2014-05-08T11:19:49-07:00 2013-06-30 KPMG LLP 191 W Nationwide Blvd Suite 500 Columbus OH 43215 990 2012-07-01 390987025 Community Memorial Hospital of Menomonee Falls Inc COMM 4147770960 W180 N8085 Town Hall Road Menomonee Falls WI 53051 Scott R Hawig 2014-05-08 false 2012 2015-11-30 17:44:51Z Catherine A Jacobson 256954355 false false X www.froedtert.com X 1959 WI Community Memorial Hospital advances the health of the communities we serve through exceptional care enhanced by innovation and discovery. 20 16 1478 235 0 0 177422513 178272452 5935742 6461842 22078021 10155074 205436276 194889368 50000 49964 0 64494413 67273584 0 242235 118794930 109874721 183339343 177198269 22096933 17691099 308290602 321723931 170021753 135901625 138268849 185822306 Community Memorial Hospital advances the health of the communities we serve through exceptional care enhanced by innovation and discovery. false false 82718239 103167715 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 50469920 62947016 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 9747868 12157721 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. 142936027 true false false false false false false false false true true false false true true true false true false false false false false false true false true true true false true false false false false false false false false false false false false false false false false true true false false false true 200 0 true 1478 true false false false false false false false false 0 false false false false false false false false false false X 20 16 false false true false true true true true true false false true true true true true true true true true true WI X X David Dirksmeyer 4147770960 N74W127501 Leatherwood Ct Menomonee Falls WI 53051 Stadelmann Douglas J 1.00 0.00 X X 0 0 0 Pollard Dennis 1.00 46.00 X X 0 553415 111706 Pieters Robert B 1.00 1.00 X X 0 0 0 Bast Ronald R 1.00 2.00 X X 0 0 0 White MD Michael G 1.00 0.00 X 0 0 0 Turtenwald Robyn 1.00 0.00 X 0 0 0 Templin Susan 1.00 1.00 X 0 0 0 Specht-Palmert Christine 1.00 0.00 X 0 0 0 Shepherd MD Dennis W 1.00 0.00 X 0 0 0 Nelson Eric 1.00 0.00 X 0 0 0 Mays Cedric 1.00 0.00 X 0 0 0 Lux Theresa M 50.00 1.00 X 247668 0 39985 Jacobson Catherine A 1.00 50.00 X 0 1001826 179860 Hart Daniel 1.00 1.00 X 0 0 0 Hackett MD James G 1.00 0.00 X 0 0 0 Goldberg MD David F 50.00 0.00 X 346084 0 66474 Fitzgerald Mark 1.00 0.00 X 0 0 0 Ellis Sharon Q 1.00 1.00 X 0 0 0 Borden Susan 1.00 0.00 X 0 0 0 Becker Richard C 1.00 1.00 X 0 0 0 Aggarwal Anil MD 1.00 0.00 X 0 0 0 Knoll Thomas 1.00 41.00 X 0 152361 35101 Van De Kreeke Jeffrey 1.00 50.00 X 0 428725 85514 Hawig Scott 1.00 50.00 X 0 229597 10354 Ehn Diane 40.00 0.00 X 162789 0 37694 Evenson Rock E 50.00 0.00 X 209370 0 52682 Freiberg Kerry J 50.00 1.00 X 206356 0 40598 McClure Debra 50.00 0.00 X 273137 0 18052 Sanders Paul A 50.00 0.00 X 304710 0 36109 Unger Michael 0.00 40.00 X 0 240775 16131 1750114 2606699 730260 74 true true false 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 14 0 Outpatient Revenue 900099 62947016 62947016 Inpatient Revenue 900099 103167715 103167715 Emergency/Trauma Revenue 900099 12157721 12157721 178272452 4684752 1442436 3242316 10232 10232 0 0 63774918 3258 61885433 125885 1889485 -122627 1766858 1766858 99203 53669 45534 45534 0 0 Other Dept Operating Rev 561499 3709677 3709677 Corporate Allocated Rev 561000 3556243 3556243 Claims & Settlements 900099 1725000 1725000 1118620 1118620 10109540 194889368 188705808 6183560 X 49964 49964 0 0 0 724227 724227 0 62067835 58030153 3875712 161970 0 119539 110645 8583 311 4361983 4037452 313190 11341 293700 293700 -264512 -393373 128861 0 0 0 0 11155858 9488273 1667585 91882 2199 89683 1319341 478606 831851 8884 492783 136997 355746 40 0 3536417 2903820 627356 5241 89493 41142 48125 226 0 148900 122900 25700 300 2397435 1968580 425302 3553 0 7852615 6447934 1393044 11637 7477 7477 Miscellaneous 3779138 3620326 157250 1562 State Hospital Assessment 5293260 5293260 Medical Supplies 32782342 32635966 142989 3387 Corporate Allocated Expense 40898592 17660006 23204803 33783 0 177198269 142936027 34020007 242235 7295 7125 21754257 26309775 0 24095637 22202533 0 0 