COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC (EIN 39-0987025)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-08
IRS object ID: 201411289349300431
Schema version: 2012v2.0
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 D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-08T11:19:49-07:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	390987025	EIN

Name Name

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)
Name Control	COMM	NameControl
Phone	4147770960	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Scott R Hawig	Name
Title	CFO	Title
Date Signed	2014-05-08	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Catherine A Jacobson	NameOfPrincipalOfficerPerson
Gross Receipts	256954355	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.froedtert.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1959	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	Community Memorial Hospital advances the health of the communities we serve through exceptional care enhanced by innovation and discovery.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	1478	TotalNbrEmployees
Total Nbr Volunteers	235	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	177422513	ProgramServiceRevenuePriorYear
Program Service Revenue CY	178272452	ProgramServiceRevenueCY
Investment Income Prior Year	5935742	InvestmentIncomePriorYear
Investment Income Current Year	6461842	InvestmentIncomeCurrentYear
Other Revenue Prior Year	22078021	OtherRevenuePriorYear
Other Revenue Current Year	10155074	OtherRevenueCurrentYear
Total Revenue Prior Year	205436276	TotalRevenuePriorYear
Total Revenue Current Year	194889368	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	50000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	49964	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	64494413	SalariesEtcPriorYear
Salaries Etc Current Year	67273584	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	242235	TotalFundrsngExpCurrentYear
Other Expense Prior Year	118794930	OtherExpensePriorYear
Other Expenses Current Year	109874721	OtherExpensesCurrentYear
Total Expenses Prior Year	183339343	TotalExpensesPriorYear
Total Expenses Current Year	177198269	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	22096933	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	17691099	RevenuesLessExpensesCY
Total Assets BOY	308290602	TotalAssetsBOY
Total Assets EOY	321723931	TotalAssetsEOY
Total Liabilities BOY	170021753	TotalLiabilitiesBOY
Total Liabilities EOY	135901625	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	138268849	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	185822306	NetAssetsOrFundBalancesEOY
Mission Description	Community Memorial Hospital advances the health of the communities we serve through exceptional care enhanced by innovation and discovery.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	82718239	Expense
Revenue	103167715	Revenue
Description	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 8,663 patient admissions and 40,390 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, 2013.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 2013, Community Memorial had 16,555 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 you 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 2013, Community Memorial had 695 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 NICU has the technology needed to provide long-term care for babies. During fiscal year 2013, Community Memorial had 1,010 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: 3,480 Laboratory Tests: 377,209 CT Scans: 3,808 MRIs: 608 Nuclear Medicine Scans: 381 Ultrasounds: 1,892	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	50469920	Expense
Revenue	62947016	Revenue
Description	Outpatient Services:Community Memorial had 95,989 outpatient visits in the twelve months ended June 30, 2013. 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	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	9747868	Expense
Revenue	12157721	Revenue
Description	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 2013, the emergency department had 20,747 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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	142936027	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	200	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1478	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	David Dirksmeyer	NamePerson
Telephone Number	4147770960	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Stadelmann Douglas J
Dir&Secretary	1.00	0.00	X	X	0	0	0
Pollard Dennis
Dir&President	1.00	46.00	X	X	0	553415	111706
Pieters Robert B
Dir&Chair	1.00	1.00	X	X	0	0	0
Bast Ronald R
Dir&Vice Chair	1.00	2.00	X	X	0	0	0
White MD Michael G
Director	1.00	0.00	X		0	0	0
Turtenwald Robyn
Director	1.00	0.00	X		0	0	0
Templin Susan
Director	1.00	1.00	X		0	0	0
Specht-Palmert Christine
Director	1.00	0.00	X		0	0	0
Shepherd MD Dennis W
Executive Dir.	1.00	0.00	X		0	0	0
Nelson Eric
Director	1.00	0.00	X		0	0	0
Mays Cedric
Director	1.00	0.00	X		0	0	0
Lux Theresa M
Dir,VP Pt Care	50.00	1.00	X		247668	0	39985
Jacobson Catherine A
Dir,FH Pres/CEO	1.00	50.00	X		0	1001826	179860
Hart Daniel
Dir/Treasurer	1.00	1.00	X		0	0	0
Hackett MD James G
Director	1.00	0.00	X		0	0	0
Goldberg MD David F
Dir,VP Med Afrs	50.00	0.00	X		346084	0	66474
Fitzgerald Mark
Director	1.00	0.00	X		0	0	0
Ellis Sharon Q
Director	1.00	1.00	X		0	0	0
Borden Susan
Director	1.00	0.00	X		0	0	0
Becker Richard C
Director	1.00	1.00	X		0	0	0
Aggarwal Anil MD
Director	1.00	0.00	X		0	0	0
Knoll Thomas
Treasurer	1.00	41.00		X	0	152361	35101
Van De Kreeke Jeffrey
FH CFO	1.00	50.00		X	0	428725	85514
Hawig Scott
FH CFO	1.00	50.00		X	0	229597	10354
Ehn Diane
VP Qlty & Perf Exc	40.00	0.00			162789	0	37694	X
Evenson Rock E
VP Pln & Prg Dvlp	50.00	0.00			209370	0	52682	X
Freiberg Kerry J
VP Extrnl Affairs	50.00	1.00			206356	0	40598	X
McClure Debra
Nurse Anesthetist	50.00	0.00			273137	0	18052	X
Sanders Paul A
Sr VP, Clncl Srvcs	50.00	0.00			304710	0	36109	X
Unger Michael
Former - Officer (VP)	0.00	40.00			0	240775	16131		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1750114	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2606699	TotalReportableCompFrmRltdOrgs
Total Other Compensation	730260	TotalOtherCompensation
Number Individuals GT100 K	74	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Von Briesen & Roper
411 E Wisconsin Ave Ste 700	Milwaukee	WI	53201	Legal	1086848
United Dynacare
9200 W Wisconsin Ave	Milwaukee	WI	53226	Lab	752803
Medical Staffing Network
901 Yamato Rd Suite 110	Boca Raton	FL	33431	Staffing	587563
Medical College of WI
8701 Watertown Plank	Milwaukee	WI	53206	Physicians & Medical	6176730
Critical Care Solutions
N74W12501 Leatherwood Ct	Menomonee Falls	WI	53051	Virtual ICU	345518

