Valley Road	West Bend	WI	530953868	392034296	Health and welfare promotion	WI	501(c)(3)	Ln 11, Type 1	St Josephs Comm Hosp of West Bend Inc	false
Froedtert Hospital Foundation Inc
9200 West Wisconsin Avenue	Milwaukee	WI	532263596	391431192	Health, welfare, research & educ promo	WI	501(c)(3)	Ln 11, Type 1	Froedtert Memorial Lutheran Hospital Inc	false
QHS 1 Inc
19601 W Bluemound Rd	Brookfield	WI	53045	202636686	Healthcare Services	WI	501(c)(3)	Ln 11, Type 1	Froedtert Health Inc	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part V, Line 2	FormAndLineReferenceDesc
Explanation	Any transactions listed on Schedule R, Part V, Line 1 and not on Schedule R, Part V, Line 2 are between related 501(c)(3) organizations and therefore, are not reported in this section.	ExplanationTxt