20000 20000 4149959 3877301 2126284 1630172 181038606 95737925 81377017 85300681 124482090 127899248 0 0 0 50278063 54477096 308290602 321723931 8803747 10485948 5940 4199 63386192 55729972 97825874 69681506 170021753 135901625 X 137302778 184547067 966071 1275239 138268849 185822306 308290602 321723931 X 17691099 8246910 21615448 X false true X true false X 4688829 379734 440545 397266 6595 5105247 4674956 265167 80003 321940 9357 4688829 4094065 1398548 623704 374633 1066388 340 4674956 3166213 904863 384524 304571 56965 -1 4094065 3670185 484004 -466270 353150 168686 -130 3166213 1.00000 false true true 80711 80711 102365113 44055728 58309385 1987540 1686077 301463 34208216 24067118 10141098 42397026 25929002 16468024 85300681 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 54477096 Swap mark to market 4558617 Pension Liability 26898088 Payable under securities lending agreeme 37466283 Estimated Settlements Due to 3rd Parties 175957 Due to Affiliates 582561 69681506 X 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. false Cheery Cherry Fall Fair 40517 40517 4855 2892 450 10154 Otis Spunkmeyer Cookies 35045 35045 13541 2 19706 19706 5026 9725 95268 95268 4855 21459 450 19879 46643 48625 true true X true X true X true true true false true true 1360676 1360676 0.00770 13775472 6009737 7765735 0.04380 15136148 6009737 9126411 0.05150 46 9724 1457740 15084 1442656 0.00810 4 535 598621 598621 0.00340 15 2131 284068 284068 0.00160 65 12390 2340429 15084 2325345 0.01310 65 12390 17476577 6024821 11451756 0.06460 1 3076 3076 2 10587 10587 0.00010 2 1440 30877 30877 0.00020 1 11546 11546 0.00010 4 178 133932 133932 0.00080 10 1618 190018 190018 0.00120 false 8577230 66262771 80093808 -13831037 X true true 1 1 Community Memorial Hospital

W180 N8085 Town Hall Road Menomonee Falls WI 53051

X X X true X X X X X X X X 12 true true true X X X X X X X X X X X X false false false true true 200.0000 true 400.0000 true X X X X true true X true false X X X X true X false false 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 Number of Hospital Faciltiy - 1 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 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 true 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 391743056 501(c)(3) 30947 0 Support operations of clinic 9 0 Grantmaker's Description of How Grants are Used 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. X true true X X X X X false true false false false false false false false false Van De Kreeke Jeffrey 291459 110009 27257 73475 12039 514239 Unger Michael 239377 1398 16131 256906 Sanders Paul A 225047 54893 24770 14432 21677 340819 Pollard Dennis 384853 140997 27565 84473 27233 665121 McClure Debra 272528 609 5754 12298 291189 Lux Theresa M 180144 50225 17299 29901 10084 287653 Knoll Thomas 151668 693 8310 26791 187462 Jacobson Catherine A 698373 298671 4782 150975 28885 1181686 Hawig Scott 214150 9601 5846 10354 239951 Goldberg MD David F 249317 75970 20797 40905 25569 412558 Freiberg Kerry J 141743 43621 20992 28752 11846 246954 Evenson Rock E 144063 44869 20438 28354 24328 262052 Ehn Diane 127601 33148 2040 21953 15741 200483 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. 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. Form 990, Part XI, Line 9 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 VI, Line 19 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 15b 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 12c 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 11b 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 7b 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 7a 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 6 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 4 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. 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 Progressive Physician Network Inc 9200 West Wisconsin Avenue Milwaukee WI 53226 270367127 Managment Services WI Froedtert Health Inc C false false true true false false false false false false false false false true true true true true true true Schedule R, Part V, Line 2 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.