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	14	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Outpatient Revenue	900099	62947016	62947016
Inpatient Revenue	900099	103167715	103167715
Emergency/Trauma Revenue	900099	12157721	12157721

Field	Value	IRS element (for citing)
Total Program Service Revenue	178272452	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4684752	TotalRevenueColumn
Related Or Exempt Function Income	1442436	RelatedOrExemptFunctionIncome
Exclusion	$3,242,316	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	10232	TotalRevenueColumn
Exclusion	$10,232	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

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

Net Rental Income Or Loss NetRentalIncomeOrLoss

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	63774918	Securities
Other	3258	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	61885433	Securities
Other	125885	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1889485	Securities
Other	-122627	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1766858	TotalRevenueColumn
Exclusion	$1,766,858	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	99203	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	53669	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	45534	TotalRevenueColumn
Exclusion	$45,534	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Other Dept Operating Rev	561499	3709677	3709677
Corporate Allocated Rev	561000	3556243	3556243
Claims & Settlements	900099	1725000	1725000

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1118620	TotalRevenueColumn
Exclusion	$1,118,620	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	10109540	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	194889368	TotalRevenueColumn
Related Or Exempt Function Income	188705808	RelatedOrExemptFunctionIncome
Exclusion	$6,183,560	ExclusionAmount

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

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	49964	Total
Program Services	49964	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	724227	Total
Management And General	724227	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	62067835	Total
Program Services	58030153	ProgramServices
Management And General	3875712	ManagementAndGeneral
Fundraising	161970	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	119539	Total
Program Services	110645	ProgramServices
Management And General	8583	ManagementAndGeneral
Fundraising	311	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4361983	Total
Program Services	4037452	ProgramServices
Management And General	313190	ManagementAndGeneral
Fundraising	11341	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	293700	Total
Program Services	293700	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	-264512	Total
Program Services	-393373	ProgramServices
Management And General	128861	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	11155858	Total
Program Services	9488273	ProgramServices
Management And General	1667585	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	91882	Total
Program Services	2199	ProgramServices
Management And General	89683	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1319341	Total
Program Services	478606	ProgramServices
Management And General	831851	ManagementAndGeneral
Fundraising	8884	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	492783	Total
Program Services	136997	ProgramServices
Management And General	355746	ManagementAndGeneral
Fundraising	40	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3536417	Total
Program Services	2903820	ProgramServices
Management And General	627356	ManagementAndGeneral
Fundraising	5241	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	89493	Total
Program Services	41142	ProgramServices
Management And General	48125	ManagementAndGeneral
Fundraising	226	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	148900	Total
Program Services	122900	ProgramServices
Management And General	25700	ManagementAndGeneral
Fundraising	300	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2397435	Total
Program Services	1968580	ProgramServices
Management And General	425302	ManagementAndGeneral
Fundraising	3553	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	7852615	Total
Program Services	6447934	ProgramServices
Management And General	1393044	ManagementAndGeneral
Fundraising	11637	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7477	Total
Program Services	7477	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Miscellaneous	3779138	3620326	157250	1562
State Hospital Assessment	5293260	5293260
Medical Supplies	32782342	32635966	142989	3387
Corporate Allocated Expense	40898592	17660006	23204803	33783

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	177198269	Total
Program Services	142936027	ProgramServices
Management And General	34020007	ManagementAndGeneral
Fundraising	242235	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	7295	BOY
EOY	7125	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	21754257	BOY
EOY	26309775	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	24095637	BOY
EOY	22202533	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	20000	BOY
EOY	20000	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4149959	BOY
EOY	3877301	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2126284	BOY
EOY	1630172	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	181038606	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	95737925	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	81377017	BOY
EOY	85300681	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	124482090	BOY
EOY	127899248	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	50278063	BOY
EOY	54477096	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	308290602	BOY
EOY	321723931	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	8803747	BOY
EOY	10485948	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	5940	BOY
EOY	4199	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	63386192	BOY
EOY	55729972	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	97825874	BOY
EOY	69681506	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	170021753	BOY
EOY	135901625	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	137302778	BOY
EOY	184547067	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	966071	BOY
EOY	1275239	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	138268849	BOY
EOY	185822306	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	308290602	BOY
EOY	321723931	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	17691099	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	8246910	ReconciliationUnrealizedInvest
Reconcilation Other Changes	21615448	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4688829	BeginningOfYearBalance
Contributions	379734	Contributions
Investment Earnings Or Losses	440545	InvestmentEarningsOrLosses
Grants Or Scholarships	397266	GrantsOrScholarships
Other Expenditures	6595	OtherExpenditures
End Of Year Balance	5105247	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4674956	BeginningOfYearBalance
Contributions	265167	Contributions
Investment Earnings Or Losses	80003	InvestmentEarningsOrLosses
Grants Or Scholarships	321940	GrantsOrScholarships
Other Expenditures	9357	OtherExpenditures
End Of Year Balance	4688829	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4094065	BeginningOfYearBalance
Contributions	1398548	Contributions
Investment Earnings Or Losses	623704	InvestmentEarningsOrLosses
Grants Or Scholarships	374633	GrantsOrScholarships
Other Expenditures	1066388	OtherExpenditures
Administrative Expenses	340	AdministrativeExpenses
End Of Year Balance	4674956	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3166213	BeginningOfYearBalance
Contributions	904863	Contributions
Investment Earnings Or Losses	384524	InvestmentEarningsOrLosses
Grants Or Scholarships	304571	GrantsOrScholarships
Other Expenditures	56965	OtherExpenditures
Administrative Expenses	-1	AdministrativeExpenses
End Of Year Balance	4094065	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3670185	BeginningOfYearBalance
Contributions	484004	Contributions
Investment Earnings Or Losses	-466270	InvestmentEarningsOrLosses
Grants Or Scholarships	353150	GrantsOrScholarships
Other Expenditures	168686	OtherExpenditures
Administrative Expenses	-130	AdministrativeExpenses
End Of Year Balance	3166213	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	80711	OtherCostOrOtherBasis
Book Value	80711	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	102365113	OtherCostOrOtherBasis
Depreciation	44055728	Depreciation
Book Value	58309385	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1987540	OtherCostOrOtherBasis
Depreciation	1686077	Depreciation
Book Value	301463	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	34208216	OtherCostOrOtherBasis
Depreciation	24067118	Depreciation
Book Value	10141098	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	42397026	OtherCostOrOtherBasis
Depreciation	25929002	Depreciation
Book Value	16468024	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	85300681	TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescription	Book ValueBookValue
Swap Collateral	17261
Senior Management Deferred Compensation	655183
Rounding	1
Froedtert Health Executive 457f	350174
Executive Deferred Compensation	90104
Due from Affiliates	3559210
Collateral held for securties loaned	37466283

Field	Value	IRS element (for citing)
Total Book Value Other Assets	54477096	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
Swap mark to market	$4,558,617
Pension Liability	$26,898,088
Payable under securities lending agreeme	$37,466,283
Estimated Settlements Due to 3rd Parties	$175,957
Due to Affiliates	$582,561

Field	Value	IRS element (for citing)
Total Of Amounts	69681506	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part X	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, 2013 and 2012, FH does not have an asset or liability recorded for unrecognized tax positions.
Part V, Line 4	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.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agreement Ref Fundraising	false	AgreementRefFundraising

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Cheery Cherry Fall Fair	NameOfEvent1
Gross Receipts Event1	40517	GrossReceiptsEvent1
Gross Revenue Event1	40517	GrossRevenueEvent1
Rent Facility Costs Event1	4855	RentFacilityCostsEvent1
Food And Beverage Event1	2892	FoodAndBeverageEvent1
Entertainment Event1	450	EntertainmentEvent1
Other Direct Expenses Event1	10154	OtherDirectExpensesEvent1
Name Of Event2	Otis Spunkmeyer Cookies	NameOfEvent2
Gross Receipts Event2	35045	GrossReceiptsEvent2
Gross Revenue Event2	35045	GrossRevenueEvent2
Food And Beverage Event2	13541	FoodAndBeverageEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	19706	GrossReceiptsOtherEvents
Gross Revenue Other Events	19706	GrossRevenueOtherEvents
Food And Beverage Other Events	5026	FoodAndBeverageOtherEvents
Other Direct Expenses Other Events	9725	OtherDirectExpensesOtherEvents
Gross Receipts Total	95268	GrossReceiptsTotal
Gross Revenue Total Events	95268	GrossRevenueTotalEvents
Rent Facility Costs Total Events	4855	RentFacilityCostsTotalEvents
Food And Beverage Total Events	21459	FoodAndBeverageTotalEvents
Entertainment Total Events	450	EntertainmentTotalEvents
Other Direct Expenses Total Events	19879	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	46643	DirectExpenseSummaryEvents
Net Income Summary	48625	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1360676	TotalCommunityBenefitExpense
Net Community Benefit Expense	1360676	NetCommunityBenefitExpense
Percent Of Total Expense	0.00770	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13775472	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6009737	DirectOffsettingRevenue
Net Community Benefit Expense	7765735	NetCommunityBenefitExpense
Percent Of Total Expense	0.04380	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15136148	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6009737	DirectOffsettingRevenue
Net Community Benefit Expense	9126411	NetCommunityBenefitExpense
Percent Of Total Expense	0.05150	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	46	NumberOfActivitiesOrPrograms
Persons Served	9724	PersonsServed
Total Community Benefit Expense	1457740	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15084	DirectOffsettingRevenue
Net Community Benefit Expense	1442656	NetCommunityBenefitExpense
Percent Of Total Expense	0.00810	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	535	PersonsServed
Total Community Benefit Expense	598621	TotalCommunityBenefitExpense
Net Community Benefit Expense	598621	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Persons Served	2131	PersonsServed
Total Community Benefit Expense	284068	TotalCommunityBenefitExpense
Net Community Benefit Expense	284068	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	65	NumberOfActivitiesOrPrograms
Persons Served	12390	PersonsServed
Total Community Benefit Expense	2340429	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15084	DirectOffsettingRevenue
Net Community Benefit Expense	2325345	NetCommunityBenefitExpense
Percent Of Total Expense	0.01310	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	65	NumberOfActivitiesOrPrograms
Persons Served	12390	PersonsServed
Total Community Benefit Expense	17476577	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6024821	DirectOffsettingRevenue
Net Community Benefit Expense	11451756	NetCommunityBenefitExpense
Percent Of Total Expense	0.06460	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	3076	TotalCommunityBuildingExpense
Net Community Building Expense	3076	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	10587	TotalCommunityBuildingExpense
Net Community Building Expense	10587	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	1440	PersonsServed
Total Community Building Expense	30877	TotalCommunityBuildingExpense
Net Community Building Expense	30877	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	11546	TotalCommunityBuildingExpense
Net Community Building Expense	11546	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	178	PersonsServed
Total Community Building Expense	133932	TotalCommunityBuildingExpense
Net Community Building Expense	133932	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	1618	PersonsServed
Total Community Building Expense	190018	TotalCommunityBuildingExpense
Net Community Building Expense	190018	NetCommunityBuildingExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$8,577,230	BadDebtExpenseAmount
Amount Reimbursed By Medicare	66262771	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	80093808	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-13831037	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

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	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Field	Value	IRS element (for citing)
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	true	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
Other Needs Addressed	X	OtherNeedsAddressed
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
File Form4720 Report Excise Tax	false	FileForm4720ReportExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.0000	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.0000	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Uninsured Discount	X	UninsuredDiscount
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part VI - Additional Information	Community Benefit Data is reported annually to the Wisconsin Hospital Association.
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 - States Where Community Benefit Report Filed	WI
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 (CMH) 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 Community Outreach Steering Committee is appointed annually by the hospital president and is advisory to the CMH 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 CMH serves.Community Memorial Hospital has an open Medical Staff with the exception of some departments having contracted exclusivity services. 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. In Fiscal year 2013, Froedtert Memorial Lutheran Hospital, Community Memorial Hospital of Menomonee Falls and St. Josephs Community Hospital of West Bend made significant investments in the health of their communities. Patients who couldnt pay for their medical care received more than $80.3 million in uncompensated services. Beyond providing care for the poor, we contributed $74.5 million to improve access to care, teach future healthcare professionals, develop new medical therapies and participate in local partnerships aimed at reducing health disparities. Addressing Needs Through Targeted Outreach:Community Memorial Hospital develops and executes community outreach programming and activities based on identified community health needs. Since 1990, CMH conducts needs assessments every three years in order to determine priorities and strategies in addressing community health disparities. Every needs assessment cycle, CMH Community Outreach staff along with the hospitals Community Outreach Steering Committee develops a community health improvement plan which 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 Community Outreach Steering Committee. CMH 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 Community Outreach Steering Committee 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 2013 Community Benefit Report by going to www.froedterthealth.org/community-memorial-benefit-report.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	Community Memorial Hospital provides healthy community initiatives that support the community. These initiatives include but are not limited to the following:Drug Collection:As part of our commitment to improve the quality of life in our community, Community Memorial Hospital partnered with Waukesha County Drug Free Communities Coalition to host five drug collections since October 2009. At the collections, area residents dropped off over 4,000 pounds of prescription and over-the-counter medications. Close to 3,000 area households participated in the collections. This year alone it took over 35 staff close to 300 hours to make the collections possible. Flu Clinics: Community Memorial Hospital offers flu clinics for the public as part of its commitment to keep the community healthy. During the fall of FY13, 93 people were immunized at four locations with a community benefit value of over $4,000. Each of the clinics was staffed by hospital pharmacists who were certified by the state to give immunizations.Every 15 MinutesSpeeding, recklessness and drug or alcohol use are common risk factors among children and teens killed in motor vehicle and transport crashes, according to the Wisconsin Child Death Review Council. Changes in behavior can help prevent death and injury from vehicle crashes, one of the top five causes of preventable death in Wisconsin children.To drive home a powerful message about the consequences of drinking and driving and to help prevent death from drunk driving crashes, Community Memorial Hospital collaborates with the Germantown Police Department and Germantown High School in the Every 15 Minutes program. The program involves not only a mock crash but multiple scenarios that are videotaped by high school students and presented at a moving and emotional assembly at school the next day. The hospital has been part of the Every 15 Minutes program since 2010, as the receiving hospital for mock crash victims arriving by local EMS ambulance and Flight for Life. The Emergency Care Center provides staffing to treat the mock victims in a realistic way. Physicians, nurses, EMTs, technicians and other staff are involved. Hospital staff are also involved in the planning and communications. In a safe and caring way, the program confronts high school students with the real-life consequences of drunk driving and has been positively received by students and community. 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 the athlete for their activities, which might include stretching, taping and treatment as needed. During FY13, 1000 students were served at the two high schools with a community benefit value of over $105,000. 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 200 hours were spent coordinating the FY13 campaign. In addition to an employee campaign, Community Memorial Hospital matches donations up to $10,000. Community Health & Wellness Initiative Community Garden:Community Memorial Hospitals on-campus garden is providing produce to members of the local community who 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 people who use Community Outreach Health Clinic and clients of area food pantries. The garden project is a great way to help those who have chronic conditions 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. Over 1,300 pounds of produce was donated this season.Community Outreach Health Clinic:The Community Outreach Health Clinic is a facility where uninsured populations at or below 185% 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 volunteer professional staff.In FY 13, the clinic served 2,300 individuals.Community Health Screenings:Community Memorial Hospital offers free blood pressure, skin 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 2013, Community Memorial Hospital conducted health screenings for 279 people. Bobbie Nick Voss Colonoscopy Program:Community 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 2013, 21 patients received a colonoscopy at no cost. Leadership Quality Indicator:As an indication of the Community Memorial 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. Subsidized Transportation Program:The Subsidized Medical Transportation Program at Community Memorial Hospital provides transportation to and from the hospital service locations for eligible persons (200% federal poverty level or below) who have difficulty arranging their own transportation and lack the financial resources to purchase transportation. In 2013, Community Memorial Hospital provided 826 subsidized rides to 444 people who needed transportation to receive their health care. Community Outreach Steering Committee Grants:Community 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 2013, nine local non-profit organizations received grants totaling $49,964 from the Community Outreach Steering Committee. Health Care Career Academy:The 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 three-week program allows students to shadow and learn from professionals in various clinical and ancillary departments throughout the hospital. Through observation, hands-on experience and classroom discussion, students are able to expand their awareness and interest in healthcare careers. During FY13, 24 students participated in the program with a community benefit value of over $74,000. For more information on CMH Community Benefit programs, please visit www.froedterthealth.org.
Part VI - Community Building Activities	To promote the health of our communities, Community Memorial Hospital participates in 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 thats 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 that recruits health professionals in our traditionally underserved communities to diversify our workforce population to better serve our communities.
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 - 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 - 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: o Gather data on behavioral and lifestyle habits of the adult population and household-level data. o Gather data on the prevalence of risk factors and disease conditions of the adult population. o Compare health data of residents to previous health studies. o Compare health data to national and state measurements.CHNA Methodology: o 18 minute telephone survey of area residents o 400 completions from February 21 through April 3, 2012 o Two-fold sampling 1) RDD landline sample of listed & unlisted #s (n=300) o Respondents randomly selected based on number of adults in household o Weighting based on number of adults and number of residential phone numbers in household. 2) Cell phone only sample (n=100) o Adult answering the phone designated as the respondent o All data post-stratified by age and gender of adult residents as of 2010 Census proportions. o 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 participated 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 in 2012 - 2016. Through the work of the CHIPP Steering Committee, the following priorities have been determined: - Access to Care - Mental Health - AODA
Part V, Line 12h - Other Factors Used in Determing Amounts Charged Patients	Out of Pocket Maximum Discount	Number of Hospital Faciltiy - 1
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:1. Oral and Dental Health ServicesExplanation: We do not have the dedicated resources. There are other local organizations dedicated to improve access to dental care.2. Teen PregnancyExplanation: United Way, Public Health, Safe Babies Healthy Families, the Hope Network and a number of other community organizations are working on this health issue.3. Health Literacy and NavigationExplanation: Other community organizations are working to increase awareness of health services and health seeking behaviors among low income individuals.4. Cigarette UseExplanation: We support the Multi-Jurisdictional Coalitions of Tobacco Free Community Partnership Dodge Jefferson Waukesha County and Washington County.5. Mental HealthExplanation: We do not have the dedicated resources. There are other local health and human service agencies and organizations dedicated to this issue.	Number of Hospital Faciltiy - 1
Part V, Line 6i - Describe Other Needs Identified	Effective December 14, 2012 Community Memorial Hospital adopted a Community Health Improvement Plan. OverviewThis Implementation Strategy serves as the community health improvement component of Community Memorial Hospitals community benefit strategy, focusing on Access to Primary/Specialty Care, Chronic Disease Management, Alcohol and Other Drug Abuse and Prevention/Wellness.Community Memorial Hospitals community benefit 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.Community Outreach Steering CommitteeThe Community Outreach Steering Committee (COSC) which is a subcommittee of the hospitals Board of Directors actualizes the mission of Community Memorial Hospital (CMH) 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 Community Outreach Steering Committee is appointed annually by the hospital president and is advisory to the CMH 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 AODA, Chronic Disease Management and Prevention and Wellness in the communities CMH serves.Community DemographicsCommunity Memorial Hospital develops its health improvement strategies and programs to meet the needs of the communities it serves. Community Memorial Hospitals total service area map reflects the 29 zip codes within the Milwaukee five-county area. Age The CMH Total service area has a comparable age distribution as the Milwaukee five-county area. The percentage of 35-44, critical ages when people begin getting routine screenings, is 12.75% in the CMH Total service area and slightly higher at 13.28% in the five-county area. Race/Ethnicity Similar to the age distribution, the racial distribution of the CMH Total service area is comparable to the five-county area with a Caucasian majority. Payer Mix 17.6% of the patients in the CMH Total service area are Medicaid or Self Pay (uninsured) patients, compared to 21.5% in the five-county area. Household Income 59.50% of the CMH Total service area earn more than $50,000 annually whereas in the five-county area, only 52.07% of the population earns $50,000 or more. Community Health Needs AssessmentFroedtert Health is a member of the Milwaukee Health Care Partnership www.mkehcp.org, a public private consortium dedicated to improving care for underserved populations in Milwaukee County. Through the Partnership, Milwaukees five health systems and the Washington County and Washington County Health Departments aligned resources to complete a shared community health needs assessment (CHNA) in 2012. Supported by additional analysis from the Center for Urban Population Health, this robust community-wide CHNA includes findings from a community health survey of over 800 adults, significant key informant interviews and a secondary source data analysis. This shared CHNA serves as the foundation for Community Memorial Hospitals implementation strategy to improve health outcomes and reduce disparities in Washington and Waukesha Counties.The CHNA summary and full reports can be found on Community Memorial Hospitals website:Washington County CHNA Executive SummaryWashington County CHNA Community Health SurveyWaukesha County CHNA Executive SummaryWaukesha County CHNA Community Health SurveyIdentified Community Health Needs in Washington and Waukesha Counties- Access to Health Care Services: includes behavioral, oral health and prenatal services- Health Insurance Coverage- Mental Health: includes Alcohol and Other Drug Abuse (AODA)- Obesity, Nutrition and Physical Activity- Chronic Disease- Sexual Health: includes sexually transmitted infections and teen pregnancy- Health Literacy and NavigationCommunity Memorial Hospitals Implementation Strategy Prioritiesreflect Community Memorial Hospitals clinical strengths and community partnerships. The CHNA identified priorities of Access to Primary/Specialty Care, AODA, Chronic Disease Management, Prevention and Wellness and Health Care Coverage as focus areas for its Implementation Strategy. Implementation Strategy EvaluationCommunity Memorial Hospital and its Community Outreach Steering Committee regularly monitors and reports on progress towards the Implementation Strategy objectives. Those reports will include, but are not limited to: access metrics regarding primary, specialty and preventive services; participation rates and qualitative data for individuals engaging in wellness and disease management programs; and, improvement in clinical health indicators associated with chronic disease management initiatives.	Number of Hospital Faciltiy - 1
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	Number of Hospital Faciltiy - 1
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.	Number of Hospital Faciltiy - 1
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 Department and Recreation Germantown 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 Families IncSt. 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	Number of Hospital Faciltiy - 1
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 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 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 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 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 I, Line 7, Column F - Explanation of Bad Debt Expense	Our total expense from Form 990, Part IX, line 25, column (A) was $177,198,269. 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 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.
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 500 area non-profits, chambers of commerce, CMH Board of Directors, CMH leaders and staff, government officials, business leaders and other community members. A copy of the report can be found at Froedterthealth.org

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Purpose Of GrantPurposeOfGrant	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection
Other Grants 5000
9200 W Wisconsin Avenue	Milwaukee	WI	53226	19017	0	Various
Community Outreach Health Clinic
W180 N8085 Town Hall Road	Menomonee Falls	WI	53051	30947	0	Support operations of clinic	391743056	501(c)(3)

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	9	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Grantmaker's Description of How Grants are Used	Identifier
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 your 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitle	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
Van De Kreeke Jeffrey
FH CFO	291459	110009	27257	73475	12039	514239
Unger Michael
Former - Officer (VP)	239377		1398		16131	256906
Sanders Paul A
Sr VP, Clncl Srvcs							225047	54893	24770	14432	21677	340819
Pollard Dennis
Dir&President	384853	140997	27565	84473	27233	665121
McClure Debra
Nurse Anesthetist							272528		609	5754	12298	291189
Lux Theresa M
Dir,VP Pt Care							180144	50225	17299	29901	10084	287653
Knoll Thomas
Treasurer	151668		693	8310	26791	187462
Jacobson Catherine A
Dir,FH Pres/CEO	698373	298671	4782	150975	28885	1181686
Hawig Scott
FH CFO	214150	9601	5846		10354	239951
Goldberg MD David F
Dir,VP Med Afrs							249317	75970	20797	40905	25569	412558
Freiberg Kerry J
VP Extrnl Affairs							141743	43621	20992	28752	11846	246954
Evenson Rock E
VP Pln & Prg Dvlp							144063	44869	20438	28354	24328	262052
Ehn Diane
VP Qlty & Perf Exc							127601	33148	2040	21953	15741	200483

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Sch J, Part III, Additional Information	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 plan for the purchase of benefits.
Sch J, Part I, Line 1a	Part I, Line 1a: Relevant information in regards to selections on 1a.	Health club membership subsidy/discount is a benefits program applicable to all employees and is outlined in the benefit program documents. Dining Club memberships for Executives are for business purposes only, with all expenses substantiated by receipts and approvals. All amounts are included in taxable compensation as required.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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, but was reported as such on the organization's 990 in the previous five years.
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, Froedtert Physician Partners and West Bend Clinic. 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 IV, Line 24	Even though the liability is on the books of Community Memorial Hospital of Menemonee Falls, this question was answered no, as Schedule K will be completed on the Form 990 of the parent corporation, Froedtert Health, Inc.
Other Changes In Net Assets Or Fund Balances - Other Decreases	Other = -$12276	Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in Foundation Unrestricted Net Assets = $2	Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in Foundation Restricted Net Assets = $309168	Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in APBO than net periodic benefit costs = $22157186	Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other Decreases	Capital Contributions = -$838632	Form 990, Part XI, Line 9
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.	Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	In establishing the compensation of the organizations Top Management, independent compensation consultants are utilized, compensation studies are completed to gather comparative data, persons with a conflict of interest regarding the compensation arrangements at issue are not involved in the decision making process, and amounts are reviewed and approved by the Compensation Committee of the Board of Directors.In addition, there is contemporaneous documentation and recordkeeping for deliberations and decisions regarding the compensation arrangements.	Form 990, Part VI, Line 15b
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 12c
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's 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 11b
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 7b
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 7a
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 6
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents	Bylaws were amended and restated to reflect various governance related provisions to reflect current practices. None of these changes effect the tax-exempt nature of the organization.	Form 990, Part VI, Line 4

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
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
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 Physician Partners Inc
9200 W Wisconsin Ave	Milwaukee	WI	53226	272042610	Health Care Services	WI	501(c)(3)	3	Froedtert Health Inc	false
West Bend Clinic Inc
1700 W Paradise Drive	West Bend	WI	53095	392034294	Health Care Services	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
Froedtert Memorial Lutheran Hospital Inc
9200 West Wisconsin Avenue	Milwuakee	WI	532263522	396105970	Hospital	WI	501(c)(3)	3	Froedtert Health Inc	false
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	true
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	true
Froedtert Health Inc
9200 West Wisconsin Avenue	Milwaukee	WI	532263596	392014409	Management Services	WI	501(c)(3)	Ln 11, Type 111	NA	false

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Progressive Physician Network Inc	BusinessNameLine1

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	270367127	EIN
Primary Activity	Managment Services	PrimaryActivity
Legal Domicile State	WI	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	Schedule R, Part V, Line 2	Identifier
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.	Explanation